return of private foundation form 990- f orsection...

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PF161687567 08/23 /2011 2 36 PM Return of Private Foundation OMB No 1545-0052 Form 990- p F or Section 4947( a)(1) Nonexempt Charitable Trust ^O O Department of the Treasury Treated as a Private Foundation Internal Revenue Service Note . The foundation may be able to use a co py of this return to satis fy state re po rtin g req uirements For calendar year 2010 , or tax year beginning , and ending G Check all that apply Initial return q Initial return of a former public charity q Final return H Amenried return n Adrlresc rhanne n Name channe Name of foundation A Employer identification number George M. & Marian K. Nahlen 16-1687567 Charitable Remainder Unitrust U / A B Telephone number (see page 10 of the instructions) Number and street (or P 0 box number if mail is not delivered to street address) Room/suite 727-898-1181 1000 16th Street North C If exemption application is pending, check here City or town, state, and ZIP code q D 1. Foreign organizations, check here St. Petersbur g FL 33705 2. Foreign organizations meeting the H Check type of organization X Section 501 (c)(3) exempt private foundation 85% test, check here and attach computation q Section 4947 ( a )( 1) nonexem p t charitable trust Other taxable p rivate foundation E If private foundation status was terminated under section 507(b)(1)(A) check here q I Fair market value of all assets at J Accounting method q Cash q Accrual , end of year (from Part II, col (c), q Other (specify) F If the foundation is in a 60-month termination q line 16 ) $ 2 , 052 , 940 PartI column ( d ) must be on cash basis under section 507(b)(1)(B), check here Part I Analysis of Revenue and Expenses (The total of (a) Revenue and (d) Disbursements amounts in columns (b), (c), and (d) may not necessarily equal expenses per (b) Net investment (c) Adjusted net for charitable the amounts in column (a) (see page 11 of the instructions)) books income income purposes cash basis only) 1 Contributions, gifts, grants, etc , received (attach schedule) 2 Check IN- if the foundation is not required to attach Sch B 3 Interest on savings and temporary cash investments 71 71 -• 4 Dividends and interest from securities 61, 386 61,386 5a Gross rents cc r) rtf eon 5 t W b Net rental income or (loss) 1-4 = 6a Net gain or (loss) from sale of assets not on line 10 17,997 Q b Gross sales price for all assets on line 6a 563, 454 0GO , W 7 Capital gain net income (from Part IV, line 2) 17 , 997 8 Net short-term capital gain 0 9 Income modifications 10a Gross sales less returns & allowances b Less Cost of goods sold c Gross profit or (loss) (attach schedule) 11 Other income (attach schedule) 12 Total. Add lines 1 throw h 11 79 , 454 79 , 454 0 N 13 Compensation of officers, directors, trustees, etc 24 , 542 12,271 12 , 271 y 14 Other employee salaries and wages d 15 Pension plans, employee benefits x 16a Legal fees (attach schedule) Sy b Accounting fees (attach schedule) Stmt 1 4 , 000 2 , 000 2 , 000 c Other professional fees (attach schedule) Stmt 2 29 , 360 22 , 020 7 , 340 ° ;- 17 Interest 0 18 Taxes (attach schedule) (see page 14 of the instructions) Stint 3 1 , 096 1,096 = 19 Depreciation (attach schedule) and depletion Q 20 Occupancy 21 Travel, conferences, and meetings 22 Printing and publications ea tin 23 Other expenses (aft sch ) 24 Total operating and administrative expenses. Add lines 13 through 23 58 , 998 37 , 387 0 21,611 CI- 25 Contributions, gifts, grants paid 213,295 213,295 0 26 Total ex p enses and disbursements. Add lines 24 and 25 272,293 37 , 387 0 234 , 906 27 Subtract line 26 from line 12 a Excess of revenue over expenses and disbursements -192 , 839 b Net investment income (if negative, enter -0-) 42 , 067 c Adjusted net income ( if ne g ative , enter -0- ) 0 t. Z C L C EL For Paperwork Reduction Act Notice , see page 30 of the instructions . Form 990-PF (2010) DAA ((/^^

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PF161687567 08/23/2011 2 36 PM

Return of Private Foundation OMB No 1545-0052

Form 990-pF or Section 4947(a)(1) Nonexempt Charitable Trust ^O O

Department of the TreasuryTreated as a Private Foundation

Internal Revenue Service Note . The foundation may be able to use a copy of this return to satis fy state re portin g req uirements

For calendar year 2010 , or tax year beginning , and ending

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

H Amenried return n Adrlresc rhanne n Name channe

Name of foundation A Employer identification number

George M. & Marian K. Nahlen 16-1687567Charitable Remainder Unitrust U/A B Telephone number (see page 10 of the instructions)

Number and street (or P 0 box number if mail is not delivered to street address) Room/suite 727-898-1181

1000 16th Street North C If exemption application is pending, check here ►

City or town, state, and ZIP code

q

D 1. Foreign organizations, check here ►

St. Petersburg FL 33705 2. Foreign organizations meeting the

H Check type of organization X Section 501 (c)(3) exempt private foundation 85% test, check here and attach computation ► q

Section 4947 (a )( 1 ) nonexem pt charitable trust Other taxable p rivate foundation E If private foundation status was terminated undersection 507(b)(1)(A) check here ► qI Fair market value of all assets at J Accounting method q Cash q Accrual ,

end of year (from Part II, col (c), q Other (specify) F If the foundation is in a 60-month termination

qline 16 ) ► $ 2 , 052 , 940 PartI column (d ) must be on cash basis under section 507(b)(1)(B), check here ►

Part I Analysis of Revenue and Expenses (The total of (a) Revenue and (d) Disbursements

amounts in columns (b), (c), and (d) may not necessarily equal expenses per (b) Net investment (c) Adjusted net for charitable

the amounts in column (a) (see page 11 of the instructions))books income income purposes

cash basis only)

1 Contributions, gifts, grants, etc , received (attach schedule)

2 Check IN- if the foundation is not required to attach Sch B

3 Interest on savings and temporary cash investments 71 71 -•

4 Dividends and interest from securities 61, 386 61,386

5a Gross rents cc r) rtfeon 5 t

W b Net rental income or (loss)1-4

= 6a Net gain or (loss) from sale of assets not on line 10 17,997Q

b Gross sales price for all assets on line 6a 563, 454 0GO ,

W 7 Capital gain net income (from Part IV, line 2) 17 , 997

8 Net short-term capital gain 0

9 Income modifications

10a Gross sales less returns & allowances

b Less Cost of goods sold

c Gross profit or (loss) (attach schedule)

11 Other income (attach schedule)

12 Total. Add lines 1 throw h 11 79 , 454 79 , 454 0

N 13 Compensation of officers, directors, trustees, etc 24 , 542 12,271 12 , 271

y 14 Other employee salaries and wages

d 15 Pension plans, employee benefits

x 16a Legal fees (attach schedule)

Sy b Accounting fees (attach schedule) Stmt 1 4 , 000 2 , 000 2 , 000

c Other professional fees (attach schedule) Stmt 2 29 , 360 22 , 020 7 , 340

°;- 17 Interest

0 18 Taxes (attach schedule) (see page 14 of the instructions) Stint 3 1 , 096 1,096

= 19 Depreciation (attach schedule) and depletion

Q 20 Occupancy

21 Travel, conferences, and meetings

22 Printing and publicationseatin 23 Other expenses (aft sch )

24 Total operating and administrative expenses.

Add lines 13 through 23 58 , 998 37 , 387 0 21,611

CI- 25 Contributions, gifts, grants paid 213,295 213,295

0 26 Total ex penses and disbursements. Add lines 24 and 25 272,293 37 , 387 0 234 , 906

27 Subtract line 26 from line 12

a Excess of revenue over expenses and disbursements -192 , 839

b Net investment income (if negative, enter -0-) 42 , 067

c Adjusted net income ( if negative , enter -0- ) 0

t.Z

CLC

EL

For Paperwork Reduction Act Notice , see page 30 of the instructions . Form 990-PF (2010)

DAA ((/^^

PF161687567 08/23/2011 2 36 PM

Fnrm qqn-PFJ2nlnl George M_ & Marian K_ Nahlen 16-1687567 Pane 2

Attached schedules and amounts in the description column Beginning of year End of yearPart it Balance Sheets 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 , 885 -2

2 Savings and temporary cash investments 110 , 525 207 , 980 207 , 980

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 ( alt schedule) ►

Less allowance for doubtful accounts ► 0

8 Inventories for sale or use

tn 9 Prepaid expenses and deferred charges 600 1 , 310 1,310

Q 10a Investments-U S and state government obligations (attach schedule)

b Investments-corporate stock (attach schedule ) See Stint 4 799,276 844 , 653 1 , 003,908

c Investments-corporate bonds (attach schedule ) See Stmt 5 1,169 , 147 834 , 533 839 , 742

11 Investments-land, buildings , and equipment basis ►

Less accumulated depreciation ( attach sch) ►

12 Investments-mortgage loans

13 Investments-other (attach schedule)

14 Land , buildings, and equipment basis ►

Less accumulated depreciation ( attach sch) ►

15 Other assets (describe ►16 Total assets (to be completed by all filers-see the

instructions Also , see page 1 , item I 2,082 , 433 1 , 888 , 474 2,052,940

17 Accounts payable and accrued expenses

N 18 Grants payable

19 Deferred revenue

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

21 Mortgages and other notes payable (attach schedule)

J 22 Other liabilities (describe ► See Statement 6 213 , 293 205,165

23 Total liabilities ( add lines 17 throug h 22 ) 213 , 293 205 , 165

Foundations that follow SFAS 117 , check here ► L]U) and complete lines 24 through 26 and lines 30 and 31.

24 Unrestricted

25 Temporarily restricted

m 26 Permanently restricted

Foundations that do not follow SFAS 117, check here ► XX

and complete lines 27 through 31.

a 27 Capital stock , trust principal , or current funds 1,869 , 140 1 , 683,309

28 Paid - in or capital surplus , or land, bldg , and equipment fund

N 29 Retained earnings , accumulated income, endowment , or other funds

Q 30 Total net assets or fund balances (see page 17 of the

y instructions ) 1,869 , 140 1 , 683,309

Z 31 Total liabilities and net assets/fund balances (see page 17

of the instructions ) 2,082 , 433 , 1 , 888,474 ,

I 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 1 , 869,140

2 Enter amount from Part I, line 27a 2 -192 , 839

3 Other increases not included in line 2 (itemize) ► See Statement 7 3 7 , 008

4 Add lines 1, 2, and 3 4 1,683,309

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 1,683,309

Form 990-PF (2010)

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Form 990-PF (2010) George M . & Marian K. Nahlen 16-1687567 Page 3

Part IV Capital 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 acquiredP-PurchaseD-Donation

(c) Date acquired(mo, day, yr)

(d) Date sold(mo , day, yr)

1a See Attached P Various Variousb Investment Portfoliocd

e

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

(g) Cost or other basisplus expense of sale

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

a 562 , 036 545 , 457 16 , 579b 1 , 418 1 , 418cd

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

( i ) F M V as of 12/31/69(

(j) Adjusted basisas of 12/31/69

(k) Excess of col (i)over col Q), if any

col (k), but not less than -0-) orLosses (from col (h))

a 16 , 579b 1 , 418c

d

e

2 Capital gain net income or (net capital loss)If gain , also enter in Part I, line 7

If (loss ), enter -0- in Part I , Ilne 7 2 17 , 9973 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 16 , 579Part 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 1X No

If "Yes," the foundation does not qualify under section 4940(e) Do not complete this part

1 Enter the appropriate amount in each co lumn for each year, see page 18 of the instructions before making any entries

Base(a)ax years

Calendar year (orr t year beginning in) Adjusted qualifying distributions Net value of nonchantable-use assetsdivided ratio

(col((b)b) dnnded by col (c))

2009 243 , 896 1 , 937 , 764 0.1258652008 344 , 444 2 , 550 , 742 0.1350372007 351 , 976 3 , 103 , 134 0.1134262006 353 , 850 1 3 , 209 , 631 0.1102462005

2 Total of line 1, column (d) 2 0 . 484574

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 0 .121144

4 Enter the net value of noncharitable-use assets for 2010 from Part X, line 5 4 1 924 , 599

5 Multiply line 4 by line 3 5 233 , 154

6 Enter 1% of net investment income (1% of Part I, line 27b) 6 421

7 Add lines 5 and 6 7 233 , 575

8 Enter qualifying distributions from Part XII, line 4 8 234 , 906If line 8 is equal to or greater than line 7 , check the box in Part VI , line 1 b, and complete that part using a 1 % tax rate See the

Part VI instructions on page 18

Form 990-PF (2010)

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PF161687567 08/23/2011 2 36 PM

Form 990-PF<2010) George M. & Marian K. Nahlen 16-1687567 Page 4PaLrt 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 ► 1-1 and enter "N/A" on line 1

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

b Domestic foundations that meet the section 4940(e) requirements in Part V, check 10 1 421

here ► X 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 0

3 Add lines 1 and 2 3 421

4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only Others enter -0-) 4 0

5 Tax based on investment income . Subtract line 4 from line 3. If zero or less, enter -0- 5 421

6 Credits/Payments.

a 2010 estimated tax payments and 2009 overpayment credited to 2010 6a 1 , 310

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 1 , 310

8 Enter any penalty for underpayment of estimated tax Check here n 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 ► 10 889

11 Enter the amount of line 10 to be Credited to 2011 estimated tax ► 889 Refunded ► 11

Part VII-A Statements Regarding Activities1a 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 X

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)? 1lb X

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 X

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 X

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 X

4a Did the foundation have unrelated business gross income of $1,000 or more during the year? 4a X

b If "Yes," has it filed a tax return on Form 990-T for this year? N/A 4b

5 Was there a liquidation, termination, dissolution, or substantial contraction during the year? 5 X

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 X

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 X

8a Enter the states to which the foundation reports or with which it is registered (see page 19 of the

instructions) ► FL

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 X

9 Is the foundation claiming status as a private operating foundation within the meaning of section 49420)(3) or

49420)(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 X

10 Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their

names and addresses , . . . , 10 X

Form 990-PF (2010)

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PF161687567 08/23/2011 2 36 PM

Form 990-PF (2010) George M. & Marian K. Nahlen 16-1687567 Page 5PartVU-A Statements Regardin g 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 X

12 Did the foundation acquire a direct or indirect interest in any applicable insurance contract before

August 17, 2008? 12 X

13 Did the foundation comply with the public inspection requirements for its annual returns and exemption application? 13 X

Website address ► NA

14 The books are in care of ► Steven M. Wilsey, Trustee Telephone no ► 727-898-11811000 16th Street North

Located at ► St. Petersburg FL ZIP+4 ► 3370515 Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041-Check here ► q

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 X

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 foreig n country ►

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? q Yes No

(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from) a

disqualified person? Yes X No

(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? Yes X No

(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? Yes X No

(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)? q 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) q Yes No

b If any answer is "Yes" to ta(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)? N/A lb

Organizations relying on a current notice regarding disaster assistance check here ► q

c Did the foundation engage in a prior year in any of the acts described in 1 a, other than excepted acts, that

were not corrected before the first day of the tax year beginning in 2010? N/A 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 49420)(3) or 49420)(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? q Yes No

If "Yes," list the years ► 20 , 20 , 20 , 20

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

all years listed, answer "No" and attach statement-see page 22 of the instructions) N/A 2b

c If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.

► 20 , 20 , 20 , 20

3a Did the foundation hold more than a 2% direct or indirect interest in any business enterprise

at any time during the year? q 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) N/A 3b

4a Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes? 4a X

b Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its

charitable ouroose that had not been removed from ieooardv before the first day of the tax year beomnmo in 2010? 4b X

Form 990-PF (2010)

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Form 990-PF (2010) George M. & Marian K. Nahlen 16-1687567 Page 6Part Vll»B Statements Reg arding 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 BX No

(3) Provide a grant to an individual for travel , study, or other similar purposes? Yes X 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)? N/A 5b

Organizations relying on a current notice regarding disaster assistance check here ► fl

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? N/AE] 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? 11 Yes No

b Did the foundation, during the year , pay premiums , directly or indirectly , on a personal benefit contract? 6b X

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? LI Yes No

b If Yes , did the foundation receive any proceeds or have any net income attributable to the transaction? N/A 7b

Patt 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 nano 22 of the instructions)-

(b) Tide, and average (c) Compensation (d) Contributions to

(a) Name and address hours per week ( If not paid , enteremployee benefitplans and deferred

(e) Expense account,other allowancesdevoted to position .0.)

compensation

Fisher & Wilsey, PA St. Petersburg Trustee

1000 16th Street North FL 33705 3.00 24 , 542 0 0

2 Compensation of five highest-paid employees (other than those included on line 1 -seepage 23 of the instructions).

If none. enter "NONE."

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

hours per weekdevoted to position

(c) Compensation

(d) Contributions toemployee benefitplans and deferredcompensation

(e) Expense account,other allowances

NONE

Total number of other employees paid over $50,000 ► 1 U

Form 990-PF (2010)

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Form 990-PF(2010) George M. & Marian K. Nahlen 16-1687567 Page 7Part 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

NONE

Total number of others receiving over $50,000 for professional services ► I

Part (•X-A Summary of Direct Charitable Activities

List the foundation's four largest direct chantable activities during the tax year Include relevant statistical information such as the number oforganizations and other beneficiaries served, conferences convened, research papers produced, etc Expenses

1 N/A

2

3

4

Part EX.R Summary of Prenram -Related lnvAStmAntc (-,Pp nao 94 of the instntctinncl

Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2 Amount

1 N/A

2

All other program-related investments See page 24 of the instructions

3

Total. Add lines 1 throu g h 3

Form 990-PF (2010)

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PF161687567 08/23/2011 2 36 PM

Form 990-PF(2010) George M. & Marian K. Nahlen 16-1687567 Page 8

Part X Minimum Investment Return (All domestic foundations must complete this part. Foreign foun dations,see page 24 of the instructions. )

I 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 1 1 801 , 381

b Average of monthly cash balances lb 152 , 527

c Fair market value of all other assets (see page 25 of the instructions) 1c 0

d Total (add lines 1a, b, and c) 1d 1 , 953 , 908e Reduction claimed for blockage or other factors reported on lines 1 a and

1c (attach detailed explanation) le 0

2 Acquisition indebtedness applicable to line 1 assets 2 0

3 Subtract line 2 from line 1d 3 1 , 953 , 9084 Cash deemed held for charitable activities Enter 1'/2 % of line 3 (for greater amount, see page 25 of

the instructions) 4 29 , 309

5 Net value of noncharitable-use assets. Subtract line 4 from line 3 Enter here and on Part V, line 4 5 1 24 , 5996 Minimum investment return. Enter 5% of line 5 6 96 , 230

Part XI Distributable Amount (see page 25 of the instructions) (Section 49420)(3) and 0)(5) private operatingfoundations and certain foreig n org anizations check here ► and do not com plete this p art

1 Minimum investment return from Part X, line 6 1 96 , 230

2a Tax on investment income for 2010 from Part VI, line 5 2a 421

b Income tax for 2010 (This does not include the tax from Part VI) 2b

c Add lines 2a and 2b 2c 421

3 Distributable amount before adjustments Subtract line 2c from line 1 3 95 , 809

4 Recoveries of amounts treated as qualifying distributions 4

5 Add lines 3 and 4 5 95 , 809

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 95 , 809

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 234 , 906b 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 1 a through 3b Enter here and on Part V, line 8, and Part XIII, line 4 4 234 , 9065 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) 5 421

6 Adjusted qualifying distributions. Subtract line 5 from line 4 6 234 , 485Note. The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation

aualifies for the section 4940(e) reduction of tax in those years

Form 990-PF (2010)

DAA

PF161687567 08/23/2011 2 36 PM

Form 990-P.(2010) George M. & Marian K. Nahlen 16-1687567 Page 9

part XIII Undistributed Income (see pag e 26 of the instructions )(a) (b) (c) (d)

1 Distributable amount for 2010 from Part XI, Corpus Years poor to 2009 2009 2010

line 7 95,809

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 202 , 637

d From 2008 217 , 975

e From 2009 149,620

f Total of lines 3a through e 570 , 232

4 Qualifying distributions for 2010 from Part XII,

line4 ► $ 234,906

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 95 , 809

e Remaining amount distributed out of corpus 139, 097

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 5 709,329

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 0

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 709, 329

10 Analysis of line 9

a Excess from 2006

b Excess from 2007 202 , 637

c Excess from 2008 217 , 975

d Excess from 2009 149,620

e Excess from 2010 139 , 097

Form 990-PF (2010)

DAA

PF161687567 08/23/2011 2 36 PM

Form 990-PF (2010) George M. & Marian K. Nahlen 16-1687567 Page 10

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 n

2a Enter the lesser of the adjusted net Tax year Prior 3 years(e) Total

income from Part I or the minimum (a) 2010 (b) 2009 (c) 2008 (d) 2007

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(I)(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 grossinvestment income ( interest,dividends , rents , payments onsecurities loans (section

512(a)(5 )), or royalties)

(2) Support from general public

and 5 or more exemptorganizations as provided insection 49420)(3)(B)(ni)

(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 atany 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) )

N/A

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

N/A

2 Information Regarding Contribution , Grant , Gift, Loan , Scholarship , etc., Programs:

Check here ► IX- 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

N/A

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

N/A

c Any submission deadlinesN/A

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

factors

N/ADAA Form 990-PF (2010)

PF161687567 08/23/2011 2 36 PM

Form 990-PF{2010) George M. & Marian K. Nahlen 16-1687567 Page 11

PartXV Supplementary Information (continued)3 Grants and Contributions Paid Durin the Year or Approved for Future Payment

If recipient is an individual, FoundationRecipient show any relationship to

status ofPurpose of grant or

Amountany foundation manager reupient

contributionName and address (home or business) or substantial contributor

a Paid during the year

American Heart Associatio9900 Dr. MLK St. NorthSt. Petersburg FL 33716

American Lung Assoc of FL8950 Dr. MLK St. NorthSt. Petersburg FL 33702

The Hospice Fnd FL Suncoa300 East Bay DriveLargo FL 33770

Bayfront Health Foundatio701 Sixth Street So.St. Petersburg FL 33701

All Childrens HospitalP.O. Box 3142St. Petersburg FL 33731

b Approved for future paymentN/A

Total

501 (c) (3)ter Bequest f om Trust 42,659

1501 (c) (3)Remain er Bequest f om Trust 42,659

1501 (c) (3)Remainer Bequest f om Trust 42,659

[501 (c) (3)Remain er Bequest f om Trust 42,659

one 501(c)(3)Remain er Bequest f om Trust 42,659

213,295

DAA Form 990-PF (2010)

PF161687567 08/23/2011 2 36 PM

Form990-PFd2010) George M. & Marian K. Nahlen 16-1687567 Page 12Part XVIA Analysis of Income-Producin Activities

Enter gross amounts unless otherwise indicated Unrelated business income Excluded by section 512, 513, or 514 (e)

Program service revenue

(a)Business code

(b)Amount

(c)Ex

en

(d )Amount

Related or exemptfunction income(See page 28 ofthe instructions )

ab

c

d

ef

g Fees and contracts from government agencies

2 Membership dues and assessments

3 Interest on savings and temporary cash investments 71

4 Dividends and interest from securities 14 61, 386

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 18 1,418 16,579

9 Net income or (loss) from special events

10 Gross profit or (loss) from sales of inventory

11 Other revenue a

b

c

d

e12 Subtotal Add columns (b), (d), and (e) 0 1 1 62 , 804 16 , 650

13 Total. Add line 12, columns (b), (d), and (e) 13 79,454

PattXVI-B Relationshi p of Activities to the Accomplishment of Exempt PurposesLine No . Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to the

V accomplishment of the foundation's exempt purposes (other than by providing funds for such purposes) (See page 29 of the

instructions.)

N/A

DAA Form 990-PF (2010)

PF161687567 08/23/2011 2 36 PM

Form 990-PF (2010) George M. & Marian K. Nahlen 16-1687567 Page 13Part XVII Information Regarding Transfers To and Transactions and Relationships With Noncharitable

1 Did the organization directly or indirectly engage in any of the following with any other organization described Yes No

in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political

organizations?

a Transfers from the reporting foundation to a nonchantable exempt organization of

(1) Cash 1a 1 X

(2) Other assets la(2)1 X

b Other transactions

(1) Sales of assets to a noncharitable exempt organization 1b 1 X

(2) Purchases of assets from a nonchantable exempt organization 1b ( 2 )1 X

(3) Rental of facilities, equipment, or other assets 1 b ( 3 ) X

(4) Reimbursement arrangements 1 b (4 ) X

(5) Loans or loan guarantees 1b( 5 ) X

(6) Performance of services or membership or fundraising solicitations 1b( 6 ) X

c Sharing of facilities, equipment, mailing lists, other assets, or paid employees 1c X

d 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 sharin g arrangement ,ement show in column (d ) the value of the goods , other assets , or services received

(a) Line no (b) Amount involved (c) Name of nonchantable exempt organization (d) Description of transfers, transactions, and sharing arrangements

N/A

2a Is the foundation directly or indirectly affiliated with , or related to , one or more tax-exempt organizations

described in section 501 (c) of the Code (other than section 501 (c)(3)) or in section 527? Yes No

h If "Yes " cmmnlete the fnllnwmn schedule

(a) Name of organization (b) Type of organization ( c) Description of relationship

N/A

Under pena f pequry , I declare that I have examined this return , including a

Signbelef , it is t ,and complet DeGarabon of preparer (other than taxpay

HereSignature of offs trustee

PnnVTy a pavers name Prepar

Paida "I

S, 101

Preparer Stev

PF161687567 George M. & Marian K. Nahlen 8/23/2011 2:36 PM

16-1687567 Federal StatementsFYE: 12/31/2010

Statement 1 - Form 990-PF, Part I, Line 16b - Accounting Fees

Net Adjusted CharitableDescription Total Investment Net Purpose

Fisher & Wilsey, PA $ 4,000 $ 2,000 $ $ 2,000

Total $ 4,000 $ 2,000 $ 0 $ 2,000

Statement 2 - Form 990-PF, Part I , Line 16c - Other Professional Fees

Net Adjusted CharitableDescription Total Investment Net Purpose

Merrill Lynch Investment Managem $ 29,360 $ 22,020 $ $ 7,340

Total $ 29,360 $ 22,020 $ 0 $ 7,340

Statement 3 - Form 990-PF, Part I , Line 18 - Taxes

Net Adjusted CharitableDescription Total Investment Net Purpose

Foreign Tax Withheld $ 390 $ 390 $ $Tax on Investment Income 2009 706 706

Total $ 1,096 $ 1,096 $ 0 $ 0

1-3

PF161687567 George M. & Marian K. Nahlen 8/23/2011 2:36 PM

16-1687567 Federal StatementsFYE: 12/31/2010

Statement 4 - Form 990-PF, Part II , Line 10b - Corporate Stock Investments

Beginning End of Basis ofDescription of Year Year Valuation

See Attached $ 799,276 $ 844,653 Cost

Total $ 799,276 $ 844,653

Fair MarketValue

$ 1,003,908

$ 1,003,908

Description

See Attached

Total

Statement 5 - Form 990-PF, Part 11, Line 10c - Corporate Bond Investments

Beginning End of Basis ofof Year Year Valuation

$ 1,169,147 $ 834,533 Cost

$ 1,169,147 $ 834,533

Fair MarketValue

$ 839,742

$ 839,742

4-5

Nahlen CrutForm 990PF16-168756712/31/2010

Equity Equity Fixed FixedAssets Cost FMV Cost FMV

Consumer Discretionary $ 22,426.42 $ 31,798.50Health Care 48,529 73 53,077.50Ishares MSCI EAFE Index 135,981 57 150,789 80Ishares MSCI Emerging 23,910.98 29,680 97Materials Select Sector 27,889 41 35,414.02Sector SPDR Cons Stpl 125,349.01 148,162.05Sector SPDR Energy 85,026.51 112,066 50Sector SPDR Industrial 76,674.64 104,052.08Secotr SPDR Utilities 81,532.18 86,310 36Vanguard Financials ETF 90,216 78 100,152.48Vanguard Information Tech 59,735 02 69,579 01Vanguard Telecomm Srvs 67,380.49 82,825.06Ishares IBOXX Bond Fund $ 145,074.89 $ 149,538.76Ishares Barclays TIPS 41,624.66 43,223 04Ishare Lehman 3-7 17,055.16 16,624.25/shares TR 17,049 02 16,597 40/shares Barclays MBS Bon 225,371.47 222,773.80Powershares Global 15,575 51 16,929 88SPDR Barclay Cap Intl 25,890 09 26,131 62SPDR Barclay Cap High 61,857 90 61,749 05Vanguard Intermed Bond 89,980 83 90,656 51Vangurard ST Bond 195,053.68 195,517 80

$ 844,652 74 $ 1,003,908.33 $ 834,533 21 $ 839,742.11

PF,161687567 George M. & Marian K. Nahlen 8/23/2011 2:36 PM

16-1687567 Federal StatementsFYE: 12/31/2010

Statement 6 - Form 990-PF, Part II, Line 22 - Other Liabilities

BeginningDescription of Year

Required Distributions to Charities $ 213,293 $ 205,165

Total $ 213,293 $ 205,165

Statement 7 - Form 990-PF, Part III, Line 3 - Other Increases

Description Amount

Fees allocated to trades and income timing differ $ 7,008

Total $ 7,008

End ofYear

6-7

PF161667567 George M. & Marian K . Nahlen 8/23/2011 2:36 PM

16-1687567 Federal StatementsFYE: 12/31/2010

Taxable Dividends from Securities

Description

Investment Portfolios $

Total $

Amount

61,386

61,386

Unrelated Exclusion PostalBusiness Code Code Code

14 FL

USObs ($ or %)

Combined!

Main Account Id: 78174E41

ype Description Date

Merrill Lynch

Statement of Capital Gains and Losses From Sales

( Does not include capital gain distributions from mutual

funds or CTF's - See Tax Transaction Detail)

NAHLEN CHARIT TR-DIMA-MFS INST

Trust Year Ending 12131/2010

Shares Price Fed Cost State Cost ed Gain

Page 1 of 7

2/4/2011 11:14:45

tate Gain (Type)

464287176 ISHARES TR 78174E41

Sold 01 /20/10 25 2,62547

Acq 08/27/09 25 2,62547 2,553 19[] 2,553 19 72 28 72 28 S

Total for 1 /20/2010 2,553 19 2,55319 72 28 72 28

464287176 ISHARES TR 78174E41

Sold 01 /27/10 24 2,527.17

Acq 08/27/09 24 2,527.17 2.451 061-] 2,451 06 7611 7611 S

Total for 1 /2712010 2,451 06 2,451 06 76 11 76 11

464287176 ISHARES TR 78174E41

Sold 06/23/10 60 6,38650

Acq 08/27/09 60 6,38650 6,127 670 6,12767 258 83 258.83 S

Total for 6/23/2010 6,127 67 6,12767 258 83 258 83

464287234 ISHARES TR 78174E41

Sold 01 /20/10 21 87611

Acq 08/27/09 21 876 11 749 06 q 749 06 127 05 127 05 S

Total for 1 /20/2010 749 06 749 06 127.05 127 05

464287234 1SHARES TR 78174E41

Sold 01 /27/10 20 773 79

Acq 08/27/09 20 773 79 713 39[] 713 39 60 40 60 40 S

Total for 1 /27/2010 713 39 713 39 60 40 60 40

464287242 1SHARES TR 78174E41

Sold 01 /20/10 107 11,304 97

Acq 08/27/09 107 11, 304.97 11,158 70[3 11,158 70 146 27 146 27 S

Total for 1/20/2010 11,158 70 11,158 70 146 27 146.27

464287242 ISHARES TR 78174E41

Sold 01 /27/10 103 10,832 37

Acq 08/27/09 103 10,832 37 10,741 56[] 10,741 56 90 81 90 81 S

Total for 1/27/2010 10,741 56 10,741 56 90 81 90 81

464287242 1SHARES TR 78174E41

Sold 04/16/10 175 18,606.04

Acq 08/27/09 175 18,606 04 18,250 22 q 18,250 22 355 82 355 82 S

Total for 4/16/2010 18,250 22 18,250 22 355 82 355 82

464287242 ISHARES TR 78174E41

Sold 06/23/10 80 8,597 61

Acq 08/27/09 80 8,59761 8,342 96 q 8,34296 254 65 254 65 S

Total for 6/23/2010 8,34296 8,342 96 254 65 254 65

Combined!

Main Account Id: 78174E41

ype Description Date

Merrill Lynch

Statement of Capital Gains and Losses From Sales

( Does not include capital gain distributions from mutual

funds or CTF's - See Tax Transaction Detail)

NAHLEN CHARIT TR-DIMA -MFS INST

Trust Year Ending 12/31/2010

Shares Price Fed Cost State Cost ed Gain

Page 2 of 7

2/4/2011 11:14:45

tate Gain (Type)

464287242 ISHARES TR 78174E41

Sold 08/30/10 295 33,169 71

Acq 08/27/09 295 33,169 71 30,764 67 q 30,764 67 2,405.04 2,405.04 L

Total for 8/30/2010 30,764 67 30,764 67 2,405 04 2,405 04

464287465 ISHARES TR 78174E41

Sold 01 /20/10 116 6,494 76

Acq 08/27/09 116 6,49476 6,067 95 6,06795 426 81 426 81 S

Total for 1 /20/2010 6,067 95 6,067 95 426.81 426 81

464287465 ISHARES TR 78174E41

Sold 01 /27/10 112 6,02917

Acq 08/27/09 112 6,02917 5,858 72 [] 5,858 72 170.45 170.45 S

Total for 1 /27/2010 5.858 72 5,85872 170 45 170.45

464288513 (SHARES IBOXX$ HIGH YIEL 78174E41

Sold 01 /20/10 42 3,739 63

Acq 08/27/09 42 3,73963 3,448 11 0 3,448 11 291 52 291 52 S

Total for 1/20/2010 3,448 11 3,448 11 291 52 291 52

464288513 ISHARES IBOXX$ HIGH YIEL 78174E41

Sold 01 /27/10 40 3,49516

Acq 08/27/09 40 3,49516 3,283 92 q 3,28392 211 24 211 24 S

Total for 1/27/2010 3,283 92 3,283 92 211 24 211 24

464288513 (SHARES IBOXX$ HIGH YIEL 78174E41

Sold 04/16/10 767 67,957 66

Acq 11 / 18/09 185 16 ,391 35 15,954 07 15,954 07 437.28 437 28 S

Acq 08/27/09 348 30,833 46 28,570 15[3 28,570 15 2,26331 2,26331 S

Acq 12/22/09 234 20,732 85 20,593 38 q 20,593 38 139 47 139 47 S

Total for 4/16/2010 65,117 60 65,117 60 2,84006 2,84006

464288588 ISHARES LEHMAN MBS 78174E41

Sold 01 /20/10 135 14,467 82

Acq 12/10/08 135 14,467 82 14,105 14,105 52 362 30 362 30 L

Total for 1 /20/2010 14,105 52 14,105 52 362 30 362 30

464288588 ISHARES LEHMAN MBS 78174E41

Sold 01 /27/10 130 13,96619

Acq 08/27/09 100 10,743 22 10,613 84 0 10,61384 129 38 129 38 S

Acq 12/10/08 30 3,22297 3,134 57 [] 3,134 57 88 40 88 40 L

Total for 1 /27/2010 13,748 41 13,748 41 217 78 217 78

464288588 ISHARES LEHMAN MBS 78174E41

Sold 04/16/10 195 20,875 10

Acq 08/27/09 195 20,875 10 20,697 00 q -20,69700 178 10 178 10 S

Total for 4/16/2010 20,697 00 20,697 00 178 10 178 10

Gombirred!

Main Account Id: 78174E41

Type Description Date

Merrill Lynch Page 3 of 7

Statement of Capital Gains and Losses From Sales 2/4/2011 11:14:45

(Does not include capital gain distributions from mutual

funds or CTF's - See Tax Transaction Detail)

NAHLEN CHARIT TR-DIMA-MFS INST

Trust Year Ending 12/31/2010

Shares Price Fed Cost State Cost Fed Gain State Gain (Type)

464288588 ISHARES LEHMAN MBS 78174E41

Sold 06/23/10 130 14,223.18

Acq 08/27/09 130 14,223 18 13,798 01 q 13,798 01 425 17 425 17- S

Total for 6/23/2010 13,798 01 13,798 01 425.17 425 17

464288679 ISHARES LEHMAN SHORT 78174E41

Sold 01 /20/10 48 5.28905

Acq 12/22/09 48 5 , 289 05 5 , 289 600 5,28960 -0.55 -0 55 S

Total for 1 /20/2010 5,289 60 5, 289 60 -0 55 -0.55

464288679 ISHARES LEHMAN SHORT 78174E41

Sold 01 /27/10 46 5,06914

Acq 12/22/09 46 5,069 14 5,069 200 5,06920 -0 06 -0 06 S

Total for 1/27/2010 5,069 20 5,06920 -0.06 -0 06

464288679 ISHARES LEHMAN SHORT 78174E41

Sold 06/23/10 874 96,313 34

Acq 12/22/09 874 96,31334 96,314 801-] 96,314 80 -1 46 -1 46 S

Total for 6/23/2010 96,314 80 96,314 80 - 1 46 -1 46

73936T565 POWERSHARES GLOBAL 78174E41

Sold 01 /20/10 79 1,07992

Acq 08/27/09 79 1,079 92 1,001 57[] 1,001 57 78 35 78 35 S

Total for 1 /20/2010 1,001 57 1,001 57 78 35 78 35

73936T565 POWERSHARES GLOBAL 78174E41

Sold 01 /27/10 76 1,031 31

Acq 08/27/09 76 1,031 31 963 54 0 963 54 67 77 67.77 S

Total for 1 /27/2010 963 54 963 54 67 77 67 77

73936T565 POWERSHARES GLOBAL 78174E41

Sold 08/30/10 230 3,305 09

Acq 08/27/09 230 3,30509 2,91599E] 2,91599 389 10 389 10 L

Total for 8/30/2010 2,915 99 2,915 99 389 10 389 10

78464A516 SPDR SER TR LEHMAN INTL 78174E41

Sold 01 /20/10 37 2,096 76

Acq 08/27/09 37 2,09676 2,083 47[] 2,08347 13.29 13 29 S

Total for 1/20/2010 2,08347 2,08347 13 29 13 29

78464A516 SPDR SER TR LEHMAN INTL 78174E41

Sold 01 /27/10 36 2,043 69

Acq 08/27/09 36 2,04369 2,027 16E] 2,027 16 16 53 16 53 S

Total for 1 /27/2010 2,027 16 2,027 16 16 53 16 53

Oombint-d!

Main Account Id: 78174E41

Type Description Date

Merrill Lynch Page 4 of 7

Statement of Capital Gains and Losses From Sales 2/4/2011 11:14:45

(Does not include capital gain distributions from mutual

funds or CTF's - See Tax Transaction Detail)

NAHLEN CHARIT TR-DIMA-MFS INST

Trust Year Ending 12/31/2010

Shares Price Fed Cost State Cost Fed Gain State Gain (Type)

78464A516 SPDR SER TR LEHMAN INTL 78174E41

Sold 08/30/10 230 13,305 49

Acq 08/27/09 230 13,305 49 12,951 30[1 12,951 30 354 19 354 19 L

Total for 8/30/2010 12,951 30 12,951 30 354 19 354.19

81369Y100 SECTOR SPDR TR SHS BEN INT-BASIC 78174E41

Sold 01 /20/10 43 1.44908

Acq 08/27/09 43 1,44908 1,271920 1,271 92 177.16 17716 S

Total for 1 /20/2010 1,271 92 1,271 92 177 16 177.16

81369Y100 SECTOR SPDR TR SHS BEN INT-BASIC 78174E41

Sold 01 /27/10 42 1,30072

Acq 08/27/09 42 1,30072 1,242 340 1,24234 58 38 58 38 S

Total for 1 /27/2010 1,242 34 1,242 34 58 38 58 38

81369Y209 SECTOR SPDR TR SHS BEN 78174E41

Sold 01 /20/10 78 2,547.45

Acq 08/27/09 78 2,547 45 2,246 400 2,24640 301 05 301 05 S

Total for 1 / 20/2010 2,24640 2,24640 301 05 301 05

81369Y209 SECTOR SPDR TR SHS BEN 78174E41

Sold 01 /27/10 75 2,367 72

Acq 08/27/09 75 2, 367 72 2,159 99 [] 2,15999 207.73 207 73 S

Total for 1 /27/2010 2,15999 2,15999 207.73 207.73

81369Y308 SECTOR SPDR TR SHS BEN 78174E41

Sold 01 /20/10 253 6,742 59

Acq 12/10/08 253 6,742 59 5,874 55Q 5,874 55 868 04 868 04 L

Total for 1 /20/2010 5,874 55 5,874 55 868 04 868 04

81369Y308 SECTOR SPDR TR SHS BEN 78174E41

Sold 01 /27/10 244 6,402 70

Acq 12/10/08 244 6,402 70 5,665 58 5,665 58 737 12 737 12 L

Total for 1/27/2010 5,665 58 5,665 58 737 12 737.12

81369Y407 SECTOR SPDR TR SHS BEN 78174E41

Sold 01 /20/10 47 1,40669

Acq 08/27/09 47 1,40669 1,242 86[7] 1.24286 163 83 163 83 S

Total for 1 /20/2010 1,24286 1.24286 163 83 163 83

81369Y407 SECTOR SPDR TR SHS BEN 78174E41

Sold 01 /27/10 45 1,31488

Acq 08/27/09 45 1,314 88 1, 189 98 [] 1,189 98 124 90 124 90 S

Total for 1 /27/2010 1,189 98 1 ,189 98 124 90 124 90

Oombinbdl

Main Account Id: 78174E41

Type Description Date

Merrill Lynch Page 5 of 7

Statement of Capital Gains and Losses From Sales 2/4/2011 11:14:45

(Does not include capital gain distributions from mutual

funds or CTF's - See Tax Transaction Detail)

NAHLEN CHARIT TR-DIMA-MFS INST

Trust Year Ending 12/31/2010

Shares Price Fed Cost State Cost Fed Gain State Gain (Type)

81369Y506 SECTOR SPDR TR 78174E41

Sold 01/20/10 74 4,344 48

Acq 08/27/09 74 4,34448 3,808 780 3,808 78

Total for 1/20/2010 3,808.78 3,808 78

81369Y506 SECTOR SPDR TR 78174E41

Sold 01/27/10 71 3,969.56

Acq 08/27/09 71 3,96956 3,654 37 q 3,654 37

Total for 1/27/2010 3,654 37 3,654 37

81369Y704 SECTOR SPDR TR 78174E41

Sold 01/20/10 151 4.35931

Acq 09/04/09 151 4,359 31 3,842 95[] 3,842 95

Total for 1/20/2010 3,842 95 3,842 95

81369Y704 SECTOR SPDR TR 78174E41

Sold 01/27/10 145 4,02818

Acq 09/04/09 145 4,028 18 3,690 25 q 3,69025

Total for 1/27/2010 3,69025 3,690 25

81369Y886 SECTOR SPDR TR SHS BEN 78174E41

Sold 01/20/10 135 4,15672

Acq 08/27/09 135 4,15672 3,983 3,98383

Total for 1/20/2010 3,983 83 3,983 83

81369Y886 SECTOR SPDR TR SHS BEN 78174E41

Sold 01/27/10 130 3,877 97

Acq 08/27/09 130 3,877 97 3,836 280 3,83628

Total for 1/27/2010 3,836 28 3,83628

81369Y886 SECTOR SPDR TR SHS BEN 78174E41

Sold 08/30/10 170 5,22433

Acq 08/27/09 170 5,224 33 5,016 69[] 5,01669

Total for 8/30/2010 5,016 69 5.01669

921937819 VANGUARD INTERMEDIATE 78174E41

Sold 01/20/10 46 3,69145

Acq 08/27/09 46 3,691 45 3,653 48 q 3,65348

Total for 1/20/2010 3,653 48 3,653 48

921937819 VANGUARD INTERMEDIATE 78174E41

Sold 01/27/10 45 3.62695

Acq 08/27/09 45 3,62695 3,574 05 q 3,57405

Total for 1/27/2010 3,574 05 3,574.05

535 70 535 70 S

535 70 535 70

315 19 315 19 S

315 19 315.19

516 36 516 36 S

516 36 516 36

337 93 337 93 S

337 93 337 93

172 89 172.89 S

172 89 172.89

41 69 41 69 S

41 69 41 69

20764 20764 L

207 64 207 64

37 97 37 97 S

37 97 37 97

52 90 52 90 S

52 90 52 90

Gombirvedl

Main Account Id: 78174E41

Type Description Date

Merrill Lynch

Statement of Capital Gains and Losses From Sates

(Does not include capital gain distributions from mutual

funds or CTF's - See Tax Transaction Detail)

NAHLEN CHARIT TR-DIMA-MFS INST

Trust Year Ending 12/31/2010

Page 6 of 7

2/4/2011 11:14:46

Shares Price Fed Cost State Cost Fed Gain State Gain (Type)

921937819 VANGUARD INTERMEDIATE 78174E41

Sold 06/23/10 120 9,928.87

Acq 08/27/09 120 9,928.87 9,530 82 9,53082 398.05 - 398 05 S

Total for 6/23/2010 9,530.82 9,530 82 398 05 398 05

921937827 VANGUARD SHORT TERM BOND 78174E41

Sold 01/20/10 180 14,423 69

Acq 12/10/08 180 14,423 69 14,152.680 14,152 68 271 01 271 01 L

Total for 1/20/2010 14,152 68 14,152 68 271 01 271.01

921937827 VANGUARD SHORT TERM BOND 78174E41

Sold 01/27/10 173 13,888 26

Acq 12/10/08 173 13,888 26 13,602 30[] 13,602 30 285 96 285 96 L

Total for 1/27/2010 13,602 30 13,602 30 285 96 285.96

921937827 VANGUARD SHORT TERM BOND 78174E41

Sold 04/16/10 250 20,022 19

Acq 12/10/08 140 11,212 43 11,007 65[] 11,007 65 204 78 204.78 L

Acq 11/18/09 110 8,80976 8,829 58 8,82958 -19 82 -19 82 S

Total for 4/16/2010 19,837 23 19,837 23 184 96 184 96

921937827 VANGUARD SHORT TERM BOND 78174E41

Sold 06/23/10 135 10,894 58

Acq 11/18/09 135 10,894 58 10,836 32[] 10,836 32 58 26 58 26 S

Total for 6/23/2010 10,836 32 10,836 32 58 26 58 26

921937827 VANGUARD SHORT TERM BOND 78174E41

Sold 08/30/10 430 35,096 35

Acq 11/18/09 430 35,096 35 34,515 670 34,515 67 580 68 580 68 S

Total for 8/30/2010 34,515 67 34,515 67 580 68 580 68

92204A405 VANGUARD FINANCIALS ETF 78174E41

Sold 01/20/10 145 4,393 57

Acq 11/18/09 145 4,39357 4,318 050 4,31805 75 52 75 52 S

Total for 1/20/2010 4,31805 4,31805 75 52 75 52

92204A405 VANGUARD FINANCIALS ETF 78174E41

Sold 01/27/10 140 4,01388

Acq 11/18/09 140 4,01388 4,169 15M 4,16915 -155 27 -155 27 S

Total for 1/27/2010 4,169 15 4,169 15 -155 27 -155.27

92204A702 VANGUARD INFORMATION 78174E41

Sold 01/20/10 52 2,844 88

Acq 11/18/09 52 2,84488 2,756 93 2.75693 87 95 87 95 S

Total for 1/20/2010 2,756 93 2,75693 87 95 87 95

Gornbilved!Merrill Lynch Page 7 of 7

Statement of Capital Gains and Losses From Sa les 2/4/2011 11:14:46

( Does not Include capital gain distributions from mutualMain Account Id: 78174E41

funds or CTF's - See Tax Transaction Detail)

NAHLEN CHARIT TR-DIMA -MFS INST

Trust Year Ending 12/31/2010

Type Description Date Shares Price Fed Cost State Cost Fed Gain State Gain (Type)

92204A702 VANGUARD INFORMATION 78174E41

Sold 01 /27/10 50 2,622 97

Acq 11/18/09 50 2,62297 2,650 900 2,65090 -27.93 -27 93 - S

Total for 112712010 2,650 90 2,650 90 -27.93 -27.93

92204A884 VANGUARD TELECOMM SRVCS 78174E41

Sold 01 /20/10 63 3,447 95

Acq 11/18/09 63 3.44795 3,349 080 3.34908 98 87 98 87 S

Total for 1 /20/2010 3,349 08 3,349 08 98 87 98.87

92204A884 VANGUARD TELECOMM SRVCS 78174E41

Sold 01 /27/10 60 3,165 56

Acq 11/18/09 60 3,16556 3,189 59[3 3,18959 -24 03 -24 03 S

Total for 1/27/2010 3,189 59 3,189 59 -24 03 -24 03

Total for Account : 78174E41 545,457 37 545,457 37 16,578 36 16,578 36

Total Proceeds : Fed State

562,035 .73 SIT Gain/Loss 10,404 79 10,404 79

L/T Gain/Loss 6,173 57 6,173 57