CAPITAL BANK FOUNDATION INC: Form 990PF, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: CAPITAL BANK FOUNDATION INC (EIN 56-2145115)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-05-13
IRS object ID: 201331339349100003
Schema version: 2012v2.1
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
Form 990-PF
Accounting Fees Schedule
Investments Corp Stock Schedule
Other Expenses Schedule
Taxes Schedule

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-13T07:31:22-05:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	561104897	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	COBB EZEKIEL LOY & COMPANY PA	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	P O BOX 387	AddressLine1
City	GRAHAM	City
State	NC	State
ZIP Code	27253	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990PF	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	562145115	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	CAPITAL BANK CHARITABLE FOUNDATION INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	CAPI	NameControl
Phone	3365846237	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3905 NC 87 NORTH	AddressLine1
City	ELON	City
State	NC	State
ZIP Code	27244	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	WILLIAM R GILLIAM	Name
Title	PRESIDENT	Title
Phone	8008009440	Phone
Date Signed	2013-05-09	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	DONALD T MCBANE CPA	Name
PTIN	P01226802	PTIN
Phone	3362271495	Phone
Date Prepared	2013-05-09	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990-PF IRS990PF

Field	Value	IRS element (for citing)
Exempt PF	X	ExemptPF
FMV Assets EOY	2095633	FMVAssetsEOY
Method Of Accounting Cash	X	MethodOfAccountingCash

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

Field	Value	IRS element (for citing)
Not Required To Attach Schedule B	X	NotRequiredToAttachScheduleB
Interest On Savings Rev And Expnss	53	InterestOnSavingsRevAndExpnss
Interest On Savings Net Invst Incm	53	InterestOnSavingsNetInvstIncm
Dividends Rev And Expnss	49662	DividendsRevAndExpnss
Dividends Net Invst Incm	49662	DividendsNetInvstIncm
Net Gain Sale Assets Rev And Expnss	61550	NetGainSaleAssetsRevAndExpnss
Gross Sales Price	596670	GrossSalesPrice
Capital Gain Net Incm Net Invst Incm	61550	CapitalGainNetIncmNetInvstIncm
Total Revenue And Expenses	111265	TotalRevenueAndExpenses
Total Net Investment Income	111265	TotalNetInvestmentIncome
Comp Ofcr Dir Trst Rev And Expnss	3000	CompOfcrDirTrstRevAndExpnss
Comp Ofcr Dir Trst Net Invst Incm	3000	CompOfcrDirTrstNetInvstIncm
Comp Ofcr Dir Trst Dsbrs Chrtbl Prps	0	CompOfcrDirTrstDsbrsChrtblPrps
Accounting Fees Rev And Expnss	4555	AccountingFeesRevAndExpnss
Accounting Fees Net Invst Incm	4555	AccountingFeesNetInvstIncm
Accounting Fees Dsbrs Chrtbl Prps	0	AccountingFeesDsbrsChrtblPrps
Taxes Rev And Expnss	832	TaxesRevAndExpnss
Taxes Net Invst Incm	0	TaxesNetInvstIncm
Taxes Dsbrs Chrtbl Prps	0	TaxesDsbrsChrtblPrps
Other Expenses Rev And Expnss	17453	OtherExpensesRevAndExpnss
Other Expenses Net Invst Incm	17453	OtherExpensesNetInvstIncm
Other Expenses Dsbrs Chrtbl Prps	0	OtherExpensesDsbrsChrtblPrps
Tot Opr Expenses Rev And Expnss	25840	TotOprExpensesRevAndExpnss
Tot Opr Expenses Net Invst Incm	25008	TotOprExpensesNetInvstIncm
Tot Opr Expenses Dsbrs Chrtbl Prps	0	TotOprExpensesDsbrsChrtblPrps
Contri Gifts Paid Rev And Expnss	98000	ContriGiftsPaidRevAndExpnss
Contri Gifts Paid Dsbrs Chrtbl Prps	98000	ContriGiftsPaidDsbrsChrtblPrps
Total Expenses Rev And Expnss	123840	TotalExpensesRevAndExpnss
Total Expenses Net Invst Incm	25008	TotalExpensesNetInvstIncm
Total Expenses Dsbrs Chrtbl Prps	98000	TotalExpensesDsbrsChrtblPrps
Excess Of Revenue Over Expenses	-12575	ExcessOfRevenueOverExpenses
Net Investment Income	86257	NetInvestmentIncome

Balance Sheets BalanceSheets

Field	Value	IRS element (for citing)
Cash EOY	-1	CashEOY
Cash EOYFMV	-1	CashEOYFMV
Savings And Temp Cash Invst BOY	49269	SavingsAndTempCashInvstBOY
Savings And Temp Cash Invst EOY	69809	SavingsAndTempCashInvstEOY
Savings And Temp Cash Invst EOYFMV	69809	SavingsAndTempCashInvstEOYFMV
Prepaid Expenses BOY	811	PrepaidExpensesBOY
Prepaid Expenses EOY	840	PrepaidExpensesEOY
Prepaid Expenses EOYFMV	840	PrepaidExpensesEOYFMV
Investments Corp Stock BOY	2446552	InvestmentsCorpStockBOY
Investments Corp Stock EOY	2413409	InvestmentsCorpStockEOY
Investments Corp Stock EOYFMV	2024985	InvestmentsCorpStockEOYFMV
Total Assets BOY	2496632	TotalAssetsBOY
Total Assets EOY	2484057	TotalAssetsEOY
Total Assets EOYFMV	2095633	TotalAssetsEOYFMV
Total Liabilities BOY	0	TotalLiabilitiesBOY
Total Liabilities EOY	0	TotalLiabilitiesEOY
Org That Do Not Follow SFAS117	X	OrgThatDoNotFollowSFAS117
Capital Stock BOY	2496632	CapitalStockBOY
Capital Stock EOY	2484057	CapitalStockEOY
Paid In Or Capital Surplus BOY	0	PaidInOrCapitalSurplusBOY
Paid In Or Capital Surplus EOY	0	PaidInOrCapitalSurplusEOY
Retained Earnings BOY	0	RetainedEarningsBOY
Retained Earnings EOY	0	RetainedEarningsEOY
Total Net Assets BOY	2496632	TotalNetAssetsBOY
Total Net Assets EOY	2484057	TotalNetAssetsEOY
Total Liabilities Net Assets BOY	2496632	TotalLiabilitiesNetAssetsBOY
Total Liabilities Net Assets EOY	2484057	TotalLiabilitiesNetAssetsEOY

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

Field	Value	IRS element (for citing)
Total Net Assets Fund Balances BOY	2496632	TotalNetAssetsFundBalancesBOY
Excess Of Revenue Over Expenses	-12575	ExcessOfRevenueOverExpenses
Other Increases	0	OtherIncreases
Subtotal	2484057	Subtotal
Other Decreases	0	OtherDecreases
Total Net Assets Fund Balances EOY	2484057	TotalNetAssetsFundBalancesEOY

Capital Gains And Losses CapitalGainsAndLosses

Capital Gains And Losses Info CapitalGainsAndLossesInfo (57 entries)

Description Of AssetDescriptionOfAsset	How AcquiredHowAcquired	Date AcquiredDateAcquired	Date SoldDateSold	Gross Sales PriceGrossSalesPrice	Cost Or Other BasisCostOrOtherBasis	Gain Or LossGainOrLoss	Gains Minus Excess Or LossesGainsMinusExcessOrLosses
258.064 SHARES THORNBURG INTL VALUE FUND - I	P	2011-11-01	2012-04-26	6973	6537	436	436
27.776 SHARES TURNER SMALL CAP FD	P	2011-11-01	2012-09-04	997	874	123	123
28.383 SHARES DODGE & COX STOCK FD	P	2011-11-01	2012-09-04	3278	2810	468	468
2.771 SHARES VANGUARD SM CAP GR INDEX FD INST SHS	P	2012-09-04	2012-11-29	68	68	0	0
91.768 SHARES DFA LARGE CAP INTL PORTFOLIO	P	2012-04-26	2012-11-29	1714	1683	31	31
1,202.872 SHARES SSGA FDS EMERGING MKTS SELECT	P	2012-04-26	2012-09-04	22578	24142	-1564	-1564
1,033.073 SHARES DFA US LARGE CAP VALUE	P	2004-01-20	2012-04-26	21922	18372	3550	3550
100.000 SHARES FPA CAPITAL SMALL CAP VAL FD	P	2009-08-17	2012-04-26	4510	2800	1710	1710
108.932 SHARES THORNBURG INTL VALUE FUND - I	P	2004-04-27	2012-04-26	2943	2000	943	943
115.920 SHARES FPA CAPITAL SMALL CAP VAL FD	P	2008-10-29	2012-04-26	5228	3000	2228	2228
20.793 SHARES DFA REAL ESTATE SECURITIES	P	2009-08-17	2012-04-26	544	291	253	253
26.513 SHARES JP MORGAN US REAL ESTATE FUND	P	2009-08-17	2012-04-26	482	257	225	225
453.817 SHARES FPA CAPITAL SMALL CAP VAL FD	P	2008-07-30	2012-04-26	20467	17000	3467	3467
46.146 SHARES THORNBURG INTL VALUE FUND - I	P	2010-01-07	2012-04-26	1247	1188	59	59
47.606 SHARES TURNER SMALL CAP FD	P	2008-07-30	2012-04-26	1722	1437	285	285
530.223 SHARES THORNBURG INTL VALUE FUND - I	P	2008-10-29	2012-04-26	14327	10000	4327	4327
681.657 SHARES VANGUARD GROWTH INDEX FD INST	P	2006-05-10	2012-04-26	24853	19495	5358	5358
798.465 SHARES THORNBURG INTL VALUE FUND - I	P	2004-01-20	2012-04-26	21575	14636	6939	6939
930.487 SHARES THORNBURG INTL VALUE FUND - I	P	2004-02-23	2012-04-26	25142	17000	8142	8142
99.083 SHARES FPA CAPITAL SMALL CAP VAL FD	P	2008-06-05	2012-04-26	4469	4000	469	469
10.097 SHARES DODGE & COX STOCK FD	P	2010-11-29	2012-09-04	1166	1020	146	146
101.855 SHARES DODGE & COX STOCK FD	P	2010-03-02	2012-09-04	11762	9922	1840	1840
136.274 SHARES AMCAP FUND, CLASS F-2 SHARES	P	2011-04-25	2012-09-04	2848	2739	109	109
200.176 SHARES TURNER SMALL CAP FD	P	2008-07-30	2012-09-04	7182	6043	1139	1139
28.630 SHARES DODGE & COX STOCK FD	P	2009-11-16	2012-09-04	3306	2756	550	550
308.325 SHARES TURNER SMALL CAP FD	P	2008-10-29	2012-09-04	11063	6000	5063	5063
32.202 SHARES DODGE & COX STOCK FD	P	2011-04-25	2012-09-04	3719	3692	27	27
331.873 SHARES AMCAP FUND, CLASS F-2 SHARES	P	2010-03-02	2012-09-04	6936	5591	1345	1345
34.347 SHARES TURNER SMALL CAP FD	P	2009-11-16	2012-09-04	1232	859	373	373
39.432 SHARES DODGE & COX STOCK FD	P	2008-10-29	2012-09-04	4554	3000	1554	1554
400.004 SHARES JP MORGAN US REAL ESTATE FUND	P	2009-08-17	2012-09-04	7400	3872	3528	3528
.914 SHARES CAPITAL BANK FINANCIAL CORPORATION	P	2003-12-30	2012-10-18	16		16	16
107.969 SHARES VANGUARD GROWTH INDEX FD INST	P	2006-05-10	2012-11-29	3978	3088	890	890
120.018 SHARES DFA US SMALL CAP VALUE	P	2004-02-23	2012-11-29	3243	2855	388	388
132.322 SHARES VANGUARD TOTAL BD MKT INDEX INSTL	P	2010-12-06	2012-11-29	1481	1424	57	57
139.728 SHARES DFA INTERNATIONAL VALUE	P	2004-01-20	2012-11-29	2227	1898	329	329
246.736 SHARES DFA INTL REAL ESTATE SEC PORT	P	2010-03-02	2012-11-29	1404	1174	230	230
267.659 SHARES TEMPLETON GLOBAL BOND FD ADV CL	P	2010-03-02	2012-11-29	3629	3480	149	149
374.753 SHARES VANGUARD SHORT TERM INV GRADE ADM SHS	P	2009-11-19	2012-11-29	4074	3991	83	83
466.591 SHARES DFA SEL HEDGED GLOBAL FIXED INC PT	P	2010-03-02	2012-11-29	4871	4680	191	191
70.154 SHARES DFA US SMALL CAP VALUE	P	2004-01-20	2012-11-29	1896	1732	164	164
971.773 SHARES PIMCO TOTAL RETURN FD INST SHS	P	2009-08-17	2012-11-29	11282	10398	884	884
999.228 SHARES DFA US LARGE CAP VALUE	P	2004-01-20	2012-11-29	22353	17770	4583	4583
1,089.707 SHARES AMCAP FUND, CLASS F-2 SHARES	P	2007-04-27	2012-04-26	23200	23229	-29	-29
11.737 SHARES FPA CAPITAL SMALL CAP VAL FD	P	2007-04-27	2012-04-26	529	546	-17	-17
535.762 SHARES THORNBURG INTL VALUE FUND - I	P	2007-10-24	2012-04-26	14476	20000	-5524	-5524
88.614 SHARES DODGE & COX STOCK FD	P	2004-01-20	2012-04-26	10036	10477	-441	-441
1.475 SHARES DODGE & COX STOCK FD	P	2004-03-29	2012-09-04	170	174	-4	-4
1.508 SHARES DODGE & COX STOCK FD	P	2004-06-28	2012-09-04	174	179	-5	-5
16.802 SHARES DODGE & COX STOCK FD	P	2004-04-27	2012-09-04	1940	2000	-60	-60
242.706 SHARES TURNER SMALL CAP FD	P	2011-04-25	2012-09-04	8708	9327	-619	-619
273.585 SHARES DODGE & COX STOCK FD	P	2004-01-20	2012-09-04	31594	32346	-752	-752
49.795 SHARES DODGE & COX STOCK FD	P	2007-04-27	2012-09-04	5750	8000	-2250	-2250
7,753.097 SHARES AMCAP FUND, CLASS F-2 SHARES	P	2007-04-27	2012-09-04	162040	165268	-3228	-3228
71.344 SHARES DODGE & COX STOCK FD	P	2008-06-05	2012-09-04	8239	9000	-761	-761
75.251 SHARES DODGE & COX STOCK FD	P	2004-02-23	2012-09-04	8690	9000	-310	-310
CAPITAL GAINS DIVIDENDS	P			14463		14463	14463

Field	Value	IRS element (for citing)
Capital Gain Net Income	61550	CapitalGainNetIncome

Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax

Field	Value	IRS element (for citing)
Liable For4942 Tax	0	LiableFor4942Tax
Qualifying Distributions Year1	108000	QualifyingDistributionsYear1
Noncharitable Assets Year1	2116678	NoncharitableAssetsYear1
Distribution Ratio Year1	0.051023	DistributionRatioYear1
Qualifying Distributions Year2	118371	QualifyingDistributionsYear2
Noncharitable Assets Year2	2043036	NoncharitableAssetsYear2
Distribution Ratio Year2	0.057939	DistributionRatioYear2
Qualifying Distributions Year3	100000	QualifyingDistributionsYear3
Noncharitable Assets Year3	1938142	NoncharitableAssetsYear3
Distribution Ratio Year3	0.051596	DistributionRatioYear3
Qualifying Distributions Year4	144249	QualifyingDistributionsYear4
Noncharitable Assets Year4	2531167	NoncharitableAssetsYear4
Distribution Ratio Year4	0.056989	DistributionRatioYear4
Qualifying Distributions Year5	159561	QualifyingDistributionsYear5
Noncharitable Assets Year5	3253385	NoncharitableAssetsYear5
Distribution Ratio Year5	0.049045	DistributionRatioYear5
Total Distribution Ratio	0.266592	TotalDistributionRatio
Average Distribution Ratio	0.053318	AverageDistributionRatio
Net Noncharitable Assets	2015687	NetNoncharitableAssets
Adjusted Noncharitable Assets	107472	AdjustedNoncharitableAssets
One Percent Net Investment Income	863	OnePercentNetInvestmentIncome
Adj Nonchrtbl Assets And One	108335	AdjNonchrtblAssetsAndOnePct
Qualifying Distributions	98000	QualifyingDistributions

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

Field	Value	IRS element (for citing)
Investment Income Excise Tax	1725	InvestmentIncomeExciseTax
Tax Under Section511	0	TaxUnderSection511
Subtotal	1725	Subtotal
Subtitle A Tax	0	SubtitleATax
Tax Based On Investment Income	1725	TaxBasedOnInvestmentIncome
Est Tax Payments And Overpayment	840	EstTaxPaymentsAndOverpayment
Total Credits And Payments	840	TotalCreditsAndPayments
Tax Due	885	TaxDue

Statements Regarding Activities StatementsRegardingActivities

Field	Value	IRS element (for citing)
Legislative Political Activities	0	LegislativePoliticalActivities
More Than100 Spent	0	MoreThan100Spent
Form1120 POL Filed	0	Form1120POLFiled
Sect4955 Tax On Organization	0	Sect4955TaxOnOrganization
Sect4955 Tax On Managers	0	Sect4955TaxOnManagers
Reimbursement Of Tax	0	ReimbursementOfTax
Activities Not Prev Reported	0	ActivitiesNotPrevReported
Changes To Articles Or Bylaws	0	ChangesToArticlesOrBylaws
Unrelated Bus Income Over1000	0	UnrelatedBusIncomeOver1000
Termination Etc	0	TerminationEtc
Requirements Of Sect508e	1	RequirementsOfSect508e
At Least5000 In Assets	1	AtLeast5000InAssets
States Filed With	NC	StatesFiledWith
Form990 PF Filed With AG	1	Form990PFFiledWithAG
Private Operating Foundation	0	PrivateOperatingFoundation
New Substantial Contributors	0	NewSubstantialContributors
Interest In Controlled Entity	0	InterestInControlledEntity
Applicable Insurance Contract	0	ApplicableInsuranceContract
Comply With Public Inspection Rqr	1	ComplyWithPublicInspectionRqr
Website Address	N/A	WebsiteAddress
Books In Care Of Person Name	WILLIAM R GILLIAM	BooksInCareOfPersonName
Books In Care Of Phone Number	3365846237	BooksInCareOfPhoneNumber

Books In Care Of US Address BooksInCareOfUSAddress

Field	Value	IRS element (for citing)
Address Line1	3905 NC 87 NORTH	AddressLine1
City	ELON	City
State	NC	State
ZIP Code	27244	ZIPCode

Field	Value	IRS element (for citing)
Foreign Bank	0	ForeignBank

Statements Regarding Acty4720 StatementsRegardingActy4720

Field	Value	IRS element (for citing)
Sale Or Exchange With Dsqfly Person	0	SaleOrExchangeWithDsqflyPerson
Borrow Or Lend With Dsqfly Person	0	BorrowOrLendWithDsqflyPerson
Furnished Goods With Dsqfly Person	0	FurnishedGoodsWithDsqflyPerson
Pay Compensation To Dsqfly Person	0	PayCompensationToDsqflyPerson
Transfer Assets To Dsqfly Person	0	TransferAssetsToDsqflyPerson
Payment To Government Offical	0	PaymentToGovernmentOffical
Uncorrected Prior Acts	0	UncorrectedPriorActs
Undistributed Income Prior Years	0	UndistributedIncomePriorYears
Business Holdings	0	BusinessHoldings
Jeopardy Investments	0	JeopardyInvestments
Uncorrected Jeopardy Investments	0	UncorrectedJeopardyInvestments
Influence Legislation	0	InfluenceLegislation
Influence Election	0	InfluenceElection
Grants To Individuals	0	GrantsToIndividuals
Grants To Organizations	0	GrantsToOrganizations
Noncharitable Purpose	0	NoncharitablePurpose
Rcv Funds To Pay Prsnl Bnft Contract	0	RcvFundsToPayPrsnlBnftContract
Pay Premiums Prsnl Bnft Contract	0	PayPremiumsPrsnlBnftContract
Prohibited Tax Shelter Transactn	0	ProhibitedTaxShelterTransactn

Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo

Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (3 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	TitleTitle	Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition	CompensationCompensation	Contri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtc	Expense Account Other AllowancesExpenseAccountOtherAllowances
WILLIAM R GILLIAM
PO BOX 1898	BURLINGTON	NC	27215	PRESIDENT	3.00	3000	0	0
JAMES D MOSER
PO BOX 1898	BURLINGTON	NC	27215	SECRETARY	0.00	0	0	0
JAMES D MOSER
PO BOX 1898	BURLINGTON	NC	27215	TREASURER	0.00	0	0	0

Field	Value	IRS element (for citing)
Comp Of Highest Paid Empl NONE	NONE	CompOfHighestPaidEmplNONE
Tot Number Of Oth Empl Paid Over50k	0	TotNumberOfOthEmplPaidOver50k
Comp Of Hghst Paid Cntrct NONE	NONE	CompOfHghstPaidCntrctNONE
Tot Number Of Cntrct Paid Over50k	0	TotNumberOfCntrctPaidOver50k

Sum Of Program Related Investments SumOfProgramRelatedInvestments

Field	Value	IRS element (for citing)
Total	0	Total

Minimum Investment Return MinimumInvestmentReturn

Field	Value	IRS element (for citing)
Avg Monthly FMV Of Securities	2019678	AvgMonthlyFMVOfSecurities
Avg Monthly Cash Balances	26705	AvgMonthlyCashBalances
FMV All Other Noncharitable Assets	0	FMVAllOtherNoncharitableAssets
Total FMV Of Unused Assets	2046383	TotalFMVOfUnusedAssets
Reduction Claimed	0	ReductionClaimed
Acquisition Indebtedness	0	AcquisitionIndebtedness
Adj Total FMV Of Unused Assets	2046383	AdjTotalFMVOfUnusedAssets
Cash Deemed Charitable	30696	CashDeemedCharitable
Net Noncharitable Assets	2015687	NetNoncharitableAssets
Minimum Investment Return	100784	MinimumInvestmentReturn

Distributable DistributableAmount

Field	Value	IRS element (for citing)
Minimum Investment Return	100784	MinimumInvestmentReturn
Tax Based On Investment Income	1725	TaxBasedOnInvestmentIncome
Total Tax	1725	TotalTax
Distributable Amount Before Adj	99059	DistributableAmountBeforeAdj
Recoveries Qlfy Distributions	0	RecoveriesQlfyDistributions
Distributable Amount Before Ded	99059	DistributableAmountBeforeDed
Deduction Fr Distributable	$0	DeductionFrDistributableAmount
Distributable Amount As Adjusted	99059	DistributableAmountAsAdjusted

Qualifying Distributions QualifyingDistributions

Field	Value	IRS element (for citing)
Expenses And Contributions	98000	ExpensesAndContributions
Program Related Investments Total	0	ProgramRelatedInvestmentsTotal
Qualifying Distributions	98000	QualifyingDistributions
One Pct Sect4940e Org Net Invst Incm	0	OnePctSect4940eOrgNetInvstIncm
Adj Qualifying Distributions	98000	AdjQualifyingDistributions

Undistributed Income UndistributedIncome

Field	Value	IRS element (for citing)
Distributable Amount As Adjusted	99059	DistributableAmountAsAdjusted
Undistributed Income Prior Year	0	UndistributedIncomePriorYear
Total For Prior Years	0	TotalForPriorYears
Excess Distri Carryover Year2	7182	ExcessDistriCarryoverYear2
Excess Distri Carryover Year1	2998	ExcessDistriCarryoverYear1
Total Excess Distri Carryover	10180	TotalExcessDistriCarryover
Qualifying Distributions	98000	QualifyingDistributions
Applied To Year1	0	AppliedToYear1
Applied To Prior Years	0	AppliedToPriorYears
Treated As Distri From Corpus	0	TreatedAsDistriFromCorpus
Applied To Current Year	98000	AppliedToCurrentYear
Remaining Distri From Corpus	0	RemainingDistriFromCorpus
Excess Distri Cyov App CY Corpus	1059	ExcessDistriCyovAppCYCorpus
Excess Distri Cyov Applied CY	1059	ExcessDistriCyovAppliedCY
Total Corpus	9121	TotalCorpus
Prior Year Undistributed Income	0	PriorYearUndistributedIncome
Prior Year Deficiency Or Tax	0	PriorYearDeficiencyOrTax
Taxable Amount1	0	TaxableAmount1
Taxable Amount2	0	TaxableAmount2
Undistributed Income CY	0	UndistributedIncomeCY
Distri From Corpus170b1 E Or4942g3	0	DistriFromCorpus170b1EOr4942g3
Excess Distri Cyov From Year5	0	ExcessDistriCyovFromYear5
Excess Distri Cyov To Next Year	9121	ExcessDistriCyovToNextYear
Excess From Year2	6123	ExcessFromYear2
Excess From Year1	2998	ExcessFromYear1

Supplementary Information SupplementaryInformation

Appication Submission Info AppicationSubmissionInfo

Field	Value	IRS element (for citing)
Recipient Name	WILLIAM R GILLIAM	RecipientName

Recipient US Address RecipientUSAddress

Field	Value	IRS element (for citing)
Address Line1	3905 NC 87 NORTH	AddressLine1
City	ELON	City
State	NC	State
ZIP Code	27244	ZIPCode

Field	Value	IRS element (for citing)
Recipient Phone Number	3365846237	RecipientPhoneNumber
Form And Info And Materials	N/A	FormAndInfoAndMaterials
Submission Deadlines	N/A	SubmissionDeadlines
Restrictions On Awards	N/A	RestrictionsOnAwards

Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (55 entries)

Address Line1RecipientUSAddress/AddressLine1	CityRecipientUSAddress/City	StateRecipientUSAddress/State	ZIP CodeRecipientUSAddress/ZIPCode	Recipient RelationshipRecipientRelationship	Recipient Foundation StatusRecipientFoundationStatus	Purpose Of Grant Or ContributionPurposeOfGrantOrContribution	AmountAmount
ACC FOUNDATION
PO BOX 8000	GRAHAM	NC	27253	NONE	PUBLIC CHARITY	DONATION	$2,500
ALAMANCE BURLINGTON SCHOOL SYSTEM
PO BOX 481	BURLINGTON	NC	27216	NONE	PUBLIC CHARITY	DONATION	$150
ALAMANCE CITIZENS FOR EDUCATION
PO BOX 100	BURLINGTON	NC	27216	NONE	PUBLIC CHARITY	DONATION	$1,000
ALAMANCE COUNTY AREA CHAMBER OF COMMERCE
PO BOX 450	BURLINGTON	NC	27216	NONE	BUSINESS LEAGUE	DONATION	$1,000
ALAMANCE COUNTY ARTS COUNCIL
213 S MAIN ST	GRAHAM	NC	27215	NONE	PUBLIC CHARITY	DONATION	$5,000
ALAMANCE COUNTY ECONOMIC DEVELOPMENT FOUNDATION
610 LEXINGTON AVE	BURLINGTON	NC	27215	NONE	PUBLIC CHARITY	DONATION	$5,000
ALAMANCE COUNTY SERVICE LEAGUE
PO BOX 161	ELON	NC	27244	NONE	PUBLIC CHARITY	DONATION	$500
ALAMANCE COUNTY YOUNG LIFE
PO BOX 2612	BURLINGTON	NC	27216	NONE	PUBLIC CHARITY	DONATION	$1,500
ALAMANCE ELDERCARE
2732 ANNE ELIZABETH DR	BURLINGTON	NC	27215	NONE	PUBLIC CHARITY	DONATION	$5,000
ALAMANCE MEDICATION ASSISTANCE PROGRAM
POBOX 202	BURLINGTON	NC	27216	NONE	PUBLIC CHARITY	DONATION	$250
ALAMANCE REGIONAL MEDICAL CENTER
PO BOX 202	BURLINGTON	NC	27216	NONE	PUBLIC CHARITY	DONATION	$500
ALLIED CHURCHES OF ALAMANCE COUNTY
206 N FISHER ST	BURLINGTON	NC	27217	NONE	PUBLIC CHARITY	DONATION	$3,500
ALTAMAHAW OSSIPPEE CIVITAN
3905 N NC HWY 87	ELON	NC	27244	NONE	CIVIC LEAGUE	DONATION	$1,000
AMERICAN JUNIOR TENNIS FOUNDATION
200 PINEDALE DR	ELON	NC	27244	NONE	PUBLIC CHARITY	DONATION	$150
AMERICAN RED CROSS
511 WEST DAVIS STREET	BURLINGTON	NC	27216	NONE	PUBLIC CHARITY	DONATION	$1,000
BOY SCOUTS OF AMERICA
PO BOX 29046	GREENSBORO	NC	27429	NONE	PUBLIC CHARITY	DONATION	$5,000
BURLINGTON CHRISTIAN ACADEMY
621 EAST 6TH ST	BURLINGTON	NC	27215	NONE	PUBLIC CHARITY	DONATION	$200
BURLINGTON HOUSING AUTHORITY
PO BOX 2380	BURLINGTON	NC	27216	NONE	PUBLIC CHARITY	DONATION	$2,000
CHILDREN'S MUSEUM OF ALAMANCE COUNTY
PO BOX 1178	GRAHAM	NC	27253	NONE	PUBLIC CHARITY	DONATION	$5,000
CHRISTIAN COUNSELING CENTER
142 S LEXINGTON AVE	BURLINGTON	NC	27215	NONE	PUBLIC CHARITY	DONATION	$1,000
CHRISTMAS CHEER
331 S MAIN ST	BURLINGTON	NC	27215	NONE	PUBLIC CHARITY	DONATION	$1,000
CROP WALK
PO BOX 2191	BURLINGTON	NC	27216	NONE	PUBLIC CHARITY	DONATION	$500
CROSSROADS SEXUAL RESPONSE & RESOURCE CENTER
PO BOX 673	BURLINGTON	NC	27216	NONE	PUBLIC CHARITY	DONATION	$1,000
DARE BURLINGTON
267 W FRONT ST	BURLINGTON	NC	27215	NONE	PUBLIC CHARITY	DONATION	$3,500
ELON ACADEMY
CAMPUS BOX 2108	ELON	NC	27244	NONE	PUBLIC CHARITY	DONATION	$3,500
FAMILY ABUSE SERVICES
1950 MARTIN ST	BURLINGTON	NC	27217	NONE	PUBLIC CHARITY	DONATION	$500
ELON PHOENIX CLUB
CAMPUS BOX 2500	ELON	NC	27244	NONE	PUBLIC CHARITY	DONATION	$1,000
ELON UNIVERSITY
CAMPUS BOX 2705	ELON	NC	27244	NONE	PUBLIC CHARITY	DONATION	$5,000
GRAHAM ROTARY CLUB
PO BOX 301	GRAHAM	NC	27253	NONE	CIVIC LEAGUE	DONATION	$125
HOSPICE OF ALAMANCE-CASWELL
914 CHAPEL HILL RD	BURLINGTON	NC	27215	NONE	PUBLIC CHARITY	DONATION	$3,000
HUMANE SOCIETY OF ALAMANCE COUNTY
PO BOX 5117	BURLINGTON	NC	27216	NONE	PUBLIC CHARITY	DONATION	$2,500
JDRF TRIANGLEEASTERN NC CHAPTER
312 N EUGENE ST	GREENSBORO	NC	27401	NONE	PUBLIC CHARITY	DONATION	$1,500
JUNIOR ACHIEVEMENT OF CENTRAL NC
3220 NORTHLONE AVE	GREENSBORO	NC	27408	NONE	PUBLIC CHARITY	DONATION	$500
MEALS ON WHEELS
411 W FITH ST SUITE A	BURLINGTON	NC	27215	NONE	PUBLIC CHARITY	DONATION	$3,000
NEW LEAF SOCIETY
PO BOX 4083	BURLINGTON	NC	27215	NONE	PUBLIC CHARITY	DONATION	$1,000
OLDE FOREST RACQUET CLUB
200 PINEDALE DR	ELON	NC	27244	NONE	SOCIAL AND RECREATIO	DONATION	$500
PET ADOPTION WELFARE SOCIETY
PO BOX 2440	BURLINGTON	NC	27216	NONE	PUBLIC CHARITY	DONATION	$1,000
PIEDMONT RESCUE MISSION
1519 N MEBANE ST	BURLINGTON	NC	27215	NONE	PUBLIC CHARITY	DONATION	$1,000
POSITIVE ATTITUDE YOUTH CENTER
229 N GRAHAM HOPEDALE RD	BURLINGTON	NC	27217	NONE	PUBLIC CHARITY	DONATION	$1,000
RALPH SCOTT LIFESERVICES
408 W TRADE ST	BURLINGTON	NC	27217	NONE	PUBLIC CHARITY	DONATION	$3,000
READING IS FUNDAMENTAL
PO BOX 333	BURLINGTON	NC	27216	NONE	PUBLIC CHARITY	DONATION	$500
RESIDENTIAL TREATMENT SERVICES OF ALAMANCE
PO BOX 427	BURLINGTON	NC	27216	NONE	PUBLIC CHARITY	DONATION	$5,000
SALVATION ARMY
PO BOX 1238	BURLINGTON	NC	27216	NONE	PUBLIC CHARITY	DONATION	$1,000
SALVATION ARMY BOYS & GIRLS CLUB
PO BOX 1238	BURLINGTON	NC	27216	NONE	PUBLIC CHARITY	DONATION	$1,000
SNOW CAMP HISTORICAL DRAMA SOCIETY
PO BOX 535	SNOW CAMP	NC	27349	NONE	PUBLIC CHARITY	DONATION	$1,500
SUSTAINABLE ALAMANCE
537 SOUTH IRELAND ST	BURLINGTON	NC	27215	NONE	PUBLIC CHARITY	DONATION	$1,325
UNITED WAY OF ALAMANCE COUNTY
PO BOX 1268	BURLINGTON	NC	27216	NONE	PUBLIC CHARITY	DONATION	$1,500
WALTER M WILLIAMS PTSO
3024 AMHERST AVE	BURLINGTON	NC	27215	NONE	PUBLIC CHARITY	DONATION	$250
WESTERN ALAMANCE HIGH SCHOOL
110 ELM CREST LANE	ELON	NC	27244	NONE	PUBLIC CHARITY	DONATION	$500
WILLIAMS HIGH SCHOOL FINANCE ACADEMY
1307 S CHURCH ST	BURLINGTON	NC	27215	NONE	PUBLIC CHARITY	DONATION	$500
WOMEN'S RESOURCE CENTER
411 W FITH ST	BURLINGTON	NC	27215	NONE	PUBLIC CHARITY	DONATION	$3,500
YMCA
1346 S MAIN ST	BURLINGTON	NC	27215	NONE	PUBLIC CHARITY	DONATION	$500
BURLINGTON RECREATION & PARKS
1333 OVERBROOK ROAD	BURLINGTON	NC	27216	NONE	PUBLIC CHARITY	DONATION	$250
LOAVES AND FISHES
PO BOX 1573	BURLINGTON	NC	27216	NONE	PUBLIC CHARITY	DONATION	$5,000
WALKER DANCE THEATRE
263 E FRONT ST	BURLINGTON	NC	27215	NONE	LOCAL BUSINESS	DONATION	$300

Field	Value	IRS element (for citing)
Tot Grant Or Contri Paid During Year	98000	TotGrantOrContriPaidDuringYear
Tot Grant Or Contri Approved Future	0	TotGrantOrContriApprovedFuture

Analysis Income Producing Acty AnalysisIncomeProducingActy

Int On Savings And Temp Cash Invst IntOnSavingsAndTempCashInvst

Field	Value	IRS element (for citing)
Exclusion Code	14	ExclusionCode
Exclusion	$53	ExclusionAmount

Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII

Field	Value	IRS element (for citing)
Exclusion Code	14	ExclusionCode
Exclusion	$49,662	ExclusionAmount

Gain Sales Assets Oth Than Invntry GainSalesAssetsOthThanInvntry

Field	Value	IRS element (for citing)
Exclusion Code	18	ExclusionCode
Exclusion	$61,550	ExclusionAmount

Subtotals Part XVIA SubtotalsPartXVIA

Field	Value	IRS element (for citing)
Unrelated Business Income	$0	UnrelatedBusinessIncomeAmount
Exclusion	$111,265	ExclusionAmount
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Part XVIA	111265	TotalPartXVIA

Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO

Field	Value	IRS element (for citing)
Trnsfr Of Cash To Noncharitable EO	1	TrnsfrOfCashToNoncharitableEO
Trnsfr Oth Assets Noncharitable EO	0	TrnsfrOthAssetsNoncharitableEO
Sales Or Exchanges Of Assets	0	SalesOrExchangesOfAssets
Purchase Assets Noncharitable EO	0	PurchaseAssetsNoncharitableEO
Rental Of Facilities Etc	0	RentalOfFacilitiesEtc
Reimbursement Arrangements	0	ReimbursementArrangements
Loans Or Loan Guarantees	0	LoansOrLoanGuarantees
Performance Of Services Etc	0	PerformanceOfServicesEtc
Sharing Of Facilities Etc	0	SharingOfFacilitiesEtc

Transfer Schedule TransferSchedule (4 entries)

Line NumberLineNumber	Amount InvolvedAmountInvolved	Description Of Transfers EtcDescriptionOfTransfersEtc
ALAMANCE COUNTY AREA CHAMBER OF COMMERCE
1a(1)	1000	CASH DONATION
ALTAMAHAW OSSIPPEE CIVITAN
1a(1)	1000	CASH DONATION
GRAHAM ROTARY CLUB
1a(1)	125	CASH DONATION
OLDE FOREST RACQUET CLUB
1a(1)	500	CASH DONATION

Field	Value	IRS element (for citing)
Relationships Noncharitable E Os	0	RelationshipsNoncharitableEOs

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees AccountingFees

Field	Value	IRS element (for citing)
Category	ACCOUNTING FEES	Category
Amount	$4,555	Amount
Net Investment Income	4555	NetInvestmentIncome
Disbursements Charitable Prps	0	DisbursementsCharitablePrps

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corp Stock InvestmentsCorpStock

Field	Value	IRS element (for citing)
Name Of Stock	BONDS AND EQUITIES	NameOfStock
EOY Book Value	2413409	EOYBookValue
EOYFMV	2024985	EOYFMV

Other Expenses Schedule OtherExpensesSchedule

Other Expenses OtherExpenses

Field	Value	IRS element (for citing)
Description	BANK AND INVESTMENT FEES	Description
Revenue And Expenses Per Books	17453	RevenueAndExpensesPerBooks
Net Investment Income	17453	NetInvestmentIncome
Disbursements Charitable Prps	0	DisbursementsCharitablePrps

Taxes Schedule TaxesSchedule

Taxes Taxes

Field	Value	IRS element (for citing)
Category	FEDERAL EXCISE TAX	Category
Amount	$832	Amount
Net Investment Income	0	NetInvestmentIncome
Disbursements Charitable Prps	0	DisbursementsCharitablePrps