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
EMMA S MORA TRUST A UW 430051011
 

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

13-6054072
B Telephone number (see instructions)

(802) 860-5553
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$1,726,245
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
E bullet
F bullet
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities...... 43,148 43,148  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 28,262
b Gross sales price for all assets on line 6a 650,625
7 Capital gain net income (from Part IV, line 2)... 28,262
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........ 71,410 71,410  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 19,409 19,409    
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)....... 575 575 0 0
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions) 2,592 444   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)....... 32 32    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 22,608 20,460 0 0
25 Contributions, gifts, grants paid........ 60,365 60,365
26 Total expenses and disbursements. Add lines 24 and 25 82,973 20,460 0 60,365
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -11,563
b Net investment income (if negative, enter -0-) 50,950
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.......... 39,749 20,443 20,443
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) 268,839 Click to see attachment405,344 405,178
b Investments—corporate stock (attach schedule)........ 1,026,963 Click to see attachment874,584 982,477
c Investments—corporate bonds (attach schedule)........ 283,387 Click to see attachment306,996 318,147
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) 1,618,938 1,607,367 1,726,245
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......... 1,618,938 1,607,367
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).................... 1,618,938 1,607,367
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 1,618,938 1,607,367
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 1,618,938
2 Enter amount from Part I, line 27a..................... 2 -11,563
3 Other increases not included in line 2 (itemize) bullet 3 0
4 Add lines 1, 2, and 3.......................... 4 1,607,375
5 Decreases not included in line 2 (itemize) bulletClick to see attachment 5 8
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 1,607,367
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 220. EXELON CORP COM   2010-01-11 2012-01-09
b 110. TARGET CORP   2011-04-26 2012-01-09
c 270. TARGET CORP   2010-12-16 2012-01-09
d 110. UNITED TECHNOLOGIES   2007-05-29 2012-01-09
e 570. VALERO ENERGY CORP COM   2011-07-26 2012-01-09
40. DIAGEO PLC ADR   2008-03-12 2012-01-24
110. EXELON CORP COM   2010-12-17 2012-01-24
80. EXELON CORP COM   2011-09-08 2012-01-24
20. DIAGEO PLC ADR   2008-03-12 2012-02-06
130. ECOLAB INC   2010-05-05 2012-02-06
40. PROCTER & GAMBLE CO   2005-06-28 2012-02-06
70. ABBOTT LABORATORIES   2010-05-27 2012-02-16
80. AMERICAN EXPRESS CO   2009-05-19 2012-02-16
40. AMERICAN TOWER CORP COM   2011-11-03 2012-02-16
50. BED BATH & BEYOND INC   2011-10-19 2012-02-16
20. BERKSHIRE HATHAWAY INC DEL CL B NEW   2011-12-01 2012-02-16
90. CAPITAL ONE FINANCIAL CORP   2011-01-24 2012-02-16
40. CELGENE CORP   2011-11-03 2012-02-16
40. CHEVRONTEXACO CORP   2008-10-08 2012-02-16
250. CISCO SYSTEMS INC   2005-06-28 2012-02-16
20. COLGATE PALMOLIVE   2009-01-30 2012-02-16
100. DANAHER CORP   2011-04-21 2012-02-16
50. DIAGEO PLC ADR   2008-03-12 2012-02-16
130. WALT DISNEY CO   2008-05-14 2012-02-16
200. E M C CORP MASS   2006-05-08 2012-02-16
60. ECOLAB INC   2010-05-05 2012-02-16
80. EXXON MOBIL CORP   2005-06-28 2012-02-16
100. FREEPORT-MCMORAN COPPER & GOCL B   2012-01-24 2012-02-16
100. GILEAD SCIENCES INC   2011-04-25 2012-02-16
110. HEWLETT PACKARD   2009-01-09 2012-02-16
150. HOME DEPOT INC   2008-05-14 2012-02-16
90. ILLINOIS TOOL WKS INC   2005-06-28 2012-02-16
30. INTERNATIONAL BUSINESS MACHINES   2011-04-21 2012-02-16
120. J P MORGAN CHASE & CO   2008-05-14 2012-02-16
60. JOHNSON & JOHNSON   2005-06-28 2012-02-16
30. L-3 COMMUNICATIONS HLDGS INC COM   2011-01-24 2012-02-16
200. MARATHON OIL   2011-07-06 2012-02-16
110. MERCK & CO INC NEW COM   2011-12-01 2012-02-16
220. MICROSOFT CORP   2008-11-04 2012-02-16
40. NEXTERA ENERGY INC COM   2012-01-09 2012-02-16
160. ORACLE CORP   2010-12-16 2012-02-16
70. PNC FINANCIAL CORP   2011-12-16 2012-02-16
30. PROCTER & GAMBLE CO   2005-12-09 2012-02-16
70. QUALCOMM, INC.   2010-11-08 2012-02-16
130. SPECTRA ENERGY CORP   2011-12-16 2012-02-16
110. STARBUCKS CORP   2011-09-08 2012-02-16
90. SYSCO CORP   2011-07-26 2012-02-16
50. 3M CO   2006-01-26 2012-02-16
170. US BANCORP DEL NEW   2008-05-14 2012-02-16
20. UNION PACIFIC CORP   2011-11-03 2012-02-16
30. UNITED PARCEL SVC INC CL B   2012-01-09 2012-02-16
40. UNITED TECHNOLOGIES   2007-05-29 2012-02-16
100. VERIZON COMMUNICATIONS   2008-09-30 2012-02-16
140. WELLS FARGO & COMPANY COM NEW   2009-03-13 2012-02-16
70. YUM BRANDS INC   2007-07-30 2012-02-16
60. ACE LTD   2009-07-07 2012-02-16
90. CHECK POINT SOFTWARE TECHNOLOGIES LTD   2011-07-14 2012-02-16
71.994 INVESCO INTERNATIONAL GROWTH FUND INSTITUTIONAL CLASS   2010-11-22 2012-02-21
20000. U S TREASURY NOTE 3.125% 08/31/2013 DTD 09/02/08   2011-05-12 2012-03-14
5000. U S TREASURY BOND 2.625% 08/15/2020 DTD 08/15/10   2011-06-28 2012-03-14
10000. U S TREASURY BOND 2.625% 08/15/2020 DTD 08/15/10   2010-12-15 2012-03-14
120. AMERICAN TOWER CORP COM   2011-11-03 2012-03-23
140. HEWLETT PACKARD   2010-10-12 2012-03-23
60. MARATHON OIL   2011-07-06 2012-03-23
80. ORACLE CORP   2010-12-17 2012-03-23
20. ORACLE CORP   2011-01-24 2012-03-23
70. HEWLETT PACKARD   2011-09-08 2012-03-26
80. HEWLETT PACKARD   2010-11-22 2012-03-26
110. ORACLE CORP   2011-01-24 2012-03-26
13000. PEPSICO INC 3.100% 01/15/2015 DTD 01/14/10   2011-05-04 2012-03-28
12000. PEPSICO INC 3.100% 01/15/2015 DTD 01/14/10   2012-02-22 2012-03-28
40. CAPITAL ONE FINANCIAL CORP   2011-03-25 2012-04-12
10. EXXON MOBIL CORP   2005-06-28 2012-04-12
10. 3M CO   2006-01-26 2012-04-12
20. J P MORGAN CHASE & CO   2008-05-14 2012-05-02
200. METLIFE INC   2012-02-16 2012-05-02
100. SYSCO CORP   2011-07-26 2012-05-02
15000. U S TREASURY NOTE 3.125% 08/31/2013 DTD 09/02/08   2011-05-12 2012-05-03
120. SYSCO CORP   2011-07-26 2012-05-04
10. HOME DEPOT INC   2008-05-14 2012-05-10
110. MARATHON OIL   2011-07-26 2012-05-10
40. STARBUCKS CORP   2011-09-08 2012-05-10
120. MARATHON OIL   2011-11-03 2012-05-29
80. UNITED TECHNOLOGIES   2010-11-22 2012-05-29
300. INVESCO LTD SHS   2012-03-23 2012-05-29
80. PNC FINANCIAL CORP   2012-01-09 2012-06-15
50. STARBUCKS CORP   2011-09-08 2012-06-15
30. YUM BRANDS INC   2007-07-30 2012-06-15
10000. U S TREASURY NOTE 3.125% 08/31/2013 DTD 09/02/08   2011-05-12 2012-06-26
250. MARATHON OIL   2012-01-09 2012-07-09
184. PROCTER & GAMBLE CO   2010-11-22 2012-07-09
30. PROCTER & GAMBLE CO   2011-05-06 2012-07-09
70. APACHE CORP COM   2012-02-16 2012-07-13
90. APACHE CORP COM   2010-11-22 2012-07-13
10. APACHE CORP COM   2011-05-06 2012-07-13
190. NETAPP INC COM   2012-03-26 2012-07-13
60. STARBUCKS CORP   2011-09-08 2012-07-13
50. YUM BRANDS INC   2010-11-22 2012-07-13
14. ENGILITY HOLDINGS INC   2011-03-02 2012-08-03
50. GILEAD SCIENCES INC   2011-04-26 2012-08-03
15000. HEWLETT PACKARD CO 4.750% 06/02/2014 DTD 02/26/09   2010-12-15 2012-08-06
15000. U S TREASURY NOTE 3.125% 08/31/2013 DTD 09/02/08   2012-02-16 2012-08-08
10000. U S TREASURY NOTE 3.125% 08/31/2013 DTD 09/02/08   2011-05-12 2012-08-08
5000. U S TREASURY BOND 2.625% 08/15/2020 DTD 08/15/10   2011-12-07 2012-08-20
10000. U S TREASURY BOND 2.625% 08/15/2020 DTD 08/15/10   2011-06-28 2012-08-20
15000. CONOCOPHILLIPS 4.750% 02/01/2014 DTD 02/03/09   2009-09-21 2012-08-21
30. DIAGEO PLC ADR   2008-03-12 2012-08-22
60. HOME DEPOT INC   2008-05-14 2012-08-22
90. L-3 COMMUNICATIONS HLDGS INC COM   2011-03-02 2012-08-22
5000. GE COMPANY 5.00% 02/01/2013 DTD 1/28/2003   2012-02-21 2012-09-06
5000. GE COMPANY 5.00% 02/01/2013 DTD 1/28/2003   2003-08-21 2012-09-06
60. ABBOTT LABORATORIES   2010-05-27 2012-09-13
30. COLGATE PALMOLIVE   2009-01-30 2012-09-13
50. ECOLAB INC   2010-05-14 2012-09-13
30. MERCK & CO INC NEW COM   2011-12-01 2012-09-13
20. NEXTERA ENERGY INC COM   2012-01-09 2012-09-13
30. VERIZON COMMUNICATIONS   2008-09-30 2012-09-13
.999 ENGILITY HOLDINGS INC   2011-03-02 2012-09-14
210. ARCHER DANIELS MID   2011-03-03 2012-10-15
123. KRAFT FOODS GROUP INC   2012-08-22 2012-10-15
90. UNITED PARCEL SVC INC CL B   2012-01-09 2012-10-15
.333 KRAFT FOODS GROUP INC   2012-08-22 2012-10-22
5000. WAL-MART STORES 4.55% 5/1/2013 DTD 4/29/2003   2012-02-24 2012-10-25
20000. WAL-MART STORES 4.55% 5/1/2013 DTD 4/29/2003   2010-04-14 2012-10-25
100. ABBOTT LABORATORIES   2010-08-24 2012-12-03
10. WALT DISNEY CO   2008-05-14 2012-12-03
40. GILEAD SCIENCES INC   2011-05-06 2012-12-03
20. INTERNATIONAL BUSINESS MACHINES   2011-04-25 2012-12-03
140. MICROSOFT CORP   2008-11-04 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 9,078   10,590 -1,512
b 5,345   5,493 -148
c 13,121   15,906 -2,785
d 8,145   6,614 1,531
e 11,279   15,827 -4,548
3,508   3,290 218
4,336   4,627 -291
3,153   3,442 -289
1,859   1,645 214
7,974   6,320 1,654
2,531   2,133 398
3,890   3,337 553
4,225   2,817 1,408
2,503   2,302 201
2,900   3,047 -147
1,572   1,560 12
4,423   4,366 57
3,016   2,576 440
4,218   3,068 1,150
5,041   4,827 214
1,859   1,308 551
5,237   5,326 -89
4,749   4,113 636
5,389   4,546 843
5,463   2,738 2,725
3,715   2,917 798
6,826   4,738 2,088
4,381   4,377 4
5,469   3,902 1,567
3,280   4,145 -865
6,876   4,406 2,470
5,072   3,656 1,416
5,790   5,023 767
4,542   5,527 -985
3,898   3,965 -67
2,123   2,315 -192
6,698   6,257 441
4,185   3,953 232
6,886   5,166 1,720
2,424   2,354 70
4,608   4,889 -281
4,235   3,877 358
1,948   1,684 264
4,355   3,342 1,013
3,994   3,824 170
5,343   4,288 1,055
2,616   2,815 -199
4,378   3,644 734
4,916   5,862 -946
2,171   2,025 146
2,303   2,197 106
3,324   2,761 563
3,804   3,006 798
4,231   1,936 2,295
4,522   2,239 2,283
4,385   2,577 1,808
5,284   5,094 190
2,000   1,981 19
20,808   21,072 -264
5,246   4,888 358
10,491   9,300 1,191
7,408   6,905 503
3,286   5,720 -2,434
1,949   2,000 -51
2,291   2,545 -254
573   648 -75
1,657   1,677 -20
1,894   3,360 -1,466
3,175   3,563 -388
13,827   13,618 209
12,764   12,666 98
2,171   2,017 154
831   592 239
865   729 136
863   921 -58
7,135   7,679 -544
2,872   3,128 -256
15,570   15,838 -268
3,389   3,754 -365
505   294 211
2,954   3,590 -636
2,182   1,559 623
3,026   3,829 -803
5,967   5,634 333
6,549   7,874 -1,325
4,665   4,520 145
2,609   1,949 660
1,937   960 977
10,336   10,559 -223
6,095   7,125 -1,030
11,317   10,785 532
1,845   1,979 -134
5,819   7,153 -1,334
7,482   7,823 -341
831   1,270 -439
5,435   8,689 -3,254
3,173   2,339 834
3,208   1,965 1,243
216   261 -45
2,905   1,977 928
15,885   16,369 -484
15,461   15,649 -188
10,307   10,559 -252
5,437   5,329 108
10,874   9,775 1,099
15,874   16,149 -275
3,190   2,468 722
3,400   1,762 1,638
6,261   6,749 -488
5,091   5,206 -115
5,091   4,911 180
4,076   2,860 1,216
3,113   1,962 1,151
3,229   2,395 834
1,321   1,078 243
1,353   1,177 176
1,354   902 452
15   19 -4
5,895   7,773 -1,878
5,810   5,109 701
6,528   6,592 -64
16   14 2
5,108   5,245 -137
20,434   21,532 -1,098
6,455   4,842 1,613
496   350 146
3,014   1,633 1,381
3,790   3,353 437
3,718   3,287 431
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l) Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i) F.M.V. as of 12/31/69 (j) Adjusted basis
as of 12/31/69
(k) Excess of col. (i)
over col. (j), if any
a       -1,512
b       -148
c       -2,785
d       1,531
e       -4,548
      218
      -291
      -289
      214
      1,654
      398
      553
      1,408
      201
      -147
      12
      57
      440
      1,150
      214
      551
      -89
      636
      843
      2,725
      798
      2,088
      4
      1,567
      -865
      2,470
      1,416
      767
      -985
      -67
      -192
      441
      232
      1,720
      70
      -281
      358
      264
      1,013
      170
      1,055
      -199
      734
      -946
      146
      106
      563
      798
      2,295
      2,283
      1,808
      190
      19
      -264
      358
      1,191
      503
      -2,434
      -51
      -254
      -75
      -20
      -1,466
      -388
      209
      98
      154
      239
      136
      -58
      -544
      -256
      -268
      -365
      211
      -636
      623
      -803
      333
      -1,325
      145
      660
      977
      -223
      -1,030
      532
      -134
      -1,334
      -341
      -439
      -3,254
      834
      1,243
      -45
      928
      -484
      -188
      -252
      108
      1,099
      -275
      722
      1,638
      -488
      -115
      180
      1,216
      1,151
      834
      243
      176
      452
      -4
      -1,878
      701
      -64
      2
      -137
      -1,098
      1,613
      146
      1,381
      437
      431
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 28,262
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 58,301 1,701,402 0.034266
2010 61,008 1,630,161 0.037425
2009 67,254 1,490,307 0.045128
2008 91,435 1,711,235 0.053432
2007 0 0 0.0
2 Total of line 1, column (d) ...................... 2 0.170251
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 0.03405
4 Enter the net value of noncharitable-use assets for 2012 from Part X, line 5..... 4 1,712,441
5 Multiply line 4 by line 3....................... 5 58,309
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 510
7 Add lines 5 and 6......................... 7 58,819
8 Enter qualifying distributions from Part XII, line 4.............. 8 60,365
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 1 510
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............................ 3 510
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- ..... 5 510
6 Credits/Payments:
a 2012 estimated tax payments and 2011 overpayment credited to 2012 6a 1,928
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 1,928
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 1,418
11 Enter the amount of line 10 to be: Credited to 2013 estimated taxBullet512 Refunded Bullet 11 906
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)
    bulletVT
    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 (802) 860-5553
    Located atbullet111 MAIN STREETBURLINGTONVT ZIP+4bullet05401
    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
    19,409    
    111 Main Street
    Burlington,VT05401
    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
    1,687,576
    b
    Average of monthly cash balances.......................
    1b
    50,943
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    1,738,519
    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
    1,738,519
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see
    instructions) .............................
    4
    26,078
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    1,712,441
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    85,622
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    85,622
    2a
    Tax on investment income for 2012 from Part VI, line 5......
    2a
    510
    b
    Income tax for 2012. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    510
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    85,112
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    85,112
    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
    85,112
    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
    60,365
    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
    60,365
    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
    510
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    59,855
    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 85,112
    2 Undistributed income, if any, as of the end of 2012:
    a Enter amount for 2011 only....... 41,877
    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....... 0
    d From 2010....... 0
    e From 2011....... 0
    fTotal of lines 3a through e......... 0
    4Qualifying distributions for 2012 from Part
    XII, line 4: bullet$ 60,365
    a Applied to 2011, but not more than line 2a 41,877
    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..... 18,488
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2012. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 0
    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 ..........
    66,624
    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 ......
    0
    10 Analysis of line 9:
    a Excess from 2008.... 0
    b Excess from 2009.... 0
    c Excess from 2010.... 0
    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
    ST THOMAS EPISCOPAL CHURCH
    CONANT SQUARE
    BRANDON,VT05733
    NONE CHURCH OPERATIONAL 1,500
    FLETCHER ALLEN HEALTH CARE INC
    ATTN ROD WHITNEY TREASURER
    BURLINGTON,VT05402
    NONE HOSPITAL OPERATIONAL 58,865
    Total .................................bullet 3a 60,365
    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 43,144  
    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 28,266  
    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)..   71,410  
    13Total. Add line 12, columns (b), (d), and (e)..................
    1371,410
    (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:
    EMMA S MORA TRUST A UW 430051011
    EIN: 13-6054072
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 575 575    

    TY 2012 InvestmentsCorpBondsSchedule
    Name:
    EMMA S MORA TRUST A UW 430051011
    EIN: 13-6054072
    Name of Bond End of Year Book Value End of Year Fair Market Value
    10000 AT&T INC 4.45% 10,731 11,549
    15000 ANHEUSER-BUSCH 1.375% 15,164 15,158
    15000 BNK OF NOVA SCOTIA 2.375 15,382 15,285
    15000 BERKSHIRE HATHAWAY 5.40% 17,891 18,043
    10000 CATERPILLAR FINL SE 2.05 10,307 10,352
    10000 CISCO SYSTEMS INC 4.950% 11,376 11,838
    15000 COCA COLA CO 1.500% 14,335 15,361
    15000 GEN ELEC CAP CORP 5.625% 16,346 17,696
    5000 GEN ELEC CAP CORP 1.625% 5,082 5,083
    15000 JPMORGAN CHASE & CO 6.00 16,321 17,958
    25000 ONTARIO PROVINCE 2.950% 26,430 26,276
    10000 PFIZER INC NOTES 5.35% 11,201 11,013
    5000 PROVINCE OF QUEBEC 2.750% 5,082 5,223
    10000 SBC COMMUNICATIONS 5.10% 10,978 10,742
    10000 TOYOTA MOTOR CREDIT 2.00 10,338 10,368
    15000 WACHOVIA CORP 5.75% 17,031 17,971
    15000 WAL-MART STORES INC 1.50 15,437 15,439
    4545,213 FIDELITY HIGH INCOME 39,868 42,452
    185.983 VANGUARD SHORT-TERM FE 2,038 2,009
    2638.061 VANGUARD INFLATION PR 35,658 38,331

    TY 2012 InvestmentsCorpStockSchedule
    Name:
    EMMA S MORA TRUST A UW 430051011
    EIN: 13-6054072
    Name of Stock End of Year Book Value End of Year Fair Market Value
    170 BED BATH & BEYOND INC 11,029 9,505
    330 COMCAST CORP NEW CL A 10,933 12,329
    330 WALT DISNEY CO 12,144 16,431
    305 HOME DEPOT INC 9,500 18,864
    140 STARBUCKS CORP 6,066 7,508
    100 YUM BRANDS INC 5,588 6,640
    240 ARCHER DANIELS MIDLAND CO 8,121 6,574
    420 COCA COLA CO 16,150 15,225
    150 COLGATE PALMOLIVE CO 11,508 15,681
    90 DIAGEO PLC ADR 7,333 10,492
    370 MONDELEZ INTERNATIONAL INC 9,478 9,418
    250 WALGREEN CO 9,033 9,253
    320 TRANSOCEAN LTD ZUG 14,932 14,291
    210 CHEVRON CORPORATION 17,080 22,709
    170 CONOCOPHILLIPS 9,343 9,858
    215 EXXON MOBIL CORP 13,980 18,608
    350 SPECTRA ENERGY CORP 10,548 9,583
    150 ACE LTD 9,366 11,970
    190 AMERICAN EXPRESS CO 6,173 10,921
    110 BERKSHIRE HATHAWAY INC DEL 8,634 9,867
    180 CAPITAL ONE FINANCIAL CORP 9,202 10,427
    290 J P MORGAN CHASE & CO 12,773 12,751
    100 PNC BANK CORP 5,983 5,831
    450 US BANCORP DEL NEW 13,565 14,373
    370 WELLS FARGO & CO NEW 8,627 12,647
    160 ABBOTT LABS CO 8,117 10,480
    140 CELGENE CORP 9,308 10,986
    220 GILEAD SCIENCES INC 9,669 16,159
    370 MERCK & CO INC NEW 13,520 15,148
    360 PFIZER 9,072 9,029
    80 WELLPOINT INC COM 5,653 4,874
    270 DANAHER CORP SHS BEN INT 14,291 15,093
    240 ILLINOIS TOOL WKS INC 10,573 14,594
    40 PRECISION CASTPARTS CORP 6,617 7,577
    170 3M CO 13,690 15,785
    70 UNION PACIFIC CORP 7,375 8,800
    280 CHECK POINT SOFTWARE TECH 15,609 13,339
    260 BROADCOM CORP 9,908 8,635
    640 CISCO SYSTEMS INC 11,454 12,576
    140 COGNIZANT TECHNOLOGY 9,508 10,344
    520 EMC CORPORATION/MASS 7,175 13,156
    70 INTL BUSINESS MACHINES CORP 11,633 13,409
    440 MICROSOFT CORPORATION 11,487 11,752
    250 QUALCOMM INCORPORATED 13,093 15,465
    140 ECOLAB INC 7,838 10,066
    340 FREEPORT-MCMORAN COPPER 15,037 11,628
    310 VERIZON COMMUNICATONS 10,353 13,414
    200 NEXTERA ENERGY INC COM 12,365 13,838
    3614.895 INVESCO INTERNATIONAL 99,482 105,627
    838.622 BUFFALO SMALL CAP FD 20,454 23,624
    1700.885 HARBOR INTERNATIONAL 101,101 105,659
    905.221 HARTFORD MUT FDS INC 20,476 19,797
    940.695 PERKINS MID CAP VALUE 20,394 20,074
    1038.355 ROYCE SPECIAL EQUITY 20,508 21,940
    480 SPDR GOLD TRUST 64,205 77,770
    440 ORACLE CORPORATION 13,582 14,661
    220 JOHNSON & JOHNSON CO 13,948 15,422

    TY 2012 InvestmentsGovtObligationsSch
    Name:
    EMMA S MORA TRUST A UW 430051011
    EIN: 13-6054072
    US Government Securities - End of Year Book Value:

    405,344
    US Government Securities - End of Year Fair Market Value:

    405,178
    State & Local Government Securities - End of Year Book Value:


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


     


    TY 2012 OtherDecreasesSchedule
    Name:
    EMMA S MORA TRUST A UW 430051011
    EIN: 13-6054072
    Description Amount
    ROUNDING ADJUSTMENT 8


    TY 2012 OtherExpensesSchedule
    Name:
    EMMA S MORA TRUST A UW 430051011
    EIN: 13-6054072
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    STATE/PROBATE FEES 32 32   0


    TY 2012 TaxesSchedule
    Name:
    EMMA S MORA TRUST A UW 430051011
    EIN: 13-6054072
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FEDERAL TAX PAYMENT - PRIOR YE 220 0   0
    FEDERAL ESTIMATES - INCOME 964 0   0
    FEDERAL ESTIMATES - PRINCIPAL 964 0   0
    FOREIGN TAXES ON QUALIFIED FOR 241 241   0
    FOREIGN TAXES ON NONQUALIFIED 203 203   0