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
Richard and Diane Van Grunsven Family Foundation
 

Number and street (or P.O. box number if mail is not delivered to street address)Foundation Source 501 Silverside Rd   Room/suite
City or town, state, and ZIP code
Wilmington, DE198091377
A Employer identification number

27-4195377
B Telephone number (see instructions)

(800) 839-1754
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$2,087,954
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
E bullet
F bullet
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet
3 Interest on savings and temporary cash investments 152 152  
4 Dividends and interest from securities...... 76,539 76,539  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 16,505
b Gross sales price for all assets on line 6a 886,510
7 Capital gain net income (from Part IV, line 2)... 16,505
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).......      
12 Total. Add lines 1 through 11........ 93,196 93,196  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... 18,267 18,267    
17 Interest...............        
18 Taxes (attach schedule) (see instructions) 906 106    
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 13,227     13,227
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 32,400 18,373   13,227
25 Contributions, gifts, grants paid........ 74,483 74,483
26 Total expenses and disbursements. Add lines 24 and 25 106,883 18,373   87,710
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -13,687
b Net investment income (if negative, enter -0-) 74,823
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2012)
Form 990-PF (2012)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing...............      
2 Savings and temporary cash investments.......... 195,832 116,499 116,499
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) 219,967 272,147 273,284
b Investments—corporate stock (attach schedule)........ 1,159,035 Click to see attachment1,231,213 1,327,468
c Investments—corporate bonds (attach schedule)........ 401,493 Click to see attachment342,781 370,703
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)...........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 1,976,327 1,962,640 2,087,954
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.........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds 1,976,327 1,962,640
30 Total net assets or fund balances (see page 17 of the
instructions).................... 1,976,327 1,962,640
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 1,976,327 1,962,640
Part III Analysis of Changes in Net Assets or Fund Balances
1 Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree
with end-of-year figure reported on prior year’s return)............... 1 1,976,327
2 Enter amount from Part I, line 27a..................... 2 -13,687
3 Other increases not included in line 2 (itemize) bullet 3  
4 Add lines 1, 2, and 3.......................... 4 1,962,640
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 1,962,640
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 Publicly-traded Securities      
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 886,510   870,005 16,505
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       16,505
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 16,505
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 14,494 2,030,940 000.007137
2010   492,500  
2009      
2008      
2007      
2 Total of line 1, column (d) ...................... 2 000.007137
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
. . .
3 000.003569
4 Enter the net value of noncharitable-use assets for 2012 from Part X, line 5..... 4 2,078,713
5 Multiply line 4 by line 3....................... 5 7,419
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 748
7 Add lines 5 and 6......................... 7 8,167
8 Enter qualifying distributions from Part XII, line 4.............. 8 87,710
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 1 748
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............................ 3 748
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- ..... 5 748
6 Credits/Payments:
a 2012 estimated tax payments and 2011 overpayment credited to 2012 6a 1,119
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.............. Tax Paid Original Return: 1119 7 1,119
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. Click to see attachment 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 10 371
11 Enter the amount of line 10 to be: Credited to 2013 estimated taxBullet371 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)
    bullet
    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 ofbulletco Foundation Source Telephone no.bullet (800) 839-1754
    Located atbullet501 Silverside Road Suite 123WilmingtonDE ZIP+4bullet198091377
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16
    At any time during calendar year 2012, did the foundation have an interest in or a signature or other authority over
    a bank, securities, or other financial account in a foreign country? .................
    16
     
    No
    See instructions for exceptions and filing requirements for Form TD F 90-22.1. If "Yes", enter the name of the foreign country bullet  
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 5
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the “Yes” column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?.........................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?.................
    (6) Agree to pay money or property to a government official? (Exception. Check “No”
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).........
    b
    If any answer is “Yes” to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see page 20 of the instructions)?...
    1b
     
     
    .........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2012?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2012, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2012?...............
    If “Yes,” list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer “No” and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?.........................
    b
    If “Yes,” did it have excess business holdings in 2012 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2012.)....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2012?
    4b
     
    No
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?...............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 509(a)(1), (2), or (3), or section 4940(d)(2)? (see instructions)........
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?........
    b
    If any answer is “Yes” to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see instructions)? ......
    5b
     
     
    .........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
    Diane Van Grunsven VP / Dir
    001.00
    0    
    Foundation Source 501 Silverside Rd
    Wilmington,DE19809
    Richard Van Grunsven Pres / Dir / Sec
    001.00
    0    
    Foundation Source 501 Silverside Rd
    Wilmington,DE19809
    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
     
    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
     
    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
     
    2  
    3  
    4  
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 7
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See page 24 of the instructions.
    3  
    Total. Add lines 1 through 3..........................bullet  
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
    see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    1,985,867
    b
    Average of monthly cash balances.......................
    1b
    124,502
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    2,110,369
    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
    2,110,369
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see
    instructions) Click to see attachment.............................
    4
    31,656
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    2,078,713
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    103,936
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    103,936
    2a
    Tax on investment income for 2012 from Part VI, line 5......
    2a
    748
    b
    Income tax for 2012. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    748
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    103,188
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    103,188
    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
    103,188
    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 Click to see attachment..........
    1a
    87,710
    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
    87,710
    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
    748
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    86,962
    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 7 103,188
    2 Undistributed income, if any, as of the end of 2012:
    a Enter amount for 2011 only....... 87,710
    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$ 87,710
    a Applied to 2011, but not more than line 2a 87,710
    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 ..........
    103,188
    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
     
    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).)
    Diane Van Grunsven
    Richard Van Grunsven
    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
    AIRWAY SCIENCE FOR KIDS
    PO BOX 457
    PORTLAND,OR97207
    N/A 509a1 General Unrestricted 5,000
    AMERICAN CANCER SOCIETY
    2120 1ST AVE N
    SEATTLE,WA98109
    N/A 509a1 General Unrestricted 500
    ARCHDIOCESE OF PORTLAND IN OREGON
    2838 E BURNSIDE ST
    PORTLAND,OR97214
    N/A 509a1 Sharing Our Faith, Shaping Our Future Campaign 2,500
    BLANCHET HOUSE OF HOSPITALITY
    1500 NE IRVING ST STE 440
    PORTLAND,OR97232
    N/A 509a1 Building Fund Campaign 20,000
    CATHOLIC CHARITIES
    2740 SE POWELL BLVD
    PORTLAND,OR97202
    N/A 509a1 General Unrestricted 1,000
    CATHOLIC RELIEF SERVICES INC
    228 W LEXINGTON ST
    BALTIMORE,MD21201
    N/A 509a1 General Unrestricted 500
    DOCTORS WITHOUT BORDERS USA INC
    333 7TH AVE 2ND FL
    NEW YORK,NY10001
    N/A 509a1 General Unrestricted 1,000
    FRIENDS OF NORTH PLAINS PUBLIC LIBRARY
    PO BOX 525
    NORTH PLAINS,OR97133
    N/A 509a2 Digital Drive Campaign 200
    HABITAT FOR HUMANITY INTERNATIONAL
    4676 COMMERCIAL ST SE 332
    SALEM,OR97302
    N/A 509a1 General Unrestricted 500
    MARILLAC SOCIAL CENTER
    PO BOX 14699
    CHICAGO,IL60614
    N/A 509a1 General Unrestricted 500
    SALVATION ARMY - CASCADE DIVISION
    8495 SE MONTEREY AVE
    HAPPY VALLEY,OR97086
    N/A 509a2 General Unrestricted 750
    ST ANDRE BESSETTE CATHOLIC CHURCH PORTLAND OREGON
    601 W BURNSIDE ST
    PORTLAND,OR97209
    N/A 509a1 Open Doors Campaign 7,333
    ST ANDREW LEGAL CLINIC
    807 NE ALBERTA ST
    PORTLAND,OR97211
    N/A 509a1 General Unrestricted 200
    SUSAN G KOMEN BREAST CANCER FOUNDATION
    1400 SW 5TH AVE STE 530
    PORTLAND,OR97201
    N/A 509a1 General Unrestricted 500
    UNIVERSITY OF PORTLAND
    5000 N WILLAMETTE BLVD
    PORTLAND,OR97203
    N/A 509a1 Instron Electropuls E10,000 Test System for University of Portlands Shiley Engineering School 34,000
    Total .................................bullet 3a 74,483
    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     14 152  
    4 Dividends and interest from securities....     14 76,539  
    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 16,505  
    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)..   93,196  
    13Total. Add line 12, columns (b), (d), and (e)..................
    1393,196
    (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: 12000057
    Software Version: 12.15.422.1
    Part VI Line 7 - Tax Paid Original Return: 1119


    Form 990PF - Special Condition Description:
    Special Condition Description

    Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

    TY 2012 GainLossSaleOtherAssetsSch
    Name:
    Richard and Diane Van Grunsven Family Foundation
    EIN: 27-4195377
    Software ID:12000057
    Software Version:12.15.422.1
    Name Date Acquired How Acquired Date Sold Purchaser Name Gross Sales Price Basis Basis Method Sales Expenses Total (net) Accumulated Depreciation
    Publicly-traded Securities         886,510 870,005     16,505  

    TY 2012 GeneralExplanationAttachment
    Name:
    Richard and Diane Van Grunsven Family Foundation
    EIN: 27-4195377
    Software ID:12000057
    Software Version:12.15.422.1
    Identifier Return Reference Explanation

    TY 2012 InvestmentsCorpBondsSchedule
    Name:
    Richard and Diane Van Grunsven Family Foundation
    EIN: 27-4195377
    Software ID:12000057
    Software Version:12.15.422.1
    Name of Bond End of Year Book Value End of Year Fair Market Value
    1 QWEST CORP NT - 7.00 - 04/01/2052 1,349 1,426
    AEGON N V NON CUM SUB 8.000 - 02/15/2042 3,031 3,218
    AFLAC INC SUB DEB - 5.5 - 09/15/2052 717 738
    ALCOA INC BD - 5.900 - 02/01/2027 4,937 5,146
    ALTRIA GROUP INC - 9.250 - 08/06/2019 3,904 4,173
    ANHEUSER BUSCH INBEV - 4.375 - 02/15/2021 9,859 11,636
    ARCELORMITTAL - 3.750 - 08/05/2015 10,159 10,101
    BELLSOUTH CORP NT - 5.200 - 12/15/2016 4,424 4,588
    BP CAPITAL MARKETS PLC - 4.500 - 10/01/2020 7,085 8,067
    BUNGE LTD FIN CORP - 4.100 - 03/15/2016 5,022 5,371
    BURLINGTON NORTHERN SANTA FE - 4.700 - 10/01/2019 9,455 10,375
    CAPITAL ONE FINL CORP - 6.150 - 09/01/2016 5,455 5,720
    CCO HLDG LLC / CCO HLDG CAP - 6.625 - 01/31/2022 5,013 5,463
    CITIGROUP INC - 5.375 - 08/09/2020 5,177 5,892
    CITIZENS COMMUNICATIONS CO - 6.250 - 01/15/2013 5,311 5,006
    DIRECTV HLDGS LLC - 5.000 - 03/01/2021 9,972 11,218
    DOMINION RESOURCES INC - 5.200 - 08/15/2019 7,602 8,321
    DTE ENERGY CO JR SER C - 5.25 - 12/01/2062 425 428
    EMBARQ CORP NT - 7.995 - 06/01/36 5,551 5,523
    ENERGY TRANSFER NT - 6.700 - 07/01/2018 4,564 4,820
    EXPRESS SCRIPTS INC - 3.125 - 05/15/2016 9,932 10,543
    FORD MOTOR CREDIT - 7.000 - 10/1/2013 8,638 8,361
    GE CAP CORP - 2.800 - 01/08/2013 5,130 5,001
    GE CAP CORP - 6.875 - 01/10/2039 10,192 12,234
    GEORGIA PAC CORP - 7.750 - 11/15/2029 4,496 5,470
    GOLDMAN SACHS GROUP INC NTS - 6.150 - 04/01/2018 10,467 11,748
    HEWLETT PACKARD CO NT - 2.600 - 09/15/2017 5,030 4,871
    INTL PAPER CO BD - 7.950 - 06/15/2018 4,821 5,171
    JPMORGAN CHASE CO - 3.450 - 03/01/2016 12,033 12,745
    KIMCO RLTY 1/1000 PFD SER I - 6.0 - 12/31/2049 2,011 2,074
    KRAFT FOODS INC - 4.125 - 02/09/2016 9,469 9,806
    MCDONALDS CORP NT - 5.000 - 02/01/2019 4,396 4,660
    MORGAN STANLEY - 4.750 - 04/01/2014 10,351 10,355
    MORGAN STANLEY SR NT-F - 4.750 - 03/22/2017 2,992 3,273
    NABORS INDS INC - 6.150 - 02/15/2018 8,669 9,408
    NEWMONT MINING CORP NT - 5.125 - 10/01/2019 6,563 6,917
    NEWS AMER INC - 6.400 - 12/15/2035 5,365 6,207
    NEXTERA ENERGY INC JR SUB DEBSER H-5.625-06/15/2072 668 703
    NISOURCE FIN CORP - 6.125 - 03/01/2022 5,456 5,992
    OWENS CORNING NT - 7.000 - 12/01/2036 5,049 5,532
    PRUDENTIAL INC. - 4.750 - 09/17/2015 5,345 5,481
    PUBLIC STORAGE DEP SHS SER U - 5.625 - 12/31/2049 669 701
    SBC COMMUNICATIONS INC - 6.150 - 09/15/2034 9,238 11,080
    SHELL INTL FIN NT - 6.375 - 12/15/2038 5,824 7,025
    SIMON PROPERTY GROUP - 6.125 - 05/30/2018 4,510 4,872
    SPRINT CAPITAL CORP - 6.875 - 11/15/2028 6,332 7,280
    STANLEY BLACK DECKER INC JR SUB-5.75-07/25/2052 1,413 1,427
    TALISMAN ENERGY INC - 5.850 - 02/01/2037 8,200 9,001
    TIME WARNER CABLE INC - 5.850 - 05/01/2017 10,069 10,632
    TIME WARNER CO - 6.625 - 05/15/2029 5,478 6,380
    UNITEDHEALTH GROUP BD - 5.375 - 03/15/2016 6,630 6,811
    US BANCORP 6.500 PFD 619 630
    US STEEL CORP NT - 7.375 - 04/01/2020 5,127 5,338
    US WEST COMMUNICATIONS INC - 6.875 - 09/15/2033 4,938 5,025
    VODAFONE GROUP PLC NOTE - 1.625 - 03/20/2017 4,947 5,073
    WAL-MART STORES - 5.250 - 09/01/2035 9,016 10,933
    WELLS FARGO CO - 4.600 - 04/01/2021 7,990 9,202
    WHIRLPOOL CORP - 8.600 - 05/01/2014 4,646 4,380
    WYNDHAM WORLDWIDE CORP - 6.000 - 12/01/2016 1,050 1,131

    TY 2012 InvestmentsCorpStockSchedule
    Name:
    Richard and Diane Van Grunsven Family Foundation
    EIN: 27-4195377
    Software ID:12000057
    Software Version:12.15.422.1
    Name of Stock End of Year Book Value End of Year Fair Market Value
    363 shares of ABBOTT LABS 20,931 23,777
    255 shares of AEGON NV PFD - 6.375 5,814 6,416
    41 shares of AEGON NV PFD - 6.500 931 1,020
    38 shares of AEGON NV PFD - 6.875 902 950
    44 shares of AEGON NV PFD - 7.250 1,085 1,103
    82 shares of AEGON NV PFD FLOAT RATE 1,787 1,909
    11 shares of AFFIL MANAGERS GR INC - 6.375 - 08/15/2042 278 289
    16 shares of ALEXANDRIA REAL ESTATE PFD SER E - 6.45 397 422
    233 shares of ALEXION PHARMACEUTICALS, INC. 10,589 21,841
    237 shares of ALLIANZ SOC EUR SE UNDTD SUB CALL 8.375 6,363 6,073
    27 shares of AMERICAN FINANCIAL GROUP - 6.375 - 6/12/2042 671 706
    17 shares of AMERICAN FINANCIAL GROUP INC 426 431
    159 shares of AMERICAN TOWER REIT INC 11,848 12,286
    78 shares of AMERIPRISE FINANCIAL INC 7.75 6/15/39 2,153 2,143
    74 shares of AMGEN INC 6,552 6,379
    77 shares of APPLE INC. 26,257 40,977
    81 shares of ARCH CAPITAL GROUP PFD 2,028 2,173
    38 shares of ASPEN INSURANCE HOLDINGS LTD PRFD A 949 1,007
    97 shares of AXIS CAPITAL HOLDINGS LTD PFD - 6.875 2,455 2,590
    133 shares of BANK OF NEW YORK MELLON CORPORATION 3,322 3,342
    92 shares of BARCLAYS BANK PLC - 6.625 - ADS SER 2,141 2,300
    85 shares of BARCLAYS BANK PLC PRFD C 2,197 2,140
    108 shares of BARCLAYS BANK PLC SER 3 - 7.100 2,687 2,706
    162 shares of BARCLAYS BK SPONS ADR PREF SHS SER 5 8.125 PERPET 4,233 4,120
    96 shares of BBT CORP DEP SHS PFD E 2,403 2,446
    49 shares of BBT CORP DEP SHS REPSTG 1/1000TH PERPPFD SER D 1,223 1,273
    73 shares of BIOGEN IDEC INC 11,120 10,685
    922 shares of CADENCE DESIGN SYSTEMS INC. 12,328 12,456
    155 shares of CAPITAL ONE FIN SER B - 6.00 - 12/31/2049 3,873 3,853
    478 shares of CATAMARAN CORP 19,028 22,514
    84 shares of CHARLES SCHWAB CORPORATION 2,100 2,197
    143 shares of CITIGROUP CAP TR IX PFD - 6.000 - 02/14/2033 3,274 3,571
    57 shares of CITIGROUP CAPITAL X PFD - 6.100 - 09/30/2033 1,280 1,418
    48 shares of CITIGROUP CAPITAL XI PFD - 6.000 - 09/27/2034 1,057 1,193
    140 shares of CITIGROUP CAPITAL XIII - 7.875 - 10/30/2040 3,824 3,906
    34 shares of CITIGROUP CAPITAL XVI - 6.450 - 12/31/2066 781 851
    65 shares of CITIGROUP CAPITAL XVII PFD - 6.350 - 03/15/2067 1,465 1,627
    58 shares of COM CAST CORPORATION 5.00 12/15/2061 1,430 1,519
    801 shares of COMCAST CORP 23,544 28,772
    28 shares of COMMONWEALTH REIT 5.75 677 655
    46 shares of COMMONWEALTH REIT SR NT PFD 7.50 11/15/2019 965 983
    282 shares of CREDIT SUISSE GRNS TIER 1 7,523 7,154
    227 shares of CVS CAREMARK CORP. 10,936 10,975
    56 shares of DB CAPITAL FDG VIII - 6.375 - PERPETUAL 1,290 1,403
    243 shares of DB CONT CAP TR II - 6.550 5,825 6,238
    72 shares of DEUTSCH BK CONTINGENT CAP TR V TR PFD SECS 8.05 1,905 1,966
    35 shares of DEUTSCHE BK C/F TR X PFD 875 877
    131 shares of DEUTSCHE BK CONTINGENT CAP TR III TR PFD SECS 7.6 3,365 3,529
    25 shares of DIGITAL REALTY TRUST INC 7 624 667
    27 shares of DIGITAL RLTY TR INC PFD SER F 673 704
    405 shares of DISCOVERY COMMUNICATIONS CL A 21,360 25,709
    107 shares of DOMINION RES INC VA NEW 8.375 06/15/2064 3,046 2,882
    25 shares of DTE ENERGY CO - 6.500 - 12/01/2061 655 682
    401 shares of EBAY INC. 18,310 20,451
    45 shares of ECOLAB INC 3,258 3,236
    374 shares of ENBRIDGE INC 10,711 16,202
    184 shares of ENSCO PLC 10,304 10,908
    30 shares of ENTERGY ARK INC 1ST MTG BD - 5.750 - 11/01/2040 750 801
    17 shares of ENTERGY ARKANSAS INC 04.900 12/01/2052 426 422
    15 shares of ENTERGY LA LLC SER - 5.875 - 06/15/2041 378 400
    27 shares of ENTERGY LOUISIANA LLC 1ST MTG BD 703 720
    31 shares of ENTERGY MISSISSIPPI INC - 6.000 - 05/01/2051 762 834
    43 shares of ENTERGY TEXAS INC 1,231 1,246
    138 shares of EVEREST RE CAP TR II SER B - 6.200 - 03/29/2034 3,162 3,468
    58 shares of FIRST NIAGARA PFD NON CUM SER B - 8.625 - PERPETU 1,538 1,650
    145 shares of GENERAL ELECTRIC CAPITAL CORPORATION 3,607 3,696
    193 shares of GOLDMAN SACHS - 6.125 - 11/01/2060 4,670 5,041
    7 shares of GOLDMAN SACHS DEP SH 157 146
    147 shares of GOLDMAN SACHS GROUP INC 3,663 3,672
    139 shares of GOLDMAN SACHS GROUP INC - 6.5000 - 11/01/2061 3,448 3,722
    46 shares of GOLDMAN SACHS GROUP INC PFD - FLOAT 1,008 952
    51 shares of HARTFORD FINL SVCS GRP - 7.875 - 4/15/2042 1,314 1,464
    69 shares of HEALTH CARE REIT INCPFD SER J - 6.5 1,729 1,856
    74 shares of HOSPITALITY PPTYS TR CUM PFD SER D 7.125 12/31/49 1,840 1,968
    102 shares of HSBC HLDGS PFD SER A 2,475 2,553
    369 shares of HSBC HLDGS PLC PERP SUB CAP SECS SECS EXCH PREF SH 10,071 10,170
    39 shares of HSBC HLDGS PLC PERPETUAL SUB CAP SECS 8.125 PERPE 1,046 989
    82 shares of ING GROEP NV - 6.125 - PERPETUAL DEBT 1,963 2,049
    44 shares of ING GROEP NV - 6.375 - PERPETUAL 953 1,064
    140 shares of ING GROEP PERP DEBT 7.20 3,331 3,511
    144 shares of ING GROUP - 6.125 - PERPETUAL 2,917 3,443
    171 shares of ING GROUP NV DEBT - 7.050 - PERPETUAL 3,832 4,277
    1782 shares of ISHARES GOLD TRUST 26,810 29,011
    126 shares of JP MORGAN CHASE CO 5.50 PFD 3,144 3,168
    18 shares of JPM CHASE CAP XI - 5.875 - 06/15/2033 443 453
    48 shares of JPM CHASE CAP XXIX GTD CAP SER CC 6.7 4/02/2040 1,230 1,226
    29 shares of KIMCO REAL TV CORP CLASS K 5.625 714 721
    28 shares of KIMCO RLTY CORP - 5.500 - 12/31/2049 693 695
    60 shares of KIMCO RLTY CORP DEPOSITARY SHS REPSTG 1/100 SH CUM 1,496 1,598
    307 shares of LLOYDS BANKING GROUPPLC PRF 7.75 12/15/2050 ISIN 7,874 8,418
    2447 shares of LOOMIS SAYLES FDS STRATEGIC INCM CL Y TR II 36,662 37,833
    2373 shares of LOOMIS SAYLES HIGH INCOME OPPORTUNITIES FUND 23,991 25,059
    35609 shares of LOOMIS SAYLES SECURITIZED ASSET FUND 390,678 398,109
    7732 shares of LORD ABBETT INVESTMENT TRUST SHORT DURATION INCOME 34,948 35,876
    53 shares of MASTERCARD INC 21,978 26,038
    183 shares of MONSANTO CO 16,354 17,321
    69 shares of MORGAN STANLEY CAP TR IV PFD - 6.250 - 04/01/2033 1,594 1,724
    59 shares of MORGAN STANLEY CAP TR V PFD - 5.750 - 07/15/2033 1,354 1,455
    76 shares of MORGAN STANLEY CAP TR VII - 6.600 - 10/15/2066 1,703 1,903
    48 shares of MORGAN STANLEY CAP TRUST 6.45 4/15/2067 1,166 1,195
    98 shares of MORGAN STANLEY CP TR III - 6.250 - 03/01/2033 2,228 2,447
    41 shares of MORGAN STANLEY CP VI 1,005 1,033
    66 shares of MORGAN STANLEY SER A - FLOAT 1,328 1,290
    70 shares of NATL RETAIL PROP1/100 PFD D - 6.625 - 12/31/2049 1,755 1,859
    27 shares of NEXTERA ENERGY CAPITAL - 5.700 - 3/1/2072 681 704
    76 shares of NEXTERA ENERGY CAPITAL HOLDINGS INC 1,872 1,907
    23 shares of NOVO NORDISK A S 3,594 3,754
    40 shares of PARTNERRE LTD - 7.25 1,017 1,081
    91 shares of PARTNERRE LTD PFD SER D - 6.500 - PERPETUAL 2,252 2,291
    57 shares of PARTNERRE LTD. PRFD C 1,418 1,437
    1131 shares of PERMANENT PT 53,315 55,020
    5491 shares of PIONEER STRATEGIC INCOME FD 60,449 61,938
    153 shares of PNC FINANCIAL SERVICES 6.125 3,853 4,244
    26 shares of PNC FINL SVCS GRP D S Q 644 649
    49 shares of PROTECTIVE LIFE CORP - 6.25 - 5/15/2042 1,208 1,277
    17 shares of PROTECTIVE LIFE CORPORATION 6 427 435
    86 shares of PRUDENTIAL FINANCIAL INC 2,124 2,193
    102 shares of PRUDENTIAL FINL INC JR SUB NTS 9.00 06/15/2038 2,855 2,634
    15 shares of PS BUSINESS PARKS INC - 6.875 370 399
    17 shares of PS BUSINESS PARKS INC 5.75 425 425
    83 shares of PS BUSINESS PKS CALIF DEPSHS - 1/1000TH PFD SER T - 6.00 - 12/31/2049 2,059 2,141
    52 shares of PS BUSINESS PKS INC CA DEP SHS 1/1000TH PFD SER S 1,297 1,371
    89 shares of PUBLIC STORAGE 5.900 2,224 2,327
    51 shares of PUBLIC STORAGE 6.5 1,253 1,390
    77 shares of PUBLIC STORAGE DEP PFD R 1,922 2,062
    29 shares of PUBLIC STORAGE DEP SHS V - 5.375 - 12/31/2049 717 748
    14 shares of PUBLIC STORAGE SBI O 6.875 357 378
    92 shares of PUBLIC STORAGE SH PFD SH INT - 5.750- 12/31/2049 2,283 2,389
    105 shares of QWEST CORP PFD SER A 2,632 2,832
    70 shares of QWEST CORP-7.375-06/01/2051 1,773 1,877
    27 shares of QWEST CORPORATION 674 702
    70 shares of RAYMOND JAMES FINANCIAL - 6.9 - 03/15/2042 1,778 1,909
    79 shares of REALTY INCOME CORP PFD CL F - 6.625 12/31/2049 1,975 2,095
    17 shares of REGENCY CENTERS PFD 7 421 428
    53 shares of REGENCY RED PFD SER 6 - 6.625 - 12/31/2049 1,329 1,408
    134 shares of REGENERON PHARMACEUTICALS, INC 18,628 22,923
    15 shares of REGIONS FINANCIAL CORP 7.000 DUE 03-01-11 376 398
    57 shares of RENAISSANCE HLDGS PFD SER D - 6.600 - PERPETUAL 1,413 1,434
    50 shares of RENAISSANCERE HOLDINGS LTD. PRFD C 1,174 1,255
    141 shares of ROSS STORES, INC. 8,714 7,627
    27 shares of ROYAL BANK OF SCOT GRP PLC 6.4 537 610
    257 shares of ROYAL BK OF SCOT GRP SER L - 5.750 - PERPETUAL 4,111 5,685
    39 shares of ROYAL BK OF SCOT GRP SER S - 6.600 - PERPETUAL 705 897
    86 shares of ROYAL BK OF SCOT PFD SER N - 6.350 - PERPETUAL 1,578 1,937
    27 shares of ROYL BK OF SCOT PFD SER R - 6.125 - PERPETUAL 519 606
    28 shares of SANTANDER FIN PFD - 10.500 - PERPETUAL 791 755
    12 shares of SCANA CORP NEW JR SB NT 7.7 1/30/65 335 326
    60 shares of SENIOR HSG PPTYS TR-5.625-08/01/2042 1,457 1,477
    23 shares of STATE STREET CORPORATION PFD STK SER C 575 584
    43 shares of TCF FINANCIAL CORPORATION DEL D 1,112 1,130
    24 shares of TELEPHONE DATA SYSTEMS - 6.875 - 11/15/2059 593 626
    51 shares of TELEPHONE AND DATA SYSTEMS 1,270 1,350
    58 shares of TELEPHONE AND DATA SYSTEMS INC 1,434 1,424
    17 shares of TORCHMARK CORP JR SUB DEB - 5.875 - 12/15/2052 426 430
    163 shares of TRANSDIGM GRP INC 15,078 22,227
    84 shares of TRIPADVISOR LLC 3,300 3,521
    149 shares of UBS PFD FNDG TR IV PFD - FLOAT 2,743 2,216
    100 shares of UNION PACIFIC 11,261 12,572
    32 shares of US BANCORP 6 821 888
    28 shares of US BANCORP SER B - FLOAT - PERPETUAL 615 691
    16 shares of US CELLULAR CORP - 6.95 - 5/15/2060 398 440
    80 shares of VISA INC 11,654 12,126
    180 shares of VORNADO REALTY LP PUBLIC INCOME NT 7.875 10/1/39 4,846 4,874
    35 shares of VORNADO REALTY TRUST 6.875 877 944
    39 shares of VORNADO RLTY TR PFD SER K - 5.700 - 12/31/2049 980 996
    69 shares of WACHOVIA PFD FUNDING PFD SER A - 7.250 - PERP 1,773 1,822
    242 shares of WATSON PHARMACEUTICALS INC. 19,540 20,812
    34 shares of WEINGARTEN REALTY INVESTORS 776 774
    61 shares of WEINGARTEN REALTY SER F - 6.500 - PERPETUAL 1,436 1,523
    16 shares of WEINGARTEN RL 6.75 D 402 401
    16 shares of WELLS FARGO CAPITAL IX PFD - 5.625 - 04/08/2034 388 401
    143 shares of WR BERKLEY CPTL TR II PFD - 6.750 - PERPETUAL 3,546 3,604
    62 shares of XCEL ENERGY INC JR SUB NT 7.600 01/01/2068 1,683 1,569

    TY 2012 OtherExpensesSchedule
    Name:
    Richard and Diane Van Grunsven Family Foundation
    EIN: 27-4195377
    Software ID:12000057
    Software Version:12.15.422.1
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Administrative Fees 13,202     13,202
    State or Local Filing Fees 25     25


    TY 2012 OtherProfessionalFeesSchedule
    Name:
    Richard and Diane Van Grunsven Family Foundation
    EIN: 27-4195377
    Software ID:12000057
    Software Version:12.15.422.1
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Investment Management Services 18,267 18,267    


    TY 2012 TaxesSchedule
    Name:
    Richard and Diane Van Grunsven Family Foundation
    EIN: 27-4195377
    Software ID:12000057
    Software Version:12.15.422.1
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Estimated Tax for 2012 800      
    Foreign Tax Paid 106 106