TY 2013 Form 990PF

- TIN:

Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation

or Section 4947(a)(1) Trust Treated as Private Foundation

Do 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.
bullet

Information 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
Oertly Surianata Family Foundation

Number and street (or P.O. box number if mail is not delivered to street address)PO Box 1008 Room/suite

City or town, state or province, country, and ZIP or foreign postal code
Quechee, VT05059

A Employer identification number

27-7053502

B Telephone number (see instructions)

(802) 864-8000

C If exemption application is pending, check here bullet

G Check all that apply: Initial returnInitial return of a former public charity
Final returnAmended return
Address changeName change

D 1. Foreign organizations, check here ............. bullet

2. Foreign organizations meeting the 85% test,
check here and attach computation ........... bullet

E If private foundation status was terminated
under section 507(b)(1)(A), check here ......... bullet

H Check type of organization: Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trustOther taxable private foundation

I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16) bullet

$127,593J Accounting method: Cash Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)

F If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here ......... bullet

	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	(d) Disbursements for charitable purposes (cash basis only)


1	Contributions, gifts, grants, etc., received (attach schedule)
2	Check
3	Interest on savings and temporary cash investments
4	Dividends and interest from securities......	3,087		3,087
5a	Gross rents..............
b	Net rental income or (loss)
6a	Net gain or (loss) from sale of assets not on line 10		3,466
b	Gross sales price for all assets on line 6a 13,335
7	Capital gain net income (from Part IV, line 2)...			3,466
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........	6,553		6,553
13	Compensation of officers, directors, trustees, etc.
14	Other employee salaries and wages......
15	Pension plans, employee benefits.......
16a	Legal fees (attach schedule).........		7,171
b	Accounting fees (attach schedule).......
c	Other professional fees (attach schedule)....		3,569
17	Interest...............
18	Taxes (attach schedule) (see instructions)
19	Depreciation (attach schedule) and depletion...
20	Occupancy..............
21	Travel, conferences, and meetings.......
22	Printing and publications..........
23	Other expenses (attach schedule).......
24	Total operating and administrative expenses.
	Add lines 13 through 23..........	10,740		0	0
25	Contributions, gifts, grants paid........	7,000			7,000
26	Total expenses and disbursements. Add lines 24 and 25	17,740		0	7,000
27	Subtract line 26 from line 12:
a	Excess of revenue over expenses and disbursements	-11,187
b	Net investment income (if negative, enter -0-)			6,553
c	Adjusted net income (if negative, enter -0-)...

For Paperwork Reduction Act Notice, see instructions.

Cat. No. 11289X Form 990-PF (2013)

Form 990-PF (2013)

Page 2

Part II		Balance Sheets	Attached schedules and amounts in the description column should be for end-of-year amounts only. (See instructions.)	Beginning of year	End of year
Part II		Balance Sheets		(a) Book Value	(b) Book Value	(c) Fair Market Value
	1	Cash—non-interest-bearing...............
	2	Savings and temporary cash investments..........
	3	Accounts receivable
		Less: allowance for doubtful accounts
	4	Pledges receivable
		Less: allowance for doubtful accounts
	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)
		Less: allowance for doubtful accounts
	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)........		91,972	86,491	127,593
	c	Investments—corporate bonds (attach schedule)........
	11	Investments—land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	12	Investments—mortgage loans..............
	13	Investments—other (attach schedule)...........
	14	Land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	15	Other assets (describe )
	16	Total assets (to be completed by all filers—see the
		instructions. Also, see page 1, item I)		91,972	86,491	127,593
		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 )
23		Total liabilities (add lines 17 through 22)..........			0
		Foundations that follow SFAS 117, check here
		and complete lines 24 through 26 and lines 30 and 31.
	24	Unrestricted....................
	25	Temporarily restricted................
	26	Permanently restricted................
		Foundations that do not follow SFAS 117, check here
		and complete lines 27 through 31.
	27	Capital stock, trust principal, or current funds.........		91,972
	28	Paid-in or capital surplus, or land, bldg., and equipment fund
	29	Retained earnings, accumulated income, endowment, or other funds			86,491
	30	Total net assets or fund balances (see page 17 of the
		instructions)....................		91,972	86,491
	31	Total liabilities and net assets/fund balances (see page 17 of
		the instructions)..................		91,972	86,491

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	91,972
2	Enter amount from Part I, line 27a.....................	2	-11,187
3	Other increases not included in line 2 (itemize)	3	5,706
4	Add lines 1, 2, and 3..........................	4	86,491
5	Decreases not included in line 2 (itemize)	5
6	Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30.	6	86,491

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	4 Johnson Control Inc	P	2012-12-20	2013-02-01
b	7 Lowes Companies Inc	P	2013-02-04	2013-11-26
c	1 Aflac Inc	P	2011-08-11	2013-02-15
d	1 Aflac Inc	P	2011-08-11	2013-11-20
e	3 Aflac Inc	P	2011-08-11	2013-11-26
	1 Air Products Chemicals Inc	P	2011-08-11	2013-11-20
	2 Analog Devices Inc	P	2011-08-11	2013-11-20
	4 Analog Devices Inc	P	2011-08-11	2013-11-26
	2 A T T Inc	P	2011-08-11	2013-02-15
	2 A T T Inc	P	2011-08-11	2013-11-20
	4 A T T Inc	P	2011-08-11	2013-11-26
	1 Automatic Data Processing	P	2011-08-11	2013-02-15
	1 Automatic Data Processing	P	2011-08-11	2013-11-20
	2 Automatic Data Processing	P	2011-08-11	2013-11-26
	2 Baxter International Inc	P	2011-11-29	2013-11-20
	1 Becton Dickinson Co	P	2011-08-11	2013-02-15
	1 Becton Dickinson Co	P	2011-08-11	2013-11-20
	1 Chevron Corporation	P	2011-08-11	2013-11-20
	1 Chubb Corp	P	2011-11-23	2013-11-20
	1 Clorox Company	P	2011-08-11	2013-02-15
	1 Clorox Company	P	2011-08-11	2013-01-12
	1 Colgate-Palmolive Co	P	2011-08-11	2013-02-15
	1 Colgate-Palmolive Co	P	2011-08-11	2013-11-26
	1 Conocophillips	P	2011-08-11	2013-11-20
	2 Conocophillips	P	2011-08-11	2013-11-26
	1 Eaton Vance Corp Non VTG	P	2011-08-11	2013-02-15
	17 Eaton Vance Corp Non VTG	P	2011-08-11	2013-04-30
	2 Eaton Vance Corp Non VTG	P	2011-08-11	2013-11-20
	1 Emerson Electric Co	P	2011-08-11	2013-02-15
	1 Emerson Electric Co	P	2011-08-11	2013-11-20
	2 Emerson Electric Co	P	2011-08-11	2013-11-26
	1 Exxon Mobil Corp	P	2011-08-11	2013-11-20
	2 Exxon Mobil Corp	P	2011-08-11	2013-11-26
	1 Factset Research Systems Inc	P	2011-08-11	2013-11-20
	1 General Mills Inc	P	2011-08-11	2013-02-15
	4 General Mills Inc	P	2011-08-11	2013-11-26
	1 Genl Dynamics Corp Com	P	2011-08-11	2013-02-15
	1 Genl Dynamics Corp Com	P	2011-08-11	2013-11-20
	1 Harris Corp Del	P	2011-08-11	2013-02-15
	1 Harris Corp Del	P	2011-08-11	2013-11-20
	2 Harris Corp Del	P	2011-08-11	2013-11-26
	1 Illinois Tool Works Inc	P	2011-08-11	2013-02-15
	1 Illinois Tool Works Inc	P	2011-08-11	2013-11-20
	2 Illinois Tool Works Inc	P	2011-08-11	2013-11-26
	1 International Business Machine Corp	P	2011-08-11	2013-11-20
	1 J M Smucker Co	P	2011-08-11	2013-02-15
	3 J M Smucker Co	P	2011-08-11	2013-11-26
	1 Johnson Johnson	P	2011-08-11	2013-02-15
	1 Johnson Johnson	P	2011-08-11	2013-11-20
	65 Johnson Controls Inc	P	2011-08-11	2013-02-01
	2 Kellogg Company	P	2012-03-01	2013-11-20
	1 McDonalds Corp	P	2011-08-11	2013-11-20
	1 Medtronic Inc	P	2011-12-23	2013-11-20
	3 Medtronic Inc	P	2011-12-23	2013-11-26
	5 Microsoft Corp	P	2012-02-17	2013-01-12
	3 Microsoft Corp	P	2012-02-17	2013-11-26
	1 Nextera Energy INc	P	2011-08-11	2013-02-15
	1 Nextera Energy Inc	P	2011-08-11	2013-11-20
	2 Nordstrom Inc	P	2011-08-11	2013-01-12
	2 NOrdstrom Inc	P	2011-08-11	2013-11-26
	1 Norfolk Southern Corp	P	2011-08-11	2013-02-15
	1 Norfolk Souther Corp	P	2011-08-11	2013-11-20
	1 Northeast Utilities	P	2011-08-11	2013-02-15
	2 Northeast Utilities	P	2011-08-11	2013-11-20
	2 Northeast Utilities	P	2011-08-11	2013-11-26
	1 Novartis Ag Spon Adr	P	2011-08-11	2013-02-15
	1 Novartis Ag Spon Adr	P	2011-08-11	2013-11-20
	2 Novartis Ag Spon Adr	P	2011-08-11	2013-11-26
	1 Paychex Inc	P	2011-08-11	2013-02-15
	2 Paychex Inc	P	2011-08-11	2013-11-20
	3 Paychex Inc	P	2011-08-11	2013-11-26
	1 Pepsico Incorporated	P	2011-08-11	2013-02-15
	1 Pepsico Incorporated	P	2011-08-11	2013-11-20
	1 Phillips 66	P	2011-08-11	2013-11-20
	2 Phillips 66	P	2011-08-11	2013-11-26
	1 Polaris Inds Inc	P	2011-08-11	2013-02-15
	2 Polaris Inds Inc	P	2011-08-11	2013-11-26
	1 Praxair Inc	P	2011-08-11	2013-11-20
	1 Procter Gamble Co	P	2011-08-11	2013-11-20
	2 Procter Gamble Co	P	2011-08-11	2013-11-26
	1 Scana Corp Com	P	2011-08-11	2013-02-15
	1 Sigma Aldrich Corp	P	2011-08-11	2013-02-15
	1 Sigma Aldrich Corp	P	2011-08-11	2013-11-20
	1 Sysco Corporation	P	2011-08-11	2013-02-15
	2 Sysco Corporation	P	2011-08-11	2013-11-20
	3 Sysco Corporation	P	2011-08-11	2013-11-26
	2 Target Corp	P	2011-08-11	2013-11-20
	2 Target Corp	P	2011-08-11	2013-11-26
	1 The Southern Company	P	2011-08-11	2013-11-20
	3 The Southern Company	P	2011-08-11	2013-11-26
	1 United Technologies Corp	P	2011-08-11	2013-02-15
	2 United Technologies Corp	P	2011-08-11	2013-11-26
	1 V F Corporation	P	2011-08-11	2013-02-15
	1 Wal-Mart Stores Inc	P	2011-08-11	2013-11-20
	2 Wal-Mart Stores Inc	P	2011-08-11	2013-11-26
	1 Wisconsin Energy Corp	P	2012-06-22	2013-11-20
	1 3M Co	P	2011-08-11	2013-02-15
	2 3M Co	P	2011-08-11	2013-11-26

(e) Gross sales price		(g) Cost or other basis plus expense of sale	(h) Gain or (loss) (e) plus (f) minus (g)
a	125	119	6
b	338	268	70
c	49	36	13
d	66	36	30
e	200	109	91
	109	80	29
	99	62	37
	200	125	75
	71	56	15
	71	56	15
	142	112	30
	61	46	15
	80	46	34
	161	93	68
	138	99	39
	88	77	11
	109	77	32
	122	93	29
	95	64	31
	82	67	15
	93	67	26
	110	83	27
	133	83	50
	73	49	24
	146	99	47
	41	23	18
	673	394	279
	86	46	40
	58	44	14
	67	44	23
	135	88	47
	95	70	25
	189	141	48
	113	82	31
	44	35	9
	201	141	60
	66	61	5
	90	61	29
	48	36	12
	64	36	28
	129	72	57
	64	44	20
	79	44	35
	159	88	71
	186	166	20
	93	73	20
	316	220	96
	76	62	14
	95	62	33
	2,034	2,030	4
	123	105	18
	98	86	12
	57	38	19
	172	113	59
	187	156	31
	113	93	20
	72	52	20
	87	52	35
	125	83	42
	126	83	43
	71	68	3
	86	68	18
	41	32	9
	84	64	20
	83	64	19
	69	54	15
	79	54	25
	159	109	50
	34	26	8
	87	52	35
	131	79	52
	73	62	11
	86	62	24
	67	29	38
	138	59	79
	86	47	39
	268	94	174
	125	95	30
	85	60	25
	171	119	52
	48	37	11
	77	60	17
	86	60	26
	32	29	3
	67	57	10
	135	114	21
	133	95	38
	128	95	33
	42	39	3
	123	117	6
	90	69	21
	222	139	83
	158	106	52
	79	50	29
	161	99	62
	42	39	3
	103	80	23
	264	161	103

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			6
b			70
c			13
d			30
e			91
			29
			37
			75
			15
			15
			30
			15
			34
			68
			39
			11
			32
			29
			31
			15
			26
			27
			50
			24
			47
			18
			279
			40
			14
			23
			47
			25
			48
			31
			9
			60
			5
			29
			12
			28
			57
			20
			35
			71
			20
			20
			96
			14
			33
			4
			18
			12
			19
			59
			31
			20
			20
			35
			42
			43
			3
			18
			9
			20
			19
			15
			25
			50
			8
			35
			52
			11
			24
			38
			79
			39
			174
			30
			25
			52
			11
			17
			26
			3
			10
			21
			38
			33
			3
			6
			21
			83
			52
			29
			62
			3
			23
			103

2	Capital gain net income or (net capital loss)	If gain, also enter in Part I, line 7 If (loss), enter -0- in Part I, line 7	2	3,466
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 . . . . . . . . . . . . . . . .		3	107

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? Yes No

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	6,000	108,646	000.055225
2011	8,717	103,836	000.083950
2010
2009
2008

2	Total of line 1, column (d) ......................	2	000.139175
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	000.069588
4	Enter the net value of noncharitable-use assets for 2013 from Part X, line 5.....	4
5	Multiply line 4 by line 3.......................	5
6	Enter 1% of net investment income (1% of Part I, line 27b)...........	6
7	Add lines 5 and 6.........................	7
8	Enter qualifying distributions from Part XII, line 4..............	8
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)

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	Exempt operating foundations described in section 4940(d)(2), check hereand enter “N/A" on line 1.
	Date of ruling or determination letter: (attach copy of letter if necessary–see instructions)
b	Domestic foundations that meet the section 4940(e) requirements in Part V, check	1	131
	hereand enter 1% of Part I, line 27b...................
c	All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2	Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)	2
3	Add lines 1 and 2............................	3	131
4	Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-).	4
5	Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- .....	5	131
6	Credits/Payments:

a	2013 estimated tax payments and 2012 overpayment credited to 2013	6a
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
8	Enter any penalty for underpayment of estimated tax. Check hereif Form 2220 is attached.		8
9	Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......		9	131
10	Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...		10
11	Enter the amount of line 10 to be: Credited to 2014 estimated tax	Refunded	11

Part VII-A

Statements Regarding Activities

During the tax year, did the foundation attempt to influence any national, state, or local legislation or did

Yes

it participate or intervene in any political campaign? ....................

Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of

the instructions for definition)?............................

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.

Did the foundation file Form 1120-POL for this year?.....................

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

Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed

on foundation managers. bullet

Has the foundation engaged in any activities that have not previously been reported to the IRS?.......

If "Yes," attach a detailed description of the activities.

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....

Did the foundation have unrelated business gross income of $1,000 or more during the year?........

If "Yes," has it filed a tax return on Form 990-T for this year?...................

Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........

If "Yes," attach the statement required by General Instruction T.

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?................

Yes

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.

Yes

Enter the states to which the foundation reports or with which it is registered (see instructions)

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 .

Yes

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.............................

Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names and addresses.

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) .............

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).................

Did the foundation comply with the public inspection requirements for its annual returns and exemption application?

Yes

Website address bullet

The books are in care of bullet

Sarah R Oertly Telephone no. bullet

(802) 295-1589

Located at bullet

PO Box 1008QueecheeVT ZIP+4 bullet

05059

Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —Check here......... bullet

and enter the amount of tax-exempt interest received or accrued during the year ...... bullet

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)

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

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? YesNo

(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)

a disqualified person?.........................YesNo

(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? YesNo

(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? YesNo

(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)?.................YesNo

(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.).........YesNo

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)?...

Organizations relying on a current notice regarding disaster assistance check here......... bullet

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?.............

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)):

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?...............YesNo

If "Yes," list the years bullet

20, 20, 20, 20

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.) ..............

If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.

20, 20, 20, 20

Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at

any time during the year?.........................YesNo

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.)....................

Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?

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?

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))? YesNo

(2) Influence the outcome of any specific public election (see section 4955); or to carry

on, directly or indirectly, any voter registration drive?...............YesNo

(3) Provide a grant to an individual for travel, study, or other similar purposes? YesNo

(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)........YesNo

(5) Provide for any purpose other than religious, charitable, scientific, literary, or

educational purposes, or for the prevention of cruelty to children or animals?........YesNo

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)? ......

Organizations relying on a current notice regarding disaster assistance check here......... bullet

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?............YesNo

If "Yes," attach the statement required by Regulations section 53.4945–5(d).

Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on

a personal benefit contract?........................YesNo

Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....

If "Yes" to 6b, file Form 8870.

At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction? YesNo

If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....

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
Rukiah S Oertly	President 000.00	0
PO Box 1008 Quechee,VT05059	President 000.00	0
Sarah R Oertly	Vice President 000.00	0
PO Box 1008 Quechee,VT05059	Vice President 000.00	0
Sarah R Oertly	Secretary 000.00	0
PO Box 1008 Quechee,VT05059	Secretary 000.00	0
Sarah R Oertly	Treasurer 000.00	0
PO Box 1008 Queechee,VT05059	Treasurer 000.00	0

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










Total number of other employees paid over $50,000...................

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

Total number of others receiving over $50,000 for professional services............. bullet

Part IX-A

Summary of Direct Charitable Activities

List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc.		Expenses
1	this section is not applicable	0
2


3


4

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	this section is not applicable
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.)

Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,

purposes:

Average monthly fair market value of securities...................

Average of monthly cash balances.......................

Fair market value of all other assets (see instructions)................

Total (add lines 1a, b, and c).........................

Reduction claimed for blockage or other factors reported on lines 1a and

1c (attach detailed explanation) .............

Acquisition indebtedness applicable to line 1 assets..................

Subtract line 2 from line 1d.........................

Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see

instructions) .............................

Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4

Minimum investment return. Enter 5% of line 5..................

Part XI

Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here bullet

and do not complete this part.)

Minimum investment return from Part X, line 6....................

Tax on investment income for 2013 from Part VI, line 5......

131

Income tax for 2013. (This does not include the tax from Part VI.)...

Add lines 2a and 2b............................

131

Distributable amount before adjustments. Subtract line 2c from line 1............

131

Recoveries of amounts treated as qualifying distributions................

Add lines 3 and 4............................

131

Deduction from distributable amount (see instructions).................

Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,

line 1................................

-131

Part XII

Qualifying Distributions (see instructions)

Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:

Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........

Program-related investments—total from Part IX-B..................

Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,

purposes...............................

Amounts set aside for specific charitable projects that satisfy the:

Suitability test (prior IRS approval required)....................

Cash distribution test (attach the required schedule) .................

Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4

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).................

Adjusted qualifying distributions. Subtract line 5 from line 4..............

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)

Page 8

Part XIII

Undistributed Income (see instructions)

		(a) Corpus	(d) 2013
1 Distributable amount for 2013 from Part XI, line 7			-131
2 Undistributed income, if any, as of the end of 2013:
a Enter amount for 2012 only.......
b Total for prior years:20, 20, 20
3 Excess distributions carryover, if any, to 2013:
a From 2008.......
b From 2009.......
c From 2010.......
d From 2011.......
e From 2012.......
fTotal of lines 3a through e.........
4Qualifying distributions for 2013 from Part
XII, line 4: $ 7,000
a Applied to 2012, but not more than line 2a
b Applied to undistributed income of prior years (Election required—see instructions)......
c Treated as distributions out of corpus (Election required—see instructions).........
d Applied to 2013 distributable amount.....
e Remaining amount distributed out of corpus		7,000
5 Excess distributions carryover applied to 2013.
(If an amount appears in column (d), the same amount must be shown in column (a).)
6Enter the net total of each column as indicated below:
a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5		7,000
b Prior years’ undistributed income. Subtract line 4b from line 2b ...........
c Enter the amount of prior years’ undistributed income for which a notice of deficiency has been issued, or on which the section 4942(a) tax has been previously assessed......
d Subtract line 6c from line 6b. Taxable amount —see instructions ...........
e Undistributed income for 2012. Subtract line 4a from line 2a. Taxable amount—see instructions .............
f Undistributed income for 2013. Subtract lines 4d and 5 from line 1. This amount must be distributed in 2014 ..........			0
7 Amounts treated as distributions out of corpus to satisfy requirements imposed by section 170(b)(1)(F) or 4942(g)(3) (see instructions) .............
8Excess distributions carryover from 2008 not applied on line 5 or line 7 (see instructions) ...
9Excess distributions carryover to 2014. Subtract lines 7 and 8 from line 6a ......		7,000
10 Analysis of line 9:
a Excess from 2009....
b Excess from 2010....
c Excess from 2011....
d Excess from 2012....
e Excess from 2013....	7,000

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 section4942(j)(3) or4942(j)(5)

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	(e) Total

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

if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. (see instructions) to individuals or organizations under
other conditions, complete items 2a, b, c, and d.

aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:

Sarah R Oertly
PO Box 1008
Queechee,VT05059
(802) 295-1589

bThe form in which applications should be submitted and information and materials they should include:

A letter, name of organization, FED ID , intent of use of funds, verification they are 501c3

cAny submission deadlines:

December 1st of calendar year

dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:

State of Vermont only and must be a 501c3

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)		Foundation status of recipient	Purpose of grant or contribution	Amount
aPaid during the year
The Veterans' Place Inc 220 Vine Street Northfiled,VT05663	none		to support transitional housing and programs for Veterans in Vermont	7,000
Total ................................. 3a				7,000

bApproved for future payment

Total ................................. 3b

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	(e) Related or exempt function income (See instructions.)
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....		3,087
5 Net rental income or (loss) from real estate:
aDebt-financed property......
bNot debt-financed property.....
6 Net rental income or (loss) from personal property .............
7 Other investment income.....
8 Gain or (loss) from sales of assets other than inventory .............		3,466
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)..		6,553

13Total. Add line 12, columns (b), (d), and (e)..................

136,553

(See worksheet in line 13 instructions to verify calculations.)

Part XVI-B

Relationship of Activities to the Accomplishment of Exempt Purposes

Line No.	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.)
X	NONE

Form 990-PF (2013)

Page 12

Part XVII

Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations

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

organizations?

Transfers from the reporting foundation to a noncharitable exempt organization of:

(1) Cash...................................

1a(1)

(2) Other assets.................................

1a(2)

Other transactions:

(1) Sales of assets to a noncharitable exempt organization....................

1b(1)

(2) Purchases of assets from a noncharitable exempt organization..................

1b(2)

(3) Rental of facilities, equipment, or other assets.......................

1b(3)

(4) Reimbursement arrangements...........................

1b(4)

(5) Loans or loan guarantees.............................

1b(5)

(6) Performance of services or membership or fundraising solicitations................

1b(6)

Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............

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

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?...........YesNo

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.
				May the IRS discuss this return with the preparer shown below (see instr.)? Yes No
	Signature of officer or trustee	Date	Title

Paid Preparer Use Only	Print/Type preparer's name	Preparer's Signature	Date	Check if self- employed	PTIN
	Firm's name Firm's address			Firm's EIN
				Phone no.

Form 990-PF (2013)

Additional Data

Software ID:	13000230
Software Version:	13.4.0.0

Form 990PF - Special Condition Description:

Special Condition Description

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2013

Name of the organization

Oertly Surianata Family Foundation

Employer identification number

27-7053502

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of the
greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 for use exclusively for religious, charitable,
scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and
III.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did
not total more than $1,000. If this box is checked, enter here the total contributions that were received during
the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more
during the year ......................... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 2

Name of organization Oertly Surianata Family Foundation

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 3

Name of organization Oertly Surianata Family Foundation

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Page 4

Name of organization
Oertly Surianata Family Foundation

Employer identification number

27-7053502

Part III

Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

Additional Data

Software ID:	13000230
Software Version:	13.4.0.0

- TIN:

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

TY 2013 GainLossSaleOtherAssetsSch

Name:

Oertly Surianata Family Foundation

EIN: 27-7053502

Software ID:13000230

Software Version:13.4.0.0

Name	Date Acquired	How Acquired	Date Sold	Purchaser Name	Gross Sales Price	Basis	Basis Method	Total (net)
4 Johnson Control Inc	2012-12	P	2013-02	Wells Fargo Advisors	125	119	Market	6
7 Lowes Companies Inc	2013-02	P	2013-11	Wells Fargo Advisors	338	268	Market	70
1 Aflac Inc	2011-08	P	2013-02	Wells Fargo Advisors	49	36	Market	13
1 Aflac Inc	2011-08	P	2013-11	Wells Fargo Advisors	66	36	Market	30
3 Aflac Inc	2011-08	P	2013-11	Wells Fargo Advisors	200	109	Market	91
1 Air Products Chemicals Inc	2011-08	P	2013-11	Wells Fargo Advisors	109	80	Market	29
2 Analog Devices Inc	2011-08	P	2013-11	Wells Fargo Advisors	99	62	Market	37
4 Analog Devices Inc	2011-08	P	2013-11	Wells Fargo Advisors	200	125	Market	75
2 A T T Inc	2011-08	P	2013-02	Wells Fargo Advisors	71	56	Market	15
2 A T T Inc	2011-08	P	2013-11	Wells Fargo Advisors	71	56	Market	15
4 A T T Inc	2011-08	P	2013-11	Wells Fargo Advisors	142	112	Market	30
1 Automatic Data Processing	2011-08	P	2013-02	Wells Fargo Advisors	61	46	Market	15
1 Automatic Data Processing	2011-08	P	2013-11	Wells Fargo Advisors	80	46	Market	34
2 Automatic Data Processing	2011-08	P	2013-11	Wells Fargo Advisors	161	93	Market	68
2 Baxter International Inc	2011-11	P	2013-11	Wells Fargo Advisors	138	99	Market	39
1 Becton Dickinson Co	2011-08	P	2013-02	Wells Fargo Advisors	88	77	Market	11
1 Becton Dickinson Co	2011-08	P	2013-11	Wells Fargo Advisors	109	77	Market	32
1 Chevron Corporation	2011-08	P	2013-11	Wells Fargo Advisors	122	93	Market	29
1 Chubb Corp	2011-11	P	2013-11	Wells Fargo Advisors	95	64	Market	31
1 Clorox Company	2011-08	P	2013-02	Wells Fargo Advisors	82	67	Market	15
1 Clorox Company	2011-08	P	2013-01	Wells Fargo Advisors	93	67	Market	26
1 Colgate-Palmolive Co	2011-08	P	2013-02	Wells Fargo Advisors	110	83	Market	27
1 Colgate-Palmolive Co	2011-08	P	2013-11	Wells Fargo Advisors	133	83	Market	50
1 Conocophillips	2011-08	P	2013-11	Wells Fargo Advisors	73	49	Market	24
2 Conocophillips	2011-08	P	2013-11	Wells Fargo Advisors	146	99	Market	47
1 Eaton Vance Corp Non VTG	2011-08	P	2013-02	Wells Fargo Advisors	41	23	Market	18
17 Eaton Vance Corp Non VTG	2011-08	P	2013-04	Wells Fargo Advisors	673	394	Market	279
2 Eaton Vance Corp Non VTG	2011-08	P	2013-11	Wells Fargo Advisors	86	46	Market	40
1 Emerson Electric Co	2011-08	P	2013-02	Wells Fargo Advisors	58	44	Market	14
1 Emerson Electric Co	2011-08	P	2013-11	Wells Fargo Advisors	67	44	Market	23
2 Emerson Electric Co	2011-08	P	2013-11	Wells Fargo Advisors	135	88	Market	47
1 Exxon Mobil Corp	2011-08	P	2013-11	Wells Fargo Advisors	95	70	Market	25
2 Exxon Mobil Corp	2011-08	P	2013-11	Wells Fargo Advisors	189	141	Market	48
1 Factset Research Systems Inc	2011-08	P	2013-11	Wells Fargo Advisors	113	82	Market	31
1 General Mills Inc	2011-08	P	2013-02	Wells Fargo Advisors	44	35	Market	9
4 General Mills Inc	2011-08	P	2013-11	Wells Fargo Advisors	201	141	Market	60
1 Genl Dynamics Corp Com	2011-08	P	2013-02	Wells Fargo Advisors	66	61	Market	5
1 Genl Dynamics Corp Com	2011-08	P	2013-11	Wells Fargo Advisors	90	61	Market	29
1 Harris Corp Del	2011-08	P	2013-02	Wells Fargo Advisors	48	36	Market	12
1 Harris Corp Del	2011-08	P	2013-11	Wells Fargo Advisors	64	36	Market	28
2 Harris Corp Del	2011-08	P	2013-11	Wells Fargo Advisors	129	72	Market	57
1 Illinois Tool Works Inc	2011-08	P	2013-02	Wells Fargo Advisors	64	44	Market	20
1 Illinois Tool Works Inc	2011-08	P	2013-11	Wells Fargo Advisors	79	44	Market	35
2 Illinois Tool Works Inc	2011-08	P	2013-11	Wells Fargo Advisors	159	88	Market	71
1 International Business Machine Corp	2011-08	P	2013-11	Wells Fargo Advisors	186	166	Market	20
1 J M Smucker Co	2011-08	P	2013-02	Wells Fargo Advisors	93	73	Market	20
3 J M Smucker Co	2011-08	P	2013-11	Wells Fargo Advisors	316	220	Market	96
1 Johnson Johnson	2011-08	P	2013-02	Wells Fargo Advisors	76	62	Market	14
1 Johnson Johnson	2011-08	P	2013-11	Wells Fargo Advisors	95	62	Market	33
65 Johnson Controls Inc	2011-08	P	2013-02	Wells Fargo Advisors	2,034	2,030	Market	4
2 Kellogg Company	2012-03	P	2013-11	Wells Fargo Advisors	123	105	Market	18
1 McDonalds Corp	2011-08	P	2013-11	Wells Fargo Advisors	98	86	Market	12
1 Medtronic Inc	2011-12	P	2013-11	Wells Fargo Advisors	57	38	Market	19
3 Medtronic Inc	2011-12	P	2013-11	Wells Fargo Advisors	172	113	Market	59
5 Microsoft Corp	2012-02	P	2013-01	Wells Fargo Advisors	187	156	Market	31
3 Microsoft Corp	2012-02	P	2013-11	Wells Fargo Advisors	113	93	Market	20
1 Nextera Energy INc	2011-08	P	2013-02	Wells Fargo Advisors	72	52	Market	20
1 Nextera Energy Inc	2011-08	P	2013-11	Wells Fargo Advisors	87	52	Market	35
2 Nordstrom Inc	2011-08	P	2013-01	Wells Fargo Advisors	125	83	Market	42
2 NOrdstrom Inc	2011-08	P	2013-11	Wells Fargo Advisors	126	83	Market	43
1 Norfolk Southern Corp	2011-08	P	2013-02	Wells Fargo Advisors	71	68	Market	3
1 Norfolk Souther Corp	2011-08	P	2013-11	Wells Fargo Advisors	86	68	Market	18
1 Northeast Utilities	2011-08	P	2013-02	Wells Fargo Advisors	41	32	Market	9
2 Northeast Utilities	2011-08	P	2013-11	Wells Fargo Advisors	84	64	Market	20
2 Northeast Utilities	2011-08	P	2013-11	Wells Fargo Advisors	83	64	Market	19
1 Novartis Ag Spon Adr	2011-08	P	2013-02	Wells Fargo Advisors	69	54	Market	15
1 Novartis Ag Spon Adr	2011-08	P	2013-11	Wells Fargo Advisors	79	54	Market	25
2 Novartis Ag Spon Adr	2011-08	P	2013-11	Wells Fargo Advisors	159	109	Market	50
1 Paychex Inc	2011-08	P	2013-02	Wells Fargo Advisors	34	26	Market	8
2 Paychex Inc	2011-08	P	2013-11	Wells Fargo Advisors	87	52	Market	35
3 Paychex Inc	2011-08	P	2013-11	Wells Fargo Advisors	131	79	Market	52
1 Pepsico Incorporated	2011-08	P	2013-02	Wells Fargo Advisors	73	62	Market	11
1 Pepsico Incorporated	2011-08	P	2013-11	Wells Fargo Advisors	86	62	Market	24
1 Phillips 66	2011-08	P	2013-11	Wells Fargo Advisors	67	29	Market	38
2 Phillips 66	2011-08	P	2013-11	Wells Fargo Advisors	138	59	Market	79
1 Polaris Inds Inc	2011-08	P	2013-02	Wells Fargo Advisors	86	47	Market	39
2 Polaris Inds Inc	2011-08	P	2013-11	Wells Fargo Advisors	268	94	Market	174
1 Praxair Inc	2011-08	P	2013-11	Wells Fargo Advisors	125	95	Market	30
1 Procter Gamble Co	2011-08	P	2013-11	Wells Fargo Advisors	85	60	Market	25
2 Procter Gamble Co	2011-08	P	2013-11	Wells Fargo Advisors	171	119	Market	52
1 Scana Corp Com	2011-08	P	2013-02	Wells Fargo Advisors	48	37	Market	11
1 Sigma Aldrich Corp	2011-08	P	2013-02	Wells Fargo Advisors	77	60	Market	17
1 Sigma Aldrich Corp	2011-08	P	2013-11	Wells Fargo Advisors	86	60	Market	26
1 Sysco Corporation	2011-08	P	2013-02	Wells Fargo Advisors	32	29	Market	3
2 Sysco Corporation	2011-08	P	2013-11	Wells Fargo Advisors	67	57	Market	10
3 Sysco Corporation	2011-08	P	2013-11	Wells Fargo Advisors	135	114	Market	21
2 Target Corp	2011-08	P	2013-11	Wells Fargo Advisors	133	95	Market	38
2 Target Corp	2011-08	P	2013-11	Wells Fargo Advisors	128	95	Market	33
1 The Southern Company	2011-08	P	2013-11	Wells Fargo Advisors	42	39	Market	3
3 The Southern Company	2011-08	P	2013-11	Wells Fargo Advisors	123	117	Market	6
1 United Technologies Corp	2011-08	P	2013-02	Wells Fargo Advisors	90	69	Market	21
2 United Technologies Corp	2011-08	P	2013-11	Wells Fargo Advisors	222	139	Market	83
1 V F Corporation	2011-08	P	2013-02	Wells Fargo Advisors	158	106	Market	52
1 Wal-Mart Stores Inc	2011-08	P	2013-11	Wells Fargo Advisors	79	50	Market	29
2 Wal-Mart Stores Inc	2011-08	P	2013-11	Wells Fargo Advisors	161	99	Market	62
1 Wisconsin Energy Corp	2012-06	P	2013-11	Wells Fargo Advisors	42	39	Market	3
1 3M Co	2011-08	P	2013-02	Wells Fargo Advisors	103	80	Market	23
2 3M Co	2011-08	P	2013-11	Wells Fargo Advisors	264	161	Market	103

- TIN:

TY 2013 GeneralExplanationAttachment

Name:

Oertly Surianata Family Foundation

EIN: 27-7053502

Software ID:13000230

Software Version:13.4.0.0

Identifier	Return Reference	Explanation

- TIN:

TY 2013 InvestmentsCorpStockSchedule

Name:

Oertly Surianata Family Foundation

EIN: 27-7053502

Software ID:13000230

Software Version:13.4.0.0

Name of Stock	End of Year Book Value	End of Year Fair Market Value
Stocks see list	86,491	127,593

- TIN:

TY 2013 LegalFeesSchedule

Name:

Oertly Surianata Family Foundation

EIN: 27-7053502

Software ID:13000230

Software Version:13.4.0.0

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
Paul Frank Collins Attorneys at Law	7,171

- TIN:

TY 2013 OtherIncreasesSchedule

Name:

Oertly Surianata Family Foundation

EIN: 27-7053502

Software ID:13000230

Software Version:13.4.0.0

Description	Amount
Unexplained	5,706

- TIN:

TY 2013 OtherProfessionalFeesSchedule

Name:

Oertly Surianata Family Foundation

EIN: 27-7053502

Software ID:13000230

Software Version:13.4.0.0

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
Wells Fargo Advisors -- Advisory Fees	1,791
Income Tax Preparation Fee	1,778

- TIN:

TY 2013 SubstantialContributorsSch

Name:

Oertly Surianata Family Foundation

EIN: 27-7053502

Software ID:13000230

Software Version:13.4.0.0

Name	Address
Rukiah S Oertly	PO Box 1008 Queechee,VT05059

- TIN:

TY 2013 TaxesSchedule

Name:

Oertly Surianata Family Foundation

EIN: 27-7053502

Software ID:13000230

Software Version:13.4.0.0

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes