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
DEGENSTEIN CHARITABLE FOUNDATION
 

Number and street (or P.O. box number if mail is not delivered to street address)C/O SUSQ TR 1570 MANHEIM PIKE BX   Room/suite
City or town, state, and ZIP code
LANCASTER, PA176043300
A Employer identification number

23-6661599
B Telephone number (see instructions)

(717) 735-8764
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$2,660,211J 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 10 10  
4 Dividends and interest from securities...... 89,481 89,481  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 90,659
b Gross sales price for all assets on line 6a 869,638
7 Capital gain net income (from Part IV, line 2)... 90,659
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........ 180,150 180,150  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 29,154 26,239   2,915
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule)......... Click to see attachment 12,800 12,800 0 0
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions) Click to see attachment 4,252 545   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)....... Click to see attachment 1,649 1,649    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 47,855 41,233 0 2,915
25 Contributions, gifts, grants paid........ 89,000 89,000
26 Total expenses and disbursements. Add lines 24 and 25 136,855 41,233 0 91,915
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 43,295
b Net investment income (if negative, enter -0-) 138,917
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............... 1    
2 Savings and temporary cash investments.......... 57,442 61,661 61,661
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) 368,640 Click to see attachment389,150 421,574
b Investments—corporate stock (attach schedule)........ 1,264,639 Click to see attachment1,286,144 1,494,793
c Investments—corporate bonds (attach schedule)........ 634,291 Click to see attachment634,205 682,183
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) 2,325,013 2,371,160 2,660,211
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......... 2,325,013 2,371,160
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).................... 2,325,013 2,371,160
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 2,325,013 2,371,160
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 2,325,013
2 Enter amount from Part I, line 27a..................... 2 43,295
3 Other increases not included in line 2 (itemize) bulletClick to see attachment 3 5,591
4 Add lines 1, 2, and 3.......................... 4 2,373,899
5 Decreases not included in line 2 (itemize) bulletClick to see attachment 5 2,739
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 2,371,160
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 100. COCA COLA COMPANY   2005-01-24 2012-01-12
b 225. PROCTER & GAMBLE   2010-05-17 2012-01-18
c 850. MICROSOFT CORP   2010-07-07 2012-02-13
d 100. DEERE & CO COM   2011-08-08 2012-02-15
e 25. DEERE & CO COM   2009-03-17 2012-02-15
575. YAMANA GOLD INC   2011-10-21 2012-03-01
175. DUPONT DE NEMOURS EI CO   2011-08-10 2012-03-07
275. DISNEY WALT COMPANY   2011-09-19 2012-04-04
650. ARCHER DANIELS MIDLAND   2010-11-04 2012-04-09
625. EXELON CORP   2011-03-24 2012-04-09
125. DEERE & CO COM   2011-08-08 2012-04-10
225. TRANSCANADA CORP COM   2010-12-21 2012-04-10
325. KRAFT FOODS INC   2011-03-14 2012-05-03
100. PEPSICO INC   2010-06-28 2012-05-03
150. TRAVELERS COMPANIES INC   2011-06-23 2012-05-04
50000. FED HOME LOAN BKS 5.000% 07/23/13   2007-01-10 2012-05-14
100. CHINA MOBILE LTD SPONS ADR   2010-08-06 2012-05-15
50. CHINA MOBILE LTD SPONS ADR   2011-06-23 2012-05-15
325. EXELON CORP   2011-03-24 2012-05-15
150. COLGATE-PALMOLIVE COMPANY   2010-05-26 2012-05-18
400. WAL-MART STORES INC   2010-04-16 2012-05-18
225. ABBOTT LABORATORIES   2010-11-18 2012-05-23
275. CHINA MOBILE LTD SPONS ADR   2011-06-23 2012-05-25
600. A T & T INC   2010-03-29 2012-05-30
75. KIMBERLY CLARK CORP   2010-03-16 2012-05-30
125. EXXON MOBIL CORPORATION   2010-05-18 2012-05-31
150. PEPSICO INC   2009-12-09 2012-06-01
725. VERIZON COMMUNICATIONS   2009-09-14 2012-06-01
650. J C PENNEY CO INC   2012-05-23 2012-06-07
300. J C PENNEY CO INC   2012-05-04 2012-06-07
525. GENERAL ELECTRIC COMPANY   2008-07-21 2012-06-20
100. PEPSICO INC   2009-12-09 2012-06-20
125. DISNEY WALT COMPANY   2011-09-19 2012-06-22
2125. FORD MTR CO DEL COM PAR $0.01   2012-05-09 2012-07-02
125. PROCTER & GAMBLE   2009-09-09 2012-07-12
600. MERCK & CO INC   2010-05-17 2012-07-17
300. VERIZON COMMUNICATIONS   2009-09-14 2012-07-23
250. A T & T INC   2010-03-29 2012-08-03
125. KRAFT FOODS INC   2011-03-14 2012-08-03
150. ABBOTT LABORATORIES   2010-11-18 2012-08-07
350. ELI LILLY & COMPANY   2011-08-31 2012-08-07
325. ARCHER DANIELS MIDLAND   2008-08-12 2012-08-16
575. CISCO SYS INC   2012-05-29 2012-08-17
1025. CISCO SYS INC   2011-09-12 2012-08-17
125. WAL-MART STORES INC   2008-04-09 2012-08-17
175. EMERSON ELECTRIC COMPANY   2012-01-13 2012-08-22
450. CHECK POINT SOFTWARE TECH LTD   2012-08-07 2012-08-31
350. WALGREEN COMPANY   2012-03-12 2012-09-06
375. MICROSOFT CORP   2011-08-26 2012-09-18
325. KRAFT FOODS INC   2011-03-21 2012-09-24
900. BANK AMER CORP   2012-09-06 2012-09-26
1750. BANK AMER CORP   2012-09-06 2012-10-01
250. ELI LILLY & COMPANY   2011-08-31 2012-10-01
100. ABBOTT LABORATORIES   2010-11-18 2012-10-03
625. BROADCOM CORP CL A   2012-08-16 2012-10-10
350. JOHNSON & JOHNSON   2010-12-02 2012-11-05
25. MERCK & CO INC   2010-05-17 2012-11-07
150. MERCK & CO INC   2011-10-28 2012-11-07
50000. DUPONT E I DE NEMOURS 4.75% 11/15/12   2007-12-06 2012-11-15
50. 3M CO   2010-09-07 2012-11-15
175. 3M CO   2011-09-23 2012-11-15
100. WAL-MART STORES INC   2006-03-08 2012-11-15
200. J P MORGAN CHASE & CO   2012-05-15 2012-11-19
175. ARCHER DANIELS MIDLAND   2012-09-24 2012-12-12
550. ARCHER DANIELS MIDLAND   2009-04-14 2012-12-12
150. ABBOTT LABORATORIES   2010-11-18 2012-12-26
(e) Gross sales price (f) Depreciation allowed
(or allowable) 		(g) Cost or other basis
plus expense of sale 		(h) Gain or (loss)
(e) plus (f) minus (g)
a 6,738   4,142 2,596
b 14,853   14,147 706
c 25,885   21,482 4,403
d 8,622   6,940 1,682
e 2,155   758 1,397
10,054   8,251 1,803
8,788   7,931 857
11,755   8,904 2,851
19,976   18,857 1,119
23,890   27,010 -3,120
9,641   8,674 967
9,456   8,441 1,015
12,880   10,260 2,620
6,692   6,136 556
9,622   8,523 1,099
52,700   50,105 2,595
5,560   5,319 241
2,780   2,315 465
12,539   13,364 -825
15,008   11,852 3,156
24,967   21,729 3,238
13,768   10,743 3,025
14,009   12,732 1,277
20,348   16,088 4,260
5,943   4,534 1,409
9,836   8,272 1,564
10,036   9,167 869
29,971   22,666 7,305
16,200   19,898 -3,698
7,477   10,185 -2,708
10,468   13,109 -2,641
6,863   6,111 752
5,885   4,047 1,838
19,998   22,901 -2,903
7,972   6,737 1,235
26,538   20,017 6,521
13,221   8,505 4,716
9,397   6,476 2,921
5,071   3,946 1,125
9,912   7,162 2,750
14,899   13,079 1,820
8,539   8,696 -157
10,989   9,488 1,501
19,589   16,107 3,482
9,004   6,342 2,662
8,977   8,551 426
20,611   22,474 -1,863
12,234   11,797 437
11,684   9,447 2,237
13,484   10,221 3,263
7,849   7,494 355
15,875   14,572 1,303
11,887   9,342 2,545
6,981   4,775 2,206
20,440   22,454 -2,014
24,683   23,096 1,587
1,121   822 299
6,728   5,262 1,466
50,000   50,611 -611
4,369   4,150 219
15,292   13,962 1,330
6,818   4,535 2,283
8,078   7,294 784
4,769   4,828 -59
14,987   14,590 397
9,754   6,739 3,015
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       2,596
b       706
c       4,403
d       1,682
e       1,397
      1,803
      857
      2,851
      1,119
      -3,120
      967
      1,015
      2,620
      556
      1,099
      2,595
      241
      465
      -825
      3,156
      3,238
      3,025
      1,277
      4,260
      1,409
      1,564
      869
      7,305
      -3,698
      -2,708
      -2,641
      752
      1,838
      -2,903
      1,235
      6,521
      4,716
      2,921
      1,125
      2,750
      1,820
      -157
      1,501
      3,482
      2,662
      426
      -1,863
      437
      2,237
      3,263
      355
      1,303
      2,545
      2,206
      -2,014
      1,587
      299
      1,466
      -611
      219
      1,330
      2,283
      784
      -59
      397
      3,015
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 90,659
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 73,000 2,597,887 0.0281
2010 80,135 2,450,975 0.032695
2009 75,110 2,315,338 0.03244
2008 136,545 2,541,806 0.05372
2007 149,769 2,803,873 0.053415
2 Total of line 1, column (d) ...................... 2 0.20037
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 0.040074
4 Enter the net value of noncharitable-use assets for 2012 from Part X, line 5..... 4 2,648,368
5 Multiply line 4 by line 3....................... 5 106,131
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 1,389
7 Add lines 5 and 6......................... 7 107,520
8 Enter qualifying distributions from Part XII, line 4.............. 8 91,915
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 2,778
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 2,778
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 2,778
6 Credits/Payments:
a 2012 estimated tax payments and 2011 overpayment credited to 2012 6a 2,476
b Exempt foreign organizations—tax withheld at source....... 6b
c Tax paid with application for extension of time to file (Form 8868) 6c 0
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 2,476
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 302
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 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of
the instructions for definition)?............................
1b
 
No
If the answer is “Yes” to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If “Yes,” attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If “Yes,” attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If “Yes,” has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If “Yes,” attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If “Yes,” complete Part II, col. (c), and Part XV.
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletPA
    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 ofbulletSUSQUEHANNA TR & INV CO Telephone no.bullet (717) 735-8764
    Located atbullet1570 MANHEIM PIKE PO BOX 3300LANCASTERPA ZIP+4bullet176043300
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16
    At any time during calendar year 2012, did the foundation have an interest in or a signature or other authority over
    a bank, securities, or other financial account in a foreign country? .................
    16
     
    No
    See instructions for exceptions and filing requirements for Form TD F 90-22.1. If "Yes", enter the name of the foreign country bullet  
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 5
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the “Yes” column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?.........................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?.................
    (6) Agree to pay money or property to a government official? (Exception. Check “No”
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).........
    b
    If any answer is “Yes” to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see page 20 of the instructions)?...
    1b
     
     
    .........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2012?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2012, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2012?...............
    If “Yes,” list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer “No” and attach statement—see instructions.) ..............
    2b
     
    No
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?.........................
    b
    If “Yes,” did it have excess business holdings in 2012 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2012.)....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2012?
    4b
     
    No
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?...............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 509(a)(1), (2), or (3), or section 4940(d)(2)? (see instructions)........
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?........
    b
    If any answer is “Yes” to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see instructions)? ......
    5b
     
     
    .........bullet
    c
    If the answer is “Yes” to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?............
    If “Yes,” attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?........................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If “Yes” to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 6
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to
    employee benefit plans
    and deferred compensation     		(e) Expense account,
    other allowances
    SUSQUEHANNA TRUST AND INVESTMENT CO TRUSTEE / PART-TIME
    1     		29,154    
    1570 MANHEIM PIKE PO BOX 3300
    LANCASTER,PA176043300
    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
    2,688,698
    b
    Average of monthly cash balances.......................
    1b
    0
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    2,688,698
    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
    2,688,698
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see
    instructions) .............................
    4
    40,330
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    2,648,368
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    132,418
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    132,418
    2a
    Tax on investment income for 2012 from Part VI, line 5......
    2a
    2,778
    b
    Income tax for 2012. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    2,778
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    129,640
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    129,640
    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
    129,640
    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
    91,915
    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
    91,915
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see instructions).................
    5
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    91,915
    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 7 129,640
    2 Undistributed income, if any, as of the end of 2012:
    a Enter amount for 2011 only....... 89,357
    b Total for prior years:2010, 20, 20 0
    3 Excess distributions carryover, if any, to 2012:
    a From 2007....... 0
    b From 2008....... 0
    c From 2009....... 0
    d From 2010....... 0
    e From 2011....... 0
    fTotal of lines 3a through e......... 0
    4Qualifying distributions for 2012 from Part
    XII, line 4: bullet$ 91,915
    a Applied to 2011, but not more than line 2a 89,357
    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..... 2,558
    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 ..........     		127,082
    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).)
    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 or e-mail of the person to whom applications should be addressed:
    JOHN W STARTZEL VICE PRESIDENT
    48 ORCHARD DRIVE
    SHAMOKIN DAM,PA17876
    (570) 743-4958
    bThe form in which applications should be submitted and information and materials they should include:
    PRE-PRINTED FORM FROM THE FOUNDATION
    cAny submission deadlines:
    NONE
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    APPLICANT MUST RESIDE IN SNYDER, UNION OR NORTHUMBERLAND COUNTY
    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
    SUSQUEHANNA VALLEY LAW
    ENFORCEMENT CAMP CADET INC
    50 LAWTON LANE
    MILTON,PA17847     		NONE N/A FOR CAMP CADET PROGRAM 1,000
    THE SALVATION ARMY
    40 SOUTH FOURTH STREET
    SUNBURY,PA17801     		NONE N/A SUPPORT SUMMER PLAYGROUND 2,500
    THE IMPROVED MILTON EXPERIENCE
    ATTN R JEFFREY COUP PRESIDENT
    139 SOUTH FRONT STREET
    MILTON,PA17847     		NONE N/A SUPPORT FOR THE MILTON 500
    HANDUP FOUNDATION
    262 WILLOW STREET
    MILTON,PA17847     		NONE N/A FOR EQUIPMENT AND SALARY 2,000
    A COMMUNITY CLINIC
    335 MARKET STREET
    SUNBURY,PA17801     		NONE N/A FOR OPERATIONAL EXPENSES 2,500
    SUNBURY'S REVITALIZATION INC
    ATTN JANET YONKOSKI PRES
    225 MARKET STREET
    SUNBURY,PA17801     		NONE N/A FOR SUNBURY'S RIVER 1,000
    SHIKELLAMY SCHOOL DISTRICT
    ISLAND PARK CONFERENCE CENTER
    200 ISLAND BOULEVARD
    SUNBURY,PA17801     		NONE N/A SUPPORT STUDENT PROGRAMS 500
    NORTHEASTERN PA EDUCATIONAL
    TELEVISION ASSOCIATION
    100 WVIA WAY
    PITTSTON,PA186406197     		NONE N/A SUPPORT FOR PUBLIC MEDIA 1,000
    SNYDER COUNTY LIBRARIES INC
    ONE NORTH HIGH STREET
    SELINSGROVE,PA17870     		NONE N/A FOR OPERATING EXPENSES OF 2,000
    SUN HOME HEALTH SERVICES INC
    ATTN STEVEN B RICHARD PRES & CEO
    61 DUKE STREET
    NORTHUMBERLAND,PA178570232     		NONE N/A PROVIDE HOSPICE FOR NEEDY 1,000
    CONCERNED CITIZENS FOR CHILD CARE
    INC
    PO BOX 613 - 615 MARKET STREET
    SUNBURY,PA17801     		NONE N/A SUPPORT OPERATIONS OF 1,000
    HERNDON BOROUGH
    ATTN JOEL C WETZEL COUNCIL PRES
    PO BOX 385
    HERNDON,PA17830     		NONE N/A RESTORATION OF THE PAVILION 1,000
    AMATRUR SOFTBALL ASSOC OF PA
    311 RACE STREET
    SUNBURY,PA17801     		NONE N/A SUPPORT OPERATIONS OF 1,500
    GEISINGER HEALTH SYSTEM FOUNDATION
    ATTN DR MICHAEL RYAN
    100 N ACADEMY AVENUE
    DANVILLE,PA178220149     		NONE N/A FOR THE CHILDREN'S MIRACLE 2,500
    BLOOMSBURG THEATRE ENSEMBLE
    226 CENTER STREET
    BLOOMSBURG,PA17815     		NONE N/A GRANTED FOR SUPPORT OF 1,000
    BLOOMSBURG AREA YMCA
    ATTN ROGER D BROWN CEO
    30 EAST SEVENTH STREET
    BLOOMSBURG,PA17815     		NONE N/A PURCHASE OF FITNESS 1,000
    SUSQUEHANNA VALLEY WOMEN
    IN TRANSITION
    PO BOX 170
    LEWISBURG,PA17801     		NONE N/A SUPPORT OPERATIONS OF 2,000
    PUBLIC LIBRARY FOR UNION COUNTY
    ATTN TRACY CAREY
    255 REITZ BOULEVARD
    LEWISBURG,PA17837     		NONE N/A SUPPORT OPERATIONS OF 2,000
    WEST BEAVER TOWNSHIP VETERANS
    MEMORIAL POOL
    25 EAST OHIO STREET
    MCCLURE,PA17841     		NONE N/A SUPPORT OPERATIONS OF POOL 2,000
    BIG BROTHERSBIG SISTERS OF THE
    CENTRAL SUSQ VALLEY INC
    1070 MARKET STREET
    SUNBURY,PA17801     		NONE N/A SUPPORT OPERATIONS OF 1,000
    FRIENDS OF PACKWOOD HOUSE MUSEUM
    INC ATTN MAURICE R BRUBAKER PRES
    15 NORTH WATER STREET
    LEWISBURG,PA17837     		NONE N/A SUPPORT OPERATIONS OF 1,000
    HAVEN MINISTRY INC
    ATTN CATHERINE A TEISHER EXECUTIVE
    1043 S FRONT ST
    SUNBURY,PA17801     		NONE N/A SUPPORT OPERATIONS OF 1,000
    EOS THERAPEUTIC RIDING CENTER
    288 DAHL ROAD
    BLOOMSBURG,PA17815     		NONE N/A SUPPORT OPERATIONS OF 1,500
    DONALD HEITER COMMUNITY CENTER
    100 NORTH FIFTH STREET
    LEWISBURG,PA17837     		NONE N/A SUMMER DAY CAMP FOR 2,000
    WEST SNYDER RECREATION
    ASSOCIATION INC
    67 ELM STREET
    BEAVER SPRINGS,PA17812     		NONE N/A FOR COMMUNITY CENTER 1,000
    THE CITY BAND
    6 MAPLE STREET
    SHAMOKIN DAM,PA17876     		NONE N/A SUPPORT OPERATIONS OF 500
    KIDSGROVE INC
    ATTN MEGAN L WILL PRESIDENT
    429 SASSAFRAS STREET
    SELINSGROVE,PA17870     		NONE N/A FOR PARK 2,000
    SNYDER COUNTY CHILDREN & YOUTH
    YOUTH SERVICES
    713 BRIDGE STREET STE 15
    SELINSGROVE,PA17870     		NONE N/A ASSISTANCE FOR NEEDY 1,500
    CITY OF SUNBURY
    ATTN JIM EISTER
    225 MARKET STREET
    SUNBURY,PA17801     		NONE N/A AWARDED FOR THE OPPENHEIMER 2,500
    SUNCOM INDUSTRIES INC
    ATTN PEGGY A VITALE CEO
    128 WATER STREET
    NORTHUMBERLAND,PA17857     		NONE N/A SUPPORT OPERATIONS OF 4,000
    FRIENDSHIP HOSE CO
    29 SOUTH TENTH STREET
    SUNBURY,PA17801     		NONE N/A PURCHASE AND MAINTENANCE OF 1,000
    EVANGELICAL COMMUNITY HOSPITAL
    ATTN MICHAEL N O'KEEFE PRES & CEO
    ONE HOSPITAL DRIVE
    LEWISBURG,PA17837     		NONE N/A GOLF TOURNAMENT FOR 2,500
    GREATER SUSQUEHANNA VALLEY YMCA
    ATTN BONITA L WASSMER CEO
    PO BOX 390
    SUNBURY,PA17801     		NONE N/A SUPPORT OPERATIONS OF 2,500
    JOHN R KAUFFMAN JR PUBLIC LIBRARY
    D/B/A DEGENSTEIN COMMUNITY LIBRARY
    40 SOUTH FIFTH STREET
    SUNBURY,PA07801     		NONE N/A OPERATING EXPENSES FOR 7,000
    CENTRAL SUSQUEHANNA SIGHT SERVICES
    348 MARKET STREET
    SUNBURY,PA17801     		NONE N/A ASSIST INDIVIDUALS FOR 2,000
    PRIESTLEY FORSYTH MEM LIBRARY
    ATTN C LYNN WILLIAMS DIRECTOR
    100 KING ST
    NORTHUMBERLAND,PA17857     		NONE N/A SUPPORT OPERATIONS OF 3,000
    SHAMOKIN & COAL TWNSHP PUBLIC
    LIBRARY
    210 EAST INDEPENDENCE STREET
    SHAMOKIN,PA17872     		NONE N/A FOR COMPUTERS 2,500
    NORTHUMBERLAND COUNTY
    CHILDREN AND YOUTH
    322 NORTH SECOND STREET
    SUNBURY,PA17801     		NONE N/A FOR CHRISTMAS GIFTS FOR 1,500
    HERR MEMORIAL LIBRARY
    500 MARKET STREET
    MIFFLINBURG,PA17844     		NONE N/A AWARDED FOR LIBRARY 2,000
    MONTGOMERY HOUSE INC
    ATTN MEGHAN EVANS LIBRARY DIRECTO
    20 CHURCH STREET
    MCEWENSVILLE,PA17749     		NONE N/A IMPROVE TECHNOLOGY AT THE 1,000
    THE POPCORN HAT PLAYERS
    D/B/A GAMUT THEATRE GROUP INC
    605 STRAWBERRY SQUARE
    HARRISBURG,PA171011821     		NONE N/A FOR PRODUCTION OF MACBETH 500
    NED SMITH CENTER FOR NATURE & ART
    176 WATER COMPANY ROAD
    MILLERSBURG,PA17061     		NONE N/A FOR PROGRAM FUNDING OF 1,000
    SUMMER SEALS DAY CAMP
    PO BOX 395
    SELINSGROVE,PA178700395     		NONE N/A SUPPORT OPERATIONS OF 2,500
    SUSQUEHANNA RIVER VALLEY DENTAL
    DENTAL HEALTH CLINIC
    335 MARKET STREET STE 1
    SUNBURY,PA17801     		NONE N/A SUPPORT OPERATIONS OF 2,500
    CENTRAL PENNSYLVANIA APHASIA CENTER
    128 MILL STREET SUITE B
    DANVILLE,PA17821     		NONE N/A CLASSES FOR INDIVIDUALS 1,000
    CAMP ENERGY INC
    ATTN GERARD FOLEY
    171 OXFORD DRIVE
    LEWISBURG,PA17837     		NONE N/A FOR ADOLESCENT HEALTH 1,500
    AMERICAN NATIONAL RED CROSS
    SUN AREA CHAPTER
    249 FARLEY CIRCLE
    LEWISBURG,PA17837     		NONE N/A SUPPORT OPERATIONS OF 6,000
    CENTRAL PENNSYLVANIA ROWING ASSOC
    ATTN SHEILA HARTUNG PRESIDENT
    PO BOX 21
    SHAMOKIN DAM,PA17876     		NONE N/A FOR EQUIPMENT AND BOATS FOR 500
    UNION COUNTY VETERANS 4TH
    OF JULY COMMITTEE
    36 SOUTH THIRD STREET
    LEWISBURG,PA17837     		NONE N/A FOR THE 4TH OF JULY PARADE 1,500
    THE GREEN DRAGON FOUNDATION
    ATTN ANN M GLOCK EXEC DIR
    115 FARLEY CIRCLE SUITE 306
    LEWISBURG,PA17837     		NONE N/A SUPPORT MUSICAL OPERATIONS 1,000
    Total .................................bullet 3a 89,000
    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 10  
    4 Dividends and interest from securities....     14 89,481  
    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 90,659  
    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)..   180,150  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13180,150
    (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:
    DEGENSTEIN CHARITABLE FOUNDATION
    EIN: 23-6661599
    Name of Bond End of Year Book Value End of Year Fair Market Value
    BOEING CAP CORP 4.7% 10/27/19 25,219 29,497
    COCA COLA CO NT 4.875% 3/15/19 24,981 29,820
    DUPONT DE NEMRS 4.75% 11/15/12    
    FPL GRP CAP INC 2.55% 11/15/13 25,225 25,395
    GENERL ELEC CAP CORP 6% 8/7/19 52,210 60,828
    GOLDMAN SACHS 4.000% 3/15/16 25,000 26,000
    MEDTRONIC INC 3.000% 3/15/15 100,650 105,077
    ORACLE CORP 5.25% 1/15/16 100,750 113,161
    STATOIL ASA 3.125% 8/17/17 26,388 27,209
    TEVA PHARMACEUTICAL 3% 6/15/15 25,530 26,284
    UNLEVER CAP CORP 4.25% 2/10/21 25,140 28,856
    AT&T INC 2.95% 5/15/16 51,313 52,936
    JOHN DEERE CAP CO 2.8% 9/18/17 49,997 53,377
    JPMRGN CHASE & CO 3.45% 3/1/16 51,277 53,101
    OCCIDENTAL PETE 1.500% 2/15/18 50,525 50,642

    TY 2012 InvestmentsCorpStockSchedule
    Name:
    DEGENSTEIN CHARITABLE FOUNDATION
    EIN: 23-6661599
    Name of Stock End of Year Book Value End of Year Fair Market Value
    3M CO 13,713 16,249
    AT&T INC 41,118 47,194
    ABBOTT LABORATORIES 7,763 11,462
    ARCHER DANIELS MIDLAND 18,624 18,488
    BARRICK GOLD CORP 32,452 35,010
    BRISTOL-MYERS SQUIBB CO 26,345 37,478
    CENTRAL FUND CANADA 38,778 75,708
    CHEVRON CORP 24,946 27,035
    CHINA MOBILE LTD SPONS ADR    
    CISCO SYS INC 38,809 46,667
    COCA COLA COMPANY 33,752 44,406
    COLGATE-PALMOLIVE COMPANY 17,594 23,521
    DEERE & CO COM 21,716 21,605
    EXXON MOBIL CORPORATION 18,414 21,637
    GENERAL ELECTRIC COMPANY 36,288 40,406
    GLAXO SMITHKLINE PLC SPONS ADR 22,264 20,648
    GOLDCORP INC NEW 23,944 40,370
    INTEL CORP 40,345 37,116
    JOHNSON & JOHNSON 41,394 47,317
    KIMBERLY CLARK CORP 10,579 14,775
    MERCK & CO INC 23,005 27,635
    MICROSOFT CORP 22,502 24,706
    NEWMONT MINING 30,409 41,796
    PEPSICO INC 31,343 32,504
    PFIZER INC 60,348 65,833
    PROCTOR & GAMBLE 25,798 32,587
    RYL DTCH SHELL PLC SPONS ADR B 8,810 10,634
    TRANSCANADA CORP COM 16,110 20,111
    TRAVELERS COMPANIES INC 12,387 17,955
    VERIZON COMMUNCATIONS 41,281 47,597
    VODAFONE GRP PLC NEW SPONS ADR 19,648 22,495
    WAL MART STORES INC 8,947 13,646
    WASTE MANAGEMENT INC 34,837 37,958
    AUTOMARIC DATA PROCESSING INC 29,572 34,158
    CLOROX 31,423 34,779
    DISNEY WALT COMPANY 9,713 14,937
    DUPONT DE NEMOURS EI CO 34,520 32,609
    ELI LILLY & COMPANY    
    EXELON CORP    
    KRAFT FOODS INC    
    PAYCHEX INC 38,423 43,540
    SYSCO CORP 30,429 34,035
    YAMANA GOLD INC 18,793 22,373
    BECTON DICKINSON 21,112 21,502
    CA INC 21,711 21,430
    EMC CORPORATION 22,282 22,137
    EMERSON ELECTRIC COMPANY 25,789 27,804
    JP MORGAN CHASE & CO 15,500 18,687
    KINDER MORGAN INC 32,154 33,563
    PEOPLE'S UNITED FINL INC 23,389 21,158
    THOMSON REUTERS CORP COM 26,916 26,881
    WALGREEN COMPANY 23,418 25,907
    WELLS FARGO & CO 36,737 36,744

    TY 2012 InvestmentsGovtObligationsSch
    Name:
    DEGENSTEIN CHARITABLE FOUNDATION
    EIN: 23-6661599
    US Government Securities - End of Year Book Value:

    389,150
    US Government Securities - End of Year Fair Market Value:

    421,574
    State & Local Government Securities - End of Year Book Value:


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


     


    TY 2012 LegalFeesSchedule
    Name:
    DEGENSTEIN CHARITABLE FOUNDATION
    EIN: 23-6661599
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES - PRINCIPAL (ALLOCA 12,800 12,800    


    TY 2012 OtherDecreasesSchedule
    Name:
    DEGENSTEIN CHARITABLE FOUNDATION
    EIN: 23-6661599
    Description Amount
    ADJUSTMENT FOR ROUNDING 3
    ACCRUED INT PD/2012 PURCHASES 27
    ADJUSTMENT FOR WASH SALES 2,708
    MUTUAL FUND FACTOR ADJUSTMENT 1


    TY 2012 OtherExpensesSchedule
    Name:
    DEGENSTEIN CHARITABLE FOUNDATION
    EIN: 23-6661599
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER ALLOCABLE EXPENSE-PRINCI 1,622 1,622   0
    OTHER ALLOCABLE EXPENSE-INCOME 27 27   0


    TY 2012 OtherIncreasesSchedule
    Name:
    DEGENSTEIN CHARITABLE FOUNDATION
    EIN: 23-6661599
    Description Amount
    ACCRUED INT PD/2011 PURCHASES 91
    FUNDS POSTED TO WRONG ACCOUNT 5,500


    TY 2012 TaxesSchedule
    Name:
    DEGENSTEIN CHARITABLE FOUNDATION
    EIN: 23-6661599
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 545 545   0
    FEDERAL TAX PAYMENT - PRIOR YE 1,231 0   0
    FEDERAL ESTIMATES - PRINCIPAL 2,476 0   0