Form990-PF
Click to see attachment

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

Number and street (or P.O. box number if mail is not delivered to street address)FIRST MIDWEST BANK 3510 W ELM ST   Room/suite
City or town, state, and ZIP code
MCHENRY, IL60050
A Employer identification number

36-3756004
B Telephone number (see instructions)

(847) 615-4540
C bullet
G Check all that apply:

D 1. bullet
2. bullet
H Check type of organization:
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$1,251,506
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
E bullet
F bullet
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet
3 Interest on savings and temporary cash investments 5 5  
4 Dividends and interest from securities...... 36,771 36,771  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 53,452
b Gross sales price for all assets on line 6a 571,365
7 Capital gain net income (from Part IV, line 2)... 53,452
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 90,228 90,228  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 14,697 14,697    
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 4,325 4,325    
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions) 1,467      
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule).......        
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 20,489 19,022   0
25 Contributions, gifts, grants paid........ 54,750 54,750
26 Total expenses and disbursements. Add lines 24 and 25 75,239 19,022   54,750
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 14,989
b Net investment income (if negative, enter -0-) 71,206
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2012)
Form 990-PF (2012)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing...............      
2 Savings and temporary cash investments.......... 41,972 36,286 36,286
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see page 15 of the
instructions)....................      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use...............      
9 Prepaid expenses and deferred charges...........      
10a Investments—U.S. and state government obligations (attach schedule) 332,454 Click to see attachment373,420 391,086
b Investments—corporate stock (attach schedule)........ 381,615 Click to see attachment397,117 498,874
c Investments—corporate bonds (attach schedule)........ 342,166 Click to see attachment306,373 325,260
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)...........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 1,098,207 1,113,196 1,251,506
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable...................    
19 Deferred revenue..................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)..........   0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted....................    
25 Temporarily restricted................    
26 Permanently restricted................    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds......... 964,330 964,330
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds 133,877 148,866
30 Total net assets or fund balances (see page 17 of the
instructions).................... 1,098,207 1,113,196
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 1,098,207 1,113,196
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 1,098,207
2 Enter amount from Part I, line 27a..................... 2 14,989
3 Other increases not included in line 2 (itemize) bullet 3  
4 Add lines 1, 2, and 3.......................... 4 1,113,196
5 Decreases not included in line 2 (itemize) bullet 5  
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 1,113,196
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 190 PERKINELMER INC P 2012-02-14 2012-06-25
b 19 PARKER HANNIFIN CORP P 2012-05-08 2012-10-24
c 10 INTEL CORP P 2010-06-25 2012-09-17
d 70 NABORS INDUSTRIES P 2012-03-23 2012-03-28
e 40 HERBALIFE LTD P 2012-08-01 2012-08-09
40 HERBALIFE LTD P 2011-08-08 2012-05-23
20 HERBALIFE LTD P 2011-09-22 2012-05-23
10 HERBALIFE LTD P 2012-02-14 2012-05-23
20 ACCENTURE LTD SHS CL A P 2011-08-08 2012-05-08
20 ACCENTURE LTD SHS CL A P 2011-06-09 2012-05-08
20 ACCENTURE LTD SHS CL A P 2011-05-04 2012-05-08
10 ACCENTURE LTD SHS CL A P 2011-05-04 2012-02-14
10 YUM BRANDS INC P 2012-06-07 2012-08-01
30 YUM BRANDS INC P 2012-05-08 2012-08-01
10 WYNDHAM WORLDWIDE CORP P 2011-08-08 2012-11-14
10 WYNDHAM WORLDWIDE CORP P 2011-03-21 2012-11-14
20 WYNDHAM WORLDWIDE CORP P 2009-09-10 2012-02-14
10 WYNDHAM WORLDWIDE CORP P 2010-12-27 2012-02-14
40 WESTERN UNION CO P 2011-09-22 2012-02-14
130 WESTERN UNION CO P 2011-09-08 2012-02-14
20 WELLS FARGO & CO P 2010-12-10 2012-02-14
10 VIACOM INC P 2012-05-23 2012-09-06
20 VIACOM INC P 2012-06-07 2012-09-06
30 VIACOM INC P 2010-02-10 2012-09-06
30 VIACOM INC P 2009-11-19 2012-09-06
20 VIACOM INC P 2011-03-21 2012-09-06
20 VIACOM INC P 2011-08-15 2012-09-06
10 VIACOM INC P 2009-11-19 2012-02-14
10 VERIZON COMMUNICATIONS COM P 2011-08-08 2012-03-20
50 VERIZON COMMUNICATIONS COM P 2011-08-08 2012-02-14
70 VARIAN MEDICAL SYSTEMS INC P 2011-12-06 2012-05-08
10 VARIAN MEDICAL SYSTEMS INC P 2011-12-06 2012-02-14
20 UNITEDHEALTH GROUP INC COM P 2011-02-08 2012-02-14
10 UNITED TECHNOLOGIES P 2012-05-08 2012-06-07
10 UNITED TECHNOLOGIES P 2012-03-29 2012-06-07
40 UNITED TECHNOLOGIES P 2009-11-19 2012-06-07
10 UNITED TECHNOLOGIES P 2010-07-27 2012-06-07
10 UNITED TECHNOLOGIES P 2011-05-04 2012-06-07
10 UNITED TECHNOLOGIES P 2010-07-27 2012-02-14
20 UNITED STS STL CORP P 2012-05-08 2012-06-13
40 UNITED STS STL CORP P 2012-03-21 2012-06-13
30 ULTA SALON COSMETICS P 2012-09-06 2012-12-12
10 ULTA SALON COSMETICS P 2012-12-06 2012-12-12
20 ULTA SALON COSMETICS P 2012-09-06 2012-11-14
60 US BANCORP DEL P 2010-12-10 2012-09-06
10 US BANCORP DEL P 2011-03-21 2012-05-08
50 US BANCORP DEL P 2010-12-10 2012-02-14
10 TRAVELERS COMPANIES INC P 2012-10-26 2012-11-14
10 TRAVELERS COMPANIES INC P 2011-03-21 2012-03-20
10 TRAVELERS COMPANIES INC P 2009-02-18 2012-03-20
20 TRAVELERS COMPANIES INC P 2008-11-05 2012-03-20
10 TRAVELERS COMPANIES INC P 2010-06-25 2012-03-20
30 TRAVELERS COMPANIES INC P 2011-02-08 2012-03-20
10 TRAVELERS COMPANIES INC P 2011-02-08 2012-02-14
5 TORCHMARK CORP P 2010-12-27 2012-10-04
15 TORCHMARK CORP P 2011-02-08 2012-10-04
10 TORCHMARK CORP P 2011-02-08 2012-09-06
10 TORCHMARK CORP P 2011-02-08 2012-05-08
10 TORCHMARK CORP P 2011-02-08 2012-02-14
30 TIME WARNER CABLE INC P 2012-02-14 2012-05-08
30 TERADATA CORP P 2012-06-25 2012-11-26
30 TJX COMPANIES P 2010-08-05 2012-11-26
20 TJX COMPANIES P 2011-03-21 2012-06-07
10 TJX COMPANIES P 2010-08-05 2012-02-14
30 SUNTRUST BANKS INC P 2012-09-18 2012-11-26
10 SUNTRUST BANKS INC P 2012-09-24 2012-11-14
30 SUNTRUST BANKS INC P 2012-10-04 2012-11-14
20 STARBUCKS CORP P 2009-07-27 2012-02-14
10 SIMON PROPERTY GROUP INC P 2011-02-08 2012-09-24
20 SIMON PROPERTY GROUP INC P 2011-02-08 2012-09-06
10 SECTOR SPDR TR SHS BEN INT P 2011-08-08 2012-09-06
90 SECTOR SPDR TR SHS BEN INT P 2011-06-16 2012-09-06
20 AMEX TECHNOLOGY SELECT SPONSOR P 2011-08-08 2012-09-06
40 AMEX TECHNOLOGY SELECT SPONSOR P 2012-02-14 2012-06-25
10 AMEX TECHNOLOGY SELECT SPONSOR P 2012-06-07 2012-06-25
40 AMEX TECHNOLOGY SELECT SPONSOR P 2012-03-20 2012-06-25
10 SELECT SECTOR SPDR TR SBI P 2012-06-07 2012-11-26
50 SELECT SECTOR SPDR TR SBI P 2012-02-14 2012-11-26
10 SELECT SECTOR SPDR TR SBI P 2012-03-28 2012-11-26
60 SELECT SECTOR SPDR TR SBI P 2011-09-22 2012-11-26
10 SELECT SECTOR SPDR TR SBI P 2011-09-22 2012-11-14
10 SELECT SECTOR SPDR TR SBI P 2011-11-03 2012-11-14
60 SELECT SECTOR SPDR TR SBI P 2012-03-28 2012-09-06
20 SELECT SECTOR SPDR TR SBI P 2011-08-08 2012-11-26
20 SELECT SECTOR SPDR TR SBI P 2010-08-18 2012-07-03
10 SELECT SECTOR SPDR TR SBI P 2010-08-18 2012-06-25
20 SELECT SECTOR SPDR TR SBI P 2011-06-16 2012-06-25
10 SELECT SECTOR SPDR TR SBI P 2010-08-18 2012-03-20
40 SELECT SECTOR SPDR TR SBI P 2012-09-24 2012-11-26
10 CONSUMER STAPLES SELECT SECTOR SPDR P 2011-09-22 2012-11-14
10 CONSUMER STAPLES SELECT SECTOR SPDR P 2011-08-08 2012-09-06
10 CONSUMER STAPLES SELECT SECTOR SPDR P 2011-09-22 2012-02-14
70 SECTOR SPDR TR SHS BEN INT P 2012-06-25 2012-08-09
40 SCRIPPS NETWORKS INTERACTIVE INC CL A P 2012-07-03 2012-11-14
50 SARA LEE CORP P 2011-09-22 2012-06-07
10 SARA LEE CORP P 2011-08-08 2012-06-07
90 SARA LEE CORP P 2011-11-03 2012-06-07
50 SARA LEE CORP P 2011-06-16 2012-06-07
30 SARA LEE CORP P 2012-05-23 2012-06-07
50 SARA LEE CORP P 2011-06-16 2012-05-08
30 SARA LEE CORP P 2011-06-16 2012-02-14
30 SLM CORP COM P 2012-02-14 2012-05-08
10 ROSS STORES INC P 2012-11-14 2012-12-12
50 ROSS STORES INC P 2012-06-25 2012-12-12
20 ROSS STORES INC P 2012-09-06 2012-12-12
40 QUALCOMM INC P 2011-02-08 2012-06-25
10 QUALCOMM INC P 2011-02-08 2012-03-20
10 QUALCOMM INC P 2011-02-08 2012-02-14
290 PULTE CORP P 2011-12-06 2012-06-13
90 PULTE CORP P 2012-04-09 2012-06-13
80 PULTE CORP P 2012-03-20 2012-06-13
20 PULTE CORP P 2011-12-06 2012-02-14
7 PUBLIC STORAGE INC P 2012-11-26 2012-11-26
20 PUBLIC STORAGE INC P 2011-09-22 2012-06-07
10 PUBLIC STORAGE INC P 2011-09-22 2012-02-14
50 PROSHARES TR P 2012-06-01 2012-06-20
10 PROCTER & GAMBLE CO P 2011-06-16 2012-07-03
10 PROCTER & GAMBLE CO P 2001-08-24 2012-05-08
20 PROCTER & GAMBLE CO P 2011-03-21 2012-05-08
10 PROCTER & GAMBLE CO P 2001-08-24 2012-02-14
10 PROCTER & GAMBLE CO P 2010-06-25 2012-02-14
10 PRICELINE COM INC P 2012-06-07 2012-08-01
30 POLARIS INDUSTRIES INC P 2011-11-03 2012-03-20
5 PHILLIPS 66 P 2011-11-03 2012-05-31
5 PHILLIPS 66 P 2009-07-17 2012-05-31
5 PHILLIPS 66 P 2010-06-25 2012-05-31
20 PHILLIPS 66 P 2008-12-16 2012-05-31
10 PHILLIPS 66 P 2011-05-17 2012-05-31
5 PHILLIPS 66 P 2011-02-23 2012-05-31
10 PHILIP MORRIS INTL INC P 2011-12-06 2012-09-24
10 PHILIP MORRIS INTL INC P 2012-06-07 2012-09-24
10 PHILIP MORRIS INTL INC P 2012-03-20 2012-09-17
10 PHILIP MORRIS INTL INC P 2011-12-06 2012-02-14
10 PERKINELMER INC P 2012-06-07 2012-06-25
70 PATTERSON COMPANIES INC P 2012-07-03 2012-09-06
41 PARKER HANNIFIN CORP P 2012-05-08 2012-10-24
30 PPL CORP P 2012-08-09 2012-11-26
10 PPL CORP P 2012-08-09 2012-09-17
10 PPL CORP P 2012-08-09 2012-09-06
25 PNC FINANCIAL CORP P 2011-10-12 2012-02-15
25 PNC FINANCIAL CORP P 2011-10-12 2012-02-14
20 PNC FINANCIAL CORP P 2011-11-03 2012-02-14
20 PNC FINANCIAL CORP P 2011-12-06 2012-02-14
20 ORACLE SYSTEMS CORPORATION P 2008-11-05 2012-02-14
10 ORACLE SYSTEMS CORPORATION P 2010-06-25 2012-02-14
50 ORACLE SYSTEMS CORPORATION P 2010-07-12 2012-02-14
10 ONEOK INC P 2012-02-14 2012-11-14
10 NORTHROP GRUMMAN CORP P 2010-02-18 2012-09-17
10 NORTHROP GRUMMAN CORP P 2011-02-08 2012-09-17
70 NORFOLK SOUTHERN CORP P 2011-09-22 2012-03-20
30 NISOURCE INC COM P 2009-12-16 2012-11-26
10 NISOURCE INC COM P 2011-11-03 2012-11-26
10 NISOURCE INC COM P 2009-12-16 2012-09-06
10 NISOURCE INC COM P 2011-03-21 2012-09-06
10 NISOURCE INC COM P 2011-03-21 2012-05-08
100 NISOURCE INC COM P 2009-12-16 2012-02-14
40 NATIONAL-OILWELL INC P 2011-09-22 2012-11-14
10 NATIONAL-OILWELL INC P 2011-11-03 2012-03-20
110 MOTOROLA SOLUTIONS INC P 2011-04-13 2012-02-14
60 MONSTER BEVERAGE CORP P 2011-09-22 2012-08-10
20 MONSTER BEVERAGE CORP P 2012-03-20 2012-08-10
10 MONSTER BEVERAGE CORP P 2011-11-03 2012-02-14
30 MONSANTO CO P 2011-12-06 2012-05-08
10 MONSANTO CO P 2011-12-06 2012-02-14
30 MICROSOFT CORP P 2010-06-25 2012-11-26
10 MICROSOFT CORP P 2011-09-22 2012-11-26
10 MICROSOFT CORP P 2011-03-21 2012-11-26
10 MICROSOFT CORP P 2011-11-03 2012-11-26
40 MICROSOFT CORP P 2011-07-15 2012-09-06
20 MICROSOFT CORP P 2010-06-25 2012-02-14
10 MCKESSON HBOC INC P 2012-05-08 2012-09-17
20 MCDONALDS CORP P 2003-10-10 2012-07-03
10 MCDONALDS CORP P 2010-02-18 2012-07-03
10 MCDONALDS CORP P 2010-06-25 2012-06-07
10 MCDONALDS CORP P 2010-08-18 2012-05-08
140 MASCO CORPORATION P 2012-07-03 2012-08-01
140 MACYS INC P 2010-08-05 2012-06-25
10 MACYS INC P 2011-06-16 2012-06-25
30 MACYS INC P 2010-08-05 2012-06-07
20 MACYS INC P 2010-08-05 2012-05-08
40 MACYS INC P 2010-08-05 2012-02-14
30 LINCOLN NATL CORP P 2011-11-03 2012-11-26
20 LINCOLN NATL CORP P 2011-12-06 2012-02-14
110 LAUDER ESTEE COS INC CL A P 2010-02-18 2012-06-07
10 LAUDER ESTEE COS INC CL A P 2011-03-21 2012-06-07
10 LAUDER ESTEE COS INC CL A P 2011-03-21 2012-05-08
30 LAUDER ESTEE COS INC CL A P 2010-02-18 2012-02-14
80 LSI LOGIC CORP P 2012-05-08 2012-05-23
580 LSI LOGIC CORP P 2012-02-14 2012-05-23
10 LSI LOGIC CORP P 2012-03-20 2012-05-23
130 KIMCO RLTY CORP P 2012-06-07 2012-11-14
50 KIMCO RLTY CORP P 2012-09-06 2012-11-14
10 KIMBERLY-CLARK CORP P 2012-06-07 2012-09-06
10 KLA-TENCOR CORP P 2011-07-15 2012-09-17
10 KLA-TENCOR CORP P 2011-03-21 2012-09-17
10 KLA-TENCOR CORP P 2009-05-12 2012-03-20
10 KLA-TENCOR CORP P 2010-12-02 2012-02-14
30 JOY GLOBAL INC P 2011-08-08 2012-03-28
30 JOY GLOBAL INC P 2011-12-15 2012-03-28
10 JOY GLOBAL INC P 2011-10-11 2012-03-05
20 JOY GLOBAL INC P 2011-06-16 2012-02-14
10 JARDEN CORP COM P 2012-09-06 2012-11-14
20 JABIL CIRCUIT INC P 2011-11-10 2012-09-17
10 JABIL CIRCUIT INC P 2012-05-08 2012-09-17
10 JABIL CIRCUIT INC P 2012-05-08 2012-09-06
20 JABIL CIRCUIT INC P 2011-11-10 2012-03-20
10 JABIL CIRCUIT INC P 2011-10-12 2012-03-20
30 JABIL CIRCUIT INC P 2011-10-12 2012-02-14
10 J P MORGAN CHASE P 2011-03-21 2012-06-07
10 J P MORGAN CHASE P 2003-12-18 2012-02-14
0 ISHARES SILVER TRUST ISHARES P 2012-05-17 2012-12-31
0 ISHARES SILVER TRUST ISHARES P 2012-01-23 2012-12-31
50 ISHARES SILVER TRUST ISHARES P 2012-05-17 2012-06-25
10 ISHARES SILVER TRUST ISHARES P 2012-06-07 2012-06-25
50 ISHARES SILVER TRUST ISHARES P 2012-01-23 2012-03-02
70 ISHARES TR S&P 500 GRW P 2012-08-02 2012-08-31
40 INTUIT INC P 2011-12-06 2012-09-24
10 INTUIT INC P 2012-05-08 2012-09-24
20 INTUIT INC P 2012-02-14 2012-09-24
10 INTUIT INC P 2012-07-03 2012-09-24
110 INTERPUBLIC GROUP P 2012-05-08 2012-10-26
210 INTERPUBLIC GROUP P 2012-03-20 2012-10-26
70 INTERNATIONAL PAPER CO P 2011-09-22 2012-11-14
10 INTERNATIONAL PAPER CO P 2011-09-22 2012-06-07
10 INTERNATIONAL PAPER CO P 2011-09-22 2012-02-14
10 INTERNATIONAL BUSINESS MACHINES P 2011-08-08 2012-08-09
20 INTEL CORP P 2010-02-05 2012-11-26
10 INTEL CORP P 2010-06-25 2012-11-26
30 INTEL CORP P 2011-11-03 2012-11-26
10 INTEL CORP P 2011-03-21 2012-09-17
10 INTEL CORP P 2011-08-08 2012-09-17
10 INTEL CORP P 2010-06-25 2012-02-14
10 INTEL CORP P 2010-07-27 2012-02-14
10 HUMANA INC P 2012-08-01 2012-12-24
10 HUMANA INC P 2012-05-08 2012-12-24
40 HUMANA INC P 2003-05-22 2012-12-24
10 HUMANA INC P 2003-05-22 2012-09-24
10 HUMANA INC P 2011-08-08 2012-09-24
20 HUMANA INC P 2003-05-22 2012-03-20
10 HUMANA INC P 2003-05-22 2012-02-14
10 HUMANA INC P 2011-02-08 2012-02-14
10 HONEYWELL INTERNATIONAL P 2010-06-25 2012-09-17
10 HONEYWELL INTERNATIONAL P 2010-07-27 2012-09-17
10 HERSHEY FOODS CORP P 2012-08-09 2012-09-06
60 HERSHEY FOODS CORP P 2010-06-25 2012-03-20
20 HERSHEY FOODS CORP P 2010-06-09 2012-03-20
30 HELMERICH & PAYNE INC P 2012-02-14 2012-04-10
30 HELMERICH & PAYNE INC P 2011-12-06 2012-04-10
10 HELMERICH & PAYNE INC P 2011-12-06 2012-03-20
90 HALLIBURTON CO P 2010-12-27 2012-02-14
20 WW GRAINGER INC P 2009-10-21 2012-11-14
10 WW GRAINGER INC P 2009-10-21 2012-10-04
10 WW GRAINGER INC P 2010-06-25 2012-08-09
180 GOODYEAR TIRE & RUBBER P 2011-10-21 2012-02-14
30,000 GOLDMAN SACHS GROUP INC P 2009-08-11 2012-08-01
10 GILEAD SCIENCES INC P 2011-10-12 2012-11-26
10 GILEAD SCIENCES INC P 2011-10-12 2012-11-14
10 GILEAD SCIENCES INC P 2011-08-08 2012-09-06
20 GILEAD SCIENCES INC P 2011-03-21 2012-06-25
10 GILEAD SCIENCES INC P 2011-03-21 2012-03-20
10 GILEAD SCIENCES INC P 2011-03-21 2012-02-14
30,000 GEN ELEC CAP CRP 3.5% P 2009-08-11 2012-08-13
40 GARTNER INC P 2012-08-01 2012-12-24
20 GARTNER INC P 2012-09-06 2012-12-24
60 GARTNER INC P 2011-08-08 2012-02-14
60 GARTNER INC P 2011-11-03 2012-02-14
10 FREEPORT MCMORAN COPPER & GOLD P 2012-09-18 2012-11-14
10 FREEPORT MCMORAN COPPER & GOLD P 2011-08-08 2012-03-28
10 FREEPORT MCMORAN COPPER & GOLD P 2011-06-16 2012-03-28
10 FREEPORT MCMORAN COPPER & GOLD P 2011-07-15 2012-03-28
10 FREEPORT MCMORAN COPPER & GOLD P 2011-03-21 2012-03-28
10 FREEPORT MCMORAN COPPER & GOLD P 2011-02-08 2012-03-20
20 FREEPORT MCMORAN COPPER & GOLD P 2011-02-08 2012-03-06
40 FLUOR CORP P 2011-08-08 2012-07-03
10 FLUOR CORP P 2012-02-14 2012-07-03
10 FLUOR CORP P 2009-02-18 2012-07-03
20 FLUOR CORP P 2008-11-05 2012-07-03
10 FLUOR CORP P 2010-06-25 2012-06-07
10 FLUOR CORP P 2011-03-21 2012-06-07
50 FIFTH THIRD BANCORP P 2011-11-03 2012-11-14
30 FIFTH THIRD BANCORP P 2011-12-06 2012-02-14
25,000 FHLB DUE 6/8/2012 P 2007-07-03 2012-06-08
70 FACEBOOK INC P 2012-06-25 2012-07-03
10 EXXON MOBIL CORP P 2010-11-02 2012-02-14
40 EXPRESS SCRIPTS INC P 2012-08-09 2012-11-06
10 EXPRESS SCRIPTS INC P 2012-09-06 2012-10-26
40 EQUIFAX INC P 2012-07-03 2012-08-09
10 EASTMAN CHEMICAL CO P 2011-05-04 2012-06-07
10 EASTMAN CHEMICAL CO P 2009-07-27 2012-03-20
46.68 DUKE ENERGY CORP P 2011-09-22 2012-08-09
26.67 DUKE ENERGY CORP P 2011-10-12 2012-08-09
2.65 DUKE ENERGY CORP P 2012-05-08 2012-08-09
.68 DUKE ENERGY CORP P 2012-05-08 2012-07-05
30 DUKE ENERGY CORP P 2011-10-12 2012-02-14
10 E I DUPONT DE NEMOURS & CO P 2011-08-08 2012-02-14
40 E I DUPONT DE NEMOURS & CO P 2010-07-12 2012-02-14
10 DR PEPPER SNAPPLE GROUP INC COM P 2012-07-03 2012-10-04
10 DR PEPPER SNAPPLE GROUP INC COM P 2012-07-03 2012-09-06
20 DOLLAR TREE INC P 2012-05-23 2012-09-06
60 DOLLAR TREE INC P 2012-05-08 2012-09-06
10 DISCOVER FINL SVCS P 2010-07-27 2012-11-26
10 DISCOVER FINL SVCS P 2011-11-03 2012-11-26
30 DISCOVER FINL SVCS P 2010-07-27 2012-09-06
40 DISCOVER FINL SVCS P 2010-07-27 2012-02-14
70 DELL INC P 2011-08-08 2012-05-23
20 DELL INC P 2012-05-08 2012-05-23
10 DELL INC P 2011-11-03 2012-05-23
30 DELL INC P 2011-06-09 2012-05-23
50 DELL INC P 2011-06-16 2012-05-23
30 DELL INC P 2012-02-14 2012-05-23
10 DELL INC P 2011-03-21 2012-05-23
140 DELL INC P 2011-02-23 2012-05-23
30 DELL INC P 2011-02-23 2012-03-20
20 DTE ENERGY CO P 2011-05-17 2012-11-26
10 DTE ENERGY CO P 2010-12-02 2012-02-14
10 D R HORTON INC P 2012-09-18 2012-11-14
10 CUMMINS ENGINE CO INC P 2011-08-08 2012-09-24
10 CUMMINS ENGINE CO INC P 2009-02-18 2012-03-06
10 CUMMINS ENGINE CO INC P 2008-12-16 2012-02-14
40 CROWN CASTLE INTL CORP P 2012-05-08 2012-11-14
10 CONOCOPHILLIPS P 2010-06-25 2012-09-24
20 CONOCOPHILLIPS P 2008-12-16 2012-09-24
10 CONOCOPHILLIPS P 2008-12-16 2012-09-06
10 CONOCOPHILLIPS P 2008-12-16 2012-07-03
10 CONOCOPHILLIPS P 2011-05-17 2012-06-07
10 CONOCOPHILLIPS P 2011-05-17 2012-05-23
10 CONOCOPHILLIPS P 2011-02-23 2012-05-23
10 CONOCOPHILLIPS P 2008-11-05 2012-02-14
20 COMCAST CORP P 2012-08-09 2012-09-17
30 COLGATE PALMOLIVE COMPANY P 2011-11-03 2012-10-26
20 COLGATE PALMOLIVE COMPANY P 2012-05-23 2012-10-26
10 COLGATE PALMOLIVE COMPANY P 2012-08-01 2012-09-05
10 COLGATE PALMOLIVE COMPANY P 2011-11-03 2012-02-14
40 COCA COLA ENTERPRISES INC COM P 2011-08-08 2012-06-25
70 COCA COLA ENTERPRISES INC COM P 2011-11-03 2012-06-25
10 COCA COLA ENTERPRISES INC COM P 2012-05-08 2012-06-25
10 COCA COLA ENTERPRISES INC COM P 2010-06-25 2012-06-25
60 COCA COLA ENTERPRISES INC COM P 2009-08-20 2012-06-25
10 COCA COLA ENTERPRISES INC COM P 2011-03-21 2012-06-25
40 COACH INC P 2012-08-01 2012-09-24
10 COACH INC P 2012-06-07 2012-09-24
60 COACH INC P 2009-04-24 2012-09-24
10 COACH INC P 2009-04-24 2012-09-06
10 COACH INC P 2011-03-21 2012-09-06
10 COACH INC P 2009-04-24 2012-02-14
10 COACH INC P 2010-12-27 2012-02-14
10 CHEVRONTEXACO CORP P 2010-04-30 2012-02-14
80 CENTURYTEL INC P 2012-02-14 2012-05-08
10 CATERPILLAR INC P 2011-08-15 2012-05-08
20 CATERPILLAR INC P 2010-07-27 2012-05-08
10 CATERPILLAR INC P 2010-12-27 2012-05-08
10 CATERPILLAR INC P 2011-02-22 2012-05-08
10 CATERPILLAR INC P 2010-12-27 2012-02-14
10 CARDINAL HEALTH INC P 2011-08-08 2012-03-20
10 CARDINAL HEALTH INC P 2011-03-21 2012-03-20
90 CARDINAL HEALTH INC P 2010-12-02 2012-03-20
10 CARDINAL HEALTH INC P 2011-02-08 2012-03-20
20 CARDINAL HEALTH INC P 2011-02-08 2012-02-14
20 CAPITAL ONE FINCL CORP P 2011-03-21 2012-06-25
30 CAPITAL ONE FINCL CORP P 2011-03-21 2012-02-14
40 CA INC P 2012-05-23 2012-10-26
20 CA INC P 2012-06-07 2012-10-26
10 CA INC P 2012-05-08 2012-10-26
130 CA INC P 2012-02-14 2012-10-26
10 CA INC P 2012-02-14 2012-09-05
10 CF INDS HLDGS INC P 2012-05-08 2012-06-07
10 CF INDS HLDGS INC P 2011-11-03 2012-02-14
70 BRISTOL MYERS SQUIBB CO P 2012-06-26 2012-08-09
150 BRISTOL MYERS SQUIBB CO P 2011-09-22 2012-02-14
10 BRISTOL MYERS SQUIBB CO P 2011-11-03 2012-02-14
10 BIOGEN IDEC INC P 2010-07-27 2012-09-05
10 BIOGEN IDEC INC P 2010-07-27 2012-03-20
110 BEST BUY INC P 2012-07-03 2012-08-09
40 BED BATH & BEYOND INC P 2011-09-22 2012-07-03
10 BED BATH & BEYOND INC P 2012-06-07 2012-07-03
300 BANK AMER CORP P 2012-02-14 2012-03-06
10 BB&T CORP P 2012-06-07 2012-10-26
120 BB&T CORP P 2012-02-14 2012-10-26
30 BB&T CORP P 2012-03-20 2012-10-26
10 BB&T CORP P 2012-03-20 2012-09-05
10 BB&T CORP P 2012-05-08 2012-09-05
10 AUTOZONE INC P 2011-03-21 2012-05-08
160 ARCHER-DANIELS-MIDLAND P 2012-06-07 2012-08-01
10 APPLE COMPUTER INC P 2009-06-03 2012-09-05
10 APACHE CORP P 2011-11-03 2012-05-08
10 APACHE CORP P 2011-08-08 2012-05-08
10 APACHE CORP P 2009-02-18 2012-05-08
10 APACHE CORP P 2007-02-09 2012-05-08
10 APACHE CORP P 2008-11-05 2012-05-08
10 APACHE CORP P 2008-11-05 2012-03-20
40 AMERIGROUP CORP P 2011-11-03 2012-03-20
10 AMERIGROUP CORP P 2011-11-03 2012-02-14
10 AMERISOURCEBERGEN CORP P 2010-01-14 2012-11-14
10 AMERISOURCEBERGEN CORP P 2010-01-14 2012-10-26
10 AMERISOURCEBERGEN CORP P 2011-08-08 2012-10-26
10 AMERISOURCEBERGEN CORP P 2011-03-21 2012-10-26
10 AMERISOURCEBERGEN CORP P 2011-03-21 2012-09-17
10 AMERISOURCEBERGEN CORP P 2011-06-16 2012-09-05
30 AMERISOURCEBERGEN CORP P 2010-01-14 2012-02-14
10 ALTERA CORP P 2011-08-08 2012-03-20
40 ALTERA CORP P 2011-11-10 2012-03-20
70 ALTERA CORP P 2008-12-16 2012-03-20
20 ALTERA CORP P 2008-12-16 2012-02-14
10 ALTERA CORP P 2009-07-17 2012-02-14
10 ALTERA CORP P 2008-11-05 2012-02-14
10 ALTERA CORP P 2010-06-25 2012-02-14
10 THE ALLSTATE CORP P 2012-03-20 2012-11-14
20 THE ALLSTATE CORP P 2012-06-07 2012-11-14
110 AGILENT TECHNOLOGIES INC P 2012-02-14 2012-05-08
30 AETNA U S HEALTHCARE INC P 2011-08-08 2012-07-03
50 AETNA U S HEALTHCARE INC P 2011-05-04 2012-07-03
30 AETNA U S HEALTHCARE INC P 2011-06-16 2012-07-03
30 AETNA U S HEALTHCARE INC P 2011-06-16 2012-02-14
130 ADVANCED MICRO DEVICES INC P 2012-06-07 2012-07-20
10 ADVANCED MICRO DEVICES INC P 2012-05-08 2012-07-20
300 ADVANCED MICRO DEVICES INC P 2012-03-20 2012-07-20
10 ABBOTT LABORATORIES P 2012-03-20 2012-11-14
10 ABBOTT LABORATORIES P 2012-05-08 2012-09-17
10 ABBOTT LABORATORIES P 2012-05-08 2012-06-25
20 AT&T INC P 2011-05-04 2012-09-06
50 AT&T INC P 2011-05-04 2012-02-14
(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 4,709   4,952 -243
b 1,447   1,591 -144
c 232   202 30
d 1,193   1,305 -112
e 2,055   2,129 -74
1,767   2,107 -340
883   1,105 -222
442   594 -152
1,179   1,071 108
1,179   1,122 57
1,179   1,125 54
575   562 13
650   673 -23
1,951   2,154 -203
499   253 246
499   311 188
875   316 559
438   304 134
700   614 86
2,275   2,158 117
604   608 -4
496   465 31
992   953 39
1,489   857 632
1,489   893 596
992   895 97
992   919 73
489   298 191
395   336 59
1,892   1,678 214
4,403   4,515 -112
657   645 12
1,083   843 240
757   789 -32
757   815 -58
3,029   2,698 331
757   709 48
757   895 -138
844   709 135
369   523 -154
738   1,251 -513
2,860   2,839 21
953   1,013 -60
1,742   1,893 -151
2,011   1,551 460
317   268 49
1,444   1,292 152
681   715 -34
588   589 -1
588   387 201
1,177   825 352
588   510 78
1,765   1,738 27
588   579 9
257   203 54
771   645 126
519   430 89
475   430 45
477   430 47
2,338   2,265 73
1,859   2,084 -225
1,298   634 664
839   489 350
345   211 134
813   865 -52
256   290 -34
767   899 -132
977   348 629
1,558   1,061 497
3,175   2,123 1,052
366   307 59
3,291   2,980 311
617   467 150
1,116   1,123 -7
279   282 -3
1,116   1,196 -80
367   348 19
1,835   1,855 -20
367   371 -4
2,202   1,752 450
356   292 64
356   338 18
2,182   2,226 -44
1,417   1,272 145
1,358   1,079 279
616   539 77
1,233   1,447 -214
742   539 203
1,875   1,900 -25
343   293 50
359   292 67
327   293 34
2,529   2,358 171
2,367   2,292 75
1,020   837 183
204   175 29
1,836   1,687 149
1,020   947 73
612   619 -7
1,088   947 141
602   568 34
412   480 -68
544   554 -10
2,721   3,287 -566
1,088   1,383 -295
2,144   2,239 -95
664   560 104
613   560 53
2,489   1,852 637
773   726 47
687   741 -54
180   128 52
1,012   1,010 2
2,739   2,311 428
1,386   1,156 230
2,706   2,436 270
611   641 -30
642   382 260
642   614 28
644   382 262
644   605 39
6,505   6,419 86
1,990   1,963 27
150   161 -11
150   97 53
150   120 30
599   481 118
300   326 -26
150   178 -28
921   754 167
921   838 83
905   864 41
812   754 58
248   262 -14
2,396   2,490 -94
3,122   3,479 -357
851   888 -37
290   296 -6
293   296 -3
1,495   1,307 188
1,487   1,307 180
1,190   1,060 130
1,190   1,102 88
567   363 204
284   232 52
1,418   1,163 255
448   405 43
664   549 115
664   640 24
4,692   4,306 386
715   468 247
238   222 16
252   156 96
252   190 62
250   190 60
2,285   1,561 724
2,800   2,171 629
812   721 91
5,231   4,863 368
3,409   2,677 732
1,136   1,199 -63
1,097   894 203
2,198   2,138 60
776   713 63
817   750 67
272   254 18
272   255 17
272   265 7
1,230   1,066 164
602   500 102
869   888 -19
1,772   487 1,285
886   644 242
890   682 208
944   737 207
1,678   1,957 -279
4,670   2,757 1,913
334   272 62
1,103   591 512
774   394 380
1,423   788 635
735   586 149
483   411 72
6,059   3,263 2,796
551   451 100
597   451 146
1,654   890 764
544   616 -72
3,944   4,891 -947
68   86 -18
2,386   2,384 2
918   1,014 -96
835   807 28
519   410 109
519   461 58
520   248 272
494   392 102
2,110   2,203 -93
2,110   2,246 -136
827   751 76
1,715   1,704 11
505   505  
446   406 40
223   208 15
216   208 8
531   406 125
266   203 63
743   610 133
333   458 -125
378   334 44
1   1  
1   1  
1,319   1,341 -22
264   278 -14
1,699   1,579 120
5,360   5,217 143
2,328   2,169 159
582   556 26
1,164   1,133 31
582   600 -18
1,112   1,235 -123
2,122   2,463 -341
2,363   1,751 612
296   250 46
329   250 79
1,982   1,687 295
396   383 13
198   202 -4
593   721 -128
232   203 29
232   208 24
266   202 64
266   216 50
682   641 41
682   806 -124
2,726   525 2,201
701   131 570
701   677 24
1,722   263 1,459
880   131 749
880   584 296
615   416 199
615   436 179
728   718 10
3,610   2,916 694
1,203   1,012 191
1,556   1,764 -208
1,556   1,777 -221
575   592 -17
3,201   3,599 -398
3,783   1,956 1,827
2,140   978 1,162
2,039   1,036 1,003
2,388   2,305 83
30,000   30,715 -715
750   404 346
724   404 320
591   368 223
999   815 184
468   408 60
546   408 138
30,000   30,016 -16
1,821   1,776 45
911   1,021 -110
2,262   2,033 229
2,262   2,401 -139
376   415 -39
371   427 -56
371   477 -106
371   552 -181
371   519 -148
381   555 -174
788   1,110 -322
1,993   2,034 -41
498   604 -106
498   386 112
996   779 217
496   446 50
496   703 -207
695   595 100
399   375 24
25,000   25,095 -95
2,173   2,233 -60
846   680 166
2,187   2,502 -315
622   639 -17
1,831   1,919 -88
477   514 -37
513   243 270
3,179   2,714 465
1,816   1,588 228
180   171 9
46   44 2
644   596 48
499   447 52
1,996   1,463 533
438   438  
450   438 12
958   982 -24
2,875   3,053 -178
413   153 260
413   246 167
1,140   459 681
1,142   612 530
876   1,008 -132
250   312 -62
125   156 -31
375   471 -96
626   805 -179
375   537 -162
125   149 -24
1,752   2,124 -372
515   455 60
1,183   1,038 145
534   453 81
185   216 -31
954   854 100
1,155   222 933
1,222   240 982
2,618   2,214 404
579   403 176
1,157   809 348
555   405 150
562   405 157
543   548 -5
512   548 -36
512   600 -88
739   549 190
700   693 7
3,114   2,655 459
2,076   1,961 115
1,065   1,076 -11
916   885 31
1,062   1,007 55
1,858   1,830 28
265   291 -26
265   221 44
1,593   1,325 268
265   264 1
2,238   2,014 224
559   622 -63
3,357   1,341 2,016
582   223 359
582   517 65
760   223 537
760   557 203
1,063   826 237
3,062   3,009 53
949   915 34
1,897   1,375 522
949   937 12
949   1,017 -68
1,142   937 205
410   384 26
410   414 -4
3,692   3,339 353
410   416 -6
845   832 13
1,045   1,022 23
1,440   1,534 -94
905   1,004 -99
452   514 -62
226   261 -35
2,941   3,509 -568
261   270 -9
1,683   1,784 -101
1,812   1,750 62
2,226   2,423 -197
4,769   4,567 202
318   317 1
1,465   576 889
1,194   576 618
2,112   2,412 -300
2,489   2,352 137
622   718 -96
2,311   2,402 -91
289   288 1
3,464   3,519 -55
866   942 -76
317   314 3
317   316 1
3,824   2,638 1,186
4,125   5,180 -1,055
6,716   1,401 5,315
862   1,007 -145
862   1,018 -156
862   666 196
862   704 158
862   813 49
1,060   813 247
2,563   2,276 287
692   569 123
403   270 133
393   271 122
393   354 39
393   382 11
379   382 -3
381   406 -25
1,130   811 319
392   356 36
1,569   1,465 104
2,746   1,136 1,610
793   325 468
396   171 225
396   172 224
396   255 141
386   326 60
772   686 86
4,376   4,795 -419
1,147   1,068 79
1,912   2,073 -161
1,147   1,284 -137
1,409   1,284 125
551   763 -212
42   69 -27
1,273   2,401 -1,128
641   604 37
689   620 69
622   620 2
745   637 108
1,500   1,592 -92
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       -243
b       -144
c       30
d       -112
e       -74
      -340
      -222
      -152
      108
      57
      54
      13
      -23
      -203
      246
      188
      559
      134
      86
      117
      -4
      31
      39
      632
      596
      97
      73
      191
      59
      214
      -112
      12
      240
      -32
      -58
      331
      48
      -138
      135
      -154
      -513
      21
      -60
      -151
      460
      49
      152
      -34
      -1
      201
      352
      78
      27
      9
      54
      126
      89
      45
      47
      73
      -225
      664
      350
      134
      -52
      -34
      -132
      629
      497
      1,052
      59
      311
      150
      -7
      -3
      -80
      19
      -20
      -4
      450
      64
      18
      -44
      145
      279
      77
      -214
      203
      -25
      50
      67
      34
      171
      75
      183
      29
      149
      73
      -7
      141
      34
      -68
      -10
      -566
      -295
      -95
      104
      53
      637
      47
      -54
      52
      2
      428
      230
      270
      -30
      260
      28
      262
      39
      86
      27
      -11
      53
      30
      118
      -26
      -28
      167
      83
      41
      58
      -14
      -94
      -357
      -37
      -6
      -3
      188
      180
      130
      88
      204
      52
      255
      43
      115
      24
      386
      247
      16
      96
      62
      60
      724
      629
      91
      368
      732
      -63
      203
      60
      63
      67
      18
      17
      7
      164
      102
      -19
      1,285
      242
      208
      207
      -279
      1,913
      62
      512
      380
      635
      149
      72
      2,796
      100
      146
      764
      -72
      -947
      -18
      2
      -96
      28
      109
      58
      272
      102
      -93
      -136
      76
      11
       
      40
      15
      8
      125
      63
      133
      -125
      44
       
       
      -22
      -14
      120
      143
      159
      26
      31
      -18
      -123
      -341
      612
      46
      79
      295
      13
      -4
      -128
      29
      24
      64
      50
      41
      -124
      2,201
      570
      24
      1,459
      749
      296
      199
      179
      10
      694
      191
      -208
      -221
      -17
      -398
      1,827
      1,162
      1,003
      83
      -715
      346
      320
      223
      184
      60
      138
      -16
      45
      -110
      229
      -139
      -39
      -56
      -106
      -181
      -148
      -174
      -322
      -41
      -106
      112
      217
      50
      -207
      100
      24
      -95
      -60
      166
      -315
      -17
      -88
      -37
      270
      465
      228
      9
      2
      48
      52
      533
       
      12
      -24
      -178
      260
      167
      681
      530
      -132
      -62
      -31
      -96
      -179
      -162
      -24
      -372
      60
      145
      81
      -31
      100
      933
      982
      404
      176
      348
      150
      157
      -5
      -36
      -88
      190
      7
      459
      115
      -11
      31
      55
      28
      -26
      44
      268
      1
      224
      -63
      2,016
      359
      65
      537
      203
      237
      53
      34
      522
      12
      -68
      205
      26
      -4
      353
      -6
      13
      23
      -94
      -99
      -62
      -35
      -568
      -9
      -101
      62
      -197
      202
      1
      889
      618
      -300
      137
      -96
      -91
      1
      -55
      -76
      3
      1
      1,186
      -1,055
      5,315
      -145
      -156
      196
      158
      49
      247
      287
      123
      133
      122
      39
      11
      -3
      -25
      319
      36
      104
      1,610
      468
      225
      224
      141
      60
      86
      -419
      79
      -161
      -137
      125
      -212
      -27
      -1,128
      37
      69
      2
      108
      -92
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
Bracket 2 53,452
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 . . . . . . . . . . . . . . . .
Bracket 3 -2,989
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)

If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If “Yes,” the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see page 18 of the instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in)
(b)
Adjusted qualifying distributions
(c)
Net value of noncharitable-use assets
(d)
Distribution ratio
(col. (b) divided by col. (c))
2011 57,500 1,241,199 0.04633
2010 64,122 1,206,433 0.05315
2009 68,001 1,148,873 0.05919
2008 60,000 1,292,830 0.04641
2007 68,500 1,381,371 0.04959
2 Total of line 1, column (d) ...................... 2 0.25466
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 0.05093
4 Enter the net value of noncharitable-use assets for 2012 from Part X, line 5..... 4 1,240,437
5 Multiply line 4 by line 3....................... 5 63,179
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 712
7 Add lines 5 and 6......................... 7 63,891
8 Enter qualifying distributions from Part XII, line 4.............. 8 54,750
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See
the Part VI instructions.
Form 990-PF (2012)
Form 990-PF (2012)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see page 18 of the instructions)
1a Bulletand enter “N/A” on line 1. Bracket
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b 1 1,424
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2  
3 Add lines 1 and 2............................ 3 1,424
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-). 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 1,424
6 Credits/Payments:
a 2012 estimated tax payments and 2011 overpayment credited to 2012 6a 1,200
b Exempt foreign organizations—tax withheld at source....... 6b
c Tax paid with application for extension of time to file (Form 8868) 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 1,200
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 224
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2013 estimated taxBullet   Refunded Bullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of
the instructions for definition)?............................
1b
 
No
If the answer is “Yes” to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If “Yes,” attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If “Yes,” attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If “Yes,” has it filed a tax return on Form 990-T for this year?...................
4b
 
No
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)
    bulletIL
    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 addressbulletN/A
    14
    The books are in care ofbulletFIRST MIDWEST BANK Telephone no.bullet (847) 615-4540
    Located atbullet3510 W ELM STREETMCHENRYIL ZIP+4bullet60050
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16
    At any time during calendar year 2012, did the foundation have an interest in or a signature or other authority over
    a bank, securities, or other financial account in a foreign country? .................
    16
     
    No
    See instructions for exceptions and filing requirements for Form TD F 90-22.1. If "Yes", enter the name of the foreign country bullet  
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 5
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the “Yes” column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?.........................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?.................
    (6) Agree to pay money or property to a government official? (Exception. Check “No”
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).........
    b
    If any answer is “Yes” to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see page 20 of the instructions)?...
    1b
     
    No
    .........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2012?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2012, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2012?...............
    If “Yes,” list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer “No” and attach statement—see instructions.) ..............
    2b
     
    No
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?.........................
    b
    If “Yes,” did it have excess business holdings in 2012 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2012.)....................
    3b
     
    No
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2012?
    4b
     
    No
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?...............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 509(a)(1), (2), or (3), or section 4940(d)(2)? (see instructions)........
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?........
    b
    If any answer is “Yes” to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see instructions)? ......
    5b
     
    No
    .........bullet
    c
    If the answer is “Yes” to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?............
    If “Yes,” attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?........................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If “Yes” to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
    No
    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
    FIRST MIDWEST BANK Trustee
    2.00
    14,697    
    3510 W ELM STREET
    MCHENRY,IL60050
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE.”
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet  
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet  
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1 THE FOUNDATION'S SOLE DIRECT CHARITABLE ACTIVITY CONSISTS OF PROVIDING SCHOLARSHIPS FOR HIGH SCHOOL STUDENTS TO ATTEND COLLEGE. DURING THE YEAR 2012, THE FOUNDATION AWARDED SCHOLARSHIPS TO 45 STUDENTS. 0
    2  
    3  
    4  
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 7
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See page 24 of the instructions.
    3  
    Total. Add lines 1 through 3..........................bullet  
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
    see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    1,214,809
    b
    Average of monthly cash balances.......................
    1b
    44,518
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    1,259,327
    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
     
    3
    Subtract line 2 from line 1d.........................
    3
    1,259,327
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see
    instructions) .............................
    4
    18,890
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    1,240,437
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    62,022
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    62,022
    2a
    Tax on investment income for 2012 from Part VI, line 5......
    2a
    1,424
    b
    Income tax for 2012. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    1,424
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    60,598
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    60,598
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,
    line 1................................
    7
    60,598
    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
    54,750
    b
    Program-related investments—total from Part IX-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    54,750
    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
     
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    54,750
    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 60,598
    2 Undistributed income, if any, as of the end of 2012:
    a Enter amount for 2011 only....... 5,270
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2012:
    a From 2007.......  
    b From 2008.......  
    c From 2009.......  
    d From 2010.......  
    e From 2011.......  
    fTotal of lines 3a through e.........  
    4Qualifying distributions for 2012 from Part
    XII, line 4: bullet$ 54,750
    a Applied to 2011, but not more than line 2a 5,270
    b Applied to undistributed income of prior years
    (Election required—see instructions)......
     
    c Treated as distributions out of corpus (Election
    required—see instructions).........
    0
    d Applied to 2012 distributable amount..... 49,480
    e Remaining amount distributed out of corpus  
    5 Excess distributions carryover applied to 2012.    
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5  
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........
     
    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......
     
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
     
    e Undistributed income for 2011. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
     
    f Undistributed income for 2012. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2013 ..........
    11,118
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see
    instructions) .............
     
    8Excess distributions carryover from 2007 not
    applied on line 5 or line 7 (see instructions) ...
     
    9Excess distributions carryover to 2013.
    Subtract lines 7 and 8 from line 6a ......
     
    10 Analysis of line 9:
    a Excess from 2008....  
    b Excess from 2009....  
    c Excess from 2010....  
    d Excess from 2011....  
    e Excess from 2012....  
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 9
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2012, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2012 (b) 2011 (c) 2010 (d) 2009
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ....
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets” alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment” alternative test— enter 2⁄3
    of minimum investment return shown in
    Part X, line 6 for each year listed...
             
    c “Support” alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 10
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    Foundation
    status of
    recipient
    Purpose of grant or
    contribution
    Amount
    Name and address (home or business)
    aPaid during the year
    MICHELLE ZACCAGNINI
    1510 MORGAN TRAIL
    MCHENRY,IL60051
    NONE N/A COLLEGE TUITION 250
    NICOLE WOLLSCHLAEGER
    435 DEER RUN ROAD
    LAKEMOOR,IL60051
    NONE N/A COLLEGE TUITION 3,000
    SIERRA WOLFF
    1112 JASPER
    JOHNSBURG,IL60051
    NONE N/A COLLEGE TUITION 1,500
    SAMUEL WAGNER
    5207 BARNARD MILL ROAD
    RINGWOOD,IL60072
    NONE N/A COLLEGE TUITION 1,500
    BROOKE TONYAN
    5415 RACHEL LN
    JOHNSBURG,IL60051
    NONE N/A COLLEGE TUITION 500
    BRIANNA SMITH
    2410 MICHAEL ST
    WONDER LAKE,IL60097
    NONE N/A COLLEGE TUITION 1,000
    PATRICK RYAN
    1200 HILLCREST AVE
    FOX RIVER GROVE,IL60021
    NONE N/A COLLEGE TUITION 1,500
    KAILIE ROTH
    4701 ASHLEY DR
    MCHENRY,IL60050
    NONE N/A COLLEGE TUITION 1,000
    AMANDA REISINGER
    2004 SPRING CREEK LN
    MCHENRY,IL60050
    NONE N/A COLLEGE TUITION 2,000
    TROY MORRIS
    3505 COUNTRYSIDE
    JOHNSBURG,IL60051
    NONE N/A COLLEGE TUITION 3,000
    MARY LISTON
    4904 HICKORY WAY
    JOHNSBURG,IL60051
    NONE N/A COLLEGE TUITION 3,000
    DANA LEBRECHT
    2614 SHOREWOOD DR
    MCHENRY,IL60050
    NONE N/A COLLEGE TUITION 500
    CHRISTINA LEBAR
    1124 GOODVIEW
    JOHNSBURG,IL60051
    NONE N/A COLLEGE TUITION 3,000
    NELL LANGNER
    5305 HEATHER LN
    JOHNSBURG,IL60051
    NONE N/A COLLEGE TUITION 1,500
    NICOLE LACY
    709 ANNABELLE ST
    JOHNSBURG,IL60051
    NONE N/A COLLEGE TUITION 500
    NICHOLAS KREBS
    2405 W MEHRING AVE
    JOHNSBURG,IL60051
    NONE N/A COLLEGE TUITION 3,000
    ZACHARY HUMMEL
    5406 N HIGHLAND DR
    MCHENRY,IL60050
    NONE N/A COLLEGE TUITION 1,000
    TAYLOR HOBSON
    5201 W FLANDERS ROAD
    MCHENRY,IL60050
    NONE N/A COLLEGE TUITION 2,000
    MELANIE HOBBS
    222 BARNWOOD TRAIL
    MCHENRY,IL60050
    NONE N/A COLLEGE TUITION 2,000
    KELLY HEWES
    4318 S RIDGEWAY
    RINGWOOD,IL60072
    NONE N/A COLLEGE TUITION 2,000
    JACOB HENRY
    411 KINGS WAY
    MCHENRY,IL60051
    NONE N/A COLLEGE TUITION 1,500
    DANIELLE HAUSER
    2503 DRIFTWOOD DR
    MCHENRY,IL60051
    NONE N/A COLLEGE TUITION 250
    DARBY HALLORAN
    1318 N MILLSTREAM DR
    MCHENRY,IL60050
    NONE N/A COLLEGE TUITION 500
    JAMES FERGUSON
    225 VERETTA COURT
    MCHENRY,IL60050
    NONE N/A COLLEGE TUITION 1,000
    CORNELIUS DEYOUNG
    101 S SHERIDAN RD
    LAKEMOOR,IL60051
    NONE N/A COLLEGE TUITION 250
    COLLEEN COURTNEY
    218 S DRIFTWOOD TRAIL
    MCHENRY,IL60050
    NONE N/A COLLEGE TUITION 2,000
    SARA COMMO
    3111 SUNRISE VIEW
    MCHENRY,IL60050
    NONE N/A COLLEGE TUITION 1,000
    ELIZABETH CICHOWSKI
    5003 BROMLEY DR
    MCHENRY,IL60050
    NONE N/A COLLEGE TUITION 2,000
    MILES CANEVELLO
    3209 BISCAYNE ROAD
    MCHENRY,IL60050
    NONE N/A COLLEGE TUITION 3,000
    VALLORY BURKE
    2816 ARBOR DRIVE
    MCHENRY,IL60050
    NONE N/A COLLEGE TUITION 3,000
    CICELY BULAWIN
    130 S LAKESHORE DR
    LAKEMOOR,IL60051
    NONE N/A COLLEGE TUITION 500
    DOMINIQUE BLANCHARD
    5506 FOX LAKE ROAD
    MCHENRY,IL60050
    NONE N/A COLLEGE TUITION 3,000
    SAMANTHA ANDERSON
    4516 E LAKE SHORE DR
    WONDER LAKE,IL60097
    NONE N/A COLLEGE TUITION 2,000
    JULIA AFFINITO
    1720 N RYAN ST
    MCHENRY,IL60050
    NONE N/A COLLEGE TUITION 1,000
    Total .................................bullet 3a 54,750
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 11
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3Interest on savings and temporary cash investments     14 5  
    4 Dividends and interest from securities....     14 36,771  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6Net rental income or (loss) from personal property          
    7 Other investment income.....          
    8Gain or (loss) from sales of assets other than inventory     18 53,452  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   90,228  
    13Total. Add line 12, columns (b), (d), and (e)..................
    1390,228
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 12
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section
    Yes
    No
    501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is “Yes,” complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?...........
    b
    If “Yes,” complete the following schedule.
    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer or fiduciary) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's namebullet



    Firm's addressbullet







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


    Software ID: 12000229
    Software Version: 2012v2.0


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2012 AccountingFeesSchedule
    Name:
    EVA E MCINNES COLLEGE SCHOLARSHIP FUND
    EIN: 36-3756004
    Software ID:12000229
    Software Version:2012v2.0
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    JAMES GIOIA & COMPANY PC 4,325 4,325 0 0

    TY 2012 InvestmentsCorpBondsSchedule
    Name:
    EVA E MCINNES COLLEGE SCHOLARSHIP FUND
    EIN: 36-3756004
    Software ID:12000229
    Software Version:2012v2.0
    Name of Bond End of Year Book Value End of Year Fair Market Value
    35,000 JPMORGAN CHASE & CO 34,918 36,851
    30,000 HEWLETT PACKARD CO 30,813 32,447
    30,000 FNMA 2.375% 30,436 31,561
    25,000 FNMA 1.50% 24,938 25,308
    25,000 FNMA 4.625% 24,518 25,880
    35,000 FNMA 1.25% 35,155 35,941
    30,000 COCA-COLA ENTERPRISES 7.375% 29,969 32,384
    40,000 BANK OF AMERICA CORP 5.125% 40,287 42,658
    30,000 ALLERGAN INC 3.375% 30,159 32,448
    25,000 AT&T INC 5.50% 25,180 29,782

    TY 2012 InvestmentsCorpStockSchedule
    Name:
    EVA E MCINNES COLLEGE SCHOLARSHIP FUND
    EIN: 36-3756004
    Software ID:12000229
    Software Version:2012v2.0
    Name of Stock End of Year Book Value End of Year Fair Market Value
    70 SHS ZIMMER HOLDINGS INC 4,340 4,666
    110 SHS WYNDHAM WORLDWIDE CORP 2,025 5,853
    40 SHS WHIRLPOOL CORP 3,988 4,070
    150 SHS WEYERHAEUSER CO 3,815 4,173
    200 SHS WELLS FARGO & CO 5,712 6,836
    50 SHS WAL MART STORES, INC. 3,570 3,412
    120 SHS VERIZON COMMUNICATIONS 4,099 5,192
    70 SHS VARIAN MEDICAL SYSTEMS INC 4,721 4,917
    30 SHS VALMONT INDS INC 4,216 4,096
    100 SHS UNITEDHEALTH GROUP INC 3,673 5,424
    40 SHS UNION PACIFIC CORP 4,477 5,029
    160 SHS US BANCORP 3,894 5,110
    50 SHS TRAVELERS COMPANIES INC 3,575 3,591
    120 SHS TORCHMARK CORP 4,873 6,200
    150 SHS TEXTRON INC 3,901 3,718
    120 SHS TESORO PETE CORP 3,623 5,286
    80 SHS TW TELECOM INC 2,016 2,038
    170 SHS TJX COMPANIES 2,947 7,217
    170 SHS SYSCO CORPORATOIN 5,197 5,382
    110 SHS SUNTRUST BANKS INC 2,951 3,119
    120 SHS STARBUCKS CORP 3,130 6,436
    20 SHS SIMON PROPERTY GROUP INC 2,009 3,162
    30 SHS SHERWIN-WILLIAMS CO 1,953 4,615
    220 SHS TECH SEL SECTOR SPDR FD 5,470 6,347
    50 SHS SELECT SECTOR SPDR TR SBI INT 3,083 3,571
    100 SHS SELECT SPDR TR SBI INT-ENERGY 4,726 4,744
    160 CONSUMER STAPLES SELECT SECTOR SPDR 5,086 5,584
    20 SHS SALESFORCE COM INC 3,029 3,362
    180 SHS SLM CORP 2,880 3,083
    40 SHS ROCKWELL AUTOMATION INC 3,095 3,360
    100 SHS RAYTHEON CO 5,188 5,756
    80 SHS QUALCOMM INC 4,550 4,949
    110 SHS PROCTER & GAMBLE CO 5,593 7,468
    50 POLARIS INDUSTRIES INC 3,790 4,208
    30 SHS PHILLIPS 66 1,498 1,593
    50 SHS PHILLIP MORRIS INTL INC 3,846 4,182
    50 SHS PETSMART 3,510 3,417
    130 SHS PPL CORP 3,847 3,722
    30 SHS PPG IND INC 3,162 4,061
    140 SHS ORACLE SYSTEMS CORP 3,409 4,665
    50 SHS ONEOK INC 2,025 2,137
    70 SHS NORTHROP GRUMMAN CORP 4,034 4,731
    100 SHS NISOURCE INC 1,540 2,489
    140 SHS NEWS CORP CL A 3,311 3,571
    240 SHS NEWELL RUBBERMAID INC 5,007 5,345
    300 SHS MICROSOFT CORP 7,766 8,013
    70 SHS MCKESSON HBOC INC 6,145 6,787
    120 SHS MARATHON PETE CORP 5,024 7,560
    230 SHS LINCOLN NATL CORP IND 4,711 5,957
    130 SHS LILLY ELI & CO 5,451 6,412
    150 SHS LEXMARK INTL GROUP INC 3,774 3,478
    60 SHS KIMBERLY CLARK CORP 4,842 5,066
    100 SHS KIA-TENCOR CORP 3,153 4,776
    80 SHS JOY GLOBAL INC 4,538 5,102
    90 SHS JARDEN CORP 4,542 4,653
    250 SHS JABIL CIRCUIT INC 4,325 4,822
    186 SHS J P MORGAN CHASE & CO 5,895 8,178
    65 SHS INTL BUSINESS MACHINES 6,425 12,451
    185 SHS INTEL CORPORATION 2,662 3,815
    90 SHS HONEYWELL INTL 3,530 5,712
    80 SHS HERSHEY FOODS CORP 5,459 5,778
    100 SHS HARRIS CORP 5,086 4,896
    80 SHS GILEAD SCIENCES INC 3,293 5,876
    340 SHS GENERAL ELECTRIC CORP 6,718 7,137
    60 SHS FREEPORT MCMORAN COPPER & GOLD 2,170 2,052
    330 SHS FORD MOTOR CO 3,552 4,273
    30 SHS FLOWSERVE CORP 4,109 4,404
    350 SHS FIFTH THIRD BANCORP 4,235 5,320
    180 SHS EXXON MOBIL CORP 8,326 15,579
    40 SHS EASTMAN CHEMICAL CO 1,242 2,722
    110 SHS DR PEPPER SNAPPLE GROUP 4,708 4,860
    170 SHS DISCOVER FINL SVCS 2,844 6,553
    120 SHS DISH NETWORK CORP CL A 4,324 4,368
    30 SHS DILLARDS INC CL A 2,567 2,513
    70 SHS DIAMOND OFFSHORE DRILLING 4,437 4,757
    70 SHS DTE ENERGY CO 2,998 4,203
    180 SHS D R HORTON INC 3,597 3,560
    60 SHS CUMMINS ENGINE CO INC 1,319 6,501
    50 SHS CONOCOPHILLIPS 2,471 2,899
    40 SHS COMPUTER SCIENCES CORP 1,587 1,602
    190 SHS COMCAST CORP 6,599 7,098
    110 SHS CHEVRON TEXACO CORP 7,273 11,895
    170 SHS CENTERPOINT ENERGY INC 3,514 3,272
    60 SHS CAPITAL ONE FINL CORP 2,718 3,476
    380 SHS CADENCE DESIGN SYSTEM INC 4,727 5,134
    10 SHS CF INDS HLGDS INC 1,400 2,032
    520 SHS BOSTON SCIENTIFIC 2,980 2,980
    40 SHS BIOGEN IDEC INC 4,032 5,855
    60 SHS BEMIS INC 1,963 2,008
    60 SHS BAXTER INTL INC 3,554 4,000
    510 SHS BANK OF AMERICA CORP 4,763 5,921
    40 SHS APPLE COMUTER INC 13,631 21,287
    120 SHS AMERISOURCEBERGEN CORP 3,850 5,182
    80 SHS AMERICAN WTR WKS CO 2,981 2,970
    130 SHS THE ALLSTATE CORP 4,243 5,222
    90 SHS AKAMAI TECHNOLOGIES INC 3,413 3,682
    70 SHS ABBOTT LABORATORIES 4,225 4,585
    230 SHS AT&T INC 7,042 7,753

    TY 2012 InvestmentsGovtObligationsSch
    Name:
    EVA E MCINNES COLLEGE SCHOLARSHIP FUND
    EIN: 36-3756004
    Software ID:12000229
    Software Version:2012v2.0
    US Government Securities - End of Year Book Value:

    373,420
    US Government Securities - End of Year Fair Market Value:

    391,086
    State & Local Government Securities - End of Year Book Value:


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


     


    TY 2012 TaxesSchedule
    Name:
    EVA E MCINNES COLLEGE SCHOLARSHIP FUND
    EIN: 36-3756004
    Software ID:12000229
    Software Version:2012v2.0
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ILLINOIS ANNUAL FILING FEE 15      
    FEDERAL TAX ON INVESTMENT INCOME 1,452