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          <FormAndInfoAndMaterials>NO SPECIFIC FORMAT REQUIRED</FormAndInfoAndMaterials>
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          <RecipientPersonName>BOYS GIRLS CLUBS OF AMERICA</RecipientPersonName>
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            <AddressLine1>1275 PEACHTREE STREET NE</AddressLine1>
            <City>ATLANTA</City>
            <State>GA</State>
            <ZIPCode>30309</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>501c3</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>Education</PurposeOfGrantOrContribution>
          <Amount>1000</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>BALTMORE HUMANE SOCIETY</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>NA</AddressLine1>
            <City>Baltimore</City>
            <State>MD</State>
            <ZIPCode>21201</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>501c3</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>Animal Care</PurposeOfGrantOrContribution>
          <Amount>2000</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>UNITY</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>1901 NW BLUE PARKWAY</AddressLine1>
            <City>UNITY VILLAGE</City>
            <State>MO</State>
            <ZIPCode>64065</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>501c3</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>Education</PurposeOfGrantOrContribution>
          <Amount>650</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>JOHNS HOPKINS</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>201 N CHARLES SUITE 2500</AddressLine1>
            <City>BALTIMORE</City>
            <State>MD</State>
            <ZIPCode>21201</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>501c3</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>Education</PurposeOfGrantOrContribution>
          <Amount>500</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>ALPHA PHI DELTA FOUNDATIONINC</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>P O BOX 23188</AddressLine1>
            <City>PITTSBURG</City>
            <State>PA</State>
            <ZIPCode>15222</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>501c3</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>education</PurposeOfGrantOrContribution>
          <Amount>200</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>KEY CENTER FOUNDATION INC</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>130 HEIGHTS AVE</AddressLine1>
            <City>INVERNESS</City>
            <State>FL</State>
            <ZIPCode>34452</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>501c3</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>Education</PurposeOfGrantOrContribution>
          <Amount>1000</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>MEDICAL ALUMNI ASSOCIATION</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>522 W LOMBARD STREET</AddressLine1>
            <City>BALTIMORE</City>
            <State>MD</State>
            <ZIPCode>21201</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>501c3</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>Education</PurposeOfGrantOrContribution>
          <Amount>1000</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>FLORIDA SHERIFFS YOUTH RANCH</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>P O BOX 2000</AddressLine1>
            <City>LIVE OAK</City>
            <State>FL</State>
            <ZIPCode>32060</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>501c3</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>education</PurposeOfGrantOrContribution>
          <Amount>500</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientBusinessName>
            <BusinessNameLine1>SALVATON ARMY</BusinessNameLine1>
          </RecipientBusinessName>
          <RecipientUSAddress>
            <AddressLine1>Hwy 41</AddressLine1>
            <City>Inverness</City>
            <State>FL</State>
            <ZIPCode>34452</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>501c3</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>Homeless</PurposeOfGrantOrContribution>
          <Amount>400</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>PI KAPPA ALPHA EDUCATION FOUNDATION</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>8347 WEST RANGE COVE</AddressLine1>
            <City>MEMPHIS</City>
            <State>TN</State>
            <ZIPCode>38125</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>501c3</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>education</PurposeOfGrantOrContribution>
          <Amount>1000</Amount>
        </GrantOrContriPaidDuringYear>
        <TotGrantOrContriPaidDuringYear>23750</TotGrantOrContriPaidDuringYear>
      </SupplementaryInformation>
      <AnalysisIncomeProducingActy>
        <DividendsAndIntFromSecPartVII>
          <ExclusionAmount>5273</ExclusionAmount>
        </DividendsAndIntFromSecPartVII>
        <SubtotalsPartXVIA>
          <ExclusionAmount>5273</ExclusionAmount>
        </SubtotalsPartXVIA>
        <TotalPartXVIA>5273</TotalPartXVIA>
      </AnalysisIncomeProducingActy>
      <TrnsfrTrRlnWithNoncharitableEO>
        <TrnsfrOfCashToNoncharitableEO>false</TrnsfrOfCashToNoncharitableEO>
        <TrnsfrOthAssetsNoncharitableEO>false</TrnsfrOthAssetsNoncharitableEO>
        <SalesOrExchangesOfAssets>false</SalesOrExchangesOfAssets>
        <PurchaseAssetsNoncharitableEO>false</PurchaseAssetsNoncharitableEO>
        <RentalOfFacilitiesEtc>false</RentalOfFacilitiesEtc>
        <ReimbursementArrangements>false</ReimbursementArrangements>
        <LoansOrLoanGuarantees>false</LoansOrLoanGuarantees>
        <PerformanceOfServicesEtc>false</PerformanceOfServicesEtc>
        <SharingOfFacilitiesEtc>false</SharingOfFacilitiesEtc>
        <RelationshipsNoncharitableEOs>false</RelationshipsNoncharitableEOs>
      </TrnsfrTrRlnWithNoncharitableEO>
    </IRS990PF>
    <IRS990ScheduleB documentId="IRS990ScheduleB" softwareId="12000229" softwareVersion="2012v2.0">
      <Organization501c3ExemptPF>X</Organization501c3ExemptPF>
      <GeneralRule>X</GeneralRule>
      <ContributorInfo>
        <ContributorNumber>1</ContributorNumber>
        <ContributorNameIndividual>CHARLES KATHLEEN CLARK Unitrust</ContributorNameIndividual>
        <ContributorAddressUS>
          <AddressLine1>1725 N Sky Glen Path</AddressLine1>
          <City>Hernando</City>
          <State>FL</State>
          <ZIPCode>34442</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>45000</AggregateContributions>
        <NoncashContributionType>X</NoncashContributionType>
      </ContributorInfo>
      <NoncashProperty>
        <ContributorNumberFromPartI>1</ContributorNumberFromPartI>
        <NoncashPropertyDescription>United Health Care Stock</NoncashPropertyDescription>
        <FairMarketValue>45000</FairMarketValue>
        <DateReceived>2012-12-15</DateReceived>
      </NoncashProperty>
    </IRS990ScheduleB>
    <OtherDecreasesSchedule documentId="OtherDecreasesSchedule" softwareId="12000229" softwareVersion="2012v2.0">
      <OtherDecreases>
        <Description>adjusted basis in corp stock</Description>
        <Amount>45000</Amount>
      </OtherDecreases>
    </OtherDecreasesSchedule>
    <OtherExpensesSchedule documentId="OtherExpensesSchedule" softwareId="12000229" softwareVersion="2012v2.0">
      <OtherExpenses>
        <Description>PROFESSIONAL FEES</Description>
        <RevenueAndExpensesPerBooks>2724</RevenueAndExpensesPerBooks>
      </OtherExpenses>
      <OtherExpenses>
        <Description>POSTAGE &amp; SHIPPING</Description>
        <RevenueAndExpensesPerBooks>47</RevenueAndExpensesPerBooks>
      </OtherExpenses>
    </OtherExpensesSchedule>
    <OtherIncreasesSchedule documentId="OtherIncreasesSchedule" softwareId="12000229" softwareVersion="2012v2.0">
      <OtherIncreases>
        <Description>assets sold</Description>
        <Amount>28729</Amount>
      </OtherIncreases>
    </OtherIncreasesSchedule>
  </ReturnData>
</Return>