TY 2012 Form 990PF

- TIN:

Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation

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

Note. The foundation may be able to use a copy of this return to satisfy state reporting requirements.

OMB No. 1545-0052

2012

Open to Public Inspection

For calendar year 2012, or tax year beginning 07-01-2012 , and ending 06-30-2013

Name of foundation
DUKES HEALTH CARE FOUNDATION OF
MIAMI COUNTY INC

Number and street (or P.O. box number if mail is not delivered to street address)C/O COMERFORD CO 35 W 5TH ST Room/suite

City or town, state, and ZIP code
PERU, IN46970

A Employer identification number

20-1672681

B Telephone number (see instructions)

(765) 472-2387

C If exemption application is pending, check here bullet

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

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

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

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

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

$7,812,215J Accounting method: Cash Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)

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

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

	Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).)	(a) Revenue and expenses per books		(b) Net investment income	(d) Disbursements for charitable purposes (cash basis only)


1	Contributions, gifts, grants, etc., received (attach schedule)	22,176
2	Check
3	Interest on savings and temporary cash investments	23,398		23,398
4	Dividends and interest from securities......	193,705		193,705
5a	Gross rents..............
b	Net rental income or (loss)
6a	Net gain or (loss) from sale of assets not on line 10		411,766
b	Gross sales price for all assets on line 6a 3,363,601
7	Capital gain net income (from Part IV, line 2)...			12,437
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).......		8,214	8,177
12	Total. Add lines 1 through 11........	659,259		237,717
13	Compensation of officers, directors, trustees, etc.	13,127		9,845	3,282
14	Other employee salaries and wages......
15	Pension plans, employee benefits.......
16a	Legal fees (attach schedule).........		540	540
b	Accounting fees (attach schedule).......		4,980	3,735	1,245
c	Other professional fees (attach schedule)....
17	Interest...............
18	Taxes (attach schedule) (see instructions)		1,135	1,135
19	Depreciation (attach schedule) and depletion...		88
20	Occupancy..............	2,850		2,137	713
21	Travel, conferences, and meetings.......
22	Printing and publications..........
23	Other expenses (attach schedule).......		25,320	25,186
24	Total operating and administrative expenses.
	Add lines 13 through 23..........	48,040		42,578	5,240
25	Contributions, gifts, grants paid........	246,638			246,638
26	Total expenses and disbursements. Add lines 24 and 25	294,678		42,578	251,878
27	Subtract line 26 from line 12:
a	Excess of revenue over expenses and disbursements	364,581
b	Net investment income (if negative, enter -0-)			195,139
c	Adjusted net income (if negative, enter -0-)...

For Paperwork Reduction Act Notice, see instructions.

Cat. No. 11289X Form 990-PF (2012)

Form 990-PF (2012)

Page 2

Part II		Balance Sheets	Beginning of year	End of year
Part II		Balance Sheets	(a) Book Value	(b) Book Value	(c) Fair Market Value
	1	Cash—non-interest-bearing...............	52,312	225,386	225,386
	2	Savings and temporary cash investments..........	42,464	42,648	42,648
	3	Accounts receivable
		Less: allowance for doubtful accounts
	4	Pledges receivable
		Less: allowance for doubtful accounts
	5	Grants receivable.................
	6	Receivables due from officers, directors, trustees, and other
		disqualified persons (attach schedule) (see page 15 of the
		instructions)....................
	7	Other notes and loans receivable (attach schedule)
		Less: allowance for doubtful accounts
	8	Inventories for sale or use...............
	9	Prepaid expenses and deferred charges...........	3,938	3,032	3,032
	10a	Investments—U.S. and state government obligations (attach schedule)
	b	Investments—corporate stock (attach schedule)........	6,849,774	7,123,846	7,541,149
	c	Investments—corporate bonds (attach schedule)........
	11	Investments—land, buildings, and equipment: basis 47,377
		Less: accumulated depreciation (attach schedule) 25,663	103,705	21,714
	12	Investments—mortgage loans..............
	13	Investments—other (attach schedule)...........
	14	Land, buildings, and equipment: basis 1,000
		Less: accumulated depreciation (attach schedule) 924	164	76
	15	Other assets (describe )
	16	Total assets (to be completed by all filers—see the
		instructions. Also, see page 1, item I)	7,052,357	7,416,702	7,812,215
	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 )	312	76
	23	Total liabilities (add lines 17 through 22)..........	312	76
		Foundations that follow SFAS 117, check here
		and complete lines 24 through 26 and lines 30 and 31.
	24	Unrestricted....................	7,052,045	7,416,626
	25	Temporarily restricted................
	26	Permanently restricted................
		Foundations that do not follow SFAS 117, check here
		and complete lines 27 through 31.
	27	Capital stock, trust principal, or current funds.........
	28	Paid-in or capital surplus, or land, bldg., and equipment fund
	29	Retained earnings, accumulated income, endowment, or other funds
	30	Total net assets or fund balances (see page 17 of the
		instructions)....................	7,052,045	7,416,626
	31	Total liabilities and net assets/fund balances (see page 17 of
		the instructions)..................	7,052,357	7,416,702

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	7,052,045
2	Enter amount from Part I, line 27a.....................	2	364,581
3	Other increases not included in line 2 (itemize)	3
4	Add lines 1, 2, and 3..........................	4	7,416,626
5	Decreases not included in line 2 (itemize)	5
6	Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30.	6	7,416,626

Form 990-PF (2012)

Page 3

Part IV

Capital Gains and Losses for Tax on Investment Income

(a) List and describe the kind(s) of property sold (e.g., real estate, 2-story brick warehouse; or common stock, 200 shs. MLC Co.)		(b) How acquired P—Purchase D—Donation	(c) Date acquired (mo., day, yr.)	(d) Date sold (mo., day, yr.)
1a
b
c
d
e

(e) Gross sales price		(f) Depreciation allowed (or allowable)	(g) Cost or other basis plus expense of sale	(h) Gain or (loss) (e) plus (f) minus (g)
a
b
c
d
e

Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69
(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
c
d
e

2	Capital gain net income or (net capital loss)	If gain, also enter in Part I, line 7 If (loss), enter -0- in Part I, line 7	2	12,437
3	Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
	If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0- in Part I, line 8 . . . . . . . . . . . . . . . .		3

Part V

Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income

(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)

If section 4940(d)(2) applies, leave this part blank.

Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period? Yes No

If “Yes,” the foundation does not qualify under section 4940(e). Do not complete this part.

1 Enter the appropriate amount in each column for each year; see page 18 of the instructions before making any entries.
(a) Base period years Calendar year (or tax year beginning in)	(b) Adjusted qualifying distributions	(c) Net value of noncharitable-use assets	(d) Distribution ratio (col. (b) divided by col. (c))
2011
2010
2009
2008
2007

2	Total of line 1, column (d) ......................	2
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
4	Enter the net value of noncharitable-use assets for 2012 from Part X, line 5.....	4
5	Multiply line 4 by line 3.......................	5
6	Enter 1% of net investment income (1% of Part I, line 27b)...........	6
7	Add lines 5 and 6.........................	7
8	Enter qualifying distributions from Part XII, line 4..............	8
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See the Part VI instructions.

Form 990-PF (2012)

Page 4

Part VI

Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see page 18 of the instructions)

1a	Exempt operating foundations described in section 4940(d)(2), check hereand enter “N/A” on line 1.
	Date of ruling or determination letter: (attach copy of letter if necessary–see instructions)
b	Domestic foundations that meet the section 4940(e) requirements in Part V, check	1	3,903
	hereand enter 1% of Part I, line 27b...................
c	All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2	Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)	2
3	Add lines 1 and 2............................	3	3,903
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	3,903
6	Credits/Payments:

a	2012 estimated tax payments and 2011 overpayment credited to 2012	6a
b	Exempt foreign organizations—tax withheld at source.......	6b
c	Tax paid with application for extension of time to file (Form 8868)	6c
d	Backup withholding erroneously withheld ...........	6d

7	Total credits and payments. Add lines 6a through 6d..............		7
8	Enter any penalty for underpayment of estimated tax. Check hereif Form 2220 is attached.		8	88
9	Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......		9	3,991
10	Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...		10
11	Enter the amount of line 10 to be: Credited to 2013 estimated tax	Refunded	11

Part VII-A

Statements Regarding Activities

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

Yes

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

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

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

If the answer is “Yes” to 1a or 1b, attach a detailed description of the activities and copies of any materials

published or distributed by the foundation in connection with the activities.

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

Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:

(1) On the foundation. bullet

$ (2) On foundation managers. bullet

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

on foundation managers. bullet

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

If “Yes,” attach a detailed description of the activities.

Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles

of incorporation, or bylaws, or other similar instruments? If “Yes,” attach a conformed copy of the changes....

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

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

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

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

Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:

By language in the governing instrument, or

By state legislation that effectively amends the governing instrument so that no mandatory directions

that conflict with the state law remain in the governing instrument?................

Yes

Did the foundation have at least $5,000 in assets at any time during the year? If “Yes,” complete Part II, col. (c), and Part XV.

Yes

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

If the answer is “Yes” to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney

General (or designate) of each state as required by General Instruction G? If “No,” attach explanation .

Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)

or 4942(j)(5) for calendar year 2012 or the taxable year beginning in 2012 (see instructions for Part XIV)?

If “Yes,” complete Part XIV.............................

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

At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the

meaning of section 512(b)(13)? If "Yes," attach schedule. (see instructions) .............

Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had

advisory privileges? If "Yes," attach statement (see instructions).................

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

Yes

Website address bullet

N/A

The books are in care of bullet

COMERFORD & CO PC Telephone no. bullet

(765) 472-2387

Located at bullet

36 W FIFTH STREETPERUIN ZIP+4 bullet

46970

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

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

At any time during calendar year 2012, did the foundation have an interest in or a signature or other authority over

a bank, securities, or other financial account in a foreign country? .................

See instructions for exceptions and filing requirements for Form TD F 90-22.1. If "Yes", enter the name of the foreign country bullet

Form 990-PF (2012)

Page 5

Part VII-B

Statements Regarding Activities for Which Form 4720 May Be Required

File Form 4720 if any item is checked in the “Yes” column, unless an exception applies.

Yes

During the year did the foundation (either directly or indirectly):

(1) Engage in the sale or exchange, or leasing of property with a disqualified person? YesNo

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

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

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

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

(5) Transfer any income or assets to a disqualified person (or make any of either available

for the benefit or use of a disqualified person)?.................YesNo

(6) Agree to pay money or property to a government official? (Exception. Check “No”

if the foundation agreed to make a grant to or to employ the official for a period

after termination of government service, if terminating within 90 days.).........YesNo

If any answer is “Yes” to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations

section 53.4941(d)-3 or in a current notice regarding disaster assistance (see page 20 of the instructions)?...

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

Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,

that were not corrected before the first day of the tax year beginning in 2012?.............

Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private

operating foundation defined in section 4942(j)(3) or 4942(j)(5)):

At the end of tax year 2012, did the foundation have any undistributed income (lines 6d

and 6e, Part XIII) for tax year(s) beginning before 2012?...............YesNo

If “Yes,” list the years bullet

20, 20, 20, 20

Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)

(relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)

to all years listed, answer “No” and attach statement—see instructions.) ..............

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

20, 20, 20, 20

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

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

If “Yes,” did it have excess business holdings in 2012 as a result of (1) any purchase by the foundation

or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved

by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)

the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine

if the foundation had excess business holdings in 2012.)....................

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

Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its

charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2012?

During the year did the foundation pay or incur any amount to:

(1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? YesNo

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

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

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

(4) Provide a grant to an organization other than a charitable, etc., organization described

in section 509(a)(1), (2), or (3), or section 4940(d)(2)? (see instructions)........YesNo

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

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

If any answer is “Yes” to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in

Regulations section 53.4945 or in a current notice regarding disaster assistance (see instructions)? ......

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

If the answer is “Yes” to question 5a(4), does the foundation claim exemption from the

tax because it maintained expenditure responsibility for the grant?............YesNo

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

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

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

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

If “Yes” to 6b, file Form 8870.

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

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

Form 990-PF (2012)

Page 6

Part VIII

Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors

1 List all officers, directors, trustees, foundation managers and their compensation (see instructions).
(a) Name and address	(b) Title, and average hours per week devoted to position	(c) Compensation (If not paid, enter -0-)	(d) Contributions to employee benefit plans and deferred compensation	(e) Expense account, other allowances
JON FAUST	TRUSTEE 1.00	1,800	0	0
253 N WALNUT PERU,IN46970	TRUSTEE 1.00	1,800	0	0
SALLY KEITH	PRESIDENT 1.00	1,800	0	0
2 N BROADWAY PERU,IN46970	PRESIDENT 1.00	1,800	0	0
KEVIN COMERFORD	TREASURER 1.00	1,800	0	0
1532 N STATE RD 19 PERU,IN46970	TREASURER 1.00	1,800	0	0
JOHN CLAXTON	VICE PRES. 4.00	2,327	0	0
C/O COMERFORD CO PC 36 W 5 TH ST PERU,IN46970	VICE PRES. 4.00	2,327	0	0
BOB SCHWARTZ	SECRETARY 1.00	1,800	0	0
C/O COMERFORD CO PC 36 W 5TH ST PERU,IN46970	SECRETARY 1.00	1,800	0	0
RALPH DUCKWALL	TRUSTEE 1.00	1,800	0	0
2336 AIRPORT RD PERU,IN46970	TRUSTEE 1.00	1,800	0	0
RICHARD WILES	TRUSTEE 1.00	1,800	0	0
C/O COMERFORD CO PC 36 W 5TH ST PERU,IN46970	TRUSTEE 1.00	1,800	0	0

2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE.”
(a) Name and address of each employee paid more than $50,000	(b) Title, and average hours per week devoted to position	(c) Compensation	(d) Contributions to employee benefit plans and deferred compensation	(e) Expense account, other allowances
NONE









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

3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
(a) Name and address of each person paid more than $50,000	(b) Type of service	(c) Compensation
NONE

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


2


3


4

Form 990-PF (2012)

Page 7

Part IX-B

Summary of Program-Related Investments (see instructions)

Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2.		Amount
1	N/A
2


All other program-related investments. See page 24 of the instructions.
3

Total. Add lines 1 through 3.......................... bullet

Part X

Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
see instructions.)

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

purposes:

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

7,409,148

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

164,793

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

21,715

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

7,595,656

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

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

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

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

7,595,656

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

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

113,935

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

7,481,721

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

374,086

Part XI

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

and do not complete this part.)

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

374,086

Tax on investment income for 2012 from Part VI, line 5......

3,903

Income tax for 2012. (This does not include the tax from Part VI.)...

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

3,903

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

370,183

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

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

370,183

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

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

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

370,183

Part XII

Qualifying Distributions (see instructions)

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

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

251,878

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

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

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

Amounts set aside for specific charitable projects that satisfy the:

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

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

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

251,878

Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment

income. Enter 1% of Part I, line 27b (see instructions).................

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

251,878

Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
the section 4940(e) reduction of tax in those years.

Form 990-PF (2012)

Page 8

Part XIII

Undistributed Income (see instructions)

		(a) Corpus	(b) Years prior to 2011	(c) 2011	(d) 2012
1 Distributable amount for 2012 from Part XI, line 7					370,183
2 Undistributed income, if any, as of the end of 2012:
a Enter amount for 2011 only.......
b Total for prior years:20, 20, 20
3 Excess distributions carryover, if any, to 2012:
a From 2007.......
b From 2008.......
c From 2009.......
d From 2010.......
e From 2011.......
fTotal of lines 3a through e.........
4Qualifying distributions for 2012 from Part
XII, line 4: $ 251,878
a Applied to 2011, 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 2012 distributable amount.....					251,878
e Remaining amount distributed out of corpus
5 Excess distributions carryover applied to 2012.
(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
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 2011. Subtract line 4a from line 2a. Taxable amount—see instructions .............
f Undistributed income for 2012. Subtract lines 4d and 5 from line 1. This amount must be distributed in 2013 ..........					118,305
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 2007 not applied on line 5 or line 7 (see instructions) ...
9Excess distributions carryover to 2013. Subtract lines 7 and 8 from line 6a ......
10 Analysis of line 9:
a Excess from 2008....
b Excess from 2009....
c Excess from 2010....
d Excess from 2011....
e Excess from 2012....

Form 990-PF (2012)

Page 9

Part XIV

Private Operating Foundations (see instructions and Part VII-A, question 9)

1a If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2012, enter the date of the ruling....... bullet

b Check box to indicate whether the organization is a private operating foundation described in section4942(j)(3) or4942(j)(5)

2a Enter the lesser of the adjusted net income from Part I or the minimum investment return from Part X for each year listed ..........	Tax year	Prior 3 years			(e) Total
	(a) 2012	(b) 2011	(c) 2010	(d) 2009	(e) Total

b 85% of line 2a .........
c Qualifying distributions from Part XII, line 4 for each year listed .....
d Amounts included in line 2c not used directly for active conduct of exempt activities ....
e Qualifying distributions made directly for active conduct of exempt activities. Subtract line 2d from line 2c ....
3 Complete 3a, b, or c for the alternative test relied upon:
a “Assets” alternative test—enter:
(1) Value of all assets ......
(2) Value of assets qualifying under section 4942(j)(3)(B)(i)
b “Endowment” alternative test— enter 2⁄3 of minimum investment return shown in Part X, line 6 for each year listed...
c “Support” alternative test—enter:
(1) Total support other than gross investment income (interest, dividends, rents, payments on securities loans (section 512(a)(5)), or royalties) ....
(2) Support from general public and 5 or more exempt organizations as provided in section 4942(j)(3)(B)(iii)....
(3) Largest amount of support from an exempt organization
(4) Gross investment income

Part XV

Supplementary Information (Complete this part only if the organization had $5,000 or more in
assets at any time during the year—see instructions.)

1Information Regarding Foundation Managers:

aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)

bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.

2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:

Check here bullet

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

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

DUKES HEALTH CARE FOUNDATION
13 E MAIN STREET
PERU,IN46970
(765) 472-2236

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

EACH APPLICANT MUST COMPLETE A GRANT APPLICATION COVER SHEET WITH BASIC INFORMATION ON THE AGENCY AND PROJECT FOR WHICH THE GRANT IS REQUESTED. ATTACHED TO THIS COVER SHEET IS THE FOLLOWING: EXECUTIVE SUMMARY - WHY AGENCY IS REQUESTING GRANT, WHAT OUTCOMES THEY HOPE TO ACHIEVE, AND HOW THEY WILL SPEND THE FUNDS APPLICATION NARRATIVE - PURPOSE OF THE GRANT, PLANS FOR EVALUATION OF RESULTS OF GRANT, AGENCY INFORMATION GRANT APPLICATION BUDGET IRS DETERMINATION LETTER INDICATING TAX EXEMPT STATUS LIST OF BOARD OF DIRECTORS

cAny submission deadlines:

APPLICATION MUST BE FILED ANNUALLY BY NOVEMBER 30.

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

APPLICANTS MUST USE GRANT FUNDS TO BENEFIT THE HEALTH OF MIAMI COUNTY, INDIANA RESIDENTS.

Form 990-PF (2012)

Page 10

Part XV

Supplementary Information (continued)

3 Grants and Contributions Paid During the Year or Approved for Future Payment
Recipient	If recipient is an individual, show any relationship to any foundation manager or substantial contributor	Foundation status of recipient	Purpose of grant or contribution	Amount
Name and address (home or business)		Foundation status of recipient	Purpose of grant or contribution	Amount
aPaid during the year
MIAMI COUNTY SHERIFF'S DEPT 1104 W 200 N PERU,IN46970	NONE		EMERGENCY RESPONSE KITS	4,920
NORTHERN INDIANA COMM FOUND 715 MAIN STREET ROCHESTER,IN46975	NONE		NURSING SCHOLARSHIPS	10,000
MIAMI COUNTY BOARD OF HEALTH 35 COURT STREET PERU,IN46970	NONE		FLU VACCINES	19,755
ST JOHNS LUTHERAN CHURCH 181 W MAIN STREET PERU,IN46970	NONE		AUTOMATIC DOOR OPENER	988
BETA SIGMA PHI DENTAL CLINIC 10392 S ELM STREET MIAMI,IN46959	NONE		EMERGENCY DENTAL TREATMENT	5,000
BONA VISTA 105 S BENTON STREET PERU,IN46970	NONE		SOLOLIFT (HOYER LIFT)	5,365
DUKES HOSPITAL AUXILIARY 4748 W DIVISION ROAD PERU,IN46970	NONE		NURSING SCHOLARSHIPS	6,000
MEXICO COMM FIRE ASSOC 2264 W MAIN STREET MEXICO,IN46958	NONE		MEDICAL BAGS, BOARDS & WRAPS	549
MIAMI CO EMERGENCY MGMT 78 MCKINSTRY AVENUE PERU,IN46970	NONE		AMBULANCE MED & TRNG SUPPLIES	2,579
MIAMI COUNTY YMCA 34 E SIXTH STREET PERU,IN46970	NONE		HEALTH EQUIPMENT	15,490
NORTH MIAMI COMM SCHOOLS 394 E 900 N DENVER,IN46926	NONE		HEALTH SERVICES TO STUDENTS	3,000
WABASH-MIAMI HOME HEALTH 400 ASH STREET SUITE B WABASH,IN46992	NONE		HOME HEALTH CARE FOR NEEDY	30,000
IVY TECH FOUNDATION INC 1815 E MORGAN STREET KOKOMO,IN46903	NONE		IMPLEMENT RN PROGRAM-STAGE 1	130,492
SALVATION ARMY 80-84 W SECOND STREET PERU,IN46970	NONE		MEDICAL ASSISTANCE TO NEEDY	12,500
Total ................................. 3a				246,638

bApproved for future payment

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

Form 990-PF (2012)

Page 11

Part XVI-A

Analysis of Income-Producing Activities

Enter gross amounts unless otherwise indicated.	Unrelated business income		Excluded by section 512, 513, or 514		(e) Related or exempt function income (See instructions.)
1Program service revenue:	(a) Business code	(b) Amount	(c) Exclusion code	(d) Amount	(e) Related or exempt function income (See instructions.)
a
b
c
d
e
f
gFees and contracts from government agencies
2 Membership dues and assessments....
3Interest on savings and temporary cash investments					23,398
4 Dividends and interest from securities....					193,705
5 Net rental income or (loss) from real estate:
aDebt-financed property......
bNot debt-financed property.....
6Net rental income or (loss) from personal property
7 Other investment income.....
8Gain or (loss) from sales of assets other than inventory					411,766
9 Net income or (loss) from special events:
10 Gross profit or (loss) from sales of inventory..
11 Other revenue: aMISCELLANEOUS					37
b					8,177
c
d
e
12 Subtotal. Add columns (b), (d), and (e)..					637,083

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

13637,083

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

Part XVI-B

Relationship of Activities to the Accomplishment of Exempt Purposes

Line No.	Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See instructions.)

Form 990-PF (2012)

Page 12

Part XVII

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

Did the organization directly or indirectly engage in any of the following with any other organization described in section

Yes

501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?

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

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

1a(1)

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

1a(2)

Other transactions:

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

1b(1)

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

1b(2)

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

1b(3)

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

1b(4)

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

1b(5)

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

1b(6)

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

If the answer to any of the above is “Yes,” complete the following schedule. Column (b) should always show the fair market value
of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.

(a) Line No.	(b) Amount involved	(c) Name of noncharitable exempt organization	(d) Description of transfers, transactions, and sharing arrangements

Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?...........YesNo

If “Yes,” complete the following schedule.

(a) Name of organization	(b) Type of organization	(c) Description of relationship

Sign Here

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer or fiduciary) is based on all information of which preparer has any knowledge.
				May the IRS discuss this return with the preparer shown below (see instr.)? Yes No
	Signature of officer or trustee	Date	Title

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

Form 990-PF (2012)

Additional Data

Software ID:
Software Version:

Form 990PF - Special Condition Description:

Special Condition Description

- TIN:

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

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

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

OMB No. 1545-0047

2012

Name of the organization

DUKES HEALTH CARE FOUNDATION OF
MIAMI COUNTY INC

Employer identification number

20-1672681

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

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

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

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

501(c)(3) taxable private foundation

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

General Rule

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

Special Rules

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

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

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

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990; or check the box on line H of its
Form 990-EZ or on Part I, line 2 of its Form 990-PF, 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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 2

Name of organization DUKES HEALTH CARE FOUNDATION OF MIAMI COUNTY INC

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	CLARENCE C HOLMES TRUST P O BOX 147 PERU, IN 46970	$11,797	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
2	LYMAN BANKS TRUST P O BOX 147 PERU, IN 46970	$9,037	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II if there is a noncash contribution.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 3

Name of organization DUKES HEALTH CARE FOUNDATION OF MIAMI COUNTY INC

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) (2012)

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Page 4

Name of organization
DUKES HEALTH CARE FOUNDATION OF
MIAMI COUNTY INC

Employer identification number

20-1672681

Part III

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

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

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

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

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

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

Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

Additional Data

Software ID:
Software Version:

- TIN:

TY 2012 AccountingFeesSchedule

Name:

DUKES HEALTH CARE FOUNDATION OF

MIAMI COUNTY INC

EIN: 20-1672681

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
ACCOUNTING FEES	4,980	3,735		1,245

- TIN:

TY 2012 CompensationExplanation

Name:

DUKES HEALTH CARE FOUNDATION OF

MIAMI COUNTY INC

EIN: 20-1672681

Person Name	Explanation
JON FAUST
SALLY KEITH
KEVIN COMERFORD
JOHN CLAXTON
BOB SCHWARTZ
RALPH DUCKWALL
RICHARD WILES

- TIN:

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

TY 2012 DepreciationSchedule

Name:

DUKES HEALTH CARE FOUNDATION OF

MIAMI COUNTY INC

EIN: 20-1672681

Description of Property	Date Acquired	Cost or Other Basis	Prior Years' Depreciation	Computation Method	Rate / Life (# of years)	Current Year's Depreciation Expense	Net Investment Income	Adjusted Net Income	Cost of Goods Sold Not Included
FILE CABINET	2007-04-06	1,000	836	200DB	7.0000	88

- TIN:

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

TY 2012 GainLossSaleOtherAssetsSch

Name:

DUKES HEALTH CARE FOUNDATION OF

MIAMI COUNTY INC

EIN: 20-1672681

Name	Date Acquired	How Acquired	Date Sold	Gross Sales Price	Basis	Total (net)	Accumulated Depreciation
GE ANESTHESIA MACHINE	2007-07	PURCHASE	2012-10	28,495	75,986	-8,231	39,260
GE ANESTHESIA MACHINE	2007-07	PURCHASE	2012-10	28,495	75,986	-8,231	39,260
500 SHS ISHARES BARCLAYS	2011-07	PURCHASE	2012-07	52,239	52,421	-182
750 SHS ISHARES BARCLAY	2011-07	PURCHASE	2012-07	63,239	63,224	15
61 SHS BRIDGEPOINT EDU	2011-11	PURCHASE	2012-08	666	1,423	-757
189 SHS BRIDGEPOINT EDU	2011-11	PURCHASE	2012-08	2,065	4,408	-2,343
1000 SHS FORD MOTOR CO	2011-07	PURCHASE	2012-08	9,470	11,980	-2,510
120 SHS BRIDGEPOINT EDU	2011-11	PURCHASE	2012-08	1,205	2,799	-1,594
BANK OF AMER INTERNOTES	2007-02	PURCHASE	2012-08	40,000	40,000
GA POWER CO	2007-08	PURCHASE	2012-09	22,000	22,000
75,000 FEDERAL NATIONAL	2011-07	PURCHASE	2012-09	75,000	72,000	3,000
1996.87 SHS JAMES ADVANTAGE	2011-09	PURCHASE	2012-10	22,225	21,680	545
900 SHS SUNOCO LOGISTICS	2009-03	PURCHASE	2012-10	45,044	17,515	27,529
260 SHS ARCHER DANIELS	2011-07	PURCHASE	2012-10	7,054	8,460	-1,406
600 SHS DOLLAR TREE	2011-07	PURCHASE	2012-11	22,628	5,336	17,292
725 SHS LIFEPOINT HOSPITALS	2011-07	PURCHASE	2012-11	25,589	18,195	7,394
225 SHS COINSTAR	2012-07	PURCHASE	2012-11	9,770	15,835	-6,065
150 SHS DU PONT	2011-07	PURCHASE	2012-11	6,310	6,612	-302
210 SHS DOLLAR TREE	2011-07	PURCHASE	2012-11	8,244	1,868	6,376
210 SHS EATON CORP	2011-07	PURCHASE	2012-12	10,848	8,023	2,825
210 SHS DOLLAR TREE	2011-07	PURCHASE	2012-12	8,598	1,868	6,730
2240.121 ALGER SMALL/MID	2011-07	PURCHASE	2012-12	37,544	39,180	-1,636
3129.286 EATON VANCE LG CAP VALUE	2011-07	PURCHASE	2012-12	62,429	58,902	3,527
4978.025 GOLDMAN SACHS COMM STRAT	2011-07	PURCHASE	2012-12	28,375	27,927	448
1480.065 HOTCHKIS & WILEY	2011-07	PURCHASE	2012-12	42,641	40,087	2,554
3537.034 JOHN HANCOCK CLASSIC	2011-07	PURCHASE	2012-12	62,464	61,056	1,408
3406.875 INVESCO GROWTH	2011-07	PURCHASE	2012-12	71,690	68,985	2,705
1217.950 HARBOR INTERNATIONAL	2011-07	PURCHASE	2012-12	75,208	73,265	1,943
1589.030 HARBOR CAPITAL	2011-07	PURCHASE	2012-12	68,249	69,480	-1,231
3173.301 JH DISCIPLD VAL MID CAP FUN	2011-07	PURCHASE	2012-12	42,173	37,503	4,670
2216.407 MORGAN STANLEY GLOB REAL ES	2011-07	PURCHASE	2012-12	21,300	18,618	2,682
2553.305 MAINSTARY ICAP INTERNATIONA	2011-07	PURCHASE	2012-12	76,293	74,845	1,448
954.760 MUNDER VERACIY SM CAP VAL	2011-07	PURCHASE	2012-12	21,215	18,618	2,597
2499.693 OPPENHEIMER INTL GROWTH	2011-07	PURCHASE	2012-12	76,391	71,918	4,473
1111.490 RAINIER MID CAP EQUITY	2011-07	PURCHASE	2012-12	49,884	50,284	-400
2151.386 RS EMERGING MARKETS	2011-07	PURCHASE	2012-12	50,708	53,122	-2,414
2869.663 T ROWE PRICE INTL STOCK	2011-07	PURCHASE	2012-12	41,122	39,773	1,349
2001.648 SENTINEL FUNDS COMMON STOCK	2011-07	PURCHASE	2012-12	71,639	69,937	1,702
5307.420 TURNER CORE GROWTH	2011-07	PURCHASE	2012-12	67,776	70,111	-2,335
940.782 DELAWARE SELECT GROWTH	2011-07	PURCHASE	2012-12	39,569	40,469	-900
450 SHS CAPITAL ONE FIN CORP	2011-07	PURCHASE	2013-01	25,407	17,492	7,915
50000 UNITS US TREAS NOTE	2012-10	PURCHASE	2013-01	49,679	50,168	-489
19897.533 SHS JAMES ADVANT FDS	2011-09	PURCHASE	2013-01	247,724	216,030	31,694
4664.179 SHS JAMES ADVANT FDS	2013-01	PURCHASE	2013-01	51,306	50,047	1,259
1675 SHS ACETO CORP	2012-06	PURCHASE	2013-02	17,489	14,724	2,765
940 SHS STURM RUGER & CO	2012-06	PURCHASE	2013-02	48,332	13,336	34,996
600 SHS PFIZER INC	2012-06	PURCHASE	2013-02	16,592	10,682	5,910
500 SHS ISHARES BARCLAYS MBS BOND FD	2012-04	PURCHASE	2013-02	53,829	54,023	-194
245 SHS VIACOM INC CLASS A	2011-09	PURCHASE	2013-02	15,083	12,926	2,157
1320 SHS UNUM GROUP	2012-01	PURCHASE	2013-02	30,809	25,915	4,894
710 SHS SYMANTEC CORP	2011-07	PURCHASE	2013-02	15,527	9,651	5,876
575 SHS ISHARES BARCLAYS 20 YR TREAS	2012-06	PURCHASE	2013-02	67,239	73,301	-6,062
480 SHS ELI LILLY & CO	2011-08	PURCHASE	2013-02	26,207	17,517	8,690
580 SHS ISHARES SILVER TRUST	2011-07	PURCHASE	2013-02	17,574	11,797	5,777
330 SHS TJX COS INC NEW	2012-07	PURCHASE	2013-02	14,893	14,574	319
600 SHS TESORO CORP	2012-06	PURCHASE	2013-02	28,745	14,174	14,571
750 SHS TRIUMPH GROUP INC	2012-06	PURCHASE	2013-02	53,710	14,369	39,341
670 SHS MACY'S INC	2011-09	PURCHASE	2013-02	26,646	18,298	8,348
150 SHS NACCO INDUSTRIES	2011-09	PURCHASE	2013-02	9,798	5,210	4,588
735 SHS SINCLAIR BROADCAST GROUP INC	2011-08	PURCHASE	2013-02	10,094	5,714	4,380
600 SHS TORO COMPANY	2012-06	PURCHASE	2013-02	26,375	21,662	4,713
160 SHS AMERCO	2011-11	PURCHASE	2013-02	21,390	12,461	8,929
4900 SHS VONAGE HLDGS CORP	2011-07	PURCHASE	2013-02	12,279	21,190	-8,911
750 SHS PNM RES INC COM	2011-07	PURCHASE	2013-02	15,941	14,280	1,661
740 SHS NORTHWESTERN CORP	2011-07	PURCHASE	2013-02	27,129	20,218	6,911
610 SHS SPDR S&P HOMEBUILDERS ETF	2012-12	PURCHASE	2013-02	17,647	16,296	1,351
180 SHS UNITEDHEALTH GROUP INC	2011-09	PURCHASE	2013-02	10,128	9,020	1,108
460 SHS TRW AUTOMOTIVE HLDGS CORP	2012-12	PURCHASE	2013-02	26,868	24,583	2,285
250 SHS TELUS CORP NON VOTING	2012-07	PURCHASE	2013-02	16,515	15,043	1,472
500 SHS INNOSPEC INC	2012-07	PURCHASE	2013-02	20,060	15,573	4,487
1425 SHS LEAPFROG ENTERPRISES INC	2012-07	PURCHASE	2013-02	12,611	15,001	-2,390
700 SHS BROOKFIELD OFFICE PROP INC	2011-07	PURCHASE	2013-02	11,651	13,300	-1,649
1640 SHS FIFTH THIRD BANCORP	2012-11	PURCHASE	2013-02	26,530	21,993	4,537
150 SHS HYSTER YALE MATLS HANDLING	2011-07	PURCHASE	2013-02	7,548	5,337	2,211
240 SHS ISHARES PHILLIPINES INVEST	2012-12	PURCHASE	2013-02	8,887	8,167	720
830 SHS KULICKE & SOFFA INDUSTRIES	2011-11	PURCHASE	2013-02	9,819	8,268	1,551
710 SHS BCE INC	2011-07	PURCHASE	2013-02	31,747	24,629	7,118
1090 SHS KB HOME	2012-12	PURCHASE	2013-02	20,252	16,099	4,153
175 SHS KIMBERLY-CLARK CORP	2012-07	PURCHASE	2013-02	15,424	14,707	717
800 SHS CBL & ASSOCIATES	2011-07	PURCHASE	2013-02	17,352	14,733	2,619
990 SHS AMTRUST FINANCIAL SERVICES	2011-07	PURCHASE	2013-02	32,877	21,326	11,551
195 SHS CUMMINS INC	2011-07	PURCHASE	2013-02	22,493	16,004	6,489
230 SHS ISHARES INC MSCI CANADA	2011-07	PURCHASE	2013-02	6,695	6,341	354
450 SHS MARKET VECTORS INDONESIA	2011-07	PURCHASE	2013-02	12,979	12,566	413
450 SHS AMERICAN ELECTRIC POWER INC	2011-07	PURCHASE	2013-02	20,259	16,173	4,086
1040 SHS FORD MOTOR COMPANY	2012-12	PURCHASE	2013-02	13,520	12,062	1,458
145 SHS CHEVRON CORP	2011-07	PURCHASE	2013-02	16,950	11,371	5,579
295 SHS CONOCOPHILLIPS	2011-07	PURCHASE	2013-02	18,133	12,547	5,586
400 SHS JP MORGAN CHASE & CO	2012-12	PURCHASE	2013-02	18,812	16,228	2,584
157 SHS ABERDEEN CHILE FD INC	2011-07	PURCHASE	2013-02	2,452	3,174	-722
225 SHS ISHARES INC MSCI SINGAPORE	2011-07	PURCHASE	2013-02	3,076	3,134	-58
815 SHS DELUXE CORP	2011-07	PURCHASE	2013-02	31,001	16,153	14,848
500 SHS ISHARES BARCLAYS CREDIT BOND	2012-04	PURCHASE	2013-02	56,165	54,954	1,211
315 SHS DILLARDS INC	2012-06	PURCHASE	2013-02	26,572	21,740	4,832
910 SHS HOLLYFRONTIER CORP	2011-09	PURCHASE	2013-02	46,045	34,174	11,871
90 SHS APACHE CORPORATION	2011-07	PURCHASE	2013-02	7,659	8,332	-673
210 SHS EATON CORP PLC	2011-07	PURCHASE	2013-02	12,075	10,848	1,227
125 SHS ISHARES INC MSCI AUSTRALIA	2011-07	PURCHASE	2013-02	3,271	3,050	221
550 SHS INTEL CORP	2012-06	PURCHASE	2013-02	11,664	14,426	-2,762
445 SHS EQUIFAX INC	2012-07	PURCHASE	2013-02	26,100	22,402	3,698
25000 UNITS GE CAPITAL CORP	2011-07	PURCHASE	2013-02	32,818	24,610	8,208
50000 UNITS US TREAS BOND	2011-07	PURCHASE	2013-02	63,250	48,328	14,922
150 SHS HYSTER YALE MATLS HANDLING	2011-07	PURCHASE	2013-04	7,531	5,336	2,195
40000 SHS PRUDENTIAL FINL INTERNOTES	2006-10	PURCHASE	2013-04	40,000	40,000
500 SHS ELI LILLY & CO	2006-09	PURCHASE	2013-04	28,077	28,222	-145
1252.019 SHS AMCAP FUND	2011-02	PURCHASE	2013-06	31,000	24,462	6,538
254.194 SHS GROWTH FD OF AMERICA	2013-02	PURCHASE	2013-06	10,000	9,187	813
488.085 SHS NEW PERSPECTIVE FD	2010-05	PURCHASE	2013-06	17,000	12,283	4,717
427.168 SHS FUNDAMENTAL INVESTORS	2013-02	PURCHASE	2013-06	20,000	18,347	1,653
399.113 SHS AMERICAN BALANCED FD	2013-02	PURCHASE	2013-06	9,000	8,469	531
614.704 SHS CAPITAL WORLD G&I FD	2010-05	PURCHASE	2013-06	25,000	19,899	5,101

- TIN:

TY 2012 InvestmentsCorpStockSchedule

Name:

DUKES HEALTH CARE FOUNDATION OF

MIAMI COUNTY INC

EIN: 20-1672681

Name of Stock	End of Year Book Value	End of Year Fair Market Value
PUBLICLY TRADED SECURITIES	7,123,846	7,541,149

- TIN:

TY 2012 InvestmentsLandSchedule2

Name:

DUKES HEALTH CARE FOUNDATION OF

MIAMI COUNTY INC

EIN: 20-1672681

Category/ Item	Cost/Other Basis	Accumulated Depreciation	Book Value	End of Year Fair Market Value
	47,377	25,663	21,714

- TIN:

TY 2012 LandEtcSchedule2

Name:

DUKES HEALTH CARE FOUNDATION OF

MIAMI COUNTY INC

EIN: 20-1672681

Category / Item	Cost / Other Basis	Accumulated Depreciation	Book Value	End of Year Fair Market Value
	1,000	924	76

- TIN:

TY 2012 LegalFeesSchedule

Name:

DUKES HEALTH CARE FOUNDATION OF

MIAMI COUNTY INC

EIN: 20-1672681

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
LEGAL FEES	540	540

- TIN:

TY 2012 OtherExpensesSchedule

Name:

DUKES HEALTH CARE FOUNDATION OF

MIAMI COUNTY INC

EIN: 20-1672681

Description	Revenue and Expenses per Books	Net Investment Income
EXPENSES
DUES & SUBSCRIPTIONS	100
OFFICE EXPENSE	34
LIABILITY INSURANCE	750	750
BANK SERVICE CHARGES	14,025	14,025
MISCELLANEOUS EXPENSE	1,873	1,873
INVESTMENT DEPRECIATION	8,538	8,538

- TIN:

TY 2012 OtherIncomeSchedule2

Name:

DUKES HEALTH CARE FOUNDATION OF

MIAMI COUNTY INC

EIN: 20-1672681

Description	Revenue And Expenses Per Books	Net Investment Income	Adjusted Net Income
MISCELLANEOUS	37
	8,177	8,177

- TIN:

TY 2012 OtherLiabilitiesSchedule

Name:

DUKES HEALTH CARE FOUNDATION OF

MIAMI COUNTY INC

EIN: 20-1672681

Description	Beginning of Year - Book Value	End of Year - Book Value
SALES TAX PAYABLE	312	76

- TIN:

TY 2012 TaxesSchedule

Name:

DUKES HEALTH CARE FOUNDATION OF

MIAMI COUNTY INC

EIN: 20-1672681

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
FOREIGN TAX EXPENSE	1,135	1,135