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 01-01-2012 , and ending 12-31-2012
Name of foundation
NEGRIN FOUNDATION
 

Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 75000   Room/suite
City or town, state, and ZIP code
DETROIT, MI482757874
A Employer identification number

91-2026155
B Telephone number (see instructions)

(303) 294-3373
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$1,506,452
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 6 6  
4 Dividends and interest from securities...... 28,453 28,453  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 306,965
b Gross sales price for all assets on line 6a 1,470,962
7 Capital gain net income (from Part IV, line 2)... 306,965
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........ 335,424 335,424  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
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).......        
c Other professional fees (attach schedule).... 29,946 29,946   0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions) 587     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)....... 39 39    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 30,572 29,985 0 0
25 Contributions, gifts, grants paid........ 57,700 57,700
26 Total expenses and disbursements. Add lines 24 and 25 88,272 29,985 0 57,700
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 247,152
b Net investment income (if negative, enter -0-) 305,439
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.......... 47,796 60,374 60,374
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)      
b Investments—corporate stock (attach schedule)........ 1,092,761 Click to see attachment1,073,955 1,187,814
c Investments—corporate bonds (attach schedule)........   Click to see attachment257,654 258,264
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) 1,140,557 1,391,983 1,506,452
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......... 1,140,557 1,391,983
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see page 17 of the
instructions).................... 1,140,557 1,391,983
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 1,140,557 1,391,983
Part III Analysis of Changes in Net Assets or Fund Balances
1 Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree
with end-of-year figure reported on prior year’s return)............... 1 1,140,557
2 Enter amount from Part I, line 27a..................... 2 247,152
3 Other increases not included in line 2 (itemize) bulletClick to see attachment 3 4,274
4 Add lines 1, 2, and 3.......................... 4 1,391,983
5 Decreases not included in line 2 (itemize) bullet 5 0
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 1,391,983
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 70. ADT CORP   2010-12-09 2012-11-06
b 20. AMC NETWORKS INC   2011-04-01 2012-11-06
c 50. AMC NETWORKS INC   2003-08-22 2012-11-06
d 255. AT&T INC   2009-06-17 2012-11-06
e 380. ADVENT SOFTWARE INC   2003-08-22 2012-11-06
164. AGILENT TECHNOLOGIES INC   2012-01-13 2012-11-06
239. ALTERA CORP   2010-03-22 2012-05-10
80. AMERICAN EXPRESS CO   2010-12-14 2012-11-06
223. AMERISOURCEBERGEN CORP   2010-12-14 2012-11-06
41. ANADARKO PETROLEUM CORP   2010-12-09 2012-11-06
7. APPLE COMPUTER INC   2010-12-14 2012-10-08
17. APPLE COMPUTER INC   2009-03-12 2012-11-06
850. APPLIED MATLS INC   2009-08-05 2012-11-06
260. APPLIED MATLS INC   2011-07-29 2012-11-06
15. AUTODESK INC (DEL)   2012-08-22 2012-11-06
21. AUTOZONE INC   2008-10-29 2012-11-06
3. AVALONBAY COMMUNITIES INC REITS   2012-11-06 2012-11-28
15. BAKER HUGHES INC   2011-01-11 2012-01-17
110. BAKER HUGHES INC   2011-01-11 2012-03-02
25. BARD C R INC   2012-05-10 2012-11-06
70. BAXTER INTERNATIONAL INC   2012-01-31 2012-11-06
3. BAXTER INTERNATIONAL INC   2012-01-31 2012-11-23
48. BAXTER INTERNATIONAL INC   2012-01-31 2012-11-23
112. BED BATH & BEYOND INC   2012-02-07 2012-11-06
65. BHP LIMITED SPONS ADR   2009-12-23 2012-11-06
188. BIOGEN IDEC INC   2003-08-22 2012-11-06
40. BLACKROCK INC   2012-10-08 2012-11-06
35. BLACKROCK INC   2011-03-16 2012-11-06
152. BOEING CO COMMON   2010-09-21 2012-11-06
23. BOEING CO COMMON   2011-03-16 2012-11-06
96. BOEING CO COMMON   2012-06-04 2012-11-06
73. BROADCOM CORP   2011-08-31 2012-11-06
52. BROADCOM CORP   2006-07-14 2012-11-06
177. BROADCOM CORP   2011-08-31 2012-11-06
42. CBS CORP NEW CL B   2011-10-21 2012-08-14
227. CBS CORP NEW CL B   2011-10-21 2012-11-06
26. CVS CORPORATION (DEL)   2011-11-10 2012-06-26
96. CVS CORPORATION (DEL)   2011-11-10 2012-11-06
24.7279 CABLEVISION SYSTEMS CORP   2011-04-01 2012-11-06
59.2721 CABLEVISION SYSTEMS CORP   2001-01-02 2012-11-06
4. CAMDEN PROPERTY TR   2012-11-06 2012-11-26
45. CARNIVAL CORP   2011-11-02 2012-11-06
180. CARNIVAL CORP   2010-06-25 2012-11-06
93. CATERPILLAR INC   2010-06-17 2012-03-26
111. CELGENE CORP   2012-06-26 2012-11-06
111. CHEVRONTEXACO CORP   2012-07-23 2012-11-06
7. CHEVRONTEXACO CORP   2012-12-05 2012-12-21
91. CHUBB CORP   2011-01-11 2012-03-27
90. CHUBB CORP   2001-08-30 2012-11-06
348. CISCO SYS INC   2011-01-11 2012-04-10
166. CISCO SYS INC   2010-12-14 2012-11-06
408. CISCO SYS INC   2009-05-21 2012-11-06
82. CISCO SYS INC   2005-12-01 2012-12-11
25. CITRIX SYS INC   2011-02-02 2012-11-06
34. CITRIX SYS INC   2010-10-15 2012-11-06
8. COACH INC   2012-06-20 2012-11-06
101. COACH INC   2008-06-03 2012-11-06
501. COMCAST CORP SPECIAL CL A   2008-06-23 2012-11-06
103. CONOCOPHILLIPS   2011-01-11 2012-04-12
72. CONOCOPHILLIPS   2011-01-11 2012-04-13
97. COOPER COMPANIES INC   2012-02-29 2012-11-06
178. COVANCE INC   2011-09-15 2012-01-04
19. CREE, INC   2003-08-22 2012-11-06
110. CREE, INC   2011-04-20 2012-11-06
74. CUMMINS ENGINE INC   2010-05-13 2012-11-06
17. CUMMINS ENGINE INC   2010-05-13 2012-11-09
15. CUMMINS ENGINE INC   2012-06-20 2012-11-09
133. DANAHER CORP   2011-07-18 2012-11-06
120. DEERE & CO   2009-12-03 2012-11-06
718. DELL INC   2010-12-14 2012-06-26
258. DENTSPLY INTERNATIONAL INC   2011-08-25 2012-01-31
20. DEVON ENERGY CORPORATION   2011-11-02 2012-11-06
40. DEVON ENERGY CORPORATION   2012-09-26 2012-11-06
145. DEVON ENERGY CORPORATION   2009-08-11 2012-11-06
8. DIGITAL REALTY TRUST INC (REIT)   2012-11-06 2012-11-07
215. WALT DISNEY CO   2001-10-09 2012-11-06
27. DISCOVERY COMMUNICATIONS INC NEW SER A   2012-03-01 2012-08-14
139. DISCOVERY COMMUNICATIONS INC NEW SER A   2012-03-01 2012-11-06
104. DIRECTV   2003-08-22 2012-11-06
24. DOLBY LABORATORIES INC CL A   2010-12-09 2012-11-06
34. DOLLAR TREE INC   2009-03-04 2012-06-20
182. DOLLAR TREE INC   2009-03-04 2012-07-12
149. DOVER CORP   2011-03-03 2012-06-25
85. DOVER CORP   2007-06-05 2012-11-06
300. E M C CORP   2009-02-18 2012-11-06
8. ENI S P A SPON ADR   2012-11-06 2012-12-03
68. EBAY INC   2011-01-11 2012-03-08
38. EBAY INC   2011-01-11 2012-03-08
43. EBAY INC   2011-01-11 2012-04-10
213. EBAY INC   2008-07-17 2012-11-06
50. EMCOR GROUP INC   2010-08-30 2012-11-06
215. EMERSON ELEC CO   2005-02-24 2012-11-06
247. ENDO PHARMACEUT HLDGS INC   2011-05-11 2012-06-04
21. ENGILITY HLDGS INC   2011-01-01 2012-07-19
.6667 ENGILITY HLDGS INC   2011-01-01 2012-07-26
18. EQUITY RESIDENTIAL PROPERTIES TR (REIT)   2012-11-06 2012-11-29
90. ERICSSON LM TEL-SP ADR   2011-07-22 2012-11-06
575. ERICSSON LM TEL-SP ADR   2010-01-26 2012-11-06
63. EXPEDIA INC DEL   2011-12-28 2012-05-10
39. EXPEDIA INC DEL   2011-12-28 2012-06-20
157. EXPEDIA INC DEL   2011-08-18 2012-11-06
55. EXXON MOBIL CORP COMMON STOCK   2012-07-12 2012-11-06
357.58 FED HOME LN MTG CORP PARTN CTFS GROUP NBR C0-3792 GOLD POOL 3.5   2012-11-19 2012-12-18
206.36 FEDERAL NATL MTG ASSN GTD MTG POOL NBR A   2012-11-19 2012-12-27
247.33 FEDERAL NATL MTG ASSN GTD MTG PA POOL NBR 930922 4.5% 04/01/203   2012-11-19 2012-12-27
2. F5 NETWORKS INC   2011-08-15 2012-01-30
84. F5 NETWORKS INC   2011-08-15 2012-10-08
90. FIRST REP BK SAN FRANCISCO CALIF COM   2011-07-01 2012-11-06
168. FLUOR CORP   2010-12-09 2012-11-06
211. FOOT LOCKER INC   2012-07-12 2012-11-06
132. FOREST LABS INC   2011-04-01 2012-11-06
195. FOREST LABS INC   2004-09-21 2012-11-06
63. FRANKLIN RES INC   2012-05-10 2012-11-06
70. FRANKLIN RES INC   2009-03-24 2012-11-06
126. FREEPORT-MCMORAN COPPER & GOLD, INC CL B   2011-03-22 2012-11-06
138. FREEPORT-MCMORAN COPPER & GOLD, INC CL B   2011-03-22 2012-11-06
9. FREEPORT-MCMORAN COPPER & GOLD, INC CL B   2009-02-20 2012-11-09
16. FREEPORT-MCMORAN COPPER & GOLD, INC CL B   2011-03-10 2012-11-09
42. FREEPORT-MCMORAN COPPER & GOLD, INC CL B   2012-06-20 2012-11-09
11. FREEPORT-MCMORAN COPPER & GOLD, INC CL B   2009-02-20 2012-11-09
92. GAP INC   2011-01-11 2012-04-25
28. GAP INC   2011-01-11 2012-08-29
40. GAP INC   2011-01-11 2012-08-30
2. GAP INC   2011-01-11 2012-08-31
4. GAP INC   2011-01-11 2012-09-04
19. GAP INC   2011-01-11 2012-09-06
145. GAP INC   2007-11-02 2012-11-06
117. GARDNER DENVER INC   2011-11-14 2012-06-04
547. GENERAL ELECTRIC CO   2011-07-26 2012-01-12
71. GILEAD SCIENCES INC   2010-12-14 2012-02-15
35. GILEAD SCIENCES INC   2010-12-14 2012-10-08
108. GILEAD SCIENCES INC   2007-01-18 2012-11-06
3. GILEAD SCIENCES INC   2007-01-18 2012-12-18
59. GLIMCHER REALTY TRUST (REIT)   2012-11-06 2012-11-29
75. GLIMCHER REALTY TRUST (REIT)   2012-12-05 2012-12-21
200. GLOBAL PAYMENTS INC   2012-02-02 2012-05-14
9. GOLDMAN SACHS GROUP INC   2012-10-04 2012-11-06
6. GOOGLE INC CL A   2010-12-14 2012-11-06
78. GREENHILL & CO INC   2012-07-25 2012-11-06
60. GREENHILL & CO INC   2011-07-21 2012-11-06
43. GUESS INC   2012-04-02 2012-11-06
130. HALLIBURTON CO HLDG   2011-10-18 2012-11-06
155. HALLIBURTON CO HLDG   2009-12-30 2012-11-06
12. HALLIBURTON CO HLDG   2012-02-03 2012-11-06
1. HEALTH CARE REIT INC   2012-12-05 2012-12-21
2. HEALTH CARE REIT INC   2012-12-05 2012-12-21
154. HELMERICH & PAYNE INC   2010-01-12 2012-05-10
25. HERSHA HOSPITALITY TRUST REIT   2012-11-06 2012-12-12
87. HERSHA HOSPITALITY TRUST REIT   2012-11-06 2012-12-21
195. HESS CORP COM   2009-08-17 2012-11-06
145. HEWLETT PACKARD CO   2012-01-24 2012-11-06
11. HIGHWOODS PROPERTIES INC (REIT)   2012-11-06 2012-12-21
40. HOME DEPOT INC   2011-01-11 2012-07-02
136. HOME DEPOT INC   2012-08-16 2012-11-06
280. HOME DEPOT INC   2008-06-23 2012-11-06
235. HONEYWELL INTERNATIONAL INC   2003-01-30 2012-11-06
140. HUMAN GENOME SCIENCES INC   2011-01-01 2012-07-19
254. IMMUNOGEN INC   2010-12-09 2012-11-06
21. IMMUNOGEN INC   2011-02-03 2012-11-06
47. INFOSYS TECHNOLOGIES SP ADR   2012-11-06 2012-11-07
232. INTEL CORP   2009-05-18 2012-11-06
36. IBM CORP   2006-05-22 2012-11-06
578. INTERNATIONAL GAME TECHNOLOGY   2011-09-28 2012-02-06
35. INTUIT INC   2011-08-02 2012-01-31
126. INTUIT INC   2011-08-02 2012-11-06
169. ISIS PHARMACEUTICALS   2010-12-09 2012-11-06
185. J P MORGAN CHASE & CO   2011-01-01 2012-05-16
275. J P MORGAN CHASE & CO   2001-10-05 2012-11-06
453. JABIL CIRCUIT INC   2011-12-02 2012-04-23
10. JACOBS ENGR GROUP INC   2011-06-29 2012-11-06
55. JACOBS ENGR GROUP INC   2009-08-17 2012-11-06
143. JOHNSON & JOHNSON   2004-04-15 2012-11-06
16. JONES LANG LASALLE INC   2011-01-11 2012-03-22
89. JONES LANG LASALLE INC   2009-07-06 2012-11-06
112. JOY GLOBAL INC   2009-08-06 2012-02-09
45. JOY GLOBAL INC   2012-09-26 2012-11-06
24. KLA-TENCOR CORP   2011-09-27 2012-11-06
205. KLA-TENCOR CORP   2012-05-14 2012-11-06
540. KEYCORP (NEW)   2011-01-11 2012-06-04
335. KEYCORP (NEW)   2009-06-04 2012-11-06
54. L-3 COMMUNICATIONS HLDGS INC   2003-09-25 2012-11-06
238. LAM RESH CORP   2012-03-26 2012-08-17
15. LASALLE HOTEL PROPERTIES (REIT)   2012-11-06 2012-11-07
17. LASALLE HOTEL PROPERTIES (REIT)   2012-11-06 2012-11-14
186. LIBERTY MEDIA CORP NEW   2008-06-27 2012-11-06
252. LIBERTY MEDIA HLDG CORP INTERACTIVE SER   2008-06-03 2012-11-06
207. MACYS INC   2012-01-04 2012-11-06
60. MATTEL INC   2011-01-11 2012-07-02
232. MATTEL INC   2010-10-22 2012-11-06
79. MCKESSON CORP   2011-08-31 2012-11-06
38. MEDTRONIC INC   2011-12-27 2012-11-06
410. MERCK & CO INC NEW   2009-05-13 2012-11-06
101. MONSANTO CO   2011-07-27 2012-11-06
490. MORGAN STANLEY   2010-10-20 2012-11-06
80. MORGAN STANLEY   2011-04-04 2012-11-06
144. MOSAIC CO NEW   2011-06-01 2012-01-04
25. MOSAIC CO NEW   2012-06-05 2012-11-06
133. NATIONAL-OILWELL INC   2011-08-10 2012-08-16
82. NATIONAL-OILWELL INC   2003-08-22 2012-11-06
74. NEWFIELD EXPLORATION CO   2012-05-01 2012-11-06
36. NOBLE ENERGY INC   2011-01-11 2012-03-30
17. NOBLE ENERGY INC   2011-01-11 2012-04-10
17. NOBLE ENERGY INC   2011-01-11 2012-04-11
211. NORDSTROM INC   2011-08-25 2012-02-28
34. NORTHROP GRUMMAN CORP   2011-01-11 2012-02-03
300. NOVARTIS A G ADR   2008-04-07 2012-11-06
275. NUCOR CORP   2010-12-09 2012-11-06
160. OI S A SPONSORED ADR REPSTG PFD   2012-11-08 2012-12-31
262. ORACLE CORPORATION   2006-05-22 2012-11-06
115. OSHKOSH TRUCK CORP   2011-05-03 2012-11-06
85. OSHKOSH TRUCK CORP   2010-12-21 2012-11-06
69. PPG INDS INC   2012-06-25 2012-11-06
1. PPG INDS INC   2012-06-25 2012-12-18
11. PT SEMEN GRESIK PERSERO TBK ADR   2012-12-05 2012-12-28
153. PALL CORPORATION   2003-09-09 2012-11-06
71. PARKER HANNIFIN CORP   2010-04-16 2012-11-06
40. PARKER HANNIFIN CORP   2010-04-16 2012-11-30
157. PEABODY ENERGY CORP   2011-02-22 2012-01-31
180. PEABODY ENERGY CORP   2012-09-26 2012-11-06
215. PEBBLEBROOK HOTEL TR   2011-07-11 2012-11-06
52. PETSMART INC   2010-12-14 2012-02-06
41. PETSMART INC   2010-11-03 2012-06-04
103. PETSMART INC   2010-11-03 2012-11-06
40. PLANTRONICS INC NEW   2011-08-15 2012-11-06
159. POLARIS INDUSTRIES INC   2011-10-24 2012-03-23
108. QUALCOMM INC   2011-11-28 2012-11-06
442. REGIONS FINL CORP   2012-01-11 2012-06-04
415. REGIONS FINL CORP   2012-04-16 2012-11-06
20. RETAIL PPTYS AMER INC REIT   2012-11-06 2012-11-07
82. ROPER INDS INC NEW   2011-11-14 2012-11-06
74. ROSS STORES INC   2009-07-13 2012-01-04
46. ROSS STORES INC   2009-07-13 2012-06-20
95. ROSS STORES INC   2009-07-13 2012-11-06
1. SL GREEN REALTY CORP (REIT)   2012-11-06 2012-12-05
9. SL GREEN REALTY CORP (REIT)   2012-11-06 2012-12-21
690. SAFEWAY INC   2009-09-10 2012-11-06
193. SANDISK CORP   2010-12-14 2012-08-14
81. SANDISK CORP   2006-11-29 2012-11-06
145. SCHLUMBERGER LTD   2008-10-17 2012-11-06
120. SCRIPPS NETWORKS INTERACTIVE CL A   2012-08-14 2012-11-06
32. SOTHEBY'S HOLDINGS INC CL A   2011-10-21 2012-11-06
105. SOUTHWESTERN ENERGY CO   2011-08-18 2012-11-06
61. SOUTHWESTERN ENERGY CO   2012-05-01 2012-11-06
102. STMICROELECTRONICS NV   2012-11-06 2012-11-30
124. STRYKER CORP   2012-01-04 2012-11-06
410. SYMANTEC CORP   2012-03-27 2012-11-06
295. SYMANTEC CORP   2011-05-18 2012-11-06
216. SYNOPSYS INC   2012-08-24 2012-11-06
156. TJX COMPANIES INC NEW   2012-06-04 2012-11-06
151. TEMPUR-PEDIC INTL INC   2011-06-20 2012-02-22
25. TERADATA CORP DEL   2011-03-02 2012-05-11
92. TERADATA CORP DEL   2011-03-02 2012-11-06
158. TEXAS INSTRS INC   2011-01-11 2012-04-10
332. TEXAS INSTRS INC   2008-07-24 2012-11-06
150. TEXAS INSTRS INC   2011-01-01 2012-12-31
99. TIME WARNER CABLE INC   2012-02-09 2012-11-06
190. US BANCORP   2011-01-11 2012-06-04
162. US BANCORP   2010-12-20 2012-11-06
40. US BANCORP   2011-01-24 2012-11-06
420. UNILEVER PLC-SPONSORED ADR   2005-05-24 2012-11-06
16. UNION PACIFIC CORP   2010-12-14 2012-01-31
62. UNION PACIFIC CORP   2010-08-05 2012-11-06
7000. UNITED STATES TREASURY 2% 11/15/2021   2012-11-13 2012-12-07
185. US STEEL CORP   2011-01-11 2012-07-16
60. US STEEL CORP   2011-01-11 2012-08-27
184. UNITEDHEALTH GROUP INC   2009-12-10 2012-11-06
284. UNITEDHEALTH GROUP INC   2009-12-10 2012-11-06
2. VENTAS INC (REIT)   2012-12-05 2012-12-28
132. VERTEX PHARMACEUTICALS INC   2010-12-09 2012-11-06
482. VODAFONE GROUP PLC ADR   2006-02-09 2012-11-06
182. WESTERN DIGITAL CORP   2010-12-14 2012-11-06
13. WEYERHAEUSER CO (REIT)   2011-01-11 2012-10-02
136. WEYERHAEUSER CO (REIT)   2011-01-01 2012-10-03
510. WEYERHAEUSER CO (REIT)   2010-09-01 2012-11-06
15. WOOLWORTHS HLDGS LTD ADR   2012-11-06 2012-11-19
214. AXIS CAPITAL HOLDINGS LTD   2012-07-09 2012-11-06
116. ACCENTURE PLC CL A   2012-04-24 2012-11-06
40. COVIDIEN PLC   2001-01-02 2012-11-06
476. SEAGATE TECHNOLOGY   2010-12-09 2012-10-25
59. SEAGATE TECHNOLOGY   2010-12-09 2012-11-06
115. ALLIED WORLD ASSURANCE CO   2009-04-20 2012-11-06
30. ALLIED WORLD ASSURANCE CO   2011-03-16 2012-11-06
192. WEATHERFORD INTL LTD   2001-01-02 2012-11-06
.0662 PENTAIR LTD-REGISTERED   2011-01-11 2012-10-10
11. PENTAIR LTD-REGISTERED   2001-03-15 2012-11-06
87. TYCO INTERNATIONAL LTD   2010-12-09 2012-11-06
19. LIBERTY VENTURES   2011-01-01 2012-08-17
.7 LIBERTY VENTURES   2011-01-01 2012-08-20
6. LIBERTY INTERACTIVE COM NPV 10/12/12   2012-01-01 2012-09-20
1. LIBERTY INTERACTIVE COM NPV 10/12/12   2012-01-01 2012-09-28
171. CORE LABORATORIES N V   2001-01-02 2012-11-06
(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 2,941   2,613 328
b 966   800 166
c 2,415   1,188 1,227
d 8,870   6,186 2,684
e 8,598   3,182 5,416
6,255   6,361 -106
7,937   6,054 1,883
4,585   3,314 1,271
9,021   6,041 2,980
3,013   2,789 224
4,484   1,336 3,148
9,890   1,593 8,297
9,752   14,514 -4,762
2,983   3,681 -698
487   134 353
8,080   2,506 5,574
396   411 -15
718   970 -252
5,395   5,024 371
2,440   2,541 -101
4,656   3,882 774
201   166 35
3,223   2,662 561
6,605   6,890 -285
4,747   4,305 442
26,533   8,017 18,516
7,648   7,563 85
6,692   6,351 341
10,979   10,033 946
1,661   1,564 97
6,934   6,481 453
2,294   2,593 -299
1,634   1,441 193
5,561   6,287 -726
1,514   1,038 476
7,816   5,608 2,208
1,181   1,001 180
4,526   3,696 830
385   612 -227
924   2,113 -1,189
260   269 -9
1,748   1,525 223
6,991   4,743 2,248
10,087   6,016 4,071
8,228   6,993 1,235
12,271   12,042 229
764   724 40
6,276   3,071 3,205
6,816   3,037 3,779
6,812   6,446 366
2,907   3,192 -285
7,145   7,403 -258
1,624   1,449 175
1,620   1,683 -63
2,203   2,007 196
461   493 -32
5,822   3,604 2,218
18,212   11,278 6,934
7,625   5,077 2,548
5,328   3,264 2,064
9,514   7,750 1,764
8,387   9,051 -664
602   307 295
3,485   4,896 -1,411
7,516   5,593 1,923
1,671   1,285 386
1,474   1,430 44
7,030   6,943 87
10,377   6,543 3,834
8,603   10,278 -1,675
9,733   8,589 1,144
1,193   1,306 -113
2,385   2,358 27
8,647   9,144 -497
491   484 7
10,856   3,988 6,868
1,434   1,254 180
8,061   6,457 1,604
5,253   1,594 3,659
840   1,616 -776
3,775   887 2,888
9,408   2,374 7,034
7,792   9,888 -2,096
5,266   4,291 975
7,609   3,560 4,049
382   367 15
2,433   2,145 288
1,359   1,098 261
1,529   1,243 286
10,583   5,601 4,982
1,643   1,130 513
11,105   6,925 4,180
7,604   10,397 -2,793
369   204 165
11   6 5
1,005   1,059 -54
796   1,182 -386
5,085   5,589 -504
2,550   1,874 676
1,862   1,160 702
9,498   4,032 5,466
5,045   4,623 422
358   382 -24
206   222 -16
247   266 -19
240   169 71
8,852   7,085 1,767
3,149   2,823 326
9,178   9,866 -688
7,280   6,760 520
4,494   4,320 174
6,638   6,900 -262
8,338   7,266 1,072
9,265   4,145 5,120
5,088   6,583 -1,495
5,576   6,836 -1,260
345   127 218
613   755 -142
1,609   1,473 136
422   156 266
2,561   1,767 794
985   519 466
1,451   718 733
72   36 36
144   72 72
682   341 341
5,235   2,604 2,631
6,101   9,450 -3,349
10,306   11,272 -966
3,887   2,637 1,250
2,448   1,212 1,236
7,306   3,562 3,744
228   99 129
635   654 -19
825   830 -5
8,641   10,084 -1,443
1,135   1,076 59
4,089   3,545 544
3,804   3,328 476
2,926   2,974 -48
1,053   1,357 -304
4,272   4,670 -398
5,094   4,117 977
394   440 -46
61   59 2
122   118 4
7,312   6,999 313
118   116 2
438   405 33
10,878   10,462 416
2,092   4,111 -2,019
368   363 5
2,112   1,487 625
8,531   7,622 909
17,565   8,331 9,234
14,951   5,598 9,353
1,989   3,500 -1,511
2,895   2,117 778
239   179 60
2,044   2,064 -20
5,042   3,569 1,473
7,016   2,870 4,146
8,957   8,543 414
1,948   1,596 352
7,802   5,745 2,057
1,356   1,604 -248
6,882   6,339 543
11,808   7,671 4,137
10,055   9,357 698
409   423 -14
2,251   2,426 -175
10,193   7,793 2,400
1,335   562 773
7,114   3,020 4,094
9,758   4,546 5,212
2,866   2,531 335
1,167   970 197
9,965   10,252 -287
3,691   3,007 684
2,893   1,837 1,056
4,189   2,135 2,054
8,364   10,551 -2,187
358   363 -5
391   412 -21
20,781   2,725 18,056
5,175   4,807 368
8,517   6,739 1,778
1,947   1,389 558
8,568   4,857 3,711
7,411   6,307 1,104
1,626   1,437 189
18,832   11,360 7,472
9,012   7,476 1,536
8,891   14,033 -5,142
1,452   2,178 -726
7,479   10,218 -2,739
1,348   1,158 190
10,265   8,543 1,722
5,890   2,807 3,083
1,951   2,584 -633
3,528   2,212 1,316
1,583   1,033 550
1,572   1,027 545
11,339   8,594 2,745
1,984   1,321 663
18,140   14,783 3,357
11,460   12,438 -978
640   643 -3
8,299   3,568 4,731
3,453   4,186 -733
2,552   2,932 -380
8,498   7,039 1,459
133   102 31
357   341 16
9,408   3,673 5,735
5,725   4,956 769
3,282   2,778 504
5,385   10,222 -4,837
5,256   4,331 925
4,563   4,343 220
2,776   1,995 781
2,562   1,551 1,011
6,943   3,896 3,047
1,363   1,316 47
10,642   9,451 1,191
6,540   5,800 740
2,460   2,819 -359
2,798   2,572 226
249   251 -2
9,144   7,017 2,127
3,565   1,536 2,029
3,095   955 2,140
5,450   1,972 3,478
75   77 -2
691   692 -1
11,705   13,697 -1,992
7,867   7,147 720
3,644   2,554 1,090
10,340   7,709 2,631
7,206   7,188 18
1,035   1,011 24
3,814   3,909 -95
2,216   1,990 226
644   616 28
6,628   6,334 294
7,726   7,628 98
5,559   5,570 -11
7,033   7,156 -123
6,503   6,416 87
11,140   9,499 1,641
1,786   1,175 611
5,914   4,325 1,589
5,027   4,836 191
9,956   8,309 1,647
4,977   4,747 230
9,309   7,546 1,763
5,455   5,111 344
5,447   4,225 1,222
1,345   1,071 274
15,826   9,254 6,572
1,821   1,254 567
7,748   4,803 2,945
7,334   7,350 -16
3,670   9,696 -6,026
1,237   2,656 -1,419
10,364   5,551 4,813
15,996   5,661 10,335
129   128 1
6,108   4,358 1,750
13,053   11,886 1,167
6,725   4,674 2,051
341   662 -321
3,567   6,929 -3,362
14,058   11,023 3,035
1,169   1,206 -37
7,734   7,100 634
7,957   7,325 632
2,234   3,004 -770
13,205   8,869 4,336
1,782   890 892
9,256   5,158 4,098
2,415   1,870 545
2,216   2,310 -94
3   6 -3
506   789 -283
2,495   2,905 -410
792     792
30     30
66     66
13     13
17,721   2,362 15,359
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       328
b       166
c       1,227
d       2,684
e       5,416
      -106
      1,883
      1,271
      2,980
      224
      3,148
      8,297
      -4,762
      -698
      353
      5,574
      -15
      -252
      371
      -101
      774
      35
      561
      -285
      442
      18,516
      85
      341
      946
      97
      453
      -299
      193
      -726
      476
      2,208
      180
      830
      -227
      -1,189
      -9
      223
      2,248
      4,071
      1,235
      229
      40
      3,205
      3,779
      366
      -285
      -258
      175
      -63
      196
      -32
      2,218
      6,934
      2,548
      2,064
      1,764
      -664
      295
      -1,411
      1,923
      386
      44
      87
      3,834
      -1,675
      1,144
      -113
      27
      -497
      7
      6,868
      180
      1,604
      3,659
      -776
      2,888
      7,034
      -2,096
      975
      4,049
      15
      288
      261
      286
      4,982
      513
      4,180
      -2,793
      165
      5
      -54
      -386
      -504
      676
      702
      5,466
      422
      -24
      -16
      -19
      71
      1,767
      326
      -688
      520
      174
      -262
      1,072
      5,120
      -1,495
      -1,260
      218
      -142
      136
      266
      794
      466
      733
      36
      72
      341
      2,631
      -3,349
      -966
      1,250
      1,236
      3,744
      129
      -19
      -5
      -1,443
      59
      544
      476
      -48
      -304
      -398
      977
      -46
      2
      4
      313
      2
      33
      416
      -2,019
      5
      625
      909
      9,234
      9,353
      -1,511
      778
      60
      -20
      1,473
      4,146
      414
      352
      2,057
      -248
      543
      4,137
      698
      -14
      -175
      2,400
      773
      4,094
      5,212
      335
      197
      -287
      684
      1,056
      2,054
      -2,187
      -5
      -21
      18,056
      368
      1,778
      558
      3,711
      1,104
      189
      7,472
      1,536
      -5,142
      -726
      -2,739
      190
      1,722
      3,083
      -633
      1,316
      550
      545
      2,745
      663
      3,357
      -978
      -3
      4,731
      -733
      -380
      1,459
      31
      16
      5,735
      769
      504
      -4,837
      925
      220
      781
      1,011
      3,047
      47
      1,191
      740
      -359
      226
      -2
      2,127
      2,029
      2,140
      3,478
      -2
      -1
      -1,992
      720
      1,090
      2,631
      18
      24
      -95
      226
      28
      294
      98
      -11
      -123
      87
      1,641
      611
      1,589
      191
      1,647
      230
      1,763
      344
      1,222
      274
      6,572
      567
      2,945
      -16
      -6,026
      -1,419
      4,813
      10,335
      1
      1,750
      1,167
      2,051
      -321
      -3,362
      3,035
      -37
      634
      632
      -770
      4,336
      892
      4,098
      545
      -94
      -3
      -283
      -410
      792
      30
      66
      13
      15,359
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 2 306,965
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 59,849 1,424,187 0.042023
2010 54,568 1,009,224 0.054069
2009 63,896 1,305,569 0.048941
2008 82,221 1,674,550 0.0491
2007 71,192 1,570,097 0.045342
2 Total of line 1, column (d) ...................... 2 0.239475
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 0.047895
4 Enter the net value of noncharitable-use assets for 2012 from Part X, line 5..... 4 1,038,515
5 Multiply line 4 by line 3....................... 5 49,740
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 3,054
7 Add lines 5 and 6......................... 7 52,794
8 Enter qualifying distributions from Part XII, line 4.............. 8 57,700
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 3,054
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 3,054
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 3,054
6 Credits/Payments:
a 2012 estimated tax payments and 2011 overpayment credited to 2012 6a 407
b Exempt foreign organizations—tax withheld at source....... 6b
c Tax paid with application for extension of time to file (Form 8868) 6c 9,070
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 9,477
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8 55
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 6,368
11 Enter the amount of line 10 to be: Credited to 2013 estimated taxBullet3,056 Refunded Bullet 11 3,312
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)
    bulletWA
    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 ofbulletCOMERICA BANK Telephone no.bullet (877) 405-1091
    Located atbullet101 NORTH MAIN STREETANN ARBORMI ZIP+4bullet48104
    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
     
     
    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
     
    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
     
     
    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
    ROBIN E NEGRIN DIRECTOR
    1
    0    
    312 5TH AVENUE 3
    KIRKLAND,WA98033
    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
    1,029,525
    b
    Average of monthly cash balances.......................
    1b
    24,805
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    1,054,330
    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
    1,054,330
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see
    instructions) .............................
    4
    15,815
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    1,038,515
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    51,926
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    51,926
    2a
    Tax on investment income for 2012 from Part VI, line 5......
    2a
    3,054
    b
    Income tax for 2012. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    3,054
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    48,872
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    48,872
    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
    48,872
    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
    57,700
    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
    57,700
    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
    3,054
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    54,646
    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 48,872
    2 Undistributed income, if any, as of the end of 2012:
    a Enter amount for 2011 only....... 56,194
    b Total for prior years:20, 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....... 0
    e From 2011....... 0
    fTotal of lines 3a through e......... 0
    4Qualifying distributions for 2012 from Part
    XII, line 4: bullet$ 57,700
    a Applied to 2011, but not more than line 2a 56,194
    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..... 1,506
    e Remaining amount distributed out of corpus 0
    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 0
    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 ..........
    47,366
    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 ......
    0
    10 Analysis of line 9:
    a Excess from 2008.... 0
    b Excess from 2009.... 0
    c Excess from 2010.... 0
    d Excess from 2011.... 0
    e Excess from 2012.... 0
    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).)
    NA
    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.
    NA
    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
    ISAAC FAMILY
    9871 43RD PLACE NE
    SEATTLE,WA98115
    NONE N/A SUPPORT 5,000
    PUSHING BOUNDRIES
    4162 148TH ANE NE
    REDMOND,WA98052
    NONE EXEMPT SUPPORT 10,000
    ROBERT VASEN FOUNDATION
    2807 102ND AVE SE
    BELLEVUE,WA98004
    NONE EXEMPT SUPPORT 5,000
    CAMPAIGN FOR TOBACCO-FREE KIDS
    1400 I STREET NW SUITE 1200
    WASHINGTON,DC20005
    NONE EXEMPT SUPPORT 20,000
    AMERICAN NATIONAL RED CROSS & ITS
    CONSTITUENT CHAPTERS AND BRANCHES
    2025 E STREET NW
    WASHINGTON,DC200065009
    NONE EXEMPT SUPPORT 10,000
    TEMPLE B NAI TORAH
    15727 NE 4TH STREET
    BELLEVUE,WA98008
    NONE EXEMPT SUPPORT 7,700
    Total .................................bullet 3a 57,700
    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     14 6  
    4 Dividends and interest from securities....     14 28,453  
    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     18 306,965  
    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)..   335,424  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13335,424
    (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 InvestmentsCorpBondsSchedule
    Name:
    NEGRIN FOUNDATION
    EIN: 91-2026155
    Name of Bond End of Year Book Value End of Year Fair Market Value
    VARIOUS CORPORATE BONDS 257,654 258,264

    TY 2012 InvestmentsCorpStockSchedule
    Name:
    NEGRIN FOUNDATION
    EIN: 91-2026155
    Name of Stock End of Year Book Value End of Year Fair Market Value
    VARIOUS CORPORATE STOCKS 1,073,955 1,187,814

    TY 2012 OtherIncreasesSchedule
    Name:
    NEGRIN FOUNDATION
    EIN: 91-2026155
    Description Amount
    DIFFERENCE BETWEEN CASH RECEIPTS AND TAXABLE INCOME 4,274