Form990-PF
Click to see attachment

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 05-01-2013 , and ending 04-30-2014
Name of foundation
ORION & EMMA B HURLBUT TR FBO MEMORIAL FD
 

Number and street (or P.O. box number if mail is not delivered to street address)701 MARKET STREET   Room/suite
City or town, state or province, country, and ZIP or foreign postal code
CHATTANOOGA, TN37402
A Employer identification number

62-6034546
B Telephone number (see instructions)

(423) 757-4440
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$23,475,515
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
F bullet
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet
3 Interest on savings and temporary cash investments 86,876 86,876  
4 Dividends and interest from securities...... 314,832 314,832  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 1,403,780
b Gross sales price for all assets on line 6a 7,021,148
7 Capital gain net income (from Part IV, line 2)... 1,403,780
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)....... 2,195 2,195  
12 Total. Add lines 1 through 11........ 1,807,683 1,807,683  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 25,273 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 16,700 0   16,700
c Other professional fees (attach schedule).... 151,072 0   151,072
17 Interest...............        
18 Taxes (attach schedule) (see instructions) 39,501 0   39,501
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule).......        
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 232,546 0   207,273
25 Contributions, gifts, grants paid........ 1,250,000 1,250,000
26 Total expenses and disbursements. Add lines 24 and 25 1,482,546 0   1,457,273
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 325,137
b Net investment income (if negative, enter -0-) 1,807,683
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............... 335,301    
2 Savings and temporary cash investments.......... 980,000 490,000 497,693
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)........ 7,437,410 Click to see attachment7,914,628 11,523,448
c Investments—corporate bonds (attach schedule)........ 3,530,863 Click to see attachment2,190,109 2,194,279
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)........... 5,832,102 Click to see attachment7,970,004 9,260,095
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 18,115,676 18,564,741 23,475,515
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) Click to see attachment0 Click to see attachment123,928
23 Total liabilities (add lines 17 through 22).......... 0 123,928
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted.................... 18,115,676 18,440,813
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    
30 Total net assets or fund balances (see page 17 of the
instructions).................... 18,115,676 18,440,813
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 18,115,676 18,564,741
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 18,115,676
2 Enter amount from Part I, line 27a..................... 2 325,137
3 Other increases not included in line 2 (itemize) bullet 3 0
4 Add lines 1, 2, and 3.......................... 4 18,440,813
5 Decreases not included in line 2 (itemize) bullet 5 0
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 18,440,813
Form 990-PF (2013)
Form 990-PF (2013)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)
(b) How acquired
P—Purchase
D—Donation
(c) Date acquired
(mo., day, yr.)
(d) Date sold
(mo., day, yr.)
1 a 850 BANK AMERICA CORP P 2010-10-19 2013-05-22
b 300 BANK AMERICA CORP P 2011-05-12 2013-05-22
c 25 APPLE INC P 2011-05-03 2013-05-22
d 100 COLGATE PALMOLIVE CO P 2012-02-29 2013-05-22
e 1100 CISCO SYSTEMS INC P 2010-09-15 2013-05-22
200 CAPITAL ONE FINL CORP P 2012-04-04 2013-05-22
150 CONSTELLATION BRANDS INC P 2012-01-12 2013-05-22
225 CONOCOPHILLIPS P 2010-10-19 2013-05-22
100 GENERAL DYNAMICS CORP P 2010-04-16 2013-05-22
175 GENERAL DYNAMICS CORP P 2011-05-03 2013-05-22
500 HARRIS CORP DEL P 2010-04-16 2013-05-22
100 DANAHER CORP P 2012-02-29 2013-05-22
25 DANAHER CORP P 2010-10-19 2013-05-22
300 GILEAD SCIENCES INC P 2011-05-12 2013-05-22
275 KOHLS CORP P 2010-04-16 2013-05-22
1875 LSI CORP P 2010-10-19 2013-05-22
1150 LSI CORP P 2010-09-15 2013-05-22
750 HARMAN INTERNATIONAL INDS P 2012-01-11 2013-05-22
125 DARDEN RESTAURANTS INC P 2010-04-16 2013-05-22
JP MORGAN CHASE & CO P 2010-04-16 2013-05-22
ORACLE CORPORATION P 2010-10-19 2013-05-22
LOWES COS INC P 2010-09-15 2013-05-22
50 NATIONAL-OILWELL INC P 2010-04-16 2013-05-22
100 MCKESSON CORP P 2012-02-29 2013-05-22
50 MCKESSON CORP P 2010-10-19 2013-05-22
1525 NVIDIA CORP P 2012-01-11 2013-05-22
25 METLIFE INC P 2010-04-16 2013-05-22
200 METLIFE INC P 2011-04-05 2013-05-22
75 LABORATORY CORP AMERICA HOLDINGS P 2012-02-29 2013-05-22
50 UNION PAC CORP P 2012-02-29 2013-05-22
25 UNION PAC CORP P 2010-10-19 2013-05-22
100 THERMO FISHER SCIENTIFIC INC P 2010-04-16 2013-05-22
300 MERIPRISE FINANCIAL INC. P 2012-01-04 2013-05-22
25 ACTAVIS INC P 2012-01-12 2013-05-22
375 ACTAVIS INC P 2012-02-29 2013-05-22
700 NVIDIA CORP P 2012-01-11 2013-05-22
1000 NABORS INDUSTRIES LTD P 2012-01-11 2013-05-22
75 NABORS INDUSTRIES LTD P 2012-01-11 2013-05-22
800 BMC SOFTWARE INC P 2010-09-15 2013-07-02
850 BMC SOFTWARE INC P 2012-01-12 2013-07-02
975 BMC SOFTWARE INC P 2012-02-29 2013-07-02
500 BMC SOFTWARE INC P 2012-07-31 2013-07-02
1100 BMC SOFTWARE INC P 2010-04-16 2013-07-02
7700 LSI CORP P 2012-06-08 2013-07-02
3600 LSI CORP P 2013-04-24 2013-07-02
15850 LSI CORP P 2010-09-15 2013-07-02
70 HARBOR INTERNATIONAL FUND #11 P 2008-04-25 2013-07-23
50 BANK AMERICA CORP P 2011-05-12 2013-07-23
20 BANK AMERICA CORP P 2011-05-26 2013-07-23
10 APACHE CORP P 2010-04-16 2013-07-23
20 ALLSTATE CORP P 2011-04-05 2013-07-23
20 COLGATE PALMOLIVE CO P 2012-02-29 2013-07-23
40 CISCO SYSTEMS INC P 2010-09-15 2013-07-23
15 CAPITAL ONE FINL CORP P 2012-04-04 2013-07-23
20 CVS CAREMARK CORP P 2010-04-16 2013-07-23
10 CELGENE CORP P 2013-01-10 2013-07-23
20 CONSTELLATION BRANDS INC P 2012-01-12 2013-07-23
15 CONOCOPHILLIPS P 2012-06-08 2013-07-23
10 GENERAL DYNAMICS CORP P 2011-05-03 2013-07-23
40 INTEL CORP P 2013-07-02 2013-07-23
20 HARRIS CORP DEL P 2010-04-16 2013-07-23
10 DEERE & CO P 2013-01-10 2013-07-23
10 DANAHER CORP P 2010-10-19 2013-07-23
15 GILEAD SCIENCES INC P 2011-05-12 2013-07-23
40 EMC CORP/MASS P 2013-07-02 2013-07-23
20 KOHLS CORP P 2010-04-16 2013-07-23
20 HARMAN INTERNATIONAL INDS P 2012-01-11 2013-07-23
20 DARDEN RESTAURANTS INC P 2010-04-16 2013-07-23
25 FREEPORT-MCMORAN INC P 2011-04-06 2013-07-23
10 DTE ENERGY CO P 2013-01-10 2013-07-23
15 JP MORGAN CHASE & CO P 2010-04-16 2013-07-23
10 ISHARES IBOXX INV GRD CORP BOND ETF P 2012-02-29 2013-07-23
25 ORACLE CORPORATION P 2010-10-19 2013-07-23
20 LOWES COS INC P 2010-09-15 2013-07-23
20 PUBLIC SVC ENTERPRISE GROUP INC P 2012-01-12 2013-07-23
15 MURPHY OIL CORP P 2010-10-19 2013-07-23
15 NATIONAL-OILWELL INC P 2012-06-08 2013-07-23
10 MCKESSON CORP P 2010-10-19 2013-07-23
65 NVIDIA CORP P 2012-01-11 2013-07-23
20 METLIFE INC P 2011-04-05 2013-07-23
10 LABORATORY CORP AMERICA HOLDINGS P 2012-02-29 2013-07-23
35 UNUMPROVIDENT CORP P 2010-10-19 2013-07-23
5 UNION PAC CORP P 2010-10-19 2013-07-23
15 WAL MART STORES INC P 2012-02-29 2013-07-23
10 THERMO FISHER SCIENTIFIC INC P 2010-04-16 2013-07-23
5 STERICYCLE INC P 2010-10-19 2013-07-23
15 TARGET CORP P 2008-04-25 2013-07-23
25 VERIZON COMMUNICATIONS P 2012-02-29 2013-07-23
60 NABORS INDUSTRIES LTD P 2012-02-27 2013-07-23
10 FISERV INC P 2010-10-19 2013-07-23
5 CF INDUSTRIES HOLDINGS INC P 2012-01-04 2013-07-23
10 AMERIPRISE FINANCIAL INC. P 2012-01-04 2013-07-23
10 ISHARES CORE U.S. AGGREGATE BO P 2012-02-29 2013-07-23
120 VANGUARD S/C GROWTH INDX INS P 2012-06-11 2013-07-23
10 TRAVELERS COMPANIES INC P 2012-02-29 2013-07-23
15 ISHARES IBOXX H/Y CORP BOND ETF P 2012-01-30 2013-07-23
25 DR PEPPER SNAPPLE GROUP INC P 2012-01-04 2013-07-23
15 SCRIPPS NETWORKS P 2011-05-03 2013-07-23
10 ISHARES INTERMEDIATE CREDIT ETF P 2012-02-29 2013-07-23
50 ISHARES BARCLAYS 1-3 YEAR CR ETF P 2012-02-29 2013-07-23
1085 FIDELITY ADV FLO RT H/I-I P 2012-03-21 2013-07-23
5 ROPER INDS INC P 2011-03-07 2013-07-23
105 AMERICAN EUROPACIFIC GRTH-F2 P 2007-09-19 2013-07-23
125 VICTORY ESTABLISHED VALUE-I P 2011-08-17 2013-07-23
135 SOUTHERNSUN SM CAP FUND-INS P 2012-06-11 2013-07-23
65 COHEN & STEERS INSTL RLTY SH P 2012-06-11 2013-07-23
80 ING MIDCAP OPPORTUNITIES-I P 2012-06-11 2013-07-23
85 BROWN CAP MGMT MID CAP-INST P 2012-06-11 2013-07-23
840 VICTORY FUND FOR INCOME-I P 2013-05-24 2013-07-23
5 ACTAVIS INC P 2012-02-29 2013-07-23
3983.047 AMERICAN EUROPACIFIC GRTH-F2 P 2004-06-17 2013-08-26
9825.385 AMERICAN EUROPACIFIC GRTH-F2 P 2005-08-17 2013-08-26
4598.391 AMERICAN EUROPACIFIC GRTH-F2 P 2006-05-24 2013-08-26
660.05 AMERICAN EUROPACIFIC GRTH-F2 P 2007-09-19 2013-08-26
1031.099 AMERICAN EUROPACIFIC GRTH-F2 P 2008-02-26 2013-08-26
1547.988 AMERICAN EUROPACIFIC GRTH-F2 P 2013-01-14 2013-08-26
3767.3 HARBOR INTERNATIONAL FUND #11 P 2008-04-25 2013-08-26
1549.398 HARBOR INTERNATIONAL FUND #11 P 2010-09-16 2013-08-26
1185.771 HARBOR INTERNATIONAL FUND #11 P 2013-01-14 2013-08-26
7817.929 HARBOR INTERNATIONAL FUND #11 P 2011-08-17 2013-08-26
354000 ST JUDE MEDICAL 2.200% DUE 09-15-13 P 2010-12-15 2013-09-15
750000 FNMA 1.125% DUE 09-17-13 P 2011-06-23 2013-09-17
200,000 DELL INC 5.625% DUE 04-15-14 P 2011-09-06 2013-11-29
96.25 MURPHY USA INC P 2010-10-19 2014-03-04
118.75 MURPHY USA INC P 2012-03-20 2014-03-04
18.75MURPHY USA INC P 2013-04-24 2014-03-04
18.75 MURPHY USA INC P 2010-09-21 2014-03-04
112.5 MURPHY USA INC P 2012-06-08 2014-03-04
425 MURPHY USA INC P 2010-04-16 2014-03-04
545 BANK AMERICA CORP P 2011-05-26 2014-03-05
340 APACHE CORP P 2010-04-16 2014-03-05
50 COLGATE PALMOLIVE CO P 2010-04-16 2014-03-05
800 COLGATE PALMOLIVE CO P 2011-04-05 2014-03-05
350 COLGATE PALMOLIVE CO P 2012-01-12 2014-03-05
80 COLGATE PALMOLIVE CO P 2012-02-29 2014-03-05
200 COLGATE PALMOLIVE CO P 2012-12-19 2014-03-05
2200 COLGATE PALMOLIVE CO P 2010-09-15 2014-03-05
105 CVS CAREMARK CORP P 2010-04-16 2014-03-05
100 CVS CAREMARK CORP P 2012-07-31 2014-03-05
345 CVS CAREMARK CORP P 2011-04-05 2014-03-05
165 CELGENE CORP P 2013-01-10 2014-03-05
50 CONSTELLATION BRANDS INC P 2011-06-24 2014-03-05
80 CONSTELLATION BRANDS INC P 2012-01-12 2014-03-05
1355 CONSTELLATION BRANDS INC P 2012-06-08 2014-03-05
115 GENERAL DYNAMICS CORP P 2011-05-03 2014-03-05
90 GENERAL DYNAMICS CORP P 2012-02-29 2014-03-05
5 HARRIS CORP DEL P 2010-04-16 2014-03-05
300 HARRIS CORP DEL P 2011-05-26 2014-03-05
950 HARRIS CORP DEL P 2012-01-12 2014-03-05
275 HARRIS CORP DEL P 2012-06-08 2014-03-05
100 HARRIS CORP DEL P 2012-07-31 2014-03-05
625 HARRIS CORP DEL P 2013-04-24 2014-03-05
1600 HARRIS CORP DEL P 2010-09-15 2014-03-05
585 GILEAD SCIENCES INC P 2011-05-12 2014-03-05
1345 HARMAN INTERNATIONAL INDS P 2012-01-11 2014-03-05
1050 ORACLE CORPORATION P 2012-01-12 2014-03-05
550 ORACLE CORPORATION P 2012-06-08 2014-03-05
400 ORACLE CORPORATION P 2013-04-24 2014-03-05
3500 ORACLE CORPORATION P 2010-10-19 2014-03-05
20 MURPHY OIL CORP P 2010-10-19 2014-03-05
65 NATIONAL-OILWELL INC P 2012-12-19 2014-03-05
335 MCKESSON CORP P 2010-10-19 2014-03-05
5 NVIDIA CORP P 2012-01-11 2014-03-05
120 UNUMPROVIDENT CORP P 2010-10-19 2014-03-05
40 THERMO FISHER SCIENTIFIC INC P 2010-04-16 2014-03-05
305 THERMO FISHER SCIENTIFIC INC P 2012-01-12 2014-03-05
265 NABORS INDUSTRIES LTD P 2012-02-27 2014-03-05
550 NABORS INDUSTRIES LTD P 2012-01-10 2014-03-05
1525 NABORS INDUSTRIES LTD P 2012-03-20 2014-03-05
145 FISERV INC P 2010-10-19 2014-03-05
25 GOOGLE INC-CL A P 2010-10-19 2014-03-05
50 CF INDUSTRIES HOLDINGS INC P 2012-12-19 2014-03-05
60 CF INDUSTRIES HOLDINGS INC P 2012-01-04 2014-03-05
175 AMERIPRISE FINANCIAL INC. P 2012-01-04 2014-03-05
30 DR PEPPER SNAPPLE GROUP INC P 2012-12-19 2014-03-05
430 ACTAVIS PLC P 2013-10-01 2014-03-05
125 APACHE CORP P 2012-12-19 2014-03-05
75 APACHE CORP P 2013-04-24 2014-03-05
1000 APACHE CORP P 2010-10-19 2014-03-05
250 APACHE CORP P 2012-06-08 2014-03-05
200 APACHE CORP P 2012-12-19 2014-03-05
225 APACHE CORP P 2013-04-24 2014-03-05
175 APACHE CORP P 2013-04-24 2014-03-05
245000 DISCOVER BANK CD 0.600% DUE 03-17-14 P 2012-02-29 2014-03-07
245000 BMW BANK OF NA CD 0.650% DUE 03-10-14 P 2012-02-29 2014-03-10
300 LABORATORY CORP AMERICA HOLDINGS P 2010-10-19 2014-04-01
250 LABORATORY CORP AMERICA HOLDINGS P 2012-01-12 2014-04-01
15 LABORATORY CORP AMERICA HOLDINGS P 2012-02-29 2014-04-01
75 LABORATORY CORP AMERICA HOLDINGS P 2012-12-19 2014-04-01
125 LABORATORY CORP AMERICA HOLDINGS P 2013-04-24 2014-04-01
575 LABORATORY CORP AMERICA HOLDINGS P 2014-03-05 2014-04-01
1150 LABORATORY CORP AMERICA HOLDINGS P 2010-04-16 2014-04-01
MERGER OF WARNER CHILCOTT P 2014-10-01 2014-10-01
CAPITAL GAINS DIVIDENDS P    
(e) Gross sales price (f) Depreciation allowed
(or allowable)
(g) Cost or other basis
plus expense of sale
(h) Gain or (loss)
(e) plus (f) minus (g)
a 11,310   10,453 857
b 3,993   3,678 315
c 11,008   8,667 2,341
d 6,134   4,655 1,479
e 25,751   23,846 1,905
12,370   11,211 1,159
7,709   3,159 4,550
14,137   10,368 3,769
7,740   7,585 155
13,545   13,023 522
24,960   24,688 272
6,255   5,354 901
1,564   1,039 525
16,755   6,165 10,590
14,215   15,697 -1,482
13,125   8,738 4,387
8,050   5,037 3,013
39,694   30,853 8,841
6,596   5,846 750
6,706   5,747 959
9,366   7,925 1,441
17,052   8,591 8,461
3,446   2,130 1,316
11,766   8,281 3,485
5,883   3,069 2,814
21,914   22,280 -366
1,057   1,133 -76
8,460   9,028 -568
7,487   6,795 692
7,915   5,615 2,300
3,957   2,112 1,845
8,621   5,285 3,336
24,285   15,324 8,961
3,250   1,552 1,698
48,755   21,990 26,765
10,059   10,001 58
16,760   19,335 -2,575
1,257   1,409 -152
36,120   31,398 4,722
38,377   27,676 10,701
44,021   37,530 6,491
22,575   19,965 2,610
49,665   44,054 5,611
55,183   51,127 4,056
25,800   23,037 2,763
113,590   69,418 44,172
4,601   4,985 -384
747   613 134
299   230 69
838   1,058 -220
1,045   634 411
1,167   931 236
1,026   867 159
1,037   841 196
1,238   745 493
1,384   954 430
1,046   421 625
989   811 178
843   744 99
912   960 -48
1,054   988 66
851   899 -48
682   416 266
899   308 591
1,012   950 62
1,071   1,142 -71
1,144   823 321
988   935 53
740   1,178 -438
704   614 90
850   690 160
1,151   1,179 -28
796   720 76
895   430 465
683   624 59
1,009   962 47
1,104   1,000 104
1,187   614 573
926   928 -2
989   903 86
974   906 68
1,116   795 321
817   422 395
1,169   884 285
894   529 365
594   362 232
1,094   797 297
1,255   955 300
915   1,219 -304
919   554 365
915   783 132
875   511 364
1,075   1,110 -35
3,726   2,659 1,067
846   586 260
1,408   1,388 20
1,197   962 235
1,078   771 307
1,083   1,096 -13
5,249   5,261 -12
10,839   10,633 206
662   423 239
4,639   5,589 -950
4,130   3,050 1,080
3,762   2,651 1,111
3,021   2,738 283
2,058   1,626 432
2,022   1,555 467
9,080   9,248 -168
641   293 348
176,329   125,000 51,329
434,970   380,000 54,970
203,571   200,000 3,571
29,220   35,134 -5,914
45,647   50,000 -4,353
68,529   65,000 3,529
253,012   268,307 -15,295
104,058   85,000 19,058
79,636   75,000 4,636
525,052   450,000 75,052
354,000   359,753 -5,753
750,000   759,422 -9,422
203,786   221,580 -17,794
3,935   3,435 500
4,855   3,882 973
767   640 127
767   657 110
4,599   2,868 1,731
17,375   14,258 3,117
9,386   6,273 3,113
26,894   35,967 -9,073
3,131   2,101 1,030
50,095   32,372 17,723
21,917   15,529 6,388
5,010   3,724 1,286
12,524   10,672 1,852
137,762   83,930 53,832
7,690   3,913 3,777
7,324   4,535 2,789
25,268   12,044 13,224
26,990   15,744 11,246
4,118   1,048 3,070
6,589   1,685 4,904
111,596   26,057 85,539
12,894   8,558 4,336
10,091   6,570 3,521
373   247 126
22,368   14,613 7,755
70,831   36,782 34,049
20,504   11,256 9,248
7,456   4,182 3,274
46,599   27,256 19,343
119,294   71,120 48,174
48,700   12,022 36,678
144,188   55,330 88,858
41,464   28,454 13,010
21,719   14,993 6,726
15,796   13,048 2,748
140,188   102,303 37,885
1,197   1,104 93
5,034   4,484 550
60,832   20,562 40,270
92   71 21
4,240   2,726 1,514
5,042   2,114 2,928
38,448   15,210 23,238
6,072   5,382 690
12,603   11,164 1,439
34,944   30,820 4,124
8,461   4,015 4,446
30,459   15,290 15,169
13,186   10,330 2,856
15,823   9,399 6,424
19,213   8,939 10,274
1,556   1,343 213
96,516   61,924 34,592
9,887   11,962 -2,075
5,932   6,772 -840
79,099   103,880 -24,781
19,775   20,745 -970
15,820   19,139 -3,319
17,797   20,315 -2,518
13,842   15,800 -1,958
245,000   245,000 0
245,000   245,000 0
30,719   23,823 6,896
25,599   22,496 3,103
1,536   1,359 177
7,679   6,608 1,071
12,799   11,720 1,079
58,878   53,739 5,139
117,756   88,547 29,209
142,313     142,313
226,934     226,934
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       857
b       315
c       2,341
d       1,479
e       1,905
      1,159
      4,550
      3,769
      155
      522
      272
      901
      525
      10,590
      -1,482
      4,387
      3,013
      8,841
      750
      959
      1,441
      8,461
      1,316
      3,485
      2,814
      -366
      -76
      -568
      692
      2,300
      1,845
      3,336
      8,961
      1,698
      26,765
      58
      -2,575
      -152
      4,722
      10,701
      6,491
      2,610
      5,611
      4,056
      2,763
      44,172
      -384
      134
      69
      -220
      411
      236
      159
      196
      493
      430
      625
      178
      99
      -48
      66
      -48
      266
      591
      62
      -71
      321
      53
      -438
      90
      160
      -28
      76
      465
      59
      47
      104
      573
      -2
      86
      68
      321
      395
      285
      365
      232
      297
      300
      -304
      365
      132
      364
      -35
      1,067
      260
      20
      235
      307
      -13
      -12
      206
      239
      -950
      1,080
      1,111
      283
      432
      467
      -168
      348
      51,329
      54,970
      3,571
      -5,914
      -4,353
      3,529
      -15,295
      19,058
      4,636
      75,052
      -5,753
      -9,422
      -17,794
      500
      973
      127
      110
      1,731
      3,117
      3,113
      -9,073
      1,030
      17,723
      6,388
      1,286
      1,852
      53,832
      3,777
      2,789
      13,224
      11,246
      3,070
      4,904
      85,539
      4,336
      3,521
      126
      7,755
      34,049
      9,248
      3,274
      19,343
      48,174
      36,678
      88,858
      13,010
      6,726
      2,748
      37,885
      93
      550
      40,270
      21
      1,514
      2,928
      23,238
      690
      1,439
      4,124
      4,446
      15,169
      2,856
      6,424
      10,274
      213
      34,592
      -2,075
      -840
      -24,781
      -970
      -3,319
      -2,518
      -1,958
      0
      0
      6,896
      3,103
      177
      1,071
      1,079
      5,139
      29,209
      142,313
      226,934
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 1,403,780
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 721,179 19,873,603 0.036288
2011 1,167,244 19,345,332 0.060337
2010 1,100,359 19,354,715 0.056852
2009 1,079,162 17,713,147 0.060924
2008 1,058,472 19,246,653 0.054995
2 Total of line 1, column (d) ...................... 2 0.269396
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 0.053879
4 Enter the net value of noncharitable-use assets for 2013 from Part X, line 5..... 4 21,964,082
5 Multiply line 4 by line 3....................... 5 1,183,403
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 18,077
7 Add lines 5 and 6......................... 7 1,201,480
8 Enter qualifying distributions from Part XII, line 4.............. 8 1,457,273
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 18,077
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 18,077
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-). 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 18,077
6 Credits/Payments:
a 2013 estimated tax payments and 2012 overpayment credited to 2013 6a 38,176
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 38,176
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. Click to see attachment 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 20,099
11 Enter the amount of line 10 to be: Credited to 2014 estimated taxBullet20,099 RefundedBullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of
the instructions for definition)?............................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c), and Part XV.
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletTN
    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
    Yes
     
    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 ofbulletFIRST TENNESSEE TRUST DEPARTMENT Telephone no.bullet (423) 757-4446
    Located atbullet701 MARKET STREETCHATTANOOGATN ZIP+4bullet37402
    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
    DR FRANK C KIMSEY DIRECTOR
    5.00
    13,900 0 0
    1511 CARROLL LN
    CHATTANOOGA,TN37405
    DR JOHN F BOXELL DIRECTOR
    5.00
    11,373 0 0
    100 E THIRD ST
    CHATTANOOGA,TN37403
    HAROLD G ROBERTSON DIRECTOR
    5.00
    0 0 0
    701 MARKET ST
    CHATTANOOGA,TN37402
    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
    FIRST TENNESSEE BANK TRUSTEE 151,071
    701 MARKET STREET
    CHATTANOOOGA,TN37402
    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 PAYMENTS FOR INDIGENT CARE CANCER PATIENTS INCLUDING 149 NEW PATIENTS AND 2403 VISITS IN THE PAST FISCAL YEAR 550,000
    2  
    3  
    4  
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 7
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See page 24 of the instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
    see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
     
    b
    Average of monthly cash balances.......................
    1b
     
    c
    Fair market value of all other assets (see instructions)................
    1c
     
    d
    Total (add lines 1a, b, and c).........................
    1d
     
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
     
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
     
    3
    Subtract line 2 from line 1d.........................
    3
     
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
     
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
     
    6
    Minimum investment return. Enter 5% of line 5..................
    6
     
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    1,098,204
    2a
    Tax on investment income for 2013 from Part VI, line 5......
    2a
    18,077
    b
    Income tax for 2013. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    18,077
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    1,080,127
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    1,080,127
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,
    line 1................................
    7
    1,080,127
    Part XII
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
     
    b
    Program-related investments—total from Part IX-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
     
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see instructions).................
    5
     
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
     
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 8
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus
    (b)
    Years prior to 2012
    (c)
    2012
    (d)
    2013
    1 Distributable amount for 2013 from Part XI, line 7 1,080,127
    2 Undistributed income, if any, as of the end of 2013:
    a Enter amount for 2012 only....... 411,658
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2013:
    a From 2008.......  
    b From 2009.......  
    c From 2010.......  
    d From 2011.......  
    e From 2012.......  
    fTotal of lines 3a through e......... 0
    4Qualifying distributions for 2013 from Part
    XII, line 4: bullet$ 1,457,273
    a Applied to 2012, but not more than line 2a 411,658
    b Applied to undistributed income of prior years
    (Election required—see instructions)......
    0
    c Treated as distributions out of corpus (Election
    required—see instructions).........
    0
    d Applied to 2013 distributable amount..... 1,045,615
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2013. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 0
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........
    0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
    0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........
    0
    e Undistributed income for 2012. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2013. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2014 ..........
    34,512
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see
    instructions) .............
    0
    8Excess distributions carryover from 2008 not
    applied on line 5 or line 7 (see instructions) ...
    0
    9Excess distributions carryover to 2014.
    Subtract lines 7 and 8 from line 6a ......
    0
    10 Analysis of line 9:
    a Excess from 2009....  
    b Excess from 2010....  
    c Excess from 2011....  
    d Excess from 2012....  
    e Excess from 2013....  
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 9
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2013, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2013 (b) 2012 (c) 2011 (d) 2010
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used
    directly for active conduct of exempt activities ...........
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...
             
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    KATHY WOOD
    975 EAST THIRD ST
    CHATTANOOGA,TN37403
    (423) 778-7503
    bThe form in which applications should be submitted and information and materials they should include:
    PHYSICIANS DETAILED EXPENSE VOUCHERS
    cAny submission deadlines:
    NONE
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    INDIGENT CANCER PATIENTS OUTSIDE OF HAMILTON COUNTY
    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
    CHATTANOOGA TUMOR CLINIC
    975 EAST THIRD STREET
    CHATTANOOGA,TN37403
        CANCER TREATMENTS 550,000
    COMMUNITY FOUNDATION OF GREATER CHATTANOOGA
    1270 MARKET STREET
    CHATTANOOGA,TN37402
        DONATION 170,000
    ERLANGER RADIATION ONCOLOGY DEPARTMENT
    975 EAST THIRD STREET
    CHATTANOOGA,TN37403
        DONATIONDONATION 130,000
    MEMORIAL HEALTH CARE SYSTEM FOUNDATION
    2525 DE SALES AVENUE
    CHATTANOOGA,TN37404
        DONATION 50,000
    BREAST CANCER SUPPORT SERVICES
    1400 MCCALLIE AVE
    CHATTANOOGA,TN37404
        DONATION 40,000
    AUSTIN HATCHER FOUNDATION FOR PEDIATRIC CANCER
    6739 RINGGOLD RD SUITE G
    CHATTANOOGA,TN37415
        DONATION 50,000
    ST JUDE CHILDREN'S RESEARCH HOSPITAL
    501 ST JUDE PLACE
    MEMPHIS,TN38105
        DONATION 10,000
    HOSPICE OF CHATTANOOGA
    4411 OAKWOOD DRIVE
    CHATTANOOGA,TN37416
        DONATION 250,000
    Total .................................bullet 3a 1,250,000
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 11
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3
    Interest on savings and temporary cash investments ............
        14 86,876  
    4 Dividends and interest from securities....     14 314,832  
    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.....     15 2,195  
    8
    Gain or (loss) from sales of assets other than inventory .............
        18 1,403,780  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 1,807,683 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    131,807,683
    (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.)
    N/A N/A
    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:
    ORION & EMMA B HURLBUT TR FBO MEMORIAL FD
    EIN: 62-6034546
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING 16,700 0   16,700

    TY 2013 GeneralExplanationAttachment
    Name:
    ORION & EMMA B HURLBUT TR FBO MEMORIAL FD
    EIN: 62-6034546
    Identifier Return Reference Explanation
      FORM 990-PF PART VII-A LINE 12 ALL DISTRIBUTIONS FROM FUNDS CONTRIBUTED TO THE COMMUNITY FOUNDATION OF GREATER CHATTANOOGA ARE MADE IN ACCORDANCE WITH THE TAX EXEMPT PURPOSE OF THE ORION L. AND EMMA B. HURLBUT FUND FOR THE PURPOSE OF COMBATING AND TREATING CANCER AND OTHER NEOPLASTIC DISEASES. EXPENSES INCLUDE PAYMENTS TO DIRECTLY AND INDIRECTLY BENEFIT INDIGENT CANCER PATIENTS. THE BOARD DIRECTS THE PAYMENTS MADE BY THE FOUNDATION. THE DISTRIBUTION TO THE COMMUNITY FOUNDATION OF GREATER CHATTANOOGA IS A DONOR ADVISED FUND.

    TY 2013 InvestmentsCorpBondsSchedule
    Name:
    ORION & EMMA B HURLBUT TR FBO MEMORIAL FD
    EIN: 62-6034546
    Name of Bond End of Year Book Value End of Year Fair Market Value
    BONDS 2,190,109 2,194,279

    TY 2013 InvestmentsCorpStockSchedule
    Name:
    ORION & EMMA B HURLBUT TR FBO MEMORIAL FD
    EIN: 62-6034546
    Name of Stock End of Year Book Value End of Year Fair Market Value
    OTHER CORPORATE STOCK 7,914,628 11,523,448

    TY 2013 InvestmentsOtherSchedule2
    Name:
    ORION & EMMA B HURLBUT TR FBO MEMORIAL FD
    EIN: 62-6034546
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    MUTUAL FUNDS AT COST 7,970,004 9,260,095

    TY 2013 OtherIncomeSchedule2
    Name:
    ORION & EMMA B HURLBUT TR FBO MEMORIAL FD
    EIN: 62-6034546
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    ROYALTIES 2,195 2,195 2,195


    TY 2013 OtherLiabilitiesSchedule
    Name:
    ORION & EMMA B HURLBUT TR FBO MEMORIAL FD
    EIN: 62-6034546
    Description Beginning of Year - Book Value End of Year - Book Value
    BANK OVERDRAFT 0 123,928


    TY 2013 OtherProfessionalFeesSchedule
    Name:
    ORION & EMMA B HURLBUT TR FBO MEMORIAL FD
    EIN: 62-6034546
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TRUSTEE FEES 151,072 0   151,072


    TY 2013 TaxesSchedule
    Name:
    ORION & EMMA B HURLBUT TR FBO MEMORIAL FD
    EIN: 62-6034546
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FEDERAL EXCISE TAXES 39,000 0   39,000
    PROPERTY TAX 501 0   501