Form990-PF

Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter Social Security numbers on this form as it may be made public. By law, the IRS cannot redact the information on the form.
bulletInformation about Form 990-PF and its instructions is at www.irs.gov/form990pf.
OMB No. 1545-0052
2013
Open to Public Inspection
For calendar year 2013, or tax year beginning 01-01-2013 , and ending 12-31-2013
Name of foundation
CLEMENT AND KAREN ARRISON
FAMILY CHARITABLE FOUNDATION

Number and street (or P.O. box number if mail is not delivered to street address)35 LINCOLN PARKWAY   Room/suite
City or town, state or province, country, and ZIP or foreign postal code
BUFFALO, NY14222
A Employer identification number

20-3116729
B Telephone number (see instructions)

(716) 881-0760
C bullet
G Check all that apply:

D 1. bullet
2. bullet
E 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$4,969,148J Accounting method:
 
(Part I, column (d) must be on cash basis.)
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) 500,000
2 Check bullet
3 Interest on savings and temporary cash investments 155,317 150,692  
4 Dividends and interest from securities...... 59,715 59,715  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 Click to see attachment 17,241
b Gross sales price for all assets on line 6a 771,131
7 Capital gain net income (from Part IV, line 2)...  
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)....... Click to see attachment 952 952  
12 Total. Add lines 1 through 11........ 733,225 211,359  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 4,770      
c Other professional fees (attach schedule).... Click to see attachment 12,773      
17 Interest...............        
18 Taxes (attach schedule) (see instructions) Click to see attachment 2,036      
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule).......        
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 19,579 0   0
25 Contributions, gifts, grants paid........ 231,195 231,195
26 Total expenses and disbursements. Add lines 24 and 25 250,774 0   231,195
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 482,451
b Net investment income (if negative, enter -0-) 211,359
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2013)
Form 990-PF (2013)
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............... 577,280 681,314 681,314
2 Savings and temporary cash investments..........      
3 Accounts receivable bullet2,681
Less: allowance for doubtful accounts bullet   1,925 2,681 2,681
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 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) 236,004 Click to see attachment201,504 205,052
b Investments—corporate stock (attach schedule)........ 596,385 Click to see attachment992,491 1,051,814
c Investments—corporate bonds (attach schedule)........      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............. 3,062,492 3,008,581 2,846,283
13 Investments—other (attach schedule)........... 120,209 Click to see attachment190,175 182,004
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) 4,594,295 5,076,746 4,969,148
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 4,594,295 5,076,746
30 Total net assets or fund balances (see page 17 of the
instructions).................... 4,594,295 5,076,746
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 4,594,295 5,076,746
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 4,594,295
2 Enter amount from Part I, line 27a..................... 2 482,451
3 Other increases not included in line 2 (itemize) bullet 3  
4 Add lines 1, 2, and 3.......................... 4 5,076,746
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 5,076,746
Form 990-PF (2013)
Form 990-PF (2013)
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.)
1a
b
c
d
e
(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
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l) Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i) F.M.V. as of 12/31/69 (j) Adjusted basis
as of 12/31/69 		(k) Excess of col. (i)
over col. (j), if any
a
b
c
d
e
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  
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))
2012 201,501 4,612,977 0.043681
2011 161,252 4,085,939 0.039465
2010 132,513 3,356,813 0.039476
2009 126,085 2,797,015 0.045078
2008 84,352 2,383,225 0.035394
2 Total of line 1, column (d) ...................... 2 0.203094
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 0.040619
4 Enter the net value of noncharitable-use assets for 2013 from Part X, line 5..... 4 4,952,622
5 Multiply line 4 by line 3....................... 5 201,171
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 2,114
7 Add lines 5 and 6......................... 7 203,285
8 Enter qualifying distributions from Part XII, line 4.............. 8 231,195
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 (2013)
Form 990-PF (2013)
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 2,114
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 2,114
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 2,114
6 Credits/Payments:
a 2013 estimated tax payments and 2012 overpayment credited to 2013 6a 1,580
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 1,580
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 9 534
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2014 estimated taxBullet   RefundedBullet 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 2013 or the taxable year beginning in 2013 (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 ofbulletKAREN ARRISON Telephone no.bullet (716) 881-0760
    Located atbullet35 LINCOLN PARKWAYBUFFALONY ZIP+4bullet14222
    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 2013, did the foundation have an interest in or a signature or other authority over YesNo
    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 (2013)
    Form 990-PF (2013)
    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 2013?.............
    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 2013, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2013?...............
    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 2013 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 2013.)....................
    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 2013?
    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 (2013)
    Form 990-PF (2013)
    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
    KAREN ARRISONClick to see attachment PRESIDENT/TR
    10.00     		0 0 0
    35 LINCOLN PARKWAY
    BUFFALO,NY14222
    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 (2013)
    Form 990-PF (2013)
    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
     
    b
    Average of monthly cash balances.......................
    1b
     
    c
    Fair market value of all other assets (see instructions)................
    1c
     
    d
    Total (add lines 1a, b, and c).........................
    1d
     
    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
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
     
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
     
    6
    Minimum investment return. Enter 5% of line 5..................
    6
     
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    247,631
    2a
    Tax on investment income for 2013 from Part VI, line 5......
    2a
    2,114
    b
    Income tax for 2013. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    2,114
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    245,517
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    245,517
    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
    245,517
    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
     
    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
     
    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
     
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
     
    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 (2013)
    Form 990-PF (2013)
    Page 8
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2012     		(c)
    2012     		(d)
    2013
    1 Distributable amount for 2013 from Part XI, line 7 245,517
    2 Undistributed income, if any, as of the end of 2013:
    a Enter amount for 2012 only....... 228,860
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2013:
    a From 2008.......  
    b From 2009.......  
    c From 2010.......  
    d From 2011.......  
    e From 2012.......  
    fTotal of lines 3a through e.........  
    4Qualifying distributions for 2013 from Part
    XII, line 4: bullet$ 231,195
    a Applied to 2012, but not more than line 2a 228,860
    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 2013 distributable amount..... 2,335
    e Remaining amount distributed out of corpus  
    5 Excess distributions carryover applied to 2013.    
    (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  
    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 2012. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		 
    f Undistributed income for 2013. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2014 ..........     		243,182
    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 2008 not
    applied on line 5 or line 7 (see instructions) ...     		 
    9Excess distributions carryover to 2014.
    Subtract lines 7 and 8 from line 6a ......     		 
    10 Analysis of line 9:
    a Excess from 2009....  
    b Excess from 2010....  
    c Excess from 2011....  
    d Excess from 2012....  
    e Excess from 2013....  
    Form 990-PF (2013)
    Form 990-PF (2013)
    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 2013, 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) 2013 (b) 2012 (c) 2011 (d) 2010
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used
    directly for active conduct of exempt activities ...........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    KAREN ARRISON
    35 LINCOLN PARKWAY
    BUFFALO,NY14222
    (716) 881-0760
    bThe form in which applications should be submitted and information and materials they should include:
    N/A
    cAny submission deadlines:
    N/A
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    N/A
    Form 990-PF (2013)
    Form 990-PF (2013)
    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
    MOVING MIRACLES
    954 UNION ROAD STE 1
    WEST SENECA,NY14224     		NONE PUBLIC CHARI CHARITABLE 50
    BUFFALO PHILHARMONIC
    499 FRANKLIN STREET
    BUFFALO,NY14202     		NONE PUBLIC CHARI CHARITABLE 52,300
    SPCA
    205 ENSMINGER ROAD
    TONAWANDA,NY14150     		NONE PUBLIC CHARI CHARITABLE 7,500
    CHAUTAUQUA INSTITUTEFOUNDATION
    PO BOX 28
    CHAUTAUQUA,NY14722     		NONE PUBLIC CHARI CHARITABLE 3,000
    SUBURBAN ADULT SERVICES
    960 WEST MAPLE STREET
    ELMA,NY14059     		NONE PUBLIC CHARI CHARITABLE 270
    NORTHEAST YMCA
    150 TECH DRIVE
    AMHERST,NY14221     		NONE PUBLIC CHARI CHARITABLE 500
    GLEN HIGHLAND FARMS
    217 PEGG ROAD
    MORRIS,NY13808     		NONE PUBLIC CHARI CHARITABLE 5,000
    BUFFALO SUZUKI STRINGS
    4 WEBSTER STREET
    N TONAWANDA,NY14120     		NONE PUBLIC CHARI CHARITABLE 10,000
    ALZHEIMERS ASSOCIATION
    2805 WEHRLE DRIVE
    WILLIAMSVILLE,NY14221     		NONE PUBLIC CHARI CHARITABLE 1,000
    WNED FM
    PO BOX 1263
    BUFFALO,NY14240     		NONE PUBLIC CHARI CHARITABLE 3,000
    SALVATION ARMY
    960 MAIN STREET
    BUFFALO,NY14202     		NONE PUBLIC CHARI CHARITABLE 3,000
    SAVE A PET
    PO BOX 114
    NEWFANE,NY14108     		NONE PUBLIC CHARI CHARITABLE 500
    HSUS
    2100 L STREET NW
    WASHINGTON,DC20037     		NONE PUBLIC CHARI CHARITABLE 1,000
    ST JUDE RESEARCH HOSPITAL
    501 ST JUDE PLACE
    MEMPHIS,TN38105     		NONE PUBLIC CHARI CHARITABLE 1,000
    ASPCA
    520 EIGHTH AVE 7TH FLOO
    NEW YORK,NY10018     		NONE PUBLIC CHARI CHARITABLE 1,000
    YWCA
    1005 GRANT STREET
    BUFFALO,NY14207     		NONE PUBLIC CHARI CHARITABLE 1,000
    PRESERVATION LEAGUE OF NYS
    44 CENTRAL AVENUE
    ALBANY,NY12206     		NONE PUBLIC CHARI CHARITABLE 10,000
    BUFFALO & ERIE CO HISTORICAL SOCIET
    25 NOTTINGHAM COURT
    BUFFALO,NY14216     		NONE PUBLIC CHARI CHARITABLE 1,000
    BUFFALO SOCIETY OF NATURAL SCIENCE
    1020 HUMBOLDT PARKWAY
    BUFFALO,NY14211     		NONE PUBLIC CHARI CHARITABLE 1,000
    THE NATURE CONSERVANCY
    322 8TH AVE 16TH FLOOR
    NEW YORK,NY10001     		NONE PUBLIC CHARI CHARITABLE 1,000
    CHILD & FAMILY SERVICES
    844 DELAWARE AVENUE
    BUFFALO,NY14209     		NONE PUBLIC CHARI CHARITABLE 1,000
    BUFFALO NIAGARA YOUTH CHORUS
    301 SUNSET TERRACE
    ORCHARD PARK,NY14127     		NONE PUBLIC CHARI CHARITABLE 500
    BUFFALO ZOO
    300 PARKSIDE AVENUE
    BUFFALO,NY14214     		NONE PUBLIC CHARI CHARITABLE 40,000
    WILDERNESS SOCIETY
    1615 M STREET NW
    WASHINGTON,DC20036     		NONE PUBLIC CHARI CHARITABLE 500
    WORLD WILDLIFE FUND
    1250 24TH STREET NW
    WASHINGTON,DC20090     		NONE PUBLIC CHARI CHARITABLE 1,500
    BUFFALO HISTORY MUSEUM
    ONE MUSEUM COURT
    BUFFALO,NY14216     		NONE PUBLIC CHARI CHARITABLE 275
    SUBURBAN ADULT SERVICES
    960 WEST MAPLE CT
    ELMA,NY14059     		NONE PUBLIC CHARI CHARITABLE 2,000
    NFJC OF WNY
    360 DELAWARE AVE 106
    BUFFALO,NY14202     		NONE PUBLIC CHARI CHARITABLE 5,000
    CHIMP HAVEN
    13600 CHIMPANZEE PLACE
    KEITHVILLE,LA71047     		NONE PUBLIC CHARI CHARITABLE 5,000
    PROUD SPIRIT HORSE SANCTUARY
    3495 ELBERTON HWY
    LINCOLNTON,GA30817     		NONE PUBLIC CHARI CHARITABLE 5,000
    THE BOTANICAL GARDENS
    2655 SOUTH PARK AVENUE
    BUFFALO,NY14218     		NONE PUBLIC CHARI CHARITABLE 300
    PRESERVATION BUFFALO NIAGARA
    617 MAIN STREET
    BUFFALO,NY14203     		NONE PUBLIC CHARI CHARITABLE 500
    VIOLIN SOCIETY OF AMERICA
    341 N MAITLAND AVENUE 2
    MAITLAND,FL32751     		NONE PUBLIC CHARI CHARITABLE 1,000
    FRIENDS OF KNOX FARM STATE PARK
    PO BOX 601
    EAST AURORA,NY14052     		NONE PUBLIC CHARI CHARITABLE 500
    HORSE PLUS HUMANE SOCIETY
    PO BOX 6108
    OROVILLE,CA95966     		NONE PUBLIC CHARI CHARITABLE 5,000
    CORNELL UNIVERSITY
    COLLEGE OF VETERINARY MED
    ITHACA,NY14853     		NONE PUBLIC CHARI CHARITABLE 1,000
    CANISIUS COLLEGE
    2001 MAIN STREET
    BUFFALO,NY14208     		NONE PUBLIC CHARI CHARITABLE 10,000
    AUTISM SERVICES INC
    4444 BRYANT STRATTON WAY
    WILLIAMSVILLE,NY14221     		NONE PUBLIC CHARI CHARITABLE 1,500
    LAST CHANCE CORRAL
    5350 US 33 SOUTH
    ATHENS,OH45701     		NONE PUBLIC CHARI CHARITABLE 5,000
    ROLLING DOG FARM
    PO BOX 150
    LANCASTER,NH03584     		NONE PUBLIC CHARI CHARITABLE 5,000
    BLACK HILLS WILD HORSE SACTUARY
    PO BOX 998
    HOT SPRINGS,SD57747     		NONE PUBLIC CHARI CHARITABLE 5,000
    WNED-FM CAPITAL CAMPAIGN
    PO BOX 1263
    BUFFALO,NY14240     		NONE PUBLIC CHARI CHARITABLE 25,000
    LOTHIORIEN THERAPUTIC RIDING CENTER
    15 REITER ROAD
    EAST AURORA,NY14052     		NONE PUBLIC CHARI CHARITABLE 5,000
    BEGIN AGAIN HORSE RESCUE
    PO BOX 28
    HONEOYE,NY14472     		NONE PUBLIC CHARI CHARITABLE 2,500
    Total .................................bullet 3a 231,195
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2013)
    Form 990-PF (2013)
    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....          
    3
    Interest on savings and temporary cash investments ............     		    14 155,317  
    4 Dividends and interest from securities....     14 59,715  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6
    Net rental income or (loss) from personal property .............     		         
    7 Other investment income.....     14 952  
    8
    Gain or (loss) from sales of assets other than inventory .............     		        17,241
    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)..   215,984 17,241
    13Total. Add line 12, columns (b), (d), and (e)..................
    13233,225
    (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 (2013)
    Form 990-PF (2013)
    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 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political
    Yes
    No
    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 (2013)
    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.
    Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
    OMB No. 1545-0047
    2013
    Name of the organization
    CLEMENT AND KAREN ARRISON
    FAMILY CHARITABLE FOUNDATION
    Employer identification number

    20-3116729
    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 its Form 990PF, Part I, line 2, 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) (2013)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
    Page 2
    Name of organization
    CLEMENT AND KAREN ARRISON
    FAMILY CHARITABLE FOUNDATION         		Employer identification number

    20-3116729
    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
     
     

    ARRISON FAMILY FOUNDATION  
    35 LINCOLN PARKWAY
     
    BUFFALO, NY14222

    		$500,000


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

       
     
     

    		$  


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

       
     
     

    		$  


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

       
     
     

    		$  


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

       
     
     

    		$  


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

       
     
     

    		$  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
    Page 3
    Name of organization
    CLEMENT AND KAREN ARRISON
    FAMILY CHARITABLE FOUNDATION         		Employer identification number

    20-3116729
    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) (2013)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
    Page 4
    Name of organization
    CLEMENT AND KAREN ARRISON
    FAMILY CHARITABLE FOUNDATION         		Employer identification number

    20-3116729
    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) (2013)

    Additional Data


    Software ID:  
    Software Version:  

    TY 2013 AccountingFeesSchedule
    Name:
    CLEMENT AND KAREN ARRISON
    FAMILY CHARITABLE FOUNDATION
    EIN: 20-3116729
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    PROFESSIONAL 4,770      

    TY 2013 CompensationExplanation
    Name:
    CLEMENT AND KAREN ARRISON
    FAMILY CHARITABLE FOUNDATION
    EIN: 20-3116729
    Person Name Explanation
    KAREN ARRISON  

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

    TY 2013 GainLossSaleOtherAssetsSch
    Name:
    CLEMENT AND KAREN ARRISON
    FAMILY CHARITABLE FOUNDATION
    EIN: 20-3116729
    Name Date Acquired How Acquired Date Sold Purchaser Name Gross Sales Price Basis Basis Method Sales Expenses Total (net) Accumulated Depreciation
    BANK OF AMER 7.25% PFD J-60505724-60 2012-03 PURCHASE 2013-08   15,000 14,630     370  
    OMEGA HEALTHCARE INVS-681936100-198 2011-08 PURCHASE 2013-06   6,415 3,310     3,105  
    OMEGA HEALTHCARE INVS-681936100-260 2011-08 PURCHASE 2013-06   8,423 3,725     4,698  
    SUN COMMUNITIES INC-866674104-81 2011-02 PURCHASE 2013-11   3,273 2,512     761  
    SUN COMMUNITIES INC-866674104-205 2011-02 PURCHASE 2013-11   8,283 6,402     1,881  
    UBS AG JERSEY BRH ETN-902641646-4 2012-10 PURCHASE 2013-12   16,720 15,004     1,716  
    GARMIN LTD-H2906T109-345 2012-11 PURCHASE 2013-12   15,711 13,021     2,690  
    BK OF AMER 6.375% PFD 3-60505617-228 2013-07 PURCHASE 2013-11   5,349 5,670     -321  
    BRISTOL MYERS SQUIBB-110122108-200 2012-08 PURCHASE 2013-06   9,180 6,356     2,824  
    BRISTOL MYERS SQUIBB-110122108-400 2012-10 PURCHASE 2013-06   18,359 13,218     5,141  
    GUGGEN BULLETSHS 13 ETF-18383M449-1 2013-02 PURCHASE 2013-12   29,651 29,998     -347  
    CLIFFS NATURAL RESOURCES-18683K101-3 2012-12 PURCHASE 2013-03   6,505 10,224     -3,719  
    CLIFFS NATURAL RESOURCES-18683K101-1 2013-02 PURCHASE 2013-03   3,253 4,435     -1,182  
    DARDEN RESTAURANTS-237194105-325 2013-01 PURCHASE 2013-04   16,250 15,104     1,146  
    ISHARES IBOXX&INVT ETF-464287242-1 2013-01 PURCHASE 2013-07   17,807 18,875     -1,068  
    ISHRS 7-10-YR TREAS ETF-464287440-1 2013-06 PURCHASE 2013-07   17,656 18,348     -692  
    ISHARES JP MRGN E/M ETF-464288281-1 2012-12 PURCHASE 2013-06   18,121 19,949     -1,828  
    ISHARES IBOXX HGH ETF-464288513-2 2013-01 PURCHASE 2013-07   18,370 19,097     -727  
    ISHRS BRCLY 10-20YR ETF-464288653-1 2012-12 PURCHASE 2013-01   19,102 20,041     -939  
    ISHARES S&P PRD STK ETF-464288687-5 2012-12 PURCHASE 2013-06   19,944 20,023     -79  
    ISHARES CORE LONG ETF-464289479-3 2012-12 PURCHASE 2013-01   18,849 19,896     -1,047  
    MV OIL TRUST-553859109-570 2013-04 PURCHASE 2013-12   14,625 16,012     -1,387  
    OMEGA HEALTHCARE INVS-681936100-188 2012-10 PURCHASE 2013-06   6,091 4,353     1,738  
    PWRSHRS FNCL PRD PRT ETF-73935X229-9 2013-04 PURCHASE 2013-06   16,057 16,656     -599  
    SPDR SER TRUST ETF-78464A292-3 2013-05 PURCHASE 2013-07   14,247 15,068     -821  
    GARMIN LTD-H2906T109-100 2013-07 PURCHASE 2013-12   4,554 3,724     830  
    8FHR 3763 4.000 011540-313111908-2 2010-11 PURCHASE 2013-10   2,000 2,000        
    8FHR 3763 4.000 011540-313114928-4 2010-11 PURCHASE 2013-01   4,000 4,000        
    8FHR 3966 4.000 071541-313120941-1 2011-12 PURCHASE 2013-01   10,000 10,000        
    8FHR 3763 4.000 011540-313122988-3 2010-11 PURCHASE 2013-02   3,000 3,000        
    8FHR 3966 4.000 071541-313130981-7 2011-12 PURCHASE 2013-02   7,000 7,000        
    8FHR 3763 4.000 011540-313132938-6 2010-11 PURCHASE 2013-03   6,000 6,000        
    8FHR 3966 4.000 071541-313143901-1 2011-12 PURCHASE 2013-03   10,000 10,000        
    8FHR 3763 4.000 011540-313143968-5 2010-11 PURCHASE 2013-04   5,000 5,000        
    8FHR 3763 4.000 011540-313162968-2 2010-11 PURCHASE 2013-06   2,000 2,000        
    8FHR 3763 4.000 011540-313172918-2 2010-11 PURCHASE 2013-07   2,000 2,000        
    8FHR 3763 4.000 011540-313184988-6 2010-11 PURCHASE 2013-08   6,000 6,000        
    8FHR 3763 4.000 011540-313196958-1 2010-11 PURCHASE 2013-09   1,000 1,000        
    FNR 12-70 TY 3% 022542-3136A7FS6-500 2012-06 PURCHASE 2013-09   1,224 1,227     -3  
    8FHR 3966 4.000 071541-313700981-1 2011-12 PURCHASE 2013-04   12,000 12,000        
    8FHR 3966 4.000 071541-313703951-1 2011-12 PURCHASE 2013-05   13,000 13,000        
    8FHR 3966 4.000 071541-313706921-1 2011-12 PURCHASE 2013-06   10,000 10,000        
    8FHR 3966 4.000 071541-313709941-6 2011-12 PURCHASE 2013-07   6,000 6,000        
    8FHR 4061 3.000 021542-313715930-1 2012-06 PURCHASE 2013-06   14,000 14,000        
    8FHR 4061 3.000 021542-313717910-4 2012-06 PURCHASE 2013-07   44,000 44,001     -1  
    8FHR 4061 3.000 021542-313719940-4 2012-06 PURCHASE 2013-08   43,000 43,001     -1  
    8FHR 4061 3.000 021542-313721920-2 2012-06 PURCHASE 2013-09   24,000 24,000        
    8FHR 4061 3.000 021542-313723900-7 2012-06 PURCHASE 2013-10   7,000 7,000        
    8FHR 4063 3.000 051542-313741944-4 2012-06 PURCHASE 2013-07   4,000 4,000        
    8FHR 4063 3.000 051542-313744914-7 2012-06 PURCHASE 2013-08   7,000 7,000        
    8FHR 4063 3.000 051542-313748964-2 2012-06 PURCHASE 2013-09   2,000 2,000        
    8FHR 4063 3.000 051542-313754954-2 2012-06 PURCHASE 2013-11   2,000 2,000        
    8FHR 3835 4.500 041540-313759946-1 2011-04 PURCHASE 2013-01   18,000 18,000        
    8FHR 4023 3.500 111541-313768996-3 2012-03 PURCHASE 2013-04   3,000 3,000        
    8FHR 4023 3.500 111541-313771966-5 2012-03 PURCHASE 2013-05   5,000 5,000        
    8FHR 4023 3.500 111541-313774986-4 2012-03 PURCHASE 2013-06   4,000 4,000        
    8FHR 4023 3.500 111541-313778946-1 2012-03 PURCHASE 2013-07   11,000 11,000        
    8FHR 4023 3.500 111541-313782906-8 2012-03 PURCHASE 2013-08   8,000 8,000        
    8FHR 4023 3.500 111541-313786956-4 2012-03 PURCHASE 2013-09   4,000 4,000        
    FHR 3751 UA 4% 021540-3137A3J67-2500 2010-11 PURCHASE 2013-01   26,409 25,475     934  
    FHR 3835 AA 4.5% 4/15/40-3137A9VQ6-1 2011-04 PURCHASE 2013-02   11,000 11,000        
    GNR 11-018 EA 4% 092040-38377QFH5-75 2011-02 PURCHASE 2013-04   1,617 1,058     559  
    GNR 11-018 GA 4% 092040-38377QFL6-23 2011-02 PURCHASE 2013-04   5,025 3,281     1,744  
    GNR 11-18 CA 4% 092040-38377QHP5-100 2011-02 PURCHASE 2013-05   5,097 4,350     747  
    GNR 11-18 CA 4% 092040-38377QHP5-500 2011-02 PURCHASE 2013-05   2,548 2,176     372  
    GNR 11-024 GB 4% 092040-38377TP70-10 2011-02 PURCHASE 2013-04   5,416 4,670     746  
    8FHR 4061 3.000 021542-313708950-4 2012-06 PURCHASE 2013-01   4,000 4,000        
    8FHR 4061 3.000 021542-313709990-5 2012-06 PURCHASE 2013-02   5,000 5,000        
    8FHR 4061 3.000 021542-313710980-5 2012-06 PURCHASE 2013-03   5,000 5,000        
    8FHR 4061 3.000 021542-313711970-9 2012-06 PURCHASE 2013-04   9,000 9,000        
    8FHR 4061 3.000 021542-313713950-2 2012-06 PURCHASE 2013-05   27,000 27,000        
    8FHR 4063 3.000 051542-313735904-1 2012-06 PURCHASE 2013-05   1,000 1,000        
    8FHR 4063 3.000 051542-313738924-6 2012-06 PURCHASE 2013-06   6,000 6,000        
    8FHR 4023 3.500 111541-313758906-1 2012-03 PURCHASE 2013-01   1,000 1,000        
    8FHR 4023 3.500 111541-313763906-5 2012-03 PURCHASE 2013-02   5,000 5,000        
    8FHR 4023 3.500 111541-313765976-3 2012-03 PURCHASE 2013-03   3,000 3,000        

    TY 2013 InvestmentsCorpStockSchedule
    Name:
    CLEMENT AND KAREN ARRISON
    FAMILY CHARITABLE FOUNDATION
    EIN: 20-3116729
    Name of Stock End of Year Book Value End of Year Fair Market Value
    SAMI 25457479 COMMON STOCK 908,372 970,622
    SAMI 25457479 PREFERRED STOCK 84,119 81,192

    TY 2013 InvestmentsGovtObligationsSch
    Name:
    CLEMENT AND KAREN ARRISON
    FAMILY CHARITABLE FOUNDATION
    EIN: 20-3116729
    US Government Securities - End of Year Book Value:

     
    US Government Securities - End of Year Fair Market Value:

     
    State & Local Government Securities - End of Year Book Value:


    201,504
    State & Local Government Securities - End of Year Fair Market Value:


    205,052


    TY 2013 InvestmentsOtherSchedule2
    Name:
    CLEMENT AND KAREN ARRISON
    FAMILY CHARITABLE FOUNDATION
    EIN: 20-3116729
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    SAMI 25457479 CLOSED END FUNDS AT COST 165,155 159,520
    SAMI 25457479 MUTUAL FUND AT COST 25,020 22,484

    TY 2013 OtherIncomeSchedule2
    Name:
    CLEMENT AND KAREN ARRISON
    FAMILY CHARITABLE FOUNDATION
    EIN: 20-3116729
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    SAPERSTON ASSET MANAGEMENT 952 952  


    TY 2013 OtherProfessionalFeesSchedule
    Name:
    CLEMENT AND KAREN ARRISON
    FAMILY CHARITABLE FOUNDATION
    EIN: 20-3116729
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT MANAGEMENT FEES 12,773      


    TY 2013 TaxesSchedule
    Name:
    CLEMENT AND KAREN ARRISON
    FAMILY CHARITABLE FOUNDATION
    EIN: 20-3116729
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    STATE FILING FEE 275      
    FEDERAL EXCISE TAX 1,761