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
TALBOTT FOUNDATION 430057018
 

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

80-0313615
B Telephone number (see instructions)

(603) 229-5756
C bullet
G Check all that apply:

D 1. bullet
2. bullet
H Check type of organization:
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$2,307,214J 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...... 70,204 70,204  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 74,386
b Gross sales price for all assets on line 6a 961,123
7 Capital gain net income (from Part IV, line 2)... 74,386
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)....... Click to see attachment 1,481    
12 Total. Add lines 1 through 11........ 146,071 144,590  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 20,502 20,502    
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)....... Click to see attachment 575 575 0 0
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions) Click to see attachment 511 511   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)....... Click to see attachment 75 75    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 21,663 21,663 0 0
25 Contributions, gifts, grants paid........ 120,000 120,000
26 Total expenses and disbursements. Add lines 24 and 25 141,663 21,663 0 120,000
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 4,408
b Net investment income (if negative, enter -0-) 122,927
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2012)
Form 990-PF (2012)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)		 Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing...............      
2 Savings and temporary cash investments.......... 67,946 109,256 109,256
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) 462,737 Click to see attachment488,314 493,519
b Investments—corporate stock (attach schedule)........ 1,158,905 Click to see attachment1,149,785 1,273,584
c Investments—corporate bonds (attach schedule)........ 464,224 Click to see attachment410,855 430,855
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)...........     0
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 2,153,812 2,158,210 2,307,214
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable...................    
19 Deferred revenue..................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)..........   0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted....................    
25 Temporarily restricted................    
26 Permanently restricted................    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds......... 2,153,812 2,158,210
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).................... 2,153,812 2,158,210
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 2,153,812 2,158,210
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 2,153,812
2 Enter amount from Part I, line 27a..................... 2 4,408
3 Other increases not included in line 2 (itemize) bullet 3 0
4 Add lines 1, 2, and 3.......................... 4 2,158,220
5 Decreases not included in line 2 (itemize) bulletClick to see attachment 5 10
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 2,158,210
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 250. EXELON CORP COM   2010-12-17 2012-01-09
b 150. TARGET CORP   2011-04-26 2012-01-09
c 280. TARGET CORP   2010-12-03 2012-01-09
d 130. UNITED TECHNOLOGIES   2010-11-18 2012-01-09
e 640. VALERO ENERGY CORP COM   2011-07-26 2012-01-09
20. ABBOTT LABORATORIES   2010-11-18 2012-01-12
22.642 INVESCO INTERNATIONAL GROWTH FUND INSTITUTIONAL CLASS   2010-11-19 2012-01-12
300. AMERICAN EXPRESS CO   2009-05-28 2012-01-12
180. AMERICAN TOWER CORP COM   2011-11-03 2012-01-12
60. APACHE CORP COM   2012-01-09 2012-01-12
90. APACHE CORP COM   2009-04-03 2012-01-12
370. ARCHER DANIELS MID   2011-04-26 2012-01-12
190. BED BATH & BEYOND INC   2011-11-03 2012-01-12
100. BERKSHIRE HATHAWAY INC DEL CL B NEW   2011-12-01 2012-01-12
340. CAPITAL ONE FINANCIAL CORP   2011-07-14 2012-01-12
180. CELGENE CORP   2011-11-03 2012-01-12
1000. CISCO SYSTEMS INC   2010-11-18 2012-01-12
60. COLGATE PALMOLIVE   2010-11-18 2012-01-12
320. DANAHER CORP   2011-04-26 2012-01-12
40. DIAGEO PLC ADR   2011-06-02 2012-01-12
220. DIAGEO PLC ADR   2009-07-07 2012-01-12
420. WALT DISNEY CO   2010-12-16 2012-01-12
110. WALT DISNEY CO   2012-01-09 2012-01-12
810. E M C CORP MASS   2010-11-18 2012-01-12
300. ECOLAB INC   2010-11-18 2012-01-12
80. ECOLAB INC   2011-06-15 2012-01-12
100. EXELON CORP COM   2011-09-08 2012-01-12
110. EXELON CORP COM   2010-12-17 2012-01-12
390. GILEAD SCIENCES INC   2011-06-02 2012-01-12
80. HEWLETT PACKARD   2011-09-08 2012-01-12
370. HEWLETT PACKARD   2010-11-18 2012-01-12
120. HOME DEPOT INC   2010-11-18 2012-01-12
330. ILLINOIS TOOL WKS INC   2010-11-18 2012-01-12
40. INTERNATIONAL BUSINESS MACHINES   2011-04-25 2012-01-12
140. L-3 COMMUNICATIONS HLDGS INC COM   2011-03-02 2012-01-12
320. MARATHON OIL   2011-07-26 2012-01-12
330. MICROSOFT CORP   2010-11-18 2012-01-12
220. ORACLE CORP   2010-12-17 2012-01-12
430. ORACLE CORP   2011-06-15 2012-01-12
290. PNC FINANCIAL CORP   2012-01-09 2012-01-12
270. QUALCOMM, INC.   2010-11-18 2012-01-12
200. SPECTRA ENERGY CORP   2012-01-09 2012-01-12
450. STARBUCKS CORP   2012-01-09 2012-01-12
340. SYSCO CORP   2011-07-26 2012-01-12
110. 3M CO   2010-11-18 2012-01-12
690. US BANCORP DEL NEW   2010-11-18 2012-01-12
80. UNION PACIFIC CORP   2011-11-03 2012-01-12
10. UNITED PARCEL SVC INC CL B   2012-01-09 2012-01-12
190. VERIZON COMMUNICATIONS   2010-11-18 2012-01-12
570. WELLS FARGO & COMPANY COM NEW   2010-11-18 2012-01-12
70. YUM BRANDS INC   2012-01-09 2012-01-12
210. YUM BRANDS INC   2010-11-18 2012-01-12
110. ACE LTD   2011-07-14 2012-01-12
120. ACE LTD   2009-07-07 2012-01-12
360. CHECK POINT SOFTWARE TECHNOLOGIES LTD   2011-07-26 2012-01-12
20000. U S TREASURY NOTE 3.125% 08/31/2013 DTD 09/02/08   2011-05-05 2012-03-14
15000. U S TREASURY BOND 2.625% 08/15/2020 DTD 08/15/10   2010-08-26 2012-03-14
18000. PEPSICO INC 3.100% 01/15/2015 DTD 01/14/10   2010-03-25 2012-03-28
17000. PEPSICO INC 3.100% 01/15/2015 DTD 01/14/10   2010-03-25 2012-03-28
5000. U S TREASURY NOTE 3.125% 08/31/2013 DTD 09/02/08   2011-05-05 2012-05-03
20000. U S TREASURY NOTE 3.125% 08/31/2013 DTD 09/02/08   2011-03-28 2012-05-03
170. HONEYWELL INTL INC   2012-01-12 2012-06-05
110. NORFOLK SOUTHERN CO   2012-01-12 2012-06-05
10000. U S TREASURY NOTE 3.125% 08/31/2013 DTD 09/02/08   2011-05-05 2012-06-26
20000. HEWLETT PACKARD CO 4.750% 06/02/2014 DTD 02/26/09   2010-12-08 2012-08-06
30000. U S TREASURY NOTE 3.125% 08/31/2013 DTD 09/02/08   2011-05-05 2012-08-08
15000. U S TREASURY BOND 2.625% 08/15/2020 DTD 08/15/10   2011-06-20 2012-08-20
25000. CONOCOPHILLIPS 4.750% 02/01/2014 DTD 02/03/09   2010-03-25 2012-08-21
10000. GE COMPANY 5.00% 02/01/2013 DTD 1/28/2003   2009-04-06 2012-09-06
100. PHILIP MORRIS INTL INC COM   2012-01-12 2012-09-10
35000. WAL-MART STORES 4.55% 5/1/2013 DTD 4/29/2003   2010-04-09 2012-10-25
110. ABBOTT LABORATORIES   2011-07-26 2012-11-13
310. ABBOTT LABORATORIES   2010-11-18 2012-11-13
60. AT&T INC   2012-01-12 2012-11-26
342.129 INVESCO INTERNATIONAL GROWTH FUND INSTITUTIONAL CLASS   2010-11-19 2012-11-26
20. BAXTER INTL INC   2012-01-12 2012-11-26
10. BOEING CO   2012-01-12 2012-11-26
20. BRISTOL-MEYERS SQUIBB   2012-01-12 2012-11-26
86.831 BUFFALO SMALL CAP FD #1444   2010-11-19 2012-11-26
30. CHEVRONTEXACO CORP   2011-05-09 2012-11-26
40. COCA COLA CO   2012-01-12 2012-11-26
10. CONOCOPHILLIPS   2012-01-12 2012-11-26
10. EMERSON ELECTRIC CO   2012-01-12 2012-11-26
20. EXXON MOBIL CORP   2011-05-09 2012-11-26
212.963 HARBOR INTERNATIONAL FUND   2010-11-19 2012-11-26
60.462 HARTFORD MUT FDS INC MIDCAP FD CL Y FD# 229   2010-11-19 2012-11-26
20. HOME DEPOT INC   2011-04-25 2012-11-26
10. HONEYWELL INTL INC   2012-01-12 2012-11-26
60. INTEL CORP   2012-01-12 2012-11-26
20. J P MORGAN CHASE & CO   2010-03-16 2012-11-26
34.289 PERKINS MID CAP VALUE FUND INSTITUTIONAL CLASS   2010-11-19 2012-11-26
30. JOHNSON & JOHNSON   2010-11-18 2012-11-26
10. KIMBERLY CLARK CORP   2012-01-12 2012-11-26
10. KRAFT FOODS GROUP INC   2012-01-12 2012-11-26
10. LOCKHEED MARTIN CORP   2012-01-12 2012-11-26
10. LORILLARD INC COM   2012-01-12 2012-11-26
20. MARATHON OIL   2011-06-02 2012-11-26
20. MARATHON PETE CORP   2012-01-12 2012-11-26
10. MCDONALDS CORP   2012-01-12 2012-11-26
30. MERCK & CO INC NEW COM   2012-11-13 2012-11-26
50. MICROSOFT CORP   2011-07-26 2012-11-26
20. MONDELEZ INTERNATIONAL INC   2012-01-12 2012-11-26
10. NEXTERA ENERGY INC COM   2012-01-12 2012-11-26
20. PEPSICO   2012-01-12 2012-11-26
60. PFIZER INC   2012-11-13 2012-11-26
20. PHILIP MORRIS INTL INC COM   2012-01-12 2012-11-26
10. PHILLIPS 66   2012-01-12 2012-11-26
30. PROCTER & GAMBLE CO   2011-05-06 2012-11-26
76.269 ROYCE SPECIAL EQUITY FD #327   2010-11-19 2012-11-26
40. SPDR GOLD TRUST   2011-09-29 2012-11-26
30. SOUTHERN CO   2012-01-12 2012-11-26
20. SPECTRA ENERGY CORP   2012-01-09 2012-11-26
10. UNITED TECHNOLOGIES   2008-12-23 2012-11-26
10. VERIZON COMMUNICATIONS   2010-08-24 2012-11-26
20. WELLS FARGO & COMPANY COM NEW   2012-11-13 2012-11-26
(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 10,316   11,803 -1,487
b 7,289   7,491 -202
c 13,607   16,478 -2,871
d 9,626   7,379 2,247
e 12,664   17,695 -5,031
1,103   955 148
587   627 -40
14,871   6,159 8,712
11,184   10,358 826
5,657   6,527 -870
8,485   6,191 2,294
10,773   13,582 -2,809
11,309   11,623 -314
7,819   7,798 21
16,360   16,768 -408
13,202   11,592 1,610
19,140   18,047 1,093
5,320   4,045 1,275
16,239   16,963 -724
3,444   3,415 29
18,940   11,546 7,394
16,248   10,901 5,347
4,255   4,390 -135
18,201   9,654 8,547
17,933   14,544 3,389
4,782   4,395 387
4,021   4,303 -282
4,424   4,453 -29
17,504   15,478 2,026
2,147   1,917 230
9,928   13,920 -3,992
5,195   3,229 1,966
16,321   11,351 4,970
7,212   6,715 497
9,791   10,896 -1,105
9,787   10,366 -579
9,217   7,172 2,045
5,951   6,751 -800
11,631   13,780 -2,149
17,966   16,685 1,281
15,182   12,897 2,285
6,133   6,093 40
21,330   18,227 3,103
9,960   10,635 -675
9,277   7,520 1,757
19,742   13,568 6,174
8,902   8,099 803
748   732 16
7,391   5,808 1,583
16,800   12,683 4,117
4,247   4,174 73
12,740   7,333 5,407
7,680   7,284 396
8,378   5,153 3,225
18,833   20,538 -1,705
20,808   21,124 -316
15,737   15,144 593
19,146   18,185 961
18,082   17,174 908
5,190   5,281 -91
20,760   21,025 -265
9,053   9,734 -681
7,009   8,627 -1,618
10,336   10,562 -226
21,181   21,857 -676
30,922   31,686 -764
16,339   15,014 1,325
26,456   26,141 315
10,182   10,116 66
8,867   7,664 1,203
35,759   37,660 -1,901
7,146   5,817 1,329
20,139   14,777 5,362
2,031   1,815 216
9,792   9,470 322
1,337   1,039 298
742   756 -14
651   684 -33
2,475   2,113 362
3,146   3,029 117
1,492   1,351 141
566   546 20
488   494 -6
1,768   1,668 100
12,906   12,778 128
1,306   1,363 -57
1,292   750 542
606   573 33
1,188   1,550 -362
813   877 -64
744   744  
2,065   1,917 148
863   729 134
442   403 39
927   817 110
1,216   1,124 92
623   626 -3
1,179   652 527
860   1,005 -145
1,324   1,324  
1,363   1,401 -38
508   497 11
676   595 81
1,395   1,293 102
1,466   1,447 19
1,794   1,533 261
494   324 170
2,076   1,979 97
1,660   1,499 161
6,777   6,284 493
1,274   1,354 -80
555   609 -54
786   507 279
432   296 136
654   648 6
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       -1,487
b       -202
c       -2,871
d       2,247
e       -5,031
      148
      -40
      8,712
      826
      -870
      2,294
      -2,809
      -314
      21
      -408
      1,610
      1,093
      1,275
      -724
      29
      7,394
      5,347
      -135
      8,547
      3,389
      387
      -282
      -29
      2,026
      230
      -3,992
      1,966
      4,970
      497
      -1,105
      -579
      2,045
      -800
      -2,149
      1,281
      2,285
      40
      3,103
      -675
      1,757
      6,174
      803
      16
      1,583
      4,117
      73
      5,407
      396
      3,225
      -1,705
      -316
      593
      961
      908
      -91
      -265
      -681
      -1,618
      -226
      -676
      -764
      1,325
      315
      66
      1,203
      -1,901
      1,329
      5,362
      216
      322
      298
      -14
      -33
      362
      117
      141
      20
      -6
      100
      128
      -57
      542
      33
      -362
      -64
       
      148
      134
      39
      110
      92
      -3
      527
      -145
       
      -38
      11
      81
      102
      19
      261
      170
      97
      161
      493
      -80
      -54
      279
      136
      6
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 74,386
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 115,000 2,339,240 0.049161
2010 110,000 2,274,647 0.048359
2009 15,000 2,060,603 0.007279
2008 100,000 81,211 1.23136
2007      
2 Total of line 1, column (d) ...................... 2 1.336159
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 0.33404
4 Enter the net value of noncharitable-use assets for 2012 from Part X, line 5..... 4 2,295,556
5 Multiply line 4 by line 3....................... 5 766,808
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 1,229
7 Add lines 5 and 6......................... 7 768,037
8 Enter qualifying distributions from Part XII, line 4.............. 8 120,000
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 2,459
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 2,459
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 2,459
6 Credits/Payments:
a 2012 estimated tax payments and 2011 overpayment credited to 2012 6a 2,080
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 2,080
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 9 379
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)
    bulletNH
    b
    If the answer is “Yes” to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If “No,” attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2012 or the taxable year beginning in 2012 (see instructions for Part XIV)?
    If “Yes,” complete Part XIV.............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If “Yes,” attach a schedule listing their names and addresses.
    10
     
    No
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see instructions) .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement (see instructions).................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbullet  
    14
    The books are in care ofbulletTD Bank NA Telephone no.bullet (603) 229-5756
    Located atbullet143 NORTH MAIN STREETCONCORDNH ZIP+4bullet03301
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16
    At any time during calendar year 2012, did the foundation have an interest in or a signature or other authority over
    a bank, securities, or other financial account in a foreign country? .................
    16
     
    No
    See instructions for exceptions and filing requirements for Form TD F 90-22.1. If "Yes", enter the name of the foreign country bullet  
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 5
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the “Yes” column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?.........................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?.................
    (6) Agree to pay money or property to a government official? (Exception. Check “No”
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).........
    b
    If any answer is “Yes” to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see page 20 of the instructions)?...
    1b
     
     
    .........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2012?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2012, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2012?...............
    If “Yes,” list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer “No” and attach statement—see instructions.) ..............
    2b
     
    No
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?.........................
    b
    If “Yes,” did it have excess business holdings in 2012 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2012.)....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2012?
    4b
     
    No
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?...............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 509(a)(1), (2), or (3), or section 4940(d)(2)? (see instructions)........
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?........
    b
    If any answer is “Yes” to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see instructions)? ......
    5b
     
     
    .........bullet
    c
    If the answer is “Yes” to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?............
    If “Yes,” attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?........................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If “Yes” to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 6
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to
    employee benefit plans
    and deferred compensation     		(e) Expense account,
    other allowances
    TD Bank NA Trustee
    1     		20,502    
    PO Box 477
    Concord,NH033020477
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE.”
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 7
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See page 24 of the instructions.
    3  
    Total. Add lines 1 through 3..........................bullet  
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
    see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    2,258,495
    b
    Average of monthly cash balances.......................
    1b
    72,019
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    2,330,514
    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
    2,330,514
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see
    instructions) .............................
    4
    34,958
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    2,295,556
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    114,778
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    114,778
    2a
    Tax on investment income for 2012 from Part VI, line 5......
    2a
    2,459
    b
    Income tax for 2012. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    2,459
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    112,319
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    112,319
    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
    112,319
    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
    120,000
    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
    120,000
    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
    120,000
    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 7 112,319
    2 Undistributed income, if any, as of the end of 2012:
    a Enter amount for 2011 only....... 0
    b Total for prior years:2010, 20, 20 0
    3 Excess distributions carryover, if any, to 2012:
    a From 2007....... 0
    b From 2008....... 8,357
    c From 2009....... 0
    d From 2010....... 1,906
    e From 2011....... 117
    fTotal of lines 3a through e......... 10,380
    4Qualifying distributions for 2012 from Part
    XII, line 4: bullet$ 120,000
    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..... 112,319
    e Remaining amount distributed out of corpus 7,681
    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 18,061
    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 ......     		18,061
    10 Analysis of line 9:
    a Excess from 2008.... 8,357
    b Excess from 2009.... 0
    c Excess from 2010.... 1,906
    d Excess from 2011.... 117
    e Excess from 2012.... 7,681
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 9
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2012, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2012 (b) 2011 (c) 2010 (d) 2009
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ....     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets” alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment” alternative test— enter 2⁄3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support” alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    NONE
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    NONE
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 10
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    BOYS AND GIRLS CLUB OF
    POTTSBORO FOUNDATION
    PO BOX 1089
    POTTSBORO,TX75076     		NONE 501(C)(3) GENERAL OPERATIONS 10,000
    UNIVERSITY OF NORTH TEXAS FND
    FOUNDATION
    PO BOX 311250
    DENTON,TX762031250     		NONE 501(C)(3) GENERAL OPERATIONS 10,000
    POTTSBORO AREA DEVELOPMENT
    ALLIANCE FOUNDATION
    111 HWY 120E STE 103
    POTTSBORO,TX750767801     		NONE 501(C)(3) GENERAL OPERATIONS 50,000
    PVES FOUNDATION INC
    C/O NANCY ANDERSON
    PO BOX 2347
    POTTSBORO,TX75076     		NONE 501(C)(3) BOOT SCOOTIN' BALL 10,000
    GRAYSON COUNTY SHELTER
    331 W MORTON STREET
    DENNISON,TX75020     		NONE 501(C)(3) GENERAL OPERATIONS 10,000
    GRAYSON COUNTY CRISIS PREGNANCY
    DBA PREGNANCY CARE CENTER
    PO BOX 3237
    SHERMAN,TX750913237     		NONE 501(C)(3) GENERAL OPERATIONS 10,000
    GRAYSON COLLEGE FOUNDATION
    C/O SHERMAN PELLEY NALL PELLEY & WY
    PO BOX 2228
    SHERMAN,TX750912228     		NONE 501(C)(3) BEHALF OF ELLEN M TALBOTT 10,000
    TEXAS TECH FOUNDATION
    INC
    PO BOX 41081
    LUBBOCK,TX794091081     		NONE 501(C)(3) GENERAL OPERATIONS 10,000
    Total .................................bullet 3a 120,000
    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 70,196  
    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 74,394  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: a990PF REFUND     1 1,481  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   146,071  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13146,071
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 12
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section
    Yes
    No
    501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is “Yes,” complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?...........
    b
    If “Yes,” complete the following schedule.
    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer or fiduciary) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's namebullet



    Firm's addressbullet







         		Firm's EINbullet
    Phone no.
    Form 990-PF (2012)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2012 AccountingFeesSchedule
    Name:
    TALBOTT FOUNDATION 430057018
    EIN: 80-0313615
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 575 575    

    TY 2012 InvestmentsCorpBondsSchedule
    Name:
    TALBOTT FOUNDATION 430057018
    EIN: 80-0313615
    Name of Bond End of Year Book Value End of Year Fair Market Value
    10000 AT&T INC 4.45% 10,190 11,549
    15000 ANHEUSER-BUSCH 1.375% 15,164 15,158
    20000 BNK OF NOVA SCOTIA 2.375 20,454 20,380
    20000 BERKSHIRE HATHAWAY 5.40% 22,087 24,058
    15000 CATERPILLAR FINL SE 2.05 15,460 15,527
    10000 CISCO SYSTEMS INC 4.950% 10,965 11,838
    20000 COCA COLA CO 1.50% 19,248 20,481
    20000 GEN ELEC CAP CORP 5.625% 21,821 23,594
    5000 GEN ELEC CAP CORP 1.625% 5,082 5,083
    20000 JPMORGAN CHASE & CO 6.00 21,678 23,944
    30000 ONTARIO PROVINCE 2.950% 31,430 31,532
    10000 PFIZER INC NOTES 5.35% 11,201 11,013
    5000 PROVINCE OF QUEBEC 2.750% 5,082 5,223
    10000 SBC COMMUNICATIONS 5.10% 10,859 10,742
    10000 TOYOTA MOTOR CREDIT 2.00 10,338 10,368
    20000 WACHOVIA CORP 5.750% 22,601 23,961
    15000 WAL-MART STORES INC 1.50 15,437 15,439
    8381.238 FIDELITY HIGH INCOME 74,976 78,281
    5002.364 VANGUARD INFLATION PR 66,782 72,684

    TY 2012 InvestmentsCorpStockSchedule
    Name:
    TALBOTT FOUNDATION 430057018
    EIN: 80-0313615
    Name of Stock End of Year Book Value End of Year Fair Market Value
    440 HOME DEPOT INC 11,021 27,214
    230 MCDONALDS CORP 23,104 20,288
    180 NIKE INC CLASS B 8,910 9,288
    760 COCA COLA CO 25,677 27,550
    140 COLGATE PALMOLIVE CO 9,762 14,636
    110 KIMBERLY CLARK CORP 8,016 9,287
    140 KRAFT FOODS GROUP INC 5,638 6,366
    140 LORILLARD INC 15,731 16,334
    430 MONDELEZ INTERNATIONAL INC 10,678 10,945
    320 PEPSICO INCORPORATED 20,691 21,898
    420 PHILIP MORRIS INTL INC 32,188 35,129
    540 PROCTER & GAMBLE CO 32,719 36,661
    390 CHEVRON CORPORATION 32,722 42,175
    250 CONOCOPHILLIPS 13,648 14,498
    510 EXXON MOBIL CORP 37,776 44,141
    490 MARATHON OIL CORP 14,357 15,023
    240 MARATHON PETROLEUM CORP 7,821 15,120
    120 PHILLIPS 66 3,893 6,372
    320 SPECTRA ENERGY CORP 9,466 8,762
    500 J P MORGAN CHASE & CO 17,216 21,985
    440 WELLS FARGO & CO NEW 14,255 15,039
    270 BAXTER INTERNATIONAL INC 14,027 17,998
    330 BRISTOL MYERS SQUIBB CO 11,281 10,755
    530 JOHNSON & JOHNSON CO 31,947 37,153
    610 MERCK & CO INC NEW 23,232 24,973
    1450 PFIZER 32,110 36,365
    100 BOEING CO 7,565 7,536
    100 CATERPILLAR INC 10,190 8,961
    250 EMERSON ELECTRIC CO 12,340 13,240
    130 HONEYWELL INTL INC 7,444 8,251
    160 LOCKHEED MARTIN CORP 13,070 14,766
    120 NORFOLK SOUTHERN CORP 9,411 7,421
    110 3M CO 5,856 10,214
    120 UNITED PARCEL SERVICE CL B 8,789 8,848
    180 UNITED TECHNOLOGIES 10,361 14,762
    990 INTEL CORP 25,581 20,414
    100 INTL BUSINESS MACHINES COR 16,588 19,155
    1060 MICROSOFT CORPORATION 27,273 28,312
    170 E I DUPONT DE NEMOURS INC 8,180 7,646
    220 FREEPORT-MCMORAN COPPER 8,837 7,524
    1050 AT&T INC 31,770 35,396
    200 VERIZON COMMUNICATIONS 5,611 8,654
    210 DUKE ENERGY CORP 13,444 13,398
    250 NEXTERA ENERGY INC 14,760 17,298
    530 SOUTHERN CO 23,924 22,689
    4143.100 INVESCO INTERNATIONAL 114,681 121,061
    865.952 BUFFALO SMALL CAP FD 21,075 24,394
    1956.559 HARBOR INTERNATIONAL 116,959 121,541
    1133.567 HARTFORD MUT FDS INC 25,374 24,791
    1129.918 PERKINS MID CAP VALUE 24,490 24,112
    1127.844 ROYCE SPECIAL EQUITY 22,167 23,831
    700 SPDR GOLD TRUST 96,159 113,414

    TY 2012 InvestmentsGovtObligationsSch
    Name:
    TALBOTT FOUNDATION 430057018
    EIN: 80-0313615
    US Government Securities - End of Year Book Value:

    488,314
    US Government Securities - End of Year Fair Market Value:

    493,519
    State & Local Government Securities - End of Year Book Value:


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


     


    TY 2012 OtherDecreasesSchedule
    Name:
    TALBOTT FOUNDATION 430057018
    EIN: 80-0313615
    Description Amount
    ROUNDING ADJUSTMENT 10


    TY 2012 OtherExpensesSchedule
    Name:
    TALBOTT FOUNDATION 430057018
    EIN: 80-0313615
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    STATE/PROBATE FEES 75 75   0


    TY 2012 OtherIncomeSchedule2
    Name:
    TALBOTT FOUNDATION 430057018
    EIN: 80-0313615
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    990PF REFUND 1,481 0  


    TY 2012 TaxesSchedule
    Name:
    TALBOTT FOUNDATION 430057018
    EIN: 80-0313615
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES ON QUALIFIED FOR 277 277   0
    FOREIGN TAXES ON NONQUALIFIED 234 234   0