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
CHARLES F& ADELINE BARTH
CHARITABLE FOUNDATION

Number and street (or P.O. box number if mail is not delivered to street address)3023 DAVENPORT ST PO BOX 3275   Room/suite
City or town, state, and ZIP code
SAGINAW, MI48605
A Employer identification number

38-6556893
B Telephone number (see instructions)

(989) 793-9830
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$954,381
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 1,092 1,092  
4 Dividends and interest from securities...... 19,557 19,557  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 28,382
b Gross sales price for all assets on line 6a 247,394
7 Capital gain net income (from Part IV, line 2)... 28,382
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)....... 54 54  
12 Total. Add lines 1 through 11........ 49,085 49,085  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 900 300 300 600
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 7,295 6,838 6,838 457
c Other professional fees (attach schedule).... 10,175 10,175 10,175  
17 Interest...............        
18 Taxes (attach schedule) (see instructions) 1,136 1,136 1,136  
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 1,925 1,925 1,925  
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 21,431 20,374 20,374 1,057
25 Contributions, gifts, grants paid........ 47,445 47,445
26 Total expenses and disbursements. Add lines 24 and 25 68,876 20,374 20,374 48,502
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -19,791
b Net investment income (if negative, enter -0-) 28,711
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...............   4,028 4,028
2 Savings and temporary cash investments.......... 117,851 118,792 118,792
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)      
b Investments—corporate stock (attach schedule)........ 622,966 Click to see attachment606,393 683,234
c Investments—corporate bonds (attach schedule)........ 150,055 Click to see attachment141,868 148,327
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) 890,872 871,081 954,381
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.........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds 890,872 871,081
30 Total net assets or fund balances (see page 17 of the
instructions).................... 890,872 871,081
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 890,872 871,081
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)............... 1 890,872
2 Enter amount from Part I, line 27a..................... 2 -19,791
3 Other increases not included in line 2 (itemize) bullet 3  
4 Add lines 1, 2, and 3.......................... 4 871,081
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. 6 871,081
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 BIG LOTS INC COM P 2011-06-16 2012-01-10
b COOPER TIRE RUBBER P 2010-06-10 2012-01-10
c SAKS INC P 2011-05-20 2012-01-10
d COOPER TIRE RUBBER P 2011-07-14 2012-02-24
e TIMKEN COMPANY P 2011-08-10 2012-02-23
MOLINA HEALTHCARE INC P 2009-08-25 2012-03-09
GAMESTOP CORP NEW CL A P 2011-05-19 2012-04-11
ENERSYS P 2011-07-14 2012-05-03
LEAR CORP SHS P 2011-06-22 2012-05-08
POLYONE CORP COM P 2012-03-08 2012-06-11
ENDURANCE SPECIALTY HLDG P 2009-07-08 2012-07-11
COVENTRY HEALTH CARE INC P 2012-05-21 2012-08-21
TESORO CORP P 2011-07-27 2012-08-15
AVERY DENNISON CORP P 2010-11-16 2012-09-13
HOME PROPERTIES INC P 2011-08-24 2012-09-24
FORTUNE BRANDS HOME AND P 2012-01-05 2012-10-25
FERRO CORP P 2011-07-15 2012-11-02
PORTLAND GEN ELEC CO P 2009-03-03 2012-11-02
CHILDRENS PL RETL STRS P 2011-07-15 2012-12-11
TEEKAY CORP P 2010-05-18 2012-12-04
MICROSOFT CORP P 2009-11-02 2012-01-03
JOHNSON AND JOHNSON COM P 2007-02-02 2012-02-06
DR PEPPER SNAPPLE GROUP P 2010-06-28 2012-04-25
COACH INC P 2010-01-26 2012-06-25
AMERISOURCEBERGEN CORP P 2011-06-06 2012-07-10
CONOCOPHILLIPS P 2008-08-18 2012-07-11
APACHE CORP P 2012-04-23 2012-10-15
EXPRESS SCRIPTS HLDG CO P 2012-07-10 2012-11-14
GAP INC DELAWARE P 2008-05-12 2012-12-21
CULLEN HIGH P 2011-09-14 2012-10-31
BIG LOTS INC COM P 2011-06-16 2012-01-25
DEAN FOODS CO NEW P 2011-09-28 2012-01-04
SIGNET JEWELERS LTD SHS P 2010-09-29 2012-01-10
COOPER TIRE RUBBER P 2011-07-15 2012-02-24
TYSON FOODS INC CL A P 2011-04-19 2012-01-31
MOLINA HEALTHCARE INC P 2011-11-04 2012-03-09
GAMESTOP CORP NEW CL A P 2011-07-13 2012-04-11
ENERSYS P 2011-07-15 2012-05-04
POLYONE CORP COM P 2010-06-15 2012-05-17
PLATINUM UNDRWRITRS HLDG P 2010-07-09 2012-06-11
ENDURANCE SPECIALTY HLDG P 2009-07-09 2012-07-11
COVENTRY HEALTH CARE INC P 2012-06-05 2012-08-21
WESTERN REFNG INC P 2012-01-05 2012-08-10
BRE PPTYS INC MARYLAND A P 2010-08-05 2012-08-29
HOME PROPERTIES INC P 2012-07-12 2012-09-24
MID AMERICA APT CMNTYS P 2011-08-24 2012-10-25
FERRO CORP P 2011-07-18 2012-11-02
PORTLAND GEN ELEC CO P 2009-11-04 2012-11-02
CHILDRENS PL RETL STRS P 2011-07-18 2012-12-11
TEEKAY CORP P 2010-06-30 2012-12-04
MICROSOFT CORP P 2009-11-03 2012-01-03
MEADWESTVACO CORP P 2010-01-11 2012-02-06
ALTERA CORP COM P 2010-11-08 2012-04-30
COACH INC P 2010-01-27 2012-06-25
AMERISOURCEBERGEN CORP P 2011-06-06 2012-07-11
CONOCOPHILLIPS P 2008-08-18 2012-07-12
APACHE CORP P 2012-04-24 2012-10-15
EXPRESS SCRIPTS HLDG CO P 2012-07-11 2012-11-14
GAP INC DELAWARE P 2008-05-12 2012-12-26
ETFS WHITE METALS BASKET P 2011-01-18 2012-10-31
BIG LOTS INC COM P 2011-07-13 2012-01-25
ENERSYS P 2008-09-24 2012-01-05
TYSON FOODS INC CL A P 2008-04-16 2012-01-26
COOPER TIRE RUBBER P 2011-08-05 2012-02-24
TYSON FOODS INC CL A P 2011-04-29 2012-01-31
MOLINA HEALTHCARE INC P 2011-11-04 2012-03-12
GAMESTOP CORP NEW CL A P 2011-07-13 2012-04-12
ENERSYS P 2011-08-23 2012-05-04
POLYONE CORP COM P 2011-05-13 2012-05-17
PLAINS EXPL AND PRODCTN P 2011-11-03 2012-05-30
ENDURANCE SPECIALTY HLDG P 2009-09-22 2012-07-11
COVENTRY HEALTH CARE INC P 2012-06-06 2012-08-21
WESTERN REFNG INC P 2012-01-05 2012-08-17
BRE PPTYS INC MARYLAND A P 2010-11-09 2012-08-29
PNM RESOURCES INC P 2011-05-13 2012-09-06
NEWELL RUBBERMAID INC P 2011-08-19 2012-10-25
FERRO CORP P 2011-07-19 2012-11-02
PORTLAND GEN ELEC CO P 2009-11-04 2012-11-14
CHILDRENS PL RETL STRS P 2011-07-19 2012-12-11
TEEKAY CORP P 2010-10-18 2012-12-04
MICROSOFT CORP P 2009-11-04 2012-01-03
MEADWESTVACO CORP P 2010-01-11 2012-02-07
ALTERA CORP COM P 2010-11-09 2012-04-30
COACH INC P 2011-01-31 2012-06-25
AMERISOURCEBERGEN CORP P 2011-06-06 2012-07-12
ENGILITY HOLDINGS INC P 2012-07-23 2012-07-24
APACHE CORP P 2012-04-25 2012-10-15
HARLEY DAVIDSON INC WIS P 2010-06-14 2012-10-31
GAP INC DELAWARE P 2009-07-06 2012-12-26
HARBOR INTL INSTL CL P 2009-03-26 2012-10-31
CMS ENERGY CORP P 2009-06-11 2012-01-05
HEALTH NET INC P 2010-10-29 2012-01-13
TYSON FOODS INC CL A P 2008-12-26 2012-01-26
ENERSYS P 2008-09-24 2012-02-23
WESTLAKE CHEM CORP P 2011-09-28 2012-02-03
SIGNET JEWELERS LTD SHS P 2010-09-29 2012-02-27
GAMESTOP CORP NEW CL A P 2011-08-03 2012-04-12
FLEXTRONICS INTL LTD P 2009-02-11 2012-05-09
TRW AUTOMOTIVE HLDGS CRP P 2009-10-26 2012-05-08
STONE ENERGY CORP COM P 2011-04-28 2012-05-30
ENDURANCE SPECIALTY HLDG P 2009-09-22 2012-07-26
CONSTELLATION BRANDS INC P 2009-10-14 2012-08-16
WESTERN REFNG INC P 2012-01-25 2012-08-23
BRE PPTYS INC MARYLAND A P 2010-11-09 2012-09-19
TESORO CORP P 2011-07-27 2012-09-06
PLATINUM UNDRWRITRS HLDG P 2010-07-09 2012-10-25
FERRO CORP P 2011-07-20 2012-11-02
PORTLAND GEN ELEC CO P 2010-04-01 2012-11-14
CHILDRENS PL RETL STRS P 2011-07-19 2012-12-12
ALTERA CORP COM P 2010-11-08 2012-01-03
NATIONAL-OILWELL VARCO P 2009-11-23 2012-01-09
MEADWESTVACO CORP P 2010-01-12 2012-02-07
LORILLARD INC P 2010-06-04 2012-05-21
COACH INC P 2011-02-01 2012-06-25
AMERISOURCEBERGEN CORP P 2011-06-06 2012-07-13
LIMITED BRANDS INC P 2010-03-08 2012-06-27
AUTOZONE INC NEVADA COM P 2011-10-10 2012-10-15
SYMANTEC CORP COM P 2010-09-27 2012-11-13
MC GRAW HILL COMPANIES P 2011-02-14 2012-12-03
ISHARES GOLD TRUST P 2011-01-18 2012-10-31
CMS ENERGY CORP P 2009-06-11 2012-01-10
NISOURCE INC P 2009-08-11 2012-01-04
TYSON FOODS INC CL A P 2008-12-29 2012-01-26
ENERSYS P 2009-03-03 2012-02-23
ARRIS GROUP INC P 2011-05-25 2012-03-08
SIGNET JEWELERS LTD SHS P 2010-10-18 2012-02-27
JONES (THE) GROUP INC P 2010-12-21 2012-04-04
FLEXTRONICS INTL LTD P 2009-03-03 2012-05-09
TIMKEN COMPANY P 2011-08-10 2012-05-03
STONE ENERGY CORP COM P 2011-04-29 2012-05-30
ENDURANCE SPECIALTY HLDG P 2011-06-22 2012-07-26
CONSTELLATION BRANDS INC P 2009-10-14 2012-08-17
WESTERN REFNG INC P 2012-02-02 2012-08-23
BRE PPTYS INC MARYLAND A P 2010-11-10 2012-09-19
TESORO CORP P 2011-07-27 2012-09-12
ROYAL CARIBBEAN CRUISES P 2010-01-08 2012-09-26
FERRO CORP P 2011-11-04 2012-11-02
PORTLAND GEN ELEC CO P 2012-02-24 2012-11-14
CHILDRENS PL RETL STRS P 2012-03-09 2012-12-12
ALTERA CORP COM P 2010-11-08 2012-01-04
NATIONAL-OILWELL VARCO P 2009-11-24 2012-01-09
MEADWESTVACO CORP P 2010-01-12 2012-02-08
LORILLARD INC P 2011-09-19 2012-05-21
DIRECTV GROUP HLDNGS CLA P 2010-07-12 2012-06-19
BAXTER INTERNTL INC P 2011-06-13 2012-07-09
CF INDS HLDGS INC P 2011-08-29 2012-08-13
INTEL CORP P 2010-06-14 2012-10-15
WESTERN UN CO P 2010-09-13 2012-11-13
SYMANTEC CORP COM P 2010-09-27 2012-12-03
ISHARES TR P 2011-01-18 2012-10-31
CMS ENERGY CORP P 2009-08-11 2012-01-10
NISOURCE INC P 2009-08-11 2012-01-10
UGI CORP NEW P 2010-07-23 2012-01-09
MOLINA HEALTHCARE INC P 2009-06-04 2012-02-23
ARRIS GROUP INC P 2011-05-25 2012-03-09
SIGNET JEWELERS LTD SHS P 2011-02-17 2012-02-28
WESTLAKE CHEM CORP P 2011-09-28 2012-04-12
GENERAL CABLE CORP P 2009-12-15 2012-05-07
TIMKEN COMPANY P 2011-08-10 2012-05-04
AMTR FINL SRVS INC P 2010-12-15 2012-07-11
MERITAGE HOMES CORP P 2012-01-20 2012-06-27
DEAN FOODS CO NEW P 2011-09-28 2012-08-20
ANN INC SHS P 2010-06-30 2012-08-29
BRE PPTYS INC MARYLAND A P 2011-05-05 2012-09-19
TESORO CORP P 2011-08-11 2012-09-12
ROYAL CARIBBEAN CRUISES P 2010-02-03 2012-09-26
FERRO CORP P 2012-01-31 2012-11-02
PORTLAND GEN ELEC CO P 2012-05-18 2012-11-14
CHILDRENS PL RETL STRS P 2012-05-03 2012-12-12
AMGEN INC COM PV 0.0001 P 2008-11-24 2012-01-03
NATIONAL-OILWELL VARCO P 2011-09-06 2012-01-09
AGILENT TECHNOLOGIES INC P 2010-04-12 2012-03-05
LIMITED BRANDS INC P 2010-03-08 2012-05-07
DIRECTV GROUP HLDNGS CLA P 2011-12-27 2012-06-19
BAXTER INTERNTL INC P 2011-06-13 2012-07-10
NVIDIA P 2011-05-02 2012-08-27
INTEL CORP P 2010-06-28 2012-10-15
WESTERN UN CO P 2010-09-13 2012-11-14
SYMANTEC CORP COM P 2010-09-28 2012-12-03
MAINSTAY P 2012-06-25 2012-10-31
CMS ENERGY CORP P 2009-08-11 2012-01-18
NISOURCE INC P 2009-08-11 2012-01-19
UGI CORP NEW P 2010-07-26 2012-01-09
NCR CORP NEW P 2009-04-16 2012-02-23
ARRIS GROUP INC P 2011-05-27 2012-03-09
SIGNET JEWELERS LTD SHS P 2011-06-01 2012-02-28
WESTLAKE CHEM CORP P 2011-10-18 2012-04-12
GENERAL CABLE CORP P 2010-04-07 2012-05-07
WESCO INTERNATIONAL INC P 2009-12-07 2012-05-09
CONVERGYS CORP P 2008-08-21 2012-06-27
MERITAGE HOMES CORP P 2012-01-20 2012-06-28
ENDURANCE SPECIALTY HLDG P 2011-06-22 2012-08-01
ANN INC SHS P 2010-10-18 2012-08-29
BRE PPTYS INC MARYLAND A P 2012-02-27 2012-09-19
TESORO CORP P 2012-05-16 2012-09-12
SUSQUEHANNA BANCSHRS INC P 2010-03-10 2012-09-26
FERRO CORP P 2012-01-31 2012-11-05
ROYAL CARIBBEAN CRUISES P 2010-02-03 2012-11-14
CHILDRENS PL RETL STRS P 2012-05-04 2012-12-12
BRISTOL-MYERS SQUIBB CO P 2010-08-09 2012-01-03
NVIDIA P 2011-05-02 2012-01-09
AUTOZONE INC NEVADA COM P 2011-10-10 2012-03-26
PHILLIPS 66 SHS P 2008-08-11 2012-05-07
HUMANA INC P 2009-02-17 2012-06-11
BAXTERBAXTER INTERNTLINTERNTL INCINC P 2011-06-14 2012-07-10
NVIDIA P 2011-05-09 2012-08-27
INTEL CORP P 2010-07-19 2012-10-15
WESTERN UN CO P 2010-09-20 2012-11-14
PENTAIR LTD P 2011-09-06 2012-12-03
MARKET VECTORS ETF TR P 2012-09-17 2012-10-31
CMS ENERGY CORP P 2010-01-21 2012-01-18
NISOURCE INC P 2010-04-01 2012-01-19
WESCO INTERNATIONAL INC P 2009-07-22 2012-01-24
POLYONE CORP COM P 2010-06-15 2012-02-08
ARRIS GROUP INC P 2011-05-27 2012-03-12
WESTLAKE CHEM CORP P 2011-09-28 2012-03-08
WESTLAKE CHEM CORP P 2011-10-18 2012-04-13
GENERAL CABLE CORP P 2010-04-07 2012-05-08
DEAN FOODS CO NEW P 2011-09-28 2012-06-15
CONSTELLATION BRANDS INC P 2009-10-14 2012-06-27
WESCO INTERNATIONAL INC P 2009-12-07 2012-07-11
ENDURANCE SPECIALTY HLDG P 2011-07-01 2012-08-01
ANN INC SHS P 2011-02-03 2012-08-29
BRISTOW GROUP INC P 2011-01-20 2012-09-17
TESORO CORP P 2012-05-16 2012-09-19
UGI CORP NEW P 2010-07-26 2012-10-10
FERRO CORP P 2012-02-23 2012-11-05
WASHINGTON FEDL INC P 2008-10-13 2012-11-14
CONSTELLATION BRANDS INC P 2009-10-19 2012-12-21
BRISTOL-MYERS SQUIBB CO P 2010-08-10 2012-01-03
STARBUCKS CORP P 2011-01-10 2012-01-03
LORILLARD INC P 2010-03-17 2012-03-05
PHILLIPS 66 SHS P 2008-08-18 2012-05-07
LIMITED BRANDS INC P 2010-03-08 2012-06-25
BAXTERBAXTER INTERNTLINTERNTL INCINC P 2011-06-14 2012-07-11
NABORS INDUSTRIES LTD P 2009-11-16 2012-08-27
LOCKHEED MARTIN CORP P 2006-09-01 2012-10-15
WESTERN UN CO P 2010-11-01 2012-11-14
ISHARES TR P 2011-01-18 2012-06-25
NUVEEN REAL ESTATE P 2009-03-26 2012-10-31
CELESTICA SUB VTG SHS P 2011-07-25 2012-01-23
PEOPLES UNITED FNL INC P 2010-07-12 2012-01-18
ATLAS AIR WORLDWIDE HLDS P 2011-12-16 2012-02-08
RELIANCE STL & ALUM CO P 2008-05-15 2012-02-08
ASSOCIATED BANC CRP .01 P 2009-08-28 2012-03-23
ANN INC SHS P 2010-06-30 2012-04-23
WESTERN REFNG INC P 2012-01-05 2012-04-03
HUNTSMAN CORP P 2009-11-20 2012-05-08
JONES (THE) GROUP INC P 2010-12-21 2012-06-15
CON-WAY INC P 2011-11-30 2012-06-27
WESCO INTERNATIONAL INC P 2011-07-25 2012-07-11
ENDURANCE SPECIALTY HLDG P 2012-01-31 2012-08-01
AMTR FINL SRVS INC P 2010-12-15 2012-09-14
CHILDRENS PL RETL STRS P 2011-07-14 2012-09-06
WEBSTER FINL CP PV 0.01 P 2007-07-31 2012-09-17
UGI CORP NEW P 2010-08-04 2012-10-10
FERRO CORP P 2012-09-17 2012-11-05
WASHINGTON FEDL INC P 2009-04-16 2012-11-14
GANNETT CO P 2010-08-23 2012-12-21
HERSHEY COMPANY P 2010-04-05 2012-01-03
STARBUCKS CORP P 2011-01-18 2012-01-03
LORILLARD INC P 2010-06-04 2012-03-05
ROSS STORES INC COM P 2009-12-29 2012-05-21
LIMITED BRANDS INC P 2010-03-08 2012-06-26
BAXTER INTERNTL INC P 2011-06-15 2012-07-11
NABORS INDUSTRIES LTD P 2009-11-17 2012-08-27
LOCKHEED MARTIN CORP P 2006-09-07 2012-10-15
WESTERN UN CO P 2010-11-01 2012-11-15
NATIXIS FUNDS TRUST II P 2011-01-18 2012-06-25
OPPENHEIMER DISCOVERY P 2007-06-27 2012-10-31
CELESTICA SUB VTG SHS P 2011-07-26 2012-01-23
PORTLAND GEN ELEC CO P 2008-09-17 2012-01-05
ATLAS AIR WORLDWIDE HLDS P 2011-12-16 2012-02-08
RELIANCE STL & ALUM CO P 2008-12-15 2012-02-08
ENERSYS P 2009-03-03 2012-02-29
DANA HLDG CORP P 2009-12-16 2012-04-12
ATLAS AIR WORLDWIDE HLDS P 2011-12-16 2012-05-09
HUNTSMAN CORP P 2009-11-23 2012-05-08
JONES (THE) GROUP INC P 2010-12-22 2012-06-15
CON-WAY INC P 2011-12-01 2012-06-27
WESCO INTERNATIONAL INC P 2011-07-27 2012-07-11
NCR CORP NEW P 2009-04-16 2012-08-14
AMTR FINL SRVS INC P 2011-05-25 2012-09-17
DEAN FOODS CO NEW P 2011-09-28 2012-09-06
WEBSTER FINL CP PV 0.01 P 2008-05-22 2012-09-17
WASHINGTON FEDL INC P 2008-07-31 2012-10-25
LIFEPOINT HOSPS INC COM P 2007-12-07 2012-11-19
WASHINGTON FEDL INC P 2010-10-18 2012-11-14
LEGG MASON INC P 2011-09-12 2012-12-12
HERSHEY COMPANY P 2010-04-06 2012-01-03
TRIPADVISOR INC SHS P 2010-05-17 2012-01-03
MEDCO HEALTH SOLUTIONS I P 2012-01-09 2012-02-27
AETNA INC NEW P 2007-02-02 2012-06-11
VERIZON COMMUNICATNS COM P 2012-01-30 2012-06-25
BAXTER INTERNTL INC P 2011-06-15 2012-07-12
NABORS INDUSTRIES LTD P 2009-12-14 2012-08-27
LOCKHEED MARTIN CORP P 2012-01-03 2012-10-15
WESTERN UN CO P 2010-11-02 2012-11-15
NATIXIS FUNDS TRUST II P 2011-04-13 2012-06-25
PIMCO ALL P 2012-06-25 2012-10-31
CELESTICA SUB VTG SHS P 2011-07-27 2012-01-23
PORTLAND GEN ELEC CO P 2009-01-28 2012-01-05
ATLAS AIR WORLDWIDE HLDS P 2011-12-16 2012-02-08
SMITHFILDS FOODS PV0.50 P 2008-06-17 2012-01-31
HANCOCK HOLDING CO P 2009-05-26 2012-03-19
DANA HLDG CORP P 2009-12-16 2012-04-13
CON-WAY INC P 2011-11-30 2012-05-03
HUNTSMAN CORP P 2009-11-23 2012-05-09
POLYONE CORP COM P 2011-05-13 2012-06-05
CON-WAY INC P 2011-12-01 2012-06-28
WESCO INTERNATIONAL INC P 2011-10-20 2012-07-11
NCR CORP NEW P 2009-11-16 2012-08-14
AMTR FINL SRVS INC P 2011-05-27 2012-09-17
DEAN FOODS CO NEW P 2011-10-05 2012-09-06
CAMDEN PPTY TR COM SBI P 2010-05-12 2012-10-25
WASHINGTON FEDL INC P 2008-10-13 2012-10-25
LIFEPOINT HOSPS INC COM P 2009-09-24 2012-11-19
WASHINGTON FEDL INC P 2012-04-23 2012-11-14
LEGG MASON INC P 2011-09-13 2012-12-12
HERSHEY COMPANY P 2010-04-07 2012-01-03
TRIPADVISOR INC SHS P 2010-05-18 2012-01-03
MEDCO HEALTH SOLUTIONS I P 2012-01-09 2012-03-12
AETNA INC NEW P 2009-03-02 2012-06-11
WELLPOINT INC P 2009-03-09 2012-06-11
BAXTER INTERNTL INC P 2011-08-01 2012-07-12
NABORS INDUSTRIES LTD P 2009-12-15 2012-08-27
LOCKHEED MARTIN CORP P 2012-01-04 2012-10-15
ADT CORP SHS P 2011-09-06 2012-12-03
NATIXIS FUNDS TRUST II P 2011-04-13 2012-06-25
PUTNAM VOYAGER P 2011-04-29 2012-10-31
CELESTICA SUB VTG SHS P 2011-07-28 2012-01-23
RELIANCE STL & ALUM CO P 2008-01-29 2012-01-10
ATLAS AIR WORLDWIDE HLDS P 2011-12-16 2012-02-09
SMITHFILDS FOODS PV0.50 P 2008-07-11 2012-01-31
HANCOCK HOLDING CO P 2009-10-14 2012-03-19
DANA HLDG CORP P 2009-12-16 2012-04-20
CON-WAY INC P 2011-11-30 2012-05-04
HUNTSMAN CORP P 2009-11-23 2012-05-21
POLYONE CORP COM P 2011-05-13 2012-06-06
DEAN FOODS CO NEW P 2011-09-28 2012-06-27
WESTERN REFNG INC P 2012-01-05 2012-06-27
NCR CORP NEW P 2012-01-25 2012-08-14
AMTR FINL SRVS INC P 2011-05-27 2012-09-17
DEAN FOODS CO NEW P 2011-11-04 2012-09-06
CONSTELLATION BRANDS INC P 2009-10-14 2012-10-18
CAMDEN PPTY TR COM SBI P 2010-05-12 2012-11-02
LIFEPOINT HOSPS INC COM P 2009-09-25 2012-11-19
ATMOS ENERGY CORP COM P 2010-12-01 2012-12-12
NEWELL RUBBERMAID INC P 2011-08-19 2012-12-03
MEADWESTVACO CORP P 2010-01-11 2012-01-03
ANALOG DEVICES INC COM P 2011-01-31 2012-01-30
APPLIED MATERIAL INC P 2010-12-13 2012-04-09
BED BATH & BEYOND INC P 2011-11-07 2012-05-29
WELLPOINT INC P 2009-03-09 2012-06-26
BAXTER INTERNTL INC P 2011-08-01 2012-07-13
AETNA INC NEW P 2009-03-02 2012-09-10
ACCENTURE PLC SHS P 2012-03-05 2012-10-31
CF INDS HLDGS INC P 2011-08-29 2012-12-03
LORD ABBETT VALUE P 2011-04-29 2012-09-13
TOUCHSTONE MID CAP P 2012-09-13 2012-10-31
CELESTICA SUB VTG SHS P 2011-08-15 2012-01-23
RELIANCE STL & ALUM CO P 2008-05-15 2012-01-10
COOPER TIRE RUBBER P 2010-06-10 2012-02-23
SMITHFILDS FOODS PV0.50 P 2010-05-13 2012-01-31
HANCOCK HOLDING CO P 2009-10-14 2012-03-20
DANA HLDG CORP P 2010-04-07 2012-04-20
DEAN FOODS CO NEW P 2011-09-28 2012-05-21
HUNTSMAN CORP P 2009-12-07 2012-05-21
POLYONE CORP COM P 2011-06-16 2012-06-06
DEAN FOODS CO NEW P 2011-09-28 2012-06-28
WESTERN REFNG INC P 2012-01-05 2012-06-28
TESORO CORP P 2011-03-04 2012-08-10
AMTR FINL SRVS INC P 2012-09-20 2012-09-17
DOLE FOOD COMPANY INC P 2010-12-13 2012-09-13
EXPRESS INC P 2012-06-15 2012-10-10
CAMDEN PPTY TR COM SBI P 2010-05-18 2012-11-02
MID AMERICA APT CMNTYS P 2011-08-24 2012-11-02
ATMOS ENERGY CORP COM P 2010-12-02 2012-12-12
NEWELL RUBBERMAID INC P 2011-08-22 2012-12-03
MEADWESTVACO CORP P 2010-01-11 2012-01-04
BALL CORP COM P 2009-08-17 2012-01-30
APPLIED MATERIAL INC P 2011-02-07 2012-04-09
BED BATH & BEYOND INC P 2011-11-07 2012-06-25
WELLPOINT INC P 2009-03-09 2012-06-26
CONOCOPHILLIPS P 2008-08-11 2012-07-09
ENGILITY HOLDINGS INC P 2007-07-25 2012-07-24
EXPEDIA INC P 2010-05-17 2012-10-31
CLIFFS NATURAL RESOURCES P 2011-02-28 2012-12-03
LORD ABBETT VALUE P 2011-11-23 2012-09-13
WISDOMTREE TRUST P 2011-09-21 2012-10-31
CELESTICA SUB VTG SHS P 2011-08-16 2012-01-23
SAKS INC P 2011-01-06 2012-01-10
COOPER TIRE RUBBER P 2010-06-30 2012-02-23
THOMAS&BETTS CP TENN NPV P 2009-08-20 2012-01-30
MOLINA HEALTHCARE INC P 2009-06-04 2012-03-08
DANA HLDG CORP P 2011-11-04 2012-04-20
ENDURANCE SPECIALTY HLDG P 2009-07-08 2012-05-21
HUNTSMAN CORP P 2011-03-30 2012-05-21
POLYONE CORP COM P 2011-06-16 2012-06-11
DIAMONDROCK HOSPITALITY P 2010-04-30 2012-06-27
AMKOR TECH INC P 2011-08-01 2012-08-01
TESORO CORP P 2011-03-04 2012-08-15
AVERY DENNISON CORP P 2010-11-15 2012-09-12
GANNETT CO P 2010-08-23 2012-09-17
EXPRESS INC P 2012-07-03 2012-10-10
CHILDRENS PL RETL SIRS P 2011-07-15 2012-11-02
NEWELL RUBBERMAID INC P 2011-08-19 2012-11-21
AVERY DENNISON CORP P 2010-11-17 2012-12-12
REINSURNCE GROUP AMERICA P 2008-10-28 2012-11-29
MEADWESTVACO CORP P 2010-01-11 2012-01-05
COACH INC P 2010-01-25 2012-01-30
DR PEPPER SNAPPLE GROUP P 2010-06-28 2012-04-23
BED BATH & BEYOND INC P 2011-11-28 2012-06-25
WELLPOINT INC P 2009-03-12 2012-06-26
CONOCOPHILLIPS P 2008-08-11 2012-07-10
ENGILITY HOLDINGS INC P 2012-07-23 2012-07-24
EXPRESS SCRIPTS HLDG CO P 2012-07-09 2012-11-13
CLIFFS NATURAL RESOURCES P 2011-03-01 2012-12-03
ISHARES TR P 2011-01-18 2012-09-17
WISDOMTREE TRUST P 2011-09-21 2012-11-27
CELESTICA SUB VTG SHS P 2011-11-03 2012-01-23
SAKS INC P 2011-02-17 2012-01-10
COOPER TIRE RUBBER P 2011-07-14 2012-02-23
THOMAS&BETTS CP TENN NPV P 2010-04-07 2012-01-30
MOLINA HEALTHCARE INC P 2009-08-25 2012-03-08
GAMESTOP CORP NEW CL A P 2011-05-19 2012-04-10
ENERSYS P 2009-03-03 2012-05-03
HUNTSMAN CORP P 2012-02-23 2012-05-21
POLYONE CORP COM P 2012-01-11 2012-06-11
DIAMONDROCK HOSPITALITY P 2010-04-30 2012-06-28
AMKOR TECH INC P 2011-08-01 2012-08-14
TESORO CORP P 2011-06-01 2012-08-15
AVERY DENNISON CORP P 2010-11-16 2012-09-12
HOME PROPERTIES INC P 2011-08-19 2012-09-24
EXPRESS INC P 2012-08-29 2012-10-10
CAPITALSOURCE INC P 2010-07-14 2012-11-21
PORTLAND GEN ELEC CO P 2009-01-28 2012-11-02
AVERY DENNISON CORP P 2010-11-18 2012-12-12
REINSURNCE GROUP AMERICA P 2009-06-04 2012-11-29
MICROSOFT CORP P 2008-02-19 2012-01-03
COACH INC P 2010-01-26 2012-01-30
DR PEPPER SNAPPLE GROUP P 2010-06-28 2012-04-24
COACH INC P 2010-01-26 2012-05-29
AMERISOURCEBERGEN CORP P 2011-06-06 2012-07-09
CONOCOPHILLIPS P 2008-08-11 2012-07-11
APACHE CORP P 2012-04-09 2012-10-15
EXPRESS SCRIPTS HLDG CO P 2012-07-09 2012-11-14
CLIFFS NATURAL RESOURCES P 2011-05-16 2012-12-03
ARTISAN MID P 2006-10-13 2012-10-31
(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 347   291 56
b 245   301 -56
c 317   378 -61
d 156   191 -35
e 528   361 167
231   95 136
191   239 -48
140   142 -2
249   305 -56
134   130 4
72   61 11
1,884   1,335 549
38   25 13
153   180 -27
376   385 -9
525   311 214
72   367 -295
327   183 144
92   93 -1
98   76 22
1,046   1,086 -40
1,240   1,268 -28
706   678 28
58   35 23
311   324 -13
214   241 -27
426   454 -28
503   549 -46
376   219 157
8,432   7,278 1,154
205   161 44
249   217 32
310   225 85
93   116 -23
428   443 -15
297   188 109
148   174 -26
167   180 -13
466   347 119
259   264 -5
397   337 60
209   154 55
445   243 202
202   169 33
627   637 -10
193   207 -14
69   364 -295
82   56 26
323   328 -5
228   188 40
241   249 -8
270   257 13
249   236 13
288   174 114
393   405 -12
323   361 -38
426   455 -29
151   167 -16
368   219 149
940   953 -13
739   612 127
131   103 28
285   268 17
420   322 98
19   20 -1
531   334 197
300   347 -47
67   41 26
65   73 -8
255   233 22
397   389 8
251   188 63
244   129 115
202   179 23
279   206 73
366   220 146
66   353 -287
432   319 113
231   240 -9
358   312 46
161   166 -5
30   29 1
853   807 46
519   484 35
352   364 -12
30   30  
341   370 -29
1,725   1,021 704
153   75 78
2,997   1,814 1,183
452   253 199
275   214 61
95   42 53
306   185 121
297   192 105
96   64 32
407   432 -25
412   163 249
169   73 96
93   135 -42
104   106 -2
285   150 135
661   404 257
98   89 9
359   221 138
326   264 62
66   350 -284
381   295 86
92   96 -4
643   574 69
356   219 137
479   460 19
628   360 268
519   490 29
158   162 -4
495   282 213
1,494   1,321 173
1,358   1,174 184
587   414 173
1,205   957 248
44   24 20
352   199 153
457   191 266
34   10 24
199   193 6
624   430 194
122   159 -37
33   11 22
228   144 84
70   107 -37
450   530 -80
256   133 123
291   191 100
244   220 24
81   49 32
238   206 32
140   386 -246
305   299 6
138   153 -15
671   608 63
570   349 221
418   402 16
879   780 99
1,823   1,439 384
429   465 -36
1,455   1,306 149
1,286   1,238 48
667   880 -213
561   464 97
6,739   6,150 589
392   235 157
388   225 163
198   195 3
745   355 390
79   75 4
573   539 34
183   115 68
93   93  
163   108 55
538   319 219
254   204 50
356   208 148
36   17 19
488   501 -13
323   154 169
30   27 3
72   183 -111
280   269 11
275   286 -11
962   836 126
998   874 124
1,073   855 218
754   353 401
957   908 49
324   348 -24
707   981 -274
937   874 63
201   266 -65
673   557 116
1,012   968 44
539   326 213
116   66 50
368   368  
256   119 137
191   193 -2
143   138 5
305   189 116
155   145 10
497   211 286
275   274 1
256   204 52
145   163 -18
359   222 137
391   395 -4
81   45 36
498   389 109
8   20 -12
308   246 62
92   95 -3
735   556 179
685   941 -256
1,135   990 145
119   147 -28
316   167 149
108   117 -9
563   765 -202
784   766 18
352   485 -133
289   175 114
2,061   2,097 -36
345   256 89
787   546 241
236   106 130
166   106 60
291   295 -4
654   423 231
484   303 181
278   260 18
572   330 242
414   317 97
55   26 29
145   166 -21
180   110 70
210   187 23
966   545 421
255   227 28
73   186 -113
212   212  
350   168 182
455   345 110
504   358 146
257   154 103
149   179 -30
903   517 386
54   59 -5
15   23 -8
463   419 44
75   107 -32
9,158   8,811 347
1,468   579 889
203   228 -25
725   763 -38
102   76 26
54   67 -13
138   99 39
254   150 104
362   271 91
30   18 12
116   190 -74
70   55 15
222   226 -4
182   187 -5
458   301 157
234   186 48
72   132 -60
223   190 33
107   167 -60
212   174 38
334   221 113
368   260 108
871   628 243
900   505 395
657   238 419
901   517 384
536   589 -53
275   402 -127
648   584 64
226   321 -95
10,442   11,337 -895
941   773 168
203   226 -23
245   247 -2
202   152 50
163   69 94
444   129 315
196   132 64
942   722 220
195   116 79
319   523 -204
141   112 29
277   271 6
138   60 78
213   154 59
101   57 44
575   630 -55
84   93 -9
213   189 24
212   200 12
358   359 -1
552   389 163
727   655 72
1,007   919 88
43   43  
1,655   1,423 232
108   118 -10
244   334 -90
1,018   908 110
164   231 -67
37   40 -3
1,069   981 88
203   225 -22
221   175 46
257   190 67
873   940 -67
397   373 24
172   113 59
147   111 36
205   124 81
224   263 -39
173   140 33
277   212 65
506   228 278
186   140 46
755   394 361
260   204 56
167   163 4
178   137 41
457   479 -22
230   237 -7
552   389 163
269   251 18
1,910   1,715 195
129   63 66
138   63 75
377   408 -31
138   190 -52
1,111   972 139
628   358 270
23   25 -2
8,819   10,159 -1,340
178   195 -17
160   147 13
152   114 38
246   204 42
144   93 51
155   104 51
210   166 44
210   142 68
144   161 -17
214   123 91
175   114 61
391   304 87
11   8 3
151   90 61
293   133 160
68   51 17
213   165 48
36   31 5
44   24 20
245   228 17
1,170   1,164 6
1,138   1,278 -140
664   561 103
554   253 301
218   233 -15
733   400 333
1,619   1,454 165
1,478   1,306 172
9,575   10,017 -442
1,742   1,803 -61
235   245 -10
374   469 -95
405   490 -85
358   298 60
502   325 177
254   227 27
243   160 83
236   194 42
78   87 -9
211   123 88
174   114 60
211   152 59
27   27  
465   380 85
568   897 -329
203   144 59
259   276 -17
431   370 61
458   268 190
391   371 20
1,332   854 478
616   855 -239
776   810 -34
70   32 38
218   247 -29
30   48 -18
712   257 455
57   193 -136
37   33 4
1,271   1,252 19
178   186 -8
205   247 -42
218   279 -61
783   297 486
99   48 51
56   57 -1
116   91 25
157   213 -56
295   318 -23
359   396 -37
120   122 -2
154   102 52
184   222 -38
261   184 77
307   495 -188
366   279 87
573   329 244
204   217 -13
153   110 43
328   314 14
753   376 377
640   603 37
537   539 -2
487   241 246
161   185 -24
30   30  
515   544 -29
228   769 -541
11,357   9,876 1,481
5,601   5,530 71
170   181 -11
317   438 -121
47   57 -10
427   243 184
230   95 135
366   452 -86
140   40 100
432   442 -10
509   470 39
277   308 -31
680   669 11
230   146 84
31   36 -5
815   797 18
171   236 -65
479   324 155
163   117 46
170   185 -15
307   225 82
456   485 -29
205   104 101
686   641 45
697   347 350
389   405 -16
53   62 -9
1,534   1,702 -168
101   109 -8
200   609 -409
1,668   1,624 44
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       56
b       -56
c       -61
d       -35
e       167
      136
      -48
      -2
      -56
      4
      11
      549
      13
      -27
      -9
      214
      -295
      144
      -1
      22
      -40
      -28
      28
      23
      -13
      -27
      -28
      -46
      157
      1,154
      44
      32
      85
      -23
      -15
      109
      -26
      -13
      119
      -5
      60
      55
      202
      33
      -10
      -14
      -295
      26
      -5
      40
      -8
      13
      13
      114
      -12
      -38
      -29
      -16
      149
      -13
      127
      28
      17
      98
      -1
      197
      -47
      26
      -8
      22
      8
      63
      115
      23
      73
      146
      -287
      113
      -9
      46
      -5
      1
      46
      35
      -12
       
      -29
      704
      78
      1,183
      199
      61
      53
      121
      105
      32
      -25
      249
      96
      -42
      -2
      135
      257
      9
      138
      62
      -284
      86
      -4
      69
      137
      19
      268
      29
      -4
      213
      173
      184
      173
      248
      20
      153
      266
      24
      6
      194
      -37
      22
      84
      -37
      -80
      123
      100
      24
      32
      32
      -246
      6
      -15
      63
      221
      16
      99
      384
      -36
      149
      48
      -213
      97
      589
      157
      163
      3
      390
      4
      34
      68
       
      55
      219
      50
      148
      19
      -13
      169
      3
      -111
      11
      -11
      126
      124
      218
      401
      49
      -24
      -274
      63
      -65
      116
      44
      213
      50
       
      137
      -2
      5
      116
      10
      286
      1
      52
      -18
      137
      -4
      36
      109
      -12
      62
      -3
      179
      -256
      145
      -28
      149
      -9
      -202
      18
      -133
      114
      -36
      89
      241
      130
      60
      -4
      231
      181
      18
      242
      97
      29
      -21
      70
      23
      421
      28
      -113
       
      182
      110
      146
      103
      -30
      386
      -5
      -8
      44
      -32
      347
      889
      -25
      -38
      26
      -13
      39
      104
      91
      12
      -74
      15
      -4
      -5
      157
      48
      -60
      33
      -60
      38
      113
      108
      243
      395
      419
      384
      -53
      -127
      64
      -95
      -895
      168
      -23
      -2
      50
      94
      315
      64
      220
      79
      -204
      29
      6
      78
      59
      44
      -55
      -9
      24
      12
      -1
      163
      72
      88
       
      232
      -10
      -90
      110
      -67
      -3
      88
      -22
      46
      67
      -67
      24
      59
      36
      81
      -39
      33
      65
      278
      46
      361
      56
      4
      41
      -22
      -7
      163
      18
      195
      66
      75
      -31
      -52
      139
      270
      -2
      -1,340
      -17
      13
      38
      42
      51
      51
      44
      68
      -17
      91
      61
      87
      3
      61
      160
      17
      48
      5
      20
      17
      6
      -140
      103
      301
      -15
      333
      165
      172
      -442
      -61
      -10
      -95
      -85
      60
      177
      27
      83
      42
      -9
      88
      60
      59
       
      85
      -329
      59
      -17
      61
      190
      20
      478
      -239
      -34
      38
      -29
      -18
      455
      -136
      4
      19
      -8
      -42
      -61
      486
      51
      -1
      25
      -56
      -23
      -37
      -2
      52
      -38
      77
      -188
      87
      244
      -13
      43
      14
      377
      37
      -2
      246
      -24
       
      -29
      -541
      1,481
      71
      -11
      -121
      -10
      184
      135
      -86
      100
      -10
      39
      -31
      11
      84
      -5
      18
      -65
      155
      46
      -15
      82
      -29
      101
      45
      350
      -16
      -9
      -168
      -8
      -409
      44
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 28,382
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 5,360
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 43,819 958,096 0.045736
2010 40,934 903,926 0.045285
2009 27,772 814,710 0.034088
2008 54,123 985,133 0.054940
2007 41,680 1,146,977 0.036339
2 Total of line 1, column (d) ...................... 2 0.216388
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 0.043278
4 Enter the net value of noncharitable-use assets for 2012 from Part X, line 5..... 4 952,991
5 Multiply line 4 by line 3....................... 5 41,244
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 287
7 Add lines 5 and 6......................... 7 41,531
8 Enter qualifying distributions from Part XII, line 4.............. 8 48,502
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 1 287
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............................ 3 287
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- ..... 5 287
6 Credits/Payments:
a 2012 estimated tax payments and 2011 overpayment credited to 2012 6a 700
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.............. 7 700
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 10 413
11 Enter the amount of line 10 to be: Credited to 2013 estimated taxBullet413 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
     
    No
    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)
    bulletMI
    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 addressbulletNONE
    14
    The books are in care ofbulletDAVID A BEYERLEIN Telephone no.bullet (989) 793-9830
    Located atbullet3023 DAVENPORTSAGINAWMI ZIP+4bullet48602
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16
    At any time during calendar year 2012, did the foundation have an interest in or a signature or other authority over
    a bank, securities, or other financial account in a foreign country? .................
    16
     
    No
    See instructions for exceptions and filing requirements for Form TD F 90-22.1. If "Yes", enter the name of the foreign country bullet  
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 5
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the “Yes” column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?.........................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?.................
    (6) Agree to pay money or property to a government official? (Exception. Check “No”
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).........
    b
    If any answer is “Yes” to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see page 20 of the instructions)?...
    1b
     
     
    .........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2012?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2012, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2012?...............
    If “Yes,” list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer “No” and attach statement—see instructions.) ..............
    2b
     
     
    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
    JANE BARTHClick to see attachment PRESIDENT
    1.00
    600 0 0
    180 E 9TH
    COLLEGEVILLE,PA19426
    JUDY WELDYClick to see attachment TRUSTEE
    0.10
    300 0 0
    1185 GLENDALE
    SAGINAW,MI48603
    DAVID BEYERLEINClick to see attachment TREASURER
    0.50
    0 0 0
    4388 BROOKSTONE
    SAGINAW,MI48603
    RICHARD STRINGERClick to see attachment TRUSTEE
    0.10
    0 0 0
    104 CANTERBURY CT
    SAGINAW,MI48638
    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
    848,676
    b
    Average of monthly cash balances.......................
    1b
    118,828
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    967,504
    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
    967,504
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see
    instructions) .............................
    4
    14,513
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    952,991
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    47,650
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    47,650
    2a
    Tax on investment income for 2012 from Part VI, line 5......
    2a
    287
    b
    Income tax for 2012. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    287
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    47,363
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    47,363
    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
    47,363
    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
    48,502
    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
    48,502
    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
    287
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    48,215
    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 47,363
    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.......  
    b From 2008....... 2,101
    c From 2009.......  
    d From 2010.......  
    e From 2011.......  
    fTotal of lines 3a through e......... 2,101
    4Qualifying distributions for 2012 from Part
    XII, line 4: bullet$ 48,502
    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..... 47,363
    e Remaining amount distributed out of corpus 1,139
    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 3,240
    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) ...
     
    9Excess distributions carryover to 2013.
    Subtract lines 7 and 8 from line 6a ......
    3,240
    10 Analysis of line 9:
    a Excess from 2008.... 2,101
    b Excess from 2009....  
    c Excess from 2010....  
    d Excess from 2011....  
    e Excess from 2012.... 1,139
    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:
    DAVID A BEYERLEIN
    3023 DAVENPORT
    PO BOX 3275
    SAGINAW,MI48605
    (989) 793-9830
    bThe form in which applications should be submitted and information and materials they should include:
    LETTER FORM - NO FORMAL REQUIREMENTS
    cAny submission deadlines:
    ONGOING
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    NONE
    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
    DELTA COLLEGE FOUNDATION
    1961 DELTA RD
    UNIVERSITY CENTER,MI48710
    NONE COLLEGE EDUCATION 5,000
    EAST SIDE SOUP KITCHEN
    940 EAST GENESEE AVE
    SAGINAW,MI48607
    NONE NON-PROFIT PROVIDE MEALS FOR INDIGENT 1,000
    GIRL SCOUTS
    5470 DAVIS RD
    SAGINAW,MI48604
    NONE NON-PROFIT LEADERSHIP FOR GIRLS 500
    JUNIOR ACHEIVEMENT
    1781 FORDNEY ST
    SAGINAW,MI48601
    NONE NON-PROFIT FINANCIAL LITERACY FOR CHILDREN 1,000
    MI SPECIAL OLYMPICS
    6624 TIMBER RIDGE DR
    BLOOMFIELD,MI48301
    NONE NON-PROFIT ATHLETIC OPPORTUNITES FOR DISABLED 1,000
    OLD TOWN SOUP KITCHEN
    600 GRATIOT AVE
    SAGINAW,MI48602
    NONE NON-PROFIT PROVIDE MEALS FOR INDIGENT 1,000
    PIT & BALCONY
    805 N HAMILTON ST
    SAGINAW,MI48602
    NONE NON-PROFIT ENTERTAINMENT & EDUCATION LITERATURE 1,000
    READ ASSOCIATION
    100 S JEFFERSON STE 401
    SAGINAW,MI48607
    NONE NON-PROFIT EDUCATE CHILDREN 2,830
    SAGIANW VALLEY CONCERT A
    875 WAUKEE LN
    SAGINAW,MI48604
    NONE NON-PROFIT NATIONAL AND INTERNATIONAL ARTISTS 1,000
    SAGINAW ART MUSEUM
    1126 N MICHIGAN AVE
    SAGINAW,MI48602
    NONE NON-PROFIT EDUCATION AND PRESERVATION OF ART 1,000
    SAGINAW BAY SYMPHONY
    201 N WASHINGTON AVE
    SAGINAW,MI48607
    NONE NON-PROFIT ANNUAL CONCERT SERIES 1,000
    SAGINAW CHILDREN'S ZOO
    1730 S WASHINGTON AVE
    SAGINAW,MI48601
    NONE NON-PROFIT HOMES FOR ANIMALS 5,115
    SAGINAW CHILDREN'S ZOO
    1730 S WASHINGTON AVE
    SAGINAW,MI48601
    NONE NON-PROFIT JUNGLE PLAY PARK PROJECT 10,000
    SAGINAW CHILDREN'S ZOO
    1730 S WASHINGTON AVE
    SAGINAW,MI48601
    NONE NON-PROFIT CELEBRATE NATURE, WILDLIFE, DISCOVER 1,500
    SAGINAW CHORAL SOCIETY
    201 N WASHINGTON AVE
    SAGINAW,MI48607
    NONE NON-PROFIT MEANINGFUL, CREATIVE MUSICAL EXPERIE 1,000
    SVRC INDUSTRIES INC
    919 VETERANS MEMORIAL PK
    SAGINAW,MI48601
    NONE NON-PROFIT RAMPS FOR LOW INCOME DISABLED 1,500
    UNDERGROUND RAILROAD
    1230 S WASHINGTON AVE
    SAGINAW,MI48601
    NONE NON-PROFIT SUPPORT VICTIM OF VIOLENCE & ASSAULT 10,000
    UNITED WAY OF SAGINAW
    100 S JEFFERSON AVE FL 3
    SAGINAW,MI48607
    NONE NON-PROFIT PROMOTE VOLUNTEERISM 1,000
    YMCA
    1915 FORDNEY ST
    SAGINAW,MI48601
    NONE NON-PROFIT ENHANCED OPPORTUNITIES FOR CHILDREN 1,000
    Total .................................bullet 3a 47,445
    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 1,092  
    4 Dividends and interest from securities....     14 19,557  
    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.....     18 54  
    8Gain or (loss) from sales of assets other than inventory     18 28,382  
    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)..   49,085  
    13Total. Add line 12, columns (b), (d), and (e)..................
    1349,085
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 12
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section
    Yes
    No
    501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is “Yes,” complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?...........
    b
    If “Yes,” complete the following schedule.
    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer or fiduciary) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's namebullet



    Firm's addressbullet







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


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2012 AccountingFeesSchedule
    Name:
    CHARLES F& ADELINE BARTH
    CHARITABLE FOUNDATION
    EIN: 38-6556893
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ADMINISTRATIVE FEES 1,829 1,372 1,372 457
    ACCOUNTING 5,466 5,466 5,466  

    TY 2012 CompensationExplanation
    Name:
    CHARLES F& ADELINE BARTH
    CHARITABLE FOUNDATION
    EIN: 38-6556893
    Person Name Explanation
    JANE BARTH  
    JUDY WELDY  
    DAVID BEYERLEIN  
    RICHARD STRINGER  

    TY 2012 InvestmentsCorpBondsSchedule
    Name:
    CHARLES F& ADELINE BARTH
    CHARITABLE FOUNDATION
    EIN: 38-6556893
    Name of Bond End of Year Book Value End of Year Fair Market Value
    JMS 7355-8282 141,868 148,327

    TY 2012 InvestmentsCorpStockSchedule
    Name:
    CHARLES F& ADELINE BARTH
    CHARITABLE FOUNDATION
    EIN: 38-6556893
    Name of Stock End of Year Book Value End of Year Fair Market Value
    ML 696-02019 151,596 166,935
    ML 696-02020 108,577 133,272
    BANK OF AMERICA 184,468 203,509
    JMS 2537-5845 161,752 179,518

    TY 2012 OtherExpensesSchedule
    Name:
    CHARLES F& ADELINE BARTH
    CHARITABLE FOUNDATION
    EIN: 38-6556893
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXPENSES        
    MICHIGAN ANNUAL REPORT 20 20 20  
    COUNCIL OF MI FOUNDATIONS 280 280 280  
    INSURANCE 1,595 1,595 1,595  
    BANK CHARGE 30 30 30  


    TY 2012 OtherIncomeSchedule2
    Name:
    CHARLES F& ADELINE BARTH
    CHARITABLE FOUNDATION
    EIN: 38-6556893
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    NON DIVIDEND DISTRIBUTIONS 54 54  


    TY 2012 OtherProfessionalFeesSchedule
    Name:
    CHARLES F& ADELINE BARTH
    CHARITABLE FOUNDATION
    EIN: 38-6556893
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT FEES 10,175 10,175 10,175  


    TY 2012 TaxesSchedule
    Name:
    CHARLES F& ADELINE BARTH
    CHARITABLE FOUNDATION
    EIN: 38-6556893
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FEDERAL EXCISE TAX 989 989 989  
    FOREIGN TAXES 147 147 147