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
KOENIG EVELYN T
 

Number and street (or P.O. box number if mail is not delivered to street address)1 WEST 4TH STREET D4000-041   Room/suite
City or town, state, and ZIP code
WINSTON SALEM, NC27101
A Employer identification number

65-0128096
B Telephone number (see instructions)

(336) 747-8182
C bullet
G Check all that apply:

D 1. bullet
2. bullet
H Check type of organization:
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$2,241,261J 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 2 2  
4 Dividends and interest from securities...... 56,861 56,424  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 92,993
b Gross sales price for all assets on line 6a 809,942
7 Capital gain net income (from Part IV, line 2)... 92,993
8 Net short-term capital gain......... 0
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 149,856 149,419  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 28,369 21,277   7,092
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule).........       0
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... Click to see attachment 437 437   0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions) Click to see attachment 4,963 914   0
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......   0 0  
22 Printing and publications..........   0 0  
23 Other expenses (attach schedule).......        
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 33,769 22,628 0 7,092
25 Contributions, gifts, grants paid........ 97,608 97,608
26 Total expenses and disbursements. Add lines 24 and 25 131,377 22,628 0 104,700
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 18,479
b Net investment income (if negative, enter -0-) 126,791
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2012)
Form 990-PF (2012)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)		 Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............... 13,780 3,960 3,960
2 Savings and temporary cash investments.......... 45,944 79,123 79,123
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see page 15 of the
instructions)....................      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet0      
8 Inventories for sale or use...............      
9 Prepaid expenses and deferred charges...........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)........ 298,542 Click to see attachment1,330,475 1,405,412
c Investments—corporate bonds (attach schedule)........   Click to see attachment88,619 98,864
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)........... 1,758,652 Click to see attachment627,729 653,902
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 2,116,918 2,129,906 2,241,261
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable...................    
19 Deferred revenue..................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)..........   0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted....................    
25 Temporarily restricted................    
26 Permanently restricted................    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds......... 2,116,918 2,129,906
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see page 17 of the
instructions).................... 2,116,918 2,129,906
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 2,116,918 2,129,906
Part III Analysis of Changes in Net Assets or Fund Balances
1 Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree
with end-of-year figure reported on prior year’s return)............... 1 2,116,918
2 Enter amount from Part I, line 27a..................... 2 18,479
3 Other increases not included in line 2 (itemize) bulletClick to see attachment 3 1,310
4 Add lines 1, 2, and 3.......................... 4 2,136,707
5 Decreases not included in line 2 (itemize) bulletClick to see attachment 5 6,801
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 2,129,906
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 161. AGILENT TECHNOLOGIES INC COM   2011-05-27 2012-03-14
b 43. ALLIANCE DATA SYSTEMS CORP COM   2011-11-07 2012-03-29
c 27. ALLIANCE DATA SYSTEMS CORP COM   2011-11-07 2012-04-05
d 168. AMERIPRISE FINANCIAL INC   2010-02-09 2012-02-21
e 58. AMGEN INC COM W/RTS ATTACHED EXP 03/21/2007   2008-12-15 2012-03-29
36. AMGEN INC COM W/RTS ATTACHED EXP 03/21/2007   2008-12-15 2012-04-05
7. APPLE COMPUTER INC COM   2010-07-12 2012-01-09
11. APPLE COMPUTER INC COM   2010-07-12 2012-03-29
7. APPLE COMPUTER INC COM   2010-07-12 2012-04-05
337. BANK NEW YORK MELLON CORP COM   2011-08-25 2012-01-09
146. BRISTOL-MYERS SQUIBB CO COM   2008-01-24 2012-03-29
93. BRISTOL-MYERS SQUIBB CO COM   2008-01-24 2012-04-05
200. CBS CORP CL B COM   2011-04-20 2012-03-29
128. CBS CORP CL B COM   2011-04-20 2012-04-05
75. CVS CORP COM   2010-08-26 2012-04-05
68. CELGENE CORP COM   2011-11-07 2012-03-29
47. CELGENE CORP COM   2011-11-07 2012-04-05
40. CHEVRONTEXACO CORP COM   2007-08-27 2012-04-05
107. COMCAST CORP NEW CL A   2011-02-11 2012-04-05
100. DANAHER CORP COM   2010-11-04 2012-03-29
59. DANAHER CORP COM   2010-11-04 2012-04-05
266. DENBURY RESOURCES INC COM   2012-03-14 2012-03-29
163. DENBURY RESOURCES INC COM   2012-03-14 2012-04-05
214. DUKE ENERGY HOLDING CORP. COM   2011-09-15 2012-03-29
133. DUKE ENERGY HOLDING CORP. COM   2011-09-15 2012-04-05
196. E M C CORP MASS COM   2011-09-15 2012-03-29
120. E M C CORP MASS COM   2011-09-15 2012-04-05
43. EXXON MOBIL CORP COM   2003-10-30 2012-03-29
29. EXXON MOBIL CORP COM   2003-10-30 2012-04-05
380. FIFTH THIRD BANCORP COM   2011-11-07 2012-03-29
229. FIFTH THIRD BANCORP COM   2011-11-07 2012-04-05
204. FOOT LOCKER INC COM   2011-09-15 2012-03-29
121. FOOT LOCKER INC COM   2011-09-15 2012-04-05
158. GNC HOLDINGS INC   2012-02-21 2012-03-29
94. GNC HOLDINGS INC   2012-02-21 2012-04-05
264. GENERAL ELEC CO COM   2010-05-25 2012-03-29
156. GENERAL ELEC CO COM   2010-05-25 2012-04-05
138. HALLIBURTON CO COM W/RIGHTS EXP 12/15/2005   2010-11-04 2012-03-29
81. HALLIBURTON CO COM W/RIGHTS EXP 12/15/2005   2010-11-04 2012-04-05
143. HOME DEPOT INC COM   2009-03-30 2012-03-29
85. HOME DEPOT INC COM   2009-03-30 2012-04-05
112. IAC/INTERACTIVECORP   2010-08-26 2012-03-29
67. IAC/INTERACTIVECORP   2010-08-26 2012-04-05
33. INTL BUSINESS MACHINES CORP COM   2002-10-09 2012-03-29
19. INTL BUSINESS MACHINES CORP COM   2002-10-09 2012-04-05
109. JP MORGAN CHASE & CO COM   2006-04-10 2012-03-29
65. JP MORGAN CHASE & CO COM   2006-04-10 2012-04-05
83. KIMBERLY-CLARK CORP COM   2012-04-05 2012-11-28
.3333 KRAFT FOODS GROUP INC   2012-04-05 2012-10-11
58. MCKESSON HBOC INC COM   2009-10-19 2012-03-29
34. MCKESSON HBOC INC COM   2009-10-19 2012-04-05
114. METLIFE INC COM   2011-05-27 2012-03-29
67. METLIFE INC COM   2011-05-27 2012-04-05
159. MICROSOFT CORP COM   1995-12-27 2012-03-29
99. MICROSOFT CORP COM   1995-12-08 2012-04-05
58. NATIONAL OILWELL INC COM   2011-03-08 2012-03-29
39. NATIONAL OILWELL INC COM   2011-03-08 2012-04-05
58. OCCIDENTAL PETE CORP COM   2007-07-26 2012-03-29
39. OCCIDENTAL PETE CORP COM   2007-07-26 2012-04-05
169. ORACLE CORP COM   2010-07-12 2012-03-29
108. ORACLE CORP COM   2010-07-12 2012-04-05
3720.93 PIMCO FDS PAC INVT MGMT SER MODE DUR INS   2008-02-13 2012-03-29
2250.225 PIMCO FDS PAC INVT MGMT SER TOTAL RETURN FD INSTL CL   2008-02-13 2012-03-29
4295.533 PIMCO FDS PAC INVT MGMT SER TOTAL RETURN FD INSTL CL   2008-02-13 2012-12-07
.5 PHILLIPS 66   2008-02-21 2012-05-22
56. PHILLIPS 66   2008-02-21 2012-05-29
12732.952 PIMCO COMMODITY REAL RET STRAT-I#45   2009-04-08 2012-01-26
106. QUESTCOR PHARMACEUTICALS INC   2012-01-09 2012-03-29
69. QUESTCOR PHARMACEUTICALS INC   2012-01-09 2012-04-05
127. RAYMOND JAMES FINL INC COM   2011-03-08 2012-03-29
79. RAYMOND JAMES FINL INC COM   2011-03-08 2012-04-05
101. ROCKWOOD HLDGS INC   2011-04-20 2012-03-29
64. ROCKWOOD HLDGS INC   2011-04-20 2012-04-05
114. ROSS STORES INC COM   2008-05-09 2012-03-29
70. ROSS STORES INC COM   2008-05-09 2012-04-05
958.313 ROYCE SPECIAL EQUITY FUND   2010-01-28 2012-07-17
253. SYMANTEC CORP COM W/RTS EXP 8/12/2008   2011-05-27 2012-03-29
155. SYMANTEC CORP COM W/RTS EXP 8/12/2008   2011-05-27 2012-04-05
2505.499 TCW GALILEO FDS INC SMALL CAP GROWTH FD   2010-01-28 2012-07-17
86. 3M CO COM   2009-11-09 2012-01-09
198. TIBCO SOFTWARE INC COM   2012-01-09 2012-03-29
121. TIBCO SOFTWARE INC COM   2012-01-09 2012-04-05
169. US BANCORP DEL COM NEW W/RIGHTS ATTACHED EXP 2/27/2011   2012-01-09 2012-03-29
105. US BANCORP DEL COM NEW W/RIGHTS ATTACHED EXP 2/27/2011   2012-01-09 2012-04-05
46. UNION PAC CORP COM   2010-11-10 2012-03-29
32. UNION PAC CORP COM   2010-11-10 2012-04-05
73. UNITED TECHNOLOGIES CORP COM   2008-02-21 2012-03-29
47. UNITED TECHNOLOGIES CORP COM   2005-12-14 2012-04-05
92. UNITEDHEALTH GRP INC COM   2011-07-13 2012-03-29
58. UNITEDHEALTH GRP INC COM   2011-07-13 2012-04-05
77. WABCO HOLDINGS INC   2011-01-18 2012-03-29
48. WABCO HOLDINGS INC   2011-01-18 2012-04-05
80. WAL MART STORES INC COM   2010-06-23 2012-03-29
51. WAL MART STORES INC COM   2010-06-23 2012-04-05
3044.706 WELLS FARGO ADVANTAGE DISC INS #3123   2011-10-24 2012-03-29
199. WILLIAMS COS INC COM W/RTS ATTACHED   2012-04-05 2012-10-22
144. COVIDIEN PLC   2011-09-15 2012-01-09
77. HERBALIFE LTD   2011-09-15 2012-03-29
46. HERBALIFE LTD   2011-09-15 2012-04-05
64. ACE LIMITED   2005-12-14 2012-03-29
39. ACE LIMITED   2005-12-14 2012-04-05
116. TYCO INTERNATIONAL LTD NEW   2009-09-24 2012-03-29
73. TYCO INTERNATIONAL LTD NEW   2009-09-24 2012-04-05
(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 7,217   7,949 -732
b 5,403   4,427 976
c 3,407   2,780 627
d 9,449   6,360 3,089
e 3,887   3,357 530
2,447   2,083 364
2,965   1,826 1,139
6,708   2,869 3,839
4,415   1,826 2,589
6,959   6,847 112
4,873   3,368 1,505
3,123   2,145 978
6,456   4,929 1,527
4,255   3,154 1,101
3,341   2,105 1,236
5,262   4,347 915
3,725   3,005 720
4,175   3,489 686
3,128   2,564 564
5,454   4,474 980
3,239   2,640 599
4,727   5,189 -462
3,002   3,179 -177
4,449   4,149 300
2,762   2,579 183
5,707   4,427 1,280
3,473   2,711 762
3,675   1,599 2,076
2,453   1,061 1,392
5,316   4,642 674
3,325   2,797 528
6,371   4,426 1,945
3,805   2,625 1,180
5,457   5,192 265
3,336   3,089 247
5,240   4,090 1,150
3,036   2,417 619
4,457   4,531 -74
2,633   2,660 -27
7,096   3,315 3,781
4,291   1,971 2,320
5,469   2,770 2,699
3,275   1,657 1,618
6,855   2,229 4,626
3,887   1,052 2,835
4,969   4,570 399
2,872   2,725 147
7,131   6,156 975
15   13 2
5,119   3,556 1,563
2,984   2,084 900
4,179   4,992 -813
2,433   2,934 -501
5,066   1,314 3,752
3,117   657 2,460
4,500   4,609 -109
3,105   3,099 6
5,407   3,469 1,938
3,651   2,333 1,318
4,926   3,944 982
3,181   2,520 661
40,000   38,698 1,302
25,000   24,685 315
50,000   47,122 2,878
16   18 -2
1,735   1,023 712
87,985   130,000 -42,015
3,946   4,501 -555
2,766   2,930 -164
4,604   4,933 -329
2,823   3,068 -245
5,182   4,938 244
3,299   3,129 170
6,669   1,995 4,674
4,168   1,225 2,943
20,000   16,540 3,460
4,632   4,913 -281
2,812   3,010 -198
64,191   57,977 6,214
7,197   6,593 604
6,330   4,602 1,728
3,936   2,812 1,124
5,285   4,761 524
3,283   2,958 325
4,911   4,166 745
3,474   2,898 576
5,970   4,305 1,665
3,829   2,682 1,147
5,293   4,815 478
3,420   3,035 385
4,547   4,730 -183
2,903   2,949 -46
4,852   4,073 779
3,084   2,596 488
84,947   76,148 8,799
6,932   6,253 679
6,502   6,892 -390
5,313   4,406 907
3,196   2,632 564
4,658   3,523 1,135
2,845   2,147 698
6,460   3,923 2,537
3,993   2,469 1,524
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       -732
b       976
c       627
d       3,089
e       530
      364
      1,139
      3,839
      2,589
      112
      1,505
      978
      1,527
      1,101
      1,236
      915
      720
      686
      564
      980
      599
      -462
      -177
      300
      183
      1,280
      762
      2,076
      1,392
      674
      528
      1,945
      1,180
      265
      247
      1,150
      619
      -74
      -27
      3,781
      2,320
      2,699
      1,618
      4,626
      2,835
      399
      147
      975
      2
      1,563
      900
      -813
      -501
      3,752
      2,460
      -109
      6
      1,938
      1,318
      982
      661
      1,302
      315
      2,878
      -2
      712
      -42,015
      -555
      -164
      -329
      -245
      244
      170
      4,674
      2,943
      3,460
      -281
      -198
      6,214
      604
      1,728
      1,124
      524
      325
      745
      576
      1,665
      1,147
      478
      385
      -183
      -46
      779
      488
      8,799
      679
      -390
      907
      564
      1,135
      698
      2,537
      1,524
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 92,993
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 97,542 2,199,231 0.044353
2010 91,286 2,083,787 0.043808
2009 134,459 1,879,247 0.071549
2008 120,476 2,128,324 0.056606
2007 115,711 2,483,367 0.046594
2 Total of line 1, column (d) ...................... 2 0.26291
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 0.052582
4 Enter the net value of noncharitable-use assets for 2012 from Part X, line 5..... 4 2,195,505
5 Multiply line 4 by line 3....................... 5 115,444
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 1,268
7 Add lines 5 and 6......................... 7 116,712
8 Enter qualifying distributions from Part XII, line 4.............. 8 104,700
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 2,536
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2............................ 3 2,536
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-). 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 2,536
6 Credits/Payments:
a 2012 estimated tax payments and 2011 overpayment credited to 2012 6a 2,695
b Exempt foreign organizations—tax withheld at source....... 6b
c Tax paid with application for extension of time to file (Form 8868) 6c 0
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 2,695
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 159
11 Enter the amount of line 10 to be: Credited to 2013 estimated taxBullet159 Refunded Bullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of
the instructions for definition)?............................
1b
 
No
If the answer is “Yes” to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If “Yes,” attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If “Yes,” attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If “Yes,” has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If “Yes,” attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If “Yes,” complete Part II, col. (c), and Part XV.
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletFL
    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
     
    No
    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 ofbulletWELLS FARGO BANK NA Telephone no.bullet (336) 747-8182
    Located atbullet1 W 4TH ST 6TH FLWINSTON SALEMNC ZIP+4bullet271013818
    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
     
    No
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?.........................
    b
    If “Yes,” did it have excess business holdings in 2012 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2012.)....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2012?
    4b
     
    No
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?...............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 509(a)(1), (2), or (3), or section 4940(d)(2)? (see instructions)........
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?........
    b
    If any answer is “Yes” to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see instructions)? ......
    5b
     
     
    .........bullet
    c
    If the answer is “Yes” to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?............
    If “Yes,” attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?........................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If “Yes” to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 6
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to
    employee benefit plans
    and deferred compensation     		(e) Expense account,
    other allowances
    WELLS FARGO BANK NA TRUSTEE
    4     		28,369    
    1525 W WT HARRIS BLVD D1114-044
    CHARLOTTE,NC282881161
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE.”
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 7
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See page 24 of the instructions.
    3  
    Total. Add lines 1 through 3..........................bullet  
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
    see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    2,168,741
    b
    Average of monthly cash balances.......................
    1b
    60,198
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    2,228,939
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    2,228,939
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see
    instructions) .............................
    4
    33,434
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    2,195,505
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    109,775
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    109,775
    2a
    Tax on investment income for 2012 from Part VI, line 5......
    2a
    2,536
    b
    Income tax for 2012. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    2,536
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    107,239
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    107,239
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,
    line 1................................
    7
    107,239
    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
    104,700
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
    0
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
    0
    b
    Cash distribution test (attach the required schedule) .................
    3b
    0
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    104,700
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see instructions).................
    5
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    104,700
    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 7 107,239
    2 Undistributed income, if any, as of the end of 2012:
    a Enter amount for 2011 only....... 79,727
    b Total for prior years:2010, 20, 20 0
    3 Excess distributions carryover, if any, to 2012:
    a From 2007....... 0
    b From 2008....... 0
    c From 2009....... 0
    d From 2010....... 0
    e From 2011....... 0
    fTotal of lines 3a through e......... 0
    4Qualifying distributions for 2012 from Part
    XII, line 4: bullet$ 104,700
    a Applied to 2011, but not more than line 2a 79,727
    b Applied to undistributed income of prior years
    (Election required—see instructions)......     		0
    c Treated as distributions out of corpus (Election
    required—see instructions).........     		0
    d Applied to 2012 distributable amount..... 24,973
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2012. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 0
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2011. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2012. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2013 ..........     		82,266
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see
    instructions) .............     		0
    8Excess distributions carryover from 2007 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9Excess distributions carryover to 2013.
    Subtract lines 7 and 8 from line 6a ......     		0
    10 Analysis of line 9:
    a Excess from 2008.... 0
    b Excess from 2009.... 0
    c Excess from 2010.... 0
    d Excess from 2011.... 0
    e Excess from 2012.... 0
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 9
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2012, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2012 (b) 2011 (c) 2010 (d) 2009
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ....     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets” alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment” alternative test— enter 2⁄3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support” alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number 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
    EASTER SEALSMARC OF SW FL INC
    350 BRADEN AVE
    SARASOTA,FL34243     		NONE EXEMPT SUPPORT 24,402
    THE UNIVERSITY OF FLORIDA
    PO BOX 110410
    GAINESVILLE,FL326110410     		NONE EXEMPT SUPPORT 24,402
    STATE COLLEGE OF FLORIDA FDN INC
    5840 26TH ST W
    BRADENTON,FL34207     		NONE EXEMPT SUPPORT 24,402
    SARASOTA FAMILY YMCA INC
    ONE SOUTH SCHOOL AVE
    SARASOTA,FL34237     		NONE EXEMPT SUPPORT 24,402
    Total .................................bullet 3a 97,608
    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 2  
    4 Dividends and interest from securities....     14 56,861  
    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 92,993  
    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)..   149,856  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13149,856
    (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 ExplnOfNonFilingWithAGStmt
    Name:
    KOENIG EVELYN T
    EIN: 65-0128096
    Statement:
    Florida Attorney General does not require and prefers that we do not furnish a copy of Form 990-PF to their office.

    TY 2012 InvestmentsCorpBondsSchedule
    Name:
    KOENIG EVELYN T
    EIN: 65-0128096
    Name of Bond End of Year Book Value End of Year Fair Market Value
    693390593 PIMCO MODERATE DURAT    
    693390700 PIMCO TOTAL RET FD-I    
    693390841 PIMCO HIGH YIELD FD-    
    693391559 PIMCO EMERG MKTS BD-    
    94985D582 WELLS FARGO ADV INTL 88,619 98,864

    TY 2012 InvestmentsCorpStockSchedule
    Name:
    KOENIG EVELYN T
    EIN: 65-0128096
    Name of Stock End of Year Book Value End of Year Fair Market Value
    345370860 FORD MOTOR COMPANY    
    364760108 GAP INC    
    437076102 HOME DEPOT INC    
    654106103 NIKE INC CL    
    778296103 ROSS STORES INC    
    126650100 CVS/CAREMARK CORPORA 4,070 7,011
    742718109 PROTER & GAMBLE    
    902494103 TYSON FOODS INC    
    931142103 WAL MART STORES    
    166764100 CHEVRON CORP 5,301 6,597
    171798101 CIMAREX ENERGY CO    
    20825C104 CONOCOPHILLIPS 3,792 6,843
    30231G102 EXXON MOBIL CORP    
    406216101 HALLIBURTON CO 6,320 7,840
    674599105 OCCIDENTAL PETE CORP 6,751 6,359
    03076C106 AMERIPRESE FINL    
    172967101 CITIGROUP INC    
    46625H100 JPMORGAN CHASE & CO    
    693475105 PNC FINANCIAL SERVIC    
    91529Y106 UNUM GROUP    
    031162100 AMGEN INC    
    110122108 BRISTOL MYERS SQUIBB    
    14149Y108 CARDINAL HEALTH INC 6,866 7,948
    345838106 FOREST LABS INC    
    478160104 JOHNSON & JOHNSON 5,246 6,870
    58155Q103 MCKESSON CORP    
    58405U102 MEDCO HEALTH SOLUTIO    
    235851102 DANAHER CORP    
    369604103 GENERAL ELECTRIC    
    907818108 UNION PACIFIC COR[    
    913017109 UNITED TECHNOLOGIES    
    88579Y101 3M COM    
    037833100 APPLE INC    
    17275R102 CISCO SYSTEMS INC 5,807 5,934
    219350105 CORNING INC    
    428236103 HEWLETT PACKARD CO    
    4419P508 IAC/INTERACTIVE    
    458140100 INTEL CORP 8,570 6,660
    459200101 IBM CORP    
    594918104 MICROSOFT CORP    
    68389X105 ORACLE CORP    
    882508104 TEXAS INSTRUMENTS    
    459506101 INTERN FLAVORS & FRA    
    81211K100 SEALED AIR CORP    
    92343V101 VERIZON COMMUNICATIO    
    210371100 CONSTELLA TION ENERG    
    H0023R105 ACE LIMITED    
    G6852T105 PARTNERRE LTD    
    H8912P106 TYCO ELECTRONICS LTD    
    H89128104 TYCO INTERNATIONAL    
    656568508 NORTEL NETWORKS CORP 1  
    411511306 HARBOR INTERNATION F 247,505 267,258
    44980Q518 ING INTERNATIONAL RE 79,010 57,413
    722005667 PIMCO COMMODITY REAL    
    76628R615 RIDGEWORTH FD-MIDCAP 67,902 79,230
    779919109 T ROWE PRICE REAL ES 113,721 120,407
    780905782 ROYCE SPECIAL EQUITY 41,364 50,638
    87234N849 TCW SMALL CAP GROWTH    
    94975P751 WELLS FARGO ADV EMG 129,475 165,750
    949917355 WELLS FARGO ADVANTAG    
    CBS CORP    
    20030N101 COMCAST CORP CLASS A 5,296 8,257
    344849104 FOOT LOCKER INC    
    92927K102 WABCO HOLDINGS INC    
    637071101 NATIONAL OILWELL VAR    
    064058100 BANK NEW YORK MELLON 6,267 6,785
    316773100 FIFTH THIRD BANCORP    
    59156R108 METLIFE INC    
    754730109 RAYMOND JAMES FINL    
    151020104 CELGEN CORP    
    91324P102 UNITEDHEALTH GROUP    
    00846U101 AGILENT TECHNOLOGIES    
    018581108 ALLIANCE DATA SYS    
    268648102 EMC CORP MASS    
    871503108 SYMANTEC CORP    
    774415103 ROCKWOOD HLDG    
    26441C105 DUKE ENERGY HOLDINGS    
    00206R102 AT & T INC 6,222 6,809
    020002101 ALLSTATE CORP 6,186 7,592
    039483102 ARCHER DANIELS MIDLA 6,254 5,478
    071813109 BAXTER INTL INC 6,240 6,999
    131649709 CALVERT CAPTL ACCUMU 85,000 82,106
    263534109 DU PONT E I DE NEMOU 6,210 5,307
    281020107 EDISON INTL COM 6,271 6,643
    464287614 ISHARES RUSSELL 1000 108,088 106,159
    464287887 CEF ISHARES S&P SMAL 42,965 44,961
    50076Q106 KRAFT FOODS GROUP IN 6,361 6,639
    548661107 LOWES COS INC 6,259 7,068
    565849106 MARATHON OIL CORP 6,242 6,285
    571748102 MARSH & MCLENNAN COS 6,279 6,722
    58933Y105 MERCK & CO INC NEW 6,284 6,632
    609207105 MONDELEZ INTERNATION 4,082 4,225
    620076307 MOTOROLA SOLUTIONS, 6,257 6,960
    666807102 NORTHROP GRUMMAN COR 6,271 6,961
    717081103 PFIZER INC 6,222 6,997
    73935S105 POWERSHARES DB COMMO 106,619 104,675
    74834L100 QUEST DIAGNOSTICS IN 6,280 6,002
    755111507 RAYTHEON CO 6,264 6,907
    786514208 SAFEWAY INC NEW 6,607 6,114
    87234N302 TCW FUNDS SELECT EQU 108,000 105,241
    89417E109 TRAVELERS COMPANIES, 6,247 7,613
    92343V104 VERIZON COMMUNICATIO 7,043 9,130
    94106L109 WASTE MANAGEMENT INC 6,209 5,972
    984121103 XEROX CORP 6,249 5,415

    TY 2012 InvestmentsOtherSchedule2
    Name:
    KOENIG EVELYN T
    EIN: 65-0128096
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    44980Q518 ING INTERN. RE      
    722005667 PIMCO COMMODITY REAL      
    779919109 T ROWE PRICE RE      
    693390841 PIMCO HIGH YIELD FD- AT COST 140,000 139,885
    693390593 PIMCO MODERATE DURAT AT COST 233,215 244,203
    693390700 PIMCO TOTAL RET FD-I AT COST 161,403 165,375
    94985D582 WELLS FARGO ADVANT      
    693391559 PIMCO EMERG MKTS BD- AT COST 93,111 104,439
    38142Y401 GOLDMAN SACHS GROWTH      
    76628R615 RIDGEWORTH FD      
    780905782 ROYCE SPECIAL EQUITY      
    87234N849 TCW SMALL CAP      
    94975P751 WELLS FARGO ADVANTAG      
    411511306 HABOR INTERNATIONAL      
    656568508 NORTEL NETWORKS CORP      
    949917355 WELLS FARGO ADVTG      
    H0023R105 ACE LIMITED      
    G2554F113 COVIDIEN PLC      
    G4412G101 HERBALIFE LTD      
    H89128104 TYCO INTERNATIONAL      

    TY 2012 OtherDecreasesSchedule
    Name:
    KOENIG EVELYN T
    EIN: 65-0128096
    Description Amount
    MUTUAL FUND TIMING DIFFERENCE 5,637
    PY RETURN OF CAPITAL ADJUSTMENT 1,164


    TY 2012 OtherIncreasesSchedule
    Name:
    KOENIG EVELYN T
    EIN: 65-0128096
    Description Amount
    COST BASIS ADJUSTMENT 1,310


    TY 2012 OtherProfessionalFeesSchedule
    Name:
    KOENIG EVELYN T
    EIN: 65-0128096
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT MGMT FEES-SUBJECT T 437 437    


    TY 2012 TaxesSchedule
    Name:
    KOENIG EVELYN T
    EIN: 65-0128096
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FEDERAL TAX PAYMENT - PRIOR YE 1,354 0   0
    FEDERAL ESTIMATES - PRINCIPAL 2,695 0   0
    FOREIGN TAXES ON QUALIFIED FOR 322 322   0
    FOREIGN TAXES ON NONQUALIFIED 592 592   0