THE BLACK HORSE FOUNDATION INC: Form 990PF, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: THE BLACK HORSE FOUNDATION INC (EIN 23-2725907)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-05-15
IRS object ID: 201311359349102401
Schema version: 2012v2.1
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
Form 990-PF
Schedule B
Investments Corp Stock Schedule
Other Expenses Schedule
Other Income Schedule2
Taxes Schedule

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-15T16:44:38-05:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	203907569	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THE GATTUSO GROUP INC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	1000 WYOMING AVENUE	AddressLine1
City	FORTY FORT	City
State	PA	State
ZIP Code	18704	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990PF	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	232725907	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	THE BLACKHORSE FOUNDATION	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	BLAC	NameControl
Phone	5708221151	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	454 SOUTH MAIN STREET	AddressLine1
City	WILKESBARRE	City
State	PA	State
ZIP Code	18701	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	RONALD W SIMMS	Name
Title	PRESIDENT	Title
Phone	5708221151	Phone
Date Signed	2013-05-15	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	JAMES J GATTUSO JR CPA	Name
PTIN	P00018917	PTIN
Phone	5707184120	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990-PF IRS990PF

Field	Value	IRS element (for citing)
Exempt PF	X	ExemptPF
FMV Assets EOY	4397368	FMVAssetsEOY
Method Of Accounting Cash	X	MethodOfAccountingCash

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

Field	Value	IRS element (for citing)
Contri Received Rev And Expnss	14998	ContriReceivedRevAndExpnss
Interest On Savings Rev And Expnss	748	InterestOnSavingsRevAndExpnss
Interest On Savings Net Invst Incm	748	InterestOnSavingsNetInvstIncm
Dividends Rev And Expnss	81583	DividendsRevAndExpnss
Dividends Net Invst Incm	80257	DividendsNetInvstIncm
Net Gain Sale Assets Rev And Expnss	-1048	NetGainSaleAssetsRevAndExpnss
Capital Gain Net Incm Net Invst Incm	0	CapitalGainNetIncmNetInvstIncm
Other Income Rev And Expnss	745	OtherIncomeRevAndExpnss
Other Income Net Invst Incm	745	OtherIncomeNetInvstIncm
Total Revenue And Expenses	97026	TotalRevenueAndExpenses
Total Net Investment Income	81750	TotalNetInvestmentIncome
Comp Ofcr Dir Trst Rev And Expnss	0	CompOfcrDirTrstRevAndExpnss
Comp Ofcr Dir Trst Net Invst Incm	0	CompOfcrDirTrstNetInvstIncm
Comp Ofcr Dir Trst Dsbrs Chrtbl Prps	0	CompOfcrDirTrstDsbrsChrtblPrps
Taxes Rev And Expnss	6325	TaxesRevAndExpnss
Taxes Net Invst Incm	0	TaxesNetInvstIncm
Taxes Dsbrs Chrtbl Prps	0	TaxesDsbrsChrtblPrps
Other Expenses Rev And Expnss	29619	OtherExpensesRevAndExpnss
Other Expenses Net Invst Incm	29561	OtherExpensesNetInvstIncm
Other Expenses Dsbrs Chrtbl Prps	0	OtherExpensesDsbrsChrtblPrps
Tot Opr Expenses Rev And Expnss	35944	TotOprExpensesRevAndExpnss
Tot Opr Expenses Net Invst Incm	29561	TotOprExpensesNetInvstIncm
Tot Opr Expenses Dsbrs Chrtbl Prps	0	TotOprExpensesDsbrsChrtblPrps
Contri Gifts Paid Rev And Expnss	273310	ContriGiftsPaidRevAndExpnss
Contri Gifts Paid Dsbrs Chrtbl Prps	273310	ContriGiftsPaidDsbrsChrtblPrps
Total Expenses Rev And Expnss	309254	TotalExpensesRevAndExpnss
Total Expenses Net Invst Incm	29561	TotalExpensesNetInvstIncm
Total Expenses Dsbrs Chrtbl Prps	273310	TotalExpensesDsbrsChrtblPrps
Excess Of Revenue Over Expenses	-212228	ExcessOfRevenueOverExpenses
Net Investment Income	52189	NetInvestmentIncome

Balance Sheets BalanceSheets

Field	Value	IRS element (for citing)
Savings And Temp Cash Invst BOY	382456	SavingsAndTempCashInvstBOY
Savings And Temp Cash Invst EOY	164449	SavingsAndTempCashInvstEOY
Savings And Temp Cash Invst EOYFMV	164449	SavingsAndTempCashInvstEOYFMV
Investments Corp Stock BOY	714113	InvestmentsCorpStockBOY
Investments Corp Stock EOY	719892	InvestmentsCorpStockEOY
Investments Corp Stock EOYFMV	4232919	InvestmentsCorpStockEOYFMV
Total Assets BOY	1096569	TotalAssetsBOY
Total Assets EOY	884341	TotalAssetsEOY
Total Assets EOYFMV	4397368	TotalAssetsEOYFMV
Total Liabilities BOY	0	TotalLiabilitiesBOY
Total Liabilities EOY	0	TotalLiabilitiesEOY
Org That Do Not Follow SFAS117	X	OrgThatDoNotFollowSFAS117
Capital Stock BOY	0	CapitalStockBOY
Capital Stock EOY	0	CapitalStockEOY
Paid In Or Capital Surplus BOY	0	PaidInOrCapitalSurplusBOY
Paid In Or Capital Surplus EOY	0	PaidInOrCapitalSurplusEOY
Retained Earnings BOY	1096569	RetainedEarningsBOY
Retained Earnings EOY	884341	RetainedEarningsEOY
Total Net Assets BOY	1096569	TotalNetAssetsBOY
Total Net Assets EOY	884341	TotalNetAssetsEOY
Total Liabilities Net Assets BOY	1096569	TotalLiabilitiesNetAssetsBOY
Total Liabilities Net Assets EOY	884341	TotalLiabilitiesNetAssetsEOY

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

Field	Value	IRS element (for citing)
Total Net Assets Fund Balances BOY	1096569	TotalNetAssetsFundBalancesBOY
Excess Of Revenue Over Expenses	-212228	ExcessOfRevenueOverExpenses
Other Increases	0	OtherIncreases
Subtotal	884341	Subtotal
Other Decreases	0	OtherDecreases
Total Net Assets Fund Balances EOY	884341	TotalNetAssetsFundBalancesEOY

Capital Gains And Losses CapitalGainsAndLosses

Capital Gains And Losses Info CapitalGainsAndLossesInfo (3 entries)

Description Of AssetDescriptionOfAsset	How AcquiredHowAcquired	Date AcquiredDateAcquired	Date SoldDateSold	Cost Or Other BasisCostOrOtherBasis	Gain Or LossGainOrLoss	Gains Minus Excess Or LossesGainsMinusExcessOrLosses
SEC 1231-ENERGY TRANSFER PARTNERS LP	D	1992-02-11	2012-12-31	932	-932	-932
SEC 1231-REGENCY ENERGY PARTNERS LP	D	1992-02-11	2012-12-31	58	-58	-58
SEC 1231-AMERIGAS PARTNERS LP	D	1992-02-11	2012-12-31	58	-58	-58

Field	Value	IRS element (for citing)
Capital Gain Net Income	-1048	CapitalGainNetIncome

Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax

Field	Value	IRS element (for citing)
Liable For4942 Tax	0	LiableFor4942Tax
Qualifying Distributions Year1	229585	QualifyingDistributionsYear1
Noncharitable Assets Year1	4392907	NoncharitableAssetsYear1
Distribution Ratio Year1	0.052263	DistributionRatioYear1
Qualifying Distributions Year2	184678	QualifyingDistributionsYear2
Noncharitable Assets Year2	4030259	NoncharitableAssetsYear2
Distribution Ratio Year2	0.045823	DistributionRatioYear2
Qualifying Distributions Year3	124193	QualifyingDistributionsYear3
Noncharitable Assets Year3	3148800	NoncharitableAssetsYear3
Distribution Ratio Year3	0.039441	DistributionRatioYear3
Qualifying Distributions Year4	202178	QualifyingDistributionsYear4
Noncharitable Assets Year4	3966246	NoncharitableAssetsYear4
Distribution Ratio Year4	0.050975	DistributionRatioYear4
Qualifying Distributions Year5	74100	QualifyingDistributionsYear5
Noncharitable Assets Year5	4052544	NoncharitableAssetsYear5
Distribution Ratio Year5	0.018285	DistributionRatioYear5
Total Distribution Ratio	0.206787	TotalDistributionRatio
Average Distribution Ratio	0.041357	AverageDistributionRatio
Net Noncharitable Assets	4420856	NetNoncharitableAssets
Adjusted Noncharitable Assets	182833	AdjustedNoncharitableAssets
One Percent Net Investment Income	522	OnePercentNetInvestmentIncome
Adj Nonchrtbl Assets And One	183355	AdjNonchrtblAssetsAndOnePct
Qualifying Distributions	273310	QualifyingDistributions

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

Field	Value	IRS element (for citing)
Domestic Org Meeting Sect4940e	X	DomesticOrgMeetingSect4940e
Investment Income Excise Tax	522	InvestmentIncomeExciseTax
Tax Under Section511	0	TaxUnderSection511
Subtotal	522	Subtotal
Subtitle A Tax	0	SubtitleATax
Tax Based On Investment Income	522	TaxBasedOnInvestmentIncome
Est Tax Payments And Overpayment	4000	EstTaxPaymentsAndOverpayment
Total Credits And Payments	4000	TotalCreditsAndPayments
Overpayment	3478	Overpayment
Amount Credited To Next Year	3478	AmountCreditedToNextYear
Amount To Be Refunded	0	AmountToBeRefunded

Statements Regarding Activities StatementsRegardingActivities

Field	Value	IRS element (for citing)
Legislative Political Activities	0	LegislativePoliticalActivities
More Than100 Spent	0	MoreThan100Spent
Form1120 POL Filed	0	Form1120POLFiled
Sect4955 Tax On Organization	0	Sect4955TaxOnOrganization
Sect4955 Tax On Managers	0	Sect4955TaxOnManagers
Reimbursement Of Tax	0	ReimbursementOfTax
Activities Not Prev Reported	0	ActivitiesNotPrevReported
Changes To Articles Or Bylaws	0	ChangesToArticlesOrBylaws
Unrelated Bus Income Over1000	0	UnrelatedBusIncomeOver1000
Termination Etc	0	TerminationEtc
Requirements Of Sect508e	1	RequirementsOfSect508e
At Least5000 In Assets	1	AtLeast5000InAssets
States Filed With	PA	StatesFiledWith
Form990 PF Filed With AG	1	Form990PFFiledWithAG
Private Operating Foundation	0	PrivateOperatingFoundation
New Substantial Contributors	0	NewSubstantialContributors
Interest In Controlled Entity	0	InterestInControlledEntity
Applicable Insurance Contract	0	ApplicableInsuranceContract
Comply With Public Inspection Rqr	1	ComplyWithPublicInspectionRqr
Website Address	N/A	WebsiteAddress
Books In Care Of Person Name	RONALD W SIMMS	BooksInCareOfPersonName
Books In Care Of Phone Number	5708221151	BooksInCareOfPhoneNumber

Books In Care Of US Address BooksInCareOfUSAddress

Field	Value	IRS element (for citing)
Address Line1	454 MAIN STREET	AddressLine1
City	WILKESBARRE	City
State	PA	State
ZIP Code	18701	ZIPCode

Field	Value	IRS element (for citing)
Foreign Bank	0	ForeignBank

Statements Regarding Acty4720 StatementsRegardingActy4720

Field	Value	IRS element (for citing)
Sale Or Exchange With Dsqfly Person	0	SaleOrExchangeWithDsqflyPerson
Borrow Or Lend With Dsqfly Person	0	BorrowOrLendWithDsqflyPerson
Furnished Goods With Dsqfly Person	0	FurnishedGoodsWithDsqflyPerson
Pay Compensation To Dsqfly Person	0	PayCompensationToDsqflyPerson
Transfer Assets To Dsqfly Person	0	TransferAssetsToDsqflyPerson
Payment To Government Offical	0	PaymentToGovernmentOffical
Uncorrected Prior Acts	0	UncorrectedPriorActs
Undistributed Income Prior Years	0	UndistributedIncomePriorYears
Business Holdings	0	BusinessHoldings
Jeopardy Investments	0	JeopardyInvestments
Uncorrected Jeopardy Investments	0	UncorrectedJeopardyInvestments
Influence Legislation	0	InfluenceLegislation
Influence Election	0	InfluenceElection
Grants To Individuals	0	GrantsToIndividuals
Grants To Organizations	0	GrantsToOrganizations
Noncharitable Purpose	0	NoncharitablePurpose
Rcv Funds To Pay Prsnl Bnft Contract	0	RcvFundsToPayPrsnlBnftContract
Pay Premiums Prsnl Bnft Contract	0	PayPremiumsPrsnlBnftContract
Prohibited Tax Shelter Transactn	0	ProhibitedTaxShelterTransactn

Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo

Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (3 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	TitleTitle	Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition	CompensationCompensation	Contri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtc	Expense Account Other AllowancesExpenseAccountOtherAllowances
RONALD W SIMMS
454 SOUTH MAIN STREET	WILKESBARRE	PA	18701	PRESIDENT	0.00	0	0	0
RHEA P SIMMS
454 SOUTH MAIN STREET	WILKESBARRE	PA	18701	SECRETARY	0.00	0	0	0
RICHARD A ROSE
454 SOUTH MAIN STREET	WILKESBARRE	PA	18701	TREASURER	0.00	0	0	0

Field	Value	IRS element (for citing)
Comp Of Highest Paid Empl NONE	NONE	CompOfHighestPaidEmplNONE
Tot Number Of Oth Empl Paid Over50k	0	TotNumberOfOthEmplPaidOver50k
Comp Of Hghst Paid Cntrct NONE	NONE	CompOfHghstPaidCntrctNONE
Tot Number Of Cntrct Paid Over50k	0	TotNumberOfCntrctPaidOver50k

Sum Of Program Related Investments SumOfProgramRelatedInvestments

Field	Value	IRS element (for citing)
Description1	N/A	Description1
Amount1	0	Amount1
Total	0	Total

Minimum Investment Return MinimumInvestmentReturn

Field	Value	IRS element (for citing)
Avg Monthly FMV Of Securities	4192558	AvgMonthlyFMVOfSecurities
Avg Monthly Cash Balances	295621	AvgMonthlyCashBalances
FMV All Other Noncharitable Assets	0	FMVAllOtherNoncharitableAssets
Total FMV Of Unused Assets	4488179	TotalFMVOfUnusedAssets
Reduction Claimed	0	ReductionClaimed
Acquisition Indebtedness	0	AcquisitionIndebtedness
Adj Total FMV Of Unused Assets	4488179	AdjTotalFMVOfUnusedAssets
Cash Deemed Charitable	67323	CashDeemedCharitable
Net Noncharitable Assets	4420856	NetNoncharitableAssets
Minimum Investment Return	221043	MinimumInvestmentReturn

Distributable DistributableAmount

Field	Value	IRS element (for citing)
Minimum Investment Return	221043	MinimumInvestmentReturn
Tax Based On Investment Income	522	TaxBasedOnInvestmentIncome
Total Tax	522	TotalTax
Distributable Amount Before Adj	220521	DistributableAmountBeforeAdj
Recoveries Qlfy Distributions	0	RecoveriesQlfyDistributions
Distributable Amount Before Ded	220521	DistributableAmountBeforeDed
Deduction Fr Distributable	$0	DeductionFrDistributableAmount
Distributable Amount As Adjusted	220521	DistributableAmountAsAdjusted

Qualifying Distributions QualifyingDistributions

Field	Value	IRS element (for citing)
Expenses And Contributions	273310	ExpensesAndContributions
Program Related Investments Total	0	ProgramRelatedInvestmentsTotal
Qualifying Distributions	273310	QualifyingDistributions
One Pct Sect4940e Org Net Invst Incm	522	OnePctSect4940eOrgNetInvstIncm
Adj Qualifying Distributions	272788	AdjQualifyingDistributions

Undistributed Income UndistributedIncome

Field	Value	IRS element (for citing)
Distributable Amount As Adjusted	220521	DistributableAmountAsAdjusted
Undistributed Income Prior Year	21166	UndistributedIncomePriorYear
Total For Prior Years	0	TotalForPriorYears
Total Excess Distri Carryover	0	TotalExcessDistriCarryover
Qualifying Distributions	273310	QualifyingDistributions
Applied To Year1	21166	AppliedToYear1
Applied To Prior Years	0	AppliedToPriorYears
Treated As Distri From Corpus	0	TreatedAsDistriFromCorpus
Applied To Current Year	220521	AppliedToCurrentYear
Remaining Distri From Corpus	31623	RemainingDistriFromCorpus
Excess Distri Cyov App CY Corpus	0	ExcessDistriCyovAppCYCorpus
Excess Distri Cyov Applied CY	0	ExcessDistriCyovAppliedCY
Total Corpus	31623	TotalCorpus
Prior Year Undistributed Income	0	PriorYearUndistributedIncome
Prior Year Deficiency Or Tax	0	PriorYearDeficiencyOrTax
Taxable Amount1	0	TaxableAmount1
Taxable Amount2	0	TaxableAmount2
Undistributed Income CY	0	UndistributedIncomeCY
Distri From Corpus170b1 E Or4942g3	0	DistriFromCorpus170b1EOr4942g3
Excess Distri Cyov From Year5	0	ExcessDistriCyovFromYear5
Excess Distri Cyov To Next Year	31623	ExcessDistriCyovToNextYear
Excess From Current Year	31623	ExcessFromCurrentYear

Supplementary Information SupplementaryInformation

Field	Value	IRS element (for citing)
Contributing Manager	RONALD W SIMMS	ContributingManager
Contributing Manager	RHEA P SIMMS	ContributingManager
Contributing Manager	RICHARD A ROSE	ContributingManager
Only Contributes To Preselected	X	OnlyContributesToPreselected

Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (62 entries)

Address Line1RecipientUSAddress/AddressLine1	CityRecipientUSAddress/City	StateRecipientUSAddress/State	ZIP CodeRecipientUSAddress/ZIPCode	Recipient RelationshipRecipientRelationship	Recipient Foundation StatusRecipientFoundationStatus	Purpose Of Grant Or ContributionPurposeOfGrantOrContribution	AmountAmount
AMERICAN HEART ASSOCIATION
613 BALTIMORE DRIVE SUITE 3	WILKESBARRE	PA	18701	NONE	PUBLIC	CHARITABLE	$250
AMERICAN CANCER SOCIETY
71 N FRANKLIN STREET SUITE 110	WILKESBARRE	PA	18701	NONE	PUBLIC	CHARITABLE	$1,000
NORTHEASTERN PA PHILHARMONIC
195 HANOVER STREET	WILKESBARRE	PA	18711	NONE	PUBLIC	CHARITABLE	$100
ANTHRCITE SCENIC TRAILS ASSOC
PO BOX 212	DALLAS	PA	18612	NONE	PUBLIC	CHARITABLE	$250
PITTSTON MEMORIAL LIBRARY
47 BROAD STREET	PITTSTON	PA	18640	NONE	PUBLIC	CHARITABLE	$1,000
ARMY WAR COLLEGE FOUNDATION
122 FORBES AVE	CARLISE	PA	17013	NONE	PUBLIC	CHARITABLE	$1,000
ARTHRITIS FOUNDATION
57 N FRANKLIN STREET	WILKESBARRE	PA	18701	NONE	PUBLIC	CHARITABLE	$100
PROSTATE AND COLON CANCER AWARENESS
260 COUNTRY CLUB DRIVE	MOUNTAIN TOP	PA	18707	NONE	PUBLIC	CHARITABLE	$1,000
BACK MOUNTAIN MEMORIAL LIBRARY
96 HUNTSVILLE ROAD	DALLAS	PA	18612	NONE	PUBLIC	CHARITABLE	$100
COMMUNITY CARE FOR KIDS
62 DALLAS SHOPPING CENTER 330	DALLAS	PA	18612	NONE	PUBLIC	CHARITABLE	$350
CATHOLIC YOUTH CENTER
36 S WASHINGTON STREET	WILKESBARRE	PA	18701	NONE	PUBLIC	CHARITABLE	$100
CENTER FOR EXCELLENCE IN EDUCATION
8201 GREENSBORO DRIVE STE 215	MCLEAN	VA	22102	NONE	PUBLIC	CHARITABLE	$10,000
CHILDRENS HOSPITAL OF PHILADELPHIA
PO BOX 8500	PHILADELPHIA	PA	19178	NONE	PUBLIC	CHARITABLE	$100
CHILDRENS SERVICE CENTER
335 S FRANKLIN STREET	WILKESBARRE	PA	18702	NONE	PUBLIC	CHARITABLE	$1,000
CITY OF WILKES-BARRE
40 E MARKET STREET	WILKESBARRE	PA	18711	NONE	PUBLIC	CHARITABLE	$2,000
CLEARBROOK FOUNDATION
1100 E NORTHAMPTON STREET	WILKESBARRE	PA	18706	NONE	PUBLIC	CHARITABLE	$1,000
COMMISSION ON ECONOMIC OPPORTUNITY
165 AMBER LANE	WILKESBARRE	PA	18703	NONE	PUBLIC	CHARITABLE	$500
DREXEL UNIVERSITY
3141 CHESTNUT STREET SUITE 301	PHILADELPHIA	PA	19104	NONE	PUBLIC	CHARITABLE	$35,000
FM KIRBY CENTER
71 PUBLIC SQUARE	WILKESBARRE	PA	18701	NONE	PUBLIC	CHARITABLE	$12,500
MULTIPLE MYELOMA RESEARCH
383 MAIN AVENUE 5TH FLOOR	NORWALK	CT	06851	NONE	PUBLIC	CHARITABLE	$200
FINE ARTS FIESTA
PO BOX 2053	WILKESBARRE	PA	18701	NONE	PUBLIC	CHARITABLE	$100
FLORIDA STATE UNIVERSITY
2010 LEVY AVENUE	TALLAHASSEE	FL	32306	NONE	PUBLIC	CHARITABLE	$1,000
FRANKLIN & MARSHALL
415 HARRISBURG AVE	LANCASTER	PA	17603	NONE	PUBLIC	CHARITABLE	$1,000
GEISINGER HEALTH SYSTEM FOUNDATION
100 N ACADEMY AVENUE	DANVILLE	PA	17822	NONE	PUBLIC	CHARITABLE	$20,450
GREATER PITTSTON YMCA
10 N MAIN STREET	PITTSTON	PA	18640	NONE	PUBLIC	CHARITABLE	$200
HOSPICE CARE OF VNA
900 RUTTER AVENUE	FORTY FORT	PA	18704	NONE	PUBLIC	CHARITABLE	$250
JACKSON TWP VOLUNTEER FIRE DEPARTMENT
1275 HUNTSVILLE ROAD	JACKSON TOWNSHIP	PA	18708	NONE	PUBLIC	CHARITABLE	$500
JEAN BRUNOZZI MEMORIAL
6965 WOODSIDE LANE	BLOOMSBURG	PA	17815	NONE	PUBLIC	CHARITABLE	$500
KUTZTOWN UNIVERSITY
PO BOX 730	KUTZTOWN	PA	19530	NONE	PUBLIC	CHARITABLE	$100
JOHNS HOPKINS INSTITUTIONS
600 N WOLFE STREET	BALTIMORE	MD	21287	NONE	PUBLIC	CHARITABLE	$1,000
JUVENILE DIABETES RESEARCH FOUNDATION
120 WALL STREET 19TH FLOOR	NEW YORK	NY	10005	NONE	PUBLIC	CHARITABLE	$1,000
KINGS COLLEGE
133 N RIVER STREET	WILKESBARRE	PA	18711	NONE	PUBLIC	CHARITABLE	$10,000
LEADERSHIP WILKES BARRE
4 PUBLIC SQUARE	WILKESBARRE	PA	18701	NONE	PUBLIC	CHARITABLE	$3,500
MISERICORDIA UNIVERSITY
301 LAKE STREET	DALLAS	PA	18612	NONE	PUBLIC	CHARITABLE	$100,000
NORTH BRANCH LAND TRUST
11 CARVERTON ROAD	TRUCKSVILLE	PA	18708	NONE	PUBLIC	CHARITABLE	$500
OSTERHOUT LIBRARY
67 S FRANKLIN STREET	WILKESBARRE	PA	18701	NONE	PUBLIC	CHARITABLE	$500
PANCREATIC CANCER ACTION NETWORK
1500 ROSECRANS AVENUE	MANHATTAN BEACH	CA	90266	NONE	PUBLIC	CHARITABLE	$250
SALVATION ARMY
163 HAZLE STREET	WILKESBARRE	PA	18702	NONE	PUBLIC	CHARITABLE	$2,500
SJPF INC
717 MARKET STREET	LEMOYNE	PA	17043	NONE	PUBLIC	CHARITABLE	$500
SORDONI ART GALLERY
84 W SOUTH STREET	WILKESBARRE	PA	18766	NONE	PUBLIC	CHARITABLE	$100
ST JOHN NEWMANN SOCIETY
300 WYOMING AVENUE	SCRANTON	PA	18503	NONE	PUBLIC	CHARITABLE	$1,000
ST JUDE CHILDRENS RESEARCH HOSPITAL
501 ST JUDE PLACE	MEMPHIS	TN	38105	NONE	PUBLIC	CHARITABLE	$6,000
ST VINCENT DE PAUL SOUP KITCHEN
39 E JACKSON STREET	WILKESBARRE	PA	18701	NONE	PUBLIC	CHARITABLE	$1,000
THE COLONIAL WILLIAMSBURG FOUNDATION
PO BOX 1776	WILLIAMSBURG	VA	23187	NONE	PUBLIC	CHARITABLE	$5,000
THE COMMONWEALTH MEDICAL COLLEGE
150 N WASHINGTON AVE	SCRANTON	PA	18503	NONE	PUBLIC	CHARITABLE	$10,000
THE GEORGE FUND AT KEYSTONE HOSPICE
8765 STENTON AVENUE	WYNDMOOR	PA	19038	NONE	PUBLIC	CHARITABLE	$2,000
THE LANDS AT HILLSIDE FARMS
65 HILLSIDE RD	TRUCKSVILLE	PA	18708	NONE	PUBLIC	CHARITABLE	$1,000
VOLUNTEERS IN MEDICINE
190 N PENNSYLVANIA AVENUE	WILKESBARRE	PA	18702	NONE	PUBLIC	CHARITABLE	$1,000
WILKES BARRE CHAMBER OF COMMERCE
2 PUBLIC SQUARE	WILKESBARRE	PA	18701	NONE	PUBLIC	CHARITABLE	$300
WILKES UNIVERSITY
84 WEST SOUTH STREET	WILKESBARRE	PA	18766	NONE	PUBLIC	CHARITABLE	$20,000
WRTI
1509 CECIL B MOORE AVE 3RD FL	PHILADELPHIA	PA	19121	NONE	PUBLIC	CHARITABLE	$250
WVIA TV
100 WVIA WAY	PITTSTON	PA	18640	NONE	PUBLIC	CHARITABLE	$100
WYOMING CATHOLIC SCHOOLS
1690 WYOMING AVENUE	EXETER	PA	18643	NONE	PUBLIC	CHARITABLE	$100
WYOMING VALLEY MONTESSORI
851 W MARKET STREET	KINGSTON	PA	18704	NONE	PUBLIC	CHARITABLE	$250
WYOMING VALLEY UNITED WAY
8 W MARKET STREET STE 450	WILKESBARRE	PA	18701	NONE	PUBLIC	CHARITABLE	$5,000
YMCA OF WILKES-BARRE
40 W NORTHAMPTON STREET	WILKESBARRE	PA	18701	NONE	PUBLIC	CHARITABLE	$5,000
NATIONAL WILD TURKEY ASSOCIATION
PO BOX 530	EDGEFIELD	SC	29824	NONE	PUBLIC	CHARITABLE	$60
ST JUDE PARISH
420 S MOUNTAIN BLVD	MOUNTAIN TOP	PA	18707	NONE	PUBLIC	CHARITABLE	$1,000
ST JOSEPH MARELLO PARISH
237 WILLIAMS STREET	PITTSTON	PA	18640	NONE	PUBLIC	CHARITABLE	$1,000
ST NICK'SST MARY'S GRADE SCHOOL
242 S WASHINGTON STREET	WILKESBARRE	PA	18701	NONE	PUBLIC	CHARITABLE	$1,000
TRINITY PRESBYTERIAN CHURCH
105 IREM ROAD	DALLAS	PA	18612	NONE	PUBLIC	CHARITABLE	$500
JEWISH COMMUNITY CENTER OF WYOMING VALLEY
60 S RIVER STREET	WILKESBARRE	PA	18702	NONE	PUBLIC	CHARITABLE	$250

Field	Value	IRS element (for citing)
Tot Grant Or Contri Paid During Year	273310	TotGrantOrContriPaidDuringYear
Tot Grant Or Contri Approved Future	0	TotGrantOrContriApprovedFuture

Analysis Income Producing Acty AnalysisIncomeProducingActy

Int On Savings And Temp Cash Invst IntOnSavingsAndTempCashInvst

Field	Value	IRS element (for citing)
Exclusion Code	14	ExclusionCode
Exclusion	$748	ExclusionAmount

Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII

Field	Value	IRS element (for citing)
Exclusion Code	14	ExclusionCode
Exclusion	$81,583	ExclusionAmount

Other Investment Income Part VII OtherInvestmentIncomePartVII

Field	Value	IRS element (for citing)
Exclusion Code	14	ExclusionCode
Exclusion	$745	ExclusionAmount

Gain Sales Assets Oth Than Invntry GainSalesAssetsOthThanInvntry

Field	Value	IRS element (for citing)
Exclusion Code	14	ExclusionCode
Exclusion	-$1,048	ExclusionAmount

Subtotals Part XVIA SubtotalsPartXVIA

Field	Value	IRS element (for citing)
Unrelated Business Income	$0	UnrelatedBusinessIncomeAmount
Exclusion	$82,028	ExclusionAmount
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Part XVIA	82028	TotalPartXVIA

Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO

Field	Value	IRS element (for citing)
Trnsfr Of Cash To Noncharitable EO	0	TrnsfrOfCashToNoncharitableEO
Trnsfr Oth Assets Noncharitable EO	0	TrnsfrOthAssetsNoncharitableEO
Sales Or Exchanges Of Assets	0	SalesOrExchangesOfAssets
Purchase Assets Noncharitable EO	0	PurchaseAssetsNoncharitableEO
Rental Of Facilities Etc	0	RentalOfFacilitiesEtc
Reimbursement Arrangements	0	ReimbursementArrangements
Loans Or Loan Guarantees	0	LoansOrLoanGuarantees
Performance Of Services Etc	0	PerformanceOfServicesEtc
Sharing Of Facilities Etc	0	SharingOfFacilitiesEtc
Relationships Noncharitable E Os	0	RelationshipsNoncharitableEOs

Schedule B IRS990ScheduleB

Field	Value	IRS element (for citing)
Organization501c3 Exempt PF	X	Organization501c3ExemptPF
General Rule	X	GeneralRule

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	1	ContributorNumber
Contributor Name Individual	RICHARD A AND VIRGINIA ROSE	ContributorNameIndividual

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	225 OLDFIELD ROAD	AddressLine1
City	SHAVERTOWN	City
State	PA	State
ZIP Code	18708	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	14998	AggregateContributions
Noncash Contribution Type	X	NoncashContributionType

Noncash Property NoncashProperty

Field	Value	IRS element (for citing)
Contributor Number From Part I	1	ContributorNumberFromPartI
Noncash Property Description	300 UGI CORP AND 1000 BRCD	NoncashPropertyDescription
Fair Market Value	15944	FairMarketValue
Date Received	2012-02-29	DateReceived

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corp Stock InvestmentsCorpStock (16 entries)

Name Of StockNameOfStock	EOY Book ValueEOYBookValue	EOYFMVEOYFMV
M&T BANK CORP	104756	1229299
AMERICA MOVIL	64957	1764194
EMC CORP	9585	141680
INGERSOLL RAND	77207	103114
SYSCO CORP	30173	31660
AIR PRODUCTS	180069	252060
CA WATER SERVICE GROUP	52100	55050
BRODCADE	6850	6151
QUALCOMM	38587	61860
CCNFB	18358	20130
PROCTOR AND GAMBLE	54630	67890
HEWLETT PACKARD	58166	22800
SPECTOR ENERGY	5768	9642
MICROSOFT	3073	2671
ENERGY TRANS EQTY	7195	454800
UGI CORP	8418	9918

Other Expenses Schedule OtherExpensesSchedule

Other Expenses OtherExpenses (8 entries)

DescriptionDescription	Revenue And Expenses Per BooksRevenueAndExpensesPerBooks	Net Investment IncomeNetInvestmentIncome
OFFICE EXPENSE	58	0
INVEST EXPENSE - K-1 ENERGY TRANSFER EQUITY	4714	4714
INVEST EXPENSE - K-1 ENERGY TRANSFER PARTNERS	588	588
INVEST EXPENSE - K-1 SUNOCO LOGISTICS	1	1
K-1 - ENERGY TRANSFR EQUITY LP	5058	5058
K-1 - ENERGY TRANSFR PARTNERS LP	14202	14202
K-1 - REGENCY ENERGY PARTNERS LP	3759	3759
K-1 - AMERIGAS PARTNERS LP	1239	1239

Other Income Schedule2 OtherIncomeSchedule2

Other Income OtherIncome

Field	Value	IRS element (for citing)
Description	K-1 - SUNOCO LOGISTICS PARTNERS LP	Description
Revenue And Expenses Per Books	745	RevenueAndExpensesPerBooks
Net Investment Income	745	NetInvestmentIncome
Adjusted Net Income	745	AdjustedNetIncome

Taxes Schedule TaxesSchedule

Taxes Taxes

Field	Value	IRS element (for citing)
Category	FEDERAL EXCISE TAX	Category
Amount	$6,325	Amount
Net Investment Income	0	NetInvestmentIncome
Disbursements Charitable Prps	0	DisbursementsCharitablePrps

THE BLACK HORSE FOUNDATION INC: Form 990PF, tax year 2012

Return header ReturnHeader

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Preparer Firm US Address PreparerFirmUSAddress

Filer Filer

Name Name

US Address USAddress

Officer Officer

Preparer Preparer

Form 990-PF IRS990PF

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

Balance Sheets BalanceSheets

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

Capital Gains And Losses CapitalGainsAndLosses

Capital Gains And Losses Info CapitalGainsAndLossesInfo (3 entries)

Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

Statements Regarding Activities StatementsRegardingActivities

Books In Care Of US Address BooksInCareOfUSAddress

Statements Regarding Acty4720 StatementsRegardingActy4720

Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo

Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (3 entries)

Sum Of Program Related Investments SumOfProgramRelatedInvestments

Minimum Investment Return MinimumInvestmentReturn

Distributable DistributableAmount

Qualifying Distributions QualifyingDistributions

Undistributed Income UndistributedIncome

Supplementary Information SupplementaryInformation

Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (62 entries)

Analysis Income Producing Acty AnalysisIncomeProducingActy

Int On Savings And Temp Cash Invst IntOnSavingsAndTempCashInvst

Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII

Other Investment Income Part VII OtherInvestmentIncomePartVII

Gain Sales Assets Oth Than Invntry GainSalesAssetsOthThanInvntry

Subtotals Part XVIA SubtotalsPartXVIA

Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Contributor Address US ContributorAddressUS

Noncash Property NoncashProperty

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corp Stock InvestmentsCorpStock (16 entries)

Other Expenses Schedule OtherExpensesSchedule

Other Expenses OtherExpenses (8 entries)

Other Income Schedule2 OtherIncomeSchedule2

Other Income OtherIncome

Taxes Schedule TaxesSchedule

Taxes Taxes

Comments