Form990-PF

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

Number and street (or P.O. box number if mail is not delivered to street address)PO Box 1047   Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Hastings, NE689021047
A Employer identification number

47-0776789
B Telephone number (see instructions)

(402) 462-4128
C bullet
G Check all that apply:

D 1. bullet
2. bullet
E bullet
H Check type of organization:
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$32,578,066
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
F bullet
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule) 5,172,650
2 Check bullet
3 Interest on savings and temporary cash investments 21,019 21,019  
4 Dividends and interest from securities...... 933,732 933,732  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 107,304
b Gross sales price for all assets on line 6a 1,032,092
7 Capital gain net income (from Part IV, line 2)... 107,304
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........ 6,234,705 1,062,055  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... 2,412 2,412    
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... 411 411    
17 Interest...............        
18 Taxes (attach schedule) (see instructions) 2,948 2,948    
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 52,743 52,743    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 58,514 58,514   0
25 Contributions, gifts, grants paid........ 1,886,450 1,886,450
26 Total expenses and disbursements. Add lines 24 and 25 1,944,964 58,514   1,886,450
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 4,289,741
b Net investment income (if negative, enter -0-) 1,003,541
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2013)
Form 990-PF (2013)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing...............      
2 Savings and temporary cash investments.......... 6,671,633 4,959,150 4,959,150
3 Accounts receivable bullet13,874
Less: allowance for doubtful accounts bullet   6,412 13,874 13,874
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use...............      
9 Prepaid expenses and deferred charges...........      
10a Investments—U.S. and state government obligations (attach schedule) 11,567,314 Click to see attachment16,933,240 16,935,404
b Investments—corporate stock (attach schedule)........ 6,669,155 Click to see attachment7,290,937 10,669,638
c Investments—corporate bonds (attach schedule)........      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)...........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 24,914,514 29,197,201 32,578,066
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable...................    
19 Deferred revenue..................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)..........   0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted....................    
25 Temporarily restricted................    
26 Permanently restricted................    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds.........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds 24,914,514 29,197,201
30 Total net assets or fund balances (see page 17 of the
instructions).................... 24,914,514 29,197,201
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 24,914,514 29,197,201
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 24,914,514
2 Enter amount from Part I, line 27a..................... 2 4,289,741
3 Other increases not included in line 2 (itemize) bullet 3  
4 Add lines 1, 2, and 3.......................... 4 29,204,255
5 Decreases not included in line 2 (itemize) bulletClick to see attachment 5 7,054
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 29,197,201
Form 990-PF (2013)
Form 990-PF (2013)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)
(b) How acquired
P—Purchase
D—Donation
(c) Date acquired
(mo., day, yr.)
(d) Date sold
(mo., day, yr.)
1 a N/A      
b Saunders County NE Bond P 2006-10-19 2013-12-16
c Wells Fargo Cap XII P 2008-03-05 2013-03-15
d Amer. Intl Group PFD P 2007-12-14 2013-03-18
e Credit Suisse GU P 2008-03-25 2013-03-28
Bank of Amer PFD P 2008-05-02 2013-05-01
Xcel Energy Inc. P 2008-01-16 2013-05-31
(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     400,000  
b 25,000   24,788 212
c 100,000   100,000  
d 100,000   100,000  
e 100,000   100,000  
100,000   100,000  
100,000   100,000  
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       212
c        
d        
e        
       
       
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
Bracket 2 107,304
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 . . . . . . . . . . . . . . . .
Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)

If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see page 18 of the instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in)
(b)
Adjusted qualifying distributions
(c)
Net value of noncharitable-use assets
(d)
Distribution ratio
(col. (b) divided by col. (c))
2012 1,808,999 23,533,620 000.076869
2011 868,182 18,552,507 000.046796
2010 593,000 15,655,984 000.037877
2009 753,700 11,889,507 000.063392
2008 284,500 10,549,533 000.026968
2 Total of line 1, column (d) ...................... 2 000.251902
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
. . .
3 000.050380
4 Enter the net value of noncharitable-use assets for 2013 from Part X, line 5..... 4 28,610,626
5 Multiply line 4 by line 3....................... 5 1,441,403
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 10,035
7 Add lines 5 and 6......................... 7 1,451,438
8 Enter qualifying distributions from Part XII, line 4.............. 8 1,886,450
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See
the Part VI instructions.
Form 990-PF (2013)
Form 990-PF (2013)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see page 18 of the instructions)
1a Bulletand enter “N/A" on line 1. Bracket
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b 1 10,035
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2  
3 Add lines 1 and 2............................ 3 10,035
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 10,035
6 Credits/Payments:
a 2013 estimated tax payments and 2012 overpayment credited to 2013 6a 9,000
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.............. Part VI Line 7 - Tax Paid Original Return: 9000 7 9,000
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 1,035
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2014 estimated taxBullet   RefundedBullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of
the instructions for definition)?............................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
     
    No
    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)
    bulletNE
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2013 or the taxable year beginning in 2013 (see instructions for Part XIV)?
    If "Yes," complete Part XIV.............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names and addresses.Click to see attachment
    10
    Yes
     
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see instructions) .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement (see instructions).................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletnone
    14
    The books are in care ofbulletJames Thom Telephone no.bullet (402) 462-4128
    Located atbullet151East Highway 6 and AB RoadHastingsNE ZIP+4bullet68901
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16 At any time during calendar year 2013, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country?
    16   No
    See instructions for exceptions and filing requirements for Form TD F 90-22.1. If "Yes", enter the name of the
    foreign country bullet  
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 5
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?.........................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?.................
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).........
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see page 20 of the instructions)?...
    1b
     
     
    .........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2013?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2013, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2013?...............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?.........................
    b
    If "Yes," did it have excess business holdings in 2013 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2013.)....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2013?
    4b
     
    No
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?...............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 509(a)(1), (2), or (3), or section 4940(d)(2)? (see instructions)........
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?........
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see instructions)? ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?............
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?........................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 6
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to
    employee benefit plans
    and deferred compensation
    (e) Expense account,
    other allowances
    LeRoy W Thom Pres
    000.50
    0    
    2585 S Maxon Ave
    Hastings,NE68901
    Jean E Thom Sec
    000.50
    0    
    2585 S Maxon Ave
    Hastings,NE68901
    Thomas A Thom Dir
    000.50
    0    
    1017 Country Club Dr
    Hastings,NE68901
    David W Thom Dir
    000.50
    0    
    5000 W Platte River Dr
    Doniphan,NE68832
    James Thom VP Finance
    000.50
    0    
    5130 Osborne Drive East
    Hastings,NE68901
    Robert Lubken Dir
    000.50
    0    
    Route 1 Box60C
    Trumbull,NE68980
    David H Fisher Dir, Gen Cou
    000.50
    0    
    1131 N St Joseph Ave
    Hastings,NE68901
    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...................bullet  
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
     
    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 none 0
    2  
    3  
    4  
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 7
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1 none  
    2  
    All other program-related investments. See page 24 of the instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
    see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
     
    b
    Average of monthly cash balances.......................
    1b
     
    c
    Fair market value of all other assets (see instructions)................
    1c
     
    d
    Total (add lines 1a, b, and c).........................
    1d
     
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d.........................
    3
     
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
     
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
     
    6
    Minimum investment return. Enter 5% of line 5..................
    6
     
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    1,430,531
    2a
    Tax on investment income for 2013 from Part VI, line 5......
    2a
    10,035
    b
    Income tax for 2013. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    10,035
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    1,420,496
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    1,420,496
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,
    line 1................................
    7
    1,420,496
    Part XII
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
     
    b
    Program-related investments—total from Part IX-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
     
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see instructions).................
    5
     
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
     
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 8
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus
    (b)
    Years prior to 2012
    (c)
    2012
    (d)
    2013
    1 Distributable amount for 2013 from Part XI, line 7 1,420,496
    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....... 635,970
    fTotal of lines 3a through e......... 635,970
    4Qualifying distributions for 2013 from Part
    XII, line 4: bullet$ 1,886,450
    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..... 1,420,496
    e Remaining amount distributed out of corpus 465,954
    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 1,101,924
    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 ......
    1,101,924
    10 Analysis of line 9:
    a Excess from 2009....  
    b Excess from 2010....  
    c Excess from 2011....  
    d Excess from 2012.... 635,970
    e Excess from 2013.... 465,954
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 9
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2013, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2013 (b) 2012 (c) 2011 (d) 2010
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used
    directly for active conduct of exempt activities ...........
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...
             
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    James Thom
    PO Box 1047
    Hastings,NE68902
    (402) 462-4128
    bThe form in which applications should be submitted and information and materials they should include:
    No particular form
    cAny submission deadlines:
    none
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Generally limited to NE religious and educational orgnizations and activities
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 10
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    Foundation
    status of
    recipient
    Purpose of grant or
    contribution
    Amount
    Name and address (home or business)
    aPaid during the year
    AAA Pregnancy Resource Center
    223 E 14th St Suite 202
    Hastings,NE68901
        public health 10,500
    American Cancer Society
    3808 28th Ave Suite E
    Kearney,NE68845
        public health 6,000
    American Center for Law and Justice
    PO Box 90555
    Washington,DC200900555
        public freedoms 15,000
    AOPA - Air Safety Foundation
    421 Aviation Way
    Fredrick,MD21701
        public safety 450
    Bethany Home
    PO Box 150
    Minden,NE68959
        public assistance 9,000
    Bethany Lutheran Church
    437 E 4th St
    Minden,NE68959
        church support 3,000
    Bible League
    1 Bible League Plaza
    Crete,NE68417
        religious support 15,000
    Big BrothersBig Sisters
    312 N Lincoln
    Hastings,NE68901
        youth support 2,900
    Billy Graham Evangelistic Association
    1 Billy Graham Way
    Charlotte,NC28201
        religious support 24,000
    Camp Luther of Nebraska
    1050 Road 4
    Schyler,NE68861
        youth religious support 1,000
    CASA
    2727 W 2nd Suite 410
    Hastings,NE68901
        youth support 6,450
    Catholic Social Services of NE
    2241 O St
    Lincoln,NE68510
        public assistance 45,000
    Catholic Relief Services
    228 W Lexington St
    Baltimore,MD212013443
        public assistance 9,000
    Central Community College Foundation
    2727 W 2nd St Suite 211
    Hastings,NE68901
        public education 5,000
    Children Ark Daycare Center
    PO Box 2149
    Hastings,NE68901
        youth support 19,750
    Christ Lutheran School
    13175 W 70th St
    Juniata,NE68955
        private education 11,000
    Chritian Heritage Children Homes
    14880 Old Cheny Rd
    Walton,NE68461
        youth support 45,000
    CTC International Inc
    1101 E Cesar Chavez St
    Austin,TX78704
        international relief 23,550
    Community Action Partnership Mid-NE
    341 E 4th St
    Minden,NE68959
        food pantry 6,000
    Concordia University
    800 N Columbia St
    Seward,NE68434
        secondary education 230,000
    Crossroads Center
    702 W 14th St
    Hastings,NE68901
        public assistance 19,650
    Dakota Boys Ranch
    Box 5007
    Minot,ND587025007
        youth assistance 15,000
    Disabled American Veterans Char Service Tr
    3725 Alexandria Pike
    Cold Spring,KY41076
        veteran assistance 15,000
    Ebanezer United Methodist Church
    7312 N Main St
    Houston,TX77022
        religious support 3,000
    Epilepsy Foundation
    8301 Professional Place
    Landover,MD207852353
        public health 7,500
    Faith Lutheran Church
    Nineth and Chestnut
    Hastings,NE68901
        religious support 46,000
    Farmers Feeding the World
    30 S 15th St Suite 900
    Philadelphia,PA19102
        international assistance 9,000
    Fellowship of Christian Athletes
    Hasting Foundation Box 703
    Hastings,NE689020703
        youth religious support 9,000
    Fellowship of Christian Athletes
    838 Diers Ave
    Grand Island,NE68803
        youth religious support 1,500
    Food 4 Thought Catholic Social Services
    Box 1662
    Hastings,NE689021662
        public assistance 750
    Food for the Hungrey Rwanda
    1224 E Washington
    Phoenix,AZ850341102
        international assistance 30,000
    Freedom Alliance
    22570 Markey Ct Suite 240
    Dulles,VA20166
        public education 15,000
    Friends of the Madison Co Library
    Box 492
    Ennis,MT59729
        local government support 1,000
    Grace Life Fellowship
    200 N Burlington Ave Suite 150
    Hastings,NE68901
        religious support 31,500
    Hasting Catholic Schools
    PO Box 724
    Hastings,NE689020724
        private education 22,500
    Hastings College Foundation
    1001 N 6th AVe
    Hastings,NE68901
        private secondary education 215,000
    Hastings Community Foundation
    Box 703
    Hastings,NE689020703
        community support 12,000
    Hastings Family YMCA
    Box 1065
    Hastings,NE689021065
        community support 6,000
    Hastings Museum Foundaton
    Box 148
    Hastings,NE689020148
        local government support 1,000
    Hastings Public Library
    517 W 4th St
    Hastings,NE68901
        local government support 1,000
    Hastings Public School Foundation
    1924 West A St
    Hastings,NE68901
        public education 10,000
    Hastings Rural Fire Department
    3920 E Meadowlark Lane
    Hastings,NE68901
        public safety 300
    Hastings Sympony
    Fuhr Music Hall Box 597
    Hastings,NE689020597
        public arts 1,000
    Heartcry Missionary Society
    Box 3506
    Redford,VA241433506
        international religious support 16,500
    Heartland Lutheran High School
    3900 West Husker Way
    Grand Island,NE68803
        private education 10,000
    Hillsdale College
    33 E College St
    Hillsdale,MI49242
        secondary private education 900
    Holt International
    Box 2880
    Eugene,OR97402
        international adoption 15,000
    In Touch Ministries
    Box 7900
    Atlanta,GA303579979
        religious support 22,500
    International Justice Mission
    Box 58147
    Washington,DC20037
        pubic education 1,500
    International Lutheran Layman League
    660 Mason Ridge Center Dr
    St Louis,MO631418557
        religious support 9,000
    Intrepid Fallen Heroes Fund
    One Trepid Square W 46th 12th Av
    New York,NY10036
        veteran support 15,000
    Jensen Memorial Library Fund
    Kearney Foundation Box 213
    Kearney,NE689590213
        local government suport 3,000
    Joy Church
    Box 17050
    Fountain Hills,AZ85268
        religious support 7,000
    Kearney County CASA
    Kearney Foundation Box 213
    Kearney,NE689590213
        local community support 4,500
    Larson Tractor Museum
    Box 830833
    Lincoln,NE685830833
        local history education 1,000
    LCMS National Mission
    1859 Phelps Ave
    Fremont,NE68025
        religious support 15,000
    LCMS World Mission
    40718 Highway E 16
    Mapleton,IA510347105
        religious support 10,000
    Life Legal Defense Foundation
    Box 2105
    Napa,CA94554
        right to life support 15,000
    Lutheran Family Services
    124 24th St Suite 230
    Omaha,NE68102
        public assistance 8,000
    Lutheran High Northeast
    2010 N 37th St
    Norfolk,NE687013108
        private education 10,000
    Madison Valley Medical Center Foundation
    Box993
    Ennis,MT59729
        medical services 10,000
    Madonna Foundation
    5401 South St
    Lincoln,NE685062134
        medical services 9,000
    Matt Talbot Kitchen and Outreach
    Box 80935
    Lincoln,NE68501
        public assistance 10,500
    Mayo Foundation
    200 First Street SW
    Rochester,MN55905
        medical services 25,000
    Mercy Ministries
    Box 111060
    Nashville,TN372221060
        public assistance 30,000
    Red Cross of Hastings
    415 N Kansas Av
    Hastings,NE68901
        public assitance 5,000
    Minden Volunteer Fire Dept
    Box 232
    Minden,NE689590232
        public safety 4,500
    Mission Nebraska
    Box 3035
    Lincoln,NE68503
        NE Christian radio 15,000
    Montana Land Reliance
    Box 355
    Helena,MT596240355
        land trust-conservation 1,000
    National Organization for Marriage
    2029 K St Suite 300
    Washington,DC20006
        public education 6,000
    Nebraska Easter Seal Society
    2727 2nd St Suite 471
    Hastings,NE68901
        medical research 2,000
    Nebraska LEAD Program
    318 Biochem Box 830763
    Lincoln,NE685830763
        public education 7,000
    Nebraska Right to Life
    Box 80410
    Lincoln,NE685010410
        public information 15,000
    Ness County Bank Building Foundation
    Box 285
    Ness City,KS67560
        historical preservation 300
    New Life Christian Counseling
    8101 Bancroft Ave
    Lincoln,NE68506
        religious support 15,000
    New Life Community Church
    909 James Way
    Pismo Beach,CA93449
        religious support 22,500
    Orphan Grain Train
    Box 1466
    Norfolk,NE687021466
        international relief 45,000
    Pastoral Leadership Institute
    Box 972
    Wheaton,IL601870972
        religious support 30,000
    Pastoral Leadership Institute International
    Box 972
    Wheaton,IL601870972
        religious support 20,000
    Peace Lutheran Church
    906 N California
    Hastings,NE68901
        religious support 29,000
    Prairie Loft
    Box 1731
    Hastings,NE689021731
        historical preservation 2,800
    Priests for Life
    Box 141172
    Staten Island,NY10314
        religious support 9,000
    Watson Elementary School
    1720 Crane Ave
    Hastings,NE68901
        public education 600
    Royal Family Kids Camp
    Tri-Family Kid Camp Box 186
    Hastings,NE689020186
        private education 15,000
    Shephard of the Hills
    Lutheran Ch Armitage Box 785
    Ennis,MT597290785
        religious support 5,000
    Special Olympics
    9427 F St
    Omaha,NE68127
        diability assistance 9,000
    St Cecelia Catholic Church
    301 W 7th St
    Hastings,NE68901
        religious support 900
    St Judes Hospital
    501 St Jude Place
    Memphis,TN38105
        medical research 9,000
    St Lukes Foundation
    Box 20269 Mail Code 3-206
    Houston,TX77225
        religious support 12,000
    St Marys McCracken Heritage Assoc
    304 E Florence
    Rush Center,KS67575
        historical preservation 450
    TeamMates Mentoring Program
    6801 O St
    Lincoln,NE68510
        children support 21,900
    The Heritage Foundation
    214 Massachusetts Ave NE
    Washington,DC200024999
        public education 12,900
    The NRA Foundation
    11250 Waples Mill Rd
    Fairfax,VA22030
        public education 9,000
    The Salvation Army
    400 S Burlington Ave
    Hastings,NE68901
        public assistance 54,000
    United Way
    421 N Kansas Ave
    Hastings,NE68901
        public assistance 28,900
    University of NE Foundation
    Box 82555
    Lincoln,NE685022555
        public secondary education 50,000
    Virtue Media Inc
    560 W Crossvill Rd Suite 101
    Roswell,GA300757509
        women empowerment 15,000
    Voice of the Martyrs
    Box 443
    Bartlesville,OK740050443
        religious support 1,500
    Water for Life
    Box 456
    Kalona,IA52247
        international relief 39,000
    Willa Cather Foundation
    413 N Webster St
    Red Cloud,NE68970
        historical preservation 50,000
    Wounded Warrior Project
    4899 Belford Rd Suite 300
    Jacksonville,FL32256
        veteran support 25,000
    YFC - Youth for Christ
    Box 386
    Hastings,NE68901
        religious support 15,000
    YWCA
    604 N St Joseph Ave
    Hastings,NE68901
        youth support 2,000
    Zion Lutheran School
    465 S Marion Rd
    Hastings,NE68901
        private education 56,000
    Webster County Fire Dept
    429 N Walnut
    Red Cloud,NE68970
        public safety 4,500
    Kearney County Community Foundation
    Box 210
    Kearney,NE68959
        public assistance 12,000
    Total .................................bullet 3a 1,886,450
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 11
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3
    Interest on savings and temporary cash investments ............
        14 21,019  
    4 Dividends and interest from securities....     14 933,732  
    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 .............
        18 107,304  
    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)..   1,062,055  
    13Total. Add line 12, columns (b), (d), and (e)..................
    131,062,055
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 12
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political
    Yes
    No
    organizations?
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?...........
    b
    If "Yes," complete the following schedule.
    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer or fiduciary) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's namebullet



    Firm's addressbullet







    Firm's EINbullet
    Phone no.
    Form 990-PF (2013)
    Additional Data


    Software ID: 13000230
    Software Version: 13.5.0.0
    Part VI Line 7 - Tax Paid Original Return: 9000


    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990, 990-EZ,
    or 990-PF)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors
    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
    OMB No. 1545-0047
    2013
    Name of the organization
    LeRoy Thom Jean Thom and T-L Foundation
     
    Employer identification number

    47-0776789
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ





    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......................... Arrow Bullet $  
    Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
    Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2013)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
    Page 2
    Name of organization
    LeRoy Thom Jean Thom and T-L Foundation
     
    Employer identification number

    47-0776789
    Part I
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    1
     
     

    LeRoy and Jean Thom  
    2585 S Maxon Ave
     
    Hastings, NE68901

    $4,800,000


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    2
     
     

    Tom and Ladina Thom  
    1017 country Club Drive
     
    Hastings, NE68901

    $46,500


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    3
     
     

    Mike and Lois Thom  
    1279 C Road
     
    Minden, NE68959

    $100,000


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

    David and Janis Thom  
    5000 Platte River Lane
     
    Doniphan, NE68832

    $100,000


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    5
     
     

    James and Jean Thom  
    5130 Osborne Drive East
     
    Hastings, NE68901

    $116,000


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    6
     
     

    Chris and Amanda Thom  
    606 Leisure Lane
     
    Hastings, NE68901

    $3,300


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
    Name of organization
    LeRoy Thom Jean Thom and T-L Foundation
     
    Employer identification number

    47-0776789
    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
    7
     
     

    Casey Thom  
    2039 Richmond Ave
     
    Houston, TX77098

    $2,000


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    8
     
     

    Blake andElizabeth Peshek  
    1395 N Adams Central Road
     
    Juniata, NE68955

    $3,500


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

       
     
     

    $  


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

       
     
     

    $  


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

       
     
     

    $  


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

       
     
     

    $  


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

    Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
    Page 3
    Name of organization
    LeRoy Thom Jean Thom and T-L Foundation
     
    Employer identification number

    47-0776789
    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
    LeRoy Thom Jean Thom and T-L Foundation
     
    Employer identification number

    47-0776789
    Part III
    Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
    that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
    For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
    contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  

    Use duplicate copies of Part III if additional space is needed.
    (a) No.
    from
    Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a) No.
    from
    Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a) No.
    from
    Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a) No.
    from
    Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

    Additional Data


    Software ID: 13000230
    Software Version: 13.5.0.0

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

    TY 2013 GainLossSaleOtherAssetsSch
    Name:
    LeRoy Thom Jean Thom and T-L Foundation
    EIN: 47-0776789
    Software ID:13000230
    Software Version:13.5.0.0
    Name Date Acquired How Acquired Date Sold Purchaser Name Gross Sales Price Basis Basis Method Sales Expenses Total (net) Accumulated Depreciation
    Fed Home Ln 3133xwsj9 2012-12 P 2013-02   400,000 400,000        
    Saunders County NE Bond 2006-10 P 2013-12   25,000 24,788     212  
    Wells Fargo Cap XII 2008-03 P 2013-03   100,000 100,000        
    Amer. Intl Group PFD 2007-12 P 2013-03   100,000 100,000        
    Credit Suisse GU 2008-03 P 2013-03   100,000 100,000        
    Bank of Amer PFD 2008-05 P 2013-05   100,000 100,000        
    Xcel Energy Inc. 2008-01 P 2013-05   100,000 100,000        

    TY 2013 GeneralExplanationAttachment
    Name:
    LeRoy Thom Jean Thom and T-L Foundation
    EIN: 47-0776789
    Software ID:13000230
    Software Version:13.5.0.0
    Identifier Return Reference Explanation

    TY 2013 InvestmentsCorpStockSchedule
    Name:
    LeRoy Thom Jean Thom and T-L Foundation
    EIN: 47-0776789
    Software ID:13000230
    Software Version:13.5.0.0
    Name of Stock End of Year Book Value End of Year Fair Market Value
    3636 shares of Wells Fargo Bank 55,241 165,074
    6364 shares of Wells Fargo Bank 74,799 288,926
    12000 shares of Tyson Foods Inc. 70,666 401,520
    1108 shares of Windstream Corp. 2,936 8,842
    2050 shares of Ei Dupont 70,920 133,189
    3000 shares of I Shares - Midcap 400 Index 215,929 401,430
    8000 shares of I Shares - Russell 1000 Index 511,136 753,360
    3400 shares of I Shares - Russell 2000 Index 204,455 392,224
    6900 shares of I Shares - SP 500 Index 713,253 1,280,985
    6000 shares of I Shares - EAFE Index 312,658 402,570
    15000 shares of I Shares - Australia 275,359 365,550
    5000 shares of SP Dividend EFT 206,102 363,100
    3000 shares of SPDR - SP Int Div EFT 135,885 142,350
    9000 shares of Vanguard Specialized Funds - EFT 353,258 526,680
    15234 shares of Linsco - AmCap 282,457 416,347
    6057 shares of Linsco - Capitol World Growth 185,291 274,517
    2769 shares of Linsco - Euro Pacific 86,139 135,859
    10442 shares of Linsco Growth Fund 284,069 449,020
    8848 shares of Linsco - New Econmy 208,803 338,165
    5511 shares of Linsco - New Perspective 147,744 206,978
    4218 shares of Linsco - Small Cap 130,608 207,301
    15125 shares of Linsco - Wash Mutual 448,138 596,364
    Barclays Bank PLC PFD 100,000 101,320
    ING Groep PFD 95,612 101,600
    4000 shares of Allstate Corp - PFD 100,000 102,600
    Deutsche Cap PFD 92,960 99,600
    4000 shares of Wells Fargo Co - PFD 100,000 80,520
    Metlife Inc PFD 94,720 99,600
    Aegon Perpetual Cap 97,080 99,080
    Royal Bank of Scotland 99,400 96,760
    2000 shares of Altria Group 60,793 76,780
    1250 shares of Conoco Phillips 68,073 88,313
    1250 shares of Eaton Corp PLC 64,099 95,150
    3000 shares of Intel Corp 60,072 77,865
    750 shares of McDonalds 63,027 72,773
    1000 shares of Walmart 68,684 78,690
    2250 shares of Microsoft 60,170 84,173
    4000 shares of BBT PPF 100,000 85,920
    4000 shares of Public Storage PFD 100,000 78,120
    4000 shares of Charles Swhwab Corp PFD 100,000 87,960
    2300 shares of Guggenheim SP 500 EQU weight 159,549 163,875
    1400 shares of Mark Vectors Gold Miners 50,121 46,275
    1190 shares of Powershares QQQ Tr 99,930 104,672
    1500 shares of Vanguard Extended Mkt EFT 120,666 124,050
    300 shares of Vanguard FTSE Emerging Mkts 12,386 12,342
    400 shares of Vanguard Intl Emerging Mkts 20,094 20,292
    KKR Principal Opportuities Access Fund 227,655 225,396
    Vintage VI LP 100,000 115,561

    TY 2013 InvestmentsGovtObligationsSch
    Name:
    LeRoy Thom Jean Thom and T-L Foundation
    EIN: 47-0776789
    Software ID:13000230
    Software Version:13.5.0.0
    US Government Securities - End of Year Book Value:

    5,523,217
    US Government Securities - End of Year Fair Market Value:

    5,362,738
    State & Local Government Securities - End of Year Book Value:


    11,410,023
    State & Local Government Securities - End of Year Fair Market Value:


    11,572,666


    TY 2013 LegalFeesSchedule
    Name:
    LeRoy Thom Jean Thom and T-L Foundation
    EIN: 47-0776789
    Software ID:13000230
    Software Version:13.5.0.0
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Dunmire Fisher Hastings 2,412 2,412    


    TY 2013 OtherDecreasesSchedule
    Name:
    LeRoy Thom Jean Thom and T-L Foundation
    EIN: 47-0776789
    Software ID:13000230
    Software Version:13.5.0.0
    Description Amount
    Excise taxes paid in 2013 7,051
    rounding adjustments 3


    TY 2013 OtherExpensesSchedule
    Name:
    LeRoy Thom Jean Thom and T-L Foundation
    EIN: 47-0776789
    Software ID:13000230
    Software Version:13.5.0.0
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Accrued Interest Paid on Investments 33,319 33,319    
    Bond premiums paid on investments 19,424 19,424    


    TY 2013 OtherProfessionalFeesSchedule
    Name:
    LeRoy Thom Jean Thom and T-L Foundation
    EIN: 47-0776789
    Software ID:13000230
    Software Version:13.5.0.0
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Broker advisory fees 411 411    


    TY 2013 SubstantialContributorsSch
    Name:
    LeRoy Thom Jean Thom and T-L Foundation
    EIN: 47-0776789
    Software ID:13000230
    Software Version:13.5.0.0
    Name Address
    See Schedule B  
     


    TY 2013 TaxesSchedule
    Name:
    LeRoy Thom Jean Thom and T-L Foundation
    EIN: 47-0776789
    Software ID:13000230
    Software Version:13.5.0.0
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    NE Occupation Tax 23 23    
    Foreign taxes withheld on dividends 2,925 2,925