2012-04-26T14:07:07-05:00 2011-12-31 470608676 MCDERMOTT & MILLER PC 11602 WEST CENTER ROAD SUITE 125 OMAHA NE 68144 990PF 2011-01-01 363907862 SEEMANN FAMILY FOUNDATION INC CO GEORGE BLAZEK SEEM 4023900390 9290 W DODGE ROAD NO 303 OMAHA NE 681143320 GEORGE BLAZEK 4023900390 2012-04-25 1 KENNETH A KLUCK P00089142 4023911207 2011 2016-02-24 21:20:13Z X X 867071 X X 10 10 120169 147804 120169 10000 0 10000 130179 120179 10000 0 0 0 0 1165 1165 1165 0 20 20 20 0 1185 1185 1185 0 320162 320162 321347 1185 1185 320162 -191168 118994 8815 -9362 9766 9766 224400 160304 857305 215038 170070 867071 0 0 X 0 0 0 0 215038 170070 215038 170070 215038 170070 215038 -191168 146200 170070 0 170070 BERKSHIRE HATHAWAY A SHARES D 1994-12-23 2011-12-27 115550 21702 93848 93848 BERKSHIRE HATHAWAY B SHARES D 1994-12-23 2011-05-12 32254 5933 26321 26321 120169 0 2000 1260879 0.001586 8101 1031211 0.007856 207562 1532815 0.135412 327827 1733319 0.189133 345650 1679616 0.205791 0.539778 0.107956 1143092 123404 1190 124594 320162 X 1190 0 1190 0 1190 1000 1000 2 192 0 0 0 0 0 0 0 0 0 0 1 1 NE 1 0 0 0 0 1 N/A GEORGE T BLAZEK 4023900390 9290 W DODGE ROAD SUITE 303 OMAHA NE 68114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 LEE D SEEMANN SR 10126 FIELDCREST DRIVE OMAHA NE 68114 0.00 0 0 0 WILLA D SEEMANN 10126 FIELDCREST DRIVE OMAHA NE 68114 0.00 0 0 0 LEE D SEEMANN JR 25807 BLONDO ST WATERLOO NE 68069 0.00 0 0 0 ANNE S DRICKEY 654 FAIRWOOD LANE OMAHA NE 68132 0.00 0 0 0 SCOTT D SEEMANN 1685 H STREET PMB - 137 BLAINE WA 98230 0.00 0 0 0 GEORGE T BLAZEK 9290 W DODGE ROAD SUITE 303 OMAHA NE 68114 0.00 0 0 0 NONE 0 NONE 0 NONE - OTHER THAN CONTRIBUTIONS PAID (SEE PART XV) 0 0 1160500 0 0 1160500 0 0 1160500 17408 1143092 57155 57155 1190 1190 55965 0 55965 0 55965 320162 0 320162 1190 318972 55965 0 0 118536 247611 132917 499064 320162 0 0 0 55965 264197 0 0 763261 0 0 0 0 0 0 118536 644725 247611 132917 264197 LEE D SEEMANN SR WILLA D SEEMANN X SALVATON ARMY 3612 CUMING STREET OMAHA NE 68131 NONE PUBLIC CHARITY UNDESIGNATED 1000 UNITED WAY OF THE MIDLANDS 1805 HARNEY STREET OMAHA NE 68102 NONE PUBLIC CHARITY UNDESIGNATED 1000 QUALITY LIVING INC 6404 N 70TH PLZ OMAHA NE 68104 NONE PUBLIC CHARITY UNDESIGNATED 10000 ALZHEIMERS ASSOCIATION 1941 S 42ND ST 205 OMAHA NE 68105 NONE PUBLIC CHARITY UNDESIGNATED 500 PARK FOUNDATION 1819 FARNAM ST SUITE 701 OMAHA NE 68183 NONE PUBLIC CHARITY UNDESIGNATE 125000 HERITAGE SERVICES 8805 INDIAN HILLS DR 175 OMAHA NE 68114 NONE PUBLIC CHARITY UNDESIGNATED 107100 OKOBOJI YACHT CLUB PO BOX 544 MILFORD IA 51351 NONE PUBLIC CHARITY UNDESIGNATED 74040 OKOBOJI YACHT CLUB PO BOX 544 MILFORD IA 51351 NONE PUBLIC CHARITY UNDESIGNATED 1522 320162 0 14 10 120169 VOID OLD CHECK TO SAC MUSEUM 10000 0 10 130169 130179 1 ALL ACTIVITIES ABOVE PROVIDED INCOME THAT WAS SUBSEQUENTLY AWARDED 2 TO SEVERAL CHARITABLE ORGANIZATIONS. 0 0 0 0 0 0 0 0 0 0 MCDERMOTT & MILLER, P.C. 1165 1165 1165 0 BERKSHIRE HATHAWAY A & B 160304 857305 SECRETARY OF STATE - FILING FEES 20 20 20 0 VOID OLD CHECK TO SAC MUSEUM 10000 10000 FMV > BOOK VALUE OF SECURITIES CONTRIBUTED 146200