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 05-01-2012 , and ending 04-30-2013
Name of foundation
Larson Foundation
 

Number and street (or P.O. box number if mail is not delivered to street address)2333 Eastbrook Drive   Room/suite
City or town, state, and ZIP code
Brookings, SD57006
A Employer identification number

46-0412311
B Telephone number (see instructions)

(606) 692-6115
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$13,460,077
J Accounting method:
Market Value
(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) 960,000
2 Check bullet
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities...... 260,121 260,121  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 141,371
b Gross sales price for all assets on line 6a 3,364,904
7 Capital gain net income (from Part IV, line 2)... 141,371
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)....... 1,625,402    
12 Total. Add lines 1 through 11........ 2,986,894 401,492  
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).......        
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions) 8,793 8,793    
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 38,699 36,433    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 47,492 45,226   0
25 Contributions, gifts, grants paid........ 1,156,631 1,156,631
26 Total expenses and disbursements. Add lines 24 and 25 1,204,123 45,226   1,156,631
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 1,782,771
b Net investment income (if negative, enter -0-) 356,266
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............... 4,448 9,925 9,925
2 Savings and temporary cash investments.......... 114,550 201,660 201,660
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)........ 9,418,779 Click to see attachment8,603,706 8,603,706
c Investments—corporate bonds (attach schedule)........      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)........... 2,139,529 Click to see attachment4,644,786 4,644,786
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) 11,677,306 13,460,077 13,460,077
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.................... 11,677,306 13,460,077
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    
30 Total net assets or fund balances (see page 17 of the
instructions).................... 11,677,306 13,460,077
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 11,677,306 13,460,077
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 11,677,306
2 Enter amount from Part I, line 27a..................... 2 1,782,771
3 Other increases not included in line 2 (itemize) bullet 3  
4 Add lines 1, 2, and 3.......................... 4 13,460,077
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 13,460,077
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 ABB Ltd ADR P 2010-02-15 2012-05-15
b Allergan Inc P 2010-02-15 2012-05-15
c Amazon Com Inc P 2010-02-15 2012-05-15
d American Express P 2010-02-15 2012-05-15
e American Movil SAB Ser L P 2010-02-15 2012-05-15
Anadarko Petroleum Corp P 2010-02-15 2012-05-15
Apache Corp P 2010-02-15 2012-05-15
ASML Holding NV P 2010-02-15 2012-05-15
Baidu Inc ADR P 2010-02-15 2012-05-15
Banco Bradesco ADR P 2010-02-15 2012-05-15
Banco Santander ADR P 2010-02-15 2012-05-15
Barclays PLC ADR P 2010-02-15 2012-05-15
BASF AG ADR P 2010-02-15 2012-05-15
Bed Bath Beyond P 2010-02-15 2012-05-15
Biogen IDEC Inc P 2010-02-15 2012-05-15
Blackrock Inc P 2010-02-15 2012-05-15
Boeing P 2010-02-15 2012-05-15
Caterpillar Inc P 2010-02-15 2012-05-15
Celgene Corp P 2010-02-15 2012-05-15
Cenovus Energy Corp P 2010-02-15 2012-05-15
Cisco Systems Inc P 2010-02-15 2012-05-15
CNOOC LTD ADR P 2010-02-15 2012-05-15
Comcast Corp Special Class A P 2010-02-15 2012-05-15
Companhia De Bebidas ADR P 2010-02-15 2012-05-15
Ebay Inc. P 2010-02-15 2012-05-15
EMC Corp P 2010-02-15 2012-05-15
EOG Resources P 2010-02-15 2012-05-15
Ericsson American Dep Shs P 2010-02-15 2012-05-15
Fanuc Corp P 2010-02-15 2012-05-15
Franklin Resources Inc P 2010-02-15 2012-05-15
Freeport McMoran Copper Gold P 2010-02-15 2012-05-15
Gap, Inc. P 2010-02-15 2012-05-15
General Electric P 2010-02-15 2012-05-15
GlaxoSmithkline PLC ADR P 2010-02-15 2012-05-15
Google Inc P 2010-02-15 2012-05-15
Greenhill Co Inc P 2010-02-15 2012-05-15
Halliburton Co. P 2010-02-15 2012-05-15
Hess Corp P 2010-02-15 2012-05-15
Hewlett Packard P 2010-02-15 2012-05-15
Home Depot P 2010-02-15 2012-05-15
Honda Motor Co LTD ADR P 2010-02-15 2012-05-15
HSBC Holdings PLC P 2010-02-15 2012-05-15
Human Genome Sciences P 2010-02-15 2012-05-15
IBM Corp P 2010-02-15 2012-05-15
Intel Corp P 2010-02-15 2012-05-15
Ishares FTSE China 25 Index P 2010-02-15 2012-05-15
Ishares MSCI Asia Ex Japan P 2010-02-15 2012-05-15
Johnson Johnson P 2010-02-15 2012-05-15
Jones Lang LaSalle P 2010-02-15 2012-05-15
JP Morgan Chase Co P 2010-02-15 2012-05-15
Keycorp P 2010-02-15 2012-05-15
KLA-Tencor Corp P 2010-02-15 2012-05-15
L Oreal ADR P 2010-02-15 2012-05-15
LasVegas Sands P 2010-02-15 2012-05-15
LVMH Moet Hennessy Louis Vuitton P 2010-02-15 2012-05-15
Mattel, Inc. P 2010-02-15 2012-05-15
McDonalds P 2010-02-15 2012-05-15
Microsoft Corp P 2010-02-15 2012-05-15
Morgan Stanley P 2010-02-15 2012-05-15
National Oilwell Varco P 2010-02-15 2012-05-15
Nestle SA ADR P 2010-02-15 2012-05-15
Nike P 2010-02-15 2012-05-15
Oracle Systems P 2010-02-15 2012-05-15
Osh Kosh Corp P 2010-02-15 2012-05-15
Pebblebrook Hotel Trust P 2010-02-15 2012-05-15
Pfizer Inc P 2010-02-15 2012-05-15
Phillip Morris P 2010-02-15 2012-05-15
PNC Bank P 2010-02-15 2012-05-15
Priceline.Com P 2010-02-15 2012-05-15
Proctor Gamble P 2010-02-15 2012-05-15
Qualcomm Inc P 2010-02-15 2012-05-15
Regions Financial P 2010-02-15 2012-05-15
Rio Tinto PLC-GBP P 2010-02-15 2012-05-15
Safeway Inc P 2010-02-15 2012-05-15
Salesforce.Com P 2010-02-15 2012-05-15
Sanofi-Adventis ADR P 2010-02-15 2012-05-15
SAP AG ADR P 2010-02-15 2012-05-15
Schlumberger P 2010-02-15 2012-05-15
Southwestern Energy Co P 2010-02-15 2012-05-15
Starbucks P 2010-02-15 2012-05-15
Sumitomo Mitsui Financial P 2010-02-15 2012-05-15
Symantec Corp P 2010-02-15 2012-05-15
Texas Instruments P 2010-02-15 2012-05-15
Time Warner Cable P 2010-02-15 2012-05-15
Time Warner Inc. P 2010-02-15 2012-05-15
U.S. Bancorp Delaware P 2010-02-15 2012-05-15
UBS AG Fisher Enhanced Growth Notes P 2010-02-15 2012-05-15
United Technologies P 2010-02-15 2012-05-15
USX U.S. Steel Group P 2010-02-15 2012-05-15
Veeco Instruments P 2010-02-15 2012-05-15
Visa Inc P 2010-02-15 2012-05-15
Wells Fargo Co P 2010-02-15 2012-05-15
Weyerhaeuser Co P 2010-02-15 2012-05-15
(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 27,151   24,484 2,667
b 31,992   30,062 1,930
c 68,603   43,056 25,547
d 31,212   34,111 -2,899
e 20,153   24,220 -4,067
45,568   47,025 -1,457
27,227   38,344 -11,117
20,707   22,187 -1,480
32,209   11,044 21,165
16,662   27,582 -10,920
13,859   35,095 -21,236
16,905   23,820 -6,915
34,590   19,369 15,221
27,518   14,282 13,236
119,440   27,208 92,232
37,169   44,605 -7,436
30,314   29,092 1,222
26,831   20,941 5,890
30,290   35,149 -4,859
34,484   33,150 1,334
115,815   116,882 -1,067
32,862   39,187 -6,325
24,241   13,274 10,967
21,072   23,315 -2,243
43,212   24,459 18,753
43,391   34,956 8,435
46,463   29,861 16,602
26,503   20,712 5,791
31,291   34,373 -3,082
5,014   2,845 2,169
37,289   42,013 -4,724
42,401   22,085 20,316
66,505   99,157 -32,652
43,452   48,036 -4,584
33,610   29,582 4,028
44,546   34,835 9,711
14,244   13,063 1,181
29,066   22,105 6,961
10,861   25,082 -14,221
32,932   17,582 15,350
30,362   19,384 10,978
24,490   27,147 -2,657
27,690   29,913 -2,223
34,262   29,564 4,698
37,714   29,281 8,433
51,490   53,103 -1,613
39,848   39,816 32
55,087   57,979 -2,892
10,279   3,847 6,432
49,462   53,354 -3,892
13,493   11,328 2,165
4,554   4,043 511
20,007   20,459 -452
36,099   46,519 -10,420
30,556   33,143 -2,587
9,178   5,182 3,996
40,913   45,083 -4,170
95,666   93,611 2,055
90,384   131,882 -41,498
42,893   33,158 9,735
46,255   40,442 5,813
32,627   34,351 -1,724
73,320   67,872 5,448
18,773   20,576 -1,803
10,066   8,549 1,517
39,444   35,110 4,334
21,944   23,069 -1,125
30,983   32,465 -1,482
30,463   35,149 -4,686
43,663   39,274 4,389
40,748   42,969 -2,221
12,877   14,723 -1,846
42,037   57,174 -15,137
60,274   51,959 8,315
30,963   33,789 -2,826
39,628   40,503 -875
29,725   34,100 -4,375
85,420   77,150 8,270
30,780   31,757 -977
42,118   48,871 -6,753
29,331   33,311 -3,980
7,469   5,675 1,794
48,406   37,472 10,934
10,507   4,500 6,007
19,395   5,684 13,711
19,470   17,616 1,854
88,141   90,265 -2,124
36,241   30,873 5,368
41,093   79,226 -38,133
8,287   7,519 768
32,969   35,211 -2,242
28,900   26,351 2,549
50,506   33,952 16,554
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       2,667
b       1,930
c       25,547
d       -2,899
e       -4,067
      -1,457
      -11,117
      -1,480
      21,165
      -10,920
      -21,236
      -6,915
      15,221
      13,236
      92,232
      -7,436
      1,222
      5,890
      -4,859
      1,334
      -1,067
      -6,325
      10,967
      -2,243
      18,753
      8,435
      16,602
      5,791
      -3,082
      2,169
      -4,724
      20,316
      -32,652
      -4,584
      4,028
      9,711
      1,181
      6,961
      -14,221
      15,350
      10,978
      -2,657
      -2,223
      4,698
      8,433
      -1,613
      32
      -2,892
      6,432
      -3,892
      2,165
      511
      -452
      -10,420
      -2,587
      3,996
      -4,170
      2,055
      -41,498
      9,735
      5,813
      -1,724
      5,448
      -1,803
      1,517
      4,334
      -1,125
      -1,482
      -4,686
      4,389
      -2,221
      -1,846
      -15,137
      8,315
      -2,826
      -875
      -4,375
      8,270
      -977
      -6,753
      -3,980
      1,794
      10,934
      6,007
      13,711
      1,854
      -2,124
      5,368
      -38,133
      768
      -2,242
      2,549
      16,554
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 2 141,371
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  
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 797,525 11,391,525 000.070010
2010 1,234,699 10,874,400 000.113542
2009 1,307,992 9,396,900 000.139194
2008 1,108,288 9,474,715 000.116973
2007 1,048,742 12,469,115 000.084107
2 Total of line 1, column (d) ...................... 2 000.523826
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
. . .
3 000.104765
4 Enter the net value of noncharitable-use assets for 2012 from Part X, line 5..... 4 10,974,870
5 Multiply line 4 by line 3....................... 5 1,149,782
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 3,563
7 Add lines 5 and 6......................... 7 1,153,345
8 Enter qualifying distributions from Part XII, line 4.............. 8 1,156,631
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 3,563
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 3,563
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 3,563
6 Credits/Payments:
a 2012 estimated tax payments and 2011 overpayment credited to 2012 6a  
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  
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8 60
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 3,623
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2013 estimated taxBullet   Refunded Bullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of
the instructions for definition)?............................
1b
 
No
If the answer is “Yes” to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
 
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
 
 
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
 
 
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)
    bulletSD
    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 .Click to see attachment
    8b
     
    No
    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 addressbullet  
    14
    The books are in care ofbulletWalter Syltie II Telephone no.bullet (605) 696-6480
    Located atbullet2333 Eastbrook DriveBrookingsSD ZIP+4bullet570062838
    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
    Maree Larson President
    020.00
    0    
    2333 Eastbrook Drive
    Brookings,SD57006
    O Dale Larson Vice President
    010.00
    0    
    2333 Eastbrook Drive
    Brookings,SD57006
    Carmelle Jackson Secretary
    001.00
    0    
    2333 Eastbrook Drive
    Brookings,SD57006
    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
     
    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
     
    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 NONE 0
    2  
    3  
    4  
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 7
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See page 24 of the instructions.
    3  
    Total. Add lines 1 through 3..........................bullet  
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
    see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    11,000,000
    b
    Average of monthly cash balances.......................
    1b
    142,000
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    11,142,000
    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
    11,142,000
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see
    instructions) Click to see attachment.............................
    4
    167,130
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    10,974,870
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    548,744
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    548,744
    2a
    Tax on investment income for 2012 from Part VI, line 5......
    2a
    3,563
    b
    Income tax for 2012. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    3,563
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    545,181
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    545,181
    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
    545,181
    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 Click to see attachment..........
    1a
    1,156,631
    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
    1,156,631
    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
    3,563
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    1,153,068
    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 7 545,181
    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....... 438,310
    b From 2008....... 636,738
    c From 2009....... 840,049
    d From 2010....... 694,993
    e From 2011....... 236,723
    fTotal of lines 3a through e......... 2,846,813
    4Qualifying distributions for 2012 from Part
    XII, line 4: bullet$ 1,156,631
    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..... 545,181
    e Remaining amount distributed out of corpus 611,450
    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 3,458,263
    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) ...
    438,310
    9Excess distributions carryover to 2013.
    Subtract lines 7 and 8 from line 6a ......
    3,019,953
    10 Analysis of line 9:
    a Excess from 2008.... 636,738
    b Excess from 2009.... 840,049
    c Excess from 2010.... 694,993
    d Excess from 2011.... 236,723
    e Excess from 2012.... 611,450
    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).)
    O Dale Larson
    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.
    None
    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:
    Maree Larson
    2333 Eastbrook Drive
    Brookings,SD57006
    (605) 692-6115
    bThe form in which applications should be submitted and information and materials they should include:
    ask for a Grant Request Form
    cAny submission deadlines:
    March 1 and September 1 subject to change
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Qualified charitiable or gov orgs. Primarily SD. Primarily fundamental human needs.
    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
    Domestic Abuse Center
    PO Box
    Brookings,SD57006
    None   Facility Upgrade/Outreach 25,000
    Abbot House
    PO Box
    Mitchell,SD57301
    None   Program Expenses 2,000
    American Lung Assoc
    PO Box
    Sioux Falls,SD57103
    None   Asthma Camp 1,000
    Avera McKennan
    PO Box
    Sioux Falls,SD57117
    None   Family Wellness Program 25,000
    Brookings Area Transit (BATA)
    PO Box
    Brookings,SD57006
    None   Software Update 12,000
    Boys & Grils Club of Moody Cnty
    PO Box
    Flandreau,SD57028
    None   Match Funds - Program Expenses 20,000
    Boys & Girsl Club Brookings
    PO Box
    Brookings,SD57006
    None   Program Expenses 90,000
    Boys & Girls Club Yankton
    PO Box
    Yankton,SD57078
    None   Program Expenses 20,000
    Brookings Cnty Youth Mentoring
    PO Box
    Brookings,SD57006
    None   Mentoring Program 7,000
    Brookings Backpack Project
    PO Box
    Brookings,SD57006
    None   Food for children 50,000
    Brookings Area Habiltat for Humanity
    PO Box
    Brookings,SD57006
    None   Funding for a House 50,000
    Cheyenne River Youth Project
    PO Box
    Eagle Butte,SD57625
    None   Christmas Toy Drive 500
    East Central Behavorial Health
    PO Box
    Brookings,SD57006
    None   Renovations 25,000
    East Central CASA
    PO Box
    Brookings,SD57006
    None   Program Expenses 30,000
    Habitat for Humanity SD
    PO Box
    Brookings,SD57006
    None   Home Renovation 43,500
    Healing Words Foundation
    PO Box
    Brookings,SD57006
    None   Harvest Table 10,000
    Helpline Center
    PO Box
    Sioux Falls,SD57104
    None   Suicide Awareness Training 10,000
    Here4Youth
    PO Box
    Sioux Falls,SD57105
    None   Renovate Gym 7,500
    HorsePower
    PO Box
    Sioux Falls,SD57106
    None   Horse Riding Therapy 20,000
    Ronald McDonald House
    PO Box
    Sioux Falls,SD57104
    None   Program Funding 10,000
    Sanford Health Foundation
    PO Box
    Sioux Falls,SD57117
    None   Spirt Camp - Diabetes 5,000
    SD Achieve
    PO Box
    Sioux Falls,SD57105
    None   Training room/Kitchen 15,000
    SD Network Against Family Violence
    PO Box
    Sioux Falls,SD57109
    None   Program Expenses 15,000
    St Tomas More Special Assistance
    PO Box
    Brookings,SD57006
    None   Small grants to assist needy 2,500
    Volunteer Service Bank
    PO Box
    Brookings,SD57006
    None   Program Expenses 3,000
    Volunteers of America - Dakotas
    PO Box
    Sioux Falls,SD57109
    None   Brookings RSVP Program 6,000
    Brookings School District
    PO Box
    Brookings,SD57006
    None   Scholarships 4,000
    Lake Mills School District
    PO Box
    Lake Mills,IA50450
    None   Scholarships 2,000
    Brookings Area United Way
    PO Box
    Brookings,SD57006
    None   Match Larson Employee Donations 92,000
    United Way Freeborn Cnty
    PO Box
    Albert Lea,MN56007
    None   Match Larson Employee Donations 5,304
    United Way Mocksville
    PO Box
    Mocksville,NC27028
    None   Match Larson Employee Donations 4,000
    United Way - N Central IA
    PO Box
    Mason City,IA50401
    None   Match Larson Employee Donations 7,105
    Brookings School District
    PO Box
    Brookings,SD57006
    None   Quiz Bowl Team 700
    Brookings School District
    PO Box
    Brookings,SD57006
    None   Science Olympiad Team 1,000
    Black Hills Special Services
    PO Box
    Pierre,SD57501
    None   Youth Leadership Forum 5,000
    Dakota State Univ Foundation
    PO Box
    Madison,SD57042
    None   Video Tutorial 23,673
    Girls Scouts - Dakota Horizons
    PO Box
    Sioux Falls,SD57106
    None   Program Expenses 25,000
    Lutheran Outdoors
    PO Box
    Sioux Falls,SD57107
    None   Riding Prog/Playground Equip 50,000
    SD Head Start
    PO Box
    Pierre,SD57501
    None   Early childhood Ed 1,000
    SD Humanities Council
    PO Box
    Brookings,SD57006
    None   Books for local area 2,000
    SD School of Mines & Tech
    PO Box
    Rapid City,SD57701
    None   STEM Camp 5,250
    Teach for America - SD
    PO Box
    Pierre,SD57501
    None   Program Expenses 100,000
    Washington Pavillion
    PO Box
    Sioux Falls,SD57104
    None   STEM Education 5,000
    SD Public Broadcasting
    PO Box
    Brookings,SD57006
    None   Family Reading Project 75,000
    Black Hills Playhouse
    PO Box
    Rapid City,SD57700
    None   Renovations 50,000
    Dell Rapids City
    PO Box
    Dell Rapids,SD57022
    None   Renovate Carnegie Library 10,000
    SD Art Museum
    PO Box
    Brookings,SD57006
    None   Program Expenses 20,000
    Sioux Falls Jazz & Blues
    PO Box
    Sioux Falls,SD57104
    None   Jazz Diversity Project 7,500
    Red Cloud Indian School
    PO Box
    Pine Ridge,SD57770
    None   Field Trip - Childrens Museum 2,368
    Lakota Waldorf School
    PO Box
    Kyle,SD57752
    None   Healthy Meals 12,784
    Native Am Community Board
    PO Box
    Lake Andes,SD57356
    None   Food Playground Equip 20,600
    Red Cloud Indian School
    PO Box
    Pine Ridge,SD57770
    None   Healthy Meals 74,000
    Various - Match Larson Employee Gifts
    PO Box
    Brookings,SD57006
    None   Match Larson Employee Donations 15,864
    Boys & Gilrs Club Missouri River
    PO Box
    Wagner,SD57380
    None   Playground Equip 30,483
    Total .................................bullet 3a 1,156,631
    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    
    4 Dividends and interest from securities....     14 260,121  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6Net rental income or (loss) from personal property          
    7 Other investment income.....          
    8Gain or (loss) from sales of assets other than inventory     18 141,371  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: aUnrealized Gain     18 1,625,402  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   2,026,894  
    13Total. Add line 12, columns (b), (d), and (e)..................
    132,026,894
    (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.)
    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: 12000057
    Software Version: 12.16.513.2


    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990, 990-EZ,
    or 990-PF)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors
    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    OMB No. 1545-0047
    2012
    Name of the organization
    Larson Foundation
     
    Employer identification number

    46-0412311
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ





    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......................... Arrow Bullet   $    
    Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990; or check the box on line H of its
    Form 990-EZ or on Part I, line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2012)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
    Page 2
    Name of organization
    Larson Foundation
     
    Employer identification number

    46-0412311
    Part I
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
         
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    1
     
     

    O Dale Larson    
    2333 Eastbrook Drive
       
    Brookings, SD   57006

    $960,000


    (Complete Part II if there is a noncash contribution.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     

         
     
       

    $  


    (Complete Part II if there is a noncash contribution.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     

         
     
       

    $  


    (Complete Part II if there is a noncash contribution.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     

         
     
       

    $  


    (Complete Part II if there is a noncash contribution.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     

         
     
       

    $  


    (Complete Part II if there is a noncash contribution.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     

         
     
       

    $  


    (Complete Part II if there is a noncash contribution.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
    Page 3
    Name of organization
    Larson Foundation
     
    Employer identification number

    46-0412311
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
         
    (a) No.
    from
    Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a) No.
    from
    Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a) No.
    from
    Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a) No.
    from
    Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a) No.
    from
    Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    (a) No.
    from
    Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (see instructions)
    (d)
    Date received
     
    $    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
    Page 4
    Name of organization
    Larson Foundation
     
    Employer identification number

    46-0412311
    Part III
    Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
    that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
    For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
    contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  

    Use duplicate copies of Part III if additional space is needed.
    (a) No.
    from
    Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    (a) No.
    from
    Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    (a) No.
    from
    Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    (a) No.
    from
    Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

    Additional Data


    Software ID: 12000057
    Software Version: 12.16.513.2

    TY 2012 ExplnOfNonFilingWithAGStmt
    Name:
    Larson Foundation
    EIN: 46-0412311
    Software ID:12000057
    Software Version:12.16.513.2
    Statement:
    Not required in South Dakota

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

    TY 2012 GainLossSaleOtherAssetsSch
    Name:
    Larson Foundation
    EIN: 46-0412311
    Software ID:12000057
    Software Version:12.16.513.2
    Name Date Acquired How Acquired Date Sold Purchaser Name Gross Sales Price Basis Basis Method Sales Expenses Total (net) Accumulated Depreciation
    ABB Ltd ADR 2010-02 P 2012-05   27,151 24,484     2,667  
    Allergan Inc 2010-02 P 2012-05   31,992 30,062     1,930  
    Amazon Com Inc 2010-02 P 2012-05   68,603 43,056     25,547  
    American Express 2010-02 P 2012-05   31,212 34,111     -2,899  
    American Movil SAB Ser L 2010-02 P 2012-05   20,153 24,220     -4,067  
    Anadarko Petroleum Corp 2010-02 P 2012-05   45,568 47,025     -1,457  
    Apache Corp 2010-02 P 2012-05   27,227 38,344     -11,117  
    ASML Holding NV 2010-02 P 2012-05   20,707 22,187     -1,480  
    Baidu Inc ADR 2010-02 P 2012-05   32,209 11,044     21,165  
    Banco Bradesco ADR 2010-02 P 2012-05   16,662 27,582     -10,920  
    Banco Santander ADR 2010-02 P 2012-05   13,859 35,095     -21,236  
    Barclays PLC ADR 2010-02 P 2012-05   16,905 23,820     -6,915  
    BASF AG ADR 2010-02 P 2012-05   34,590 19,369     15,221  
    Bed Bath Beyond 2010-02 P 2012-05   27,518 14,282     13,236  
    Biogen IDEC Inc 2010-02 P 2012-05   119,440 27,208     92,232  
    Blackrock Inc 2010-02 P 2012-05   37,169 44,605     -7,436  
    Boeing 2010-02 P 2012-05   30,314 29,092     1,222  
    Caterpillar Inc 2010-02 P 2012-05   26,831 20,941     5,890  
    Celgene Corp 2010-02 P 2012-05   30,290 35,149     -4,859  
    Cenovus Energy Corp 2010-02 P 2012-05   34,484 33,150     1,334  
    Cisco Systems Inc 2010-02 P 2012-05   115,815 116,882     -1,067  
    CNOOC LTD ADR 2010-02 P 2012-05   32,862 39,187     -6,325  
    Comcast Corp Special Class A 2010-02 P 2012-05   24,241 13,274     10,967  
    Companhia De Bebidas ADR 2010-02 P 2012-05   21,072 23,315     -2,243  
    Ebay Inc. 2010-02 P 2012-05   43,212 24,459     18,753  
    EMC Corp 2010-02 P 2012-05   43,391 34,956     8,435  
    EOG Resources 2010-02 P 2012-05   46,463 29,861     16,602  
    Ericsson American Dep Shs 2010-02 P 2012-05   26,503 20,712     5,791  
    Fanuc Corp 2010-02 P 2012-05   31,291 34,373     -3,082  
    Franklin Resources Inc 2010-02 P 2012-05   5,014 2,845     2,169  
    Freeport McMoran Copper Gold 2010-02 P 2012-05   37,289 42,013     -4,724  
    Gap, Inc. 2010-02 P 2012-05   42,401 22,085     20,316  
    General Electric 2010-02 P 2012-05   66,505 99,157     -32,652  
    GlaxoSmithkline PLC ADR 2010-02 P 2012-05   43,452 48,036     -4,584  
    Google Inc 2010-02 P 2012-05   33,610 29,582     4,028  
    Greenhill Co Inc 2010-02 P 2012-05   44,546 34,835     9,711  
    Halliburton Co. 2010-02 P 2012-05   14,244 13,063     1,181  
    Hess Corp 2010-02 P 2012-05   29,066 22,105     6,961  
    Hewlett Packard 2010-02 P 2012-05   10,861 25,082     -14,221  
    Home Depot 2010-02 P 2012-05   32,932 17,582     15,350  
    Honda Motor Co LTD ADR 2010-02 P 2012-05   30,362 19,384     10,978  
    HSBC Holdings PLC 2010-02 P 2012-05   24,490 27,147     -2,657  
    Human Genome Sciences 2010-02 P 2012-05   27,690 29,913     -2,223  
    IBM Corp 2010-02 P 2012-05   34,262 29,564     4,698  
    Intel Corp 2010-02 P 2012-05   37,714 29,281     8,433  
    Ishares FTSE China 25 Index 2010-02 P 2012-05   51,490 53,103     -1,613  
    Ishares MSCI Asia Ex Japan 2010-02 P 2012-05   39,848 39,816     32  
    Johnson Johnson 2010-02 P 2012-05   55,087 57,979     -2,892  
    Jones Lang LaSalle 2010-02 P 2012-05   10,279 3,847     6,432  
    JP Morgan Chase Co 2010-02 P 2012-05   49,462 53,354     -3,892  
    Keycorp 2010-02 P 2012-05   13,493 11,328     2,165  
    KLA-Tencor Corp 2010-02 P 2012-05   4,554 4,043     511  
    L Oreal ADR 2010-02 P 2012-05   20,007 20,459     -452  
    LasVegas Sands 2010-02 P 2012-05   36,099 46,519     -10,420  
    LVMH Moet Hennessy Louis Vuitton 2010-02 P 2012-05   30,556 33,143     -2,587  
    Mattel, Inc. 2010-02 P 2012-05   9,178 5,182     3,996  
    McDonalds 2010-02 P 2012-05   40,913 45,083     -4,170  
    Microsoft Corp 2010-02 P 2012-05   95,666 93,611     2,055  
    Morgan Stanley 2010-02 P 2012-05   90,384 131,882     -41,498  
    National Oilwell Varco 2010-02 P 2012-05   42,893 33,158     9,735  
    Nestle SA ADR 2010-02 P 2012-05   46,255 40,442     5,813  
    Nike 2010-02 P 2012-05   32,627 34,351     -1,724  
    Oracle Systems 2010-02 P 2012-05   73,320 67,872     5,448  
    Osh Kosh Corp 2010-02 P 2012-05   18,773 20,576     -1,803  
    Pebblebrook Hotel Trust 2010-02 P 2012-05   10,066 8,549     1,517  
    Pfizer Inc 2010-02 P 2012-05   39,444 35,110     4,334  
    Phillip Morris 2010-02 P 2012-05   21,944 23,069     -1,125  
    PNC Bank 2010-02 P 2012-05   30,983 32,465     -1,482  
    Priceline.Com 2010-02 P 2012-05   30,463 35,149     -4,686  
    Proctor Gamble 2010-02 P 2012-05   43,663 39,274     4,389  
    Qualcomm Inc 2010-02 P 2012-05   40,748 42,969     -2,221  
    Regions Financial 2010-02 P 2012-05   12,877 14,723     -1,846  
    Rio Tinto PLC-GBP 2010-02 P 2012-05   42,037 57,174     -15,137  
    Safeway Inc 2010-02 P 2012-05   60,274 51,959     8,315  
    Salesforce.Com 2010-02 P 2012-05   30,963 33,789     -2,826  
    Sanofi-Adventis ADR 2010-02 P 2012-05   39,628 40,503     -875  
    SAP AG ADR 2010-02 P 2012-05   29,725 34,100     -4,375  
    Schlumberger 2010-02 P 2012-05   85,420 77,150     8,270  
    Southwestern Energy Co 2010-02 P 2012-05   30,780 31,757     -977  
    Starbucks 2010-02 P 2012-05   42,118 48,871     -6,753  
    Sumitomo Mitsui Financial 2010-02 P 2012-05   29,331 33,311     -3,980  
    Symantec Corp 2010-02 P 2012-05   7,469 5,675     1,794  
    Texas Instruments 2010-02 P 2012-05   48,406 37,472     10,934  
    Time Warner Cable 2010-02 P 2012-05   10,507 4,500     6,007  
    Time Warner Inc. 2010-02 P 2012-05   19,395 5,684     13,711  
    U.S. Bancorp Delaware 2010-02 P 2012-05   19,470 17,616     1,854  
    UBS AG Fisher Enhanced Growth Notes 2010-02 P 2012-05   88,141 90,265     -2,124  
    United Technologies 2010-02 P 2012-05   36,241 30,873     5,368  
    USX U.S. Steel Group 2010-02 P 2012-05   41,093 79,226     -38,133  
    Veeco Instruments 2010-02 P 2012-05   8,287 7,519     768  
    Visa Inc 2010-02 P 2012-05   32,969 35,211     -2,242  
    Wells Fargo Co 2010-02 P 2012-05   28,900 26,351     2,549  
    Weyerhaeuser Co 2010-02 P 2012-05   50,506 33,952     16,554  

    TY 2012 GeneralExplanationAttachment
    Name:
    Larson Foundation
    EIN: 46-0412311
    Software ID:12000057
    Software Version:12.16.513.2
    Identifier Return Reference Explanation

    TY 2012 InvestmentsCorpStockSchedule
    Name:
    Larson Foundation
    EIN: 46-0412311
    Software ID:12000057
    Software Version:12.16.513.2
    Name of Stock End of Year Book Value End of Year Fair Market Value
    JP Morgan Chase Co 88,463 88,463
    AMC Networks Inc 24,070 24,070
    ATT 48,136 48,136
    Akamai Technologies 88,698 88,698
    Allied World Assurance 70,832 70,832
    Amazon Corn Inc 107,869 107,869
    Amgen 42,726 42,726
    Anadarko Petroleum 77,725 77,725
    Anheuser Busch lnbev 63,300 63,300
    Apache Corp 50,238 50,238
    Apple Inc 105,382 105,382
    Applied Materials Inc 84,622 84,622
    Autodesk Inc. 49,225 49,225
    Axis Capital Holdings 74,309 74,309
    Bed Bath Beyond 58,205 58,205
    Biogen IDEC Inc 182,588 182,588
    Blackrock lnvestment 129,519 129,519
    Boeing 73,037 73,037
    Broadcom Corp Class A 76,536 76,536
    CME Group Inc Class A 41,385 41,385
    CVS Caremark 99,488 99,488
    Cablevision Systems 30,760 30,760
    Cameron International 63,396 63,396
    Carnival Corp 43,828 43,828
    Caterpillar Inc 32,175 32,175
    Celgene Corp 115,000 115,000
    Charles Schwab Corp 50,863 50,863
    Chevron Corp 120,790 120,790
    Chubb Corp 76,181 76,181
    Citrix Systems Inc 66,822 66,822
    Coca-Cola 73,654 73,654
    Comcast Corp Class A 169,536 169,536
    Covidien PLC Dublin 39,517 39,517
    Cree Reasearch Inc. 55,721 55,721
    Deere Co 98,230 98,230
    Devon Energy Corp 63,594 63,594
    Dolby Laboratories Inc 15,045 15,045
    Dover 37,939 37,939
    EMC Corp 55,066 55,066
    Eaton Corp 66,814 66,814
    Ebay Inc. 143,287 143,287
    Emcor Group 8,789 8,789
    Emerson Electric 58,952 58,952
    Ericsson American Dep 44,254 44,254
    Express Scripts 46,309 46,309
    First Republic Bank 22,256 22,256
    Fluor Corp 56,011 56,011
    Forest Labs 58,734 58,734
    Franklin Resources Inc 45,625 45,625
    Freeport McMoran 17,041 17,041
    General Electric 44,134 44,134
    Google Inc 103,071 103,071
    Greenhill Co Inc 7,668 7,668
    Guess Inc 7,224 7,224
    Halliburton Co. 57,739 57,739
    Hess Corp 62,075 62,075
    Home Depot 175,673 175,673
    Honeywell Inc. 88,248 88,248
    ImmunogenInc 16,501 16,501
    Intuit Inc 42,643 42,643
    Isis Pharmaceuticals 20,263 20,263
    Jacobs Engineering 16,961 16,961
    Johnson Johnson 187,932 187,932
    Jones Lang LaSalle 43,074 43,074
    Juniper Networks Inc 58,852 58,852
    KLA-Tencor Corp 35,805 35,805
    Keycorp 35,045 35,045
    Level 3 Communications 40,625 40,625
    Liberty Interactive 54,289 54,289
    Libery Media Corp 63,529 63,529
    Lowes Corp 576,300 576,300
    Mattel, Inc. 48,856 48,856
    Merck Co 83,425 83,425
    Monsanto Co 52,235 52,235
    Nasdaq OMX Group 28,065 28,065
    National Oilwell Varco 26,284 26,284
    Netapp Inc 42,217 42,217
    Newfield Exploration Co 12,638 12,638
    Nike 51,262 51,262
    Nucor Corp 55,877 55,877
    Osh Kosh Corp 22,182 22,182
    Pall Corp 75,382 75,382
    Pebblebrook Hotel Trust 36,666 36,666
    Pepsico Inc 73,811 73,811
    Plantronics Inc 8,194 8,194
    Proctor Gamble 30,708 30,708
    Qualcomm Inc 35,050 35,050
    Regions Financial 38,120 38,120
    Safeway Inc 31,190 31,190
    Schlumberger 86,711 86,711
    Seagate Technology 95,420 95,420
    Sothebys Delaware 5,748 5,748
    Symantec Corp 33,655 33,655
    TE Connectivity LTD 44,116 44,116
    Texas Instruments 82,740 82,740
    The DirectTV Group 46,492 46,492
    Thermo Fisher Scientific 70,272 70,272
    Tyco International 35,332 35,332
    U.S. Bancorp Delaware 60,736 60,736
    Unilever PLC ADR 82,785 82,785
    United Parcel Service 59,058 59,058
    Unitedhealth Group 148,327 148,327
    Vertex Pharmaceuticals 37,872 37,872
    Visa Inc 119,607 119,607
    Walt Disney Co. 163,384 163,384
    Weatherford Intl LTD 42,054 42,054
    Weyerhaeuser Co 34,019 34,019
    Meta Financial Group 306,038 306,038
    Wells Financial Corp 38,000 38,000
    BHP Billiton ADR 25,140 25,140
    GlaxoSmithkline PLC 32,017 32,017
    Novartis AG ADR 82,980 82,980
    Vodafone Group Plc 63,505 63,505
    Cisco Systems Inc 52,928 52,928
    Microsoft Corp 80,929 80,929
    Oracle Systems 29,500 29,500
    Baker Hughes 17,702 17,702
    Citigroup Inc 36,628 36,628
    Coach Inc 35,905 35,905
    EI Dupont 37,067 37,067
    ADT Corp 24,002 24,002
    Exxon Mobil 55,886 55,886
    Facebook 24,576 24,576
    Goldman Sacs Group 59,889 59,889
    Joy Global Inc 25,038 25,038
    Mosaic Company 14,412 14,412
    Oxidental Petroleum 48,647 48,647
    Peabody Energy 20,461 20,461
    Pentair Inc 15,327 15,327
    Raytheon Class A 42,966 42,966
    Sandisk Corp 60,830 60,830
    Starz Liberty Cap 12,929 12,929
    State Street Corp 66,948 66,948
    Teradyne Inc 14,171 14,171
    TEVA Pharmaceutical 25,080 25,080
    Veeco Instruments 30,266 30,266
    Xilinx Corp 37,152 37,152
    Yum Brands 36,104 36,104

    TY 2012 InvestmentsOtherSchedule2
    Name:
    Larson Foundation
    EIN: 46-0412311
    Software ID:12000057
    Software Version:12.16.513.2
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    Growth Fund of America - Mutual Fund FMV 2,489,897 2,489,897
    First Eagle Global - Mutual Fund FMV 2,154,889 2,154,889

    TY 2012 OtherExpensesSchedule
    Name:
    Larson Foundation
    EIN: 46-0412311
    Software ID:12000057
    Software Version:12.16.513.2
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Investment Management Fees 36,433 36,433    
    Dues 2,266      


    TY 2012 OtherIncomeSchedule2
    Name:
    Larson Foundation
    EIN: 46-0412311
    Software ID:12000057
    Software Version:12.16.513.2
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    Unrealized Gain 1,625,402    


    TY 2012 SubstantialContributorsSch
    Name:
    Larson Foundation
    EIN: 46-0412311
    Software ID:12000057
    Software Version:12.16.513.2
    Name Address
    See Schedule B  
     


    TY 2012 TaxesSchedule
    Name:
    Larson Foundation
    EIN: 46-0412311
    Software ID:12000057
    Software Version:12.16.513.2
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Tax on investment income 8,793 8,793