-
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
CAPTAIN W J DIMITRIJEVIC MEMORIAL TRUST
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
52-6432623
B
Telephone number (see instructions)
(410) 626-6118
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)
$
1,610,432
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
3,844
3,844
4
Dividends and interest from securities
......
48,200
48,200
5a
Gross rents
..............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
65,001
b
Gross sales price for all assets on line 6a
908,708
7
Capital gain net income (from Part IV, line 2)
...
65,001
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)
.......
3
3
12
Total.
Add lines 1 through 11
........
117,048
117,048
13
Compensation of officers, directors, trustees, etc.
22,529
22,529
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)
2,136
674
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)
.......
81
81
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
24,746
23,284
0
0
25
Contributions, gifts, grants paid
........
78,041
78,041
26
Total expenses and disbursements.
Add lines 24 and 25
102,787
23,284
0
78,041
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
14,261
b
Net investment income
(if negative, enter -0-)
93,764
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
...............
2,813
1,654
1,654
2
Savings and temporary cash investments
..........
24,638
34,824
34,824
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)
156,948
105,349
108,748
b
Investments—corporate stock (attach schedule)
........
1,290,915
1,347,029
1,465,206
c
Investments—corporate bonds (attach schedule)
........
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
..............
13
Investments—other (attach schedule)
...........
0
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)
1,475,314
1,488,856
1,610,432
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
.........
1,475,314
1,488,856
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)
....................
1,475,314
1,488,856
31
Total liabilities and net assets/fund balances
(see page 17 of
the instructions)
..................
1,475,314
1,488,856
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
1,475,314
2
Enter amount from Part I, line 27a
.....................
2
14,261
3
Other increases not included in line 2 (itemize)
3
7
4
Add lines 1, 2, and 3
..........................
4
1,489,582
5
Decreases not included in line 2 (itemize)
5
726
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30
.
6
1,488,856
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
50. AT&T INC
2009-07-15
2012-01-06
b
480. ALCOA INC
2010-12-16
2012-01-06
c
40. AMERICAN EXPRESS COMPANY
2010-10-07
2012-01-06
d
60. AMGEN INCORPORATED
2011-05-06
2012-01-06
e
90. AON CORPORATION COMMON
2011-01-11
2012-01-06
18. APPLE COMPUTER CORPORATION COMMON
2012-01-06
45. BERKSHIRE HATHAWAY INC DEL CL B COMMON
2009-07-15
2012-01-06
120. CVS CORP COMMON
2011-08-31
2012-01-06
50. CATALYST HEALTH SOLUTIONS INC COMMON
2012-01-06
70. CENOVUS ENERGY INC.
2010-12-16
2012-01-06
30. CHEVRON TEXACO CORP COMMON
2005-04-20
2012-01-06
170. CISCO SYSTEMS
2012-01-06
150. CISCO SYSTEMS
2005-11-18
2012-01-06
50. COCA COLA COMPANY
2011-07-20
2012-01-06
210. COMCAST CORP NEW CL A
2007-11-28
2012-01-06
20. CONOCOPHILLIPS COM
2004-03-17
2012-01-06
230. CORNING INCORPORATED
2009-07-15
2012-01-06
150. DISNEY WALT COMPANY
2004-08-19
2012-01-06
2501.406 DODGE & COX INCOME FUND
2010-12-16
2012-01-06
60. DU PONT E I DE NEMOURS & COMPANY
2011-10-27
2012-01-06
40. EMC CORPORATION COMMON
2011-10-27
2012-01-06
55. EXPEDIA INC COMMON
2012-01-06
80. EXPRESS SCRIPTS COMMON
2011-10-27
2012-01-06
50. FEDEX CORPORATION
2010-09-23
2012-01-06
10. GARDNER DENVER MACHINE COMMON
2011-10-27
2012-01-06
20. GARTNER,INC COMMON
2011-08-10
2012-01-06
480. GENERAL ELECTRIC COMPANY
2012-01-06
10. GOOGLE INC CL A
2008-11-24
2012-01-06
60. HONEYWELL INTERNATIONAL INC
2011-08-31
2012-01-06
140. INTEL CORPORATION
2006-05-26
2012-01-06
10. INTERNATIONAL BUSINESS MACHINES CORP
2012-01-06
150. J P MORGAN CHASE & CO
2009-07-15
2012-01-06
70. JOHNSON & JOHNSON
2006-03-06
2012-01-06
30. KELLOGG COMPANY
2011-10-27
2012-01-06
90. KOHLS CORP COMMON
2011-10-27
2012-01-06
170. KRAFT FOODS INC-A COMMON
2012-01-06
60. LOWES COMPANIES INCORPORATED
2010-10-28
2012-01-06
80. MEDTRONIC INC
2006-08-08
2012-01-06
100. MERCK & CO INC
2009-07-15
2012-01-06
180. METLIFE COMMON
2012-01-06
260. MICROSOFT CORPORATION
2004-03-24
2012-01-06
50. MORGAN STANLEY DEAN WITTER DIS CO
2010-05-20
2012-01-06
50. NRG ENERGY INC COM
2011-08-10
2012-01-06
120. ORACLE SYSTEM CORPORATION
2004-03-24
2012-01-06
2501.542 PIMCO TOTAL RETURN FUND 35
2006-05-30
2012-01-06
110. PEPSICO INCORPORATED
2012-01-06
110. PFIZER INCORPORATED
2011-07-20
2012-01-06
20. POLARIS INDUSTRIES INC
2011-08-31
2012-01-06
40. PROCTOR AND GAMBLE COMPANY
2010-07-20
2012-01-06
40. QUALCOMM INC COMMON
2011-08-31
2012-01-06
25. RALCORP HLDGS INC NEW
2011-08-31
2012-01-06
10. ROPER INDS INC COMMON
2011-08-31
2012-01-06
60. ST JUDE MEDICAL INC COMMON
2010-04-26
2012-01-06
60. SCHLUMBERGER LTD
2003-04-04
2012-01-06
80. AMEX FINANCIAL SELECT SPDR
2011-08-10
2012-01-06
40. UTILITIES SELECT SECTOR SPDR FUND
2010-02-18
2012-01-06
400. SOUTHWEST AIRLINES
2012-01-06
100. SOUTHWEST AIRLINES
2010-10-07
2012-01-06
320. STAPLES INC COMMON
2012-01-06
60. STRYKER CORP COMMON
2011-10-27
2012-01-06
120. SUNCOR ENERGY, INC
2012-01-06
130. SYSCO CORPORATION
2011-10-27
2012-01-06
20. TARGET CORP COM
2010-07-20
2012-01-06
90. TARGET CORP COM
2011-01-11
2012-01-06
160. TEXAS INSTRUMENTS INCORPORATED
2012-01-06
20. THERMO ELECTRON COMMON
2011-02-23
2012-01-06
20. TOWERS WATSON & COMPANY COMMON
2011-08-10
2012-01-06
60. THE TRAVELERS COMPANIES INC.
2009-07-15
2012-01-06
55. TRIPADVISOR INC. COMMON
2012-01-06
25. UNION PACIFIC CORP
2011-10-27
2012-01-06
20. WABCO HOLDINGS INC COMMON
2011-08-10
2012-01-06
50. WAL MART STORES INCORPORATED
2010-05-20
2012-01-06
80. WELLS FARGO & CO NEW
2007-11-28
2012-01-06
210. WEYERHAEUSER COMPANY
2012-01-06
20. WOLVERINE WORLD WIDE INC COMMON
2011-07-20
2012-01-06
30. WOLVERINE WORLD WIDE INC COMMON
2009-11-18
2012-01-06
60. TE CONNECTIVITY LTD
2012-01-06
.439 LIBERTY MEDIA CORP -LIBERTY CAPITAL COMM
2011-05-06
2012-01-09
30. ROCK-TENN CO
2010-02-18
2012-02-13
10. ROCK-TENN CO
2011-07-20
2012-02-13
50. SOLUTIA INC COMMON
2010-07-20
2012-02-13
90. SOLUTIA INC COMMON
2012-02-13
50000. US TREASURY NOTE 4.875% DUE 2/15/12
2003-09-02
2012-02-15
160. ALCOA INC
2011-01-11
2012-02-16
50. AMGEN INCORPORATED
2012-02-16
120. ASSOCIATED ESTATE REALITY CP REITS
2012-02-16
20. BE AEROSPACE INC COMMON
2011-05-06
2012-02-16
50. CVS CORP COMMON
2011-08-31
2012-02-16
90. CARMAX INC. COMMON
2012-02-16
60. CASH AMERICAN INVESTMENT, INC. COMMON
2012-02-16
20. CONOCOPHILLIPS COM
2004-03-17
2012-02-16
30. EQT CORPORATION COMMON
2012-01-06
2012-02-16
25. FOSSIL INC COM
2012-01-06
2012-02-16
5. INTERCONTINENTALEXCHANGE INC COMMON
2011-01-11
2012-02-16
10. INTERCONTINENTALEXCHANGE INC COMMON
2011-05-06
2012-02-16
30. LABORATORY CORP OF AMERICAN HOLDINGS
2012-02-16
30. LAM RESH CORP
2012-01-06
2012-02-16
60. LOWES COMPANIES INCORPORATED
2010-10-28
2012-02-16
70. MEDTRONIC INC
2012-02-16
70. PLANTRONICS INC COMMON
2012-02-16
140. SLM CORPORATION COMMON
2012-02-16
40. SLM CORPORATION COMMON
2012-01-06
2012-02-16
170. AMEX FINANCIAL SELECT SPDR
2012-02-16
30. UTILITIES SELECT SECTOR SPDR FUND
2010-02-18
2012-02-16
60. SOTHEBY'S HOLDINGS -CL A
2012-01-06
2012-02-16
20. WAL MART STORES INCORPORATED
2010-05-20
2012-02-16
50. WYNDHAM WORLDWIDE CORP
2012-02-16
140. CHINA UNICOM - AR
2012-01-06
2012-05-15
140. CHINA UNICOM - AR
2012-05-15
60. COMERICA, INC. COMMON
2012-01-06
2012-05-15
40. CULLEN/FROST BANKERS INC COMMON
2012-05-15
40. GARDNER DENVER MACHINE COMMON
2012-05-15
40. MEDNAX INC COMMON
2012-05-15
10. PHILLIPS 66 COMMON
2009-07-15
2012-05-15
40. ROSETTA RESOURCES INC COMMON
2011-08-31
2012-05-15
50. TIM HORTONS INC COMMON
2012-05-15
30. AMPHENOL CORP CL A
2009-07-15
2012-06-26
10. AMPHENOL CORP CL A
2012-01-06
2012-06-26
20. AMPHENOL CORP CL A
2011-01-11
2012-06-26
4. APPLE COMPUTER CORPORATION COMMON
2010-07-20
2012-06-26
120. BAKER HUGHES INCORPORATED
2012-06-26
10. BIO-RAD LABS CLASS A
2010-08-06
2012-06-26
10. BIO-RAD LABS CLASS A
2012-01-06
2012-06-26
10. CANADIAN NAT RES LTD
2012-01-06
2012-06-26
70. CANADIAN NAT RES LTD
2009-07-15
2012-06-26
40. CHURCH & DWIGHT CO
2012-01-06
2012-06-26
50. COMCAST CORP NEW CL A
2007-11-28
2012-06-26
20. CONOCOPHILLIPS COM
2009-07-15
2012-06-26
110. CROWN HOLDINGS INC COMMON
2012-06-26
50. DU PONT E I DE NEMOURS & COMPANY
2011-10-27
2012-06-26
40. FREEPORT-MCM COPR GOLD CL B
2012-06-26
160. GRAPHIC PACKAGING HOLDING CO COMMON
2011-07-20
2012-06-26
320. GRAPHIC PACKAGING HOLDING CO COMMON
2012-06-26
50. J. B. HUNT
2012-06-26
80. KELLOGG COMPANY
2012-06-26
70. KOHLS CORP COMMON
2011-10-27
2012-06-26
20. LOWES COMPANIES INCORPORATED
2010-10-28
2012-06-26
40. LOWES COMPANIES INCORPORATED
2011-01-11
2012-06-26
130. MDC PARTNERS INC CLASS A COMMON
2012-01-06
2012-06-26
70. NASDAQ OMX GROUP COMMON
2012-02-16
2012-06-26
30. PEPSICO INCORPORATED
2012-06-26
10. PIONEER NAT RES CO COMMON
2012-02-16
2012-06-26
20. PROASSURANCE CORP COMMON
2009-07-15
2012-06-26
90. ST JUDE MEDICAL INC COMMON
2011-06-01
2012-06-26
30. STRYKER CORP COMMON
2011-10-27
2012-06-26
110. SYSCO CORPORATION
2011-10-27
2012-06-26
60. TEXAS INSTRUMENTS INCORPORATED
2010-12-16
2012-06-26
40. TIDEWATER INC COMMON
2012-06-26
20. TIDEWATER INC COMMON
2011-05-19
2012-06-26
80. VAIL RESORTS COMMON
2012-06-26
70. VERISK ANALYTICS INC COMMON
2012-01-06
2012-06-26
110. WASTE CONNECTIONS
2012-06-26
50. JOHN WILEY & SONS INC. CLASS A
2012-06-26
40. WYNDHAM WORLDWIDE CORP
2012-06-26
10. YARA INTERNATIONAL ASA ADR
2011-01-11
2012-06-26
30. YARA INTERNATIONAL ASA ADR
2010-12-16
2012-06-26
50. CHECKPOINT SOFTWARE TECHNOLOGY COMMON
2012-06-26
50000. FED NATL MTG ASSN DTD 7/26/02 5.25% 08/0
2006-08-24
2012-08-01
70. ABB LTD SPONSORED ADR
2012-01-06
2012-08-03
70. ABB LTD SPONSORED ADR
2009-07-15
2012-08-03
40. ABB LTD SPONSORED ADR
2011-01-11
2012-08-03
40. AUTOLIV INC COMMON
2010-05-20
2012-08-03
130. BRUNSWICK CORPORATION COMMON
2012-06-26
2012-08-03
60. CANADIAN NAT RES LTD
2012-01-06
2012-08-03
30. CEPHEID INC COMMON
2012-01-06
2012-08-03
40. CEPHEID INC COMMON
2011-05-06
2012-08-03
90. DISNEY WALT COMPANY
2004-08-19
2012-08-03
60. DONALDSON CO, INC COMMON
2012-06-26
2012-08-03
60. FEI COMPANY COMMON
2012-06-26
2012-08-03
20. FEDEX CORPORATION
2011-07-20
2012-08-03
15. FEDEX CORPORATION
2011-07-20
2012-08-03
130. FIFTH THIRD BANCORP
2012-01-06
2012-08-03
200. INTERNATIONAL GAME TECHNOLOGY
2012-06-26
2012-08-03
170. SLM CORPORATION COMMON
2012-08-03
60. STRYKER CORP COMMON
2011-10-27
2012-08-03
30. THE TRAVELERS COMPANIES INC.
2009-07-15
2012-08-03
50. THE TRAVELERS COMPANIES INC.
2011-10-27
2012-08-03
10. WAL MART STORES INCORPORATED
2011-05-06
2012-08-03
20. WAL MART STORES INCORPORATED
2010-08-17
2012-08-03
40. WELLCARE HEALTH PLANS INC COMMON
2012-06-26
2012-08-03
60. SIGNET JEWELERS LTD
2012-08-03
40. ALLIED WORLD ASSURANCE COMPANY HOLDINGS
2010-02-18
2012-08-03
60. ACACIA RESEARCH COMMON
2012-01-06
2012-08-23
30. ACACIA RESEARCH COMMON
2011-07-20
2012-08-23
40. ADVANCED AUTO PTS INC COM
2012-06-26
2012-08-23
70. AGILENT TECHNOLOGIES
2012-01-06
2012-08-23
120. AMETEK INC COMMON
2012-08-23
70. AMPHENOL CORP CL A
2012-08-23
60. ANSYS INC COMMON
2012-08-23
120. ASCENA RETAIL GROUP INC COMMON
2012-01-06
2012-08-23
60. ASHLAND INC COMMON
2012-06-26
2012-08-23
230. ASPEN TECH COMMON
2012-08-23
40. BE AEROSPACE INC COMMON
2012-06-26
2012-08-23
50. BE AEROSPACE INC COMMON
2012-08-23
70. BORGWARNER AUTOMOTIVE INC COMMON
2012-08-23
70. CIGNA COMMON
2012-08-03
2012-08-23
90. CARDTRONICS INC COMMON
2012-08-23
50. CHARTER COMUNICATIONS INC A COMMON
2012-02-16
2012-08-23
90. CUBIST PHARMACEUTICALS
2012-08-23
40. DAVITA INC
2012-08-23
110. DISH NETWORK CORP A COMMON
2012-08-23
30. EQT CORPORATION COMMON
2012-08-03
2012-08-23
50. ELIZABETH ARDEN, INC.
2012-06-26
2012-08-23
30. EVERCORE PARTNERS INC-CL A COMMON
2012-01-06
2012-08-23
60. EVERCORE PARTNERS INC-CL A COMMON
2012-08-23
140. FIRST FINANCIAL BANCORP
2012-06-26
2012-08-23
70. FIRST REPUBLIC BANK COMMON
2012-08-03
2012-08-23
140. FLOWERS FOOD INC WI
2012-01-06
2012-08-23
170. FOREST CITY ENTERPRISES - CL A
2012-08-23
80. GENERAL ELECTRIC COMPANY
2010-05-20
2012-08-23
420. GRAPHIC PACKAGING HOLDING CO COMMON
2012-08-23
20. GRAPHIC PACKAGING HOLDING CO COMMON
2011-07-20
2012-08-23
120. HEXCEL CORPORATION
2012-08-23
70. J. B. HUNT
2012-08-23
60. IAC/INTERACTIVE CORP COMMON
2012-08-23
60. IAC/INTERACTIVE CORP COMMON
2012-08-23
15. INTERCONTINENTALEXCHANGE INC COMMON
2012-06-26
2012-08-23
30. ITC HOLDINGS CORP COMMON
2012-08-23
20. ITC HOLDINGS CORP COMMON
2011-08-10
2012-08-23
20. LAM RESH CORP
2012-01-06
2012-08-23
100. LAREDO PETROLEUM HOLDINGS INC COMMON
2012-06-26
2012-08-23
100. LASALLE HOTEL PPTYS COM SH BEN INT
2012-01-06
2012-08-23
10. LIBERTY MEDIA CORP -LIBERTY CAPITAL COMM
2012-01-06
2012-08-23
26. LIBERTY MEDIA CORP -LIBERTY CAPITAL COMM
2012-08-23
30. MSC INDUSTRIAL DIRECT INC CLASS A COMMON
2011-10-27
2012-08-23
90. MSCI INC A COMMON
2012-08-03
2012-08-23
80. STEVEN MADDEN LTD COMMON
2012-06-26
2012-08-23
60. MICROSOFT CORPORATION
2004-03-24
2012-08-23
50. MID-AMERICA APARTMENT COMM. INC. REIT
2012-08-23
130. MONOTYPE IMAGING HOLDINGS INC COMMON
2009-07-15
2012-08-23
70. MONOTYPE IMAGING HOLDINGS INC COMMON
2011-08-10
2012-08-23
50. MONOTYPE IMAGING HOLDINGS INC COMMON
2012-01-06
2012-08-23
150. MYLAN LABORATORIES
2012-08-23
30. OIL STATES INTERNATIONAL INC COM
2012-08-23
15. OIL STATES INTERNATIONAL INC COM
2012-01-06
2012-08-23
50. ORACLE SYSTEM CORPORATION
2012-08-23
30. ORACLE SYSTEM CORPORATION
2011-08-31
2012-08-23
70. OXFORD INDS INC COMMON
2012-06-26
2012-08-23
50. PALL CORPORATION COMMON
2012-01-06
2012-08-23
50. PROASSURANCE CORP COMMON
2012-08-23
30. RAYONIER INC COMMON
2012-01-06
2012-08-23
30. RAYONIER INC COMMON
2009-07-15
2012-08-23
100. RELIANCE STEEL & ALUMINUM
2012-08-23
30. ROPER INDS INC COMMON
2012-06-26
2012-08-23
150. SLM CORPORATION COMMON
2012-06-26
2012-08-23
50. ST JUDE MEDICAL INC COMMON
2011-07-20
2012-08-23
80. TEAM HEALTH HOLDINGS, INC. COMMON
2012-08-23
50. TERADATA CORP COMMON
2012-01-06
2012-08-23
100. TESCO CORP
2012-08-23
50. TESCO CORP
2010-09-23
2012-08-23
150. TESCO CORP
2012-06-26
2012-08-23
40. VALSPAR CORP COMMON
2012-08-03
2012-08-23
40. WESCO INTERNATIONAL INC COMMON
2012-06-26
2012-08-23
70. WESTAR ENERGY, INC. COMMON STOCK
2012-08-03
2012-08-23
10. JOHN WILEY & SONS INC. CLASS A
2010-07-20
2012-08-23
30. JOHN WILEY & SONS INC. CLASS A
2012-01-06
2012-08-23
10. WYNDHAM WORLDWIDE CORP
2011-08-10
2012-08-23
30. WYNDHAM WORLDWIDE CORP
2012-01-06
2012-08-23
90. ROWAN COMPANIES PLC
2012-06-26
2012-08-23
40. SIGNET JEWELERS LTD
2012-06-26
2012-08-23
40. ALLIED WORLD ASSURANCE COMPANY HOLDINGS
2012-01-06
2012-08-23
100. NIELSON HOLDINGS N.V.
2012-08-23
40. AVAGO TECHNOLOGIES LTD
2011-08-10
2012-08-23
40. AVAGO TECHNOLOGIES LTD
2012-08-23
.333 KRAFT FOODS GROUP INC COMMON
2010-05-20
2012-10-19
180. DANONE SPONS ADR
2009-07-15
2012-10-25
170. DANONE SPONS ADR
2012-01-06
2012-10-25
90. DIRECTV COMMON
2012-06-26
2012-10-25
4. GOOGLE INC CL A
2012-10-25
100. LOWES COMPANIES INCORPORATED
2011-08-10
2012-10-25
50. MEDTRONIC INC
2010-09-23
2012-10-25
30. MITSUBISHI CORPORATION
2012-01-06
2012-10-25
20. MITSUBISHI CORPORATION
2011-07-20
2012-10-25
70. NISSAN COMMON STOCK
2010-07-20
2012-10-25
20. NISSAN COMMON STOCK
2011-08-10
2012-10-25
50. POTASH CORP SASKATCHEWAN
2012-01-06
2012-10-25
45. POTASH CORP SASKATCHEWAN
2010-07-20
2012-10-25
50. PRICE GROUP INC FORMERLY AKA PRICE TO ROWE & ASSOC
2012-01-06
2012-10-25
120. TEXAS INSTRUMENTS INCORPORATED
2012-10-25
20. UNION PACIFIC CORP
2011-10-27
2012-10-25
90. VIACOM INC NEW CL B
2012-06-26
2012-10-25
5. WESTPAC BANKING LTD COM
2011-10-27
2012-10-25
15. WESTPAC BANKING LTD COM
2009-07-15
2012-10-25
140. WEYERHAEUSER COMPANY
2012-10-25
120. XYLEM INC COMMON
2012-01-06
2012-10-25
50. AVAGO TECHNOLOGIES LTD
2012-10-25
70. AGCO CORPORATION COMMON
2012-08-23
2012-12-11
60. AUSTRALIA & NEW ZEALAND BKG GROUP LTD SP
2012-12-11
70. AVNET INCORPORATED
2012-12-11
40. BG GROUP PLC SPON ADR
2011-07-20
2012-12-11
50. BG GROUP PLC SPON ADR
2009-07-15
2012-12-11
50. BARRICK GOLD CORP. EFF. 1-18-95
2012-01-06
2012-12-11
25. BRITISH AMERICAN TOB COMMON
2012-12-11
60. COMCAST CORP NEW CL A
2007-11-28
2012-12-11
100. DENBURY RESOURCES INC COMMON
2012-08-23
2012-12-11
60. EMC CORPORATION COMMON
2011-10-27
2012-12-11
1424.208 FEDERATED INTERMEDIATE FUND 303
2008-12-02
2012-12-11
100. GENERAL ELECTRIC COMPANY
2010-05-20
2012-12-11
80. HUTCHINSON WHAMPIA ADR
2012-12-11
10. INTEL CORPORATION
2012-06-26
2012-12-11
120. INTEL CORPORATION
2006-05-26
2012-12-11
40. KELLOGG COMPANY
2012-08-03
2012-12-11
100. MEADWESTVACO CORP.
2012-08-23
2012-12-11
16. NOVO-NORDISK A S ADR
2009-07-15
2012-12-11
50. ST JUDE MEDICAL INC COMMON
2012-08-03
2012-12-11
80. ST JUDE MEDICAL INC COMMON
2011-07-20
2012-12-11
100. AMEX FINANCIAL SELECT SPDR
2012-10-25
2012-12-11
60. AMEX FINANCIAL SELECT SPDR
2011-10-27
2012-12-11
100. SUNCOR ENERGY, INC
2012-12-11
50. SUNCOR ENERGY, INC
2010-05-20
2012-12-11
50. UNITED OVERSEAS BANK - SP ADR
2011-08-31
2012-12-11
50. UNITED OVERSEAS BANK - SP ADR
2012-01-06
2012-12-11
60. VODAFONE GROUP PLC NEW SP ADR
2011-08-10
2012-12-11
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
1,489
1,191
298
b
4,383
6,931
-2,548
c
1,931
1,522
409
d
3,879
3,459
420
e
4,133
3,964
169
7,571
4,442
3,129
3,442
2,623
819
4,976
4,291
685
2,763
2,851
-88
2,331
2,182
149
3,248
1,585
1,663
3,210
3,509
-299
2,832
2,646
186
3,440
3,447
-7
5,190
4,194
996
1,455
703
752
3,083
3,677
-594
5,959
3,311
2,648
33,344
33,194
150
2,762
2,950
-188
878
999
-121
1,631
1,506
125
3,941
3,648
293
4,269
4,190
79
815
820
-5
699
794
-95
8,930
15,463
-6,533
6,525
2,582
3,943
3,303
2,854
449
3,527
2,556
971
1,829
1,011
818
5,279
5,424
-145
4,527
4,065
462
1,512
1,658
-146
4,190
4,921
-731
6,376
5,399
977
1,573
1,284
289
3,109
3,471
-362
3,848
2,750
1,098
5,955
7,164
-1,209
7,267
6,344
923
799
1,311
-512
890
1,065
-175
3,226
1,385
1,841
27,267
25,666
1,601
7,205
5,180
2,025
2,381
2,202
179
1,156
1,098
58
2,654
2,460
194
2,239
2,050
189
2,156
2,165
-9
897
769
128
2,098
2,461
-363
4,062
1,133
2,929
1,069
1,009
60
1,400
1,171
229
3,424
4,900
-1,476
856
1,297
-441
4,697
5,734
-1,037
3,115
2,977
138
3,634
3,635
-1
3,750
3,608
142
983
1,004
-21
4,425
4,976
-551
4,712
4,554
158
940
1,105
-165
1,161
1,075
86
3,574
2,417
1,157
1,406
1,506
-100
2,686
2,590
96
927
959
-32
2,956
2,606
350
2,294
2,476
-182
3,974
4,663
-689
692
800
-108
1,037
803
234
1,918
1,758
160
34
39
-5
2,092
1,225
867
697
619
78
1,400
660
740
2,521
1,774
747
50,000
51,600
-1,600
1,613
2,610
-997
3,414
2,875
539
1,829
2,033
-204
923
744
179
2,179
1,788
391
2,617
2,545
72
2,729
3,058
-329
1,457
703
754
1,509
1,678
-169
2,924
1,980
944
660
566
94
1,319
1,173
146
2,615
2,499
116
1,255
1,132
123
1,644
1,284
360
2,743
2,639
104
2,628
2,522
106
2,220
1,629
591
634
559
75
2,448
2,236
212
1,041
878
163
2,315
1,738
577
1,235
1,042
193
2,139
1,690
449
2,240
2,995
-755
2,240
1,728
512
1,810
1,667
143
2,292
2,114
178
2,326
3,061
-735
2,545
2,702
-157
315
190
125
1,638
1,817
-179
2,718
2,457
261
1,604
1,013
591
535
463
72
1,069
1,047
22
2,282
986
1,296
4,570
6,755
-2,185
969
902
67
969
987
-18
259
377
-118
1,813
1,887
-74
2,153
1,844
309
1,530
999
531
1,072
640
432
3,672
3,867
-195
2,443
2,458
-15
1,260
2,021
-761
817
832
-15
1,634
1,706
-72
2,846
2,141
705
3,882
4,369
-487
3,043
3,828
-785
547
428
119
1,095
978
117
1,286
1,708
-422
1,490
1,838
-348
2,071
1,652
419
807
1,136
-329
1,721
950
771
3,385
4,487
-1,102
1,617
1,488
129
3,161
3,053
108
1,620
1,953
-333
1,748
2,105
-357
874
1,120
-246
3,823
3,149
674
3,322
2,745
577
3,206
3,457
-251
2,397
1,704
693
2,049
1,230
819
415
570
-155
1,246
1,616
-370
2,450
2,643
-193
50,000
49,909
91
1,256
1,346
-90
1,256
1,133
123
718
893
-175
2,246
1,792
454
2,747
2,661
86
1,677
2,265
-588
988
1,047
-59
1,317
1,224
93
4,480
1,987
2,493
2,074
1,892
182
3,161
2,842
319
1,794
1,852
-58
1,345
1,389
-44
1,834
1,755
79
2,242
3,040
-798
2,732
2,390
342
3,156
2,977
179
1,919
1,209
710
3,199
2,972
227
746
551
195
1,492
1,033
459
2,241
2,001
240
2,617
2,717
-100
3,176
1,840
1,336
1,462
2,135
-673
731
1,295
-564
2,878
2,632
246
2,609
2,619
-10
4,130
3,556
574
4,287
3,640
647
4,056
3,340
716
2,311
1,957
354
4,437
4,116
321
5,493
3,963
1,530
1,554
1,667
-113
1,942
1,695
247
4,890
4,769
121
3,098
2,990
108
2,703
2,316
387
3,804
3,110
694
4,025
3,698
327
3,856
3,003
853
3,511
2,934
577
1,660
1,636
24
2,262
1,902
360
764
815
-51
1,529
2,009
-480
2,326
2,142
184
2,272
2,265
7
2,818
2,618
200
2,511
2,216
295
1,653
1,324
329
2,333
2,063
270
111
104
7
2,757
2,989
-232
3,790
3,439
351
3,085
2,182
903
3,085
2,506
579
2,039
2,007
32
2,152
2,227
-75
1,434
1,368
66
694
755
-61
2,199
1,939
260
2,774
2,518
256
1,033
816
217
2,686
2,139
547
2,105
2,129
-24
3,179
2,976
203
3,431
2,816
615
1,815
1,464
351
3,387
3,138
249
1,891
914
977
1,018
758
260
727
759
-32
3,523
3,291
232
2,352
2,247
105
1,176
1,155
21
1,583
1,081
502
950
837
113
3,457
3,082
375
2,763
2,801
-38
4,489
4,297
192
1,445
1,355
90
1,445
721
724
5,284
4,929
355
3,129
2,878
251
2,349
2,200
149
1,869
2,393
-524
2,225
1,698
527
3,746
2,397
1,349
1,037
1,776
-739
518
585
-67
1,555
1,611
-56
2,109
2,001
108
2,368
2,182
186
2,039
2,143
-104
480
388
92
1,441
1,361
80
509
279
230
1,528
1,131
397
3,223
2,651
572
1,906
1,665
241
3,096
2,518
578
2,814
2,941
-127
1,441
1,192
249
1,441
1,334
107
16
10
6
2,153
1,832
321
2,033
2,091
-58
4,602
4,181
421
2,710
2,294
416
3,201
1,846
1,355
2,086
1,671
415
1,060
1,197
-137
707
1,125
-418
1,221
981
240
349
377
-28
2,018
2,100
-82
1,816
1,461
355
3,238
2,951
287
3,365
3,434
-69
2,420
2,072
348
4,813
4,166
647
654
621
33
1,962
1,226
736
3,802
2,989
813
2,866
3,036
-170
1,676
1,734
-58
3,383
3,011
372
1,575
1,225
350
2,157
2,576
-419
683
907
-224
853
852
1
1,710
2,374
-664
2,607
1,455
1,152
2,237
1,198
1,039
1,600
1,566
34
1,526
1,498
28
14,712
12,334
2,378
2,161
1,655
506
1,644
1,845
-201
206
261
-55
2,471
2,191
280
2,258
2,020
238
3,097
2,870
227
2,602
876
1,726
1,793
1,889
-96
2,869
4,352
-1,483
1,607
1,591
16
964
848
116
3,256
3,762
-506
1,628
1,421
207
1,596
1,523
73
1,596
1,197
399
1,557
1,531
26
80
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
298
b
-2,548
c
409
d
420
e
169
3,129
819
685
-88
149
1,663
-299
186
-7
996
752
-594
2,648
150
-188
-121
125
293
79
-5
-95
-6,533
3,943
449
971
818
-145
462
-146
-731
977
289
-362
1,098
-1,209
923
-512
-175
1,841
1,601
2,025
179
58
194
189
-9
128
-363
2,929
60
229
-1,476
-441
-1,037
138
-1
142
-21
-551
158
-165
86
1,157
-100
96
-32
350
-182
-689
-108
234
160
-5
867
78
740
747
-1,600
-997
539
-204
179
391
72
-329
754
-169
944
94
146
116
123
360
104
106
591
75
212
163
577
193
449
-755
512
143
178
-735
-157
125
-179
261
591
72
22
1,296
-2,185
67
-18
-118
-74
309
531
432
-195
-15
-761
-15
-72
705
-487
-785
119
117
-422
-348
419
-329
771
-1,102
129
108
-333
-357
-246
674
577
-251
693
819
-155
-370
-193
91
-90
123
-175
454
86
-588
-59
93
2,493
182
319
-58
-44
79
-798
342
179
710
227
195
459
240
-100
1,336
-673
-564
246
-10
574
647
716
354
321
1,530
-113
247
121
108
387
694
327
853
577
24
360
-51
-480
184
7
200
295
329
270
7
-232
351
903
579
32
-75
66
-61
260
256
217
547
-24
203
615
351
249
977
260
-32
232
105
21
502
113
375
-38
192
90
724
355
251
149
-524
527
1,349
-739
-67
-56
108
186
-104
92
80
230
397
572
241
578
-127
249
107
6
321
-58
421
416
1,355
415
-137
-418
240
-28
-82
355
287
-69
348
647
33
736
813
-170
-58
372
350
-419
-224
1
-664
1,152
1,039
34
28
2,378
506
-201
-55
280
238
227
1,726
-96
-1,483
16
116
-506
207
73
399
26
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
65,001
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
2010
2009
2008
2007
2
Total
of line 1, column (d)
......................
2
3
Average distribution ratio for the 5-year base period—divide the total on line 2 by 5, or by
the number of years the foundation has been in existence if less than 5 years
.
.
.
3
4
Enter the net value of noncharitable-use assets for 2012 from Part X, line 5
.....
4
5
Multiply line 4 by line 3
.......................
5
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
7
Add lines 5 and 6
.........................
7
8
Enter qualifying distributions from Part XII, line 4
..............
8
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See
the Part VI instructions.
Form
990-PF
(2012)
Form 990-PF (2012)
Page
4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see page 18 of the instructions)
1a
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
1,875
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
1,875
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
1,875
6
Credits/Payments:
a
2012 estimated tax payments and 2011 overpayment credited to 2012
6a
1,800
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
1,800
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
75
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)
MD
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.
(410) 626-6118
Located at
23 WEST STREET
ANNAPOLIS
MD
ZIP+4
214012420
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
22,529
23 WEST STREET
ANNAPOLIS
,
MD
214012420
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
1,568,982
b
Average of monthly cash balances
.......................
1b
33,472
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
1,602,454
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
1,602,454
4
Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see
instructions)
.............................
4
24,037
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
1,578,417
6
Minimum investment return.
Enter 5% of line 5
..................
6
78,921
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
78,921
2a
Tax on investment income for 2012 from Part VI, line 5
......
2a
1,875
b
Income tax for 2012. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
1,875
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
77,046
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
77,046
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
77,046
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
78,041
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
78,041
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
78,041
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
77,046
2
Undistributed income, if any, as of the end of 2012:
a
Enter amount for 2011 only
.......
78,041
b
Total for prior years:
2010
,
20
,
20
0
3
Excess distributions carryover, if any, to 2012:
a
From 2007
.......
0
b
From 2008
.......
0
c
From 2009
.......
0
d
From 2010
.......
0
e
From 2011
.......
0
f
Total
of lines 3a through e
.........
0
4
Qualifying distributions for 2012 from Part
XII, line 4:
$
78,041
a
Applied to 2011, but not more than line 2a
78,041
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
.....
0
e
Remaining amount distributed out of corpus
0
5
Excess distributions carryover applied to 2012.
0
0
(If an amount appears in column (d), the
same amount must be shown in column (a).)
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
..........
77,046
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 of the person to whom applications should be addressed:
b
The form in which applications should be submitted and information and materials they should include:
c
Any submission deadlines:
d
Any 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)
a
Paid during the year
UNITED STATES NAVAL ACADEMY
ATTN MRS MONA QUINN
COMPTROLLER DEPT-181 WAINWRIGHT
ANNAPOLIS
,
MD
214025008
NONE
EXEMPT
SCHOLARSHIPS
78,041
Total
.................................
3a
78,041
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
3,844
4
Dividends and interest from securities
....
14
48,200
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
65,001
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
..
11
Other revenue:
a
LITIGATION PROCEED
14
3
b
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
117,048
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
117,048
(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:
CAPTAIN W J DIMITRIJEVIC MEMORIAL TRUST
EIN:
52-6432623
Description
Amount
DIFF IN MUTUAL FDS REC/REPORTED
726
-
TIN:
TY 2012 OtherIncreasesSchedule
Name:
CAPTAIN W J DIMITRIJEVIC MEMORIAL TRUST
EIN:
52-6432623
Description
Amount
ADJUSTMENT FOR ROUNDING
7