Form990-PF

Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter Social Security numbers on this form as it may be made public. By law, the IRS cannot redact the information on the form.
bulletInformation about Form 990-PF and its instructions is at www.irs.gov/form990pf.
OMB No. 1545-0052
2013
Open to Public Inspection
For calendar year 2013, or tax year beginning 01-01-2013 , and ending 12-31-2013
Name of foundation
THE HASLAM 3 FOUNDATION INC
 

Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 10573   Room/suite
City or town, state or province, country, and ZIP or foreign postal code
KNOXVILLE, TN37919
A Employer identification number

62-1867421
B Telephone number (see instructions)

(865) 384-4178
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$6,097,739J 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) 2,710,000
2 Check bullet
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities...... 35,595 35,595  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 368,407
b Gross sales price for all assets on line 6a 1,255,732
7 Capital gain net income (from Part IV, line 2)... 368,407
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)....... Click to see attachment -250 -834  
12 Total. Add lines 1 through 11........ 3,113,752 403,168  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule)....        
17 Interest............... 65,903 0   0
18 Taxes (attach schedule) (see instructions) Click to see attachment 5,349 889   20
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 21,017 20,906   108
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 92,269 21,795   128
25 Contributions, gifts, grants paid........ 2,429,956 2,429,956
26 Total expenses and disbursements. Add lines 24 and 25 2,522,225 21,795   2,430,084
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 591,527
b Net investment income (if negative, enter -0-) 381,373
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............... -162,925 130,903 130,903
2 Savings and temporary cash investments.......... 86,026 707,742 707,742
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) bullet1,674,782
Less: allowance for doubtful accounts bullet0 1,625,000 1,674,782 1,675,286
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)........ 2,044,304 Click to see attachment1,778,113 2,620,250
c Investments—corporate bonds (attach schedule)........      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)...........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet) Click to see attachment582,895 Click to see attachment500,000 Click to see attachment963,558
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 4,175,300 4,791,540 6,097,739
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)...... 1,625,000 1,625,000
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22).......... 1,625,000 1,625,000
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted....................    
25 Temporarily restricted................    
26 Permanently restricted................    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds......... 0 0
28 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
29 Retained earnings, accumulated income, endowment, or other funds 2,550,300 3,166,540
30 Total net assets or fund balances (see page 17 of the
instructions).................... 2,550,300 3,166,540
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 4,175,300 4,791,540
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 2,550,300
2 Enter amount from Part I, line 27a..................... 2 591,527
3 Other increases not included in line 2 (itemize) bulletClick to see attachment 3 24,713
4 Add lines 1, 2, and 3.......................... 4 3,166,540
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 3,166,540
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 FROM K-1 EXCELSIOR BUYOUT FUND P    
b FROM K-1 EXCELSIOR BUYOUT FUND P    
c 1500 SHS MICROSOFT CORP   2010-12-08 2013-07-31
d 4629.379 SHS PIMCO EMERGING LOCAL BOND FD INSTL CL   2010-09-17 2013-06-11
e 6.779 SHS PIMCO EMERGING LOCAL BOND FD INSTL CL   2010-09-30 2013-06-11
21.963 SHS PIMCO EMERGING LOCAL BOND FD INSTL CL   2010-10-29 2013-06-11
21.155 SHS PIMCO EMERGING LOCAL BOND FD INSTL CL   2010-11-30 2013-06-11
99.473 SHS PIMCO EMERGING LOCAL BOND FD INSTL CL   2010-12-31 2013-06-11
21.534 SHS PIMCO EMERGING LOCAL BOND FD INSTL CL   2010-12-31 2013-06-11
21.274 SHS PIMCO EMERGING LOCAL BOND FD INSTL CL   2011-01-31 2013-06-11
18.414 SHS PIMCO EMERGING LOCAL BOND FD INSTL CL   2011-02-28 2013-06-11
19.721 SHS PIMCO EMERGING LOCAL BOND FD INSTL CL   2011-03-31 2013-06-11
21.987 SHS PIMCO EMERGING LOCAL BOND FD INSTL CL   2011-04-29 2013-06-11
21.709 SHS PIMCO EMERGING LOCAL BOND FD INSTL CL   2011-05-31 2013-06-11
21.336 SHS PIMCO EMERGING LOCAL BOND FD INSTL CL   2011-06-30 2013-06-11
21.103 SHS PIMCO EMERGING LOCAL BOND FD INSTL CL   2011-07-29 2013-06-11
18.386 SHS PIMCO EMERGING LOCAL BOND FD INSTL CL   2011-08-31 2013-06-11
21.265 SHS PIMCO EMERGING LOCAL BOND FD INSTL CL   2011-09-30 2013-06-11
15.916 SHS PIMCO EMERGING LOCAL BOND FD INSTL CL   2011-10-31 2013-06-11
21.424 SHS PIMCO EMERGING LOCAL BOND FD INSTL CL   2011-11-30 2013-06-11
5.527 SHS PIMCO EMERGING LOCAL BOND FD INSTL CL   2011-12-28 2013-06-11
18.55 SHS PIMCO EMERGING LOCAL BOND FD INSTL CL   2011-12-30 2013-06-11
14.608 SHS PIMCO EMERGING LOCAL BOND FD INSTL CL   2012-01-31 2013-06-11
18.027 SHS PIMCO EMERGING LOCAL BOND FD INSTL CL   2012-02-29 2013-06-11
22.036 SHS PIMCO EMERGING LOCAL BOND FD INSTL CL   2012-03-30 2013-06-11
18.827 SHS PIMCO EMERGING LOCAL BOND FD INSTL CL   2012-04-30 2013-06-11
22.568 SHS PIMCO EMERGING LOCAL BOND FD INSTL CL   2012-05-31 2013-06-11
18.632 SHS PIMCO EMERGING LOCAL BOND FD INSTL CL   2012-06-29 2013-06-11
16.418 SHS PIMCO EMERGING LOCAL BOND FD INSTL CL   2012-07-31 2013-06-11
21.683 SHS PIMCO EMERGING LOCAL BOND FD INSTL CL   2012-08-31 2013-06-11
15.907 SHS PIMCO EMERGING LOCAL BOND FD INSTL CL   2012-09-28 2013-06-11
20.816 SHS PIMCO EMERGING LOCAL BOND FD INSTL CL   2012-10-31 2013-06-11
20.124 SHS PIMCO EMERGING LOCAL BOND FD INSTL CL   2012-11-30 2013-06-11
71.184 SHS PIMCO EMERGING LOCAL BOND FD INSTL CL   2012-12-27 2013-06-11
21.444 SHS PIMCO EMERGING LOCAL BOND FD INSTL CL   2012-12-31 2013-06-11
20.223 SHS PIMCO EMERGING LOCAL BOND FD INSTL CL   2013-01-31 2013-06-11
17.538 SHS PIMCO EMERGING LOCAL BOND FD INSTL CL   2013-02-28 2013-06-11
50 SHS AIRGAS, INC   2012-12-11 2013-12-09
220 SHS AMETEK INC   2013-11-15 2013-12-11
120 SHS CABELAS INC   2013-06-24 2013-12-18
180 SHS CABELAS INC   2013-07-31 2013-12-18
80 SHS CABELAS INC   2013-08-19 2013-12-18
60 SHS GARMIN LTD   2012-06-14 2013-05-23
160 SHS GARMIN LTD   2012-12-11 2013-05-23
130 SHS HARLEY DAVIDSON INC   2013-07-17 2013-09-12
30 SHS HARLEY DAVIDSON INC   2013-02-01 2013-11-18
40 SHS HARLEY DAVIDSON INC   2013-07-17 2013-11-18
60 SHS HARLEY DAVIDSON INC   2013-02-01 2013-12-09
180 SHS MICROS SYSTEMS INC   2013-01-03 2013-12-09
180 SHS MICROS SYSTEMS INC   2013-02-14 2013-12-09
30 SHS MICROS SYSTEMS INC   2013-02-21 2013-12-09
75 SHS MOHAWK INDUSTRIES INC   2013-02-20 2013-12-09
65 SHS MOHAWK INDUSTRIES INC   2013-05-06 2013-12-09
80 SHS MOHAWK INDUSTRIES INC   2013-05-28 2013-12-09
55 SHS O'REILLY AUTOMOTIVE INC   2013-10-31 2013-12-09
90 SHS SCRIPPS NETWORKS INTERACTIVE INC CL A   2012-12-11 2013-05-08
50 SHS SCRIPPS NETWORKS INTERACTIVE INC CL A   2012-12-11 2013-12-09
40 SHS SCRIPPS NETWORKS INTERACTIVE INC CL A   2012-12-12 2013-12-09
200 SHS TEMPUR SEALY INTERNATIONAL INC   2013-09-19 2013-12-09
360 SHS TEMPUR SEALY INTERNATIONAL INC   2013-10-03 2013-12-09
130 SHS VITAMIN SHOPPE INC   2013-04-11 2013-09-18
20 SHS VITAMIN SHOPPE INC   2013-04-16 2013-09-18
110 SHS VITAMIN SHOPPE INC   2013-04-16 2013-10-28
150 SHS VITAMIN SHOPPE INC   2013-05-07 2013-10-28
160 SHS VITAMIN SHOPPE INC   2013-06-12 2013-10-28
0.07 SHS BROOKFIELD PROPERTY PARTNERS LP   2013-04-15 2013-04-15
80 SHS BROOKFIELD PROPERTY PARTNERS LP   2013-04-15 2013-04-24
60 SHS AIRGAS, INC   2012-11-26 2013-12-09
70 SHS AIRGAS, INC   2012-12-05 2013-12-09
15 SHS AMETEK INC   2011-04-26 2013-01-28
110 SHS AMETEK INC   2011-05-02 2013-01-28
120 SHS AMETEK INC   2011-05-02 2013-02-21
100 SHS AMETEK INC   2011-05-02 2013-03-08
40 SHS AMETEK INC   2011-05-09 2013-03-08
130 SHS AMETEK INC   2011-05-09 2013-04-24
10 SHS AMETEK INC   2011-05-09 2013-08-19
160 SHS AMETEK INC   2011-06-07 2013-08-19
70 SHS AMETEK INC   2011-06-07 2013-12-11
70 SHS AMPHENOL CORP CLASS A   2012-03-28 2013-09-12
80 SHS AMPHENOL CORP CLASS A   2012-03-28 2013-12-09
60 SHS AMPHENOL CORP CLASS A   2010-11-23 2013-12-09
110 SHS AMPHENOL CORP CLASS A   2011-04-04 2013-12-09
480 SHS BLOUNT INTERNATIONAL   2010-02-24 2013-03-05
180 SHS BLOUNT INTERNATIONAL   2010-06-04 2013-03-05
410 SHS BLOUNT INTERNATIONAL   2010-06-04 2013-12-09
105 SHS BROOKFIELD ASSET MANAGEMENT INC   2008-11-24 2013-12-09
355 SHS BROOKFIELD ASSET MANAGEMENT INC   2009-02-19 2013-12-09
190 SHS BROOKFIELD ASSET MANAGEMENT INC   2011-09-26 2013-12-09
300 SHS CB RICHARD ELLIS GROUP INC   2011-12-06 2013-03-12
430 SHS CB RICHARD ELLIS GROUP INC   2011-12-06 2013-12-11
30 SHS CB RICHARD ELLIS GROUP INC   2011-12-20 2013-12-11
340 SHS CB RICHARD ELLIS GROUP INC   2012-08-02 2013-12-11
45 SHS DENTSPLY INTERNATIONAL INC   2008-10-08 2013-12-09
115 SHS DENTSPLY INTERNATIONAL INC   2009-11-02 2013-12-09
160 SHS DENTSPLY INTERNATIONAL INC   2012-05-10 2013-12-09
200 SHS DENTSPLY INTERNATIONAL INC   2012-05-24 2013-12-09
200 SHS DENTSPLY INTERNATIONAL INC   2012-06-04 2013-12-09
160 SHS FIRST REPUBLIC BANK   2011-08-01 2013-12-09
180 SHS FIRST REPUBLIC BANK   2012-12-07 2013-12-09
90 SHS GARMIN LTD   2012-06-14 2013-11-19
130 SHS GARMIN LTD   2010-12-16 2013-11-19
30 SHS GARMIN LTD   2011-03-07 2013-11-19
120 SHS GARMIN LTD   2010-12-16 2013-12-09
170 SHS GARMIN LTD   2011-01-12 2013-12-09
120 SHS HARLEY DAVIDSON INC   2012-11-15 2013-11-18
240 SHS HARLEY DAVIDSON INC   2012-11-19 2013-12-09
220 SHS HARLEY DAVIDSON INC   2012-11-21 2013-12-09
390 SHS HARRY WINSTON DIAMOND   2011-03-28 2013-02-21
190 SHS HEICO CORP   2012-06-27 2013-09-12
0.5 SHS HEICO CORP   2012-06-27 2013-10-22
37 SHS HEICO CORP   2012-06-27 2013-12-09
123 SHS HEICO CORP   2012-08-15 2013-12-09
25 SHS IHS INC   2009-05-01 2013-12-09
80 SHS IHS INC   2011-10-05 2013-12-09
95 SHS IHS INC   2012-11-05 2013-12-09
70 SHS KIRBY CORPORATION   2011-08-09 2013-02-14
40 SHS KIRBY CORPORATION   2006-11-29 2013-03-14
70 SHS KIRBY CORPORATION   2011-08-09 2013-03-14
30 SHS KIRBY CORPORATION   2006-06-13 2013-12-09
60 SHS KIRBY CORPORATION   2006-06-14 2013-12-09
60 SHS KIRBY CORPORATION   2006-08-10 2013-12-09
25 SHS KIRBY CORPORATION   2006-11-29 2013-12-09
95 SHS KIRBY CORPORATION   2012-05-23 2013-12-09
120 SHS KIRBY CORPORATION   2012-06-19 2013-12-09
5 SHS MARKEL CORP   2010-12-16 2013-12-09
35 SHS MARKEL CORP   2011-02-07 2013-12-09
10 SHS MARKEL CORP   2012-12-07 2013-12-09
100 SHS MSC INDUSTRIAL DIRECT INC CL A   2012-07-27 2013-12-09
110 SHS MSC INDUSTRIAL DIRECT INC CL A   2012-08-08 2013-12-09
50 SHS O'REILLY AUTOMOTIVE INC   2004-11-29 2013-12-09
165 SHS O'REILLY AUTOMOTIVE INC   2012-06-28 2013-12-09
60 SHS O'REILLY AUTOMOTIVE INC   2012-09-14 2013-12-09
140 SHS PALL CORP   2012-09-17 2013-12-09
80 SHS PALL CORP   2012-10-03 2013-12-09
130 SHS PALL CORP   2012-11-07 2013-12-09
270 SHS PATTERSON COMPANIES INC   2009-02-06 2013-01-07
20 SHS PAYCHEX INC   2011-09-26 2013-12-09
230 SHS PAYCHEX INC   2012-05-24 2013-12-09
260 SHS PAYCHEX INC   2012-07-19 2013-12-09
130 SHS PERKINELMER INC   2008-08-11 2013-01-03
30 SHS PERKINELMER INC   2008-09-22 2013-01-03
230 SHS PERKINELMER INC   2008-09-22 2013-01-15
160 SHS PERKINELMER INC   2010-08-04 2013-01-15
210 SHS PERKINELMER INC   2008-12-15 2013-04-29
230 SHS PERKINELMER INC   2010-08-04 2013-04-29
220 SHS PERKINELMER INC   2008-12-15 2013-12-09
70 SHS PERRIGO CO   2010-04-28 2013-02-06
60 SHS PERRIGO CO   2010-04-28 2013-04-15
5 SHS PERRIGO CO   2010-07-22 2013-04-15
50 SHS PERRIGO CO   2010-07-22 2013-05-21
55 SHS PERRIGO CO   2010-07-22 2013-07-16
40 SHS SCRIPPS NETWORKS INTERACTIVE INC CL A   2012-05-04 2013-05-08
100 SHS SCRIPPS NETWORKS INTERACTIVE INC CL A   2012-05-16 2013-08-01
80 SHS SCRIPPS NETWORKS INTERACTIVE INC CL A   2012-05-16 2013-12-09
100 SHS SCRIPPS NETWORKS INTERACTIVE INC CL A   2012-12-12 2013-12-18
145 SHS SHERWIN WILLIAMS CO   2009-01-27 2013-12-09
10 SHS SHERWIN WILLIAMS CO   2009-03-05 2013-12-09
45 SHS SHERWIN WILLIAMS CO   2012-11-19 2013-12-09
60 SHS SIGMA ALDRICH CORP   2010-10-22 2013-01-30
50 SHS SIGMA ALDRICH CORP   2011-09-26 2013-01-30
10 SHS SIGMA ALDRICH CORP   2010-10-07 2013-03-08
30 SHS SIGMA ALDRICH CORP   2010-10-22 2013-03-08
75 SHS SIGMA ALDRICH CORP   2010-10-07 2013-04-24
70 SHS SIGMA ALDRICH CORP   2010-05-18 2013-04-25
5 SHS SIGMA ALDRICH CORP   2010-10-07 2013-04-25
80 SHS SIGMA ALDRICH CORP   2010-05-18 2013-06-14
90 SHS SIGMA ALDRICH CORP   2010-06-18 2013-06-14
130 SHS SIGMA ALDRICH CORP   2010-05-27 2013-07-24
30 SHS SIGMA ALDRICH CORP   2010-06-18 2013-07-24
280 SHS SIGNET JEWELERS LIMITED   2009-09-11 2013-12-09
140 SHS SIGNET JEWELERS LIMITED   2010-01-21 2013-12-09
80 SHS TRANSDIGM GROUP INC   2011-11-14 2013-01-04
45 SHS TRANSDIGM GROUP INC   2011-11-14 2013-12-09
10 SHS TRANSDIGM GROUP INC   2011-11-18 2013-12-09
75 SHS TRANSDIGM GROUP INC   2012-08-08 2013-12-09
30 SHS WABTEC   2010-04-09 2013-01-03
50 SHS WABTEC   2010-08-26 2013-01-03
60 SHS WABTEC   2010-04-09 2013-02-01
40 SHS WABTEC   2010-03-11 2013-02-14
30 SHS WABTEC   2010-04-09 2013-02-14
60 SHS WABTEC   2010-03-11 2013-02-20
60 SHS WABTEC   2010-03-11 2013-03-08
20 SHS WABTEC   2010-03-11 2013-05-08
60 SHS WABTEC   2010-04-08 2013-05-08
150 SHS WABTEC   2010-04-08 2013-06-12
90 SHS WABTEC   2010-04-08 2013-06-24
200 SHS WILLIAMS-SONOMA INC   2012-03-09 2013-12-09
220 SHS WILLIAMS-SONOMA INC   2012-03-29 2013-12-09
150 SHS WILLIAMS-SONOMA INC   2012-11-15 2013-12-09
200 SHS WOLVERINE WORLD WIDE INC   2012-08-31 2013-09-20
30 SHS WOLVERINE WORLD WIDE INC   2012-08-31 2013-10-22
140 SHS WOLVERINE WORLD WIDE INC   2012-09-10 2013-10-22
190 SHS WOLVERINE WORLD WIDE INC   2012-09-10 2013-11-27
330 SHS WOLVERINE WORLD WIDE INC   2012-09-10 2013-12-09
240 SHS WOLVERINE WORLD WIDE INC   2012-11-28 2013-12-09
LITIGATION SETTLEMENT P 2013-08-26 2013-08-23
250 SHS EXCELSIOR BUYOUT FUND P   2013-12-31
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       -360
b       23,664
c 47,982   40,764 7,218
d 46,647   50,000 -3,353
e 68   75 -7
221   245 -24
213   225 -12
1,002   1,059 -57
217   229 -12
214   221 -7
186   193 -7
199   211 -12
222   246 -24
219   240 -21
215   235 -20
213   235 -22
185   205 -20
214   213 1
160   168 -8
216   219 -3
56   56 0
187   186 1
147   157 -10
182   197 -15
222   237 -15
190   203 -13
227   226 1
188   196 -8
165   175 -10
218   230 -12
160   173 -13
210   226 -16
203   219 -16
717   782 -65
216   235 -19
204   223 -19
177   192 -15
5,496   4,554 942
10,714   10,802 -88
7,452   7,816 -364
11,177   12,429 -1,252
4,968   5,413 -445
2,113   2,273 -160
5,634   6,809 -1,175
8,214   7,284 930
1,993   1,577 416
2,657   2,241 416
4,139   3,154 985
9,696   7,764 1,932
9,696   8,165 1,531
1,616   1,285 331
10,693   8,028 2,665
9,267   7,494 1,773
11,406   9,382 2,024
6,797   6,821 -24
6,207   5,330 877
3,706   2,961 745
2,965   2,358 607
10,228   8,889 1,339
18,411   16,030 2,381
5,393   6,865 -1,472
830   1,028 -198
4,900   5,655 -755
6,682   6,842 -160
7,128   7,375 -247
2   2 0
1,671   1,746 -75
6,595   5,397 1,198
7,695   6,097 1,598
614   468 146
4,499   3,362 1,137
4,988   3,667 1,321
4,192   3,056 1,136
1,677   1,192 485
5,324   3,874 1,450
435   298 137
6,960   4,515 2,445
3,409   1,975 1,434
5,441   4,095 1,346
6,911   4,680 2,231
5,183   3,016 2,167
9,503   5,748 3,755
7,399   5,248 2,151
2,775   1,947 828
5,831   4,434 1,397
4,055   1,322 2,733
13,709   5,268 8,441
7,337   5,120 2,217
7,561   4,996 2,565
10,733   7,161 3,572
749   446 303
8,486   5,708 2,778
2,146   1,468 678
5,485   3,786 1,699
7,631   6,296 1,335
9,539   7,701 1,838
9,539   7,217 2,322
8,158   4,539 3,619
9,177   5,953 3,224
4,276   3,410 866
6,176   4,028 2,148
1,425   1,034 391
5,856   3,718 2,138
8,296   5,235 3,061
7,971   5,597 2,374
16,557   11,453 5,104
15,177   10,518 4,659
5,685   5,730 -45
12,319   7,403 4,916
27   16 11
2,106   1,153 953
7,002   3,397 3,605
2,886   1,038 1,848
9,236   5,780 3,456
10,968   8,516 2,452
5,114   3,445 1,669
3,061   1,427 1,634
5,357   3,445 1,912
2,804   1,023 1,781
5,608   1,981 3,627
5,608   1,839 3,769
2,337   892 1,445
8,879   5,289 3,590
11,215   6,221 4,994
2,817   1,894 923
19,721   14,553 5,168
5,635   4,919 716
7,984   6,943 1,041
8,782   7,727 1,055
6,179   1,103 5,076
20,390   13,400 6,990
7,415   4,915 2,500
11,735   8,893 2,842
6,706   5,152 1,554
10,897   7,735 3,162
9,395   5,273 4,122
869   531 338
9,995   7,030 2,965
11,298   8,564 2,734
4,147   3,844 303
957   789 168
7,785   6,048 1,737
5,415   3,200 2,215
6,331   2,793 3,538
6,934   4,599 2,335
8,496   2,926 5,570
7,434   4,117 3,317
7,182   3,529 3,653
599   285 314
5,894   2,849 3,045
7,027   3,134 3,893
2,759   2,189 570
7,183   5,395 1,788
5,929   4,316 1,613
8,147   5,894 2,253
26,862   6,836 20,026
1,853   447 1,406
8,337   6,994 1,343
4,633   3,711 922
3,861   3,111 750
781   609 172
2,342   1,855 487
5,795   4,565 1,230
5,511   3,855 1,656
394   304 90
6,543   4,406 2,137
7,361   4,807 2,554
10,770   6,885 3,885
2,485   1,602 883
21,246   7,458 13,788
10,623   3,873 6,750
11,154   7,907 3,247
6,974   3,525 3,449
1,550   743 807
11,624   7,833 3,791
2,713   1,265 1,448
4,521   2,128 2,393
5,741   2,529 3,212
3,859   1,665 2,194
2,895   1,265 1,630
5,911   2,497 3,414
5,893   2,497 3,396
2,104   832 1,272
6,313   2,490 3,823
8,054   3,113 4,941
4,419   1,868 2,551
11,567   7,170 4,397
12,724   8,290 4,434
8,675   6,648 2,027
11,235   9,464 1,771
1,730   1,420 310
8,072   6,145 1,927
6,259   4,170 2,089
10,823   7,243 3,580
7,871   5,195 2,676
369     369
49,782   85,964 -36,182
37,671     37,671
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       -360
b       23,664
c       7,218
d       -3,353
e       -7
      -24
      -12
      -57
      -12
      -7
      -7
      -12
      -24
      -21
      -20
      -22
      -20
      1
      -8
      -3
      0
      1
      -10
      -15
      -15
      -13
      1
      -8
      -10
      -12
      -13
      -16
      -16
      -65
      -19
      -19
      -15
      942
      -88
      -364
      -1,252
      -445
      -160
      -1,175
      930
      416
      416
      985
      1,932
      1,531
      331
      2,665
      1,773
      2,024
      -24
      877
      745
      607
      1,339
      2,381
      -1,472
      -198
      -755
      -160
      -247
      0
      -75
      1,198
      1,598
      146
      1,137
      1,321
      1,136
      485
      1,450
      137
      2,445
      1,434
      1,346
      2,231
      2,167
      3,755
      2,151
      828
      1,397
      2,733
      8,441
      2,217
      2,565
      3,572
      303
      2,778
      678
      1,699
      1,335
      1,838
      2,322
      3,619
      3,224
      866
      2,148
      391
      2,138
      3,061
      2,374
      5,104
      4,659
      -45
      4,916
      11
      953
      3,605
      1,848
      3,456
      2,452
      1,669
      1,634
      1,912
      1,781
      3,627
      3,769
      1,445
      3,590
      4,994
      923
      5,168
      716
      1,041
      1,055
      5,076
      6,990
      2,500
      2,842
      1,554
      3,162
      4,122
      338
      2,965
      2,734
      303
      168
      1,737
      2,215
      3,538
      2,335
      5,570
      3,317
      3,653
      314
      3,045
      3,893
      570
      1,788
      1,613
      2,253
      20,026
      1,406
      1,343
      922
      750
      172
      487
      1,230
      1,656
      90
      2,137
      2,554
      3,885
      883
      13,788
      6,750
      3,247
      3,449
      807
      3,791
      1,448
      2,393
      3,212
      2,194
      1,630
      3,414
      3,396
      1,272
      3,823
      4,941
      2,551
      4,397
      4,434
      2,027
      1,771
      310
      1,927
      2,089
      3,580
      2,676
      369
      -36,182
      37,671
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 2 368,407
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 1,155,580 3,460,049 0.333978
2011 2,179,619 3,499,781 0.622787
2010 759,993 3,382,880 0.224659
2009 2,302,975 4,845,579 0.475273
2008 3,169,383 6,204,079 0.510855
2 Total of line 1, column (d) ...................... 2 2.167552
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 0.433510
4 Enter the net value of noncharitable-use assets for 2013 from Part X, line 5..... 4 3,938,855
5 Multiply line 4 by line 3....................... 5 1,707,533
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 3,814
7 Add lines 5 and 6......................... 7 1,711,347
8 Enter qualifying distributions from Part XII, line 4.............. 8 2,430,084
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 3,814
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 3,814
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 3,814
6 Credits/Payments:
a 2013 estimated tax payments and 2012 overpayment credited to 2013 6a 4,800
b Exempt foreign organizations—tax withheld at source....... 6b
c Tax paid with application for extension of time to file (Form 8868) 6c 3,000
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 7,800
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 3,986
11 Enter the amount of line 10 to be: Credited to 2014 estimated taxBullet3,986 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
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletNOVINGER BALL ZIVI PC Telephone no.bullet (865) 584-1184
    Located atbullet4110 SUTHERLAND AVENUEKNOXVILLETN ZIP+4bullet37919
    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
    SUSAN B HASLAM PRESIDENT & DIRECTOR
    0.00     		0 0 0
    5020 LYONS VIEW PIKE
    KNOXVILLE,TN37919
    JAMES A HASLAM III VICE PRESIDENT & DIRECTOR
    0.00     		0 0 0
    5020 LYONS VIEW PIKE
    KNOXVILLE,TN37919
    JAMES E OAKLEY III SECRETARY, TREASURER & DIR
    0.00     		0 0 0
    PO BOX 52206
    KNOXVILLE,TN37950
    CYNTHIA HASLAM ARNHOLT DIRECTOR
    0.00     		0 0 0
    1103 BELLE MEADE BLVD
    NASHVILLE,TN37205
    WHITNEY H JOHNSON DIRECTOR
    0.00     		0 0 0
    849 BLUFF DRIVE
    KNOXVILLE,TN37919
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1 NO DIRECT CHARITABLE ACTIVITIES DURING THE CURRENT TAX YEAR. 0
    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 NO PROGRAM RELATED INVESTMENTS DURING THE CURRENT TAX YEAR. 0
    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
    196,943
    2a
    Tax on investment income for 2013 from Part VI, line 5......
    2a
    3,814
    b
    Income tax for 2013. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    3,814
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    193,129
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    193,129
    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
    193,129
    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 7 193,129
    2 Undistributed income, if any, as of the end of 2013:
    a Enter amount for 2012 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2013:
    a From 2008....... 2,859,179
    b From 2009....... 2,060,886
    c From 2010....... 596,321
    d From 2011....... 2,006,345
    e From 2012....... 986,539
    fTotal of lines 3a through e......... 8,509,270
    4Qualifying distributions for 2013 from Part
    XII, line 4: bullet$ 2,430,084
    a Applied to 2012, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions)......     		0
    c Treated as distributions out of corpus (Election
    required—see instructions).........     		0
    d Applied to 2013 distributable amount..... 193,129
    e Remaining amount distributed out of corpus 2,236,955
    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 10,746,225
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2012. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2013. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2014 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see
    instructions) .............     		0
    8Excess distributions carryover from 2008 not
    applied on line 5 or line 7 (see instructions) ...     		2,859,179
    9Excess distributions carryover to 2014.
    Subtract lines 7 and 8 from line 6a ......     		7,887,046
    10 Analysis of line 9:
    a Excess from 2009.... 2,060,886
    b Excess from 2010.... 596,321
    c Excess from 2011.... 2,006,345
    d Excess from 2012.... 986,539
    e Excess from 2013.... 2,236,955
    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).)
    SUSAN B HASLAM
    JAMES A HASLAM III
    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:
    SUSAN B HASLAM
    PO BOX 10573
    KNOXVILLE,TN37919
    (865) 384-4178
    bThe form in which applications should be submitted and information and materials they should include:
    WRITTEN REQUEST STATING AMOUNT AND PURPOSE OF REQUEST, MOST RECENT AUDITED FINANCIAL STATEMENTS AND COPY OF TAX EXEMPT RULING.
    cAny submission deadlines:
    JUNE 30, DECEMBER 31
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    ONLY TO TAX EXEMPT 501(C)(3) ORGANIZATIONS, WITH PREFERENCE GIVEN TO ORGANIZATIONS IN EAST TENNESSEE AREA.
    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
    BOY SCOUTS OF AMERICA TRUST
    PO BOX 51885
    KNOXVILLE,TN37950     		N/A 501(C)(3) 509(A)(1) YOUTH ORGANIZATION DEDICATED TO DEVELOPING THE CITIZENSHIP, CHARACTER AND PERSONAL FITNESS OF ITS MEMBERS. 20,000
    BREAKTHROUGH CORPORATION
    1805 MARYVILLE PIKE
    KNOXVILLE,TN37920     		N/A 501(C)(3) 509(A)(1) TO PROVIDE SPECIALIZED SERVICES FOR ADULTS WITH AUTISM IN EAST TENNESSEE. 1,000
    CASA DE SARA
    PO BOX 30306
    KNOXVILLE,TN379300306     		N/A 501(C)(3) 509(A)(2) TO PROVIDE EDUCATION AND HEALTHCARE FOR HISPANIC AND INDIGENOUS CHILDREN IN THE AMERICAS. 1,000
    EAST TENNESSEE CHILDREN'S HOSPITAL ASSOCIATION INC
    2018 CLINCH AVENUE
    KNOXVILLE,TN37916     		N/A 501(C)(3) 509(A)(1) PROVIDING QUALITY HEALTHCARE TO INFANTS AND CHILDREN. 20,000
    EMERALD YOUTH FOUNDATION
    1718 N CENTRAL STREET
    KNOXVILLE,TN37917     		N/A 501(C)(3) 509(A)(1) TO DEVELOP CHRISTIAN LEADERS WHO USE THEIR KNOWLEDGE, SKILLS, AND GIFTS TO RENEW THEIR NEIGHBORHOODS. 105,450
    FRIENDS OF GREAT SMOKY MOUNTAINS NATIONAL PARK INC
    PO BOX 1660
    KODAK,TN37764     		N/A 501(C)(3) 509(A)(1) TO PRESERVE AND PROTECT GREAT SMOKY MOUNTAINS NATIONAL PARK BY RAISING FUNDS AND PUBLIC AWARENESS AND PROVIDING VOLUNTEERS FOR NEEDED PROJECTS. 9,150
    KNOXVILLE FAMILY JUSTICE CENTER
    400 HARRIET TUBMAN ST
    KNOXVILLE,TN37915     		N/A 501(C)(3) 509(A)(1) TO PROVIDE A SAFE HARBOR FOR DOMESTIC ABUSE VICTIMS. 20,000
    KNOXVILLE MUSEUM OF ART
    1050 WORLDS FAIR PARK DRIVE
    KNOXVILLE,TN379161653     		N/A 501(C)(3) 509(A)(2) TO PRESENT ART DISPLAYS WHICH REPRESENT DIVERSE CULTURES, PERIODS, STYLES AND MEDIAS. 10,000
    KNOXVILLE ZOOLOGICAL GARDENS INC
    PO BOX 6040
    KNOXVILLE,TN37914     		N/A 501(C)(3) 509(A)(2) TO PROVIDE CARE FOR THE ANIMALS OF THE KNOXVILLE ZOO AND TO PERFORM RESEARCH INTO THE PRESERVATION AND CONSERVATION OF WILDLIFE AND NATURAL RESOURCES. 5,000
    MARYVILLE COLLEGE
    502 E LAMAR ALEXANDER PARKWAY
    MARYVILLE,TN378045907     		N/A 501(C)(3) 509(A)(1) TO SUPPORT THE CIVIC/FINE ARTS CENTER OF MARYVILLE COLLEGE. 45,000
    NANTUCKET DREAMLAND FOUNDATION
    PO BOX 989
    NANTUCKET,MA02554     		N/A 501(C)(3) 509(A)(1) TO DEVELOP AND RUN A COMMUNITY, ARTS AND CULTURAL CENTER IN NANTUCKET, MA. 10,000
    RANDOM ACTS OF FLOWERS
    PO BOX 27573
    KNOXVILLE,TN37927     		N/A 501(C)(3) 509(A)(1) TO PROVIDE FLOWERS TO PATIENTS IN AREA HOSPITALS, NURSING HOMES, AND ASSISTED LIVING FACILITIES. 5,000
    SCONSET TRUST INC
    PO BOX 821
    SIASCONSET,MA02564     		N/A 501(C)(3) 509(A)(1) CONSERVATION OF AREAS OF OPEN LAND AND PUBLIC WATER RESOURCES. 60,000
    THE UNIVERSITY OF TENNESSEE FOUNDATION INC
    1609 MELROSE AVENUE
    KNOXVILLE,TN37996     		N/A 501(C)(3) 509(A)(1) TO PROVIDE SUPPORT FOR THE MAINTENANCE OF EDUCATIONAL INSTITUTION PROPERTIES AND THE FORENSIC ANTHROPOLOGY PROGRAM 1,510,000
    TN ACHIEVES
    10427 PETSAFE WAY
    KNOXVILLE,TN37932     		N/A 501(C)(3) 509(A)(1) TO INCREASE HIGHER EDUCATION OPPORTUNITIES FOR TENNESSEE PUBLIC HIGH SCHOOL STUDENTS BY PROVIDING LAST DOLLAR SCHOLARSHIPS WITH MENTOR GUIDANCE. 30,000
    UNITED WAY OF GREATER KNOXVILLE INC
    1301 HANNAH AVENUE
    KNOXVILLE,TN37921     		N/A 501(C)(3) 509(A)(1) TO ADVANCE THE COMMON GOOD OF THE LOCAL COMMUNITY AND TO HELP PEOPLE BECOME SELF-SUFFICIENT. 165,000
    WEBB SCHOOL OF KNOXVILLE
    9800 WEBB SCHOOL DRIVE
    KNOXVILLE,TN37923     		N/A 501(C)(3) 509(A)(1) MAINTENANCE OF EDUCATIONAL INSTITUTION PROPERTIES. 39,352
    YMCA OF EAST TENNESSEE INC
    136 FOX ROAD
    KNOXVILLE,TN37922     		N/A 501(C)(3) 509(A)(2) TO SUPPORT THE ANNUAL STRONG COMMUNITIES CAMPAIGN. 5,000
    BLAKE MCMEANS FOUNDATION
    PO BOX 1265
    HENDERSONVILLE,TN37077     		N/A 501(C)(3) 509(A)(1) TO ALLOW BLAKE TO SPREAD HIS PREVENTION MESSEGE TO SCHOOLS AND COLLEGE CAMPUSES THROUGHOUT TENNESSEE. 1,000
    BOYS AND GIRLS CLUBS OF CLEVELAND
    6114 BROADWAY AVENUE
    CLEVELAND,OH44127     		N/A 501(C)(3) 509(A)(1) IN SUPPORT OF THE ENDOWMENT CAMPAIGN. 20,000
    BRIDGES OF UNDERSTANDING
    1630 CRESCENT PLACE NW
    WASHINGTON,DC20009     		N/A 501(C)(3) 509(A)(1) TO BUILD AND ADVANCE SOPHISTICATED COMMUNITY OUTREACH AND EDUCATIONAL PROGRAMS. 10,000
    CLEVELAND MUSEUM OF ART
    11150 EAST BLVD
    CLEVELAND,OH44106     		N/A 501(C)(3) 509(A)(1) TO BRING THE PLEASURE, MEANING AND RELEVANCE OF ART TO THE BROADEST POSSIBLE COMMUNITY. 10,000
    KNOX YOUTH SPORTS INC
    5908 LYONS VIEW DR
    KNOXVILLE,TN37919     		N/A 501(C)(3) 509(A)(2) ORGANIZE AND OPERATE BASEBALL, SOFTBALL, AND BASKETBALL LEAGUES FOR MORE THAN 2,000 CHILDREN AGES 4-12 EACH YEAR. 66,000
    KNOXVILLE SYMPHONY SOCIETY INC
    100 S GAY SST STE 302
    KNOXVILLE,TN37902     		N/A 501(C)(3) 509(A)(1) TO SUPPORT THE KNOXVILLE SYMPHONY ORCHESTRA SEASON. 60,000
    KNOXVILLE VOLUNTEER EMERGENCY RESCUE SQUAD INC
    512 N CHILHOWEE DR
    KNOXVILLE,TN37924     		N/A 501(C)(3) 509(A)(2) TO PROVIDE TECHNICAL RESCUE SERVICES THAT NO OTHER EMERGENCY AGENCY IS TRAINED TO PROVIDE. 1,000
    LAKESHORE PARK
    4823 OLD KINGSTON PIKE STE 300
    KNOXVILLE,TN37919     		N/A 501(C)(3) 509(A)(1) TO PROVIDE RECREATIONAL OPPORTUNITIES TO THOUSANDS OF VISITORS EACH YEAR. 25,000
    CLEVELAND FOUNDATION
    1422 EUCLID AVE STE 1300
    CLEVELAND,OH44115     		N/A 501(C)(3) 509(A)(1) TO ENHANCE THE QUALITY OF LIFE FOR ALL RESIDENTS OF GREATER CLEVELAND. 25,000
    THE CLEVELAND ORCHESTRA
    11001 EUCLID AVE
    CLEVELAND,OH44106     		N/A 501(C)(3) 509(A)(1) TO ENSURE THAT AUDIENCES IN CLEVELAND, NORTHEAST OHIO, AND CITIES AROUND THE GLOBE HAVE ACCESS TO ONE OF THE GREAT TREASURES OF THE ORCHESTRAL WORLD. 10,000
    PROVIDENCE HOUSE INC
    2050 W 32ND ST
    CLEVELAND,OH44113     		N/A 501(C)(3) 509(A)(1) FIGHTS TO END CHILD ABUSE AND NEGLECT BY PROTECTING AT-RISK CHILDREN, EMPOWERING FAMILIES IN CRISIS, AND BUILDING SAFER COMMUNITIES FOR EVERY CHILD. 5,000
    UNITED WAY OF GREATER CLEVELAND
    1331 EUCLID AVE
    CLEVELAND,OH44115     		N/A 501(C)(3) 509(A)(1) TO MOBILIZE PEOPLE, ORGANIZATIONS AND RESOURCES IN A FOCUSED EFFORT TO ADVANCE EDUCATION, INCOME AND HEALTH IN THE GREATER CELEVELAND COMMUNITY. 50,000
    UNIVERSITY OF MEMPHIS FOUNDATION
    635 MORNAL STREET ALUMNI CENTER NO
    MEMPHIS,TN38152     		N/A 501(C)(3) 509(A)(1) IN HONOR OR BRAD AND DINA MARTIN. 5,000
    WILLOW CREEK ASSOCIATION
    PO BOX 3188
    BARRINGTON,IL60011     		N/A 501(C)(3) 509(A)(1) TO BRING GOD INSPIRED, TRANSFORMATIONAL LEADERSHIP TRAINING TO LEADERS IN OUR COUNTRY AND AROUND THE WORLD. 50,000
    WORD OF GOD MINISTRY
    1856 RIVERSHORE DR
    KNOXVILLE,TN37914     		N/A 501(C)(3) 509(A)(1) FOR SPIRITUAL GROWTH AND DISCIPLESHIP AS WELL AS SHARING THE GOOD NEWS OF CHRIST. 1,000
    FROM EXCELSIOR BUYOUT INVESTORS LLC K-1
    225 HIGH RIDGE ROAD
    STAMFORD,CT06905     		N/A N/A N/A 4
    THE ALL SOULS FOUNDATION
    4 MARKET SQUARE
    KNOXVILLE,TN379021432     		N/A 501(C)(3) 509(A)(3) FOR THE SUPPORTING ORGANIZATION OF ALL SOULS CHURCH. 10,000
    YOUTH VILLAGES FOUNDATION INC
    3320 BROTHER BLVD
    BARTLETT,TN38133     		N/A 501(C)(3) 509(A)(3) TO PROVIDE FINANCIAL AND SUPPORT SERVICES FOR YOUTH VILLAGES, INC AND YOUTH VILLAGES - GERMAINE LAWRENCE, INC 20,000
    Total .................................bullet 3a 2,429,956
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2013)
    Form 990-PF (2013)
    Page 11
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3
    Interest on savings and temporary cash investments ............     		         
    4 Dividends and interest from securities....     14 35,595  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6
    Net rental income or (loss) from personal property .............     		         
    7 Other investment income.....     14    
    8
    Gain or (loss) from sales of assets other than inventory .............     		    18 368,407  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: aFROM K-1 EXCELSIOR BUYOUT INVESTORS, LLC - UBTI 523000 584   -834  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 584 403,168 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13403,752
    (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
    Schedule B
    (Form 990, 990-EZ,
    or 990-PF)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors
    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
    OMB No. 1545-0047
    2013
    Name of the organization
    THE HASLAM 3 FOUNDATION INC
     
    Employer identification number

    62-1867421
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ





    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......................... Arrow Bullet $  
    Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
    Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2013)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
    Page 2
    Name of organization
    THE HASLAM 3 FOUNDATION INC
          		Employer identification number

    62-1867421
    Part I
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    1
     
     

    JAMES A III AND SUSAN B HASLAM  
    5020 LYONS VIEW PIKE
     
    KNOXVILLE, TN379196407

    		$2,710,000


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

       
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

       
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

       
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

       
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

       
     
     

    		$  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
    Page 3
    Name of organization
    THE HASLAM 3 FOUNDATION INC
          		Employer identification number

    62-1867421
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2013)
    Page 4
    Name of organization
    THE HASLAM 3 FOUNDATION INC
          		Employer identification number

    62-1867421
    Part III
    Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
    that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
    For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
    contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a) No.
    from
    Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a) No.
    from
    Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a) No.
    from
    Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a) No.
    from
    Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2013)

    Additional Data


    Software ID:  
    Software Version:  

    TY 2013 InvestmentsCorpStockSchedule
    Name:
    THE HASLAM 3 FOUNDATION INC
    EIN: 62-1867421
    Name of Stock End of Year Book Value End of Year Fair Market Value
    AIRGAS, INC 18,214 22,370
    AMETEK INC 9,649 19,488
    AMPHENOL CORP CLASS A 17,073 24,970
    BROOKFIELD ASSET MANAGEMENT INC 9,382 28,928
    CABELAS INC 26,726 28,664
    CB RICHARD ELLIS GROUP INC 20,904 27,615
    DENTSPLY INTERNATIONAL INC 35,363 45,329
    FIRST REPUBLIC BANK 10,344 19,893
    GARMIN LTD 10,199 15,705
    HARLEY DAVIDSON INC 29,585 40,852
    HEICO CORP 2,817 5,911
    IHS INC 9,544 27,531
    KIRBY CORPORATION 13,159 43,670
    MARKEL CORP 20,898 29,018
    MICROS SYSTEMS INC 18,513 25,530
    MOHAWK INDUSTRIES INC 26,283 37,225
    MSC INDUSTRIAL DIRECT INC CL A 19,828 23,452
    O'REILLY AUTOMOTIVE INC 17,903 48,266
    PALL CORP 22,283 34,140
    PAYCHEX INC 11,833 20,488
    PERKINELMER INC 2,660 8,246
    ROLLINS INC 7,278 7,875
    SCRIPPS NETWORKS INTERACTIVE INC CL A 5,841 8,641
    SHERWIN WILLIAMS CO 23,024 42,205
    SIGNET JEWELERS LIMITED 12,070 36,202
    TEMPUR SEALY INTERNATIONAL INC 24,699 33,455
    TRANSDIGM GROUP INC 10,054 24,958
    WILLIAMS-SONOMA INC 26,601 37,882
    WOLVERINE WORLD WIDE INC 13,850 21,734
    APPLE INC 39,804 44,882
    BERKSHIRE HATHAWAY INC CL B 46,030 118,560
    COCA-COLA COMPANY 72,456 107,406
    EXXON MOBIL CORP 49,922 82,984
    FLOWERS FOODS INC 83,528 169,076
    GREENLIGHT CAPITAL RE LTD 14,284 20,226
    JOHNSON & JOHNSON 70,303 109,908
    LEVEL 3 COMMUNICATIONS INC 99,514 108,134
    ARBITRAGE FUND CLASS I 26,912 26,463
    GABELLI ABC FUND ADV CL 26,976 27,871
    LONGLEAF PARTNERS GROWTH FUND 207,148 267,978
    LONGLEAF PARTNERS INTERNATIONAL FUND 166,570 237,274
    OAKMARK I FUND 111,076 156,010
    SELECTED AMERICAN SHARES CL D 232,374 298,861
    VANGUARD SHORT-TERM INVESTMENT GRADE ADM 54,639 54,374

    TY 2013 OtherAssetsSchedule
    Name:
    THE HASLAM 3 FOUNDATION INC
    EIN: 62-1867421
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    EXCELSIOR BUYOUT FUND 82,895 0 0
    GREENLIGHT MASTERS OFFSHORE LTD 500,000 500,000 963,558


    TY 2013 OtherExpensesSchedule
    Name:
    THE HASLAM 3 FOUNDATION INC
    EIN: 62-1867421
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT EXPENSES 20,075 20,075   0
    BANK SERVICE CHARGES 108 0   108
    LATE FEES 831 831   0
    NONDEDUCTIBLE EXPENSES FROM EXCELSIOR BUYOUT INVESTORS, LLC 3 0   0


    TY 2013 OtherIncomeSchedule2
    Name:
    THE HASLAM 3 FOUNDATION INC
    EIN: 62-1867421
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    FROM K-1 EXCELSIOR BUYOUT INVESTORS, LLC - UBTI -250   -250


    TY 2013 OtherIncreasesSchedule
    Name:
    THE HASLAM 3 FOUNDATION INC
    EIN: 62-1867421
    Description Amount
    OTHER EXPENSE ADJUSTMENT 24,713


    TY 2013 TaxesSchedule
    Name:
    THE HASLAM 3 FOUNDATION INC
    EIN: 62-1867421
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 889 889   0
    TENNESSEE REPORT FEE 20 0   20
    FEDERAL EXTENSION PAYMENT 4,440 0   0