TY 2012 Form 990PF

- TIN:

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
LAURENCE C CAMPBELL TRUST FBO CENTRAL VT MED

Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 477 Room/suite

City or town, state, and ZIP code
CONCORD, NH033020477

A Employer identification number

03-6064493

B Telephone number (see instructions)

(802) 860-5553

C If exemption application is pending, check here bullet

G Check all that apply: Initial returnInitial return of a former public charity
Final returnAmended return
Address changeName change

D 1. Foreign organizations, check here ............. bullet

2. Foreign organizations meeting the 85% test,
check here and attach computation ........... bullet

H Check type of organization: Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trustOther taxable private foundation

I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16) bullet

$803,122J Accounting method: Cash Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)

E If private foundation status was terminated
under section 507(b)(1)(A), check here ......... bullet

F If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here ......... bullet

	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)


1	Contributions, gifts, grants, etc., received (attach schedule)
2	Check
3	Interest on savings and temporary cash investments
4	Dividends and interest from securities......	21,811		21,811
5a	Gross rents..............
b	Net rental income or (loss)
6a	Net gain or (loss) from sale of assets not on line 10		4,144
b	Gross sales price for all assets on line 6a 262,160
7	Capital gain net income (from Part IV, line 2)...			4,144
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........	25,955		25,955
13	Compensation of officers, directors, trustees, etc.	10,630		7,087		3,543
14	Other employee salaries and wages......			0	0	0
15	Pension plans, employee benefits.......			0	0
16a	Legal fees (attach schedule).........					0
b	Accounting fees (attach schedule).......		575	383	0	192
c	Other professional fees (attach schedule)....					0
17	Interest...............					0
18	Taxes (attach schedule) (see instructions)		1,311			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..........	12,516		7,470	0	3,735
25	Contributions, gifts, grants paid........	27,328				27,328
26	Total expenses and disbursements. Add lines 24 and 25	39,844		7,470	0	31,063
27	Subtract line 26 from line 12:
a	Excess of revenue over expenses and disbursements	-13,889
b	Net investment income (if negative, enter -0-)			18,485
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	Beginning of year	End of year
Part II		Balance Sheets	(a) Book Value	(b) Book Value	(c) Fair Market Value
	1	Cash—non-interest-bearing...............
	2	Savings and temporary cash investments..........	18,492	7,554	7,554
	3	Accounts receivable
		Less: allowance for doubtful accounts		0	0
	4	Pledges receivable
		Less: allowance for doubtful accounts
	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)
		Less: allowance for doubtful accounts 0
	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)........
	c	Investments—corporate bonds (attach schedule)........
	11	Investments—land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	12	Investments—mortgage loans..............
	13	Investments—other (attach schedule)...........	718,387	715,451	795,568
	14	Land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	15	Other assets (describe )
	16	Total assets (to be completed by all filers—see the
		instructions. Also, see page 1, item I)	736,879	723,005	803,122
	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 )
	23	Total liabilities (add lines 17 through 22)..........		0
		Foundations that follow SFAS 117, check here
		and complete lines 24 through 26 and lines 30 and 31.
	24	Unrestricted....................
	25	Temporarily restricted................
	26	Permanently restricted................
		Foundations that do not follow SFAS 117, check here
		and complete lines 27 through 31.
	27	Capital stock, trust principal, or current funds.........	736,879	723,005
	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)....................	736,879	723,005
	31	Total liabilities and net assets/fund balances (see page 17 of
		the instructions)..................	736,879	723,005

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	736,879
2	Enter amount from Part I, line 27a.....................	2	-13,889
3	Other increases not included in line 2 (itemize)	3	20
4	Add lines 1, 2, and 3..........................	4	723,010
5	Decreases not included in line 2 (itemize)	5	5
6	Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30.	6	723,005

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.)		(c) Date acquired (mo., day, yr.)	(d) Date sold (mo., day, yr.)
1 a	170. EXELON CORP COM	2010-01-12	2012-01-09
b	80. TARGET CORP COM	2011-04-26	2012-01-09
c	200. TARGET CORP COM	2010-12-16	2012-01-09
d	80. UNITED TECHNOLOGIES	2008-10-24	2012-01-09
e	420. VALERO ENERGY CORP COM	2011-07-26	2012-01-09
	10000. FED HOME LN MTG 4.75% 11/17/2015 DTD 10/21/2005	2008-11-13	2012-01-13
	10. COLGATE PALMOLIVE CO	2007-03-05	2012-01-24
	80. EXELON CORP COM	2010-12-17	2012-01-24
	60. EXELON CORP COM	2011-09-08	2012-01-24
	20. PROCTER & GAMBLE CO	2005-10-14	2012-01-24
	20. COLGATE PALMOLIVE CO	2010-02-12	2012-02-06
	90. ECOLAB INC COM	2010-05-05	2012-02-06
	30. PROCTER & GAMBLE CO	2005-12-20	2012-02-06
	50. ABBOTT LABS CO	2010-05-27	2012-02-16
	30. CHEVRONTEXACO CORP	2006-08-17	2012-02-16
	20. COLGATE PALMOLIVE CO	2010-02-12	2012-02-16
	50. JOHNSON & JOHNSON CO	2006-07-21	2012-02-16
	20. PROCTER & GAMBLE CO	2005-12-20	2012-02-16
	120. AMERICAN TOWER CORP COM	2011-11-03	2012-03-23
	150. HEWLETT PACKARD CO	2010-02-18	2012-03-23
	90. MARATHON OIL	2011-06-07	2012-03-23
	120. ORACLE CORPORATION	2010-12-16	2012-03-23
	50. HEWLETT PACKARD CO	2011-09-08	2012-03-26
	100. HEWLETT PACKARD CO	2010-10-12	2012-03-26
	60. ORACLE CORPORATION	2010-12-17	2012-03-26
	50. ORACLE CORPORATION	2011-01-24	2012-03-26
	60. CAPITAL ONE FINANCIAL CORP	2011-01-24	2012-04-12
	20. EXXON MOBIL CORP COM	2009-11-25	2012-04-12
	10. 3M CO	2009-11-25	2012-04-12
	40. J P MORGAN CHASE & CO	2006-07-17	2012-05-02
	150. METLIFE INC	2012-02-16	2012-05-02
	170. SYSCO CORP COM	2011-07-26	2012-05-02
	150. SYSCO CORP COM	2011-07-26	2012-05-04
	30. HOME DEPOT INC	2009-11-25	2012-05-10
	110. MARATHON OIL	2011-07-06	2012-05-10
	50. STARBUCKS CORP	2011-09-08	2012-05-10
	100. MARATHON OIL	2011-07-26	2012-05-29
	90. UNITED TECHNOLOGIES	2009-03-27	2012-05-29
	290. INVESCO LTD SHS	2012-03-23	2012-05-29
	100. PNC BANK CORP	2011-12-16	2012-06-15
	60. STARBUCKS CORP	2011-09-08	2012-06-15
	40. YUM BRANDS INC	2009-11-25	2012-06-15
	250. MARATHON OIL	2012-01-09	2012-07-09
	20. PROCTER & GAMBLE CO	2011-05-06	2012-07-09
	170. PROCTER & GAMBLE CO	2010-11-16	2012-07-09
	60. APACHE CORPORATION	2012-02-16	2012-07-13
	10. APACHE CORPORATION	2011-05-06	2012-07-13
	60. APACHE CORPORATION	2010-06-24	2012-07-13
	180. NETAPP INC COM	2012-03-26	2012-07-13
	50. STARBUCKS CORP	2011-09-08	2012-07-13
	40. YUM BRANDS INC	2009-11-25	2012-07-13
	10. ARCHER DANIELS MIDLAND CO	2011-03-02	2012-07-24
	10. BED BATH & BEYOND INC	2011-10-19	2012-07-24
	10. CISCO SYSTEMS INC	2009-11-25	2012-07-24
	10. COMCAST CORP CL A	2012-07-13	2012-07-24
	10. EMC CORPORATION/MASS	2009-11-25	2012-07-24
	10. ECOLAB INC COM	2010-05-05	2012-07-24
	10. HOME DEPOT INC	2009-11-25	2012-07-24
	10. ILLINOIS TOOL WORKS	2009-11-25	2012-07-24
	10. ORACLE CORPORATION	2011-01-24	2012-07-24
	10. QUALCOMM INCORPORATED	2010-11-08	2012-07-24
	10. US BANCORP DEL NEW	2009-11-25	2012-07-24
	10. CHECK POINT SOFTWARE TECH LTD	2011-07-14	2012-07-24
	15. ENGILITY HOLDINGS INC	2011-03-02	2012-08-03
	50. GILEAD SCIENCES INC	2011-04-25	2012-08-03
	10. COLGATE PALMOLIVE CO	2010-02-12	2012-08-22
	50. HOME DEPOT INC	2009-11-25	2012-08-22
	90. L-3 COMMUNICATIONS HLDGS INC COM	2011-03-02	2012-08-22
	10. ABBOTT LABS CO	2010-05-27	2012-09-07
	10. COCA COLA CO	2012-05-02	2012-09-07
	10. WALT DISNEY CO	2010-01-12	2012-09-07
	10. EMC CORPORATION/MASS	2009-11-25	2012-09-07
	10. EXXON MOBIL CORP COM	2009-11-25	2012-09-07
	10. GILEAD SCIENCES INC	2011-04-25	2012-09-07
	10. J P MORGAN CHASE & CO	2006-07-17	2012-09-07
	10. KRAFT FOODS INC	2012-07-09	2012-09-07
	10. MICROSOFT CORPORATION	2009-05-12	2012-09-07
	10. VERIZON COMMUNICATIONS	2010-02-12	2012-09-07
	10. WELLS FARGO & CO NEW	2008-11-07	2012-09-07
	20. ABBOTT LABS CO	2010-05-27	2012-09-13
	30. COLGATE PALMOLIVE CO	2010-02-12	2012-09-13
	40. ECOLAB INC COM	2010-05-05	2012-09-13
	40. MERCK & CO INC NEW COM	2011-12-01	2012-09-13
	20. NEXTERA ENERGY INC COM	2012-01-09	2012-09-13
	30. VERIZON COMMUNICATIONS	2010-02-12	2012-09-13
	100. ARCHER DANIELS MIDLAND CO	2011-03-03	2012-10-15
	106. KRAFT FOODS GROUP INC	2012-08-03	2012-10-15
	90. UNITED PARCEL SERVICE	2012-01-09	2012-10-15
	.666 KRAFT FOODS GROUP INC	2012-08-03	2012-10-22
	80. ABBOTT LABS CO	2010-05-27	2012-12-03
	20. WALT DISNEY CO	2010-01-12	2012-12-03
	30. GILEAD SCIENCES INC	2011-04-26	2012-12-03
	20. INTL BUSINESS MACHINES CORP	2011-04-21	2012-12-03
	160. MICROSOFT CORPORATION	2009-05-12	2012-12-03

(e) Gross sales price		(g) Cost or other basis plus expense of sale	(h) Gain or (loss) (e) plus (f) minus (g)
a	7,015	8,294	-1,279
b	3,888	3,993	-105
c	9,719	11,782	-2,063
d	5,924	3,874	2,050
e	8,311	11,648	-3,337
	11,489	10,199	1,290
	876	668	208
	3,153	3,427	-274
	2,365	2,582	-217
	1,281	1,125	156
	1,822	1,459	363
	5,521	4,376	1,145
	1,898	1,733	165
	2,778	2,383	395
	3,164	1,977	1,187
	1,859	1,584	275
	3,248	3,091	157
	1,299	1,171	128
	7,408	6,905	503
	3,521	7,835	-4,314
	2,924	2,812	112
	3,437	3,667	-230
	1,184	1,198	-14
	2,368	4,030	-1,662
	1,732	1,920	-188
	1,443	1,619	-176
	3,257	2,911	346
	1,662	1,530	132
	865	779	86
	1,726	1,640	86
	5,351	5,759	-408
	4,882	5,318	-436
	4,236	4,692	-456
	1,515	836	679
	2,954	3,537	-583
	2,727	1,949	778
	2,521	3,257	-736
	6,713	4,245	2,468
	6,330	7,612	-1,282
	5,831	5,539	292
	3,131	2,339	792
	2,582	1,432	1,150
	6,095	7,301	-1,206
	1,230	1,319	-89
	10,456	10,491	-35
	4,988	6,172	-1,184
	831	1,270	-439
	4,988	5,815	-827
	5,149	8,229	-3,080
	2,644	1,949	695
	2,566	1,432	1,134
	265	369	-104
	605	609	-4
	150	238	-88
	311	318	-7
	251	169	82
	651	486	165
	507	279	228
	518	493	25
	291	324	-33
	563	477	86
	332	236	96
	470	566	-96
	232	279	-47
	2,905	1,952	953
	1,053	792	261
	2,834	1,394	1,440
	6,261	6,730	-469
	665	477	188
	378	386	-8
	517	310	207
	276	169	107
	897	765	132
	591	390	201
	392	410	-18
	399	389	10
	308	200	108
	437	271	166
	349	283	66
	1,359	953	406
	3,113	2,375	738
	2,583	1,945	638
	1,761	1,437	324
	1,353	1,177	176
	1,354	812	542
	2,807	3,696	-889
	5,007	4,368	639
	6,528	6,592	-64
	31	29	2
	5,164	3,813	1,351
	992	621	371
	2,261	1,176	1,085
	3,790	3,354	436
	4,249	3,202	1,047

Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69			(l) Gains (Col. (h) gain minus col. (k), but not less than -0-) or Losses (from col.(h))
(i) F.M.V. as of 12/31/69	(j) Adjusted basis as of 12/31/69	(k) Excess of col. (i) over col. (j), if any
a			-1,279
b			-105
c			-2,063
d			2,050
e			-3,337
			1,290
			208
			-274
			-217
			156
			363
			1,145
			165
			395
			1,187
			275
			157
			128
			503
			-4,314
			112
			-230
			-14
			-1,662
			-188
			-176
			346
			132
			86
			86
			-408
			-436
			-456
			679
			-583
			778
			-736
			2,468
			-1,282
			292
			792
			1,150
			-1,206
			-89
			-35
			-1,184
			-439
			-827
			-3,080
			695
			1,134
			-104
			-4
			-88
			-7
			82
			165
			228
			25
			-33
			86
			96
			-96
			-47
			953
			261
			1,440
			-469
			188
			-8
			207
			107
			132
			201
			-18
			10
			108
			166
			66
			406
			738
			638
			324
			176
			542
			-889
			639
			-64
			2
			1,351
			371
			1,085
			436
			1,047

2	Capital gain net income or (net capital loss)	If gain, also enter in Part I, line 7 If (loss), enter -0- in Part I, line 7	2	4,144
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 . . . . . . . . . . . . . . . .		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? Yes No

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	32,149	776,718	0.041391
2010	32,145	750,199	0.042849
2009	37,295	691,070	0.053967
2008	59,780	828,989	0.072112
2007	58,977	1,038,125	0.056811

2	Total of line 1, column (d) ......................	2	0.26713
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	0.053426
4	Enter the net value of noncharitable-use assets for 2012 from Part X, line 5.....	4	793,770
5	Multiply line 4 by line 3.......................	5	42,408
6	Enter 1% of net investment income (1% of Part I, line 27b)...........	6	185
7	Add lines 5 and 6.........................	7	42,593
8	Enter qualifying distributions from Part XII, line 4..............	8	31,063
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)

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	Exempt operating foundations described in section 4940(d)(2), check hereand enter “N/A” on line 1.
	Date of ruling or determination letter: (attach copy of letter if necessary–see instructions)
b	Domestic foundations that meet the section 4940(e) requirements in Part V, check	1	370
	hereand 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	370
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	370
6	Credits/Payments:

a	2012 estimated tax payments and 2011 overpayment credited to 2012	6a	856
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	856
8	Enter any penalty for underpayment of estimated tax. Check hereif 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.......		9
10	Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...		10	486
11	Enter the amount of line 10 to be: Credited to 2013 estimated tax372	Refunded	11	114

Part VII-A

Statements Regarding Activities

During the tax year, did the foundation attempt to influence any national, state, or local legislation or did

Yes

it participate or intervene in any political campaign? ....................

Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of

the instructions for definition)?............................

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.

Did the foundation file Form 1120-POL for this year?.....................

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

Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed

on foundation managers. bullet

Has the foundation engaged in any activities that have not previously been reported to the IRS?.......

If “Yes,” attach a detailed description of the activities.

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....

Did the foundation have unrelated business gross income of $1,000 or more during the year?........

If “Yes,” has it filed a tax return on Form 990-T for this year?...................

Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........

If “Yes,” attach the statement required by General Instruction T.

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?................

Yes

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.

Yes

Enter the states to which the foundation reports or with which it is registered (see instructions)

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 .

Yes

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.............................

Did any persons become substantial contributors during the tax year? If “Yes,” attach a schedule listing their names and addresses.

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) .............

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).................

Did the foundation comply with the public inspection requirements for its annual returns and exemption application?

Yes

Website address bullet

The books are in care of bullet

TD Bank NA Telephone no. bullet

(802) 860-5553

Located at bullet

111 MAIN STREETBURLINGTONVT ZIP+4 bullet

05402

Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —Check here......... bullet

and enter the amount of tax-exempt interest received or accrued during the year ...... bullet

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? .................

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)

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

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? YesNo

(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)

a disqualified person?.........................YesNo

(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? YesNo

(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? YesNo

(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)?.................YesNo

(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.).........YesNo

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)?...

Organizations relying on a current notice regarding disaster assistance check here......... bullet

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?.............

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)):

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?...............YesNo

If “Yes,” list the years bullet

20, 20, 20, 20

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.) ..............

If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.

20, 20, 20, 20

Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at

any time during the year?.........................YesNo

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.)....................

Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?

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?

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))? YesNo

(2) Influence the outcome of any specific public election (see section 4955); or to carry

on, directly or indirectly, any voter registration drive?...............YesNo

(3) Provide a grant to an individual for travel, study, or other similar purposes? YesNo

(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)........YesNo

(5) Provide for any purpose other than religious, charitable, scientific, literary, or

educational purposes, or for the prevention of cruelty to children or animals?........YesNo

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)? ......

Organizations relying on a current notice regarding disaster assistance check here......... bullet

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?............YesNo

If “Yes,” attach the statement required by Regulations section 53.4945–5(d).

Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on

a personal benefit contract?........................YesNo

Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....

If “Yes” to 6b, file Form 8870.

At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction? YesNo

If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....

Form 990-PF (2012)

Page 6

Part VIII

Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors

1 List all officers, directors, trustees, foundation managers and their compensation (see instructions).
(a) Name and address	(b) Title, and average hours per week devoted to position	(c) Compensation (If not paid, enter -0-)	(d) Contributions to employee benefit plans and deferred compensation	(e) Expense account, other allowances
TD Bank NA	TRUSTEE 1	10,630
111 Main Street Burlington,VT05401	TRUSTEE 1	10,630

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...................				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............. 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	ALL INCOME IS PAID TO THE CENTRAL VERMONT MEDICAL CENTER TO MAINTAIN, IMPROVE, EQUIP, OPERATE, AND OTHERWISE SUSTAIN THE FIXTURES AND PROPERTY.	27,328
2


3


4

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.)

Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,

purposes:

Average monthly fair market value of securities...................

789,382

Average of monthly cash balances.......................

16,476

Fair market value of all other assets (see instructions)................

Total (add lines 1a, b, and c).........................

805,858

Reduction claimed for blockage or other factors reported on lines 1a and

1c (attach detailed explanation) .............

Acquisition indebtedness applicable to line 1 assets..................

Subtract line 2 from line 1d.........................

805,858

Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see

instructions) .............................

12,088

Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4

793,770

Minimum investment return. Enter 5% of line 5..................

39,689

Part XI

Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here bullet

and do not complete this part.)

Minimum investment return from Part X, line 6....................

39,689

Tax on investment income for 2012 from Part VI, line 5......

370

Income tax for 2012. (This does not include the tax from Part VI.)...

Add lines 2a and 2b............................

370

Distributable amount before adjustments. Subtract line 2c from line 1............

39,319

Recoveries of amounts treated as qualifying distributions................

Add lines 3 and 4............................

39,319

Deduction from distributable amount (see instructions).................

Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,

line 1................................

39,319

Part XII

Qualifying Distributions (see instructions)

Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:

Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........

31,063

Program-related investments—total from Part IX-B..................

Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,

purposes...............................

Amounts set aside for specific charitable projects that satisfy the:

Suitability test (prior IRS approval required)....................

Cash distribution test (attach the required schedule) .................

Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4

31,063

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).................

Adjusted qualifying distributions. Subtract line 5 from line 4..............

31,063

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)

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					39,319
2 Undistributed income, if any, as of the end of 2012:
a Enter amount for 2011 only.......				4,980
b Total for prior years:2010, 20, 20			0
3 Excess distributions carryover, if any, to 2012:
a From 2007.......	0
b From 2008.......	0
c From 2009.......	0
d From 2010.......	0
e From 2011.......	0
fTotal of lines 3a through e.........		0
4Qualifying distributions for 2012 from Part
XII, line 4: $ 31,063
a Applied to 2011, but not more than line 2a				4,980
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.....					26,083
e Remaining amount distributed out of corpus		0
5 Excess distributions carryover applied to 2012.		0			0
(If an amount appears in column (d), the same amount must be shown in column (a).)
6Enter the net total of each column as indicated below:
a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5		0
b Prior years’ undistributed income. Subtract line 4b from line 2b ...........			0
c Enter the amount of prior years’ undistributed income for which a notice of deficiency has been issued, or on which the section 4942(a) tax has been previously assessed......			0
d Subtract line 6c from line 6b. Taxable amount —see instructions ...........			0
e Undistributed income for 2011. Subtract line 4a from line 2a. Taxable amount—see instructions .............				0
f Undistributed income for 2012. Subtract lines 4d and 5 from line 1. This amount must be distributed in 2013 ..........					13,236
7 Amounts treated as distributions out of corpus to satisfy requirements imposed by section 170(b)(1)(F) or 4942(g)(3) (see instructions) .............		0
8Excess distributions carryover from 2007 not applied on line 5 or line 7 (see instructions) ...		0
9Excess distributions carryover to 2013. Subtract lines 7 and 8 from line 6a ......		0
10 Analysis of line 9:
a Excess from 2008....	0
b Excess from 2009....	0
c Excess from 2010....	0
d Excess from 2011....	0
e Excess from 2012....	0

Form 990-PF (2012)

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 section4942(j)(3) or4942(j)(5)

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	(e) Total

b 85% of line 2a .........
c Qualifying distributions from Part XII, line 4 for each year listed .....
d Amounts included in line 2c not used directly for active conduct of exempt activities ....
e Qualifying distributions made directly for active conduct of exempt activities. Subtract line 2d from line 2c ....
3 Complete 3a, b, or c for the alternative test relied upon:
a “Assets” alternative test—enter:
(1) Value of all assets ......
(2) Value of assets qualifying under section 4942(j)(3)(B)(i)
b “Endowment” alternative test— enter 2⁄3 of minimum investment return shown in Part X, line 6 for each year listed...
c “Support” alternative test—enter:
(1) Total support other than gross investment income (interest, dividends, rents, payments on securities loans (section 512(a)(5)), or royalties) ....
(2) Support from general public and 5 or more exempt organizations as provided in section 4942(j)(3)(B)(iii)....
(3) Largest amount of support from an exempt organization
(4) Gross investment income

Part XV

Supplementary Information (Complete this part only if the organization had $5,000 or more in
assets at any time during the year—see instructions.)

1Information Regarding Foundation Managers:

aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)

NONE

bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.

NONE

2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:

Check here bullet

if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. (see instructions) to individuals or organizations under
other conditions, complete items 2a, b, c, and d.

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)

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)		Foundation status of recipient	Purpose of grant or contribution	Amount
aPaid during the year
CENTRAL VERMONT MEDICAL CENTER ATTN CHEYENNE FOLLAND COMPTROLLE BARRE,VT05641	NONE	HOSPITAL	OPERATING	27,328
Total ................................. 3a				27,328

bApproved for future payment

Total ................................. 3b

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	(e) Related or exempt function income (See instructions.)
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	21,811
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	4,144
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)..				25,955

13Total. Add line 12, columns (b), (d), and (e)..................

1325,955

(See worksheet in line 13 instructions to verify calculations.)

Part XVI-B

Relationship of Activities to the Accomplishment of Exempt Purposes

Line No.	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)

Page 12

Part XVII

Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations

Did the organization directly or indirectly engage in any of the following with any other organization described in section

Yes

501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?

Transfers from the reporting foundation to a noncharitable exempt organization of:

(1) Cash...................................

1a(1)

(2) Other assets.................................

1a(2)

Other transactions:

(1) Sales of assets to a noncharitable exempt organization....................

1b(1)

(2) Purchases of assets from a noncharitable exempt organization..................

1b(2)

(3) Rental of facilities, equipment, or other assets.......................

1b(3)

(4) Reimbursement arrangements...........................

1b(4)

(5) Loans or loan guarantees.............................

1b(5)

(6) Performance of services or membership or fundraising solicitations................

1b(6)

Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............

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

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?...........YesNo

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.
				May the IRS discuss this return with the preparer shown below (see instr.)? Yes No
	Signature of officer or trustee	Date	Title

Paid Preparer Use Only	Print/Type preparer's name	Preparer's Signature	Date	Check if self- employed	PTIN
	Firm's name Firm's address			Firm's EIN
				Phone no.

Form 990-PF (2012)

Additional Data

Software ID:
Software Version:

Form 990PF - Special Condition Description:

Special Condition Description

- TIN:

TY 2012 AccountingFeesSchedule

Name: