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Return of Private FoundationForm 990-PF or Section 4947(a)(1) Nonexempt Charitable TrustDepartment of the Treasury Treated as a Private FoundationInternal Revenue Service Note The foundation may be able to use a copy of this return to satis fy state re p ortin g re q uirements.
OMB No 1545-005
2012For calendar year 2012 or tax year beginnin g , and ending
Name of foundation A Employer identification number
CARMEN AND VICTORIA DEYESU FAMILYFnTTfvnATTnN _ TNC _ 26-1598319
C"ON
aq
lLz
co
Number and street or P 0 box number if mail is not delivered to street address ) Room/swte B Telephone number
2706 FALLSBROOKE MANOR DR 410-879-1989City or town, state, and ZIP code C If exemption application is pending, check here
FALLSTON , MD 21047G Check all that apply: 0 Initial return 0 Initial return of a former public charity D 1. Foreign organizations , check here
Final return El Amended return
=2. Foreign organizations meeting the 85% test,
^Name chan g eAddress chan g e check here and attach computation ►
H Check type of organization . ® Section 501 ( c)(3) exempt private foundation E If private foundation status was terminatedSection 4947 ( a )( 1 ) nonexem t charitable trust Other taxable p rivate foundation under section 507(b)(1)(A), check here
Fair market value of all assets at end of yearI J Accounting method- ® Cash El Accrual F If the foundation is in a 60 month termination(from Part ll, col (c), line 16) El Other ( specify ) under section 507(b)(1)(B), check here
► $ 1 6 2 5 15 8 . (Part 1, column (d) must be on cash basis)
pa;l; Analysis of Revenue and Expenses (a) Revenue and (b ) Net investment ( c) Adjusted net ( d ) Disbursements(The total of amounts in columns ( b), (c), and ( d) may not exp enses p e r uO0kS income income
for charitable purposes
necessarily equal the amounts in column (a) (cash basis only)
1 Contributions , gifts, grants , etc., received 3 7
wredtoatmchSch B2 Ch k dthefoundationIsnotre '754-1' ',eti(';%'
"i s ^_'t•' ,.
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.- ^-,^'r: ^-.-
`_ _ Z „ • ,^;_ ^?_i - ^; , .fur. ^r. _a•
Interest on savin g s and tem por ary 22 2 59 22 2 59 yTATEMENT';i13 cash investments , , . ^:4 Dividends and interest from securities 24 , 292 . 24 , 292. TATEMENT_____5a Gross rents ':emu,. :ws s^
_ 'G1^di 'J5^^•' -^ '_ { WY _ *i ^In-'r+•^C^`...'1^I ,..t!dJl4 "'^ .. yY, /Qr`'j^." _^:,rYr.r < _µ^p _,yL.y^
' t
y ^ 4 ^^.^`".^', J^^`i Y ->•^jly' :;%:L•
ti%t Cj tb Net rental income or ( loss) i.y h• t ^[^ 1^Ni » ey:^ j.^ `)1a ^ $
,
1 'II,Y•L6 J F,.Y r[ri•LLnN .rR il <y••'+I ^
6a Net gain or (loss ) from sale of assets not on line 10 182 , 150. {j7° 'i^^^'r5 ^^y^^ti -•-l,f(^,3yL
0
'.i, `^ti4>:5^-''-1 "-+1. ^Z • f^ : ''6: "IS`i{^^^"..c c„*)•r-,- ;, ,G;,>.'.t•,,'_ , .;.^,•:I7 Gross sales price for all 483 639 •."-x1 - •cgym nay;r ^;xc - F r: ^H•tr •• ^g>:n ' K' • ^-+..t: ,.:.M•ses-°h: r^<°
a..c. r •^:.a, ^x^ ='z r1 - w n 1._, .b assets online 6a,;s ,.... at,• >- 1.^ • . .®rw. ..a^h < ^.
` xr''' 'ae• :CF :I` is 'raw ri %i' ax tgS ? <F ; "=}> 7 Cap ital gain net income (from Part IV , line 2 )S- t :
^;k R7 182 150.^s ;( ,^=._r^,, , e•= *
8 Net short-term capital gain4" tsx'^ :3r' ^'•`
4'if ^ .x r•^ r, r-l" ,Yy`T+.,aG:L_ °• rR'-ii-'^': ' a^,,.:__:1i v''`'='!k^:;a ^•^.: __
9 Income modificationsI,•^^,n... .p•, ^r 4 rv-'.'h^•'k^.^A ,^d ^ ^ i A •I
f Itif^^r:T.z^A,r ;uc ^r.E^'^L.....,^4p-^ ^ -
';: i. .{ . ds°:,.yt,•,^)
Gross sales less returnsand allowances
^:+{i+C':`'.!. •f 6c- 'bGa,-+^ctd4^i •:^^^re.
T `
1i4'-;Ul%`•i-` •31^ d'1-•Vs^ri, _..Ci-c n^
r 7 1 cir^_ a',.r_...__... r3•'•c;`.'a. r^
_
Y }
=- _ j+i yw ,ssA` :V 2
:3c^a:E`4°Nti .^.a'-:•ix^
b Less Cost of goods soldL•^K^
S' + T? =°.lx '...a ^^.vr. bci =
u
' f3:; k .rf ,, l`,•_[^-n "ki7s^:•r' •K:S •u'-"P.'.-._.-i:: ri:<aE?^..:
^.^i^•"irsiid.^+.c, .i. )-.
>.?cs.'e=, -IrL•c-`': d-'^'.•^`kxi".^^^.,
F`.4rt iI )n' sn-
%_____d "i.^.^i; .""r'.:.i ::a
c Gross profit or (loss) ^g
ECE IVEDz q_"^'
%°Fr^•r s..s g'^ s,
' -11 Other income 9 R, rNd4
12 Total . Addlines 1Wau gh 11 ^cn1228 738. 228 , 701. • "=1 ?1
13 Compensation of once r1ctorsj It'lres,1tc1 z(1 1. y I 0. 0. 0.
14 Other employee sala less and wages ^ ry
15 Pension lans em l ee-be ofp , p y ,
UI DEIdi ,16a Legal fees
W b Accounting fees STMT 3 1 , 650. 0. 0.W c Other professional fees STMT 4 10 , 742. 10 , 742. 0.
17 Interest
18 Taxes STMT 5 45. 45. 0.19 Depreciation and depletion -, tz
_
"
20 Occupancy
< 21 Travel, conferences , and meetings
r- 22 Printing and publications
t7i 23 Other expenses STMT 6 168. 168. 0.W 24 Total operating and administrative
. expenses . Add lines 13 through 23 12 , 605. 10 , 955. 0 .25 Contributions , g ifts, g ra nts paid 93 , 0 0 0 93 , 00026 Total expenses and disbursements
Add lines 24 and 25 105 , 605. 10 , 955. 93 , 000 .27 Subtract line 26 from line 12:
.sU^ .n, .^4.' nc •.i'R "„a,
'?'^ `....'^.^ f - .i•^S^ :tw1.^ l...Lit.yLS
.
7,'.r.J/' .y,3 .::-'_Xx''<:•f^'x,ti"_a
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1 23 1337 jR•s "'' ' :',y .f^ Y ^^^ r^'(iV^ :.^„^ _ r^ . _ w_^,4 ^r^isS y,u;i '^-yl-^"_H
a Excess of revenue over expenses and disbursements
Net investment income if neg ative, enter -0-.Y45 rn. i
,, 'iy > 4r",-FI N" 17 , 746 .',,^7C"x ;^.'"y^°„f;'"x; ^f tt''(^'F t
- n^ T-^ay"7 -^iC•F
c Adlusted net income lu negative , enter -0-) N/A
12-05112 LHA For Paperwork Reduction Act Notice , see instructions . Form 990-PF (2012)
1 ^ \
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CARMEN AND VICTORIA DEYESU FAMILYForm 990-PF 2012 FOUNDATION , INC. 26- 1598319 Page 2
Attached schedulesandamountsinthedescnptiontl ShBBeginning of year End of year
ance ee saPart 11 column should be for end -of-year amounts only lB k V Fair Market Val e(a) Book Value oo a ue(b) (c) u
1 Cas'h - non-Interest-bearing 11 , 163. 49 , 258. 49 258.2 Savings and temporary cash investments 52 , 580. 7 314 • 7 , 314.3 -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
7 Other notes and loans receivable
Less: allowance for doubtful accounts ►, 8 Inventories for sale or use
NU, 9 Prepaid expenses and deferred chargesH
a 10a Investments - U.S. and state government obligations
b Investments - corporate stock STMT 7 927 , 799. 1 , 091 , 392. 1 , 231 , 450.c Investments - corporate bonds STMT 8 360 , 698. 327 409. 337 136.
11 Investments - land, buildings , and equipment basis ►
Less accumulated deprecation ►
12 Investments - mortgage loans
13 Investments - other
14 Land, buildings, and equipment basis ►Less accumulated depreciation ►
15 Other assets (describe ►
16 Total assets to be comp leted by all filers 1 , 352 , 240. 1 , 475 , 373. 1 , 625 , 158.17 Accounts payable and accrued expenses
18 Grants payable
ca 19 Deferred revenue
20 Loans from officers, directors , trustees, and other disqualified persons :,. `',,; A- : y - .:b;; • '-
21 Mortgages and other notes payable -'j
22 Other liabilities (describe ►
23 Total liabilities ( add lines 17 throu g h 22 ) 0. 0.
Foundations that follow SFAS 117, check here ► = ?'^ 'f' y '=
and complete lines 24 through 26 and lines 30 and 31 . ;};!'^.r`,a. , • x„ _ ? i`
24 Unrestricted
m 25 Temporarily restricted '°: 'fi •ur
on 26 Permanently restricted
c Foundations that do not follow SFAS 117, check here ►o and complete lines 27 through 31 .
-0 P-L,^^ ti^r „ s y=
27 Capital stock, trust principal, or current funds 0. 0 •` x r
- , ^ ,
28 Paid-in or capital surplus, or land, bldg., and equipment fund 0. 0 • = ,; ^, s% ;;. ,
3 7 329 Retained earnings, accumulated income, endowment, or other funds 1 , 352 , 240. .1 , 475 .
Z 30 Total net assets olfund balances 1 , 352 , 240. 1 475 373 • 4;?"""'- x -
°`31 Total liabilities and net assets/fund balances 1 , 352 , 240. 1 1 4 7 5 3 7 3. _ R °- •k___
Patt-lit - Analysis of Changes in Net Assets or Fund Balances
1 Total net assets or fund balances at beginning of year - Part II, column (a), line 30
(must agree with end-of-year figure reported on prior year's return)
2 Enter amount from Part I, line 27a
3 Other increases not included in line 2 (itemize) ►4 Add lines 1, 2, and 3
5 Decreases not included in line 2 (itemize) ►- Part II. column
Ill 1,352,240.1 2 123.133.
Form 990-PF (2012)22351112-05-12
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CARMEN AND VICTORIA DEYESU FAMILYForm 990-PF (2012) FOUNDATION , INC. 26-1598319 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.)ry
(b How acquired^ - PurchaseD - Donation
(o) Date acquiredmo., day, yr.)
(d) Date sold(mo., day, yr.)
la
b .SEE ATTACHED STATEMENTSC
d
e
(e) Gross sales price (f) Depreciation allowed(or allowable)
(p) Cost or other basisplus expense of sale
(h) Gain or (loss)(e) plus (f) minus (g)
a
b
c
d
e 483 , 639. 1 i 301 48 9. 182 150.Complete 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. (I), if any
col. (k), but not less than -0-) orLosses (from col. (h))
a
b
c
d
e 182 150.
2If gain, also enter in Part I, line 7
Capital gain net income or (net capital loss) If (loss) line 7enter -0- in Part I 2 182 , 150.
3
,,
Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):If gain, also enter in Part I, line 8, column (c).If ( loss ), enter -0- in Part I line 8 3 N /A
Pait?V-_ Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)
If section 4940( d)(2) applies , leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period ? Yes ® No
If "Yes , " the foundation does not qualify under section 4940 ( e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see the instructions be fore making any entries.
Base period yearsCalendar year or tax year beginning in )
(b)Adjusted qualifying distributions
(c)Net value of noncharitable-use assets
Distributdion ratio(col. (b) divided by col. (c))
2011 76 , 965. 1 , 522 , 371. .0505562010 59 , 560. 1 , 225 , 168. .0486142009 48 , 630. 956 157. .0508602008 40 074. 873 292. .0458882007 0. 11 , 132. .000000
2 Total of line 1, column (d) 2 .1959183 Average distribution ratio for the 5-year base period - divide the total on line 2 by 5, or by the number of yea
the foundation has been in existence if less than 5 years
rs
3 . 039184
4 Enter the net value of nonchantable-use assets for 2012 from Part X, line 5 4 1 , 613 , 901 .
5 Multiply line 4 by line 3 5 63 , 239.
6 Enter 1% of net investment income (1% of Part I, line 27b) 6 2 , 177.
7 Add lines 5 and 6 7 65 , 416.
8 Enter qualifying distributions from Part XII, line 4 8 93 , 000.
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate.See the Part VI instructions.
223521 12-05-12 Form 990-PF (2012)
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CARMEN AND VICTORIA DEYESU FAMILYForm 990-PF 2012 FOUNDATION , INC. 26-1 598319 Page 4Part V1 Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948 - see instructions)
la Exempt operating foundations described in section 4940(d)(2), check here ► L^j and enter "N/A" on line 1.
Date of Puling 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 here ►® and enter 1% 1 2 177 .
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 2 177.
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 2 177 .6 Credits/Payments.
a 2012 estimated tax payments and 2011 overpayment credited to 2012 6a 3,655. "b Exempt foreign organizations - tax withheld at source 6b
c Tax paid with application for extension of time to file (Form 8868) 6c 4 , 500 . 4 - ., _' %r> !
d Backup withholding erroneously withheld 6d
7 Total credits and payments. Add lines 6a through 6d 7 8 155 .8 Enter any penalty for underpayment of estimated tax. Check here ® if Form 2220 is attached 8
9 Tax due . If the total of lines 5 and 8 is more than line 7, enter amount owed ► 9
10 Overpayment . If line 7 is more than the total of lines 5 and 8, enter the amount overpaid ► 10 5 , 978 .11 Enter the amount of line 10 to be: Credited to 2013 estimated tax 5 9 7 8 . Refunded 11 0 .
Part,VII-A Statements Regarding Activities
la During the tax year, did the foundation attempt to influence any national, state, or local legislation or did it participate or intervene in Yes No
any political campaign? la X
b Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see instructions for definition)? lb X
If the answer is "Yes" to la 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 71 -_ _
c Did the foundation file Form 1 120-POL for this year? 1c
d Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year.
(1) On the foundation. ► $ 0. (2) On foundation managers. ► $ 0.
e Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed on foundation
$ 0.2 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 years 7 X
If "Yes, " complete Part Il, col. (c), and Part XV. x ^i !
8a Enter the states to which the foundation reports or with which it is registered (see instructions) ► ; : `:;;y '^
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) ;l^;^ .-y
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 4942(l)(3) or 4942(j)(5) for calendar
year 2012 or the taxable year beginning in 2012 (see instructions for Part XIV)? If "Yes," complete Part XIV 9 X
10 Did any persons become substantial contributors during the tax year? if "Yes." attach a schedule iisiina their names and addresses 10 X
Form 990-PF (2012)
22353112-05-12
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CARMEN AND VICTORIA DEYESU FAMILY)rm 990-PF 2012 FOUNDATION , INC. 26-1598319 Pag e 5
Part VII-A Statements Regarding Activities (continued)
11 At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the meaning of
section 512(b)(13)7 If "Yes," attach schedule (see instructions) 11 X
12 Did 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) 12 X
13 Did the foundation comply with the public inspection requirements for its annual returns and exemption application? 13 X
Website address ► N/A
14 The books are in care of ► STOY, MALONE & COMPANY, PC Telephone no. ► 410 - 8 2 8 -19 61
Located at ► 7 0 5 YORK ROAD, TOWSON, MD ZIP+4 ►212 0 4
15 Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 - Check here ► Eland enter the amount of tax-exempt interest received or accrued during the year ► 15 N / A
16 At any time during calendar year 2012, did the foundation have an interest in or a signature or other authority over a bank, Yes No
securities, or other financial account in a foreign country? 16 X
See the instructions for exceptions and filing requirements for Form TD F 90-22.1. If "Yes," enter the name of the foreign
countryPart V11=B' Statements Regarding Activities for Which Form 4720 May Be Required
File Form 4720 if any item is checked in the "Yes" column, unless an exception applies . Yes No
is During the year did the foundation (either directly or indirectly):
(1) Engage in the sale or exchange, or leasing of property with a disqualified person? Yes No
(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person? Yes ® No
(3) Furnish goods, services, or facilities to (or accept them from) a disqualified persons Yes No
(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? Yes ® 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)? =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 Ty .Y
termination of government service, if terminating within 90 days.) Yes ® No
b If any answer is 'yes" to la(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 instructions)? N/A 1b
Organizations relying on a current notice regarding disaster assistance check here ► L1c Did the foundation engage in a prior year in any of the acts described in la, other than excepted acts, that were not corrected
before the first day of the tax year beginning in 2012? 1c X
2 Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private operating foundation 1
defined in section 4942(1)(3) or 4942(j)(5)):
a At the end of tax year 2012, did the foundation have any undistributed income (lines 6d and 6e, Part XIII) for tax year(s) beginning
before 2012? =Yes ® No ^sLt Y
If "Yes," list the years ►b Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2) (relating to incorrect . r
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 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.
3a Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at any time?%
during the year? =Yes ® No
b If "Yes," did it have excess business holdings in 2012 as a result of (1) any purchase by the foundation or disqualified persons after 3rd ¢ ;;,'^
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 2012) 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 purpose that
had not been removed from ieocardv before the first day of the tax year beginning in 20129 4b F X
Form 990-PF (2012)
22354112-05-12
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CARMEN AND VICTORIA DEYESU FAMILYForm 990-PF 2012 FOUNDATION , INC . 26 - 1598319 Pa e 6Part VII-B Statements Regarding Activities for Which Form 4720 May Be Required (continued)
5a During the year did the foundation pay or incur any amount to: - -
(1) Carry on propaganda , or otherwise attempt to influence legislation ( section 4945 (e))'? El Yes ® No
(2) Influence the outcome of any specific public election ( see section 4955); or to carry on , directly or indirectly, -
any voter registration drive? Yes ® No
(3) Provide a grant to an individual for travel , study, or other similar purposes '? =Yes ® No
(4) Provide a grant to an organization other than a charitable , etc., organization described in section
509(a )( 1), (2), or (3 ), or section 4940 (d)(2)? 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? 0 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 instructions )? N/A 5b
Organizations relying on a current notice regarding disaster assistance check here ►Q -
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/A =Yes =No
If "Yes, " attach the statement required by Regulations section 53.4945-5(d)
6a Did the foundation , during the year, receive any funds , directly or indirectly , to pay premiums on
a personal benefit contract? Yes No
b Did the foundation , during the year , pay premiums , directly or indirectly , on a personal benefit contract? 6b 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? Yes No
b If "Yes ." did the foundation receive any oroceeds or have any net income attributable to the transaction? N/A 7b
Part VIE : Information About Officers, Directors, Trustees, Foundation Managers, HighlyPaid Employees, and Contractors
1 List all officers. directors. trustees. foundation manaaers and their comoensation.
(a) Name and address(b) Title, and avera ge
hours per week devotedto position
(c) Compensation( If not p aid,enter -0 -)
( d! Contributionstoemp oyeebenefitplans
compensation
(e) Expenseaccount, otherallowances
CARMEN F DEYESU RES, TREAS2205 POINTS REACH CONDOMINIUMOCEAN PINES , MD 21811 2.00 0. 0. 0.VICTORIA A DEYESU P, SEC2205 POINTS REACH CONDOMINIUMOCEAN PINES , MD 21811 2.00 0. 0. 0.
2 Gomoensation of five highest-paid emolovees lother than those included on line 11. If none. enter "NONE."
(a) Name and address of each employee paid more than $50,000(b) Title, and average
hours per weekdevoted to position
(c) Compensation
( d) Contnbutionstoemp and eteeM plans
compensation
(e) Expenseaccount, otherallowances
NONE
Total number of other employees paid over $50,000 ► 1 0Form 990-PF (2012)
22355112-05-12
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CARMEN AND VICTORIA DEYESU FAMILYForm 990-PF (2012) FOUNDATION, INC. 26-1598319 Page 7
Part VIIIInformation About Officers, Directors , Trustees, Foundation Managers, HighlyPaid Employees, and Contractors (continued)
3 Five highest-paid independent contractors for professional services. 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 receivin g over $50 , 000 for p rofessional services ► 0
Part IX-A Summary of Direct Charitable Activities
List the foundation's four largest direct charitable activities during the tax year. Include relevant statistical information such as thenumber of organizations and other beneficiaries served, conferences convened, research papers produced, etc.
Expenses
i N / A
2
3
4
1Part IXB I Summary of Program-Related InvestmentsDescribe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
t N / A
2
All other program-related investments. See instructions.
3
Total. Add lines 1 throu gh 3 0.
Form 990-PF (2012)
22356112-05-12
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CARMEN AND VICTORIA DEYESU FAMILYForm 990-PF (2012) FOUNDATION, INC. 26 -1598319 Page 8
Par!.)( Minimum Investment Return (All domestic foundations must complete this part Foreign foundations , see instructions.)
1 Fair market value of assets not used (or held for use) directly in carrying out charitable, etc., purposes:
a Average monthly fair market value of securdies
b Average of monthly cash balances
c Fair market value of all other assets
d Total (add lines la, b, and c)
e Reduction claimed for blockage or other factors reported on lines la and
1c (attach detailed explanation) le
2 Acquisition indebtedness applicable to line 1 assets
3 Subtract line 2 from line 1d
4 Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see instructions)
5 Net value of noncharitable - use assets . Subtract line 4 from line 3. Enter here and on Part V, line 4
1a 1 , 550 , 766.1b 87,71 2.
1d 1 1.638.478.
3 1 , 638 , 478.4 24 , 577.5 1,613,901.
Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certainP81t`XI.
foreign organizations check here ► 0 and do not complete this part.)
1 Minimum investment return from Part X, line 6 1 80 , 695.2a
b
c
Tax on investment income for 2012 from Part VI, line 5 2a
Income tax for 2012. (This does not include the tax from Part VI.) 2b
Add lines 2a and 2b
2 17 7 . ? ,t,
2c 2 , 177 .
3 Distributable amount before adjustments. Subtract line 2c from line 1 3 78 , 518 .4 Recoveries of amounts treated as qualifying distributions 4 0 .
5 Add lines 3 and 4 5 78 , 518 .6 Deduction from distributable amount (see instructions) 6 0 .
7 Distributable amount as ad j usted. Subtract line 6 from line 5. Enter here and on Part XIII line 1 7 78 , 518 .
>ParXll1 Qualifying Distributions (see instructions)
1
a
Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
Expenses, contributions, gifts, etc. - total from Part I, column (d), line 26 la 93 , 000.b Program-related investments - total from Part IX-B 1b 0.
2 Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc., purposes 2
3
a
Amounts set aside for specific charitable projects that satisfy the:
Suitability test (prior IRS approval required) 3a
b Cash distribution test (attach the required schedule) 3b
4 Qualifying distributions . Add lines la through 3b. Enter here and on Part V, line 8, and Part XIII, line 4 4 93 , 000.
5 Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
income. Enter 1% of Part I, line 27b 5 2 , 177.6 Adjusted qualifying distributions . Subtract line 5 from line 4 6 90 , 823.
Note . The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating wheth
4940(e) reduction of tax in those years.
er the foundation qualifie s for the section
Form 990-PF (2012)
22357112-05-12
8
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CARMEN AND VICTORIA DEYESU FAMILYForm 990-PF (2012) FOUNDATION, INC. 26-1598319 Page 9
Part XIII Undistributed Income (see instructions)
(a) (b) (c) (d)Corpus Years prior to 2011 2011 2012
1 Distributable amount for 2012 from Part XI, --
llne7 - - 78 , 518.2 Undistributed income, if any, as of the end of 2012
a Enter amount for 2011 only - 0 .b Total for prior years:
0.3 Excess distributions ca rryover, if any, to 2012: -
a From 2007
b From 2008 16 , 241.cFrom 2009 3 , 562. 'd From 2010 5 , 182.
e From 2011 3 916f Total of lines 3a throug h e 28 , 901.
4 Qualifying distributions for 2012 from „ . -
Part Xll,line 93 000.a Applied to 2011, but not more than line 2a - 0 .
b Applied to undistributed income of prior
years (Election required - see instructions) - 0 .
c Treated as distributions out of corpus =
(Election required - see instructions) 0 . t = - `
d Applied to 2012 distributable amount 78 , 518.e Remaining amount distributed out of corpus 14 , 482. - ` x r -
5 Excess distributions carryover applied to 2012 0. 0.(If an amount appears in column (d), the same amount - _ _ - - _ , - -must be shown in column (a)) -• - - _ _ , - _ _ _ - '
6 Enter the net total of each column asindicated below: _ _ ;•
a Corpus; Add lines 3f. 4c, and 4e Subtract line 5 4 3 3 8 3 . • = = ?`b Prior years' undistributed income. Subtract
line 4b from line 2b -' " - 0 ' -
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 0
d Subtract line 6c from line 6b. Taxable '
amount - see instructions 0
e Undistributed income for 2011. Subtract line
4a from line 2a. Taxable amount - see Instr. 0 . :
f Undistributed income for 2012. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2013 0
7 Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) 0
8 Excess distributions carryover from 2007 <<
not applied on line 5 or line 7 0
9 Excess distributions carryover to 2013.
Subtract lines 7 and 8 from line 6a 43 3 8 3. ,10 Analysis of line 9:
`a Excess from 2008 16 , 241 . ';
b Excess from 2009 3,562. t"''c Excess from 2010 5 18 2 - - -•
d Excess from 2011 3 , 916 . --
Excess from 2012e 14 , 482.Form 990-PF (2012)
22358112-05-12
9
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CARMEN AND VICTORIA DEYESU FAMILYForm 990-PF ( 2012 ) FOUNDATION , INC. 26-1598319 Page 10
Part;XIV Private Operating Foundations (see instructions and Part VII-A, question 9) N /A
1 a If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2012, enter the date of the ruling ►b Check box to indicate whether the found
2 a Enter the lesser of the adjusted net
income from Part I or the minimum
investment return from Part X for
each year listed
b 85% of line 2a
c Qualifying distributions from Part XII,
line 4 for each year listed
d Amounts included in line 2c not
used directly for active conduct of
exempt activities
e Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2cComplete 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(j)(3)(B)(i)
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 grossinvestment 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(I)(3)(B)(ni)
(3) Largest amount of support from
an exempt organization
( 4 ) Gross investment incomePart3X,V"" Supplementary Information (Complete this part only if the foundation had $5,000 or more in assets
at any time during the year-see 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 taxyear (but only if they have contributed more than $5,000). (See section 507(d)(2).)
CARMEN F DEYEb 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.
NONE
2 Information Regarding Contribution, Grant, Gift, Loan, Scholarship , etc., Programs:Check here ►® if the foundation only makes contributions to preselected charitable organizations and does not accept unsolicited requests for funds. If
the foundation makes gifts, grants, etc. (see instructions) to individuals or organizations under other conditions, complete items 2a, b, c, and d.
a The name, address, and telephone number or e-mail 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:
d Any restrictions or limitations on awards , such as by geographical areas , charitable fields , kinds of institutions , or other factors:
223601 12-05 - 12 Form 990-PF (2012)
10
aeon is aprivate o p eratin g rounoanon aescnoea in section U qu4Z s or LJ 14 4Z I
Tax year Prior 3 years
(a) 2012 (b) 2011 (c) 2010 (d ) 2009 ( e) Total
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201
CARMEN AND VICTORIA DEYESU FAMILY
(continued)
3 Grants and Contributions Paid Durina the Year or Aooroved for Future Payment
Recipient If recipient is an individual,show any relationship to Foundation Purpose of grant or
Name and address (home or business) any foundation manageror substantial contributor
status ofrecipient
contribution Amount
a Paid dung the year
CALVERT HALL COLLEGE HIGH SCHOOL ONE PUBLIC CHARITY PROVIDE SUPPORT FOR
8102 LA SALLE ROAD EDUCATION OF YOUNG MEN
BALTIMORE MD 21286 5 , 000.
CATHOLIC CHARITIES ONE PUBLIC CHARITY LEADERSHIP CAMPAIGN
320 CATHEDRAL STREET
BALTIMORE , MD 21201 10 , 000.
FUEL FUND OF MARYLAND ONE PUBLIC CHARITY PROVIDE RESOURCES TO
305 W CHESAPEAKE AVE, STE 115 VULNERABLE MARYLAND
BALTIMORE, MD 21204 AMILES FOR HEAT AND
HOME UTILITY NEEDS 4 , 000.
HARFORD FAMILY HOUSE ONE PUBLIC CHARITY PROVIDE TRANSITIONAL
53 E BEL AIR AVENUE; SUITE 3 HOUSING TO HOMELESS
ABERDEEN MD 21001 FAMILIES 5 , 000.
HOUSE OF RUTH ONE PUBLIC CHARITY ROVIDE SUPPORT TO
2201 ARGONNE DRIVE OMEN AND THEIR
BALTIMORE MD 21218 HILDREN 11 000 ,
Total SEE CONTINUATION SHEET S ► 3a 93 000b Approved for future payment
NONE
Total ► 3b 1 0.
223611Form 990-PF (2012)
12-05-12
11
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CARMEN AND VICTORIA DEYESU FAMILYForm 990-PF (2012) FOUNDATION, INC. 26-1598319 Page 12
Part XVI-A Analysis of Income-Producing Activities
Enter)
1 Pro
a
b
c
d
e
f
92 Me
3 Int
inv
4 Div
5 Net
a
b
6 Net
pro
7 Ot
8 Gat
tha
9 Net
10 Gr
11 Ot
a
b
e
d
e
12 Su
ross amounts unless otherwise indicated Unrelate d business income Excluded b section 512, 513, or 514 (e).
gram service revenue:
(a)Businesscode
(b)Amount
EtC ^-Sioncode
(d)Amount
Related or exempt
function income
Fees and contracts from government agencies
mbership dues and assessments
rest on savings and temporary cashestments 14 22 , 259.idends and interest from securities 14 24 , 292.rental income or (loss) from real estate:
Debt-financed property
Not debt-financed property
rental income or (loss) from personal
perty
er investment income
n or (loss) from sales of assets othern inventory 18 182 , 150.income or (loss) from special events
ss profit or (loss) from sales of inventory
er revenue:
btotal. Add columns (b), (d), and (e) 0. 1 "." 228 , 701.
B
t
t
o
h
t
o
h
1 0.
13 Total . Add line 12, columns (b), (d), and (e) 13 228,701.
(See worksheet in line 13 instructions to verity calculations.)
Part XVI=B' Relationship of Activities to the Accomplishment of Exempt Purposes
12
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CARMEN AND VICTORIA DEYESU FAMILYForm 990-PF ( 2012 ) FOUNDATION , INC. 26-1598319 Page 13Par't• XV11= Information Regarding Transfers To and Transactions and Relationships With Noncharitable
Exempt Organizations
Did theorganization directly or indirectly engage in any of the following with any other organization described in section 501(c) of Yes No
the Code ( other than section 501 ( c )( 3 ) or g anizations ) or in section 527, relating to p olitical org anizations?
a Transfers from the reporting foundation to a noncharitable exempt organization of.
(1) Cash
^:` °
101 )
_•= r °- .`
X
(2) Other assets la ( 2 ) X
b Other transactions :
(1) Sales of assets to a noncharitable exempt organization 1b 1 X
(2) Purchases of assets from a noncharitable exempt organization 1b 2 X
(3) Rental of facilities , equipment , or other assets lb ( 3 ) X
(4) Reimbursement arrangements 1b ( 4 ) X
(5) Loans or loan guarantees 11b ,5 )
(6) Performance of services or membership or fundraising solicitations lb ( 6 )
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 , ot
or services given by the reporting foundation . If the foundation received less than fair market value in any transaction or sharing arrangement, sh
her ass
ow in
ets,
(a) Name of organization (b) Type of organization (c) Description of relationship
N/A
Under penalties of erfury, I declare that I have examined this return, including accompanying schedules and statements , and to the best of my knowledge
Signand b. 1 , f , it i ue, orrect , and complete Declaratio f • preparer (other than taxpayer) is b
M the IRS discuss this
Here)^, -
Signature of officer or trustee Date
Print/Type preparer's name Preparer's signature
VINCENT PAULPaid NESLINEPreparer Firm's name ► STOY, MALONE & C67MPANIVUse Only
Firm's address ► 7 0 5 YORK ROAD
22362212-05-12
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
b If "Yes ," complete the following schedule.
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Schedule B(Form 990 , 990-EZ,or 990-PF)
Department of the TreasuryInternal Revenue Service
Schedule of Contributors
Attach to Form 990, Form 990-EZ, or Form 990-PF. 2012Name of the organization
CARMEN AND VICTORIA DEYESU FAMILY
Organization type (check one)
Filers of: Section:
Form 990 or 990-EZ 0 501 (c)( ) (enter number) organization
4947(a)(1) nonexempt charitable trust not treated as a private foundation
0 527 political organization
Form 990-PF ® 501(c)(3) exempt private foundation
4947(a)(1) nonexempt charitable trust treated as a private foundation
0 501(c)(3) taxable private foundation
OMB No 1545-0047
Employer identification number
Check if your organization is covered by the General Rule or a Special Rule.
Note . Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule See Instructions.
General Rule
For an organization filing Form 990 , 990-EZ , or 990-PF that received , during the year , $5,000 or more ( in money or property) from any one
contributor Complete Parts I and II
Special Rules
D For a section 501 (c)(3) organization filing Form 990 or 990-EZ that met the 33 1 /3% support test of the regulations under sections
509(a)( 1) and 170(b)(1)(A)(vi) and received from any one contributor , during the year , a contribution of the greater of (1) $5 ,000 or (2) 2%
of the amount on (I) Form 990 , Part VIII , line 1h , or (n) Form 990-EZ, line 1 Complete Parts I and II.
Q For a section 501(c)(7), (8), or ( 10) organization filing Form 990 or 990 - EZ that received from any one contributor , during the year,
total contributions of more than $ 1,000 for use exclusively for religious , charitable , scientific , literary , or educational purposes, or
the prevention of cruelty to children or animals . Complete Parts I, II, and Ill.
Caution . An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990, 990-EZ, or 990-PF),
but it must answer "No" on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ or on Part I, line 2 of its Form 990-PF, to
certify that it does not meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990-PF).
LHA For Paperwork Reduction Act Notice , see the Instructions for Form 990, 990-EZ, or 990-PF. Schedule B (Form 990 , 990-EZ , or 990 -PF) (2012)
For a section 501 (c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor, during the year,
contributions for use exclusively for religious, chartable, 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 nonexclusively
religious, charitable, etc., contributions of $5,000 or more during the year $
22345112-21-12
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Schedule B (Form 990, 990-EZ, or 990-PF) (2012) Page 2
Name of organization
CARMEN AND VICTORIA DEYESU FAMILYEmployer identification number
PBtt) Contributors (see instructions) Use duplicate copies of Part I if additional space is needed.
(a)No.
(b)Name, address, and ZIP + 4
(c)Total contributions
(d)Type of contribution
1 CARMEN DEYESU Person 0
2205 POINTS REACH CONDOMINIUM $ 37.Payroll 0Noncash
OCEAN PINES, MD 21811(Complete Part II if there
is a noncash contribution )
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
Person
$
Payroll
Noncash
(Complete Part II if there
is a noncash contribution )
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
Person
$
Payroll
Noncash
(Complete Part II if there
is a noncash contribution )
(a)
No.
(b)
_ Name , address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
Person
$
Payroll
Noncash
(Complete Part II if there
is a noncash contribution.)
(a)
No.
(b)
Name, address , and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
Person
$
Payroll
Noncash
(Complete Part II if there
is a noncash contribution)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
Person
$
Payroll
Noncash 0
(Complete Part II if there
is a noncash contribution )
223452 12-21-12 Schedule B (Form 990. 990-EZ. or 990-PF1 (20121
19
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Schedule B (Form
Name of organizatio
CARMEN AND VICTORIA DEYESU FAMILY
Employer identification number
3
•Pa II Noncash Property (see instructions) Use duplicate copies of Part II if additional space is needed.
(a)
No.
from
Part I
(b)Description of noncash property given
(FMV (or estimate)
(see instructions)
(d)Date received
1,500 SHS T ROWE PRICE STOCK1
$ 98,850. 12/24/12
(a)No.
from
Part
(b)Description of noncash property given
(c)FMV (or estimate)
(see instructions)
(d)Date received
(a)
Part IDescription of noncash property given
(C)
FINN
i
(or
nstructions)(see ins)Date received
(a)
frmPart I
Description of noncash property given
(c)
F INN
i
(or
nstructions)(see ins)Date received
No).
Part I
b
Description of noncash property given
(c)FINN i(or
nstructions)(see
i
nstions)Date received
(a)
from
Part IDescription of noncash property given
(c)
F INN (or
(see ins)instructions)Date received
990, 990-EZ, or
223453 12-21-12 Schedule B (Form 990 , 990-EZ , or 990-PF) (2012)
20
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Schedule B (Form 990 , 990-EZ, or 990- PF) (2012) Page 4
Name of organization Employer identification number
CARMEN AND VICTORIA DEYESU FAMILY
FOUNDATION. INC. 26-1598319Part IH txciusivery religious , cnaritaole , 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) $Use duplicate copies of Part III if additional space is needed.
(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 Relationshi p of transferor to transferee
(a) No.fromPart l
(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 Relationshi p of transferor to transferee
(a) No.fromPart I
(b) Purpose of gift (c) Use of ift9 (d) Description of how gift is held
(e) Transfer of gift
Transferee's name , address , and ZIP + 4 Relationship of transferor to transferee
(a) No.fromPart l
(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 Relationship of transferor to transferee
223454 12-21-12 Schedule B (Form 990 , 990-EZ , or 990 -PF) (2012)
21
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CARMEN.AND VICTORIA DEYESU FAMILY CONTINUATION FOR 990-PF, PART IV
FOUNDATION , INC. 26-1598319 PAGE 1 OF 2-Partial 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.
How acquired(b^ PurchaseD -
- Donationonation
D
(c) Date acquired(mo., day, yr.)
(d) Date sold(mo., day, yr.)
la DISNEY Pb GOODYEAR Pc NORTHWEST NATIONAL Pd NEXTEL COMM Pe BE AEROSPACE Pf NEXTEL COMM P
g HOSPITALITY PROP Ph TESORO P
WEST COMMS INTL PCOUNTRYWIDE HOME P
k GOLDMAN SACHS PIT ROWE PRICE Dm INTEL CORP Pn INCONTACT Po NOVADO TECHNOLOGIES P
(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 20 , 000. 20 , 260. <260.:b 21 , 827. 22 , 675. <848.:c 15 , 000. 16 , 194. <1 , 194.-.d 10 , 000. 10 , 017. <17.:e 22 , 175. 22 , 050. 125.f 5 , 000. 5 , 008. <8.:
10 , 000. 10 , 673. <673.-h 10 , 063. 8 , 800. 1 , 263.
20 , 800. 21 , 625. <825.:10 , 000. 10 , 229. <229.-
k 25 , 000. 22 , 058. 2 , 942.I 183 687. 126. 183 561.m 1 , 322. 1 , 150. 172.n 26 , 535. 9 , 622. 16 , 913.o 30 , 607. 11 , 623. 18 , 984.
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (I) Losses (from col. (h))
(i) F.M.V. as of 12/31/69(j) Adjusted basisas of 12/31/69
(k) Excess of col. (i)over col. (I), if any
Gains (excess of col. (h) gain over col. (k),but not less than "-02)
a <260.:b <848.:c <1 , 194.:d <17 .:e 125.f <8 .:
<673 .:h 1 , 263.
<825.^<229.:
k 2 , 942.1 183 561.m 172.n 16 , 913.0 18 984.
)also
)IfIf
gain, lineline
77enter
"-0enter "inPart
IPart, I2 Capital gain net income or (net capital loss ^2
,
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):If gain, also enter in Part I, line 8, column (c).If (loss), enter"-O-" in Part I, line 8 3
22359105-01-12
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CARMEN AND VICTORIA DEYESU FAMILY CONTINUATION FOR 990-PF, PART IV
FOUNDATION INC. 26-1598319 PAGE 2 OF 2Part 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 acquired
D - Donation
( c) Date acquiredlino ., day, yr.)
( d) Date sold( mo., day, yr.)
la SRS 'LABS INC Pb TELECOMMUNICATIONS Pc ECOTALITY INC NEW Pd WYERHAEUSER CO Pe
f
h
k
m
n
0
(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 23 , 237. 16 , 472. 6 , 765.b 30 , 731. 66 , 711. <35 , 980..c 3 , 498. 17 , 525 . < 14 , 027.-d 14 , 157. 8 , 671. 5 , 486.ef
h
k
I
m
n
0Complete only for assets showing gain in column ( h) and owned by the foundation on 12/31/69 (I) Losses (from col. (h))
(i) F.M.V. as of 12/31/69(j) Adjusted basisas of 12/31/69
( k) Excess of col. (i)over col. (j), if any
Gains ( excess of col . ( h) gain over col. (k),but not less than "-0-')
a 6 , 765.b <35 980.;c <14 027.;d 5 , 486.e
f
h
k
m
n
0
alsoenter "-
enter0- " iin
PartIPart
,I) If
If (lo(loss )2 Capital gain net income or (net capital loss line
77^ 2 182 , 150.,
,,
3 Net short-term capital gain or ( loss) as defined in sections 1222 ( 5) and (6):If gain, also enter in Part I , line 8, column (c).If (loss), enter"-O-" in Part I, line 8 3 N / A
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CARMEN AND VICTORIA DEYESU FAMILYFOUNDATION INC. 26-1598319
Part XV Supplementary Information3 Grants and Contributions Paid During the Year (Continuation)
Recipient If recipient is an individual,show any relationship to Foundation Purpose of grant or
Name and address (home or business) any foundation manager status of contribution Amount
or substantial contributor recipient
IRVINE NATURE CENTER ONE PUBLIC CHARITY ESTRICTED
11201 GARRISON FOREST RD
OWINGS MILLS . MD 21117 3 , 000.
MARYLAND FOOD BANK ONE PUBLIC CHARITY ESTRICTED
2200 HALETHORPE FARMS ROAD
BALTIMORE , MD 21227 4 , 000.
SISTERS OF ST FRANCIS FOUNDATION ONE PUBLIC CHARITY PROVIDE SUPPORT FOR
2800 EDISON HIGHWAY HEALTHCARE, EDUCATION
BALTIMORE , MD 21213 OR HOMELE 5 , 000.
ST JOSEPH MEDICAL CENTER EMERGENCY ONE PUBLIC CHARITY PROVIDE SUPPORT FOR
DEPT. EMERGENCY NURSES
7601 OSLER DRIVE EDUCATION FUND
TOWSON , MD 21204 15 , 000.
ST. VINCENT DE PAUL OF BALTIMORE ONE PUBLIC CHARITY LINRESTRICTED
2305 N CHARLES STREET
BALTIMORE . MD 21218 10 000,
THE COMMUNITY SCHOOL ONE PUBLIC CHARITY PROVIDE SUPPORT TO
337 WEST 30TH STREET EDUCATION FOR TROUBLED
BALTIMORE MD 21211 TEENS 4000.
BONSECOURS MD HEALTH FOUNDATION ONE PUBLIC CHARITY PROVIDE SUPPORT FOR
2000 WEST BALTIMORE ST, SUITE NB203 EDUCATION OF LEARNING
BALTIMORE MD 21223 D ISABLED YOUTH 3 , 000.
MEALS ON WHEELS ONE PUBLIC CHARITY JNRESTRICTED
515 SOUTH HAVEN STREET
BALTIMORE , MD 21224 3 , 000.
IMAGE CENTER ONE PUBLIC CHARITY ;NRESTRICTED
300 EAST JOPPA ROAD, SUITE 302
TOWSON MD 21286 3 , 000.
MOVEABLE FEAST ONE PUBLIC CHARITY JNRESTRICTED
901 N. MILTON AVE
BALTIMORE , MD 21205 3 , 000.
Total from continuation sheets 58 000 ,
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CARMEN AND VICTORIA DEYESU FAMILYFOUNDATION , INC. 26-1598319
Part:XV Supplementary Information3 Grants and Contributions Paid During the Year ( Continuation)
Recipient If recipient is an individual,show any relationship to Foundation Purpose of grant or
Name and address (home or business) any foundation manageror substantial contributor
status ofrecipient
contribution Amount
MOUNT ST. MARY'S UNIVERSITY
16300 OLD EMMITSBURG RD
EMMITSBURG MD 21727
ONE PUBLIC CHARITY ESTRICTED
5 , 000.
Total from continuation sheets
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CARMEN AND VICTORIA DEYESU FAMILY FOUNDA 26-1598319
FORM 990-PF INTEREST ON SAVINGS AND TEMPORARY CASH INVESTMENTS STATEMENT 1
SOURCE.
SCHWAB - BONDSSCHWAB - PURCHASED INTERESTSCHWAB - US TREASURY
TOTAL TO FORM 990-PF, PART I, LINE 3, COLUMN A
AMOUNT
23,222.<971.>
8.
22,259.
FORM 990-PF DIVIDENDS AND INTEREST FROM SECURITIES STATEMENT 2
SOURCE
SCHWAB - DIVIDENDS
TOTAL TO FM 990-PF, PART I, LN 4
CAPITAL GAINSGROSS AMOUNT DIVIDENDS
24,292. 0.
24,292. 0.
COLUMN (A)AMOUNT
24,292.
24,292.
FORM 990-PF ACCOUNTING FEES STATEMENT 3
(A) (B) (C) (D)
EXPENSES NET INVEST- ADJUSTED CHARITABLE
DESCRIPTION PER BOOKS MENT INCOME NET INCOME PURPOSES
ACCOUNTING 1,650. 0. 0.
TO FORM 990-PF, PG 1, LN 16B 1,650. 0. 0.
FORM 990-PF OTHER PROFESSIONAL FEES STATEMENT 4
DESCRIPTION
(A) (B)EXPENSES NET INVEST-PER BOOKS MENT INCOME
INVESTMENT ADVISOR FEES 10,742. 10,742.
TO FORM 990-PF, PG 1, LN 16C 10,742.
(C)ADJUSTED
NET INCOME
10,742.
(D)CHARITABLEPURPOSES
0.
0.
22 STATEMENT (S) 1, 2, 3, 4
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CARMEN AND VICTORIA DEYESU FAMILY FOUNDA
STATEMENT 5FORM 990-PF
DESCRIPTION
FOREIGN TAXES PAID
26-1598319
(A) (B) (C) (D)EXPENSES NET INVEST- ADJUSTED CHARITABLEPER BOOKS MENT INCOME NET INCOME PURPOSES
45. 45. 0.
TO FORM 990-PF, PG 1, LN 18 45. 45. 0.
FORM 990 -PF OTHER EXPENSES STATEMENT 6
DESCRIPTION
TAXES
(A) (B) (C)EXPENSES NET INVEST- ADJUSTEDPER BOOKS MENT INCOME NET INCOME
BANK FEES 168. 168.
TO FORM 990-PF, PG 1, LN 23 168. 168.
(D)CHARITABLEPURPOSES
0.
0.
FORM 990-PF CORPORATE STOCK
DESCRIPTION
ABBCISCOCOCA COLADISNEYDUPONTEMERSONINTELINTERMAPJOHNSON AND JOHNSONMICROSOFTSUPPORT SOFTINCONTACTHUDSONMARATHON OILMARATHON PETET ROWE PRICE STOCKGREAT LAKES DREDGE COKOPIN CORPOVERLAND STORAGEPAYCHEX INCWEYERHAEUSER CO
BOOK VALUE
22,604.27,133.26,163.21,830.37,035.22,744.51,791.60,596.45,470.52,871.35,043.13,968.19,410.17,895.12,105.
25.23,070.31,764.63,659.27,734.24,816.
STATEMENT 7
FAIR MARKETVALUE
31,185.29,474.36,250.37,343.40,481.26,480.51,550.17,225.52,575.53,419.52,125.77,700.54,600.20,236.20,790.65,117.44,650.33,300.39,375.31,100.41,730.
23 STATEMENT(S) 5, 6, 7
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CARMEN AND VICTORIA DEYESU FAMILY FOUNDA 26-1598319
WIRELESS RONIN TECHS INC 45,300. 20,000.ZZB ENERGY CORP 62,551. 32,980.SOUTHWEST ENERGY CO 36,817. 33,410.JOHNSON CONTROLS 41,206. 46,005.ENCANA•CORP 40,472. 29,640.EARTHLINK INC 32,596. 32,300.NOKIA CORP 25,807. 19,750.WINDSTREAM CORP 24,485. 20,700.ADEPT TECHNOLOGY INC 46,763. 32,500.APLLIED MATERIALS - AMAT 32,026. 28,600.APPLIED MATERIALS - AMNL 16,976. 19,250.AVAIT NETWORKS INC 36,891. 49,350.BLACKROCK REAL ASSET 11,776. 10,260.
TOTAL TO FORM 990-PF, PART II, LINE 10B 1,091,392. 1,231,450.
IFORM 990-PF CORPORATE BONDS STATEMENT 8
FAIR MARKETDESCRIPTION BOOK VALUE VALUE
GE CAPITAL BOND 22,814. 25,357.GE CORPORATION BOND 19,131. 20,076.CITIZENS 35,088. 35,175.EATON 10,089. 10,605.GE CAP CP FLT 10,015. 9,923.MORGAN STANLEY 14,875. 15,189.TEXTRON 15,547. 15,675.ANADARKO PETRO 27,368. 29,817.FORD MOTOR 24,994. 25,337.GOODYEAR TIRE 26,463. 26,938.JARDEN 26,963. 28,156.TYSON FOODS 27,900. 28,500.HEALTH NET 20,925. 21,219.MORGAN STANLEY FLT 24,962. 24,544.SWIFT ENERGY 20,275. 20,625.
TOTAL TO FORM 990-PF, PART II, LINE 10C 327,409. 337,136.
24 STATEMENT(S) 7, 8
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Form 8868
(Rev. January 2013)
Department of the TreasuryInternal Revenue Service for each return.
• If you are filing for an Automatic 3-Month Extension , complete only Part I and check this box ►
• If you are filing for an Additional (Not Automatic ) 3-Month Extension , complete only Part II (on page 2 of this form).
Do not complete Part ll unless you have already been granted an automatic 3-month extension on a previously filed Form 8868.
Electronic filing (e-file). You can electronically file Form 8868 if you need a 3-month automatic extension of time to file (6 months for a corporation
required to file Form 990-T), or an additional (not automatic) 3-month extension of time. You can electronically file Form 8868 to request an extension
of time to file any of the forms listed in Part I or Part II with the exception of Form 8870, Information Return for Transfers Associated With Certain
Personal Benefit Contracts, which must be sent to the IRS in paper format (see instructions). For more details on the electronic filing of this form,
visit www.irs. ov/efile and click on a-file for Charities & Nonprofits.
' Perti:I Automatic 3-Month Extension of Time. Only submit original (no'copies needed).
A corporation required to file Form 990-T and requesting an automatic 6-month extension - check this box and complete
Part I only ► 0All other corporations (including 1120-C filers), partnerships, REMICs, and trusts must use Form 7004 to request an extension of time
to file income tax returns.
Type or Name of exempt organization or other filer, see instructions.
print CARMEN AND VICTORIA DEYESU FAMILY
File by thedue date for Number , street , and room or suite no. If a P .O. box , see instructions.
filing your 2706 FALLSBROOKE MANOR DRreturn Seeinstructions City, town or post office , state , and ZIP code For a foreign address , see instructions.
FALLSTON, MD 21047
Enter the Return code for the return that this application is for (file a separate application for each return)
Employer identification number (EIN) or
26-1598319
Social security number (SSN)
1 0 4
Application
Is For
Return
Code
Application
Is For
Return
Code
Form 990 or Form 990-EZ 01 Form 990-T (corporation ) 07
Form 990-BL 02 Form 1041 -A 08
Form 4720 Indlvidua 03 Form 4720 09
Form 990-PF 04 Form 5227 10
Form 990-T (sec. 401 a or 408 (a) trust) 05 Form 6069 11
Form 990-T trust other than above) 06 Form 8870 12
RTC)Y. MALONE & COMPANY. PC• The books are in the care of ► 7 0 5 YORK ROAD - TOWSON , MD 212 0 4
Telephone No .Boo- 410-828 -1961 FAXNo. ► 410-821-8814• If the organization does not have an office or place of business in the United States , check this box ► 0
• If this is for a Group Return , enter the organization 's four digit Group Exemption Number (GEN) . If this is for the whole group , check this
box ► 0 If it is for part of the group , check this box ►0 and attach a list with the names and EINs of all members the extension is for.
-I I request an automatic 3-month (6 months for a corporation required to file Form 990-T) extension of time until
AUGUST 15, 2013 , to file the exempt organization return for the organization named above . The extension
)tum
79-EO for payment instructions.
Form 8868 (Rev. 1-2013)
Application for Extension of Time To File an IExempt Organization Return OMB No 1545-1709
File a