2010-Bmgf-990-Pf.Pdf

Return of Private Foundation OMB No. 1545-0052 Form 990-PF or Section 4947(a)(1) Nonexempt Charitable Trust Department of the Treasury Treated as a Private Foundation  Internal Revenue Service Note. The foundation may be able to use a copy of this return to satisfy state reporting requirements. For calendar year 2010, or tax year beginning , 2010, and ending , 20

G Check all that apply: Initial return Initial return of a former public charity Final return

Amended return Address change Name change

Name of foundation A Employer identification number

Number and street (or P.O. box number if mail is not delivered to street address) Room/suite B Telephone number (see page 10 of the instructions)

City or town, state, and ZIP code C If exemption application is  pending, check here D 1. Foreign organizations, check here   2. Foreign organizations meeting the 85% test, check here and attach H Check type of organization: Section 501(c)(3) exempt private foundation computation  Section 4947(a)(1) nonexempt charitable trust Other taxable private foundation E If private foundation status was terminated I Fair market value of all assets at end J Accounting method: Cash Accrual under section 507(b)(1)(A), check here   of year (from Part II, col. (c), line Other (specify) F If the foundation is in a 60-month termination 16) $ (Part I, column (d) must be on cash basis.) under section 507(b)(1)(B), check here  Part I Analysis of Revenue and Expenses (The (d) Disbursements total of amounts in columns (b), (c), and (d) (a) Revenue and (b) Net investment (c) Adjusted net for charitable may not necessarily equal the amounts in expenses per income income purposes books column (a) (see page 11 of the instructions).) (cash basis only) 1 Contributions, gifts, grants, etc., received (attach schedule)  if the foundation is not required to 2 Check  attach Sch. B  3 Interest on savings and temporary cash investments 4 Dividends and interest from securities  5a Gross rents  b Net rental income or (loss)

6a Net gain or (loss) from sale of assets not on line 10 b Gross sales price for all assets on line 6a  7 Capital gain net income (from Part IV, line 2) Revenue  8 Net short-term capital gain 9 Income modifications 10 a Gross sales less returns and allowances b Less: Cost of goods sold  c Gross profit or (loss) (attach schedule)  11 Other income (attach schedule)  12 Total. Add lines 1 through 11  13 Compensation of officers, directors, trustees, etc.   14 Other employee salaries and wages 15 Pension plans, employee benefits  16 a Legal fees (attach schedule)  b Accounting fees (attach schedule)  c Other professional fees (attach schedule)  17 Interest  18 Taxes (attach schedule) (see page 14 of the instructions) 19 Depreciation (attach schedule) and depletion 

20 Occupancy   21 Travel, conferences, and meetings 22 Printing and publications  23 Other expenses (attach schedule)  24 Total operating and administrative expenses. Add lines 13 through 23  Operating and Administrative Expenses 25 Contributions, gifts, grants paid  26 Total expenses and disbursements. Add lines 24 and 25 27 Subtract line 26 from line 12:

a Excess of revenue over expenses and disbursements 

b Net investment income (if negative, enter -0-)

c Adjusted net income (if negative, enter -0-)  For Paperwork Reduction Act Notice, see page 30 of the instructions. JSA Form 990-PF (2010) 0E1410 1.000 FOR PUBLIC DISCLOSURE Form 990-PF (2010) Page 2 Attached schedules and amounts in the Beginning of year End of year Part II Balance Sheets description column should be for end-of-year amounts only. (See instructions.) (a) Book Value (b) Book Value (c) Fair Market Value 1 Cash - non-interest-bearing 

2 Savings and temporary cash investments 

3 Accounts receivable  Less: allowance for doubtful accounts  4 Pledges receivable  Less: allowance for doubtful accounts  5 Grants receivable  6 Receivables due from officers, directors, trustees, and other disqualified persons (attach schedule) (see page 15 of the instructions)

7 Other notes and loans receivable (attach schedule) 

Less: allowance for doubtful accounts 

8 Inventories for sale or use  9 Prepaid expenses and deferred charges  a  Assets 10 Investments - U.S. and state government obligations (attach schedule) b Investments - corporate stock (attach schedule)  c Investments - corporate bonds (attach schedule)  11 Investments - land, buildings, and equipment: basis  Less: accumulated depreciation  (attach schedule) 12 Investments - mortgage loans 

13 Investments - other (attach schedule)  14 Land, buildings, and  equipment: basis Less: accumulated depreciation  (attach schedule) 15 Other assets (describe ) 16 Total assets (to be completed by all filers - see the instructions. Also, see page 1, item I)  17 Accounts payable and accrued expenses  18 Grants payable  19 Deferred revenue 

20 Loans from officers, directors, trustees, and other disqualified persons 

21 Mortgages and other notes payable (attach schedule) 

Liabilities 22 Other liabilities (describe )

23 Total liabilities (add lines 17 through 22)  Foundations that follow SFAS 117, check here  and complete lines 24 through 26 and lines 30 and 31. 24 Unrestricted 

25 Temporarily restricted 

26 Permanently restricted 

Foundations that do not follow SFAS 117, check here and complete lines 27 through 31.  27 Capital stock, trust principal, or current funds  28 Paid-in or capital surplus, or land, bldg., and equipment fund  29 Retained earnings, accumulated income, endowment, or other funds  30 Total net assets or fund balances (see page 17 of the Net Assets or Fund Balances instructions)  31 Total liabilities and net assets/fund balances (see page 17 of the instructions) 

Part III Analysis of Changes 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 prior year's return)  1 2 Enter amount from Part I, line 27a  2 3 Other increases not included in line 2 (itemize)  3 4 Add lines 1, 2, and 3  4 5 Decreases not included in line 2 (itemize)  5 6 Total net assets or fund balances at end of year (line 4 minus line 5) - Part II, column (b), line 30  6 Form 990-PF (2010)

JSA

0E1420 1.000

FOR PUBLIC DISCLOSURE Form 990-PF (2010) Page 3 Part IV Capital Gains and Losses for Tax on Investment Income (b) How (c) Date (a) List and describe the kind(s) of property sold (e.g., real estate, acquired acquired (d) Date sold P-Purchase (mo., day, yr.) 2-story brick warehouse; or common stock, 200 shs. MLC Co.) D-Donation (mo., day, yr.)

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

d e Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l) Gains (Col. (h) gain minus (j) Adjusted basis (k) Excess of col. (i) col. (k), but not less than -0-) or (i) F.M.V. as of 12/31/69 as of 12/31/69 over col. (j), if any Losses (from col. (h)) a b

d e 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 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 pages 13 and 17 of the instructions).  If (loss), enter -0- in Part I, line 8  3 Part V 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? Yes No If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part. 1 Enter the appropriate amount in each column for each year; see page 18 of the instructions before making any entries. (a) (b) (c) (d) Base period years Distribution ratio Calendar year (or tax year beginning in) Adjusted qualifying distributions Net value of noncharitable-use assets (col. (b) divided by col. (c)) 2009

2008

2007 2006 2005

2 Total of line 1, column (d)  2 3 Average distribution ratio for the 5-year base period - 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

4 Enter the net value of noncharitable-use assets for 2010 from Part X, line 5 4  5 Multiply line 4 by line 3  5

6 Enter 1% of net investment income (1% of Part I, line 27b)  6

7 Add lines 5 and 6  7

8 Enter qualifying distributions from Part XII, line 4  8 If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See the Part VI instructions on page 18.

JSA Form 990-PF (2010) 0E1430 1.000

FOR PUBLIC DISCLOSURE Form 990-PF (2010) Page 4 Part VI Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948 - see page 18 of the instructions) 1a Exempt operating foundations described in section 4940(d)(2), check here  and enter "N/A" on line 1. 

Date of ruling or determination letter: (attach copy of ruling letter if necessary - see instructions)

b Domestic foundations that meet the section 4940(e) requirements in Part V, check  1  here and enter 1% of Part I, line 27b  c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of  Part I, line 12, col. (b). 2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)  2 3 Add lines 1 and 2  3 4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)  4 5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0-  5 6 Credits/Payments:

a 2010 estimated tax payments and 2009 overpayment credited to 2010  6a

b Exempt foreign organizations-tax withheld at source  6b

c Tax paid with application for extension of time to file (Form 8868)  6c d Backup withholding erroneously withheld  6d 7 Total credits and payments. Add lines 6a through 6d  7 8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached  8 9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed  9 10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid 10 11 Enter the amount of line 10 to be: Credited to 2011 estimated tax  Refunded  11 Part VII-A Statements Regarding Activities

1a During the tax year, did the foundation attempt to influence any national, state, or local legislation or did it Yes No participate or intervene in any political campaign?  1a b Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of the instructions for definition)?  1b If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials published or distributed by the foundation in connection with the activities. c Did the foundation file Form 1120-POL for this year?  1c d Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year: (1) On the foundation.$$(2) On foundation managers. 

e Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed on foundation managers.  $ 2 Has the foundation engaged in any activities that have not previously been reported to the IRS?  2 If "Yes," attach a detailed description of the activities. 3 Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes  3 4a Did the foundation have unrelated business gross income of $1,000 or more during the year?  4a

b If "Yes," has it filed a tax return on Form 990-T for this year?  4b Was there a liquidation, termination, dissolution, or substantial contraction during the year?  5 5 If "Yes," attach the statement required by General Instruction T. 6 Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:  By language in the governing instrument, or  By state legislation that effectively amends the governing instrument so that no mandatory directions that conflict with the state law remain in the governing instrument?  6 7 Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c), and Part XV  7 8a Enter the states to which the foundation reports or with which it is registered (see page 19 of the S instructions) 

b If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney General  (or designate) of each state as required by General Instruction G? If "No," attach explanation 8b 9 Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3) or 4942(j)(5) for calendar year 2010 or the taxable year beginning in 2010 (see instructions for Part XIV on page 27)? If "Yes," complete Part XIV  9 10 Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names and addresses  10 Form 990-PF (2010)

JSA

0E1440 1.000

FOR PUBLIC DISCLOSURE Form 990-PF (2010) Page 5 Part VII-A Statements Regarding Activities (continued) 11 At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the meaning of section 512(b)(13)? If "Yes," attach schedule (see page 20 of the instructions)  11

12 Did the foundation acquire a direct or indirect interest in any applicable insurance contract before August 17, 2008?  12 13 Did the foundation comply with the public inspection requirements for its annual returns and exemption application?  13 S Website address  ESS 14 The books are in care of  Telephone no.  WS Located at  ZIP + 4  15 Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 - Check here  and enter the amount of tax-exempt interest received or accrued during the year  15 16 At any time during calendar year 2010, did the foundation have an interest in or a signature or other authority Yes No

over a bank, securities, or other financial account in a foreign country?  16

See page 20 of the instructions for exceptions and filing requirements for Form TD F 90-22.1. If "Yes," enter the name of the foreign country  Part VII-B Statements Regarding Activities for Which Form 4720 May Be Required File Form 4720 if any item is checked in the "Yes" column, unless an exception applies. Yes No 1a During the year did the foundation (either directly or indirectly): (1) Engage in the sale or exchange, or leasing of property with a disqualified person?  Yes No (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from) a disqualified person?  Yes No

 Yes No (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? Yes No (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?  (5) Transfer any income or assets to a disqualified person (or make any of either available for the benefit or use of a disqualified person)?  Yes No (6) Agree to pay money or property to a government official? (Exception. Check "No" if the foundation agreed to make a grant to or to employ the official for a period after termination of government service, if terminating within 90 days.)  Yes No b If any answer is "Yes" to 1a(1)-(6), did any of the acts fail to qualify under the exceptions described in Regulations section 53.4941(d)-3 or in a current notice regarding disaster assistance (see page 22 of the instructions)?  1b  Organizations relying on a current notice regarding disaster assistance check here c Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts, that were not corrected before the first day of the tax year beginning in 2010?  1c 2 Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private operating foundation defined in section 4942(j)(3) or 4942(j)(5)): a At the end of tax year 2010, did the foundation have any undistributed income (lines 6d and 6e, Part XIII) for tax year(s) beginning before 2010?  Yes No If "Yes," list the years  ,,,

b Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)

(relating to incorrect valuation of assets) to the year's undistributed income? (If applying section 4942(a)(2) to 2b all years listed, answer "No" and attach statement - see page 22 of the instructions.)  c If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.  ,,, 3a Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at any time during the year?  Yes No b If "Yes," did it have excess business holdings in 2010 as a result of (1) any purchase by the foundation or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved by the

Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3) the lapse of

the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine if the foundation had excess business holdings in 2010.)  3b 4a Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?  4a b Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2010?  4b Form 990-PF (2010)

JSA

0E1450 1.000

FOR PUBLIC DISCLOSURE Form 990-PF (2010) Page 6 Part VII-B Statements Regarding Activities for Which Form 4720 May Be Required (continued) 5a During the year did the foundation pay or incur any amount to: (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?  Yes No

(2) Influence the outcome of any specific public election (see section 4955); or to carry on,

directly or indirectly, any voter registration drive?  Yes No (3) Provide a grant to an individual for travel, study, or other similar purposes?  Yes No (4) Provide a grant to an organization other than a charitable, etc., organization described in section 509(a)(1), (2), or (3), or section 4940(d)(2)? (see page 22 of the instructions)  Yes No (5) Provide for any purpose other than religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals?  Yes No b If any answer is "Yes" to 5a(1)-(5), did any of the transactions fail to qualify under the exceptions described in Regulations section 53.4945 or in a current notice regarding disaster assistance (see page 22 of the instructions)?  5b

Organizations relying on a current notice regarding disaster assistance check here 

c If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the tax because it maintained expenditure responsibility for the grant?  Yes No If "Yes," attach the statement required by Regulations section 53.4945-5(d). 6a Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?  Yes No b Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?  6b If "Yes" to 6b, file Form 8870. 7a At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?  Yes No

b If "Yes," did the foundation receive any proceeds or have any net income attributable to the transaction?  7b

Part VIII Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees, and Contractors 1 List all officers, directors, trustees, foundation managers and their compensation (see page 22 of the instructions). (b) Title, and average (c) Compensation (d) Contributions to (e) Expense account, (a) Name and address hours per week (If not paid, enter employee benefit plans other allowances devoted to position -0-) and deferred compensation

2 Compensation of five highest-paid employees (other than those included on line 1 - see page 23 of the instructions). If none, enter "NONE."

(d) Contributions to (b) Title, and average (a) Name and address of each employee paid more than $50,000 (c) Compensation employee benefit (e) Expense account, hours per week plans and deferred other allowances devoted to position compensation

Total number of other employees paid over $50,000 

Form 990-PF (2010)

JSA 0E1460 1.000

FOR PUBLIC DISCLOSURE Form 990-PF (2010) Page 7 Part VIII Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees, and Contractors (continued) 3 Five highest-paid independent contractors for professional services (see page 23 of the instructions). If none, enter "NONE." (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation

 Total number of others receiving over $50,000 for professional services  Part IX-A Summary of Direct Charitable Activities

List the foundation's four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of Expenses organizations and other beneficiaries served, conferences convened, research papers produced, etc. 1 SS

SS 2

3 WSS 4

Part IX-B Summary of Program-Related Investments (see page 24 of the instructions) Amount Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. SSSW 1 SSW` SWSSS 2 SSW SWSSSS S`S All other program-related investments. See page 24 of the instructions. S 3

Total. Add lines 1 through 3   Form 990-PF (2010)

JSA

0E1465 1.000

FOR PUBLIC DISCLOSURE Form 990-PF (2010) Page 8 Part X Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see page 24 of the instructions.) 1 Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,

purposes:

a Average monthly fair market value of securities  1a b Average of monthly cash balances  1b c Fair market value of all other assets (see page 25 of the instructions)  1c d Total (add lines 1a, b, and c)  1d e Reduction claimed for blockage or other factors reported on lines 1a and 1c (attach detailed explanation)  1e 2 Acquisition indebtedness applicable to line 1 assets  2 3 Subtract line 2 from line 1d  3

4 Cash deemed held for charitable activities. Enter 1 1/2 % of line 3 (for greater amount, see page 25 of

the instructions)  4 5 Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4  5 6 Minimum investment return. Enter 5% of line 5  6 Part XI Distributable Amount (see page 25 of the instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here and do not complete this part.) 1 Minimum investment return from Part X, line 6  1 2a Tax on investment income for 2010 from Part VI, line 5  2a b Income tax for 2010. (This does not include the tax from Part VI.)  2b

c Add lines 2a and 2b  2c

3 Distributable amount before adjustments. Subtract line 2c from line 1  3 4 Recoveries of amounts treated as qualifying distributions  4 5 Add lines 3 and 4  5 6 Deduction from distributable amount (see page 25 of the instructions)  6 7 Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1  7

Part XII Qualifying Distributions (see page 25 of the instructions)

1 Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:

a Expenses, contributions, gifts, etc. - total from Part I, column (d), line 26  1a b Program-related investments - total from Part IX-B  1b 2 Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc., purposes  2 3 Amounts set aside for specific charitable projects that satisfy the: a Suitability test (prior IRS approval required)  3a b Cash distribution test (attach the required schedule)  3b 4 Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4  4

5 Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment income.

Enter 1% of Part I, line 27b (see page 26 of the instructions)  5 6 Adjusted qualifying distributions. Subtract line 5 from line 4  6 Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for the section 4940(e) reduction of tax in those years. Form 990-PF (2010)

JSA

0E1470 1.000

FOR PUBLIC DISCLOSURE Form 990-PF (2010) Page 9 Part XIII Undistributed Income (see page 26 of the instructions)

(a)(b) (c) (d)

1 Distributable amount for 2010 from Part XI, CorpusYears prior to 2009 2009 2010 line 7  2 Undistributed income, if any, as of the end of 2010: a Enter amount for 2009 only  b Total for prior years: 20 , 20, 20 3 Excess distributions carryover, if any, to 2010: a From 2005  b From 2006 

c From 2007 

d From 2008 

e From 2009  f Total of lines 3a through e  4 Qualifying distributions for 2010 from Part XII, line 4: $ a Applied to 2009, but not more than line 2a 

b Applied to undistributed income of prior years (Election required - see page 26 of the instructions) 

c Treated as distributions out of corpus (Election required - see page 26 of the instructions) 

d Applied to 2010 distributable amount  e Remaining amount distributed out of corpus  5 Excess distributions carryover applied to 2010  (If an amount appears in column (d), the same amount must be shown in column (a).) 6 Enter the net total of each column as indicated below: a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5

b Prior years' undistributed income. Subtract line 4b from line 2b  c Enter the amount of prior years' undistributed income for which a notice of deficiency has been issued, or on which the section 4942(a) tax has been previously assessed  d Subtract line 6c from line 6b. Taxable amount - see page 27 of the instructions  e Undistributed income for 2009. Subtract line 4a from line 2a. Taxable amount - see page 27 of the instructions 

f Undistributed income for 2010. Subtract lines 4d and 5 from line 1. This amount must be distributed in 2011  7 Amounts treated as distributions out of corpus to satisfy requirements imposed by section

170(b)(1)(F) or 4942(g)(3) (see page 27 of the instructions)  8 Excess distributions carryover from 2005 not applied on line 5 or line 7 (see page 27 of the instructions) 

9 Excess distributions carryover to 2011.

Subtract lines 7 and 8 from line 6a 

10 Analysis of line 9: a Excess from 2006  b Excess from 2007  c Excess from 2008  d Excess from 2009  e Excess from 2010  Form 990-PF (2010)

JSA

0E1480 1.000

FOR PUBLIC DISCLOSURE Form 990-PF (2010) Page 10 Part XIV Private Operating Foundations (see page 27 of the instructions and Part VII-A, question 9) 1a If the foundation has received a ruling or determination letter that it is a private operating foundation, and the ruling is effective for 2010, enter the date of the ruling   b Check box to indicate whether the foundation is a private operating foundation described in section 4942(j)(3) or 4942(j)(5)

Tax year Prior 3 years 2a Enter the lesser of the ad- (e) Total justed net income from Part (a) 2010 (b) 2009 (c) 2008 (d) 2007 I or the minimum investment return from Part X for each year listed  b 85% of line 2a 

c Qualifying distributions from Part  XII, line 4 for each year listed d Amounts included in line 2c not used directly for active conduct of exempt activities e Qualifying distributions made directly for active conduct of exempt activities. Subtract line 2d from line 2c  3 Complete 3a, b, or c for the alternative test relied upon: a "Assets" alternative test - enter:  (1) Value of all assets (2) Value of assets qualifying under section  4942(j)(3)(B)(i) b "Endowment" alternative test- enter 2/3 of minimum investment return shown in Part X, line 6 for each year listed  c "Support" alternative test - enter: (1) Total support other than gross investment income (interest, dividends, rents, payments on securities loans (section 512(a)(5)), or royalties)  (2) Support from general public and 5 or more exempt organizations as provided in section 4942 (j)(3)(B)(iii)  (3) Largest amount of support from an exempt organization  (4) Gross investment income  Part XV Supplementary Information (Complete this part only if the foundation had $5,000 or more in assets at any time during the year - see page 28 of the instructions.) 1 Information Regarding Foundation Managers: a List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)

b List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.

2 Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs: Check here if the foundation only makes contributions to preselected charitable organizations and does not accept unsolicited requests for funds. If the foundation makes gifts, grants, etc. (see page 28 of the instructions) to individuals or organizations under other conditions, complete items 2a, b, c, and d.

a The name, address, and telephone number of the person to whom applications should be addressed:

b The form in which applications should be submitted and information and materials they should include:

SWS c Any submission deadlines:

d Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other factors:

JSA Form 990-PF (2010) 0E1490 1.000

FOR PUBLIC DISCLOSURE Form 990-PF (2010) Page 11 Part XV Supplementary Information (continued) 3 Grants and Contributions Paid During the Year or Approved for Future Payment Recipient If recipient is an individual, Foundation show any relationship to Purpose of grant or Amount any foundation manager status of contribution Name and address (home or business) recipient or substantial contributor a Paid during the year

Total   3a

b Approved for future payment

Total  3b

Form 990-PF (2010)

JSA 0E1491 1.000

FOR PUBLIC DISCLOSURE Form 990-PF (2010) Page 12 Part XVI-A Analysis of Income-Producing Activities Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e) Related or exempt (a) (b)(c) (d) function income Business code Amount Exclusion code Amount (See page 28 of 1 Program service revenue: the instructions.)

a b c d e f g Fees and contracts from government agencies

2 Membership dues and assessments 

3 Interest on savings and temporary cash investments 4 Dividends and interest from securities  5 Net rental income or (loss) from real estate: a Debt-financed property  b Not debt-financed property  6 Net rental income or (loss) from personal property  7 Other investment income  8 Gain or (loss) from sales of assets other than inventory

9 Net income or (loss) from special events   10 Gross profit or (loss) from sales of inventory 11 Other revenue: a b c d e 12 Subtotal. Add columns (b), (d), and (e)  13 Total. Add line 12, columns (b), (d), and (e)  13 (See worksheet in line 13 instructions on page 29 to verify calculations.)

Part XVI-B Relationship of Activities to the Accomplishment of Exempt Purposes

Line No. Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to the  accomplishment of the foundation's exempt purposes (other than by providing funds for such purposes). (See page 29 of the instructions.)

Form 990-PF (2010)

JSA 0E1492 1.000

FOR PUBLIC DISCLOSURE

Schedule B Schedule of Contributors OMB No. 1545-0047 (Form 990, 990-EZ, or 990-PF)  Attach to Form 990, 990-EZ, or 990-PF.  Department of the Treasury Internal Revenue Service Name of the organization Employer identification number

Organization type (check one):

Filers of: Section:

Form 990 or 990-EZ 501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF 501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule. Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or

property) from any one contributor. Complete Parts I and II.

Special Rules

For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33 1/3 % support test of the regulations under sections 509(a)(1) and 170(b)(1)(A)(vi), and received from any one contributor, during the year, a contribution of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h or (ii) Form 990-EZ, line 1. Complete Parts

I and II.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor, during the year, aggregate contributions of more than $1,000 for use exclusively for religious, charitable, scientific, literary, or educational purposes, or the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor, during the year, contributions for use exclusively for religious, charitable, etc., purposes, but these contributions did not aggregate to more than $1,000. If this box is checked, enter here the total contributions that were received during the

year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule

applies to this organization because it received nonexclusively religious, charitable, etc., contributions of $5,000 or more

during the year   $

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,

990-EZ, or 990-PF), but it must answer "No" on Part IV, line 2 of its Form 990, or check the box on line H of its Form 990-EZ, or on line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions for Form 990, 990-EZ, or 990-PF. Schedule B (Form 990, 990-EZ, or 990-PF) (2010)

JSA

0E1251 1.000

FOR PUBLIC DISCLOSURE Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page of of Part I Name of organization Employer identification number

Part I Contributors (see instructions)

(a) (b) (c) (d) No. Name, address, and ZIP + 4 Aggregate contributions Type of contribution

S Person Payroll WS $ Noncash

(Complete Part II if there is a noncash contribution.)

(a) (b) (c) (d) No. Name, address, and ZIP + 4 Aggregate contributions Type of contribution

Person Payroll S $ Noncash

FSF (Complete Part II if there is a noncash contribution.)

(a) (b) (c) (d) No. Name, address, and ZIP + 4 Aggregate contributions Type of contribution

SSaFS Person Payroll SSW $ Noncash

(Complete Part II if there is a noncash contribution.)

(a) (b) (c) (d) No. Name, address, and ZIP + 4 Aggregate contributions Type of contribution

S`S Person Payroll S $ Noncash

S (Complete Part II if there is a noncash contribution.)

(a) (b) (c) (d) No. Name, address, and ZIP + 4 Aggregate contributions Type of contribution

ES Person Payroll `SS $ Noncash

(Complete Part II if there is a noncash contribution.)

(a) (b) (c) (d) No. Name, address, and ZIP + 4 Aggregate contributions Type of contribution

SW` Person Payroll FSW $ Noncash

E (Complete Part II if there is a noncash contribution.)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010) JSA

0E1253 1.000

FOR PUBLIC DISCLOSURE Schedule B (Form 990, 990-EZ, or 990-PF) (2010) Page of of Part I Name of organization Employer identification number

Part I Contributors (see instructions)

(a) (b) (c) (d) No. Name, address, and ZIP + 4 Aggregate contributions Type of contribution

F Person Payroll SSW $ Noncash

S (Complete Part II if there is a noncash contribution.)

(a) (b) (c) (d) No. Name, address, and ZIP + 4 Aggregate contributions Type of contribution

WS Person Payroll SSS $ Noncash

SSW (Complete Part II if there is a noncash contribution.)

(a) (b) (c) (d) No. Name, address, and ZIP + 4 Aggregate contributions Type of contribution

SW Person Payroll $ Noncash

S (Complete Part II if there is a noncash contribution.)

(a) (b) (c) (d) No. Name, address, and ZIP + 4 Aggregate contributions Type of contribution

` Person Payroll S $ Noncash

S (Complete Part II if there is a noncash contribution.)

(a) (b) (c) (d) No. Name, address, and ZIP + 4 Aggregate contributions Type of contribution

Person Payroll $ Noncash

(Complete Part II if there is a noncash contribution.)

(a) (b) (c) (d) No. Name, address, and ZIP + 4 Aggregate contributions Type of contribution

Person Payroll $ Noncash

(Complete Part II if there is a noncash contribution.)

Schedule B (Form 990, 990-EZ, or 990-PF) (2010) JSA

0E1253 1.000

FOR PUBLIC DISCLOSURE Underpayment of Estimated Tax by Corporations OMB No. 1545-0142 Form 2220  See separate instructions. Department of the Treasury  Internal Revenue Service  Attach to the corporation's tax return. Name Employer identification number

Note: Generally, the corporation is not required to file Form 2220 (see Part II below for exceptions) because the IRS will figure any penalty owed and bill the corporation. However, the corporation may still use Form 2220 to figure the penalty. If so, enter the amount from page 2, line 38 on the estimated tax penalty line of the corporation's income tax return, but do not attach Form 2220. Part I Required Annual Payment

1 Total tax (see instructions)  1

2 a Personal holding company tax (Schedule PH (Form 1120), line 26) included on line 1  2a

b Look-back interest included on line 1 under section 460(b)(2) for completed long-term contracts or section 167(g) for depreciation under the income forecast method  2b

c Credit for federal tax paid on fuels (see instructions)  2c d Total. Add lines 2a through 2c  2d 3 Subtract line 2d from line 1. If the result is less than $500, do not complete or file this form. The corporation does not owe the penalty  3

4 Enter the tax shown on the corporation's 2009 income tax return (see instructions). Caution: If the tax is zero or

the tax year was for less than 12 months, skip this line and enter the amount from line 3 on line 5  4

5 Required annual payment. Enter the smaller of line 3 or line 4. If the corporation is required to skip line 4, enter the amount from line 3  5 Part II Reasons for Filing - Check the boxes below that apply. If any boxes are checked, the corporation must file Form 2220 even if it does not owe a penalty (see instructions). 6 The corporation is using the adjusted seasonal installment method. 7 The corporation is using the annualized income installment method. 8 The corporation is a "large corporation" figuring its first required installment based on the prior year's tax. Part III Figuring the Underpayment (a) (b) (c) (d)

9 Installment due dates. Enter in columns (a) through (d) the 15th day of the 4th (Form 990-PF filers: Use 5th month), 6th, 9th, and 12th months of the corporation's tax year  9 10 Required installments. If the box on line 6 and/or line 7 above is checked, enter the amounts from Schedule A, line 38. If the box on line 8 (but not 6 or 7) is checked, see instructions for the amounts to enter. If none of these boxes are checked, enter

25% of line 5 above in each column  10

11 Estimated tax paid or credited for each period (see instructions). For column (a) only, enter the amount from line 11 on line 15  11 Complete lines 12 through 18 of one column before going to the next column. 12 Enter amount, if any, from line 18 of the preceding column  12

13 Add lines 11 and 12  13

14 Add amounts on lines 16 and 17 of the preceding column  14

15 15 Subtract line 14 from line 13. If zero or less, enter -0-  16 If the amount on line 15 is zero, subtract line 13 from line 14. Otherwise, enter -0-  16 17 Underpayment. If line 15 is less than or equal to line 10, subtract line 15 from line 10. Then go to line 12 of the next column. Otherwise, go to line 18  17 18 Overpayment. If line 10 is less than line 15, subtract line 10 from line 15. Then go to line 12 of the next column 18 Go to Part IV on page 2 to figure the penalty. Do not go to Part IV if there are no entries on line 17 - no penalty is owed.

For Paperwork Reduction Act Notice, see separate instructions. Form 2220 (2010)

JSA 0X8006 2.000

FOR PUBLIC DISCLOSURE Form 2220 (2010) Page 2

Part IV Figuring the Penalty (a) (b) (c) (d) 19 Enter the date of payment or the 15th day of the 3rd month after the close of the tax year, whichever is earlier (see instructions). (Form 990-PF and Form 990-T filers: Use 5th month instead of 3rd month.)  19 20 Number of days from due date of installment on line 9 to the date shown on line 19  20

21 Number of days on line 20 after 4/15/2010 and before 7/1/2010 21

22 Underpayment on line 17 x Number of days on line 21 x 4% 22 365

23 Number of days on line 20 after 6/30/2010 and before 10/1/2010 23

24 Underpayment on line 17 x Number of days on line 23 x 4% 24 365 25 Number of days on line 20 after 9/30/2010 and before 1/1/2011 25

26 Underpayment on line 17 x Number of days on line 25 x 4% 26 365

27 Number of days on line 20 after 12/31/2010 and before 4/1/2011 27

28 Underpayment on line 17 x Number of days on line 27 x 3% 28 365 29 Number of days on line 20 after 3/31/2011 and before 7/1/2011 29

30 Underpayment on line 17 x Number of days on line 29 x *% 30 365

31 Number of days on line 20 after 6/30/2011 and before 10/1/2011 31

32 Underpayment on line 17 x Number of days on line 31 x *% 32 365 33 Number of days on line 20 after 9/30/2011 and before 1/1/2012 33

34 Underpayment on line 17 x Number of days on line 33 x *% 34 365 35 Number of days on line 20 after 12/31/2011 and before 2/16/2012 35

36 Underpayment on line 17 x Number of days on line 35 x *% 36 366

37 Add lines 22, 24, 26, 28, 30, 32, 34, and 36  37 38 Penalty. Add columns (a) through (d) of line 37. Enter the total here and on Form 1120, line 33; or the comparable line for other income tax returns  38 *Use the penalty interest rate for each calendar quarter, which the IRS will determine during the first month in the preceding quarter. These rates are published quarterly in an IRS News Release and in a revenue ruling in the Internal Revenue Bulletin. To obtain this information on the Internet, access the IRS website at www.irs.gov. You can also call 1-800-829-4933 to get interest rate information.

Form 2220 (2010)

JSA 0X8007 2.000

FOR PUBLIC DISCLOSURE Form 2220 (2010) Page 4 Part II Annualized Income Installment Method (a) (b) (c) (d) First First First First 20 Annualization periods (see instructions)  20 months months months months 21 Enter taxable income for each annualization period (see instructions for the treatment of extraordinary items)  21

22 Annualization amounts (see instructions)  22 23 a Annualized taxable income. Multiply line 21 by line 22  23a

 23b b Extraordinary items (see instructions)

c Add lines 23a and 23b  23c 24 Figure the tax on the amount on line 23c using the instructions for Form 1120, Schedule J, line 2 (or comparable line of corporation's return)  24 25 Enter any alternative minimum tax for each payment period (see instructions)  25

26 Enter any other taxes for each payment

period (see instructions)  26

27 Total tax. Add lines 24 through 26  27 28 For each period, enter the same type of credits as allowed on Form 2220, lines 1 and 2c (see instructions)  28 29 Total tax after credits. Subtract line 28 from line 27. If zero or less, enter -0-  29

30 Applicable percentage 30 25% 50% 75% 100%

31 Multiply line 29 by line 30  31

Required Installments Part III Note: Complete lines 32 through 38 of one 1st 2nd 3rd 4th column before completing the next column. installment installment installment installment 32 If only Part I or Part II is completed, enter the amount in each column from line 19 or line 31. If both parts are completed, enter the smaller of the amounts in each column from line 19 or line 31 32

33 Add the amounts in all preceding columns of line 38 (see instructions)  33

34 Adjusted seasonal or annualized income installments. Subtract line 33 from line 32. If zero or less, enter -0-  34 35 Enter 25% of line 5 on page 1 of Form 2220 in each column. Note: "Large corporations," see the instructions for line 10 for the amounts to enter  35

36 Subtract line 38 of the preceding column

from line 37 of the preceding column  36

37 Add lines 35 and 36  37 38 Required installments. Enter the smaller of line 34 or line 37 here and on page 1 of Form 2220, line 10 (see instructions)  38 Form 2220 (2010)

JSA 0X8009 2.000

FOR PUBLIC DISCLOSURE BILL & MELINDA GATES FOUNDATION EIN #56-2618866 2010 FORM 990-PF

INDEX OF ATTACHMENT S

ATTACHMENT 1 PART I - OTHER INCOME

ATTACHMENT 2 PART I - LEGAL FEES

ATTACHMENT 3 PART I - ACCOUNTING FEES

ATTACHMENT 4 PART I - OTHER PROFESSIONAL FEES

ATTACHMENT 5 PART I - TAXES

ATTACHMENT 6 PART I - OTHER EXPENSES

ATTACHMENT 7 PART II - INVESTMENTS - LAND, BUILDINGS, EQUIPMENT

ATTACHMENT 8 PART II - OTHER INVESTMENTS

ATTACHMENT 9 PART I - DEPRECIATION EXPENSE & PART II - LAND, BUILDINGS, EQUIPMENT NOT HELD FOR INVESTMENT

ATTACHMENT 10 PART II - OTHER ASSETS

ATTACHMENT 11 PART III - OTHER INCREASES IN NET WORTH OR FUND BALANCES

ATTACHMENT 12 PART VII-A - LIST OF FOREIGN COUNTRIES

ATTACHMENT 13 PART VII-B - EXPENDITURE RESPONSIBILITY STATEMENT

ATTACHMENT 14 PART VIII - LIST OF OFFICERS, DIRECTORS, AND TRUSTEES

ATTACHMENT 15 PART VIII - COMPENSATION OF FIVE HIGHEST PAID EMPLOYEES

ATTACHMENT 16 PART VIII - COMPENSATION OF FIVE HIGHEST PAID PROFESSIONALS

ATTACHMENT 17 PART XV - NAME, ADDRESS AND PHONE FOR APPLICATIONS

ATTACHMENT 18 PART XV - RESTRICTIONS OR LIMITATIONS ON AWARDS

ATTACHMENT 19 PART XV - GRANTS AND CONTRIBUTIONS PAID DURING THE YEAR

ATTACHMENT 20 PART XV - GRANTS APPROVED FOR FUTURE PAYMENT

ATTACHMENT 21 PART XVI-A - ANALYSIS OF OTHER REVENUE

ATTACHMENT 22 PART IX-A - SUMMARY OF DIRECT CHARITABLE ACTIVITIES

ATTACHMENT 23 PART IX-B - SUMMARY OF PROGRAM-RELATED INVESTMENTS

ATTACHMENT 24 PART XIII, LINE 7 - AMOUNTS TREATED AS QUALIFYING DISTRIBUTIONS OUT OF CORPUS

PART VIII - INFORMATION ABOUT OFFICERS, DIRECTORS, TRUSTEES, FOUNDATION MANAGERS, ATTACHMENT 25 HIGHLY PAID EMPLOYEES, AND CONTRACTORS ATTACHMENT 26 FORM 4562

INDEX 2010 FORM 990-PF

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BILL&MELINDAGATESFOUNDATION 562618866 INVESTMENTSLAND,BUILDINGS,EQUIPMENT ATTACHMENT7

FIXEDASSETDETAIL ACCUMULATEDDEPRECIATIONDETAIL

BEGINNING BEGINNING ASSETDESCRIPTIONBALANCE ADDITIONS DISPOSALS ENDINGBALANCEBALANCE ADDITIONS DISPOSALS ENDINGBALANCE CIPLAND 75,605,527 398,862 76,004,389 0 0

TOTALS 75,605,527 76,004,389 0 0

ATTACHMENT7 FOR PUBLIC DISCLOSURE

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BILL&MELINDAGATESFOUNDATION 562618866 LAND,BUILDINGS,EQUIPMENTNOTHELDFORINVESTMENT ATTACHMENT9

FIXEDASSETDETAIL ACCUMULATEDDEPRECIATIONDETAIL

BEGINNING BEGINNING ASSETDESCRIPTIONBALANCE ADDITIONS DISPOSALSENDINGBALANCE BALANCE ADDITIONS DISPOSALS ENDINGBALANCE EQUIPMENT 57,510,916 4,358,689 (2,263,669) 59,605,936 16,433,674 12,460,851 (2,263,669) 26,630,856 LAND 21,320,328 21,320,328 LHIMPROVEMENTS 59,821,646 1,005,003 (23,833) 60,802,816 36,466,547 9,640,952 (23,833) 46,083,666

FURNITURE/FIXTURES 7,974,747 44,328 8,019,075 5,785,735 878,543 6,664,278 CIPIRIS&FDN 261,280,901 255,435,718 516,716,619

TOTALFIXEDASSETS,PARTII,LINE14 407,908,538 666,464,774 58,685,956 79,378,800

TOTALDEPRECIATIONEXPENSE,PARTI,LINE19 22,980,346

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FOR PUBLIC DISCLOSURE Depreciation and Amortization OMB No. 1545-0172 Form 4562 (Including Information on Listed Property)  Department of the Treasury Attachment Internal Revenue Service (99) See separate instructions. Attach to your tax return. Sequence No. 67 Name(s) shown on return Identifying number

Business or activity to which this form relates

SS Part I Election To Expense Certain Property Under Section 179 Note: If you have any listed property, complete Part V before you complete Part I. 1 Maximum amount (see instructions)  1 2 Total cost of section 179 property placed in service (see instructions)  2

3 Threshold cost of section 179 property before reduction in limitation (see instructions)  3

4 Reduction in limitation. Subtract line 3 from line 2. If zero or less, enter -0-  4 5 Dollar limitation for tax year. Subtract line 4 from line 1. If zero or less, enter -0-. If married filing separately, see instructions 5 6 (a) Description of property (b) Cost (business use only) (c) Elected cost

7 Listed property. Enter the amount from line 29  7 8 Total elected cost of section 179 property. Add amounts in column (c), lines 6 and 7  8 9 Tentative deduction. Enter the smaller of line 5 or line 8  9

10 Carryover of disallowed deduction from line 13 of your 2009 Form 4562  10

11 Business income limitation. Enter the smaller of business income (not less than zero) or line 5 (see instructions) 11  12 Section 179 expense deduction. Add lines 9 and 10, but do not enter more than line 11 12 13 Carryover of disallowed deduction to 2011. Add lines 9 and 10, less line 12  13 Note: Do not use Part II or Part III below for listed property. Instead, use Part V. Part II Special Depreciation Allowance and Other Depreciation (Do not include listed property. ) (See instructions.) 14 Special depreciation allowance for qualified property (other than listed property) placed in service during the tax year (see instructions)  14 15 Property subject to section 168(f)(1) election  15

16 Other depreciation (including ACRS)  16

Part III MACRS Depreciation (Do not include listed property. ) (See instructions.)

Section A 17 MACRS deductions for assets placed in service in tax years beginning before 2010  17 18 If you are electing to group any assets placed in service during the tax year into one or more general asset accounts, check here   Section B - Assets Placed in Service During 2010 Tax Year Using the General Depreciation System (b) Month and year (c) Basis for depreciation (d) Recovery (a) Classification of property placed in (business/investment use (e) Convention (f) Method (g) Depreciation deduction service only - see instructions) period 19a 3-year property b 5-year property

c 7-year property

d 10-year property e 15-year property f 20-year property g 25-year property 25 yrs. S/L h Residential rental 27.5 yrs. MM S/L property 27.5 yrs. MM S/L

i Nonresidential real 39 yrs. MM S/L

property MM S/L

Section C - Assets Placed in Service During 2010 Tax Year Using the Alternative Depreciation System 20a Class life S/L b 12-year 12 yrs. S/L c 40-year 40 yrs. MM S/L Part IV Summary (See instructions.) 21 Listed property. Enter amount from line 28  21 22 Total. Add amounts from line 12, lines 14 through 17, lines 19 and 20 in column (g), and line 21. Enter here and on the appropriate lines of your return. Partnerships and S corporations - see instructions  22

23 For assets shown above and placed in service during the current year, enter the

portion of the basis attributable to section 263A costs  23 JSA For Paperwork Reduction Act Notice, see separate instructions. Form 4562 (2010) 0X2300 3.000

FOR PUBLIC DISCLOSURE Form 4562 (2010) Page 2 Part V Listed Property (Include automobiles, certain other vehicles, certain computers, and property used for entertain- ment, recreation, or amusement.) Note: For any vehicle for which you are using the standard mileage rate or deducting lease expense, complete only 24a, 24b, columns (a) through (c) of Section A, all of Section B, and Section C if applicable.

Section A - Depreciation and Other Information (Caution: See the instructions for limits for passenger automobiles.)

24a Do you have evidence to support the business/investment use claimed? Yes No 24b If "Yes," is the evidence written? Yes No (e) (a) (b)(c) (f) (g) (h) (i) Business/ (d) Basis for depreciation Type of property (list Date placed in Recovery Method/ Depreciation Elected section investment use Cost or other basis (business/investment vehicles first) service period Convention deduction 179 cost percentage use only) 25 Special depreciation allowance for qualified listed property placed in service during the tax year and used more than 50% in a qualified business use (see instructions)  25 26 Property used more than 50% in a qualified business use: % %

27 Property used 50% or less in a qualified business use: % S/L - % S/L - % S/L - 28 Add amounts in column (h), lines 25 through 27. Enter here and on line 21, page 1  28 29 Add amounts in column (i), line 26. Enter here and on line 7, page 1  29

Section B - Information on Use of Vehicles

Complete this section for vehicles used by a sole proprietor, partner, or other "more than 5% owner," or related person. If you provided vehicles to your employees, first answer the questions in Section C to see if you meet an exception to completing this section for those vehicles.

(a) (b) (c) (d) (e) (f) 30 Total business/investment miles driven Vehicle 1 Vehicle 2 Vehicle 3 Vehicle 4 Vehicle 5 Vehicle 6 during the year (do not include commuting miles)  31 Total commuting miles driven during the year  32 Total other personal (noncommuting) miles driven 

33 Total miles driven during the year. Add

lines 30 through 32 

Yes No Yes No Yes No Yes No Yes No Yes No 34 Was the vehicle available for personal use during off-duty hours?  35 Was the vehicle used primarily by a more than 5% owner or related person?  36 Is another vehicle available for personal use?  Section C - Questions for Employers Who Provide Vehicles for Use by Their Employees

Answer these questions to determine if you meet an exception to completing Section B for vehicles used by employees who are not more than 5% owners or related persons (see instructions).

37 Do you maintain a written policy statement that prohibits all personal use of vehicles, including commuting, by Yes No your employees?  38 Do you maintain a written policy statement that prohibits personal use of vehicles, except commuting, by your employees? See the instructions for vehicles used by corporate officers, directors, or 1% or more owners  39 Do you treat all use of vehicles by employees as personal use?  40 Do you provide more than five vehicles to your employees, obtain information from your employees about the use of the vehicles, and retain the information received? 

41 Do you meet the requirements concerning qualified automobile demonstration use? (See instructions.) 

Note: If your answer to 37, 38, 39, 40, or 41 is "Yes," do not complete Section B for the covered vehicles.

Part VI Amortization (e) (b) (a) (c) (d) Amortization (f) Date amortization Description of costs Amortizable amount Code section period or begins Amortization for this year percentage 42 Amortization of costs that begins during your 2010 tax year (see instructions):

43 Amortization of costs that began before your 2010 tax year  43

44 Total. Add amounts in column (f). See the instructions for where to report  44 JSA 0X2310 4.000 Form 4562 (2010)

FOR PUBLIC DISCLOSURE