Form 990-Pf - Return Of Private Foundation - 2012 Page 13

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Form 990-PF (2012)

Page

Part XVII

Information Regarding Transfers To and Transactions and Relationships With Noncharitable

Exempt Organizations

Yes No

Did the organization directly or indirectly engage in any of the following with any other organization described

in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political

organizations?

a Transfers from the reporting foundation to a noncharitable exempt organization of:

(1) Cash .

1a(1)

(2) Other assets

1a(2)

b Other transactions:

(1) Sales of assets to a noncharitable exempt organization

1b(1)

(2) Purchases of assets from a noncharitable exempt organization .

1b(2)

(3) Rental of facilities, equipment, or other assets

1b(3)

(4) Reimbursement arrangements .

1b(4)

(5) Loans or loan guarantees

1b(5)

(6) Performance of services or membership or fundraising solicitations

1b(6)

c Sharing of facilities, equipment, mailing lists, other assets, or paid employees

d If the answer to any of the above is “Yes,” complete the following schedule. Column (b) should always show the fair market

value of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market

value in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.

(a) Line no.

(b) Amount involved

(d) Description of transfers, transactions, and sharing arrangements

2a Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations

described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527? .

Yes

b If “Yes,” complete the following schedule.

(a) Name of organization

(b) Type of organization

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true,

Sign

correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.

May the IRS discuss this return

Here

with the preparer shown below

(see instructions)?

Yes

Signature of officer or trustee

Date

Title

Print/Type preparer’s name

Preparer's signature