THE NATEMBEA FOUNDATION INC: Form 990PF, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
THE NATEMBEA FOUNDATION INC (EIN 20-3448030)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-08-14
IRS object ID
201102269349100300
Schema version
2010v3.4
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)
Timestamp2011-08-14T00:03:34-00:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Foundation SourceBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line155 Walls DriveAddressLine1
CityFairfieldCity
StateCTState
ZIP Code06824ZIPCode
FieldValueIRS element (for citing)
Return Type990PFReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN203448030EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Natembea FoundationBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNATENameControl
Phone8008391754Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1c/o Foundation Source 501 SilversidAddressLine1
CityWilmingtonCity
StateDEState
ZIP Code198091377ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDevon W CohnName
TitlePresidentTitle
Date Signed2011-08-14DateSigned
Authorize Third PartyfalseAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJeffrey D HaskellName
Phone8008391754Phone
Date Prepared2011-08-14DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Exempt PFXExemptPF
FMV Assets EOY6415849FMVAssetsEOY
Method Of Accounting CashXMethodOfAccountingCash

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Not Required To Attach Schedule BXNotRequiredToAttachScheduleB
Interest On Savings Rev And Expnss4135InterestOnSavingsRevAndExpnss
Interest On Savings Net Invst Incm4135InterestOnSavingsNetInvstIncm
Dividends Rev And Expnss116697DividendsRevAndExpnss
Dividends Net Invst Incm116697DividendsNetInvstIncm
Net Gain Sale Assets Rev And Expnss-20771NetGainSaleAssetsRevAndExpnss
Gross Sales Price2447375GrossSalesPrice
Capital Gain Net Incm Net Invst Incm0CapitalGainNetIncmNetInvstIncm
Other Income Rev And Expnss-36059OtherIncomeRevAndExpnss
Other Income Net Invst Incm-36059OtherIncomeNetInvstIncm
Total Revenue And Expenses64002TotalRevenueAndExpenses
Total Net Investment Income84773TotalNetInvestmentIncome
Other Prof Fees Rev And Expnss45365OtherProfFeesRevAndExpnss
Other Prof Fees Net Invst Incm45365OtherProfFeesNetInvstIncm
Taxes Rev And Expnss2015TaxesRevAndExpnss
Taxes Net Invst Incm179TaxesNetInvstIncm
Other Expenses Rev And Expnss27581OtherExpensesRevAndExpnss
Other Expenses Net Invst Incm282OtherExpensesNetInvstIncm
Other Expenses Dsbrs Chrtbl Prps27298OtherExpensesDsbrsChrtblPrps
Tot Opr Expenses Rev And Expnss74961TotOprExpensesRevAndExpnss
Tot Opr Expenses Net Invst Incm45826TotOprExpensesNetInvstIncm
Tot Opr Expenses Dsbrs Chrtbl Prps27298TotOprExpensesDsbrsChrtblPrps
Contri Gifts Paid Rev And Expnss231225ContriGiftsPaidRevAndExpnss
Contri Gifts Paid Dsbrs Chrtbl Prps231225ContriGiftsPaidDsbrsChrtblPrps
Total Expenses Rev And Expnss306186TotalExpensesRevAndExpnss
Total Expenses Net Invst Incm45826TotalExpensesNetInvstIncm
Total Expenses Dsbrs Chrtbl Prps258523TotalExpensesDsbrsChrtblPrps
Excess Of Revenue Over Expenses-242184ExcessOfRevenueOverExpenses
Net Investment Income38947NetInvestmentIncome

Balance Sheets BalanceSheets

FieldValueIRS element (for citing)
Savings And Temp Cash Invst BOY85297SavingsAndTempCashInvstBOY
Savings And Temp Cash Invst EOY144036SavingsAndTempCashInvstEOY
Savings And Temp Cash Invst EOYFMV144036SavingsAndTempCashInvstEOYFMV
Accounts Receivable4841AccountsReceivable
Accounts Receivable BOY2370AccountsReceivableBOY
Accounts Receivable EOY4841AccountsReceivableEOY
Accounts Receivable EOYFMV4841AccountsReceivableEOYFMV
Investments Govt Oblig BOY2938895InvestmentsGovtObligBOY
Investments Govt Oblig EOY2702031InvestmentsGovtObligEOY
Investments Govt Oblig EOYFMV2745908InvestmentsGovtObligEOYFMV
Investments Corp Stock BOY2720905InvestmentsCorpStockBOY
Investments Corp Stock EOY2634952InvestmentsCorpStockEOY
Investments Corp Stock EOYFMV3243297InvestmentsCorpStockEOYFMV
Investments Other BOY250000InvestmentsOtherBOY
Investments Other EOY269423InvestmentsOtherEOY
Investments Other EOYFMV277767InvestmentsOtherEOYFMV
Total Assets BOY5997467TotalAssetsBOY
Total Assets EOY5755283TotalAssetsEOY
Total Assets EOYFMV6415849TotalAssetsEOYFMV
Total Liabilities EOY0TotalLiabilitiesEOY
Org That Do Not Follow SFAS117XOrgThatDoNotFollowSFAS117
Retained Earnings BOY5997467RetainedEarningsBOY
Retained Earnings EOY5755283RetainedEarningsEOY
Total Net Assets BOY5997467TotalNetAssetsBOY
Total Net Assets EOY5755283TotalNetAssetsEOY
Total Liabilities Net Assets BOY5997467TotalLiabilitiesNetAssetsBOY
Total Liabilities Net Assets EOY5755283TotalLiabilitiesNetAssetsEOY

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

FieldValueIRS element (for citing)
Total Net Assets Fund Balances BOY5997467TotalNetAssetsFundBalancesBOY
Excess Of Revenue Over Expenses-242184ExcessOfRevenueOverExpenses
Subtotal5755283Subtotal
Total Net Assets Fund Balances EOY5755283TotalNetAssetsFundBalancesEOY

Capital Gains And Losses CapitalGainsAndLosses

Capital Gains And Losses Info CapitalGainsAndLossesInfo (2 entries)

Description Of AssetDescriptionOfAssetGross Sales PriceGrossSalesPriceCost Or Other BasisCostOrOtherBasisGain Or LossGainOrLossGains Minus Excess Or LossesGainsMinusExcessOrLosses
Publicly-traded Securities24473752468961-21585-21585
Passthrough K1 Capital Gain814814
FieldValueIRS element (for citing)
Capital Gain Net Income-20771CapitalGainNetIncome

Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax

FieldValueIRS element (for citing)
Liable For4942 TaxfalseLiableFor4942Tax
Qualifying Distributions Year1241359QualifyingDistributionsYear1
Noncharitable Assets Year15057970NoncharitableAssetsYear1
Distribution Ratio Year1000.047719DistributionRatioYear1
Qualifying Distributions Year2277741QualifyingDistributionsYear2
Noncharitable Assets Year25153459NoncharitableAssetsYear2
Distribution Ratio Year2000.053894DistributionRatioYear2
Qualifying Distributions Year3135540QualifyingDistributionsYear3
Noncharitable Assets Year35693196NoncharitableAssetsYear3
Distribution Ratio Year3000.023807DistributionRatioYear3
Qualifying Distributions Year437843QualifyingDistributionsYear4
Noncharitable Assets Year44949843NoncharitableAssetsYear4
Distribution Ratio Year4000.007645DistributionRatioYear4
Qualifying Distributions Year59600QualifyingDistributionsYear5
Noncharitable Assets Year52474093NoncharitableAssetsYear5
Distribution Ratio Year5000.003880DistributionRatioYear5
Total Distribution Ratio000.136945TotalDistributionRatio
Average Distribution Ratio000.027389AverageDistributionRatio
Net Noncharitable Assets6133321NetNoncharitableAssets
Adjusted Noncharitable Assets167986AdjustedNoncharitableAssets
One Percent Net Investment Income389OnePercentNetInvestmentIncome
Adj Nonchrtbl Assets And One168375AdjNonchrtblAssetsAndOnePct
Qualifying Distributions258523QualifyingDistributions

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eXDomesticOrgMeetingSect4940e
Investment Income Excise Tax389InvestmentIncomeExciseTax
Subtotal389Subtotal
Tax Based On Investment Income389TaxBasedOnInvestmentIncome
Est Tax Payments And Overpayment16143EstTaxPaymentsAndOverpayment
Total Credits And Payments16143TotalCreditsAndPayments
Tax Paid Original Return16143TaxPaidOriginalReturn
Overpayment15754Overpayment
Amount Credited To Next Year1000AmountCreditedToNextYear
Amount To Be Refunded14754AmountToBeRefunded

Statements Regarding Activities StatementsRegardingActivities

FieldValueIRS element (for citing)
Legislative Political ActivitiesfalseLegislativePoliticalActivities
More Than100 SpentfalseMoreThan100Spent
Form1120 POL FiledfalseForm1120POLFiled
Activities Not Prev ReportedfalseActivitiesNotPrevReported
Changes To Articles Or BylawsfalseChangesToArticlesOrBylaws
Unrelated Bus Income Over1000falseUnrelatedBusIncomeOver1000
Termination EtcfalseTerminationEtc
Requirements Of Sect508etrueRequirementsOfSect508e
At Least5000 In AssetstrueAtLeast5000InAssets
Form990 PF Filed With AGtrueForm990PFFiledWithAG
Private Operating FoundationfalsePrivateOperatingFoundation
New Substantial ContributorsfalseNewSubstantialContributors
Interest In Controlled EntityfalseInterestInControlledEntity
Applicable Insurance ContractfalseApplicableInsuranceContract
Comply With Public Inspection RqrtrueComplyWithPublicInspectionRqr

Books In Care Of Business Name BooksInCareOfBusinessName

FieldValueIRS element (for citing)
Business Name Line1co Foundation SourceBusinessNameLine1
FieldValueIRS element (for citing)
Books In Care Of Phone Number8008391754BooksInCareOfPhoneNumber

Books In Care Of US Address BooksInCareOfUSAddress

FieldValueIRS element (for citing)
Address Line1501 Silverside Road Suite 123AddressLine1
CityWilmingtonCity
StateDEState
ZIP Code198091377ZIPCode
FieldValueIRS element (for citing)
Foreign BankfalseForeignBank

Statements Regarding Acty4720 StatementsRegardingActy4720

FieldValueIRS element (for citing)
Sale Or Exchange With Dsqfly PersonfalseSaleOrExchangeWithDsqflyPerson
Borrow Or Lend With Dsqfly PersonfalseBorrowOrLendWithDsqflyPerson
Furnished Goods With Dsqfly PersonfalseFurnishedGoodsWithDsqflyPerson
Pay Compensation To Dsqfly PersonfalsePayCompensationToDsqflyPerson
Transfer Assets To Dsqfly PersonfalseTransferAssetsToDsqflyPerson
Payment To Government OfficalfalsePaymentToGovernmentOffical
Uncorrected Prior ActsfalseUncorrectedPriorActs
Undistributed Income Prior YearsfalseUndistributedIncomePriorYears
Business HoldingsfalseBusinessHoldings
Jeopardy InvestmentsfalseJeopardyInvestments
Uncorrected Jeopardy InvestmentsfalseUncorrectedJeopardyInvestments
Influence LegislationfalseInfluenceLegislation
Influence ElectionfalseInfluenceElection
Grants To IndividualsfalseGrantsToIndividuals
Grants To OrganizationsfalseGrantsToOrganizations
Noncharitable PurposefalseNoncharitablePurpose
Pay Premiums Prsnl Bnft ContractfalsePayPremiumsPrsnlBnftContract
Prohibited Tax Shelter TransactnfalseProhibitedTaxShelterTransactn
Proceeds Or Net IncometrueProceedsOrNetIncome

Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo

Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeTitleTitleAvg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPositionCompensationCompensation
David Cohn
c/o Foundation Source 501 SilversidWilmingtonDE19809Vice President001.000
Devon W Cohn
c/o Foundation Source 501 SilversidWilmingtonDE19809President / Director / Secretary001.000
FieldValueIRS element (for citing)
Comp Of Highest Paid Empl NONENONECompOfHighestPaidEmplNONE

Minimum Investment Return MinimumInvestmentReturn

FieldValueIRS element (for citing)
Avg Monthly FMV Of Securities5907436AvgMonthlyFMVOfSecurities
Avg Monthly Cash Balances118366AvgMonthlyCashBalances
FMV All Other Noncharitable Assets200920FMVAllOtherNoncharitableAssets
Total FMV Of Unused Assets6226722TotalFMVOfUnusedAssets
Adj Total FMV Of Unused Assets6226722AdjTotalFMVOfUnusedAssets
Cash Deemed Charitable93401CashDeemedCharitable
Net Noncharitable Assets6133321NetNoncharitableAssets
Minimum Investment Return306666MinimumInvestmentReturn

Distributable DistributableAmount

FieldValueIRS element (for citing)
Minimum Investment Return306666MinimumInvestmentReturn
Tax Based On Investment Income389TaxBasedOnInvestmentIncome
Total Tax389TotalTax
Distributable Amount Before Adj306277DistributableAmountBeforeAdj
Distributable Amount Before Ded306277DistributableAmountBeforeDed
Distributable Amount As Adjusted306277DistributableAmountAsAdjusted

Qualifying Distributions QualifyingDistributions

FieldValueIRS element (for citing)
Expenses And Contributions258523ExpensesAndContributions
Qualifying Distributions258523QualifyingDistributions
One Pct Sect4940e Org Net Invst Incm389OnePctSect4940eOrgNetInvstIncm
Adj Qualifying Distributions258134AdjQualifyingDistributions

Undistributed Income UndistributedIncome

FieldValueIRS element (for citing)
Distributable Amount As Adjusted306277DistributableAmountAsAdjusted
Undistributed Income Prior Year238141UndistributedIncomePriorYear
Qualifying Distributions258523QualifyingDistributions
Applied To Year1238141AppliedToYear1
Applied To Current Year20382AppliedToCurrentYear
Undistributed Income CY285895UndistributedIncomeCY

Supplementary Information SupplementaryInformation

FieldValueIRS element (for citing)
Contributing ManagerDavid CohnContributingManager
Contributing ManagerDevon W CohnContributingManager
Only Contributes To PreselectedXOnlyContributesToPreselected

Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (27 entries)

Address Line1RecipientUSAddress/AddressLine1CityRecipientUSAddress/CityStateRecipientUSAddress/StateZIP CodeRecipientUSAddress/ZIPCodeRecipient RelationshipRecipientRelationshipRecipient Foundation StatusRecipientFoundationStatusPurpose Of Grant Or ContributionPurposeOfGrantOrContributionAmountAmount
ASHESI UNIVERSITY FOUNDATION
1414 31ST AVE SSEATTLEWA98144N/A509(a)(1)General Unrestricted$30,000
BENEFICENT TECHNOLOGY INC
480 S CALIFORNIA AVE STE 201PALO ALTOCA94306N/A509(a)(1)Human Rights Program - Rapid Response$10,000
BOY SCOUTS OF AMERICA
1150 CHESS DRFOSTER CITYCA94404N/A509(a)(1)General Unrestricted$350
BURMESE AMERICAN DEMOCRATIC ALLIANC
1952 MCNAIR STE PALO ALTOCA94303N/A509(a)(1)Production of Shadow Plays Film$5,000
DOCTORS WITHOUT BORDERS USA INC
333 7TH AVE 2ND FLNEW YORKNY10001N/A509(a)(1)General Unrestricted$10,375
EARTH ISLAND INSTITUTE INC
2150 ALLSTON WAY STE 460BERKELEYCA94704N/A509(a)(1)Ethical Traveler Program$10,000
ECORESERVE INC
ONE BUSH STSAN FRANCISCOCA94104N/A509(a)(1)General Unrestricted$500
ENVIRONMENTAL WORKING GROUP
1436 U ST NW STE 100WASHINGTONDC20009N/A509(a)(1)General Unrestricted$5,000
FREE THE CHILDREN INTERNATIONAL
PO BOX 32099HARTFORDCT06510N/A509(a)(1)General Unrestricted$125
GIRLS MIDDLE SCHOOL
180 N RENGSTORFF AVEMOUNTAIN VIEWCA94043N/A509(a)(1)General Unrestricted$10,000
GUANACASTE DRY FOREST CONSERVATION
DEPT OF BIOLOGY UNIVERSITY OF PENNPHILADELPHIAPA19104N/A509(a)(1)General Unrestricted$20,000
HUMAN RIGHTS WATCH
100 BUSH ST STE 925SAN FRANCISCOCA94104N/A509(a)(1)General Unrestricted$20,000
INTERNATIONAL CRISIS GROUP
1629 K ST NW STE 450WASHINGTONDC20006N/A509(a)(1)General Unrestricted$5,000
INTERNATIONAL PLANNED PARENTHOOD FE
120 WALL ST 9TH FLNEW YORKNY10005N/A509(a)(1)General Unrestricted$5,000
JSI RESEARCH TRAINING INSTITUTE I
44 FARNSWORTH STBOSTONMA02210N/A509(a)(1)Liberia Philanthropy Secretariat Program$24,000
JUST VISION INC
1616 P ST NW STE 340WASHINGTONDC20036N/A509(a)(1)General Unrestricted$5,000
MAZON INC A JEWISH RESPONSE TO HUNG
10495 SANTA MONICA BLVD STE 100LOS ANGELESCA90025N/A509(a)(1)General Unrestricted$150
NEW VENTURE FUND
734 15TH ST NW STE 600WASHINGTONDC20005N/A509(a)(1)New Venture Fund, in support of the Redemption Hospital grant$4,000
NEW VENTURE FUND
734 15TH ST NW STE 600WASHINGTONDC20005N/A509(a)(1)PRIME Peace Research Institute for the Middle East Project$20,000
PHILANTHROPY WORKSHOP WEST
201 CALIFORNIA ST STE 630SAN FRANCISCOCA94111N/A509(a)(1)General Unrestricted$20,000
PLANNED PARENTHOOD FEDERATION OF AM
434 W 33RD STNEW YORKNY10001N/A509(a)(1)General Unrestricted$100
SMILE TRAIN INC
41 MADISON AVE 28TH FLNEW YORKNY10010N/A509(a)(1)General Unrestricted$125
SUNBURST PROJECTS
PO BOX 7771SANTA ROSACA95407N/A509(a)(1)General Unrestricted$250
THE BREAST CANCER RESOURCE CENTER O
525 W JUNIPERO STSANTA BARBARACA93105N/A509(a)(1)General Unrestricted$250
THE CARTER CENTER INC
453 FREEDOM PKWY NEATLANTAGA30307N/A509(a)(2)Liberia - Rule of Law Program$20,000
VITAL VOICES GLOBAL PARTNERSHIP
1625 MASSACHUSETTS AVE NWWASHINGTONDC20036N/A509(a)(1)Liberia Sexual Violence Program$5,000
WILDLIFE CONSERVATION NETWORK
25745 BASSETT LNLOS ALTOSCA94022N/A509(a)(1)General Unrestricted$1,000
FieldValueIRS element (for citing)
Tot Grant Or Contri Paid During Year231225TotGrantOrContriPaidDuringYear

Analysis Income Producing Acty AnalysisIncomeProducingActy

Int On Savings And Temp Cash Invst IntOnSavingsAndTempCashInvst

FieldValueIRS element (for citing)
Exclusion Code14ExclusionCode
Exclusion$4,135ExclusionAmount

Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII

FieldValueIRS element (for citing)
Exclusion Code14ExclusionCode
Exclusion$116,697ExclusionAmount

Gain Sales Assets Oth Than Invntry GainSalesAssetsOthThanInvntry

FieldValueIRS element (for citing)
Exclusion Code18ExclusionCode
Exclusion-$20,771ExclusionAmount

Other Revenue Described OtherRevenueDescribed

FieldValueIRS element (for citing)
DescriptionK-1 Pass-ThroughDescription
Exclusion Code14ExclusionCode
Exclusion-$36,059ExclusionAmount

Subtotals Part XVIA SubtotalsPartXVIA

FieldValueIRS element (for citing)
Exclusion$64,002ExclusionAmount
FieldValueIRS element (for citing)
Total Part XVIA64002TotalPartXVIA

Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO

FieldValueIRS element (for citing)
Trnsfr Of Cash To Noncharitable EOfalseTrnsfrOfCashToNoncharitableEO
Trnsfr Oth Assets Noncharitable EOfalseTrnsfrOthAssetsNoncharitableEO
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssets
Purchase Assets Noncharitable EOfalsePurchaseAssetsNoncharitableEO
Rental Of Facilities EtcfalseRentalOfFacilitiesEtc
Reimbursement ArrangementsfalseReimbursementArrangements
Loans Or Loan GuaranteesfalseLoansOrLoanGuarantees
Performance Of Services EtcfalsePerformanceOfServicesEtc
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtc
Relationships Noncharitable E OsfalseRelationshipsNoncharitableEOs

General Explanation Attachment GeneralExplanationAttachment

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corp Stock InvestmentsCorpStock (53 entries)

Name Of StockNameOfStockEOY Book ValueEOYBookValueEOYFMVEOYFMV
600 shares of 3M CO MMM4628151780
400 shares of ABBOTT LABS ABT1818219164
800 shares of AMERICA MOVIL SA AMX2380845872
1400 shares of AMERICAN EXPRESS CO AXP5550860088
600 shares of APACHE CORPORATION APA4000671538
2100 shares of ATT CORP COM NEW T5659661698
2632 shares of BANK NEW YORK MELLON CORP COM BK8833979486
3000 shares of BANK OF AMERICA CORP BAC4060040020
1900 shares of BERKSHIRE HATHAWAY INC. CLASS B BRK-B125088152209
1800 shares of CARNIVAL CORP CCL7474582998
2300 shares of CISCO SYSTEMS INC CSCO4293146529
2100 shares of COCA-COLA CO KO105345138117
908 shares of CONOCOPHILLIPS COP5685961835
1400 shares of CVS CAREMARK CORP. CVS4376848678
700 shares of DIAGEO PLC ADS DEO4671252031
500 shares of FEDEX CORPORATION COMMON STOCK FDX4877546505
3400 shares of GENERAL ELECTRIC CO GE5283862186
400 shares of GOLDMAN SACHS GROUP GS4225867264
1300 shares of HALLIBURTON COMPANY HAL4120353079
1100 shares of HEWLETT PACKARD CO HPQ4062946310
1300 shares of HONDA MOTOR CO LTD HMC3767451350
1200 shares of HONEYWELL INTERNATIONAL INC. HON5061263792
600 shares of INTERNATIONAL BUSINESS MACHINES IBM5849388056
5600 shares of ISHARES MSCI-JAPAN EWJ7446861096
1500 shares of JOHNSON JOHNSON JNJ9221192775
2008 shares of KRAFT FOODS INC KFT5585563272
200 shares of LORILLARD INC COMMON STOCK LO1116316412
2900 shares of LOWES COMPANIES INC. LOW5628372732
1000 shares of MCDONALDS CORP MCD3988876760
1100 shares of MEDTRONIC INC MDT3059240799
1900 shares of MICROSOFT CORPORATION MSFT5250153029
500 shares of NOVARTIS AG ADR NVS2588029475
3100 shares of ORACLE CORP ORCL5687597030
1200 shares of PETROLEO BRASILEIRO PBR4158745408
1000 shares of PHILIP MORRIS INTL PM3101658530
600 shares of PROCTER GAMBLE CO PG3349038598
700 shares of ROYAL DUTCH SHELL PLC RDS-A4553446746
1400 shares of SAFEWAY INC NEW SWY2620931486
2100 shares of SANOFI-AVENTIS SPONSORED ADR SNY6773667683
500 shares of SIEMENS A G ADR SI4733062125
2000 shares of STATE STREET CORPORATION STT8520192680
1000 shares of SUNCOR ENERGY INC SU4593038290
1300 shares of TARGET CORPORATION TGT7086378169
400 shares of TEVA PHARMECEUTICAL SP ADR TEVA2113820852
700 shares of TOYOTA MTR CORP TM5277155041
1200 shares of UNILEVER N V N Y UN2744537680
800 shares of UNION PACIFIC UNP3569274128
2800 shares of VANGUARD EMERGING MARKETS STOCK INDEX VIPERS VWO64343134820
1500 shares of WAL-MART STORES INC. WMT6756780895
1100 shares of WALGREEN CO WAG2719642856
800 shares of WALT DISNEY HOLDINGS CO. DIS2760930008
2700 shares of WELLS FARGO CO. WFC5528583673
1200 shares of WILLIAMS COS WMB2804429664

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Securities EOY Book Value2702031USGovtSecuritiesEOYBookValue
US Govt Securities EOYFMV2745908USGovtSecuritiesEOYFMV

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOther (3 entries)

Category Or ItemCategoryOrItemBook ValueBookValueEOYFMVEOYFMV
ELEOS HEALTHPINT INVESTORS FUND I, LLC ELEOS1000010000
KKR CO GUERNSEY LP KKR5530762480
WIEL BRIEN FUND III, LP204116205287

Other Expenses Schedule OtherExpensesSchedule

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionRevenue And Expenses Per BooksRevenueAndExpensesPerBooksDisbursements Charitable PrpsDisbursementsCharitablePrpsNet Investment IncomeNetInvestmentIncome
Administrative Fees2727327273
Bank Charges2424
K1 nondeductible passthrough WIEL BRIEN FUND III LP1
K1 passthrough KKR CO GUERNSEY LP258258
State or Local Filing Fees2525

Other Income Schedule2 OtherIncomeSchedule2

Other Income OtherIncome (2 entries)

DescriptionDescriptionRevenue And Expenses Per BooksRevenueAndExpensesPerBooksNet Investment IncomeNetInvestmentIncome
KKR CO GUERNSEY LP K-1 Pass-Through Share of Partnership Income/Loss23242324
WIEL BRIEN FUND III, LP K-1 Pass-Through Share of Partnership Income/Loss-38383-38383

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees OtherProfessionalFees

FieldValueIRS element (for citing)
CategoryInvestment Management ServicesCategory
Amount$45,365Amount
Net Investment Income45365NetInvestmentIncome

Taxes Schedule TaxesSchedule

Taxes Taxes (3 entries)

CategoryCategoryAmountAmountNet Investment IncomeNetInvestmentIncomeAdjusted Net IncomeAdjustedNetIncomeDisbursements Charitable PrpsDisbursementsCharitablePrps
Estimated Tax for 2010$1,700000
Foreign Tax Paid$17917900
IRS Excise Tax Payment$136000

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