The Lomax Family Foundation — Form 990PF, tax year 2013

View The Lomax Family Foundation on 990iQ →
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 LOMAX FAMILY FOUNDATION
 

Number and street (or P.O. box number if mail is not delivered to street address)2468 PENIEL ROAD   Room/suite
City or town, state or province, country, and ZIP or foreign postal code
TRYON, NC28782
A Employer identification number

74-2900491
B Telephone number (see instructions)

(828) 243-3802
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$971,811J 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 1,051    
4 Dividends and interest from securities...... 17,726    
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 Click to see attachment 15,511
b Gross sales price for all assets on line 6a 177,546
7 Capital gain net income (from Part IV, line 2)... 0
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 34,288 0  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 3,369      
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions) Click to see attachment 36      
19 Depreciation (attach schedule) and depletion... Click to see attachment 750    
20 Occupancy..............        
21 Travel, conferences, and meetings....... 11,543      
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 7,192      
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 22,890 0   0
25 Contributions, gifts, grants paid........ 24,463 0
26 Total expenses and disbursements. Add lines 24 and 25 47,353 0   0
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -13,065
b Net investment income (if negative, enter -0-) 0
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............... 11,017 35,072 45,117
2 Savings and temporary cash investments.......... 299,321 196,044 185,999
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)........ 449,666 Click to see attachment565,784 739,695
c Investments—corporate bonds (attach schedule)........ 49,920    
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)...........      
14 Land, buildings, and equipment: basis bullet11,456
Less: accumulated depreciation (attach schedule) bullet9,699 1,798 Click to see attachment1,757 1,000
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 811,722 798,657 971,811
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable...................    
19 Deferred revenue..................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)..........   0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted....................    
25 Temporarily restricted................    
26 Permanently restricted................    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds.........    
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds 811,722 798,657
30 Total net assets or fund balances (see page 17 of the
instructions).................... 811,722 798,657
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 811,722 798,657
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)............... 1 811,722
2 Enter amount from Part I, line 27a..................... 2 -13,065
3 Other increases not included in line 2 (itemize) bullet 3  
4 Add lines 1, 2, and 3.......................... 4 798,657
5 Decreases not included in line 2 (itemize) bullet 5  
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 798,657
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.)
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 (l) Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i) F.M.V. as of 12/31/69 (j) Adjusted basis
as of 12/31/69 		(k) Excess of col. (i)
over col. (j), if any
a
b
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2  
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     0.000000
2011 27,308    
2010      
2009      
2008      
2 Total of line 1, column (d) ...................... 2 0.000000
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 0.000000
4 Enter the net value of noncharitable-use assets for 2013 from Part X, line 5..... 4  
5 Multiply line 4 by line 3....................... 5  
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6  
7 Add lines 5 and 6......................... 7 0
8 Enter qualifying distributions from Part XII, line 4.............. 8 0
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 0
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  
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 0
6 Credits/Payments:
a 2013 estimated tax payments and 2012 overpayment credited to 2013 6a  
b Exempt foreign organizations—tax withheld at source....... 6b
c Tax paid with application for extension of time to file (Form 8868) 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7  
8 Enter any penalty for underpayment of estimated tax. 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  
11 Enter the amount of line 10 to be: Credited to 2014 estimated taxBullet0 RefundedBullet 11  
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of
the instructions for definition)?............................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
     
    No
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c), and Part XV.
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletNC
    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 ofbulletCONNIE JUDITH LOMAX Telephone no.bullet (828) 243-3802
    Located atbullet2468 PENIEL ROADTRYONNC ZIP+4bullet28782
    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
    ARTHUR LEE LOMAX DIRECTOR
    5.00     		0 0 0
    2468 PENIEL ROAD
    TRYON,NC28782
    CONNIE JUDITH LOMAX DIRECTOR
    5.00     		0 0 0
    2468 PENIEL ROAD
    TRYON,NC28782
    LAWRENCE H NORDLINGER II DIRECTOR
    1.00     		0 0 0
    3B BENT GRASS CT
    BLACK MT,NC28711
    ASHLEY LAUREN DELAY DIRECTOR
    1.00     		0 0 0
    2468 PENIEL ROAD
    TRYON,NC28782
    AUSTIN LEE LOMAX DIRECTOR
    1.00     		0 0 0
    4868 PENIEL ROAD
    TRYON,NC28782
    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.........................bullet  
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
    see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
     
    b
    Average of monthly cash balances.......................
    1b
     
    c
    Fair market value of all other assets (see instructions)................
    1c
     
    d
    Total (add lines 1a, b, and c).........................
    1d
     
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d.........................
    3
     
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
     
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
     
    6
    Minimum investment return. Enter 5% of line 5..................
    6
     
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
     
    2a
    Tax on investment income for 2013 from Part VI, line 5......
    2a
     
    b
    Income tax for 2013. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
     
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
     
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
     
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,
    line 1................................
    7
    0
    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 0
    2 Undistributed income, if any, as of the end of 2013:
    a Enter amount for 2012 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2013:
    a From 2008.......  
    b From 2009.......  
    c From 2010.......  
    d From 2011....... 27,308
    e From 2012.......  
    fTotal of lines 3a through e......... 27,308
    4Qualifying distributions for 2013 from Part
    XII, line 4: bullet$  
    a Applied to 2012, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see instructions)......     		 
    c Treated as distributions out of corpus (Election
    required—see instructions).........     		 
    d Applied to 2013 distributable amount.....  
    e Remaining amount distributed out of corpus  
    5 Excess distributions carryover applied to 2013.    
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 27,308
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........     		 
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		 
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		 
    e Undistributed income for 2012. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		 
    f Undistributed income for 2013. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2014 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see
    instructions) .............     		 
    8Excess distributions carryover from 2008 not
    applied on line 5 or line 7 (see instructions) ...     		 
    9Excess distributions carryover to 2014.
    Subtract lines 7 and 8 from line 6a ......     		27,308
    10 Analysis of line 9:
    a Excess from 2009....  
    b Excess from 2010....  
    c Excess from 2011.... 27,308
    d Excess from 2012....  
    e Excess from 2013....  
    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 RED CROSS
    213 WARD STREET
    COLUMBUS,NC28722     		  ACTIVE CHARITY 50
    BOY SCOUT TROOP 29
    1410 E 7TH STREET
    CHARLOTTE,NC28204     		  ACTIVE CHARITY 100
    CARING BRIGDE
    PO BOX 6032
    ALBERT LEA,MN56007     		  ACTIVE CHARITY 150
    CHILDREN INTERNATIONAL
    PO BOX 219055
    KANSAS CITY,MO64121     		  ACTIVE CHARITY 1,784
    CHRISTIAN MEN'S FELLOWSHIP
    20 JERVEY ROAD
    TRYON,NC28782     		  ACTIVE CHARITY 600
    COLUMBUS FIRE DEPARTMENT
    100 S PEAK STREET
    COLUMBUS,NC28722     		  ACTIVE CHARITY 50
    COVENANT HOUSE
    427 W 52ND STREET
    NEW YORK,NY10019     		  ACTIVE CHARITY 150
    CUMBERLAND COLLEGE
    6191 COLLEGE STATION DRIVE
    WILLIAMSBURK,KY40769     		  ACTIVE CHARITY 50
    DUKE CHILDREN'S HOSPITAL
    512 S MANGUM STREET SUITE 400
    DURHAM,NC27708     		  ACTIVE CHARITY 150
    ELEVATION CHURCH
    PO BOX 214662
    SOUTH DAYTONA,FL32120     		  ACTIVE CHARITY 700
    EQUESTRIAN AID FOUNDATION
    12773 W FORSEST HILL BLVD
    WELLINGTON,FL33414     		  ACTIVE CHARITY 2,250
    FAIRFIELD UNITED METHODIST CHURCH
    1505 NC HIGHWAY 62 WEST
    HIGH POINT,NC27263     		  ACTIVE CHARITY 400
    FIRST RESPONDERS
    16444 REFUGIT ROAD
    ENCINO,CA91436     		  ACTIVE CHARITY 600
    FLAT ROCK PLAYHOUSE
    2661 GREENVILLE HWY
    FLAT ROCK,NC28731     		  ACTIVE CHARITY 124
    FOOTHILLS COMMUNITY CHURCH
    2720 LANDRUM ROAD
    COLUMBUS,SC28722     		  ACTIVE CHARITY 50
    FOOTHILLS EQUESTRIAN TRAILS ASSOCIATION
    PO BOX 1453
    COLUMBUS,NC28722     		  ACTIVE CHARITY 50
    FOOTHILLS HARVEST TRANSITIONAL SERVICES
    120 W TRADE STREET
    FOREST CITY,NC28043     		  ACTIVE CHARITY 500
    FOUR SEASONS
    571 SOUTH ALLEN ROAD
    FLAT ROCK,NC28731     		  ACTIVE CHARITY 2,000
    FULL PROOF MINISTRIES
    PO BOX 632
    TRYON,NC28782     		  ACTIVE CHARITY 100
    GENERAL BOARD OF GLOBAL MINISTRIES
    475 RIVERSIDE DRIVE
    NEW YORK,NY10115     		  ACTIVE CHARITY 260
    GIFTS OF GRACE MINISTRIES
    6440 NEE NEE LANE
    ARCHDALE,NC27263     		  ACTIVE CHARITY 2,100
    GRACE CHURCH
    495 CARDINAL ROAD
    FLETCHER,NC28732     		  ACTIVE CHARITY 900
    GRACE CHURCH MISSIONS
    495 CARDINAL ROAD
    MILLS RIVER,NC28759     		  ACTIVE CHARITY 60
    GRACE EPISCOPAL CHURCH
    871 MERRIMON AVENUE
    ASHEVILLE,NC28804     		  ACTIVE CHARITY 75
    GRACE OF GOD RESCUE MISSION
    PO BOX 212
    FOREST CITY,NC28043     		  ACTIVE CHARITY 300
    HEIFER INTERNATIONAL
    1 WOLRD AVE
    LITTLE ROCK,AR72202     		  ACTIVE CHARITY 210
    HEMOPHILIA OF NC
    260 TOWN HALL DRIVE
    MOORESVILLE,NC27560     		  ACTIVE CHARITY 50
    HENDERSON COUNTY HABITAT
    1111 KEITH STREET
    HENERSONVILLE,NC28792     		  ACTIVE CHARITY 100
    HENDERSONVILLE RESCUE MISSION
    PO BOX 1512
    HENDERSONVILLE,NC28795     		  ACTIVE CHARITY 150
    HONDURAS FOUNTAIN OF LIFE
    BOX 223
    FLETCHER,NC28732     		  ACTIVE CHARITY 400
    HOSPICE OF CAROLINA FOOTHILLS
    270 FAIRWINDS DRIVE
    LANDRUM,SC29356     		  ACTIVE CHARITY 250
    INTER-FAITH COUNCIL FOR SOCIAL SERVICES
    110 W MAIN STREET
    CARBORO,NC27510     		  ACTIVE CHARITY 100
    MEMORY CARE FOUNDATION
    100 FAR HORIZONS LANE
    ASHEVILLE,NC28803     		  ACTIVE CHARITY 960
    MIDWAY BAPTIST CHURCH
    2101 NC 108
    COLUMBUS,NC28722     		  ACTIVE CHARITY 100
    MILL SPRING AG CENTER
    156 SCHOOL ROAD
    MILL SPRING,NC28756     		  ACTIVE CHARITY 150
    NATIONAL MULTIPLE SCLEROSIS SOCIETY
    733 THIRD AVE
    NEW YORK,NY10017     		  ACTIVE CHARITY 50
    NC KAIROS
    PO BOX 6211
    COLUMBIA,NC29260     		  ACTIVE CHARITY 50
    OMAHA HOME FOR BOYS
    4242 NORTH 52ND STREET
    OMAHA,NE68104     		  ACTIVE CHARITY 100
    PACOLET AREA CONSERVANCY
    850 NORTH TRADE STREET
    TRYON,NC28782     		  ACTIVE CHARITY 300
    PI BETA PHI
    1154 TOWN COUNTRY COMMONS DRIVE
    TOWN COUNTRY,MS63017     		  ACTIVE CHARITY 500
    PIONEERS
    10123 WILLIAM CAREX DRIVE
    ORLANDO,FL32832     		  ACTIVE CHARITY 600
    POLK COUNTY ICC FOUNDATION
    1255 WEST MILLS STREET
    COLUMBUS,NC28722     		  ACTIVE CHARITY 200
    POLK EQUINE EMERGENCY RESCUE
    PO BOX 1237
    TRYON,NC28782     		  ACTIVE CHARITY 450
    RONALD MCDONALD HOUSE CHARITEIES
    706 GROVE ROAD
    GREENVILLE,SC29605     		  ACTIVE CHARITY 50
    SAMARITAN'S PURSE
    PO BOX 3000
    BOONE,NC28607     		  ACTIVE CHARITY 50
    SCOTTS CREEK BAPTIST CHURCH
    97 STEEPLE DRIVE
    SYLVA,NC28779     		  ACTIVE CHARITY 280
    THE ASHEVILLE SCHOOL
    360 ASHEVILLE ROAD
    ASHEVILLE,NC28806     		  ACTIVE CHARITY 210
    THERMAL BELT OUTREACH
    PO BOX 834
    COLUMBUS,NC28722     		  ACTIVE CHARITY 650
    TRYON FINE ARTS CENTER
    34 MELROSE AVE
    TRYON,NC28782     		  ACTIVE CHARITY 620
    TRYON RIDING AND HUNT CLUB
    6985 S NC 9 HWY
    COLUMBUS,NC28722     		  ACTIVE CHARITY 500
    TRYON ROTARY CLUB FOUNDATION
    PO BOX 923
    TRYON,NC28782     		  ACTIVE CHARITY 120
    UNC-CHAPEL HILL
    PO BOX 309
    CHAPEL HILL,NC27514     		  ACTIVE CHARITY 300
    VERITAS CHRISTIAN ACADEMY
    17 CANE CREEK ROAD
    FLETCHER,NC28732     		  ACTIVE CHARITY 200
    WASHINGTON & LEE UNIVERSITY
    DEVELOPMENT OFFICE
    LEXINGTON,VA24450     		  ACTIVE CHARITY 1,500
    WOMEN FOR WOMEN INTERNATIONAL
    4455 CONNECTICUT AVE
    WASHINGTON,DC20008     		  ACTIVE CHARITY 450
    WORLD VISION
    PO BOX 9716
    FEDERAL WAY,WA98063     		  ACTIVE CHARITY 1,260
    Total .................................bullet 3a 24,463
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 11
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3
    Interest on savings and temporary cash investments ............     		    14 1,051  
    4 Dividends and interest from securities....     14 17,726  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6
    Net rental income or (loss) from personal property .............     		         
    7 Other investment income.....          
    8
    Gain or (loss) from sales of assets other than inventory .............     		    14 15,511  
    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)..   34,288  
    13Total. Add line 12, columns (b), (d), and (e)..................
    1334,288
    (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 LOMAX FAMILY FOUNDATION
    EIN: 74-2900491
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LINDA COAD CPA, PA TAX RETURN PREPARATION 3,369      

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

    TY 2013 DepreciationSchedule
    Name:
    THE LOMAX FAMILY FOUNDATION
    EIN: 74-2900491
    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
    Dell Computer 2004-11-02 1,832 916 200DB 5.00        
    Computer Equipment 2009-12-22 2,046 813 200DB 5.00 140      
    2010 Computer Equipment 2010-08-31 3,127 1,113 200DB 5.00 180      
    2010 Modem 2010-03-12 95 33 200DB 5.00 6      
    2010 HP Printer 2010-04-05 266 95 200DB 5.00 15      
    2010 Office Furniture 2010-04-12 581 163 200DB 7.00 36      
    Computer 2011-02-28 318   200DB 5.00        
    Computer Equipment 2011-02-28 99   200DB 5.00        
    2012 Apple Notebook Computer 2012-07-11 2,183 218 200DB 5.00 349      
    Cell Phone 2012-04-03 199 14 200DB 7.00 24      

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

    TY 2013 GainLossSaleOtherAssetsSch
    Name:
    THE LOMAX FAMILY FOUNDATION
    EIN: 74-2900491
    Name Date Acquired How Acquired Date Sold Purchaser Name Gross Sales Price Basis Basis Method Sales Expenses Total (net) Accumulated Depreciation
    550 shrs Life Technologies 2011-10 Purchased 2013-01   33,285 20,523     12,762  
    500 shrs Fedex Corp 2012-10 Purchased 2013-10   62,052 42,920     19,132  
    50 shrs Invsc Invt Grd 2011-10 Purchased 2013-12   46,498 49,920     -3,422  
    58 shrs Mallinckrodt Pub Co 2013-07 Purchased 2013-08   2,406 2,611     -205  
    940 shrs Atlantic Power Corp 2013-02 Purchased 2013-08   3,692 10,147     -6,455  
    1000 shrs Excelon Corp 2012-09 Purchased 2013-08   29,613 35,914     -6,301  

    TY 2013 InvestmentsCorpStockSchedule
    Name:
    THE LOMAX FAMILY FOUNDATION
    EIN: 74-2900491
    Name of Stock End of Year Book Value End of Year Fair Market Value
    Market Vectors Gold 400 shrs (UBS) 18,172 8,452
    Ishares Tips 180 shrs (UBS) 19,896 19,782
    Powershares Global Exchange 2035 shrs (UBS) 26,654 27,350
    Abbott Labs 385 shrs (UBS) 9,660 14,757
    Abbvie Inc 385 shrs (UBS) 10,476 20,332
    American Intl Group Inc Com New 1000 shrs (UBS) 35,064 51,050
    BP PLC Spon ADR 600 shrs (UBS) 26,372 29,166
    Exxon Mobil Corp 500 shrs (UBS) 36,435 50,600
    Genl Electric Co 2000 shrs (UBS) 29,438 56,060
    Johnson & Johnson 165 shrs (UBS) 9,838 15,112
    Transociaen Ltd 410 shrs (UBS) 20,030 20,262
    Wells Fargo & Co 1000 shrs (UBS) 28,853 45,400
    3M Co 300 shrs (UBS) 15,918 42,075
    Comcast 925 shrs (Edward Jones) 46,328 48,068
    Covidien PLC 465 shrs (Edward Jones) 27,256 31,667
    Express Scripts Hldg Co 1000 shrs (Edward Jones) 60,652 70,240
    Hometrust Bancshares Inc 500 shrs (Edward Jones) 5,000 7,995
    IBM 200 shrs (Edward Jones) 35,341 37,514
    Johnson Controls Inc 1200 shrs (Edward Jones) 29,545 61,560
    Qualcomm Inc 550 shrs (Edward Jones) 36,290 40,838
    Unitedhealth Group Inc 550 shrs (Edward Jones) 38,566 41,415

    TY 2013 LandEtcSchedule2
    Name:
    THE LOMAX FAMILY FOUNDATION
    EIN: 74-2900491
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    Computer Equipment 10,875 9,209 1,666  
    Office Furniture 581 490 91  


    TY 2013 OtherExpensesSchedule
    Name:
    THE LOMAX FAMILY FOUNDATION
    EIN: 74-2900491
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Bank Service Charges 136      
    Office Supplies 884      
    Postage 623      
    Dues and Subscriptions 434      
    Telephone 4,816      
    Investment Expenses 150      
    Insurance 25      
    Miscellaneous 89      
    Parking 35      


    TY 2013 TaxesSchedule
    Name:
    THE LOMAX FAMILY FOUNDATION
    EIN: 74-2900491
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Federal Taxes 13      
    Foreign 23