-
TIN:
Form
990-PF
Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Nonexempt Charitable Trust
Treated as a Private Foundation
Note.
The foundation may be able to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0052
20
12
Open to Public Inspection
For calendar year 2012, or tax year beginning
07-01-2012
, and ending
06-30-2013
Name of foundation
A R BURNETTE SCHOLARSHIP FUND
Number and street (or P.O. box number if mail is not delivered to street address)
PO BOX 2907 - TRUST TAX DEPT
Room/suite
City or town, state, and ZIP code
WILSON
,
NC
278942907
A Employer identification number
56-6593070
B
Telephone number (see instructions)
(252) 246-4935
C
If exemption application is pending, check here
G
Check all that apply:
Initial return
Initial return of a former public charity
Final return
Amended return
Address change
Name change
D 1.
Foreign organizations, check here .............
2.
Foreign organizations meeting the 85% test,
check here and attach computation ...........
H
Check type of organization:
Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust
Other taxable private foundation
I
Fair market value of all assets at end
of year
(from Part II, col. (c),
line 16)
$
766,028
J
Accounting method:
Cash
Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)
E
If private foundation status was terminated
under section 507(b)(1)(A), check here .........
F
If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here .........
Part I
Analysis of Revenue and Expenses
(The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).)
(a)
Revenue and
expenses per
books
(b)
Net investment
income
(c)
Adjusted net
income
(d)
Disbursements
for charitable
purposes
(cash basis only)
1
Contributions, gifts, grants, etc., received (attach schedule)
2
Check
3
Interest on savings and temporary cash investments
918
918
4
Dividends and interest from securities
......
18,752
18,752
5a
Gross rents
..............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
24,617
b
Gross sales price for all assets on line 6a
127,475
7
Capital gain net income (from Part IV, line 2)
...
24,617
8
Net short-term capital gain
.........
0
9
Income modifications
...........
10a
Gross sales less returns and allowances
b
Less: Cost of goods sold
....
c
Gross profit or (loss) (attach schedule)
.....
11
Other income (attach schedule)
.......
476
476
12
Total.
Add lines 1 through 11
........
44,763
44,763
13
Compensation of officers, directors, trustees, etc.
11,816
11,816
14
Other employee salaries and wages
......
0
0
0
15
Pension plans, employee benefits
.......
0
0
16a
Legal fees (attach schedule)
.........
0
b
Accounting fees (attach schedule)
.......
c
Other professional fees (attach schedule)
....
77
77
17
Interest
...............
0
18
Taxes (attach schedule) (see instructions)
596
596
0
19
Depreciation (attach schedule) and depletion
...
0
0
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
0
0
22
Printing and publications
..........
0
0
23
Other expenses (attach schedule)
.......
101
101
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
12,590
12,513
0
77
25
Contributions, gifts, grants paid
........
40,000
40,000
26
Total expenses and disbursements.
Add lines 24 and 25
52,590
12,513
0
40,077
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-7,827
b
Net investment income
(if negative, enter -0-)
32,250
c
Adjusted net income
(if negative, enter -0-)
...
0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X
Form
990-PF
(2012)
Form 990-PF (2012)
Page
2
Part II
Balance Sheets
Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year
End of year
(a)
Book Value
(b)
Book Value
(c)
Fair Market Value
1
Cash—non-interest-bearing
...............
20,026
34,719
34,719
2
Savings and temporary cash investments
..........
24,132
26,171
26,171
3
Accounts receivable
Less: allowance for doubtful accounts
0
0
4
Pledges receivable
Less: allowance for doubtful accounts
5
Grants receivable
.................
6
Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see page 15 of the
instructions)
....................
7
Other notes and loans receivable (attach schedule)
Less: allowance for doubtful accounts
0
8
Inventories for sale or use
...............
9
Prepaid expenses and deferred charges
...........
10a
Investments—U.S. and state government obligations (attach schedule)
b
Investments—corporate stock (attach schedule)
........
354,907
314,698
433,197
c
Investments—corporate bonds (attach schedule)
........
228,859
230,895
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
..............
13
Investments—other (attach schedule)
...........
256,168
43,322
41,046
14
Land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
15
Other assets (describe
)
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
655,233
647,769
766,028
17
Accounts payable and accrued expenses
..........
18
Grants payable
...................
19
Deferred revenue
..................
20
Loans from officers, directors, trustees, and other disqualified persons
21
Mortgages and other notes payable (attach schedule)
......
22
Other liabilities (describe
)
23
Total liabilities
(add lines 17 through 22)
..........
0
Foundations that follow SFAS 117, check here
and complete lines 24 through 26 and lines 30 and 31.
24
Unrestricted
....................
25
Temporarily restricted
................
26
Permanently restricted
................
Foundations that do not follow SFAS 117, check here
and complete lines 27 through 31.
27
Capital stock, trust principal, or current funds
.........
655,233
647,769
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)
....................
655,233
647,769
31
Total liabilities and net assets/fund balances
(see page 17 of
the instructions)
..................
655,233
647,769
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
655,233
2
Enter amount from Part I, line 27a
.....................
2
-7,827
3
Other increases not included in line 2 (itemize)
3
363
4
Add lines 1, 2, and 3
..........................
4
647,769
5
Decreases not included in line 2 (itemize)
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30
.
6
647,769
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
.333 DUKE ENERGY CORPORATION COMMON
2011-12-23
2012-07-31
b
28. AGNICO EAGLE MINES LIMITED
2011-09-13
2012-11-09
c
70. ALLSCRIPTS HEALTHCARE SOLUTIONS
2011-09-13
2012-11-09
d
80. ELAN CORP INC ADR
2011-12-23
2012-11-09
e
50. ENERSYS COMMON
2011-09-13
2012-11-09
60. JARDEN CORP COMMON
2011-09-13
2012-11-09
80. JUPITER TELECOMMUNICATIONS CO LTD ADR
2011-09-13
2012-11-09
20. PHILIP MORRIS INTERNATIONAL
2011-09-13
2012-11-09
35. PHILLIPS 66 COMMON
2009-08-14
2012-11-09
40. WAL-MART DE MEXICO
2011-09-13
2012-11-09
120. ARCHER DANIELS MIDLAND COMPANY
2013-02-25
35. CANON INC COMMON
2013-02-25
30. CENTURYTEL INC
2011-12-23
2013-02-25
180. CHINA RESOURCES ENTERPRISE LTD SP ADR
2011-09-13
2013-02-25
25. CYTEC INDUSTRIES, INC COMMON
2011-12-23
2013-02-25
110. HOYA CORP SPONSORED ADR
2011-09-13
2013-02-25
20. ILLINOIS TOOL WORKS
2011-12-23
2013-02-25
80. JUPITER TELECOMMUNICATIONS CO LTD ADR
2011-09-13
2013-02-25
40. LAM RESH CORP
2011-12-23
2013-02-25
20. LINCOLN ELECTRIC HOLDINGS COMMON
2011-09-13
2013-02-25
80. MERIT MEDICAL SUSTEM INC COMMON
2011-12-23
2013-02-25
12. MOHAWK IND INC COMMON
2011-09-13
2013-02-25
130. MONSTER WORLDWIDE INC COMMON
2011-12-23
2013-02-25
25. OCEANEERING INTERNATIONAL INC
2011-12-23
2013-02-25
20. PARKER HANNIFIN CORP
2011-09-13
2013-02-25
35. ROGERS COMMUNICATIONS INC
2011-09-13
2013-02-25
80. TD AMERITRADE HOLDING CORPORATION
2011-09-13
2013-02-25
60. TAIWAN SEMICONDUCTOR MFG LTD SPONSORED ADR
2011-12-23
2013-02-25
45. VERIFONE HOLDINGS INC COMMON
2011-09-13
2013-02-25
30. WAL-MART DE MEXICO
2011-09-13
2013-02-25
30. WAL-MART DE MEXICO
2009-08-14
2013-02-25
30. WASTE MANAGEMENT INC NEW
2011-12-23
2013-02-25
25. WHITING PETROLEUM CORP COMMON
2012-11-09
2013-02-25
23. WHITING PETROLEUM CORP COMMON
2013-02-25
20. HERBALIFE LTD
2011-12-23
2013-02-25
100. QIAGEN N.V.
2011-09-13
2013-02-25
30. ADR AMERICA MOVIL S A DE CV
2009-08-14
2013-05-29
80. ADR AMERICA MOVIL S A DE CV
2011-09-13
2013-05-29
5. BLACKROCK INC COMMON
2011-12-23
2013-05-29
40. CENTURYTEL INC
2013-05-29
30. CURTISS WRIGHT CORP
2011-12-23
2013-05-29
90. ERSTE BK DER OESTER SPAR-ADR
2012-03-02
2013-05-29
12. F5 NETWORKS INC COMMON
2011-09-13
2013-05-29
15. ILLINOIS TOOL WORKS
2013-05-29
35. JOS A. BANK CLOTHIERS INC. COMMON
2011-09-13
2013-05-29
20. ELI LILLY & CO
2011-12-23
2013-05-29
25. MAGELLAN HEALTH SERVICES INC COMMON
2011-09-13
2013-05-29
2. NVR INC. COMMON
2011-09-13
2013-05-29
16. ONYX PHARMACEUTICALS INC COM
2011-12-23
2013-05-29
25. PAREXEL INTERNATIONAL COMMON
2011-12-23
2013-05-29
45. PAYCHEX INC
2013-05-29
80. PETROLEO BRASILEIR COMMON
2011-09-13
2013-05-29
12. ROCK-TENN CO
2013-02-25
2013-05-29
50. ROGERS COMMUNICATIONS INC
2013-05-29
50. SALLY BEAUTY COMPANY INC COMMON
2011-09-13
2013-05-29
50. SUNTRUST BANKS, INC. COMMON
2012-03-02
2013-05-29
40. TENNECO AUTOMOTIVE INC COM
2011-12-23
2013-05-29
40. THOMSON REUTERS CORP COMMON
2012-03-02
2013-05-29
25. WASTE MANAGEMENT INC NEW
2013-05-29
15. SIGNET JEWELERS LTD
2011-09-13
2013-05-29
90. WARNER CHILCOTT PLC CLASS A
2011-09-13
2013-05-29
40. TE CONNECTIVITY LTD
2012-11-09
2013-05-29
40. H J HEINZ COMPANY
2011-09-13
2013-06-10
.4 ITAU UNIBANCO BANCO MULTIPLO SA
2011-12-23
2013-06-13
25. ALLEGIANT TRAVEL COMPANY COMMON
2012-03-02
2013-06-28
30. ARM HOLDINGS PLC -SPONS ADR
2009-08-14
2013-06-28
40. ARM HOLDINGS PLC -SPONS ADR
2011-12-23
2013-06-28
30. BILL BARRETT CORP COMMON
2011-12-23
2013-06-28
50. BRISTOL MYERS SQUIBB COMPANY
2013-06-28
40. CSL LIMITED ADR
2011-12-23
2013-06-28
15. CANON INC COMMON
2009-08-14
2013-06-28
15. CANON INC COMMON
2011-12-23
2013-06-28
12. DIAGEO PLC SPONSORED ADR
2011-09-13
2013-06-28
20. HSBC HLDGS PLC ADR
2009-08-14
2013-06-28
20. ILLINOIS TOOL WORKS
2011-09-13
2013-06-28
20. KIMBERLY CLARK CORPORATION
2013-06-28
990. LI & FUNG LIMITED UNSPONS ADR
2011-09-13
2013-06-28
25. ELI LILLY & CO
2013-06-28
30. MOODY'S CORPORATION
2012-03-02
2013-06-28
20. NOVARTIS AG
2011-12-23
2013-06-28
60. NUANCE COMMUNICATIONS INC COMMON
2013-05-29
2013-06-28
50. NUANCE COMMUNICATIONS INC COMMON
2011-09-13
2013-06-28
55. PAYCHEX INC
2011-09-13
2013-06-28
25. PEABODY ENERGY CORPORATION COMMON
2011-09-13
2013-06-28
71. TELEFONICA S A
2013-06-28
45. WASTE MANAGEMENT INC NEW
2011-09-13
2013-06-28
90. WINDSTREAM CORP
2011-12-23
2013-06-28
70. INVESCO LTD
2011-09-13
2013-06-28
18. PARTNERRE HOLDINGS LTD
2011-09-13
2013-06-28
CAPITAL GAIN DIVIDENDS
P
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a
22
22
b
1,562
1,967
-405
c
829
1,222
-393
d
841
1,049
-208
e
1,711
1,074
637
3,069
1,712
1,357
1,084
869
215
1,723
1,321
402
1,670
697
973
1,161
962
199
3,849
3,346
503
1,239
1,568
-329
1,028
1,115
-87
1,173
1,427
-254
1,793
1,138
655
2,140
2,435
-295
1,214
955
259
952
869
83
1,653
1,469
184
1,102
624
478
958
1,102
-144
1,242
527
715
665
1,036
-371
1,541
1,186
355
1,844
1,350
494
1,661
1,340
321
1,550
1,132
418
1,108
777
331
838
1,648
-810
910
722
188
910
536
374
1,097
983
114
1,224
1,115
109
1,127
752
375
721
1,031
-310
2,165
1,379
786
593
680
-87
1,582
1,847
-265
1,430
890
540
1,480
1,388
92
1,089
1,078
11
1,474
1,177
297
999
947
52
1,049
670
379
1,567
1,815
-248
1,083
827
256
1,351
1,160
191
2,004
1,236
768
1,537
698
839
1,161
519
642
1,708
1,325
383
1,535
1,928
-393
1,192
1,031
161
2,286
1,913
373
1,550
867
683
1,596
1,148
448
1,745
1,205
540
1,389
1,160
229
1,054
794
260
1,033
551
482
1,736
1,234
502
1,792
1,373
419
2,900
1,996
904
6
7
-1
2,643
1,231
1,412
1,087
185
902
1,449
1,083
366
611
1,043
-432
2,266
1,641
625
1,125
657
468
496
533
-37
496
668
-172
1,376
909
467
1,037
1,081
-44
1,387
862
525
1,945
1,433
512
2,638
3,713
-1,075
1,236
937
299
1,831
1,168
663
1,412
1,138
274
1,108
1,157
-49
923
907
16
1,996
1,444
552
365
1,159
-794
907
1,315
-408
1,814
1,400
414
690
1,088
-398
2,232
1,169
1,063
1,639
1,016
623
34
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
b
-405
c
-393
d
-208
e
637
1,357
215
402
973
199
503
-329
-87
-254
655
-295
259
83
184
478
-144
715
-371
355
494
321
418
331
-810
188
374
114
109
375
-310
786
-87
-265
540
92
11
297
52
379
-248
256
191
768
839
642
383
-393
161
373
683
448
540
229
260
482
502
419
904
-1
1,412
902
366
-432
625
468
-37
-172
467
-44
525
512
-1,075
299
663
274
-49
16
552
-794
-408
414
-398
1,063
623
2
Capital gain net income or (net capital loss)
If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
2
24,617
3
Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
3
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)
If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
Yes
No
If “Yes,” the foundation does not qualify under section 4940(e). Do not complete this part.
1
Enter the appropriate amount in each column for each year; see page 18 of the instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in)
(b)
Adjusted qualifying distributions
(c)
Net value of noncharitable-use assets
(d)
Distribution ratio
(col. (b) divided by col. (c))
2011
2010
2009
2008
2007
2
Total
of line 1, column (d)
......................
2
3
Average distribution ratio for the 5-year base period—divide the total on line 2 by 5, or by
the number of years the foundation has been in existence if less than 5 years
.
.
.
3
4
Enter the net value of noncharitable-use assets for 2012 from Part X, line 5
.....
4
5
Multiply line 4 by line 3
.......................
5
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
7
Add lines 5 and 6
.........................
7
8
Enter qualifying distributions from Part XII, line 4
..............
8
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See
the Part VI instructions.
Form
990-PF
(2012)
Form 990-PF (2012)
Page
4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see page 18 of the instructions)
1a
Exempt operating foundations described in section 4940(d)(2), check here
and enter “N/A” on line 1.
Date of ruling or determination letter:
(attach copy of letter if necessary–see instructions)
b
Domestic foundations that meet the section 4940(e) requirements in Part V, check
1
645
here
and enter 1% of Part I, line 27b
...................
c
All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2
Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
2
0
3
Add lines 1 and 2
............................
3
645
4
Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-).
4
0
5
Tax based on investment income.
Subtract line 4 from line 3. If zero or less, enter -0-
.....
5
645
6
Credits/Payments:
a
2012 estimated tax payments and 2011 overpayment credited to 2012
6a
316
b
Exempt foreign organizations—tax withheld at source
.......
6b
c
Tax paid with application for extension of time to file (Form 8868)
6c
0
d
Backup withholding erroneously withheld
...........
6d
7
Total credits and payments. Add lines 6a through 6d
..............
7
316
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
0
9
Tax due.
If the total of lines 5 and 8 is more than line 7, enter
amount owed
.......
9
329
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
11
Enter the amount of line 10 to be:
Credited to 2013 estimated tax
0
Refunded
11
0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign?
....................
1a
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of
the instructions for definition)?
............................
1b
No
If the answer is “Yes” to
1a
or
1b,
attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file
Form 1120-POL
for this year?
.....................
1c
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1)
On the foundation.
$
(2)
On foundation managers.
$
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?
.......
2
No
If “Yes,” attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments?
If “Yes,” attach a conformed copy of the changes
....
3
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?
........
4a
No
b
If “Yes,” has it filed a tax return on
Form 990-T
for this year?
...................
4b
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?
.........
5
No
If “Yes,” attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
By language in the governing instrument, or
By state legislation that effectively amends the governing instrument so that no mandatory directions
that conflict with the state law remain in the governing instrument?
................
6
Yes
7
Did the foundation have at least $5,000 in assets at any time during the year?
If “Yes,” complete Part II, col. (c), and Part XV.
7
Yes
8a
Enter the states to which the foundation reports or with which it is registered (see instructions)
NC
b
If the answer is “Yes” to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
General (or designate) of each state as required by General Instruction G?
If “No,” attach explanation
.
8b
Yes
9
Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
or 4942(j)(5) for calendar year 2012 or the taxable year beginning in 2012 (see instructions for Part XIV)?
If “Yes,” complete Part XIV
.............................
9
No
10
Did any persons become substantial contributors during the tax year?
If “Yes,” attach a schedule listing their names and addresses.
10
No
11
At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
meaning of section 512(b)(13)? If "Yes," attach schedule. (see instructions)
.............
11
No
12
Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
advisory privileges? If "Yes," attach statement (see instructions)
.................
12
No
13
Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
13
Yes
Website address
14
The books are in care of
BRANCH BANKING & TRUST COMPANY
Telephone no.
(252) 246-4935
Located at
223 W NASH ST
WILSON
NC
ZIP+4
27893
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of
Form 1041
—Check here
.........
and enter the amount of tax-exempt interest received or accrued during the year
......
15
16
At any time during calendar year 2012, did the foundation have an interest in or a signature or other authority over
a bank, securities, or other financial account in a foreign country?
.................
16
No
See instructions for exceptions and filing requirements for Form TD F 90-22.1. If "Yes", enter the name of the foreign country
Form
990-PF
(2012)
Form 990-PF (2012)
Page
5
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
File Form 4720 if any item is checked in the “Yes” column, unless an exception applies.
Yes
No
1a
During the year did the foundation (either directly or indirectly):
(1)
Engage in the sale or exchange, or leasing of property with a disqualified person?
Yes
No
(2)
Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?
.........................
Yes
No
(3)
Furnish goods, services, or facilities to (or accept them from) a disqualified person?
Yes
No
(4)
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
Yes
No
(5)
Transfer any income or assets to a disqualified person (or make any of either available
for the benefit or use of a disqualified person)?
.................
Yes
No
(6)
Agree to pay money or property to a government official? (
Exception.
Check “No”
if the foundation agreed to make a grant to or to employ the official for a period
after termination of government service, if terminating within 90 days.)
.........
Yes
No
b
If any answer is “Yes” to 1a(1)–(6), did
any
of the acts fail to qualify under the exceptions described in Regulations
section 53.4941(d)-3 or in a current notice regarding disaster assistance (see page 20 of the instructions)?
...
1b
Organizations relying on a current notice regarding disaster assistance check here
.........
c
Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
that were not corrected before the first day of the tax year beginning in 2012?
.............
1c
No
2
Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
a
At the end of tax year 2012, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2012?
...............
Yes
No
If “Yes,” list the years
2008
,
20
,
20
,
20
b
Are there any years listed in 2a for which the foundation is
not
applying the provisions of section 4942(a)(2)
(relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
to
all
years listed, answer “No” and attach statement—see instructions.)
..............
2b
No
c
If the provisions of section 4942(a)(2) are being applied to
any
of the years listed in 2a, list the years here.
20
,
20
,
20
,
20
3a
Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
any time during the year?
.........................
Yes
No
b
If “Yes,” did it have excess business holdings in 2012 as a result of
(1)
any purchase by the foundation
or disqualified persons after May 26, 1969;
(2)
the lapse of the 5-year period (or longer period approved
by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or
(3)
the lapse of the 10-, 15-, or 20-year first phase holding period?
(Use Schedule C, Form 4720, to determine
if the foundation had excess business holdings in 2012.)
....................
3b
4a
Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
4a
No
b
Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2012?
4b
No
5a
During the year did the foundation pay or incur any amount to:
(1)
Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
Yes
No
(2)
Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive?
...............
Yes
No
(3)
Provide a grant to an individual for travel, study, or other similar purposes?
Yes
No
(4)
Provide a grant to an organization other than a charitable, etc., organization described
in section 509(a)(1), (2), or (3), or section 4940(d)(2)? (see instructions)
........
Yes
No
(5)
Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals?
........
Yes
No
b
If any answer is “Yes” to 5a(1)–(5), did
any
of the transactions fail to qualify under the exceptions described in
Regulations section 53.4945 or in a current notice regarding disaster assistance (see instructions)?
......
5b
Organizations relying on a current notice regarding disaster assistance check here
.........
c
If the answer is “Yes” to question 5a(4), does the foundation claim exemption from the
tax because it maintained expenditure responsibility for the grant?
............
Yes
No
If “Yes,” attach the statement required by Regulations section 53.4945–5(d).
6a
Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
a personal benefit contract?
........................
Yes
No
b
Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
....
6b
No
If “Yes” to 6b, file Form 8870.
7a
At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
Yes
No
b
If yes, did the foundation receive any proceeds or have any net income attributable to the transaction?
....
7b
Form
990-PF
(2012)
Form 990-PF (2012)
Page
6
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
1
List all officers, directors, trustees, foundation managers and their compensation (see instructions).
(a)
Name and address
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(If not paid, enter
-0-)
(d)
Contributions to
employee benefit plans
and deferred compensation
(e)
Expense account,
other allowances
BRANCH BANKING AND TRUST COMPANY
TRUSTEE
1
11,816
PO BOX 2907
WILSON
,
NC
27894
2
Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE.”
(a)
Name and address of each employee paid more than $50,000
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(d)
Contributions to
employee benefit
plans and deferred
compensation
(e)
Expense account,
other allowances
NONE
Total
number of other employees paid over $50,000
...................
0
3
Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
(a)
Name and address of each person paid more than $50,000
(b)
Type of service
(c)
Compensation
NONE
Total
number of others receiving over $50,000 for professional services
.............
0
Part IX-A
Summary of Direct Charitable Activities
List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc.
Expenses
1
2
3
4
Form
990-PF
(2012)
Form 990-PF (2012)
Page
7
Part IX-B
Summary of Program-Related Investments
(see instructions)
Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2.
Amount
1
2
All other program-related investments. See page 24 of the instructions.
3
Total.
Add lines 1 through 3
..........................
Part X
Minimum Investment Return
(All domestic foundations must complete this part. Foreign foundations,
see instructions.)
1
Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
purposes:
a
Average monthly fair market value of securities
...................
1a
691,856
b
Average of monthly cash balances
.......................
1b
14,363
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
706,219
e
Reduction claimed for blockage or other factors reported on lines 1a and
1c (attach detailed explanation)
.............
1e
0
2
Acquisition indebtedness applicable to line 1 assets
..................
2
0
3
Subtract line 2 from line 1d
.........................
3
706,219
4
Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see
instructions)
.............................
4
10,593
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
695,626
6
Minimum investment return.
Enter 5% of line 5
..................
6
34,781
Part XI
Distributable Amount
(see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here
and do not complete this part.)
1
Minimum investment return from Part X, line 6
....................
1
34,781
2a
Tax on investment income for 2012 from Part VI, line 5
......
2a
645
b
Income tax for 2012. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
645
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
34,136
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
34,136
6
Deduction from distributable amount (see instructions)
.................
6
0
7
Distributable amount
as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,
line 1
................................
7
34,136
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
40,077
b
Program-related investments—total from Part IX-B
..................
1b
0
2
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
purposes
...............................
2
0
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)
....................
3a
0
b
Cash distribution test (attach the required schedule)
.................
3b
0
4
Qualifying distributions.
Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
4
40,077
5
Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
income. Enter 1% of Part I, line 27b (see instructions)
.................
5
0
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
40,077
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
34,136
2
Undistributed income, if any, as of the end of 2012:
a
Enter amount for 2011 only
.......
17,145
b
Total for prior years:
2010
,
20
,
20
0
3
Excess distributions carryover, if any, to 2012:
a
From 2007
.......
0
b
From 2008
.......
0
c
From 2009
.......
0
d
From 2010
.......
0
e
From 2011
.......
0
f
Total
of lines 3a through e
.........
0
4
Qualifying distributions for 2012 from Part
XII, line 4:
$
40,077
a
Applied to 2011, but not more than line 2a
17,145
b
Applied to undistributed income of prior years
(Election required—see instructions)
......
0
c
Treated as distributions out of corpus (Election
required—see instructions)
.........
0
d
Applied to 2012 distributable amount
.....
22,932
e
Remaining amount distributed out of corpus
0
5
Excess distributions carryover applied to 2012.
0
0
(If an amount appears in column (d), the
same amount must be shown in column (a).)
6
Enter the net total of each column as
indicated below:
a
Corpus. Add lines 3f, 4c, and 4e. Subtract line 5
0
b
Prior years’ undistributed income. Subtract
line 4b from line 2b
...........
0
c
Enter the amount of prior years’ undistributed
income for which a notice of deficiency has
been issued, or on which the section 4942(a)
tax has been previously assessed
......
0
d
Subtract line 6c from line 6b. Taxable amount
—see instructions
...........
0
e
Undistributed income for 2011. Subtract line
4a from line 2a. Taxable amount—see
instructions
.............
0
f
Undistributed income for 2012. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2013
..........
11,204
7
Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) (see
instructions)
.............
0
8
Excess distributions carryover from 2007 not
applied on line 5 or line 7 (see instructions)
...
0
9
Excess distributions carryover to 2013.
Subtract lines 7 and 8 from line 6a
......
0
10
Analysis of line 9:
a
Excess from 2008
....
0
b
Excess from 2009
....
0
c
Excess from 2010
....
0
d
Excess from 2011
....
0
e
Excess from 2012
....
0
Form
990-PF
(2012)
Form 990-PF (2012)
Page
9
Part XIV
Private Operating Foundations
(see instructions and Part VII-A, question 9)
1a
If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2012, enter the date of the ruling
.......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(j)(5)
2a
Enter the lesser of the adjusted net
income from Part I or the minimum
investment return from Part X for each
year listed
..........
Tax year
Prior 3 years
(e) Total
(a)
2012
(b)
2011
(c)
2010
(d)
2009
b
85% of line 2a
.........
c
Qualifying distributions from Part XII,
line 4 for each year listed
.....
d
Amounts included in line 2c not used directly
for active conduct of exempt activities
....
e
Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c
....
3
Complete 3a, b, or c for the
alternative test relied upon:
a
“Assets” alternative test—enter:
(1)
Value of all assets
......
(2)
Value of assets qualifying
under section 4942(j)(3)(B)(i)
b
“Endowment” alternative test— enter 2⁄3
of minimum investment return shown in
Part X, line 6 for each year listed
...
c
“Support” alternative test—enter:
(1)
Total support other than gross
investment income (interest,
dividends, rents, payments
on securities loans (section
512(a)(5)), or royalties)
....
(2)
Support from general public
and 5 or more exempt
organizations as provided in
section 4942(j)(3)(B)(iii)
....
(3)
Largest amount of support
from an exempt organization
(4)
Gross investment income
Part XV
Supplementary Information (Complete this part only if the organization had $5,000 or more in
assets at any time during the year—see instructions.)
1
Information Regarding Foundation Managers:
a
List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
NONE
b
List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
NONE
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. (see instructions) to individuals or organizations under
other conditions, complete items 2a, b, c, and d.
a
The name, address, and telephone number or e-mail of the person to whom applications should be addressed:
WILLIAM CREWS
PO BOX 2907 BBT WEALTH MGMT
WILSON
,
NC
278942907
(252) 246-4935
b
The form in which applications should be submitted and information and materials they should include:
APPLICATION
c
Any submission deadlines:
MARCH 1
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
WORTHY AND DESERVING GRADUATES OF TARBORO HIGH SCHOOL THAT ARE ATTENDING A COLLEGE, JUNIOR COLLEGE OR UNIVERSITY
Form
990-PF
(2012)
Form 990-PF (2012)
Page
10
Part XV
Supplementary Information
(continued)
3 Grants and Contributions Paid During the Year or Approved for Future Payment
Recipient
If recipient is an individual,
show any relationship to
any foundation manager
or substantial contributor
Foundation
status of
recipient
Purpose of grant or
contribution
Amount
Name and address (home or business)
a
Paid during the year
NC STATE UNIVERSITY
1008 HARRIS HALL BOX 731
RALEIGH
,
NC
276957313
NONE
EXEMPT
EDUCATIONAL
5,000
UNC GREENSBORO
PO BOX 26170
GREENSBORO
,
NC
274026170
NONE
EXEMPT
EDUCATIONAL
5,000
MEREDITH COLLEGE
3800 HILLSBOROGH ST
WILSON
,
NC
276075298
NONE
EXEMPT
EDUCATIONAL
5,000
UNC CHAPEL HILL
CB 2200 JACKSON HALL
CHAPEL HILL
,
NC
275992200
NONE
EXEMPT
EDUCATIONAL
10,000
EAST CAROLINA UNIVERSITY
EAST FIFTH STREET
GREENVILLE
,
NC
278584353
NONE
EXEMPT
EDUCATIONAL
10,000
WAKE FOREST UNIVERSITY
1834 WAKE FOREST ROAD
WINSTONSALEM
,
NC
27106
NONE
EXEMPT
EDUCATIONAL
5,000
Total
.................................
3a
40,000
b
Approved for future payment
Total
.................................
3b
Form
990-PF
(2012)
Form 990-PF (2012)
Page
11
Part XVI-A
Analysis of Income-Producing Activities
Enter gross amounts unless otherwise indicated.
Unrelated business income
Excluded by section 512, 513, or 514
(e)
Related or exempt
function income
(See instructions.)
1
Program service revenue:
(a)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
a
b
c
d
e
f
g
Fees and contracts from government agencies
2
Membership dues and assessments
....
3
Interest on savings and temporary cash investments
14
918
4
Dividends and interest from securities
....
14
18,752
5
Net rental income or (loss) from real estate:
a
Debt-financed property
......
b
Not debt-financed property
.....
6
Net rental income or (loss) from personal property
7
Other investment income
.....
8
Gain or (loss) from sales of assets other than inventory
18
24,617
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
..
11
Other revenue:
a
FEDERAL TAX REFUND
01
476
b
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
44,763
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
44,763
(See worksheet in line 13 instructions to verify calculations.)
Part XVI-B
Relationship of Activities to the Accomplishment of Exempt Purposes
Line No.
Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
instructions.)
Form
990-PF
(2012)
Form 990-PF (2012)
Page
12
Part XVII
Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
1
Did the organization directly or indirectly engage in any of the following with any other organization described in section
Yes
No
501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
a
Transfers from the reporting foundation to a noncharitable exempt organization of:
(1)
Cash
...................................
1a(1)
No
(2)
Other assets
.................................
1a(2)
No
b
Other transactions:
(1)
Sales of assets to a noncharitable exempt organization
....................
1b(1)
No
(2)
Purchases of assets from a noncharitable exempt organization
..................
1b(2)
No
(3)
Rental of facilities, equipment, or other assets
.......................
1b(3)
No
(4)
Reimbursement arrangements
...........................
1b(4)
No
(5)
Loans or loan guarantees
.............................
1b(5)
No
(6)
Performance of services or membership or fundraising solicitations
................
1b(6)
No
c
Sharing of facilities, equipment, mailing lists, other assets, or paid employees
..............
1c
No
d
If the answer to any of the above is “Yes,” complete the following schedule. Column
(b)
should always show the fair market value
of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
in any transaction or sharing arrangement, show in column
(d)
the value of the goods, other assets, or services received.
(a)
Line No.
(b)
Amount involved
(c)
Name of noncharitable exempt organization
(d)
Description of transfers, transactions, and sharing arrangements
2a
Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?
...........
Yes
No
b
If “Yes,” complete the following schedule.
(a)
Name of organization
(b)
Type of organization
(c)
Description of relationship
Sign Here
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer or fiduciary) is based on all information of which preparer has any knowledge.
May the IRS discuss this return
with the preparer shown below
(see instr.)?
Yes
No
Signature of officer or trustee
Date
Title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's Signature
Date
Check if self-
employed
PTIN
Firm's name
Firm's address
Firm's EIN
Phone no.
Form
990-PF
(2012)
Additional Data
Software ID:
Software Version:
Form 990PF - Special Condition Description:
Special Condition Description
-
TIN:
TY 2012 OtherIncreasesSchedule
Name:
A R BURNETTE SCHOLARSHIP FUND
EIN:
56-6593070
Description
Amount
DIFF IN MUTUAL FDS REC/REPORTED
357
ADJUSTMENT FOR ROUNDING
6