Fom,990-PF Or Section 4947(A)(1) Nonexempt Charitable Trust Treated As a Private Foundation Department of the Treasury Note
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Return of Private Foundation OMB No 1545-0052 Fom,990-PF or Section 4947(a)(1) Nonexempt Charitable Trust Treated as a Private Foundation Department of the Treasury Note. The foundation may be able to use a copy of this return to satisfy state reporting requirements For calendar year 2011 or tax year beginning , and ending Name of foundation A Employer identification number rlnmininn Fni inrlnfinn 13-Rn77762 Number and street (or P 0 box number if mail is not delivered to street address) Room/sude B Telephone number (see instructions) 501 Martindale Street 400 ( 804 ) 771-4134 City or town, state, and ZIP code q C If exemption application is pending, check here ► Pittsburg h PA 15212 q G Check all that apply q Initial return q Initial return of a former public charity D 1. Foreign organizations, check here ► q Final return q Amended return 2. Foreign organizations meeting the 85% test, q q Address change q Name change check here and attach computation ► q H Check type of organization Section 501 (c)(3) exempt private foundation E If private foundation status was terminated q q Section 4947(a)(1) nonexempt charitable trust q Other taxable private foundation under section 507(b)(1)(A), check here ► I Fair market value of all assets at end J Accounting method q Cash ® Accrual F If the foundation is in a 60-month termination under section 507(b)(1)(B), check here of year (from Part Il, col (c), q Other (specify) ..... ................... 0- El line 16) ► $ 36 273 623 Part / column (d) must be on cash basis ) (d) Disbursements Analysis of Revenue and Expenses (The total of (a) Revenue and (b) Net investment (c) Adjusted net for chartable amounts in columns (b), (c), and (d) may not necessarily equal expenses per income income purposes the amounts in column (a) (see instructions)) books (cash basis onl ) 1 Contributions, gifts, grants, etc, received (attach schedule) 6^J 2 Check if the foundation is not required to attach Sch B 3 Interest on savings and temporary cash investments 609 , 958 609 , 958 1 4 Dividends and interest from securities 0 0 5 a Gross rents 0 0 4) b Net rental income or (loss) 6 a Net gain or (loss) from sale of assets not on line 10 4054 b Gross sales price for all assets on line 6a 4 510 884 7 Capital gain net income (from Part IV, line 2) . 4 054 8 Net short-term capital gain 0 0 9 Income modifications Cif 10 a Gross sales less returns and allowances 0 b Less Cost of goods sold 0 c Gross profit or (loss) (attach schedule) 0 11 Other income (attach schedule) 0 0 0 12 Total. Add lines 1 through 11 614 , 012 614 , 012 0 u) 13 Compensation of officers, directors, trustees, etc 0 remit 14 Other employee salaries and wages w 15 Pension plans, employee benefits x 16 a Legal fees (attach schedule) 0 0 0 0 b Accounting fees schedule) 0 0 0 0 > C Other professio I fees Edule ° 395 , 873 45 , 873 0 0 I !! T_ 17 Interest A 18 Taxes (attach ule) (see instructions) 0 0 0 0 s W r_ 19 Depreciation (a sch,' 1ft aEd JepLbbtoj 0 0 0 0 -p 20 Occupancy W a 21 Travel, confere ces, ^ c 22 Pnnting and pu 1:1 _ GDEN M 23 Other expenses (attach schedule) 87 , 859 10 , 507 1 0 0 24 Total operating and administrative expenses. Add lines 13 through 23 . 483 , 732 56 , 380 1 0 0 °' 25 Contnbutions, gifts, grants paid 15, 140 , 383 15 140 , 383 0 26 Total expenses and disbursements. Add lines 24 and 25 15 624 115 56 , 380 0 15 140 383 27 Subtract tine 26 from tine 12 a Excess of revenue over expenses and disbursements 15010103 b Net Investment income (if negative, enter -0-) 557 ,632 c Adjusted net Income (if negative, enter -0-) 1 0 For Paperwork Reduction Act Notice , see Instructions. Form 990-PF (2011) (HTA) Form 990-PF (2011) Dominion Foundation 13-6077762 Page 2 Attached schedules and amounts in the description column Beginning of year End of year Balance Sheets sh ould be for end-of-year amounts on ly (See instructions ) (a) Book Value ( b) Book Value (c) Fai r Market Value I Cash-non-interest-beanng -349 , 044 620,4141 620 414 2 Savings and temporary cash investments 52,122,308 14,865,715 14,865,715 3 Accounts receivable ► 0 -------------------- Less allowance for doubtful---------------accounts ► - - - - - ---------------0 0 0 0 Pledges receivable ► 0 Less allowance for doubtful---------------------------------------accounts 0 0 0 0 ► --------------------- 5 Grants receivable 6 Receivables due from officers , directors , trustees , and other disqualified persons (attach schedule) (see instructions) 0 0 0 7 Other notes and loans receivable (attach schedule) 0 ► ------------------ Less allowance for doubtful accounts 0 0 0 0 ► ---------------------------- 8 Inventories for sale or use , y 9 Prepaid expenses and deferred charges Qu) 10 a Investments-U S and state government obligations (attach schedule) 0 0 0 b Investments-corporate stock ( attach schedule) 0 0 C Investments-corporate bonds (attach schedule) 0 20,620,331 20,620,331 11 Investments--sand, buildings , and equipment basis 0 ► ------------------ Less accumulated deprecation (attach schedule) ► -----------------0 0 0 0 Investments-mortgage loans 13 Investments-other ( attach schedule) 0 0 0 14 Land , buildings , and equipment basis 0 ► ------------------------- Less accumulated depreciation (attach schedule) 0 0 0 0 ► -------------------- 15 Other assets (describe Interest Receivable - BNY Ladder ) 0 167 , 163 167 163 ► - --------- -- - ---- - - - - -- , 16 Total assets (to be completed by all filers-see the instructions Also, see page 1, item I) 51 , 773 , 264 36 , 273 , 623 36 273 623 17 Accounts payable and accrued expenses 737 , 851 16,500 U) 18 Grants payable d 19 Deferred revenue 20 Loans from officers, directors, trustees , and other disqualified persons 0 0 21 Mortgages and other notes payable (attach schedule) 0 0 22 Other liabilities (describe ) 0 0 ► - - - --------------- -------- 23 Total liabilities ( add lines 17 through 22 ) 37 , 851 6 , 500 Foundations that follow SFAS 117 , check here ► and complete lines 24 through 26 and lines 30 and 31. 24 Unrestricted 51 , 035, 413 36,499,243 25 Temporarily restricted M .0 26 Permanently restricted q Foundations that do not follow SFAS 117, check here ► U. and complete lines 27 through 31. 16. o 27 Capital stock , trust principal , or current funds 0 28 Paid -in or capital surplus, or land , bldg , and equipment fund rn 29 Retained earnings , accumulated income , endowment , or other funds < 30 Total net assets or fund balances (see instructions ) 51,035,413 1 36 , 499 , 243 31 Total liabilities and net assets/fund balances (see Z instructions ) 51 , 773 , 264 1 36 , 515- 743 10 W-Analysis of Chan ges in Net Assets or Fund Balances 1 Total net assets or fund balances at beginning of year-Part II, column ( a), line 30 ( must agree with end-of-year figure reported on pnor year's return) 1 51 , 035, 413 2 Enter amount from Part I , line 27a 2 -15 , 010, 103 3 Other increases not included in line 2 (itemize ) ► Unrealized_GaIn------ ------------------- --- --- -- ---- 3 473 , 933 4 Add lines 1 , 2, and 3 4 36 , 499 , 243 5 Decreases not included in line 2 ( itemize ) 10, ---------------------------- ------------------- ------------ - 1 5 0 6 Total net assets or fund balances at end of year (line 4 minus line 5)-Part Ii , column ( b), line 30 6 36 , 499 , 243 Form 990-PF (20 1 1) Form 990-PF (2011) Dominion Foundation 13-6077762 Page 3 Capital Gains and Losses for Tax on Investment Income (b) How acquired (a) List and describe the kind(s) of property sold (e g , real estate, (c) Date acquired (d) Date sold P-Purchase 2-story brick warehouse , or common stock, 200 shs MLC Co) (mo, day , yr) (mo, day, yr ) D-Donation Ia See Attached Statement b c d e (f) Depreciation allowed (g) Cost or other basis ( h) Gain or (loss) (e) Gross sales price (or allowable ) plus expense of sale (e) plus (f) minus (g) a 0 0 0 0 b 0 0 0 0 c 0 0 0 0 d 0 0 0 0 e 0 0 0 0 Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 ( I) Gains (Col (h) gain minus Adjusted basis (k) Excess of col (i) col (k), but not less than -0-) or (1) F M V as of 12/31/69 U) as of 12/31/69 over col Q), if any Losses (from col (h)) a 0 0 0 0 b 0 0 0 0 C 0 0 0 0 d 0 0 0 0 e 0 0 0 0 If gain, also enter in Part I, line 7 2 Capital gain net income or (net capital loss) If (loss), enter -0- in Part I, line 7 2 4 , 054 3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6) If gain, also enter in Part I, line 8, column (c) (see instructions) If (loss), enter -0- In Part I, line 8 3 0 NUMM Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income (For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income ) If section 4940(d)(2) applies, leave this part blank Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period? q Yes QX No If "Yes," the foundation does not qualify under section 4940(e) Do not complete this part I Enter the appropriate amount in each column for each year, see the instructions before making any entries Base period years Distribution ratio Adjusted qualifying distributions Net value of nonchantable- use assets Calendar year (or tax year beg innin g in col ( b) divided by col (c)) 2010 15 , 758 , 123 37 , 284 , 202 0422649 2009 18 , 067 , 567 23 ,466 , 296 0769937 2008 20 , 402 , 300 24 , 756 , 074 0 824133 2007 15 , 113 , 128 8 , 143 , 007 1 855964 2006 9 , 993 , 771 3 , 826 , 838 2611496 2 Total of line 1, column (d) 2 6484179 3 Average distribution ratio for the 5-year base penod-divide the total on line 2 by 5, or by the number of years the foundation has been in existence if less than 5 years 3 1 296836 4 Enter the net value of noncharltable -use assets for 2011 from Part X, line 5 4 43, 608 , 244 5 Multiply line 4 by line 3 5 56 , 552 , 741 6 Enter 1 % of net investment income (1 % of Part I, line 27b) 6 5 , 576 7 Add lines 5 and 6 .