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
Michael and Ina Korek Foundation Trust
 

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

77-6140213
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$1,543,531J 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) 380,075
2 Check bullet
3 Interest on savings and temporary cash investments 12 12  
4 Dividends and interest from securities...... 41,419 9,192  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 Click to see attachment -42,250
b Gross sales price for all assets on line 6a 443,293
7 Capital gain net income (from Part IV, line 2)... 0
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........ 379,256 9,204  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 22,670 11,335   11,335
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).... Click to see attachment 1,444 1,444    
17 Interest...............        
18 Taxes (attach schedule) (see instructions) Click to see attachment 500      
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings....... 2,085     2,085
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 10,322     10,322
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 37,021 12,779   23,742
25 Contributions, gifts, grants paid........ 31,856 31,856
26 Total expenses and disbursements. Add lines 24 and 25 68,877 12,779   55,598
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 310,379
b Net investment income (if negative, enter -0-) 0
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.......... 182,956 498,866 498,866
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) 464,025 Click to see attachment312,283 403,353
b Investments—corporate stock (attach schedule)........ 343,261 Click to see attachment585,472 619,525
c Investments—corporate bonds (attach schedule)........ 96,000    
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)........... 75,000 Click to see attachment75,000 21,787
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) 1,161,242 1,471,621 1,543,531
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 1,161,242 1,471,621
30 Total net assets or fund balances (see page 17 of the
instructions).................... 1,161,242 1,471,621
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 1,161,242 1,471,621
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 1,161,242
2 Enter amount from Part I, line 27a..................... 2 310,379
3 Other increases not included in line 2 (itemize) bullet 3  
4 Add lines 1, 2, and 3.......................... 4 1,471,621
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 1,471,621
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 443,293   485,543 -42,250
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       -42,250
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 -42,250
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 44,597 988,079 000.045135
2010 39,947 896,855 000.044541
2009 44,441 809,403 000.054906
2008 46,900 883,167 000.053104
2007 38,854 952,397 000.040796
2 Total of line 1, column (d) ...................... 2 000.238482
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. . . 		3 000.047696
4 Enter the net value of noncharitable-use assets for 2012 from Part X, line 5..... 4 1,156,197
5 Multiply line 4 by line 3....................... 5 55,146
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6  
7 Add lines 5 and 6......................... 7 55,146
8 Enter qualifying distributions from Part XII, line 4.............. 8 55,598
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 0
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2  
3 Add lines 1 and 2............................ 3  
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-). 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5  
6 Credits/Payments:
a 2012 estimated tax payments and 2011 overpayment credited to 2012 6a 1,088
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: 1088 7 1,088
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 1,088
11 Enter the amount of line 10 to be: Credited to 2013 estimated taxBullet100 Refunded Bullet 11 988
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
     
    No
    .........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
    Brian Korek Trustee
    003.00     		22,670    
    Foundation Source 501 Silverside Rd
    Wilmington,DE19809
    Michael Korek Trustee
    001.00     		0    
    Foundation Source 501 Silverside Rd
    Wilmington,DE19809
    Cynthia Peterlin Trustee
    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
    976,835
    b
    Average of monthly cash balances.......................
    1b
    175,182
    c
    Fair market value of all other assets (see instructions)................
    1c
    21,787
    d
    Total (add lines 1a, b, and c).........................
    1d
    1,173,804
    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
    1,173,804
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see
    instructions) Click to see attachment.............................
    4
    17,607
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    1,156,197
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    57,810
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    57,810
    2a
    Tax on investment income for 2012 from Part VI, line 5......
    2a
     
    b
    Income tax for 2012. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
     
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    57,810
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    57,810
    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
    57,810
    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
    55,598
    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
    55,598
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see instructions).................
    5
     
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    55,598
    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 57,810
    2 Undistributed income, if any, as of the end of 2012:
    a Enter amount for 2011 only....... 49,125
    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$ 55,598
    a Applied to 2011, but not more than line 2a 49,125
    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..... 6,473
    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 ..........     		51,337
    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).)
    Michael Korek
    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
    ACLU FOUNDATION OF SOUTHERN CALIFORNIA
    1313 W 8TH ST
    LOS ANGELES,CA90017     		N/A 509a1 General Unrestricted 100
    ALLEY CAT RESCUE INC
    PO BOX 585
    MT RAINIER,MD20712     		N/A 509a1 General Unrestricted 200
    ALZHEIMERS DISEASE AND DISORDERS ASSC
    1060 LA AVENIDA ST
    MOUNTAIN VIEW,CA94043     		N/A 509a1 General Unrestricted 175
    AMERICAN ASSOC OF UNIVERSITY WOMEN
    PO BOX 326
    GRASS VALLEY,CA95945     		N/A 509a2 General Unrestricted 100
    AMERICAN ASSOCIATES BEN-GURION UNIV
    1001 AVE OF THE AMERICAS 19TH
    NEW YORK,NY10018     		N/A 509a1 General Unrestricted 100
    AMERICAN ASSC FOR CANCER SUPPORT INC
    322 NANCY LYNN LN
    KNOXVILLE,TN37919     		N/A 509a1 General Unrestricted 100
    AMERICAN COMMITTEE FOR SHAARE ZEDEK
    55 W 39TH ST FL 4
    NEW YORK,NY10018     		N/A 509a1 General Unrestricted 100
    AMERICAN JEWISH COMMITTEE
    165 E 56TH ST
    NEW YORK,NY10022     		N/A 509a1 General Unrestricted 200
    AMERICAN PROSTATE SOCIETY INC
    10 E LEE ST APT 1504
    BALTIMORE,MD21202     		N/A 509a1 General Unrestricted 100
    AMERICANS UNITED
    1301 K ST NW STE 850E
    WASHINGTON,DC20005     		N/A 509a1 General Unrestricted 200
    AMNESTY INTERNATIONAL OF THE USA INC
    5 PENN PLZ FL 16
    NEW YORK,NY10001     		N/A 509a1 General Unrestricted 100
    ANIMAL LEGAL DEFENSE FUND
    170 E COTATI AVE
    COTATI,CA94931     		N/A 509a1 General Unrestricted 200
    ANIMAL SANCTUARY OF THE UNITED STATES
    PO BOX 690422
    SAN ANTONIO,TX78269     		N/A 509a1 General Unrestricted 200
    ANIMALSAVE
    520 E MAIN ST
    GRASS VALLEY,CA95945     		N/A 509a1 General Unrestricted 200
    ANTI DEFAMATION LEAGUE FOUNDATION
    605 3RD AVE
    NEW YORK,NY10158     		N/A 509a1 General Unrestricted 200
    ARTS COUNCIL SILICON VALLEY
    4 N 2ND ST
    SAN JOSE,CA95113     		N/A 509a1 General Unrestricted 300
    ASSOCIATION OF SMALL FOUNDATIONS
    1720 N ST NW
    WASHINGTON,DC20036     		N/A 509a2 General Unrestricted 695
    BARUCH COLLEGE FUND
    1 BERNARD BARUCH WAR
    NEW YORK,NY10010     		N/A 509a3 General Unrestricted 250
    BEST FRIENDS ANIMAL SOCIETY
    5001 ANGEL CANYON RD
    KANAB,UT84741     		N/A 509a1 General Unrestricted 500
    BIG BROTHERS-BIG SISTERS OF NEVADA CTY
    PO BOX 1362
    GRASS VALLEY,CA95945     		N/A 509a1 General Unrestricted 100
    BNAI BRITH INTERNATIONAL
    5629 W N AVE
    MILWAUKEE,WI53208     		N/A 509a1 General Unrestricted 100
    BOY SCOUTS OF AMERICA
    251 COMMERCE CIR
    SACRAMENTO,CA95815     		N/A 509a1 General Unrestricted 100
    BOYS TOWN JERUSALEM FDN OF AMERICA INC
    1 PENN PLZ STE 6250
    NEW YORK,NY10119     		N/A 509a1 General Unrestricted 100
    BRADY CENTER TO PREVENT GUN VIOLENCE
    1225 I ST NW
    WASHINGTON,DC20005     		N/A 509a1 General Unrestricted 100
    BREAST CANCER ACTION
    55 NEW MONTGOMERY ST STE 323
    SAN FRANCISCO,CA94105     		N/A 509a1 General Unrestricted 100
    BREAST CANCER CONNECTIONS
    390 CAMBRIDGE AVE
    PALO ALTO,CA94306     		N/A 509a1 General Unrestricted 200
    CALIFORNIA ACADEMY OF SCIENCES
    55 MUSIC CONCOURSE DR
    SAN FRANCISCO,CA94118     		N/A 509a1 General Unrestricted 250
    CA FDN FOR ARCHITECTURAL PRESERVATION
    853 SAN BENITO ST
    HOLLISTER,CA95023     		N/A 509a1 General Unrestricted 100
    CALIFORNIA STATE PARKS FOUNDATION
    50 FRANCISCO ST STE 110
    SAN FRANCISCO,CA94133     		N/A 509a1 General Unrestricted 125
    CALVARY CHAPEL OF TUCSON INC
    5170 S JULIAN DR
    TUCSON,AZ85706     		N/A 509a1 Calvary Military Fellowship Project 100
    CANCER CONTROL SOCIETY
    2043 N BERENDO ST
    LOS ANGELES,CA90027     		N/A 509a2 General Unrestricted 500
    CENTER FOR BIOLOGICAL DIVERSITY INC
    PO BOX 710
    TUCSON,AZ85702     		N/A 509a1 General Unrestricted 100
    CENTER FOR PUBLIC INTEGRITY
    910 17TH ST NW FL 7
    WASHINGTON,DC20006     		N/A 509a1 General Unrestricted 100
    CHABAD OF CALIFORNIA
    741 GAYLEY AVE
    LOS ANGELES,CA90024     		N/A 509a1 General Unrestricted 100
    CHILD ADVOCATES OF SILICON VALLEY INC
    509 VALLEY WAY
    MILPITAS,CA95035     		N/A 509a1 General Unrestricted 1,075
    CHILDREN AFFECTED BY AIDS FOUNDATION
    6033 W CENTURY BLVD STE 603
    LOS ANGELES,CA90045     		N/A 509a1 General Unrestricted 200
    CITY COLLEGE FUND
    160 CONVENT AVE S 166
    NEW YORK,NY10031     		N/A 509a1 General Unrestricted 100
    COMMITTEE FOR ACCURACY IN MIDDLE E REPORTING
    PO BOX 35040
    BOSTON,MA02135     		N/A 509a2 General Unrestricted 200
    COMMONWEALTH CLUB OF CALIFORNIA
    595 MARKET ST
    SAN FRANCISCO,CA94105     		N/A 509a2 General Unrestricted 165
    COMMUNITY SCHOOL OF MUSIC AND ARTS
    230 SAN ANTONIO CIR
    MOUNTAIN VIEW,CA94040     		N/A 509a1 General Unrestricted 300
    COMMUNITY SERVICES AGENCY
    204 STIERLIN RD
    MOUNTAIN VIEW,CA94043     		N/A 509a1 General Unrestricted 100
    CONGREGATION SHIR HADASH
    20 CHERRY BLOSSOM LN
    LOS GATOS,CA95032     		N/A 509a1 General Unrestricted 1,000
    CONTEMPORARY JEWISH MUSEUM
    282 2ND ST 2ND FL
    SAN FRANCISCO,CA94103     		N/A 509a1 General Unrestricted 100
    CORPORATION OF THE FINE ARTS MUSEUMS
    50 HAGIWARA TEA GARDEN DR
    SAN FRANCISCO,CA94118     		N/A 509a1 General Unrestricted 100
    COVENANT HOUSE WASHINGTON DC
    2001 MISSISSIPPI AVE SE
    WASHINGTON,DC20020     		N/A 509a1 General Unrestricted 100
    DOCTORS WITHOUT BORDERS USA INC
    333 7TH AVE 2ND FL
    NEW YORK,NY10001     		N/A 509a1 General Unrestricted 500
    EARTHJUSTICE
    50 CALIFORNIA ST STE 500
    SAN FRANCISCO,CA94111     		N/A 509a2 General Unrestricted 200
    ENVIRONMENT CA RESEARCH & POLICY CTR
    1107 9TH ST STE 601
    SACRAMENTO,CA95814     		N/A 509a1 General Unrestricted 100
    ENVIRONMENTAL DEFENSE FUND INC
    1875 CONNECTICUT AVE NW STE 600
    WASHINGTON,DC20009     		N/A 509a1 General Unrestricted 100
    FACTS AND LOGIC ABOUT THE MIDDLE EAST
    PO BOX 590359
    SAN FRANCISCO,CA94159     		N/A 509a1 General Unrestricted 100
    FINCA INTERNATIONAL INC
    1101 14TH ST NW FL 11
    WASHINGTON,DC20005     		N/A 509a1 General Unrestricted 100
    FOOTHILL-DE ANZA COMMUNITY COLLEGES FDN
    12345 S EL MONTE RD
    LOS ALTOS HLS,CA94022     		N/A 509a1 General Unrestricted 150
    FOUNDATION FOR MIND BEING RESEARCH
    442 KNOLL DR
    LOS ALTOS,CA94024     		N/A 509a2 General Unrestricted 100
    GLAUCOMA RESEARCH FOUNDATION
    251 POST ST STE 600
    SAN FRANCISCO,CA94108     		N/A 509a1 General Unrestricted 500
    GLIDE MEM UNITED METHODIST CHURCH
    330 ELLIS ST
    SAN FRANCISCO,CA94102     		N/A 509a1 General Unrestricted 100
    GOLDEN GATE COLLECTORS FINE ARTS MUSEUMS OF SAN FRAN FUND
    46 GREENWOOD BAY DR
    TIBURON,CA94920     		N/A 509a1 General Unrestricted 100
    GREENPEACE FUND INC
    702 H ST NW STE 300
    WASHINGTON,DC20001     		N/A 509a1 General Unrestricted 500
    HABITAT FOR HUMANITY INTERNATIONAL
    270 PEACHTREE ST NW STE 1300
    ATLANTA,GA30303     		N/A 509a1 General Unrestricted 300
    HALT - AN ORG OF AMERICANS FOR LEG
    1612 K ST NW STE 510
    WASHINGTON,DC20006     		N/A 509a1 General Unrestricted 100
    HEART SUPPORT OF AMERICA INC
    2902 TAZEWELL PIKE
    KNOXVILLE,TN37918     		N/A 509a1 General Unrestricted 100
    HIAS INC
    333 7TH AVE 16TH FLR
    NEW YORK,NY10001     		N/A 509a1 General Unrestricted 100
    HONEST REPORTING COM INC
    10024 SKOKIE BLVD STE 201
    SKOKIE,IL60077     		N/A 509a1 General Unrestricted 100
    HOPE REHABILITATION SERVICES
    30 LAS COLINAS LN
    SAN JOSE,CA95119     		N/A 509a1 General Unrestricted 100
    HOSPICE OF THE FOOTHILLS
    11270 ROUGH READY HWY
    GRASS VALLEY,CA95945     		N/A 509a1 General Unrestricted 100
    HUMANE EDUCATION NETWORK
    980 KINTYRE WAY
    SUNNYVALE,CA94087     		N/A 509a1 General Unrestricted 200
    IEEE FOUNDATION INC
    445 HOES LN
    PISCATAWAY,NJ08854     		N/A 509a1 General Unrestricted 200
    INSTITUTE OF HEARTMATH
    PO BOX 1463
    BOULDER CREEK,CA95006     		N/A 509a1 General Unrestricted 100
    INSTITUTE OF NOETIC SCIENCES
    625 2ND ST STE 200
    PETALUMA,CA94952     		N/A 509a2 General Unrestricted 120
    INTERNATIONAL CAMPAIGN FOR TIBET
    1825 JEFFERSON PL NW
    WASHINGTON,DC20036     		N/A 509a2 General Unrestricted 100
    INT'L FELLOWSHIP OF CHRISTIANS & JEWS
    PO BOX 96105
    WASHINGTON,DC20090     		N/A 509a1 General Unrestricted 200
    INTERNATIONAL MEDIA PROJECT
    1714 FRANKLIN ST STE 100-251
    OAKLAND,CA94612     		N/A 509a1 General Unrestricted 100
    INT'L PLANNED PARENTHOOD FEDERATION
    125 MAIDEN LN FL 9
    NEW YORK,NY10038     		N/A 509a1 General Unrestricted 100
    INTERNATIONAL RESCUE COMMITTEE INC
    122 E 42ND ST
    NEW YORK,NY10168     		N/A 509a1 General Unrestricted 100
    ISRAEL EMERGENCY ALLIANCE
    6505 WILSHIRE BLVD
    LOS ANGELES,CA90048     		N/A 509a1 General Unrestricted 100
    JEWISH COMMUNITY FEDERATION
    121 STEUART
    SAN FRANCISCO,CA94105     		N/A 509a1 Day of Philanthropy Program 255
    JEWISH FAMILY & CHILDRENS SERVICES
    2150 POST ST
    SAN FRANCISCO,CA94115     		N/A 509a1 General Unrestricted 150
    JEWISH NAT'L FUND-KEREN KAYEMETH LEISRAEL INC
    42 E 69TH ST
    NEW YORK,NY10021     		N/A 509a1 General Unrestricted 100
    JEWISH WAR VETERANS USA NAT'L MEMORIAL INC
    1811 R ST NW
    WASHINGTON,DC20009     		N/A 509a1 General Unrestricted 100
    JOHN MUIR HEALTH
    1400 TREAT BLVD
    WALNUT CREEK,CA94597     		N/A 509a1 General Unrestricted 100
    JUST ONE LIFE INC
    275 MADISON AVE FL 30
    NEW YORK,NY10016     		N/A 509a1 General Unrestricted 100
    KIDNEY CANCER ASSOCIATION
    1234 SHERMAN AVE
    EVANSTON,IL60202     		N/A 509a1 General Unrestricted 200
    KQED INC
    2601 MARIPOSA ST
    SAN FRANCISCO,CA94110     		N/A 509a1 General Unrestricted 500
    LUCILE PACKARD FDN FOR CHILDREN'S HEALTH
    400 HAMILTON AVE STE 340
    PALO ALTO,CA94301     		N/A 509a1 General Unrestricted 100
    MARINE MAMMAL CENTER
    2000 BUNKER RD
    SAUSALITO,CA94965     		N/A 509a1 General Unrestricted 100
    MONO LAKE FOUNDATION
    PO BOX 29
    LEE VINING,CA93541     		N/A 509a1 General Unrestricted 100
    MOTHERS AGAINST DRUNK DRIVING
    511 E JOHN CARPENTER FWY
    IRVING,TX75062     		N/A 509a1 General Unrestricted 500
    MT ST MARY'S ACADEMY
    400 S CHURCH ST
    GRASS VALLEY,CA95945     		N/A 509a1 General Unrestricted 250
    NATIONAL INSTITUTE FOR JEWISH HOSPICE
    1880 CNTRY PARK E STE 200
    LOS ANGELES,CA90067     		N/A 509a1 General Unrestricted 100
    NATIONAL YIDDISH BOOK CENTER INC
    1021 W ST
    AMHERST,MA01002     		N/A 509a1 General Unrestricted 100
    NATURAL RESOURCES DEFENSE COUNCIL INC
    40 W 20TH ST
    NEW YORK,NY10011     		N/A 509a1 General Unrestricted 100
    NEIGHBORHOOD CENTER OF THE ARTS
    200 LITTON DR STE 212
    GRASS VALLEY,CA95945     		N/A 509a2 General Unrestricted 100
    ASSC FOR THE DEVELOPMENTALLY DISABLED
    PO BOX 112
    GRASS VALLEY,CA95945     		N/A 509a1 General Unrestricted 100
    NEVADA CTY JEWISH COMMUNITY CENTER INC
    PO BOX 1426
    GRASS VALLEY,CA95945     		N/A 509a1 General Unrestricted 100
    NEXT DOOR SOLUTIONS TO DOMESTIC VIOLENCE
    234 E GISH RD STE 200
    SAN JOSE,CA95112     		N/A 509a1 General Unrestricted 100
    NIKE ANIMAL RESCUE FOUNDATION
    5463 SHERIDAN RD
    SUNOL,CA94586     		N/A 509a1 General Unrestricted 500
    ONE CHILD
    43430 MISSION BLVD UNIT 210
    FREMONT,CA94539     		N/A 509a1 General Unrestricted 100
    ORGANIC CONSUMERS ASSOCIATION
    6771 S SILVER HILL DR
    FINLAND,MN55603     		N/A 509a1 General Unrestricted 200
    OSHMAN FAMILY JEWISH COMMUNITY CTR
    3921 FABIAN WAY
    PALO ALTO,CA94303     		N/A 509a2 General Unrestricted 876
    PAACT INC
    1143 PARMELEE AVE NW
    GRAND RAPIDS,MI49504     		N/A 509a1 General Unrestricted 100
    PALACE OF FINE ARTS LEAGUE INC
    3301 LYON ST
    SAN FRANCISCO,CA94123     		N/A 509a2 General Unrestricted 100
    PENN VALLEY COMMUNITY FOUNDATION
    PO BOX 186
    PENN VALLEY,CA95946     		N/A 509a1 General Unrestricted 100
    PENN VALLEY COMMUNITY RODEO ASSC
    PO BOX 1103
    PENN VALLEY,CA95946     		N/A 509a2 General Unrestricted 100
    PEOPLE FOR THE AMERICAN WAY FOUNDATION
    1101 15TH ST NW STE 600
    WASHINGTON,DC20005     		N/A 509a1 General Unrestricted 300
    PEOPLE FOR ETHICAL TREATMENT OF ANIMALS
    501 FRONT ST
    NORFOLK,VA23510     		N/A 509a1 General Unrestricted 200
    PETS IN NEED
    871 5TH AVE
    REDWOOD CITY,CA94063     		N/A 509a2 General Unrestricted 500
    PHYSICIANS COMMITTEE FOR RESPONSIBLE MEDICINE INC
    5100 WISC AVE NW STE 400
    WASHINGTON,DC20016     		N/A 509a1 General Unrestricted 100
    PHYSICIANS FOR SOCIAL RESPONSIBILITY INC
    1111 14TH ST NW STE 700
    WASHINGTON,DC20005     		N/A 509a1 General Unrestricted 100
    POLYTECHNIC INSTITUTE OF NEW YORK UNIVERSITY
    6 METROTECH CTR
    BROOKLYN,NY11201     		N/A 509a1 General Unrestricted 500
    PRIDE INDUSTRIES
    PO BOX 1200
    ROCKLIN,CA95677     		N/A 509a2 Grass Valley Area Division 100
    PROJECT OPEN HAND
    730 POLK ST 3RD FL
    SAN FRANCISCO,CA94109     		N/A 509a1 General Unrestricted 100
    PROSTATE AWARENESS FOUNDATION
    PO BOX 2934
    SANTA ROSA,CA95405     		N/A 509a1 General Unrestricted 100
    PROSTATE CANCER RESEARCH INSTITUTE
    5777 W CENTURY BLVD STE 800
    LOS ANGELES,CA90045     		N/A 509a1 General Unrestricted 300
    RESEARCH TO PREVENT BLINDNESS INC
    645 MADISON AVE
    NEW YORK,NY10022     		N/A 509a1 General Unrestricted 100
    RONALD MCDONALD HOUSE AT STANFORD
    520 SAND HILL RD
    PALO ALTO,CA94304     		N/A 509a2 General Unrestricted 100
    SAN FRANCISCO AIDS FOUNDATION
    1035 MARKET ST STE 400
    SAN FRANCISCO,CA94103     		N/A 509a1 General Unrestricted 100
    SAN FRANCISCO BAY BIRD OBSERVATORY
    524 VALLEY WAY
    MILPITAS,CA95035     		N/A 509a1 General Unrestricted 100
    SAN FRANCISCO CITY GUIDES
    100 LARKIN ST
    SAN FRANCISCO,CA94102     		N/A 509a1 General Unrestricted 200
    SAN FRANCISCO SYMPHONY
    201 VAN NESS AVE
    SAN FRANCISCO,CA94102     		N/A 509a1 General Unrestricted 100
    SAN JOSE MUSEUM OF ART ASSOCIATION
    110 S MARKET ST
    SAN JOSE,CA95113     		N/A 509a1 General Unrestricted 100
    SECOND HARVEST FOOD BANK
    750 CURTNER AVE
    SAN JOSE,CA95125     		N/A 509a1 General Unrestricted 600
    SIERRA CLUB FOUNDATION
    85 2ND ST STE 750
    SAN FRANCISCO,CA94105     		N/A 509a1 General Unrestricted 100
    SILICON VALLEY JEWISH FILM FESTIVAL
    14855 OKA RD STE 201
    LOS GATOS,CA95032     		N/A 509a1 General Unrestricted 320
    SIMON WIESENTHAL CENTER
    1399 S ROXBURY DR
    LOS ANGELES,CA90035     		N/A 509a1 General Unrestricted 100
    SMART LIFE FORUM INC
    14436 ESTERLEE DR
    SARATOGA,CA95070     		N/A 509a1 General Unrestricted 2,500
    SMILE TRAIN INC
    41 MADISON AVE 28TH FL
    NEW YORK,NY10010     		N/A 509a1 General Unrestricted 100
    SOCIETY FOR ORTHOMOLECULAR HEALTH MEDICINE
    2698 PACIFIC AVE
    SAN FRANCISCO,CA94115     		N/A 509a2 General Unrestricted 500
    SOUTH YUBA RIVER PARK ASSOCIATION
    17660 PLEASANT VALLEY RD
    PENN VALLEY,CA95946     		N/A 509a1 Lifetime Membership 200
    SOUTHERN POVERTY LAW CENTER INC
    400 WASHINGTON AVE
    MONTGOMERY,AL36104     		N/A 509a1 General Unrestricted 500
    STANFORD UNIVERSITY
    326 GALVEZ ST
    STANFORD,CA94305     		N/A 509a1 General Unrestricted 100
    TAWONGA JEWISH COMMUNITY CORPORATION
    131 STEUART ST STE 460
    SAN FRANCISCO,CA94105     		N/A 509a2 General Unrestricted 500
    THE CENTER FOR JEWISH CAMPUS LIFE INC
    PO BOX 20526
    STANFORD,CA94309     		N/A 509a1 General Unrestricted 100
    THE HEALTH TRUST MEALS ON WHEELS PROGRAM
    2105 S BASCOM AVE STUITE 220
    CAMPBELL,CA95125     		N/A 509a2 General Unrestricted 100
    THE SALVATION ARMY - SANTA CLARA COUNTY
    359 N 4TH ST
    SAN JOSE,CA95109     		N/A 509a1 General Unrestricted 200
    THE TECH MUSEUM OF INNOVATION
    201 S MARKET ST
    SAN JOSE,CA95113     		N/A 509a1 General Unrestricted 250
    THEATREWORKS
    350 TWIN DOLPHIN DR STE 127
    REDWOOD CITY,CA94065     		N/A 509a2 General Unrestricted 600
    TRITON MUSEUM OF ART
    1505 WARBURTON AVE
    SANTA CLARA,CA95050     		N/A 509a2 General Unrestricted 100
    UCSJ UNION OF COUNCILS FOR JEWS
    SOVIET JEWS
    WASHINGTON,DC20015     		N/A 509a1 General Unrestricted 100
    UNITED STATES MISSION CORPORATION
    PO BOX 20156
    PORTLAND,OR97294     		N/A 509a1 General Unrestricted 50
    US TOO INTERNATIONAL INC
    5003 FAIRVIEW AVE
    DOWNERS GROVE,IL60515     		N/A 509a1 General Unrestricted 100
    UTILITY REFORM NETWORK
    268 BUSH ST STE 3933
    SAN FRANCISCO,CA94104     		N/A 509a1 General Unrestricted 200
    VETERANS RESOURCE CENTERS OF AMERICA
    PO BOX 378
    SANTA ROSA,CA95402     		N/A 509a1 General Unrestricted 100
    WILDERNESS SOCIETY
    1615 M ST NW
    WASHINGTON,DC20036     		N/A 509a1 General Unrestricted 100
    WILDLIFE CONSERVATION SOCIETY
    2300 SOUTHERN BLVD
    BRONX,NY10460     		N/A 509a1 General Unrestricted 500
    WORLD AFFAIRS COUNCIL OF NORTHERN CA
    312 SUTTER ST STE 200
    SAN FRANCISCO,CA94108     		N/A 509a1 General Unrestricted 100
    WORLD JEWISH CONGRESS FOUNDATION
    2125 BISCAYNE BLVD STE 310
    MIAMI,FL33137     		N/A 509a1 General Unrestricted 150
    WORLD WILDLIFE FUND INC
    1250 24TH ST NW PO BOX 97180
    WASHINGTON,DC20090     		N/A 509a1 General Unrestricted 500
    YOUNG MENS CHRISTIAN ASSC
    1922 THE ALAMEDA 3RD FL
    SAN JOSE,CA95126     		N/A 509a2 General Unrestricted 250
    Total .................................bullet 3a 31,856
    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 12  
    4 Dividends and interest from securities....     14 41,419  
    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 -42,250  
    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)..   -819  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13-819
    (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: 1088


    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990, 990-EZ,
    or 990-PF)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors
    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    OMB No. 1545-0047
    2012
    Name of the organization
    Michael and Ina Korek Foundation Trust
     
    Employer identification number

    77-6140213
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ





    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......................... Arrow Bullet   $    
    Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990; or check the box on line H of its
    Form 990-EZ or on Part I, line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2012)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
    Page 2
    Name of organization
    Michael and Ina Korek Foundation Trust
          		Employer identification number

    77-6140213
    Part I
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    		     
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    1
     
     

    Korek Michael    
    132 Hamilton Street
       
    Los Altos, CA   94022

    		$380,000


    (Complete Part II if there is a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

         
     
       

    		$  


    (Complete Part II if there is a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

         
     
       

    		$  


    (Complete Part II if there is a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

         
     
       

    		$  


    (Complete Part II if there is a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

         
     
       

    		$  


    (Complete Part II if there is a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

         
     
       

    		$  


    (Complete Part II if there is a noncash contribution.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
    Page 3
    Name of organization
    Michael and Ina Korek Foundation Trust
          		Employer identification number

    77-6140213
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    		     
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
    Page 4
    Name of organization
    Michael and Ina Korek Foundation Trust
          		Employer identification number

    77-6140213
    Part III
    Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
    that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
    For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
    contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a) No.
    from
    Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    (a) No.
    from
    Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    (a) No.
    from
    Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    (a) No.
    from
    Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

    Additional Data


    Software ID: 12000057
    Software Version: 12.15.422.1

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

    TY 2012 GainLossSaleOtherAssetsSch
    Name:
    Michael and Ina Korek Foundation Trust
    EIN: 77-6140213
    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         443,293 485,543     -42,250  

    TY 2012 GeneralExplanationAttachment
    Name:
    Michael and Ina Korek Foundation Trust
    EIN: 77-6140213
    Software ID:12000057
    Software Version:12.15.422.1
    Identifier Return Reference Explanation

    TY 2012 InvestmentsCorpStockSchedule
    Name:
    Michael and Ina Korek Foundation Trust
    EIN: 77-6140213
    Software ID:12000057
    Software Version:12.15.422.1
    Name of Stock End of Year Book Value End of Year Fair Market Value
    250000 shares of AEQUITAS COMMERCIAL FINANCE LLC SECURED SUB NOTES NSA 211,676 249,999
    130 shares of APACHE CORPORATION 10,158 10,205
    130 shares of BECTON DICKINSON CO 10,272 10,165
    190 shares of BERKLEY W R CP 7,537 7,171
    140 shares of CAMPBELL SOUP CO 5,091 4,885
    110 shares of CVS CAREMARK CORP. 5,255 5,319
    9514 shares of DOUBLELINE CORE FIX INCOME I 108,290 107,892
    420 shares of EXELON CORPORATION 12,617 12,491
    200 shares of EXPEDITORS INTL WASH INC. 7,655 7,910
    1140 shares of FRANCE TELECOM ADS 12,731 12,597
    120 shares of MEDTRONIC INC 5,164 4,922
    460 shares of MICROSOFT CORPORATION 12,645 12,286
    230 shares of MOLSON COOR BREW CO CL B 9,940 9,842
    200 shares of NOVARTIS AG ADR 12,683 12,660
    220 shares of PAYCHEX INC COM 7,489 6,842
    620 shares of PEOPLES UNITED FINANCIAL, INC. 7,641 7,496
    501 shares of SPDR GOLD TR GOLD SHS 82,684 81,172
    370 shares of SPECTRA ENERGY CORP-W/I 10,073 10,131
    1210 shares of SPROTT PHYISICAL GOLD TRUST 17,772 17,194
    320 shares of SYSCO CORP 10,258 10,131
    960 shares of WESTERN UNION CO 12,719 13,066
    190 shares of XYLEM INC 5,122 5,149

    TY 2012 InvestmentsGovtObligationsSch
    Name:
    Michael and Ina Korek Foundation Trust
    EIN: 77-6140213
    Software ID:12000057
    Software Version:12.15.422.1
    US Government Securities - End of Year Book Value:

     
    US Government Securities - End of Year Fair Market Value:

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


    312,283
    State & Local Government Securities - End of Year Fair Market Value:


    403,353


    TY 2012 InvestmentsOtherSchedule2
    Name:
    Michael and Ina Korek Foundation Trust
    EIN: 77-6140213
    Software ID:12000057
    Software Version:12.15.422.1
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    INFINITE Z, LLC   75,000 21,787

    TY 2012 OtherExpensesSchedule
    Name:
    Michael and Ina Korek Foundation Trust
    EIN: 77-6140213
    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 9,322     9,322
    State or Local Filing Fees 1,000     1,000


    TY 2012 OtherProfessionalFeesSchedule
    Name:
    Michael and Ina Korek Foundation Trust
    EIN: 77-6140213
    Software ID:12000057
    Software Version:12.15.422.1
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Investment Management Services 1,444 1,444    


    TY 2012 TaxesSchedule
    Name:
    Michael and Ina Korek Foundation Trust
    EIN: 77-6140213
    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 500