Form990-PF

Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Nonexempt Charitable Trust
Treated as a Private Foundation
Note. The foundation may be able to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0052
2012
Open to Public Inspection
For calendar year 2012, or tax year beginning 01-01-2012 , and ending 12-31-2012
Name of foundation
MERRITT SAM & BERTHA MEMORIAL TR 60758740
 

Number and street (or P.O. box number if mail is not delivered to street address)P O BOX 64713 TRUST TAX SERVICES   Room/suite
City or town, state, and ZIP code
ST PAUL, MN551640713
A Employer identification number

23-7035116
B Telephone number (see instructions)

(701) 222-6273
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$3,090,748J 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...... 79,800 79,800  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 168,216
b Gross sales price for all assets on line 6a 618,010
7 Capital gain net income (from Part IV, line 2)... 168,216
8 Net short-term capital gain......... 0
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 248,016 248,016  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 35,299 27,940 0 7,360
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).......        
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions) Click to see attachment 4,715 1,615   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).......        
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 40,014 29,555 0 7,360
25 Contributions, gifts, grants paid........ 143,254 143,254
26 Total expenses and disbursements. Add lines 24 and 25 183,268 29,555 0 150,614
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 64,748
b Net investment income (if negative, enter -0-) 218,461
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............... 3,770    
2 Savings and temporary cash investments.......... 44,593 3,998 3,998
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)      
b Investments—corporate stock (attach schedule)........ 1,619,800 Click to see attachment1,560,000 2,044,419
c Investments—corporate bonds (attach schedule)........ 824,382 Click to see attachment985,269 1,034,104
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) Click to see attachment115 Click to see attachment8,227 Click to see attachment8,227
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 2,492,660 2,557,494 3,090,748
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)   Click to see attachment76
23 Total liabilities (add lines 17 through 22)..........   76
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......... 2,492,660 2,557,418
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).................... 2,492,660 2,557,418
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 2,492,660 2,557,494
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 2,492,660
2 Enter amount from Part I, line 27a..................... 2 64,748
3 Other increases not included in line 2 (itemize) bulletClick to see attachment 3 10
4 Add lines 1, 2, and 3.......................... 4 2,557,418
5 Decreases not included in line 2 (itemize) bullet 5 0
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 2,557,418
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 60. DISNEY WALT CO   2011-01-06 2012-01-31
b 55. NIKE INC   2007-12-18 2012-01-31
c 335. TARGET CORPORATION   2002-07-29 2012-01-31
d 25. APPLE INC   2005-11-01 2012-02-01
e 228.05 NUVEEN INTL SELECT FD CL I   2009-04-07 2012-02-01
3.19 F N M A #506032 7.000% 8/01/29   1970-12-25 2012-02-25
3.21 F N M A #506032 7.000% 8/01/29   1970-12-25 2012-03-25
25. APPLE INC   2005-11-01 2012-03-26
80. EXPRESS SCRIPTS INC   2010-04-26 2012-03-26
100. PROCTER & GAMBLE CO   2004-11-12 2012-03-26
25000. PROCTER & GAMBLE 3.500% 2/15/15   2009-02-04 2012-03-26
3.23 F N M A #506032 7.000% 8/01/29   1970-12-25 2012-04-25
3.25 F N M A #506032 7.000% 8/01/29   1970-12-25 2012-05-25
174.459 AMERICAN CENTY INTL BOND FD INSTL   2011-11-25 2012-06-25
10. APPLE INC   2005-11-01 2012-06-25
3.27 F N M A #506032 7.000% 8/01/29   1970-12-25 2012-06-25
300. APACHE CORP   2009-11-23 2012-06-26
600. GENERAL MILLS INC   2010-09-16 2012-07-16
745. CISCO SYS INC   1997-03-04 2012-07-18
125. F5 NETWORKS INC   2010-07-06 2012-07-18
225. NETAPP INC   2011-01-06 2012-07-18
575. ORACLE CORPORATION   2009-09-29 2012-07-18
125. HOME DEPOT INC   2012-01-31 2012-07-19
375. T ROWE PRICE GROUP INC   2008-11-28 2012-07-19
500. PROCTER & GAMBLE CO   2004-11-12 2012-07-19
465. TEXTRON INC   2010-11-09 2012-07-19
3.19 F N M A #506032 7.000% 8/01/29   1970-12-25 2012-07-25
932.48 F N M A #506032 7.000% 8/01/29   1970-12-25 2012-08-25
60. ALLERGAN INC   2010-04-26 2012-09-25
25. APPLE INC   2005-11-01 2012-09-25
60. B M C SOFTWARE INC   2011-01-06 2012-09-25
90. CVS CAREMARK CORP   2012-07-18 2012-09-25
60. CAPITAL ONE FINANCIAL CORP   2012-07-16 2012-09-25
60. CATERPILLAR INC   2010-09-15 2012-09-25
30. CERNER CORPORATION   2011-12-27 2012-09-25
100. DICKS SPORTING GOODS INC   2010-06-01 2012-09-25
80. DISNEY WALT CO   2011-01-06 2012-09-25
70. DIRECTV   2012-01-31 2012-09-25
165. E M C CORPORATION   2011-01-06 2012-09-25
110. EATON CORP   2010-08-24 2012-09-25
110. ECOLAB INC   2009-09-29 2012-09-25
60. EXPRESS SCRIPTS HLDGS C   2010-04-26 2012-09-25
90. EXXON MOBIL CORP   2009-01-15 2012-09-25
50. GILEAD SCIENCES INC   2012-07-19 2012-09-25
90. HOME DEPOT INC   2012-01-31 2012-09-25
90. INTEL CORP   2011-01-06 2012-09-25
110. J P MORGAN CHASE CO   2010-05-03 2012-09-25
50. JOHNSON JOHNSON   2009-09-28 2012-09-25
10. MASTERCARD INC   2012-07-18 2012-09-25
40. MCDONALDS CORP   2012-01-31 2012-09-25
40. NIKE INC   2007-12-18 2012-09-25
90. ORACLE CORPORATION   2006-10-27 2012-09-25
90. PEPSICO INC   2002-12-02 2012-09-25
120. PFIZER INC   2011-03-03 2012-09-25
60. T ROWE PRICE GROUP INC   2003-06-30 2012-09-25
10. PRICELINE COM INC   2012-01-31 2012-09-25
120. QUALCOMM INC   2002-10-14 2012-09-25
30. SALESFORCE COM INC   2010-06-10 2012-09-25
70. SCHLUMBERGER LTD   2008-11-17 2012-09-25
60. TARGET CORPORATION   2008-11-28 2012-09-25
50. THERMO FISHER SCIENTIFIC INC   2009-09-29 2012-09-25
80. UNITED TECHNOLOGIES CORP   2003-07-07 2012-09-25
80. UNITED HEALTH GROUP INCORPORATED   2011-03-03 2012-09-25
100. VERIZON COMMUNICATIONS INC   2011-11-15 2012-09-25
175. WELLS FARGO CO   2009-01-15 2012-09-25
40. WHOLE FOODS MKT INC   2012-07-19 2012-09-25
125. WILLIAMS COS INC   2012-06-26 2012-09-25
85. ACCENTURE PLC CL A   2004-03-17 2012-09-25
80. ACE LTD   2010-11-09 2012-09-25
3402.079 AMERICAN CENTY INTL BOND FD INSTL   2011-11-25 2012-09-27
. NET PROCEEDS CLASS ACTION SUIT     2012-10-04
410. INTEL CORP   2011-01-06 2012-11-30
470. EATON CORP   2010-05-26 2012-12-03
265.487 AMER CENT DIVERSIFI BOND INS   2012-11-30 2012-12-05
996.678 NUVEEN HIGH INCOME BOND FD CL I   2009-09-25 2012-12-05
250.417 NUVEEN CORE PLUS BOND CLASS I   2012-09-27 2012-12-05
53.50443 AMER CENT DIVERSIFI BOND INS   2012-09-27 2012-12-26
305.23957 AMER CENT DIVERSIFI BOND INS   2012-09-27 2012-12-26
1479.366 NUVEEN HIGH INCOME BOND FD CL I   2012-09-27 2012-12-26
716.024 NUVEEN HIGH INCOME BOND FD CL I   2011-12-16 2012-12-26
335.289 NUVEEN CORE PLUS BOND CLASS I   2012-09-27 2012-12-26
CAPITAL GAIN DIVIDENDS P    
(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 2,323   2,383 -60
b 5,761   3,502 2,259
c 16,851   12,256 4,595
d 11,424   1,439 9,985
e 2,027   1,409 618
3   3  
3   3  
14,997   1,439 13,558
4,246   4,173 73
6,730   5,422 1,308
26,893   25,071 1,822
3   3  
3   3  
2,503   2,439 64
5,769   575 5,194
3   3  
24,738   27,755 -3,017
23,378   22,065 1,313
12,419   4,615 7,804
12,290   8,849 3,441
6,818   13,012 -6,194
17,497   10,882 6,615
6,335   5,563 772
23,576   9,972 13,604
32,285   27,110 5,175
11,954   10,527 1,427
3   3  
932   917 15
5,505   3,763 1,742
17,291   1,439 15,852
2,567   2,860 -293
4,330   4,380 -50
3,456   3,336 120
5,325   4,304 1,021
2,234   1,872 362
5,268   2,840 2,428
4,243   3,178 1,065
3,725   3,161 564
4,577   3,878 699
5,193   3,895 1,298
7,116   4,997 2,119
3,820   3,130 690
8,288   6,871 1,417
3,391   2,652 739
5,391   4,005 1,386
2,048   1,859 189
4,532   4,739 -207
3,457   3,067 390
4,561   4,375 186
3,756   3,952 -196
3,830   2,547 1,283
2,880   1,647 1,233
6,380   3,906 2,474
2,982   2,356 626
3,850   1,138 2,712
6,384   5,301 1,083
7,665   1,898 5,767
4,619   2,722 1,897
5,174   3,374 1,800
3,895   2,096 1,799
2,990   2,172 818
6,353   2,913 3,440
4,485   3,593 892
4,575   3,733 842
6,170   3,678 2,492
4,001   3,655 346
4,324   3,482 842
5,599   2,023 3,576
6,101   4,838 1,263
50,385   47,561 2,824
121     121
8,048   8,467 -419
24,515   16,255 8,260
3,000   2,997 3
9,020   8,043 977
3,003   2,987 16
597   604 -7
3,403   3,446 -43
13,477   13,240 237
6,523   5,780 743
3,997   4,000 -3
      158
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       -60
b       2,259
c       4,595
d       9,985
e       618
       
       
      13,558
      73
      1,308
      1,822
       
       
      64
      5,194
       
      -3,017
      1,313
      7,804
      3,441
      -6,194
      6,615
      772
      13,604
      5,175
      1,427
       
      15
      1,742
      15,852
      -293
      -50
      120
      1,021
      362
      2,428
      1,065
      564
      699
      1,298
      2,119
      690
      1,417
      739
      1,386
      189
      -207
      390
      186
      -196
      1,283
      1,233
      2,474
      626
      2,712
      1,083
      5,767
      1,897
      1,800
      1,799
      818
      3,440
      892
      842
      2,492
      346
      842
      3,576
      1,263
      2,824
      121
      -419
      8,260
      3
      977
      16
      -7
      -43
      237
      743
      -3
       
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 2 168,216
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 166,055 3,050,946 0.054427
2010 156,782 2,946,603 0.053208
2009 136,294 2,690,057 0.050666
2008 187,011 3,077,045 0.060776
2007      
2 Total of line 1, column (d) ...................... 2 0.219077
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 0.054769
4 Enter the net value of noncharitable-use assets for 2012 from Part X, line 5..... 4 3,010,926
5 Multiply line 4 by line 3....................... 5 164,905
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 2,185
7 Add lines 5 and 6......................... 7 167,090
8 Enter qualifying distributions from Part XII, line 4.............. 8 150,614
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 4,369
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 4,369
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 4,369
6 Credits/Payments:
a 2012 estimated tax payments and 2011 overpayment credited to 2012 6a 2,900
b Exempt foreign organizations—tax withheld at source....... 6b
c Tax paid with application for extension of time to file (Form 8868) 6c 0
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 2,900
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 1,469
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 taxBullet   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)
    bulletND
    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 ofbulletUS BANK NATIONAL ASSOCIATION Telephone no.bullet (701) 222-6273
    Located atbullet200 NORTH 3RD STREETBISMARCKND ZIP+4bullet585013879
    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
     
     
    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
    US BANK NA CORPORATE TRUSTEE
    8     		35,299    
    101 EAST 5TH STREET
    ST PAUL,MN55164
    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
    3,050,100
    b
    Average of monthly cash balances.......................
    1b
    6,678
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    3,056,778
    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
    3,056,778
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see
    instructions) .............................
    4
    45,852
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    3,010,926
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    150,546
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    150,546
    2a
    Tax on investment income for 2012 from Part VI, line 5......
    2a
    4,369
    b
    Income tax for 2012. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    4,369
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    146,177
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    146,177
    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
    146,177
    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
    150,614
    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
    150,614
    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
    150,614
    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 7 146,177
    2 Undistributed income, if any, as of the end of 2012:
    a Enter amount for 2011 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2012:
    a From 2007....... 0
    b From 2008....... 34,653
    c From 2009....... 2,946
    d From 2010....... 12,150
    e From 2011....... 16,408
    fTotal of lines 3a through e......... 66,157
    4Qualifying distributions for 2012 from Part
    XII, line 4: bullet$ 150,614
    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..... 146,177
    e Remaining amount distributed out of corpus 4,437
    5 Excess distributions carryover applied to 2012. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 70,594
    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 ......     		70,594
    10 Analysis of line 9:
    a Excess from 2008.... 34,653
    b Excess from 2009.... 2,946
    c Excess from 2010.... 12,150
    d Excess from 2011.... 16,408
    e Excess from 2012.... 4,437
    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.
    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
    FIRST PRESBYTERIAN CHURCH
    ATTN FINANCE COMMITTEE
    214 EAST THAYER AVE
    BISMARCK,ND585013872     		NONE N/A GENERAL 71,627
    BISMARCK STATE COLLEGE FOUNDATION
    ATTN GORDON BINEK
    PO BOX 5587
    BISMARCK,ND585065587     		NONE N/A GENERAL 71,627
    Total .................................bullet 3a 143,254
    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 79,800  
    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     18 168,216  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   248,016  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13248,016
    (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 InvestmentsCorpBondsSchedule
    Name:
    MERRITT SAM & BERTHA MEMORIAL TR 60758740
    EIN: 23-7035116
    Name of Bond End of Year Book Value End of Year Fair Market Value
    MERRILL LYNCH CO 50,730 52,982
    JOHNSON & JOHNSON 50,040 60,674
    ORACLE CORP 53,365 50,642
    DISNEY WALT CO 51,467 51,942
    NOVARTIS CAPITAL 51,425 52,002
    BERKSHIRE HATHAWAY 53,302 54,245
    PROCTER & GAMBLE 25,040 26,544
    UNITED TECH CORP 53,115 54,908
    SBC COMMUNICATIONS 52,762 57,389
    HONEYWELL INTL 52,662 58,627
    EMERSON ELECTRIC 4.875 50,066 59,860
    LOWES COMPANIES 4.625% 50,692 58,683
    CREDIT SUISSE COMMOD RET STRAT 43,128 41,930
    OPPENHEIMER COM STR TR FD 45,949 45,399
    F N M A PARTN CERT #506032    
    AMER CENTY INTL BOND FD INSTL    
    DRIEHAUS ACTIVE INCOME FD 75,018 79,248
    NUVEEN HIGH INCOME BOND FD 121,760 124,751
    AMER CENT DIVERSIFI BOND INS 52,735 52,079
    NUVEEN CORE PLUS BOND CL I 52,013 52,199

    TY 2012 InvestmentsCorpStockSchedule
    Name:
    MERRITT SAM & BERTHA MEMORIAL TR 60758740
    EIN: 23-7035116
    Name of Stock End of Year Book Value End of Year Fair Market Value
    CATERPILLAR INC 17,215 21,506
    APACHE CORP    
    APPLE INC 6,618 61,200
    GENERAL MILLS INC    
    CISCO SYSTEMS INC    
    EXPRESS SCRIPTS INC 12,520 12,960
    F5 NETWORKS INC    
    EXXON MOBIL CORP 31,302 35,486
    NIKE INC 10,767 19,092
    ORACLE CORP 7,593 13,828
    PEPSICO INC 16,369 26,688
    PROCTER & GAMBLE CO    
    QUALCOMM INC 7,559 30,930
    T ROWE PRICE GRP 5,026 17,256
    TARGET CORP 8,715 14,793
    UNITED TECH CORP 12,016 27,063
    WELLS FARGO CO 17,340 28,199
    ACCENTURE LTD 8,525 24,938
    SCHLUMBERGER LTD 11,081 21,829
    SALESFORCE COM INC 10,889 20,172
    TEXTRON INC    
    ALLERGAN INC 15,681 22,933
    EATON CORP 24,414 25,465
    THERMO FISHER SCIENTIFIC INC 9,557 14,032
    ACE LIMITED 21,164 27,930
    DICKS SPORTING GOODS 11,358 18,196
    JP MORGAN CHASE CO 21,112 21,545
    B M C SOFTWARE INC 13,345 11,094
    ECOLAB INC 18,292 35,231
    JOHNSON & JOHNSON 12,270 14,020
    I SHARES MSCI EMERGING MKTS 90,621 125,511
    NEUBERGER BERMAN GENESIS INSTL 30,302 49,847
    ROWE T PRICE MID CAP VALUE FD 91,854 106,231
    T ROWE PRICE SC STOCK 40,394 51,860
    SCOUT INTL FD 234,186 250,486
    CERNER CORPORATION 8,111 10,076
    DISNEY WALT CO 14,696 18,422
    E M C CORP 17,276 18,596
    INTELL CORP    
    NETAPP INC    
    PFIZER INC 10,698 13,668
    UNITED HEALTH GRP INC 15,271 18,442
    VERIZON COMMUNICATIONS INC 16,051 18,606
    NUVEEN INTL SELECT FD CL I 151,424 230,457
    NUVEEN MID CAP GRWTH OPP FD 82,522 99,460
    NUVEEN REAL ESTATE SEC CL I 76,248 93,618
    SPDR DJ WILSHIRE INTERNATIONAL 82,601 86,008
    TFS MARKET NEUTRAL FUND 40,625 41,151
    TURNER SPECTRUM FUND INSTL 41,642 39,623
    CAPITAL ONE FINANCIAL CORP 15,290 15,931
    CONAGRA FOODS INC 7,479 7,375
    CVS CAREMARK CORP 19,955 19,824
    DIRECT TV 14,676 16,302
    GILEAD SCIENCES 13,033 17,995
    HOME DEPOT INC 18,690 25,977
    MASTERCARD INC 10,936 12,282
    MCDONALDS CORP 17,288 15,437
    P P G INDS INC 19,592 21,656
    PRICELINE COM INC 15,902 18,612
    WHOLE FOODS MKT INC 16,450 16,409
    WILLIAMS COS INC 15,459 18,171

    TY 2012 OtherAssetsSchedule
    Name:
    MERRITT SAM & BERTHA MEMORIAL TR 60758740
    EIN: 23-7035116
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    ACCRUED INCOME 115 8,227 8,227


    TY 2012 OtherIncreasesSchedule
    Name:
    MERRITT SAM & BERTHA MEMORIAL TR 60758740
    EIN: 23-7035116
    Description Amount
    ROUNDING 10


    TY 2012 OtherLiabilitiesSchedule
    Name:
    MERRITT SAM & BERTHA MEMORIAL TR 60758740
    EIN: 23-7035116
    Description Beginning of Year - Book Value End of Year - Book Value
    RETURN OF CAPITAL   76


    TY 2012 TaxesSchedule
    Name:
    MERRITT SAM & BERTHA MEMORIAL TR 60758740
    EIN: 23-7035116
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FEDERAL TAX PAYMENT - PRIOR YE 200 0   0
    FEDERAL TAX 2,175 0   0
    FEDERAL TAX 725 0   0
    FOREIGN TAXES ON QUALIFIED FOR 1,426 1,426   0
    FOREIGN TAXES ON NONQUALIFIED 189 189   0