Form990-PF
Click to see list of attachments

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
Sorenson Impact Foundation
 

Number and street (or P.O. box number if mail is not delivered to street address)299 S Main Street   Room/suite
City or town, state, and ZIP code
Salt Lake City, UT84111
A Employer identification number

45-3203840
B Telephone number (see instructions)

(801) 490-1000
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$128,149,602
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 5,247 5,247  
4 Dividends and interest from securities...... 1,286,001 1,286,001  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 5,850,200
b Gross sales price for all assets on line 6a 21,603,061
7 Capital gain net income (from Part IV, line 2)... 6,435,644
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... -1,082,041 -22,036  
12 Total. Add lines 1 through 11........ 6,059,407 7,704,856  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 29,185      
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... 78,415     89,684
b Accounting fees (attach schedule)....... 26,169      
c Other professional fees (attach schedule).... 218,597 198,097    
17 Interest...............        
18 Taxes (attach schedule) (see instructions) 146,741 1,741    
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings....... 15,657      
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 6,915      
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 521,679 199,838   89,684
25 Contributions, gifts, grants paid........ 1,002,023 1,002,023
26 Total expenses and disbursements. Add lines 24 and 25 1,523,702 199,838   1,091,707
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 4,535,705
b Net investment income (if negative, enter -0-) 7,505,018
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2012)
Form 990-PF (2012)
Page 2
Part II Balance Sheets 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...............   108,931 108,931
2 Savings and temporary cash investments..........   2,230,244 2,230,244
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
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 bullet        
8 Inventories for sale or use...............      
9 Prepaid expenses and deferred charges...........      
10a Investments—U.S. and state government obligations (attach schedule)   Click to see attachment1,753,493 1,753,493
b Investments—corporate stock (attach schedule)........   Click to see attachment20,419,782 20,419,782
c Investments—corporate bonds (attach schedule)........   Click to see attachment7,055,159 7,055,159
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)...........   Click to see attachment96,289,704 96,289,704
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)   Click to see attachment292,289 Click to see attachment292,289
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I)   128,149,602 128,149,602
Liabilities 17 Accounts payable and accrued expenses.......... 12,488 7,494
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).......... 12,488 7,494
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.........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds -12,488 128,142,108
30 Total net assets or fund balances (see page 17 of the
instructions).................... -12,488 128,142,108
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 0 128,149,602
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 -12,488
2 Enter amount from Part I, line 27a..................... 2 4,535,705
3 Other increases not included in line 2 (itemize) bulletClick to see attachment 3 123,618,891
4 Add lines 1, 2, and 3.......................... 4 128,142,108
5 Decreases not included in line 2 (itemize) bullet 5  
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 128,142,108
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.)
1a
b
c
d
e
(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
b
c
d
e
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
b
c
d
e
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 6,435,644
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      
2010      
2009      
2008      
2007      
2 Total of line 1, column (d) ...................... 2  
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  
4 Enter the net value of noncharitable-use assets for 2012 from Part X, line 5..... 4  
5 Multiply line 4 by line 3....................... 5  
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6  
7 Add lines 5 and 6......................... 7  
8 Enter qualifying distributions from Part XII, line 4.............. 8  
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 1 150,100
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  
3 Add lines 1 and 2............................ 3 150,100
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-). 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 150,100
6 Credits/Payments:
a 2012 estimated tax payments and 2011 overpayment credited to 2012 6a 196,500
b Exempt foreign organizations—tax withheld at source....... 6b
c Tax paid with application for extension of time to file (Form 8868) 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 196,500
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. Click to see attachment 8  
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 46,400
11 Enter the amount of line 10 to be: Credited to 2013 estimated taxBullet46,400 Refunded Bullet 11  
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
Yes
 
b
If “Yes,” has it filed a tax return on Form 990-T for this year?...................
4b
Yes
 
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)
    bulletUT
    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
    Yes
     
    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 addressbulletsorensonimpactfoundation.org
    14
    The books are in care ofbulletPaul Ludlow Telephone no.bullet (801) 490-1013
    Located atbullet299 S Main Street Suite 2200Salt Lake CityUT ZIP+4bullet84111
    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
     
    No
    .........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
     
    No
    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
     
    No
    .........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
     
    No
    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
    Luke Sorenson Director
    1.00
    0    
    3400 N Ashton Boulevard
    Lehi,UT84043
    Krista Sorenson Director
    5.00
    0    
    299 S Main Street Suite 2200
    Salt Lake Cit,UT84111
    James Lee Sorenson Director
    10.00
    29,185    
    299 S Main Street Suite 2200
    Salt Lake City,UT84111
    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  
    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
    Ray Quinney & Nebeker Legal 78,415
    36 S State Street Suite 1400
    Salt Lake City,UT84111
    Merrill Lynch Investment advice 198,097
    101 California Street Suite 2100
    San Francisco,CA94111
    Total number of others receiving over $50,000 for professional services.............bullet  
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Form 990-PF (2012)
    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
    43,371,236
    b
    Average of monthly cash balances.......................
    1b
    4,435,062
    c
    Fair market value of all other assets (see instructions)................
    1c
    39,720,939
    d
    Total (add lines 1a, b, and c).........................
    1d
    87,527,237
    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
     
    3
    Subtract line 2 from line 1d.........................
    3
    87,527,237
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see
    instructions) .............................
    4
    1,312,909
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    86,214,328
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    4,310,716
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    4,310,716
    2a
    Tax on investment income for 2012 from Part VI, line 5......
    2a
    150,100
    b
    Income tax for 2012. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    150,100
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    4,160,616
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    4,160,616
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,
    line 1................................
    7
    4,160,616
    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
    1,091,707
    b
    Program-related investments—total from Part IX-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    1,091,707
    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
     
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    1,091,707
    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 4,160,616
    2 Undistributed income, if any, as of the end of 2012:
    a Enter amount for 2011 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2012:
    a From 2007....... 1,412,611
    b From 2008....... 2,290,606
    c From 2009....... 2,655,078
    d From 2010....... 2,502,938
    e From 2011.......  
    fTotal of lines 3a through e......... 8,861,233
    4Qualifying distributions for 2012 from Part
    XII, line 4: bullet$ 1,091,707
    a Applied to 2011, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see instructions)......
     
    c Treated as distributions out of corpus (Election
    required—see instructions).........
    0
    d Applied to 2012 distributable amount..... 1,091,707
    e Remaining amount distributed out of corpus  
    5 Excess distributions carryover applied to 2012. 3,068,909 3,068,909
    (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 5,792,324
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........
     
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
     
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
     
    e Undistributed income for 2011. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
     
    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) .............
     
    8Excess distributions carryover from 2007 not
    applied on line 5 or line 7 (see instructions) ...
     
    9Excess distributions carryover to 2013.
    Subtract lines 7 and 8 from line 6a ......
    5,792,324
    10 Analysis of line 9:
    a Excess from 2008.... 634,308
    b Excess from 2009.... 2,655,078
    c Excess from 2010.... 2,502,938
    d Excess from 2011....  
    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).)
    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.
    James Lee Sorenson
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail of the person to whom applications should be addressed:
    Sorenson Impact Foundation
    299 S Main Street Suite 2200
    Salt Lake City,UT84111
    (801) 490-1000
    info@sorensonimpactfoundation.org
    bThe form in which applications should be submitted and information and materials they should include:
    Applicants may obtain a grant application by contacting the foundation at the above address. Information required by the foundation for consideration of a grant includes a description of the applicant's organization and mission, a specific request for funds, background information on directors and key personel and other information as outlined on the application.
    cAny submission deadlines:
    Quarterly; January 31, April 30, July 31, October 31
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Awards will only be made for permitted charitable purposes consistent with the purpose and mission of the foundation.
    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
    University of Utah
    201 Presidents Circle
    Salt Lake City,UT84112
      Univ BTS Arts & Leadership Pavillion 341,875
    Brigham Young University
    3328 TMCB
    Provo,UT84602
      Univ BTS Arts Endowment 87,500
    Salt Lake County
    2001 South State Street Suite S480
    Salt Lake City,UT84190
      Govt Herriman recreation center 31,250
    American Indian Services
    1902 N Canyon Road Suite 100
    Provo,UT84604
      Public Scholarship program 100,000
    Ronald McDonald House
    935 E South Temple
    Salt Lake City,UT84102
      Public Ronald Mcdonald House expansion. Construction costs 100,000
    Junior Achievement
    515 East 100 South Suite 200
    Salt Lake City,UT84102
      Public JA City - Whole School Program 12,500
    Utah State University
    Old Main Hill
    Logan,UT84322
      Univ Funding for piano department/fine arts 21,438
    Brigham Young University
    3328 TMCB
    Provo,UT84602
      Univ Research for ASL display device 152,460
    The Library Square Foundation
    PO Box 2129
    Salt Lake City,UT84110
      Public Race for Innovation Program 50,000
    YWCA
    322 East 200 South
    Salt Lake City,UT84111
      Public Gandhi statue campaign 5,000
    University Impact Fund
    299 S Main Street Suite 310
    Salt Lake City,UT84111
      Public General support 100,000
    Total .................................bullet 3a 1,002,023
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 11
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3Interest on savings and temporary cash investments     14 5,247  
    4 Dividends and interest from securities....     14 1,286,001  
    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 531390 -585,444 18 6,435,644  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: aPassthrough Rents     16 -15,780  
    bPassthrough Interest     14 36,060  
    cPassthrough Income 541900 26,612      
    dPassthrough Income 541519 -447,411      
    ePassthrough Income 531390 -639,206      
    fPassthrough Gains     18 -27,615  
    gInvestment Income     14 -14,701  
    12 Subtotal. Add columns (b), (d), and (e).. -1,645,449 7,704,856  
    13Total. Add line 12, columns (b), (d), and (e)..................
    136,059,407
    (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: 12000229
    Software Version: 2012v2.0


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2012 AccountingFeesSchedule
    Name:
    Sorenson Impact Foundation
    EIN: 45-3203840
    Software ID:12000229
    Software Version:2012v2.0
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Accounting & Tax 26,169 0 0 0

    TY 2012 ContractorCompensationExpln
    Name:
    Sorenson Impact Foundation
    EIN: 45-3203840
    Software ID:12000229
    Software Version:2012v2.0
    Contractor Explanation
    Ray Quinney & Nebeker  
    Merrill Lynch  

    TY 2012 GeneralExplanationAttachment
    Name:
    Sorenson Impact Foundation
    EIN: 45-3203840
    Software ID:12000229
    Software Version:2012v2.0
    Identifier Return Reference Explanation
        The foundation is a successor organization to a previous 501(c)(3) foundation. As described in Rev. Rul. 2002-28 and Treas. Reg. Section 1.507-3(a)(9)(i) the foundation is entitled to a certain carryover amounts from the previous foundation; namely the excess distribution carryover and UBI net operating loss carryovers.The amounts of carryovers are as follows:Excess Distributions:2007 $1,41,26112008 $2,290,6062009 $2,655,0782010 $2,502,9382012 $581,967Net Operating Loss:2009 $6572010 $174,3172011 $1,245,300
        Part VII-A, Line 11Controlled Entity:Sorenson Media, Inc.13961 Minuteman Drive, Suite 100Draper, Utah 84020EIN: 76-0793370

    TY 2012 InvestmentsCorpBondsSchedule
    Name:
    Sorenson Impact Foundation
    EIN: 45-3203840
    Software ID:12000229
    Software Version:2012v2.0
    Name of Bond End of Year Book Value End of Year Fair Market Value
    Newell Rubbermaid Inc 561,120 561,120
    Newmont Mining Corp 233,129 233,129
    Boeing Co 631,628 631,628
    Waste Management Inc 647,042 647,042
    Marathon Oil Corp 318,786 318,786
    Walgreen Co 299,282 299,282
    Verizon Communications 230,101 230,101
    Metlife Inc 642,762 642,762
    AT&T Inc 303,359 303,359
    General Electric Capital Corp 299,227 299,227
    Goldman Sachs Group Inc 595,315 595,315
    Comcast Corp 618,006 618,006
    Northrop Grumman corp 302,248 302,248
    Hospira Inc 280,102 280,102
    Boeing Co 266,964 266,964
    Staples Inc 566,079 566,079
    Kinder Morgan 260,009 260,009

    TY 2012 InvestmentsCorpStockSchedule
    Name:
    Sorenson Impact Foundation
    EIN: 45-3203840
    Software ID:12000229
    Software Version:2012v2.0
    Name of Stock End of Year Book Value End of Year Fair Market Value
    Telephone & Data Systems 122,800 122,800
    First Republic Bank 245,857 245,857
    DTE Energy Co 252,000 252,000
    Coresite Realty Corp 126,050 126,050
    Cobank ACB 104,156 104,156
    BB&T Corporation 245,700 245,700
    Yum Brands Inc 17,131 17,131
    Williams Companies 28,156 28,156
    Wells Fargo & Co 27,139 27,139
    WW Grainger Inc 28,737 28,737
    VMWare Inc 28,054 28,054
    Visa Inc 108,834 108,834
    Unitedhealth Group Inc 38,727 38,727
    United Technologies Corp 48,632 48,632
    Union Pacific Corp 104,348 104,348
    Ulta Salon Cosmetics 28,790 28,790
    Teradata Corp 28,655 28,655
    Starbucks Corp 49,232 49,232
    Sirius XM Radio Inc 26,900 26,900
    SBA Communications Corp 38,755 38,755
    SalesForce.com Inc 73,292 73,292
    Ross Stores Inc 28,614 28,614
    Range Resources Corp 28,588 28,588
    Ralph Lauren Corp 39,579 39,579
    Qualcomm Inc 69,778 69,778
    Priceline.com Inc 71,345 71,345
    Precision Castparts 56,068 56,068
    Monsanto Co 81,494 81,494
    Michael Kors Holdings LTD 28,883 28,883
    McGraw Hill Companies 27,444 27,444
    Mastercard Inc 40,285 40,285
    Lennar Corp 21,462 21,462
    Lauder Estee Companies Inc 27,715 27,715
    Las Vegas Sands Corp 29,035 29,035
    Intuitive Surgical Inc 39,720 39,720
    Intuit Inc 31,819 31,819
    Intl Business Machines 80,643 80,643
    Home Depot Inc 38,100 38,100
    HCA Holdings Inc 26,731 26,731
    Google Inc Cl A 78,519 78,519
    Glaxosmithkline PLC ADR 26,734 26,734
    Gilead Sciences Inc 35,770 35,770
    Franklin Res Inc 45,252 45,252
    FMC Techs Inc 20,130 20,130
    Fluor Corp 37,887 37,887
    Facebook Inc 46,531 46,531
    Express Scripts Holding Co 40,500 40,500
    Edwards Lifesciences Corp 25,518 25,518
    Ecolab Inc 47,023 47,023
    Ebay Inc 47,581 47,581
    EMC Corporation 27,501 27,501
    Dollar General Corp 31,877 31,877
    Danaher Corp 84,465 84,465
    CVS Caremark Corp 43,225 43,225
    Covidien PLC 36,088 36,088
    Costoco Wholesale Corp 29,915 29,915
    Concho Resources Inc 8,298 8,298
    Coach Inc 26,922 26,922
    Cerner Corp 37,360 37,360
    Celgene Corp 46,847 46,847
    CBS Corp 31,163 31,163
    Cabot Oil & Gas 22,880 22,880
    Borg Warner Inc 34,163 34,163
    Blackrock Inc 32,247 32,247
    Biogen Idec Inc 47,424 47,424
    Apple Inc 140,494 140,494
    American Tower REIT Inc 43,271 43,271
    Amazon.com Inc 63,470 63,470
    Allergan Inc 21,557 21,557
    Zoltek Companies Inc 11,292 11,292
    Zions Bancorp 7,768 7,768
    Wintrust Financial 7,267 7,267
    Whiting Petroleum Corp 19,213 19,213
    WR Berkley Corp 37,853 37,853
    URS Corp 29,955 29,955
    Universal Health Svcs 11,846 11,846
    United Stationers Inc 7,562 7,562
    UGI Corp 19,332 19,332
    Synovus Financial Corp 7,691 7,691
    Symmetricom Inc 6,214 6,214
    SVB Financial Group 6,828 6,828
    Superior Energy Svcs Inc 7,480 7,480
    Sonoco Products Co 28,719 28,719
    Semtech Corporation 8,540 8,540
    Scholastic Corp 10,257 10,257
    Sandridge Energy Inc 27,324 27,324
    Sanchez Energy Corp 6,768 6,768
    SAIA Inc 17,248 17,248
    RF Micro Devices 16,576 16,576
    Resolute Energy Corp 14,073 14,073
    Renaissancere Holdings LTD 19,096 19,096
    Reinsurance Group America 33,022 33,022
    Ralcorp Holdings Inc 32,364 32,364
    Quanta Services Inc 24,670 24,670
    Power-One Inc 11,372 11,372
    Post Holdings Inc 4,795 4,795
    Owens Ill Inc 33,819 33,819
    Orbital Sciences Corp 14,156 14,156
    Old Natl Bancorp 6,505 6,505
    Ocwen Financial Corp 17,364 17,364
    Oasis Pete Inc 7,537 7,537
    Northern Trust Corp 24,177 24,177
    Navigant Consulting Inc 26,963 26,963
    Mednax Inc 15,904 15,904
    MDU Resources Group Inc 7,179 7,179
    McDermott International Inc 15,582 15,582
    Maxwell Technologies Inc 16,384 16,384
    Maidenform Brands Inc 13,818 13,818
    Lexington Realty Trust 8,161 8,161
    Landec Corp 9,291 9,291
    Kindred Healthcare Inc 10,690 10,690
    The Jones Group Inc 9,644 9,644
    Jack In The Box Inc 11,240 11,240
    JM Smucker Co 22,595 22,595
    IXYS Corp 36,514 36,514
    Investors Real Estate Trust 7,770 7,770
    ICF International Inc 14,697 14,697
    Huntington Bancshares Inc 13,988 13,988
    Hormel Foods Corp 24,157 24,157
    Home Loan Servicing Solutions LTD 11,378 11,378
    Hologic Inc 14,727 14,727
    Hanover Ins Group 60,202 60,202
    Gulfport Energy 24,499 24,499
    Guess Inc 10,945 10,945
    Great Plains Energy 20,554 20,554
    Goodrich Petroleum 12,032 12,032
    Globe Specialty Metals 6,765 6,765
    Global Pmts Inc 15,176 15,176
    Gentex Corp 7,955 7,955
    General Cable Corp 22,929 22,929
    Frac First Horizon Natl Corp 1 1
    Forest Labs Inc 11,055 11,055
    First Niagara Financial Group 7,335 7,335
    First Midwest Bancorp 7,387 7,387
    Euronet Worldwide Inc 4,413 4,413
    Equifax Inc 17,535 17,535
    Endurance Specialty Holding 19,051 19,051
    Employers Holdings Inc 16,690 16,690
    Dryships Inc 7,582 7,582
    Devry Inc 17,370 17,370
    Darling International Inc 12,944 12,944
    Cree Inc 34,694 34,694
    Covanta Holding Corp 37,761 37,761
    Computer Science Corp 51,384 51,384
    Community Health Sys 11,958 11,958
    City National Corp 7,180 7,180
    Chicos FAS Inc 23,075 23,075
    Cabelas Inc 17,577 17,577
    Brown Shoe Co Inc 17,525 17,525
    Black Hills Corp 15,299 15,299
    Bemis Co Inc 8,532 8,532
    Babcock and Wilcox 13,152 13,152
    Atlas Air Worldwide Hldgs 6,338 6,338
    American Financial Group 31,537 31,537
    Alleghany Corp 24,486 24,486
    Aegion Corp 25,585 25,585
    3M Company 99,814 99,814
    Wal-Mart Stores Inc 200,392 200,392
    WR Berkley Corp 136,808 136,808
    Unitedhealth Group 172,212 172,212
    Thermo Fisher Scientific 109,191 109,191
    Praxair Inc 170,961 170,961
    Pepsico Inc 148,835 148,835
    Oracle Corp 206,584 206,584
    Noble Energy Inc 273,375 273,375
    News Corp B 23,275 23,275
    News Corp A 190,993 190,993
    Nestle SA 153,932 153,932
    Morgan Stanley 133,840 133,840
    Mondelez International 143,632 143,632
    Microsoft Corp 225,350 225,350
    McDonalds Corp 38,548 38,548
    Loews Corp 168,094 168,094
    Liberty Global Inc A 25,184 25,184
    Liberty Global Inc 217,375 217,375
    Google Inc 141,476 141,476
    Goldman Sachs Group 108,426 108,426
    Fidelity Natl Info Svcs 103,977 103,977
    Ecolab Inc 210,308 210,308
    Comcast Corp 159,377 159,377
    Coca Cola 207,495 207,495
    Berkshire Hathaway Inc 358,800 358,800
    Apache Corp 165,792 165,792
    AON PLC 259,087 259,087
    Altera Corp 135,841 135,841
    Wynn Resorts LTD 248,040 248,040
    Waters Corp 183,997 183,997
    Suncor Energy Inc 238,412 238,412
    Starwood Hotels and Resorts 241,658 241,658
    Stanley Black & Decker 257,933 257,933
    Scripps Networks Interactive 282,476 282,476
    RobertHalf Intl Inc 246,828 246,828
    Qualcomm Inc 236,675 236,675
    Mastercard Inc 204,372 204,372
    Hospira Inc 180,036 180,036
    Express Scripts Holding Co 169,290 169,290
    Expeditors Intl Wash Inc 132,216 132,216
    EMC Corporation 167,916 167,916
    Affiliated Managers Grp 193,403 193,403
    Accenture PLC 163,856 163,856
    Ansys Inc 166,397 166,397
    Wells Fargo & Co 189,186 189,186
    Wal-Mart Stores Inc 121,108 121,108
    Verizon Communications 111,117 111,117
    Reynolds American Inc 86,257 86,257
    Philip Morris Intl 90,666 90,666
    Pfizer Inc 205,199 205,199
    Paychex Inc 135,285 135,285
    Newmarket Corp 165,186 165,186
    Microsoft Corp 122,010 122,010
    Meadwestvaco Corp 134,523 134,523
    Lowes Companies Inc 198,983 198,983
    Lorillard Inc 195,656 195,656
    Kinder Morgan Management LLC 188,273 188,273
    Johnson and Johnson 71,152 71,152
    Intl Business Machines 115,122 115,122
    Intel Corp 151,990 151,990
    Hershey Company 126,024 126,024
    Hatteras Financial Corp 160,421 160,421
    Hasbro Inc 194,901 194,901
    Frac Kinder Morgan Management    
    Federated Investors B 142,460 142,460
    Duke Energy Corp 88,746 88,746
    Dominion Res Inc 190,210 190,210
    ConocoPhillips 86,289 86,289
    Coca Cola 110,273 110,273
    Cisco Systems Inc 151,929 151,929
    Cinn Financial Corp 147,085 147,085
    Chevron Corp 137,879 137,879
    Bristol-Myers Squibb 171,912 171,912
    Blackrock Inc 156,066 156,066
    Berkshire Hathaway 124,414 124,414
    Altria Group Inc 187,225 187,225
    Albemarle Corp 202,014 202,014
    Morgan Stanley Cap VIII 1,070 1,070
    Morgan Stanley Cap TRVII 12,996 12,996
    Montpelier RE Holdings 67,667 67,667
    Corts Trust For AON Cap 16,895 16,895
    Wiley John & Sons 51,699 51,699
    Wex Inc 18,692 18,692
    Verisk Analytics Inc 27,677 27,677
    Varian Medical Sys Inc 27,885 27,885
    Umpqua Holdings Corp 23,757 23,757
    Transdigm Group Inc 16,500 16,500
    Solera Holdings Inc 26,254 26,254
    SEI Investment Co 32,956 32,956
    Schein Inc 47,850 47,850
    Sally Beauty Holdings Inc 45,089 45,089
    Pall Corp PV 16,330 16,330
    Oceaneering Intl Inc 25,174 25,174
    OReilly Automotive Inc 34,248 34,248
    Morningstar Inc 60,128 60,128
    Mettler-Toledo Intl Inc 23,969 23,969
    Markel Corp 73,681 73,681
    LKQ Corp 67,288 67,288
    Kirby Corp 47,903 47,903
    Jacobs Engn Grp Inc 35,887 35,887
    Jack Henry & Assoc Inc 27,011 27,011
    Idex Corp Delaware 43,273 43,273
    Hunt JB Trans Svcs Inc 34,274 34,274
    Hcc Ins Holding Inc 61,880 61,880
    Graco Inc 26,723 26,723
    Gentex Corp 37,625 37,625
    Forest City Enterprises 27,277 27,277
    Flir Systems Inc 23,655 23,655
    Fair Isaac Corporation 40,517 40,517
    Factset Resh Sys Inc 23,336 23,336
    Equifax Inc 45,515 45,515
    Dril Quip 17,532 17,532
    Dentsply Intl Inc 54,147 54,147
    Cullen First Bkrs 16,172 16,172
    Copart Inc 18,408 18,408
    Columbia Sportswear Co 17,075 17,075
    Clarcor Inc 37,125 37,125
    City National Corp 33,079 33,079
    Church & Dwight Co Inc 29,946 29,946
    Carmax Inc 33,185 33,185
    Carlisle Cos Inc 44,011 44,011
    Blackbaud Inc 31,985 31,985
    Bio Rad Labs 41,915 41,915
    Aptar Grouop Inc 31,829 31,829
    Ametek Inc 41,139 41,139
    Airgas Inc 19,171 19,171
    Affiliated Managers Grp 63,903 63,903
    Acuity Brands Inc 37,589 37,589
    Aarons Inc 26,215 26,215
    Ansys Inc 40,000 40,000
    Merrimack Pharmaceuticals 672,907 672,907

    TY 2012 InvestmentsGovtObligationsSch
    Name:
    Sorenson Impact Foundation
    EIN: 45-3203840
    Software ID:12000229
    Software Version:2012v2.0
    US Government Securities - End of Year Book Value:

    822,277
    US Government Securities - End of Year Fair Market Value:

    822,277
    State & Local Government Securities - End of Year Book Value:


    931,216
    State & Local Government Securities - End of Year Fair Market Value:


    931,216


    TY 2012 InvestmentsOtherSchedule2
    Name:
    Sorenson Impact Foundation
    EIN: 45-3203840
    Software ID:12000229
    Software Version:2012v2.0
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    Privately Held Investments FMV 74,652,730 74,652,730
    SLP IV Techloogy Fund FMV 50,000 50,000
    ML Winton Futures Access FMV 480,654 480,654
    OZOFII Access LTD FMV 1,577,052 1,577,052
    Carlson Double Black Diamond FMV 1,051,194 1,051,194
    Brevan Howard Multi-Strategy FMV 759,226 759,226
    Ascend Access LTD FMV 759,261 759,261
    GSO Mezzanine Finance Fund FMV 123,900 123,900
    Templeton Global Bond Fund FMV 27,425 27,425
    Eaton Vance Floating Rate Fund FMV 942 942
    Ridgeworth High Income Fund FMV 3,144 3,144
    Eaton Vance Floating Rate Fund FMV 256,989 256,989
    First Eagle Global FMV 2,768,994 2,768,994
    PIMCO Commodity Real Return FMV 1,427,792 1,427,792
    Templeton Global Bond Fund FMV 1,735,757 1,735,757
    PIMCO Fixed Income Shares FMV 667,447 667,447
    Oppenheimer Developing Markets Fund FMV 1,464,820 1,464,820
    Matthews Pacific Tiger FMV 795,525 795,525
    Matthews Asian Growth Fund FMV 808,877 808,877
    First Eagle Gold Fund FMV 395,757 395,757
    IVA Worldwide Fund FMV 2,975,048 2,975,048
    iShares Russell 1000 FMV 2,892,300 2,892,300
    Ridgeworth High Income Fund FMV 614,870 614,870

    TY 2012 LegalFeesSchedule
    Name:
    Sorenson Impact Foundation
    EIN: 45-3203840
    Software ID:12000229
    Software Version:2012v2.0
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Legal 78,415 0 0 89,684


    TY 2012 OtherAssetsSchedule
    Name:
    Sorenson Impact Foundation
    EIN: 45-3203840
    Software ID:12000229
    Software Version:2012v2.0
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    Mediconnect escrow   292,289 292,289


    TY 2012 OtherExpensesSchedule
    Name:
    Sorenson Impact Foundation
    EIN: 45-3203840
    Software ID:12000229
    Software Version:2012v2.0
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Supplies 1,419      
    Postage 8      
    Licenses & Fees 57      
    Insurance 5,140      
    Bank charges 291      


    TY 2012 OtherIncomeSchedule2
    Name:
    Sorenson Impact Foundation
    EIN: 45-3203840
    Software ID:12000229
    Software Version:2012v2.0
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    Passthrough Rents -15,780 -15,780  
    Passthrough Interest 36,060 36,060  
    Passthrough Income -639,206    
    Passthrough Income -447,411    
    Passthrough Income 26,612    
    Passthrough Gains -27,615 -27,615  
    Investment Income -14,701 -14,701  


    TY 2012 OtherIncreasesSchedule
    Name:
    Sorenson Impact Foundation
    EIN: 45-3203840
    Software ID:12000229
    Software Version:2012v2.0
    Description Amount
    Transfer from Original Sorenson Legacy Foundation 119,996,215


    TY 2012 OtherProfessionalFeesSchedule
    Name:
    Sorenson Impact Foundation
    EIN: 45-3203840
    Software ID:12000229
    Software Version:2012v2.0
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Public relations 20,500 0 0 0
    Investment management 198,097 198,097 0 0


    TY 2012 TaxesSchedule
    Name:
    Sorenson Impact Foundation
    EIN: 45-3203840
    Software ID:12000229
    Software Version:2012v2.0
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Foreign Taxes 1,741 1,741    
    Federal Excise Tax 145,000