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
THE HERBERT & DOROTHY ZULLIG
FOUNDATION

Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 603   Room/suite
City or town, state, and ZIP code
SHERIDAN, WY82801
A Employer identification number

83-0282365
B Telephone number (see instructions)

(307) 672-6494
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$3,821,415J 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      
4 Dividends and interest from securities...... 112,091 112,091  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 81,189
b Gross sales price for all assets on line 6a 1,105,834
7 Capital gain net income (from Part IV, line 2)... 81,189
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........ 193,280 193,280  
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)....... Click to see attachment 1,400 1,050   350
c Other professional fees (attach schedule).... Click to see attachment 48,748 48,748    
17 Interest...............        
18 Taxes (attach schedule) (see instructions) Click to see attachment 5,167 2,345    
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 25 13   12
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 55,340 52,156   362
25 Contributions, gifts, grants paid........ 55,000 55,000
26 Total expenses and disbursements. Add lines 24 and 25 110,340 52,156   55,362
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 82,940
b Net investment income (if negative, enter -0-) 141,124
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.......... 176,373 39,544 39,544
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...........   1,418 1,418
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)........ 1,142,974 Click to see attachment1,176,645 1,268,195
c Investments—corporate bonds (attach schedule)........      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)........... 2,196,052 Click to see attachment2,375,959 2,510,423
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet) Click to see attachment2,093 Click to see attachment1,835 Click to see attachment1,835
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 3,517,492 3,595,401 3,821,415
Liabilities 17 Accounts payable and accrued expenses.......... 5,031  
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).......... 5,031 0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted.................... 3,512,461 3,595,401
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    
30 Total net assets or fund balances (see page 17 of the
instructions).................... 3,512,461 3,595,401
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 3,517,492 3,595,401
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 3,512,461
2 Enter amount from Part I, line 27a..................... 2 82,940
3 Other increases not included in line 2 (itemize) bullet 3  
4 Add lines 1, 2, and 3.......................... 4 3,595,401
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 3,595,401
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 5610.018-GOLDMAN SACHS GROWTH OPPORT P 2011-01-19 2012-01-18
b CALL CVX JUN 12 @ 105.00 P 2012-04-24 2012-05-31
c CALL HD FEB 12 @ 42.00 P 2011-12-16 2012-02-14
d CALL JPM MAR 12 @ 39.00 P 2012-01-31 2012-03-12
e CALL MCD FEB 12 @ 105.00 P 2012-01-20 2012-02-21
CALL PG 12 @ 67.50 P 2011-12-20 2012-01-23
DU PONT EI DE NEMOURS 50.00 JUL CALL P 2012-05-23 2012-07-23
HOME DEPOT INC 52.50 SEP CALL P 2012-08-16 2012-08-20
COCA COLA CO 38.75 SEP CALL P 2012-08-24 2012-09-04
CISCO SYS INC 20.00 NOV CALL P 2012-10-01 2012-10-26
PROCTER & GAMBLE 70.00 OCT CALL P 2012-09-26 2012-10-22
JOHNSON & JOHNSON 72.50 NOV CALL P 2012-10-19 2012-11-08
GENERAL ELECTRIC CO 22.00 DEC CALL P 2012-11-08 2012-12-24
2600-COCA COLA CO P 2011-09-20 2012-09-21
5679.327-JANUS MID CAP VALUE FUND CL P 2011-03-24 2012-03-23
CALL KO JAN 12 @ 70.00 P 2011-12-20 2012-01-23
CALL HD MAR 12 @ 43.00 P 2012-02-14 2012-03-05
CALL JPM APR 12 @ 40.00 P 2011-03-21 2012-03-20
CALL MCD MAR 12 @ 100.00 P 2012-02-14 2012-03-19
CALL MMM JAN 12 @ 85.00 P 2011-12-20 2012-01-20
GENERAL ELECTRIC CO 19.00 JUL CALL P 2012-06-05 2012-07-19
INTEL CORP 27.00 AUG CALL P 2012-07-10 2012-08-20
DU PONT EI DE NEMOURS 50.00 SEP CALL P 2012-07-24 2012-09-14
DU PONT EI DE NEMOURS 52.50 NOV CALL P 2012-10-22 2012-10-26
VERIZON COMMUNICATION 44.00 OCT CALL P 2012-09-18 2012-10-01
JPMORGAN CHASE & CO 38.00 NOV CALL P 2012-10-01 2012-11-12
HEWLETT PACKARD 14.00 DEC CALL P 2012-11-27 2012-12-05
200-GENERAL ELECTRIC CO P 2011-02-07 2012-10-16
1122.939-GOLDMAN SACHS GROWTH OPPORT P 2011-01-17 2012-01-18
CALL KO MAR 12 @ 70.00 P 2012-01-24 2012-03-16
CALL HD MAY 12 @ 45.00 P 2012-03-05 2012-05-17
CALL JPM MAY 12 @ 42.00 P 2012-03-20 2012-03-26
CALL MCD APR 12 @ 105.00 P 2012-02-23 2012-04-23
CALL MMM FEB 12 @ 90.00 P 2012-01-20 2012-02-21
HOME DEPOT INC 48.00 JUL CALL P 2012-06-12 2012-07-17
JOHNSON & JOHNSON 67.50 AUG CALL P 2012-07-17 2012-08-15
GENERAL ELECTRIC CO 21.00 SEP CALL P 2012-08-15 2012-09-14
DU PONT EI DE NEMOURS 52.50 OCT CALL P 2012-09-14 2012-10-22
VERIZON COMMUNICATION 45.00 OCT CALL P 2012-10-01 2012-10-04
MC DONALDS CORP 92.50 NOV CALL P 2012-10-22 2012-11-08
INTEL CORP 21.00 DEC CALL P 2012-12-05 2012-12-24
1200-HOME DEPOT INC P 2011-09-20 2012-09-25
1125.866-JANUS MID CAP VALUE FUND CL P 2011-03-22 2012-03-23
CALL KO APR 12 @ 72.50 P 2012-03-16 2012-04-18
CALL HD JUN 12 @ 46.00 P 2012-05-17 2012-06-12
CALL JPM MAY 12 @ 43.00 P 2012-03-26 2012-05-21
CALL MCD MAY 12 @ 100.00 P 2012-03-20 2012-05-21
CALL MMM APR 12 @ 92.50 P 2012-02-23 2012-04-04
INTEL CORP 28.00 JUL CALL P 2011-07-11 2012-07-10
JPMORGAN CHASE & CO 36.00 AUG CALL P 2012-06-25 2012-08-15
HOME DEPOT INC 52.50 OCT CALL P 2012-08-20 2012-09-25
GENERAL ELECTRIC CO 22.00 OCT CALL P 2012-09-14 2012-10-19
WELLS FARGO & CO NEW 36.00 OCT CALL P 2012-09-27 2012-10-22
MERCK & CO INC NEW CO 46.00 NOV CALL P 2012-10-16 2012-11-12
INTEL CORP 22.00 DEC CALL P 2012-11-08 2012-12-05
1300-KRAFT FOODS INC CL A P 2011-09-20 2012-09-21
CALL T JAN 12 @ 30.00 P 2011-12-20 2012-01-05
CALL KO MAY 12 @ 75.00 P 2012-04-18 2012-05-21
CALL INTC JAN 12 @ 26.00 P 2011-10-20 2012-01-20
CALL JPM JUL 12 @ 35.00 P 2012-05-23 2012-06-25
CALL MCD JUN 12 @ 95.00 P 2012-05-14 2012-05-31
CALL MMM MAY 12 @ 90.00 P 2012-04-04 2012-05-21
JOHNSON & JOHNSON 65.00 JUL CALL P 2012-05-23 2012-07-17
KRAFT FOODS INC CL A 40.00 AUG CALL P 2012-07-19 2012-08-16
INTEL CORP 28.00 OCT CALL P 2012-08-21 2012-09-28
GENERAL ELECTRIC CO 23.00 OCT CALL P 2012-09-26 2012-10-16
AT&T INC 36.00 NOV CALL P 2012-10-26 2012-11-09
MICROSOFT CORP 30.00 NOV CALL P 2012-10-22 2012-11-19
JOHNSON & JOHNSON 70.00 DEC CALL P 2012-11-27 2012-12-19
1400-3M COMPANY P 2011-09-24 2012-09-25
CALL T FEB 12 @ 31.00 P 2012-01-05 2012-01-30
CALL DD JAN 12 @ 47.00 P 2011-12-20 2012-01-18
CALL INTC JAN 12 @ 25.00 P 2011-12-20 2012-01-20
CALL JNJ JAN 12 @ 67.50 P 2011-12-20 2012-01-23
CALL MCD JUN 12 @ 97.50 P 2012-04-24 2012-05-14
CALL VZ JAN 12 @ 40.00 P 2011-12-20 2012-01-23
KRAFT FOODS INC CL A 39.00 JUL CALL P 2012-06-04 2012-07-19
MC DONALDS CORP 92.50 AUG CALL P 2012-07-10 2012-08-13
JPMORGAN CHASE & CO 36.00 SEP CALL P 2012-08-16 2012-09-10
GENERAL ELECTRIC CO 23.00 OCT CALL P 2012-09-26 2012-10-22
CHEVRON CORP 115.00 NOV CALL P 2012-10-31 2012-11-08
PFIZER INC 25.00 NOV CALL P 2012-10-15 2012-11-19
JPMORGAN CHASE & CO 39.00 DEC CALL P 2012-11-12 2012-12-10
300-AT&T INC P 2010-09-28 2012-10-16
CALL T MAR 12 @ 30.00 P 2012-01-30 2012-03-12
CALL DD FEB 12 @ 49.00 P 2012-01-18 2012-02-06
CALL INTC FEB 12 @ 26.00 P 2012-01-20 2012-01-30
CALL JNJ MAR 12 @ 67.50 P 2012-01-24 2012-03-19
CALL MRK JAN 12 @ 38.00 P 2011-12-16 2012-01-17
CALL VZ MAR 12 @ 40.00 P 2012-01-24 2012-03-19
MC DONALDS CORP 90.00 JUL CALL P 2012-06-04 2012-07-19
MC DONALDS CORP 92.50 AUG CALL P 2012-07-19 2012-08-13
MC DONALDS CORP 90.00 SEP CALL P 2012-08-13 2012-09-17
HEWLETT PACKARD 18.00 OCT CALL P 2012-09-26 2012-10-08
CISCO SYS INC 18.00 DEC CALL P 2012-11-08 2012-11-26
PFIZER INC 26.00 NOV CALL P 2012-10-18 2012-11-19
JPMORGAN CHASE & CO 41.00 JAN CALL P 2012-12-10 2012-12-31
600-COCA COLA CO P 2010-09-28 2012-09-21
CALL T APR 12 @ 31.00 P 2012-03-12 2012-04-03
CALL DD MAR 12 @ 50.00 P 2012-02-06 2012-03-15
CALL INTC FEB 12 @ 27.00 P 2012-01-20 2012-02-17
CALL JNJ MAY 12 @ 67.50 P 2012-03-20 2012-05-21
CALL MRK FEB 12 @ 40.00 P 2012-01-17 2012-02-21
CALL VZ MAY 12 @ 41.00 P 2012-03-20 2012-05-18
MC DONALDS CORP 95.00 JUL CALL P 2012-05-23 2012-07-10
MERCK & CO INC NEW CO 40.00 AUG CALL P 2012-07-17 2012-08-15
MERCK & CO INC NEW CO 43.00 SEP CALL P 2012-08-15 2012-09-10
INTEL CORP 24.00 OCT CALL P 2012-09-28 2012-10-22
CISCO SYS INC 19.00 NOV CALL P 2012-10-26 2012-11-08
PROCTER & GAMBLE 70.00 NOV CALL P 2012-10-22 2012-11-08
MC DONALDS CORP 87.50 DEC CALL P 2012-11-09 2012-12-18
300-KRAFT FOODS INC CL A P 2010-09-28 2012-09-21
CALL T MAY 12 @ 32.00 P 2012-04-03 2012-05-17
CALL DD APR 12 @ 52.50 P 2012-03-15 2012-04-20
CALL INTC MAR 12 @ 27.00 P 2012-01-30 2012-03-15
CALL KFT JAN 12 @ 38.00 P 2011-12-20 2012-01-19
CALL MRK APR 12 @ 40.00 P 2012-02-23 2012-04-23
CALL VZ JUN 12 @ 42.00 P 2012-05-18 2012-06-13
MERCK & CO INC NEW CO 39.00 JUL CALL P 2012-05-31 2012-07-17
PFIZER INC 24.00 AUG CALL P 2012-07-19 2012-08-20
MICROSOFT CORP 32.00 OCT CALL P 2012-09-26 2012-09-28
JOHNSON & JOHNSON 70.00 OCT CALL P 2012-08-15 2012-10-19
DU PONT EI DE NEMOURS 47.00 NOV CALL P 2012-10-26 2012-11-08
VERIZON COMMUNICATION 46.00 NOV CALL P 2012-10-04 2012-11-09
MERCK & CO INC NEW CO 46.00 DEC CALL P 2012-11-13 2012-12-24
200-MERCK & CO INC NEW COM P 2010-10-10 2012-10-16
CALL T JUN 12 @ 33.00 P 2012-05-17 2012-06-12
CALL DD MAY 12 @ 55.00 P 2012-04-20 2012-05-21
CALL INTC MAR 12 @ 28.00 P 2012-02-17 2012-03-19
CALL KFT FEB 12 @ 39.00 P 2012-01-19 2012-02-21
CALL MRK JUN 12 @ 40.00 P 2012-04-24 2012-05-31
CALL VZ JUL 12 @ 43.00 P 2012-06-13 2012-07-02
PFIZER INC 23.00 JUL CALL P 2012-06-05 2012-07-19
VERIZON COMMUNICATION 44.00 AUG CALL P 2012-07-02 2012-08-16
VERIZON COMMUNICATION 44.00 SEP CALL P 2012-08-24 2012-09-18
JPMORGAN CHASE & CO 37.00 OCT CALL P 2012-09-10 2012-10-01
GENERAL ELECTRIC CO 23.00 NOV CALL P 2012-10-19 2012-11-08
WELLS FARGO & CO NEW 36.00 NOV CALL P 2012-10-22 2012-11-09
MICROSOFT CORP 27.00 DEC CALL P 2012-12-05 2012-12-21
CALL T JUL 12 @ 33.00 P 2012-06-12 2012-07-02
CALL GE FEB 12 @ 18.00 P 2011-12-20 2012-02-14
CALL INTC APR 12 @ 28.00 P 2012-03-15 2012-04-23
CALL KFT APR 12 @ 39.00 P 2012-02-23 2012-04-23
CALL PFE JAN 12 @ 22.50 P 2011-12-21 2012-01-23
300-HOME DEPOT INC P 2011-05-24 2012-05-25
3M COMPANY 90.00 AUG CALL P 2012-07-19 2012-08-14
VERIZON COMMUNICATION 45.00 SEP CALL P 2012-08-16 2012-08-24
AT&T 38.00 OCT CALL P 2012-09-19 2012-10-04
MC DONALDS CORP 92.50 OCT CALL P 2012-09-17 2012-10-22
GENERAL ELECTRIC CO 23.00 NOV CALL P 2012-10-22 2012-11-08
AT&T 35.00 DEC CALL P 2012-11-09 2012-12-24
MICROSOFT CORP 28.00 DEC CALL P 2012-11-19 2012-12-05
CALL CVX JAN 12 @ 105.00 P 2011-12-20 2012-01-20
CALL GE MAR 12 @ 19.00 P 2012-02-14 2012-02-22
CALL INTC MAY 12 @ 29.00 P 2012-03-20 2012-05-21
CALL KFT JUN 12 @ 39.00 P 2012-04-24 2012-06-04
CALL PFE MAR 12 @ 23.00 P 2012-01-24 2012-03-06
3000-CISCO SYS INC P 2012-09-26 2012-11-26
AT&T INC 36.00 AUG CALL P 2012-07-02 2012-08-16
COCA COLA CO 40.00 SEP CALL P 2012-07-24 2012-08-24
AT&T 39.00 NOV CALL P 2012-10-04 2012-10-16
MERCK & CO INC NEW CO 44.00 OCT CALL P 2012-09-10 2012-10-16
HEWLETT PACKARD 15.00 DEC CALL P 2012-11-08 2012-11-27
CHEVRON CORP 110.00 DEC CALL P 2012-11-08 2012-12-24
PFIZER INC 25.00 DEC CALL P 2012-11-19 2012-12-19
CALL CVX FEB 12 @ 110.00 P 2012-01-20 2012-02-21
CALL GE APR 12 @ 20.00 P 2012-02-22 2012-04-23
CALL INTC JUN 12 @ 29.00 P 2012-04-24 2012-05-31
CALL MCD JAN 12 @ 95.00 P 2011-12-12 2012-01-12
CALL PFE MAY 12 @ 22.00 P 2012-03-08 2012-04-30
3M COMPANY 87.50 JUL CALL P 2012-05-23 2012-07-19
COCA COLA CO 40.00 SEP CALL P 2012-07-24 2012-08-24
3M COMPANY 95.00 OCT CALL P 2012-08-14 2012-09-25
AT&T 39.00 NOV CALL P 2012-10-04 2012-10-26
MICROSOFT CORP 31.00 OCT CALL P 2012-09-28 2012-10-22
HEWLETT PACKARD 16.00 NOV CALL P 2012-10-08 2012-11-08
CISCO SYS INC 19.00 DEC CALL P 2012-11-28 2012-12-10
PROCTER & GAMBLE 70.00 DEC CALL P 2012-11-08 2012-12-24
CALL CVX APR 12 @ 110.00 P 2012-02-23 2012-04-23
CALL GE JUN 12 @ 20.00 P 2012-04-24 2012-06-05
CALL JPM JAN 12 @ 36.00 P 2011-12-27 2012-01-19
CALL MCD JAN 12 @ 100.00 P 2011-12-15 2012-01-20
CALL PFE JUN 12 @ 23.00 P 2012-04-30 2012-06-05
CEVRON CORP 105.00 JUL CALL P 2012-06-15 2012-07-20
GENERAL ELECTRIC CO 20.00 AUG CALL P 2012-07-19 2012-08-15
AT&T INC 37.00 SEP CALL P 2012-08-16 2012-09-19
CHEVRON CORP 115.00 OCT CALL P 2012-09-14 2012-10-22
PFIZER INC 24.00 OCT CALL P 2012-08-21 2012-10-15
INTEL CORP 22.00 NOV CALL P 2012-10-22 2012-11-08
DU PONT EI DE NEMOURS 44.00 DEC CALL P 2012-12-05 2012-12-20
VERIZON COMMUNICATION 45.00 DEC CALL P 2012-11-09 2012-12-24
CALL CVX JUN 12 @ 100.00 P 2012-05-31 2012-06-15
100-HOME DEPOT INC P 2011-09-20 2012-05-25
CALL JPM FEB 12 @ 39.00 P 2012-01-19 2012-02-21
CALL MCD FEB 12 @ 97.50 P 2012-01-12 2012-02-14
300-PROCTER & GAMBLE CO P 2011-02-01 2012-01-31
COCA COLA CO 77.50 JUL CALL P 2012-05-23 2012-07-23
HOME DEPOT INC 49.00 AUG CALL P 2012-07-17 2012-08-16
CHEVRON CORP 110.00 SEP CALL P 2012-07-24 2012-09-14
CISCO SYS INC 19.00 OCT CALL P 2012-09-26 2012-10-01
PFIZER INC 25.00 OCT CALL P 2012-09-26 2012-10-18
JOHNSON & JOHNSON 72.50 DEC CALL P 2012-11-09 2012-11-27
DU PONT EI DE NEMOURS 45.00 DEC CALL P 2012-11-09 2012-12-05
WELLS FARGO & CO NEW 35.00 DEC CALL P 2012-11-09 2012-12-24
(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 122,074   113,789 8,285
b 1,633   150 1,483
c 1,405   6,400 -4,995
d 234   522 -288
e 520     520
83     83
1,888     1,888
4,860   4,836 24
1,086   415 671
1,231   180 1,051
1,020     1,020
1,106   98 1,008
553     553
98,466   91,775 6,691
125,683   116,280 9,403
690     690
4,961   7,075 -2,114
1,957   13,211 -11,254
224     224
504   673 -169
528   1,344 -816
374     374
1,188   3,555 -2,367
100   42 58
1,933   3,025 -1,092
8,875   6,525 2,350
133   928 -795
4,531   4,171 360
24,435   21,875 2,560
662   240 422
4,960   4,080 880
9,250   10,875 -1,625
410     410
507     507
5,266   3,336 1,930
3,038   1,427 1,611
624   1,824 -1,200
1,474     1,474
1,593   2,502 -909
121   46 75
147     147
72,053   41,275 30,778
24,915   21,820 3,095
336   2,739 -2,403
2,544   7,176 -4,632
8,750     8,750
209     209
700   84 616
423   76 347
3,115   2,908 207
5,064   9,000 -3,936
721   391 330
253     253
4,283   140 4,143
449   51 398
53,923   44,740 9,183
160   1,222 -1,062
989     989
540   456 84
3,925   3,175 750
360   90 270
1,316     1,316
816   6,674 -5,858
1,302   1,195 107
323   29 294
26   22 4
290   29 261
198     198
480   1,296 -816
131,079   112,409 18,670
768   128 640
768   4,005 -3,237
140   552 -412
134     134
980   160 820
314     314
288   1,921 -1,633
178   7 171
4,625   8,067 -3,442
169     169
201   48 153
1,315     1,315
5,775   8,750 -2,975
10,618   8,660 1,958
799   4,924 -4,125
2,320   4,544 -2,224
280   290 -10
220     220
647   2,681 -2,034
116     116
1,040   2,998 -1,958
2,090   34 2,056
574   2,721 -2,147
342   38 304
1,021     1,021
369     369
5,200   7,740 -2,540
22,723   17,663 5,060
2,400   1,632 768
3,452   5,280 -1,828
276   576 -300
334     334
915     915
240   880 -640
162   14 148
12,129   12,003 126
3,913   3,976 -63
221     221
390   180 210
442   105 337
623   3,525 -2,902
12,444   9,417 3,027
672   4,512 -3,840
2,768   495 2,273
206   390 -184
144   1,316 -1,172
510     510
928   1,840 -912
725   14,928 -14,203
623     623
336   253 83
726   3,154 -2,428
184   47 137
1,632   53 1,579
621     621
9,433   7,367 2,066
2,720   4,864 -2,144
230     230
406     406
647     647
592   116 476
1,248   3,056 -1,808
211   1,482 -1,271
1,776   283 1,493
395   1,280 -885
6,450   10,866 -4,416
190   24 166
105   20 85
953   1,036 -83
5,511   10,183 -4,672
550   1,552 -1,002
305     305
338     338
285     285
14,436   11,156 3,280
3,257   3,343 -86
511   144 367
1,216   1,417 -201
1,644     1,644
52   19 33
787     787
428   269 159
1,970   1,894 76
592   752 -160
444     444
740   96 644
171   38 133
53,999   55,314 -1,315
1,760   3,913 -2,153
281   140 141
105   9 96
2,233   9,270 -7,037
535   73 462
1,097     1,097
251   1,260 -1,009
950     950
416     416
100   15 85
800   1,090 -290
797   1,748 -951
1,480   4,872 -3,392
281   140 141
1,315   1,257 58
1,019   55 964
645     645
366   47 319
1,070   3,664 -2,594
512     512
2,280     2,280
528   32 496
440   2,382 -1,942
1,170   1,588 -418
760   57 703
1,890   3,910 -2,020
572   1,584 -1,012
2,272   2,517 -245
3,641     3,641
836   2,840 -2,004
290   69 221
288   1,900 -1,612
384     384
780   3,650 -2,870
4,812   3,440 1,372
1,012     1,012
790   396 394
18,911   18,970 -59
720     720
2,832   8,868 -6,036
1,560   7,255 -5,695
570   1,350 -780
279   918 -639
290   48 242
480   44 436
173     173
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       8,285
b       1,483
c       -4,995
d       -288
e       520
      83
      1,888
      24
      671
      1,051
      1,020
      1,008
      553
      6,691
      9,403
      690
      -2,114
      -11,254
      224
      -169
      -816
      374
      -2,367
      58
      -1,092
      2,350
      -795
      360
      2,560
      422
      880
      -1,625
      410
      507
      1,930
      1,611
      -1,200
      1,474
      -909
      75
      147
      30,778
      3,095
      -2,403
      -4,632
      8,750
      209
      616
      347
      207
      -3,936
      330
      253
      4,143
      398
      9,183
      -1,062
      989
      84
      750
      270
      1,316
      -5,858
      107
      294
      4
      261
      198
      -816
      18,670
      640
      -3,237
      -412
      134
      820
      314
      -1,633
      171
      -3,442
      169
      153
      1,315
      -2,975
      1,958
      -4,125
      -2,224
      -10
      220
      -2,034
      116
      -1,958
      2,056
      -2,147
      304
      1,021
      369
      -2,540
      5,060
      768
      -1,828
      -300
      334
      915
      -640
      148
      126
      -63
      221
      210
      337
      -2,902
      3,027
      -3,840
      2,273
      -184
      -1,172
      510
      -912
      -14,203
      623
      83
      -2,428
      137
      1,579
      621
      2,066
      -2,144
      230
      406
      647
      476
      -1,808
      -1,271
      1,493
      -885
      -4,416
      166
      85
      -83
      -4,672
      -1,002
      305
      338
      285
      3,280
      -86
      367
      -201
      1,644
      33
      787
      159
      76
      -160
      444
      644
      133
      -1,315
      -2,153
      141
      96
      -7,037
      462
      1,097
      -1,009
      950
      416
      85
      -290
      -951
      -3,392
      141
      58
      964
      645
      319
      -2,594
      512
      2,280
      496
      -1,942
      -418
      703
      -2,020
      -1,012
      -245
      3,641
      -2,004
      221
      -1,612
      384
      -2,870
      1,372
      1,012
      394
      -59
      720
      -6,036
      -5,695
      -780
      -639
      242
      436
      173
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 81,189
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 -62,309
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 49,902 1,501,613 0.033232
2010 28,280 586,964 0.048180
2009 30,470 528,969 0.057603
2008 19,860 695,498 0.028555
2007 49,620 867,076 0.057227
2 Total of line 1, column (d) ...................... 2 0.224797
3 Average distribution ratio for the 5-year base period—divide the total on line 2 by 5, or by
the number of years the foundation has been in existence if less than 5 years. . . 		3 0.044959
4 Enter the net value of noncharitable-use assets for 2012 from Part X, line 5..... 4 3,713,639
5 Multiply line 4 by line 3....................... 5 166,961
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 1,411
7 Add lines 5 and 6......................... 7 168,372
8 Enter qualifying distributions from Part XII, line 4.............. 8 55,362
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See
the Part VI instructions.
Form 990-PF (2012)
Form 990-PF (2012)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see page 18 of the instructions)
1a Bulletand enter “N/A” on line 1. Bracket
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b 1 2,822
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 2,822
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 2,822
6 Credits/Payments:
a 2012 estimated tax payments and 2011 overpayment credited to 2012 6a 4,240
b Exempt foreign organizations—tax withheld at source....... 6b
c Tax paid with application for extension of time to file (Form 8868) 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 4,240
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 1,418
11 Enter the amount of line 10 to be: Credited to 2013 estimated taxBullet1,418 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)
    bulletWY
    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 addressbulletN/A
    14
    The books are in care ofbulletEVERETT J MOHATT Telephone no.bullet (307) 672-6494
    Located atbullet2 NORTH MAIN SUITE 301SHERIDANWY ZIP+4bullet82801
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16
    At any time during calendar year 2012, did the foundation have an interest in or a signature or other authority over
    a bank, securities, or other financial account in a foreign country? .................
    16
     
    No
    See instructions for exceptions and filing requirements for Form TD F 90-22.1. If "Yes", enter the name of the foreign country bullet  
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 5
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the “Yes” column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?.........................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?.................
    (6) Agree to pay money or property to a government official? (Exception. Check “No”
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).........
    b
    If any answer is “Yes” to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see page 20 of the instructions)?...
    1b
     
     
    .........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2012?.............
    1c
     
     
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2012, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2012?...............
    If “Yes,” list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer “No” and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?.........................
    b
    If “Yes,” did it have excess business holdings in 2012 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2012.)....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2012?
    4b
     
    No
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?...............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 509(a)(1), (2), or (3), or section 4940(d)(2)? (see instructions)........
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?........
    b
    If any answer is “Yes” to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see instructions)? ......
    5b
     
     
    .........bullet
    c
    If the answer is “Yes” to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?............
    If “Yes,” attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?........................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If “Yes” to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 6
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to
    employee benefit plans
    and deferred compensation     		(e) Expense account,
    other allowances
    EVERETT J MOHATTClick to see attachment TREASURER
    1.00     		0 0 0
    PO BOX 603
    SHERIDAN,WY82801
    ROBERT BERGERClick to see attachment SECRETARY
    1.00     		0 0 0
    PO BOX 603
    SHERIDAN,WY82801
    CAROL ZUERCHERClick to see attachment PRESIDENT
    2.00     		0 0 0
    PO BOX 603
    SHERIDAN,WY82801
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE.”
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet  
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet  
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    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 N/A  
    2  
    All other program-related investments. See page 24 of the instructions.
    3  
    Total. Add lines 1 through 3..........................bullet  
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
    see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    3,612,477
    b
    Average of monthly cash balances.......................
    1b
    157,715
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    3,770,192
    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
    3,770,192
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see
    instructions) .............................
    4
    56,553
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    3,713,639
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    185,682
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    185,682
    2a
    Tax on investment income for 2012 from Part VI, line 5......
    2a
    2,822
    b
    Income tax for 2012. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    2,822
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    182,860
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    182,860
    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
    182,860
    Part XII
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
    55,362
    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
    55,362
    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
    55,362
    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 7 182,860
    2 Undistributed income, if any, as of the end of 2012:
    a Enter amount for 2011 only....... 28,014
    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$ 55,362
    a Applied to 2011, but not more than line 2a 28,014
    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..... 27,348
    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 ..........     		155,512
    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).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail of the person to whom applications should be addressed:
    EVERETT J MOHATT
    PO BOX 603
    SHERIDAN,WY82801
    (307) 672-6494
    bThe form in which applications should be submitted and information and materials they should include:
    LETTER OF REQUEST - PURPOSE - FINANCIAL STATEMENT
    cAny submission deadlines:
    N/A
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    N/A
    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
    GENESIS FOUNDATION INC
    445 WEST LOUCKS
    SHERIDAN,WY82801     		NONE PUBLIC SALVATION ARMY AND NEEDY 3,000
    SHERIDAN SENIOR CITIZENS
    211 SMITH STREET
    SHERIDAN,WY82801     		NONE PUBLIC PROVIDE NEEDED SERVICES FOR ELDERLY 10,000
    SHERIDAN HEALTH CENTER
    PO BOX 682
    SHERIDAN,WY82801     		NONE PUBLIC RN PATIENT COORDINATOR & ED PROGRAM 21,500
    LUNCH TOGETHERSOUP KITCH
    102 SOUTH CONNOR
    SHERIDAN,WY82801     		NONE PUBLIC FEED NEEDY INDIVIDUALS 7,500
    SHERIDAN HOSPITAL FOUNDAT
    PO BOX 391
    SHERIDAN,WY82801     		NONE PUBLIC SUPPORT OPERATIONS 1,000
    ADVOCACY RESOURCE CENTER
    136 COFFEEN AVENUE
    SHERIDAN,WY82801     		NONE PUBLIC SUPPORT OPERATIONS 1,000
    PEOPLE ASSISTANCE FOOD BANK
    2560 NORTH MAIN STREET
    SHERIDAN,WY82801     		NONE PUBLIC FEED NEEDY INDIVIDUALS 3,000
    RAISING READERS IN WYOMING
    6 MAXINE PLACE
    SHERIDAN,WY82801     		NONE PUBLIC PURCHASE 400 BOOKS 2,000
    SHERIDAN COLLEGE FOUNDATION
    PO BOX 6328
    SHERIDAN,WY82801     		NONE PUBLIC EQUIPMENT FOR NURSING SIMULATION CEN 5,000
    ACADEMICS FOR ALL
    PO BOX 587
    SHERIDAN,WY82801     		NONE PUBLIC SUPPORT OPERATIONS 1,000
    Total .................................bullet 3a 55,000
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 11
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3Interest on savings and temporary cash investments          
    4 Dividends and interest from securities....     14 112,091  
    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 81,189  
    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)..   193,280  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13193,280
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 12
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section
    Yes
    No
    501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is “Yes,” complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?...........
    b
    If “Yes,” complete the following schedule.
    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer or fiduciary) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's namebullet



    Firm's addressbullet







         		Firm's EINbullet
    Phone no.
    Form 990-PF (2012)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2012 AccountingFeesSchedule
    Name:
    THE HERBERT & DOROTHY ZULLIG
    FOUNDATION
    EIN: 83-0282365
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INDIRECT ACCOUNTING FEES 1,400 1,050   350

    TY 2012 CompensationExplanation
    Name:
    THE HERBERT & DOROTHY ZULLIG
    FOUNDATION
    EIN: 83-0282365
    Person Name Explanation
    EVERETT J MOHATT  
    ROBERT BERGER  
    CAROL ZUERCHER  

    TY 2012 InvestmentsCorpStockSchedule
    Name:
    THE HERBERT & DOROTHY ZULLIG
    FOUNDATION
    EIN: 83-0282365
    Name of Stock End of Year Book Value End of Year Fair Market Value
    CORPORATE STOCKS & OPTIONS    
    AT&T INC 81,930 97,614
    CHEVRON CORP 85,643 107,690
    CISCO SYS INC 74,894 78,438
    COCA-COLA CO    
    E I DU PONT DE NEMOURS & CO 74,794 70,734
    GENERAL ELECTRIC CO 56,339 60,697
    HEWLETT PACKARD 30,630 26,695
    HOME DEPOT INC    
    INTEL CORP 38,436 34,969
    JPMORGAN CHASE & CO 76,561 102,183
    JOHNSON & JOHNSON 101,684 112,080
    KRAFT FOODS INC CLASS A    
    MCDONALDS CORP 105,727 105,204
    MERCK & CO INC NEW 98,671 110,240
    MICROSOFT CORP 82,986 73,723
    PFIZER INC 62,342 70,054
    PROCTER & GAMBLE CO 118,106 115,090
    3M COMPANY    
    VERIZON COMMUNICATIONS 53,313 68,784
    WELLS FARGO & CO NEW 34,589 34,000

    TY 2012 InvestmentsOtherSchedule2
    Name:
    THE HERBERT & DOROTHY ZULLIG
    FOUNDATION
    EIN: 83-0282365
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    MUTUAL FUNDS:      
    ARTISAN MIDCAP VALUE INV AT COST 157,969 151,268
    BARON GROWTH FUND AT COST 117,681 133,500
    GOLDMAN SACHS GROWTH OPP AT COST    
    JANUS MID CAP VALUE FUND AT COST    
    LAZARD EMERGING MKTS EQUITY AT COST 386,231 421,998
    PIMCO TOTAL RETURN FUND AT COST 545,969 559,760
    PIMCO REAL RETURN FUND CL D AT COST 270,136 277,800
    PIMCO LOW DURATION FUND CL D AT COST 313,543 320,080
    ROYCE PREMIER FUND INV CLASS AT COST 117,169 121,901
    TEMPLETON FOREIGN FUND CLASS A AT COST 131,821 153,038
    THORNBURG INTERNATIONAL VALUE AT COST 182,826 212,729
    WELLS FARGO ADV DISCOVERY INV AT COST 152,614 158,349

    TY 2012 OtherAssetsSchedule
    Name:
    THE HERBERT & DOROTHY ZULLIG
    FOUNDATION
    EIN: 83-0282365
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    DIVIDENDS RECEIVABLE 2,093 1,835 1,835


    TY 2012 OtherExpensesSchedule
    Name:
    THE HERBERT & DOROTHY ZULLIG
    FOUNDATION
    EIN: 83-0282365
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXPENSES        
    SECRETARY OF STATE 25 13   12


    TY 2012 OtherProfessionalFeesSchedule
    Name:
    THE HERBERT & DOROTHY ZULLIG
    FOUNDATION
    EIN: 83-0282365
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT MANAGEMENT FEES 48,748 48,748    


    TY 2012 TaxesSchedule
    Name:
    THE HERBERT & DOROTHY ZULLIG
    FOUNDATION
    EIN: 83-0282365
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 2,345 2,345    
    EXCISE TAXES 2,822