| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ACCOUNTING FEES | 9,200 | 4,600 | 4,600 |
| Person Name | Explanation |
|---|---|
| CHARLES L LANCASTER | COMPENSATION AS TRUSTEE FOR FOUNDATION |
| TIMOTHY L LANCASTER | COMPENSATION AS MANAGER OF FOUNDATION |
| Contractor | Explanation |
|---|---|
| TLC REALTY INC (OWNED BY TIMOTHY L LANCASTER) | PAYMENT FOR CONFERENCES WITH BAYLOR HEALTH CARE SYSTEM FOUNDATION AND LEGAL COUNSEL INCLUDING NEGOTIATIONS FOR TRANSFER OF REAL ESTATE FROM FOUNDATION TO BAYLOR HEALTH CARE SYSTEM FOUNDATION |
| Dissolution Name | Dissolution Address | Explanation | Dissolution Amount |
|---|---|---|---|
| BAYLOR HEALTH CARE SYSTEM FOUNDATION |
1600 GASTON AVENUE SUITE 100 DALLAS,TX75246 |
MULTIPLE PUBLICALLY TRADES STOCKS - SEE STATEMENT 17 | 302,001 |
| BAYLOR HEALTH CARE SYSTEM FOUNDATION |
1600 GASTON AVENUE SUITE 100 DALLAS,TX75246 |
REAL ESTATE - 336 DOGWOOD, GRAPEVINE, TX $550,000 AND 344 DOGWOOD, GRAPEVINE, TX $610,000 | 1,160,000 |
| BAYLOR HEALTH CARE SYSTEM FOUNDATION |
1600 GASTON AVENUE SUITE 100 DALLAS,TX75246 |
CASH | 27,714 |
| Identifier | Return Reference | Explanation |
|---|---|---|
| ATTACHMENT FOR STATEMENT 13 | TERMINATION OF FOUNDATION - DISSOLUTION STATEMENT | ANN B. LANCASTER MEMORIAL FOUNDATION DISTRIBUTED ALL ASSETS AS REQURIED. BAYLOR HEALTH CARE SYSTEM FOUNDATION WAS THE SOLE RECEIPIENT OF THE FOUNDATION'S STOCKS, REAL ESTATE AND CASH. BAYLOR HEALTH CARE SYSTEM FOUNDATION1600 GASTON AVENUE, SUITE 100DALLAS, TX 75246STOCKS WERE VALUED USING THE AVERAGE OF THE HIGH AND LOW FORTHE DATE ON DONATION TO BAYLOR HEALTH CARE SYSTEM FOUNDATION, 08/12/2011: ADOBE SYSTEMS-200 SHARES $ 4,880 ANADARKO PETROLEUM-400 SHARES $29,448 ANALOG DEVICES INC-200 SHARES $ 6,342 CEMEX SAB-475 SHARES $ 2,560 CONOCO PHILLIPS-500 SHARES $33,760 GENERAL ELECTRIC CO-1,500 SHARES $24,375 INTERSECTIONS INC-100 SHARES $ 1,454 L3 COMMUNICATIONS-200 SHARES $13,834 MONSTER WORLDWIDE-300 SHARES $ 2,616 NOBLE ENERGY-400 SHARES $35,768 NUCOR CORPORATION-100 SHARES $ 3,452 NUVEEN INSURED-1,000 SHARES $13,550 OCCIDENTAL PETROLEUM-800 SHARES $70,000 PROCTOR & GAMBLE-300 SHARES $18,453 QUALCOMM INC-100 SHARES $ 5,081 QUEST DIAGNOSTICS INC-200 SHARES $ 9,690 RAMCO GERSHENSON-200 SHARES $ 2,116 TRANSOCEAN INC-100 SHARES $ 5,728 USG CORPORATION-400 SHARES $ 3,436 VALERO ENERGY-200 SHARES $ 4,268 VARIAN MEDICAL SYSTEMS-200 SHARES $11,190 ------ TOTAL AVERAGE VALUE OF STOCKS $ 302,001 REAL ESTATE WAS VALUED USING CURRENT APPRAISALS PREPARED BY A CERTIFIED GENERAL APPRAISAL. DONATED TO BAYLOR HEALTH CARE SYSTEM FOUNDATION ON 12/15/2011 $1,150,000 CASH DISTRIBUTED TO BAYLOR HEALTH CARE SYSTEM FOUNDATIONON 06/30/2012 $ 27,714 ---------TOTAL CONTRIBUTION TO BAYLOR HEALTH CARE SYSTEM FOUNDATION $1,479,715 ========= |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| ADOBE SYS | 0 | 0 |
| ANADARKO | 0 | 0 |
| ANALOG DEVICES INC | 0 | 0 |
| CEMEX | 0 | 0 |
| CONOCO PHILLIPS | 0 | 0 |
| GENERAL ELECTRIC CO | 0 | 0 |
| INTERSECTIONS INC | 0 | 0 |
| L3 COMMUNICATIONS | 0 | 0 |
| MONSTER WORLDWIDE | 0 | 0 |
| NOBLE ENERGY | 0 | 0 |
| NUCOR | 0 | 0 |
| NUVEEN INSURED | 0 | 0 |
| OCCIDENTAL PETR | 0 | 0 |
| PROCTOR & GAMBLE | 0 | 0 |
| QUALCOMM INC | 0 | 0 |
| QUEST DIAGNOSTICS INC | 0 | 0 |
| RAMCO GERSHENSON | 0 | 0 |
| TRANSOCEAN INC | 0 | 0 |
| USG CORP | 0 | 0 |
| USG CORP | 0 | 0 |
| VALERO ENERGY | 0 | 0 |
| VARIAN MEDICAL SYSTEMS | 0 | 0 |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| FLEXVEST SELECT FUND II, LTD. | AT COST | 0 | 0 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| LEGAL FEES | 7,058 | 0 | 7,058 |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| FIT REFUND | 248 | 0 | 0 |
| Description | Amount |
|---|---|
| UNREALIZED LOSS ON STOCK TRANSFERRED TO BAYLOR HEALTH CARE SYSTEM FOUNDATION | 2,791 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| OTHER | 4 | 0 | 4 |
| Description | Amount |
|---|---|
| UNREALIZED GAIN ON LAND DONATED TO BAYLOR HEALTH CARE SYSTEM FOUNDATION | 933,815 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| PROFESSIONAL FEES | 69,600 | 0 | 69,600 | |
| APPRAISAL | 2,285 | 0 | 2,286 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| PROPERTY TAXES | 1,189 | 0 | 1,190 | |
| FEDERAL EXCISE TAX | 248 | 0 | 0 |