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 07-01-2012 , and ending 06-30-2013
Name of foundation
LILLIAN PRENDERGAST IRRV CHARITABLE TR
 

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

02-6119238
B Telephone number (see instructions)

(603) 229-5756
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$1,405,366
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...... 31,897 31,897  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 35,414
b Gross sales price for all assets on line 6a 385,714
7 Capital gain net income (from Part IV, line 2)... 35,414
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)....... 1,155    
12 Total. Add lines 1 through 11........ 68,466 67,311  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 15,021 15,021    
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) 383 383   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)....... 76 76    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 16,055 16,055 0 0
25 Contributions, gifts, grants paid........ 65,350 65,350
26 Total expenses and disbursements. Add lines 24 and 25 81,405 16,055 0 65,350
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -12,939
b Net investment income (if negative, enter -0-) 51,256
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.......... 32,202 48,275 48,275
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) 184,316 Click to see attachment222,953 220,702
b Investments—corporate stock (attach schedule)........ 810,537 Click to see attachment759,307 957,417
c Investments—corporate bonds (attach schedule)........ 194,364 Click to see attachment177,927 178,972
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) 1,221,419 1,208,462 1,405,366
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......... 1,221,419 1,208,462
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).................... 1,221,419 1,208,462
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 1,221,419 1,208,462
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 1,221,419
2 Enter amount from Part I, line 27a..................... 2 -12,939
3 Other increases not included in line 2 (itemize) bullet 3 0
4 Add lines 1, 2, and 3.......................... 4 1,208,480
5 Decreases not included in line 2 (itemize) bulletClick to see attachment 5 18
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 1,208,462
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 50. MARATHON OIL   2011-06-07 2012-07-09
b 220. MARATHON OIL   2012-01-09 2012-07-09
c 180. PROCTER & GAMBLE CO   2010-11-29 2012-07-09
d 40. APACHE CORP COM   2012-02-16 2012-07-13
e 100. APACHE CORP COM   2007-04-16 2012-07-13
200. NETAPP INC COM   2012-03-26 2012-07-13
60. STARBUCKS CORP   2011-09-08 2012-07-13
50. YUM BRANDS INC   2007-07-19 2012-07-13
16. ENGILITY HOLDINGS INC   2011-03-02 2012-08-03
10. GILEAD SCIENCES INC   2011-06-02 2012-08-03
40. GILEAD SCIENCES INC   2012-05-29 2012-08-03
10000. HEWLETT PACKARD CO 4.750% 06/02/2014 DTD 02/26/09   2010-12-08 2012-08-06
10000. U S TREASURY NOTE 3.125% 08/31/2013 DTD 09/02/08   2011-03-28 2012-08-08
10000. U S TREASURY BOND 2.625% 08/15/2020 DTD 08/15/10   2010-08-26 2012-08-20
10000. CONOCOPHILLIPS 4.750% 02/01/2014 DTD 02/03/09   2009-12-09 2012-08-21
50. DIAGEO PLC ADR   2008-06-16 2012-08-22
60. HOME DEPOT INC   2010-11-29 2012-08-22
100. L-3 COMMUNICATIONS HLDGS INC COM   2011-03-02 2012-08-22
5000. GE COMPANY 5.00% 02/01/2013 DTD 1/28/2003   2009-12-07 2012-09-06
30. ABBOTT LABORATORIES   2012-05-29 2012-09-13
30. COLGATE PALMOLIVE   2012-05-29 2012-09-13
20. ECOLAB INC   2012-05-10 2012-09-13
30. ECOLAB INC   2010-05-05 2012-09-13
30. MERCK & CO INC NEW COM   2012-04-12 2012-09-13
30. NEXTERA ENERGY INC COM   2012-05-10 2012-09-13
30. VERIZON COMMUNICATIONS   2012-06-15 2012-09-13
.667 ENGILITY HOLDINGS INC   2011-01-24 2012-09-14
120. ARCHER DANIELS MID   2011-03-03 2012-10-15
133. KRAFT FOODS GROUP INC   2012-08-22 2012-10-15
100. UNITED PARCEL SVC INC CL B   2012-01-09 2012-10-15
.333 KRAFT FOODS GROUP INC   2012-07-09 2012-10-22
10000. WAL-MART STORES 4.55% 5/1/2013 DTD 4/29/2003   2010-04-09 2012-10-25
90. ABBOTT LABORATORIES   2010-05-27 2012-12-03
10. ABBOTT LABORATORIES   2012-05-29 2012-12-03
40. WALT DISNEY CO   2012-01-09 2012-12-03
50. GILEAD SCIENCES INC   2011-06-02 2012-12-03
20. INTERNATIONAL BUSINESS MACHINES   2011-04-25 2012-12-03
180. MICROSOFT CORP   2007-04-16 2012-12-03
170. ABBVIE INC   2010-11-29 2013-01-15
30. WALT DISNEY CO   2010-12-16 2013-02-04
30. WALT DISNEY CO   2012-01-09 2013-02-04
50. HOME DEPOT INC   2008-03-31 2013-02-04
5000. FED HOME LN MTG 5.00% 01/30/2014 DTD 01/30/2004   2009-12-07 2013-02-22
10. CELGENE CORP   2011-11-03 2013-03-19
10. CELGENE CORP   2012-04-12 2013-03-19
20. COLGATE PALMOLIVE   2012-04-12 2013-03-19
40. COLGATE PALMOLIVE   2010-11-29 2013-03-19
10. COLGATE PALMOLIVE   2011-04-21 2013-03-19
70. GILEAD SCIENCES INC   2011-05-06 2013-03-19
30. HOME DEPOT INC   2008-03-31 2013-03-19
10. BERKSHIRE HATHAWAY INC DEL CL B NEW   2013-03-19 2013-04-02
10. CELGENE CORP   2011-11-03 2013-04-02
10. CHEVRONTEXACO CORP   2010-11-29 2013-04-02
30. COCA COLA CO   2012-05-10 2013-04-02
20. WALT DISNEY CO   2010-12-16 2013-04-02
5000. FED HOME LN MTG 5.00% 01/30/2014 DTD 01/30/2004   2009-12-07 2013-04-02
10. INTERNATIONAL BUSINESS MACHINES   2011-04-25 2013-04-02
10. 3M CO   2012-08-22 2013-04-02
400. MONDELEZ INTERNATIONAL INC   2012-08-22 2013-05-20
90. WELLPOINT INC COM   2012-06-15 2013-05-20
10. ABBOTT LABORATORIES   2013-01-15 2013-05-24
10. AMERICAN EXPRESS CO   2010-11-29 2013-05-24
10. ARCHER DANIELS MID   2011-03-02 2013-05-24
10. BROADCOM CORP COM   2012-03-26 2013-05-24
30. CISCO SYSTEMS INC   2007-10-04 2013-05-24
20. COMCAST CORP NEW CL A   2012-12-03 2013-05-24
10. CONOCOPHILLIPS   2012-09-13 2013-05-24
10. DANAHER CORP   2011-04-26 2013-05-24
20. E M C CORP MASS   2010-11-29 2013-05-24
10. EXXON MOBIL CORP   2007-04-16 2013-05-24
20. FREEPORT-MCMORAN COPPER & GOCL B   2012-02-06 2013-05-24
20. GILEAD SCIENCES INC   2011-04-26 2013-05-24
10. HOME DEPOT INC   2008-03-31 2013-05-24
10. ILLINOIS TOOL WKS INC   2012-01-24 2013-05-24
20. J P MORGAN CHASE & CO   2007-04-16 2013-05-24
10. JOHNSON & JOHNSON   2012-05-29 2013-05-24
20. MERCK & CO INC NEW COM   2012-05-29 2013-05-24
20. MICROSOFT CORP   2013-05-20 2013-05-24
10. NEXTERA ENERGY INC COM   2012-05-10 2013-05-24
20. ORACLE CORP   2013-05-20 2013-05-24
20. PFIZER INC   2012-12-03 2013-05-24
10. QUALCOMM, INC.   2012-09-13 2013-05-24
10. SPECTRA ENERGY CORP   2012-01-09 2013-05-24
20. US BANCORP DEL NEW   2008-08-25 2013-05-24
10. VERIZON COMMUNICATIONS   2012-06-15 2013-05-24
20. WALGREEN CO   2013-03-19 2013-05-24
20. WELLS FARGO & COMPANY COM NEW   2010-11-29 2013-05-24
10. ACE LTD   2011-07-14 2013-05-24
20. TRANSOCEAN LTD ZUG NAMEN AKT   2012-08-22 2013-05-24
20. CHECK POINT SOFTWARE TECHNOLOGIES LTD   2011-07-26 2013-05-24
20. ABBOTT LABORATORIES   2013-01-15 2013-06-13
10. AMERICAN EXPRESS CO   2010-11-29 2013-06-13
20. ARCHER DANIELS MID   2011-03-02 2013-06-13
10. BED BATH & BEYOND INC   2012-06-15 2013-06-13
10. BOEING CO   2013-05-20 2013-06-13
10. BROADCOM CORP COM   2012-03-26 2013-06-13
10. CAPITAL ONE FINANCIAL CORP   2011-07-14 2013-06-13
10. CHEVRONTEXACO CORP   2010-11-29 2013-06-13
30. CISCO SYSTEMS INC   2007-10-04 2013-06-13
10. COCA COLA CO   2013-05-24 2013-06-13
10. COCA COLA CO   2012-05-10 2013-06-13
10. COGNIZANT TECHNLGY SLTNS COR   2012-12-03 2013-06-13
10. COLGATE PALMOLIVE   2008-11-20 2013-06-13
10. COMCAST CORP NEW CL A   2012-12-03 2013-06-13
10. DANAHER CORP   2011-04-26 2013-06-13
10. DIAGEO PLC ADR   2008-06-16 2013-06-13
10. WALT DISNEY CO   2013-05-24 2013-06-13
30. E M C CORP MASS   2010-11-29 2013-06-13
10. ECOLAB INC   2010-05-05 2013-06-13
10. EXXON MOBIL CORP   2007-04-16 2013-06-13
10. FREEPORT-MCMORAN COPPER & GOCL B   2012-02-06 2013-06-13
20. GILEAD SCIENCES INC   2011-04-26 2013-06-13
10. HOME DEPOT INC   2008-03-31 2013-06-13
10. ILLINOIS TOOL WKS INC   2012-01-24 2013-06-13
10. J P MORGAN CHASE & CO   2007-04-16 2013-06-13
10. JOHNSON & JOHNSON   2012-05-29 2013-06-13
10. MERCK & CO INC NEW COM   2012-05-29 2013-06-13
20. MICROSOFT CORP   2013-05-20 2013-06-13
10. NEXTERA ENERGY INC COM   2012-05-02 2013-06-13
20. ORACLE CORP   2013-05-20 2013-06-13
10. PNC FINANCIAL CORP   2011-12-16 2013-06-13
10. PFIZER INC   2012-12-03 2013-06-13
10. QUALCOMM, INC.   2012-09-13 2013-06-13
290. SPDR GOLD TRUST   2010-11-29 2013-06-13
20. SPDR GOLD TRUST   2011-09-29 2013-06-13
20. SPECTRA ENERGY CORP   2012-01-09 2013-06-13
10. STARBUCKS CORP   2011-09-08 2013-06-13
10. TJX CO   2013-02-04 2013-06-13
10. 3M CO   2012-08-22 2013-06-13
20. US BANCORP DEL NEW   2008-08-25 2013-06-13
20. VERIZON COMMUNICATIONS   2012-06-15 2013-06-13
10. WALGREEN CO   2013-03-19 2013-06-13
20. WELLS FARGO & COMPANY COM NEW   2010-11-29 2013-06-13
10. YUM BRANDS INC   2013-03-19 2013-06-13
10. TRANSOCEAN LTD ZUG NAMEN AKT   2012-08-22 2013-06-13
10. CHECK POINT SOFTWARE TECHNOLOGIES LTD   2011-07-26 2013-06-13
112.323 INVESCO INTERNATIONAL GROWTH FUND INSTITUTIONAL CLASS   2010-11-29 2013-06-14
3288.601 FIDELITY SPARTAN HIGH INCOME   2010-11-29 2013-06-14
25.375 HARBOR INTERNATIONAL FUND   2010-11-29 2013-06-14
50. BROADCOM CORP COM   2012-09-13 2013-06-27
210. BROADCOM CORP COM   2012-03-26 2013-06-27
80. DIAGEO PLC ADR   2010-11-29 2013-06-27
(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 1,219   1,537 -318
b 5,363   6,256 -893
c 11,071   10,137 934
d 3,325   4,094 -769
e 8,313   7,461 852
5,721   9,140 -3,419
3,173   2,339 834
3,208   1,722 1,486
247   297 -50
581   414 167
2,324   2,037 287
10,590   10,929 -339
10,307   10,513 -206
10,893   10,096 797
10,582   10,883 -301
5,317   3,780 1,537
3,400   1,779 1,621
6,957   7,473 -516
5,091   5,349 -258
2,038   1,859 179
3,113   2,971 142
1,292   1,298 -6
1,937   1,459 478
1,321   1,150 171
2,029   1,950 79
1,354   1,317 37
10   12 -2
3,368   4,446 -1,078
6,282   5,533 749
7,253   7,324 -71
16   14 2
10,217   10,760 -543
5,810   4,290 1,520
646   620 26
1,984   1,596 388
3,768   2,064 1,704
3,790   3,357 433
4,780   5,170 -390
5,799   4,189 1,610
1,631   1,111 520
1,631   1,197 434
3,349   1,376 1,973
5,224   5,565 -341
1,117   644 473
1,117   790 327
2,247   1,945 302
4,494   2,645 1,849
1,123   809 314
3,132   1,401 1,731
2,086   826 1,260
1,048   1,023 25
1,175   644 531
1,190   820 370
1,219   1,163 56
1,145   736 409
5,199   5,565 -366
2,140   1,679 461
1,065   928 137
12,330   10,261 2,069
6,996   6,360 636
377   333 44
750   433 317
338   369 -31
364   386 -22
705   969 -264
836   747 89
624   566 58
621   540 81
473   435 38
914   779 135
605   926 -321
1,112   395 717
792   275 517
701   515 186
1,071   1,004 67
867   625 242
939   751 188
682   699 -17
772   650 122
678   699 -21
579   504 75
641   630 11
313   305 8
707   607 100
512   439 73
1,014   902 112
804   547 257
897   651 246
1,037   978 59
986   1,179 -193
731   666 65
750   433 317
667   738 -71
709   733 -24
1,021   990 31
335   386 -51
622   493 129
1,213   820 393
729   969 -240
403   423 -20
403   388 15
635   679 -44
585   312 273
396   374 22
624   540 84
1,192   756 436
641   654 -13
740   653 87
845   486 359
911   779 132
296   463 -167
1,036   395 641
764   275 489
705   515 190
540   502 38
845   625 220
478   375 103
694   699 -5
787   638 149
682   699 -17
717   554 163
290   252 38
619   630 -11
38,657   38,793 -136
2,666   3,142 -476
679   609 70
659   390 269
510   455 55
1,110   928 182
708   607 101
1,009   878 131
500   451 49
816   547 269
714   695 19
486   489 -3
486   589 -103
3,416   2,999 417
30,650   29,301 1,349
1,644   1,453 191
1,683   1,792 -109
7,069   8,084 -1,015
9,208   5,263 3,945
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       -318
b       -893
c       934
d       -769
e       852
      -3,419
      834
      1,486
      -50
      167
      287
      -339
      -206
      797
      -301
      1,537
      1,621
      -516
      -258
      179
      142
      -6
      478
      171
      79
      37
      -2
      -1,078
      749
      -71
      2
      -543
      1,520
      26
      388
      1,704
      433
      -390
      1,610
      520
      434
      1,973
      -341
      473
      327
      302
      1,849
      314
      1,731
      1,260
      25
      531
      370
      56
      409
      -366
      461
      137
      2,069
      636
      44
      317
      -31
      -22
      -264
      89
      58
      81
      38
      135
      -321
      717
      517
      186
      67
      242
      188
      -17
      122
      -21
      75
      11
      8
      100
      73
      112
      257
      246
      59
      -193
      65
      317
      -71
      -24
      31
      -51
      129
      393
      -240
      -20
      15
      -44
      273
      22
      84
      436
      -13
      87
      359
      132
      -167
      641
      489
      190
      38
      220
      103
      -5
      149
      -17
      163
      38
      -11
      -136
      -476
      70
      269
      55
      182
      101
      131
      49
      269
      19
      -3
      -103
      417
      1,349
      191
      -109
      -1,015
      3,945
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 35,414
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 66,662 1,306,703 0.051015
2010 62,650 1,333,256 0.04699
2009 58,772 1,252,753 0.046914
2008 75,767 1,176,502 0.0644
2007 74,938 1,519,832 0.049307
2 Total of line 1, column (d) ...................... 2 0.258626
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 0.051725
4 Enter the net value of noncharitable-use assets for 2012 from Part X, line 5..... 4 1,358,499
5 Multiply line 4 by line 3....................... 5 70,268
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 513
7 Add lines 5 and 6......................... 7 70,781
8 Enter qualifying distributions from Part XII, line 4.............. 8 65,350
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 1,025
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 1,025
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 1,025
6 Credits/Payments:
a 2012 estimated tax payments and 2011 overpayment credited to 2012 6a 348
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.............. 7 348
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 9 677
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2013 estimated taxBullet0 Refunded Bullet 11 0
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) 229-5756
    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
    15,021    
    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
    1,357,554
    b
    Average of monthly cash balances.......................
    1b
    21,633
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    1,379,187
    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
    1,379,187
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see
    instructions) .............................
    4
    20,688
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    1,358,499
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    67,925
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    67,925
    2a
    Tax on investment income for 2012 from Part VI, line 5......
    2a
    1,025
    b
    Income tax for 2012. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    1,025
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    66,900
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    66,900
    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
    66,900
    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
    65,350
    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
    65,350
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see instructions).................
    5
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    65,350
    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 66,900
    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....... 268
    b From 2008....... 17,436
    c From 2009....... 0
    d From 2010....... 0
    e From 2011....... 1,672
    fTotal of lines 3a through e......... 19,376
    4Qualifying distributions for 2012 from Part
    XII, line 4: bullet$ 65,350
    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..... 65,350
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2012. 1,550 1,550
    (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 17,826
    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 ......
    17,826
    10 Analysis of line 9:
    a Excess from 2008.... 16,154
    b Excess from 2009.... 0
    c Excess from 2010.... 0
    d Excess from 2011.... 1,672
    e Excess from 2012....  
    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
    CATHOLIC FOREIGN MISSION
    SOCIETY OF AMERICA INC
    MARYKNOLL,NY105450306
    NONE 501(C)(3) DAILY OPERATIONS 32,675
    OUR LADY OF VICTORY HOMES OF CHARITY
    ATTN MSGR PAUL BURKARD
    LACKAWANNA,NY14218
    NONE 501(C)(3) DAILY OPERATIONS 32,675
    Total .................................bullet 3a 65,350
    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 31,891  
    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 35,420  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: a990PF REFUND     1 1,155  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   68,466  
    13Total. Add line 12, columns (b), (d), and (e)..................
    1368,466
    (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:
    LILLIAN PRENDERGAST IRRV CHARITABLE TR
    EIN: 02-6119238
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 575 575    

    TY 2012 InvestmentsCorpBondsSchedule
    Name:
    LILLIAN PRENDERGAST IRRV CHARITABLE TR
    EIN: 02-6119238
    Name of Bond End of Year Book Value End of Year Fair Market Value
    5000 AT&T INC 5,095 5,385
    5000 ANHEUSER-BUSCH 1.375% 5,055 4,921
    10000 BNK OF NOVA SCOTIA 2.375 10,227 10,090
    10000 BERKSHIRE HATHAWAY 5.40% 11,043 11,488
    10000 CATERPILLAR FINL SE 2.05 10,324 10,230
    5000 CISCO SYSTEMS INC 4.95% 5,483 5,696
    10000 COCA COLA CO 1.500% 9,624 10,201
    5000 COMCAST CORP 2.85% 4,988 4,747
    10000 GEN ELC CAP CORP 5.625% 10,910 11,327
    10000 JPMORGAN CHASE & 6.000% 10,813 11,412
    10000 ONTARIO PROVINCE OF 1.65 9,962 9,553
    10000 ONTARIO PROVINCE 2.95% 10,168 10,379
    5000 PFIZER INC NOTES 5.35% 5,600 5,384
    5000 PROVINCE OF QUEBEC 2.750% 5,082 4,911
    5000 SBC COMMUNICATIONS 5.10% 5,429 5,254
    5000 TOYOTA MOTOR CREDIT 2.00% 5,169 5,101
    10000 WACHOVIA CORP 5.750% 11,301 11,518
    10000 WAL-MART STORES INC 1.50 10,262 10,194
    1189.211 VANGUARD INFLTN PRTCT 31,392 31,181

    TY 2012 InvestmentsCorpStockSchedule
    Name:
    LILLIAN PRENDERGAST IRRV CHARITABLE TR
    EIN: 02-6119238
    Name of Stock End of Year Book Value End of Year Fair Market Value
    170 BED BATH & BEYOND INC 10,765 12,062
    330 COMCAST CORP NEW CL A 10,844 13,778
    270 WALT DISNEY CO 8,547 17,051
    230 HOME DEPOT INC 6,331 17,818
    140 STARBUCKS CORP 5,458 9,171
    140 TJX COMPANIES INC 6,364 7,008
    120 YUM BRANDS INC 4,483 8,321
    330 ARCHER DANIELS MIDLAND CO 11,113 11,190
    400 COCA COLA CO 15,395 16,044
    170 COLGATE PALMOLIVE CO 5,303 9,739
    370 WALGREEN CO 14,266 16,354
    310 TRANOCEAN LTD ZUG 14,388 14,865
    160 CHEVRON CORPORATION 12,319 18,934
    170 CONOCOPHILLIPS 9,343 10,285
    210 EXXON MOBIL CORP 15,098 18,974
    360 SPECTRA ENERGY CORP 10,758 12,406
    160 ACE LTD 7,444 14,317
    200 AMERICAN EXPRESS CO 5,461 14,952
    150 BERKSHIRE HATHAWAY INC DEL 12,498 16,788
    180 CAPITAL ONE FINANCIAL CORP 8,770 11,306
    280 J P MORGAN CHASE & CO 13,039 14,781
    90 PNC BANK CORP 4,985 6,563
    470 US BANCORP DEL NEW 10,484 16,991
    380 WELLS FARGO & CO NEW 5,255 15,683
    320 ABBOTT LABS CO 8,854 11,162
    120 CELGENE CORP 7,728 14,038
    350 GILEAD SCIENCES INC 6,868 17,945
    200 JOHNSON & JOHNSON CO 11,458 17,172
    360 MERCK & CO INC NEW 12,969 16,722
    360 PFIZER 9,072 10,084
    140 BOEING CO 13,863 14,342
    280 DANAHER CORP SHS BEN INT 14,823 17,724
    250 ILLINOIS TOOL WKS INC 11,838 17,293
    40 PRECISION CASTPARTS CORP 6,617 9,040
    160 3M CO 12,644 17,496
    70 UNION PACIFIC CORP 7,231 10,800
    270 CHECK POINT SOFTWARE TECH 15,011 13,414
    670 CISCO SYSTEMS INC 14,244 16,304
    130 COGNIZANT TECHNOLOGY SOLUT 8,829 8,143
    540 EMC CORPORATION/MASS 7,949 12,755
    70 INTL BUSINESS MACHINES CORP 11,610 13,378
    490 MICROSOFT CORPORATION 13,317 16,927
    480 ORACLE CORPORATION 14,638 14,741
    250 QUALCOMM INCORPORATED 12,788 15,273
    140 ECOLAB INC 6,771 11,927
    330 FREEPORT-MCMORAN COPPER 14,478 9,111
    300 VERIZON COMMUNICATIONS 9,037 15,102
    190 NEXTERA ENERGY INC 11,480 15,481
    3045.391 INVESCO INTERNATIONAL 81,312 90,448
    875.404 BUFFALO SMALL CAP FD 23,529 29,414
    1425.762 HARBOR INTERNATIONAL 81,639 88,896
    1130.129 HARTFORD MUT FDS 26,916 28,965
    1206.796 PERKINS MID CAP VALUE 27,211 28,987
    1219.048 ROYCE SPECIAL EQUITY 25,872 28,952

    TY 2012 InvestmentsGovtObligationsSch
    Name:
    LILLIAN PRENDERGAST IRRV CHARITABLE TR
    EIN: 02-6119238
    US Government Securities - End of Year Book Value:

    222,953
    US Government Securities - End of Year Fair Market Value:

    220,702
    State & Local Government Securities - End of Year Book Value:


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


     


    TY 2012 OtherDecreasesSchedule
    Name:
    LILLIAN PRENDERGAST IRRV CHARITABLE TR
    EIN: 02-6119238
    Description Amount
    ROUNDING ADJUSTMENT 18


    TY 2012 OtherExpensesSchedule
    Name:
    LILLIAN PRENDERGAST IRRV CHARITABLE TR
    EIN: 02-6119238
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    STATE/PROBATE FEES 38 38   0
    OTHER NON-ALLOCABLE EXPENSE - 38 38   0


    TY 2012 OtherIncomeSchedule2
    Name:
    LILLIAN PRENDERGAST IRRV CHARITABLE TR
    EIN: 02-6119238
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    990PF REFUND 1,155 0  


    TY 2012 TaxesSchedule
    Name:
    LILLIAN PRENDERGAST IRRV CHARITABLE TR
    EIN: 02-6119238
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES ON QUALIFIED FOR 210 210   0
    FOREIGN TAXES ON NONQUALIFIED 173 173   0