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
THOMAS M GROSSMAN FAMILY CHARITABLE TRUST
 

Number and street (or P.O. box number if mail is not delivered to street address)4350 BAKER RD NO 230   Room/suite
City or town, state or province, country, and ZIP or foreign postal code
MINNETONKA, MN55343
A Employer identification number

27-3369472
B Telephone number (see instructions)

(952) 893-1277
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$2,420,086J 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)  
2 Check bullet
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities...... 61,864 61,864  
5a Gross rents.............. 242,417 242,417  
b Net rental income or (loss) 242,417
6a Net gain or (loss) from sale of assets not on line 10 66,923
b Gross sales price for all assets on line 6a 912,974
7 Capital gain net income (from Part IV, line 2)... 66,923
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........ 371,204 371,204 0
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0 0 0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions) Click to see attachment 12,012 0 0 0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 7,096 6,135 0 0
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 19,108 6,135 0 0
25 Contributions, gifts, grants paid........ 780,000 780,000
26 Total expenses and disbursements. Add lines 24 and 25 799,108 6,135 0 780,000
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -427,904
b Net investment income (if negative, enter -0-) 365,069
c Adjusted net income (if negative, enter -0-)... 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............... 85,935    
2 Savings and temporary cash investments.......... 2,621,875 2,279,906 2,420,086
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 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)........      
c Investments—corporate bonds (attach schedule)........      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)...........      
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) 2,707,810 2,279,906 2,420,086
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 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......... 0 0
28 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
29 Retained earnings, accumulated income, endowment, or other funds 2,707,810 2,279,906
30 Total net assets or fund balances (see page 17 of the
instructions).................... 2,707,810 2,279,906
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 2,707,810 2,279,906
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 2,707,810
2 Enter amount from Part I, line 27a..................... 2 -427,904
3 Other increases not included in line 2 (itemize) bullet 3 0
4 Add lines 1, 2, and 3.......................... 4 2,279,906
5 Decreases not included in line 2 (itemize) bullet 5 0
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 2,279,906
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.)
1 a AB FOODS LTD ADR (GB/USD) P 2013-02-20 2013-02-20
b AB FOODS LTD ADR (GB/USD) P 2013-02-21 2013-02-21
c AB FOODS LTD ADR (GB/USD) P 2013-02-22 2013-02-22
d ACCENTURE PLC CL A P 2013-03-28 2013-03-28
e ACCENTURE PLC CL A P 2013-06-21 2013-06-21
ACCENTURE PLC CL A P 2012-12-19 2013-12-23
ACE LIMITED P 2013-06-21 2013-06-21
ACE LIMITED P 2012-12-19 2013-12-23
AETNA INC NEW P 2013-06-11 2013-06-11
AETNA INC NEW P 2013-06-21 2013-06-21
AETNA INC NEW P 2013-09-17 2013-09-17
AETNA INC NEW P 2012-12-19 2013-12-23
AIR PRODUCTS & CHEMICALS P 2013-07-26 2013-07-26
AKZO NOBEL NV ADR (NL/USD) P 2013-01-07 2013-01-07
ALLIANZ AKTIENGES ADR (DE/USD) P 2013-05-09 2013-05-09
ALLIANZ AKTIENGES ADR (DE/USD) P 2013-06-21 2013-06-21
ALLIANZ AKTIENGES ADR (DE/USD) P 2013-09-17 2013-09-17
ALLIANZ AKTIENGES ADR (DE/USD) P 2012-09-17 2013-12-23
AMERICAN INTL GROUP INC P 2013-12-23 2013-12-23
AMERICAN WATER WORKS CO P 2013-09-17 2013-09-17
AMERICAN WATER WORKS CO P 2013-12-23 2013-12-23
APPLE INC P 2013-12-23 2013-12-23
AVAGO TECHNOLOGIES P 2013-09-17 2013-09-17
AVAGO TECHNOLOGIES P 2013-11-11 2013-11-11
AVAGO TECHNOLOGIES P 2012-10-18 2013-11-11
AVAGO TECHNOLOGIES P 2012-11-30 2013-12-23
BARRICK GOLD CORP P 2013-02-13 2013-02-13
BARRICK GOLD CORP P 2013-04-24 2013-04-24
BHP BILLITON PLC-ADR P 2013-06-21 2013-06-21
BHP BILLITON PLC-ADR P 2013-08-01 2013-08-01
BNP PARIBAS SPON ADR P 2013-06-21 2013-06-21
BNP PARIBAS SPON ADR P 2013-09-17 2013-09-17
BNP PARIBAS SPON ADR P 2013-09-24 2013-09-24
BNP PARIBAS SPON ADR P 2013-12-23 2013-12-23
BRIDGESTONE CORP ADR P 2013-12-26 2013-12-26
CENTURYLINK INC P 2013-06-21 2013-06-21
CENTURYLINK INC P 2013-09-17 2013-09-17
CENTURYLINK INC P 2013-12-23 2013-12-23
CHINA CONSTRUCTION ADR (CN/USD) P 2013-06-21 2013-06-21
CHINA CONSTRUCTION ADR (CN/USD) P 2013-09-17 2013-09-17
CHINA CONSTRUCTION ADR (CN/USD) P 2013-12-24 2013-12-24
CHINA TELECOM ADR (CN/USD) P 2013-06-21 2013-06-21
CHINA TELECOM ADR (CN/USD) P 2013-09-17 2013-09-17
CHINA TELECOM ADR (CN/USD) P 2013-12-23 2013-12-23
CITIGROUP INC P 2013-06-21 2013-06-21
CITIGROUP INC P 2012-10-08 2013-12-23
COACH INC P 2013-06-21 2013-06-21
COACH INC P 2013-10-16 2013-10-16
COACH INC P 2012-09-17 2013-10-16
CONOCOPHILLIPS P 2012-12-19 2013-06-21
CONOCOPHILLIPS P 2013-12-23 2013-12-23
CVS/CAREMARK CORP P 2013-06-21 2013-06-21
CVS/CAREMARK CORP P 2012-09-17 2013-12-23
DAIHATSU MOTOR CO. LTD ADR P 2013-06-21 2013-06-21
DAIHATSU MOTOR CO. LTD ADR P 2013-09-17 2013-09-17
DAIHATSU MOTOR CO. LTD ADR P 2013-12-24 2013-12-24
DETROIT ENERGY CO P 2013-09-17 2013-09-17
DETROIT ENERGY CO P 2013-09-24 2013-09-24
DOLLAR GENERAL CORP P 2013-06-21 2013-06-21
DOLLAR GENERAL CORP P 2013-09-16 2013-09-16
DOLLAR GENERAL CORP P 2012-12-13 2013-12-23
EAST JAPAN RAIL ADR (JP/USD) P 2013-03-28 2013-03-28
EAST JAPAN RAIL ADR (JP/USD) P 2013-04-08 2013-04-08
EAST JAPAN RAIL ADR (JP/USD) P 2013-04-09 2013-04-09
EAST JAPAN RAIL ADR (JP/USD) P 2013-04-10 2013-04-10
EMBRAER SA ADR (BR/USD) P 2013-03-28 2013-03-28
EMBRAER SA ADR (BR/USD) P 2013-06-21 2013-06-21
EMBRAER SA ADR (BR/USD) P 2013-08-26 2013-08-26
ENI S.P.A. ADR (IT/USD) P 2013-06-21 2013-06-21
ENI S.P.A. ADR (IT/USD) P 2013-09-17 2013-09-17
ENI S.P.A. ADR (IT/USD) P 2013-09-24 2013-09-24
ENI S.P.A. ADR (IT/USD) P 2012-09-17 2013-09-24
ENI S.P.A. ADR (IT/USD) P 2012-10-18 2013-12-23
EXELON CORP P 2013-06-11 2013-06-11
EXELON CORP P 2013-06-12 2013-06-12
GENERAL DYNAMICS CORP P 2013-03-20 2013-03-20
ILLINOIS TOOL WORKS INC P 2013-06-21 2013-06-21
ILLINOIS TOOL WORKS INC P 2013-12-23 2013-12-23
IMPERIAL TOBACCO LT ADR P 2013-06-21 2013-06-21
IMPERIAL TOBACCO LT ADR P 2013-09-17 2013-09-17
IMPERIAL TOBACCO LT ADR P 2013-12-23 2013-12-23
INTERNATIONAL BUS MACHINES P 2013-06-21 2013-06-21
INTERNATIONAL BUS MACHINES P 2013-12-23 2013-12-23
ITOCHU CORP ADR P 2013-06-21 2013-06-21
ITOCHU CORP ADR P 2013-09-17 2013-09-17
ITOCHU CORP ADR P 2013-12-24 2013-12-24
J SAINSBURY SPN ADR NEW P 2013-06-21 2013-06-21
J SAINSBURY SPN ADR NEW P 2013-09-17 2013-09-17
J SAINSBURY SPN ADR NEW P 2013-12-23 2013-12-23
JOHNSON & JOHNSON P 2013-04-24 2013-04-24
JOHNSON & JOHNSON P 2013-05-09 2013-05-09
JOHNSON & JOHNSON P 2013-06-11 2013-06-11
KDDI CORP ADR (JP/USD) P 2013-05-10 2013-05-10
KDDI CORP ADR (JP/USD) P 2013-05-13 2013-05-13
KDDI CORP ADR (JP/USD) P 2013-06-21 2013-06-21
KDDI CORP ADR (JP/USD) P 2013-07-05 2013-07-05
KDDI CORP ADR (JP/USD) P 2013-09-17 2013-09-17
KDDI CORP ADR (JP/USD) P 2013-12-24 2013-12-24
KON AHOLD ADR P 2013-06-12 2013-06-12
KON AHOLD ADR P 2013-06-13 2013-06-13
KON AHOLD ADR P 2013-06-21 2013-06-21
KON AHOLD ADR P 2013-08-27 2013-08-27
KON AHOLD ADR P 2013-08-28 2013-08-28
KON AHOLD ADR P 2013-09-24 2013-09-24
KON AHOLD ADR P 2012-09-17 2013-09-24
KON AHOLD ADR P 2012-09-17 2013-09-25
KON AHOLD ADR P 2013-09-26 2013-09-26
L BRANDS INC P 2013-12-23 2013-12-23
LORILLARD INC COM P 2013-12-23 2013-12-23
LOWES COS INC P 2013-06-21 2013-06-21
LOWES COS INC P 2013-07-05 2013-07-05
MACY'S INC P 2013-06-21 2013-06-21
MACY'S INC P 2013-09-17 2013-09-17
MACY'S INC P 2012-10-08 2013-12-23
MAGNA INTL INC CL A P 2013-04-05 2013-04-05
MARATHON OIL CORP P 2013-06-21 2013-06-21
MARATHON OIL CORP P 2013-09-17 2013-09-17
MARATHON OIL CORP P 2013-09-24 2013-09-24
MARATHON OIL CORP P 2012-09-17 2013-09-24
MARATHON OIL CORP P 2012-12-19 2013-12-23
MICROSOFT CORP P 2013-06-21 2013-06-21
MICROSOFT CORP P 2013-09-16 2013-09-16
MICROSOFT CORP P 2013-09-17 2013-09-17
MICROSOFT CORP P 2013-10-23 2013-10-23
MICROSOFT CORP P 2012-10-08 2013-10-23
MORGAN STANLEY GRP INC P 2012-10-08 2013-12-23
MUNICH RE GROUP ADR (DE/USD) P 2013-06-21 2013-06-21
MUNICH RE GROUP ADR (DE/USD) P 2013-09-17 2013-09-17
MUNICH RE GROUP ADR (DE/USD) P 2012-12-19 2013-12-23
MYLAN INC P 2013-12-23 2013-12-23
NEWMONT MINING CORP P 2013-02-13 2013-02-13
NIELSEN HOLDINGS BV P 2013-06-21 2013-06-21
NIELSEN HOLDINGS BV P 2013-09-17 2013-09-17
NIELSEN HOLDINGS BV P 2013-11-12 2013-11-11
NIELSEN HOLDINGS BV P 2013-12-23 2013-12-23
NORDEA BK SWEDEN AB ADR (SE/USD) P 2013-04-24 2013-04-24
NORDEA BK SWEDEN AB ADR (SE/USD) P 2013-04-25 2013-04-25
NORDEA BK SWEDEN AB ADR (SE/USD) P 2013-06-21 2013-06-21
NORDEA BK SWEDEN AB ADR (SE/USD) P 2013-08-01 2013-08-01
NORDEA BK SWEDEN AB ADR (SE/USD) P 2013-08-02 2013-08-02
NORDEA BK SWEDEN AB ADR (SE/USD) P 2013-08-05 2013-08-05
OW LARGE CAP STRATEGIES FD P 2013-06-21 2013-06-21
OW LARGE CAP STRATEGIES FD P 2012-09-17 2013-12-23
OW REAL RETURN FUND P 2013-05-20 2013-05-20
OW REAL RETURN FUND P 2013-06-21 2013-06-21
OW REAL RETURN FUND P 2013-09-17 2013-09-17
OW REAL RETURN FUND P 2013-12-23 2013-12-23
OW SMALL & MID CAP FUND P 2013-06-21 2013-06-21
OW SMALL & MID CAP FUND P 2012-09-17 2013-09-17
OW SMALL & MID CAP FUND P 2012-09-17 2013-12-23
OW STRATEGIC OPPTYS FUND P 2013-03-18 2013-03-18
OW STRATEGIC OPPTYS FUND P 2013-06-21 2013-06-21
OW STRATEGIC OPPTYS FUND P 2012-08-16 2013-09-17
OW STRATEGIC OPPTYS FUND P 2012-09-17 2013-09-25
OW STRATEGIC OPPTYS FUND P 2012-12-19 2013-12-23
PFIZER INC P 2013-06-21 2013-06-21
PFIZER INC P 2013-09-17 2013-09-17
PFIZER INC P 2013-12-23 2013-12-23
QUALCOMM INC P 2013-06-21 2013-06-21
QUALCOMM INC P 2013-09-17 2013-09-17
QUALCOMM INC P 2012-12-19 2013-12-23
RSA INS GRP INC SPON ADR (GB/USD) P 2013-12-23 2013-12-23
RSA INSURANCE GRP PLC ADR (GB/USD) P 2013-06-21 2013-06-21
RSA INSURANCE GRP PLC ADR (GB/USD) P 2013-09-17 2013-09-17
SANOFI - ADR (FR/USD) P 2013-06-21 2013-06-21
SANOFI - ADR (FR/USD) P 2013-09-17 2013-09-17
SANOFI - ADR (FR/USD) P 2012-12-19 2013-12-23
SEAGATE TECHNOLOGY PLC P 2013-01-22 2013-01-22
SINOPEC/CHINA PETE&CHM ADR P 2013-06-21 2013-06-21
SINOPEC/CHINA PETE&CHM ADR P 2013-12-23 2013-12-23
SKANDINAVISKA ENSKILD ADR (SE/USD) P 2013-12-27 2013-12-27
SSE PLC ADR (GB/USD) P 2013-06-12 2013-06-12
SSE PLC ADR (GB/USD) P 2013-06-13 2013-06-13
SSE PLC ADR (GB/USD) P 2013-06-14 2013-06-14
SSE PLC ADR (GB/USD) P 2013-06-17 2013-06-17
SUMITOMO METAL MIN CO LTD (JP/USD) P 2013-12-24 2013-12-24
SUMITOMO MITSUI FIN ADR (JP/USD) P 2013-02-14 2013-02-14
SUMITOMO MITSUI FIN ADR (JP/USD) P 2013-03-20 2013-03-20
SUMITOMO MITSUI FIN ADR (JP/USD) P 2013-03-21 2013-03-21
SUMITOMO MITSUI FIN ADR (JP/USD) P 2013-03-22 2013-03-22
SUNCORP GROUP ADR (AU/USD) P 2013-04-08 2013-04-08
SUNCORP GROUP ADR (AU/USD) P 2013-04-09 2013-04-09
SUNCORP GROUP ADR (AU/USD) P 2013-04-10 2013-04-10
SUNCORP GROUP ADR (AU/USD) P 2013-04-11 2013-04-11
SUNCORP GROUP ADR (AU/USD) P 2013-04-12 2013-04-12
SVENSKA CL AKTIBLGT ADR (SE/USD) P 2013-12-23 2013-12-23
SWATCH GROUP AG UNSPON ADR P 2013-12-23 2013-12-23
TARGET CORP P 2013-06-21 2013-06-21
TARGET CORP P 2013-12-23 2013-12-23
TELE2 AB ADR (SE/USD) P 2013-06-24 2013-06-24
TEVA PHARM INDS LTD ADR (IL/USD) P 2013-06-21 2013-06-21
TEVA PHARM INDS LTD ADR (IL/USD) P 2013-09-17 2013-09-17
TEVA PHARM INDS LTD ADR (IL/USD) P 2013-10-31 2013-10-31
TEVA PHARM INDS LTD ADR (IL/USD) P 2013-11-11 2013-11-11
TEVA PHARM INDS LTD ADR (IL/USD) P 2012-10-08 2013-11-11
THERMO FISHER SCIENTIFIC P 2013-04-24 2013-04-24
THERMO FISHER SCIENTIFIC P 2013-06-21 2013-06-21
THERMO FISHER SCIENTIFIC P 2013-09-17 2013-09-17
THERMO FISHER SCIENTIFIC P 2012-12-19 2013-12-23
TIM PARTICIPACOES SA ADR P 2013-06-21 2013-06-21
TIM PARTICIPACOES SA ADR P 2013-09-17 2013-09-17
TIM PARTICIPACOES SA ADR P 2012-09-17 2013-10-16
TIM PARTICIPACOES SA ADR P 2013-10-17 2013-10-17
TIM PARTICIPACOES SA ADR P 2012-10-08 2013-10-17
TIM PARTICIPACOES SA ADR P 2012-12-19 2013-12-23
TOTAL SA ADR P 2013-06-21 2013-06-21
TOTAL SA ADR P 2013-09-17 2013-09-17
TOTAL SA ADR P 2012-09-17 2013-12-23
UNION PACIFIC CORP P 2013-12-23 2013-12-23
UNITEDHEALTH GROUP INC P 2013-06-21 2013-06-21
UNITEDHEALTH GROUP INC P 2013-07-23 2013-07-23
UNITEDHEALTH GROUP INC P 2013-08-26 2013-08-26
VIACOM INC CL B NEW P 2013-06-21 2013-06-21
VIACOM INC CL B NEW P 2013-09-16 2013-09-16
VODAFONE GROUP PLC ADR P 2013-03-28 2013-03-28
VODAFONE GROUP PLC ADR P 2013-06-21 2013-06-21
VODAFONE GROUP PLC ADR P 2013-09-03 2013-09-03
VODAFONE GROUP PLC ADR P 2013-09-09 2013-09-09
VOLKSWAGEN AG ADR (DE/USD) P 2013-06-21 2013-06-21
VOLKSWAGEN AG ADR (DE/USD) P 2012-12-19 2013-12-23
WALGREEN CO P 2013-04-24 2013-04-24
WALGREEN CO P 2013-06-21 2013-06-21
WALGREEN CO P 2013-11-11 2013-11-11
WALGREEN CO P 2012-10-08 2013-11-11
WALGREEN CO P 2012-12-19 2013-12-23
WASTE MANAGEMENT INC NEW P 2013-04-05 2013-04-05
WASTE MANAGEMENT INC NEW P 2013-06-21 2013-06-21
WASTE MANAGEMENT INC NEW P 2013-08-26 2013-08-26
WEIR GROUP PLC ADR (GB/USD) P 2013-12-23 2013-12-23
WHARF HOLDINGS ADR (HK/USD) P 2013-06-21 2013-06-21
WHARF HOLDINGS ADR (HK/USD) P 2013-09-18 2013-09-18
WHARF HOLDINGS ADR (HK/USD) P 2012-09-18 2013-12-24
ZIMMER HLDGS INC P 2013-06-21 2013-06-21
ZIMMER HLDGS INC P 2013-09-17 2013-09-17
ZIMMER HLDGS INC P 2012-12-19 2013-12-23
BANK OF AMERICA P 2012-09-17 2013-08-19
CITIGROUP INC P 2012-09-17 2013-09-16
DOW CHEMICAL CO P 2012-09-17 2013-06-24
FEDERAL HOME LOAN BANK P 2012-09-24 2013-04-23
CAPITAL GAINS DIVIDENDS P    
(e) Gross sales price (f) Depreciation allowed
(or allowable) 		(g) Cost or other basis
plus expense of sale 		(h) Gain or (loss)
(e) plus (f) minus (g)
a 1,424   1,236 188
b 1,397   1,067 330
c 2,236   1,684 552
d 2,274   2,162 112
e 398   353 45
405   353 52
867   874 -7
1,016   813 203
3,087   2,452 635
310   230 80
338   230 108
673   459 214
3,125   2,635 490
1,517   1,367 150
1,529   1,393 136
139   136 3
155   134 21
177   126 51
513   415 98
198   203 -5
838   815 23
2,829   2,524 305
602   551 51
221   184 37
1,987   1,563 424
261   174 87
2,232   2,949 -717
1,830   3,607 -1,777
265   348 -83
3,462   3,947 -485
135   137 -2
338   273 65
1,715   1,363 352
762   545 217
470   455 15
171   211 -40
162   211 -49
312   405 -93
329   436 -107
315   349 -34
530   600 -70
465   619 -154
265   310 -45
490   553 -63
469   436 33
524   347 177
284   308 -24
2,424   2,420 4
2,424   2,618 -194
604   604 0
348   297 51
578   538 40
706   470 236
182   209 -27
198   204 -6
327   403 -76
331   323 8
2,691   2,450 241
752   757 -5
2,858   2,325 533
911   674 237
3,114   2,630 484
3,664   2,728 936
1,789   1,356 433
575   434 141
1,764   1,595 169
374   283 91
3,356   2,743 613
611   778 -167
467   505 -38
1,160   1,198 -38
2,321   2,430 -109
474   446 28
1,566   1,787 -221
2,456   2,567 -111
3,146   3,043 103
345   316 29
413   391 22
355   391 -36
365   391 -26
378   378 0
980   1,063 -83
912   1,025 -113
508   491 17
247   228 19
597   598 -1
444   466 -22
378   349 29
733   699 34
2,542   2,251 291
1,704   1,382 322
3,810   3,069 741
3,436   2,774 662
1,142   869 273
121   87 34
2,472   1,733 739
241   173 68
450   260 190
1,573   1,485 88
1,546   1,420 126
448   407 41
841   679 162
1,638   1,288 350
696   509 187
609   451 158
1,306   960 346
695   509 186
610   572 38
502   448 54
2,970   2,288 682
2,343   1,619 724
703   627 76
226   196 30
794   588 206
4,006   3,305 701
517   511 6
180   170 10
178   170 8
2,490   2,164 326
177   157 20
833   780 53
3,281   3,085 196
330   298 32
4,751   3,887 864
509   447 62
155   145 10
365   377 -12
390   365 25
651   541 110
851   840 11
2,247   2,697 -450
171   178 -7
182   178 4
2,978   2,537 441
913   675 238
819   872 -53
1,399   1,278 121
228   202 26
1,586   1,246 340
1,274   960 314
64   48 16
35,000   37,261 -2,261
65,000   52,898 12,102
32,300   36,034 -3,734
22,000   25,819 -3,819
4,000   4,558 -558
2,000   2,195 -195
18,000   18,609 -609
20,000   17,487 2,513
35,000   30,989 4,011
20,000   19,695 305
15,000   15,039 -39
57,000   51,393 5,607
107,900   99,365 8,535
4,000   3,857 143
573   618 -45
143   155 -12
910   928 -18
607   669 -62
347   332 15
731   629 102
333   471 -138
183   209 -26
342   366 -24
513   511 2
245   243 2
778   703 75
2,589   2,099 490
443   601 -158
401   462 -61
258   235 23
1,180   1,193 -13
1,179   1,150 29
590   567 23
1,905   1,779 126
559   661 -102
1,203   1,114 89
419   362 57
4,163   3,414 749
1,407   1,051 356
595   490 105
600   490 110
604   490 114
927   732 195
805   626 179
444   418 26
653   633 20
1,034   1,023 11
618   682 -64
85   127 -42
387   401 -14
374   401 -27
2,801   2,889 -88
371   380 -9
2,600   2,808 -208
2,034   1,832 202
417   350 67
463   350 113
543   325 218
352   439 -87
226   218 8
1,347   1,040 307
676   540 136
1,352   959 393
128   95 33
238   273 -35
565   545 20
601   545 56
825   796 29
640   575 65
3,632   2,812 820
4,715   3,545 1,170
658   636 22
6,227   4,743 1,484
1,420   1,444 -24
136   142 -6
2,382   2,096 286
2,810   2,118 692
395   490 -95
550   453 97
3,691   3,131 560
244   187 57
298   187 111
4,170   2,525 1,645
579   375 204
1,922   1,816 106
399   341 58
3,579   2,851 728
600   674 -74
81   69 12
86   69 17
232   206 26
766   749 17
414   375 39
931   721 210
31,830   32,384 -554
9,590   9,895 -305
32,507   33,507 -1,000
135,421   137,417 -1,996
22,393     22,393
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       188
b       330
c       552
d       112
e       45
      52
      -7
      203
      635
      80
      108
      214
      490
      150
      136
      3
      21
      51
      98
      -5
      23
      305
      51
      37
      424
      87
      -717
      -1,777
      -83
      -485
      -2
      65
      352
      217
      15
      -40
      -49
      -93
      -107
      -34
      -70
      -154
      -45
      -63
      33
      177
      -24
      4
      -194
      0
      51
      40
      236
      -27
      -6
      -76
      8
      241
      -5
      533
      237
      484
      936
      433
      141
      169
      91
      613
      -167
      -38
      -38
      -109
      28
      -221
      -111
      103
      29
      22
      -36
      -26
      0
      -83
      -113
      17
      19
      -1
      -22
      29
      34
      291
      322
      741
      662
      273
      34
      739
      68
      190
      88
      126
      41
      162
      350
      187
      158
      346
      186
      38
      54
      682
      724
      76
      30
      206
      701
      6
      10
      8
      326
      20
      53
      196
      32
      864
      62
      10
      -12
      25
      110
      11
      -450
      -7
      4
      441
      238
      -53
      121
      26
      340
      314
      16
      -2,261
      12,102
      -3,734
      -3,819
      -558
      -195
      -609
      2,513
      4,011
      305
      -39
      5,607
      8,535
      143
      -45
      -12
      -18
      -62
      15
      102
      -138
      -26
      -24
      2
      2
      75
      490
      -158
      -61
      23
      -13
      29
      23
      126
      -102
      89
      57
      749
      356
      105
      110
      114
      195
      179
      26
      20
      11
      -64
      -42
      -14
      -27
      -88
      -9
      -208
      202
      67
      113
      218
      -87
      8
      307
      136
      393
      33
      -35
      20
      56
      29
      65
      820
      1,170
      22
      1,484
      -24
      -6
      286
      692
      -95
      97
      560
      57
      111
      1,645
      204
      106
      58
      728
      -74
      12
      17
      26
      17
      39
      210
      -554
      -305
      -1,000
      -1,996
      22,393
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 66,923
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 432,008 4,052,715 0.106597
2011 27,422 3,161,134 0.008675
2010 0 865,869 0.000000
2009      
2008      
2 Total of line 1, column (d) ...................... 2 0.115272
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 0.038424
4 Enter the net value of noncharitable-use assets for 2013 from Part X, line 5..... 4 2,639,298
5 Multiply line 4 by line 3....................... 5 101,412
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 3,651
7 Add lines 5 and 6......................... 7 105,063
8 Enter qualifying distributions from Part XII, line 4.............. 8 780,000
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 3,651
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2............................ 3 3,651
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-). 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 3,651
6 Credits/Payments:
a 2013 estimated tax payments and 2012 overpayment credited to 2013 6a 13,520
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 13,520
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 9,869
11 Enter the amount of line 10 to be: Credited to 2014 estimated taxBullet9,869 RefundedBullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of
the instructions for definition)?............................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
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)
    bulletMN
    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.Click to see attachment
    10
    Yes
     
    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 ofbulletDAVE NORTON Telephone no.bullet (952) 893-1277
    Located atbullet4350 BAKER RD SUITE 230MINNETONKAMN ZIP+4bullet55343
    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
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 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
    THOMAS GROSSMAN PRESIDENT
    0.00     		0 0 0
    4350 BAKER ROAD
    MINNETONKA,MN55343
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Form 990-PF (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  
    2  
    All other program-related investments. See page 24 of the instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    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
    131,965
    2a
    Tax on investment income for 2013 from Part VI, line 5......
    2a
    3,651
    b
    Income tax for 2013. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    3,651
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    128,314
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    128,314
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,
    line 1................................
    7
    128,314
    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 7 128,314
    2 Undistributed income, if any, as of the end of 2013:
    a Enter amount for 2012 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2013:
    a From 2008.......  
    b From 2009.......  
    c From 2010.......  
    d From 2011.......  
    e From 2012....... 156,304
    fTotal of lines 3a through e......... 156,304
    4Qualifying distributions for 2013 from Part
    XII, line 4: bullet$ 780,000
    a Applied to 2012, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions)......     		0
    c Treated as distributions out of corpus (Election
    required—see instructions).........     		0
    d Applied to 2013 distributable amount..... 128,314
    e Remaining amount distributed out of corpus 651,686
    5 Excess distributions carryover applied to 2013. 0 0
    (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 5 807,990
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2012. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2013. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2014 ..........     		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) .............     		0
    8Excess distributions carryover from 2008 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9Excess distributions carryover to 2014.
    Subtract lines 7 and 8 from line 6a ......     		807,990
    10 Analysis of line 9:
    a Excess from 2009....  
    b Excess from 2010....  
    c Excess from 2011....  
    d Excess from 2012.... 156,304
    e Excess from 2013.... 651,686
    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).)
    THOMAS GROSSMAN
    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 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 (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
    UNIVERSITY OF MINNESOTA FOUNDATION
    200 OAK STEET SOUTHEAST SUITE 500
    MINNEAPOLIS,MN55455     		NONE PUBLIC CHARITY GENERAL OPERATING 780,000
    Total .................................bullet 3a 780,000
    bApproved for future payment
    Total .................................bullet 3b 0
    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 ............     		         
    4 Dividends and interest from securities....     14 61,864  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......     16 242,417  
    bNot debt-financed property.....          
    6
    Net rental income or (loss) from personal property .............     		         
    7 Other investment income.....          
    8
    Gain or (loss) from sales of assets other than inventory .............     		    18 66,923  
    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).. 0 371,204 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13371,204
    (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

    TY 2013 OtherExpensesSchedule
    Name:
    THOMAS M GROSSMAN FAMILY CHARITABLE TRUST
    EIN: 27-3369472
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT FEES 6,135 6,135 0 0
    MINNESOTA FILING FEE 25 0 0 0
    FOREIGN TAX 623 0 0 0
    MISCELLANEOUS EXPENSES 313 0 0 0


    TY 2013 SubstantialContributorsSch
    Name:
    THOMAS M GROSSMAN FAMILY CHARITABLE TRUST
    EIN: 27-3369472
    Name Address
    THOMAS GROSSMAN 4350 BAKER ROAD
    MINNETONKA,MN55343


    TY 2013 TaxesSchedule
    Name:
    THOMAS M GROSSMAN FAMILY CHARITABLE TRUST
    EIN: 27-3369472
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FEDERAL EXCISE TAX 12,012 0 0 0