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
2012
Open to Public Inspection
For calendar year 2012, or tax year beginning 07-01-2012 , and ending 06-30-2013
Name of foundation
ANNIE L ROWELL CHARITABLE REMAINDER TRUST
 

Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 477   Room/suite
City or town, state, and ZIP code
CONCORD, NH033020477
A Employer identification number

02-6055400
B Telephone number (see instructions)

(603) 229-5810
C bullet
G Check all that apply:

D 1. bullet
2. bullet
H Check type of organization:
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$5,487,217
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 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...... 132,340 132,340  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 161,455
b Gross sales price for all assets on line 6a 1,552,468
7 Capital gain net income (from Part IV, line 2)... 161,455
8 Net short-term capital gain......... 0
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........ 293,795 293,795  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 40,529 40,529    
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule).........       0
b Accounting fees (attach schedule)....... 575 575 0 0
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions) 1,445     0
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......   0 0  
22 Printing and publications..........   0 0  
23 Other expenses (attach schedule)....... 75 75    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 42,624 41,179 0 0
25 Contributions, gifts, grants paid........ 263,036 263,036
26 Total expenses and disbursements. Add lines 24 and 25 305,660 41,179 0 263,036
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -11,865
b Net investment income (if negative, enter -0-) 252,616
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2012)
Form 990-PF (2012)
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.......... 34,662 204,490 204,490
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
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 bullet0      
8 Inventories for sale or use...............      
9 Prepaid expenses and deferred charges...........      
10a Investments—U.S. and state government obligations (attach schedule) 935,566 Click to see attachment916,271 918,560
b Investments—corporate stock (attach schedule)........ 2,985,263 Click to see attachment595,527 600,566
c Investments—corporate bonds (attach schedule)........ 613,231 Click to see attachment2,840,567 3,763,601
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)...........     0
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) 4,568,722 4,556,855 5,487,217
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......... 4,568,722 4,556,855
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see page 17 of the
instructions).................... 4,568,722 4,556,855
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 4,568,722 4,556,855
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 4,568,722
2 Enter amount from Part I, line 27a..................... 2 -11,865
3 Other increases not included in line 2 (itemize) bullet 3 0
4 Add lines 1, 2, and 3.......................... 4 4,556,857
5 Decreases not included in line 2 (itemize) bulletClick to see attachment 5 2
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 4,556,855
Form 990-PF (2012)
Form 990-PF (2012)
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 270. MARATHON OIL   2011-06-07 2012-07-09
b 1220. MARATHON OIL   2012-01-09 2012-07-09
c 985. PROCTER & GAMBLE CO   2010-11-16 2012-07-09
d 270. APACHE CORP COM   2012-02-16 2012-07-13
e 515. APACHE CORP COM   2003-11-21 2012-07-13
1100. NETAPP INC COM   2012-03-26 2012-07-13
320. STARBUCKS CORP   2011-09-08 2012-07-13
250. YUM BRANDS INC   2007-07-20 2012-07-13
20. YUM BRANDS INC   2012-01-09 2012-07-13
93. ENGILITY HOLDINGS INC   2011-03-02 2012-08-03
70. GILEAD SCIENCES INC   2011-06-02 2012-08-03
230. GILEAD SCIENCES INC   2012-05-29 2012-08-03
40000. HEWLETT PACKARD CO 4.750% 06/02/2014 DTD 02/26/09   2010-12-08 2012-08-06
60000. U S TREASURY NOTE 3.125% 08/31/2013 DTD 09/02/08   2011-05-05 2012-08-08
40000. U S TREASURY BOND 2.625% 08/15/2020 DTD 08/15/10   2011-06-20 2012-08-20
30000. CONOCOPHILLIPS 4.750% 02/01/2014 DTD 02/03/09   2009-04-24 2012-08-21
10000. CONOCOPHILLIPS 4.750% 02/01/2014 DTD 02/03/09   2009-04-24 2012-08-21
250. DIAGEO PLC ADR   2008-02-08 2012-08-22
320. HOME DEPOT INC   2008-04-04 2012-08-22
560. L-3 COMMUNICATIONS HLDGS INC COM   2011-03-02 2012-08-22
20000. GE COMPANY 5.00% 02/01/2013 DTD 1/28/2003   2008-02-26 2012-09-06
130. ABBOTT LABORATORIES   2012-05-29 2012-09-13
180. COLGATE PALMOLIVE   2012-05-29 2012-09-13
160. ECOLAB INC   2012-05-10 2012-09-13
120. ECOLAB INC   2010-05-05 2012-09-13
210. MERCK & CO INC NEW COM   2012-04-12 2012-09-13
140. NEXTERA ENERGY INC COM   2012-05-10 2012-09-13
200. VERIZON COMMUNICATIONS   2012-06-15 2012-09-13
.333 ENGILITY HOLDINGS INC   2011-01-24 2012-09-14
30. ABBOTT LABORATORIES   2012-05-29 2012-09-24
30. AMERICAN EXPRESS CO   2007-07-26 2012-09-24
40. ARCHER DANIELS MID   2011-03-03 2012-09-24
20. BED BATH & BEYOND INC   2012-06-15 2012-09-24
20. BERKSHIRE HATHAWAY INC DEL CL B NEW   2012-05-29 2012-09-24
30. BROADCOM CORP COM   2012-03-26 2012-09-24
20. CAPITAL ONE FINANCIAL CORP   2011-07-14 2012-09-24
20. CELGENE CORP   2012-04-12 2012-09-24
20. CHEVRONTEXACO CORP   2007-07-26 2012-09-24
80. CISCO SYSTEMS INC   2007-10-04 2012-09-24
50. COCA COLA CO   2012-05-10 2012-09-24
20. COLGATE PALMOLIVE   2012-04-12 2012-09-24
30. COMCAST CORP NEW CL A   2012-08-22 2012-09-24
20. CONOCOPHILLIPS   2012-09-13 2012-09-24
40. DANAHER CORP   2011-04-26 2012-09-24
10. DIAGEO PLC ADR   2008-02-08 2012-09-24
40. WALT DISNEY CO   2012-01-09 2012-09-24
60. E M C CORP MASS   2007-07-26 2012-09-24
20. ECOLAB INC   2010-05-05 2012-09-24
30. EXXON MOBIL CORP   2010-05-14 2012-09-24
40. FREEPORT-MCMORAN COPPER & GOCL B   2012-02-06 2012-09-24
30. GILEAD SCIENCES INC   2011-06-02 2012-09-24
40. HOME DEPOT INC   2008-04-04 2012-09-24
30. ILLINOIS TOOL WKS INC   2007-07-06 2012-09-24
10. INTERNATIONAL BUSINESS MACHINES   2011-04-26 2012-09-24
40. J P MORGAN CHASE & CO   2007-07-26 2012-09-24
20. JOHNSON & JOHNSON   2012-05-29 2012-09-24
40. KRAFT FOODS INC   2012-08-22 2012-09-24
40. MERCK & CO INC NEW COM   2012-05-29 2012-09-24
80. MICROSOFT CORP   2004-08-02 2012-09-24
20. NEXTERA ENERGY INC COM   2012-05-10 2012-09-24
60. ORACLE CORP   2012-09-13 2012-09-24
10. PNC FINANCIAL CORP   2011-12-16 2012-09-24
40. QUALCOMM, INC.   2012-09-13 2012-09-24
40. SPECTRA ENERGY CORP   2012-01-09 2012-09-24
10. STARBUCKS CORP   2011-09-08 2012-09-24
20. 3M CO   2012-08-22 2012-09-24
60. US BANCORP DEL NEW   2008-03-31 2012-09-24
10. UNION PACIFIC CORP   2012-02-06 2012-09-24
10. UNITED PARCEL SVC INC CL B   2012-01-09 2012-09-24
40. VERIZON COMMUNICATIONS   2012-06-15 2012-09-24
20. WELLPOINT INC COM   2012-06-15 2012-09-24
50. WELLS FARGO & COMPANY COM NEW   2009-08-26 2012-09-24
10. YUM BRANDS INC   2007-07-20 2012-09-24
20. ACE LTD   2011-07-14 2012-09-24
40. TRANSOCEAN LTD ZUG NAMEN AKT   2012-08-22 2012-09-24
30. CHECK POINT SOFTWARE TECHNOLOGIES LTD   2011-07-26 2012-09-24
630. ARCHER DANIELS MID   2011-03-03 2012-10-15
720. KRAFT FOODS GROUP INC   2012-08-22 2012-10-15
530. UNITED PARCEL SVC INC CL B   2012-01-09 2012-10-15
65000. WAL-MART STORES 4.55% 5/1/2013 DTD 4/29/2003   2010-04-14 2012-10-25
20. ABBOTT LABORATORIES   2012-05-29 2012-12-03
520. ABBOTT LABORATORIES   2010-08-24 2012-12-03
180. WALT DISNEY CO   2012-01-09 2012-12-03
230. GILEAD SCIENCES INC   2011-06-02 2012-12-03
140. INTERNATIONAL BUSINESS MACHINES   2011-04-26 2012-12-03
990. MICROSOFT CORP   2004-08-02 2012-12-03
940. ABBVIE INC   2010-05-27 2013-01-15
200. WALT DISNEY CO   2012-01-09 2013-02-04
150. WALT DISNEY CO   2010-12-16 2013-02-04
280. HOME DEPOT INC   2008-04-04 2013-02-04
25000. FED HOME LN MTG 5.00% 01/30/2014 DTD 01/30/2004   2011-01-18 2013-02-22
25000. ONTARIO PROVINCE 2.950% 02/05/2015 DTD 02/05/10   2010-05-25 2013-02-22
90. CELGENE CORP   2012-04-12 2013-03-19
50. CELGENE CORP   2011-11-03 2013-03-19
220. COLGATE PALMOLIVE   2008-11-26 2013-03-19
120. COLGATE PALMOLIVE   2012-04-12 2013-03-19
430. GILEAD SCIENCES INC   2011-05-06 2013-03-19
140. HOME DEPOT INC   2008-04-04 2013-03-19
40000. FED HOME LN MTG 5.00% 01/30/2014 DTD 01/30/2004   2008-05-22 2013-04-02
2160. MONDELEZ INTERNATIONAL INC   2012-08-22 2013-05-20
470. WELLPOINT INC COM   2012-06-15 2013-05-20
70. ABBOTT LABORATORIES   2013-01-15 2013-06-21
40. AMERICAN EXPRESS CO   2007-07-26 2013-06-21
70. ARCHER DANIELS MID   2011-03-02 2013-06-21
30. BED BATH & BEYOND INC   2012-06-15 2013-06-21
30. BERKSHIRE HATHAWAY INC DEL CL B NEW   2013-03-19 2013-06-21
30. BOEING CO   2013-05-20 2013-06-21
50. BROADCOM CORP COM   2012-03-26 2013-06-21
40. CAPITAL ONE FINANCIAL CORP   2011-07-14 2013-06-21
20. CELGENE CORP   2011-11-03 2013-06-21
30. CHEVRONTEXACO CORP   2007-07-26 2013-06-21
140. CISCO SYSTEMS INC   2007-10-04 2013-06-21
80. COCA COLA CO   2012-05-10 2013-06-21
30. COGNIZANT TECHNLGY SLTNS COR   2012-12-03 2013-06-21
30. COLGATE PALMOLIVE   2008-11-20 2013-06-21
60. COMCAST CORP NEW CL A   2012-12-03 2013-06-21
40. CONOCOPHILLIPS   2012-09-13 2013-06-21
60. DANAHER CORP   2011-04-26 2013-06-21
20. DIAGEO PLC ADR   2008-02-08 2013-06-21
50. WALT DISNEY CO   2008-03-11 2013-06-21
120. E M C CORP MASS   2007-07-26 2013-06-21
30. ECOLAB INC   2010-05-05 2013-06-21
40. EXXON MOBIL CORP   2010-05-14 2013-06-21
70. FREEPORT-MCMORAN COPPER & GOCL B   2012-02-06 2013-06-21
80. GILEAD SCIENCES INC   2011-04-26 2013-06-21
40. HOME DEPOT INC   2008-04-04 2013-06-21
60. ILLINOIS TOOL WKS INC   2007-07-06 2013-06-21
10. INTERNATIONAL BUSINESS MACHINES   2011-04-25 2013-06-21
50. J P MORGAN CHASE & CO   2007-07-26 2013-06-21
50. JOHNSON & JOHNSON   2012-05-29 2013-06-21
80. MERCK & CO INC NEW COM   2012-05-29 2013-06-21
100. MICROSOFT CORP   2013-05-20 2013-06-21
40. NEXTERA ENERGY INC COM   2012-05-10 2013-06-21
100. ORACLE CORP   2013-05-20 2013-06-21
20. PNC FINANCIAL CORP   2011-12-16 2013-06-21
70. PFIZER INC   2012-12-03 2013-06-21
10. PRECISION CASTPARTS CORP   2012-10-15 2013-06-21
50. QUALCOMM, INC.   2012-09-13 2013-06-21
80. SPECTRA ENERGY CORP   2012-01-09 2013-06-21
30. STARBUCKS CORP   2011-09-08 2013-06-21
30. TJX CO   2013-02-04 2013-06-21
40. 3M CO   2012-08-22 2013-06-21
100. US BANCORP DEL NEW   2008-03-31 2013-06-21
10. UNION PACIFIC CORP   2012-02-06 2013-06-21
60. VERIZON COMMUNICATIONS   2012-06-15 2013-06-21
80. WALGREEN CO   2013-03-19 2013-06-21
80. WELLS FARGO & COMPANY COM NEW   2009-08-26 2013-06-21
10. YUM BRANDS INC   2013-03-19 2013-06-21
20. ACE LTD   2011-07-14 2013-06-21
10. ACE LTD   2010-03-16 2013-06-21
60. TRANSOCEAN LTD ZUG NAMEN AKT   2012-08-22 2013-06-21
60. CHECK POINT SOFTWARE TECHNOLOGIES LTD   2011-07-26 2013-06-21
250. BROADCOM CORP COM   2012-09-13 2013-06-27
1220. BROADCOM CORP COM   2012-03-26 2013-06-27
470. DIAGEO PLC ADR   2009-07-07 2013-06-27
(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 6,582   8,300 -1,718
b 29,742   34,716 -4,974
c 60,582   52,289 8,293
d 22,445   27,844 -5,399
e 42,811   17,941 24,870
31,463   50,291 -18,828
16,923   12,475 4,448
16,039   8,642 7,397
1,283   1,192 91
1,438   1,728 -290
4,067   2,895 1,172
13,362   11,710 1,652
42,361   43,711 -1,350
61,845   63,149 -1,304
43,570   39,982 3,588
31,747   31,755 -8
10,583   10,585 -2
26,583   20,123 6,460
18,136   9,288 8,848
38,959   41,874 -2,915
20,364   20,557 -193
8,832   8,056 776
18,676   17,754 922
10,332   10,382 -50
7,749   5,834 1,915
9,246   8,048 1,198
9,468   9,101 367
9,029   8,778 251
5   6 -1
2,089   1,859 230
1,726   1,800 -74
1,100   1,486 -386
1,239   1,465 -226
1,782   1,588 194
1,068   1,159 -91
1,150   986 164
1,537   1,580 -43
2,362   1,760 602
1,502   2,585 -1,083
1,905   1,938 -33
2,141   1,945 196
1,093   1,020 73
1,156   1,132 24
2,190   2,162 28
1,119   795 324
2,118   1,596 522
1,666   1,113 553
1,290   972 318
2,761   1,910 851
1,613   1,852 -239
2,008   1,241 767
2,375   1,161 1,214
1,820   1,682 138
2,058   1,684 374
1,654   1,755 -101
1,382   1,250 132
1,664   1,640 24
1,807   1,517 290
2,463   2,286 177
1,388   1,300 88
1,934   1,940 -6
657   554 103
2,549   2,522 27
1,169   1,219 -50
513   390 123
1,877   1,856 21
2,051   1,959 92
1,211   1,156 55
720   732 -12
1,827   1,756 71
1,169   1,413 -244
1,753   1,378 375
683   346 337
1,523   1,301 222
1,893   1,956 -63
1,427   1,768 -341
17,684   23,345 -5,661
34,010   29,926 4,084
38,441   38,819 -378
66,409   69,980 -3,571
1,291   1,239 52
33,568   24,880 8,688
8,929   7,184 1,745
17,332   9,495 7,837
26,529   23,513 3,016
26,290   28,294 -2,004
32,067   23,310 8,757
10,871   7,982 2,889
8,154   5,257 2,897
18,753   8,127 10,626
26,118   27,807 -1,689
26,198   25,473 725
10,053   7,109 2,944
5,585   3,220 2,365
24,715   13,915 10,800
13,481   11,669 1,812
19,239   8,637 10,602
9,734   4,063 5,671
41,592   41,815 -223
66,584   55,357 11,227
36,533   33,214 3,319
2,500   2,330 170
2,944   2,400 544
2,325   2,581 -256
2,102   2,198 -96
3,375   3,070 305
2,997   2,971 26
1,665   1,932 -267
2,461   1,971 490
2,288   1,288 1,000
3,577   2,639 938
3,431   4,523 -1,092
3,186   3,100 86
1,866   2,037 -171
1,709   936 773
2,383   2,241 142
2,415   2,264 151
3,731   3,242 489
2,277   1,590 687
3,149   1,552 1,597
2,920   2,226 694
2,522   1,459 1,063
3,596   2,546 1,050
1,975   3,240 -1,265
3,934   1,582 2,352
2,964   1,161 1,803
4,144   3,363 781
1,962   1,679 283
2,612   2,194 418
4,200   3,125 1,075
3,774   3,004 770
3,330   3,494 -164
3,135   2,600 535
3,014   3,496 -482
1,440   1,108 332
2,000   1,764 236
2,121   1,654 467
3,033   3,152 -119
2,698   2,437 261
1,941   1,170 771
1,487   1,364 123
4,388   3,711 677
3,563   3,265 298
1,529   1,156 373
2,978   2,633 345
3,902   3,608 294
3,287   2,205 1,082
691   695 -4
1,731   1,301 430
865   511 354
2,885   2,933 -48
2,958   3,536 -578
8,415   8,961 -546
41,067   46,979 -5,912
54,095   33,735 20,360
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       -1,718
b       -4,974
c       8,293
d       -5,399
e       24,870
      -18,828
      4,448
      7,397
      91
      -290
      1,172
      1,652
      -1,350
      -1,304
      3,588
      -8
      -2
      6,460
      8,848
      -2,915
      -193
      776
      922
      -50
      1,915
      1,198
      367
      251
      -1
      230
      -74
      -386
      -226
      194
      -91
      164
      -43
      602
      -1,083
      -33
      196
      73
      24
      28
      324
      522
      553
      318
      851
      -239
      767
      1,214
      138
      374
      -101
      132
      24
      290
      177
      88
      -6
      103
      27
      -50
      123
      21
      92
      55
      -12
      71
      -244
      375
      337
      222
      -63
      -341
      -5,661
      4,084
      -378
      -3,571
      52
      8,688
      1,745
      7,837
      3,016
      -2,004
      8,757
      2,889
      2,897
      10,626
      -1,689
      725
      2,944
      2,365
      10,800
      1,812
      10,602
      5,671
      -223
      11,227
      3,319
      170
      544
      -256
      -96
      305
      26
      -267
      490
      1,000
      938
      -1,092
      86
      -171
      773
      142
      151
      489
      687
      1,597
      694
      1,063
      1,050
      -1,265
      2,352
      1,803
      781
      283
      418
      1,075
      770
      -164
      535
      -482
      332
      236
      467
      -119
      261
      771
      123
      677
      298
      373
      345
      294
      1,082
      -4
      430
      354
      -48
      -578
      -546
      -5,912
      20,360
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 2 161,455
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 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))
2011 250,198 5,004,462 0.049995
2010 313,241 5,081,747 0.06164
2009 182,348 4,872,746 0.037422
2008 229,640 4,563,010 0.050326
2007 292,948 5,833,122 0.050221
2 Total of line 1, column (d) ...................... 2 0.249604
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 0.049921
4 Enter the net value of noncharitable-use assets for 2012 from Part X, line 5..... 4 5,252,675
5 Multiply line 4 by line 3....................... 5 262,219
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 2,526
7 Add lines 5 and 6......................... 7 264,745
8 Enter qualifying distributions from Part XII, line 4.............. 8 263,036
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.
Form 990-PF (2012)
Form 990-PF (2012)
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 5,052
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 0
3 Add lines 1 and 2............................ 3 5,052
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-). 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 5,052
6 Credits/Payments:
a 2012 estimated tax payments and 2011 overpayment credited to 2012 6a 1,876
b Exempt foreign organizations—tax withheld at source....... 6b
c Tax paid with application for extension of time to file (Form 8868) 6c 0
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 1,876
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 3,176
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2013 estimated taxBullet0 Refunded Bullet 11 0
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 instructions)
    bulletNH
    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 2012 or the taxable year beginning in 2012 (see instructions for Part XIV)?
    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 instructions) .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement (see instructions).................
    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 ofbulletTD Bank NA Telephone no.bullet (603) 229-5810
    Located atbullet143 NORTH MAIN STREETCONCORDNH ZIP+4bullet03301
    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 2012, 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 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 (2012)
    Form 990-PF (2012)
    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 2012?.............
    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 2012, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2012?...............
    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 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 2012 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 2012.)....................
    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 2012?
    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 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 instructions)? ......
    5b
     
     
    .........bullet
    c
    If the answer is “Yes” to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?............
    If “Yes,” attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?........................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If “Yes” to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2012)
    Form 990-PF (2012)
    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 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
    TD Bank NA Trustee
    1
    40,529    
    PO Box 477
    Concord,NH033020477
    2 Compensation of five highest-paid employees (other than those included on line 1—see 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 0
    3 Five highest-paid independent contractors for professional services (see 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.............bullet0
    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 (2012)
    Form 990-PF (2012)
    Page 7
    Part IX-B
    Summary of Program-Related Investments (see 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 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
    5,249,939
    b
    Average of monthly cash balances.......................
    1b
    82,726
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    5,332,665
    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
    0
    3
    Subtract line 2 from line 1d.........................
    3
    5,332,665
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see
    instructions) .............................
    4
    79,990
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    5,252,675
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    262,634
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    262,634
    2a
    Tax on investment income for 2012 from Part VI, line 5......
    2a
    5,052
    b
    Income tax for 2012. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    5,052
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    257,582
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    257,582
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,
    line 1................................
    7
    257,582
    Part XII
    Qualifying Distributions (see 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
    263,036
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
    0
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
    0
    b
    Cash distribution test (attach the required schedule) .................
    3b
    0
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    263,036
    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 instructions).................
    5
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    263,036
    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 (2012)
    Form 990-PF (2012)
    Page 8
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus
    (b)
    Years prior to 2011
    (c)
    2011
    (d)
    2012
    1 Distributable amount for 2012 from Part XI, line 7 257,582
    2 Undistributed income, if any, as of the end of 2012:
    a Enter amount for 2011 only....... 0
    b Total for prior years:2010, 20, 20 0
    3 Excess distributions carryover, if any, to 2012:
    a From 2007....... 0
    b From 2008....... 0
    c From 2009....... 0
    d From 2010....... 47,020
    e From 2011....... 1,848
    fTotal of lines 3a through e......... 48,868
    4Qualifying distributions for 2012 from Part
    XII, line 4: bullet$ 263,036
    a Applied to 2011, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions)......
    0
    c Treated as distributions out of corpus (Election
    required—see instructions).........
    0
    d Applied to 2012 distributable amount..... 257,582
    e Remaining amount distributed out of corpus 5,454
    5 Excess distributions carryover applied to 2012. 0 0
    (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 54,322
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........
    0
    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......
    0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
    0
    e Undistributed income for 2011. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2012. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2013 ..........
    0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see
    instructions) .............
    0
    8Excess distributions carryover from 2007 not
    applied on line 5 or line 7 (see instructions) ...
    0
    9Excess distributions carryover to 2013.
    Subtract lines 7 and 8 from line 6a ......
    54,322
    10 Analysis of line 9:
    a Excess from 2008.... 0
    b Excess from 2009.... 0
    c Excess from 2010.... 47,020
    d Excess from 2011.... 1,848
    e Excess from 2012.... 5,454
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 9
    Part XIV
    Private Operating Foundations (see 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 2012, 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) 2012 (b) 2011 (c) 2010 (d) 2009
             
    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 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.
    NONE
    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 (2012)
    Form 990-PF (2012)
    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
    SAINT ANSELM COLLEGE
    ATTN REV MARK COOPER
    100 ST ANSELM DRIVE
    MANCHESTER,NH031021310
    NONE 501(C)(3) DAILY OPERATIONS 131,518
    SAINT AUGUSTIN'S CHURCH
    ATTN REV JOSEPH GURDAK
    383 BEECH STREET
    MANCHESTER,NH03103
    NONE 501(C)(3) DAILY OPERATIONS 131,518
    Total .................................bullet 3a 263,036
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2012)
    Form 990-PF (2012)
    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 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....     14 132,339  
    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     18 161,456  
    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)..   293,795  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13293,795
    (See worksheet in line 13 instructions 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 foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2012)
    Form 990-PF (2012)
    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
    Sign Here
    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
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's namebullet



    Firm's addressbullet







    Firm's EINbullet
    Phone no.
    Form 990-PF (2012)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2012 AccountingFeesSchedule
    Name:
    ANNIE L ROWELL CHARITABLE REMAINDER TRUST
    EIN: 02-6055400
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 575 575    

    TY 2012 InvestmentsCorpBondsSchedule
    Name:
    ANNIE L ROWELL CHARITABLE REMAINDER TRUST
    EIN: 02-6055400
    Name of Bond End of Year Book Value End of Year Fair Market Value
    960 BED BATH & BEYOND INC 60,941 68,112
    1860 COMCAST CORP NEW CL A 61,330 77,655
    1510 WALT DISNEY CO 46,871 95,357
    1330 HOME DEPOT INC 36,609 103,035
    800 STARBUCKS CORP 31,188 52,408
    800 TJX COMPANIES INC 36,366 40,048
    690 YUM BRANDS INC 27,693 47,845
    1890 ARCHER DANIELS MIDLAND CO 63,958 64,090
    2270 COCA COLA CO 87,352 91,050
    970 COLGATE PALMOLIVE CO 30,261 55,571
    2070 WALGREEN CO 80,536 91,494
    1770 TRANSOCEAN LTD ZUG 82,329 84,872
    920 CHEVRON CORPORATION 78,747 108,873
    940 CONOCOPHILLIPS 51,624 56,870
    1200 EXXON MOBIL CORP 34,003 108,420
    2050 SPECTRA ENERGY CORP 61,283 70,643
    890 ACE LTD 39,776 79,637
    1150 AMERICAN EXPRESS CO 45,140 85,974
    840 BERKSHIRE HATHAWAY INC DEL 70,685 94,013
    1000 CAPITAL ONE FINANCIAL COR 48,719 62,810
    1600 J P MORGAN CHASE & CO 70,207 84,464
    540 PNC BANK CORP 29,911 39,377
    2640 US BANCORP DEL NEW 69,520 95,436
    2180 WELLS FARGO & CO NEW 37,465 89,969
    1840 ABBOTT LABS CO 51,446 64,179
    670 CELGENE CORP 43,147 78,377
    2010 GILEAD SCIENCES INC 39,446 103,053
    1140 JOHNSON & JOHNSON CO 69,931 97,880
    2030 MERCK & CO INC NEW 73,301 94,294
    2030 PFIZER 51,156 56,860
    800 BOEING CO 79,219 81,952
    1570 DANAHER CORP SHS BEN INT 83,088 99,381
    1420 ILLINOIS TOOL WKS INC 75,810 98,221
    230 PRECISION CASTPARTS CORP 38,048 51,982
    920 3M CO 80,541 100,602
    390 UNION PACIFIC CORP 40,492 60,169
    1540 CHECK POINT SOFTWARE TECH 86,128 76,507
    3800 CISCO SYSTEMS INC 96,651 92,473
    750 COGNIZANT TECHNOLOGY SOLUT 50,935 46,980
    3080 EMC CORPORATION/MASS 57,134 72,750
    400 INTL BUSINESS MACHINES COR 66,450 76,444
    2790 MICROSOFT CORPORATION 78,325 96,381
    2740 ORACLE CORPORATION 84,110 84,145
    1410 QUALCOMM INCORPORATED 72,252 86,137
    800 ECOLAB INC 38,662 68,152
    1870 FREEPORT-MCMORAN COPPER 82,234 51,631
    1720 VERIZON COMMUNICATIONS 52,098 86,585
    1110 NEXTERA ENERGY INC COM 67,449 90,443

    TY 2012 InvestmentsCorpStockSchedule
    Name:
    ANNIE L ROWELL CHARITABLE REMAINDER TRUST
    EIN: 02-6055400
    Name of Stock End of Year Book Value End of Year Fair Market Value
    20000 AT&T INC 4.45% 20,380 21,541
    30000 ANHEUSER-BUSCH 1.375% 30,327 29,526
    40000 BNK OF NOVA SCOTIA 2.375 40,907 40,360
    40000 BERKSHIRE HATHAWAY 5.40% 44,173 45,950
    30000 CATERPILLAR FINL SE 2.0 30,920 30,691
    20000 CISCO SYSTEMS INC 4.950% 21,931 22,785
    40000 COCA COLA CO 1.500% 38,497 40,805
    20000 COMCAST CORP 2.85% 19,953 18,988
    40000 GEN ELEC CAP CORP 5.625% 43,642 45,307
    10000 GEN ELEC CAP CORP 1.625% 10,164 10,117
    40000 JPMORGAN CHASE & 6.00% 42,680 45,646
    45000 ONTARIO PROVINCE OF 1.65 44,816 42,989
    40000 ONTARIO PROVINCE 2.950% 40,757 41,515
    20000 PFIZER INC NOTES 5.35% 22,401 21,536
    20000 PROVINCE OF QUEBEC 2.750 20,329 19,644
    20000 SBC COMMUNICATIONS 5.10% 21,751 21,014
    20000 TOYOTA MOTOR CREDIT 2.00 20,677 20,403
    40000 WACHOVIA CORP 5.750% 45,203 46,070
    35000 WAL-MART SHORES INC 36,019 35,679

    TY 2012 InvestmentsGovtObligationsSch
    Name:
    ANNIE L ROWELL CHARITABLE REMAINDER TRUST
    EIN: 02-6055400
    US Government Securities - End of Year Book Value:

    916,271
    US Government Securities - End of Year Fair Market Value:

    918,560
    State & Local Government Securities - End of Year Book Value:


     
    State & Local Government Securities - End of Year Fair Market Value:


     


    TY 2012 OtherDecreasesSchedule
    Name:
    ANNIE L ROWELL CHARITABLE REMAINDER TRUST
    EIN: 02-6055400
    Description Amount
    ROUNDING ADJUSTMENT 2


    TY 2012 OtherExpensesSchedule
    Name:
    ANNIE L ROWELL CHARITABLE REMAINDER TRUST
    EIN: 02-6055400
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    STATE/PROBATE FEES 75 75   0


    TY 2012 TaxesSchedule
    Name:
    ANNIE L ROWELL CHARITABLE REMAINDER TRUST
    EIN: 02-6055400
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FEDERAL ESTIMATES - PRINCIPAL 1,445 0   0