SIEBENTHALER FOUNDATION: Form 990PF, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: SIEBENTHALER FOUNDATION (EIN 04-3662001)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-03-06
IRS object ID: 201230669349100508
Schema version: 2011v1.2
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
Schedule B
Accounting Fees Schedule
Investments Other Schedule2
Other Decreases Schedule
Other Expenses Schedule
Other Professional Fees Schedule

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-03-06T16:18:40-06:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	383635706	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	REHMANN ROBSON	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	MILLIKEN PLACE 107 S CASS STE A	AddressLine1
City	TRAVERSE CITY	City
State	MI	State
ZIP Code	49684	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990PF	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	043662001	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	SIEBENTHALER FOUNDATION CO JESSICA E THOMPSON	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	SIEB	NameControl
Phone	2318834715	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	225 N WEST TORCH LAKE DRIVE	AddressLine1
City	KEWADIN	City
State	MI	State
ZIP Code	49648	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	JESSICA THOMPSON	Name
Title	VICE PRESIDENT	Title
Phone	2318834715	Phone
Date Signed	2012-03-06	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	CHRISTOPHER L MORSE	Name
PTIN	P00410796	PTIN
Phone	2319463230	Phone
Date Prepared	2012-03-06	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2011	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	544701	FMVAssetsEOY
Method Of Accounting Cash	X	MethodOfAccountingCash

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

Field	Value	IRS element (for citing)
Contri Received Rev And Expnss	100153	ContriReceivedRevAndExpnss
Dividends Rev And Expnss	9240	DividendsRevAndExpnss
Dividends Net Invst Incm	9240	DividendsNetInvstIncm
Net Gain Sale Assets Rev And Expnss	43085	NetGainSaleAssetsRevAndExpnss
Gross Sales Price	112267	GrossSalesPrice
Capital Gain Net Incm Net Invst Incm	43085	CapitalGainNetIncmNetInvstIncm
Total Revenue And Expenses	152478	TotalRevenueAndExpenses
Total Net Investment Income	52325	TotalNetInvestmentIncome
Comp Ofcr Dir Trst Rev And Expnss	24225	CompOfcrDirTrstRevAndExpnss
Comp Ofcr Dir Trst Net Invst Incm	12112	CompOfcrDirTrstNetInvstIncm
Comp Ofcr Dir Trst Dsbrs Chrtbl Prps	12113	CompOfcrDirTrstDsbrsChrtblPrps
Accounting Fees Rev And Expnss	2770	AccountingFeesRevAndExpnss
Accounting Fees Net Invst Incm	1385	AccountingFeesNetInvstIncm
Accounting Fees Dsbrs Chrtbl Prps	1385	AccountingFeesDsbrsChrtblPrps
Other Prof Fees Rev And Expnss	2787	OtherProfFeesRevAndExpnss
Other Prof Fees Net Invst Incm	2787	OtherProfFeesNetInvstIncm
Other Prof Fees Dsbrs Chrtbl Prps	0	OtherProfFeesDsbrsChrtblPrps
Other Expenses Rev And Expnss	20	OtherExpensesRevAndExpnss
Other Expenses Net Invst Incm	0	OtherExpensesNetInvstIncm
Other Expenses Dsbrs Chrtbl Prps	0	OtherExpensesDsbrsChrtblPrps
Tot Opr Expenses Rev And Expnss	29802	TotOprExpensesRevAndExpnss
Tot Opr Expenses Net Invst Incm	16284	TotOprExpensesNetInvstIncm
Tot Opr Expenses Dsbrs Chrtbl Prps	13498	TotOprExpensesDsbrsChrtblPrps
Contri Gifts Paid Rev And Expnss	51628	ContriGiftsPaidRevAndExpnss
Contri Gifts Paid Dsbrs Chrtbl Prps	51628	ContriGiftsPaidDsbrsChrtblPrps
Total Expenses Rev And Expnss	81430	TotalExpensesRevAndExpnss
Total Expenses Net Invst Incm	16284	TotalExpensesNetInvstIncm
Total Expenses Dsbrs Chrtbl Prps	65126	TotalExpensesDsbrsChrtblPrps
Excess Of Revenue Over Expenses	71048	ExcessOfRevenueOverExpenses
Net Investment Income	36041	NetInvestmentIncome

Balance Sheets BalanceSheets

Field	Value	IRS element (for citing)
Cash BOY	74000	CashBOY
Cash EOY	67019	CashEOY
Cash EOYFMV	67019	CashEOYFMV
Investments Other BOY	267877	InvestmentsOtherBOY
Investments Other EOY	262233	InvestmentsOtherEOY
Investments Other EOYFMV	477682	InvestmentsOtherEOYFMV
Total Assets BOY	341877	TotalAssetsBOY
Total Assets EOY	329252	TotalAssetsEOY
Total Assets EOYFMV	544701	TotalAssetsEOYFMV
Total Liabilities BOY	0	TotalLiabilitiesBOY
Total Liabilities EOY	0	TotalLiabilitiesEOY
Org That Do Not Follow SFAS117	X	OrgThatDoNotFollowSFAS117
Capital Stock BOY	0	CapitalStockBOY
Capital Stock EOY	-83673	CapitalStockEOY
Paid In Or Capital Surplus BOY	0	PaidInOrCapitalSurplusBOY
Paid In Or Capital Surplus EOY	0	PaidInOrCapitalSurplusEOY
Retained Earnings BOY	341877	RetainedEarningsBOY
Retained Earnings EOY	412925	RetainedEarningsEOY
Total Net Assets BOY	341877	TotalNetAssetsBOY
Total Net Assets EOY	329252	TotalNetAssetsEOY
Total Liabilities Net Assets BOY	341877	TotalLiabilitiesNetAssetsBOY
Total Liabilities Net Assets EOY	329252	TotalLiabilitiesNetAssetsEOY

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

Field	Value	IRS element (for citing)
Total Net Assets Fund Balances BOY	341877	TotalNetAssetsFundBalancesBOY
Excess Of Revenue Over Expenses	71048	ExcessOfRevenueOverExpenses
Other Increases	0	OtherIncreases
Subtotal	412925	Subtotal
Other Decreases	83673	OtherDecreases
Total Net Assets Fund Balances EOY	329252	TotalNetAssetsFundBalancesEOY

Capital Gains And Losses CapitalGainsAndLosses

Capital Gains And Losses Info CapitalGainsAndLossesInfo (2 entries)

Description Of AssetDescriptionOfAsset	Date AcquiredDateAcquired	Date SoldDateSold	Gross Sales PriceGrossSalesPrice	Cost Or Other BasisCostOrOtherBasis	Gain Or LossGainOrLoss	Gains Minus Excess Or LossesGainsMinusExcessOrLosses
100 SHRS MASTERCARD INC:MA	2008-06-24	2011-07-14	30744	27792	2952	2952
500 SHRS INTL BUSINESS MACHINES : IBM	1999-02-10	2011-09-13	81523	41390	40133	40133

Field	Value	IRS element (for citing)
Capital Gain Net Income	43085	CapitalGainNetIncome

Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax

Field	Value	IRS element (for citing)
Liable For4942 Tax	0	LiableFor4942Tax
Qualifying Distributions Year1	60843	QualifyingDistributionsYear1
Noncharitable Assets Year1	470640	NoncharitableAssetsYear1
Distribution Ratio Year1	0.129277	DistributionRatioYear1
Qualifying Distributions Year2	48534	QualifyingDistributionsYear2
Noncharitable Assets Year2	421795	NoncharitableAssetsYear2
Distribution Ratio Year2	0.115065	DistributionRatioYear2
Qualifying Distributions Year3	57311	QualifyingDistributionsYear3
Noncharitable Assets Year3	333997	NoncharitableAssetsYear3
Distribution Ratio Year3	0.171591	DistributionRatioYear3
Qualifying Distributions Year4	53296	QualifyingDistributionsYear4
Noncharitable Assets Year4	508490	NoncharitableAssetsYear4
Distribution Ratio Year4	0.104812	DistributionRatioYear4
Qualifying Distributions Year5	54160	QualifyingDistributionsYear5
Noncharitable Assets Year5	444130	NoncharitableAssetsYear5
Distribution Ratio Year5	0.121946	DistributionRatioYear5
Total Distribution Ratio	0.642691	TotalDistributionRatio
Average Distribution Ratio	0.128538	AverageDistributionRatio
Net Noncharitable Assets	468615	NetNoncharitableAssets
Adjusted Noncharitable Assets	60235	AdjustedNoncharitableAssets
One Percent Net Investment Income	360	OnePercentNetInvestmentIncome
Adj Nonchrtbl Assets And One	60595	AdjNonchrtblAssetsAndOnePct
Qualifying Distributions	65126	QualifyingDistributions

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

Field	Value	IRS element (for citing)
Domestic Org Meeting Sect4940e	X	DomesticOrgMeetingSect4940e
Investment Income Excise Tax	360	InvestmentIncomeExciseTax
Tax Under Section511	0	TaxUnderSection511
Subtotal	360	Subtotal
Subtitle A Tax	0	SubtitleATax
Tax Based On Investment Income	360	TaxBasedOnInvestmentIncome
Est Tax Payments And Overpayment	1023	EstTaxPaymentsAndOverpayment
Total Credits And Payments	1023	TotalCreditsAndPayments
Overpayment	663	Overpayment
Amount Credited To Next Year	663	AmountCreditedToNextYear
Amount To Be Refunded	0	AmountToBeRefunded

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	MI	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	JESSICA THOMPSON	BooksInCareOfPersonName
Books In Care Of Phone Number	2318834715	BooksInCareOfPhoneNumber

Books In Care Of US Address BooksInCareOfUSAddress

Field	Value	IRS element (for citing)
Address Line1	225 N WEST TORCH LAKE DRIVE	AddressLine1
City	KEWADIN	City
State	MI	State
ZIP Code	49648	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
JEFFREY D TERRELL
225 N WEST TORCH LAKE DRIVE	KEWADIN	MI	49648	VICE-PRESIDENT	5.00	12112	0	0
JESSICA E THOMPSON
225 N WEST TORCH LAKE DRIVE	KEWADIN	MI	49648	VICE-PRESIDENT/SECRETARY	5.00	12113	0	0
ELIZABETH C SIEBENTHALER
225 N WEST TORCH LAKE DRIVE	KEWADIN	MI	49648	TREASURER/PRESIDENT	1.00	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	428377	AvgMonthlyFMVOfSecurities
Avg Monthly Cash Balances	47374	AvgMonthlyCashBalances
FMV All Other Noncharitable Assets	0	FMVAllOtherNoncharitableAssets
Total FMV Of Unused Assets	475751	TotalFMVOfUnusedAssets
Reduction Claimed	0	ReductionClaimed
Acquisition Indebtedness	0	AcquisitionIndebtedness
Adj Total FMV Of Unused Assets	475751	AdjTotalFMVOfUnusedAssets
Cash Deemed Charitable	7136	CashDeemedCharitable
Net Noncharitable Assets	468615	NetNoncharitableAssets
Minimum Investment Return	23431	MinimumInvestmentReturn

Distributable DistributableAmount

Field	Value	IRS element (for citing)
Minimum Investment Return	23431	MinimumInvestmentReturn
Tax Based On Investment Income	360	TaxBasedOnInvestmentIncome
Total Tax	360	TotalTax
Distributable Amount Before Adj	23071	DistributableAmountBeforeAdj
Recoveries Qlfy Distributions	0	RecoveriesQlfyDistributions
Distributable Amount Before Ded	23071	DistributableAmountBeforeDed
Deduction Fr Distributable	$0	DeductionFrDistributableAmount
Distributable Amount As Adjusted	23071	DistributableAmountAsAdjusted

Qualifying Distributions QualifyingDistributions

Field	Value	IRS element (for citing)
Expenses And Contributions	65126	ExpensesAndContributions
Program Related Investments Total	0	ProgramRelatedInvestmentsTotal
Qualifying Distributions	65126	QualifyingDistributions
One Pct Sect4940e Org Net Invst Incm	360	OnePctSect4940eOrgNetInvstIncm
Adj Qualifying Distributions	64766	AdjQualifyingDistributions

Undistributed Income UndistributedIncome

Field	Value	IRS element (for citing)
Distributable Amount As Adjusted	23071	DistributableAmountAsAdjusted
Undistributed Income Prior Year	0	UndistributedIncomePriorYear
Total For Prior Years	0	TotalForPriorYears
Excess Distri Carryover Year5	32596	ExcessDistriCarryoverYear5
Excess Distri Carryover Year4	28716	ExcessDistriCarryoverYear4
Excess Distri Carryover Year3	42057	ExcessDistriCarryoverYear3
Excess Distri Carryover Year2	27444	ExcessDistriCarryoverYear2
Excess Distri Carryover Year1	37768	ExcessDistriCarryoverYear1
Total Excess Distri Carryover	168581	TotalExcessDistriCarryover
Qualifying Distributions	65126	QualifyingDistributions
Applied To Year1	0	AppliedToYear1
Applied To Prior Years	0	AppliedToPriorYears
Treated As Distri From Corpus	0	TreatedAsDistriFromCorpus
Applied To Current Year	23071	AppliedToCurrentYear
Remaining Distri From Corpus	42055	RemainingDistriFromCorpus
Excess Distri Cyov App CY Corpus	0	ExcessDistriCyovAppCYCorpus
Excess Distri Cyov Applied CY	0	ExcessDistriCyovAppliedCY
Total Corpus	210636	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	32596	ExcessDistriCyovFromYear5
Excess Distri Cyov To Next Year	178040	ExcessDistriCyovToNextYear
Excess From Year4	28716	ExcessFromYear4
Excess From Year3	42057	ExcessFromYear3
Excess From Year2	27444	ExcessFromYear2
Excess From Year1	37768	ExcessFromYear1
Excess From Current Year	42055	ExcessFromCurrentYear

Supplementary Information SupplementaryInformation

Field	Value	IRS element (for citing)
Contributing Manager	ELIZABETH C SIEBENTHALER	ContributingManager

Appication Submission Info AppicationSubmissionInfo

Field	Value	IRS element (for citing)
Recipient Name	JESSICA THOMPSONJEFF TERRELL	RecipientName

Recipient US Address RecipientUSAddress

Field	Value	IRS element (for citing)
Address Line1	225 N WEST TORCH LAKE DRIVE	AddressLine1
City	KEWADIN	City
State	MI	State
ZIP Code	49648	ZIPCode

Field	Value	IRS element (for citing)
Recipient Phone Number	2318834715	RecipientPhoneNumber
Form And Info And Materials	NO SPECIFIC FORMAT REQUIRED	FormAndInfoAndMaterials
Submission Deadlines	NO SUBMISSION DEADLINE	SubmissionDeadlines
Restrictions On Awards	NO RESTRICTIONS OR LIMITATIONS.	RestrictionsOnAwards

Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (32 entries)

Address Line1RecipientUSAddress/AddressLine1	CityRecipientUSAddress/City	StateRecipientUSAddress/State	ZIP CodeRecipientUSAddress/ZIPCode	Recipient RelationshipRecipientRelationship	Recipient Foundation StatusRecipientFoundationStatus	Purpose Of Grant Or ContributionPurposeOfGrantOrContribution	AmountAmount
ACME CHRISTIAN THRIFT STOREFOOD PANTRY
996 GARFIELD WOODS DRIVE SUITE A	TRAVERSE CITY	MI	49686	NONE	OTHER PUBLIC CHARITY	PER REQUEST	$500
AMERICAN CANCER SOCIETY
1755 ABBEY ROAD	EAST LANSING	MI	48823	NONE	OTHER PUBLIC CHARITY	PER REQUEST	$500
AMERICAN HEART ASSOCIATION
24445 NORTHWESTERN HWY SUITE 100	SOUTHFIELD	MI	480752436	NONE	OTHER PUBLIC CHARITY	PER REQUEST	$500
AMERICAN RED CROSS OF NORTHWEST MICHIGAN
735 S GARFIELD SUITE B100	TRAVERSE CITY	MI	49686	NONE	OTHER PUBLIC CHARITY	PER REQUEST	$500
AMVETS POST #114
PO BOX 144	ELK RAPIDS	MI	49629	NONE	OTHER PUBLIC CHARITY	PER REQUEST	$1,000
ANTRIM COUNTY HABITAT FOR HUMANITY
306 S WILLIAMS STREET	MANCELONA	MI	49659	NONE	OTHER PUBLIC CHARITY	PER REQUEST	$250
CHERRYLAND HUMANE SOCIETY
1750 AHLBERG ROAD	TRAVERSE CITY	MI	49696	NONE	OTHER PUBLIC CHARITY	PER REQUEST	$5,000
CMU PUBLIC BROADCASTING NETWORK
1999 EAST CAMPUS DRIVE	MT PLEASANT	MI	48859	NONE	OTHER PUBLIC CHARITY	PER REQUEST	$250
DOCTORS WITHOUT BORDERS
333 7TH AVENUE 2ND FLOOR	NEW YORK	NY	100015004	NONE	OTHER PUBLIC CHARITY	PER REQUEST	$200
ELK RAPIDS GARDEN CLUB
PO BOX 534	ELK RAPIDS	MI	49629	NONE	OTHER PUBLIC CHARITY	PER REQUEST	$1,000
ELK RAPIDS SCHOOLS
707 E THIRD STREET	ELK RAPIDS	MI	49629	NONE	OTHER PUBLIC CHARITY	PER REQUEST	$10,000
EVERGLADES FOUNDATION
18001 OLD CUTLER ROAD SUITE 625	PALMETTO BAY	FL	33157	NONE	OTHER PUBLIC CHARITY	PER REQUEST	$250
FIRST PRESBYTERIAN CHURCH YOUTH GROUP
404 SPRUCE STREET	ELK RAPIDS	MI	49629	NONE	OTHER PUBLIC CHARITY	PER REQUEST	$1,500
GRAND TRAVERSE REGIONAL LAND CONSERVANCY
3860 NORTH LONG LAKE ROAD SUITE D	TRAVERSE CITY	MI	49684	NONE	OTHER PUBLIC CHARITY	PER REQUEST	$200
GRASS RIVER NATURAL AREA
6500 ALDEN HWY	BELLAIRE	MI	49615	NONE	OTHER PUBLIC CHARITY	PER REQUEST	$100
HABITAT FOR HUMANITY
98970 OVERSEAS HWY	KEY LARGO	FL	33037	NONE	OTHER PUBLIC CHARITY	PER REQUEST	$100
HEIFER INTERNATIONAL
1 WORLD AVENUE	LITTLE ROCK	AR	72202	NONE	OTHER PUBLIC CHARITY	PER REQUEST	$120
INTERLOCHEN CENTER FOR THE ARTS
PO BOX 199	INTERLOCHEN	MI	496430199	NONE	OTHER PUBLIC CHARITY	PER REQUEST	$500
INTERLOCHEN PUBLIC RADIO
PO BOX 199	INTERLOCHEN	MI	496430199	NONE	OTHER PUBLIC CHARITY	PER REQUEST	$100
MICHIGAN AUDUBON SOCIETY
6011 W ST JOSEPH HWY SUITE 403	LANSING	MI	48917	NONE	OTHER PUBLIC CHARITY	PER REQUEST	$100
MOUNT HOLIDAY INC
3100 HOLIDAY ROAD	TRAVERSE CITY	MI	49686	NONE	OTHER PUBLIC CHARITY	PER REQUEST	$12,500
OCEAN REEF FOUNDATION
200 ANCHOR DRIVE SUITE B	KEY LARGO	FL	33037	NONE	OTHER PUBLIC CHARITY	PER REQUEST	$700
SALVATION ARMY
1239 BARLOW STREET	TRAVERSE CITY	MI	49696	NONE	OTHER PUBLIC CHARITY	PER REQUEST	$500
SMILE TRAIN
PO BOX 96231	WASHINGTON	DC	200906231	NONE	OTHER PUBLIC CHARITY	PER REQUEST	$250
ST JUDES CHILDREN'S RESEARCH HOSPITAL
501 ST JUDE PLACE	MEMPHIS	TN	381051942	NONE	OTHER PUBLIC CHARITY	PER REQUEST	$508
ST PAULS EPISCOPAL CHURCH
403 TRAVERSE STREET	ELK RAPIDS	MI	49629	NONE	OTHER PUBLIC CHARITY	PER REQUEST	$12,000
TRAVERSE CITY AREA PUBLIC SCHOOLS
3962 THREE MILE ROAD N	TRAVERSE CITY	MI	49686	NONE	OTHER PUBLIC CHARITY	PER REQUEST	$100
THE NATURE CONSERVANCY
4245 N FAIRFAX DRIVE SUITE 100	ARLINGTON	VA	222031606	NONE	OTHER PUBLIC CHARITY	PER REQUEST	$100
THE WATERSHED CENTER
13272 S WEST BAY SHORE DRIVE	TRAVERSE CITY	MI	49684	NONE	OTHER PUBLIC CHARITY	PER REQUEST	$1,000
TOYS FOR TOTS
18251 QUANTICO GATEWAY DR	TRIANGLE	VA	22172	NONE	OTHER PUBLIC CHARITY	PER REQUEST	$1,000
USO
2560 MAYPORT ROAD	ATLANTIC BEACH	FL	32233	NONE	OTHER PUBLIC CHARITY	PER REQUEST	$100
WPBT 2
PO BOX 610002	MIAMI	FL	332610002	NONE	OTHER PUBLIC CHARITY	PER REQUEST	$200

Field	Value	IRS element (for citing)
Tot Grant Or Contri Paid During Year	51628	TotGrantOrContriPaidDuringYear
Tot Grant Or Contri Approved Future	0	TotGrantOrContriApprovedFuture

Analysis Income Producing Acty AnalysisIncomeProducingActy

Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII

Field	Value	IRS element (for citing)
Exclusion Code	14	ExclusionCode
Exclusion	$9,240	ExclusionAmount

Gain Sales Assets Oth Than Invntry GainSalesAssetsOthThanInvntry

Field	Value	IRS element (for citing)
Exclusion Code	18	ExclusionCode
Exclusion	$43,085	ExclusionAmount

Subtotals Part XVIA SubtotalsPartXVIA

Field	Value	IRS element (for citing)
Unrelated Business Income	$0	UnrelatedBusinessIncomeAmount
Exclusion	$52,325	ExclusionAmount
Related Or Exempt Function Income	0	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Part XVIA	52325	TotalPartXVIA

Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO

Field	Value	IRS element (for citing)
Trnsfr Of Cash To Noncharitable EO	0	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
Relationships Noncharitable E Os	0	RelationshipsNoncharitableEOs

Schedule B IRS990ScheduleB

Field	Value	IRS element (for citing)
Organization501c3 Exempt PF	X	Organization501c3ExemptPF
General Rule	X	GeneralRule

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	1	ContributorNumber
Contributor Name Individual	ELIZABETH SIEBENTHALER	ContributorNameIndividual

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	225 N WEST TOURCH LAKE DRIVE	AddressLine1
City	KEWADIN	City
State	MI	State
ZIP Code	49648	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	100153	AggregateContributions
Noncash Contribution Type	X	NoncashContributionType

Noncash Property NoncashProperty

Field	Value	IRS element (for citing)
Contributor Number From Part I	1	ContributorNumberFromPartI
Noncash Property Description	3500 SHARES OF ORACLE CORP	NoncashPropertyDescription
Fair Market Value	100153	FairMarketValue
Date Received	2011-12-20	DateReceived

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees AccountingFees

Field	Value	IRS element (for citing)
Category	ACCOUNTING FEES	Category
Amount	$2,770	Amount
Net Investment Income	1385	NetInvestmentIncome
Disbursements Charitable Prps	1385	DisbursementsCharitablePrps

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOther

Field	Value	IRS element (for citing)
Category Or Item	CHARLES SCHWAB	CategoryOrItem
Listed At Cost Or FMV	AT COST	ListedAtCostOrFMV
Book Value	262233	BookValue
EOYFMV	477682	EOYFMV

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases OtherDecreases (2 entries)

DescriptionDescription	AmountAmount
PRIOR PERIOD ADJUSTMENT FOR EXCESS OF FAIR MARKET VALUE OVER COST BASIS	$6,159
EXCESS OF FAIR MARKET VALUE OVER COST BASIS FOR NONCASH CONTRIBUTION	$77,514

Other Expenses Schedule OtherExpensesSchedule

Other Expenses OtherExpenses

Field	Value	IRS element (for citing)
Description	MISCELLANEOUS	Description
Revenue And Expenses Per Books	20	RevenueAndExpensesPerBooks
Net Investment Income	0	NetInvestmentIncome
Disbursements Charitable Prps	0	DisbursementsCharitablePrps

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees OtherProfessionalFees

Field	Value	IRS element (for citing)
Category	INVESTMENT FEES	Category
Amount	$2,787	Amount
Net Investment Income	2787	NetInvestmentIncome
Disbursements Charitable Prps	0	DisbursementsCharitablePrps