-
TIN:
Form
990-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
20
12
Open to Public Inspection
For calendar year 2012, or tax year beginning
01-01-2012
, and ending
12-31-2012
Name of foundation
ADA L AND ALBERT M WIBEL FOUNDATION
Number and street (or P.O. box number if mail is not delivered to street address)
PO BOX 2907 - TRUST TAX DEPT
Room/suite
City or town, state, and ZIP code
WILSON
,
NC
278942907
A Employer identification number
20-6966139
B
Telephone number (see instructions)
(703) 383-5000
C
If exemption application is pending, check here
G
Check all that apply:
Initial return
Initial return of a former public charity
Final return
Amended return
Address change
Name change
D 1.
Foreign organizations, check here .............
2.
Foreign organizations meeting the 85% test,
check here and attach computation ...........
H
Check type of organization:
Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust
Other taxable private foundation
I
Fair market value of all assets at end
of year
(from Part II, col. (c),
line 16)
$
6,725,300
J
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 .........
F
If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here .........
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)
1
Contributions, gifts, grants, etc., received (attach schedule)
2
Check
3
Interest on savings and temporary cash investments
25,780
25,780
4
Dividends and interest from securities
......
140,547
140,547
5a
Gross rents
..............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
323,209
b
Gross sales price for all assets on line 6a
7,229,992
7
Capital gain net income (from Part IV, line 2)
...
323,209
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)
.......
8,632
8,632
12
Total.
Add lines 1 through 11
........
498,168
498,168
13
Compensation of officers, directors, trustees, etc.
81,576
81,576
14
Other employee salaries and wages
......
0
0
0
15
Pension plans, employee benefits
.......
0
0
16a
Legal fees (attach schedule)
.........
0
b
Accounting fees (attach schedule)
.......
c
Other professional fees (attach schedule)
....
0
17
Interest
...............
0
18
Taxes (attach schedule) (see instructions)
8,509
3,633
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)
.......
613
613
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
90,698
85,822
0
0
25
Contributions, gifts, grants paid
........
168,000
168,000
26
Total expenses and disbursements.
Add lines 24 and 25
258,698
85,822
0
168,000
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
239,470
b
Net investment income
(if negative, enter -0-)
412,346
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
1
Cash—non-interest-bearing
...............
2,333
2,333
2
Savings and temporary cash investments
..........
84,834
237,418
237,418
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)
647,188
959,008
1,023,315
b
Investments—corporate stock (attach schedule)
........
4,219,843
3,540,764
3,877,304
c
Investments—corporate bonds (attach schedule)
........
1,102,338
1,387,035
1,419,638
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
..............
13
Investments—other (attach schedule)
...........
166,845
165,292
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)
6,054,203
6,293,403
6,725,300
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
.........
6,054,203
6,293,403
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)
....................
6,054,203
6,293,403
31
Total liabilities and net assets/fund balances
(see page 17 of
the instructions)
..................
6,054,203
6,293,403
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
6,054,203
2
Enter amount from Part I, line 27a
.....................
2
239,470
3
Other increases not included in line 2 (itemize)
3
0
4
Add lines 1, 2, and 3
..........................
4
6,293,673
5
Decreases not included in line 2 (itemize)
5
270
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30
.
6
6,293,403
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
560. SANOFI CONTINGENT VALUE RIGHTS
2011-04-08
2012-01-18
b
1100. AT&T INC
2011-10-13
2012-01-25
c
800. AT&T INC
2012-01-25
d
2490. ACTIVISION BLIZZARD INC COMMON
2011-10-13
2012-01-25
e
1560. ADR AMERICA MOVIL S A DE CV
2011-10-13
2012-01-25
560. AMGEN INCORPORATED
2011-10-13
2012-01-25
260. AON CORPORATION COMMON
2011-03-22
2012-01-25
410. ARCELORMITTAL
2010-03-18
2012-01-25
1560. ATLAS COPCO AB SPONS
2011-10-13
2012-01-25
450. BECTON DICKINSON & CO. COMMON
2010-08-18
2012-01-25
380. BELLE INTERNATIONAL HOLDINGS LIMITED
2011-05-04
2012-01-25
430. BERKSHIRE HATHAWAY INC DEL CL B COMMON
2011-10-13
2012-01-25
270. BERKSHIRE HATHAWAY INC DEL CL B COMMON
2012-01-25
940. BROADCOM CORP CL A COMMON
2011-10-13
2012-01-25
920. CVS CORP COMMON
2011-10-13
2012-01-25
1090. CENOVUS ENERGY INC.
2011-03-22
2012-01-25
400. CISCO SYSTEMS
2011-03-22
2012-01-25
1450. CISCO SYSTEMS
2012-01-25
470. COCA COLA COMPANY
2011-10-13
2012-01-25
5088.089 COHEN & STEERS REALTY SHARES INSTITUTION
2010-06-17
2012-01-25
1425. COMCAST CORP NEW CL A
2012-01-25
1125. DISNEY WALT COMPANY
2012-01-25
810. DU PONT E I DE NEMOURS & COMPANY
2011-10-13
2012-01-25
1560. ENCANA CORP COMMON
2011-10-13
2012-01-25
2550. ERSTE BK DER OESTER SPAR-ADR
2011-10-13
2012-01-25
790. EXPRESS SCRIPTS COMMON
2011-10-13
2012-01-25
500. EXXON MOBIL CORPORATION
2010-04-12
2012-01-25
440. FEDEX CORPORATION
2011-10-13
2012-01-25
1180. FORWARD AIR CORP
2010-08-18
2012-01-25
2641.2 FORWARD INTERNATIONAL SMALL COMPANIES FD
2009-08-17
2012-01-25
1120. FREEPORT-MCM COPR GOLD CL B
2011-10-13
2012-01-25
470. FRESENIUS MED CARE
2011-10-13
2012-01-25
2890. GANNETT INCORPORATED
2011-10-13
2012-01-25
1575. GENERAL ELECTRIC COMPANY
2012-01-25
35. GOOGLE INC CL A
2008-12-10
2012-01-25
60. GOOGLE INC CL A
2011-10-13
2012-01-25
360. GREEN MOUNTAIN COFFEE ROASTERS INC COMMO
2011-10-13
2012-01-25
1080. HANCOCK HOLDING COMPANY
2011-10-13
2012-01-25
1320. HONEYWELL INTERNATIONAL INC
2011-10-13
2012-01-25
1520. HOYA CORP SPONSORED ADR
2011-10-13
2012-01-25
880. ICICI BANK LIMITED SPONS ADR
2011-10-13
2012-01-25
1410. INTL SPEEDWAY "A" COMMON
2011-10-13
2012-01-25
920. ISHARES FTSE/XINHUA CHINA 25 INDEX FUND
2011-10-13
2012-01-25
140. ITRON INC COMMON
2010-03-18
2012-01-25
780. J P MORGAN CHASE & CO
2010-01-05
2012-01-25
375. JOHNSON & JOHNSON
2012-01-25
640. KOHLS CORP COMMON
2011-10-13
2012-01-25
9590. LI & FUNG LIMITED UNSPONS ADR
2011-10-13
2012-01-25
1762.71 LAZARD EMERGING MKTS PORTFOLIO INST CLAS
2009-07-13
2012-01-25
2090. LENDER PROCESSING SERVICES COMMON
2011-10-13
2012-01-25
1070. LEXMARK INTERNATIONAL GROUP INC CLASS A
2011-10-13
2012-01-25
850. LIFE TECHNOLOGIES CORP COMMON
2011-10-13
2012-01-25
2010. LINCOLN NATL CORP IND
2011-10-13
2012-01-25
1770. LOWES COMPANIES INCORPORATED
2011-10-13
2012-01-25
725. MEDTRONIC INC
2012-01-25
825. MERCK & CO INC
2012-01-25
1090. METLIFE COMMON
2010-03-18
2012-01-25
580. NEXTERA ENERGY, INC. COMMON
2011-10-13
2012-01-25
1390. PETROLEO BRASILEIR COMMON
2011-10-13
2012-01-25
940. PRICE GROUP INC FORMERLY AKA PRICE TO ROWE & ASSOC
2011-10-13
2012-01-25
540. PROCTOR AND GAMBLE COMPANY
2010-06-17
2012-01-25
1330. PUBLICIS GROUPE ADR
2011-10-13
2012-01-25
850. QUALCOMM INC COMMON
2011-10-13
2012-01-25
1280. RUE21 INC COMMON
2011-10-13
2012-01-25
860. ST JUDE MEDICAL INC COMMON
2011-10-13
2012-01-25
2480. SANDVIK AB
2011-10-13
2012-01-25
4910. SBERBANK OF RUSSIA
2011-10-13
2012-01-25
480. SCHLUMBERGER LTD
2011-10-13
2012-01-25
350. SCHLUMBERGER LTD
2008-12-10
2012-01-25
2860. SONOVA HOLDING AG
2011-10-13
2012-01-25
2450. SOUTHWEST AIRLINES
2010-11-03
2012-01-25
4200. ST MICROELETRONICS N.V.
2010-08-18
2012-01-25
1640. SUBSEA 7 SA
2011-10-13
2012-01-25
970. SUNCOR ENERGY, INC
2010-06-17
2012-01-25
610. TARGET CORP COM
2010-06-17
2012-01-25
1170. UNICHARM CORP
2011-10-13
2012-01-25
870. WPP PLC ADR
2011-10-13
2012-01-25
650. WELLS FARGO & CO NEW
2012-01-25
1870. WEYERHAEUSER COMPANY
2011-10-13
2012-01-25
730. YUM! BRANDS, INC. COMMON
2011-10-13
2012-01-25
320. ENSTAR GROUP LTD
2011-10-13
2012-01-25
1240. TE CONNECTIVITY LTD
2010-03-18
2012-01-25
320. CORE LABORATORIES N V
2011-10-13
2012-01-25
120. CORE LABORATORIES N V
2010-03-18
2012-01-25
100000. US TREASURY NOTE DTD 01/31/07 4.75% 01/3
2007-02-07
2012-01-31
1230. NATURAL RESOURCE PARTNERS LP
2012-01-25
2012-03-26
100000. US TREASURY NOTE DTD 04/15/09 1.375% 04/
2010-03-22
2012-04-15
1560. ABB LTD SPONSORED ADR
2012-01-25
2012-05-29
1280. L'AIR LIQUIDE-UNSPONS ADR COMMON
2012-01-25
2012-05-29
2150. ALCOA INC
2011-03-22
2012-05-29
710. AMETEK INC COMMON
2012-01-25
2012-05-29
430. APACHE CORPORATION COMMON
2012-01-25
2012-05-29
60. APPLE COMPUTER CORPORATION COMMON
2010-08-18
2012-05-29
1170. ARCHER DANIELS MIDLAND COMPANY
2011-10-13
2012-05-29
840. ASSURANT INC COMMON
2012-01-25
2012-05-29
1420. BNP PARIBAS
2012-01-25
2012-05-29
180. BLACKROCK INC COMMON
2012-01-25
2012-05-29
1870. BROOKFIELD PROPERTIES CORP
2012-01-25
2012-05-29
1430. CA INC COMMON
2012-01-25
2012-05-29
720. CANADIAN NATL RY CO
2012-01-25
2012-05-29
2550. CAREFUSION CORP
2012-01-25
2012-05-29
310. CHEVRON TEXACO CORP COMMON
2012-01-25
2012-05-29
1650. CISCO SYSTEMS
2011-03-22
2012-05-29
480. COACH INC
2012-01-25
2012-05-29
910. COCHLEAR LIMITED UNSPONS ADR
2011-03-22
2012-05-29
1230. CREDIT SUISSE GROUP SPONS ADR
2012-01-25
2012-05-29
820. DBS GROUP HLDGS LTD SPONSORED ADR F/K/A DEVELOPMENT BK SINGAPORE
2011-10-13
2012-05-29
540. DASSAULT SYSTEMS COMMON
2011-10-13
2012-05-29
1930. DELL INC
2012-01-25
2012-05-29
370. DIAGEO PLC SPONSORED ADR
2012-01-25
2012-05-29
10530. DOLE FOOD COMPANY INC COMMON
2011-10-13
2012-05-29
1250. EBAY INC
2012-05-29
1040. EMERSON ELECTRIC COMPANY
2012-01-25
2012-05-29
350. FEDERAL REALTY INVESTORS COMMON
2012-01-25
2012-05-29
2210. FIRST POTOMAC REALTY TRUST COMMON
2012-01-25
2012-05-29
1060. GREEN DOT CORP CLASS A COMMON
2012-01-25
2012-05-29
1020. JGC CORPORATION
2012-01-25
2012-05-29
650. KELLOGG COMPANY
2012-01-25
2012-05-29
4040. KINGFISHER PLC-SPONS ADR
2012-01-25
2012-05-29
1872.919 LAZARD EMERGING MKTS PORTFOLIO INST CLAS
2009-07-13
2012-05-29
1180. LEUCADIA NATIONAL CORP COMMON
2012-01-25
2012-05-29
970. LIBERTY PPTY TR SH BEN TR
2012-01-25
2012-05-29
780. LIMITED INC. (DEL.)
2012-01-25
2012-05-29
490. LINKEDIN CORP COMMON
2012-01-25
2012-05-29
940. MI DEVELOPMENTS INC
2012-01-25
2012-05-29
610. MACERICH COMPANY COMMON
2012-01-25
2012-05-29
330. MCDONALDS CORPORATION
2012-01-25
2012-05-29
1650. MICROSOFT CORPORATION
2012-05-29
600. THE MOSAIC COMPANY COMMON
2012-01-25
2012-05-29
1920. MTN GROUP LTD ADR
2012-01-25
2012-05-29
440. PARKER HANNIFIN CORP
2012-01-25
2012-05-29
1030. PETROLEO BRASILEIRO SA PETROBRAS
2012-01-25
2012-05-29
440. PHILIP MORRIS INTERNATIONAL
2012-01-25
2012-05-29
1470. PRUDENTIAL PLC
2012-01-25
2012-05-29
740. ROCHE HOLDING LTD ADR
2012-01-25
2012-05-29
490. SPX CORPORATION
2012-01-25
2012-05-29
640. SASOL LTD SPONSORED ADR
2012-01-25
2012-05-29
2130. SUBSEA 7 SA
2011-10-13
2012-05-29
1740. SWATCH GROUP AG
2010-11-03
2012-05-29
1140. TEXAS INSTRUMENTS INCORPORATED
2011-07-19
2012-05-29
570. THE TRAVELERS COMPANIES INC.
2012-01-25
2012-05-29
760. VIACOM INC NEW CL B
2009-07-13
2012-05-29
470. WELLPOINT INC
2012-01-25
2012-05-29
310. WESTPAC BANKING LTD COM
2012-01-25
2012-05-29
1570. YOUKU.COM INC-SPON ADR
2012-01-25
2012-05-29
580. ZIMMER HOLDINGS INC
2012-01-25
2012-05-29
960. ENDURANCE SPECIALTY HOLDINGS LTD
2009-07-30
2012-05-29
840. WILLIS GROUP HOLDINGS
2012-01-25
2012-05-29
.993 KINDER MORGAN MANAGEMENT LLC
2012-05-29
2012-08-29
150000. GOLDMAN SACHS GROUP INC. DTD 08/27/2002
2007-01-25
2012-09-01
620. CONOCOPHILLIPS COM
2012-05-29
2012-11-08
6533.284 CREDIT SUISSE COMMODITY RETURN STRATEGY INSTITUTIONAL SHS FD
2009-07-13
2012-11-08
1040. DOVER CORPORATION COMMON
2012-01-25
2012-11-08
4100. ERSTE BK DER OESTER SPAR-ADR
2012-05-29
2012-11-08
1140. HALLIBURTON COMPANY
2012-01-25
2012-11-08
580. HEALTH CARE REIT INC
2012-05-29
2012-11-08
660. ILLINOIS TOOL WORKS
2012-05-29
2012-11-08
720. JGC CORPORATION
2012-01-25
2012-11-08
6800. KITE REALTY GROUP TRUST COMMON
2012-05-29
2012-11-08
1695.804 LAZARD EMERGING MKTS PORTFOLIO INST CLAS
2009-07-13
2012-11-08
650. LINKEDIN CORP COMMON
2012-01-25
2012-11-08
1650. NOKIAN RENKAAT OYJ
2012-05-29
2012-11-08
1230. ORACLE SYSTEM CORPORATION
2012-05-29
2012-11-08
1720. PETROLEO BRASILEIR COMMON
2012-05-29
2012-11-08
3040. PIEDMONT OFFICE REALTY TRUST INC COMMON
2012-01-25
2012-11-08
1520. QLIK TECHNOLOGIES INC COMMON
2011-03-22
2012-11-08
1120. RUE21 INC COMMON
2012-05-29
2012-11-08
3210. SBERBANK OF RUSSIA
2012-05-29
2012-11-08
2080. SONOVA HOLDING AG
2012-05-29
2012-11-08
1733.428 STERLING CAPITAL SPECIAL OPPORTUNITIES FUND INST CL FUND # 32
2012-05-29
2012-11-08
980. WASTE MANAGEMENT INC NEW
2012-05-29
2012-11-08
2340. ARCOS DORADOS HOLDINGS, INC
2012-05-29
2012-11-08
780. MICHAEL KORS HOLDINGS LTD
2012-05-29
2012-11-08
1610. AVAGO TECHNOLOGIES LTD
2012-01-25
2012-11-08
100000. FED HOME LOAN BANK DTD 11/22/02 4.5% 11/
2006-12-18
2012-11-15
3860. ALLIANZ COMMON
2012-05-29
2012-12-04
1500. ADR AMERICA MOVIL S A DE CV
2012-05-29
2012-12-04
510. BAYER A G SPONSORED ADR
2012-05-29
2012-12-04
1810. FUSION-IO INC. COMMON
2012-05-29
2012-12-04
600. GENERAL DYNAMICS
2012-11-08
2012-12-04
1510. HOYA CORP SPONSORED ADR
2012-05-29
2012-12-04
.416 KINDER MORGAN MANAGEMENT LLC
2012-05-29
2012-12-04
450. MSC INDUSTRIAL DIRECT INC CLASS A COMMON
2012-05-29
2012-12-04
1530. OMEGA HEALTHCARE SERVICES COMMON
2012-05-29
2012-12-04
2630. PEBBLEBROOK HOTEL TRUST COMMON
2012-01-25
2012-12-04
510. PEPSICO INCORPORATED
2011-10-13
2012-12-04
325. PEPSICO INCORPORATED
2012-12-04
1540. PETROLEO BRASILEIRO SA PETROBRAS
2012-11-08
2012-12-04
420. SAP AKTIENGESELLSCHAFT
2011-10-13
2012-12-04
600. STARWOOD HOTELS & RESORTS
2012-01-25
2012-12-04
2030. SWATCH GROUP AG
2012-11-08
2012-12-04
CAPITAL GAIN DIVIDENDS
P
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a
694
1,318
-624
b
32,703
31,814
889
c
23,784
21,924
1,860
d
29,755
32,316
-2,561
e
35,911
36,450
-539
38,236
31,959
6,277
12,221
13,436
-1,215
8,487
16,957
-8,470
36,622
30,383
6,239
35,369
32,679
2,690
30,540
36,890
-6,350
33,548
31,780
1,768
21,065
15,225
5,840
33,407
34,830
-1,423
38,621
31,800
6,821
38,827
41,526
-2,699
7,848
7,024
824
28,448
38,302
-9,854
31,870
31,608
262
211,766
176,862
34,904
36,765
32,774
3,991
44,133
38,276
5,857
40,111
35,248
4,863
30,217
31,219
-1,002
26,294
29,985
-3,691
41,174
31,815
9,359
42,924
34,480
8,444
39,982
32,427
7,555
40,487
32,210
8,277
32,883
29,634
3,249
48,988
39,226
9,762
32,846
32,438
408
43,958
30,845
13,113
29,680
56,143
-26,463
19,926
10,845
9,081
34,159
33,185
974
18,310
32,197
-13,887
37,422
31,286
6,136
75,397
62,926
12,471
32,719
36,662
-3,943
30,923
31,834
-911
37,274
31,771
5,503
36,257
31,392
4,865
5,513
9,823
-4,310
29,086
34,055
-4,969
24,326
23,530
796
30,387
32,071
-1,684
43,645
35,291
8,354
32,575
24,625
7,950
33,771
31,099
2,672
37,409
30,954
6,455
41,208
31,651
9,557
45,104
32,986
12,118
47,524
36,313
11,211
28,579
38,251
-9,672
31,770
36,331
-4,561
39,970
46,467
-6,497
34,196
31,677
2,519
39,420
30,900
8,520
56,761
48,625
8,136
34,862
33,148
1,714
33,022
31,468
1,554
50,056
44,607
5,449
32,065
31,599
466
34,474
32,562
1,912
35,274
30,355
4,919
56,113
48,141
7,972
35,505
31,779
3,726
25,889
15,211
10,678
58,365
49,178
9,187
23,031
34,659
-11,628
28,150
32,569
-4,419
32,689
34,336
-1,647
32,582
32,630
-48
30,859
32,852
-1,993
57,399
54,073
3,326
50,442
43,356
7,086
19,584
23,189
-3,605
37,343
31,256
6,087
45,354
38,289
7,065
31,301
31,448
-147
40,628
33,821
6,807
35,088
32,101
2,987
13,158
7,881
5,277
100,000
100,023
-23
30,721
34,140
-3,419
100,000
100,703
-703
25,503
32,620
-7,117
28,889
31,777
-2,888
18,812
35,475
-16,663
35,422
33,283
2,139
35,830
41,750
-5,920
34,122
15,258
18,864
37,926
31,497
6,429
27,918
32,712
-4,794
22,038
33,143
-11,105
31,069
33,710
-2,641
32,085
32,968
-883
36,178
35,848
330
58,974
54,840
4,134
63,291
61,272
2,019
31,012
33,084
-2,072
27,129
28,974
-1,845
33,226
33,057
169
27,864
36,383
-8,519
23,960
32,409
-8,449
34,103
31,058
3,045
49,906
40,802
9,104
24,385
32,343
-7,958
35,457
32,664
2,793
92,858
104,230
-11,372
51,538
40,769
10,769
49,534
53,425
-3,891
34,792
32,823
1,969
26,928
32,952
-6,024
23,313
32,631
-9,318
55,662
53,887
1,775
32,786
33,136
-350
34,779
32,643
2,136
32,551
26,165
6,386
24,820
32,808
-7,988
33,944
33,271
673
36,525
32,314
4,211
48,098
35,689
12,409
31,063
32,458
-1,395
35,807
33,318
2,489
29,933
32,743
-2,810
48,418
39,812
8,606
29,560
33,137
-3,577
31,123
32,570
-1,447
37,984
35,938
2,046
20,298
32,331
-12,033
37,389
33,117
4,272
31,615
32,639
-1,024
29,318
31,842
-2,524
37,218
33,810
3,408
27,715
31,857
-4,142
45,687
44,595
1,092
34,556
35,247
-691
33,141
35,516
-2,375
35,762
33,050
2,712
36,801
15,662
21,139
32,142
31,232
910
31,158
34,399
-3,241
38,909
31,793
7,116
35,918
33,238
2,680
37,418
31,627
5,791
29,796
32,741
-2,945
73
71
2
150,000
152,102
-2,102
34,769
32,950
1,819
53,312
48,804
4,508
62,208
63,071
-863
52,346
38,007
14,339
34,964
40,744
-5,780
34,109
32,182
1,927
40,009
37,676
2,333
47,857
38,038
9,819
36,516
32,308
4,208
32,492
23,690
8,802
62,786
47,342
15,444
32,570
33,462
-892
37,490
32,305
5,185
34,674
32,431
2,243
53,853
55,682
-1,829
27,330
35,455
-8,125
32,201
31,427
774
34,667
33,577
1,090
40,164
39,229
935
32,432
30,439
1,993
31,193
32,365
-1,172
27,238
32,627
-5,389
39,381
32,693
6,688
54,529
54,911
-382
100,000
98,461
1,539
50,449
35,853
14,596
34,935
36,219
-1,284
46,751
32,936
13,815
41,707
37,559
4,148
39,372
38,946
426
29,173
32,027
-2,854
31
29
2
32,069
33,058
-989
35,102
32,364
2,738
55,857
57,742
-1,885
35,595
31,751
3,844
22,683
16,464
6,219
28,093
32,150
-4,057
33,593
23,421
10,172
31,555
32,886
-1,331
49,206
44,518
4,688
245
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
-624
b
889
c
1,860
d
-2,561
e
-539
6,277
-1,215
-8,470
6,239
2,690
-6,350
1,768
5,840
-1,423
6,821
-2,699
824
-9,854
262
34,904
3,991
5,857
4,863
-1,002
-3,691
9,359
8,444
7,555
8,277
3,249
9,762
408
13,113
-26,463
9,081
974
-13,887
6,136
12,471
-3,943
-911
5,503
4,865
-4,310
-4,969
796
-1,684
8,354
7,950
2,672
6,455
9,557
12,118
11,211
-9,672
-4,561
-6,497
2,519
8,520
8,136
1,714
1,554
5,449
466
1,912
4,919
7,972
3,726
10,678
9,187
-11,628
-4,419
-1,647
-48
-1,993
3,326
7,086
-3,605
6,087
7,065
-147
6,807
2,987
5,277
-23
-3,419
-703
-7,117
-2,888
-16,663
2,139
-5,920
18,864
6,429
-4,794
-11,105
-2,641
-883
330
4,134
2,019
-2,072
-1,845
169
-8,519
-8,449
3,045
9,104
-7,958
2,793
-11,372
10,769
-3,891
1,969
-6,024
-9,318
1,775
-350
2,136
6,386
-7,988
673
4,211
12,409
-1,395
2,489
-2,810
8,606
-3,577
-1,447
2,046
-12,033
4,272
-1,024
-2,524
3,408
-4,142
1,092
-691
-2,375
2,712
21,139
910
-3,241
7,116
2,680
5,791
-2,945
2
-2,102
1,819
4,508
-863
14,339
-5,780
1,927
2,333
9,819
4,208
8,802
15,444
-892
5,185
2,243
-1,829
-8,125
774
1,090
935
1,993
-1,172
-5,389
6,688
-382
1,539
14,596
-1,284
13,815
4,148
426
-2,854
2
-989
2,738
-1,885
3,844
6,219
-4,057
10,172
-1,331
4,688
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
323,209
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
356,999
6,746,309
0.052918
2010
336,143
6,502,805
0.051692
2009
224,305
6,047,583
0.03709
2008
286,532
6,827,854
0.041965
2007
372,219
7,636,650
0.048741
2
Total
of line 1, column (d)
......................
2
0.232406
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
0.046481
4
Enter the net value of noncharitable-use assets for 2012 from Part X, line 5
.....
4
6,474,450
5
Multiply line 4 by line 3
.......................
5
300,939
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
4,123
7
Add lines 5 and 6
.........................
7
305,062
8
Enter qualifying distributions from Part XII, line 4
..............
8
168,000
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
Exempt operating foundations described in section 4940(d)(2), check here
and 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
8,247
here
and 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
8,247
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
8,247
6
Credits/Payments:
a
2012 estimated tax payments and 2011 overpayment credited to 2012
6a
3,060
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
3,060
8
Enter any
penalty
for underpayment of estimated tax.
Check here
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
.......
9
5,187
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
11
Enter the amount of line 10 to be:
Credited to 2013 estimated tax
Refunded
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.
$
(2)
On foundation managers.
$
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
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)
VA
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 address
14
The books are in care of
BRANCH BANKING & TRUST COMPANY
Telephone no.
(703) 383-5000
Located at
4117 CHAIN BRIDGE RD
FAIRFAX
VA
ZIP+4
220304120
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of
Form 1041
—Check here
.........
and enter the amount of tax-exempt interest received or accrued during the year
......
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
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?
Yes
No
(2)
Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?
.........................
Yes
No
(3)
Furnish goods, services, or facilities to (or accept them from) a disqualified person?
Yes
No
(4)
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
Yes
No
(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)?
.................
Yes
No
(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.)
.........
Yes
No
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
Organizations relying on a current notice regarding disaster assistance check here
.........
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?
...............
Yes
No
If “Yes,” list the years
20
,
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.
20
,
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?
.........................
Yes
No
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))?
Yes
No
(2)
Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive?
...............
Yes
No
(3)
Provide a grant to an individual for travel, study, or other similar purposes?
Yes
No
(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)
........
Yes
No
(5)
Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals?
........
Yes
No
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
Organizations relying on a current notice regarding disaster assistance check here
.........
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?
............
Yes
No
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?
........................
Yes
No
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?
Yes
No
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
BRANCH BANKING AND TRUST COMPANY
TRUSTEE
1
75,576
4117 CHAIN BRIDGE RD
FAIRFAX
,
VA
220304120
KAREN N CONRAD
C0-TRUSTEE
1
6,000
PO BOX 37
GOSHEN
,
KY
40026
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
.............
0
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
..........................
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
6,324,878
b
Average of monthly cash balances
.......................
1b
248,168
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
6,573,046
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
6,573,046
4
Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see
instructions)
.............................
4
98,596
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
6,474,450
6
Minimum investment return.
Enter 5% of line 5
..................
6
323,723
Part XI
Distributable Amount
(see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here
and do not complete this part.)
1
Minimum investment return from Part X, line 6
....................
1
323,723
2a
Tax on investment income for 2012 from Part VI, line 5
......
2a
8,247
b
Income tax for 2012. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
8,247
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
315,476
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
315,476
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
315,476
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
168,000
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
168,000
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
168,000
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
315,476
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
.......
0
c
From 2009
.......
0
d
From 2010
.......
13,485
e
From 2011
.......
25,804
f
Total
of lines 3a through e
.........
39,289
4
Qualifying distributions for 2012 from Part
XII, line 4:
$
168,000
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
.....
168,000
e
Remaining amount distributed out of corpus
0
5
Excess distributions carryover applied to 2012.
39,289
39,289
(If an amount appears in column (d), the
same amount must be shown in column (a).)
6
Enter 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
..........
108,187
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
8
Excess distributions carryover from 2007 not
applied on line 5 or line 7 (see instructions)
...
0
9
Excess 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)
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
.......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(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
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.)
1
Information Regarding Foundation Managers:
a
List 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
b
List 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
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
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.
a
The name, address, and telephone number or e-mail of the person to whom applications should be addressed:
BRANCH BANKING TRUST COMPANY
6400 ARLINGTON BLVD
FALLS CHURCH
,
VA
22042
(703) 241-3168
b
The form in which applications should be submitted and information and materials they should include:
LETTER FORM-FUNDS RESTRICTED TO WASHINGTON METRO AREA TO (1) PROVIDE CARE AND AID, AND DELIVER/REDUCED MEALS, VISITING NURSE ORGANIZATIONS AND PROVIDE ROUTINE OR SPECIAL TRANSPORATION FOR THE ELDERLY
c
Any submission deadlines:
NONE
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
(CONTINUED) (2) PROVIDE FOOD, SHELTER, MEDICAL CARE & HOUSING TO DISADVANTAGED CHILDREN, (3) PROVIDE HOSPICE CARE FOR TERMINALLY ILL PATIENTS AND (4) SUPPORT CAREGIVERS ORGANIZATIONS
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)
a
Paid during the year
SEABURY RESOURCES FOR AGING
900 SECOND STREET STE 206
WASHINGTON
,
DC
20002
NONE
EXEMPT
GENERAL FUND
12,000
WE ARE FAMILY SENIOR OUTREACH
NETWORK
1405 MONROE ST NW
WASHINGTON
,
DC
20010
NONE
EXEMPT
COMMUNITY
12,000
ALZHEIMER'S ASSOCIATION
ATTN SUSAN SANDLER
SUITE 400
FAIRFAX
,
VA
22030
NONE
EXEMPT
GENERAL FUND
12,000
SHEPHERDS CENTER OF OAKTON-VIENNA
c/o VIENNA BAPTIST CHURCH
541 MARCHALL ROAD SW
VIENNA
,
VA
22180
NONE
PUBLIC
GENERAL GRANT
12,000
COURTNEY'S HOUSE
PO BOX 48626
WASHINGTON
,
DC
20002
NONE
EXEMPT
COMMUNITY
12,000
SASHA BRUCE YOUTHWORK INC
AKA SBY
745 8TH ST SE
WASHINGTON
,
DC
20003
NONE
EXEMPT
COMMUNITY
12,000
PARTNERS IN CARE INC
6 S RITCHIE HIGHWAY
PASADENA
,
MD
21122
NONE
EXEMPT
COMMUNITY
12,000
LITTLE SISTERS OF THE POOR OF
WASHINGTON DC
4200 HAREWOOD ROAD
WASHINGTON
,
DC
20017
NONE
EXEMPT
GENERAL FUNDS
12,000
LISNER LOUISE DICKSON HURT HOME
542 WESTERN AVE NW
WASHINGTON
,
DC
20015
NONE
EXEMPT
GENERAL FUNDS
12,000
ALTERNATIVE HOUSE
PO BOX 694
DUNN LORING
,
VA
22207
NONE
EXEMPT
COMMUNITY
12,000
DOORWAYS FOR WOMEN AND FAMILIES
P O BOX 100185
ARLINGTON
,
VA
22210
NONE
EXEMPT
GENERAL FUNDS
12,000
CARPENTER'S SHELTER INC
930 NORTH HENRY STREET
ALEXANDRIA
,
VA
22314
NONE
EXEMPT
GENERAL FUND
12,000
CAPITAL HOSPICE
9300 LEE HIGHWAY
FAIRFAX
,
VA
22031
NONE
EXEMPT
GENERAL FUNDS
12,000
JEANIE SCHMIDT FREE CLINIC
500 GROOVE STREET STE 330
HERNDON
,
VA
20172
NONE
EXEMPT
GENERAL FUNDS
12,000
Total
.................................
3a
168,000
b
Approved for future payment
Total
.................................
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.)
1
Program service revenue:
(a)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
a
b
c
d
e
f
g
Fees and contracts from government agencies
2
Membership dues and assessments
....
3
Interest on savings and temporary cash investments
14
25,780
4
Dividends and interest from securities
....
14
140,547
5
Net rental income or (loss) from real estate:
a
Debt-financed property
......
b
Not debt-financed property
.....
6
Net rental income or (loss) from personal property
7
Other investment income
.....
8
Gain or (loss) from sales of assets other than inventory
18
323,209
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
..
11
Other revenue:
a
REBATE REFUND
14
8,625
b
LITIGATION PROCEED
14
7
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
498,168
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
498,168
(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)
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?
...........
Yes
No
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.
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 OtherDecreasesSchedule
Name:
ADA L AND ALBERT M WIBEL FOUNDATION
EIN:
20-6966139
Description
Amount
ACCRUED INTEREST CARRYOVER
262
ADJUSTMENT FOR ROUNDING
8