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
LeRoy Thom Jean Thom and T-L Foundation
 

Number and street (or P.O. box number if mail is not delivered to street address)PO Box 1047   Room/suite
City or town, state, and ZIP code
Hastings, NE689021047
A Employer identification number

47-0776789
B Telephone number (see instructions)

(402) 462-4128
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$27,300,820J 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) 5,157,000
2 Check bullet
3 Interest on savings and temporary cash investments 13,608 13,608  
4 Dividends and interest from securities...... 880,689 880,689  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 Click to see attachment 26,163
b Gross sales price for all assets on line 6a 3,943,596
7 Capital gain net income (from Part IV, line 2)... 26,163
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........ 6,077,460 920,460  
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)......... Click to see attachment 2,083 2,083    
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions) Click to see attachment 2,411 2,411    
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 15,894 15,894    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 20,388 20,388   0
25 Contributions, gifts, grants paid........ 1,818,000 1,818,000
26 Total expenses and disbursements. Add lines 24 and 25 1,838,388 20,388   1,818,000
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 4,239,072
b Net investment income (if negative, enter -0-) 900,072
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.......... 2,688,468 6,671,633 6,671,633
3 Accounts receivable bullet6,412
Less: allowance for doubtful accounts bullet     6,412 6,412
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see page 15 of the
instructions)....................      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use...............      
9 Prepaid expenses and deferred charges...........      
10a Investments—U.S. and state government obligations (attach schedule) 11,985,319 Click to see attachment11,567,314 12,349,233
b Investments—corporate stock (attach schedule)........ 6,012,812 Click to see attachment6,669,155 8,273,542
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)...........      
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) 20,686,599 24,914,514 27,300,820
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable...................    
19 Deferred revenue..................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)..........   0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted....................    
25 Temporarily restricted................    
26 Permanently restricted................    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds.........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds 20,686,599 24,914,514
30 Total net assets or fund balances (see page 17 of the
instructions).................... 20,686,599 24,914,514
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 20,686,599 24,914,514
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 20,686,599
2 Enter amount from Part I, line 27a..................... 2 4,239,072
3 Other increases not included in line 2 (itemize) bulletClick to see attachment 3 1
4 Add lines 1, 2, and 3.......................... 4 24,925,672
5 Decreases not included in line 2 (itemize) bulletClick to see attachment 5 11,158
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 24,914,514
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 Fed Farm Crd 9/9/24 31331JA86-15000sh P 2011-11-15 2012-01-23
b Fed Home 4/27/21 313373GW6-5000sh P 2011-04-27 2012-04-27
c Fed Home 3/15/27 313378J36-10000shs P 2012-03-15 2012-07-20
d Fed home 5/7/27 313378ZP9-5000shs P 2012-04-27 2012-08-07
e Eaton Corporation-1250 shs P 2012-11-20 2012-01-23
Thurston Co SD T88609PBQ6-400shs P 2009-03-17 2012-06-15
Thurston Co SD T88069PBQ6-950 shs P 2009-03-17 2012-07-31
Saunders Co UTGO-200 shs P 2006-10-19 2012-12-17
USB Capital XI Trustor PFD Sec-4000shs P 2007-11-15 2012-05-18
JPMorgan PFD-4000shs P 2008-05-08 2012-07-12
Wells Fargo Edu Assn 6/6/28 38996AF5 P   2012-06-06
Wells Frgo Edu Assn 6/6/28 38996AF5 P   2012-01-26
(e) Gross sales price (f) Depreciation allowed
(or allowable) 		(g) Cost or other basis
plus expense of sale 		(h) Gain or (loss)
(e) plus (f) minus (g)
a 1,500,000   1,500,000  
b 500,000   500,000  
c 1,000,000   1,000,000  
d 500,000   500,000  
e 64,882   60,286 4,596
40,000   40,000  
95,950   95,000 950
20,000   19,830 170
100,000   86,552 13,448
100,000   100,000  
7,754   7,754  
8,011   8,011  
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        
b        
c        
d        
e       4,596
       
      950
      170
      13,448
       
       
       
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 26,163
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 4,596
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 868,182 18,552,507 000.046796
2010 593,000 15,655,984 000.037877
2009 753,700 11,889,507 000.063392
2008 284,500 10,549,533 000.026968
2007 383,534 9,702,875 000.039528
2 Total of line 1, column (d) ...................... 2 000.214561
3 Average distribution ratio for the 5-year base period—divide the total on line 2 by 5, or by
the number of years the foundation has been in existence if less than 5 years. . . 		3 000.042912
4 Enter the net value of noncharitable-use assets for 2012 from Part X, line 5..... 4 23,533,620
5 Multiply line 4 by line 3....................... 5 1,009,875
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 9,001
7 Add lines 5 and 6......................... 7 1,018,876
8 Enter qualifying distributions from Part XII, line 4.............. 8 1,818,000
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 9,001
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 9,001
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 9,001
6 Credits/Payments:
a 2012 estimated tax payments and 2011 overpayment credited to 2012 6a 11,600
b Exempt foreign organizations—tax withheld at source....... 6b
c Tax paid with application for extension of time to file (Form 8868) 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. Tax Paid Original Return: 11600 7 11,600
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 2,599
11 Enter the amount of line 10 to be: Credited to 2013 estimated taxBullet2,599 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)
    bulletNE
    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.Click to see attachment
    10
    Yes
     
    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 addressbulletnone
    14
    The books are in care ofbulletJames Thom Telephone no.bullet (402) 462-4128
    Located atbullet151East Highway 6HastingsNE ZIP+4bullet68901
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16
    At any time during calendar year 2012, did the foundation have an interest in or a signature or other authority over
    a bank, securities, or other financial account in a foreign country? .................
    16
     
    No
    See instructions for exceptions and filing requirements for Form TD F 90-22.1. If "Yes", enter the name of the foreign country bullet  
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 5
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the “Yes” column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?.........................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?.................
    (6) Agree to pay money or property to a government official? (Exception. Check “No”
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).........
    b
    If any answer is “Yes” to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see page 20 of the instructions)?...
    1b
     
     
    .........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2012?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2012, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2012?...............
    If “Yes,” list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer “No” and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?.........................
    b
    If “Yes,” did it have excess business holdings in 2012 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2012.)....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2012?
    4b
     
    No
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?...............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 509(a)(1), (2), or (3), or section 4940(d)(2)? (see instructions)........
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?........
    b
    If any answer is “Yes” to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see instructions)? ......
    5b
     
     
    .........bullet
    c
    If the answer is “Yes” to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?............
    If “Yes,” attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?........................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If “Yes” to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 6
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to
    employee benefit plans
    and deferred compensation     		(e) Expense account,
    other allowances
    LeRoy W Thom Pres
    000.50     		0    
    2585 S Maxon Ave
    Hastings,NE68901
    Jean E Thom Sec
    000.50     		0    
    2585 S Maxon Ave
    Hastings,NE68901
    Thomas A Thom Dir
    000.50     		0    
    1017 Country Club Dr
    Hastings,NE68901
    David W Thom Dir
    000.50     		0    
    5000 W Platte River Dr
    Doniphan,NE68832
    James Thom VP Finance
    000.50     		0    
    5130 Osborne Drive East
    Hastings,NE68901
    Robert Lubken Dir
    000.50     		0    
    Route 1 Box60C
    Trumbull,NE68980
    David H Fisher Dir, Gen Cou
    000.50     		0    
    1131 N St Joseph Ave
    Hastings,NE68901
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE.”
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
     
    Total number of other employees paid over $50,000...................bullet  
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
     
    Total number of others receiving over $50,000 for professional services.............bullet  
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1 none 0
    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 none  
    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
    19,301,560
    b
    Average of monthly cash balances.......................
    1b
    4,590,440
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    23,892,000
    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
    23,892,000
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see
    instructions) Click to see attachment.............................
    4
    358,380
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    23,533,620
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    1,176,681
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    1,176,681
    2a
    Tax on investment income for 2012 from Part VI, line 5......
    2a
    9,001
    b
    Income tax for 2012. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    9,001
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    1,167,680
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    1,167,680
    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
    1,167,680
    Part XII
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 Click to see attachment..........
    1a
    1,818,000
    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
    1,818,000
    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
    9,001
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    1,808,999
    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 1,167,680
    2 Undistributed income, if any, as of the end of 2012:
    a Enter amount for 2011 only....... 14,350
    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$ 1,818,000
    a Applied to 2011, but not more than line 2a 14,350
    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..... 1,167,680
    e Remaining amount distributed out of corpus 635,970
    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 5 635,970
    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 ..........     		0
    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 ......     		635,970
    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.... 635,970
    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:
    James Thom
    PO Box 1047
    Hastings,NE68902
    (402) 462-4128
    bThe form in which applications should be submitted and information and materials they should include:
    No particular form
    cAny submission deadlines:
    none
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Generally limited to NE religious and educational orgnizations and activities
    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
    American Cancer Society
    3808 28th Av
    Kearney,NE68845     		    research 6,000
    American Center for Law & Justice
    PO Box 90555
    Washington,DC20090     		    research 15,000
    AOPA - Air Safety Foundation
    421 Aviation Way
    Fredrick,MD21701     		  x public safety 450
    Bethany Home
    515 W 15th Street
    Minden,NE68959     		    public welfare 9,000
    Bible League
    PO Box 28000
    Chicago,IL60628     		    religious mission 15,000
    Billy Graham Crusade
    1 Billy Graham Parkway
    Charlotte,NC28201     		    religious mission 24,000
    CASA
    2727 W 2nd Street Suite 410
    Hastings,NE68901     		    children welfare 6,600
    Catholic Social Services - St Gianna House
    333 W 2nd Street
    Hastings,NE68901     		    religious welfare 15,000
    Catholic Social Services of Nebraska
    333 W 2nd Street
    Hastings,NE68901     		    religious welfare 30,000
    Children's Ark Daycare
    926 East E Street
    Hastings,NE68901     		    children welfare 6,750
    Christ Lutheran School
    3175 W 70th Street
    Juniata,NE68955     		    education 6,000
    Christian Heritage Childrens Homes
    14880 Old Cheney Road
    Walton,NE68461     		    children welfare 45,000
    Comfort the Children
    307 West Live Oak Street
    Austin,TX78704     		    children welfare 22,500
    Concordia University Foundation
    800 N Columbia Avenue
    Seward,NE68434     		  x education 200,000
    Concordia University Foundation
    800 N Columbia Avenue
    Seward,NE68434     		  x education 30,000
    Crossroads Center
    702 W 14th Street
    Hastings,NE68901     		    public welfare 33,000
    Disabled American Veterans Service Trust
    3725 Alexandria Pike
    Cold Spring,KY41076     		    veteran assistance 21,000
    Dakota Boys Ranch
    PO Box 5007
    Minot,ND587025007     		    child welfare 15,000
    Epilepsy Foundation
    8301 Professional Place
    Landover,MD20785     		  x medical research 7,500
    Faith Lutheran Church
    9th Chestnut
    Hastings,NE68901     		    church programs 46,000
    Farmers Feeding the World
    PO Box 6
    Cedar Falls,IA50613     		    food relief 9,000
    Fellowship of Christian Athletes co Hastings Community Foundation
    PO Box 703
    Hastings,NE68902     		    christian programs 9,000
    Fellowship of Christian Athletes
    838 N Diers Avenue
    Grand Island,NE68803     		    christian programs 30,000
    Freedom Alliance Scholarship Fund
    22570 Markey Court Suite 240
    Dulles,VA20166     		    education 6,000
    Friends of Madison Valley Library
    PO Box 492
    Ennis,MT597290492     		    public library 1,000
    Grace Life Fellowship Balanced Books
    317 N kansas 103
    Hastings,NE68901     		    christian education 18,000
    Hastings Catholic Schools
    111 N Burlington Avenue
    Hastings,NE68901     		    catholic education 22,500
    Hastings College Foundation
    1001 N 6th St
    Hastings,NE68901     		  x secondary education 241,000
    Hastings Community Foundation
    PO Box 703
    Hastings,NE68902     		    community support 12,000
    Heartcry Missionary Society
    PO Box 2309
    Christianburg,VA24068     		    missions 1,500
    Heartland Luthern High School
    3900 West Husker Highway
    Grand Island,NE68803     		    education 10,000
    In Touch Ministries
    PO Box 7900
    Atlanta,GA30357     		    missions 22,500
    Intrepid Fallen Heroes Fund
    One Intrepid Square W 46th St 12th
    New York,NY10036     		    veteran support 21,000
    Kearney County Community Foundation
    PO Box 213
    Minden,NE68959     		  x community programs 15,000
    Kearney County Medical Foundation
    727 E 1st Street
    Minden,NE68959     		  x medical programs 15,000
    Life Legal Defense Foundation
    PO Box 2105
    Napa,CA94558     		  x public education 9,000
    Matt Talbot Kitchen & Outreach
    PO Box 80935
    Lincoln,NE68501     		    public welfare 6,000
    Mercy Ministries
    PO Box 111060
    Nashville,TN37222     		    chrisitan education 30,000
    Midrivers Red Cross of Hastings
    415 N Kansas Avenue
    Hastings,NE68901     		    disaster relief 5,900
    Minden Volunteer Fire Department
    325 N Colorado
    Minden,NE68959     		    public program 4,500
    Mission Nebraska
    PO Box 30345
    Lincoln,NE68503     		    public education 15,000
    Montana Land Reliance
    PO Box 355
    Helena,MT596240355     		    public education 1,000
    Nebraska Right to Life - Education
    PO Box 80410
    Lincoln,NE68501     		    public education 15,000
    New Life Christian Counseling
    8101 Bancroft Avenue
    Lincoln,NE68506     		    public counseling 15,000
    New Life Community Church
    909 James Way
    Pismo Beach,CA93449     		    chrisitian programs 6,000
    Orphan Grain Train
    PO Box 1466
    Norfolk,NE68702     		    world relief 45,000
    Prairie Loft
    PO Box 1731
    Hastings,NE68901     		    public education 2,500
    Priests for Life
    PO Box 141172
    Staten Island,NY10314     		    catholic support 9,000
    Special Olympics
    11011 Q Street Suite 104C
    Omaha,NE68137     		    special ed programs 9,000
    St Cecilia Church
    301 W 7th Street
    Hastings,NE68901     		    catholic support 900
    St Jude's Hospital
    501 St Jude Place
    Memphis,TN38105     		    medical research 9,000
    St Luke's Cooley Transplant Center St Luke's Episcopal Hospital
    6720 Bertner Ave MC 2-114A
    Houston,TX77030     		    medical research 600
    St Mary's McCracken heritage Assn
    304 E Florence
    Rush Center,KS67575     		    historical support 450
    St Michael's Catholic Church
    715 Creighton Avenue
    Hastings,NE68901     		    catholic education 900
    Teammates Mentoring
    1924 W A Street
    Hastings,NE68901     		    children welfare 21,900
    University of Nebraska Foundation
    PO Box 82555
    Lincoln,NE685022555     		    secondary education 50,000
    The Heritage Foundation
    214 Massachusetts Avenue NE
    Washington,DC20002     		  x historic education 15,900
    The Salvation Army
    400 S Burlington Avenue
    Hastings,NE68901     		    public welfare 54,000
    United Way
    421 N Kansas Avenue
    Hastings,NE68901     		    public welfare 22,600
    Virtue Media Inc
    450 W Crossville Rd Suite 101
    Roswell,GA30075     		    religious suppoprt 15,000
    Voice of the Martyrs
    PO Box 443
    Bartlesville,OK74005     		    public education 1,500
    Water for Life
    Po Box 456
    Kalona,IA52247     		    world relief 39,000
    Webster County Fire Department
    137 E 5th Street
    Red Cloud,NE68970     		    public support 4,500
    YFC - Youth for Christ
    PO Box 386
    Hastings,NE68902     		    religious support 15,000
    YWCA
    604 N St Joseph
    Hastings,NE68901     		    youth support 2,000
    Zion Lutheran School
    465 S Marion Road
    Hastings,NE68901     		    private education 56,000
    Answers and Altern Pregnancy Resource Center
    223 E 14th 202
    Hastings,NE68901     		    child protection 9,000
    Bethany Luthern Church
    437 E 4th St
    Minden,NE68959     		    christian support 3,000
    Big Brothers Big Sisters
    312 N Lincoln
    Hastings,NE68901     		    child welfare 2,900
    Boy Scouts of America
    PO Box 1361
    Grand Island,NE688021361     		    child welfare 1,900
    Camp Luther of Nebraska
    1050 Road 4
    Schuyler,NE68861     		    child welfare 1,000
    Central Community College Foundation
    2727 W 2nd St 211
    Hastings,NE68901     		  x secondary education 5,000
    Community Action Partners of Mid NE Food Pantry
    341 E 4th St
    MInden,NE68959     		    public welfare 6,000
    Ebenezer United Methodist Church
    7312 N Main
    Houston,TX77022     		    church support 600
    Catholic Social Services Food 4 Thought
    PO Box 1662
    Hastings,NE689021662     		    child welfare 750
    Food for the Hungrey-Rwanda
    1224 E Washington
    Pheonix,AZ850341102     		    world relief 30,000
    Franklin County Foundation for Rose Bowl Theatre
    PO Box 212
    Franklin Co,NE68939     		    community programs 6,000
    Hastings YMCA
    PO box 1065
    Hastings,NE689021065     		    child welfare 6,000
    Hastings Museum Foundation
    PO Box 148
    Hastings,NE689020148     		  x community programs 1,000
    Hastings Public Library
    517 W 4th St
    Hastings,NE68901     		    community programs 1,000
    Hastings Sympony
    PO Box 597
    Hastings,NE689020597     		    community program 1,000
    Hillsdale College
    33 E College St
    Hillsdale,MI49242     		    secondary education 900
    International Justice Mission
    PO Box 58147
    Washington,DC20037     		    public education 1,500
    International Lutheran Laymans League
    660 Mason Ridge Center Dr
    St Louis,MO631418557     		    christian support 9,000
    Joy Church
    PO Box 17050
    Fountain Hills,AZ85268     		    christian support 7,000
    Kearney County CASA
    PO Box 1005
    Holdredge,NE68949     		    child welfare 3,000
    Larson Tractor Museum
    PO Box 830833
    Lincoln,NE685830833     		    history support 1,000
    LCMS National Mission
    1859 Phelps Ave
    Fremont,NE68025     		    christian missions 20,000
    LCMS World Mission
    40718 Highway E 16
    Mapleton,IA510347105     		    christian missions 10,000
    Lutheran Family Service
    124 S 24th St 230
    Omaha,NE68102     		    family welfare 8,000
    Luthern High Northeast
    2010 N 37th St
    Norfolk,NE687013108     		    private education 10,000
    Madision Valley Medical Center Foundation
    PO Box 993
    Ennis,MT59729     		  x public health 10,000
    Madonna Foundation
    5401 S St
    Lincoln,NE685062134     		    public health 9,000
    Mayo Foundation
    200 Fisrst St SW
    Rochester,MN55905     		    public health 25,000
    Nebraska Easther Seal Society
    2727 W 2nd St 471
    Hastings,NE68901     		    medical research 2,000
    Nebraska LEAD Program
    PO Box 830763
    Lincoln,NE685830763     		    public education 7,000
    Pastoral Leadership Institute
    12300 Ford Road 450
    Dallas,TX752348108     		    christian training 30,000
    Pastoral Leadership International
    16611 Mosscreek St
    Tustin,CA92782     		    christian training 20,000
    Peace Lutheran Church
    906 N California Av
    Hastings,NE68901     		    church support 20,000
    Royal Fmily Kids Camp
    PO Box 186
    Hastings,NE68901     		    child welfare 15,000
    Shephers of the Hills Luthern Ch
    PO Box785
    Ennis,MT59729     		    church support 5,000
    Willa Cather Foundation
    413 N Webster St
    Red Cloud,NE68970     		  x history support 50,000
    Wounded Warrior Project
    4899 Belford Road 300
    Jacksonville,FL32256     		    veteran support 10,000
    Total .................................bullet 3a 1,818,000
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 11
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3Interest on savings and temporary cash investments     14 13,608  
    4 Dividends and interest from securities....     14 880,689  
    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 26,163  
    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)..   920,460  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13920,460
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 12
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section
    Yes
    No
    501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is “Yes,” complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?...........
    b
    If “Yes,” complete the following schedule.
    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer or fiduciary) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's namebullet



    Firm's addressbullet







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


    Software ID: 12000057
    Software Version: 12.13.328.3
    Part VI Line 7 - Tax Paid Original Return: 11600


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

    47-0776789
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ





    Form 990-PF




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

    Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
    Page 2
    Name of organization
    LeRoy Thom Jean Thom and T-L Foundation
          		Employer identification number

    47-0776789
    Part I
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    		     
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    1
     
     

    LeRoy W Thom    
    2585 S Maxon Ave
       
    Hastings, NE   68901

    		$4,800,000


    (Complete Part II if there is a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    2
     
     

    James Thom    
    5130 Osborne Drive East
       
    Hastings, NE   68901

    		$128,500


    (Complete Part II if there is a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    3
     
     

    Mike Thom    
    1279 C Road
       
    Minden, NE   68959

    		$100,000


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

    David Thom    
    5000 Platte River Lane
       
    Doniphan, NE   68832

    		$100,000


    (Complete Part II if there is a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    5
     
     

    Thomas Thom    
    1017 Country Club Drive
       
    Hastings, NE   68901

    		$21,000


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

         
     
       

    		$  


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

    Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
    Page 3
    Name of organization
    LeRoy Thom Jean Thom and T-L Foundation
          		Employer identification number

    47-0776789
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    		     
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
    Page 4
    Name of organization
    LeRoy Thom Jean Thom and T-L Foundation
          		Employer identification number

    47-0776789
    Part III
    Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
    that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
    For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
    contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a) No.
    from
    Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    (a) No.
    from
    Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    (a) No.
    from
    Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    (a) No.
    from
    Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

    Additional Data


    Software ID: 12000057
    Software Version: 12.13.328.3

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

    TY 2012 GainLossSaleOtherAssetsSch
    Name:
    LeRoy Thom Jean Thom and T-L Foundation
    EIN: 47-0776789
    Software ID:12000057
    Software Version:12.13.328.3
    Name Date Acquired How Acquired Date Sold Purchaser Name Gross Sales Price Basis Basis Method Sales Expenses Total (net) Accumulated Depreciation
    Fed Farm Crd 9/9/24 31331JA86 2011-11 P 2012-01   1,500,000 1,500,000        
    Fed Home 4/27/21 313373GW6-5000sh 2011-04 P 2012-04   500,000 500,000        
    Fed Home 3/15/27 313378J36-10000shs 2012-03 P 2012-07   1,000,000 1,000,000        
    Fed home 5/7/27 313378ZP9-5000shs 2012-04 P 2012-08   500,000 500,000        
    Eaton Corporation-1250 shs 2012-11 P 2012-01   64,882 60,286     4,596  
    Thurston Co SD T88609PBQ6-400shs 2009-03 P 2012-06   40,000 40,000        
    Thurston Co SD T88069PBQ6-950 shs 2009-03 P 2012-07   95,950 95,000     950  
    Saunders Co UTGO-200 shs 2006-10 P 2012-12   20,000 19,830     170  
    USB Capital XI Trustor PFD Sec-4000shs 2007-11 P 2012-05   100,000 86,552     13,448  
    JPMorgan PFD-4000shs 2008-05 P 2012-07   100,000 100,000        
    Wells Fargo Edu Assn 6/6/28 38996AF5   P 2012-06 principal paydown 7,754 7,754        
    Wells Frgo Edu Assn 6/6/28 38996AF5   P 2012-01 principal paydown 8,011 8,011        

    TY 2012 GeneralExplanationAttachment
    Name:
    LeRoy Thom Jean Thom and T-L Foundation
    EIN: 47-0776789
    Software ID:12000057
    Software Version:12.13.328.3
    Identifier Return Reference Explanation

    TY 2012 InvestmentsCorpStockSchedule
    Name:
    LeRoy Thom Jean Thom and T-L Foundation
    EIN: 47-0776789
    Software ID:12000057
    Software Version:12.13.328.3
    Name of Stock End of Year Book Value End of Year Fair Market Value
    3636 shares of Wells Fargo Bank 55,241 124,278
    6364 shares of Wells Fargo Bank 74,799 217,522
    12000 shares of Tyson Foods Inc. 70,666 232,800
    1108 shares of Windstream Corp. 3,501 9,174
    2050 shares of Ei Dupont 70,920 92,207
    3000 shares of I Shares - Midcap 400 Index 215,929 305,100
    8000 shares of I Shares - Russell 1000 Index 511,136 582,560
    3400 shares of I Shares - Russell 2000 Index 204,455 286,681
    6900 shares of I Shares - SP 500 Index 713,253 987,666
    6000 shares of I Shares - EAFE Index 312,658 341,160
    15000 shares of I Shares - Australia 275,359 377,100
    5000 shares of SP Dividend EFT 206,102 290,800
    3000 shares of SPDR - SP Int Div EFT 135,885 144,330
    9000 shares of Vanguard Specialized Funds - EFT 353,258 416,990
    14026 shares of Linsco - AmCap 250,661 304,215
    5911 shares of Linsco - Capitol World Growth 179,267 219,899
    2743 shares of Linsco - Euro Pacific 84,905 113,073
    9770 shares of Linsco Growth Fund 255,877 335,614
    8297 shares of Linsco - New Econmy 187,844 235,893
    5223 shares of Linsco - New Perspective 137,027 163,268
    4017 shares of Linsco - Small Cap 120,838 160,332
    14486 shares of Linsco - Wash Mutual 424,101 452,113
    American Intl Group - PFD 100,000 101,640
    Bank America Corp - PFD 100,000 102,400
    Barclays Bank PLC PFD 100,000 100,720
    ING Groep PFD 95,612 100,320
    Credit Suisse GU PFD 100,000 101,480
    Deutsche Cap PFD 92,960 102,680
    Metlife Inc PFD 94,720 100,888
    Aegon Perpetual Cap 97,080 100,000
    Royal Bank of Scotland 99,400 96,960
    Wells Fargo Cap 100,000 101,320
    Xcel Energy Inc. 100,000 101,200
    2000 shares of Altria Group 60,793 62,880
    1250 shares of Conoco Phillips 68,073 72,488
    1250 shares of Eaton Corp PLC 64,882 67,725
    3000 shares of Intel Corp 60,072 61,860
    750 shares of McDonalds 63,027 66,158
    1000 shares of Walmart 68,684 68,230
    2250 shares of Microsoft 60,170 60,098
    4000 shares of BBT PPF 100,000 103,920
    4000 shares of Public Storage PFD 100,000 103,200
    4000 shares of Charles Swhwab Corp PFD 100,000 104,600

    TY 2012 InvestmentsGovtObligationsSch
    Name:
    LeRoy Thom Jean Thom and T-L Foundation
    EIN: 47-0776789
    Software ID:12000057
    Software Version:12.13.328.3
    US Government Securities - End of Year Book Value:

    1,301,813
    US Government Securities - End of Year Fair Market Value:

    1,359,076
    State & Local Government Securities - End of Year Book Value:


    10,265,501
    State & Local Government Securities - End of Year Fair Market Value:


    10,990,157


    TY 2012 LegalFeesSchedule
    Name:
    LeRoy Thom Jean Thom and T-L Foundation
    EIN: 47-0776789
    Software ID:12000057
    Software Version:12.13.328.3
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Dunmire Fisher Hastings 2,083 2,083    


    TY 2012 OtherDecreasesSchedule
    Name:
    LeRoy Thom Jean Thom and T-L Foundation
    EIN: 47-0776789
    Software ID:12000057
    Software Version:12.13.328.3
    Description Amount
    Excise taxes paid in 2012 11,158


    TY 2012 OtherExpensesSchedule
    Name:
    LeRoy Thom Jean Thom and T-L Foundation
    EIN: 47-0776789
    Software ID:12000057
    Software Version:12.13.328.3
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Accrued Interest Paid on Investments 12,267 12,267    
    Bond Premiums on Investments 3,627 3,627    


    TY 2012 OtherIncreasesSchedule
    Name:
    LeRoy Thom Jean Thom and T-L Foundation
    EIN: 47-0776789
    Software ID:12000057
    Software Version:12.13.328.3
    Description Amount
    Rounding adjustments 1


    TY 2012 SubstantialContributorsSch
    Name:
    LeRoy Thom Jean Thom and T-L Foundation
    EIN: 47-0776789
    Software ID:12000057
    Software Version:12.13.328.3
    Name Address
    See Schedule B  
     


    TY 2012 TaxesSchedule
    Name:
    LeRoy Thom Jean Thom and T-L Foundation
    EIN: 47-0776789
    Software ID:12000057
    Software Version:12.13.328.3
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Foreign Taxes Paid on Invest. Income 2,411 2,411