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
THE MELSA FOUNDATION CO JAMES MELSA
 

Number and street (or P.O. box number if mail is not delivered to street address)591 CLARISSA COURT   Room/suite
City or town, state or province, country, and ZIP or foreign postal code
NAPERVILLE, IL605408101
A Employer identification number

42-1464665
B Telephone number (see instructions)

(630) 420-1859
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$555,065
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)  
2 Check bullet
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities...... 14,975 14,975  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 50,593
b Gross sales price for all assets on line 6a 325,706
7 Capital gain net income (from Part IV, line 2)... 50,593
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)....... 67 67  
12 Total. Add lines 1 through 11........ 65,635 65,635  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... 150 75   75
b Accounting fees (attach schedule)....... 2,575 1,288   1,287
c Other professional fees (attach schedule).... 7,345 7,332   13
17 Interest...............        
18 Taxes (attach schedule) (see instructions) 1,516 8   7
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.......... 11,586 8,703   1,382
25 Contributions, gifts, grants paid........ 65,418 65,418
26 Total expenses and disbursements. Add lines 24 and 25 77,004 8,703   66,800
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -11,369
b Net investment income (if negative, enter -0-) 56,932
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............... 46,839 37,363 37,363
2 Savings and temporary cash investments..........      
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use...............      
9 Prepaid expenses and deferred charges...........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)........      
c Investments—corporate bonds (attach schedule)........      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)........... 445,563 Click to see attachment443,670 517,702
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) 492,402 481,033 555,065
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable...................    
19 Deferred revenue..................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).......... 0 0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted....................    
25 Temporarily restricted................    
26 Permanently restricted................    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds......... 0 0
28 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
29 Retained earnings, accumulated income, endowment, or other funds 492,402 481,033
30 Total net assets or fund balances (see page 17 of the
instructions).................... 492,402 481,033
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 492,402 481,033
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)............... 1 492,402
2 Enter amount from Part I, line 27a..................... 2 -11,369
3 Other increases not included in line 2 (itemize) bullet 3 0
4 Add lines 1, 2, and 3.......................... 4 481,033
5 Decreases not included in line 2 (itemize) bullet 5 0
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 481,033
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 US TSY 1.25% P 2011-07-26 2013-01-02
b US TSY 4.5% 01/15/2036 P 2010-07-30 2013-02-26
c US TSY 3.00% 05/15/2042 P 2012-07-31 2013-02-06
d US TSY 0.875% 07/31/2019 P 2013-01-02 2013-05-21
e US TSY 0.875% 07/31/2019 P 2013-02-06 2013-05-21
US TSY 3.00% 05/15/2042 P 2012-09-28 2013-06-04
US TSY 4.50% 02/15/2036 P 2010-08-05 2013-07-09
US TSY 4.50% 02/15/2036 P 2010-08-11 2013-07-16
US TSY 3.00% 05/15/2042 P 2012-10-05 2013-07-02
FNMA P555531 0 5.5% 2033 P 2003-08-29 2013-08-08
FHLMC GO 6231 04% 2040 P 2011-01-26 2013-08-08
FHLMC GO 7230 03%2042 P 2012-12-11 2013-08-08
US TSY 3.125% 09/30/13 P 2010-11-15 2013-08-08
US TSY 4.5% 02/15/2036 P 2011-05-05 2013-08-08
US TSY 1.25% 08/31/2015 P 2012-04-24 2013-08-08
FHLMC AP 3748 4% 2040 P 2011-11-03 2013-08-08
US TSY 0.875% 07/31/2019 P 2013-02-06 2013-08-08
US TSY 3.125% 09/30/13 P 2011-01-05 2013-09-30
US TSY 3.125% 09/30/13 P 2012-05-23 2013-09-30
AIR PRODUCTS & CHEM P 2012-03-23 2013-01-14
AMERICA MOVIL SAB DE CV P 2012-02-06 2013-01-14
ANGIE'S LIST INC P 2012-05-16 2013-01-14
BLACKROCK INC P 2013-01-14 2013-11-26
BERKSHIRE HATHAWAY INC P 2012-02-27 2013-01-14
BERKSHIRE HATHAWAY INC P 2012-05-22 2013-04-29
BERKSHIRE HATHAWAY INC P 2012-05-22 2013-04-30
BERKSHIRE HATHAWAY INC P 2013-02-20 2013-04-30
BRISTOL-MYERS SQUIBB CO P 2013-01-14 2013-11-26
CONOCOPHILLIPS P 2013-01-14 2013-11-26
CHUBB CORP P 2012-10-01 2013-01-14
CINN FINCL CRP OHIO P 2013-01-14 2013-11-26
CISCO SYSTEMS INC P 2013-01-14 2013-01-31
CORNING INC P 2013-05-17 2013-11-26
CUMMINS INC P 2012-10-01 2013-01-14
DIAGEO PLC SPSD ADR NEW P 2012-05-25 2013-01-14
DOMINION RES INC NEW VA P 2013-01-14 2013-07-23
DOMINION RES INC NEW VA P 2013-01-14 2013-07-24
DOMINION RES INC NEW VA P 2013-01-14 2013-07-25
DOMINION RES INC NEW VA P 2013-01-14 2013-07-26
DOMINION RES INC NEW VA P 2013-01-14 2013-11-26
DEERE CO P 2012-02-21 2013-01-14
EMERSON ELEC CO P 2012-06-13 2013-01-14
EXPEDITORS INTL WASH INC P 2012-04-20 2013-01-14
EXPEDITORS INTL WASH INC P 2012-04-25 2013-01-14
FEDEX CORP DELAWARE P 2012-02-27 2013-01-14
GENL DYNAMICS CORP P 2013-02-21 2013-11-26
GROUPON INC P 2012-11-09 2013-01-14
HATTERAS FINL CORP P 2013-01-14 2013-04-26
HATTERAS FINL CORP P 2013-01-14 2013-05-17
HATTERAS FINL CORP P 2013-01-14 2013-05-20
HATTERAS FINL CORP P 2013-01-14 2013-07-23
HATTERAS FINL CORP P 2013-01-14 2013-07-24
HATTERAS FINL CORP P 2013-01-14 2013-08-02
HATTERAS FINL CORP P 2013-01-14 2013-08-05
HATTERAS FINL CORP P 2013-01-14 2013-08-08
HATTERAS FINL CORP P 2013-01-14 2013-08-09
HATTERAS FINL CORP P 2013-01-14 2013-08-12
HATTERAS FINL CORP P 2013-01-14 2013-09-18
HASBRO INC P 2013-01-14 2013-04-30
HASBRO INC P 2013-01-14 2013-05-01
HASBRO INC P 2013-01-14 2013-11-26
HERSHEY COMPANY P 2013-01-14 2013-02-20
HERSHEY COMPANY P 2013-01-14 2013-02-21
HERSHEY COMPANY P 2013-01-14 2013-05-17
HERSHEY COMPANY P 2013-01-14 2013-05-20
HERSHEY COMPANY P 2013-01-14 2013-05-21
KELLOGG CO P 2012-06-13 2013-01-14
LORILLARD INC P 2013-01-14 2013-07-23
LORILLARD INC P 2013-01-14 2013-07-24
LORILLARD INC P 2013-01-14 2013-11-26
ELI LILLY & CO P 2012-06-13 2013-01-14
LOEWS CORP P 2012-02-28 2013-01-14
LOWE'S COMPANIES INC P 2013-01-14 2013-07-29
LOWE'S COMPANIES INC P 2013-01-14 2013-11-26
NETFLIX COM INC P 2012-06-13 2013-01-14
NEWMARKET CORP P 2013-01-14 2013-07-29
NEWMARKET CORP P 2013-01-14 2013-07-31
NEWMARKET CORP P 2013-01-14 2013-08-06
NEWMARKET CORP P 2013-01-14 2013-08-08
NEWMARKET CORP P 2013-01-14 2013-11-26
NOKIA CORP SPON ADR P 2012-04-23 2013-01-14
ORACLE CORP P 2012-01-24 2013-01-14
PACCAR INC P 2012-07-11 2013-01-14
PAYCHEX INC P 2013-01-14 2013-02-20
PAYCHEX INC P 2013-01-14 2013-04-26
PAYCHEX INC P 2013-01-14 2013-11-26
SCHLUMBERGER LTD P 2012-03-26 2013-01-14
SYSCO CORPORATION P 2012-03-08 2013-01-14
TIFFANY & CO NEW P 2012-07-12 2013-01-14
WAL-MART STORES INC P 2013-01-14 2013-05-17
AMERICA MOVIL SAB DE CV P 2011-02-22 2013-01-14
AUTOMATIC DATA PROC P 2011-11-17 2013-01-14
BERKSHIRE HATHAWAY INC P 2011-10-18 2013-01-14
BERKSHIRE HATHAWAY INC P 2011-11-02 2013-01-14
BERKSHIRE HATHAWAY INC P 2011-11-17 2013-01-14
BERKSHIRE HATHAWAY INC P 2012-02-27 2013-04-26
BERKSHIRE HATHAWAY INC P 2012-04-13 2013-04-26
CVS CAREMARK CORP P 2012-04-13 2013-01-14
CHUBB CORP P 2011-10-20 2013-01-14
DEERE CO P 2011-11-17 2013-01-14
DISNEY (WALT) CO COM STK P 2011-11-25 2013-01-14
EXXON MOBIL CORP P 2011-11-25 2013-01-14
EMERSON ELEC CO P 2011-11-25 2013-01-14
FEDEX CORP DELAWARE P 2011-11-17 2013-01-14
GOOGLE INC CL A P 2011-05-24 2013-01-14
HEWLETT PACKARD CO DEL P 2011-08-23 2013-01-14
IDEXX LAB INC DEL P 2011-08-26 2013-01-14
JPMORGAN CHASE & CO P 2011-11-25 2013-01-14
KELLOGG CO P 2011-11-17 2013-01-14
ELI LILLY & CO P 2011-11-17 2013-01-14
LOEWS CORP P 2011-12-12 2013-01-14
MARKEL CORP P 2008-01-17 2013-01-14
MEDTRONIC INC P 2011-11-25 2013-01-14
NETFLIX COM INC P 2011-12-08 2013-01-14
NIELSEN HOLDINGS B V P 2011-12-12 2013-01-14
ORACLE CORP P 2012-01-11 2013-01-14
PACCAR INC P 2011-11-25 2013-01-14
PROCTER & GAMBLE CO P 2011-11-17 2013-01-14
SCHLUMBERGER LTD P 2011-11-25 2013-01-14
SCHWAB CHARLES CORP NEW P 2011-08-18 2013-01-14
SIGMA ALDRICH CORP P 2011-08-26 2013-01-14
SYSCO CORPORATION P 2011-12-12 2013-01-14
3M COMPANY P 2011-11-17 2013-01-14
US BANCORP (NEW) P 2011-11-17 2013-01-14
WAL-MART STORES INC P 2011-10-17 2013-02-20
WAL-MART STORES INC P 2011-10-20 2013-02-20
WAL-MART STORES INC P 2011-11-17 2013-02-20
WAL-MART STORES INC P 2011-11-17 2013-05-17
WAL-MART STORES INC P 2011-11-25 2013-05-17
YOUKU TUDOU INC ADR P 2012-01-05 2013-01-14
AGILENT TECHNOLOGIES INC P 2009-02-18 2013-01-14
CVS CAREMARK CORP P 2010-09-21 2013-01-14
COCA COLA P 2010-05-14 2013-01-14
GOOGLE INC CL A P 2010-08-19 2013-01-14
HEWLETT PACKARD CO DEL P 2010-11-19 2013-01-14
IDEXX LAB INC DEL P 2009-02-19 2013-01-14
INTL BUSINESS MACHINES CORP IBM P 2009-08-12 2013-02-20
JOHNSON AND JOHNSON P 2008-02-08 2013-01-14
JOHNSON AND JOHNSON P 2008-05-15 2013-01-14
JOHNSON AND JOHNSON P 2009-08-17 2013-01-14
JOHNSON AND JOHNSON P 2009-08-17 2013-11-26
MARKEL CORP P 2008-02-21 2013-01-14
MICROSOFT CORP P 2006-05-10 2013-01-14
MICROSOFT CORP P 2006-06-07 2013-01-14
MICROSOFT CORP P 2007-12-26 2013-01-14
MICROSOFT CORP P 2007-12-26 2013-01-31
MICROSOFT CORP P 2008-02-08 2013-01-31
SAP AG SHS P 2010-07-07 2013-01-14
SCHWAB CHARLES CORP NEW P 2010-07-07 2013-01-14
SIGMA ALDRICH CORP P 2010-07-07 2013-01-14
TEXAS INSTRUMENTS P 2008-02-21 2013-01-14
WELLS FARGO & CO NEW DEL P 2009-01-20 2013-01-14
WELLS FARGO & CO NEW DEL P 2009-01-20 2013-11-26
AMER EAGLE OUTFITTERS P 2013-04-22 2013-10-09
ASCENA RETAIL GROUP INC P 2012-10-19 2013-01-23
BROADSOFT INC P 2013-03-21 2013-11-26
BANKRATE INC DEL P 2013-11-20 2013-11-26
BONANZA CREEK ENERGY INC P 2012-10-16 2013-03-21
BONANZA CREEK ENERGY INC P 2012-10-16 2013-07-31
CARRIZO OIL & GAS INC P 2012-04-12 2013-01-09
CARRIZO OIL & GAS INC P 2012-04-12 2013-01-23
CARRIZO OIL & GAS INC P 2012-07-12 2013-01-23
CAPSTEAD MORTGAGE CP NEW P 2013-10-09 2013-11-26
COMPASS MINERALS INTL INC P 2012-12-27 2013-10-09
COMPASS MINERALS INTL INC P 2012-12-27 2013-10-10
COGENT COMMUNICATIONS GROUP INC P 2012-10-25 2013-03-21
CINEMARK HLDGS INC P 2012-11-14 2013-03-21
COLONY FINANCIAL INC P 2012-11-07 2013-03-21
COLONY FINANCIAL INC P 2012-11-07 2013-10-21
COLONY FINANCIAL INC P 2013-05-15 2013-10-21
COLONY FINANCIAL INC P 2013-05-15 2013-10-22
COLONY FINANCIAL INC P 2013-07-16 2013-10-22
CHATHAM LODGING TR P 2013-10-18 2013-11-26
CORNERSTONE ONDEMAND INC P 2013-10-14 2013-11-26
CHICOS FAS INC P 2013-01-23 2013-03-21
CHICOS FAS INC P 2013-01-23 2013-11-26
CRANE CO DELAWARE P 2013-10-31 2013-11-26
CURTISS WRIGHT P 2013-10-09 2013-11-26
DECKERS OUTDOORS CORP P 2013-06-25 2013-11-26
DEAN FOODS CO NEW P 2012-08-30 2013-03-21
DEAN FOODS CO NEW P 2012-08-30 2013-05-15
DEAN FOODS CO NEW P 2012-09-10 2013-05-15
DEAN FOODS CO NEW P 2012-11-27 2013-05-15
DEAN FOODS CO NEW P 2013-02-26 2013-05-15
DSW INC P 2012-10-04 2013-03-21
DRESSER RAND GROUP INC P 2013-01-09 2013-10-10
EAST WEST BANCORP INC P 2013-10-10 2013-11-26
EXACT SCIENCES CORP P 2013-07-25 2013-10-09
EXACT TARGET INC P 2012-12-28 2013-03-21
EXACT TARGET INC P 2012-12-28 2013-06-25
EXACT TARGET INC P 2013-02-26 2013-06-25
EXACT TARGET INC P 2013-04-22 2013-06-25
EXPRESS INC P 2012-06-11 2013-03-21
EXPRESS INC P 2012-06-19 2013-03-21
EXPRESS INC P 2012-06-19 2013-04-22
EXPRESS INC P 2012-11-27 2013-04-22
FRONTIER COMMUNICATIONS INC P 2012-08-30 2013-03-21
GLOBAL PMTS INC GEORGIA P 2013-01-28 2013-03-21
GLOBAL PMTS INC GEORGIA P 2013-01-28 2013-11-26
HERSHA HOSPTLTY TR A SBI REIT P 2013-04-22 2013-10-14
HAIN CELESTIAL GROUP INC P 2012-12-20 2013-03-21
HAIN CELESTIAL GROUP INC P 2012-12-20 2013-11-26
IMAX CORP P 2013-06-25 2013-11-26
INTREPID POTASH INC P 2013-02-26 2013-07-31
JIVE SOFTWARE INC P 2013-08-06 2013-11-20
KORN/FERRY INTL PV P 2012-12-20 2013-03-21
KORN/FERRY INTL PV P 2012-12-20 2013-11-26
KIRBY CORP P 2012-07-10 2013-03-21
MOLINA HEALTHCARE INC P 2013-05-29 2013-11-26
MATTRESS FIRM HLDG CORP P 2012-07-12 2013-03-21
MCEWEN MINING INC P 2012-10-04 2013-04-22
NII HLDGS INC CL B P 2012-05-04 2013-03-21
NETGEAR INC P 2013-04-02 2013-07-16
NTELOS HOLDINGS CORP P 2012-06-03 2013-03-21
NTELOS HOLDINGS CORP P 2012-11-30 2013-03-21
NTELOS HOLDINGS CORP P 2012-11-30 2013-05-29
PROSPERITY BANCSHARES P 2012-05-04 2013-03-21
POLYPORE INTL INC P 2012-11-14 2013-03-21
PEBBLEBROOK HOTEL TRUST P 2013-01-23 2013-03-21
PEBBLEBROOK HOTEL TRUST P 2013-01-23 2013-11-26
PIER 1 IMPORTS INC DEL P 2012-07-17 2013-03-21
ROADRUNNER TRANSPORTATION SE P 2013-10-14 2013-11-26
REXNORD CORP NEW P 2012-11-07 2013-01-23
REXNORD CORP NEW P 2012-11-07 2013-01-25
REXNORD CORP NEW P 2012-11-27 2013-01-25
HARRIS TEETER SUPERMARKETS INC P 2012-11-06 2013-07-31
HARRIS TEETER SUPERMARKETS INC P 2012-11-07 2013-07-31
SIGNATURE BANK P 2012-10-04 2013-03-21
SIGNATURE BANK P 2012-10-04 2013-05-15
SUPERIOR ENERGY SVCS INC P 2013-05-16 2013-11-26
SYMETRA FINANCIAL CORP P 2013-07-16 2013-11-26
SEMTECH CORPORATION P 2013-06-25 2013-11-26
SEMGROUP CORP P 2013-10-10 2013-11-26
SODASTREAM INTERNATIONAL LTD P 2013-10-09 2013-11-26
SPIRIT AIRLS INC P 2013-07-31 2013-11-26
SUMMIT HOTEL PPTYS INC P 2013-06-25 2013-10-18
SUMMIT HOTEL PPTYS INC P 2013-06-25 2013-10-21
SUMMIT HOTEL PPTYS INC P 2013-06-26 2013-10-21
TEAM HEALTH HOLDINGS INC P 2012-07-17 2013-03-21
TELEDYNE TECH INC P 2012-06-11 2013-06-21
TARGA RESOURCES CORP P 2013-01-09 2013-03-21
TARGA RESOURCES CORP P 2013-01-09 2013-11-26
VERA BRADLEY INC P 2013-01-23 2013-03-21
VERA BRADLEY INC P 2013-01-23 2013-06-25
VERA BRADLEY INC P 2013-02-26 2013-06-25
VANTIV INC CL A P 2013-03-21 2013-11-26
WINTRUST FINL CP ILL P 2012-11-05 2013-03-21
WINTRUST FINL CP ILL P 2012-11-05 2013-05-15
WINTRUST FINL CP ILL P 2012-11-05 2013-05-29
WINTRUST FINL CP ILL P 2012-11-07 2013-05-29
WASTE CONNECTIONS INC P 2012-10-25 2013-07-29
WEST CORP SHS P 2013-04-22 2013-11-26
WOODWARD INC P 2012-08-30 2013-07-31
WHITING PETROLEUM CORP P 2013-07-31 2013-11-26
ALBEMARLE CORP P 2011-11-28 2013-10-09
AMER EAGLE OUTFITTERS P 2012-02-07 2013-03-21
AMER EAGLE OUTFITTERS P 2012-02-07 2013-10-09
AMER EAGLE OUTFITTERS P 2012-03-08 2013-10-09
AMER EAGLE OUTFITTERS P 2012-03-22 2013-10-09
AGCO CORP P 2011-10-11 2013-03-21
BIO REFERENCE LABS P 2011-02-08 2013-07-25
BIO REFERENCE LABS P 2011-02-09 2013-07-25
BIO REFERENCE LABS P 2011-02-09 2013-07-25
BIO REFERENCE LABS P 2011-08-24 2013-07-25
BIO REFERENCE LABS P 2011-12-12 2013-07-25
BIO REFERENCE LABS P 2011-12-12 2013-07-26
BONANZA CREEK ENERGY INC P 2012-10-16 2013-11-26
BONANZA CREEK ENERGY INC P 2012-10-16 2013-12-10
BONANZA CREEK ENERGY INC P 2012-11-05 2013-12-10
W R BERKLEY CORP P 2012-03-13 2013-03-21
W R BERKLEY CORP P 2012-03-13 2013-11-26
BOK FINCL CORP NEW P 2012-01-10 2013-03-21
BOK FINCL CORP NEW P 2012-01-10 2013-03-21
BOK FINCL CORP NEW P 2012-01-10 2013-10-10
BOK FINCL CORP NEW P 2012-01-10 2013-10-10
BOK FINCL CORP NEW P 2012-01-10 2013-10-11
BOK FINCL CORP NEW P 2012-02-07 2013-10-11
BOK FINCL CORP NEW P 2012-08-09 2013-10-11
CEPHEID INC CALIF P 2011-11-09 2013-06-25
COMPASS MINERALS INTL INC P 2011-11-03 2013-03-21
COMPASS MINERALS INTL INC P 2011-11-03 2013-08-06
COMPASS MINERALS INTL INC P 2011-11-04 2013-08-06
COMPASS MINERALS INTL INC P 2011-11-09 2013-08-06
COMPASS MINERALS INTL INC P 2011-11-09 2013-10-09
CENTENE CORP P 2011-10-27 2013-02-26
CENTENE CORP P 2011-10-27 2013-03-21
CENTENE CORP P 2011-10-27 2013-11-26
COGENT COMMUNICATIONS GROUP INC P 2012-10-25 2013-11-26
CINEMARK HLDGS INC P 2012-11-14 2013-11-26
DARLING INTERNATIONAL INC P 2011-05-10 2013-01-18
DARLING INTERNATIONAL INC P 2011-05-23 2013-01-18
DARLING INTERNATIONAL INC P 2011-05-23 2013-01-22
DARLING INTERNATIONAL INC P 2011-08-24 2013-01-22
DRIL QUIP P 2011-01-31 2013-03-21
DRIL QUIP P 2011-01-31 2013-11-26
DRESSER RAND GROUP INC P 2011-07-13 2013-03-21
DRESSER RAND GROUP INC P 2011-07-13 2013-06-25
DRESSER RAND GROUP INC P 2011-08-05 2013-06-25
DRESSER RAND GROUP INC P 2011-08-05 2013-07-31
DRESSER RAND GROUP INC P 2012-03-23 2013-07-31
DRESSER RAND GROUP INC P 2012-03-23 2013-10-10
EXPRESS INC P 2011-03-22 2013-01-09
EXPRESS INC P 2011-03-22 2013-03-21
FRONTIER COMMUNICATIONS INC P 2012-08-30 2013-11-26
FIRST REP BK SAN FRNCISC CALIF NEW P 2011-08-24 2013-01-23
FIRST REP BK SAN FRNCISC CALIF NEW P 2011-08-25 2013-01-23
FIRST REP BK SAN FRNCISC CALIF NEW P 2011-08-29 2013-01-23
FIRST REP BK SAN FRNCISC CALIF NEW P 2011-08-29 2013-03-21
FIRST REP BK SAN FRNCISC CALIF NEW P 2011-09-28 2013-03-21
FIRST REP BK SAN FRNCISC CALIF NEW P 2011-09-28 2013-11-26
GARTNER INC P 2011-12-12 2013-03-21
GARTNER INC P 2011-12-12 2013-11-26
GREAT LAKES DREDGE DOCK CO P 2011-03-25 2013-03-21
GREAT LAKES DREDGE DOCK CO P 2011-03-25 2013-11-26
HERSHA HOSPTLTY TR A SBI REIT P 2011-02-08 2013-01-23
HERSHA HOSPTLTY TR A SBI REIT P 2011-02-09 2013-01-23
HERSHA HOSPTLTY TR A SBI REIT P 2011-02-09 2013-03-21
HERSHA HOSPTLTY TR A SBI REIT P 2011-02-09 2013-06-25
HERSHA HOSPTLTY TR A SBI REIT P 2011-03-03 2013-06-25
HERSHA HOSPTLTY TR A SBI REIT P 2011-07-13 2013-06-25
HERSHA HOSPTLTY TR A SBI REIT P 2011-07-13 2013-10-14
HERSHA HOSPTLTY TR A SBI REIT P 2011-08-08 2013-10-14
ITC HLDGS CORP P 2011-11-09 2013-11-26
INSULET CORP P 2011-04-18 2013-03-21
INSULET CORP P 2011-04-18 2013-08-06
INSULET CORP P 2011-04-18 2013-11-08
INSULET CORP P 2011-04-18 2013-11-08
INSULET CORP P 2011-04-18 2013-11-26
INTREPID POTASH INC P 2012-05-29 2013-07-31
KIRBY CORP P 2012-07-10 2013-10-09
KIRBY CORP P 2012-07-10 2013-10-14
KIRBY CORP P 2012-09-10 2013-10-14
MOBILE MINI INC P 2008-01-07 2013-03-21
MATTRESS FIRM HLDG CORP P 2012-07-12 2013-11-26
MCEWEN MINING INC P 2012-01-25 2013-03-21
MCEWEN MINING INC P 2012-01-25 2013-04-22
MCEWEN MINING INC P 2012-01-25 2013-04-22
MCEWEN MINING INC P 2012-02-06 2013-04-22
MCEWEN MINING INC P 2012-04-18 2013-04-22
NII HLDGS INC CL B P 2012-07-26 2013-11-20
PROSPERITY BANCSHARES P 2012-05-16 2013-11-26
POLYPORE INTL INC P 2012-11-14 2013-11-26
PIER 1 IMPORTS INC DEL P 2012-07-17 2013-10-09
PIER 1 IMPORTS INC DEL P 2012-07-17 2013-11-26
QLIK TECHNOLOGIES INC P 2011-07-05 2013-03-21
QLIK TECHNOLOGIES INC P 2011-07-05 2013-11-26
RELIANCE STL & ALUM CO P 2011-01-26 2013-03-21
RELIANCE STL & ALUM CO P 2011-01-26 2013-03-21
RELIANCE STL & ALUM CO P 2011-01-26 2013-11-26
ROSETTA RESOURCES INC P 2011-02-01 2013-03-21
ROSETTA RESOURCES INC P 2011-02-01 2013-03-21
ROSETTA RESOURCES INC P 2011-02-01 2013-11-26
HARRIS TEETER SUPERMARKETS INC P 2011-03-17 2013-06-26
HARRIS TEETER SUPERMARKETS INC P 2011-03-17 2013-07-31
SIGNATURE BANK P 2012-10-04 2013-11-26
STARWOOD PPTY TR INC P 2012-01-31 2013-03-21
STARWOOD PPTY TR INC P 2012-01-31 2013-11-26
TEAM HEALTH HOLDINGS INC P 2012-07-17 2013-11-26
TELEDYNE TECH INC P 2012-06-11 2013-07-31
TELEDYNE TECH INC P 2012-06-19 2013-07-31
TELEDYNE TECH INC P 2012-06-19 2013-10-31
TELEDYNE TECH INC P 2012-06-19 2013-11-01
TW TELECOM INC P 2011-02-16 2013-07-16
TW TELECOM INC P 2011-04-18 2013-07-16
TW TELECOM INC P 2011-04-18 2013-11-26
VAIL RESORTS INC P 2011-08-08 2013-03-21
VAIL RESORTS INC P 2011-08-08 2013-11-26
WADDELL & REED FINL A P 2011-07-13 2013-03-21
WADDELL & REED FINL A P 2011-07-13 2013-03-21
WADDELL & REED FINL A P 2011-07-13 2013-11-26
WOODWARD INC P 2012-01-25 2013-03-21
WOODWARD INC P 2012-01-25 2013-05-15
WOODWARD INC P 2012-03-20 2013-05-15
WOODWARD INC P 2012-03-20 2013-07-31
WOODWARD INC P 2012-03-22 2013-07-31
WOODWARD INC P 2012-03-23 2013-07-31
WOODWARD INC P 2012-03-23 2013-07-31
ALBEMARLE CORP P 2010-01-28 2013-03-21
ALBEMARLE CORP P 2010-04-06 2013-03-21
ALBEMARLE CORP P 2010-04-06 2013-10-09
AGCO CORP P 2010-06-22 2013-01-09
AGCO CORP P 2010-06-23 2013-01-09
AGCO CORP P 2010-06-23 2013-03-21
AGCO CORP P 2010-10-07 2013-03-21
AIR METHODS CRP P 2008-05-16 2013-03-21
AIR METHODS CRP P 2008-05-16 2013-11-08
AIR METHODS CRP P 2008-07-28 2013-11-08
AIR METHODS CRP P 2008-07-28 2013-11-26
AIR METHODS CRP P 2008-07-28 2013-12-10
BIO REFERENCE LABS P 2010-05-25 2013-03-21
BIO REFERENCE LABS P 2010-05-26 2013-03-21
BIO REFERENCE LABS P 2010-06-23 2013-03-21
BIO REFERENCE LABS P 2010-06-23 2013-05-15
BIO REFERENCE LABS P 2010-08-04 2013-05-15
BIO REFERENCE LABS P 2010-08-04 2013-07-25
BIO REFERENCE LABS P 2010-08-05 2013-07-25
BRUKER CORP P 2010-10-12 2013-03-21
BRUKER CORP P 2010-10-12 2013-11-26
BANK OF THE OZARKS INC P 2009-11-17 2013-03-21
BANK OF THE OZARKS INC P 2009-11-17 2013-11-26
CORPORATE EXEC BOARD CO P 2009-12-28 2013-03-21
CORPORATE EXEC BOARD CO P 2009-12-28 2013-11-26
COMMVAULT SYS INC P 2008-06-30 2013-01-23
COMMVAULT SYS INC P 2008-10-03 2013-01-23
COMMVAULT SYS INC P 2008-10-03 2013-03-21
CHIMERA INVESTMENT CORP P 2008-11-07 2013-03-21
CHIMERA INVESTMENT CORP P 2008-12-22 2013-03-21
CHIMERA INVESTMENT CORP P 2008-12-22 2013-11-26
CAVIUM INC P 2008-09-29 2013-01-09
CAVIUM INC P 2009-11-11 2013-01-09
CAVIUM INC P 2009-11-11 2013-03-21
CAVIUM INC P 2009-11-11 2013-11-26
CHEESECAKE FACTORY INC P 2009-01-12 2013-01-09
CHEESECAKE FACTORY INC P 2009-01-12 2013-03-21
CHEESECAKE FACTORY INC P 2009-10-27 2013-03-21
CHEESECAKE FACTORY INC P 2009-10-27 2013-11-26
EATON VANCE CORP NVT P 2008-04-03 2013-02-26
EATON VANCE CORP NVT P 2008-04-03 2013-03-21
EATON VANCE CORP NVT P 2008-11-04 2013-03-21
HITTITE MICROWAVE CORP P 2010-12-02 2013-03-21
HITTITE MICROWAVE CORP P 2010-12-02 2013-03-21
HITTITE MICROWAVE CORP P 2010-12-02 2013-11-26
IDEX CORP DELAWARE P 2009-06-23 2013-03-21
IDEX CORP DELAWARE P 2009-06-23 2013-11-26
IDEX CORP DELAWARE P 2009-06-23 2013-12-10
IDEX CORP DELAWARE P 2010-12-08 2013-12-10
INTREPID POTASH INC P 2009-12-30 2013-03-21
INTREPID POTASH INC P 2009-12-30 2013-07-31
MOBILE MINI INC P 2007-12-28 2013-03-21
MOBILE MINI INC P 2008-02-04 2013-03-21
MOBILE MINI INC P 2009-05-26 2013-03-21
MOBILE MINI INC P 2009-05-26 2013-11-26
MFA FINANCIAL INC P 2008-12-19 2013-03-21
MFA FINANCIAL INC P 2009-01-02 2013-03-21
MFA FINANCIAL INC P 2009-01-02 2013-11-26
MWI VETERINARY SUPPLY IN P 2007-08-01 2013-03-21
MWI VETERINARY SUPPLY IN P 2007-08-01 2013-07-31
MWI VETERINARY SUPPLY IN P 2007-08-01 2013-08-06
MWI VETERINARY SUPPLY IN P 2010-01-21 2013-08-06
MWI VETERINARY SUPPLY IN P 2010-01-21 2013-11-26
NETGEAR INC P 2010-02-11 2013-03-21
NETGEAR INC P 2010-07-06 2013-03-21
NETGEAR INC P 2010-07-06 2013-06-25
NETGEAR INC P 2010-08-26 2013-06-25
NETGEAR INC P 2010-08-26 2013-07-16
POWER INTEGRATIONS INC P 2008-01-23 2013-03-21
POWER INTEGRATIONS INC P 2008-08-04 2013-03-21
POWER INTEGRATIONS INC P 2008-08-04 2013-11-26
PVH CORP P 2008-02-04 2013-02-26
PVH CORP P 2009-03-25 2013-03-21
PVH CORP P 2009-03-25 2013-05-29
PVH CORP P 2009-03-25 2013-06-25
PROTECTIVE LIFE CORP P 2009-08-07 2013-03-21
PROTECTIVE LIFE CORP P 2009-08-07 2013-11-26
RBC BEARINGS INC P 2009-10-28 2013-03-21
RBC BEARINGS INC P 2010-01-21 2013-03-21
RBC BEARINGS INC P 2010-01-21 2013-11-20
RBC BEARINGS INC P 2010-01-21 2013-11-26
HARRIS TEETER SUPERMARKETS INC P 2009-08-20 2013-03-21
HARRIS TEETER SUPERMARKETS INC P 2009-08-20 2013-06-26
HARRIS TEETER SUPERMARKETS INC P 2010-01-26 2013-06-26
SBA COMMUNICATIONS CRP A P 2008-10-15 2013-03-21
SBA COMMUNICATIONS CRP A P 2008-11-24 2013-03-21
SBA COMMUNICATIONS CRP A P 2008-11-24 2013-11-08
SBA COMMUNICATIONS CRP A P 2009-11-02 2013-11-08
SBA COMMUNICATIONS CRP A P 2009-11-02 2013-11-26
TW TELECOM INC P 2009-01-12 2013-03-21
TW TELECOM INC P 2009-01-12 2013-04-22
TW TELECOM INC P 2009-02-26 2013-04-22
TW TELECOM INC P 2009-02-26 2013-04-23
TW TELECOM INC P 2009-02-26 2013-07-16
UNITED NAT FOODS INC P 2008-04-30 2013-03-21
UNITED NAT FOODS INC P 2008-04-30 2013-11-26
UNIVERSAL HEALTH SVCS B P 2008-11-03 2013-03-21
UNIVERSAL HEALTH SVCS B P 2008-11-03 2013-10-09
UNIVERSAL HEALTH SVCS B P 2008-11-03 2013-11-26
WASTE CONNECTIONS INC P 2009-06-08 2013-02-26
WASTE CONNECTIONS INC P 2009-06-08 2013-03-21
WASTE CONNECTIONS INC P 2009-09-03 2013-03-21
WASTE CONNECTIONS INC P 2009-09-03 2013-06-25
WASTE CONNECTIONS INC P 2009-09-03 2013-07-26
WASTE CONNECTIONS INC P 2009-11-17 2013-07-26
WASTE CONNECTIONS INC P 2009-11-17 2013-07-29
WEX INC P 2010-10-07 2013-03-21
WEX INC P 2010-10-19 2013-03-21
WEX INC P 2010-10-19 2013-05-15
WHITE MTNS INS GRP LTD P 2009-08-07 2013-03-21
WHITE MTNS INS GRP LTD P 2009-08-07 2013-07-25
MAINSTAY GLOBAL HIGH INCOME - 1504 P 2012-02-15 2013-08-08
MAINSTAY GLOBAL HIGH INCOME - 0.12 P 2012-02-15 2013-08-08
MAINSTAY GLOBAL HIGH INCOME - 0.305 P 2012-03-30 2013-08-08
CAPITAL GAINS DIVIDENDS P    
(e) Gross sales price (f) Depreciation allowed
(or allowable)
(g) Cost or other basis
plus expense of sale
(h) Gain or (loss)
(e) plus (f) minus (g)
a 2,048   2,007 41
b 1,280   1,091 189
c 966   1,090 -124
d 1,970   1,966 4
e 985   978 7
949   1,039 -90
1,164   1,081 83
1,176   1,093 83
916   1,016 -100
1,102   1,016 86
2,216   2,111 105
930   1,009 -79
1,004   1,003 1
1,161   1,042 119
1,019   1,016 3
1,449   1,455 -6
953   978 -25
2,000   2,000 0
5,000   5,000 0
1,669   1,711 -42
518   510 8
2,256   2,496 -240
610   445 165
381   321 60
1,923   1,448 475
530   402 128
424   404 20
2,412   1,574 838
220   175 45
1,091   1,074 17
211   165 46
865   878 -13
188   175 13
1,557   1,299 258
1,154   948 206
120   105 15
1,061   946 115
1,066   946 120
648   578 70
197   158 39
628   590 38
828   703 125
1,747   1,746 1
1,577   1,518 59
688   644 44
1,199   867 332
2,144   4,238 -2,094
346   345 1
240   239 1
317   319 -2
46   53 -7
490   638 -148
178   239 -61
383   531 -148
96   133 -37
19   27 -8
173   239 -66
290   399 -109
1,136   873 263
470   364 106
107   73 34
976   918 58
1,606   1,531 75
1,076   918 158
982   842 140
974   842 132
690   582 108
353   312 41
220   195 25
833   624 209
901   709 192
127   118 9
566   461 105
48   36 12
4,757   3,708 1,049
271   273 -2
537   546 -9
273   273 0
275   273 2
644   546 98
1,048   832 216
840   687 153
1,332   1,046 286
473   453 20
756   679 77
440   323 117
2,039   2,018 21
2,792   2,669 123
3,653   3,395 258
2,331   2,053 278
765   879 -114
1,545   1,315 230
381   292 89
3,430   2,769 661
1,906   1,482 424
2,252   1,687 565
965   716 249
1,087   770 317
312   262 50
1,883   1,476 407
11,152   7,548 3,604
4,295   3,727 568
2,538   2,173 365
1,473   1,164 309
4,353   3,197 1,156
2,585   4,792 -2,207
385   306 79
2,984   2,015 969
1,725   1,584 141
2,066   1,478 588
1,487   1,291 196
459   483 -24
3,311   2,488 823
1,965   1,412 553
3,545   2,938 607
4,407   3,282 1,125
5,834   5,198 636
2,722   2,496 226
2,330   2,176 154
2,598   2,026 572
382   309 73
1,272   1,147 125
2,527   2,024 503
3,010   2,186 824
1,387   1,100 287
694   566 128
277   226 51
466   339 127
311   228 83
3,316   2,497 819
477   199 278
1,294   759 535
1,405   1,007 398
7,254   4,601 2,653
68   167 -99
2,696   920 1,776
401   240 161
363   311 52
1,817   1,669 148
1,018   837 181
287   179 108
3,672   3,818 -146
350   308 42
1,886   1,561 325
2,021   2,721 -700
852   1,125 -273
715   745 -30
2,041   914 1,127
168   156 12
5,199   3,686 1,513
4,993   3,767 1,226
139   60 79
357   207 150
173   243 -70
988   1,249 -261
52   50 2
38   38 0
311   188 123
451   258 193
333   459 -126
647   811 -164
86   92 -6
24   23 1
75   76 -1
75   76 -1
262   218 44
257   232 25
203   173 30
895   845 50
41   46 -5
103   115 -12
205   203 2
20   20 0
49   49 0
225   225 0
131   124 7
62   62 0
53   45 8
83   48 35
295   258 37
407   323 84
530   429 101
244   203 41
285   216 69
253   272 -19
727   667 60
69   66 3
638   865 -227
248   217 31
1,380   810 570
336   220 116
236   137 99
607   623 -16
196   200 -4
118   127 -9
440   335 105
43   51 -8
240   250 -10
64   50 14
239   211 28
121   113 8
165   113 52
62   49 13
77   116 -39
957   1,432 -475
126   113 13
46   32 14
306   188 118
66   66 0
300   292 8
90   156 -66
222   568 -346
398   389 9
39   54 -15
78   76 2
682   545 137
331   315 16
243   221 22
250   242 8
60   48 12
344   238 106
27   27 0
361   338 23
324   300 24
304   305 -1
246   194 52
344   265 79
309   269 40
154   135 19
51   51 0
56   52 4
59   68 -9
61   57 4
56   56 0
45   33 12
404   410 -6
128   131 -3
46   47 -1
248   183 65
308   248 60
256   232 24
82   58 24
237   237 0
637   733 -96
246   311 -65
122   92 30
299   296 3
518   517 1
454   444 10
303   289 14
330   264 66
69   61 8
288   243 45
61   51 10
758   539 219
307   220 87
426   440 -14
360   430 -70
173   223 -50
503   356 147
465   417 48
52   46 6
52   46 6
103   76 27
52   28 24
408   227 181
46   23 23
353   188 165
44   26 18
304   252 52
44   36 8
249   238 11
62   59 3
435   412 23
186   183 3
63   61 2
377   322 55
251   233 18
594   660 -66
234   233 1
149   156 -7
75   77 -2
224   230 -6
448   460 -12
485   369 116
314   235 79
119   67 52
113   64 49
67   52 15
442   413 29
221   229 -8
85   88 -3
273   243 30
345   302 43
110   75 35
361   328 33
116   109 7
116   84 32
425   294 131
61   49 12
121   98 23
733   901 -168
178   184 -6
75   71 4
144   99 45
144   103 41
216   149 67
230   149 81
115   73 42
102   49 53
320   217 103
65   36 29
278   293 -15
71   60 11
103   132 -29
210   267 -57
226   248 -22
118   143 -25
85   100 -15
21   22 -1
269   247 22
380   225 155
91   73 18
339   296 43
489   339 150
255   148 107
219   125 94
72   42 30
655   1,374 -719
583   328 255
610   328 282
349   233 116
116   76 40
110   88 22
90   163 -73
125   358 -233
37   110 -73
61   175 -114
141   272 -131
482   1,510 -1,028
64   44 20
75   74 1
382   318 64
45   32 13
348   442 -94
73   73 0
909   697 212
140   114 26
74   57 17
377   322 55
94   79 15
106   79 27
47   37 10
640   476 164
107   67 40
339   237 102
82   59 23
46   26 20
322   248 74
242   189 53
357   252 105
351   252 99
561   347 214
59   38 21
58   38 20
556   358 198
75   40 35
43   38 5
260   247 13
127   82 45
316   338 -22
257   296 -39
74   87 -13
123   130 -7
82   84 -2
369   380 -11
203   211 -8
368   217 151
429   304 125
442   304 138
51   29 22
203   114 89
352   199 153
201   155 46
629   155 474
391   95 296
391   72 319
166   27 139
506   81 425
27   22 5
53   46 7
319   277 42
173   138 35
173   130 43
26   22 4
258   217 41
264   209 55
77   60 17
343   106 237
109   27 82
392   160 232
73   23 50
218   52 166
436   66 370
406   55 351
191   155 36
117   103 14
33   31 2
379   168 211
63   40 23
463   242 221
146   81 65
504   142 362
254   66 188
73   39 34
49   19 30
301   266 35
41   33 8
366   195 171
238   240 -2
60   61 -1
63   61 2
375   160 215
143   46 97
144   46 98
216   117 99
245   245 0
13   29 -16
87   58 29
666   358 308
58   25 33
80   25 55
128   84 44
356   228 128
36   29 7
392   110 282
429   110 319
296   73 223
148   38 110
177   38 139
503   354 149
302   167 135
194   111 83
162   107 55
199   129 70
215   128 87
172   105 67
107   52 55
595   206 389
338   67 271
346   67 279
973   179 794
455   231 224
96   35 61
204   96 108
102   49 53
530   196 334
68   24 44
438   250 188
187   100 87
468   267 201
429   101 328
214   37 177
722   99 623
722   226 496
86   28 58
446   161 285
265   89 176
80   25 55
133   41 92
266   74 192
293   122 171
138   41 97
935   324 611
229   65 164
165   43 122
272   140 132
108   53 55
216   107 109
398   179 219
335   143 192
251   131 120
289   153 136
152   72 80
152   77 75
1,219   652 567
1,120   568 552
599   942 -343
16,995   17,431 -436
1   1 0
3   4 -1
160     160
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       41
b       189
c       -124
d       4
e       7
      -90
      83
      83
      -100
      86
      105
      -79
      1
      119
      3
      -6
      -25
      0
      0
      -42
      8
      -240
      165
      60
      475
      128
      20
      838
      45
      17
      46
      -13
      13
      258
      206
      15
      115
      120
      70
      39
      38
      125
      1
      59
      44
      332
      -2,094
      1
      1
      -2
      -7
      -148
      -61
      -148
      -37
      -8
      -66
      -109
      263
      106
      34
      58
      75
      158
      140
      132
      108
      41
      25
      209
      192
      9
      105
      12
      1,049
      -2
      -9
      0
      2
      98
      216
      153
      286
      20
      77
      117
      21
      123
      258
      278
      -114
      230
      89
      661
      424
      565
      249
      317
      50
      407
      3,604
      568
      365
      309
      1,156
      -2,207
      79
      969
      141
      588
      196
      -24
      823
      553
      607
      1,125
      636
      226
      154
      572
      73
      125
      503
      824
      287
      128
      51
      127
      83
      819
      278
      535
      398
      2,653
      -99
      1,776
      161
      52
      148
      181
      108
      -146
      42
      325
      -700
      -273
      -30
      1,127
      12
      1,513
      1,226
      79
      150
      -70
      -261
      2
      0
      123
      193
      -126
      -164
      -6
      1
      -1
      -1
      44
      25
      30
      50
      -5
      -12
      2
      0
      0
      0
      7
      0
      8
      35
      37
      84
      101
      41
      69
      -19
      60
      3
      -227
      31
      570
      116
      99
      -16
      -4
      -9
      105
      -8
      -10
      14
      28
      8
      52
      13
      -39
      -475
      13
      14
      118
      0
      8
      -66
      -346
      9
      -15
      2
      137
      16
      22
      8
      12
      106
      0
      23
      24
      -1
      52
      79
      40
      19
      0
      4
      -9
      4
      0
      12
      -6
      -3
      -1
      65
      60
      24
      24
      0
      -96
      -65
      30
      3
      1
      10
      14
      66
      8
      45
      10
      219
      87
      -14
      -70
      -50
      147
      48
      6
      6
      27
      24
      181
      23
      165
      18
      52
      8
      11
      3
      23
      3
      2
      55
      18
      -66
      1
      -7
      -2
      -6
      -12
      116
      79
      52
      49
      15
      29
      -8
      -3
      30
      43
      35
      33
      7
      32
      131
      12
      23
      -168
      -6
      4
      45
      41
      67
      81
      42
      53
      103
      29
      -15
      11
      -29
      -57
      -22
      -25
      -15
      -1
      22
      155
      18
      43
      150
      107
      94
      30
      -719
      255
      282
      116
      40
      22
      -73
      -233
      -73
      -114
      -131
      -1,028
      20
      1
      64
      13
      -94
      0
      212
      26
      17
      55
      15
      27
      10
      164
      40
      102
      23
      20
      74
      53
      105
      99
      214
      21
      20
      198
      35
      5
      13
      45
      -22
      -39
      -13
      -7
      -2
      -11
      -8
      151
      125
      138
      22
      89
      153
      46
      474
      296
      319
      139
      425
      5
      7
      42
      35
      43
      4
      41
      55
      17
      237
      82
      232
      50
      166
      370
      351
      36
      14
      2
      211
      23
      221
      65
      362
      188
      34
      30
      35
      8
      171
      -2
      -1
      2
      215
      97
      98
      99
      0
      -16
      29
      308
      33
      55
      44
      128
      7
      282
      319
      223
      110
      139
      149
      135
      83
      55
      70
      87
      67
      55
      389
      271
      279
      794
      224
      61
      108
      53
      334
      44
      188
      87
      201
      328
      177
      623
      496
      58
      285
      176
      55
      92
      192
      171
      97
      611
      164
      122
      132
      55
      109
      219
      192
      120
      136
      80
      75
      567
      552
      -343
      -436
      0
      -1
      160
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 50,593
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 60,527 561,508 0.107794
2011 94,947 593,639 0.159941
2010 65,110 625,742 0.104052
2009 73,593 607,583 0.121124
2008 72,953 713,678 0.102221
2 Total of line 1, column (d) ...................... 2 0.595132
3 Average distribution ratio for the 5-year base period—divide the total on line 2 by 5, or by
the number of years the foundation has been in existence if less than 5 years
. . .
3 0.119026
4 Enter the net value of noncharitable-use assets for 2013 from Part X, line 5..... 4 552,233
5 Multiply line 4 by line 3....................... 5 65,730
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 569
7 Add lines 5 and 6......................... 7 66,299
8 Enter qualifying distributions from Part XII, line 4.............. 8 66,800
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 1 569
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2............................ 3 569
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-). 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 569
6 Credits/Payments:
a 2013 estimated tax payments and 2012 overpayment credited to 2013 6a 1,180
b Exempt foreign organizations—tax withheld at source....... 6b
c Tax paid with application for extension of time to file (Form 8868) 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 1,180
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 611
11 Enter the amount of line 10 to be: Credited to 2014 estimated taxBullet611 RefundedBullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of
the instructions for definition)?............................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c), and Part XV.
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletIA, IL
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2013 or the taxable year beginning in 2013 (see instructions for Part XIV)?
    If "Yes," complete Part XIV.............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names and addresses.
    10
     
    No
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see instructions) .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement (see instructions).................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletJAMES L MELSA Telephone no.bullet (630) 420-1859
    Located atbullet591 CLARISSA CTNAPERVILLEIL ZIP+4bullet605408101
    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
    JAMES L MELSA PRES/TREAS
    0.00
    0 0 0
    591 CLARISSA CT
    NAPERVILLE,IL605408101
    KATHERINE SMITH MELSA V.P./SEC
    0.00
    0 0 0
    591 CLARISSA CT
    NAPERVILLE,IL605408101
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 7
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See page 24 of the instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
    see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
     
    b
    Average of monthly cash balances.......................
    1b
     
    c
    Fair market value of all other assets (see instructions)................
    1c
     
    d
    Total (add lines 1a, b, and c).........................
    1d
     
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d.........................
    3
     
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
     
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
     
    6
    Minimum investment return. Enter 5% of line 5..................
    6
     
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    27,612
    2a
    Tax on investment income for 2013 from Part VI, line 5......
    2a
    569
    b
    Income tax for 2013. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    569
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    27,043
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    27,043
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,
    line 1................................
    7
    27,043
    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 27,043
    2 Undistributed income, if any, as of the end of 2013:
    a Enter amount for 2012 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2013:
    a From 2008....... 37,396
    b From 2009....... 43,354
    c From 2010....... 34,100
    d From 2011....... 66,088
    e From 2012....... 33,613
    fTotal of lines 3a through e......... 214,551
    4Qualifying distributions for 2013 from Part
    XII, line 4: bullet$ 66,800
    a Applied to 2012, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions)......
    0
    c Treated as distributions out of corpus (Election
    required—see instructions).........
    0
    d Applied to 2013 distributable amount..... 27,043
    e Remaining amount distributed out of corpus 39,757
    5 Excess distributions carryover applied to 2013. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 254,308
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........
    0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
    0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
    0
    e Undistributed income for 2012. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2013. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2014 ..........
    0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see
    instructions) .............
    0
    8Excess distributions carryover from 2008 not
    applied on line 5 or line 7 (see instructions) ...
    37,396
    9Excess distributions carryover to 2014.
    Subtract lines 7 and 8 from line 6a ......
    216,912
    10 Analysis of line 9:
    a Excess from 2009.... 43,354
    b Excess from 2010.... 34,100
    c Excess from 2011.... 66,088
    d Excess from 2012.... 33,613
    e Excess from 2013.... 39,757
    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 of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 10
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    Foundation
    status of
    recipient
    Purpose of grant or
    contribution
    Amount
    Name and address (home or business)
    aPaid during the year
    AMERICAN CANCER SOCIETY - RELAY FOR LIFE
    899 N MILL STREET
    NAPERVILLE,IL60563
    NONE PUBLIC CHARITY CHARITABLE 1,500
    BENEDICTINE UNIVERSITY
    5700 COLLEGE RD
    LISLE,IL60532
    NONE PUBLIC CHARITY SCHOLARSHIP 10,000
    CATHOLIC MINISTRIES ANNUAL APPEAL
    101 W AIRPORT RD
    ROMEOVILLE,IL60446
    NONE PUBLIC CHARITY CHARITABLE 1,000
    FRIENDSHIP ARK HOMES
    130 SOUTH SHELDON AVENUE SUITE 203
    AMES,IA50014
    NONE PUBLIC CHARITY CHARITABLE 8,334
    HERBERT HOOVER PRESIDENTIAL LIBRARY
    302 PARKSIDE DRIVE
    WEST BRANCH,IA52358
    NONE PUBLIC CHARITY CHARITABLE 1,000
    IOWA STATE UNIVERSITY
    2505 UNIVERSITY BOULEVARD
    AMES,IA50010
    NONE PUBLIC CHARITY CHARITABLE 8,334
    UNITED WAY OF DUPAGE
    1000 JORIE BLVD 360
    OAK BROOK,IL60523
    NONE PUBLIC CHARITY CHARITABLE 2,000
    PI KAPPA ALPHA EDUCATION FOUNDATION
    8347 WEST RANGE COVE
    MEMPHIS,TN38103
    NONE PUBLIC CHARITY CHARITABLE 2,500
    SAINT BALDRICK'S FOUNDATION
    1333 SOUTH MAYFLOWER AVENUE SUITE
    400
    MONROVIA,CA91016
    NONE PUBLIC CHARITY CHARITABLE 1,000
    BENET ACADEMY
    2200 MAPLE AVE
    LISLE,IL60532
    NONE PUBLIC CHARITY CHARITABLE 750
    ALL SAINTS CATHOLIC ACADEMY
    1155 AURORA AVE
    NAPERVILLE,IL60540
    NONE PUBLIC CHARITY CHARITABLE 1,000
    TRIANGLE FRATERNITY EDUCATION FOUNDATION
    120 SOUTH CENTER STREET
    PLAINFIELD,IN46168
    NONE PUBLIC CHARITY EDUCATIONAL 2,000
    MID-IOWA COMMUNITY ACTION-STORY COUNTY DENTAL CLINIC
    8347 WEST RANGE COVE
    MEMPHIS,TN38103
    NONE PUBLIC CHARITY CHARITABLE 6,000
    UNIVERSITY OF NORTHERN IOWA
    3900 JENNINGS DRIVE
    CEDAR FALLS,IA50613
    NONE PUBLIC CHARITY CHARITABLE 10,000
    YOUTH AND SHELTER SERVICES FOUNDATION
    PO BOX 1628
    AMES,IA50010
    NONE PUBLIC CHARITY CHARITABLE 10,000
    Total .................................bullet 3a 65,418
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 11
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3
    Interest on savings and temporary cash investments ............
             
    4 Dividends and interest from securities....     14 14,975  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6
    Net rental income or (loss) from personal property .............
             
    7 Other investment income.....     14 67  
    8
    Gain or (loss) from sales of assets other than inventory .............
        18 50,593  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 65,635 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    1365,635
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 12
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political
    Yes
    No
    organizations?
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?...........
    b
    If "Yes," complete the following schedule.
    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer or fiduciary) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's namebullet



    Firm's addressbullet







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


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2013 AccountingFeesSchedule
    Name:
    THE MELSA FOUNDATION CO JAMES MELSA
    EIN: 42-1464665
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 2,575 1,288   1,287

    TY 2013 InvestmentsOtherSchedule2
    Name:
    THE MELSA FOUNDATION CO JAMES MELSA
    EIN: 42-1464665
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    INVESTMENTS AT COST 443,670 517,702

    TY 2013 LegalFeesSchedule
    Name:
    THE MELSA FOUNDATION CO JAMES MELSA
    EIN: 42-1464665
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 150 75   75


    TY 2013 OtherIncomeSchedule2
    Name:
    THE MELSA FOUNDATION CO JAMES MELSA
    EIN: 42-1464665
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    MISCELLANEOUS 67 67 67


    TY 2013 OtherProfessionalFeesSchedule
    Name:
    THE MELSA FOUNDATION CO JAMES MELSA
    EIN: 42-1464665
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNT MANAGEMENT FEES 7,320 7,320   0
    BANK SERVICE CHARGES 25 12   13


    TY 2013 TaxesSchedule
    Name:
    THE MELSA FOUNDATION CO JAMES MELSA
    EIN: 42-1464665
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    IL TAXES 15 8   7
    FEDERAL ESTIMATES 1,180 0   0
    FEDERAL BALANCE DUE 321 0   0