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
AMES-AMZALAK MEMORIAL TRUST
 

Number and street (or P.O. box number if mail is not delivered to street address)180 OFFICE PARK WAY   Room/suite
City or town, state, and ZIP code
PITTSFORD, NY14534
A Employer identification number

16-1530490
B Telephone number (see instructions)

(585) 232-7046
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$5,030,529
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
E bullet
F bullet
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities...... 219,055 219,055  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 -167,196
b Gross sales price for all assets on line 6a 316,025
7 Capital gain net income (from Part IV, line 2)... 0
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 51,859 219,055  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 25,607 10,243   15,364
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... 8,000 3,200   4,800
b Accounting fees (attach schedule)....... 9,750 3,900   5,850
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions) 2,528 2,528    
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 747     747
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 46,632 19,871   26,761
25 Contributions, gifts, grants paid........ 539,465 539,465
26 Total expenses and disbursements. Add lines 24 and 25 586,097 19,871   566,226
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -534,238
b Net investment income (if negative, enter -0-) 199,184
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............... 313 315 315
2 Savings and temporary cash investments.......... 1,306,788 256,739 256,739
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)........ 3,600,558 Click to see attachment4,140,538 3,927,830
c Investments—corporate bonds (attach schedule)........ 841,972 Click to see attachment817,801 845,645
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)...........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 5,749,631 5,215,393 5,030,529
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.................... 5,749,631 5,215,393
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).................... 5,749,631 5,215,393
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 5,749,631 5,215,393
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 5,749,631
2 Enter amount from Part I, line 27a..................... 2 -534,238
3 Other increases not included in line 2 (itemize) bullet 3  
4 Add lines 1, 2, and 3.......................... 4 5,215,393
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 5,215,393
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 50 SH AMERICAN INTERNATIONAL GROUP INC P 2008-02-21 2012-09-07
b 2000 SH NEW YORK TIMES P 2006-01-20 2012-09-07
c 3000 SH XEROX CORP P 1999-10-22 2012-09-07
d 900 SH XEROX CORP P 1999-12-17 2012-09-07
e 3050 SG XEROX CORP P 1999-12-23 2012-09-07
LEHMAN BROTHERS P 2008-02-21 2012-09-19
400 SH JP MORGAN CHASE CAP 8.00% P 2008-05-08 2012-07-12
4000 SH KEYCORP CAPITAL 8.00% P 2008-02-21 2012-07-12
LONG TERM CAPITAL GAIN DISTRIBUTION P 2011-01-01 2012-12-31
(e) Gross sales price (f) Depreciation allowed
(or allowable)
(g) Cost or other basis
plus expense of sale
(h) Gain or (loss)
(e) plus (f) minus (g)
a 2,071 0 48,268 -46,197
b 19,152 0 55,230 -36,078
c 22,961 0 72,012 -49,051
d 6,888 0 19,690 -12,802
e 23,320 0 64,820 -41,500
23,200 0 23,200 0
100,000 0 100,000 0
100,000 0 100,000 0
18,432 0 0 18,432
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 0 0 0 -46,197
b 0 0 0 -36,078
c 0 0 0 -49,051
d 0 0 0 -12,802
e 0 0 0 -41,500
0 0 0 0
0 0 0 0
0 0 0 0
0 0 0 18,432
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 -167,196
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 356,286 4,760,892 0.074836
2010 252,574 4,871,124 0.051851
2009 88,399 4,616,456 0.019149
2008 243,379 4,287,543 0.056764
2007 379,426 6,070,131 0.062507
2 Total of line 1, column (d) ...................... 2 0.265107
3 Average distribution ratio for the 5-year base period—divide the total on line 2 by 5, or by
the number of years the foundation has been in existence if less than 5 years
. . .
3 0.053021
4 Enter the net value of noncharitable-use assets for 2012 from Part X, line 5..... 4 4,897,844
5 Multiply line 4 by line 3....................... 5 259,689
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 1,992
7 Add lines 5 and 6......................... 7 261,681
8 Enter qualifying distributions from Part XII, line 4.............. 8 566,226
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See
the Part VI instructions.
Form 990-PF (2012)
Form 990-PF (2012)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see page 18 of the instructions)
1a Bulletand enter “N/A” on line 1. Bracket
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b 1 1,992
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 0
3 Add lines 1 and 2............................ 3 1,992
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-). 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 1,992
6 Credits/Payments:
a 2012 estimated tax payments and 2011 overpayment credited to 2012 6a 2,400
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.............. : -2400 7 2,400
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 408
11 Enter the amount of line 10 to be: Credited to 2013 estimated taxBullet408 Refunded Bullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of
the instructions for definition)?............................
1b
 
No
If the answer is “Yes” to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If “Yes,” attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If “Yes,” attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If “Yes,” has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If “Yes,” attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If “Yes,” complete Part II, col. (c), and Part XV.
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bullet
    b
    If the answer is “Yes” to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If “No,” attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2012 or the taxable year beginning in 2012 (see instructions for Part XIV)?
    If “Yes,” complete Part XIV.............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If “Yes,” attach a schedule listing their names and addresses.
    10
     
    No
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see instructions) .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement (see instructions).................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletJAY R GELB COMPANY PC Telephone no.bullet (585) 232-7046
    Located atbullet180 OFFICE PARK WAY SUITE 2000PITTSFORDNY ZIP+4bullet14534
    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
    MYRL GELB Trustee
    10.00
    6,402 0 0
    2831 SAINT BARTS SQUARE
    VERO BEACH,FL32967
    JAY GELB Trustee
    10.00
    6,402 0 0
    180 OFFICE PARK WAY SUITE 2000
    PITTSFORD,NY14534
    ROBERT VIGDOR Trustee
    10.00
    6,402 0 0
    4 GREAT OAK LANE
    PITTSFORD,NY14534
    JUSTIN VIGDOR ESQ Trustee
    10.00
    6,402 0 0
    145 CULVER SUITE 100
    ROCHESTER,NY14620
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE.”
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 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.............bullet0
    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..........................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
    4,057,108
    b
    Average of monthly cash balances.......................
    1b
    915,322
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    4,972,430
    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
    4,972,430
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see
    instructions) .............................
    4
    74,586
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    4,897,844
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    244,892
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    244,892
    2a
    Tax on investment income for 2012 from Part VI, line 5......
    2a
    1,992
    b
    Income tax for 2012. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    1,992
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    242,900
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    242,900
    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
    242,900
    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
    566,226
    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
    566,226
    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
    1,992
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    564,234
    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 7 242,900
    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....... 79,181
    b From 2008....... 32,472
    c From 2009.......  
    d From 2010.......  
    e From 2011.......  
    fTotal of lines 3a through e......... 111,653
    4Qualifying distributions for 2012 from Part
    XII, line 4: bullet$ 566,226
    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..... 242,900
    e Remaining amount distributed out of corpus 323,326
    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 5 434,979
    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) ...
    79,181
    9Excess distributions carryover to 2013.
    Subtract lines 7 and 8 from line 6a ......
    355,798
    10 Analysis of line 9:
    a Excess from 2008.... 32,472
    b Excess from 2009....  
    c Excess from 2010....  
    d Excess from 2011....  
    e Excess from 2012.... 323,326
    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).)
    NONE
    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:
    MYRL S GELB
    2831 SAINT BARTS SQUARE
    VERO BEACH,FL32967
    bThe form in which applications should be submitted and information and materials they should include:
     
    cAny submission deadlines:
    NONE
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    NONE
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 10
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    Foundation
    status of
    recipient
    Purpose of grant or
    contribution
    Amount
    Name and address (home or business)
    aPaid during the year
    ASSOCIATION OF FUNDRAISING PROFESSIONALS GENESEE VALLEY CHAPTER
    PO BOX 425
    SPENCERPORT,NY14559
      N/A UNRESTRICTED 1,500
    GENESEE CENTER FOR THE ARTS & EDUCATION
    713 MONROE AVENUE
    ROCHESTER,NY14607
      N/A EDUCATION PROGRAM 3,000
    GEVA THEATRE CENTER
    75 WOODBURY BLVD
    ROCHESTER,NY14626
      N/A THE MUSIC MAN PROJECT 20,000
    COMMUNITY FOOD CUPBOARD OF ROCHESTER
    11 NESTER STREET
    ROCHESTER,NY14621
      N/A UNRESTRICTED 500
    JEWISH COMMUNITY CENTER
    1200 EDGEWOOD AVE
    ROCHESTER,NY14618
      N/A UNRESTRICTED 21,000
    JEWISH COMMUNITY FEDERATION
    441 EAST AVE 1
    ROCHESTER,NY14626
      N/A UNRESTRICTED 13,000
    NATIONAL MULTIPLE SCLEROSIS SOCIETY
    1650 SOUTH AVE 100
    ROCHESTER,NY14620
      N/A UNRESTRICTED 3,000
    ADVERTISING COUNCIL OF ROCHESTER
    274 N GOODMAN ST SUITE B269
    ROCHESTER,NY14626
      N/A UNRESTRICTED 2,500
    AL SIGL CENTER
    1000 ELMWOOD AVE 300
    ROCHESTER,NY14620
      N/A UNRESTRICTED 12,800
    CP ROCHESTER
    1650 SOUTH AVENUE
    ROCHESTER,NY14620
      N/A UNRESTRICTED 3,500
    AMERICAN CANCER SOCIETY
    1120 S GOODMAN ST
    ROCHESTER,NY14620
      N/A UNRESTRICTED 7,800
    AMERICAN DIABETES ASSOCIATION
    160 ALLENS CREEK RD 160
    ROCHESTER,NY14618
      N/A UNRESTRICTED 1,000
    CRISIS NURSERY OF ROCHESTER
    201 GENESEE PARK BLVD
    ROCHESTER,NY14619
      N/A UNRESTRICTED 1,500
    BIVONA CHILD ADVOCACY CENTER
    275 LAKE AVENUE
    ROCHESTER,NY14608
      N/A UNRESTRICTED 2,400
    BOY SCOUTS
    474 EAST AVE
    ROCHESTER,NY14626
      N/A UNRESTRICTED 1,000
    CALVARY ST ANDREW'S PRESBYTERIAN PARISH
    68 ASHLAND STREET
    ROCHESTER,NY14620
      N/A UNRESTRICTED 1,000
    BOA EDITIONS LIMITED
    250 N GOODMAN ST
    ROCHESTER,NY14626
      N/A UNRESTRICTED 1,000
    CENTER FOR YOUTH SERVICES
    905 MONROE AVE
    ROCHESTER,NY14620
      N/A UNRESTRICTED 10,000
    COMPEER INC
    259 MONROE AVE
    ROCHESTER,NY14607
      N/A UNRESTRICTED 3,000
    DAYSTAR
    47 LOCHNAVAR PARKWAY
    PITTSFORD,NY14534
      N/A UNRESTRICTED 7,000
    DO THE RIGHT THING PROGRAM
    185 EXCHANGE BLVD
    ROCHESTER,NY14614
      N/A UNRESTRICTED 1,000
    DOWNSTAIRS CABARET THEATRE
    20 WINDSOR STREET
    ROCHESTER,NY14605
      N/A UNRESTRICTED 1,250
    EQUICENTER
    3247 RUSH MENDON ROAD
    HONEOYE FALLS,NY14472
      N/A UNRESTRICTED 3,500
    FRIENDS OF SCHOOL OF THE ARTS
    45 PRINCE ST
    ROCHESTER,NY14607
      N/A UNRESTRICTED 1,000
    FREE PARTNERSHIP
    304 THORNELL ROAD
    PITTSFORD,NY14534
      N/A UNRESTRICTED 4,500
    GIRLS SCOUTS OF GENESEE VALLEY INC
    1020 JOHN STREET
    WEST HENRIETTA,NY14586
      N/A UNRESTRICTED 1,000
    GOLISANO CHILDREN'S HOSPITAL AT STRONG
    601 ELMWOOD AVENUE
    ROCHESTER,NY14642
      N/A UNRESTRICTED 110,000
    GRANTMAKERS FORUM OF NEW YORK
    75 COLLEGE AVE STE 311
    ROCHESTER,NY14607
      N/A UNRESTRICTED 3,000
    HCR CARES
    85 METRO PARK
    ROCHESTER,NY14623
      N/A UNRESTRICTED 1,500
    HOPE HALL
    1612 BUFFALO RD
    ROCHESTER,NY14624
      N/A UNRESTRICTED 2,000
    JEWISH FAMILY SERVICES OF ROCHESTER INC
    441 EAST AVENUE ROCHESTER
    ROCHESTER,NY14607
      N/A UNRESTRICTED 32,500
    JEWISH HOME FOUNDATION
    2021 WINTON ROAD SOUTH
    ROCHESTER,NY14618
      N/A UNRESTRICTED 22,000
    LIFESPAN
    1900 S CLINTON AVENUE
    ROCHESTER,NY14618
      N/A UNRESTRICTED 4,000
    MARY CARIOLA CHILDREN'S CENTER
    1000 ELMWOOD AVE 100
    ROCHESTER,NY14620
      N/A UNRESTRICTED 34,500
    NATIONAL KIDNEY FOUNDATION ( ROCHESTER CHAPTER)
    15 PRINCE STREET
    ROCHESTER,NY14607
      N/A UNRESTRICTED 2,000
    NAZARETH COLLEGE
    4245 EAST AVENUE
    ROCHESTER,NY14618
      N/A UNRESTRICTED 15,000
    JUNIOR ACHIEVEMENT OF ROCHESTER NY AREA
    259 MONROE AVENUE
    ROCHESTER,NY14607
      N/A HEALTH & SCIENCE BUILDING 2,000
    PLUTA CANCER CENTER
    125 RED CREEK DR 101
    ROCHESTER,NY14623
      N/A UNRESTRICTED 2,000
    PREVENTION 1ST FOUNDATION INC
    1 GROVE STREET
    PITTSFORD,NY14534
      N/A UNRESTRICTED 2,500
    QUAD A FOR KIDS
    500 EAST AVENUE
    ROCHESTER,NY14607
      N/A UNRESTRICTED 6,000
    LASS GIRLS INC
    194 FIELD ROAD
    ROCHESTER,NY14620
      N/A UNRESTRICTED 2,365
    ROCHESTER HEARING & SPEECH
    1000 ELMWOOD AVE 400
    ROCHESTER,NY14620
      N/A UNRESTRICTED 5,500
    SOJOURNER HOUSE
    30 MILLBANK ST
    ROCHESTER,NY14619
      N/A UNRESTRICTED 3,500
    ROCHESTER INSTITUTE OF TECHNOLOGY
    ONE LOMB MEMORIAL DRIVE
    ROCHESTER,NY14623
      N/A UNRESTRICTED 2,000
    TRAVELLING CABARET OF IRONDEQUOIT
    20 ONYX DRIVE
    PENFIELD,NY14526
      N/A UNRESTRICTED 3,500
    WILSON COMMENCEMENT PARK
    251 JOSEPH AVE
    ROCHESTER,NY14605
      N/A UNRESTRICTED 5,000
    WXXI
    280 STATE ST
    ROCHESTER,NY14614
      N/A UNRESTRICTED 18,000
    ST JOHN FISHER COLLEGE
    3690 EAST AVENUE
    ROCHESTER,NY14618
      N/A UNRESTRICTED 4,000
    MONROE COMMUNITY COLLEGE FOUNDATION
    1000 EAST HENRIETTA ROAD
    FAIRPORT,NY14623
      N/A UNRESTRICTED 10,000
    PUSH PHYSICAL THEATRE
    25 CHRUCH STREET
    PITTSFORD,NY14534
      N/A UNRESTRICTED 5,000
    ROCHESTER CHILDREN'S THEATRE
    4245 EAST AVENUE
    ROCHESTER,NY14618
      N/A UNRESTRICTED 5,000
    ALZHEIMER'S ASSOCIATION
    435 E HENRIETTA RD
    ROCHESTER,NY14620
      N/A UNRESTRICTED 12,500
    ROCHESTER FRINGE FESTIVAL
    PO BOX 10508
    ROCHESTER,NY14610
      N/A UNRESTRICTED 20,000
    ROCHESTER MUSEUM & SCIENCE CENTER
    657 EAST AVENUE
    ROCHESTER,NY14607
      N/A UNRESTRICTED 500
    ROCHESTER ROTARY
    180 LINDEN OAKS SUITE 200
    ROCHESTER,NY14625
      N/A UNRESTRICTED 500
    SCHOOL OF THE HOLY CHILDHOOD
    100 GROTON PARKWAY
    ROCHESTER,NY14623
      N/A UNRESTRICTED 750
    EAST HOUSE
    1701 LAC DE VILLE BLVD
    ROCHESTER,NY14618
      N/A UNRESTRICTED 500
    TEMPLE B'RITH KODESH
    2131 ELMWOOD AVENUE
    ROCHESTER,NY14618
      N/A UNRESTRICTED 30,100
    HOSPICE OF ORLEANS
    14080 ROUTE 31 WEST
    ALBION,NY14411
      N/A UNRESTRICTED 1,000
    LDA LIFE AND LEARNING SERVICES
    339 EAST AVE STE 420
    ROCHESTER,NY14620
      N/A UNRESTRICTED 2,000
    MAKE A WISH FOUNDATION
    BRIGHTON COMMONS 1855 MONROE AVE SU
    ROCHESTER,NY14618
      N/A UNRESTRICTED 1,000
    MERCY FLIGHT CENTRAL
    2420 BRICKYARD ROAD
    CANANDAIGUA,NY14424
      N/A UNRESTRICTED 1,000
    NAMI ROCHESTER
    320 NORTH GOODMAN ST SUITE 102
    ROCHESTER,NY146071185
      N/A UNRESTRICTED 500
    ROCHESTER EDUCATION FOUNDATION
    250 MILL ST
    ROCHESTER,NY14614
      N/A UNRESTRICTED 1,000
    ROCHESTER REHABILITATION
    1000 ELMWOOD AVE STE 600
    ROCHESTER,NY14620
      N/A UNRESTRICTED 5,000
    RONALD MCDONALD HOUSE CHARITIES
    333 WESTMORELAND DR
    ROCHESTER,NY14620
      N/A UNRESTRICTED 2,000
    RURAL & MIGRANT MINISTRY
    PO BOX 4757
    POUGHKEEPSIE,NY12602
      N/A UNRESTRICTED 500
    THE FRIENDLY HOME
    3156 EAST AVE
    ROCHESTER,NY14618
      N/A UNRESTRICTED 1,000
    WRITERS & BOOKS
    740 UNIVERSITY AVE
    ROCHESTER,NY146071259
      N/A UNRESTRICTED 1,500
    BOYS & GIRLS CLUB OF GENEVA
    1 GOODMAN STREET
    GENEVA,NY14456
      N/A UNRESTRICTED 1,000
    ABVI GOODWILL
    422 CLINTON AVENUE S
    ROCHESTER,NY14620
      N/A UNRESTRICTED 2,000
    ARC OF MONROE
    2060 BHTL ROAD
    ROCHESTER,NY14623
      N/A UNRESTRICTED 4,000
    GRAPE
    100 MCAULEY DRIVE
    ROCHESTER,NY14610
      N/A UNRESTRICTED 1,000
    GILDA'S CLUB OF ROCHESTER
    255 ALEXANDER STREET
    ROCHESTER,NY14607
      N/A UNRESTRICTED 1,000
    HILLEL OF ROCHESTER AREA COLLEGE
    INTERFAITH CHAPEL WILSON BLVD
    ROCHESTER,NY14627
      N/A UNRESTRICTED 1,000
    LOLLYPOP FARM
    790 JEFFERSON ROAD
    HENRIETTA,NY14623
      N/A UNRESTRICTED 1,000
    ROCHESTER ASSOCIATION OF PERFORMING ARTS
    727 EAST MAIN STREET
    ROCHESTER,NY14605
      N/A UNRESTRICTED 2,500
    ST ANN'S FOUNDATION
    1500 PORTLAND AVENUE
    ROCHESTER,NY14621
      N/A UNRESTRICTED 2,500
    THE CHILDREN'S AGENDA
    1 S WASHINGTON STREET
    ROCHESTER,NY14614
      N/A UNRESTRICTED 2,000
    UNIVERSITY OF ROCHESTER
    500 WILSON BLVD
    ROCHESTER,NY14627
      N/A UNRESTRICTED 6,000
    SENECA PARK ZOO
    2222 ST PAUL STREET
    ROCHESTER,NY14621
      N/A UNRESTRICTED 2,500
    Total .................................bullet 3a 539,465
    bApproved for future payment
    MONROE COMMUNITY COLLEGE - AMES AMZALAK SCHOLARSHIP FUND
    1000 EAST HENRIETTA ROAD
    ROCHESTER,NY14623
      N/A Scholarship Fund 15,000
    NAZARETH COLLEGE HEALTH & SCIENCE BUILDING
    4245 EAST AVENUE
    ROCHESTER,NY14618
      N/A Math & Science Building 10,000
    SENECA PARK ZOO AFRICAN LION SAFARI EXHIBIT
    2222 ST PAUL STREET
    ROCHESTER,NY14621
      N/A Capital Campaign 2,500
    ST ANN'S HOME
    1500 PORTLAND AVENUE
    ROCHESTER,NY14621
      N/A Funding for Building Rehab 2,500
    GOLISANO CHILDREN'S HOSPITAL
    601 ELMWOOD AVENUE
    ROCHESTER,NY14642
      N/A Endowing a room at NICU 60,000
    JEWISH HOME FOUNDATION
    2021 SOUTH WINTON ROAD
    ROCHESTER,NY14618
      N/A Marian House for Alzheimer Patient 20,000
    AMES AMZALAK HEALTH & HUMAN SEVICES SCHOLARSHIP AT NAZARETH COLLEGE
    4245 EAST AVENUE
    ROCHESTER,NY14618
      N/A Scholarship Fund 15,000
    AL SIGL CENTER CAPITAL CAMPAIGN
    1000 ELMWOOD AVENUE 300
    ROCHESTER,NY14620
      N/A CAPITAL CAMPAIGN 40,000
    CHILDREN'S AGENDA
    1 S WASHINGTON STREET
    ROCHESTER,NY14614
      N/A Youth Programming 2,000
    GEVA CAPITAL CAMPAIGN
    75 WOODBURY BLVD
    ROCHESTER,NY14609
      N/A Theater CAPITAL CAMPAIGN 6,000
    WXXI
    280 STATE ST
    ROCHESTER,NY14614
      N/A Annual Membership SUpportUNRESTRICTED 12,000
    ROCHESTER ASSOCIATION OF PERFORMAING ARTS
    727 EAST MAIN STREET
    ROCHESTER,NY14605
      N/A Building Renovation 5,000
    Total .................................bullet 3b 190,000
    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          
    4 Dividends and interest from securities.... 900001   14 219,055  
    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 -167,196  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   51,859  
    13Total. Add line 12, columns (b), (d), and (e)..................
    1351,859
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 12
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section
    Yes
    No
    501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is “Yes,” complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?...........
    b
    If “Yes,” complete the following schedule.
    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer or fiduciary) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's namebullet



    Firm's addressbullet







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


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2012 AccountingFeesSchedule
    Name:
    AMES-AMZALAK MEMORIAL TRUST
    EIN: 16-1530490
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    JAY R. GELB & COMPANY, P.C. ACCOUNTING 9,750 3,900   5,850

    TY 2012 InvestmentsCorpBondsSchedule
    Name:
    AMES-AMZALAK MEMORIAL TRUST
    EIN: 16-1530490
    Name of Bond End of Year Book Value End of Year Fair Market Value
    GENERAL ELECTRIC CAP DUE 10/15/15 100,000 106,190
    GENERAL MOTORS ACCEPT DUE 11/1/31 150,997 197,250
    GMAC 7.35% DUE 8/8/32 49,892 50,960
    GOLDMAN SACHS GROUP 5.00% DUE 10/01/14 101,101 114,556
    GOLDMAN SACHS SUB NOTES 6.75% DUE 10/01/37 95,075 105,795
    HSBC FIN CORP 4.45% DUE 10/15/14 150,000 153,463
    LEHMAN BROS HLDG NOTES 7.25% DUE 02/27/38 69,656  
    MERRILL LYNCH SENIOR NOTES 6.40% DUE 08/28/17 101,080 117,431

    TY 2012 InvestmentsCorpStockSchedule
    Name:
    AMES-AMZALAK MEMORIAL TRUST
    EIN: 16-1530490
    Name of Stock End of Year Book Value End of Year Fair Market Value
    ABBOTT LABORATORIES 15,068 36,920
    ABBVIE INC 16,340 46,050
    ARCHER-DANIELS-MIDLAND CO 11,178 16,970
    BANK OF AMERICA CP 8.20% 200,000 199,920
    BANK OF AMERICA CP 8.625% 100,000 102,000
    BARCLAYS BANK PLC 8.125% PREFERRED 100,000 102,920
    BRISTOL MYERS SQUIBB CO 188,778 317,760
    CITIGROUP INC 59,210 79,322
    FANNIE MAE 99,738 2,766
    FANNIE MAE 8.25% PREFERRED 230,199 41,220
    FREDDIE MAC 8.375% PREFERRED 128,760 23,700
    GENERAL ELECTRIC CO 145,936 111,450
    HSBC HOLDING 8.125% PREFERRED 250,000 257,900
    JOHNSON & JOHNSON 42,132 85,230
    JP MORGAN CHASE & CO 96,235 245,050
    M&T CAPITAL TRUST 8.50% DUE 01/31/68 259,770 263,200
    MERRILL LYNCH CAP TR III 7.375% DUE 09/15/62 100,000 102,640
    NUVEEN MULTI-STRATEGY INCOME & GROWTH FUND 175,710 136,630
    NUVEEN MULTI-STRATEGY INCOME & GROWTH FUND 2 175,605 138,060
    NUVEEN QUALITY PREFERRED INCOME FUND 209,015 147,360
    PETROLEUM & RESOURCES CORP 114,503 131,713
    PFIZER INCORPORATED 98,703 116,280
    WELLS FARGO & CO NEW 161,591 37,790
    WELLS FARGO 8.00% PREFERRED 65,610 76,875
    XEROX CORP 96,457 59,631
    BAIRD CORE PLUS BD INV 133,000 133,341
    METROPOLITAN WEST TOTAL 133,000 132,399
    PIMCO TOTAL RETURN FUND 134,000 131,336
    DREYFUS APPRECIATION FD 150,000 162,258
    JANUS VENTURE FD CL T 75,000 77,693
    JP MORGAN EQUITY INCOME A 150,000 166,345
    PRINCIPAL EQTY INCM A 150,000 168,463
    WELLS FARGO ADVTG SMALL CAP VAL INV 75,000 76,638

    TY 2012 LegalFeesSchedule
    Name:
    AMES-AMZALAK MEMORIAL TRUST
    EIN: 16-1530490
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    BOYLAN, BROWN, CODE, VIGDOR & WILSON, LLP LEGAL 8,000 3,200   4,800


    TY 2012 OtherExpensesSchedule
    Name:
    AMES-AMZALAK MEMORIAL TRUST
    EIN: 16-1530490
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    NYS FILING FEE 250     250
    Office Expense 497     497


    TY 2012 TaxesSchedule
    Name:
    AMES-AMZALAK MEMORIAL TRUST
    EIN: 16-1530490
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ESTIMATED EXCISE PAYMENTS 2,528 2,528