manchester family life foundation 350 camino de la … · 09/05/2013 · 02 form 990-pf (2011)...

7(

Form 990-PFDepartment of the TreasuryInternal Revenue Service

Return of Private Foundationor Section 4947(a)(1) Nonexempt Charitable Trust

Treated as a Private FoundationNote. The foundation may be able to use a copy of this return to satisfy state reporting requirements.

OMB No 1545-0052

2011For calendar year 2011 or tax year beginning A P R 1 , 2 0 1 1 , and ending M A R 3 1 , 2 0 1 2Name of foundation

MANCHESTER FAMILY L I F E FOUNDATION

A Employer identification number

33-0416002N u mb e r a nd s tr ee t (or P 0 box number if mail is not delivered to street address)

350 CAMINO DE L A REINARoom/suite B Telephone number

619-293 -1109City or town, state, and ZIP codeSAN DIEGO, C A 9 2 1 0 8

C I f exemption apphcatton Is pending, check here O w I I

D 1. Foreign organizations, check here 11104 I

Foreign organizations meeting the 85% test,2. check here and attach computation 1 01' •E If private foundation status was terminatedunder section 507(b)(1)(A), check here 00.1 I

F If the foundation is in a 60-month terminationunder section 507(b)(1) B), check here t o - I I

G Check all that apply: I I Initial return I I Initial return of a former public charityFinal return A m e n d e d return

L x i Address change N a m e changeH Check type of organization: L y i Section 501(c)(3) exempt private foundationLIII Section 4947(a)(1) nonexempt charitable trust I I Other taxable private foundation

I Fair market value of all assets at end of year(from Part II, col. (c), line 16)

$ 1 , 0 9 0 , 4 8 7 .

J Accounting method L x i Cash I I AccrualI I Other (specify)

(Part!, column (d) must be on cash basis.)I P a r t I I Analysis of Revenue and Expenses (a) Revenue andexpenses per books (b) Net investmentincome (c) Adjusted netincome

(d) Disbursementsfor charitable purposes

(cash basis only)(The total of amounts in columns (b), (c), and (d) may notnecessarily equal the amounts in column (a))

1

,131

5cT.

- -i ttnUEg,r4-,

n

1 Contributions, gifts, grants, etc., received2 C h e c k Ile. r i the foundation is not required tooting Sc) B

interest s a v i n g s irgs and temporary

4 Dividends and interest from securities5a Gross rents .

b Net rental income Or foss)

4 6 9 , 0 8 7 . N / A

89. 89.11 , 0 7 4 . 11 , 0 7 4 .

6a Net gain or (loss) from sate of assets not on line 10

, Gross sales once for ail 1 1 9 , 5 3 6 .u assets on line 8a

- 1 , 7 5 5 .

7 Cap i t a l gain net income (from

8 Net short-term capital gain9 Income modifications

, G r o s s sales less returns10a and allowances

b Less Cost of goods sold

Part IV, line 2)

.0 •

-

c Gross profit or (loss)11 Other income12 Total. Add lines 1 through 11

- 3 , 3 9 9 . - 3 , 3 9 9 .4 7 5 , 0 9 6 . 7 , 7 6 4 .

COISca1 11

g!fat i1).cEv<vcto1:1)

c-rT,

00.0

13 Compensation of officers, directors, trustees, etc

14 Other employee salaries and wages15 Pension plans, employee benefits16a Legal fees

0 • 0 • 0 •

b A c e 4 u n t i n g t r al c gC Othr profe17 Inte est

18 TaxIsto:1 W19 Dep ecialion

s W E D, - - - - - _ — _ - - - 0_coFEB11 9 71113and depletion—

cechCC

236 . 0. 0.

20 Occ pancyn21 T r a l l , conleA

17-1„-c-tk i t IT

loILAWriVexinY 122 Printing and publications23 Other expenses24 Total operating and administrative

expenses. Add lines 13 through 2325 Contributions, gifts, grants paid26 Total expenses and disbursements.

Add lines 24 and 25

5 , 7 6 9 . 5 , 7 6 9 . 0.

6 , 0 0 5 . 5 , 7 6 9 . 0.275 ,000 . 275 ,000 .

2 8 1 , 0 0 5 . 5 , 7 6 9 . 275 ,000 .27 Subtract line 26 from line 12:

a Excess of revenue over expenses and chsbursernents

b N e t investment income (if negative, enter -0-)

c Ad jus ted ne t income (if negative, enter -0-)

_1 9 4 , 0 9 1 .

, 1 , 9 9 5 .N / A

a

12350112-02-11 L H A For Paperwork Reduction Act Notice, see instructions. Form 990-PF (2011)

Part III I

Form 990-PF (2011) M A N C H E S T E R FA M I LY L I F E FOUNDATION 3 3 - 0 4 1 6 0 0 2 P a g e 2Beginning of year End of yearP

art II I Balance Sheets ::endsneldflubl===="

(a) Book Value (b) Book Value (c) Fair Market Value

8 7 2 , 7 3 6 .

coo00<

1 Cash - non-interest-bearing2 Savings and temporary cash investments3 Accounts receivable 0,

2 1 9 4 , 0 9 1 .

6 , 4 0 3 . 2 0 , 1 6 8 . 2 0 , 1 6 8 .

2 3 , 6 6 0 .

Less: allowance for doubtful accounts 0 '4 Pledges receivable 0,

4 1 0 9 0 , 4 8 7 .

Less: allowance for doubtful accounts * -5 Grants receivable6 Receivables due from officers, directors, trustees, and other

disqualified persons7 Other notes and loans receivable l o t

5 O.6 Total net assets or fund balances at end of year (line 4 minus line 5) - Part II, column (b), line 30 6 1 1 090I 487 .

Less: allowance for doubtful accounts i-8 Inventories for sale or use

9 Prepaid expenses and deferred charges10a Investments - U.S. and state government obligations

b Investments - corporate stockc Investments - corporate bonds

11 Invedmnts-land,bufldfts,aMeemmritMsis P o '

Less accumulated depredaton O l o t12 Investments - mortgage loans .13 Investments - other S T M T 714 Land, buildings, and equipment basis il•

8 6 6 , 3 3 3 . 1 , 0 7 0 , 3 1 9 . 1 , 0 7 0 , 3 1 9 -

Less accumulated depredator'

15 Other assets (describe 0, )16 Tota l assets (to be completed by all filers) 8 7 2 , 7 3 6 . 1 , 0 9 0 , 4 8 7 . 1 , 0 9 0 , 4 8 7 .

0o

Icial•=1

17 Accounts payable and accrued expenses18 Grants payable19 Deferred revenue .2 0 L o a n s from officers, directors, t rus tees, and other d isqual i f ied persons

21 Mortgages and other notes payable22 Other liabilities (describe 110- )

.23 Total liabilities (add lines 17 through 22) 0 . 0 .

w00cco713CO-0c3LI.tfl„••••gLa<-2

Foundations that follow SFAS 117, check here 0- L I Iand complete lines 24 through 26 and lines 30 and 31.

24 Unrestricted25 Temporarily restricted26 Permanently restricted

Foundations that do not follow SFAS 117, check here I X I

0 . 0 .and complete lines 27 through 31.

27 Capital stock, trust principal, or current funds28 Paid-in or capital surplus, or land, bldg., and equipment fund29 Retained earnings, accumulated income, endowment, or other funds30 Total net assets or fund balances ,

31 Total liabilities and net assets/fund balances

0 • 0 .8 7 2 , 7 3 6 . 1 , 0 9 0 , 4 8 7 .8 7 2 , 7 3 6 . 1 , 0 9 0 , 4 8 7 .

8 7 2 , 7 3 6 . 1 , 0 9 0 , 4 8 7 .

1 Tota l 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 years return) 1 8 7 2 , 7 3 6 .

2 Enter amount from Part I, line 27a 2 1 9 4 , 0 9 1 .3 Other increases not included in line 2 (itemize) S E E S T A T E M E N T 6 3 2 3 , 6 6 0 .4 A d d lines 1, 2, and 3 4 1 0 9 0 , 4 8 7 .5 Decreases not included in line 2 (itemize) 5 O.6 Total net assets or fund balances at end of year (line 4 minus line 5) - Part II, column (b), line 30 6 1 1 090I 487 .

12351112-02 -11

Analysis of Changes in Net Assets or Fund Balances

Form 990-PF (2011)

21 7 3 7 0 2 1 0 7 5 6 1 7 9 3 3 1 4 1 - 0 3 4 2 0 1 1 . 0 5 0 2 0 MANCHESTER FA M I LY L I F E FOUN 3 3 1 4 1 - 0 2

Form 990-PF ( 2 0 11 ) MANCHES TER FAMILY LIFE FOUNDAT I ON

Part IV Capi ta l Gains and Losses for Tax on Investment income(a) List and describe the kind(s) of property sold (e.g., real estate,2-story brick warehouse; or common stock, 200 shs. MLC Co.)

(b) How acquired - PurchasePD - Donation

(c) Date acquired(mil, day, yr.)

(d) Date sold(mu, day, yr.)

la F R O M L A J O L L A PA R T N E R S , L P

424 ,764 . 8 7 , 0 2 6 . 4 .880886

b F R O M L A J O L L A PA R T N E R S , L P

0 . 11 9 , 3 6 4 . .000000

c 4 , 4 0 0 SHS; ISHARES MSCI CDA INDX FD P 0 4 / 2 2 / 1 0 1 0 / 1 4 / 11d

0 . 4 2 3 , 1 0 5 . .000000

e

0 . 3 9 7 , 1 7 6 . .000000

(e) Gross sales price (f) Depreciation allowed(or allowable)

(9) Cost or other basisplus expense of sale

(h) Gain or (loss)(e) plus (f) minus (g)

a

1 . 1 4 4 2 7 5

4 Enter the net value of nonchantable-use assets for 2011 from Part X, line 5

- 4 , 6 7 7 .b

5 Multiply line 4 by line 3 5

9 , 5 3 4 .c 1 1 9 , 5 3 6 .

6

1 2 6 , 1 4 8 . - 6 , 6 1 2 .d

13 ,266 .

8 Enter qualifying distributions from Part XII, line 4 8

eComplete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (I) Gains (Col. (h) gain minus

col. (k), but not less than -0-) orLosses (from col. ( ))(i) F.M.V. as of 12/31/69

(j) Adjusted basisas of 12/31/69

(k) Excess of col. 0)over col. (j), if any

a — 4 , 5 7 7 .b 9 , 5 3 4 .c - 6 , 6 1 2 .de

2 Capital gain net income or (net capital loss)

3 Ne t short-term capital gain or (loss) as defined in sectionsIf gain, also enter in Part I, line 8 column (c).

. I f (loss), enter -0- in Part I line 8

It gain, also enter in Part I, line 7If (loss), enter -0- in Part I, line 7 )

1222(5) and (6):

)

2 - 1 , 7 5 5 .

3 N / A

(a)Base period years

Calendar year (or tax year beginning in)(b)

Adjusted qualifying distributions(c)

Net value of nonchantable-use assets(d)Distribution ratio

(col. (b) divided by col. (c))2010 424 ,764 . 8 7 , 0 2 6 . 4 .8808862009 0 . 11 9 , 3 6 4 . .0000002008 2 9 9 , 8 3 7 . 3 5 6 , 7 4 2 . .8404872007 0 . 4 2 3 , 1 0 5 . .0000002006 0 . 3 9 7 , 1 7 6 . .000000

2 To ta l of hoe 1, column (d) 2 5.7213733 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 1 . 1 4 4 2 7 5

4 Enter the net value of nonchantable-use assets for 2011 from Part X, line 5 4 11 , 5 7 6 .

5 Multiply line 4 by line 3 5 13 ,246 .

6 Enter 1% of net investment income (1*/0 of Part I, line 27b) 6 20.

7 A d d lines 5 and 6 7 13 ,266 .

8 Enter qualifying distributions from Part XII, line 4 8 2 7 5 , 0 0 0 .0 .

Part V I 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?If 'Yes," the foundation does not qualify under section 4940(e). Do not complete this part1 En te r the appropriate amount in each column for each year; see instructions before making any entries.

If line 8 is equal to or greater than line 7, check the box in Part VI, line l b ,-a n d c o m p l e t e t h a t p a r t u s i n g a 1 % t a x r a t e .

See the Part VI instructions.123521 1 2 - 0 2 - 11

17370210 7 5 6 1 7 9 3 3 1 4 1 - 0 3 4

3 3 - 0 41 6 0 0 2 P a g e 3

Yes I X I No

Form 990 -PF (2011)3

2 0 1 1 . 0 5 0 2 0 M A N C H E S T E R F A M I L Y L I F E F O U N 3 3 1 4 1-0 2

Form 990-PF (2011) M A N C H E S T E R F A M I LY L I F E FOUNDATIONI Part VI I Excise Tax Based on Investment Income (Section 4940(a), 4940(3), 4940(e), or 4948 - see instruction

la Exempt operating foundations described in section 4940(d)(2), check here 110- a n d enter 'N/A • on line 1.Date of ruling or determination letter: ( a t t a c h copy of letter if necessary-see instructions)

b Domestic foundations that meet the section 4940(e) requirements in Part V, check here I X I and enter 1Q/0of Part I, line 27b

c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4c/0 of Part I, line 12, col. (b). ,2 Ta x un d e r s e c ti o n 5 11 ( do me st i c sec ti on 4947 (a )( 1) trusts and taxable foundations only. Others enter -0-)

3 A d d lines 1 and 24 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)5 Ta x based on investment income. Subtract line 4 from line 3. If zero or less, enter -0-6 Credits/Payments:a 2011 estimated tax payments and 2010 overpayment credited to 2011 6 ab Exempt foreign organizations tax withheld at sourcec Tax paid with application for extension of time to file (Form 8868)d Backup withholding erroneously withheld

7 Tota l credits and payments. Add lines 6a through 6d8 Enter any penalty for underpayment of estimated tax. Check here I I if Form 2220 is attached

I Part VII-A 1

6b6c6d

1 Refunded'

3 3 - 0 4 1 6 0 0 2 P a g e 4

1

2345

7891011

la During the tax year, did the foundation attempt to influence any national, state, or local legislation or did it participate or intervene inany political campaign'?

b Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see instructions for definition)?If the answer is 'Yes' to la or I b, attach a detailed description of the activities and copies of any materials published ordistributed by the foundation in connection with the activities.

c Did the foundation file Form 1120-POL for this year'?d Enter the amount Of any) of tax on political expenditures (section 4955) imposed during the year

(1) On the foundation. OP- $ 0 ( 2 ) On foundation managers. Po. $ 0e Enter the reimbursement Of any) paid by the foundation during the year for political expenditure tax imposed on foundation

managers. 01- $ 02 Has the foundation engaged in any activities that have not previously been reported to the IRS?

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 changes4a Did the foundation have unrelated business gross income of $1,000 or more during the year?b I f 'Yes, has it filed a tax return on Form 990-T for this year'?

5 Wa s there a liquidation, termination, dissolution, or substantial contraction during the year?If "Yes,' attach the statement required by General Instruction T.

6 A r e 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'?7 D i d 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.8a Enter the states to which the foundation reports or with which it is registered (see instructions) 10-

CAb I f 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 explanation9 I s the foundation claiming status as a private operating foundation within the meaning of section 4942(i)(3) or 4942(l)(5) for calendar

year 2011 or the taxable year beginning in 2011 (see instructions for Part XIV)? If "Yes,' complete Part XIV10 D i d any persons become substantial contributors during the tax year? If 'Yes,' a t t a c h a s c h e d u l e l i s t i n g t h e i r n a m e s a n d a d d r e s s e s

N / A

lalb

lc

2

34a4b5

67

8b

910

Yes

12353112-02-11

9 Ta x due. If the total of lines 5 and 8 is more than line 7, enter amount owed10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid11 Enter the amount of line 10 to be: Credited to 2012 estimated tax

Statements Regarding Activities

s)

2 0 .

o.2 0 .

02 0 .

0

2 0 .

NoXX

X

Form 990 -PF (2011)

41 7 3 7 0 2 1 0 7 5 6 1 7 9 3 3 1 4 1 - 0 3 4 2 0 1 1 . 0 5 0 2 0 MANCHESTER F A M I LY L I F E FOUN 3 3 1 4 1 - 0 2

12354112-02-11

Form 990-PF (2011) M A N C H E S T E R FA M I LY L I F E FOUNDATION 3 3 - 0 4 1 6 0 0 2 P a g e 5Part VII-A I Statements Regarding Activities (continued)11 A t any time during the year, did the foundation, directly or indirectly, own a controlled entity within the meaning of

section 512(b)(13)9 I f ' Y e s : a t t a c h s c h e du l e ( se e i n s t ru c t io n s ) 11

12 D i d the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had advisory privileges?If 'Yes: attach statement (see instructions)

13 D i d the foundation comply with the public inspection requirements for its annual returns and exemption application?Website address Po- N / A

14 The books are in care of llow R I C H A R D V . G I B B O N SLocated at OP- 350 CAMINO DE L A R E I N A , S A N D I E G O , C A

15 Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 - Check hereand enter the amount of tax-exempt interest received or accrued during the year I 15

16 A t any time during calendar year 2011, did the foundation have an interest in or a signature or other authority over a bank,securities, or other financial account in a foreign country?See the instructions for exceptions and filing requirements for Form ID F 90-22.1. If "Yes: enter the name of the foreign

Telephone no. ( 6 1 9 ) 2 9 3 - 1 1 0 9z1144 Ob.92108

had not been removed from jeopardy before the first day of the tax year beginning in 20119

1

16

lb

lc

2b

3b4a

4b

N / ANoYes

Yes

country OP-I Part 1/11-B I Statements Regarding Activities for Which Form 4720 May Be Required

11 Yes L2L1 No

I = Yes L x i Non Yes L x i No177I Yes l id No

File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.la 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?(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)

a disqualified person?(3) Furnish goods, services, or facilities to (Or accept them from) a disqualified person?(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)? I I Yes L x J 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 aftertermination of government service, if terminating within 90 days.) n Yes L x . I No

b If any answer is 'Yes' to la(1)-(6), did any of the acts fail to qualify under the exceptions described in Regulationssection 53.4941(d)-3 or in a current notice regarding disaster assistance (see instructions)? N / AOrganizations 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 la, other than excepted acts, that were not correctedbefore the first day of the tax year beginning in 201192 Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private operating foundationdefined in section 4942(l)(3) or 4942(l)(5));

a At the end of tax year 2011, did the foundation have any undistributed income (lines 6d and 6e, Part XIII) for tax year(s) beginningbefore 2011? I = 1 Yes L x i NoIf 'Yes: list the yearsi

b Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2) (relating to incorrectvaluation of assets) to the year's undistributed income? (If applying section 4942(a)(2) to all years listed, answer 'No" and attachstatement - see instructions.) N / A

c I f 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 timeduring the year?

b If "Yes: did it have excess business holdings in 2011 as a result of (1) any purchase by the foundation or disqualified persons afterMay 26, 1969; (2) the lapse of the 5-year period (or longer period approved by the Commissioner under section 4943(c)(7)) to disposeof 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 2011) N / A

4a Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?b Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its charitable purpose that

I = 1 Yes [ x i No

1213

XForm 990 -PF (2011)

Form 990-PF (20111 M A N C H E S T E R FA M I LY L I F E FOUNDATION 3 3 - 0 4 1 6 0 0 2[Part VII-B,IStatements 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 L x i No(2) Influence the outcome of any specific public election (see section 4955); or to carry on, directly or indirectly,

any voter registration drive? Y e s L L I No(3) Provide a grant to an individual for travel, study, or other similar purposes? Y e s L x i 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)?(5) Provide for any purpose other than religious, charitable, scientific, literary, or educational purposes, or for

the prevention of cruelty to children or animals?

(a) Name and address(b) Title, and average

hours per week devotedto position

(c) Compensation(If not paid,enter -0-)

(d ) Contributions toemp andmerredplansloyee benefit

compensabon

(e) Expenseaccount, other

allowancesDOUGLAS F . MANCHESTER PRESIDENT AND

0 . 0 0

CHAIRMAN

0. 0 . 0 .350 CAMINO D E L A R E I N ASAN D I E G O , C A 9 2 1 0 8RICHARD V . G IBBONS CFO

0 . 0 0 0 . 0 . 0 .350 CAMINO D E L A R E I N ASAN D I E G O , C A 9 2 1 0 8

(a) Name and address of each employee paid more than $50,000(b) Title, and average

hours per weekdevoted to position

(c) CompensationOlconmnonstoemp oaynededbeetreiciplans

minimisation(e) Expense

account, otherallowances

NONE

5b

6b

lb

b If any answer is "Yee to 5a(1)-(5), did any of the transactions fail to qualify under the exceptions described in Regulationssection 53.4945 or in a current notice regarding disaster assistance (see instructions)?Organizations relying on a current notice regarding disaster assistance check here

c I f the answer is "Yes" to question 5a(4), does the foundation claim exemption from the tax because it maintained

Part VIII

1 L i s t all officers, directors, trustees, foundation managers and their compensation.

Total number of other employees paid over $50,000

12355112-02-11

1 11 1

I

I I Yes

Information About Officers, Directors, Trustees, Foundation Managers, HighlyPaid Employees, and Contractors

2 Compensation of five highest-paid empioyees (other than those included on line 1). If none, enter "NONE."

n Yes N o

_Xi No

N / A

expenditure responsibility for the grant? N / A L I I Yes I I NoIf '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 ona personal benefit contract?

b Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?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?b If Nes • did the foundation receive any proceeds or have any net income attributable to the transaction? N / A

E : ] Yes L x l No

Yes b i d No

0Form 990-PF (2011)


Farri9904T (201I) M A N C H E S T E R FA M I LY L I F E FOUNDATION 3 3 - 0 4 1 6 0 0 2 Pacje7

(a) Name and address of each person paid more than $50,000 (b) Type of service (c) CompensationNONE

2

All other program-related investments. See instructions.3

Total. Add lines 1 through 3 . . 0 .

Total number of others receiving over $50,000 for professional servicesI , P a r t-I X 7 A I S um ma ry of Direct Charitable Activities

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

1 NONE

.

~!

Describe the two largest program-re la ted i n v e s t m e n t s m a d e b y t h e f o u n d a ti o n d u r in g t he t ax y ea r on l i ne s 1 and 2.

AmountI NONE

0 .2

All other program-related investments. See instructions.3

Total. Add lines 1 through 3 . . 0 .

I part vill 1 Information About Officers, Directors, Trustees, Foundation Managers, HighlyP a i d Employees,andContractors(continued)3 Five highest-paid independent contractors for professional services. If none, enter "NONE."

Part IX-B I Summary of Program-Related Investments

1 2 3 58 112-02-11

Form 9 9 0-P F ( 2 0 11 )


Form 990-PHM11) M A N C H E S T E R FA M I LY L I F E FOUNDATION

1 Fair market value of assets not used (or held for use) directly in carrying out charitable, etc., purposes:

2a Tax on investment income for 2011 from Part VI, line 5b Income tax for 2011. (This does not include the tax from Part VI.)c Add lines 2a and 2b

20.

a Average monthly fair market value of securities la O.b Average of monthly cash balances

4

lb 11 , 7 5 2 .c Fair market value of all other assets

7 Distributable amount as adiusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1

lcde

Total (add lines la, b, and c)Reduction claimed for blockage or other factors reported on lines la andlc (attach detailed explanation) l e 1 0

Id 11 , 7 5 2 .

2 Acquisition indebtedness applicable to line 1 assets 2 O.3 Subtract line 2 from line id 3 11 , 7 5 2 .4 Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see instructions) 4 176.5 Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4 5 11 , 5 7 6 .6 Minimum investment return. Enter 5% of line 5 6 579.

1 Minimum investment return from Part X, line 62a Tax on investment income for 2011 from Part VI, line 5b Income tax for 2011. (This does not include the tax from Part VI.)c Add lines 2a and 2b

20.

2c2b

3 Distributable amount before adjustments. Subtract line 2c from line 1 34 Recoveries of amounts treated as qualifying distributions 45 A d d lines 3 and 4 56 Deduction from distributable amount (see instructions) 67 Distributable amount as adiusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1

I Part X I

IPar t )a I

I Part XII I

12357112-02 -11

Min imum Inves tment Return (Al domestic foundations must complete this part. Foreign foundations, see instructions.)

Distr ibutable A m o u n t (see instructions) (Section 4942(l)(3) and (j)(5) private operating foundations and certainforeign organizations check here lio• I I and do not complete this part)

Qualifying Distributions (see instructions)

33-0416002 Page8

1 Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:a Expenses, contributions, gifts, etc. - total from Part I, column (d), line 26b Program-related investments - total from Part IX-B

2 Amounts paid to acquire assets used (Or held for use) directly in carrying out charitable, etc., purposes3 Amounts set aside for specific charitable projects that satisfy the:a Suitability test (prior IRS approval required)b Cash distribution test (attach the required schedule)

4 Qualifying distributions. Add lines la through 3b. Enter here and on Part V, line 8, and Part XIII, line 45 Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment

income. Enter 1% of Part I, line 27b6 Adjusted qualifying distributions. Subtract line 5 from line 4

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 section4940(e) reduction of tax in those years.

lalb2

3a3b4

56

275 0 0 0 .O.

579.

20.559

0559

0559.

275 0 0 0 .

20.274 9 8 0 .

Form 990-PF (2011)

817370210 7 5 6 1 7 9 3 3 1 4 1 - 0 3 4 2 0 1 1 . 0 5 0 2 0 MANCHESTER FAMILY L I F E FOUN 3 3 1 4 1 - 0 2

Form 990-PF (2011) M A N C H E S T E R FAMILY L I F E FOUNDATIONI Part XIII

r 2011 from Part XI,

y. as of the end o f 2011

only

rryover, if any, to 2011:

2 8 2 , 3 2 6 .

4 2 0 , 8 8 5 .hefor 2011 from

275 0 0 0 .a Applied to 2010, but not more than line 2ab Applied to undistributed income of prior

years (Election required - see instructions)c Treated as distributions out of corpus

(Election required - see instructions)d Applied to 2011 distributable amounte Remaining amount distributed out of corpus

ver app l ied to 2011iumn (d), the same amount

(a),)

ach column asindicated below:

a C o r p u s . A d d l ines 3f, 4c. and 4e S u b t r a c t l ine 5

b Prior years' undistributed income. Subtractline 4b from line 2b

c Enter the amount of prior years'undistributed income for which a notice ofdeficiency has been issued, or on whichthe section 4942(a) tax has been previouslyassessed

d Subtract line 6c from line 613. Taxableamount - see instructions

e Undistributed income for 2010. Subtract line4a from line 2a. Taxable amount - see Instr.

1 Undistributed income for 2011. Subtractlines 4d and 5 from line 1. This amount mustbe distributed in 2012

7 Amounts treated as distributions out ofcorpus to satisfy requirements imposed bysection 170(b)(1)(F) or 4942(g)(3)

8 Excess distributions carryover from 2006not applied on line 5 or line 7

9 Excess distributions carryover to 2012.Subtract lines 7 and 8 from line 6a

10 Analysis of line 9:a Excess from 2007b Excess from 2008c Excess from 2009d Excess from 2010e Excess from 2011

2 8 2 , 3 2 6 .

4 2 0 , 8 8 5 .2 7 4 , 4 4 1 .

(a)Corpus

7 0 3 , 2 11 .

0

274 ,441 .0

977 ,652 .

0

0

977 ,652 .

(b)Years prior to 2010

0

0

0

0

0

(c)2010

0

1 Distributable amount fline 7

2 U n d i s t r i b u t e d income, i f an

a Enter amount for 2010b Total for prior years:

3 Excess distributions ca From 2006b From 2007c From 2008d From 2009e From 20101 Total of lines 3a throu

4 Qualifying distributionPart XII, line 4:

5 E x c e s s d is t r ibut ions carryOf a n amount appears in com u s t be shown in co lumn

6 Enter the net total at e

12358112 -02 -11

Undistributed Income (see instructions)33-0416002

(d)2011

559.

0

,Form 990-PF (2011)

917370210 7 5 6 1 7 9 3 3 1 4 1 - 0 3 4 2 0 1 1 . 0 5 0 2 0 MANCHESTER FAMILY L I F E FOUN 3 3 1 4 1 - 0 2

Form 990-PF TO11) M A N C H E S T E R FA M I LY L I F E FOUNDATION

Tax year Prior 3 years(e) Total(a) 2011 (b) 2010 (c) 2009 (d) 2008

P a r t X IV P r i v a t e O p e r a t i n g F o u n d a t i o n s (see instructions and Part VI-A, question 9)1 a I f the foundation has received a ruling or determination letter that it is a private operating

foundation, and the ruling is effective for 2011, enter the date of the rulingb Check box to indicate whether the foundation is a private operating foundation described in section

2 a Enter the lesser of the adjusted netincome from Part I or the minimuminvestment return from Part X foreach year listed

b 85% of line 2ac Qualifying distributions from Part XII,

line 4 for each year listedd Amounts included in line 2c not

used directly for active conduct ofexempt activities

e Qualifying distributions made directlyfor active conduct of exempt activities.Subtract line 2d from line 2c

3 Complete 3a, b, or c for thealternative test relied upon:

a 'Assets' alternative test - enter(1) Value of all assets

(2) Value of assets qualifyingunder section 4942(1)(3)(13)(1)

b 'Endowment' alternative test - enter2/3 of minimum investment returnshown in Part X, line 6 for each yearlisted _ •

c 'Support' alternative test - enter.(1) Total support other than gross

investment income (interest,dividends, rents, payments onsecurities loans (section512(a)(5)), or royalties)

(2) Support from general publicand 5 or more exemptorganizations as provided insection 4942(1)(3)(6)(in)

(3) Largest amount of support froman exempt organizationGross investment income(4)

I Part XV

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:

c Any submission deadlines:

123601 1 2 - 0 2 - 11

1 7 3 7 0 2 1 0 7 5 6 1 7 9 3 3 1 4 1 - 0 3 4

1 1

N / A

4942 3 o r

3 3 - 0 4 1 6 0 0 2 P a g e 10

1 4942 5

Supplementary Information (Complete this part only if the foundation had $5,000 or more in assetsat any time during the year-see instructions.)

1 I n f o r m a t i o n 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).)NONE

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 orother entity) of which the foundation has a 10% or greater interest

NONE2 I n f o r m a t i o n Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:

Check here I X I if the foundation only makes contributions to preselected charitable organizations and does not accept unsolicited requests for funds. Ifthe foundation makes gifts, grants, etc. (see instructions) to individuals or organizations under other conditions, complete items 2a, b, c, and d.

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

Form 9 9 0-P F ( 2 0 11 )

102 0 11 . 0 5 0 2 0 MANCHESTER F A M I LY L I F E FOUN 3 3 1 4 1 - 0 2

F o r m 9 9 0-P F 5 2 0 11) M AN CH ES TE R FAMILY LIFE FOUNDATION

Part XV I Supplementary Information (continued)3 G r a n t s and C o n b-i b u t i o n s P a i d D u r i n g t h e Y e ar o r A p p ro v e d for F ut ur e P ay me nt

Recipient If recipient is an individual,show any relationship toany foundation manageror substantial contributor

Foundationstatus ofrecipient

Purpose of grant orcontribution Amount

Name and address (home or business)

a P a i d during the year

UNITED WAY701 NORTH FA I R FA X STREETALEXANDRIA, V A 2 2 3 1 4

CHARITYORGANIZATION

5 0 1 ( C ) ( 3 ) IMPROVING EDUCATIONAND PROMOTING HEALTHYLIVES. 1 5 0 . 0 0 0 .

WAKE FOREST UNIVERSITY1834 WAKE FOREST ROAD

WINSTON-SALEM, N C 2 7 1 0 6

SCHOOL 5 0 1 ( C ) ( 3 ) FUNDING FORADVANCEMENT PROGRAMSAT WAKE FOREST

UNIVERSITY. 100 0 0 0 .

MOTHER ROSALIE H I L L H A L L SCHOOL OFLEADERSHIP5998 A L C A L A PARK

SAN D I E G O , C A 9 2 11 0

SCHOOL 5 0 1 ( C ) ( 3 ) FUNDING FORADVANCEMENT PROGRAMSAT MOTHER ROSALIE H I L LHALL SCHOOL O F

LEADERSHIP. 2 5 . 0 0 0 .

TOW 01' U

275 0 0 0 .

b Approved for future payment

NONE

Total 0 - n 0.

33-0416002 N e l l

123811 1 2 - 0 2 - 11Form 9 9 0-P F ( 2 0 11 )

1117370210 7 5 6 1 7 9 3 3 1 4 1 - 0 3 4 2 0 1 1 . 0 5 0 2 0 MANCHESTER FA M I LY L I F E FOUN 3 3 1 4 1 - 0 2

Form 990-PF ( 2 0 1 1.) M AN CH ES TE R FAMILY LIFE FOUNDATION

iross amounts unless otherwise indicated.

gram service revenue:

Unrelated business income Excluded by sect ion 512, 513, o r 514 (e)Related or exemptfunction income(a)essBusin

code(b)

AmountE ted t,

7 ,(d)

Amount

Fees and contracts from government agenciesmbership dues and assessments.1rest on savings and temporary cashestmentsidends and interest from securities• rental income or (loss) from real estate:Debt-financed propertyNot debt-financed propertyrental income or (loss) from personal

ipertyler investment income.In or (loss) from sales of assets othern inventory .t income or (loss) from special events)SS profit or (loss) from sales of inventoryter revenue:

523000 89.523000 11 , 0 7 4 . •

523000 - 3 , 3 9 9 .

523000 - 1 , 7 5 5 .

btotal. Add columns (b), (d), and (e) 6 , 0 0 9 . 0. 0.

I Part XVI-AEnter

1 Pra

2 Me3 Int

inv4 Di5 Ne

a

6 Nepr

7 Ot8 Ga

th9 Ne

10 Gr11 CI

a

12 Su13 Total. Add line 12, columns (b), (d), and (e)(See worksheet in line 13 instructions to verify calculations.)

I Part XVI-13- Line No.

1238211 2- 02 -1 1

Analysis of Income-Producing Activities3 3 - 0 4 1 6 0 0 2

Relationship of Activities to the Accomplishment of Exempt Purposes

13

Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to the accomplishment ofthe foundation's exempt purposes (other than by providing funds for such purposes).

NOT APPL ICABLE

1 7 3 7 0 2 1 0 7 5 6 1 7 9 3 3 1 4 1 - 0 3 4

6 , 0 0 9 .

Form 990-PF (2011)12

2011 .05020 MANCHESTER FAMILY L I F E FOUN 3 3 1 4 1 - 0 2

(Wino no

(a) Name of organization (b) Type of organization (c) Description of relationshipN / A

1

a

Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) ofthe Code (other than section 501(0)(3) organizations) or in section 527, relating to political organizations?Transfers from the reporting foundation to a noncharitable exempt organization of:

Yes No

(1) Cash la(1) X

b(2) Other assetsOther transactions:

SignHere

Under penalties f p u r y I declare that have examined this return, including accompanying schedules and statements, and to the best of my knowledgeand belief, it is

I /e, a n d

\

e Declaration of preparer (other than taxpayer) is based on ail information of which preparer g e has any knowled

s 4 A IP) 1)f t /

May the IRS discuss thisreturn with the preparershown below (see instr )?bici Yes I I No_

Signature of officer or tru tee D a t e T i t l e

PaidPrep rerUse Only

Print/Type preparer's name

JOSE PEREZ I I I

Preparer's si u r e

d-- *

Ca e.113/13

Check I I i fself- employed

PTIN

PO0250625Firm's name to, S Q UA R , M IL NE R, T ON, ET AL . , LLP

Firm's EIN 3 3 - 0 8 3 5 9 8 6

Firm's address l - 3655 NOBEL D R I V E , S T E 4 5 0SAN D I E G O , C A 9 2 1 2 2 - 1 0 5 1 Phone no. ( 8 5 8 ) 5 9 7 - 4 1 0 0

Form 990-PF (2011) M A N C H E S T E R FA M I LY L I F E FOUNDATION 3 3 - 0 4 1 6 0 0 2 I Part XVIII Information Regarding Transfers To and Transactions and Relationships With Noncharitable

Exempt Organizations1

a

Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) ofthe Code (other than section 501(0)(3) organizations) or in section 527, relating to political organizations?Transfers from the reporting foundation to a noncharitable exempt organization of:

Yes No

(1) Cash la(1) X

b(2) Other assetsOther transactions:

la(2) X

(1) Sales of assets to a noncharitable exempt organization(2) Purchases of assets from a noncharitable exempt organization(3) Rental of facilities, equipment, or other assets(4) Reimbursement arrangements(5) Loans or loan guarantees(6) Performance of services or membership or fundraising solicitations

lb(1)lb(2)lb(3)lb(4)lb(5)lb(6)

c Sharing of facilities, equipment, mailing lists, other assets, or paid employees lcd If the answer to any of the above is "Yes, complete the following schedule. Column (b) should always show the fair market value of the goods, other assets,

or services given by the reporting foundation. If the foundation received less than fair market value in any transaction or sharing arrangement, show incolumn (d) the value of the goods, other assets, or services received.

2a I s the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations describedin section 501(c) of the Code (other than section 501(c)(3)) or in section 5279

b I f 'Yes • complete the following schedule.

1238221 2- 02 -1 1

(d) Description of transfers, transactions, and shanng arrangements(b) Amount involved (c) Name of noncharitable exempt organizationN / A

Yes I X I No

Form 990-PF (2011)


Schedule B(Form 990, 990-EZ,or 990-PF)Depar tmen t of the TreasuryInternal Revenue Service

Name of the organization

Organization type (check one):

Filers of: S e c t i o n :

Form 990 or 9 9 0-E Z

General Rule

Special Rules

I I

123451 0 1 - 2 3 - 1 2

MANCHESTER FA M I LY L I F E FOUNDATION

I II I

I I

Schedule of ContributorsPo- Attach to Form 990, Form 990-EZ, or Form 990-PF.

501 (c)( ) (enter number) organization

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

= 1 5 2 7 political organization

Form 990-PF 5 0 1 ( c ) ( 3 ) exempt private foundation

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

I = 1 501(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.

O M B No 1 5 4 5 - 0 0 4 7

2011Employer identification number

33-0416002

[ X I F o r 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 onecontnbutor. Complete Parts I and

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 sections509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, dunng the year, a contnbution of the greater of (1) $5,000 or (2)2)/0of the amount on (i) Form 990, Part VIII, line lh, or (a) Form 990-EZ, line 1. Complete Parts land

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

For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contnbutor, dunng the year,contnbutions for use exclusively for religious, charitable, etc., purposes, but these contributions did not total 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 nonexclusivelyreligious, 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 rts Form 990-EZ or on Part I, line 2 of its Form 990-PF, tocertify that it does not meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990-PF).

LHA F o r Paperwork Reduction Act Notice, see the Instructions for Form 990, 990-EZ, or 990-PF. Schedule B (Form 990, 9 9 0-E Z , o r 9 9 0-P F ) ( 2 0 1 1 )

Schedule B (Form 990, 990-EZ, or 990-PF) (2011)Name of organization

(a)No.

(b)Name, address, and ZIP + 4

(c)Total contributions

(0:)

Type of contribution

DAVID F I S H E R

$ 2 8 5 , 6 0 0 .

Person L x i

3580 CARMEL MOUNTAIN ROAD, STE. 200Payroll I INoncash

SAN D I E G O , C A 9 2 1 3 0 - 6 7 6 6(Complete Part II if thereis a noncash contribution.)

(a)No.



(d)Type of contribution

2 DAVID F I S H E R

$ 1 6 9 , 4 8 7 .

Person

3580 CARMEL MOUNTAIN ROAD, STE. 200PayrollNoncash ' X I

(Complete Part II if thereis a noncash contnbution.)SAN D I E G O , C A 9 2 1 3 0 - 6 7 6 6

(a)No.



( 0Type of contribution

3 LOUIS & SUZANNE SABALA

$ 8 , 0 0 0 .

Person L x i

4693 N . TO R R I D O N WAYPayrollNoncash

BOISE , I D 8 3 7 0 2(Complete Part II if thereis a noncash contnbution.)

(a)No.




$

PersonPayrollNoncash I I

(Complete Part ll if thereis a noncash contnbution )

(a)No.




$

PersonPayroll I INoncash I I

(Complete Part II if thereis a nonoash contnbution.)

(a)No.




$

Person I IPayrollNoncash

(Complete Part ll if thereis a noncash contribution.)


1Pa r t I C o n t r i b u t o r s (see instructions). Use duplicate copies of Part I if additiona space is needed.

123452 0 1 - 2 3 - 1 2

1 7 3 7 0 2 1 0 7 5 6 1 7 9 ' 3 3 1 4 1 - 0 3 4

Page 2Employer identification number

3 3 - 0 4 1 6 0 0 2

Schedule B (Form 990, 990-EZ, or 990-PF) (2011)15

2 0 11 . 0 5 0 2 0 MANCHESTER FA M I LY L I F E FOUN 3 3 1 4 1 - 0 2

Schedule B (Form 990, 990-EZ, or 990-PF) (2011)Name of organization

(a)No.

fromPart I

(b)Description of noncash property given

(c)FMV (or estimate)(see instructions)

(d)Date received

2NEXTWAVE STOCK ( 1 , 2 1 0 , 6 2 2 SHARES)

$ 1 6 9 , 4 8 7 . 1 1 / 0 2 / 1 1

(a)No.

fromPart I



(d)Date received

$

(a)No.

fromPart I



(d)Date received

$

(a)No.

fromPart I



(d)Date received

$

(a)No.

fromPart I



(d)Date received

$

(a)No.

fromPart I



(d)Date received

$


P a r t ' l l " N o n c a s h P r o p e r t y (see instructions). Use duplicate copies of Part II if additional space is needed.

123453 01-23-12


3 3 - 0 4 1 6 0 0 2

c e u e U ftorm u9u, - , or -16

1 0 5 2 0 2 11 7 5 6 1 7 9 3 3 1 4 1 - 0 3 4 2 0 1 1 . 0 5 0 2 0 MANCHESTER FA M I LY L I F E FOUN 3 3 1 4 1 - 0 2

Schedule B (Form 990, 990-EL, or 990-PF) (2011)Name of organization

(a) No.fromPart I (b) Purpose of gift (c) Use of gift (d) Description of how gift is held

(e) Transfer of gift

Transferee's name, address, and ZIP + 4 R e l a t i o n s h i p of transferor to transferee










MANCHESTER F A M I LY L I F E FOUNDATION 3 3 - 0 4 1 6 0 0 2P a r t III E x c l u s i v e l y religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations that total more than $1,000 for the

year. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enterthe total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this Information once) 10'

123454 0 1 - 2 3 - 1 2


Use duplicate copies of Part ill if additional s pa c e i s n e e d e d .

Schedule B (Form 990, 990-EZ, or 990-PF) (2011)17


MANCHESTER FA M I LY L I F E FOUNDATION 3 3 - 0 4 1 6 0 0 2

FORM 9 9 0 - P F I N T E R E S T O N SAVINGS A N D TEMPORARY CASH INVESTMENTS S TAT E M E N T 1

SOURCE A M O U N T

VARIOUS 8 9 .

TOTAL T O FORM 9 9 0 - P F, PA R T I , L I N E 3 , COLUMN A 8 9 .

FORM 9 9 0 -PF

SOURCE

FROM L A J O L L A PARTNERS, L PVARIOUS

FORM 9 9 0 -PF

DESCRIPTION

FROM L A J O L L A PARTNERS, L P

TOTAL T O FORM 9 9 0 - P F , PA R T I , L I N E 1 1

FORM 9 9 0 -PF

DESCRIPTION

DIVIDENDS A N D I N T E R E S T FROM S E C U R I T I E S S T A T E M E N T 2

CAPITAL G A I N S C O L U M N ( A )GROSS AMOUNT D I V I D E N D S A M O U N T

2 , 8 9 5 .8 , 1 7 9 .

oo

- 3 , 3 9 9 . - 3 , 3 9 9 .

- 3 , 3 9 9 . - 3 , 3 9 9 .

2 , 8 9 5 .8 , 1 7 9 .

TOTAL T O F M 9 9 0 - P F, PA R T I , L N 4 1 1 , 0 7 4 . O . 1 1 , 0 7 4 .

OTHER INCOME S T A T E M E N T 3

(A) ( B ) ( C )REVENUE N E T I N V E S T - A D J U S T E D

PER BOOKS M E N T INCOME N E T INCOME

TAXES S T A T E M E N T 4

(A) ( B ) ( C ) ( D )EXPENSES N E T I N V E S T - A D J U S T E D C H A R I T A B L EPER BOOKS M E N T INCOME N E T INCOME P U R P O S E S

EXCISE TA X 2 3 6 . O . O .1

TO FORM 9 9 0 - P F, P G 1 , L N 1 8 2 3 6 . O . O .

18 S T A T E M E N T ( S ) 1 , 2 , 3 , 41 7 3 7 0 2 1 0 7 5 6 1 7 9 3 3 1 4 1 - 0 3 4 2 0 1 1 . 0 5 0 2 0 MANCHESTER FA M I LY L I F E FOUN 3 3 1 4 1 - 0 2

MANCHESTER F A M I LY L I F E FOUNDATION 3 3 - 0 4 1 6 0 0 2

FORM 9 9 0 -PF

DESCRIPTION

INVESTMENT I N T E R E S T EXPENSE- F R O M L A J O L L A PARTNERS, L P 1 . 1 .PORTFOLIO DEDUCTIONS - FROML A J O L L A PARTNERS, L P 5 , 5 4 9 . 5 , 5 4 9 .FOREIGN TA X E S P A I D - FROM L AJ O L L A PARTNERS, L P 9 . 9 .BANK CHARGE 2 1 0 . 2 1 0 .

TO FORM 9 9 0 - P F, P G 1 , L N 2 3 5 , 7 6 9 . 5 , 7 6 9 .

FORM 9 9 0 -PF

DESCRIPTION

L A J O L L A PARTNERSMERRILL LY N C H

TOTAL T O FORM 9 9 0 - P F, PA R T I I , L I N E 1 3

OTHER EXPENSES S T A T E M E N T 5

( A ) ( B ) ( C ) ( D )EXPENSES N E T I N V E S T - A D J U S T E D C H A R I T A B L EPER BOOKS M E N T INCOME N E T INCOME P U R P O S E S

FORM 9 9 0 - P F O T H E R INCREASES I N N E T ASSETS O R FUND BALANCES S T A T E M E N T 6

DESCRIPTION A M O U N T

UNREALIZED G A I N ON MARKETABLE S E C U R I T I E S 2 3 , 6 6 0 .

TOTAL T O FORM 9 9 0 - P F, PA R T I I I , L I N E 3 2 3 , 6 6 0 .

OTHER INVESTMENTS S T A T E M E N T 7

VALUATION F A I R MARKETMETHOD B O O K VA L U E V A L U E

O.

O.

0.o.O.

COST 2 2 7 , 2 8 5 . 2 2 7 , 2 8 5 .FMV 8 4 3 , 0 3 4 . 8 4 3 , 0 3 4 .

1 , 0 7 0 , 3 1 9 . 1 , 0 7 0 , 3 1 9 .

19 S T A T E M E N T ( S ) 5 , 6 , 71 7 3 7 0 2 1 0 7 5 6 1 7 9 3 3 1 4 1 - 0 3 4 2 0 1 1 . 0 5 0 2 0 MANCHESTER F A M I LY L I F E FOUN 3 3 1 4 1 - 0 2

manchester family life foundation 350 camino de la … · 09/05/2013 · 02 form 990-pf (2011)...

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