2011-05-04T21:29:32-05:00 2010-12-31 JPMORGAN CHASE BANK NA PO BOX 3038 MILWAUKEE WI 53201 990PF 2010-01-01 203523866 THE SEMLER FAMILY FOUNDATION INC 2800320600 / V05701004 SEML 4149771210 C/O JPMORGAN CHASE BANKNAPOBOX 3038 MILWAUKEE WI 53201 JERRY SEMLER 4149771210 2011-03-28 1 JPMORGAN CHASE BANK NA 4149771210 2010 2016-02-24 21:20:13Z X 1771349 X X 33 33 37188 37224 114672 1240373 120704 120 0 152013 157961 0 0 0 8932 8932 0 346 346 0 81 358 81 9359 9636 81 90500 90500 99859 9636 90581 52154 148325 11121 558 558 67390 41607 40607 106296 698933 1049949 1187782 473560 503067 542402 185000 1542300 1595181 1771349 0 0 X 1542300 1595181 0 0 0 0 1542300 1595181 1542300 1595181 1542300 52154 1029 1595483 302 1595181 PUBLICLY TRADED SECURITIES 1239443 1125701 113742 113742 DB COMMODITY INDEX TRACKING FUND P 69 -69 -69 DB COMMODITY INDEX TRACKING FUND P 108 108 108 DB COMMODITY INDEX TRACKING FUND SEC 1256 P 6522 6522 6522 DB COMMODITY INDEX TRACKING FUND BASIS ADJUSTMENT RE: SALE P -529 -529 CAPITAL GAINS DIVIDENDS P 930 930 930 120704 0 83220 1519112 0.054782 102519 1786164 0.057396 103106 2125981 0.048498 126100 1970682 0.063988 0 1932166 0.0 0.224664 0.044933 1654130 74325 1483 75808 90581 X 1483 0 1483 0 1483 0 6 1489 0 0 0 0 0 0 0 0 0 0 1 1 IN 1 0 0 0 0 1 N/A JPMORGAN CHASE BANK NA 3176843057 1 EAST OHIO STREET INDIANAPOLIS IN 46277 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 JERRY D SEMLER 8015 HEYWARD DRIVE INDIANAPOLIS IN 46250 1.00 0 0 0 ROSEMARY R SEMLER 8015 HEYWARD DRIVE INDIANAPOLIS IN 46250 1.00 0 0 0 MICHAEL R SEMLER 8015 HEYWARD DRIVE INDIANAPOLIS IN 46250 1.00 0 0 0 KIMBERLY D HAMILTON 8015 HEYWARD DRIVE INDIANAPOLIS IN 46250 1.00 0 0 0 MARY D DODSON 8015 HEYWARD DRIVE INDIANAPOLIS IN 46250 1.00 0 0 0 JOHN R SEMLER 8015 HEYWARD DRIVE INDIANAPOLIS IN 46250 1.00 0 0 0 KRISTIN D TERRELL 8015 HEYWARD DRIVE INDIANAPOLIS IN 46250 1.00 0 0 0 JEFFREY R SEMLER 8015 HEYWARD DRIVE INDIANAPOLIS IN 46250 1.00 0 0 0 SALLY D BUTLER 8015 HEYWARD DRIVE INDIANAPOLIS IN 46250 1.00 0 0 0 NONE 0 NONE 0 0 1541812 137508 0 1679320 0 0 1679320 25190 1654130 82707 82707 1483 1483 81224 0 81224 0 81224 90581 0 90581 1483 89098 81224 0 0 5519 14001 7824 27344 90581 0 0 0 81224 9357 0 0 36701 0 0 0 0 0 0 0 36701 5519 14001 7824 9357 JERRY D SEMLER 8015 HEYWARD DRIVE INDIANAPOLIS IN 46250 3172851615 SUBMIT LETTER DESCRIBING NEED FOR AND PURPOSE OF REQUESTED CONTRIBUTION NONE NONE BISHOP CHATARD HIGH SCHOOL 5885 N CRITTENDEN AVENUE INDIANAPOLIS IN 462202840 NONE PUBLIC CHARITY PROGRAM SUPPORT 5000 BOWEN CENTER AT BALL STATE UNIVERSITY 2800 W BETHEL AVENUE MUNCIE IN 47304 NONE PUBLIC CHARITY PROGRAM SUPPORT 1000 BOY SCOUTS - CROSSROADS COUNCIL PO BOX 1966 INDIANAPOLIS IN 462061966 NONE PUBLIC CHARITY PROGRAM SUPPORT 6000 CENTER FOR LEADERSHIP DEVELOPMENT 2425 DR MARTIN LUTHER KING JR ST INDIANAPOLIS IN 462085546 NONE PUBLIC CHARITY PROGRAM SUPPORT 2000 CHILDREN'S MUSEUM OF INDIANAPOLIS 3000 N MERIDIAN STREET INDIANAPOLIS IN 462084716 NONE PUBLIC CHARITY PROGRAM SUPPORT 5000 CHRISTEL HOUSE FOUNDATION 10 W MARKET STREET SUITE 1990 INDIANAPOLIS IN 462042973 NONE PUBLIC CHARITY PROGRAM SUPPORT 1000 CHURCH FEDERATION OF GREATER INDIANAPOLIS 1100 W 42ND ST SUITE 345 INDIANAPOLIS IN 462083345 NONE PUBLIC CHARITY PROGRAM SUPPORT 2500 CORNEA RESEARCH FOUNDATION OF AMERICA 9002 N MERIDIAN STREET SUITE 212 INDIANAPOLIS IN 46260 NONE PUBLIC CHARITY PROGRAM SUPPORT 1000 HOOSIER SALON 714 EAST 65TH STREET INDIANAPOLIS IN 462201610 NONE PUBLIC CHARITY PROGRAM SUPPORT 500 INDIANA HISTORICAL SOCIETY 450 W OHIO STREET INDIANAPOLIS IN 462023269 NONE PUBLIC CHARITY PROGRAM SUPPORT 5000 INDIANA REPERTORY THEATRE 140 W WASHINGTON ST INDIANAPOLIS IN 46204 NONE PUBLIC CHARITY PROGRAM SUPPORT 2500 INDIANA YOUTH INSTITUTE 603 E WASHINGTON ST STE 800 INDIANAPOLIS IN 46204 NONE PUBLIC CHARITY PROGRAM SUPPORT 1500 INDIANAPOLIS ZOOLOGICAL SOCIETY 1200 WEST WASHINGTON STREET INDIANAPOLIS IN 462224552 NONE PUBLIC CHARITY PROGRAM SUPPORT 5000 IU FOUNDATION-SCHOOL OF MEDICINE-KOCH CHAIR PO BOX 500 BLOOMINGTON IN 47402 NONE PUBLIC CHARITY PROGRAM SUPPORT 5000 LAKE MAXINKUCKEE ENVIRONMENTAL COUNCIL PO BOX 187 CULVER IN 46511 NONE PUBLIC CHARITY PROGRAM SUPPORT 1000 MARIAN UNIVERSITY 3200 COLD SPRING RD INDIANAPOLIS IN 462221997 NONE PUBLIC CHARITY PROGRAM SUPPORT 13500 PURDUE UNIVERSITY 403 W STATE STREET WEST LAFAYETTE IN 479072056 NONE PUBLIC CHARITY PROGRAM SUPPORT 5000 SAGAMORE INSTITUTE FOR POLICY RESEARCH 1630 N MERIDIAN ST STE 450 INDIANAPOLIS IN 462021437 NONE PUBLIC CHARITY PROGRAM SUPPORT 2500 SYCAMORE FOUNDATION 201 NORTH INNLINOIS ST SUITE 1701 INDIANAPOLIS IN 46204 NONE PUBLIC CHARITY PROGRAM SUPPORT 500 UNITED CATHOLIC APPEAL PO BOX 1410 INDIANAPOLIS IN 462061410 NONE PUBLIC CHARITY PROGRAM SUPPORT 25000 90500 0 14 33 14 37188 14 18 114672 EXCISE TAX REFUND 01 120 0 152013 0 152013 0 0 0 0 0 0 0 0 0 0 VANGUARD FIXED INCOME SECS F INTR TRM CP PT (FUND 71) - 3239.983 SHS 33761 32141 ISHARES BARCLAYS TIPS BOND FUND - 307 SHS 32051 33009 EATON VANCE MUT FDS TR FLT RT CL I - 9453.169 SHS 70050 84700 JPM HIGH YIELD FD - SEL FUND 3580 5.91% - 10252.904 SHS 62910 83561 JPM SHORT DURATION BOND FD - SEL FUND 3133 1.36% - 20363.598 SHS 224916 223389 DREYFUS/LAUREL FDS TR PRM EMRGN MK I - 2368.225 SHS 33426 34245 JPM STR INC OPP FD FUND 3844 2.33% - 2880.39 SHS 29178 34075 JPM INTL CURRENCY INCOME FD INCOME FUND 1.28% - 1536.167 SHS 16775 17282 MATTHEWS PACIFIC TIGER FD - 1507.506 SHS 29010 35336 T ROWE PRICE INTERNATIONAL FUNDS INC NEW ASIA FUND - 2008.788 SHS 32000 38529 SPDR S&P 500 ETF TRUST - 576 SHS 64245 72432 ISHARES S&P MIDCAP 400 INDEX FUND - 603 SHS 43683 54686 ARBITRAGE FUNDS - I CL I - 2573.218 SHS 33761 32911 JPM US REAL ESTATE FD - SEL FUND 3037 - 3335.346 SHS 35862 51965 JPM MARKET EXPANSION INDEX FD - SEL FUND 3708 - 5412.65 SHS 36433 58240 JPM ASIA 3 FD - SEL FUND 1134 - 1580.209 SHS 44970 59858 VANGUARD MSCI EMERGING MARKETS ETF - 1516 SHS 66231 72989 JPM US LRGE CAP CORE PLUS FD - SEL FUND 1002 - 4251.47 SHS 81586 87878 POWERSHARES DB COMMODITY INDEX TRACKING FUND - 2133 SHS 51402 58764 MANNING & NAPIER FUND INC 3 SERIES - 5423.924 SHS 97521 104519 EATON VANCE MUT FDS TR GLOBAL MACRO - I - 5126.278 SHS 52881 52647 SPDR GOLD TRUST - 145 SHS 11564 20114 ARTIO INTERNATIONAL 3 II - I - 2775.103 SHS 33344 34578 MS SPX MKT PLS NOTE 04/07/11 I- 40000 SHS 40000 48706 JPM RESEARCH MARKET NEUTRAL FD - SEL FUND - SEL - 2159.655 SHS 33743 33345 HIGHBRIDGE DYNAMIC COMM STRG FD -SEL STRATEGY FUND - SE - 1088.086 SHS 16713 21076 GS EAFE NOTE 05/12/11 -15000 SHS 15000 14532 DB BREN SPX 08/29/11 INITIAL LEVEL-08/06/10 SPX:1121.64 - 20000 SHS 20000 21523 DB SARN SPX 09/07/12 90/100/100/100-10%BUFFER- 5.5%MAXRTRN - 25000 SHS 25000 26446 HSBC BREN EAFE 10/6/11 10%BUF-2XLEV-7.34%CAP-14.68%MAXRTRN- 20000 SHS 20000 20278 HSBC CONT BUFF EQ SPX 04/27/12 75% CNT BAR-10.6%CPN- 30%CAP - 25000 SHS 25000 26250 CS BREN ASIA BASKET 11/9/11 10%BUF - 14.75%MAXRTN - 25000 SHS 25000 24203 CS BREN EAFE 11/9/11 10%BUF-2XLEV-8.857%CAP- 17.714%MAXRTN- 20000 SHS 20000 19634 GS BREN MID 12/02/11 10%BUF-2XLEV-6.85%CAP- 13.7%MAXRTN- 35000 SHS 35000 36171 DB BREN EAFE 01/06/12 10%BUF-2XLEV-8.33%CAP- 16.66%MAXRTN- 15000 SHS 15000 15000 DB BREN ASIA BASKET 01/06/12 - 14.3%MAXRTN- 25000 SHS 25000 25178 SG CONT BUFF EQ SPX 06/29/12 75% CNT BAR- 4.5%CPN- 30%CAP- 20000 SHS 20000 19994 ADJUSTMENT TO CARRYING VALUE/BASIS 302 BANK FEES & CHECK ORDER 81 0 81 DB COMMODITY INDEX TRACKING FUND 0 358 0 EXCISE TAX REFUND 120 120 RETURN OF CAPITAL 1029 INVESTMENT MANAGEMENT FEES 8932 8932 0 FOREIGN TAX WITHHELD 346 346 0