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
NICKLESS FAMILY CHARITABLE
FOUNDATION

Number and street (or P.O. box number if mail is not delivered to street address)2121 UNIVERSITY PARK DRIVEROOM/SUITE 150Room/suite
City or town, state or province, country, and ZIP or foreign postal code
OKEMOS, MI48864
A Employer identification number

38-3501091
B Telephone number (see instructions)

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$6,486,366
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 19,517 19,517 19,517
4 Dividends and interest from securities...... 90,096 90,096 90,096
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 178,645
b Gross sales price for all assets on line 6a 532,381
7 Capital gain net income (from Part IV, line 2)... 109,083
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........ 288,258 218,696 109,613
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 1,500      
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 10,985     6,591
c Other professional fees (attach schedule).... 40,764     24,458
17 Interest...............        
18 Taxes (attach schedule) (see instructions) 6,922 1,908    
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 64,016     61,481
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 124,187 1,908   92,530
25 Contributions, gifts, grants paid........ 279,225 279,225
26 Total expenses and disbursements. Add lines 24 and 25 403,412 1,908   371,755
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -115,154
b Net investment income (if negative, enter -0-) 216,788
c Adjusted net income (if negative, enter -0-)... 109,613
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............... 5,928 321 321
2 Savings and temporary cash investments.......... 855,397 171,299 171,299
3 Accounts receivable bullet1,335
Less: allowance for doubtful accounts bullet   1,825 1,335 1,335
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)........ 3,642,481 Click to see attachment4,216,132 5,526,280
c Investments—corporate bonds (attach schedule)........ 787,213 Click to see attachment805,434 787,131
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)...........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 5,292,844 5,194,521 6,486,366
Liabilities 17 Accounts payable and accrued expenses.......... 2,200 1,090
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).......... 2,200 1,090
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted.................... 5,290,644 5,193,431
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).................... 5,290,644 5,193,431
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 5,292,844 5,194,521
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 5,290,644
2 Enter amount from Part I, line 27a..................... 2 -115,154
3 Other increases not included in line 2 (itemize) bulletClick to see attachment 3 17,941
4 Add lines 1, 2, and 3.......................... 4 5,193,431
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 5,193,431
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 2 109,083
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 161,669 4,194,126 0.038547
2011 156,021 2,345,594 0.066517
2010 43,570 2,170,409 0.020075
2009 90,600 1,833,265 0.049420
2008 121,476 2,336,456 0.051992
2 Total of line 1, column (d) ...................... 2 0.226551
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 0.045310
4 Enter the net value of noncharitable-use assets for 2013 from Part X, line 5..... 4 6,276,161
5 Multiply line 4 by line 3....................... 5 284,373
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 2,168
7 Add lines 5 and 6......................... 7 286,541
8 Enter qualifying distributions from Part XII, line 4.............. 8 371,755
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 2,168
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2  
3 Add lines 1 and 2............................ 3 2,168
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 2,168
6 Credits/Payments:
a 2013 estimated tax payments and 2012 overpayment credited to 2013 6a 2,900
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 2,900
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. Click to see attachment 8 1
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 10 731
11 Enter the amount of line 10 to be: Credited to 2014 estimated taxBullet731 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
    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)
    bulletMI
    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 addressbulletNONE
    14
    The books are in care ofbulletTRI-STAR TRUST BANK Telephone no.bullet (989) 921-0010
    Located atbullet1004 N MICHIGAN AVENUESAGINAWMI ZIP+4bullet48602
    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
     
     
    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
    JOAN N TANKERSLEYClick to see attachment VICE PRES
    1.00
    0 0 0
    11325 THELIN DRIVE
    11325 THELIN DRIVE
    TRUCKEE,CA96161
    JAMES E MCCARTNEYClick to see attachment SECRETARY
    2.00
    1,500 1,500 0
    PO BOX 1738
    EAST LANSING,MI488261738
    JANET N ROYCEClick to see attachment PRESIDENT
    2.00
    0 0 0
    9981 84TH AVENUE
    9981 84TH AVENUE
    ZEELAND,MI49464
    JUDITH N GRAHAM
    JUDITH N GRAHAMClick to see attachment
    TREASURER
    1.00
    0 0 0
    64 HALLS LANE
    64 HALLS LANE
    RYE,NY10580
    TRI-STAR TRUST BANK
    TRI-STAR TRUST BANKClick to see attachment
    TRUSTEE
    20.00
    0 0 0
    1004 N MICHIGAN
    1004 N MICHIGAN
    SAGINAW,MI48602
    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  
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet  
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Form 990-PF (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 N/A  
    2  
    All other program-related investments. See page 24 of the instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
    see instructions.)
    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
    313,808
    2a
    Tax on investment income for 2013 from Part VI, line 5......
    2a
    2,168
    b
    Income tax for 2013. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    2,168
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    311,640
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
    311,640
    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
    311,640
    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 7 311,640
    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....... 348
    e From 2012.......  
    fTotal of lines 3a through e......... 348
    4Qualifying distributions for 2013 from Part
    XII, line 4: bullet$ 371,755
    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..... 311,640
    e Remaining amount distributed out of corpus 60,115
    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 60,463
    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 ......
    60,463
    10 Analysis of line 9:
    a Excess from 2009....  
    b Excess from 2010....  
    c Excess from 2011.... 348
    d Excess from 2012....  
    e Excess from 2013.... 60,115
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 9
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2013, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2013 (b) 2012 (c) 2011 (d) 2010
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used
    directly for active conduct of exempt activities ...........
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...
             
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    JAMES E MCCARTNEY
    2121 UNIVERSITY PARK DRIVE
    SUITE 150
    OKEMOS,MI48864
    (517) 347-5000
    JEM@MCCO-CPA.COM
    bThe form in which applications should be submitted and information and materials they should include:
    NO FORMAT, BUT APPLICATION SHOULD SHOW 501(C)(3) STATUS
    cAny submission deadlines:
    NONE
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    BAY CITY, MI & SUN CITY- WEST, AZ AREA ORGANIZATIONS ARE GIVEN PREFERENCE
    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
    BAY AREA COMMUNITY
    1000 ADAMS ST 200
    1000 ADAMS ST 200
    BAY CITY,MI48708
      501(C)(3) GLB COLLEGE RESOURCE CENTER 20,000
    BAY ARENAC ISD
    4228 2 MILE ROAD
    4228 2 MILE ROAD
    BAY CITY,MI48706
      PUBLIC SCHOO AH NICKLESS INNOVATION AWARD 1,000
    BAY CITY WESTERN HIGH SCHOOL
    500 W MIDLAND RD
    500 W MIDLAND RD
    AUBURN,MI48611
      PUBLIC SCHOO AH NICKLESS INNOVATION AWARD 1,000
    BENEVILLA
    16752 N GREASEWOOD ST
    16752 N GREASEWOOD ST
    SURPRISE,AZ85374
      501 (C) (3) OPERATIONS 10,000
    BENJAMINS HOPE
    15468 RILEY STREET
    15468 RILEY STREET
    PARK TOWNSHIP,MI49424
      501(C)(3) GENERAL OPERATIONS 15,000
    CHRISTIAN YOUTH FELLOWSHIP ASSN
    600 FEDERAL AVENUE
    600 FEDERAL AVENUE
    SAGINAW,MI48607
    NONE 501(C)(3) BASEBALL LEAGUE GRANT 10,000
    DO-ALL COATS FOR KIDS
    1400 S LINCOLN STREET
    1400 S LINCOLN STREET
    BAY CITY,MI48708
      501(C)(3) GENERAL OPERATIONS 5,000
    FAMILY SERVICES OF WESTCHESTER
    ONE GATEWAY PLAZA 4TH FL
    ONE GATEWAY PLAZA 4TH FL
    PORT CHESTER,NY10573
      501(C)(3) GENERAL OPERATIONS 5,000
    FIRST PRESBYTERIAN CHURCH
    805 CENTER AVENUE
    805 CENTER AVENUE
    BAY CITY,MI48708
      CHURCH SOAR COMMITTEE 20,000
    FOOD BANK OF EASTERN MICHIGAN
    2312 LAPEER RD
    2312 LAPEER RD
    FLINT,MI48503
      501 (C) (3) BACKPACK PROGRAM 25,500
    FOR THE LOVE OF CHILDREN
    1763 COLUMBIA ROAD NW
    1763 COLUMBIA ROAD NW
    WASHINGTON,DC20009
      501(C)(3) TUTORING SERVICES 2,500
    FRANKENMUTH HIGH SCHOOL
    525 E GENESEE ST
    525 E GENESEE ST
    FRANKENMUTH,MI48734
      PUBLIC SCHL AH NICKLESS INNOVATION AWARD 1,000
    HAMPTON ELEMENTARY SCHOOL
    530 HAMPTON CIRCLE
    530 HAMPTON CIRCLE
    ROCHESTER HILLS,MI48307
      PUBLIC SCHL LITERACY CLOSET PROGRAM 5,000
    HELEN NICKLESS VOLUNTEER CLINIC
    1454 W CENTER AVE
    1454 W CENTER AVE
    ESSEXVILLE,MI48732
      501 (C) (3) OPERATIONS 80,000
    HERBERT HENRY DOW HIGH SCHOOL
    3901 N SAGINAW RD
    3901 N SAGINAW RD
    MIDLAND,MI48640
      PUBLIC SCHL AH NICKLESS INNOVATION AWARD 1,000
    HERITAGE HIGH SCHOOL
    3465 N CENTER RD
    3465 N CENTER RD
    SAGINAW,MI48603
      PUBLIC SCHL AH NICKLESS INNOVATION AWARD 1,000
    INDEPENDENT TELEPHONE HISTORICAL
    PO BOX 465
    PO BOX 465
    HINESVILLE,GA31310
      501(C)(3) GENERAL OPERATIONS 1,000
    JOHN GLENN HIGH SCHOOL
    36105 MARGUETTE ST
    36105 MARGUETTE ST
    WESTLAND,MI48185
      PUBLIC SCHL AH NICKLESS INNOVATION AWARD 13,000
    MARTHA'S TABLE
    2114 14TH ST NW
    2114 14TH ST NW
    WASHINGTON,DC20009
      501(C)(3) GROCERIES TO THE HOMELESS 2,500
    MIDLAND HIGH SCHOOL
    1301 EASTLAWN DR
    1301 EASTLAWN DR
    MIDLAND,MI48642
      PUBLIC SCHL AH NICKLESS INNOVATION AWARD 1,000
    NORTHERN ARIZONA UNIVERSITY
    16535 N CUMBIE LANE
    16535 N CUMBIE LANE
    SURPISE,AZ85378
      UNIVERSITY SCHOLARSHIP - CHRISTIAN SOTO 24,658
    SAGINAW CAREER COMPLEX
    2102 WEISS ST
    2102 WEISS ST
    SAGINAW,MI48602
      PUBLIC SCHL AH NICKLESS INNOVATION AWARD 1,000
    SANTA'S CUPBOARD
    1005 WOODSIDE AVE
    1005 WOODSIDE AVE
    ESSEXVILLE,MI48732
      501(C)(3) GENERAL OPERATIONS 2,500
    SIERRA EXPEDITIONARY LEARNING
    11603 DONNER PASS ROAD
    11603 DONNER PASS ROAD
    TRUCKEE,CA96161
      PUBLIC SCHL CAPITAL CAMPAIGN 20,000
    STATE THEATRE
    913 WASHINGTON AVE
    913 WASHINGTO AVE
    BAY CITY,MI48708
      501(C)(3) UPGRADE PROJECT - SOUND, ETC. 5,000
    STEVE'S CLUB NATIONAL PROGRAM
    7905 BROWNING RD ST 202
    7905 BROWNING RD ST 202
    PENNSAUKEN,NJ08109
      501(C)(3) SKILLS SUMMER CAMP PROGRAM 5,000
    FRANCISCO SOTO
    16565 N CUMBIE LANE
    16565 N CUMBIE LANE
    SURPRISE,AZ85378
    NONE INDIVIDUAL REIMB EXP/SCHOLARSHIP RECIPIENT 567
    Total .................................bullet 3a 279,225
    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 19,517  
    4 Dividends and interest from securities....     14 90,096  
    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 .............
        25 109,083 69,562
    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)..   218,696 69,562
    13Total. Add line 12, columns (b), (d), and (e)..................
    13288,258
    (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:
    NICKLESS FAMILY CHARITABLE
    FOUNDATION
    EIN: 38-3501091
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    MC CARTNEY & COMPANY P.C. 10,985     6,591

    TY 2013 CompensationExplanation
    Name:
    NICKLESS FAMILY CHARITABLE
    FOUNDATION
    EIN: 38-3501091
    Person Name Explanation
    JOAN N TANKERSLEY  
    JAMES E MCCARTNEY  
    JANET N ROYCE  
    JUDITH N GRAHAM
    JUDITH N GRAHAM
     
    TRI-STAR TRUST BANK
    TRI-STAR TRUST BANK
     

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

    TY 2013 GainLossSaleOtherAssetsSch
    Name:
    NICKLESS FAMILY CHARITABLE
    FOUNDATION
    EIN: 38-3501091
    Name Date Acquired How Acquired Date Sold Purchaser Name Gross Sales Price Basis Basis Method Sales Expenses Total (net) Accumulated Depreciation
    DFA REAL ESTATE SECURITIES 2012-05 PURCHASE 2013-11   37,500 37,429     71  
    FEDERATED STRATEGIC VALUE FUND 2012-02 PURCHASE 2013-04   157,925 135,725     22,200  
    BRISTOL MYERS SQUIBB 2010-07 PURCHASE 2013-11   31,055 15,023     16,032  
    DFA EMERGING MARKETS CORE EQUITY 2006-07 PURCHASE 2013-11   12,657 8,165     4,492  
    FEDERATED STRATEGIC VALUE FUND IS 2006-07 PURCHASE 2013-04   31,887 32,000     -113  
    KIMBERLY CLARK CORP 2010-08 PURCHASE 2013-11   33,619 20,094     13,525  
    MERRILL LYNCH & CO 5.45% 2008-05 PURCHASE 2013-02   35,000 34,613     387  
    T ROWE PRICE EMERGING MARKET FUND 2005-03 PURCHASE 2013-05   33,655 20,201     13,454  
    UNION BANCAL CORP 5.25% 2006-11 PURCHASE 2013-12   50,000 50,486     -486  

    TY 2013 InvestmentsCorpBondsSchedule
    Name:
    NICKLESS FAMILY CHARITABLE
    FOUNDATION
    EIN: 38-3501091
    Name of Bond End of Year Book Value End of Year Fair Market Value
    50000 UNIONBANCAL CORP 5.25%    
    40000 WACHOVIA 5.25% 39,901 41,088
    50 FSG BANK NA CHATTANOOGA TN 3.2% 50,000 52,235
    51229.09 1ST STATE BANK 3.3% 1/15/15 51,229 51,229
    100000 AT&T GLOBAL NOTE .875% 100,428 100,211
    100000 CATERPILLAR FINC. NOTE 2.85% 103,320 95,117
    100000 COLGATE PALMOLIVE MED TERM NO 101,261 99,804
    50000 GE CAPITAL INTERNOTES 4.2% 52,152 50,177
    100000 MERCK & CO NOTE 1.1% 101,300 97,199
    35000 MERRILL LYNCH & CO 5.45%    
    100000 PEPSICO SENIOR NOTE 3% 103,622 98,612
    100000 PROCTER & GAMBLE NOTE 1.45% 102,221 101,459

    TY 2013 InvestmentsCorpStockSchedule
    Name:
    NICKLESS FAMILY CHARITABLE
    FOUNDATION
    EIN: 38-3501091
    Name of Stock End of Year Book Value End of Year Fair Market Value
    BRISTOL MYERS SQUIBB 5,008 10,630
    CHEVRON CORP 19,562 23,108
    DUKE ENERGY CORP NEW 19,759 26,431
    JP MORGAN CHASE & CO. 13,330 22,222
    KIMBERLY CLARK CORPORATION    
    LOWES COS INC. 43,706 79,280
    MCDONALDS CORP 19,696 19,406
    MICROSOFT CORP 10,994 16,835
    NIKE INC. 19,784 28,310
    PRAXAIR INC. 12,010 32,508
    SOUTHERN CORPORATION 19,914 23,227
    STRYKER CORPORATION 9,966 17,282
    TARGET CORP 20,111 22,145
    GLAXO SMITHKLINE SPONSORED ADR 19,869 30,165
    NOVARTIS AG SPONSORED ADR 14,205 24,114
    TEVA PHARMACEUTICAL INDS 14,209 18,437
    ISHARES RUSSELL MID-CAP GROWTH 233,358 335,247
    ISHARES CORE S&P 500 ETF 610,504 784,743
    DFA EMERGING MARKETS CORE EQUITY 253,520 255,487
    DFA SMALL CAP VALUE FUND 297,770 379,232
    DFA US LARGE CAP VALUE 189,811 232,810
    DFA REAL ESTATE SECURITIES 87,571 85,622
    FEDERATED STRATEGIC VALUE 165,469 200,070
    HARBOR INTERNATIONAL FUND 179,550 247,836
    T. ROWE PRICE EMERGING MARKET    
    T. ROWE PRICE GROWTH STOCK 303,913 483,779
    T. ROWE PRICE MID-CAP GROWT 263,950 333,341
    T. ROWE PRICE SMALL CAP STO 278,457 357,272
    SCOUT INTERNATIONAL 196,007 248,426
    COLUMBIA ACORN INT'L Z 161,420 210,724
    VANGUARD EXPLORER FUND 255,495 367,419
    JPMORGAN MID CAP VALUE 340,458 479,288
    ISHARES S&P US PREFERRED INDEX 111,756 106,070
    PRINCIPAL DIVERSIFIED REAL ASSET 25,000 24,814

    TY 2013 OtherExpensesSchedule
    Name:
    NICKLESS FAMILY CHARITABLE
    FOUNDATION
    EIN: 38-3501091
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXPENSES        
    DIRECTOR TRAVEL EXPENSES 3,756     2,254
    BOARD MEETING EXPENSE 2,100     1,260
    WEBSITE/INNOVATION AWARD 54,931     54,931
    WEBSITE EXPENSE 1,350     1,350
    SPIRIT OF INNOVATION EXPENSES 1,397     1,397
    MISCELLANEOUS 482     289


    TY 2013 OtherIncreasesSchedule
    Name:
    NICKLESS FAMILY CHARITABLE
    FOUNDATION
    EIN: 38-3501091
    Description Amount
    TRANSFER FROM NICKLESS ESTATE 17,941


    TY 2013 OtherProfessionalFeesSchedule
    Name:
    NICKLESS FAMILY CHARITABLE
    FOUNDATION
    EIN: 38-3501091
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TRI-STAR TRUST BANK TRUSTEE FEES 40,764     24,458


    TY 2013 TaxesSchedule
    Name:
    NICKLESS FAMILY CHARITABLE
    FOUNDATION
    EIN: 38-3501091
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXCISE TAX 5,014      
    FOREIGN TAXES - TRISTAR 1,908 1,908