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
THE MARILYN AND MEL LARSON
FOUNDATION

Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 50654 Room/suite

City or town, state, and ZIP code
HENDERSON, NV890160654

A Employer identification number

86-0872049

B Telephone number (see instructions)

(702) 270-2341

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

$1,868,560J 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	(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	4,179		4,179
4	Dividends and interest from securities......	11,600		11,583
5a	Gross rents..............
b	Net rental income or (loss)
6a	Net gain or (loss) from sale of assets not on line 10		19,966
b	Gross sales price for all assets on line 6a 275,562
7	Capital gain net income (from Part IV, line 2)...			19,966
8	Net short-term capital gain.........
9	Income modifications...........
10a	Gross sales less returns and allowances
b	Less: Cost of goods sold....
c	Gross profit or (loss) (attach schedule).....
11	Other income (attach schedule).......
12	Total. Add lines 1 through 11........	35,745		35,728
13	Compensation of officers, directors, trustees, etc.
14	Other employee salaries and wages......
15	Pension plans, employee benefits.......
16a	Legal fees (attach schedule).........		250	250
b	Accounting fees (attach schedule).......
c	Other professional fees (attach schedule)....		7,967	7,967
17	Interest...............
18	Taxes (attach schedule) (see instructions)		9,596	9,596
19	Depreciation (attach schedule) and depletion...
20	Occupancy..............
21	Travel, conferences, and meetings.......
22	Printing and publications..........
23	Other expenses (attach schedule).......		95	95
24	Total operating and administrative expenses.
	Add lines 13 through 23..........	17,908		17,908	0
25	Contributions, gifts, grants paid........	4,900			4,900
26	Total expenses and disbursements. Add lines 24 and 25	22,808		17,908	4,900
27	Subtract line 26 from line 12:
a	Excess of revenue over expenses and disbursements	12,937
b	Net investment income (if negative, enter -0-)			17,820
c	Adjusted net income (if negative, enter -0-)...

For Paperwork Reduction Act Notice, see instructions.

Cat. No. 11289X Form 990-PF (2012)

Form 990-PF (2012)

Page 2

Part II		Balance Sheets	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..........	18,212	18,191	18,191
	3	Accounts receivable
		Less: allowance for doubtful accounts
	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
	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)........	412,512	424,501	519,660
	c	Investments—corporate bonds (attach schedule)........	104,994	100,356	106,284
	11	Investments—land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	12	Investments—mortgage loans..............
	13	Investments—other (attach schedule)...........
	14	Land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	15	Other assets (describe )	1,217,116	1,222,875	1,224,425
	16	Total assets (to be completed by all filers—see the
		instructions. Also, see page 1, item I)	1,752,834	1,765,923	1,868,560
	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....................	1,752,834	1,765,923
	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.........
	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)....................	1,752,834	1,765,923
	31	Total liabilities and net assets/fund balances (see page 17 of
		the instructions)..................	1,752,834	1,765,923

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	1,752,834
2	Enter amount from Part I, line 27a.....................	2	12,937
3	Other increases not included in line 2 (itemize)	3	152
4	Add lines 1, 2, and 3..........................	4	1,765,923
5	Decreases not included in line 2 (itemize)	5
6	Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30.	6	1,765,923

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	AGILENT TECH INC	P	2011-01-18	2012-02-13
b	AMGEN INC	P	2009-01-26	2012-10-31
c	CMS ENERGY CORP	P	2009-06-08	2012-01-03
d	CA INC	P	2011-03-01	2012-10-08
e	DISCOVER FINANCIAL	P	2011-04-04	2012-10-08
	FOMENTO ECONOMICO MEX SA	P	2010-03-16	2012-03-05
	HANNOVER RUEC ADR	P	2006-11-03	2012-10-15
	JOHNSON & JOHNSON	P	2009-03-12	2012-02-06
	L-3 COMMUNICATIONS HLDGS	P	2009-03-12	2012-08-06
	NABORS INDUSTRIES LTD	P	2009-11-30	2012-08-28
	O'REILLY AUTOMOTIVE INC	P	2010-09-28	2012-01-19
	REXAM PLC-SPONSORED ADR	P	2009-03-16	2012-09-18
	SALLY BEAUTY CO INC	P	2010-09-28	2012-04-17
	SIEMENS A G - ADR	P	2011-06-01	2012-08-15
	VALERO ENERGY CORP NEW	P	2011-06-06	2012-06-13
	WESTERN UNION CO	P	2010-11-02	2012-11-13
	FHLMC 4.875% 11/15/13	P	2011-08-11	2012-11-06
	APACHE CORP COMMON	P	2012-01-17	2012-08-28
	CORNING INC	P	2011-03-14	2012-02-13
	KOMATSU LTD F	P	2011-09-15	2012-08-15
	PARKER HANNIFIN CORP	P	2012-01-03	2012-08-13
	SBM OFFSHORE NV-UNSP ADR	P	2011-08-01	2012-07-20
	TEVA PHARMACEUTICAL ADR	P	2011-12-08	2012-08-15
	AGILENT TECH INC	P	2011-01-18	2012-05-07
	AMGEN INC	P	2009-03-12	2012-10-31
	CAPITAL ONE FINL CORP	P	2010-04-05	2012-01-30
	CONOCOPHILLIPS	P	2008-12-18	2012-07-09
	DISCOVER FINANCIAL	P	2011-05-09	2012-10-08
	FUJITSU LTD ADR NEW	P	2010-04-09	2012-10-04
	HANNOVER RUEC ADR	P	2006-11-03	2012-12-06
	JOHNSON & JOHNSON	P	2010-06-01	2012-02-06
	MARATHON OIL CORP	P	2009-01-20	2012-05-14
	NABORS INDUSTRIES LTD	P	2009-12-01	2012-08-28
	O'REILLY AUTOMOTIVE INC	P	2010-09-28	2012-05-02
	REXAM PLC-SPONSORED ADR	P	2010-08-11	2012-09-18
	SALLY BEAUTY CO INC	P	2010-09-29	2012-04-17
	SUMITOMO MITSUI SP ADR	P	2011-04-01	2012-08-28
	VALERO ENERGY CORP NEW	P	2011-06-06	2012-06-27
	WESTERN UNION CO	P	2010-11-08	2012-11-13
	FNMA 4.375% 3/15/13	P	2010-12-16	2012-05-08
	APACHE CORP COMMON	P	2012-01-17	2012-10-31
	DAIMLER AG SPON ADR	P	2011-12-21	2012-11-05
	KROGER COMPANY COMMON	P	2011-10-03	2012-07-09
	PARKER HANNIFIN CORP	P	2012-01-03	2012-12-12
	SBM OFFSHORE NV-UNSP ADR	P	2011-08-01	2012-07-24
	SEADRILL LTD	P	2011-08-31	2012-06-14
	AGILENT TECH INC	P	2011-03-01	2012-05-07
	AMETEK INC	P	2010-09-28	2012-06-20
	CAPITAL ONE FINL CORP	P	2010-04-06	2012-01-30
	CONOCOPHILLIPS	P	2009-01-20	2012-07-09
	DR PEPPER SNAPPLE GROUP	P	2010-07-13	2012-04-23
	FUJITSU LTD ADR NEW	P	2010-04-09	2012-10-05
	HANNOVER RUEC ADR	P	2009-03-16	2012-12-06
	KOMATSU LTD F	P	2011-09-15	2012-10-15
	MARATHON OIL CORP	P	2009-03-12	2012-05-14
	NABORS INDUSTRIES LTD	P	2009-12-02	2012-08-28
	OCEANEERING INTL INC	P	2010-09-28	2012-02-24
	ROLLS ROYCE HOLDING PLC	P	2008-08-04	2012-07-12
	ROYAL DUTCH SHELL ADR B	P	2010-05-14	2012-01-12
	SUMITOMO MITSUI SP ADR	P	2011-04-01	2012-10-15
	VERISK ANALYTICS INC A	P	2011-02-16	2012-04-18
	WESTERN UNION CO	P	2011-03-01	2012-11-13
	FNMA 4.375% 3/15/13	P	2011-03-03	2012-05-08
	APACHE CORP COMMON	P	2012-01-30	2012-10-31
	DAIMLER AG SPON ADR	P	2012-08-15	2012-11-05
	MARATHON PETROLEUM CORP	P	2012-05-07	2012-07-09
	PARKER HANNIFIN CORP	P	2012-02-13	2012-12-12
	SPRINT NEXTEL CORP	P	2011-07-05	2012-06-25
	WELLS FARGO COMPANY	P	2012-10-02	2012-12-12
	AETNA INC	P	2009-05-04	2012-01-09
	ANSYS INC	P	2010-09-28	2012-08-15
	CAPITAL ONE FINL CORP	P	2010-04-07	2012-01-30
	CONOCOPHILLIPS	P	2009-03-12	2012-07-09
	DR PEPPER SNAPPLE GROUP	P	2010-07-14	2012-04-23
	FUJITSU LTD ADR NEW	P	2010-11-30	2012-10-05
	ROCHE HOLDINGS LTD ADR	P	2009-06-16	2012-01-18
	KONICA MINOLTA HLDG ADR	P	2011-03-07	2012-04-24
	MEADWESTVACO CORP	P	2010-02-22	2012-01-03
	NABORS INDUSTRIES LTD	P	2009-12-03	2012-08-28
	PETROLEO BRASILEIRO - SA	P	2011-02-04	2012-08-15
	ROLLS ROYCE HOLDING PLC	P	2009-03-16	2012-07-12
	ROYAL DUTCH SHELL ADR B	P	2010-05-19	2012-08-15
	SYMANTEC CORP	P	2011-08-08	2012-10-08
	VERIZON COMMUNICATIONS	P	2009-04-13	2012-06-25
	WESTERN UNION CO	P	2011-05-09	2012-11-13
	UST BONDS 6.25% 08/15/23	P	2008-01-29	2012-10-16
	APPLIED MATERIALS INC	P	2011-03-21	2012-01-17
	DESARROLLADORA HOMEX ADR	P	2012-01-13	2012-11-05
	MCKESSON CORPORATION	P	2012-01-09	2012-07-09
	PENTAIR LTD	P	2012-01-03	2012-10-08
	SANOFI ADR	P	2012-06-20	2012-08-15
	XSTRATA PLC -ADR	P	2012-08-15	2012-10-05
	AETNA INC	P	2009-09-28	2012-01-09
	ASAHI KAISEI CORP ADR	P	2006-11-01	2012-10-15
	CARDINAL HEALTH INC	P	2009-12-29	2012-06-25
	CONOCOPHILLIPS	P	2011-03-01	2012-07-09
	DR PEPPER SNAPPLE GROUP	P	2010-07-19	2012-04-23
	FUJITSU LTD ADR NEW	P	2011-03-16	2012-10-05
	HUNT J B TRANS SVC INC	P	2010-11-30	2012-06-20
	KONICA MINOLTA HLDG ADR	P	2011-03-08	2012-04-24
	MEADWESTVACO CORP	P	2010-02-23	2012-01-03
	NABORS INDUSTRIES LTD	P	2011-03-01	2012-08-28
	PHILLIPS 66	P	2008-12-18	2012-05-07
	ROLLS ROYCE HOLDING PLC	P	2008-08-04	2012-07-13
	SINGAPORE TELECOMM-ADR	P	2011-03-09	2012-08-15
	TELENOR ASA-ADS	P	2007-07-17	2012-04-18
	VERIZON COMMUNICATIONS	P	2009-04-27	2012-06-25
	XSTRATA PLC -ADR	P	2010-04-16	2012-08-28
	UST BONDS 6.25% 08/15/23	P	2011-03-03	2012-10-16
	APPLIED MATERIALS INC	P	2011-03-21	2012-02-21
	DESARROLLADORA HOMEX ADR	P	2012-01-13	2012-11-05
	MEADWESTVACO CORP	P	2011-03-01	2012-01-30
	PENTAIR INC	P	2012-01-03	2012-10-01
	SCOTTS MIRACLE-GRO CO	P	2011-04-26	2012-02-02
	UST NTS 2.375% 103114	P	2011-10-04	2012-01-25
	AETNA INC	P	2009-09-28	2012-06-11
	BASF SE SPONSORED ADR	P	2006-11-01	2012-08-15
	CARDINAL HEALTH INC	P	2009-12-29	2012-07-09
	CORNING INC	P	2010-08-30	2012-02-13
	DR PEPPER SNAPPLE GROUP	P	2010-07-20	2012-04-23
	GAP INC	P	2009-11-17	2012-12-21
	IMPERIAL TOB GROUP PLC F	P	2011-02-03	2012-08-15
	KONINKLIJKE AHOLD ADR	P	2009-10-12	2012-10-15
	MEADWESTVACO CORP	P	2010-02-23	2012-01-30
	NAT AUS BK LTD SPADR NEW	P	2009-02-03	2012-01-27
	PHILLIPS 66	P	2009-01-20	2012-05-07
	ROSS STORES INC	P	2010-01-25	2012-01-09
	SINGAPORE TELECOMM-ADR	P	2011-03-09	2012-08-15
	TELENOR ASA-ADS	P	2009-03-16	2012-04-18
	VOLKSWAGEN A G SPONS ADR	P	2011-01-21	2012-08-15
	XSTRATA PLC -ADR	P	2010-04-16	2012-10-04
	UST NOTES 2.5% 03/31/13	P	2011-03-23	2012-06-25
	APPLIED MATERIALS INC	P	2011-04-04	2012-02-21
	EXPRESS SCRIPTS HLDG CO	P	2012-07-09	2012-11-13
	NEXEN INC F	P	2011-12-22	2012-07-27
	PHILIP MORRIS INTL INC	P	2011-08-08	2012-04-16
	SCOTTS MIRACLE-GRO CO	P	2011-06-15	2012-02-02
	FNMA 4.375% 3/15/13	P	2011-09-28	2012-05-08
	AETNA INC	P	2009-09-28	2012-06-12
	BHP BILLITON LTD	P	2009-03-17	2012-08-15
	CARDINAL HEALTH INC	P	2009-12-30	2012-07-09
	CREDIT SUISSE GROUP F	P	2010-06-01	2012-08-15
	ENGILITY HOLDINGS INC	P	2009-01-20	2012-07-18
	GAP INC	P	2010-06-28	2012-12-21
	AMERISOURCEBERGEN CORP	P	2009-02-23	2012-07-09
	LKQ CORP	P	2010-09-28	2012-05-11
	MEADWESTVACO CORP	P	2010-03-09	2012-01-30
	NAT AUS BK LTD SPADR NEW	P	2009-02-03	2012-08-28
	PHILLIPS 66	P	2009-03-12	2012-05-07
	ROSS STORES INC	P	2010-01-26	2012-01-09
	SINGAPORE TELECOMM-ADR	P	2011-03-09	2012-08-24
	TELENOR ASA-ADS	P	2009-03-16	2012-06-25
	VOLKSWAGEN A G SPONS ADR	P	2011-01-21	2012-08-28
	XSTRATA PLC -ADR	P	2010-04-21	2012-10-04
	ADT CORP/THE	P	2012-01-03	2012-10-01
	APPLIED MATERIALS INC	P	2011-04-11	2012-02-21
	FUJITSU LTD ADR NEW	P	2012-08-15	2012-10-05
	NIPPON TELE & TELE CORP	P	2011-03-17	2012-02-21
	PHILLIPS 66	P	2012-01-03	2012-05-07
	SCOTTS MIRACLE-GRO CO	P	2011-07-25	2012-02-02
	UST NOTES 2.5% 03/31/13	P	2011-03-23	2012-02-14
	AETNA INC	P	2009-09-28	2012-08-27
	BANCO BILBAO VIZCAYA ADR	P	2010-09-17	2012-07-20
	CARDINAL HEALTH INC	P	2009-12-31	2012-07-09
	CREDIT SUISSE GROUP F	P	2010-06-01	2012-10-15
	ENGILITY HOLDINGS INC	P	2009-03-12	2012-07-18
	GLAXOSMITHKLINE PLC-ADR	P	2005-02-02	2012-01-10
	AMERISOURCEBERGEN CORP	P	2009-03-12	2012-07-09
	LKQ CORPORATION	P	2010-09-28	2012-08-15
	MEADWESTVACO CORP	P	2010-03-11	2012-01-30
	NAT AUS BK LTD SPADR NEW	P	2009-02-03	2012-12-24
	PHILLIPS 66	P	2011-03-01	2012-05-07
	RYDER SYSTEM INC	P	2009-10-12	2012-04-09
	SINGAPORE TELECOMM-ADR	P	2011-03-15	2012-08-27
	TELENOR ASA-ADS	P	2011-06-20	2012-06-25
	WELLPOINT INC	P	2009-01-20	2012-06-11
	XSTRATA PLC -ADR	P	2010-04-27	2012-10-04
	ADT CORP/THE	P	2012-01-03	2012-12-12
	BANCO DO BRASIL SA ADR	P	2012-01-18	2012-08-28
	FUJITSU LTD ADR NEW	P	2012-08-28	2012-10-05
	NISSAN MTR LTD SPONS-ADR	P	2012-04-24	2012-08-15
	PRUDENTIAL FINANCIAL INC	P	2012-04-30	2012-05-14
	SINGAPORE TELECOMM-ADR	P	2011-03-09	2012-01-18
	UST NOTES 2.5% 03/31/13	P	2011-03-23	2012-03-06
	AETNA INC	P	2010-04-12	2012-08-27
	BANCO BILBAO VIZCAYA ADR	P	2011-02-25	2012-07-20
	CARDINAL HEALTH INC	P	2010-01-04	2012-07-09
	DAIMLER AG SPON ADR	P	2011-09-15	2012-11-05
	ENGILITY HOLDINGS INC	P	2009-01-20	2012-07-24
	GLAXOSMITHKLINE PLC-ADR	P	2005-02-02	2012-02-17
	INTEL CORP	P	2009-03-02	2012-10-08
	LKQ CORPORATION	P	2010-09-28	2012-11-26
	MOTOROLA SOLUTIONS INC	P	2010-09-07	2012-01-30
	NAT AUS BK LTD SPADR NEW	P	2009-03-16	2012-12-24
	PROCTER & GAMBLE CO	P	2009-01-20	2012-12-12
	RYDER SYSTEM INC	P	2009-10-13	2012-04-09
	SMITH & NEPHEW PLC ADR	P	2010-12-02	2012-02-21
	TELENOR ASA-ADS	P	2011-06-20	2012-12-20
	WELLPOINT INC	P	2009-01-20	2012-06-12
	XSTRATA PLC -ADR	P	2010-04-27	2012-10-05
	AGILENT TECH INC	P	2012-01-30	2012-05-07
	BARCLAYS PLC ADR F	P	2012-09-18	2012-10-15
	GENL DYNAMICS CORP COM	P	2011-08-22	2012-08-06
	NISSAN MTR LTD SPONS-ADR	P	2012-04-24	2012-10-15
	REXAM PLC-SPONSORED ADR	P	2012-08-15	2012-09-18
	TELECOM ITALIA SPA ADR	P	2012-06-19	2012-08-15
	AETNA INC	P	2010-04-14	2012-08-27
	BANCO BILBAO VIZCAYA ADR	P	2011-05-06	2012-07-20
	CARLISLE COMPANIES INC	P	2010-09-28	2012-08-15
	DELL INC	P	2011-02-07	2012-07-23
	ENGILITY HOLDINGS INC	P	2009-03-12	2012-07-24
	GLAXOSMITHKLINE PLC-ADR	P	2009-03-16	2012-02-17
	INTEL CORP	P	2009-03-12	2012-10-08
	ELI LILLY & CO	P	2011-02-07	2012-06-12
	MOTOROLA SOLUTIONS INC	P	2010-10-11	2012-01-30
	NAT AUS BK LTD SPADR NEW	P	2010-04-13	2012-12-24
	PROCTER & GAMBLE CO	P	2009-03-12	2012-12-12
	SBM OFFSHORE NV-UNSP ADR	P	2011-03-31	2012-07-12
	SMITH & NEPHEW PLC ADR	P	2010-12-06	2012-02-21
	SEADRILL LTD	P	2011-03-30	2012-06-14
	WELLPOINT INC	P	2009-01-20	2012-06-25
	XSTRATA PLC -ADR	P	2010-05-13	2012-10-05
	ALTERA CORPORATION	P	2011-01-03	2012-01-03
	BAYER AG SPONSORED ADR	P	2011-09-15	2012-01-18
	GDF SUEZ SPON ADR	P	2012-03-15	2012-12-14
	NORTHROP GRUMMAN CORP	P	2012-01-30	2012-08-13
	ROYAL KPN N V SPN ADR	P	2012-06-25	2012-10-15
	STATOIL ASA	P	2012-04-17	2012-08-15
	AFFILIATED MANAGERS	P	2010-09-28	2012-08-15
	BANCO BILBAO VIZCAYA ADR	P	2011-05-06	2012-07-20
	CLIFFS NATURAL RESOURCES	P	2011-05-02	2012-05-29
	DELL INC	P	2011-02-28	2012-07-23
	EQUIFAX INC	P	2010-09-28	2012-05-11
	GDF SUEZ SPON ADR	P	2011-08-09	2012-08-15
	INTEL CORP	P	2010-06-28	2012-10-08
	LIMITED BRANDS INC	P	2010-05-10	2012-06-25
	MOTOROLA SOLUTIONS INC	P	2010-10-11	2012-04-30
	NEXEN INC F	P	2011-01-20	2012-07-23
	PRUDENTIAL PLC	P	2006-11-03	2012-08-15
	SBM OFFSHORE NV-UNSP ADR	P	2011-03-31	2012-07-13
	SMITH & NEPHEW PLC ADR	P	2010-12-07	2012-02-21
	UNITEDHEALTH GROUP	P	2009-03-02	2012-06-13
	WELLPOINT INC	P	2009-03-03	2012-06-25
	WRIGHT EXPRESS CORP	P	2011-08-02	2012-08-15
	ALTERA CORPORATION	P	2011-03-01	2012-01-03
	BRISTOL MYERS SQUIBB	P	2011-02-28	2012-01-03
	HSBC HOLDINGS PLC-SPONS	P	2012-01-27	2012-08-15
	NORTHROP GRUMMAN CORP	P	2012-01-30	2012-09-17
	ROYAL KPN N V SPN ADR	P	2012-06-25	2012-12-20
	SVENSKA CELLULOSA AB F	P	2011-08-03	2012-01-26
	ALLIANZ SE-ADR	P	2006-11-01	2012-08-15
	BNP PARIBAS ADR	P	2006-11-01	2012-08-15
	CA INC	P	2009-08-31	2012-10-08
	DESARROLLADORA HOMEX ADR	P	2010-05-14	2012-08-15
	FAIR ISAAC INC	P	2010-09-28	2012-01-03
	GDF SUEZ SPON ADR	P	2011-08-09	2012-12-14
	INTEL CORP	P	2010-07-06	2012-10-08
	LOCKHEED MARTIN CORP	P	2011-07-11	2012-08-13
	MOTOROLA SOLUTIONS INC	P	2011-01-24	2012-04-30
	NEXEN INC F	P	2011-01-20	2012-07-27
	PRUDENTIAL PLC	P	2006-11-03	2012-12-05
	SBM OFFSHORE NV-UNSP ADR	P	2011-03-31	2012-07-16
	SOUTHWEST AIRLINES CO	P	2010-11-01	2012-06-14
	UNUM GROUP	P	2009-03-12	2012-06-25
	WELLPOINT INC	P	2009-03-12	2012-06-25
	BELLSOUTH C 5.2% 9/15/14	P	2007-04-26	2012-08-29
	ING GROEP N V SPON ADR	P	2012-02-17	2012-08-15
	CF INDUSTRIES HOLDINGS	P	2011-09-06	2012-08-13
	IMPERIAL TOB GROUP PLC F	P	2011-02-02	2012-01-11
	ORACLE CORP	P	2011-05-02	2012-01-17
	ROYAL KPN N V SPN ADR	P	2012-07-13	2012-12-20
	SVENSKA CELLULOSA AB F	P	2011-08-03	2012-06-15
	ALTERA CORPORATION	P	2010-11-09	2012-01-03
	BRISTOL MYERS SQUIBB	P	2011-02-28	2012-10-31
	CA INC	P	2010-06-28	2012-10-08
	DESARROLLADORA HOMEX ADR	P	2010-05-14	2012-11-05
	FLIR SYSTEMS INC	P	2010-09-28	2012-08-07
	GDF SUEZ SPON ADR	P	2011-08-16	2012-12-14
	JACOBS ENGINEERNG GROUP	P	2010-09-28	2012-08-15
	LOCKHEED MARTIN CORP	P	2011-07-11	2012-09-17
	MOTOROLA SOLUTIONS INC	P	2011-03-01	2012-04-30
	NEXEN INC F	P	2011-02-25	2012-07-27
	REXAM PLC-SPONSORED ADR	P	2006-11-03	2012-04-18
	SBM OFFSHORE NV-UNSP ADR	P	2011-03-31	2012-07-17
	SOUTHWEST AIRLINES CO	P	2010-11-02	2012-06-14
	UNUM GROUP	P	2011-03-01	2012-06-25
	WELLS FARGO COMPANY	P	2009-05-18	2012-07-31
	BELLSOUTH C 5.2% 9/15/14	P	2011-03-03	2012-08-29
	ING GROEP N V SPON ADR	P	2012-02-17	2012-10-15
	CAPITAL ONE FINL CORP	P	2011-03-01	2012-01-30
	IMPERIAL TOB GROUP PLC F	P	2011-02-02	2012-01-11
	PDG REALTY SA EMPREENDI	P	2012-01-10	2012-07-10
	ROYAL KPN N V SPN ADR	P	2012-08-15	2012-12-20
	SVENSKA CELLULOSA AB F	P	2011-08-03	2012-06-20
	AMGEN INC	P	2009-01-20	2012-01-03
	CF INDUSTRIES HOLDINGS	P	2011-09-06	2012-12-12
	CA INC	P	2010-06-29	2012-10-08
	DEUTSCHE LUFTHANSA A G	P	2008-04-02	2012-08-15
	FLUOR CORP (NEW)	P	2011-05-09	2012-12-12
	GRACO INCORPORATED COM	P	2010-09-28	2012-04-18
	JOHNSON & JOHNSON	P	2005-02-02	2012-02-06
	LOCKHEED MARTIN CORP	P	2011-07-11	2012-10-08
	MTN GROUP LTD-SPONS ADR	P	2010-08-27	2012-08-15
	NOVARTIS AG	P	2009-05-04	2012-02-17
	REXAM PLC-SPONSORED ADR	P	2006-11-03	2012-08-28
	SEI INVTS CO	P	2010-09-28	2012-08-15
	SOUTHWEST AIRLINES CO	P	2010-11-03	2012-06-14
	UNIVERSAL HLTH SVCS CL B	P	2010-09-28	2012-03-01
	WELLS FARGO COMPANY	P	2011-03-01	2012-07-31
	UST NTS 3.5% 051520	P	2011-02-03	2012-03-06
	ANALOG DEVICES INC	P	2011-01-18	2012-01-03
	CONOCOPHILLIPS	P	2012-01-03	2012-07-09
	IMPERIAL TOB GROUP PLC F	P	2011-02-02	2012-01-19
	PDG REALTY SA EMPREENDI	P	2012-01-11	2012-07-10
	SBM OFFSHORE NV-UNSP ADR	P	2011-08-01	2012-07-17
	SVENSKA CELLULOSA AB F	P	2011-08-04	2012-06-20
	AMGEN INC	P	2009-01-26	2012-01-03
	CMS ENERGY CORP	P	2009-06-01	2012-01-03
	CA INC	P	2010-06-30	2012-10-08
	DISCOVER FINANCIAL	P	2011-04-04	2012-05-14
	FOMENTO ECONOMICO MEX SA	P	2010-03-16	2012-01-19
	HCC INS HLDGS INC	P	2010-09-28	2012-10-17
	JOHNSON & JOHNSON	P	2006-11-01	2012-02-06
	L-3 COMMUNICATIONS HLDGS	P	2009-01-20	2012-08-06
	NABORS INDUSTRIES LTD	P	2009-11-25	2012-08-28
	NOVARTIS AG	P	2009-05-04	2012-08-15
	REXAM PLC-SPONSORED ADR	P	2009-03-16	2012-08-28
	SPRINT NEXTEL CORP	P	2011-06-06	2012-06-25
	SOUTHWEST AIRLINES CO	P	2011-03-01	2012-06-14
	VALERO ENERGY CORP NEW	P	2011-06-06	2012-06-11
	WESTERN UNION CO	P	2010-11-01	2012-10-08
	UST NTS 2.25% 053114	P	2011-09-23	2012-12-11
	ANALOG DEVICES INC	P	2011-03-01	2012-01-03
	CONOCOPHILLIPS	P	2012-05-14	2012-07-09
	IMPERIAL TOB GROUP PLC F	P	2011-02-03	2012-01-19
	PDG REALTY SA EMPREENDI	P	2012-01-11	2012-08-15
	SBM OFFSHORE NV-UNSP ADR	P	2011-08-01	2012-07-19
	TELENOR ASA-ADS	P	2012-08-15	2012-12-20

(e) Gross sales price		(g) Cost or other basis plus expense of sale	(h) Gain or (loss) (e) plus (f) minus (g)
a	1,582	1,586	-4
b	86	54	32
c	1,953	1,041	912
d	76	73	3
e	1,846	1,125	721
	596	368	228
	105	64	41
	457	338	119
	485	396	89
	379	518	-139
	679	429	250
	240	129	111
	1,026	457	569
	272	400	-128
	527	617	-90
	249	358	-109
	13,617	14,330	-713
	1,819	1,981	-162
	668	1,047	-379
	85	91	-6
	1,408	1,343	65
	117	237	-120
	41	40	1
	939	1,014	-75
	864	489	375
	626	596	30
	1,303	987	316
	481	293	188
	289	498	-209
	775	445	330
	327	295	32
	918	576	342
	273	377	-104
	3,198	1,610	1,588
	789	541	248
	205	92	113
	73	95	-22
	946	1,028	-82
	696	1,017	-321
	5,176	5,384	-208
	412	472	-60
	613	576	37
	3,292	3,218	74
	1,335	1,264	71
	132	284	-152
	1,026	1,009	17
	82	83	-1
	783	475	308
	536	515	21
	868	571	297
	80	78	2
	832	1,460	-628
	406	172	234
	144	159	-15
	204	109	95
	303	413	-110
	1,070	507	563
	332	177	155
	1,016	734	282
	22	28	-6
	1,246	880	366
	50	86	-36
	3,106	3,208	-102
	1,484	1,760	-276
	94	101	-7
	1,018	912	106
	834	881	-47
	804	1,407	-603
	1,651	1,699	-48
	615	319	296
	459	298	161
	626	606	20
	760	398	362
	440	430	10
	170	292	-122
	1,257	963	294
	1,729	2,033	-304
	1,410	1,091	319
	167	226	-59
	87	153	-66
	995	315	680
	74	52	22
	3,180	2,961	219
	872	593	279
	534	899	-365
	1,440	1,228	212
	980	1,266	-286
	232	331	-99
	1,317	1,107	210
	855	675	180
	84	73	11
	24	23	1
	264	175	89
	85	106	-21
	1,468	1,188	280
	54	60	-6
	640	620	20
	19	27	-8
	652	402	250
	377	441	-64
	307	236	71
	30	55	-25
	359	293	66
	1,495	780	715
	584	527	57
	423	478	-55
	959	629	330
	73	98	-25
	1,440	1,231	209
	654	778	-124
	129	184	-55
	30	29	1
	39	33	6
	1,629	1,958	-329
	4,223	4,237	-14
	258	175	83
	76	44	32
	380	297	83
	1,842	2,173	-331
	760	746	14
	187	134	53
	78	62	16
	37	37
	356	283	73
	947	464	483
	239	170	69
	907	399	508
	27	24	3
	159	47	112
	328	306	22
	661	858	-197
	4,070	4,149	-79
	872	1,048	-176
	3,390	3,585	-195
	562	344	218
	1,220	949	271
	910	944	-34
	1,035	1,059	-24
	298	204	94
	136	83	53
	634	489	145
	140	309	-169
	4	4
	2,559	1,664	895
	1,359	614	745
	1,387	790	597
	831	700	131
	52	25	27
	209	118	91
	1,814	811	1,003
	529	479	50
	324	109	215
	67	61	6
	135	163	-28
	19	16	3
	769	917	-148
	492	517	-25
	1,694	1,626	68
	224	256	-32
	671	707	-36
	2,051	2,074	-23
	1,165	876	289
	246	577	-331
	465	358	107
	69	116	-47
	2	2
	839	855	-16
	699	260	439
	415	223	192
	623	528	95
	465	226	239
	15	18	-3
	1,299	1,043	256
	716	617	99
	232	229	3
	276	147	129
	436	516	-80
	1,852	1,278	574
	47	59	-12
	57	61	-4
	59	62	-3
	1,859	2,244	-385
	865	862	3
	1,024	1,037	-13
	1,242	1,058	184
	28	62	-34
	465	357	108
	1,603	1,659	-56
	30	36	-6
	1,211	1,215	-4
	427	238	189
	821	385	436
	1,358	951	407
	388	184	204
	1,486	1,211	275
	1,039	835	204
	147	139	8
	1,764	1,326	438
	277	147	130
	106	125	-19
	939	980	-41
	76	73	3
	1,961	1,819	142
	105	123	-18
	34	35	-1
	18	18
	505	421	84
	50	108	-58
	411	234	177
	1,995	2,398	-403
	16	15	1
	673	447	226
	269	170	99
	415	358	57
	662	494	168
	207	204	3
	354	226	128
	123	290	-167
	491	468	23
	1,390	1,543	-153
	415	220	195
	531	574	-43
	1,443	1,381	62
	1,052	817	235
	736	968	-232
	1,701	1,455	246
	39	45	-6
	25	27	-2
	698	472	226
	281	602	-321
	1,194	2,147	-953
	1,120	1,502	-382
	1,249	833	416
	365	426	-61
	1,684	1,525	159
	1,151	744	407
	152	103	49
	1,838	1,704	134
	52	50	2
	98	232	-134
	295	287	8
	756	228	528
	760	336	424
	458	339	119
	38	41	-3
	1,788	1,313	475
	44	42	2
	1,919	1,688	231
	498	940	-442
	557	472	85
	42	75	-33
	41	110	-69
	656	581	75
	12	27	-15
	771	521	250
	437	625	-188
	1,347	1,171	176
	1,725	1,517	208
	1,978	1,490	488
	1,355	1,272	83
	1,082	921	161
	315	755	-440
	397	597	-200
	1,296	707	589
	691	351	340
	2,175	1,970	205
	283	362	-79
	2,281	1,970	311
	657	554	103
	1,491	1,958	-467
	536	1,021	-485
	326	315	11
	418	373	45
	2,557	1,983	574
	631	485	146
	502	1,066	-564
	1,382	1,672	-290
	736	1,092	-356
	602	564	38
	1,110	958	152
	152	114	38
	51	52	-1
	414	650	-236
	143	348	-205
	812	1,231	-419
	37	52	-15
	1,626	1,260	366
	2,175	2,203	-28
	52	54	-2
	89	97	-8
	365	308	57
	114	287	-173
	19	33	-14
	563	544	19
	1,158	1,000	158
	2,119	1,791	328
	454	340	114
	134	308	-174
	1,810	2,233	-423
	895	492	403
	457	462	-5
	1,979	1,677	302
	19	16	3
	1,300	872	428
	33	54	-21
	428	401	27
	664	1,007	-343
	2,037	1,779	258
	34	32	2
	3,443	3,027	416
	2,502	2,726	-224
	814	860	-46
	69	62	7
	302	772	-470
	95	190	-95
	1,125	1,043	82
	1,029	864	165
	285	153	132
	328	242	86
	1,046	758	288
	563	368	195
	855	624	231
	1,306	1,344	-38
	901	970	-69
	15	21	-6
	60	38	22
	1,103	608	495
	1,001	1,848	-847
	37	47	-10
	213	257	-44
	1,249	1,213	36
	7,206	7,357	-151
	36	39	-3
	1,086	1,057	29
	344	308	36
	10	23	-13
	189	379	-190
	61	52	9

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			-4
b			32
c			912
d			3
e			721
			228
			41
			119
			89
			-139
			250
			111
			569
			-128
			-90
			-109
			-713
			-162
			-379
			-6
			65
			-120
			1
			-75
			375
			30
			316
			188
			-209
			330
			32
			342
			-104
			1,588
			248
			113
			-22
			-82
			-321
			-208
			-60
			37
			74
			71
			-152
			17
			-1
			308
			21
			297
			2
			-628
			234
			-15
			95
			-110
			563
			155
			282
			-6
			366
			-36
			-102
			-276
			-7
			106
			-47
			-603
			-48
			296
			161
			20
			362
			10
			-122
			294
			-304
			319
			-59
			-66
			680
			22
			219
			279
			-365
			212
			-286
			-99
			210
			180
			11
			1
			89
			-21
			280
			-6
			20
			-8
			250
			-64
			71
			-25
			66
			715
			57
			-55
			330
			-25
			209
			-124
			-55
			1
			6
			-329
			-14
			83
			32
			83
			-331
			14
			53
			16

			73
			483
			69
			508
			3
			112
			22
			-197
			-79
			-176
			-195
			218
			271
			-34
			-24
			94
			53
			145
			-169

			895
			745
			597
			131
			27
			91
			1,003
			50
			215
			6
			-28
			3
			-148
			-25
			68
			-32
			-36
			-23
			289
			-331
			107
			-47

			-16
			439
			192
			95
			239
			-3
			256
			99
			3
			129
			-80
			574
			-12
			-4
			-3
			-385
			3
			-13
			184
			-34
			108
			-56
			-6
			-4
			189
			436
			407
			204
			275
			204
			8
			438
			130
			-19
			-41
			3
			142
			-18
			-1

			84
			-58
			177
			-403
			1
			226
			99
			57
			168
			3
			128
			-167
			23
			-153
			195
			-43
			62
			235
			-232
			246
			-6
			-2
			226
			-321
			-953
			-382
			416
			-61
			159
			407
			49
			134
			2
			-134
			8
			528
			424
			119
			-3
			475
			2
			231
			-442
			85
			-33
			-69
			75
			-15
			250
			-188
			176
			208
			488
			83
			161
			-440
			-200
			589
			340
			205
			-79
			311
			103
			-467
			-485
			11
			45
			574
			146
			-564
			-290
			-356
			38
			152
			38
			-1
			-236
			-205
			-419
			-15
			366
			-28
			-2
			-8
			57
			-173
			-14
			19
			158
			328
			114
			-174
			-423
			403
			-5
			302
			3
			428
			-21
			27
			-343
			258
			2
			416
			-224
			-46
			7
			-470
			-95
			82
			165
			132
			86
			288
			195
			231
			-38
			-69
			-6
			22
			495
			-847
			-10
			-44
			36
			-151
			-3
			29
			36
			-13
			-190
			9

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	19,966
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	-2,829

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	5,000	1,787,716	0.002797
2010	2,500	50,218	0.049783
2009		540,500
2008	103,000	622,321	0.165509
2007	105,500	764,124	0.138067

2	Total of line 1, column (d) ......................	2	0.356156
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	0.089039
4	Enter the net value of noncharitable-use assets for 2012 from Part X, line 5.....	4	1,814,289
5	Multiply line 4 by line 3.......................	5	161,542
6	Enter 1% of net investment income (1% of Part I, line 27b)...........	6	178
7	Add lines 5 and 6.........................	7	161,720
8	Enter qualifying distributions from Part XII, line 4..............	8	4,900
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	356
	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
3	Add lines 1 and 2............................	3	356
4	Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-).	4
5	Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- .....	5	356
6	Credits/Payments:

a	2012 estimated tax payments and 2011 overpayment credited to 2012	6a
b	Exempt foreign organizations—tax withheld at source.......	6b
c	Tax paid with application for extension of time to file (Form 8868)	6c	356
d	Backup withholding erroneously withheld ...........	6d

7	Total credits and payments. Add lines 6a through 6d..............		7	356
8	Enter any penalty for underpayment of estimated tax. Check hereif Form 2220 is attached.		8
9	Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......		9
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

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

ROLAND VIVEIROS JR CPA Telephone no. bullet

(702) 270-2341

Located at bullet

P O BOX 50654HENDERSONNV ZIP+4 bullet

890160654

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
MARILYN LARSON	PRESIDENT 2.00	0	0	0
13000 LAS VEGAS BLVD SO LAS VEGAS,NV89044	PRESIDENT 2.00	0	0	0
MEL LARSON	VICE-PRESIDE 2.00	0	0	0
13000 LAS VEGAS BLVD SO LAS VEGAS,NV89044	VICE-PRESIDE 2.00	0	0	0
ROLAND VIVEIROS JR CPA	SECRETARY 2.00	0	0	0
P O BOX 50654 HENDERSON,NV89016	SECRETARY 2.00	0	0	0
ROLAND VIVEIROS JR CPA	TREASURER 2.00	0	0	0
P O BOX 50654 HENDERSON,NV89016	TREASURER 2.00	0	0	0

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

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

627,262

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

14,656

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

1,200,000

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

1,841,918

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

1,841,918

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

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

27,629

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

1,814,289

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

90,714

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

90,714

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

356

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

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

356

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

90,358

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

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

90,358

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

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

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

90,358

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 ..........

4,900

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

4,900

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

4,900

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)

	(c) 2011	(d) 2012
1 Distributable amount for 2012 from Part XI, line 7		90,358
2 Undistributed income, if any, as of the end of 2012:
a Enter amount for 2011 only.......	37,667
b Total for prior years:20, 20, 20
3 Excess distributions carryover, if any, to 2012:
a From 2007.......
b From 2008.......
c From 2009.......
d From 2010.......
e From 2011.......
fTotal of lines 3a through e.........
4Qualifying distributions for 2012 from Part
XII, line 4: $ 4,900
a Applied to 2011, but not more than line 2a	4,900
b Applied to undistributed income of prior years (Election required—see instructions)......
c Treated as distributions out of corpus (Election required—see instructions).........
d Applied to 2012 distributable amount.....
e Remaining amount distributed out of corpus
5 Excess distributions carryover applied to 2012.
(If an amount appears in column (d), the same amount must be shown in column (a).)
6Enter the net total of each column as indicated below:
a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5
b Prior years’ undistributed income. Subtract line 4b from line 2b ...........
c Enter the amount of prior years’ undistributed income for which a notice of deficiency has been issued, or on which the section 4942(a) tax has been previously assessed......
d Subtract line 6c from line 6b. Taxable amount —see instructions ...........
e Undistributed income for 2011. Subtract line 4a from line 2a. Taxable amount—see instructions .............	32,767
f Undistributed income for 2012. Subtract lines 4d and 5 from line 1. This amount must be distributed in 2013 ..........		90,358
7 Amounts treated as distributions out of corpus to satisfy requirements imposed by section 170(b)(1)(F) or 4942(g)(3) (see instructions) .............
8Excess distributions carryover from 2007 not applied on line 5 or line 7 (see instructions) ...
9Excess distributions carryover to 2013. Subtract lines 7 and 8 from line 6a ......
10 Analysis of line 9:
a Excess from 2008....
b Excess from 2009....
c Excess from 2010....
d Excess from 2011....
e Excess from 2012....

Form 990-PF (2012)

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).)

MARILYN AND MEL LARSON

bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.

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

Check here bullet

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:

ROLAND VIVEIROS JR
P O BOX 50654
HENDERSON,NV89016
(702) 270-2341

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

cAny submission deadlines:

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

Form 990-PF (2012)

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
LAS VEGAS ANIMAL FOUNDATI 655 NORTH MOJAVE ROAD LAS VEGAS LAS VEGAS,NV89101	NONE		ANIMAL WELFARE AND ADOPTIONS	4,900
Total ................................. 3a				4,900

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	4,179
4 Dividends and interest from securities....			14	11,600
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					19,966
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)..				15,779	19,966

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

1335,745

(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

Description	Revenue and Expenses per Books	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
EXPENSES
MISCELLANEOUS	95	95

Category	Amount	Net Investment Income
INVESTMENT INCOME TAX	585	585
FOREIGN TAXES	455	455
REAL ESTATE TAXES	8,556	8,556

Description	Beginning of Year - Book Value	End of Year - Book Value	End of Year - Fair Market Value
MUTUAL FUNDS	17,116	22,875	24,425
SANDY VALLEY ESTATE	1,200,000	1,200,000	1,200,000