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
CORWILL AND MARGIE JACKSON FOUNDATION CO
 

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

38-6064502
B Telephone number (see instructions)

(616) 752-4730
C bullet
G Check all that apply:

D 1. bullet
2. bullet
H Check type of organization:
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$2,152,467
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
E bullet
F bullet
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet
3 Interest on savings and temporary cash investments 19 19  
4 Dividends and interest from securities...... 56,113 56,113  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 70,592
b Gross sales price for all assets on line 6a 1,419,164
7 Capital gain net income (from Part IV, line 2)... 70,592
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........ 126,724 126,724  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule)......... 881     881
b Accounting fees (attach schedule)....... 900 450   450
c Other professional fees (attach schedule).... 25,400 25,400   0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions) 9,226     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)....... 171 171    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 36,578 26,021 0 1,331
25 Contributions, gifts, grants paid........ 108,600 108,600
26 Total expenses and disbursements. Add lines 24 and 25 145,178 26,021 0 109,931
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -18,454
b Net investment income (if negative, enter -0-) 100,703
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2012)
Form 990-PF (2012)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing...............      
2 Savings and temporary cash investments.......... 131,730 263,950 263,950
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see page 15 of the
instructions)....................      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet0      
8 Inventories for sale or use...............      
9 Prepaid expenses and deferred charges...........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)........ 1,324,658 Click to see attachment1,269,291 1,341,936
c Investments—corporate bonds (attach schedule)........ 606,188 Click to see attachment511,159 546,581
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)...........     0
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 2,062,576 2,044,400 2,152,467
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable...................    
19 Deferred revenue..................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)..........   0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted....................    
25 Temporarily restricted................    
26 Permanently restricted................    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds......... 2,062,576 2,044,400
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see page 17 of the
instructions).................... 2,062,576 2,044,400
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 2,062,576 2,044,400
Part III Analysis of Changes in Net Assets or Fund Balances
1 Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree
with end-of-year figure reported on prior year’s return)............... 1 2,062,576
2 Enter amount from Part I, line 27a..................... 2 -18,454
3 Other increases not included in line 2 (itemize) bulletClick to see attachment 3 278
4 Add lines 1, 2, and 3.......................... 4 2,044,400
5 Decreases not included in line 2 (itemize) bullet 5 0
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 2,044,400
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 230. ALLSCRIPTS HEALTHCARE SOLUTIONS   2012-03-23 2012-07-13
b 120. ALLSCRIPTS HEALTHCARE SOLUTIONS   2012-03-23 2012-10-23
c 850. ALLSCRIPTS HEALTHCARE SOLUTIONS   2012-03-23 2012-10-31
d 20. AMERISOURCEBERGEN CORP   2012-01-12 2012-03-02
e 140. AMERISOURCEBERGEN CORP   2012-01-12 2012-07-13
40. AMERISOURCEBERGEN CORP   2012-01-12 2012-10-23
330. AMERISOURCEBERGEN CORP   2012-01-12 2012-12-26
20. APPLE COMPUTER INC   2011-03-30 2012-03-02
25. APPLE COMPUTER INC   2011-03-30 2012-07-13
10. APPLE COMPUTER INC   2011-03-30 2012-10-23
10. AUTOZONE INC   2011-03-30 2012-03-02
20. AUTOZONE INC   2011-03-30 2012-07-13
10. AUTOZONE INC   2011-03-30 2012-10-23
40. AUTOZONE INC   2011-06-03 2012-12-26
110. BB&T CORP   2011-07-27 2012-03-02
220. BB&T CORP   2011-07-27 2012-07-13
50. BB&T CORP   2011-07-27 2012-10-23
30. CATERPILLAR INC   2004-08-20 2012-07-13
30. CATERPILLAR INC   2004-08-20 2012-10-23
10. CELGENE CORP   2011-03-30 2012-03-02
290. CELGENE CORP   2011-03-30 2012-03-23
100000. CHEVRON CORP 3.95% 03/03/2014   2009-03-10 2012-12-28
10. CLAYMORE EXCHANGE TRADED FD TR 2   2012-07-19 2012-08-13
10. CLAYMORE EXCHANGE TRADED FD TR 2   2012-07-19 2012-11-09
40. CLIFFS NAT RES INC   2011-03-30 2012-03-02
50. CLIFFS NAT RES INC   2011-03-30 2012-07-13
160. CLIFFS NAT RES INC   2011-06-03 2012-10-10
20. COACH INC   2011-08-24 2012-03-02
40. COACH INC   2011-08-24 2012-07-13
20. COACH INC   2011-08-24 2012-10-23
20. COCA COLA CO   2011-03-30 2012-03-02
30. COCA COLA CO   2011-03-30 2012-07-13
20. COCA COLA CO   2011-03-30 2012-10-23
30. CONOCOPHILLIPS   2011-03-30 2012-03-02
60. CONOCOPHILLIPS   2011-03-30 2012-07-13
30. CONOCOPHILLIPS   2011-03-30 2012-10-23
1. PARTNERSHIP INCOME/LOSS/ DEDUCTIONS AND GAIN/ LOSS   2012-07-24 2012-12-31
1. PARTNERSHIP INCOME/LOSS/ DEDUCTIONS AND GAIN/ LOSS   2011-12-30 2012-12-31
976.143 DWS DREMAN SMALL CAP VALUE FUND   2009-02-11 2012-03-02
170. DENBURY RESOURCES INC COM NEW   2011-07-27 2012-03-02
160. DENBURY RESOURCES INC COM NEW   2011-07-27 2012-07-13
110. DENBURY RESOURCES INC COM NEW   2011-07-27 2012-10-23
30. DEVON ENERGY CORPORATION   2004-08-20 2012-03-02
40. DEVON ENERGY CORPORATION   2004-08-20 2012-07-13
20. DEVON ENERGY CORPORATION   2004-08-20 2012-10-23
70. DIRECTV CL A   2011-03-30 2012-03-02
130. DIRECTV CL A   2011-03-30 2012-07-13
100. DIRECTV CL A   2011-03-30 2012-07-19
50. DIRECTV   2011-03-30 2012-10-23
30. E M C CORP   2011-03-30 2012-03-02
70. E M C CORP   2011-03-30 2012-07-13
70. E M C CORP   2011-03-30 2012-10-23
20. ECOLAB INC   2012-10-10 2012-10-23
20. FISERV INC   2011-03-30 2012-03-02
30. FISERV INC   2011-03-30 2012-07-13
20. FISERV INC   2011-03-30 2012-10-23
20. GRAINGER W W INC   2011-03-30 2012-03-02
30. GRAINGER W W INC   2011-03-30 2012-07-13
30. GRAINGER W W INC   2011-03-30 2012-08-21
35.096 HARBOR FD INTL FUND   2011-06-03 2012-03-02
408.71 HARBOR FD INTL FUND   2011-06-03 2012-07-13
2896.569 HARTFORD MIDCAP FD CL Y   2011-07-28 2012-03-02
480. HEWLETT PACKARD CO   2012-08-21 2012-10-10
50. HOLOGIC INC   2012-09-06 2012-10-23
90. INTEL CORP   2005-12-07 2012-03-02
220. INTEL CORP   2006-11-28 2012-07-13
80. INTEL CORP   2006-11-28 2012-10-23
20. IBM CORP   2006-10-17 2012-03-02
30. IBM CORP   2006-10-17 2012-07-13
30. IBM CORP   2006-10-17 2012-08-21
10. IBM CORP   2006-10-17 2012-10-23
10. ISHARES BARCLAYS US TREASURY INFLATION PROTECTED SECURITY FUND   2012-07-19 2012-11-09
20. ISHARES S&P GLOBAL INFRASTRUCURE INDX FD   2012-07-19 2012-08-13
250. ISHARES S&P GLOBAL INFRASTRUCURE INDX FD   2012-07-19 2012-09-13
300. ISHARES S&P GLOBAL INFRASTRUCURE INDX FD   2012-07-19 2012-12-12
10. ISHARES FTSE EPRA/NAREIT GLOBAL REAL ESTATE EX-US INDEX FUND   2012-07-19 2012-11-09
10. ISHARES SILVER TRUST (HOLDS SILVER BARS)   2012-07-19 2012-08-13
100. ISHARES SILVER TRUST (HOLDS SILVER BARS)   2012-07-19 2012-09-13
10. ITC HLDGS CORP   2011-10-25 2012-03-02
60. ITC HLDGS CORP   2011-10-25 2012-07-13
20. ITC HLDGS CORP   2011-10-25 2012-10-23
130. J P MORGAN CHASE & CO   2011-07-27 2012-03-02
170. J P MORGAN CHASE & CO   2011-07-27 2012-07-13
50. J P MORGAN CHASE & CO   2011-07-27 2012-10-23
100000. JPMORGAN CHASE & CO 4.5% 01/15/2012   2005-10-13 2012-01-15
50. JOHNSON & JOHNSON   2001-08-22 2012-03-02
110. JOHNSON & JOHNSON   2001-08-22 2012-07-13
30. JOHNSON & JOHNSON   2002-05-23 2012-10-23
50. LABORATORY CORP OF AMER HLDGS   2011-03-30 2012-07-13
100. LABORATORY CORP OF AMER HLDGS   2011-03-30 2012-10-10
10. LABORATORY CORP OF AMER HLDGS   2012-01-12 2012-10-10
7349.807 LAZARD EMERGING MARKETS PORT   2011-06-03 2012-03-02
2702.617 LAZARD EMERGING MARKETS PORT   2009-02-11 2012-03-02
550. LIFE TECHNOLOGIES CORP   2011-07-27 2012-01-12
102.437 MFS INTL NEW DISCOVERY I   2011-06-03 2012-03-02
905.249 MFS INTL NEW DISCOVERY I   2011-06-03 2012-07-13
150. MACYS INC   2011-07-27 2012-03-02
90. MACYS INC   2011-07-27 2012-07-13
60. MACYS INC   2011-07-27 2012-10-23
590. MARKET VECTORS AGRIBUSINESS   2012-07-19 2012-08-13
130. MICROSOFT CORP   2002-05-23 2012-03-02
150. MICROSOFT CORP   2002-05-23 2012-07-13
80. MICROSOFT CORP   2002-05-23 2012-10-23
50. MYLAN LABS INC   2011-06-03 2012-03-02
150. MYLAN LABS INC   2011-06-03 2012-07-13
500. MYLAN LABS INC   2011-06-03 2012-09-06
30. NEWMONT MNG CORP   2011-03-30 2012-03-02
90. NEWMONT MNG CORP   2011-03-30 2012-07-13
60. NEWMONT MNG CORP   2011-03-30 2012-10-23
220. NEXTERA ENERGY INC   2009-02-03 2012-01-12
150. NEXTERA ENERGY INC   2011-06-03 2012-01-12
40. NIKE INC CL B   2011-03-30 2012-03-02
50. NIKE INC CL B   2011-03-30 2012-07-13
10. NIKE INC CL B   2011-03-30 2012-10-23
30. NORFOLK SOUTHERN CORP   2009-11-17 2012-03-02
80. NORFOLK SOUTHERN CORP   2009-11-17 2012-07-13
10. NORFOLK SOUTHERN CORP   2009-11-17 2012-10-23
20. NORFOLK SOUTHERN CORP   2011-03-30 2012-10-23
709.412 NORTHERN LTS FD TR SOUTHERNSUN SMALL CAP   2012-03-06 2012-07-13
408.094 NORTHERN LTS FD TR SOUTHERNSUN SMALL CAP   2012-03-06 2012-10-23
20. OCCIDENTAL PETROLEUM CORP   2011-03-30 2012-03-02
40. OCCIDENTAL PETROLEUM CORP   2011-03-30 2012-07-13
20. OCCIDENTAL PETROLEUM CORP   2011-03-30 2012-10-23
484.257 OPPENHEIMER INTL BOND FD Y   2012-03-02 2012-07-13
1333.001 OPPENHEIMER DEVELOPING MARKETS FUND-Y   2012-03-02 2012-07-13
1713.445 OPPENHEIMER DEVELOPING MARKETS FUND-Y   2012-03-02 2012-10-23
73.622 PIMCO HIGH YIELD FD INSTL   2012-03-02 2012-07-13
50. PHILIP MORRIS INTL INC   2011-03-30 2012-03-02
60. PHILIP MORRIS INTL INC   2011-03-30 2012-07-13
30. PHILIP MORRIS INTL INC   2011-03-30 2012-10-23
30. PHILLIPS 66   2011-03-30 2012-07-13
20. PHILLIPS 66   2011-03-30 2012-10-23
20. POWERSHARES GLOBAL LISTED PRIVATE EQUITY   2012-07-19 2012-08-13
10. POWERSHARES GLOBAL LISTED PRIVATE EQUITY   2012-07-19 2012-09-13
10. POWERSHARES GLOBAL WATER PT   2012-07-19 2012-08-13
10. POWERSHARES GLOBAL WATER PT   2012-07-19 2012-11-09
330. POWERSHARES GLOBAL WATER PT   2012-07-19 2012-12-12
130. POWERSHARES DB ENERGY FUND   2012-07-19 2012-12-12
500. POWERSHARES DB AGRICULTURE FUND   2012-09-13 2012-11-09
20. POWERSHARES DB BASE METALS FUND   2012-07-19 2012-09-13
1060. POWERSHARES DB US DOLLAR INDEX BULLISH FUND   2012-08-13 2012-09-13
30. POWERSHARES DB US DOLLAR INDEX BULLISH FUND   2012-08-13 2012-11-09
130. POWERSHARES DB US DOLLAR INDEX BULLISH FUND   2012-08-13 2012-12-12
1331.815 PRINCIPAL INVS FD INC MIDCAP BLEND   2012-03-06 2012-07-13
487.578 PRINCIPAL INVS FD INC MIDCAP BLEND   2012-03-06 2012-10-23
10. ROPER INDS INC NEW   2011-03-30 2012-03-02
60. ROPER INDS INC NEW   2011-03-30 2012-07-13
30. ROPER INDS INC NEW   2011-03-30 2012-10-23
90. ROPER INDS INC NEW   2011-03-30 2012-12-04
2610.96 ROYCE VALUE PLUS FUND   2007-11-16 2012-03-02
5. SPDR GOLD TRUST   2012-07-19 2012-11-09
150. SPDR INTL GOVT INFL PROTECTED BD ETF   2012-07-19 2012-09-13
20. SCHLUMBERGER LTD   2011-03-30 2012-03-02
60. SCHLUMBERGER LTD   2011-03-30 2012-07-13
20. SCHLUMBERGER LTD   2011-03-30 2012-10-23
60. STRYKER CORP   2011-03-30 2012-07-13
30. STRYKER CORP   2011-03-30 2012-10-23
40. TARGET CORP   2011-06-03 2012-03-02
80. TARGET CORP   2011-06-03 2012-07-13
30. TARGET CORP   2011-06-03 2012-10-23
140. US BANCORP   2011-03-30 2012-03-02
200. US BANCORP   2011-03-30 2012-07-13
60. US BANCORP   2011-03-30 2012-10-23
140. UNIVERSAL HEALTH SVCS INC CL B   2012-01-12 2012-07-13
140. UNIVERSAL HEALTH SVCS INC CL B   2012-01-12 2012-10-10
40. UNIVERSAL HEALTH SVCS INC CL B   2012-01-12 2012-10-23
250. UNIVERSAL HEALTH SVCS INC CL B   2012-01-12 2012-12-06
60. VERIZON COMMUNICATIONS   2010-04-05 2012-03-02
90. VERIZON COMMUNICATIONS   2010-04-05 2012-07-13
30. VERIZON COMMUNICATIONS   2010-04-05 2012-10-23
20. VISA INC CL A   2011-03-30 2012-03-02
50. VISA INC CL A   2011-03-30 2012-07-13
30. VISA INC CL A   2011-03-30 2012-10-23
10. WELLPOINT INC   2012-10-10 2012-10-23
140. WISDOMTREE TR EMERGING MARKETS LOCAL DEBT   2012-11-09 2012-12-12
110. INVESCO LTD   2011-03-30 2012-03-02
160. INVESCO LTD   2011-03-30 2012-07-13
70. INVESCO LTD   2011-03-30 2012-10-23
(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 2,381   4,060 -1,679
b 1,583   2,118 -535
c 11,002   15,005 -4,003
d 742   778 -36
e 5,545   5,444 101
1,597   1,555 42
14,239   12,832 1,407
10,857   6,976 3,881
15,143   8,720 6,423
6,196   3,488 2,708
3,779   2,759 1,020
7,626   5,518 2,108
3,658   2,759 899
14,004   11,273 2,731
3,208   2,827 381
6,912   5,654 1,258
1,444   1,285 159
2,458   1,067 1,391
2,514   1,067 1,447
737   568 169
22,255   16,463 5,792
104,100   101,361 2,739
172   170 2
186   170 16
2,568   3,920 -1,352
2,335   4,899 -2,564
6,476   15,129 -8,653
1,542   1,039 503
2,283   2,079 204
1,165   1,039 126
1,382   1,328 54
2,316   1,992 324
733   664 69
2,331   2,420 -89
3,295   3,680 -385
1,685   1,840 -155
    763 -763
    1,413 -1,413
35,200   21,592 13,608
3,436   3,373 63
2,272   3,175 -903
1,699   2,183 -484
2,216   992 1,224
2,217   1,322 895
1,198   661 537
3,257   3,259 -2
6,287   6,053 234
4,889   4,656 233
2,558   2,328 230
852   809 43
1,653   1,887 -234
1,730   1,887 -157
1,387   1,272 115
1,332   1,254 78
2,126   1,881 245
1,501   1,254 247
4,138   2,759 1,379
5,679   4,139 1,540
6,103   4,139 1,964
2,115   2,274 -159
22,471   26,480 -4,009
63,898   73,348 -9,450
6,739   9,562 -2,823
1,020   1,009 11
2,413   2,355 58
5,569   4,821 748
1,732   1,678 54
3,942   1,738 2,204
5,584   2,606 2,978
5,957   2,606 3,351
1,920   869 1,051
1,227   1,210 17
683   688 -5
8,939   8,606 333
10,702   10,327 375
316   296 20
269   265 4
3,263   2,646 617
752   713 39
4,477   4,277 200
1,549   1,426 123
5,258   5,283 -25
6,127   6,909 -782
2,072   2,032 40
100,000   97,111 2,889
3,233   2,726 507
7,554   5,996 1,558
2,131   1,711 420
4,754   4,575 179
9,270   9,151 119
927   874 53
148,099   158,543 -10,444
54,458   27,972 26,486
25,571   26,671 -1,100
2,321   2,446 -125
19,843   21,617 -1,774
5,743   4,379 1,364
3,029   2,627 402
2,378   1,752 626
29,519   29,703 -184
4,164   5,485 -1,321
4,392   4,014 378
2,252   2,141 111
1,167   1,152 15
3,324   3,456 -132
12,014   11,520 494
1,772   1,626 146
4,147   4,879 -732
3,242   3,253 -11
13,052   11,744 1,308
8,899   8,226 673
4,348   3,077 1,271
4,698   3,846 852
929   769 160
2,062   1,546 516
5,865   4,123 1,742
661   515 146
1,322   1,388 -66
14,401   15,330 -929
8,994   8,819 175
2,082   2,087 -5
3,418   4,173 -755
1,633   2,087 -454
3,090   3,090  
41,336   44,776 -3,440
57,966   57,555 411
687   688 -1
4,199   3,279 920
5,401   3,935 1,466
2,644   1,968 676
1,050   1,160 -110
897   774 123
182   181 1
96   90 6
189   186 3
193   186 7
6,756   6,140 616
3,545   3,775 -230
14,320   14,537 -217
392   373 19
23,053   23,144 -91
664   659 5
2,839   2,881 -42
19,631   19,311 320
7,606   7,070 536
931   859 72
5,762   5,152 610
3,208   2,576 632
9,796   7,727 2,069
35,692   38,982 -3,290
839   767 72
9,298   9,001 297
1,554   1,877 -323
4,007   5,632 -1,625
1,430   1,877 -447
3,186   3,662 -476
1,571   1,831 -260
2,261   1,906 355
4,937   3,812 1,125
1,884   1,430 454
4,133   3,758 375
6,516   5,368 1,148
2,006   1,610 396
5,838   5,252 586
6,288   5,252 1,036
1,747   1,500 247
11,526   9,378 2,148
2,305   1,772 533
4,063   2,659 1,404
1,325   886 439
2,318   1,505 813
6,199   3,763 2,436
4,114   2,258 1,856
619   617 2
7,474   7,236 238
2,734   2,840 -106
3,610   4,131 -521
1,688   1,807 -119
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       -1,679
b       -535
c       -4,003
d       -36
e       101
      42
      1,407
      3,881
      6,423
      2,708
      1,020
      2,108
      899
      2,731
      381
      1,258
      159
      1,391
      1,447
      169
      5,792
      2,739
      2
      16
      -1,352
      -2,564
      -8,653
      503
      204
      126
      54
      324
      69
      -89
      -385
      -155
      -763
      -1,413
      13,608
      63
      -903
      -484
      1,224
      895
      537
      -2
      234
      233
      230
      43
      -234
      -157
      115
      78
      245
      247
      1,379
      1,540
      1,964
      -159
      -4,009
      -9,450
      -2,823
      11
      58
      748
      54
      2,204
      2,978
      3,351
      1,051
      17
      -5
      333
      375
      20
      4
      617
      39
      200
      123
      -25
      -782
      40
      2,889
      507
      1,558
      420
      179
      119
      53
      -10,444
      26,486
      -1,100
      -125
      -1,774
      1,364
      402
      626
      -184
      -1,321
      378
      111
      15
      -132
      494
      146
      -732
      -11
      1,308
      673
      1,271
      852
      160
      516
      1,742
      146
      -66
      -929
      175
      -5
      -755
      -454
       
      -3,440
      411
      -1
      920
      1,466
      676
      -110
      123
      1
      6
      3
      7
      616
      -230
      -217
      19
      -91
      5
      -42
      320
      536
      72
      610
      632
      2,069
      -3,290
      72
      297
      -323
      -1,625
      -447
      -476
      -260
      355
      1,125
      454
      375
      1,148
      396
      586
      1,036
      247
      2,148
      533
      1,404
      439
      813
      2,436
      1,856
      2
      238
      -106
      -521
      -119
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 70,592
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 . . . . . . . . . . . . . . . .
Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)

If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If “Yes,” the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see page 18 of the instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in)
(b)
Adjusted qualifying distributions
(c)
Net value of noncharitable-use assets
(d)
Distribution ratio
(col. (b) divided by col. (c))
2011 105,857 2,143,246 0.049391
2010 106,068 2,087,387 0.050814
2009 111,533 1,858,334 0.060018
2008 123,283 2,306,610 0.053448
2007 129,170 2,613,754 0.049419
2 Total of line 1, column (d) ...................... 2 0.26309
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 0.052618
4 Enter the net value of noncharitable-use assets for 2012 from Part X, line 5..... 4 2,114,515
5 Multiply line 4 by line 3....................... 5 111,262
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 1,007
7 Add lines 5 and 6......................... 7 112,269
8 Enter qualifying distributions from Part XII, line 4.............. 8 109,931
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See
the Part VI instructions.
Form 990-PF (2012)
Form 990-PF (2012)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see page 18 of the instructions)
1a Bulletand enter “N/A” on line 1. Bracket
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b 1 2,014
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2............................ 3 2,014
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-). 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 2,014
6 Credits/Payments:
a 2012 estimated tax payments and 2011 overpayment credited to 2012 6a 5,168
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 5,168
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 3,154
11 Enter the amount of line 10 to be: Credited to 2013 estimated taxBullet2,016 Refunded Bullet 11 1,138
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)
    bulletMI
    b
    If the answer is “Yes” to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If “No,” attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2012 or the taxable year beginning in 2012 (see instructions for Part XIV)?
    If “Yes,” complete Part XIV.............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If “Yes,” attach a schedule listing their names and addresses.
    10
     
    No
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see instructions) .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement (see instructions).................
    12
     
     
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletCOMERICA BANK Telephone no.bullet (877) 405-1091
    Located atbullet101 NORTH MAIN STREETANN ARBORMI ZIP+4bullet48104
    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
    Yes
     
    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
     
    No
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?.........................
    b
    If “Yes,” did it have excess business holdings in 2012 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2012.)....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2012?
    4b
     
    No
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?...............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 509(a)(1), (2), or (3), or section 4940(d)(2)? (see instructions)........
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?........
    b
    If any answer is “Yes” to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see instructions)? ......
    5b
     
     
    .........bullet
    c
    If the answer is “Yes” to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?............
    If “Yes,” attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?........................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If “Yes” to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 6
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to
    employee benefit plans
    and deferred compensation
    (e) Expense account,
    other allowances
    DAVID J HALL PRESIDENT
    1
    0    
    6954 W JACKSON RD
    LUDINGTON,MI49341
    THOMAS HALL TREASURER
    1
    0    
    2247 GENEVA TERRACE
    CHICAGO,IL60614
    SUSAN MEYERS TRUSTEE
    1
    0    
    900 5TH THIRD CENTER
    GRAND RAPIDS,MI49503
    MARGIE BACH SECRETARY
    1
    0    
    7540 ALASKA RIDGE SE
    ALTO,MI49302
    JENS BACH TRUSTEE
    1
    0    
    7540 ALASKA RIDGE SE
    ALTO,MI49302
    CHRISSIE HALL TRUSTEE
    1
    0    
    6954 W JACKSON RD
    LUDINGTON,MI49341
    DIANE GRAHAM-HENRY TRUSTEE
    1
    0    
    2247 N GENEVA TERRACE
    CHICAGO,IL60614
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE.”
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 7
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1 N/A  
    2  
    All other program-related investments. See page 24 of the instructions.
    3  
    Total. Add lines 1 through 3..........................bullet  
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
    see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    1,961,980
    b
    Average of monthly cash balances.......................
    1b
    184,736
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    2,146,716
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    2,146,716
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see
    instructions) .............................
    4
    32,201
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    2,114,515
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    105,726
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    105,726
    2a
    Tax on investment income for 2012 from Part VI, line 5......
    2a
    2,014
    b
    Income tax for 2012. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    2,014
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    103,712
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    103,712
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,
    line 1................................
    7
    103,712
    Part XII
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
    109,931
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
    0
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
    0
    b
    Cash distribution test (attach the required schedule) .................
    3b
    0
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    109,931
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see instructions).................
    5
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    109,931
    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 7 103,712
    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....... 0
    c From 2009....... 7,177
    d From 2010....... 2,956
    e From 2011....... 3,854
    fTotal of lines 3a through e......... 13,987
    4Qualifying distributions for 2012 from Part
    XII, line 4: bullet$ 109,931
    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..... 103,712
    e Remaining amount distributed out of corpus 6,219
    5 Excess distributions carryover applied to 2012. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 20,206
    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 ......
    20,206
    10 Analysis of line 9:
    a Excess from 2008.... 0
    b Excess from 2009.... 7,177
    c Excess from 2010.... 2,956
    d Excess from 2011.... 3,854
    e Excess from 2012.... 6,219
    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).)
    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
    aThe name, address, and telephone number or e-mail of the person to whom applications should be addressed:
    MR DAVID J HALL
    6954 W JACKSON RD
    LUDINGTON,MI49341
    (231) 843-1883
    bThe form in which applications should be submitted and information and materials they should include:
    REPORT REQUIRED, APPLICATION FORM SUPPLIED, STATE REASON FOR ATTENDING COLLEGE
    cAny submission deadlines:
    MAY 1ST OF EACH YEAR
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    SCHOLARSHIPS AWARDED TO SENIORS IN MASON COUNTY FOR THE FIRST YEAR OF COLLEGE. FOUR YEAR AWARDS OFFERED
    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
    CHRISTOPHER CONRAD
    2133 W CONRAD ROAD
    LUDINGTON,MI49431
    NONE NONE SCHOLARSHIP 6,000
    HANNAH YANKEE
    1204 ELLIS
    LUDINGTON,MI49431
    NONE NONE SCHOLARSHIP 4,000
    TIMOTHY HEYSE
    2928 N TUTTLE ROAD
    SCOTTVILLE,MI49454
    NONE NONE SCHOLARSHIP 2,000
    SAMARA SPOTTS
    2560 N DARR ROAD
    SCOTTVILLE,MI49454
    NONE NONE SCHOLARSHIP 6,000
    MIRANDA VIGLIETTI
    2578 S RIGGLE ROAD
    SCOTTVILLE,MI49454
    NONE NONE SCHOLARSHIP 5,000
    RYAN RYBICKI
    1766 E FREE SOIL ROAD
    FREE SOIL,MI49411
    NONE NONE SCHOLARSHIP 4,000
    AMY VANSLEDRIGHT
    4650 N MORSE ROAD
    FOUNTAIN,MI49410
    NONE NONE SCHOLARSHIP 3,000
    SARAH LUCE
    2710 W FISHER ROAD
    LUDINGTON,MI49431
    NONE NONE SCHOLARSHIP 2,000
    CAITLYN COOKENMASTER
    363 W BEARD ROAD
    PENTWATER,MI49449
    NONE NONE SCHOLARSHIP 3,000
    ASHLEY MACDONALD
    5969 N PETERSON ROAD
    LUDINGTON,MI49431
    NONE NONE SCHOLARSHIP 2,000
    AMANDA WINGELAAR
    3524 W FIRST STREET
    LUDINGTON,MI49431
    NONE NONE SCHOLARSHIP 6,000
    NATHAN YUTZY
    105 W MELENDY STREET
    LUDINGTON,MI49431
    NONE NONE SCHOLARSHIP 2,000
    ALYSSA BRYAN
    1626 E HAWLEY ROAD
    CUSTER,MI49405
    NONE NONE SCHOLARSHIP 6,000
    JESSICA APPLEDORN
    4891 E MILLERTON ROAD
    FOUNTAIN,MI49410
    NONE NONE SCHOLARSHIP 2,000
    SAMANTHA WAHR
    475 N BENSON ROAD
    FOUNTAIN,MI49410
    NONE NONE SCHOLARSHIP 2,000
    MEGHAN MCCUMBER
    1488 N CAMPBELL ROAD
    FOUNTAIN,MI49410
    NONE NONE SCHOLARSHIP 1,000
    TANGELLA CHRISTMAS
    686 S CUSTER ROAD
    CUSTER,MI49405
    NONE NONE SCHOLARSHIP 1,000
    TYLER THURSTON
    4982 FOSTER STREET
    FOUNTAIN,MI49410
    NONE NONE SCHOLARSHIP 1,000
    JOSEPH MCCUMBER
    2116 N STEPHENS ROAD
    CUSTER,MI49405
    NONE NONE SCHOLARSHIP 800
    JAYLYN CASTONIA
    463 MILL STREET
    CUSTER,MI49405
    NONE NONE SCHOLARSHIP 800
    LAURA STICKNEY
    2131 E MEISENHEIMER
    CUSTER,MI49405
    NONE NONE SCHOLARSHIP 800
    TAYLOR MYER
    3210N ROWE
    LUNDINGTON,MI49431
    NONE NONE SCHOLARSHIP 2,000
    KAIJA LUUSUA
    3619 W HANSEN
    LUDINGTON,MI49431
    NONE NONE SCHOLARSHIP 2,000
    MATTHEW OCALLAGHAN
    889 N JEBAVY
    LUDINGTON,MI49431
    NONE NONE SCHOLARSHIP 3,000
    MIRANDA THOMPSON
    1006 N SHERMAN
    LUDINGTON,MI49431
    NONE NONE SCHOLARSHIP 3,000
    CONNOR YECK
    1565 N WASHINGTON
    LUDINGTON,MI49431
    NONE NONE SCHOLARSHIP 2,100
    KAYLEIGH DOAN
    6678 W TIMBER LANE
    LUDINGTON,MI49431
    NONE NONE SCHOLARSHIP 2,000
    DANIEL LIDMAN
    901 N ST PAUL
    LUDINGTON,MI49431
    NONE NONE SCHOLARSHIP 2,000
    DANIEL STRBICH
    1443 ROHRMOSSER
    LUDINGTON,MI49431
    NONE NONE SCHOLARSHIP 2,000
    JORDON EVANS
    706 DEXTER
    LUDINGTON,MI49431
    NONE NONE SCHOLARSHIP 1,500
    BROOKE RIEMER
    907 MANITOU
    LUDINGTON,MI49431
    NONE NONE SCHOLARSHIP 1,500
    HUNTER TUINSTRA
    5566 W KISTLER
    LUDINGTON,MI49431
    NONE NONE SCHOLARSHIP 1,500
    RICHARD BOGUS
    4830 W DECKER
    LUDINGTON,MI49431
    NONE NONE SCHOLARSHIP 1,500
    KERRI CONRAD
    2133 W CONRAD ROAD
    LUDINGTON,MI49431
    NONE NONE SCHOLARSHIP 2,000
    KRISTEN JOHNSON
    448 W DECKER ROAD
    SCOTTNILLE,MI49454
    NONE NONE SCHOLARSHIP 2,000
    EMMA KARAS
    1220 E FOUNTAIN ROAD
    FREESOIL,MI49411
    NONE NONE SCHOLARSHIP 2,000
    BRIANNA WISE
    117 W STATE STREET
    SCOTTVILLE,MI49545
    NONE NONE SCHOLARSHIP 1,950
    KASSANDRA FREDERICK
    6117 E US 10
    CUSTER,MI49405
    NONE NONE SCHOLARSHIP 1,950
    DANIELLE HEARNS
    1463 N CEDAR LANE
    SCOTTVILLE,MI49454
    NONE NONE SCHOLARSHIP 1,950
    HANNA QUINLAN
    1869 N AMBER ROAD
    SCOTTVILLE,MI49454
    NONE NONE SCHOLARSHIP 1,950
    AUSTIN COX
    6377 S EDEN LAKE ROAD
    CUSTER,MI49405
    NONE NONE SCHOLARSHIP 1,950
    JESSE DRIER
    856 W JOHNSON ROAD
    SCOTTVILLE,MI49454
    NONE NONE SCHOLARSHIP 1,950
    MAGNOLIA MORTON
    1145 E WILSON ROAD
    SCOTTVILLE,MI49431
    NONE NONE SCHOLARSHIP 1,950
    NICHOLAS RUBY
    890 E SUGAR GROVE ROAD
    SCOTTVILLE,MI49454
    NONE NONE SCHOLARSHIP 1,950
    JOHRIE BEADLE
    5787 S TYNDALL ROAD
    BRANCH,MI49402
    NONE NONE SCHOLARSHIP 500
    JENNIFER BRIGGS
    493 E SUGAR GROVE ROAD
    SCOTTVILLE,MI49454
    NONE NONE SCHOLARSHIP 500
    CASEY KAPALA
    2165 W HANSEN ROAD
    SCOTTVILLE,MI49454
    NONE NONE SCHOLARSHIP 500
    LUKE LUND
    1573 N GORDON ROAD
    SCOTTVILLE,MI49454
    NONE NONE SCHOLARSHIP 500
    SAMUEL LIPPS
    2369 S HOGENSON ROAD
    SCOTTVILLE,MI49454
    NONE NONE SCHOLARSHIP 500
    Total .................................bullet 3a 108,600
    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 19  
    4 Dividends and interest from securities....     14 56,113  
    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 70,592  
    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)..   126,724  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13126,724
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 12
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section
    Yes
    No
    501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is “Yes,” complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?...........
    b
    If “Yes,” complete the following schedule.
    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer or fiduciary) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's namebullet



    Firm's addressbullet







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


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2012 InvestmentsCorpBondsSchedule
    Name:
    CORWILL AND MARGIE JACKSON FOUNDATION CO
    EIN: 38-6064502
    Name of Bond End of Year Book Value End of Year Fair Market Value
    CORPORATE BONDS 511,159 546,581

    TY 2012 InvestmentsCorpStockSchedule
    Name:
    CORWILL AND MARGIE JACKSON FOUNDATION CO
    EIN: 38-6064502
    Name of Stock End of Year Book Value End of Year Fair Market Value
    CORPORATE STOCKS 1,269,291 1,341,936

    TY 2012 OtherIncreasesSchedule
    Name:
    CORWILL AND MARGIE JACKSON FOUNDATION CO
    EIN: 38-6064502
    Description Amount
    DIFFERENCE BETWEEN RECEIPTS AND TAXABLE INCOME. 278