TY 2012 Form 990PF

- TIN:

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
ALLAN C & MARGARET L MIMS CHARITABLE TR

Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 75000 Room/suite

City or town, state, and ZIP code
DETROIT, MI482757874

A Employer identification number

56-6207750

B Telephone number (see instructions)

(252) 467-4743

C If exemption application is pending, check here bullet

G Check all that apply: Initial returnInitial return of a former public charity
Final returnAmended return
Address changeName change

D 1. Foreign organizations, check here ............. bullet

2. Foreign organizations meeting the 85% test,
check here and attach computation ........... bullet

H Check type of organization: Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trustOther taxable private foundation

I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16) bullet

$1,161,878J Accounting method: Cash Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)

E If private foundation status was terminated
under section 507(b)(1)(A), check here ......... bullet

F If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here ......... bullet

	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)


1	Contributions, gifts, grants, etc., received (attach schedule)
2	Check
3	Interest on savings and temporary cash investments	5		5
4	Dividends and interest from securities......	27,514		27,514
5a	Gross rents..............
b	Net rental income or (loss)
6a	Net gain or (loss) from sale of assets not on line 10		36,319
b	Gross sales price for all assets on line 6a 268,988
7	Capital gain net income (from Part IV, line 2)...			36,319
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........	63,838		63,838
13	Compensation of officers, directors, trustees, etc.	18,887		16,998		1,889
14	Other employee salaries and wages......			0	0	0
15	Pension plans, employee benefits.......			0	0
16a	Legal fees (attach schedule).........		550			550
b	Accounting fees (attach schedule).......		1,650	825		825
c	Other professional fees (attach schedule)....		15,413	15,413		0
17	Interest...............					0
18	Taxes (attach schedule) (see instructions)		1,639			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).......		1,019	1,019
24	Total operating and administrative expenses.
	Add lines 13 through 23..........	39,158		34,255	0	3,264
25	Contributions, gifts, grants paid........	50,000				50,000
26	Total expenses and disbursements. Add lines 24 and 25	89,158		34,255	0	53,264
27	Subtract line 26 from line 12:
a	Excess of revenue over expenses and disbursements	-25,320
b	Net investment income (if negative, enter -0-)			29,583
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	Beginning of year	End of year
Part II		Balance Sheets	(a) Book Value	(b) Book Value	(c) Fair Market Value
	1	Cash—non-interest-bearing...............
	2	Savings and temporary cash investments..........	33,290	59,286	59,286
	3	Accounts receivable
		Less: allowance for doubtful accounts		0	0
	4	Pledges receivable
		Less: allowance for doubtful accounts
	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)
		Less: allowance for doubtful accounts 0
	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)........	720,816	668,833	870,406
	c	Investments—corporate bonds (attach schedule)........	227,400	227,400	232,186
	11	Investments—land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	12	Investments—mortgage loans..............
	13	Investments—other (attach schedule)...........			0
	14	Land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	15	Other assets (describe )
	16	Total assets (to be completed by all filers—see the
		instructions. Also, see page 1, item I)	981,506	955,519	1,161,878
	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 )
	23	Total liabilities (add lines 17 through 22)..........		0
		Foundations that follow SFAS 117, check here
		and complete lines 24 through 26 and lines 30 and 31.
	24	Unrestricted....................
	25	Temporarily restricted................
	26	Permanently restricted................
		Foundations that do not follow SFAS 117, check here
		and complete lines 27 through 31.
	27	Capital stock, trust principal, or current funds.........	981,506	955,519
	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)....................	981,506	955,519
	31	Total liabilities and net assets/fund balances (see page 17 of
		the instructions)..................	981,506	955,519

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	981,506
2	Enter amount from Part I, line 27a.....................	2	-25,320
3	Other increases not included in line 2 (itemize)	3	0
4	Add lines 1, 2, and 3..........................	4	956,186
5	Decreases not included in line 2 (itemize)	5	667
6	Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30.	6	955,519

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.)		(c) Date acquired (mo., day, yr.)	(d) Date sold (mo., day, yr.)
1 a	22. ABAXIS INC	2010-11-01	2012-12-14
b	10. AGILENT TECHNOLOGIES INC	2010-09-29	2012-01-11
c	.641 ALLEGHANY CORP NEW	2010-09-29	2012-03-20
d	40. AMERICAN EXPRESS CO	2010-11-12	2012-08-17
e	10. AMERICAN EXPRESS CO	2010-05-17	2012-11-06
	5. AMERIPRISE FINL INC	2008-10-21	2012-01-11
	22. ANHEUSER BUSCH INBEV SA/NV ADR	2010-11-01	2012-05-10
	11. ANHEUSER BUSCH INBEV SA/NV ADR	2010-11-22	2012-11-06
	27. ANSYS INC	2010-11-01	2012-12-14
	6. APPLE COMPUTER INC	2010-11-12	2012-02-09
	5. APPLE COMPUTER INC	2009-07-17	2012-03-14
	1. APPLE COMPUTER INC	2012-10-31	2012-11-06
	85. ASSA ABLOY AB ADR	2010-11-01	2012-02-14
	22. ASSA ABLOY AB ADR	2011-01-05	2012-02-14
	36. ASSA ABLOY AB ADR	2010-11-01	2012-11-06
	.5 ATLANTIA SPA ADR	2011-02-14	2012-06-14
	51. ATLANTIA SPA ADR	2011-02-14	2012-11-06
	180. AXA-UAP SPON ADR ONE ADR REPRESENTS 1/2 SHR	2012-01-20	2012-07-09
	10. BG GROUP PLC SPON ADR	2011-11-29	2012-11-06
	16. BG GROUP PLC SPON ADR	2008-09-24	2012-11-06
	18. BNP PARIBAS ADR	2010-11-08	2012-11-06
	44. BANK NEW YORK MELLON CORP	2011-07-22	2012-01-11
	30. BAXTER INTERNATIONAL INC	2010-07-29	2012-06-08
	6. BAYER AG ADR	2012-07-19	2012-11-06
	58. BAYERISCHE MOTOREN WERKE A G ADR	2011-06-23	2012-02-08
	56. BAYERISCHE MOTOREN WERKE A G ADR	2011-04-01	2012-06-05
	37. BAYERISCHE MOTOREN WERKE A G ADR	2011-02-16	2012-08-06
	9. BAYERISCHE MOTOREN WERKE A G ADR	2011-02-08	2012-11-06
	5. BECTON DICKINSON & CO	2010-09-29	2012-01-11
	28. BECTON DICKINSON & CO	2010-09-29	2012-06-19
	5. BERKSHIRE HATHAWAY CL B	2008-10-21	2012-01-11
	20. BERKSHIRE HATHAWAY CL B	2011-02-04	2012-11-06
	7. BHP LIMITED SPONS ADR	2011-01-05	2012-02-24
	4. BHP LIMITED SPONS ADR	2011-02-25	2012-02-24
	15. BHP LIMITED SPONS ADR	2010-11-01	2012-02-24
	10. BHP LIMITED SPONS ADR	2010-11-01	2012-11-06
	135. BLACKBAUD INC	2010-11-01	2012-02-15
	8. BRITISH AMERN TOB PLC SPONSORED ADR	2010-11-01	2012-11-06
	60. BRITISH SKY BROADCASTING GROUP ADR	2012-05-11	2012-09-20
	5. BRITISH SKY BROADCASTING GROUP ADR	2012-05-11	2012-11-06
	81. BROWN & BROWN INC	2010-11-01	2012-01-12
	25. CVS CORPORATION (DEL)	2010-01-15	2012-01-11
	9. CANADIAN NATURAL RESOURCES LTD ADR	2010-09-29	2012-01-11
	10. CANON INC ADR REPRESENTING 5 SHARES	2010-11-01	2012-11-06
	25. COACH INC	2012-07-16	2012-11-06
	15. COGNIZANT TECHNOLOGY SOLUTIONS	2010-11-12	2012-11-06
	138. COHEN & STEERS INC (REIT)	2010-11-01	2012-08-17
	60. COHEN & STEERS INC (REIT)	2010-11-01	2012-12-14
	124. COPART INC	2010-12-16	2012-11-05
	29. COPART INC	2010-12-16	2012-12-14
	110. CREDIT SUISSE GROUP-SPON ADR	2012-02-17	2012-06-15
	15. CUMMINS ENGINE INC	2011-06-29	2012-11-06
	47. DAITO TR CONSTR CO LTD ADR	2010-11-01	2012-02-02
	19. DAITO TR CONSTR CO LTD ADR	2011-03-16	2012-11-06
	300. DANONE SPONSORED ADR	2010-11-01	2012-07-26
	10. EXPEDITORS INTERNATIONAL	2012-05-01	2012-12-18
	14. EXPONENT INC	2010-11-01	2012-12-14
	16. EXPERIAN GROUP LTD ADR	2012-09-07	2012-11-06
	70. EXPRESS SCRIPTS INC CL A	2010-11-12	2012-02-07
	15. EXPRESS SCRIPTS HLDG CO	2011-09-12	2012-11-06
	43. FANUC LTD ADR	2010-11-01	2012-04-09
	44. FANUC LTD ADR	2011-01-05	2012-04-09
	44. FANUC LTD ADR	2010-11-01	2012-04-27
	11. FANUC LTD ADR	2010-09-21	2012-11-06
	46. GEA GROUP AG ADR	2011-08-04	2012-05-14
	10. GETINGE AB UNSPONSORED ADR	2012-10-17	2012-11-06
	65. GILEAD SCIENCES INC	2009-07-17	2012-01-19
	45. GILEAD SCIENCES INC	2009-09-22	2012-08-02
	55. GILEAD SCIENCES INC	2009-09-22	2012-09-19
	10. GILEAD SCIENCES INC	2009-09-22	2012-11-06
	26. GLAXO WELLCOME PLC ADR	2010-11-01	2012-06-01
	87. GLAXO WELLCOME PLC ADR	2010-11-01	2012-07-13
	103. GLAXO WELLCOME PLC ADR	2010-02-01	2012-11-05
	1. GOOGLE INC CL A	2009-10-21	2012-01-11
	4. GOOGLE INC CL A	2011-04-26	2012-08-24
	4. GOOGLE INC CL A	2011-06-24	2012-10-17
	82. GRUPO TELEVISA GDR SA DE CV SPD ADR 1 GRD REPSTG 2 ORD PARTN CTF	2010-09-29	2012-04-04
	15. HAEMONETICS CORP MASS	2011-10-19	2012-12-14
	26. HENRY JACK & ASSOC INC	2010-11-01	2012-12-14
	70. HONDA MOTOR NEW ADR	2010-11-01	2012-01-18
	10. HONDA MOTOR NEW ADR	2012-09-10	2012-11-06
	80. HONDA MOTOR NEW ADR	2010-11-01	2012-12-12
	34. HONDA MOTOR NEW ADR	2012-09-10	2012-12-12
	32. INFORMA PLC ADR	2011-02-02	2012-11-06
	53. ING GROEP NV ADR	2010-10-25	2012-11-06
	5. INTUITIVE SURGICAL INC	2010-12-06	2012-01-05
	10. INTUITIVE SURGICAL INC	2010-12-06	2012-03-29
	.333 IRON MOUNTAIN INC	2008-10-21	2012-11-26
	10. JOHNSON & JOHNSON	2010-04-27	2012-01-11
	85. JOHNSON & JOHNSON	2010-09-29	2012-07-10
	332. JULIUS BAER GROUP LTD ADR	2011-08-31	2012-02-17
	16. KOMATSU LTD ADR	2012-02-16	2012-11-06
	60. KRAFT FOODS INC CL A	2011-02-14	2012-03-29
	21. LVMH MOET HENNESSY LOUIS VUITTON ADR	2011-07-01	2012-01-30
	3. LVMH MOET HENNESSY LOUIS VUITTON ADR	2010-11-01	2012-01-30
	20. LVMH MOET HENNESSY LOUIS VUITTON ADR	2011-01-05	2012-01-30
	8. LVMH MOET HENNESSY LOUIS VUITTON ADR	2010-11-01	2012-11-06
	15. LANDSTAR SYSTEM INC	2011-04-29	2012-12-14
	43. LINCOLN ELECTRIC HLDGS	2010-11-01	2012-03-23
	9. LIXIL GROUP CORP ADR	2012-02-21	2012-11-06
	20. LOCKHEED MARTIN CORP	2010-11-11	2012-07-26
	11. MERCK KGAA ADR	2011-04-26	2012-11-06
	25. MERCK & CO INC NEW	2010-02-10	2012-04-24
	180. MERCK & CO INC NEW	2010-12-01	2012-07-12
	5. MICROSOFT CORP	2005-06-24	2012-01-11
	94. MITSUBISHI ESTATE LTD ADR	2010-11-01	2012-01-31
	126. MITSUBISHI ESTATE LTD ADR	2009-10-29	2012-02-23
	10. MONSANTO CO	2010-02-05	2012-01-11
	30. NATIONAL-OILWELL INC	2012-06-26	2012-09-10
	15. NOVARTIS A G ADR	2010-11-01	2012-11-06
	13. ORICA LTD ADR	2012-03-30	2012-11-06
	44. ORICA LTD ADR	2012-03-30	2012-11-23
	19. OWENS & MINOR INC HLDG CO	2012-03-30	2012-12-14
	25. PERRIGO CO	2010-08-13	2012-01-26
	10. PERRIGO CO	2010-08-13	2012-06-08
	5. PERRIGO CO	2010-08-13	2012-11-06
	29. PETROFAC LTD ADR	2012-04-18	2012-11-06
	13. PETROLEUM GEO-SERVICES-ADR	2012-05-02	2012-11-06
	129. POOL CORP COM	2010-11-01	2012-07-10
	13. POOL CORP COM	2010-11-01	2012-12-14
	8. POTASH CORP SASK INC	2012-04-17	2012-11-06
	1. PRICELINE.COM	2012-10-12	2012-11-06
	32. PROGRESSIVE CORP	2008-10-21	2012-01-11
	23. PRUDENTIAL PLC ADR	2010-09-29	2012-11-06
	15. RBC BEARINGS INC	2010-11-01	2012-12-14
	18. RED ELECTRICA CORPORACION SA ADR	2012-09-13	2012-11-06
	16. REXAM PLC SPONSORED ADR	2011-03-01	2012-11-06
	5. ROGERS COMMUNICATIONS INC CLASS B	2011-01-05	2012-11-06
	4. ROGERS COMMUNICATIONS INC CLASS B	2010-03-01	2012-11-06
	19. ROLLINS INC	2010-11-01	2012-12-14
	10. ROYAL DUTCH SHELL PLC-ADR A	2010-11-01	2012-11-06
	37. RYANAIR HLDGS PLC SPON ADR	2011-06-29	2012-04-30
	9. RYANAIR HLDGS PLC SPON ADR	2011-07-15	2012-11-06
	26. SAMPO OYJ ADR	2010-11-01	2012-11-06
	5. SANDS CHINA LTD UNSPONSORED ADR	2012-10-26	2012-11-06
	24. SANOFI-SYNTHELABO ADR	2009-10-29	2012-11-06
	14. SAP AG SPONSORED ADR SAP AKTIENGESELLSCHAFT	2011-09-16	2012-11-06
	24. SAP AG SPONSORED ADR SAP AKTIENGESELLSCHAFT	2011-08-12	2012-11-30
	5. SAP AG SPONSORED ADR SAP AKTIENGESELLSCHAFT	2010-11-01	2012-11-30
	10. SCHLUMBERGER LTD	2011-09-22	2012-11-06
	35. SCHWAB CHARLES CORP NEW	2012-01-19	2012-11-06
	189. SEALED AIR CORP NEW	2008-10-21	2012-11-28
	5. SEVEN & I HLDGS CO LTD ADR	2012-08-14	2012-11-06
	12. SIEMENS AG ADR	2011-02-28	2012-04-18
	19. SIEMENS AG ADR	2011-05-17	2012-04-18
	108. SOFTBANK CORP ADR	2012-08-02	2012-10-15
	12. SOFTBANK CORP ADR	2012-07-13	2012-11-06
	83. SUMITOMO MITSUI FIN-UNSP ADR SPONSORED A	2012-02-16	2012-11-06
	85. SWEDBANK A B ADR	2011-06-23	2012-05-18
	23. SWEDBANK A B ADR	2011-04-08	2012-05-18
	12. SWEDBANK A B ADR	2011-04-08	2012-11-06
	44. TECHNIP COFLEXIP ADR	2010-11-01	2012-01-18
	11. TECHNIP COFLEXIP ADR	2012-10-09	2012-11-06
	123. TELSTRA CORP LTD SPON ADR FINAL	2011-02-24	2012-08-02
	103. TELSTRA CORP LTD SPON ADR FINAL	2010-11-29	2012-08-14
	150. TELSTRA CORP LTD SPON ADR FINAL	2011-08-12	2012-08-14
	10. TELSTRA CORP LTD SPON ADR FINAL	2010-11-29	2012-11-06
	40. TEMPUR-PEDIC INTL INC	2010-11-01	2012-01-12
	122. TEMPUR-PEDIC INTL INC	2010-11-01	2012-06-06
	220. TEVA PHARMACEUTICAL INDUSTRIES LTD (ISRAEL) ADR	2011-04-26	2012-05-10
	8. TEXAS INSTRS INC	2008-10-21	2012-01-11
	41. TORO CO.	2012-07-10	2012-12-14
	10. TOTAL S A SPONSORED ADR	2009-10-29	2012-11-06
	89. TOTAL S A SPONSORED ADR	2010-11-01	2012-12-05
	5. TOTAL S A SPONSORED ADR	2011-11-28	2012-12-05
	69. TULLOW OIL PLC ADR	2010-11-22	2012-05-17
	17. TULLOW OIL PLC ADR	2010-03-25	2012-11-06
	21. UNILEVER PLC-SPONSORED ADR	2011-08-12	2012-11-06
	46. VALEO ADR	2012-08-20	2012-10-19
	19. VALEO ADR	2011-06-29	2012-10-19
	10. VALEO ADR	2011-06-03	2012-11-06
	20. VARIAN MEDICAL SYSTEMS INC	2009-07-17	2012-11-06
	85. VERISK ANALYTICS INC CL A	2011-08-23	2012-07-06
	10. VISA INC CL A	2010-11-12	2012-01-05
	15. VISA INC CL A	2010-11-12	2012-01-26
	30. VISA INC CL A	2010-09-13	2012-04-18
	15. VISA INC CL A	2010-09-13	2012-10-22
	5. VISA INC CL A	2009-07-17	2012-11-06
	10. VODAFONE GROUP PLC ADR	2011-01-05	2012-11-06
	3. VODAFONE GROUP PLC ADR	2010-11-01	2012-11-06
	105. VODAFONE GROUP PLC ADR	2010-11-01	2012-12-07
	34. WM MORRISON SUPERMARKETS PLC ADR	2012-05-11	2012-10-15
	45. WM MORRISON SUPERMARKETS PLC ADR	2009-11-03	2012-10-15
	10. WM MORRISON SUPERMARKETS PLC ADR	2010-11-01	2012-11-06
	12. WM MORRISON SUPERMARKETS PLC ADR	2011-01-05	2012-12-11
	114. WM MORRISON SUPERMARKETS PLC ADR	2010-11-29	2012-12-11
	69. WELLS FARGO & CO NEW	2004-08-04	2012-01-11
	87. WOLSELEY PLC JERSEY ADR	2011-10-20	2012-11-06
	.521 WOLSELEY PLC JERSEY SPONSORED ADR NEW	2012-06-21	2012-12-14
	357. XSTRATA PLC ADR	2010-11-01	2012-02-03
	199. XSTRATA PLC ADR	2010-11-01	2012-02-24
	991. XSTRATA PLC ADR	2010-08-19	2012-06-12
	557. XSTRATA PLC ADR	2011-10-27	2012-06-12
	60. YAHOO JAPAN CORP ADR	2011-01-28	2012-03-30
	127. YAHOO JAPAN CORP ADR	2010-10-12	2012-03-30
	27. YAHOO JAPAN CORP ADR	2010-10-12	2012-11-06
	85. STEINER LEISURE LTD	2010-11-01	2012-07-02

(e) Gross sales price		(g) Cost or other basis plus expense of sale	(h) Gain or (loss) (e) plus (f) minus (g)
a	804	520	284
b	390	321	69
c	207	175	32
d	2,301	1,748	553
e	571	410	161
	259	130	129
	1,577	1,380	197
	919	680	239
	1,809	1,216	593
	2,962	1,862	1,100
	2,926	758	2,168
	582	600	-18
	1,245	1,115	130
	322	317	5
	616	472	144
	3	5	-2
	424	526	-102
	2,181	3,076	-895
	175	203	-28
	281	342	-61
	451	685	-234
	939	1,200	-261
	1,514	1,335	179
	525	440	85
	1,772	1,739	33
	1,314	1,583	-269
	905	1,030	-125
	247	250	-3
	373	369	4
	2,081	1,902	179
	389	407	-18
	1,742	1,654	88
	546	634	-88
	312	372	-60
	1,170	1,250	-80
	730	833	-103
	4,237	3,407	830
	806	613	193
	2,853	2,792	61
	239	224	15
	1,849	1,802	47
	1,050	889	161
	341	329	12
	322	455	-133
	1,443	1,408	35
	1,009	945	64
	4,960	3,491	1,469
	1,777	1,518	259
	3,555	2,311	1,244
	874	540	334
	2,021	2,939	-918
	1,528	1,522	6
	1,094	722	372
	480	342	138
	3,487	3,801	-314
	391	408	-17
	739	454	285
	272	263	9
	3,560	3,093	467
	825	661	164
	1,230	1,031	199
	1,259	1,133	126
	1,246	1,035	211
	306	227	79
	1,254	1,425	-171
	309	310	-1
	3,068	3,113	-45
	2,568	2,097	471
	3,684	2,554	1,130
	674	464	210
	1,136	1,060	76
	3,906	3,409	497
	4,558	3,921	637
	625	559	66
	2,713	2,136	577
	3,018	1,957	1,061
	1,722	1,314	408
	597	450	147
	1,000	708	292
	2,340	2,405	-65
	309	331	-22
	2,671	2,477	194
	1,135	1,127	8
	409	453	-44
	470	604	-134
	2,331	1,352	979
	5,369	2,705	2,664
	11	8	3
	650	638	12
	5,777	5,004	773
	2,707	2,745	-38
	353	465	-112
	2,268	1,834	434
	668	756	-88
	95	94	1
	636	632	4
	264	251	13
	740	715	25
	1,922	1,283	639
	383	386	-3
	1,769	1,402	367
	466	370	96
	957	901	56
	7,722	3,987	3,735
	140	126	14
	1,504	1,629	-125
	2,211	1,897	314
	798	765	33
	2,445	1,826	619
	905	862	43
	340	380	-40
	1,056	1,256	-200
	531	580	-49
	2,404	1,479	925
	1,054	592	462
	575	296	279
	361	403	-42
	228	195	33
	5,210	2,604	2,606
	519	262	257
	324	350	-26
	645	591	54
	627	446	181
	642	462	180
	720	497	223
	165	176	-11
	566	482	84
	221	173	48
	177	136	41
	422	332	90
	695	655	40
	1,244	1,082	162
	313	255	58
	409	363	46
	204	195	9
	1,072	933	139
	1,034	725	309
	1,878	1,238	640
	391	257	134
	711	605	106
	485	435	50
	3,185	3,736	-551
	301	334	-33
	1,124	1,617	-493
	1,780	2,502	-722
	1,592	2,110	-518
	200	232	-32
	503	575	-72
	1,195	1,330	-135
	323	425	-102
	225	222	3
	996	948	48
	305	315	-10
	2,545	1,732	813
	2,060	1,414	646
	3,000	2,115	885
	212	137	75
	2,373	1,379	994
	2,716	4,205	-1,489
	9,292	10,757	-1,465
	244	132	112
	1,748	1,581	167
	502	625	-123
	4,464	4,542	-78
	251	244	7
	741	677	64
	193	162	31
	791	668	123
	1,090	1,127	-37
	450	619	-169
	222	318	-96
	1,410	655	755
	4,216	2,830	1,386
	1,018	771	247
	1,513	1,101	412
	3,650	2,037	1,613
	2,072	972	1,100
	718	324	394
	271	275	-4
	81	83	-2
	2,717	2,580	137
	728	761	-33
	963	1,058	-95
	212	234	-22
	259	254	5
	2,459	2,520	-61
	2,034	1,963	71
	381	245	136
	2	2
	1,367	1,407	-40
	756	754	2
	2,918	3,309	-391
	1,640	1,969	-329
	644	762	-118
	1,363	1,553	-190
	304	320	-16
	3,933	3,314	619

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			284
b			69
c			32
d			553
e			161
			129
			197
			239
			593
			1,100
			2,168
			-18
			130
			5
			144
			-2
			-102
			-895
			-28
			-61
			-234
			-261
			179
			85
			33
			-269
			-125
			-3
			4
			179
			-18
			88
			-88
			-60
			-80
			-103
			830
			193
			61
			15
			47
			161
			12
			-133
			35
			64
			1,469
			259
			1,244
			334
			-918
			6
			372
			138
			-314
			-17
			285
			9
			467
			164
			199
			126
			211
			79
			-171
			-1
			-45
			471
			1,130
			210
			76
			497
			637
			66
			577
			1,061
			408
			147
			292
			-65
			-22
			194
			8
			-44
			-134
			979
			2,664
			3
			12
			773
			-38
			-112
			434
			-88
			1
			4
			13
			25
			639
			-3
			367
			96
			56
			3,735
			14
			-125
			314
			33
			619
			43
			-40
			-200
			-49
			925
			462
			279
			-42
			33
			2,606
			257
			-26
			54
			181
			180
			223
			-11
			84
			48
			41
			90
			40
			162
			58
			46
			9
			139
			309
			640
			134
			106
			50
			-551
			-33
			-493
			-722
			-518
			-32
			-72
			-135
			-102
			3
			48
			-10
			813
			646
			885
			75
			994
			-1,489
			-1,465
			112
			167
			-123
			-78
			7
			64
			31
			123
			-37
			-169
			-96
			755
			1,386
			247
			412
			1,613
			1,100
			394
			-4
			-2
			137
			-33
			-95
			-22
			5
			-61
			71
			136

			-40
			2
			-391
			-329
			-118
			-190
			-16
			619

2	Capital gain net income or (net capital loss)	If gain, also enter in Part I, line 7 If (loss), enter -0- in Part I, line 7	2	36,319
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 . . . . . . . . . . . . . . . .		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? Yes No

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	55,330	1,134,375	0.048776
2010	38,550	1,084,318	0.035552
2009	60,338	1,001,073	0.060273
2008	87,041	1,299,620	0.066974
2007	65,330	1,514,770	0.043129

2	Total of line 1, column (d) ......................	2	0.254704
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	0.050941
4	Enter the net value of noncharitable-use assets for 2012 from Part X, line 5.....	4	1,140,410
5	Multiply line 4 by line 3.......................	5	58,094
6	Enter 1% of net investment income (1% of Part I, line 27b)...........	6	296
7	Add lines 5 and 6.........................	7	58,390
8	Enter qualifying distributions from Part XII, line 4..............	8	53,264
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)

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	Exempt operating foundations described in section 4940(d)(2), check hereand enter “N/A” on line 1.
	Date of ruling or determination letter: (attach copy of letter if necessary–see instructions)
b	Domestic foundations that meet the section 4940(e) requirements in Part V, check	1	592
	hereand 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	592
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	592
6	Credits/Payments:

a	2012 estimated tax payments and 2011 overpayment credited to 2012	6a	425
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	425
8	Enter any penalty for underpayment of estimated tax. Check hereif Form 2220 is attached.		8	2
9	Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......		9	169
10	Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...		10
11	Enter the amount of line 10 to be: Credited to 2013 estimated tax	Refunded	11	0

Part VII-A

Statements Regarding Activities

During the tax year, did the foundation attempt to influence any national, state, or local legislation or did

Yes

it participate or intervene in any political campaign? ....................

Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of

the instructions for definition)?............................

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.

Did the foundation file Form 1120-POL for this year?.....................

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

Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed

on foundation managers. bullet

Has the foundation engaged in any activities that have not previously been reported to the IRS?.......

If “Yes,” attach a detailed description of the activities.

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....

Did the foundation have unrelated business gross income of $1,000 or more during the year?........

If “Yes,” has it filed a tax return on Form 990-T for this year?...................

Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........

If “Yes,” attach the statement required by General Instruction T.

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?................

Yes

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.

Yes

Enter the states to which the foundation reports or with which it is registered (see instructions)

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 .

Yes

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.............................

Did any persons become substantial contributors during the tax year? If “Yes,” attach a schedule listing their names and addresses.

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) .............

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).................

Did the foundation comply with the public inspection requirements for its annual returns and exemption application?

Yes

Website address bullet

N/A

The books are in care of bullet

COMERICA BANK Telephone no. bullet

(877) 405-1091

Located at bullet

101 NORTH MAIN STREETANN ARBORMI ZIP+4 bullet

48104

Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —Check here......... bullet

and enter the amount of tax-exempt interest received or accrued during the year ...... bullet

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? .................

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)

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

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? YesNo

(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)

a disqualified person?.........................YesNo

(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? YesNo

(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? YesNo

(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)?.................YesNo

(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.).........YesNo

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)?...

Organizations relying on a current notice regarding disaster assistance check here......... bullet

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?.............

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)):

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?...............YesNo

If “Yes,” list the years bullet

20, 20, 20, 20

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.) ..............

If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.

20, 20, 20, 20

Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at

any time during the year?.........................YesNo

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.)....................

Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?

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?

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))? YesNo

(2) Influence the outcome of any specific public election (see section 4955); or to carry

on, directly or indirectly, any voter registration drive?...............YesNo

(3) Provide a grant to an individual for travel, study, or other similar purposes? YesNo

(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)........YesNo

(5) Provide for any purpose other than religious, charitable, scientific, literary, or

educational purposes, or for the prevention of cruelty to children or animals?........YesNo

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)? ......

Organizations relying on a current notice regarding disaster assistance check here......... bullet

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?............YesNo

If “Yes,” attach the statement required by Regulations section 53.4945–5(d).

Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on

a personal benefit contract?........................YesNo

Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....

If “Yes” to 6b, file Form 8870.

At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction? YesNo

If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....

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
G ALLEN IVES	DIRECTOR 1	3,000
411 SHADY CIRCLE DR ROCKY MOUNT,NC27803	DIRECTOR 1	3,000
LOU UZZLE BLACKMAN	DIRECTOR 1	3,000
19 A GLENMORE DR DUNHAM,NC27707	DIRECTOR 1	3,000
WILLIAM R JOHNSTON JR	DIRECTOR 1	3,000
3332 WHITEOAK RD RELEIGH,NC27609	DIRECTOR 1	3,000
THOMAS A BETTS JR	DIRECTOR 1	3,000
PO 1220 ROCKY MOUNT ROCKY MOUNT,NC27802	DIRECTOR 1	3,000
COMERICA BANK	CO- TRUSTEE 1	6,887
PO BOX 75000 M/C 3302 DETROIT,MI482753302	CO- TRUSTEE 1	6,887

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...................				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............. bullet

Part IX-A

Summary of Direct Charitable Activities

List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc.		Expenses
1


2


3


4

Form 990-PF (2012)

Page 7

Part IX-B

Summary of Program-Related Investments (see instructions)

Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2.		Amount
1	N/A
2


All other program-related investments. See page 24 of the instructions.
3

Total. Add lines 1 through 3.......................... bullet

Part X

Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
see instructions.)

Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,

purposes:

Average monthly fair market value of securities...................

1,105,741

Average of monthly cash balances.......................

52,036

Fair market value of all other assets (see instructions)................

Total (add lines 1a, b, and c).........................

1,157,777

Reduction claimed for blockage or other factors reported on lines 1a and

1c (attach detailed explanation) .............

Acquisition indebtedness applicable to line 1 assets..................

Subtract line 2 from line 1d.........................

1,157,777

Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see

instructions) .............................

17,367

Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4

1,140,410

Minimum investment return. Enter 5% of line 5..................

57,021

Part XI

Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here bullet

and do not complete this part.)

Minimum investment return from Part X, line 6....................

57,021

Tax on investment income for 2012 from Part VI, line 5......

592

Income tax for 2012. (This does not include the tax from Part VI.)...

Add lines 2a and 2b............................

592

Distributable amount before adjustments. Subtract line 2c from line 1............

56,429

Recoveries of amounts treated as qualifying distributions................

Add lines 3 and 4............................

56,429

Deduction from distributable amount (see instructions).................

Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,

line 1................................

56,429

Part XII

Qualifying Distributions (see instructions)

Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:

Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........

53,264

Program-related investments—total from Part IX-B..................

Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,

purposes...............................

Amounts set aside for specific charitable projects that satisfy the:

Suitability test (prior IRS approval required)....................

Cash distribution test (attach the required schedule) .................

Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4

53,264

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).................

Adjusted qualifying distributions. Subtract line 5 from line 4..............

53,264

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)

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					56,429
2 Undistributed income, if any, as of the end of 2012:
a Enter amount for 2011 only.......				0
b Total for prior years:2010, 20, 20			0
3 Excess distributions carryover, if any, to 2012:
a From 2007.......	0
b From 2008.......	2,765
c From 2009.......	10,379
d From 2010.......	0
e From 2011.......	0
fTotal of lines 3a through e.........		13,144
4Qualifying distributions for 2012 from Part
XII, line 4: $ 53,264
a Applied to 2011, but not more than line 2a				0
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.....					53,264
e Remaining amount distributed out of corpus		0
5 Excess distributions carryover applied to 2012.		3,165			3,165
(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		9,979
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 ..........					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) .............		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 ......		9,979
10 Analysis of line 9:
a Excess from 2008....	0
b Excess from 2009....	9,979
c Excess from 2010....	0
d Excess from 2011....	0
e Excess from 2012....	0

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 section4942(j)(3) or4942(j)(5)

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	(e) Total

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).)

NONE

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.

NONE

2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:

Check here bullet

if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. (see instructions) to individuals or organizations under
other conditions, complete items 2a, b, c, and d.

aThe name, address, and telephone number or e-mail of the person to whom applications should be addressed:

SHARON STEPHENS
130 S FRANKLIN RD
ROCKY MOUNT,NC27802
(252) 467-4743

bThe form in which applications should be submitted and information and materials they should include:

LETTER FORM

cAny submission deadlines:

NONE

dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:

ORGANIZATIONS LOCATED IN THE EASTERN PORTION OF NORTH CAROLINA PREFERABLY IN THE CITY OF ROCKY MOUNT.

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)		Foundation status of recipient	Purpose of grant or contribution	Amount
aPaid during the year
ALDERT ROOT ELEMENTARY SCHOOL 3202 NORTHAMPTON STREET RALIEGH,NC27609	NONE	EXEMPT	SUPPORT	7,500
NASH COMMUNITY COLLEGE 522 N OLD CARRIAGE RD ROCKY MOUNT,NC27804	NONE	EXEMPT	NURSING SCHOLARSHIP	10,000
JIM CLACK AND FRIENDS FOUNDATION PO BOX 7885 ROCKY MOUNT,NC27804	NONE	EXEMPT	SUPPORT	2,500
NORTH CAROLINA WESLEYAN COLLEGE 3400 N WESLEYAN BLVD ROCKY MOUNT,NC27804	NONE	EXEMPT	SUPPORT	25,000
ALDH 3027 SUNSET AVENUE ROCKY MOUNT,NC27804	NONE	EXEMPT	SUPPORT	2,500
CROSSWORKS INC PO BOX 6795 ROCKY MOUNT,NC27802	NONE	EXEMPT	SUPPORT	2,500
Total ................................. 3a				50,000

bApproved for future payment

Total ................................. 3b

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	(e) Related or exempt function income (See instructions.)
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	5
4 Dividends and interest from securities....			14	27,514
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	36,319
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)..				63,838

13Total. Add line 12, columns (b), (d), and (e)..................

1363,838

(See worksheet in line 13 instructions to verify calculations.)

Part XVI-B

Relationship of Activities to the Accomplishment of Exempt Purposes

Line No.	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)

Page 12

Part XVII

Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations

Did the organization directly or indirectly engage in any of the following with any other organization described in section

Yes

501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?

Transfers from the reporting foundation to a noncharitable exempt organization of:

(1) Cash...................................

1a(1)

(2) Other assets.................................

1a(2)

Other transactions:

(1) Sales of assets to a noncharitable exempt organization....................

1b(1)

(2) Purchases of assets from a noncharitable exempt organization..................

1b(2)

(3) Rental of facilities, equipment, or other assets.......................

1b(3)

(4) Reimbursement arrangements...........................

1b(4)

(5) Loans or loan guarantees.............................

1b(5)

(6) Performance of services or membership or fundraising solicitations................

1b(6)

Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............

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

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?...........YesNo

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.
				May the IRS discuss this return with the preparer shown below (see instr.)? Yes No
	Signature of officer or trustee	Date	Title

Paid Preparer Use Only	Print/Type preparer's name	Preparer's Signature	Date	Check if self- employed	PTIN
	Firm's name Firm's address			Firm's EIN
				Phone no.

Form 990-PF (2012)

Additional Data

Software ID:
Software Version:

Form 990PF - Special Condition Description:

Special Condition Description

- TIN:

TY 2012 InvestmentsCorpBondsSchedule

Name:

ALLAN C & MARGARET L MIMS CHARITABLE TR

EIN: 56-6207750

Name of Bond	End of Year Book Value	End of Year Fair Market Value
CORPORATE BONDS	227,400	232,186

- TIN:

TY 2012 InvestmentsCorpStockSchedule

Name:

ALLAN C & MARGARET L MIMS CHARITABLE TR

EIN: 56-6207750

Name of Stock	End of Year Book Value	End of Year Fair Market Value
CORPORATE STOCK	668,833	870,406

- TIN:

TY 2012 OtherDecreasesSchedule

Name:

ALLAN C & MARGARET L MIMS CHARITABLE TR

EIN: 56-6207750

Description	Amount
DIFFERENCE BETWEEN RECEIPTS AND TAXABLE INCOME	667