Form990-PF

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

Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 1095 126 N BROAD ST   Room/suite
City or town, state, and ZIP code
THOMASVILLE, GA31799
A Employer identification number

58-1906094
B Telephone number (see instructions)

(229) 226-1011
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$26,063,425J 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 217,962 197,639  
4 Dividends and interest from securities...... 522,909 522,909  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 1,166,011
b Gross sales price for all assets on line 6a 8,701,533
7 Capital gain net income (from Part IV, line 2)... 1,176,283
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)....... Click to see attachment 12 12  
12 Total. Add lines 1 through 11........ 1,906,894 1,896,843  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 17,242 17,242    
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions) Click to see attachment 12,678 12,678    
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 150,022 150,022    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 179,942 179,942   0
25 Contributions, gifts, grants paid........ 1,430,000 1,430,000
26 Total expenses and disbursements. Add lines 24 and 25 1,609,942 179,942   1,430,000
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 296,952
b Net investment income (if negative, enter -0-) 1,716,901
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.......... 615,748 2,310,808 2,310,808
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) bullet78,766
Less: allowance for doubtful accounts bullet   136,663 Click to see attachment78,766 78,766
8 Inventories for sale or use...............      
9 Prepaid expenses and deferred charges........... 62 5,031 5,031
10a Investments—U.S. and state government obligations (attach schedule) 3,345,804 Click to see attachment2,358,795 2,378,927
b Investments—corporate stock (attach schedule)........ 12,084,165 Click to see attachment12,026,185 13,433,803
c Investments—corporate bonds (attach schedule)........ 1,972,930 Click to see attachment1,812,615 1,867,460
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)........... 5,962,276 Click to see attachment5,800,231 5,983,630
14 Land, buildings, and equipment: basis bullet1,583
Less: accumulated depreciation (attach schedule) bullet1,583      
15 Other assets (describe bullet)   Click to see attachment5,000 Click to see attachment5,000
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 24,117,648 24,397,431 26,063,425
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable...................    
19 Deferred revenue..................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)..........   0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted....................    
25 Temporarily restricted................    
26 Permanently restricted................    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds......... 2,160,430 2,160,430
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds 21,957,218 22,237,001
30 Total net assets or fund balances (see page 17 of the
instructions).................... 24,117,648 24,397,431
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 24,117,648 24,397,431
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 24,117,648
2 Enter amount from Part I, line 27a..................... 2 296,952
3 Other increases not included in line 2 (itemize) bullet 3  
4 Add lines 1, 2, and 3.......................... 4 24,414,600
5 Decreases not included in line 2 (itemize) bulletClick to see attachment 5 17,169
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 24,397,431
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 ANADARKO PETROLEUM P 2012-06-20 2012-12-14
b MEDTRONIC INC P 2010-12-16 2012-05-21
c FHLMC 2.25% 3/15/18 P 2011-07-21 2012-03-15
d FHLB 1.05% 10/27/17 P 2010-12-17 2012-01-27
e POWERSHARES DB PRECIOUS METALS P 2009-05-29 2012-12-31
FLOWERS FOODS INC P 2012-03-01 2012-12-04
MERRIL LYNCH CO P 2009-07-10 2012-08-15
FHLB 4.45% 6/12/19 P 2012-02-07 2012-06-12
FHLB 1.05% 10/29/15 P 2010-10-29 2012-01-29
POWERSHARES DB BASE METALS P 2012-01-01 2012-12-31
MEDTRONIC P 2011-08-18 2012-05-21
PFIZER INC P 2007-09-19 2012-10-10
FHLMC 2.5% 11/15/21 P 2011-10-25 2012-05-15
GNAR 4.5 2/20/35 P 2009-07-20 2012-06-20
POWERSHARES DB BASE METALS P 2009-05-29 2012-12-31
PROSHARES TR PSHS SHRT S&P500 P 2011-10-10 2012-05-17
SOUTHERN COMPANY P 2001-04-05 2012-02-01
FHLMC 2% 6/21/18 P 2011-10-17 2012-09-21
MERRIL LYNCH CO INC P 2009-07-10 2012-08-15
POWERSHARES DB COMMODITY INDEX P 2012-01-01 2012-12-31
VISA INC P 2011-03-11 2012-01-20
SPECTRA ENERGY P 2002-09-26 2012-10-10
FHLMC .875% 7/21/14 P 2011-11-17 2012-01-21
OHIO ST HSG 6.036% 09/01/17 P 2008-09-19 2012-03-01
POWERSHARES DB COMMODITY INDEX P 2009-05-29 2012-12-31
FEDERAL HOME LOAN BANK 3.69% P 2011-08-30 2012-02-22
TOTAL S A SPONSORED ADR P 2010-07-08 2012-10-10
FHLMC 1.625% 12/5/16 P 2012-02-27 2012-12-05
PRINCIPAL LIFE INCOME FUND P 2009-05-27 2012-12-14
V 100 1/21/12 P 2012-01-20 2012-01-25
SPDR GOLD TRUST P 2012-01-01 2012-12-31
FHLMC .92% 12/12/14 P 2011-12-15 2012-12-12
83162CTV5 SM 2011-20B P 2011-04-27 2012-08-01
KO 72.50 2/18/12 P 2012-02-18 2012-02-20
SAB MOD EQUITY PARTNERSHIP P 2004-06-30 2012-10-12
FNMA 1% 10/26/16 P 2011-10-26 2012-10-26
SBA 83164FGT5 P 2009-04-22 2012-06-25
APC 70 01/19/13 P 2012-12-12 2012-12-12
FEDERAL FARM CR 4.19% 2/24/20 P 2011-07-25 2012-02-24
PRINCIPAL LIFE 5.3% 12/14/12 P 2011-12-28 2012-12-14
SBA 508705 P 2009-10-02 2012-06-25
VISA INC P 2011-03-11 2012-10-10
FEDERAL FARM CR BK1.9% 12/21/17 P 2012-04-13 2012-12-21
83162CTV5 SM 2011-20B P 2011-04-27 2012-02-01
SOUTHERN CO NOTE 5.3% 1/15/12 P 2007-01-12 2012-01-15
AMERICAN EXPRESS CENT 5.55% P 2009-05-07 2012-10-17
FEDERAL FARM CR BK 2.18% 12/21/18 P 2012-07-25 2012-12-21
AMERICAN EXPRESS CENTURION P 2009-05-07 2012-10-17
SAB MODERATE EQUITY P 2012-01-01 2012-12-31
COCA COLA P 2009-02-27 2012-06-20
FEDERAL FARM CR BK 3.94% 8/24/26 P 2011-10-18 2012-08-24
ARKANSAS ST DEV 9.75% 11/15/14 P 2009-07-09 2012-05-16
SAB MODERATE EQUITY P 2007-12-31 2012-12-31
EXXON MOBIL P 2010-04-09 2012-09-17
FHLB 1% 2/23/18 P 2011-09-01 2012-08-23
FHLMC P 2009-03-17 2012-02-12
SAB VALUE OPPORTUNITIES P 2012-01-01 2012-12-31
GALLAGHER ARTHUR & CO P 2010-02-18 2012-11-30
FHLB 1% 2/22/27 P 2012-03-20 2012-12-24
FGTW P 2010-03-02 2012-06-15
SAB CAPITAL MARKETS P 2007-12-31 2012-12-31
KELLOG CO P 2010-12-31 2012-05-15
FHLB 2.2% 11/30/20 P 2012-05-10 2012-11-20
FHLB 1.5% 10/27/17 P 2010-10-12 2012-01-31
POWERSHARES DB PRECIOUS METALS P 2012-01-01 2012-12-31
(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 433,193   382,355 50,838
b 411,332   483,520 -72,188
c 200,000   201,300 -1,300
d 175,000   168,875 6,125
e 2,033     2,033
373,261   308,945 64,316
40,000   41,104 -1,104
25,000   25,295 -295
250,000   250,000  
208     208
56,116   46,760 9,356
137,752   136,141 1,611
200,000   200,000  
3,420   3,416 4
    7,524 -7,524
268,967   303,166 -34,199
158,956   82,130 76,826
100,000   100,000  
160,000   160,959 -959
461     461
432,328   308,188 124,140
226,320   162,529 63,791
125,000   125,025 -25
25,000   25,250 -250
    72 -72
200,000   200,000  
197,255   189,766 7,489
250,000   251,948 -1,948
100,000   98,513 1,487
12,462   12,462  
809     809
100,000   100,210 -210
7,860   8,174 -314
11,200     11,200
500,000   395,468 104,532
250,000   250,000  
3,167   3,149 18
30,439   37,040 -6,601
100,000   101,826 -1,826
5,000   5,113 -113
22,166   22,166  
11,609   6,169 5,440
25,000   25,184 -184
3,574   3,717 -143
100,000   99,957 43
25,000   24,093 907
50,000   50,315 -315
60,000   57,824 2,176
42,587     42,587
373,411   226,481 146,930
250,000   254,375 -4,375
12,939   14,196 -1,257
7,164     7,164
940,050   578,130 361,920
50,000   50,000  
100,000   106,250 -6,250
5,618     5,618
256,036   163,226 92,810
100,000   99,500 500
9,761   10,432 -671
65,007     65,007
342,717   282,112 60,605
175,000   175,000  
100,000   99,900 100
1,355     1,355
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       50,838
b       -72,188
c       -1,300
d       6,125
e       2,033
      64,316
      -1,104
      -295
       
      208
      9,356
      1,611
       
      4
      -7,524
      -34,199
      76,826
       
      -959
      461
      124,140
      63,791
      -25
      -250
      -72
       
      7,489
      -1,948
      1,487
       
      809
      -210
      -314
      11,200
      104,532
       
      18
      -6,601
      -1,826
      -113
       
      5,440
      -184
      -143
      43
      907
      -315
      2,176
      42,587
      146,930
      -4,375
      -1,257
      7,164
      361,920
       
      -6,250
      5,618
      92,810
      500
      -671
      65,007
      60,605
       
      100
      1,355
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 1,176,283
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 3 259,854
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 1,366,665 26,566,690 0.051443
2010 1,326,573 25,846,600 0.051325
2009 1,315,630 24,727,079 0.053206
2008 1,702,828 31,823,367 0.053509
2007 1,899,413 37,674,904 0.050416
2 Total of line 1, column (d) ...................... 2 0.259899
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 0.051980
4 Enter the net value of noncharitable-use assets for 2012 from Part X, line 5..... 4 26,640,251
5 Multiply line 4 by line 3....................... 5 1,384,760
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 17,169
7 Add lines 5 and 6......................... 7 1,401,929
8 Enter qualifying distributions from Part XII, line 4.............. 8 1,430,000
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See
the Part VI instructions.
Form 990-PF (2012)
Form 990-PF (2012)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see page 18 of the instructions)
1a Bulletand enter “N/A” on line 1. Bracket
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b 1 17,169
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 17,169
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 17,169
6 Credits/Payments:
a 2012 estimated tax payments and 2011 overpayment credited to 2012 6a 22,200
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 22,200
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  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 5,031
11 Enter the amount of line 10 to be: Credited to 2013 estimated taxBullet5,031 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
 
 
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)
    bulletGA
    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 ofbulletRICHARD SINGLETARY Telephone no.bullet (229) 226-1011
    Located atbullet126 N BROAD ST PO BOX 1095THOMASVILLEGA ZIP+4bullet31799
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16
    At any time during calendar year 2012, did the foundation have an interest in or a signature or other authority over
    a bank, securities, or other financial account in a foreign country? .................
    16
     
    No
    See instructions for exceptions and filing requirements for Form TD F 90-22.1. If "Yes", enter the name of the foreign country bullet  
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 5
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the “Yes” column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?.........................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?.................
    (6) Agree to pay money or property to a government official? (Exception. Check “No”
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).........
    b
    If any answer is “Yes” to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see page 20 of the instructions)?...
    1b
     
     
    .........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2012?.............
    1c
     
     
    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
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?.........................
    b
    If “Yes,” did it have excess business holdings in 2012 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2012.)....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2012?
    4b
     
    No
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?...............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 509(a)(1), (2), or (3), or section 4940(d)(2)? (see instructions)........
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?........
    b
    If any answer is “Yes” to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see instructions)? ......
    5b
     
     
    .........bullet
    c
    If the answer is “Yes” to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?............
    If “Yes,” attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?........................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If “Yes” to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 6
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to
    employee benefit plans
    and deferred compensation     		(e) Expense account,
    other allowances
    RICHARD L SINGLETARYClick to see attachment DIRECTOR
    5.00     		0 0 0
    PO BOX 1095
    THOMASVILLE,GA31799
    KAREN S LEABOClick to see attachment DIRECTOR
    5.00     		0 0 0
    PO BOX 1184
    THOMASVILLE,GA31799
    RICHARD L SINGLETARY JRClick to see attachment TREASURER
    5.00     		0 0 0
    1400 VILLAGE SQUARE BLVD SUITE 3
    TALLAHASSEE,FL32312
    LEWIS HALL SINGLETARY IIClick to see attachment SECRETARY
    5.00     		0 0 0
    2201 GLEN MARY PLACE
    DULUTH,GA30097
    JEANNE S HAMILClick to see attachment DIRECTOR
    5.00     		0 0 0
    1310 GORDON AVE
    THOMASVILLE,GA31792
    KAREN L SINGLETARYClick to see attachment DIRECTOR
    5.00     		0 0 0
    1375 PIERCE CHAPEL ROAD
    CAIRO,GA39828
    J PHILIP LEABO JRClick to see attachment PRESIDENT
    5.00     		0 0 0
    PO BOX 1094
    THOMASVILLE,GA31799
    JULIA SINGLETARYClick to see attachment DIRECTOR
    5.00     		0 0 0
    1400 VILLAGE SQUARE BLVD SUITE 3
    TALLAHASSEE,FL32312
    LISA LEABOClick to see attachment DIRECTOR
    5.00     		0 0 0
    PO BOX 1094
    THOMASVILLE,GA31799
    J PHILIP LEABOClick to see attachment DIRECTOR
    5.00     		0 0 0
    PO BOX 1184
    THOMASVILLE,GA31799
    REBECCA SINGLETARYClick to see attachment DIRECTOR
    5.00     		0 0 0
    2201 GLEN MARY PLACE
    DULUTH,GA30097
    MICHAEL HAMILClick to see attachment VICE PRESIDE
    5.00     		0 0 0
    202 MITCHELL PLACE
    THOMASVILLE,GA31792
    TIMOTHY SINGLETARYClick to see attachment DIRECTOR
    5.00     		0 0 0
    1375 PIERCE CHAPEL ROAD
    CAIRO,GA39828
    GREG HAMILClick to see attachment DIRECTOR
    5.00     		0 0 0
    1310 GORDON AVE
    THOMASVILLE,GA31792
    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
     
    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 N/A  
    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
    25,788,282
    b
    Average of monthly cash balances.......................
    1b
    1,134,411
    c
    Fair market value of all other assets (see instructions)................
    1c
    123,247
    d
    Total (add lines 1a, b, and c).........................
    1d
    27,045,940
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d.........................
    3
    27,045,940
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see
    instructions) .............................
    4
    405,689
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    26,640,251
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    1,332,013
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    1,332,013
    2a
    Tax on investment income for 2012 from Part VI, line 5......
    2a
    17,169
    b
    Income tax for 2012. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    17,169
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    1,314,844
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    1,314,844
    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
    1,314,844
    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
    1,430,000
    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
    1,430,000
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see instructions).................
    5
    17,169
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    1,412,831
    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 1,314,844
    2 Undistributed income, if any, as of the end of 2012:
    a Enter amount for 2011 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2012:
    a From 2007....... 103,842
    b From 2008....... 135,004
    c From 2009....... 91,776
    d From 2010....... 78,751
    e From 2011....... 60,522
    fTotal of lines 3a through e......... 469,895
    4Qualifying distributions for 2012 from Part
    XII, line 4: bullet$ 1,430,000
    a Applied to 2011, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see instructions)......     		 
    c Treated as distributions out of corpus (Election
    required—see instructions).........     		 
    d Applied to 2012 distributable amount..... 1,314,844
    e Remaining amount distributed out of corpus 115,156
    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 5 585,051
    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 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see
    instructions) .............     		 
    8Excess distributions carryover from 2007 not
    applied on line 5 or line 7 (see instructions) ...     		103,842
    9Excess distributions carryover to 2013.
    Subtract lines 7 and 8 from line 6a ......     		481,209
    10 Analysis of line 9:
    a Excess from 2008.... 135,004
    b Excess from 2009.... 91,776
    c Excess from 2010.... 78,751
    d Excess from 2011.... 60,522
    e Excess from 2012.... 115,156
    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 or e-mail of the person to whom applications should be addressed:
    LEWIS HALL AND MILDRED SASSER
    PO BOX 1095 126 N BROAD ST
    THOMASVILLE,GA31792
    (229) 226-1011
    bThe form in which applications should be submitted and information and materials they should include:
    DETAILS AS TO USE AND PURPOSE OF GIFTS.
    cAny submission deadlines:
    AUGUST 31, 2013
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    CONCENTRATION IN SOUTHWEST GEORGIA.
    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
    ALLIANCE DEFENSE FUND
    15333 N PIMA RD
    SCOTTSDALE,AZ85260     		NONE   ASSISTANCE FOR UNIVERSITY PROGRAM 25,000
    ARCHBOLD FOUNDATION
    910 S BROAD ST
    THOMASVILLE,GA31792     		NONE   NEW ONCOLOGY CENTER 76,500
    BISHOP HALL
    1815 E CLAY ST
    THOMASVILLE,GA31792     		NONE   OPERATING NEEDS 75,000
    BROOKWOOD SCHOOL
    301 CARDINAL RIDGE RD
    THOMASVILLE,GA31792     		NONE   OPERATING NEEDS 5,000
    COMMUNITY FOUNDATION OF S GA
    PO BOX 2654
    THOMASVILLE,GA31799     		NONE   OPERATING NEEDS 232,260
    ELEMENT 3 CHURCH
    PO BOX 14792
    TALLAHASSEE,FL32303     		NONE   CHURCH PLANTING PROJECT 15,000
    FAVOR CHRISTIAN ACADEMY
    507 N BROAD ST
    THOMASVILLE,GA31792     		NONE   OPERATING NEEDS 10,000
    FELLOWSHIP OF CHRISTIAN ATHLETES
    PO BOX 466
    THOMASVILLE,GA31799     		NONE   SUMMER FCA CAMP PROGRAM 25,000
    FIRST UNITED METHODIST CHURCH
    425 N BROAD ST
    THOMASVILLE,GA31792     		NONE   OPERATING NEEDS 2,500
    HALCYON HOME
    PO BOX 1838
    THOMASVILLE,GA31799     		NONE   OPEARTING EXPENSES 20,000
    HANDS ON THOMAS COUNTY
    PO BOX 252
    THOMASVILLE,GA31799     		NONE   OPERATING EXPENSES 8,000
    INTERNATIONAL JUSTICE MISSION
    PO BOX 58147
    WASHINGTON,DC20037     		NONE   OPERATING EXPENSES 25,000
    JOSHUA'S PROMISE
    PO BOX 3144
    THOMASVILLE,GA31799     		NONE   PROJECT RESTORATION AFTERSCHOOL PROG 12,500
    MITCHELL COUNTY FOOD BANK
    PO BOX 107
    PELHAM,GA31779     		NONE   OPERATING NEEDS 37,740
    MNW BOYS & GIRLS CLUBS OF THOMAS
    COUNTY
    PO BOX 3026
    THOMASVILLE,GA31799     		NONE   OPERATING EXPENSES 80,000
    PERIMETER CHURCH
    9500 MEDLOCK BRIDGE RD
    DULUTH,GA30097     		NONE   GNIEZNO OUTREACH PROJECT 50,000
    PORCH DE SALOMON
    PO BOX 10509
    TALLAHASSEE,FL323022509     		NONE   OPERATING NEEDS 5,500
    PRESBYTERIAN HOMES OF GA
    2 PIEDMONT CTR STE 107
    ATLANTA,GA30305     		NONE   SUPPORT OF INDIGENT RESIDENTS 8,000
    RESCUE MISSION SOUP KITCHEN
    230 CHEROKEE ST
    THOMASVILLE,GA31799     		NONE   OPERATING NEEDS 20,000
    SECOND HARVEST OF SOUTH GA
    1411 HARBIN CIRCLE
    VALDOSTA,GA31601     		NONE   OPERATING NEEDS 40,000
    SOUTH GEORGIA BALLET
    PO BOX 326
    CAIRO,GA39828     		NONE   OUTREACH PROGRAM AND OPERATIONS 35,000
    SWGA TECHNICAL COLLEGE
    15689 US HWY 19 N
    THOMASVILLE,GA31792     		NONE   SCHOLARSHIP DEVELOPMENT 60,000
    THE LAWSON NEEL MEDBANK
    1407 GORDON AVE
    THOMASVILLE,GA31792     		NONE   OPERATIONAL FUNDING 25,000
    THE MAILBOX CLUB INTERNATIONAL
    404 EAGER RD
    VALDOSTA,GA31601     		NONE   FUND FREE BIBLE LESSONS 3,500
    THE SALVATION ARMY
    PO BOX 66
    THOMASVILLE,GA31799     		NONE   OPERATING NEEDS 65,000
    THOMAS COUNTY CASA
    PO BOX 1034
    THOMASVILLE,GA31799     		NONE   OPERATING NEEDS 5,000
    THOMAS COUNTY FOOD BANK
    PO BOX 975
    THOMASVILLE,GA31799     		NONE   OPERATING NEEDS 30,000
    THOMAS COUNTY HISTORICAL SOCIETY
    725 N DAWSON ST
    THOMASVILLE,GA31792     		NONE   OPERATING NEEDS 5,000
    THOMAS UNIVERSITY
    1501 MILLPOND RD
    THOMASVILLE,GA31792     		NONE   CAPITAL CAMPAIGN FUNDING 125,000
    THOMASVILLE CENTER FOR THE ARTS
    600 E WASHINGTON ST
    THOMASVILLE,GA31792     		NONE   OPERATING NEEDS 48,500
    THOMASVILLE COMMUNITY RESOURCE CTR
    501 VARNEDOE ST
    THOMASVILLE,GA31792     		NONE   OPERATING NEEDS 12,500
    THOMASVILLE GARDEN CENTER
    422 REMINGTON AVE
    THOMASVILLE,GA31792     		NONE   OPERATING NEEDS 6,000
    THOMASVILLE LANDMARKS
    PO BOX 1285
    THOMASVILLE,GA31799     		NONE   COMMUNITY PRESERVATION PROGRAM 7,500
    THOMASVILLETHOMAS COUNTY HABITAT
    FOR HUMANITY
    PO BOX 1479
    THOMASVILLE,GA31799     		NONE   CONSTRUCTION PROJECTS 20,000
    VASHTI CENTER
    1815 E CLAY ST
    THOMASVILLE,GA31792     		NONE   OPERATING NEEDS 54,000
    WELLSPRING OF LIVING WATER
    9500 MEDLOCK BRIDGE RD
    DULUTH,GA30097     		NONE   OPERATING NEEDS 25,000
    YMCA OF THOMASVILLE
    PO BOX 1153
    THOMASVILLE,GA31799     		NONE   EQUIPMENT AND FACILITY IMPROVEMENTS 20,000
    YOUNG LIFE SOUTHEAST GEORGIA
    PO BOX 7753
    MARIETTA,GA30065     		NONE   OPERATING NEEDS 80,000
    YOUNG LIFE THOMAS COUNTY
    115 E JACKSON ST
    THOMASVILLE,GA31792     		NONE   OPERATING EXPENSES 30,000
    Total .................................bullet 3a 1,430,000
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 11
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3Interest on savings and temporary cash investments         217,962
    4 Dividends and interest from securities....         522,909
    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         1,166,011
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: aMISCELLANEOUS INCOME         12
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..     1,906,894
    13Total. Add line 12, columns (b), (d), and (e)..................
    131,906,894
    (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.)
    3 REVENUE RAISED TO ENABLE FOUNDATION TO MAKE CONTRIBUTIONS
    3 TO DONEES WHO PROVIDE WELFARE BENEFITS THE FOUNDATION
    3 MANAGERS DEEM ACCEPTABLE.
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 12
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section
    Yes
    No
    501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is “Yes,” complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?...........
    b
    If “Yes,” complete the following schedule.
    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer or fiduciary) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's namebullet



    Firm's addressbullet







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


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2012 AccountingFeesSchedule
    Name:
    LEWIS HALL AND MILDRED SASSER
    SINGLETARY FOUNDATION INC
    EIN: 58-1906094
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL AND ACCOUNTING 17,242 17,242    

    TY 2012 CompensationExplanation
    Name:
    LEWIS HALL AND MILDRED SASSER
    SINGLETARY FOUNDATION INC
    EIN: 58-1906094
    Person Name Explanation
    RICHARD L SINGLETARY  
    KAREN S LEABO  
    RICHARD L SINGLETARY JR  
    LEWIS HALL SINGLETARY II  
    JEANNE S HAMIL  
    KAREN L SINGLETARY  
    J PHILIP LEABO JR  
    JULIA SINGLETARY  
    LISA LEABO  
    J PHILIP LEABO  
    REBECCA SINGLETARY  
    MICHAEL HAMIL  
    TIMOTHY SINGLETARY  
    GREG HAMIL  

    Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

    TY 2012 DepreciationSchedule
    Name:
    LEWIS HALL AND MILDRED SASSER
    SINGLETARY FOUNDATION INC
    EIN: 58-1906094
    Description of Property Date Acquired Cost or Other Basis Prior Years' Depreciation Computation Method Rate /
    Life (# of years)    		 Current Year's Depreciation Expense Net Investment Income Adjusted Net Income Cost of Goods Sold Not Included
    COMPUTER 1999-06-21 1,583 1,583 200DB 5.0000        

    TY 2012 InvestmentsCorpBondsSchedule
    Name:
    LEWIS HALL AND MILDRED SASSER
    SINGLETARY FOUNDATION INC
    EIN: 58-1906094
    Name of Bond End of Year Book Value End of Year Fair Market Value
    CORPORATE BONDS 1,812,615 1,867,460

    TY 2012 InvestmentsCorpStockSchedule
    Name:
    LEWIS HALL AND MILDRED SASSER
    SINGLETARY FOUNDATION INC
    EIN: 58-1906094
    Name of Stock End of Year Book Value End of Year Fair Market Value
    COMMON STOCKS 12,026,185 13,433,803

    TY 2012 InvestmentsGovtObligationsSch
    Name:
    LEWIS HALL AND MILDRED SASSER
    SINGLETARY FOUNDATION INC
    EIN: 58-1906094
    US Government Securities - End of Year Book Value:

    2,098,703
    US Government Securities - End of Year Fair Market Value:

    2,112,864
    State & Local Government Securities - End of Year Book Value:


    260,092
    State & Local Government Securities - End of Year Fair Market Value:


    266,063


    TY 2012 InvestmentsOtherSchedule2
    Name:
    LEWIS HALL AND MILDRED SASSER
    SINGLETARY FOUNDATION INC
    EIN: 58-1906094
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    PARTNERSHIP INVESTMENTS AT COST 5,800,231 5,983,630

    TY 2012 LandEtcSchedule2
    Name:
    LEWIS HALL AND MILDRED SASSER
    SINGLETARY FOUNDATION INC
    EIN: 58-1906094
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    EQUIPMENT 1,583 1,583    


    TY 2012 OtherAssetsSchedule
    Name:
    LEWIS HALL AND MILDRED SASSER
    SINGLETARY FOUNDATION INC
    EIN: 58-1906094
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    ACCRUED INTEREST PURCHASED   5,000 5,000


    TY 2012 OtherDecreasesSchedule
    Name:
    LEWIS HALL AND MILDRED SASSER
    SINGLETARY FOUNDATION INC
    EIN: 58-1906094
    Description Amount
    EXCISE TAX 17,169


    TY 2012 OtherExpensesSchedule
    Name:
    LEWIS HALL AND MILDRED SASSER
    SINGLETARY FOUNDATION INC
    EIN: 58-1906094
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXPENSES        
    INVESTMENT EXPENSE 132,723 132,723    
    BANK CHARGES 30 30    
    DUES & SUBSCRIPTIONS 5,387 5,387    
    CONSULTING EXPENSE 4,338 4,338    
    OFFICE EXPENSE 7,544 7,544    


    TY 2012 OtherIncomeSchedule2
    Name:
    LEWIS HALL AND MILDRED SASSER
    SINGLETARY FOUNDATION INC
    EIN: 58-1906094
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    MISCELLANEOUS INCOME 12 12  


    TY 2012 OtherNotesLoansRcvblShortSch2
    Name:
    LEWIS HALL AND MILDRED SASSER
    SINGLETARY FOUNDATION INC
    EIN: 58-1906094
    Name of 501(c)(3) Organization Balance Due
    NR - COLLINS FARM
          		78,766


    TY 2012 TaxesSchedule
    Name:
    LEWIS HALL AND MILDRED SASSER
    SINGLETARY FOUNDATION INC
    EIN: 58-1906094
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES WITHHELD 12,678 12,678