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
BENJAMIN KIMBALL TRUST UW 360126015
 

Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 477   Room/suite
City or town, state, and ZIP code
CONCORD, NH033020477
A Employer identification number

02-6004820
B Telephone number (see instructions)

(603) 229-5990
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$6,249,682J 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      
4 Dividends and interest from securities...... 178,865 178,865  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 -18,808
b Gross sales price for all assets on line 6a 2,464,719
7 Capital gain net income (from Part IV, line 2)... 0
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........ 160,057 178,865  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 42,483 42,483    
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule).........       0
b Accounting fees (attach schedule)....... Click to see attachment 575 575 0 0
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions) Click to see attachment 3,667     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)....... Click to see attachment 276 276    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 47,001 43,334 0 0
25 Contributions, gifts, grants paid........ 293,308 293,308
26 Total expenses and disbursements. Add lines 24 and 25 340,309 43,334 0 293,308
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -180,252
b Net investment income (if negative, enter -0-) 135,531
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.......... 57,675 121,157 121,157
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) 1,684,722 Click to see attachment1,748,170 1,783,561
b Investments—corporate stock (attach schedule)........ 2,898,228 Click to see attachment2,707,745 3,301,812
c Investments—corporate bonds (attach schedule)........ 1,119,395 Click to see attachment1,002,696 1,043,152
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) 5,760,020 5,579,768 6,249,682
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......... 5,760,020 5,579,768
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).................... 5,760,020 5,579,768
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 5,760,020 5,579,768
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 5,760,020
2 Enter amount from Part I, line 27a..................... 2 -180,252
3 Other increases not included in line 2 (itemize) bullet 3 0
4 Add lines 1, 2, and 3.......................... 4 5,579,768
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 5,579,768
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 980. EXELON CORP COM   2010-01-11 2012-01-09
b 1170. TARGET CORP   2010-12-16 2012-01-09
c 510. TARGET CORP   2011-04-26 2012-01-09
d 510. UNITED TECHNOLOGIES   2007-06-22 2012-01-09
e 2510. VALERO ENERGY CORP COM   2011-07-26 2012-01-09
120. DIAGEO PLC ADR   2011-06-02 2012-01-24
80. DIAGEO PLC ADR   2007-01-26 2012-01-24
350. EXELON CORP COM   2011-09-08 2012-01-24
490. EXELON CORP COM   2010-12-17 2012-01-24
110. DIAGEO PLC ADR   2007-01-26 2012-02-06
250. ECOLAB INC   2011-06-15 2012-02-06
300. ECOLAB INC   2010-05-05 2012-02-06
160. PROCTER & GAMBLE CO   2010-11-15 2012-02-06
110. ABBOTT LABORATORIES   2011-07-26 2012-02-16
190. ABBOTT LABORATORIES   2010-08-24 2012-02-16
80. CHEVRONTEXACO CORP   2011-05-09 2012-02-16
80. CHEVRONTEXACO CORP   2011-01-24 2012-02-16
90. COLGATE PALMOLIVE   2011-04-21 2012-02-16
260. JOHNSON & JOHNSON   2010-03-16 2012-02-16
130. PROCTER & GAMBLE CO   2010-11-16 2012-02-16
30000. U S TREASURY NOTE 3.125% 08/31/2013 DTD 09/02/08   2011-05-05 2012-02-16
80000. U S TREASURY NOTE 3.125% 08/31/2013 DTD 09/02/08   2011-05-05 2012-03-14
35000. U S TREASURY BOND 2.625% 08/15/2020 DTD 08/15/10   2011-11-30 2012-03-14
15000. U S TREASURY BOND 2.625% 08/15/2020 DTD 08/15/10   2010-11-09 2012-03-14
710. AMERICAN TOWER CORP COM   2011-11-03 2012-03-23
910. HEWLETT PACKARD   2010-10-12 2012-03-23
540. MARATHON OIL   2011-07-26 2012-03-23
730. ORACLE CORP   2011-01-24 2012-03-23
310. HEWLETT PACKARD   2011-09-08 2012-03-26
550. HEWLETT PACKARD   2009-05-01 2012-03-26
20. ORACLE CORP   2011-06-15 2012-03-26
320. ORACLE CORP   2010-12-17 2012-03-26
290. ORACLE CORP   2011-01-24 2012-03-26
58000. PEPSICO INC 3.100% 01/15/2015 DTD 01/14/10   2011-03-14 2012-03-28
52000. PEPSICO INC 3.100% 01/15/2015 DTD 01/14/10   2011-03-14 2012-03-28
300. CAPITAL ONE FINANCIAL CORP   2011-03-29 2012-04-12
10. CAPITAL ONE FINANCIAL CORP   2011-05-09 2012-04-12
100. EXXON MOBIL CORP   2011-05-09 2012-04-12
20. EXXON MOBIL CORP   2010-05-14 2012-04-12
80. 3M CO   2006-11-02 2012-04-12
250. J P MORGAN CHASE & CO   2010-03-16 2012-05-02
890. METLIFE INC   2012-02-16 2012-05-02
670. SYSCO CORP   2011-07-26 2012-05-02
70000. U S TREASURY NOTE 3.125% 08/31/2013 DTD 09/02/08   2011-05-05 2012-05-03
680. SYSCO CORP   2011-07-26 2012-05-04
80. ABBOTT LABORATORIES   2010-08-24 2012-05-08
70. AMERICAN EXPRESS CO   2006-08-17 2012-05-08
40. APACHE CORP COM   2012-02-16 2012-05-08
110. ARCHER DANIELS MID   2011-03-03 2012-05-08
50. BED BATH & BEYOND INC   2011-11-03 2012-05-08
20. BERKSHIRE HATHAWAY INC DEL CL B NEW   2011-12-01 2012-05-08
70. BROADCOM CORP COM   2012-03-26 2012-05-08
10. CAPITAL ONE FINANCIAL CORP   2011-07-14 2012-05-08
50. CAPITAL ONE FINANCIAL CORP   2011-03-29 2012-05-08
50. CELGENE CORP   2012-04-12 2012-05-08
10. CHEVRONTEXACO CORP   2010-06-24 2012-05-08
40. CHEVRONTEXACO CORP   2011-01-24 2012-05-08
220. CISCO SYSTEMS INC   2007-10-04 2012-05-08
50. COCA COLA CO   2012-05-04 2012-05-08
50. COLGATE PALMOLIVE   2012-04-12 2012-05-08
90. DANAHER CORP   2011-04-26 2012-05-08
40. DIAGEO PLC ADR   2007-01-26 2012-05-08
120. WALT DISNEY CO   2012-01-09 2012-05-08
180. E M C CORP MASS   2006-11-17 2012-05-08
50. ECOLAB INC   2010-05-05 2012-05-08
70. EXXON MOBIL CORP   2010-05-14 2012-05-08
80. FREEPORT-MCMORAN COPPER & GOCL B   2012-02-06 2012-05-08
80. GILEAD SCIENCES INC   2011-06-02 2012-05-08
130. HOME DEPOT INC   2011-04-25 2012-05-08
90. ILLINOIS TOOL WKS INC   2012-01-24 2012-05-08
30. INTERNATIONAL BUSINESS MACHINES   2011-04-26 2012-05-08
100. J P MORGAN CHASE & CO   2006-07-17 2012-05-08
50. JOHNSON & JOHNSON   2006-07-21 2012-05-08
30. L-3 COMMUNICATIONS HLDGS INC COM   2011-03-02 2012-05-08
150. MARATHON OIL   2011-07-26 2012-05-08
110. MERCK & CO INC NEW COM   2012-04-12 2012-05-08
190. MICROSOFT CORP   2011-07-26 2012-05-08
60. NETAPP INC COM   2012-03-26 2012-05-08
60. NEXTERA ENERGY INC COM   2012-05-02 2012-05-08
70. ORACLE CORP   2011-06-15 2012-05-08
60. PNC FINANCIAL CORP   2012-01-09 2012-05-08
60. PROCTER & GAMBLE CO   2010-11-16 2012-05-08
60. QUALCOMM, INC.   2010-11-08 2012-05-08
120. SPECTRA ENERGY CORP   2012-01-09 2012-05-08
90. STARBUCKS CORP   2012-01-09 2012-05-08
40. 3M CO   2006-11-02 2012-05-08
150. US BANCORP DEL NEW   2008-03-31 2012-05-08
20. UNION PACIFIC CORP   2012-02-06 2012-05-08
30. UNITED PARCEL SVC INC CL B   2012-01-09 2012-05-08
30. UNITED TECHNOLOGIES   2007-05-22 2012-05-08
90. VERIZON COMMUNICATIONS   2008-09-22 2012-05-08
120. WELLS FARGO & COMPANY COM NEW   2010-03-16 2012-05-08
60. YUM BRANDS INC   2012-01-09 2012-05-08
100. INVESCO LTD SHS   2012-03-23 2012-05-08
50. ACE LTD   2011-07-14 2012-05-08
80. CHECK POINT SOFTWARE TECHNOLOGIES LTD   2011-07-26 2012-05-08
120. HOME DEPOT INC   2008-04-04 2012-05-10
80. HOME DEPOT INC   2011-04-25 2012-05-10
600. MARATHON OIL   2011-07-26 2012-05-10
300. STARBUCKS CORP   2012-01-09 2012-05-10
620. MARATHON OIL   2011-06-07 2012-05-29
480. UNITED TECHNOLOGIES   2007-05-22 2012-05-29
1630. INVESCO LTD SHS   2012-03-23 2012-05-29
540. PNC FINANCIAL CORP   2012-01-09 2012-06-15
300. STARBUCKS CORP   2011-09-08 2012-06-15
210. YUM BRANDS INC   2012-01-09 2012-06-15
30. YUM BRANDS INC   2007-07-19 2012-06-15
50000. U S TREASURY NOTE 3.125% 08/31/2013 DTD 09/02/08   2011-05-05 2012-06-26
1170. MARATHON OIL   2012-01-09 2012-07-09
200. MARATHON OIL   2011-06-07 2012-07-09
905. PROCTER & GAMBLE CO   2009-07-07 2012-07-09
210. APACHE CORP COM   2012-02-16 2012-07-13
510. APACHE CORP COM   2006-12-08 2012-07-13
1010. NETAPP INC COM   2012-03-26 2012-07-13
290. STARBUCKS CORP   2011-09-08 2012-07-13
250. YUM BRANDS INC   2007-07-19 2012-07-13
83. ENGILITY HOLDINGS INC   2011-03-02 2012-08-03
210. GILEAD SCIENCES INC   2012-05-29 2012-08-03
70. GILEAD SCIENCES INC   2011-06-02 2012-08-03
55000. HEWLETT PACKARD CO 4.750% 06/02/2014 DTD 02/26/09   2010-12-15 2012-08-06
105000. U S TREASURY NOTE 3.125% 08/31/2013 DTD 09/02/08   2011-05-05 2012-08-08
70000. U S TREASURY BOND 2.625% 08/15/2020 DTD 08/15/10   2011-06-20 2012-08-20
30000. CONOCOPHILLIPS 4.750% 02/01/2014 DTD 02/03/09   2011-01-10 2012-08-21
50000. CONOCOPHILLIPS 4.750% 02/01/2014 DTD 02/03/09   2011-01-10 2012-08-21
230. DIAGEO PLC ADR   2008-06-16 2012-08-22
290. HOME DEPOT INC   2008-04-04 2012-08-22
500. L-3 COMMUNICATIONS HLDGS INC COM   2011-03-02 2012-08-22
35000. GE COMPANY 5.00% 02/01/2013 DTD 1/28/2003   2008-04-15 2012-09-06
120. ABBOTT LABORATORIES   2012-05-29 2012-09-13
160. COLGATE PALMOLIVE   2012-05-29 2012-09-13
150. ECOLAB INC   2012-05-10 2012-09-13
110. ECOLAB INC   2010-05-05 2012-09-13
190. MERCK & CO INC NEW COM   2012-05-29 2012-09-13
120. NEXTERA ENERGY INC COM   2012-05-10 2012-09-13
180. VERIZON COMMUNICATIONS   2012-06-15 2012-09-13
.334 ENGILITY HOLDINGS INC   2011-01-24 2012-09-14
590. ARCHER DANIELS MID   2011-03-03 2012-10-15
676. KRAFT FOODS GROUP INC   2012-08-22 2012-10-15
490. UNITED PARCEL SVC INC CL B   2012-01-09 2012-10-15
.667 KRAFT FOODS GROUP INC   2012-07-09 2012-10-22
110000. WAL-MART STORES 4.55% 5/1/2013 DTD 4/29/2003   2011-03-14 2012-10-25
50. ABBOTT LABORATORIES   2012-05-29 2012-12-03
460. ABBOTT LABORATORIES   2010-08-24 2012-12-03
170. WALT DISNEY CO   2012-01-09 2012-12-03
220. GILEAD SCIENCES INC   2011-06-02 2012-12-03
130. INTERNATIONAL BUSINESS MACHINES   2011-04-26 2012-12-03
810. MICROSOFT CORP   2011-09-08 2012-12-03
120. MICROSOFT CORP   2006-08-25 2012-12-03
(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 40,440   47,226 -6,786
b 56,856   68,924 -12,068
c 24,784   25,468 -684
d 37,764   35,249 2,515
e 49,668   69,640 -19,972
10,525   10,244 281
7,017   6,338 679
13,796   15,061 -1,265
19,314   21,233 -1,919
10,222   8,714 1,508
15,335   13,735 1,600
18,402   14,585 3,817
10,125   10,290 -165
6,113   5,758 355
10,558   9,415 1,143
8,437   8,349 88
8,437   7,533 904
8,367   7,277 1,090
16,890   16,498 392
8,443   8,261 182
31,310   31,686 -376
83,231   84,497 -1,266
36,719   37,105 -386
15,737   14,944 793
43,830   40,855 2,975
21,360   34,800 -13,440
17,545   17,930 -385
20,906   23,644 -2,738
7,339   7,427 -88
13,021   20,334 -7,313
577   628 -51
9,235   10,239 -1,004
8,369   9,393 -1,024
61,691   60,653 1,038
55,311   54,378 933
16,283   15,634 649
543   535 8
8,311   8,339 -28
1,662   1,273 389
6,922   6,329 593
10,786   10,704 82
31,750   34,170 -2,420
19,241   20,958 -1,717
72,661   73,935 -1,274
19,202   21,270 -2,068
4,999   3,964 1,035
4,184   3,751 433
3,482   4,264 -782
3,613   4,085 -472
3,408   3,092 316
1,638   1,560 78
2,372   2,705 -333
539   493 46
2,697   2,586 111
3,531   3,949 -418
1,028   711 317
4,114   3,767 347
4,125   7,108 -2,983
3,855   3,875 -20
4,966   4,862 104
4,877   4,864 13
4,016   3,169 847
5,282   4,789 493
4,928   2,309 2,619
3,240   2,431 809
5,862   4,456 1,406
2,835   3,703 -868
3,943   3,308 635
6,600   4,876 1,724
5,085   4,633 452
6,049   5,053 996
4,126   4,082 44
3,238   3,091 147
2,134   2,367 -233
3,913   4,857 -944
4,234   4,216 18
5,794   5,323 471
2,274   2,758 -484
3,850   3,831 19
1,952   2,198 -246
3,944   3,590 354
3,851   3,751 100
3,748   2,865 883
3,625   3,656 -31
4,873   4,192 681
3,494   3,164 330
4,725   4,897 -172
2,260   2,313 -53
2,327   2,197 130
2,364   2,067 297
3,649   2,701 948
3,965   3,500 465
4,307   3,577 730
2,333   2,625 -292
3,784   3,253 531
4,413   4,715 -302
6,059   3,483 2,576
4,039   3,001 1,038
16,112   19,427 -3,315
16,362   13,671 2,691
15,633   19,322 -3,689
35,803   33,071 2,732
35,582   42,785 -7,203
31,489   32,086 -597
15,654   11,696 3,958
13,556   12,521 1,035
1,937   1,033 904
51,678   52,811 -1,133
28,523   33,299 -4,776
4,876   6,148 -1,272
55,662   48,063 7,599
17,457   21,619 -4,162
42,396   35,404 6,992
28,889   46,162 -17,273
15,336   11,306 4,030
16,039   8,609 7,430
1,283   1,541 -258
12,200   10,692 1,508
4,067   2,895 1,172
58,247   60,019 -1,772
108,228   110,530 -2,302
76,248   69,677 6,571
31,747   32,751 -1,004
52,917   54,586 -1,669
24,456   18,112 6,344
16,435   8,417 8,018
34,785   37,369 -2,584
35,636   36,322 -686
8,153   7,436 717
16,601   15,773 828
9,687   9,733 -46
7,104   5,348 1,756
8,365   7,227 1,138
8,115   7,801 314
8,126   7,900 226
5   6 -1
16,561   21,859 -5,298
31,931   28,117 3,814
35,540   35,889 -349
31   27 4
112,385   118,231 -5,846
3,228   3,098 130
29,695   22,039 7,656
8,433   6,785 1,648
16,579   9,081 7,498
24,634   21,829 2,805
21,510   22,192 -682
3,187   3,121 66
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       -6,786
b       -12,068
c       -684
d       2,515
e       -19,972
      281
      679
      -1,265
      -1,919
      1,508
      1,600
      3,817
      -165
      355
      1,143
      88
      904
      1,090
      392
      182
      -376
      -1,266
      -386
      793
      2,975
      -13,440
      -385
      -2,738
      -88
      -7,313
      -51
      -1,004
      -1,024
      1,038
      933
      649
      8
      -28
      389
      593
      82
      -2,420
      -1,717
      -1,274
      -2,068
      1,035
      433
      -782
      -472
      316
      78
      -333
      46
      111
      -418
      317
      347
      -2,983
      -20
      104
      13
      847
      493
      2,619
      809
      1,406
      -868
      635
      1,724
      452
      996
      44
      147
      -233
      -944
      18
      471
      -484
      19
      -246
      354
      100
      883
      -31
      681
      330
      -172
      -53
      130
      297
      948
      465
      730
      -292
      531
      -302
      2,576
      1,038
      -3,315
      2,691
      -3,689
      2,732
      -7,203
      -597
      3,958
      1,035
      904
      -1,133
      -4,776
      -1,272
      7,599
      -4,162
      6,992
      -17,273
      4,030
      7,430
      -258
      1,508
      1,172
      -1,772
      -2,302
      6,571
      -1,004
      -1,669
      6,344
      8,018
      -2,584
      -686
      717
      828
      -46
      1,756
      1,138
      314
      226
      -1
      -5,298
      3,814
      -349
      4
      -5,846
      130
      7,656
      1,648
      7,498
      2,805
      -682
      66
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 -18,808
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 260,817 6,112,521 0.042669
2010 299,596 6,012,975 0.049825
2009 316,416 5,573,599 0.05677
2008 347,883 6,406,494 0.054302
2007 0 0 0.0
2 Total of line 1, column (d) ...................... 2 0.203566
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 0.040713
4 Enter the net value of noncharitable-use assets for 2012 from Part X, line 5..... 4 6,197,730
5 Multiply line 4 by line 3....................... 5 252,328
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 1,355
7 Add lines 5 and 6......................... 7 253,683
8 Enter qualifying distributions from Part XII, line 4.............. 8 293,308
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 1,355
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 1,355
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 1,355
6 Credits/Payments:
a 2012 estimated tax payments and 2011 overpayment credited to 2012 6a 2,884
b Exempt foreign organizations—tax withheld at source....... 6b
c Tax paid with application for extension of time to file (Form 8868) 6c 0
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 2,884
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 1,529
11 Enter the amount of line 10 to be: Credited to 2013 estimated taxBullet1,356 Refunded Bullet 11 173
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)
    bulletNH
    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
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbullet  
    14
    The books are in care ofbulletTD Bank NA Telephone no.bullet (603) 229-5990
    Located atbullet143 NORTH MAIN STREETCONCORDNH ZIP+4bullet03301
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16
    At any time during calendar year 2012, did the foundation have an interest in or a signature or other authority over
    a bank, securities, or other financial account in a foreign country? .................
    16
     
    No
    See instructions for exceptions and filing requirements for Form TD F 90-22.1. If "Yes", enter the name of the foreign country bullet  
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 5
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the “Yes” column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?.........................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?.................
    (6) Agree to pay money or property to a government official? (Exception. Check “No”
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).........
    b
    If any answer is “Yes” to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see page 20 of the instructions)?...
    1b
     
     
    .........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2012?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2012, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2012?...............
    If “Yes,” list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer “No” and attach statement—see instructions.) ..............
    2b
     
    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
    TD Bank NA Trustee
    1     		42,483    
    PO Box 477
    Concord,NH033020477
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE.”
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 7
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See page 24 of the instructions.
    3  
    Total. Add lines 1 through 3..........................bullet  
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
    see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    6,165,470
    b
    Average of monthly cash balances.......................
    1b
    126,642
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    6,292,112
    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
    6,292,112
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see
    instructions) .............................
    4
    94,382
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    6,197,730
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    309,887
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    309,887
    2a
    Tax on investment income for 2012 from Part VI, line 5......
    2a
    1,355
    b
    Income tax for 2012. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    1,355
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    308,532
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    308,532
    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
    308,532
    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
    293,308
    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
    293,308
    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
    1,355
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    291,953
    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 7 308,532
    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....... 32,861
    d From 2010....... 3,147
    e From 2011....... 0
    fTotal of lines 3a through e......... 36,008
    4Qualifying distributions for 2012 from Part
    XII, line 4: bullet$ 293,308
    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..... 293,308
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2012. 15,224 15,224
    (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 20,784
    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 ......     		20,784
    10 Analysis of line 9:
    a Excess from 2008.... 0
    b Excess from 2009.... 17,637
    c Excess from 2010.... 3,147
    d Excess from 2011.... 0
    e Excess from 2012.... 0
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 9
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2012, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2012 (b) 2011 (c) 2010 (d) 2009
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ....     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets” alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment” alternative test— enter 2⁄3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support” alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    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 of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 10
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    TRUSTEES OF DARTMOUTH COLLEGE
    MARGO LAHAYE
    HANOVER,NH037553555     		NONE 501(C)(3) MAINTAIN PROFESSORSHIP & 73,052
    SOUTH CONGREGATIONAL SOCIETY
    ATTN TREASURER
    CONCORD,NH03301     		NONE 501(C)(3) DAILY OPERATIONS 200
    CONCORD FAMILY YMCA
    JAMES DOREMUS
    CONCORD,NH03301     		NONE 501(C)(3) GENERAL PURPOSES 200
    NEW HAMPSHIRE HISTORICAL SOCIETY
    ATTN ANNE-MARIE MILLER
    CONCORD,NH03301     		NONE 501(C)(3) MAINTENANCE OF A CERTAIN 73,052
    SPAULDING YOUTH CENTER
    130 SHEDD ROAD
    NORTHFIELD,NH032764607     		NONE 501(C)(3) GENERAL PURPOSES 300
    BOSCAWEN PUBLIC LIBRARY
    FOR LIBRARY PURPOSES
    BOSCAWEN,NH03303     		NONE 501(C)(3) DAILY OPERATIONS 150
    BOSCAWEN CONGREGATIONAL CHURCH
    12 HIGH STREET
    BOSCAWEN,NH033032303     		NONE 501(C)(3) GENERAL PURPOSES 250
    CONCORD HOSPITAL
    RICHARD FORD
    C/O ACCOUNTING DEPT
    CONCORD,NH03301     		NONE 501(C)(3) DAILY OPERATIONS 73,052
    CONCORD PUBLIC LIBRARY
    CITY OF CONCORD
    MICHAEL JACHE CITY TREASURER
    CONCORD,NH03301     		NONE 501(C)(3) DAILY OPERATIONS 73,052
    Total .................................bullet 3a 293,308
    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          
    4 Dividends and interest from securities....     14 178,862  
    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 -18,805  
    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)..   160,057  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13160,057
    (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 AccountingFeesSchedule
    Name:
    BENJAMIN KIMBALL TRUST UW 360126015
    EIN: 02-6004820
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 575 575    

    TY 2012 InvestmentsCorpBondsSchedule
    Name:
    BENJAMIN KIMBALL TRUST UW 360126015
    EIN: 02-6004820
    Name of Bond End of Year Book Value End of Year Fair Market Value
    35000 AT&T INC 4.45% 35,665 40,420
    55000 ANHEUSER-BUSCH 1.375% 55,600 55,579
    75000 BNK OF NOVA SCOTIA 2.375 76,701 76,425
    75000 BERKSHIRE HATHAWAY 5.40% 82,825 90,216
    55000 CATERPILLAR FINL SE 2.05 56,686 56,934
    35000 CISCO SYSTEMS INC 4.950% 38,379 41,434
    65000 COCA COLA CO 1.50% 62,117 66,565
    75000 GEN ELEC CAP CORP 5.625% 81,828 88,479
    20000 GEN ELEC CAP CORP 1.625% 20,328 20,332
    80000 JPMORGAN CHASE & CO 6.00 87,324 95,775
    110000 ONTARIO PROVINCE 2.950% 114,797 115,616
    35000 PFIZER INC NOTES 5.35% 39,202 38,546
    30000 PROVINCE OF QUEBEC 2.750 30,494 31,339
    35000 SBC COMMUNICATIONS 5.10% 38,064 37,597
    35000 TOYOTA MOTOR CREDIT 2.00 36,184 36,286
    75000 WACHOVIA CORP 5.75% 84,755 89,853
    60000 WAL-MART STORES INC 1.50 61,747 61,756

    TY 2012 InvestmentsCorpStockSchedule
    Name:
    BENJAMIN KIMBALL TRUST UW 360126015
    EIN: 02-6004820
    Name of Stock End of Year Book Value End of Year Fair Market Value
    930 BED BATH & BEYOND INC 59,570 51,996
    1810 COMCAST CORP NEW CL A 60,031 67,622
    1790 WALT DISNEY CO 58,160 89,124
    1680 HOME DEPOT INC 46,648 103,908
    780 STARBUCKS CORP 30,409 41,831
    540 YUM BRANDS INC 18,594 35,856
    1290 ARCHER DANIELS MIDLAND CO 44,276 35,333
    2220 COCA COLA CO 85,442 80,475
    790 COLGATE PALMOLIVE CO 52,738 82,587
    460 DIAGEO PLC ADR 32,978 53,627
    2030 MONDELEZ INTERNATIONAL IN 52,063 51,670
    1350 WALGREEN CO 48,780 49,964
    1720 TRANSOCEAN LTD ZUG 80,227 76,815
    900 CHEVRON CORPORATION 59,638 97,326
    920 CONOCOPHILLIPS 50,607 53,351
    1170 EXXON MOBIL CORP 18,791 101,264
    2000 SPECTRA ENERGY CORP 59,823 54,760
    870 ACE LTD 39,442 69,426
    1120 AMERICAN EXPRESS CO 38,991 64,378
    610 BERKSHIRE HATHAWAY INC DEL 47,891 54,717
    980 CAPITAL ONE FINANCIAL CORP 47,780 56,771
    1550 J P MORGAN CHASE & CO 63,270 68,152
    520 PNC BANK CORP 28,803 30,321
    2580 US BANCORP DEL NEW 66,623 82,405
    2130 WELLS FARGO & CO NEW 34,999 72,803
    880 ABBOTT LABS CO 41,946 57,640
    780 CELGENE CORP 51,106 61,207
    1180 GILEAD SCIENCES INC 46,486 86,671
    1110 JOHNSON & JOHNSON CO 68,730 77,811
    1980 MERCK & CO INC NEW 71,504 81,061
    1980 PFIZER 49,896 49,657
    450 WELLPOINT INC COM 31,800 27,414
    1530 DANAHER CORP SHS BEN INT 81,024 85,527
    1380 ILLINOIS TOOL WKS INC 62,081 83,918
    220 PRECISION CASTPARTS CORP 36,393 41,672
    900 3M CO 73,410 83,565
    380 UNION PACIFIC CORP 39,479 47,774
    1500 CHECK POINT SOFTWARE TECH 84,128 71,460
    1430 BROADCOM CORP 54,454 47,490
    3700 CISCO SYSTEMS INC 93,272 72,703
    740 COGNIZANT TECHNOLOGY SOLUT 50,256 54,673
    3000 EMC CORPORATION/MASS 38,477 75,900
    390 INTL BUSINESS MACHINES COR 64,776 74,705
    2390 MICROSOFT CORPORATION 61,505 63,836
    2400 ORACLE CORPORATION 73,009 79,968
    1380 QUALCOMM INCORPORATED 71,613 85,366
    780 ECOLAB INC 37,708 56,082
    1820 FREEPORT-MCMORAN COOPER 80,181 62,244
    1670 VERIZON COMMUNICATIONS 52,233 72,261
    1080 NEXTERA ENERGY INC 65,704 74,725

    TY 2012 InvestmentsGovtObligationsSch
    Name:
    BENJAMIN KIMBALL TRUST UW 360126015
    EIN: 02-6004820
    US Government Securities - End of Year Book Value:

    1,748,170
    US Government Securities - End of Year Fair Market Value:

    1,783,561
    State & Local Government Securities - End of Year Book Value:


     
    State & Local Government Securities - End of Year Fair Market Value:


     


    TY 2012 OtherExpensesSchedule
    Name:
    BENJAMIN KIMBALL TRUST UW 360126015
    EIN: 02-6004820
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    STATE/PROBATE FEES 138 138   0
    OTHER NON-ALLOCABLE EXPENSE - 138 138   0


    TY 2012 TaxesSchedule
    Name:
    BENJAMIN KIMBALL TRUST UW 360126015
    EIN: 02-6004820
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FEDERAL TAX PAYMENT - PRIOR YE 783 0   0
    FEDERAL ESTIMATES - INCOME 1,442 0   0
    FEDERAL ESTIMATES - PRINCIPAL 1,442 0   0