ARMAT FOUNDATION INC: Form 990PF, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
ARMAT FOUNDATION INC (EIN 56-2045002)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-07-15
IRS object ID
201421969349100512
Schema version
2013v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2014-07-15T14:01:25-05:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN561582677PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HAYNES STRAND AND COMPANY PLLCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1707AddressLine1
CityMOUNT AIRYCity
StateNCState
ZIP Code27030ZIPCode
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN562045002EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ARMAT FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlARMABusinessNameControlTxt
Phone3367864512PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11234 GREENHILL ROADAddressLine1
CityMOUNT AIRYCity
StateNCState
ZIP Code27030ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonHYLTON WRIGHTPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone3367864512PhoneNum
Signature2014-07-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJ SAMUEL GENTRY JR CPAPreparerPersonNm
PTINP00395269PTIN
Phone3367898989PhoneNum
Preparation2014-07-02PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-12-30 17:16:21ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$1,882,384FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$560ContriRcvdRevAndExpnssAmt
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$44InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$44InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$22,606DividendsRevAndExpnssAmt
Dividends Net Invst Incm$22,606DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$87,481NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$1,019,664GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$105,488CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$33,462OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$0OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$144,153TotalRevAndExpnssAmt
Total Net Invst Incm$128,138TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$9,950AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$4,975AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$4,975AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$9,289OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$9,289OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$1,765TaxesRevAndExpnssAmt
Taxes Net Invst Incm$138TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$21,004TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$14,402TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$4,975TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$85,420ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$85,420ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$106,424TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$14,402TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$90,395TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$37,729ExcessRevenueOverExpensesAmt
Net Investment Income$113,736NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$37,267CashBOYAmt
Cash EOY$29,987CashEOYAmt
Cash EOYFMV$29,987CashEOYFMVAmt
Acct Rcvbl$1,950AcctRcvblAmt
Acct Rcvbl BOY$1,604AcctRcvblBOYAmt
Acct Rcvbl EOY$1,950AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$1,950AcctRcvblEOYFMVAmt
Prepaid Expenses BOY$1,161PrepaidExpensesBOYAmt
Prepaid Expenses EOY$1,520PrepaidExpensesEOYAmt
Prepaid Expenses EOYFMV$1,520PrepaidExpensesEOYFMVAmt
Corporate Stock BOY$1,757,334CorporateStockBOYAmt
Corporate Stock EOY$43,898CorporateStockEOYAmt
Corporate Stock EOYFMV$52,746CorporateStockEOYFMVAmt
Other Investments BOY$0OtherInvestmentsBOYAmt
Other Investments EOY$1,757,740OtherInvestmentsEOYAmt
Other Investments EOYFMV$1,796,181OtherInvestmentsEOYFMVAmt
Total Assets BOY$1,797,366TotalAssetsBOYAmt
Total Assets EOY$1,835,095TotalAssetsEOYAmt
Total Assets EOYFMV$1,882,384TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$0CapitalStockBOYAmt
Capital Stock EOY$0CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$1,797,366RetainedEarningBOYAmt
Retained Earning EOY$1,835,095RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$1,797,366TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$1,835,095TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$1,797,366TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$1,835,095TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$1,797,366TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$37,729ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$1,835,095SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$1,835,095TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (2 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
PUBLICLY TRADED SECURITIESP$1,018,394$914,176$104,218$104,218
CAPITAL GAINS DIVIDENDSP$1,270$1,270$1,270
FieldValueIRS element (for citing)
Capital Gain Net Income$105,488CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxYes (1)LiableSection4942TaxInd

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$2,275InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$2,275SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$2,275TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$1,520EstimatedPlusOvpmtIncmTxAmt
Applied To Es Tax$2,500AppliedToEsTaxAmt
Total Payments And Credits$4,020TotalPaymentsAndCreditsAmt
Overpayment$1,745OverpaymentAmt
Applied To ES Tax$1,745AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateNCOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksBETTY WRIGHTIndividualWithBooksNm
Phone3367864512PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line11234 GREENHILL ROADAddressLine1
CityMOUNT AIRYCity
StateNCState
ZIP Code270309474ZIPCode
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business HoldingsYes (1)BusinessHoldingsInd
Excess Business Holdings0ExcessBusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
BETTY WRIGHT
1234 GREENHILL ROADMOUNT AIRYNC270309474PRESIDENT, SECRETARY1.00$0$0$0
TAMRA WRIGHT THOMAS
1234 GREENHILL ROADMOUNT AIRYNC270309474ASST. SEC.1.00$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$1,675,578AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$92,389AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$1,533FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$1,769,500TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$1,769,500AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$26,543CashDeemedCharitableAmt
Net Vl Noncharitable Assets$1,742,957NetVlNoncharitableAssetsAmt
Minimum Investment Return$87,148MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$87,148MinimumInvestmentReturnAmt
Tax Based On Investment Income$2,275TaxBasedOnInvestmentIncomeAmt
Income Tax$3,995IncomeTaxAmt
Total Tax$6,270TotalTaxAmt
Distributable Before Adj$80,878DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$80,878DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$80,878DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$90,395ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$90,395QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$90,395AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$80,878DistributableAsAdjustedAmt
Undistributed Income PY$81,041UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$90,395QualifyingDistributionsAmt
Applied To Year1$81,041AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$9,354AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$0TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$71,524UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerBETTY WRIGHTContributingManagerNm
Contributing ManagerTAMRA WRIGHT THOMASContributingManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (35 entries)

Address Line1RecipientUSAddress/AddressLine1CityRecipientUSAddress/CityStateRecipientUSAddress/StateZIP CodeRecipientUSAddress/ZIPCodeRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ALS ASSOCIATION
1275 K STREET NW STE 250WASHINGTONDC20005509(A)(1)-(3) PUBLICUNRESTRICTED$25
BLUE RIDGE CARE NET COUNCELING
131 WEST LEBANON STREETMOUNT AIRYNC27030509(A)(1)-(3) PUBLICUNRESTRICTED$100
CAMPBELL UNIVERSITY
PO BOX 116BUIES CREEKNC27506509(A)(1)-(3) PUBLICBETTY & HYLTON WRIGHT DIVINITY ENDOWMENT SCHOLARSHIP$50,000
CHILDREN'S HOSPITAL OF THE KINGS DAUGHTERS
601 CHILDRENS LANENORFOLKVA23507509(A)(1)-(3) PUBLICUNRESTRICTED$200
CLEMMONS FIRST BAPTIST CHURCH
PO BOX 279CLEMMONSNC27012509(A)(1)-(3) PUBLICUNRESTRICTED$100
COMMUNITY CHRISTIAN CHURCH
22184 NC HWY 125WILLIAMSTONNC27892509(A)(1)-(3) PUBLICUNRESTRICTED$100
COUNCIL ON AGING OF MARTIN COUNTY INC
900 SE SALERNO ROADSTUARTFL34997509(A)(1)-(3) PUBLICUNRESTRICTED$100
DISABLED AMERICAN VETERANS
3725 ALEXANDRIA PIKECOLD SPRINGSKY41076509(A)(1)-(3) PUBLICUNRESTRICTED$50
DUKE UNIVERSITY
324 BLACKWELL ST STE 920DURHAMNC27701509(A)(1)-(3) PUBLICUNRESTRICTED$200
HAYMORE CHURCH
319 ROCKFORD STREETMOUNT AIRYNC27030509(A)(1)-(3) PUBLICHYLTON WRIGHT BENEVOLENT FUND$27,700
HOLY TRINITY EPISCOPAL CHURCH
607 NORTH GREENE STGREENSBORONC27401509(A)(1)-(3) PUBLICUNRESTRICTED$25
HOME MORAVIAN CHURCH
529 SOUTH CHURCH STREETWINSTONSALEMNC27101509(A)(1)-(3) PUBLICUNRESTRICTED$25
LITTLE MOUNTAIN BAPTIST CHURCH
324 LITTLE MOUNTAIN CHURCH RDARARATNC27007509(A)(1)-(3) PUBLICUNRESTRICTED$500
MORAVIAN CHURCH
459 S CHURCH STWINSTONSALEMNC27101509(A)(1)-(3) PUBLICUNRESTRICTED$55
MOUNT AIRY AREA HABITAT FOR HUMANITY
813 MERITA STREETMOUNT AIRYNC27030509(A)(1)-(3) PUBLICUNRESTRICTED$100
MOUNT AIRY FIRE DEPARTMENT
439 ROCKFORD STREETMOUNT AIRYNC27030509(A)(1)-(3) PUBLICUNRESTRICTED$1,000
MOUNT AIRY MUSEUM OF REGIONAL HISTORY
301 NORTH MAIN STREETMOUNT AIRYNC27030509(A)(1)-(3) PUBLICUNRESTRICTED$400
MOUNT AIRY RESCUE SQUAD
PO BOX 1053MOUNT AIRYNC27030509(A)(1)-(3) PUBLICUNRESTRICTED$50
MOUNT AIRY RESTORATION FOUNDATION
301 MOORE AVENUEMOUNT AIRYNC27030509(A)(1)-(3) PUBLICUNRESTRICTED$200
MOUNTAIN VALLEY HOSPICE
401 TECHNOLOGY LANE STE 200MOUNT AIRYNC27030509(A)(1)-(3) PUBLICUNRESTRICTED$1,050
NC LAW ENFORCEMENT ASSISTANCE PROGRAM
6255 TOWNCENTER DRIVE STE 651CLEMMONSNC27012509(A)(1)-(3) PUBLICUNRESTRICTED$200
NATIONAL TRUST FOR HISTORIC PRESERVATION
2600 VIRGINIA AVE NW STE 1000WASHINGTONDC20037509(A)(1)-(3) PUBLICUNRESTRICTED$45
NEW BETHEL BAPTIST CHURCH
1016 N TRADE STWINSTONSALEMNC27101509(A)(1)-(3) PUBLICUNRESTRICTED$100
ORDER OF EASTERN STAR OF NC
212 FRANKLIN STREETMOUNT AIRYNC27030509(A)(1)-(3) PUBLICUNRESTRICTED$150
PRESERVATION NORTH CAROLINA
PO BOX 27644RALEIGHNC27611509(A)(1)-(3) PUBLICUNRESTRICTED$300
SALVATION ARMY
651 SOUTH STREETMOUNT AIRYNC27030509(A)(1)-(3) PUBLICUNRESTRICTED$200
SANDY LEVEL COMMUNITY COUNCIL INC
270 W VIRGINIA STREETMOUNT AIRYNC27030509(A)(1)-(3) PUBLICUNRESTRICTED$500
SHEPHERDS HOUSE
319 SOUTH MAIN STREET STE 101MOUNT AIRYNC27030509(A)(1)-(3) PUBLICUNRESTRICTED$295
SUNRISE ROTARY
PO BOX 781MOUNT AIRYNC27030509(A)(1)-(3) PUBLICUNRESTRICTED$100
SURRY ARTS COUNCIL
218 ROCKFORD STREETMOUNT AIRYNC27030509(A)(1)-(3) PUBLICUNRESTRICTED$250
SURRY COMMUNITY COLLEGE
630 SOUTH MAIN STREETDOBSONNC27017509(A)(1)-(3) PUBLICUNRESTRICTED$1,000
UNION PRIMITIVE BAPTIST CHURCH
1090 BRAYFORD ROADDOBSONNC27017509(A)(1)-(3) PUBLICUNRESTRICTED$100
WAKE FOREST UNIVERSITY
499 DEACON BOULEVARDWINSTONSALEMNC27105509(A)(1)-(3) PUBLICUNRESTRICTED$125
YMCA OF NORTHWEST NC
301 NORTH MAIN ST STE 1900WINSTONSALEMNC27101509(A)(1)-(3) PUBLICUNRESTRICTED$50
ZEBULON BAPTIST CHURCH
400 N ARENDELL AVEZEBULONNC27597509(A)(1)-(3) PUBLICUNRESTRICTED$25
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$85,420TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$44ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$22,606ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$87,481ExclusionAmt

Other Revenue Described OtherRevenueDescribedGrp (4 entries)

DescDescBusinessBusinessCdUnrelated Business Taxbl IncmUnrelatedBusinessTaxblIncmAmt
MARKWEST ENERGY211110$5,109
GLOBAL PARTNERS211110$17,700
PAA NGS LP211110$6,925
BUCKEYE PARTNERS LP211110$3,728

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$33,462UnrelatedBusinessTaxblIncmAmt
Exclusion$110,131ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$143,593TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$9,950Amt
Net Investment Income$4,975NetInvestmentIncomeAmt
Disbursements Charitable Prps$4,975DisbursementsCharitablePrpsAmt

Applied To Prior Year Election AppliedToPriorYearElection

FieldValueIRS element (for citing)
ElectionTHE FOUNDATION HEREBY ELECTS UNDER REG SEC 53.4942(A)-3(D)(2) THAT THE QUALIFYING DISTRIBUTIONS FOR 2011, TO THE EXTENT IT EXCEEDS 2010 UNDISTRIBUTED INCOME, BE MADE OUT OF 2008 UNDISTRIBUTED INCOME.ElectionDesc

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (2 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
CSX CORP$12,817$14,069
KAYNE ANDERSON MIDSTREAM ENERGY TRUST$31,081$38,677

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (33 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
3M COMPANYAT COST$9,919$12,903
APPLE INCAT COST$11,422$14,587
AUTOMATIC DATA PROCESSINGAT COST$9,909$12,201
BARRICK GOLD CORPAT COST$20,051$16,026
BAXTER INTERNATIONAL INCAT COST$11,705$11,337
BB&T CORP 5.625% PFDAT COST$7,631$7,611
COCA COLAAT COST$12,302$12,310
CREDIT SUISSE GPAT COST$13,388$13,999
EMERSON ELECTRIC COAT COST$9,924$12,211
EXXON MOBIL CORPAT COST$9,948$11,334
GLAXOSMITHKLINE PLCAT COST$13,292$13,988
HARBOR INTERNATIONAL FD INSTL CLAT COST$30,242$33,290
JOHNSON & JOHNSONAT COST$9,926$11,082
LINEAR TECHNOLOGY CORPAT COST$9,929$12,344
LOOMIS SAYLES SR FLOAT/FIXED INC FD CL IAT COST$23,244$23,004
LOOMIS SAYLES STRATEGIC INC FD CL YAT COST$46,415$47,489
MAINSTAY MARKETFIELD FD CL IAT COST$36,672$40,644
MCDONALDS CORPAT COST$12,302$11,838
METROPOLITAN WEST TOTAL RETURN BD FD CL IAT COST$30,822$29,696
NORFOLK SOUTHERNAT COST$12,877$13,832
NORTHROP GRUMMAN CORPAT COST$12,046$15,014
OAKMARK INT'L FUNDAT COST$78,724$81,097
OCCIDENTAL PETROLEUM CORPAT COST$9,939$11,602
PAYCHEX INCAT COST$9,954$12,657
PIMCO ALL ASSET ALL AUTHORITY FD CL PAT COST$49,138$44,348
PROCTER & GAMBLE COAT COST$11,844$12,130
RAYTHEON COAT COST$12,058$15,238
TEMPLETON GLBL BOND FD ADV CLAT COST$30,878$29,590
TRANSAMERICA EMERGING MRKT DEBT FD CL IAT COST$25,169$22,388
WAL-MART STORES INCAT COST$11,963$12,118
SPDR GOLD TRUSTAT COST$35,329$27,985
SURREY BANCORPAT COST$1,103,778$1,124,948
CITIGROUP INC, 6.875% PFDAT COST$25,000$25,340

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail (4 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtAdjusted Net IncomeAdjustedNetIncomeAmt
MARKWEST ENERGY$5,109$5,109
GLOBAL PARTNERS$17,700$17,700
PAA NGS LP$6,925$6,925
BUCKEYE PARTNERS LP$3,728$3,728

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryINVESTMENT FEESCategoryTxt
Amt$9,289Amt
Net Investment Income$9,289NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
2012 EXCISE TAX$1,627$0$0
FOREIGN TAX WITHHELD$138$138$0

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