Form990-PF

Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Nonexempt Charitable Trust
Treated as a Private Foundation
Note. The foundation may be able to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0052
2012
Open to Public Inspection
For calendar year 2012, or tax year beginning 08-01-2012 , and ending 07-31-2013
Name of foundation
CARNAHAN-JACKSON FOUNDATION 420037012
 

Number and street (or P.O. box number if mail is not delivered to street address)C/O NWSB 1030 STATE STREET SUITE 1   Room/suite
City or town, state, and ZIP code
ERIE, PA16501
A Employer identification number

16-6151608
B Telephone number (see instructions)

(814) 871-5959
C bullet
G Check all that apply:

D 1. bullet
2. bullet
H Check type of organization:
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$11,494,960
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
E bullet
F bullet
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet
3 Interest on savings and temporary cash investments 723 633  
4 Dividends and interest from securities...... 291,898 277,673  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 36,281
b Gross sales price for all assets on line 6a 235,336
7 Capital gain net income (from Part IV, line 2)... 36,281
8 Net short-term capital gain......... 0
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule)....... 4,826 4,826  
12 Total. Add lines 1 through 11........ 333,728 319,413  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 8,526 7,673   853
14 Other employee salaries and wages...... 71,758 0 0 71,758
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule)......... 3,883 0 0 3,883
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions) 41,451 3,627   31,963
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......   0 0  
22 Printing and publications..........   0 0  
23 Other expenses (attach schedule)....... 30,957 13,930   17,027
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 156,575 25,230 0 125,484
25 Contributions, gifts, grants paid........ 423,870 423,870
26 Total expenses and disbursements. Add lines 24 and 25 580,445 25,230 0 549,354
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -246,717
b Net investment income (if negative, enter -0-) 294,183
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2012)
Form 990-PF (2012)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............... 21,711    
2 Savings and temporary cash investments.......... 707,957 417,287 417,287
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see page 15 of the
instructions)....................      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet0      
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)........ 6,489,230 Click to see attachment6,759,585 7,786,786
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)........... 3,547,302 Click to see attachment3,342,611 3,290,887
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) 10,766,200 10,519,483 11,494,960
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......... 10,651,175 10,244,605
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds 115,025 274,878
30 Total net assets or fund balances (see page 17 of the
instructions).................... 10,766,200 10,519,483
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 10,766,200 10,519,483
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 10,766,200
2 Enter amount from Part I, line 27a..................... 2 -246,717
3 Other increases not included in line 2 (itemize) bullet 3 0
4 Add lines 1, 2, and 3.......................... 4 10,519,483
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 10,519,483
Form 990-PF (2012)
Form 990-PF (2012)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)
(b) How acquired
P—Purchase
D—Donation
(c) Date acquired
(mo., day, yr.)
(d) Date sold
(mo., day, yr.)
1 a 70000. GOLDMAN SACHS GROUP INC 4.05000% DUE 02/15/2021   2012-02-10 2012-08-15
b 50000. BARCLAYS BANK PLC CALL NT 4.00000% 01/25/2022   2012-02-14 2013-01-25
c 75000. VEOLIA ENVIRONNEMENT 05.25000% DUE 06/03/2013   2012-02-10 2013-06-03
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 70,000   70,000  
b 50,000   50,300 -300
c 75,000   78,755 -3,755
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       -300
c       -3,755
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 36,281
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 . . . . . . . . . . . . . . . .
Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)

If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If “Yes,” the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see page 18 of the instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in)
(b)
Adjusted qualifying distributions
(c)
Net value of noncharitable-use assets
(d)
Distribution ratio
(col. (b) divided by col. (c))
2011 597,440 10,548,285 0.056639
2010 460,702 10,727,695 0.042945
2009 511,509 10,056,463 0.050864
2008 748,791 9,635,256 0.077714
2007 645,267 12,378,657 0.052127
2 Total of line 1, column (d) ...................... 2 0.280289
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 0.056058
4 Enter the net value of noncharitable-use assets for 2012 from Part X, line 5..... 4 10,970,823
5 Multiply line 4 by line 3....................... 5 615,002
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 2,942
7 Add lines 5 and 6......................... 7 617,944
8 Enter qualifying distributions from Part XII, line 4.............. 8 549,354
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See
the Part VI instructions.
Form 990-PF (2012)
Form 990-PF (2012)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see page 18 of the instructions)
1a Bulletand enter “N/A” on line 1. Bracket
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b 1 5,884
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 5,884
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 5,884
6 Credits/Payments:
a 2012 estimated tax payments and 2011 overpayment credited to 2012 6a 12,216
b Exempt foreign organizations—tax withheld at source....... 6b
c Tax paid with application for extension of time to file (Form 8868) 6c 0
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 12,216
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 6,332
11 Enter the amount of line 10 to be: Credited to 2013 estimated taxBullet6,332 Refunded Bullet 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$   (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)
    bulletNY
    b
    If the answer is “Yes” to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If “No,” attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2012 or the taxable year beginning in 2012 (see instructions for Part XIV)?
    If “Yes,” complete Part XIV.............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If “Yes,” attach a schedule listing their names and addresses.
    10
     
    No
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see instructions) .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement (see instructions).................
    12
     
     
    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 ofbulletNORTHWEST SAVINGS BANK Telephone no.bullet (814) 452-1000
    Located atbullet1030 STATE ST STE 100ERIEPA ZIP+4bullet16501
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16
    At any time during calendar year 2012, did the foundation have an interest in or a signature or other authority over
    a bank, securities, or other financial account in a foreign country? .................
    16
     
    No
    See instructions for exceptions and filing requirements for Form TD F 90-22.1. If "Yes", enter the name of the foreign country bullet  
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 5
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the “Yes” column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?.........................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?.................
    (6) Agree to pay money or property to a government official? (Exception. Check “No”
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).........
    b
    If any answer is “Yes” to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see page 20 of the instructions)?...
    1b
     
    No
    .........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2012?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2012, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2012?...............
    If “Yes,” list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer “No” and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?.........................
    b
    If “Yes,” did it have excess business holdings in 2012 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2012.)....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2012?
    4b
     
    No
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?...............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 509(a)(1), (2), or (3), or section 4940(d)(2)? (see instructions)........
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?........
    b
    If any answer is “Yes” to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see instructions)? ......
    5b
     
     
    .........bullet
    c
    If the answer is “Yes” to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?............
    If “Yes,” attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?........................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If “Yes” to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 6
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to
    employee benefit plans
    and deferred compensation
    (e) Expense account,
    other allowances
    NORTHWEST SAVINGS BANK NA TRUSTEE
    8
    8,526    
    1030 STATE STREET STE 100
    ERIE,PA16501
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE.”
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 7
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See page 24 of the instructions.
    3  
    Total. Add lines 1 through 3..........................bullet  
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
    see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    10,586,403
    b
    Average of monthly cash balances.......................
    1b
    551,488
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    11,137,891
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    11,137,891
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see
    instructions) .............................
    4
    167,068
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    10,970,823
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    548,541
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    548,541
    2a
    Tax on investment income for 2012 from Part VI, line 5......
    2a
    5,884
    b
    Income tax for 2012. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    5,884
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    542,657
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    542,657
    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
    542,657
    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
    549,354
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
    0
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
    0
    b
    Cash distribution test (attach the required schedule) .................
    3b
    0
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    549,354
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see instructions).................
    5
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    549,354
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 8
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus
    (b)
    Years prior to 2011
    (c)
    2011
    (d)
    2012
    1 Distributable amount for 2012 from Part XI, line 7 542,657
    2 Undistributed income, if any, as of the end of 2012:
    a Enter amount for 2011 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2012:
    a From 2007....... 40,876
    b From 2008....... 274,640
    c From 2009....... 15,676
    d From 2010....... 0
    e From 2011....... 80,550
    fTotal of lines 3a through e......... 411,742
    4Qualifying distributions for 2012 from Part
    XII, line 4: bullet$ 549,354
    a Applied to 2011, 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 2012 distributable amount..... 542,657
    e Remaining amount distributed out of corpus 6,697
    5 Excess distributions carryover applied to 2012. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 418,439
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........
    0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
    0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
    0
    e Undistributed income for 2011. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2012. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2013 ..........
    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 2007 not
    applied on line 5 or line 7 (see instructions) ...
    40,876
    9Excess distributions carryover to 2013.
    Subtract lines 7 and 8 from line 6a ......
    377,563
    10 Analysis of line 9:
    a Excess from 2008.... 274,640
    b Excess from 2009.... 15,676
    c Excess from 2010.... 0
    d Excess from 2011.... 80,550
    e Excess from 2012.... 6,697
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 9
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2012, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2012 (b) 2011 (c) 2010 (d) 2009
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ....
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets” alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment” alternative test— enter 2⁄3
    of minimum investment return shown in
    Part X, line 6 for each year listed...
             
    c “Support” alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    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 of the person to whom applications should be addressed:
    CARNAHAN-JACKSON FOUNDATION
    PO BOX 3326
    JAMESTOWN,NY147015045
    (716) 483-1015
    bThe form in which applications should be submitted and information and materials they should include:
    LETTER OUTLINING: NEED FOR GRANT & ATTACHED COPY OF APPLICANTS TAX EXEMPT STATUS LETTER.
    cAny submission deadlines:
    APPLICATIONS CONSIDERED IN JUNE & SEPTEMBER
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    EDUCATIONAL INSTITUTIONS AND CHARITABLE ORGANIZATIONS LOCATED IN AND/OR SERVING THE JAMESTOWN, NY AREA.
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 10
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    Foundation
    status of
    recipient
    Purpose of grant or
    contribution
    Amount
    Name and address (home or business)
    aPaid during the year
    LUCY-DESI CENTER FOR COMEDY
    2 W 3RD STREET
    JAMESTOWN,NY14701
    NONE N/A UNRESTRICTED GENERAL 1,000
    AUDUBON CENTER & SANCTUARY
    1600 RIVERSIDE ROAD
    JAMESTOWN,NY14701
    NONE N/A YOUTH EDUCATION PROGRAMS 15,000
    THE 1891 FREDONIA OPERA HOUSE
    9 CHURCH STREET
    FREDONIA,NY14063
    NONE N/A TO BUILD ENDOWMENT OPERA 10,000
    BEMUS POINT LIBRARY
    13 MAIN STREET
    BEMUS POINT,NY14712
    NONE N/A PUBLIC COMPUTERS & 8,800
    YWCA OF JAMESTOWN
    401 NORTH MAIN STREET
    JAMESTOWN,NY14701
    NONE N/A EARLY CARE & EDUCATION 10,000
    YWCA CAMP ONYAHSA
    101 EAST FORTH STREET
    JAMESTOWN,NY14701
    NONE N/A UNRESTRICTED GENERAL 2,000
    WCA HOSPITAL
    207 FOOTE AVENUE
    JAMESTOWN,NY14702
    NONE N/A EMERGENCY ROOM RENOVATIONS 50,000
    INFINITY VISUAL & PERFORMING ARTS
    115 E 3RD STREET
    JAMESTOWN,NY14701
    NONE EXEMPT ORGANIZATION SCHOLARSHIPS & ADDITIONS TO 12,000
    WOMAN'S SERVICES CHAUTAUQUA COUNTY
    21 E 3RD STREET 301
    JAMESTOWN,NY14701
    NONE N/A UNRESTRICTED GENERAL 2,500
    THE RELIEF ZONE
    5 FREW RUN STREET
    FREWSBURG,NY14738
    NONE N/A UNRESTRICTED GENERAL 2,000
    CHAUTAUQUA REGIONAL YOUTH BALLET
    9 1/2 FALCONER STREET
    JAMESTOWN,NY14701
    NONE N/A DANCE SCHOLARSHIPS 4,857
    JAMESTOWN COMMUNITY LEARNING
    301 FRONT ST LINCOLN SCHOOL
    JAMESTOWN,NY14701
    NONE N/A PARENTS AS TEACHERS PROGRAM 10,000
    WNY PUBLIC BROADCASTING ASSO
    PO BOX 1263
    BUFFALO,NY14240
    NONE N/A UNRESTRICTED GENERAL 2,625
    CHAUTAUQUA LAKE ASSOCIATION INC
    429 E TERRACE AVENUE
    LAKEWOOD,NY14750
    NONE N/A SUPPORTS NAMED ORGANIZATION 28,000
    CHAUTAUQUA REGION COMMUNITY
    418 SPRING STREET
    JAMESTOWN,NY14701
    NONE N/A GENERAL UNRESTRICTED 1,500
    YWCA OF JAMESTOWN
    401 NORTH MAIN STREET
    JAMESTOWN,NY14701
    NONE N/A UNRESTRICTED GENERAL 10,500
    THE CRECHE INC
    PO BOX 0601
    JAMESTOWN,NY14702
    NONE N/A SUPPORTS THE CRECHE, INC. 1,000
    YMCA CAMP ONYAHSA
    101 EAST FOURTH STREET
    JAMESTOWN,NY14701
    NONE N/A CAMPERSHIPS 5,280
    MEHARRY MEDICAL COLLEGE
    1005 DR DB TODD JR BLVD
    NASHVILLE,TN37208
    NONE N/A UNRESTRICTED GENERAL 5,250
    FOOD BANK OF WNY
    91 HOLT STREET
    BUFFALO,NY14206
    NONE N/A OPERATIONAL EXPENSES FOR 10,000
    ALLEGHENY HIGHLANDS COUNCIL BSA
    50 HOUGH HILL ROAD
    FALCONER,NY14733
    NONE N/A CAMPERSHIPS 2,000
    CHAUTAUQUA CO CHILDREN'S SAFETY
    2695 RTE 394
    ASHVILLE,NY14710
    NONE N/A SUPPORTS NAMED ORGANIZATION 29,000
    BEMUS POINT BAY POPS
    PO BOX 9250
    BEMUS POINT,NY14712
    NONE N/A SUPPORTS NAMED ORGANIZATION 5,000
    YMCA
    101 EAST FOURTH STREET
    JAMESTOWN,NY14701
    NONE N/A DOMESTIC HOT WATER SYSTEM 3,415
    UNITED WAY OF SOUTHERN CHAUTAUQUA
    CNTY
    413 N MAIN STREET
    JAMESTOWN,NY14701
    NONE N/A UNRESTRICTED GENERAL 10,500
    PATTERSON LIBRARY
    40 S PORTAGE STREET
    WESTFIELD,NY14787
    NONE EXEMPT ORGANIZATION BUILDING REPAIR FUND 10,000
    SUNY FREDONIA FOUNDATION
    280 CENTRAL AVE
    FREDONIA,NY14063
    NONE N/A UNRESTRICTED GENERAL 2,500
    CHAUTAUQUA FOUNDATION
    1 AMES AVENUE
    CHAUTAUQUA,NY14722
    NONE N/A UNRESTRICTED GENERAL 2,500
    INTNTL ORDER OF THE KING'
    34 VINCENT AVENUE
    CHAUTAUQUA,NY14722
    NONE N/A UNRESTRICTED GENERAL 5,000
    THE RELIEF ZONE
    5 FREW RUN STREET
    FREWSBURG,NY14738
    NONE N/A JUMPSTART & YOUNG MINDS 8,000
    JAMESTOWN COMMUNITY COLLEGE
    525 FALCONER STREET
    JAMESTOWN,NY14701
    NONE N/A USA SCHOLARSHIP FUND 50,000
    JAMES PRENDERGAST LIBRARY ASSN
    509 CHERRY STREET
    JAMESTOWN,NY14701
    NONE N/A SUPPORTS JAMES PRENDERGAST 38,393
    CORNELL COOPERATIVE EXTENSION
    OF CHAUTAUQUA SNTY
    3542 TURNER ROAD
    JAMESTOWN,NY14701
    NONE N/A 4-H PROGRAM 5,000
    ST PAUL'S OUTREACH CENTER
    90 S ERIE STREET
    MAYVILLE,NY14757
    NONE N/A UNRESTRICTED GENERAL 2,500
    YMCA
    101 EAST FOURTH STREET
    JAMESTOWN,NY14701
    NONE N/A UNRESTRICTED GENERAL 2,500
    HOSPICE CHAUTAUQUA COUNTY
    20 W FAIRMOUNT AVENUE
    LAKEWOOD,NY14750
    NONE N/A UNRESTRICTED GENERAL 2,500
    BOSTON CRUSADERS DRUM & BUGLE CORP
    PO BOX 51391
    BOSTON,MA02205
    NONE N/A SCHOLARSHIPS 1,000
    UNITED NEGRO COLLEGE FUND
    1805 7TH STREET
    NW WASHINGTON,DC20001
    NONE N/A UNRESTRICTED GENERAL 5,250
    JAMESTOWN EASTSIDE YMCA
    727 EAST SECOND STREET
    JAMESTOWN,NY14701
    NONE N/A DAY CAMP PROGRAM 5,000
    BOYS & GIRLS CLUB OF JAMESTOWN INC
    62 ALLEN STREET
    JAMESTOWN,NY14701
    NONE N/A UNRESTRICTED GENERAL 5,000
    ROGER TORY PETERSON INSTITUTE
    311 CURTIS STREET
    JAMESTOWN,NY14701
    NONE N/A UNRESTRICTED GENERAL 36,500
    Total .................................bullet 3a 423,870
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 11
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3Interest on savings and temporary cash investments     14 723  
    4 Dividends and interest from securities....     14 291,898  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6Net rental income or (loss) from personal property          
    7 Other investment income.....          
    8Gain or (loss) from sales of assets other than inventory     18 36,281  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: aPTP     14 4,826  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   333,728  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13333,728
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 12
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section
    Yes
    No
    501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is “Yes,” complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?...........
    b
    If “Yes,” complete the following schedule.
    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer or fiduciary) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's namebullet



    Firm's addressbullet







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


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2012 InvestmentsCorpStockSchedule
    Name:
    CARNAHAN-JACKSON FOUNDATION 420037012
    EIN: 16-6151608
    Name of Stock End of Year Book Value End of Year Fair Market Value
    AT & T INC 97,659 114,628
    AMGEN INCORP COM 111,831 179,761
    APACHE CORP 111,458 84,263
    APPLE COMPUTER 179,816 167,436
    BARON SMALL CAP INSTL 448,970 563,534
    BECTON DICKINSON & CO 112,908 152,468
    WILLIAM BLAIR INTL GWTH CL N 449,100 519,612
    CISCO SYS INC 140,393 179,642
    CITIGROUP INC 77,723 118,879
    COSTCO WHOLESALE CORP 102,094 142,078
    DIAGEO PLC ADS 101,923 137,863
    DODGE & COX INTL STK FD 445,101 534,063
    FEDEX CORP 102,075 114,480
    F5 NETWORKS 141,649 100,092
    GENERAL ELETCRIC CO 102,511 129,648
    GOLDMAN SACHS GROUP INC 77,823 109,900
    HSBC HLDGS PLC SPONSORED ADR N 78,452 98,745
    INTEL CORP 144,445 124,842
    JOHNSON & JOHNSON COM 112,948 161,755
    KRAFT FOODS COM 30,865 42,774
    LORILLARD INC 93,393 98,244
    LOWES COMPANIES INC COM 102,828 169,850
    MS INSTI FDS GLOBAL RE PTF C 285,700 328,642
    NESTLE SA-SPONSORED ADR 87,937 100,547
    NOKIA CORPORATION ADR 141,836 108,547
    PAYCHEX INC COM 102,097 127,391
    PLUM CREEK TIMBER CO INC 120,220 146,340
    PROCTER & GAMBLE CO COM 87,568 110,011
    PRUDENTIAL FINANCIAL INC 75,832 101,871
    RIO TINTO PLC SPONSORED ADR 118,571 89,980
    ROYAL DUTCH SHELL PLC 111,238 106,305
    ROYCE TOTAL RETURN #267 464,982 551,091
    SANOFI-AVENTIS SPONSORED ADR 113,884 157,014
    SUNCOR ENERGY INC 136,867 126,520
    TECO ENERGY INC 69,463 68,383
    TOTAL S.A. ADR 111,648 107,692
    TUPPERWARE BRANDS 102,658 138,219
    UNILEVER PLC ADR NEW 88,418 110,107
    UNITED TECHNOLOGIES CORP 104,158 131,963
    VALERO ENERGY CORP NEW 101,664 158,103
    VAN ECK GLOBAL HARD ASSET CL Y 279,368 253,356
    VERIZON COMMUNICATIONS COM 104,195 136,070
    WELLS FARGO & CO NEW COM 78,409 110,925
    WISDOM TREE EMERGING MKTS HIGH 399,461 344,750
    BP PLC SPONSORED ADR 41,210 41,440
    CST BRANDS 9,141 15,979
    MONDELEZ INTL INC 57,095 70,983

    TY 2012 InvestmentsOtherSchedule2
    Name:
    CARNAHAN-JACKSON FOUNDATION 420037012
    EIN: 16-6151608
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    AFLAC INC SR NT 2.65% AT COST 75,880 77,192
    AMERICAN EXPRESS CENTURION CD AT COST 87,093 86,743
    AMER EXPRESS CENTM 1.40% CD AT COST 54,762 53,261
    AMGEN INC DONS 4.10% AT COST 74,950 72,769
    ATLANTA GA URBAN RES FIN AUT AT COST 58,110 57,628
    AVON PRODS INC NT AT COST 80,928 76,133
    AXIS CAP HLDGS LTD SR NT AT COST 80,699 79,371
    BMW BK NORTH AMER UTAH 1.10% AT COST 50,347 50,089
    BARCLAYS BANK PLC CALL NT      
    BERSHIRE HATHAWAY INC DEL 3.75 AT COST 53,165 51,921
    CLOROX COMPANY NOTES AT COST 80,657 79,122
    DISCOVER BK GREENWOOD DEL AT COST 75,499 76,509
    DISCOVER BK GREENWOOD DEL AT COST 100,000 100,251
    ENTERGY TEXAS INC 3.60% AT COST 78,988 78,360
    FSU FINANCIAL ASSISTANCE INC AT COST 66,624 65,750
    GATX CORP NOTE 4.75% 05/15/15 AT COST 54,400 52,497
    GE CAP RETAIL BK DRAPER UTAH AT COST 61,311 61,431
    GE CAP RETAIL BK DRAPER UTAH AT COST 100,718 100,508
    GE CAP RETAIL BK DRAPER UTAH AT COST 63,620 63,221
    GE CAP FINL INC CD 2.90% AT COST 55,778 54,051
    GENERAL ELECTRIC CAP CORP AT COST 79,415 79,763
    GEORGIA MUN ELEC AUTH PWR AT COST 62,919 62,461
    GOLDMAN SACHS BK USA NY AT COST 100,000 99,215
    GOLDMAN SACHS BK USA NY AT COST 150,000 149,720
    GOLDMAN SACHS GROUP INC      
    HARDIN CNTY TENN TAXABLE GO AT COST 27,236 27,271
    JPMORGAN CHASE & CO GLBL SB AT COST 69,749 70,018
    JP MORGAN CHASE 3.15% AT COST 77,512 78,659
    JEFFERSON CNTY COLO SCH DIST AT COST 56,089 53,601
    KELLOGG CO NOTES 4.15% AT COST 77,229 76,495
    LOCKHEED MARTIN CORPSR NT AT COST 55,624 54,684
    METROPOLITAN TRANSIT AUTH NY AT COST 56,190 54,657
    NEW JERSEY ST TRANSNTR FD AUTH AT COST 83,255 85,342
    OMNICOM GROUP INC NOTE 4.45 AT COST 76,865 74,365
    PNC FDG CORP SUB NT AT COST 67,296 66,841
    PETROBRAS INTERNATIONAL FINANC AT COST 67,248 64,162
    PITNEY BOWES INC NT 5.00% AT COST 81,431 78,929
    RYDER SYSTEM INC NOTE 3.60% AT COST 71,224 70,406
    SAIC INC GTG SR NT AT COST 76,666 71,952
    SUNTRUST BK ATLANTA FR AT COST 37,948 38,841
    TEXAS GAS TRANSMISSION CORP AT COST 64,841 63,164
    THOMSON CORPORATION 5.250% AT COST 79,517 75,095
    TOYOTA MTR CRD CORP NT-B AT COST 72,866 70,615
    VEOLIA ENVIRONNEMENT 5.25%      
    WACHOVIA 5.625% AT COST 73,836 73,037
    WASHINGTON ST ECONOMIC DEV FIN AT COST 51,946 50,406
    WELLS FARGO BK N.A. CA 2.000% AT COST 125,748 123,705
    WILDWOOD N J GEN IMPT BDS AT COST 75,928 70,480
    ENBRIDGE ENERGY PARTNERS, L.P. AT COST 70,504 70,196

    TY 2012 LegalFeesSchedule
    Name:
    CARNAHAN-JACKSON FOUNDATION 420037012
    EIN: 16-6151608
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    SELLSTROM LAW FIRM LLP 3,883     3,883


    TY 2012 OtherExpensesSchedule
    Name:
    CARNAHAN-JACKSON FOUNDATION 420037012
    EIN: 16-6151608
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    NYS EPTL FILING FEE 750 0   750
    INVESTMENT MANAGEMENT FEES 13,930 13,930   0
    UTILITIES 2,820 0   2,820
    POSTAGE 342 0   342
    INSURANCE 1,460 0   1,460
    RENTAL 8,784 0   8,784
    CHECKING ACCOUNT EXPENSES 2,871 0   2,871


    TY 2012 OtherIncomeSchedule2
    Name:
    CARNAHAN-JACKSON FOUNDATION 420037012
    EIN: 16-6151608
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    ENBRIDGE ENERGY PARTNERS, L.P. 4,826 4,826  


    TY 2012 TaxesSchedule
    Name:
    CARNAHAN-JACKSON FOUNDATION 420037012
    EIN: 16-6151608
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    PRIOR YEAR EXTENSION PAYMENT 7,478 0   0
    FOREIGN TAX WITHHELD 2,004 3,627   0
    PAYROLL/WITHHOLDING TAXES 22,612 0   22,612
    NYS WITHHOLDING TAXES 7,378 0   7,378
    NYS EMPLOYMENT TAXES 1,979 0   1,973