2013-07-29T08:03:51-05:00 2012-12-31 561582677 HAYNES STRAND AND COMPANY PLLC PO BOX 10949 GREENSBORO NC 27404 990PF 2012-01-01 561116935 THE JACK LEVIN FOUNDATION INC JACK 3362990900 10 POSTBRIDGE COURT GREENSBORO NC 274077890 JACK LEVIN 3362990900 2013-07-03 1 JOHNNY C WOOD CPA P00370070 3362863204 2013-07-03 2012 2016-03-07 17:11:31Z X 1041668 X X 18412 18412 17519 250546 17519 35931 35931 0 0 0 3686 0 3686 4942 4942 0 1018 430 0 9646 5372 3686 21999 21999 31645 5372 25685 4286 30559 1212 7827 7827 9579 10160 10160 1837 1367 1837 1837 1333 745 745 914591 911799 1021099 928082 932368 1041668 0 0 X 0 0 0 0 928082 932368 928082 932368 928082 932368 928082 4286 0 932368 0 932368 PUBLICLY TRADED SECURITIES P 234538 233027 1511 1511 CAPITAL GAINS DIVIDENDS P 16008 16008 16008 17519 0 10060 978637 0.010280 30612 894374 0.034227 9702 741210 0.013089 12464 891313 0.013984 42774 1043972 0.040972 0.112552 0.022510 991671 22323 306 22629 25685 X 306 0 306 0 306 745 500 1245 939 939 0 0 0 0 0 0 0 0 0 0 0 1 1 NC 1 0 0 0 0 1 N/A JACK LEVIN 3362990900 10 POSTBRIDGE COURT GREENSBORO NC 27407 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 JACK LEVIN 10 POSTBRIDGE COURT GREENSBORO NC 274077890 1.00 0 0 0 JANIS L FIELDS 1006 BRIDGEWATER DRIVE GREENSBORO NC 27410 1.00 0 0 0 KAREN L ANSEL 1823 BEARHOLLOW ROAD GREENSBORO NC 27410 1.00 0 0 0 LINDA L HYSON 2705 ROSCREA COURT TALLAHASSEE FL 32309 1.00 0 0 0 NONE 0 NONE 0 0 989656 15918 1199 1006773 0 0 1006773 15102 991671 49584 49584 306 306 49278 0 49278 0 49278 25685 0 25685 306 25379 49278 12907 0 0 25685 12907 0 0 12778 0 0 0 0 0 0 0 0 36500 0 0 0 JACK LEVIN X ALLIANCE DEFENSE FUND 15100 N 90TH STREET SCOTTSDALE AZ 85260 PUBLIC CHARITY UNRESTRICTED 25 AMERICAN FRIENDS OF ALYN HOSPITAL 51 EAST 42ND STREET STE 308 NEW YORK NY 10017 PUBLIC CHARITY UNRESTRICTED 200 ALZHEIMER'S ASSOCIATION PO BOX 42453 CHARLOTTE NC 28215 PUBLIC CHARITY UNRESTRICTED 25 AMYOTROPHIC LATERAL SCLEROSIS (ALS) ASSOCIATION PO BOX 8178 PUEBLO CO 81008 PUBLIC CHARITY UNRESTRICTED 35 AMERICAN CANCER SOCIETY PO BOX 41912 RALEIGH NC 27629 PUBLIC CHARITY UNRESTRICTED 25 AMERICAN DIABETES ASSOCIATION PO BOX 7023 MERRIFIELD VA 22116 PUBLIC CHARITY UNRESTRICTED 25 AMERICAN FRIENDS OF MAGEN DAVID PO BOX 3098 NEW YORK NY 10117 PUBLIC CHARITY UNRESTRICTED 25 AMERICAN HEART ASSOCIATION INC PO BOX 78851 PHOENIX AZ 85062 PUBLIC CHARITY UNRESTRICTED 50 AMERICAN KIDNEY FUND INC PO BOX 1837 MERRIFIELD VA 22116 PUBLIC CHARITY UNRESTRICTED 25 AMERICAN LUNG ASSOCIATION 1301 PENNSYLVANIA AVENUE NW STE 800 WASHINGTON DC 20004 PUBLIC CHARITY UNRESTRICTED 25 AMERICAN PARKINSON DISEASE ASSOCIATION 135 PARKINSON AVENUE STATON ISLAND NY 10305 PUBLIC CHARITY UNRESTRICTED 25 AMERICAN RED CROSS PO BOX 14710 GREENSBORO NC 27415 PUBLIC CHARITY UNRESTRICTED 25 ANTI-DEFAMATION LEAGUE PO BOX 96226 WASHINGTON DC 20090 PUBLIC CHARITY UNRESTRICTED 25 ARTHRITIS FOUNDATION PO BOX 96280 WASHINGTON DC 20077 PUBLIC CHARITY UNRESTRICTED 25 BETH DAVID SYNAGOGUE 804 WINVIEW DRIVE GREENSBORO NC 27410 PUBLIC CHARITY UNRESTRICTED 2681 B'NAI BRITH INTERNATIONAL PO BOX 96729 WASHINGTON DC 20090 PUBLIC CHARITY UNRESTRICTED 103 B'NAI BRITH YOUTH ORGANIZATION (BBYO INC) PO BOX 19006 WASHINGTON DC 20036 PUBLIC CHARITY UNRESTRICTED 200 B'NAI SHALOM DAY SCHOOL 804 WINVIEW DRIVE GREENSBORO NC 27410 PUBLIC CHARITY UNRESTRICTED 100 CONSUMER REPORTS FOUNDATION PO BOX 96552 WASHINGTON DC 20090 PUBLIC CHARITY UNRESTRICTED 30 CYSTIC FIBROSIS FOUNDATION PO BOX 96305 WASHINGTON DC 20090 PUBLIC CHARITY UNRESTRICTED 25 DAVIS STREET UNITED METHODIST CHURCH 606 E DAVIS STREET BURLINGTON NC 27215 PUBLIC CHARITY UNRESTRICTED 100 EASTER SEAL SOCIETY PO BOX 28239 RALEIGH NC 27611 PUBLIC CHARITY UNRESTRICTED 25 EPILEPSY FOUNDATION PO BOX 96546 WASHINGTON DC 20077 PUBLIC CHARITY UNRESTRICTED 100 FRIENDS OF THE IDF 350 5TH AVENUE STE 2011 NEW YORK NY 10117 PUBLIC CHARITY UNRESTRICTED 250 FRIENDS OF THE SMITHSONIAN PO BOX 9016 PITTSFIELD MA 01202 PUBLIC CHARITY UNRESTRICTED 75 GEORGIA TECH FOUNDATION 190 NORTH AVENUE NW ATLANTA GA 303139806 PUBLIC CHARITY UNRESTRICTED 1000 GETTYSBURG FOUNDATION PO BOX 3997 GETTYSBURG PA 17325 PUBLIC CHARITY UNRESTRICTED 50 GRAY'S HARBOR HISTORICAL SEAPORT AUTHORITY 712 HAGARA STREET ABERDEEN WA 98520 PUBLIC CHARITY UNRESTRICTED 100 GREENSBORO JEWISH FEDERATION 5509-C WEST FRIENDLY AVENUE GREENSBORO NC 274104211 PUBLIC CHARITY UNRESTRICTED 10100 LEUKEMIA & LYMPHOMA SOCIETY INC PO BOX 9031 PITTSFIELD MA 01202 PUBLIC CHARITY UNRESTRICTED 25 LUPUS FOUNDATION OF AMERICA PO BOX 630147 BALTIMORE MD 21263 PUBLIC CHARITY UNRESTRICTED 25 MACCABI USA SPORTS FOR ISRAEL PO BOX 96462 WASHINGTON DC 20090 PUBLIC CHARITY UNRESTRICTED 25 MACULAR DEGENERATION RESEARCH PO BOX 1952 CLARKSBURG MD 20871 PUBLIC CHARITY UNRESTRICTED 25 MARCH OF DIMES PO BOX 2547 DECATUR IL 62525 PUBLIC CHARITY UNRESTRICTED 25 MAZON 10495 SANTA MONICA BLVD STE 100 LOS ANGELES CA 90025 PUBLIC CHARITY UNRESTRICTED 25 METROPOLITAN MUSEUM OF MODERN ART 1000 FIFTH AVENUE NEW YORK NY 10130 PUBLIC CHARITY UNRESTRICTED 70 MUSCULAR DYSTROPHY ASSOCIATION PO BOX 79069 PHOENIX AZ 85062 PUBLIC CHARITY UNRESTRICTED 25 NC SHERIFF'S ASSOCIATION PO BOX 20049 RALEIGH NC 27690 PUBLIC CHARITY UNRESTRICTED 25 NC ZOO SOCIETY 4403 ZOO PARKWAY ASHEBORO NC 27205 PUBLIC CHARITY UNRESTRICTED 55 NATIONAL ASTHMA CENTER PO BOX 5898 DENVER CO 80217 PUBLIC CHARITY UNRESTRICTED 100 NATIONAL MULTIPLE SCLEROSIS SOCIETY PO BOX 958 GREENSBORO NC 27402 PUBLIC CHARITY UNRESTRICTED 1000 NATIONAL OSTEOPOROSIS FOUNDATION 1150 17TH STREET NW SUITE 850 WASHINGTON DC 20036 PUBLIC CHARITY UNRESTRICTED 25 NATIONAL PARK FOUNDATION PO BOX 17394 BALTIMORE MD 21298 PUBLIC CHARITY UNRESTRICTED 25 RAMAH DAROM 6400 POWERS FERRY ROAD STE 215 ATLANTA GA 30339 PUBLIC CHARITY UNRESTRICTED 100 SALVATION ARMY PO BOX 5363 GREENSBORO NC 27435 PUBLIC CHARITY UNRESTRICTED 25 SENIOR SERVICES INC 2895 SHOREFAIR DRIVE WINSTONSALEM NC 27199 PUBLIC CHARITY UNRESTRICTED 100 SHRINERS HOSPITALS FOR CHILDREN PO BOX 1510 RANSON VA 25438 PUBLIC CHARITY UNRESTRICTED 25 SIMON WIESENTHAL CENTER 1399 SOUTH ROXBURY DRIVE STE 100 LOS ANGELES CA 90035 PUBLIC CHARITY UNRESTRICTED 25 ST JUDE CHILDREN'S RESEARCH HOSPITAL PO BOX 50 MEMPHIS TN 38101 PUBLIC CHARITY UNRESTRICTED 100 UNITED SERVICES ORGANIZATION PO BOX 96860 WASHINGTON DC 20077 PUBLIC CHARITY UNRESTRICTED 25 WAKE FOREST FUND 1834 WAKE FOREST ROAD WINSTONSALEM NC 27106 PUBLIC CHARITY UNRESTRICTED 1000 WAKE FOREST UNIVERSITY BAPTIST MEDICAL CENTER MEDICAL CENTER DRIVE WINSTONSALEM NC 27157 PUBLIC CHARITY UNRESTRICTED 2500 WEST MARKET UNITED METHODIST CHURCH 332 WEST MARKET STREET GREENSBORO NC 27401 PUBLIC CHARITY UNRESTRICTED 100 WILSON DISEASE ASSOCIATION 5572 NORTH DIVERSEY BLVD MILWAUKEE WI 53217 PUBLIC CHARITY UNRESTRICTED 1000 WORLD JEWISH CONGRESS FOUNDATION PO BOX 90400 WASHINGTON DC 20090 PUBLIC CHARITY UNRESTRICTED 25 21999 0 14 18412 18 17519 0 35931 0 35931 0 0 0 0 0 0 0 0 0 0 ACCOUNTING FEES 3686 0 3686 ASTON FUNDS MONTAG & CALDWELL GROWTH 86643 80650 BUFFALO SMALL CAP FD 42651 41964 DREYFUS APPRECIATION FD INC 37762 39885 FRANKLIN VALUE INVS TR SMALL CAP VALUE FD 32246 42112 GABELLI EQUITY SMALL CAP GROWTH FD 27587 32550 HARBOR CAPITAL APPRECIATION FD INSTL CL 60848 76498 ING EQUITY SMALL CAP OPPORTUNITIES FD CL I 27201 31117 JANUS INVT FD FLEXIBLE BD FD CL I 78451 78992 LAZARD EMERGING MKTS PORT INSTL 77361 76244 MFS SER TR VALUE FD CL I 63495 76531 OAKMARK INTL FD HARRIS ASSOC INVT TR CL I 36351 53194 OPPENHEIMER DEV MKTS CL Y 38892 42431 OPPENHEIMER INTL GROWTH FD CL Y 25348 30949 PIMCO PAC INVT MGMT TOTAL RETURN FD 38740 41209 PIMCO PAC INVT COMMODITY REAL RETURN STRAT FD 46166 38442 RS INVT TR VALUE FD 44007 51636 T ROWE PRICE MID CAP GROWTH FD 47621 52045 T ROWE PRICE REAL EST FD 12300 20141 THORNBURG INTL VALUE FD CL I 28550 30981 TCW RELATIVE VALUE LRG CAP FD CL I 59579 83528 INVESTMENT MANAGEMENT FEES 4942 4942 0 FEDERAL FORM 990-PF, 2011 588 0 0 FOREIGN TAX WITHHELD 430 430 0