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 07-01-2012 , and ending 06-30-2013
Name of foundation
WILLIAM F & CATHARINE K OWENS
FOUNDATION INC

Number and street (or P.O. box number if mail is not delivered to street address)C/O DEXTER C RUMSEY III PO BOX 745   Room/suite
City or town, state, and ZIP code
MATHEWS, VA231090745
A Employer identification number

52-6036018
B Telephone number (see instructions)

(804) 438-5588
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$5,765,443J 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) 36,697
2 Check bullet
3 Interest on savings and temporary cash investments 82,158 82,158  
4 Dividends and interest from securities...... 70,315 70,315  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 171,644
b Gross sales price for all assets on line 6a 1,743,972
7 Capital gain net income (from Part IV, line 2)... 171,644
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........ 360,814 324,117  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages...... 34,280     11,426
15 Pension plans, employee benefits....... 2,705     902
16a Legal fees (attach schedule)......... Click to see attachment 29,000 14,500   14,500
b Accounting fees (attach schedule)....... Click to see attachment 5,369 4,027   1,342
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)        
19 Depreciation (attach schedule) and depletion... Click to see attachment 265    
20 Occupancy.............. 6,590 3,295   3,295
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 48,087 41,112    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 126,296 62,934   31,465
25 Contributions, gifts, grants paid........ 515,600 515,600
26 Total expenses and disbursements. Add lines 24 and 25 641,896 62,934   547,065
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -281,082
b Net investment income (if negative, enter -0-) 261,183
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............... 7,577 11,880 11,880
2 Savings and temporary cash investments.......... 543,088 1,472,811 1,472,811
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)........ 2,982,852 Click to see attachment2,035,780 2,696,300
c Investments—corporate bonds (attach schedule)........ 1,805,298 Click to see attachment1,536,531 1,580,886
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 bullet20,866
Less: accumulated depreciation (attach schedule) bullet17,300 2,835 Click to see attachment3,566 3,566
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 5,341,650 5,060,568 5,765,443
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable...................    
19 Deferred revenue..................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)..........   0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted....................    
25 Temporarily restricted................    
26 Permanently restricted................    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds.........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds 5,341,650 5,060,568
30 Total net assets or fund balances (see page 17 of the
instructions).................... 5,341,650 5,060,568
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 5,341,650 5,060,568
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 5,341,650
2 Enter amount from Part I, line 27a..................... 2 -281,082
3 Other increases not included in line 2 (itemize) bullet 3  
4 Add lines 1, 2, and 3.......................... 4 5,060,568
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 5,060,568
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 BOEING CO P 2003-09-10 2013-06-27
b BANK OF AMERICA P 2010-12-12 2013-02-28
c VANGUARD SMALL CAP P 2010-12-31 2013-04-04
d AMERIPRISE FINANCIAL P 2005-03-30 2013-04-02
e HARTFORD FINL SVCS P 2005-01-14 2013-04-02
WELLS FARGO & CO P 2005-03-30 2013-04-02
JM SMUCKER P 2012-05-10 2013-04-02
ALBEMARLE CORP P 2008-06-27 2013-04-02
LOWES CO P 2011-04-27 2013-04-02
WAL MART STORES INC P 2011-04-27 2013-04-02
APPLE INC P 2006-09-14 2012-07-26
FISERV INC P 2027-09-05 2013-02-28
CATERPILLER INC P 2012-06-15 2013-04-01
BANK OF AMERICA P 2005-01-13 2013-04-02
HONEYWELL INTL INC P 2005-03-30 2013-04-02
3M COMPANY P 2005-03-30 2013-04-02
JOHNSON & JOHNSON P 2012-06-27 2013-04-02
AMERICAN TOWER CORP P 2009-06-18 2013-04-02
MARKEL CORP P 2005-01-04 2013-04-02
WELLPOINT INC P 2011-12-19 2013-04-02
MILLICOM INTL CELLU NEWFUS P 2001-01-01 2012-08-24
UNION PACIFIC P 2011-12-21 2013-06-06
CIGNA CORP P 2012-05-17 2013-04-02
BERKSHIRE HATHAWAY P 2005-03-30 2013-04-02
KIMBERLY CLARK P 2005-01-13 2013-04-02
BROOKFIELD ASSET MGT P 2012-04-19 2013-04-01
MCDONALDS CORP P 2012-11-15 2013-04-02
ANHEUSER BUSC P 2011-04-27 2013-04-02
MCDONALDS CORP P 2009-06-03 2013-04-02
WELLSFARGO & CO P 2009-12-16 2013-04-02
MILLICOM INTL CELLU NEWFUS P 2010-05-14 2012-08-24
KRAFT FOODS P 2007-03-30 2012-10-02
DOW CHEMICAL CO P 2012-06-15 2013-04-02
BRUNSWICK CORP P 2005-03-30 2013-04-02
KRAFT FOODS P 2007-03-30 2013-04-02
AON PLC P 2012-09-07 2013-04-02
OCIDENTAL PETE CORP P 2012-10-18 2013-04-02
AUTO DATA PROCESSING P 2008-09-03 2013-04-02
MICROSOFT CORP P 2005-08-03 2013-04-02
WELLSFARGO & CO P 2009-12-16 2013-04-02
CHARES SCWB CORP P 2011-10-05 2012-09-21
EATON CORP P 2012-06-15 2012-12-03
EATON CORP PLC P 2012-12-03 2013-04-02
CATERPILLAR P 2005-02-04 2013-04-02
LOCKHEED MARTIN CORP P 2005-03-30 2013-04-02
AMAZON COM P 2012-06-27 2013-04-02
VALERO ENERGY CORP P 2012-11-15 2013-04-02
BERKSHIRE HATHAWAY P 2005-03-30 2013-04-02
NATIONAL OILWELL P 2012-01-18 2013-04-02
ILLINOIS TOOL WORKS P 2010-07-15 2013-04-02
CHARES SCWB CORP P 2011-10-05 2012-09-21
EATON CORP P 2010-12-31 2012-12-03
EMERSON ELECTRIC CO P 2012-05-31 2013-04-02
CHEVRON CORP P 2005-03-30 2013-04-02
MERCK & CO P 2005-03-30 2013-04-02
AMERISOURCE P 2005-03-30 2013-04-02
WALGREEN CO P 2012-11-15 2013-04-02
CAPITAL ONE FINANCIAL P 2011-01-12 2013-04-02
NESTLE SA REG P 2011-09-15 2013-04-02
ILLIONIOS TOOL WORKS P 2010-07-15 2013-04-02
QUALCOM INC P 2009-08-14 2012-09-07
ALCOA INC P 2010-12-31 2013-05-20
ENERGIZER HOLDING INC P 2012-05-31 2013-04-02
CIGNA CORP P 2005-02-11 2013-04-02
MONDELEZ INTL INC P 2007-03-30 1931-04-02
AMGEN CORP P 2013-02-28 2013-04-02
WALGREEN CO P 2012-11-15 2013-04-02
CHEVRON CORP P 2006-03-20 2013-04-02
NEWS CORP LTD P 2012-03-01 2013-04-02
SCHLUMBERGER LTD P 2005-01-04 2013-04-02
QUALCOM INC P 2009-08-14 2012-09-07
FHLMC 4% P 2012-12-14 2013-04-02
HONEYWELL P 2012-06-15 2013-04-02
CITIGROUP P 2005-03-30 2013-04-02
PHILLIP MORRIS INTL P 2008-03-28 2013-04-02
CAPITAL ONE P 2013-02-28 2013-04-02
WELLS FARGO & CO P 2012-05-10 2013-04-02
DANAHER CORP P 2005-05-11 2013-04-02
OCCIDENTAL PETE CORP P 2009-01-14 2013-04-02
LOWES CO P 2011-04-27 2012-09-21
DOW CHEMICAL CO 2.5% P 2011-05-13 2013-04-02
ROYAL DUTCH SHELL P 2012-06-15 2013-04-02
CLOROX CO P 2005-01-13 2013-04-02
PHILLIPS 66 P 2008-03-30 2013-04-02
DANAHER CORP P 2013-04-01 2013-04-02
BROOKFIELD PROT P 2013-04-15 2013-04-02
DISNEY WALT CO P 2008-06-04 2013-04-02
PEPSICO INC P 2005-05-11 2013-04-02
STARWOOD HOTELS P 2011-09-15 2012-10-18
FHLMC 4.5% P 2011-07-21 2013-04-02
WASTE MANAGEMENT P 2012-05-31 2013-04-02
CONOCOPHILLIPS P 2005-03-30 2013-04-02
PUB SVC INT GROUP P 2005-02-04 2013-04-02
GENERAL ELECTRIC CO P 2013-01-31 2013-04-02
AMERICAN TOWER CORP P 2009-06-18 2013-04-01
EXXON MOBIL CORP P 2005-03-30 2013-04-02
PRAXAIR INC P 2005-01-05 2013-04-02
LABS CP OF AMER HLDG P 2008-07-23 2012-11-15
GEN ELEC CAP CP 4.875% P 2005-04-14 2013-04-02
AGL RESOURCES INC P 2012-05-31 2013-04-02
DOW CHEMICAL CO P 2009-06-11 2013-04-02
ROYAL DUTCH SHELL P 2005-07-20 2013-04-02
GENERAL ELECTRIC CO P 2013-01-31 2013-04-02
BROOKFIELD ASSET MGT P 2008-06-18 2013-04-01
GOOGLE INC P 2005-03-30 2013-04-02
PROCTER & GAMBLE P 2011-04-27 2013-04-02
LABS CP OF AMER HLDG P 2008-07-23 2012-11-15
VALERO ENERGY 6.125% P 2010-03-08 2013-04-02
AETNA INC P 2005-02-11 2013-04-02
DUKE ENERGY HOLDING INC P 2005-01-14 2013-04-02
SPECTRA ENERGY CORP P 2007-01-02 2013-04-02
GENERAL ELECTRIC CO P 2013-01-31 2013-04-02
CARMAX INC P 2011-04-27 2013-04-01
ILLINOIS TOOL WORKS P 2010-07-15 2013-04-02
QUALCOMM INC P 2005-03-30 2013-04-02
INTEL CORP P 2007-05-16 2012-12-06
FED HM LN MTG 5.125% P 2007-10-18 2013-04-03
ALCOA INC P 2005-01-13 2013-04-02
ENERGIZER HOLDING INC P 2010-01-21 2013-04-02
TARGET CORP P 2005-03-28 2013-04-02
GENERAL MOTORS P 2012-09-07 2013-04-02
CHECK PT SOFTWARE P 2010-09-02 2013-04-01
INTL BUSN MACH P 2007-07-25 2013-04-02
SCHLUMBERGER LTD P 2005-01-04 2013-04-02
DR PEPPER SNAPPLE GRP P 2012-05-10 2013-01-25
HARBOR INTERNATIONAL FUND P 2010-12-31 2013-04-04
ALTRIA INC P 2005-03-28 2013-04-02
GENERAL ELECTRIC CO P 2005-03-30 2013-04-02
TEXTRON CORP P 2005-03-30 2013-04-02
GOLDMAN SACHS GROUP P 2012-08-24 2013-04-02
NOVO NORDIK AS ADR P 2009-10-14 2013-04-01
JM SMUCKER CO P 2012-03-01 2013-04-02
UNION PACIFIC P 2011-12-21 2013-04-02
ROW T PRICE P 2011-04-27 2013-01-31
VANGUARD INTL GRWTH FUND P 2010-12-31 2013-04-04
AMERICAN EXPRESS CO P 2005-03-30 2013-04-02
GENERAL MILLS P 2005-01-13 2013-04-02
WASTE MANAGEMENT P 2005-03-30 2013-04-02
ISHARES NASDAQ P 2012-10-18 2013-04-02
ACCENTURE PLC CL P 2008-09-10 2013-04-02
JPMORGAN CHASE P 2007-09-26 2013-04-02
UNITED TECH CORP P 2005-01-04 2013-04-02
(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 12,584   12,274 310
b 7,904   9,162 -1,258
c 144,924   123,029 21,895
d 9,167   3,438 5,729
e 5,100   13,566 -8,466
6,475   36,832 -30,357
4,944   3,808 1,136
6,116   4,140 1,976
5,705   3,997 1,708
7,593   5,448 2,145
17,240   2,215 15,025
25,408   13,047 12,361
4,257   4,327 -70
3,652   13,495 -9,843
11,167   5,830 5,337
13,335   10,714 2,621
4,124   3,346 778
1,965   735 1,230
10,149   7,151 2,998
8,664   7,971 693
15,399   13,791 1,608
11,448   7,539 3,909
3,270   2,188 1,082
15,718   5,946 9,772
14,955   9,587 5,368
1,099   981 118
6,006   5,026 980
7,543   4,735 2,808
1,501   912 589
1,845   1,300 545
4,277   4,341 -64
15     15
1,563   1,647 -84
15,505   4,045 11,460
3,033   1,969 1,064
3,066   2,594 472
3,646   3,842 -196
6,538   4,541 1,997
5,750   5,469 281
3,689   2,600 1,089
1,362   1,174 188
7,786   5,962 1,824
13,851   11,679 2,172
4,257   2,281 1,976
9,545   6,883 2,662
7,953   6,737 1,216
6,363   4,386 1,977
10,464   6,521 3,943
6,277   6,762 -485
4,530   3,277 1,253
12,601   10,858 1,743
28,548   18,283 10,265
4,138   3,530 608
14,943   8,077 6,866
10,119   7,414 2,705
26,153   25,157 996
1,189   803 386
1,364   1,178 186
7,346   5,676 1,670
6,040   4,369 1,671
938   687 251
5,451   15,044 -9,593
7,472   5,573 1,899
8,176   3,721 4,455
5,405   4,190 1,215
5,314   4,639 675
4,757   3,213 1,544
8,935   4,278 4,657
7,748   4,990 2,758
10,601   4,822 5,779
6,250   4,583 1,667
44,750   45,014 -264
3,722   2,797 925
3,307   34,423 -31,116
21,199   15,023 6,176
8,182   7,700 482
3,689   3,335 354
4,641   1,945 2,696
2,431   1,612 819
11,277   9,993 1,284
52,097   49,649 2,448
3,257   3,308 -51
11,147   7,316 3,831
5,110   1,795 3,315
29,394   29,360 34
15   15  
2,868   1,709 1,159
7,965   5,674 2,291
15,865   12,394 3,471
26,298   25,553 745
5,835   4,867 968
9,039   6,039 3,000
6,858   5,399 1,459
1,051   1,001 50
5,791   2,206 3,585
9,057   5,406 3,651
10,538   4,117 6,421
7,004   6,087 917
32,346   29,645 2,701
6,134   6,093 41
3,908   2,210 1,698
8,141   8,891 -750
1,869   1,780 89
10,437   9,940 497
13,830   7,407 6,423
3,954   3,198 756
8,240   7,161 1,079
60,714   50,610 10,104
10,916   6,717 4,199
5,434   5,649 -215
6,138   5,482 656
2,336   2,225 111
7,200   5,787 1,413
4,586   3,277 1,309
8,275   5,442 2,833
13,112   14,335 -1,223
119,629   100,461 19,168
2,722   9,669 -6,947
2,491   1,519 972
13,726   10,099 3,627
5,612   4,650 962
17,461   13,529 3,932
5,354   2,927 2,427
7,496   3,221 4,275
15,583   14,352 1,231
95,000   107,480 -12,480
13,103   24,248 -11,145
12,250   18,874 -6,624
10,210   13,022 -2,812
3,676   2,621 1,055
20,329   8,017 12,312
4,944   3,772 1,172
7,122   5,026 2,096
14,240   12,924 1,316
95,000   135,725 -40,725
15,141   11,568 3,573
10,994   5,717 5,277
4,863   3,667 1,196
8,132   7,227 905
9,592   4,841 4,751
9,664   9,177 487
7,466   4,084 3,382
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       310
b       -1,258
c       21,895
d       5,729
e       -8,466
      -30,357
      1,136
      1,976
      1,708
      2,145
      15,025
      12,361
      -70
      -9,843
      5,337
      2,621
      778
      1,230
      2,998
      693
      1,608
      3,909
      1,082
      9,772
      5,368
      118
      980
      2,808
      589
      545
      -64
      15
      -84
      11,460
      1,064
      472
      -196
      1,997
      281
      1,089
      188
      1,824
      2,172
      1,976
      2,662
      1,216
      1,977
      3,943
      -485
      1,253
      1,743
      10,265
      608
      6,866
      2,705
      996
      386
      186
      1,670
      1,671
      251
      -9,593
      1,899
      4,455
      1,215
      675
      1,544
      4,657
      2,758
      5,779
      1,667
      -264
      925
      -31,116
      6,176
      482
      354
      2,696
      819
      1,284
      2,448
      -51
      3,831
      3,315
      34
       
      1,159
      2,291
      3,471
      745
      968
      3,000
      1,459
      50
      3,585
      3,651
      6,421
      917
      2,701
      41
      1,698
      -750
      89
      497
      6,423
      756
      1,079
      10,104
      4,199
      -215
      656
      111
      1,413
      1,309
      2,833
      -1,223
      19,168
      -6,947
      972
      3,627
      962
      3,932
      2,427
      4,275
      1,231
      -12,480
      -11,145
      -6,624
      -2,812
      1,055
      12,312
      1,172
      2,096
      1,316
      -40,725
      3,573
      5,277
      1,196
      905
      4,751
      487
      3,382
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 2 171,644
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 37,701
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 165,761 5,657,067 0.029302
2010 1,282,973 5,346,727 0.239955
2009 338,154 5,037,316 0.067130
2008 474,382 5,709,642 0.083084
2007 413,242 6,775,816 0.060988
2 Total of line 1, column (d) ...................... 2 0.480459
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 0.096092
4 Enter the net value of noncharitable-use assets for 2012 from Part X, line 5..... 4 5,630,698
5 Multiply line 4 by line 3....................... 5 541,065
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 2,612
7 Add lines 5 and 6......................... 7 543,677
8 Enter qualifying distributions from Part XII, line 4.............. 8 547,065
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 2,612
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2  
3 Add lines 1 and 2............................ 3 2,612
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 2,612
6 Credits/Payments:
a 2012 estimated tax payments and 2011 overpayment credited to 2012 6a 3,142
b Exempt foreign organizations—tax withheld at source....... 6b
c Tax paid with application for extension of time to file (Form 8868) 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 3,142
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. Click to see attachment 8 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 10 522
11 Enter the amount of line 10 to be: Credited to 2013 estimated taxBullet522 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)
    bulletMD
    b
    If the answer is “Yes” to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If “No,” attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2012 or the taxable year beginning in 2012 (see instructions for Part XIV)?
    If “Yes,” complete Part XIV.............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If “Yes,” attach a schedule listing their names and addresses.
    10
     
    No
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see instructions) .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement (see instructions).................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletNONE
    14
    The books are in care ofbulletDEXTER RUMSEY Telephone no.bullet (804) 438-5588
    Located atbulletPO BOX 745MATHEWSVA ZIP+4bullet23109
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16
    At any time during calendar year 2012, did the foundation have an interest in or a signature or other authority over
    a bank, securities, or other financial account in a foreign country? .................
    16
     
    No
    See instructions for exceptions and filing requirements for Form TD F 90-22.1. If "Yes", enter the name of the foreign country bullet  
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 5
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the “Yes” column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?.........................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?.................
    (6) Agree to pay money or property to a government official? (Exception. Check “No”
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).........
    b
    If any answer is “Yes” to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see page 20 of the instructions)?...
    1b
     
     
    .........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2012?.............
    1c
     
     
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2012, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2012?...............
    If “Yes,” list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer “No” and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?.........................
    b
    If “Yes,” did it have excess business holdings in 2012 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2012.)....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2012?
    4b
     
    No
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?...............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 509(a)(1), (2), or (3), or section 4940(d)(2)? (see instructions)........
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?........
    b
    If any answer is “Yes” to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see instructions)? ......
    5b
     
     
    .........bullet
    c
    If the answer is “Yes” to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?............
    If “Yes,” attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?........................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If “Yes” to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 6
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to
    employee benefit plans
    and deferred compensation     		(e) Expense account,
    other allowances
    DEXTER RUMSEY IIIClick to see attachment PRESIDENT
    2.00     		0 0 0
    PO BOX 720
    IRVINGTON,VA22480
    ROSALYN WHITEClick to see attachment VICE PRES.
    2.00     		0 0 0
    PO BOX 188
    GWYNN,VA23066
    DAVID MUFFLEMANClick to see attachment SECRETARY
    2.00     		0 0 0
    PO BOX 693
    GLOUCESTER,VA23061
    JOANN HARFSTClick to see attachment TREASURER
    2.00     		0 0 0
    PO BOX 925
    MATHEWS,VA23109
    DEBRA HANCOCKClick to see attachment BOARD MEMBER
    2.00     		0 0 0
    PO BOX 129
    MATHEWS,VA23109
    STURE SIGFREDClick to see attachment BOARD MEMBER
    2.00     		0 0 0
    305 BROOKE AVE UNIT 404
    NORFLOK,VA23510
    PEGGY HUDGINSClick to see attachment BOARD MEMBER
    2.00     		0 0 0
    PO BOX 1303
    HALLIEFORD,VA23068
    HERBERT M CARTERClick to see attachment BOARD MEMBER
    2.00     		0 0 0
    PO BOX 176
    HUDGINS,VA23076
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE.”
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet  
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet  
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 7
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1 N/A  
    2  
    All other program-related investments. See page 24 of the instructions.
    3  
    Total. Add lines 1 through 3..........................bullet  
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
    see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    4,695,566
    b
    Average of monthly cash balances.......................
    1b
    1,017,679
    c
    Fair market value of all other assets (see instructions)................
    1c
    3,200
    d
    Total (add lines 1a, b, and c).........................
    1d
    5,716,445
    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
    5,716,445
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see
    instructions) .............................
    4
    85,747
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    5,630,698
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    281,535
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    281,535
    2a
    Tax on investment income for 2012 from Part VI, line 5......
    2a
    2,612
    b
    Income tax for 2012. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    2,612
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    278,923
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    278,923
    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
    278,923
    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
    547,065
    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
    547,065
    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
    2,612
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    544,453
    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 7 278,923
    2 Undistributed income, if any, as of the end of 2012:
    a Enter amount for 2011 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2012:
    a From 2007.......  
    b From 2008.......  
    c From 2009....... 28,349
    d From 2010....... 1,019,533
    e From 2011.......  
    fTotal of lines 3a through e......... 1,047,882
    4Qualifying distributions for 2012 from Part
    XII, line 4: bullet$ 547,065
    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..... 278,923
    e Remaining amount distributed out of corpus 268,142
    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 1,316,024
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........     		 
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		 
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		 
    e Undistributed income for 2011. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		 
    f Undistributed income for 2012. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2013 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see
    instructions) .............     		 
    8Excess distributions carryover from 2007 not
    applied on line 5 or line 7 (see instructions) ...     		 
    9Excess distributions carryover to 2013.
    Subtract lines 7 and 8 from line 6a ......     		1,316,024
    10 Analysis of line 9:
    a Excess from 2008....  
    b Excess from 2009.... 28,349
    c Excess from 2010.... 1,019,533
    d Excess from 2011....  
    e Excess from 2012.... 268,142
    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 of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    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
    BAY SCHOOL CULTURAL ARTS
    PO BOX 1524
    MATHEWS,VA23109     		NONE 501C3 EDUCATIONAL PROGRAMS KIDS & SENIORS 6,000
    BETHEL UM CHURCH
    PO BOX 426
    MATHEWS,VA23109     		NONE 501C3 RELIGIOUS 1,000
    CHURCH OF FRANCIS DE SALEST PAUL
    176 LOVERS LN
    MATHEWS,VA23109     		NONE 501C3 RELIGIOUS 4,000
    EMMANUEL UM CHURCH
    84 GRACE ST
    FOSTER,VA23056     		NONE 501C3 RELIGIOUS 2,000
    EMMAUS BAPTIST CHURCH
    814 YORKTOWN RD
    POQUOSON,VA23662     		NONE 501C3 RELIGIOUS 2,200
    FIRST BAPTIST CHURCH
    PO BOX 8
    MATHEWS,VA23109     		NONE 501C3 RELIGIOUS 1,000
    GLOUCESTER MATHEWS FREE CLINIC
    CLINIC 2276 GW HWY
    HAYS,VA23072     		NONE 501C3 HEALTH SERVICES 15,000
    GLOUCESTER MATHEWS HUMANE SOCIETY
    HUMANE SCTY PO BOX 385
    GLOUCESTER,VA23061     		NONE 501C3 NEW SHELTER 600
    HANDS ACROSS MATHEWS
    PO BOX 1303
    MATHEWS,VA23109     		NONE 501C3 FOOD FOR NEEDY 12,600
    JACOB'S LADDER
    83 HILCREST LN
    URBANNA,VA23175     		NONE 501(C)3 EDUCATIONAL 3,500
    KINGSTON PARISH PRESCHOOL
    PO BOX 471
    MATHEWS,VA23109     		NONE 501C3 RELIGIOUS 1,000
    MATHEWS BAPTIST CHURCH
    PO BOX 88
    CARDINAL,VA23025     		NONE 501C3 FOOD BANK 750
    MATHEWS BOYS & GIRLS CLUB
    3200 GEORGE WASHINGTON HW
    HAYS,VA23072     		NONE 501C3 CHILD CARE 5,500
    MATHEWS COUNTY HISTORICAL
    SOCIETY 482 MAIN ST
    MATHEWS,VA23109     		NONE 501C3 EDUCATIONAL 1,000
    MATHEWS COUNTY TRIAD
    PO BOX 190
    MATHEWS,VA23109     		NONE 501C3 LIFELINE - SENIORS 2,500
    MATHEWS COUNTY VISITOR CNTR
    PO BOX 1456
    MATHEWS,VA23109     		NONE 501C3 RENOVATIONS 3,000
    MATHEWS DEPT OF SOCIAL SERVICES
    SERVICES PO BOX 925
    MATHEWS,VA23109     		NONE 501C3 CHILD CARE 15,000
    MATHEWS FAMILY YMCA
    101 MAIN ST
    MATHEWS,VA23109     		NONE 501(C)3 HEALTH AND FITNESS 3,500
    MATHEWS HIGH SCHOOL
    PO BOX 38
    MATHEWS,VA23109     		NONE 501C3 EDUCATIONAL, ATHLETICS 21,500
    MATHEWS LAND CONSERVANCY
    1039 WILLIAMS WHARF RD
    MATHEWS,VA23109     		NONE 501(C)3 LAND CONSERVANCY 400,000
    MATHEWS MEMORIAL LIBRARY
    251 MAIN ST
    MATHEWS,VA23109     		NONE 501(C)3 EDUCATIONAL 750
    NEW CREATIONS MINISTRY
    61 COBBS CREEK LN
    COBBS CREEK,VA23035     		NONE 501(C)3 RELIGIOUS 700
    MATHEWS RURITAN FND
    PO BOX 74
    MATHEWS,VA23109     		NONE 501C3 FUND FOR THE NEEDY 1,500
    NORTHERN NECK FREE HEALTH CLINIC
    51 HARRIS RD
    KILMARNOCK,VA22482     		NONE 501C3 HEALTH CARE 5,000
    RURAL INFANT SERVICE
    PROGRAM PO BOX 40
    SALUDA,VA23149     		NONE 501C3 CHILD CARE 4,000
    SALEM UM-AGAPE CIRCLE
    PO BOX 745
    MATHEWS,VA23109     		NONE 501C3 HEALTH CARE 2,000
    Total .................................bullet 3a 515,600
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 11
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3Interest on savings and temporary cash investments     14 82,158  
    4 Dividends and interest from securities....     14 70,315  
    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     18 171,644  
    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)..   324,117  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13324,117
    (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
    Schedule B
    (Form 990, 990-EZ,
    or 990-PF)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors
    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    OMB No. 1545-0047
    2012
    Name of the organization
    WILLIAM F & CATHARINE K OWENS
    FOUNDATION INC
    Employer identification number

    52-6036018
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ





    Form 990-PF




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

    Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
    Page 2
    Name of organization
    WILLIAM F & CATHARINE K OWENS
    FOUNDATION INC         		Employer identification number

    52-6036018
    Part I
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    		     
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    1
     
     

    ESTATE OF WILLIAM F OWENS    
    PO BOX 745
       
    MATHEWS, VA   23109

    		$36,697


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

         
     
       

    		$  


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

         
     
       

    		$  


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

         
     
       

    		$  


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

         
     
       

    		$  


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

         
     
       

    		$  


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

    Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
    Page 3
    Name of organization
    WILLIAM F & CATHARINE K OWENS
    FOUNDATION INC         		Employer identification number

    52-6036018
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    		     
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
    Page 4
    Name of organization
    WILLIAM F & CATHARINE K OWENS
    FOUNDATION INC         		Employer identification number

    52-6036018
    Part III
    Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
    that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
    For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
    contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a) No.
    from
    Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    (a) No.
    from
    Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    (a) No.
    from
    Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    (a) No.
    from
    Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

    Additional Data


    Software ID:  
    Software Version:  

    TY 2012 AccountingFeesSchedule
    Name:
    WILLIAM F & CATHARINE K OWENS
    FOUNDATION INC
    EIN: 52-6036018
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING 5,369 4,027   1,342

    TY 2012 CompensationExplanation
    Name:
    WILLIAM F & CATHARINE K OWENS
    FOUNDATION INC
    EIN: 52-6036018
    Person Name Explanation
    DEXTER RUMSEY III  
    ROSALYN WHITE  
    DAVID MUFFLEMAN  
    JOANN HARFST  
    DEBRA HANCOCK  
    STURE SIGFRED  
    PEGGY HUDGINS  
    HERBERT M CARTER  

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

    TY 2012 DepreciationSchedule
    Name:
    WILLIAM F & CATHARINE K OWENS
    FOUNDATION INC
    EIN: 52-6036018
    Description of Property Date Acquired Cost or Other Basis Prior Years' Depreciation Computation Method Rate /
    Life (# of years)    		 Current Year's Depreciation Expense Net Investment Income Adjusted Net Income Cost of Goods Sold Not Included
    OFFICE IMPROVEMENTS 2007-08-01 3,145 394 S/L 39.0000 81      
    WINDOW TREATMENTS 2007-08-01 7,275 7,191 200DB 5.0000 84      
    FURNITURE AND COMPUTER 2001-12-31 3,101 3,101 200DB 7.0000        
    FURNITURE 2002-12-31 6,349 6,349 200DB 7.0000        
    COMPUTER 2012-12-31 996   S/L 5.0000 100      

    TY 2012 InvestmentsCorpBondsSchedule
    Name:
    WILLIAM F & CATHARINE K OWENS
    FOUNDATION INC
    EIN: 52-6036018
    Name of Bond End of Year Book Value End of Year Fair Market Value
    CORPORATE BONDS 1,536,531 1,580,886

    TY 2012 InvestmentsCorpStockSchedule
    Name:
    WILLIAM F & CATHARINE K OWENS
    FOUNDATION INC
    EIN: 52-6036018
    Name of Stock End of Year Book Value End of Year Fair Market Value
    CORPORATE STOCKS 1,051,262 1,772,222
    CORPORATE MUTUAL FUNDS 984,518 924,078

    TY 2012 LandEtcSchedule2
    Name:
    WILLIAM F & CATHARINE K OWENS
    FOUNDATION INC
    EIN: 52-6036018
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    FURNITURE AND IMPROVEMENTS 20,866 17,300 3,566 3,566


    TY 2012 LegalFeesSchedule
    Name:
    WILLIAM F & CATHARINE K OWENS
    FOUNDATION INC
    EIN: 52-6036018
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 29,000 14,500   14,500


    TY 2012 OtherExpensesSchedule
    Name:
    WILLIAM F & CATHARINE K OWENS
    FOUNDATION INC
    EIN: 52-6036018
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXPENSES        
    INSURANCE 2,866      
    INVESTMENT FEES 41,112 41,112    
    POSTAGE 201      
    SUPPLIES 982      
    TAXES - OTHER 2,686      
    TRAVEL 240