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
POTAWATOMI PARK INC
 

Number and street (or P.O. box number if mail is not delivered to street address)16998 ST RD 331   Room/suite
City or town, state, and ZIP code
TIPPECANOE, IN46570
A Employer identification number

35-1547849
B Telephone number (see instructions)

(574) 498-6550
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$661,460J 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) 37,860
2 Check bullet
3 Interest on savings and temporary cash investments 373 373 373
4 Dividends and interest from securities...... 89 89 89
5a Gross rents.............. 9,116 9,116 9,116
b Net rental income or (loss) 5,742
6a Net gain or (loss) from sale of assets not on line 10 Click to see attachment 612
b Gross sales price for all assets on line 6a 612
7 Capital gain net income (from Part IV, line 2)... 412
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... Click to see attachment 2,833   2,833
12 Total. Add lines 1 through 11........ 50,883 9,990 12,411
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 34,039     34,039
14 Other employee salaries and wages......        
15 Pension plans, employee benefits....... 10,185     10,185
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 2,689     2,689
c Other professional fees (attach schedule).... Click to see attachment 89 89 89  
17 Interest...............        
18 Taxes (attach schedule) (see instructions)        
19 Depreciation (attach schedule) and depletion... Click to see attachment 17,547    
20 Occupancy.............. 4,584 792 792 3,000
21 Travel, conferences, and meetings....... 1,342     1,342
22 Printing and publications.......... 4,458     4,458
23 Other expenses (attach schedule)....... Click to see attachment 20,864 2,582 2,582 18,281
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 95,797 3,463 3,463 73,994
25 Contributions, gifts, grants paid........ 0 0
26 Total expenses and disbursements. Add lines 24 and 25 95,797 3,463 3,463 73,994
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -44,914
b Net investment income (if negative, enter -0-) 6,527
c Adjusted net income (if negative, enter -0-)... 8,948
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............... 19,455 4,429 4,429
2 Savings and temporary cash investments.......... 84,664 71,664 71,664
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see page 15 of the
instructions)....................      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use...............      
9 Prepaid expenses and deferred charges...........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)........      
c Investments—corporate bonds (attach schedule)........      
11 Investments—land, buildings, and equipment: basis bullet75,987
Less: accumulated depreciation (attach schedule) bullet21,619 56,950 Click to see attachment54,368 54,368
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)...........      
14 Land, buildings, and equipment: basis bullet742,195
Less: accumulated depreciation (attach schedule) bullet211,196 545,013 Click to see attachment530,999 530,999
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 706,082 661,460 661,460
Liabilities 17 Accounts payable and accrued expenses.......... 2,588 2,965
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)   Click to see attachment10
23 Total liabilities (add lines 17 through 22).......... 2,588 2,975
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted.................... 610,417 575,359
25 Temporarily restricted................ 93,077 83,126
26 Permanently restricted................    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds.........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see page 17 of the
instructions).................... 703,494 658,485
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 706,082 661,460
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)............... 1 703,494
2 Enter amount from Part I, line 27a..................... 2 -44,914
3 Other increases not included in line 2 (itemize) bulletClick to see attachment 3 -95
4 Add lines 1, 2, and 3.......................... 4 658,485
5 Decreases not included in line 2 (itemize) bullet 5  
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 658,485
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.)
1a
b
c
d
e
(e) Gross sales price (f) Depreciation allowed
(or allowable) 		(g) Cost or other basis
plus expense of sale 		(h) Gain or (loss)
(e) plus (f) minus (g)
a
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l) Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i) F.M.V. as of 12/31/69 (j) Adjusted basis
as of 12/31/69 		(k) Excess of col. (i)
over col. (j), if any
a
b
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2 412
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      
2010      
2009      
2008      
2007      
2 Total of line 1, column (d) ...................... 2  
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  
4 Enter the net value of noncharitable-use assets for 2012 from Part X, line 5..... 4  
5 Multiply line 4 by line 3....................... 5  
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6  
7 Add lines 5 and 6......................... 7  
8 Enter qualifying distributions from Part XII, line 4.............. 8  
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: 1986-12-19(attach copy of letter if necessary–see instructions)
b 1 N/A
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2  
3 Add lines 1 and 2............................ 3  
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-). 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5  
6 Credits/Payments:
a 2012 estimated tax payments and 2011 overpayment credited to 2012 6a  
b Exempt foreign organizations—tax withheld at source....... 6b
c Tax paid with application for extension of time to file (Form 8868) 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7  
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2013 estimated taxBullet   Refunded Bullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of
the instructions for definition)?............................
1b
 
No
If the answer is “Yes” to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If “Yes,” attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If “Yes,” attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If “Yes,” has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If “Yes,” attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If “Yes,” complete Part II, col. (c), and Part XV.
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletIN
    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
    Yes
     
    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 addressbulletGETINTONATURE.COM
    14
    The books are in care ofbulletANDERSON & CO CPAS Telephone no.bullet (574) 546-3821
    Located atbullet123 W PLYMOUTHPO BOX 194BREMENIN ZIP+4bullet46506
    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
     
     
    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
     
     
    .........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
    MICHAEL STEPHANClick to see attachment EX. DIRECTOR
    40.00     		34,039 7,581 0
    16998 SR 331
    TIPPECANOE,IN46570
    LARRY BEESONClick to see attachment PRESIDENT
    2.00     		0 0 0
    2914 MAPLE CT
    BREMEN,IN46506
    SYLVIA BIEGHLERClick to see attachment DIRECTOR
    2.00     		0 0 0
    10803 NUTMEG MEADOWS DR
    PLYMOUTH,IN46563
    FORREST L KANTNERClick to see attachment VICE PRESIDE
    2.00     		0 0 0
    PO BOX 493
    MENTONE,IN46539
    BETTY BESSINGERClick to see attachment DIRECTOR
    2.00     		0 0 0
    4588 SR 110
    TIPPECANOE,IN46570
    JEFFREY KLINEFELTERClick to see attachment SECRETARY
    2.00     		0 0 0
    PO BOX 4
    ETNA GREEN,IN46524
    TIM GOCHENOURClick to see attachment DIRECTOR
    2.00     		0 0 0
    2488 13TH TRAIL
    BOURBON,IN46504
    P LYNNE BALDWINClick to see attachment SECRETARY
    2.00     		0 0 0
    307 E SUNSET
    BOURBON,IN46504
    MARK ESPICHClick to see attachment PRESIDENT
    2.00     		0 0 0
    4379 14TH RD
    BOURBON,IN46504
    TANA BEESONClick to see attachment TREASURER
    2.00     		0 0 0
    2914 MAPLE CT
    BREMEN,IN46506
    JAY GROSSMANClick to see attachment DIRECTOR
    2.00     		0 0 0
    309 N BOURBON ST
    BOURBON,IN46504
    BETTE K MCDANIELClick to see attachment VICE-PRESIDE
    2.00     		0 0 0
    407 N BOURBON ST
    BOURBON,IN46504
    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  
    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.............bullet  
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1 MAINTAINING AND IMPROVING WILDLIFE PARK 8,235
    2 EAGLE SCOUT PROJECTS 650
    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 N/A  
    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
    0
    b
    Average of monthly cash balances.......................
    1b
    88,861
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    88,861
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d.........................
    3
    88,861
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see
    instructions) .............................
    4
    1,333
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    87,528
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    4,376
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
     
    2a
    Tax on investment income for 2012 from Part VI, line 5......
    2a
     
    b
    Income tax for 2012. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
     
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
     
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
     
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,
    line 1................................
    7
     
    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
    73,994
    b
    Program-related investments—total from Part IX-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    73,994
    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
     
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    73,994
    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  
    2 Undistributed income, if any, as of the end of 2012:
    a Enter amount for 2011 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2012:
    a From 2007.......  
    b From 2008.......  
    c From 2009.......  
    d From 2010.......  
    e From 2011.......  
    fTotal of lines 3a through e.........  
    4Qualifying distributions for 2012 from Part
    XII, line 4: bullet$  
    a Applied to 2011, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see instructions)......     		 
    c Treated as distributions out of corpus (Election
    required—see instructions).........     		 
    d Applied to 2012 distributable amount.....  
    e Remaining amount distributed out of corpus  
    5 Excess distributions carryover applied to 2012.    
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5  
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........     		 
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		 
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		 
    e Undistributed income for 2011. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		 
    f Undistributed income for 2012. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2013 ..........     		 
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see
    instructions) .............     		 
    8Excess distributions carryover from 2007 not
    applied on line 5 or line 7 (see instructions) ...     		 
    9Excess distributions carryover to 2013.
    Subtract lines 7 and 8 from line 6a ......     		 
    10 Analysis of line 9:
    a Excess from 2008....  
    b Excess from 2009....  
    c Excess from 2010....  
    d Excess from 2011....  
    e Excess from 2012....  
    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
    1984-03-24
    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
    4,376 5,314 5,746 7,026 22,462
    b 85% of line 2a ......... 3,720 4,517 4,884 5,972 19,093
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		73,994 99,244 95,921 85,278 354,437
    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 ....     		73,994 99,244 95,921 85,278 354,437
    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...     		2,917 3,543 3,831 8,515 18,806
    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).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (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
    Total .................................bullet 3a  
    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
    aPAVILION RENTAL     16 1,619  
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3Interest on savings and temporary cash investments     14 373  
    4 Dividends and interest from securities....     14 89  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....     16 5,742  
    6Net rental income or (loss) from personal property          
    7 Other investment income.....          
    8Gain or (loss) from sales of assets other than inventory         612
    9 Net income or (loss) from special events:     5 20  
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: aMISCELLANEOUS INCOME         1,194
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   7,843 1,806
    13Total. Add line 12, columns (b), (d), and (e)..................
    139,649
    (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.)
    11B CANOES ARE MADE AVAILABLE TO THE GENERAL PUBLIC SO THEY CAN FLOAT THE RIVER & PONDS . FALL GATHERING, FISHING DERBY, AND TIPPECANOE & LUNCH TOO ARE EVENTS HELD DURING VARIOUS TIMES OF THE YEAR TO PROMOTE THE PARK. THE GENERAL PUBLIC IS ABLE TO ENJOY WILDLIFE IN ITS NATURAL HABITAT AS WELL AS TAKE IN THE NATURAL BEAUTY OF THEIR SURROUNDINGS.
    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:
    POTAWATOMI PARK INC
    EIN: 35-1547849
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING & LEGAL 2,689     2,689

    TY 2012 CompensationExplanation
    Name:
    POTAWATOMI PARK INC
    EIN: 35-1547849
    Person Name Explanation
    MICHAEL STEPHAN  
    LARRY BEESON  
    SYLVIA BIEGHLER  
    FORREST L KANTNER  
    BETTY BESSINGER  
    JEFFREY KLINEFELTER  
    TIM GOCHENOUR  
    P LYNNE BALDWIN  
    MARK ESPICH  
    TANA BEESON  
    JAY GROSSMAN  
    BETTE K MCDANIEL  

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    TY 2012 DepreciationSchedule
    Name:
    POTAWATOMI PARK INC
    EIN: 35-1547849
    Description of Property Date Acquired Cost or Other Basis Prior Years' Depreciation Computation Method Rate /
    Life (# of years)    		 Current Year's Depreciation Expense Net Investment Income Adjusted Net Income Cost of Goods Sold Not Included
    152.45 ACRES-ROMINE EST 1983-01-01 49,103              
    4.48 ACRES-HECKAMAN 1983-10-01 7,500              
    7.14 ACRES-JENNINGS 1983-11-01 14,280              
    20.94 ACRES-KOONTZ 1984-02-03 31,410              
    9.64 ACRES-LARRY FRETZ 1984-02-16 14,460              
    5.28 ACRES-REX FRETZ 1984-05-04 7,920              
    SURVEYING 1983-10-20 410              
    SURVEYING 1984-05-30 615              
    RECORDING FEES, TITLE, 1985-03-01 274              
    TOUR WAGON 1986-11-24 2,564 2,564 S/L 12.0000        
    SNOWBLOWER 1986-11-24 1,160 1,160 S/L 5.0000        
    HEATER 1986-12-02 230 230 S/L 12.0000        
    SLIDE PROJECTOR 1992-01-27 649 649 S/L 7.0000        
    DRINKING FOUNTAIN 1992-06-30 210 210 S/L 7.0000        
    TELESCOPE 1997-01-27 500 500 S/L 7.0000        
    DEER HEAD, DEER, 2-RACOONS & DISPLAY CASES 1997-06-23 1,500 1,500 S/L 7.0000        
    VIDEO CAMERA 1997-04-15 157 157 S/L 7.0000        
    MICROADAPTER & STOPWATCH 1997-04-15 121 121 S/L 7.0000        
    TURBOMETER 1997-04-15 124 124 S/L 7.0000        
    FOOT/CANDLE LUX METER & CASE 1997-04-15 134 134 S/L 7.0000        
    PSYCHROMETER 1997-04-15 60 60 S/L 7.0000        
    STORAGE CABINET 1997-04-15 100 100 S/L 7.0000        
    TV 1997-04-15 299 299 S/L 7.0000        
    VCR 1997-04-15 140 140 S/L 7.0000        
    LAMOTTE KIT 1997-04-15 285 285 S/L 7.0000        
    STREAM FLOW METER 1997-04-15 179 179 S/L 7.0000        
    POCONO-GLASS SOLAR FILTER, RUKL MOON ATLAS 1997-04-15 122 122 S/L 7.0000        
    SKILL CHAIN SAW 1998-10-05 459 459 S/L 7.0000        
    574 INT TRACTOR 1984-06-15 8,250 8,250 S/L 12.0000        
    SIGN 1984-08-03 473 473 S/L 5.0000        
    BLADE 1986-03-25 693 693 S/L 5.0000        
    UTILITIY SHED 1984-08-20 855 855 S/L 18.0000        
    PARK MAINTENANCE BLDG 1986-03-24 18,870 18,870 S/L 18.0000        
    SHELTER 1988-04-02 835 835 S/L 18.0000        
    MANAGERS HOUSE 1989-04-25 58,876 43,680 S/L 31.0000 1,899      
    56 X 24 X 10 STORAGE SHED 1992-01-27 5,125 5,125 S/L 10.0000        
    25 X 25 1/2 RESTROOM FACILITIES 1995-06-27 30,022 13,472 S/L 39.0000 770      
    BALANCE PAID ON RESTROOM FACILITIES 1996-03-07 3,112 1,317 S/L 39.0000 80      
    WINDOWS FOR WILDLIFE VIEWING 1996-06-01 700 296 S/L 39.0000 18      
    TREES & SHRUBBS 1983-10-30 349              
    TREE PLANTING 1984-06-13 648              
    TREES 1984-11-23 470              
    EXCAVATION-POND, ETC 1985-03-25 12,203              
    TREES 1985-11-13 220              
    LANE 1985-08-26 2,000 2,000 S/L 5.0000        
    DEVELOPE POND 1985-09-23 17,254              
    DITCHING, TILING 1985-10-28 6,192 6,192 S/L 18.0000        
    PARK DESIGN 1983-01-01 4,180 3,399 S/L 35.0000 119      
    FENCE 1984-04-09 3,322 3,322 S/L 12.0000        
    TREES & SHRUBBS 1987-06-30 322              
    POND DEVELOPMENT 1986-07-28 3,342              
    BRIDGE 1986-10-27 1,334 1,334 S/L 12.0000        
    TRAILS/STONE 1987-03-23 440 440 S/L 12.0000        
    PARKING LOT STONE 1987-05-11 1,920 1,920 S/L 12.0000        
    BOARDWALK 1987-06-29 1,000 1,000 S/L 7.0000        
    BOARDWALK 1987-07-27 875 875 S/L 7.0000        
    TREES & SCRUBS 1990-06-30 282              
    FLAGPOLE 2000-07-13 425 425 S/L 7.0000        
    JOHN DEERE GATOR 2000-10-25 7,027 7,027 S/L 7.0000        
    87 FORD PICKUP 2000-08-04 5,400 5,400 S/L 5.0000        
    POLESAW 2001-02-07 465 465 S/L 7.0000        
    DELL COMPUTER 2002-01-21 2,129 2,129 S/L 5.0000        
    LAND FROM YANETTE FISHER 2003-11-30 12,000              
    PROJECTOR 2004-11-15 2,600 2,600 S/L 7.0000        
    COPIER 2005-02-15 1,255 1,255 S/L 7.0000        
    PICNIC TABLE FRAMES 2005-06-30 794 794 S/L 7.0000        
    TABLES 2005-04-15 1,019 1,019 S/L 7.0000        
    CABIN LUMBER, ETC TO REBUILD 2005-06-15 3,212 579 S/L 39.0000 83      
    CARPET 2006-01-31 2,700 1,755 S/L 10.0000 270      
    GARAGE DOOR & ENTRY 2006-04-30 1,859 806 S/L 15.0000 123      
    ROOF ON 2 BUILDING 2006-05-31 15,907 2,651 S/L 39.0000 408      
    AIR CONDITIONER 2005-07-31 950 412 S/L 15.0000 63      
    BRIDGE 2005-12-31 3,717 620 S/L 39.0000 95      
    30 ACRES (DONATED BY WILL IRWIN) 2006-06-30 69,000              
    KAYAK 2005-09-30 1,426 1,324 S/L 7.0000 102      
    MOWER (GILSINGER IMPLEMENT) 2006-04-30 2,600 2,414 S/L 7.0000 186      
    DEER MOUNTING 2006-07-31 4,500 3,536 S/L 7.0000 643      
    CULLIGAN WATER SOFTNER 2006-07-31 1,589 583 S/L 15.0000 106      
    DISPLAY CASE 2006-07-31 4,500 3,536 S/L 7.0000 643      
    VANADCO SIGN 2006-08-31 688 540 S/L 7.0000 99      
    WABASH VALLEY MFG EQUIP 2006-12-31 567 446 S/L 7.0000 81      
    ACETELYNE TORCH (NORTHERN GASES) 2007-01-31 781 613 S/L 7.0000 112      
    BENCHES (3) 2007-06-30 1,144 899 S/L 7.0000 163      
    HP OFFICE JET PRO 2007-09-30 250 225 S/L 5.0000 25      
    EX MARK MOWER 2008-05-31 7,999 5,142 S/L 7.0000 1,143      
    CANOES 2008-06-30 2,204 1,417 S/L 7.0000 315      
    9.95 ACRES LAND FROM CREIGHTON BROTHERS 2007-12-21 20,975              
    PEOPLE TRAM 2008-11-01 500 350 S/L 5.0000 100      
    POPLAR, 2 WINDOWS FOR CABIN, & SUPPLIES 2008-08-31 2,404 216 S/L 39.0000 61      
    3-GAZEBO'S 2008-07-31 5,000 449 S/L 39.0000 128      
    PAVILLION 2010-06-30 180,559 11,574 S/L 39.0000 4,630      
    CANOE TRAILER 2008-11-30 625 313 S/L 7.0000 89      
    LENOVO LAPTOP COMPUTER 2009-02-28 1,562 1,093 S/L 5.0000 313      
    CLIFFORD LEITER MEMORIAL BENCH 2009-07-31 655 234 S/L 7.0000 94      
    26-PICNIC TABLES 2010-06-30 5,076 1,813 S/L 7.0000 725      
    2-PLAYPOWER GRILLS 2010-06-30 1,832 654 S/L 7.0000 262      
    PAVILLION PARKING LOT 2010-06-30 34,582 5,764 S/L 15.0000 2,305      
    MITER SAW & TABLE 2011-04-30 250 54 S/L 7.0000 35      
    LINOVA DESKTOP COMPUTER 2011-06-30 845 253 S/L 5.0000 169      
    1-SMALL GAZEBO 2008-07-31                
    CULLIGAN WATER SOFTNER-PAVILLION 2010-04-29 1,789 324 S/L 7.0000 256      
    APC BACKUP 2011-07-15 130 13 S/L 5.0000 26      
    HISTORICAL MARKER 2011-05-31 2,000 2,000 S/L 7.0000        
    FIRE RING 2011-06-30 1,716 1,716 S/L 39.0000        
    13 NORWAY SPRUCE 2012-04-30 1,040              
    5 TULIP POPLAR 2012-04-30 400              
    SPOT SPRAYER 2012-03-15 105 8 S/L 7.0000 15      
    PA SYSTEM 2012-04-30 680 49 S/L 7.0000 97      
    CABIN DOOR HARDWARE & LOCKS 2011-08-31 172 2 S/L 39.0000 5      
    CABIN CHIMNEY 2012-01-31 328 4 S/L 39.0000 9      
    PIER - 2 SECTIONS CULVER MARINA 2012-05-09 3,000 214 S/L 7.0000 429      
    COOLER FOR PAVILION 2012-07-31 1,855   S/L 7.0000 133      
    SHOP VAC 2012-09-30 119   S/L 7.0000 9      
    PRESENTATION BOARD & SPOTLIGHTS 2012-10-31 221   S/L 7.0000 16      
    MESSAGE BOARD PAVILION 2013-03-31 803   S/L 7.0000 57      
    SACK BED - CABIN 2013-06-30 426   S/L 7.0000 30      
    10 X 10 SHELTER 2013-06-30 109   S/L 7.0000 8      

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    TY 2012 GainLossSaleOtherAssetsSch
    Name:
    POTAWATOMI PARK INC
    EIN: 35-1547849
    Name Date Acquired How Acquired Date Sold Purchaser Name Gross Sales Price Basis Basis Method Sales Expenses Total (net) Accumulated Depreciation
    87 FORD PICKUP 2000-08 PURCHASE 2013-06   200 5,400     200 5,400

    TY 2012 InvestmentsLandSchedule2
    Name:
    POTAWATOMI PARK INC
    EIN: 35-1547849
    Category/ Item Cost/Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    SCHORI HOUSE 75,987 21,619 54,368 54,368

    TY 2012 LandEtcSchedule2
    Name:
    POTAWATOMI PARK INC
    EIN: 35-1547849
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    VEHICLES        
    BUILDINGS 369,573 121,810 247,763 247,763
    REAL ESTATE 3,717 715 3,002 3,002
    EQUIPMENT 83,165 68,070 15,095 15,095
    LAND IMPROVEMENTS 57,793 20,601 37,192 37,192
    LAND 227,947   227,947 227,947


    TY 2012 OtherExpensesSchedule
    Name:
    POTAWATOMI PARK INC
    EIN: 35-1547849
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    SCHORI HOUSE        
    INVESTMENT DEPRECIATION 2,582 2,582    
    EXPENSES        
    DUES & SUBSCRIPTIONS 435     435
    FUEL 1,616     1,616
    INSURANCE 5,850     5,850
    LICENSES & FEES 285     285
    MAINTENANCE & REPAIRS 6,604     6,604
    MISCELLANEOUS 51     50
    OFFICE EXPENSE 1,810     1,810
    SUPPLIES 1,631     1,631


    TY 2012 OtherIncomeSchedule2
    Name:
    POTAWATOMI PARK INC
    EIN: 35-1547849
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    PRINT SALES 20   20
    PAVILION RENTAL 1,619   1,619
    MISCELLANEOUS INCOME 1,194   1,194


    TY 2012 OtherIncreasesSchedule
    Name:
    POTAWATOMI PARK INC
    EIN: 35-1547849
    Description Amount
    UNREALIZED GAIN/LOSS ON INV'T -95


    TY 2012 OtherLiabilitiesSchedule
    Name:
    POTAWATOMI PARK INC
    EIN: 35-1547849
    Description Beginning of Year - Book Value End of Year - Book Value
    ACCRUED SALES TAX   10


    TY 2012 OtherProfessionalFeesSchedule
    Name:
    POTAWATOMI PARK INC
    EIN: 35-1547849
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    MANAGEMENT FEES 89 89 89