990-PF Returnof Private Foundation990s.foundationcenter.org/990pf_pdf_archive/135/135562382/... ·...

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c

Form 990-PF Return of Private Foundation OMB No 1545-0052

or Section 4947(a)(1) Nonexempt Charitable Trust 20 O

Depsrtment of the TreasuryTreated as a Private Foundation

Internal Revenue Service Note The foundation may be able to use a copy of this return to satisfy state reporting requirements.

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

G Check all that apply: 0 Initial return EJ Initial return of a former public charity Final return

n Amended return n Address chanae n Name chance

Name of foundation

THE HAVENS RELIEF FUND SOCIETY

A Employer identification number

13-5562382Number and street ( or P O box number if mail is not delivered to street address)

475 RIVERSIDE DRIVE

Room/suite

1940B Telephone number

212 870-2636City or town , state, and ZIP code

NEW YORK NY 10115C If exemption application is pending , check here

0 1. Foreign organizations, check here

H Check type of organization: ®Sectlon 501(c)(3) exempt private foundation

0 Section 4947 ( a )( 1 ) nonexem p t charitable trust El Other taxable p rivate foundation

2. Foreign organizations meeting the 85% test.check here and attach computation

E If rivate foundati n status was terminated

I Fair market value of all assets at end of year

(from Part 11, col. (c), line 16)

► $ 2 5 4 3 0 7\7 5

J Accounting method: P1 Cash [] Accrual

® Other (specify) MODIFIED CASH

(Part 1, column ,( (-th ,st be on cash basis.)

p ounder section 507(b)(1)(A), check here ►

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

Part I Analysis of Revenue and Expenses(The total of amounts in columns ( b), (c), and (d) may notnecessarily equal the amounts in column (a))

(a) Revenue andexpenses per books

(b ) Net investmentincome

(c) Adjusted netincome

( d) Disbursementsfor charitable purposes

(cash basis only)

1 Contributions, gifts, grants, etc., received 32 , 450.2 Check ► if the foundation is not required to attach Sch B

Interest on savings and temporary3 cash investments

4 Dividends and interest from securities 671 , 575. 671,575. 671 , 575. TATEMENT 15a Gross rents

b Net rental income or (loss)

6a Net gain or (loss ) from sale of assets not on line 10 524 , 265.n Gross sales price for all

b assets on line 6a 51 839,502.

d7 Capital gain net income (from Part IV, line 2) 5-24 , 26-5.8 Net short-term capital gain 122 , 093.9 Income modifications

Gross sales less returns10a and allowances

b Less Cost of goods sold

c Gross profit or (loss)

11 Other income 2 , 226. 2 2 2 6. 2 2 2 6. TATEMENT 212 Total Add lines 1 throu g h 11 1 2 3 0 516. 1119,8 066. 795 , 894 .13 Compensation of officers, directors , trustees , etc 100 000 . 0 . 0 . 100 , 000 .14 Other employee salaries and wages 35 000 . 0. 0. 35 000 .15 Pension plans, employee benefits 107 227 . 0. 0. 107 227 .16a Legal fees

$q b Accounting fees STMT 3 36 , 560 . 18 , 280. 18 , 280. 18 , 280.w c Other professional fees STMT 4 120 , 208. 112 912. 112 912. 7 , 296.

- 01a? 18 Taxes ECENED S T 5 11 , 798. 0. 0. 11 , 798.2T 19 reclatlon and depletion

jE 20 Oe upanG 20)'0 22 , 267. 0. 0. 22 , 267.

< 21 el, conferences, and meeting 12 805 . 0. 0. 12 805 .a 22 Prl 2 , 193. 0. 0. 2 , 193.0 23 Othe a V\r T ST T 6 38 , 394. 0. 0. 38,394.0

CL

24 Total operating and administrative

expenses . Add lines 13 through 23 486 , 452. 131 , 192. 131 , 192. 355 , 260.0 25 Contributions, gifts, grants paid 771 879. 771 , 879.

26 Total expenses and disbursements.

Add lines 24 and 25 1 2 5 8 . 331. 131 , 192. 131 , 192. 1 , 127 , 139.27 Subtract line 26 from line 12:

a Excess of revenue over expenses and disbursements -27 815.

b Net investment income (if negative , enter -0- ) 1 , 066 , 874.C Ad usted net income ( i f negative , enter -0- )

_664 , 702.

°z07'10 LHA For Paperwork Reduction Act Notice , see the instructions Form 990-PF (2010)

115180804 756359 08070 2010.04010 THE HAVENS RELIEF FUND SOCI 08070__1

,- ,

Form 990-PF (2010) THF- RAVR-TTC RP-T.TF-F RTTNT CC CT'..TV 11_R;A21 A17 Panel

Balance Sheets Aiiached schedules and amounts in the descriptionP

Beginning of year End of yearart II column should be for end-of-year amounts only (a) Book Value (b) Book Value (c) Fair Market Value

1 Cash - non-Interest-bearing 288 , 768. 275 , 284. 275 , 284.2 Savings and temporary cash investments 1 , 145 , 059. -1 , -278 , 796. 1 , 278 , 796.3 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

y 9 Prepaid expenses and deferred charges

10a Investments -U.S. and state government obligations STMT 7 2 , 205 , 309. 1 805 1 824. 1 1 805 , 824.b Investments - corporate stock STMT 8 16 , 046 , 720. 17 , 529 , 913. 17 , 529 , 913.c Investments - corporate bonds STMT 9 4 , 101 , 208. 4 , 540 , 958. 4 , 540 , 958.

11 Investments - land, buildings , and equipment basis ►

Less accumulated depreciation ►

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 com p leted b y all filers 23 , 787 , 064. 25 , 430 , 775. 25 , 430 , 775.17 Accounts payable and accrued expenses

18 Grants payable

19 Deferred revenue

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

21 Mortgages and other notes payable

22 Other liabilities (describe ►

23 Total liabilities ( add lines 17 throw h 22 ) 0. 0.

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

24 Unrestricted 23 , 787 , 064. 25 , 430 , 775.25 Temporarily restricted

m 26 Permanently restricted

C Foundations that do not follow SFAS 117, check here ► 0 -

and complete lines 27 through 31

27 Capital stock, trust principal, or current funds

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

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

30 Total net assets or fund balances 23 , 787 , 064. 25 , 430 775.

31 Total liabilities and net assets/fund balances 23 , 787 , 0 6 4. 25 , 430 , 775.

Part III Analysis of Changes in Net Assets or Fund Balances

1 Total net assets or fund balances at beginning of year - Part II, column (a), line 30

(must agree with end-of-year figure reported on prior year's return) 1 23 7 8 7 0 6 4 .

2 Enter amount from Part I, line 27a 2 -27 , 815.3 Other increases not included in line 2 (itemize) ► APPRECIATION OF INVESTMENTS 3 1 , 671 , 526.4 Add lines 1, 2, and3 4 25 , 430 775.

5 Decreases not included in line 2 (itemize) ► 5 0.

4 minus line 5) - Part

023511

I

12-07-10

Form 990-PF (2010)

215180804 756359 08070 2010.04010 THE HAVENS RELIEF FUND SOCI 080701

Form 990-PF (2010) THE HAVENS RELIEF FUND SOCIETY 13-5562382 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 sto brick warehouse ; or common stock , 200 shs. MLC Co.ry )

( b How acquiredPurchase

D - Donation

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

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

la SEE ATTACHMENT A Pb SEE ATTACHMENT A P

Cd

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 966 216. 844 123 . 122 093.b 4 , 873 , 286. 4 , 471 , 114. 402 172.C

d

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 . ( 1), if any

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

a 122 093.b 402 172.Cd

e

2If gain, also enter in Part I, line 7

Capital gain net income or ( net capital loss) If (loss) enter -0- in Part I line 7 2 524 , 265.

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 12 2 0 9 3 .

Part V Qualification-Under Section-4940(e)-for-Reduced Taxon-filet-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 ? El 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 instructions before making any entries.

(a)Base period years

Calendar year ( or tax year beginning in

(b)Adjusted distributionsquali fy ing

(c)Net value of noncharitable -use assets

(d)Distribution ratio(col. (b) divided by col. (c))

2009 1 , 014 , 251. 20 409 281. .0496962008 1 , 082 , 579. 23 275 884. .0465112007 1 , 108 , 971. 25 248 154. .0439232006 1 , 032 , 629. 25 603 837. .0403312005 1 , 074 . 339. 26 238 573. .040945

2 Total of line 1, column (d) 2 .221406

3 Average distribution ratio for the 5-year base period - divide the total on line 2 by 5,

the foundation has been in existence if less than 5 years

or by the number of years

3 .044281

4 Enter the net value of noncharitable-use assets for 2010 from Part X, line 5 4 22 , 930 , 800.

5 Multiply line 4 by line 3 5 1 , 015 , 399.

6 Enter 1% of net investment income (1% of Part I, line 27b) 6 10 , 669.

7 Add lines 5 and 6 7 1 , 026 , 068.

8 Enter qualifying distributions from Part XII, line 4 8 1 , 127 , 139.

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.

023521 12-07-10 Form 990-PF (2010)3


Form 990-PF (20 10) THE HAVENS RELIEF FUND SOCIETY 13-5562382 Page 4Part VI, Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948 - see instructions)

1a Exempt operating foundations described in section 4940(d)(2), check here ►0 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 here ►® and enter 1% 1 10 , 669.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 10 , 669.4 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 10 , 669.6 Credits/Payments:

a 2010 estimated tax payments and 2009 overpayment credited to 2010 6a 6 , 663.b Exempt foreign organizations - tax withheld at source 6b

c Tax paid with application for extension of time to file (Form 8868) 6c 4 , 006.d Backup withholding erroneously withheld 6d

7 Total credits and payments. Add lines 6a through 6d 7 10 , 669.8 Enter any penalty for underpayment of estimated tax. Check here E] 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 0.

10 Overpayment . If line 7 is more than the total of lines 5 and 8, enter the amount overpaid ► 10

11 Enter the amount of line 10 to be: Credited to 2011 estimated tax 1110, Refunded 11

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)? 1b X

If the answer is "Yes" to 1 a 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 1 120-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. ► $ - 0-. (2)-On-foundation-managers.-06-- $ 0.

e Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed on foundation

managers. ► $ 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 years 4a X

b If 'Yes," has it filed a tax return on Form 990-T for this years 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 Instruments 6 X

7 Did the foundation have at least $5,000 in assets at any time during the year'? 7 X

If "Yes, " complete Part 11, col (c), and Part XV

8a Enter the states to which the foundation reports or with which it is registered (see instructions) ►NY

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 4942(I)(3) or 4942(I)(5) for calendar

year 2010 or the taxable year beginning in 2010 (see instructions for Part XIV)' If "Yes," complete Part XIV 9 X

10 Did any persons become substantial contributors during the tax vear'? If "Yes ' attach a schedule listing their names and addresses 10 X

Form 990-PF (2010)

02353112-07-10



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)9 If 'Yes," attach schedule (see instructions)

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

X

August 17, 20089 12 X

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

Website address ► WW. HAVENSFUND . ORG

14 The books are in care of ► THE HAVENS RELIEF FUND SOCIETY Telephone no. ► 212 - 8 7 0 - 2 6 3 6

Locatedat 0o, 475 RIVERSIDE DRIVE, ROOM 1940, NEW YORK , NY ZIP+4 ►1011515 Section 4947 ( a)(1) nonexempt charitable trusts filing Form 990 - PF in lieu of Form 1041 - Check here ►0

and enter the amount of tax-exempt interest received or accrued during the year ► 15 N/A

16 At any time during calendar year 2010, 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 country2 16 X

See page 20 of the instructions for exceptions and filing requirements for Form TO F 90-22.1. If "Yes; enter the name of

the forei g n count

Part VII-B Statements Regarding Activities for Which Form 4720 May Be Required

File Form 4720 if any item is checked in the "Yes" column , unless an exception applies. Yes No

1a During the year did the foundation (either directly or indirectly):

(1) Engage in the sale or exchange, or leasing of property with a disqualified person? Yes ® No

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

a disqualified person9 Yes ® No

(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ® Yes 0 No

(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ® Yes 0 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)? 0 Yes ® No

(6) Agree to pay money or property to a government official? ( Exception Check *No'

if the foundation agreed to make a grant to or to employ the official for a period after

termination of government service, if terminating within 90 days.) = Yes ® No

-b If any answer is "Yes"-to 1a(1)-(6), did any of the-acts fail to qualify under the exceptions oescrioea in Regulations

section 53.4941(d)-3 or in a current notice regarding disaster assistance (see page 22 of the instructions)? 1b X

Organizations relying on a current notice regarding disaster assistance check here ►0c 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 20109 1c X

2 Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private operating foundation

defined in section 4942(j)(3) or 4942(1)(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 20109 EJ Yes ® No

If 'Yes," list the years ►b Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2) (relating to incorrect

valuation of assets) to the year's undistributed income? (If applying section 4942(a)(2) to 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 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 purpose that

had not been removed from reooardv before the first day of the tax year bearmmnq in 20109 4b X

Form 990-PF (2010)

02354112-07-10


Form

Part VII- B I Statements Renardina 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))9 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 dnve7 0 Yes No

(3) Provide a grant to an individual for travel , study, or other similar purposes' 0 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)7 0 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 anlmals7 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 ►0c If the answer is 'Yes' to question 5a(4), does the foundation claim exemption from the tax because it maintained

expenditure responsibility for the grant9 N/A Yes 0 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 an y p roceeds or have an y net income attributable to the transaction ? 11Z A 7b

Part VIII Information About Officers, Directors, Trustees, Foundation Managers , Highly^ Paid Employees, and Contractors1 List all officers . directors . trustees. foundation manaoers and the ir compensation.

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

hours per week devotedto position

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

(d! Contributions toempoyeebenefitplans

and deterredcompensation

(e)ExPenseaccount, otherallowances

JOYCE W. WILLIS EXECUTIVE DIRECTOR360 RIVERSIDE DRIVENEW- YORK -NY- 1-00-25 35.0-0 100 000. 49,11-8.- 28 , 568.FOR OTHER NONCOMPENSATED BOARDOF MANAGERS , SEE ATTACHMENT C

0.00 0. 0. 0.

2 Comnensatinn of five highest-nail emniovees tnther 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) Contributions toemp oyee benefit [ ans

compensabon

(e)Exp enseaccount, otherallowances

NONE

Total number of other employees paid over $50,000 ► I 0Form 990-PF (2010)

02355112-07-10


Form 990-PF (20 10) THE HAVENS RELIEF FUND SOCIETY 13-5562382 Page 7

Part Vltl Information 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 ► 0Part 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

iSEE ATTACHMENT D

771 879.2

3

4

Part IX-B 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

1 N/A

2

All other program-related investments. See instructions.

3

Total. Add lines 1 through 3 0.

Form 990-PF (2010)

02356112-07-10



Part X 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 securities la 21 , 858 , 221.b Average of monthly cash balances 1b 1 , 421 , 779.

c Fair market value of all other assets 1c

d Total (add lines la, b, and c) 1d 23 , 280 , 000.e Reduction claimed for blockage or other factors reported on lines la 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 23 , 280 , 000.4 Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see instructions) 4 349 , 200.

5 Net value of noncharitable - use assets . Subtract line 4 from line 3. Enter here and on Part V, line 4 5 22 , 930 , 800.6 Minimum investment return . Enter 5% of line 5 6 1 .14 6 . 540.

Part XIDistributable Amount (see instructions) (Section 4942(j)(3) and (1)(5) private operating foundations and certain

foreign organizations check here ► ® and do not complete this part.)

1 Minimum investment return from Part X, line 6

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

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

c Add lines 2a and 2b 2c

3 Distributable amount before adjustments. Subtract line 2c from line 1 3

4 Recoveries of amounts treated as qualifying distributions 4

5 Add lines 3 and 4 5

6 Deduction from distributable amount (see instructions) 6

7 Distributable amount as ad j usted. Subtract line 6 from line 5. Enter here and on Part XIII line 1 7

Part XII Qualifying Distributions (see 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 la 1 , 127 , 139 .

b Program-related investments - total from Part IX-B ib 0.

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 la through 3b. Enter here and on Part V, line 8, and Part XIII, line 4 4 1 , 127 , 139 .

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 10 , 669 .

6 Adjusted qualifying distributions . Subtract line 5 from line 4 6 1 , 116 , 470.

Note . The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for the section

4940(e) reduction of tax in those years.

Form 990-PF (2010)

02357112-07-10

815180804 756359 08070 2010.04010 THE HAVENS RELIEF FUND SOLI 080701

Form 990-PF (2010) Page 9

Part XIII Undistributed Income (see instructions)N/A

1 Distributable amount for 2010 from Part XI,

line 7

2 Undistributed income, if any, as of the end of 2010

a Enter amount for 2009 only

b Total for prior years:

3 Excess distributions carryover, if any, to 2010:

a From 2005

b From 2006

c From 2007

d From 2008

e From 2009

f Total of lines 3a through e

4 Qualifying distributions for 2010 from

Part XI 1, line 4: 110- $

a Applied to 2009, but not more than line 2a

b Applied to undistributed income of prior

years (Election required - see instructions)

c Treated as distributions out of corpus

(Election required - see instructions)

d Applied to 2010 distributable amount

e Remaining amount distributed out of corpus

5 Excess distributions carryover applied to 2010(If an amount appears in column ( d), the same amount

must be shown in column (a) )

6- Enter the net total of each column isindicated below:

a Corpus Add lines 3f , 4c, and 4e Subtract line 5

b Prior years' undistributed income. Subtract

line 4b from line 2b

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

d Subtract line 6c from line 6b. Taxable

amount - see instructions

e Undistributed income for 2009. Subtract line

4a from line 2a. Taxable amount - see instr.

f Undistributed income for 2010. Subtract

lines 4d and 5 from line 1. This amount must

be distributed in 2011

7 Amounts treated as distributions out of

corpus to satisfy requirements imposed by

section 170(b)(1)(F) or 4942(g)(3)

8 Excess distributions carryover from 2005

not applied on line 5 or line 7

9 Excess distributions carryover to 2011

Subtract lines 7 and 8 from line 6a

10 Analysis of line 9:

a Excess from 2006

b Excess from 2007

c Excess from 2008

d Excess from 2009

(a) (b)Corpus Years prior to 2009

(c) (d)2009 2010

Form 990-PF (2010)02358112-07-10


Form990-PF 2010 THE HAVENS RELIEF FUND SOCIETY 13- 5562382 Page10Part XIV Private Operating Foundations (see instructions and Part Vu -A, question 9)

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 2010, enter the date of the ruling ► 04/15/74

b Check box to indicate whether the foundation is a private operating foundation described in section ® 4942(l)(3) or 0 4942(1)(5)

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(I)(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 on-securities-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 income

Part XV Supplementary Information (Complete this part only if the foundation had $5,000 or more in assetsat any time during the year-see 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 taxyear (but only if they have contributed more than $5,000). ( See section 507(d)(2).)

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

NONE2 Information Regarding Contribution , Grant , Gift, Loan, Scholarship , etc., Programs:

Check here ►0 if the foundation only makes contributions to preselected charitable organizations and does not accept unsolicited requests for funds. Ifthe foundation makes gifts, grants, etc. (see instructions) to individuals or organizations under other conditions, complete items 2a, b, c, and d.

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

SEE LINE 2D

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

SEE LINE 2Dc Any submission deadlines:

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

THE SOCIETY MAKES GRANTS ONLY TO PRESELECTED INDIVIDUALS. IT DOES NOTACCEPT UNSOLICITED APPLICATIONS FOR GRANTS.023601 12-07-10 Form 990-PF (2010)

10


Tax year Prior 3 years

(a) 2010 (b) 2009 (c) 2008 (d) 2007 ( e) Total

664 702. 570 198. 571 289. 902 441. 2 , 708 , 630.564 997. 484 668. 485 596. 767 1 075. 2 302 336.

1 , 127 , 139. 1 , 019 , 588. 1 , 088 , 292. 1 , 131 , 893. 4 , 366 , 912.

0. 0. 0. 0. 0.

1 , 1 27,139 . 1,019, 588. 1 , 088 , 292. 1 , 131 , 893. 4 , 366 , 912.

0.

0.

764 360. 680 309. 775 863. 841 605. 3 , 062 , 137.

0.

0.

0.0.

Form 990-PF (2010) THE HAVENS RELIEF F[TND SOCIETY 13-5562382 Page 11Suaalementarv Information

3, Grants and Contributions Paid Durin g the Year or Approved 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 during the year

SEE ATTACHMENT D 771,879.

Total ► 3a 771 879.b Approved for future payment

NONE

Total 3b 1 0.023611 12-07-10 Form 990-PF (2010)

11



Part XVI -A Analysis of Income- Producing Activities

Enter i

1 Pro

a

b

C

d

e

f

A

2 Me

3 Int

my

4 Div

5 Net

a

b

6 Net

pro

7 Ot

8 Gai

tha

9 Net

10 Gr

11 Ot

ah

C

d

e12 Su

ross amounts unless otherwise indicated Unrelate d business income Exclu ded by section 512 , 513, or 514 (e).

gram service revenue:

(a)Businesscode

(b)Amount

Exc „̂_sioncode

(d)Amount

Related or exempt

function income

Fees and contracts from government agencies

mbership dues and assessments

rest on savings and temporary cash

estments

idends and interest from securities 14 671 , 575.rental income or (loss) from real estate:

Debt-financed property

Not debt-financed property

rental income or (loss) from personal

perty

er investment income 01 2 , 226.n or (loss) from sales of assets other

n inventory 18 524 , 265.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 , 198 , 066.

B

h

t

o

h

1 0.13 Total Add line 12, columns (b), (d), and (e) 13 1,198,066.

(See worksheet in line 13 instructions to verify calculations.)

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


0230; ;a Form 990-PF (2010)

Form990-PF 2010 THE HAVENS RELIEF FUND SOCIETY 13-5562382 Pag e 13Part XVII Information Regarding Transfers To and Transactions and Relationships With Noncharitable

Exempt Organizations

Did the organization 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) organizations) or in section 527, relating to political organizations?

a Transfers from the reporting foundation to a noncharitable exempt organization of.

(1) Cash 101 ) X

(2) Other assets la ( 2 ) X

b Other transactions:

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

(2) Purchases of assets from a noncharitable exempt organization lb ( 2 )1 X

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

(4) Reimbursement arrangements lb(4)1 X

(5) Loans or loan guarantees lb ( 5 ) X

(6) Performance of services or membership or fundraising solicitations lb ( 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, 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

Sign9nHere

Paid

Under penalties of rtury, I declare that I ve ex load this return , including accompanying schedules and statements , and to the b t of my kn ledge belief, it is true , correct,

and complete D anon

of

pr arer (ot than payer or fiduciary ) is based on all information of which preparer has any kn wle ge

Stgnatur of officer or trustee

Pparer's name Prep sl nature

15180804 2010.04010

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? El Yes ® No

h If "Yes _" comnlete the fnllnwlnn schedule

Schedule B Schedule of ContributorsOMB No 1545-0047

(Form 990 , 990-EZ,or 990-PF) ► Attach to Form 990, 990-EZ, or 990-PF. Ô ODepartment of the TreasuryInternal Revenue Service

Name of the organization Employer identification number

THE HAVENS RELIEF FUND SOCIETY 13 - 55 62382

Organization type (check one)

Filers of: Section:

Form 990 or 990-EZ E] 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

E] 501 (c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.

Note . Only a section 501 (c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule See Instructions

General Rule

® For an organization flling_Forrn990, 990-EZ, or-990-PF that-receivea , during the year , $5,000 or more (in money or property) from any one

contributor . Complete Parts I and II

Special Rules

E:l 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)(vl), 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 () Form 990 , Part VIII, line 1 h or ( II) Form 990-EZ, line 1. Complete Parts I and II

0 For a section 501 (c)(7), (8), or ( 10) organization filing Form 990 or 990-EZ that received from any one contributor , during the year,

aggregate contributions of more than $ 1,000 for use exclusively for religious , charitable, scientific, literary , or educational purposes, or

the prevention of cruelty to children or animals Complete Parts I, II, and III

For a section 501 (c )( 7), (8), or ( 10) organization filing Form 990 or 990-EZ that received from any one contributor , during the year,

contributions for use exclusively for religious, charitable , etc., purposes , but these contributions did not aggregate to more than $1,000

If this box is checked , enter here the total contributions that were received during the year for an exclusively religious, charitable, etc.,

purpose Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively

religious, charitable , etc , contributions of $5,000 or more during the year ► $

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

but it must answer "No" on Part IV, line 2 of its Form 990, or check the box on line H of Its Form 990-EZ, or on line 2 of its Form 990-PF, to certify

that it does not meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990-PF)

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) (2010)

023451 12-23-10

Schedule B (Form 990 990-EZ, or

Name of organization

Part I Contributors (see instructions)

Page 1 of 1

Employer identification numbe

of Part I

(a)

No.

(b)

Name , address , and ZIP + 4

(c)

Aggregate contributions

(d)

Type of contribution

1 THE PHILANTHROPIC COLLABORATIVE Person FX1

6 WEST 48TH ST. $ 10,000.Payroll 0

Noncash 0

NEW YORK, NY 10036

(Complete Part II if there

is a noncash contribution )

(a)

No.

(b)

Name, address, and ZIP + 4

(c)


(d)


2 THE CLARKSON FAMILY FOUNDATION Person Ef]

45 SUTTON PLACE $ 10,000.Payroll

Noncash

NEW YORK, NY 10022


is a noncash contribution.)

(a)

No.

(b)


(c)


(d)


Person

$

Payroll

Noncash



(a)

No.

(b)

Name , address, and ZIP + 4

(c)


(d)


Person

$

Payroll

Noncash



(a)

No.

(b)


(c)


(d)


Person

$

Payroll 0

Noncash 0


is a noncash contribution.)

(a)

No.

(b)

Name , address, and ZIP + 4

(c)


(d)


Person

$

Payroll F]Noncash 0



023452 12-23-10 Schedule B (Form 990 , 990-EZ , or 990 - PF) (2010)


Schedule B (Form 990, 990-EZ, or

Name of organization

Part II Noncash Property (see instructions)

of of Part ll

Employer identification number

(a)

Part IDescription of noncash property given

(c)

FMV

(see instructions)nsstrucuctionsmats)

(se)Date received

(a)No.

from

Part l

(b)Description of noncash property given

(c)

FMV (or estimate)

(see instructions)

(d)Date received

(a)

No.

from

Part I


(c)FMV (or estimate)

(see instructions)

(d)Date received

(a)No.

from

Part I


(c)

FMV (or estimate)

(see instructions)

(d)Date received

(a)No.

from

Part I


(c)

FMV (or estimate)

(see instructions)

(d)Date received

(a)No.

from

Part I


(c)

FMV (or estimate)

(see instructions)

(d)Date received

023453 12 -23- 10 Schedule B (Form 990, 990-EZ , or 990 -13F) (2010)


Schedule B (Form 990, 990-EZ , or 990-PF) (2010) Page of of Part III

Name of organization Employer identification number

THE HAVENS RELIEF FUND SOCIETY 13-5562382Part III Exclusively religious, charitable , etc., individual contributions to section 501(c )(7), (8), or ( 10) organizations aggregating

more than $ 1,000 for the year . Complete columns (a) through (e) and the following line entry. For organizations completingPart III, enter the total of exclusively religious, charitable, etc., contributions of$1.000 or less for the year (Enter this information once See Instructions) ► $

(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 l



Transferee's name , address , and ZIP + 4 Relationship of transferor to transferee

(a) No.fromPart I



Transferee's name, address , and ZIP + 4 Relationshi p of transferor to transferee

(a) No.fromPart I



Transferee's name , address, and ZIP + 4 Relationship of transferor to transferee

023454 12-23-10 Schedule B (Form 990, 990-EZ , or 990-PF) (2010)

1715180804 756359 08070 2010.04010 THE RAVENS RELIEF FUND SOCI 080701

THE HAVENS RELIEF FUND SOCIETY 13-5562382

FORM 990-PF DIVIDENDS AND INTEREST FROM SECURITIES STATEMENT 1

SOURCE

BANK OF NEW YORK (CUSTODIAN)

TOTAL TO FM 990-PF, PART I, LN 4

CAPITAL GAINSGROSS AMOUNT DIVIDENDS

671,575. 0.

671,575. 0.

COLUMN (A)AMOUNT

671,575.

671,575.

FORM 990-PF OTHER INCOME STATEMENT 2

(A) (B) (C)REVENUE NET INVEST- ADJUSTED

DESCRIPTION PER BOOKS MENT INCOME NET INCOME

MISC INVEST INCOME 2,226. 2,226. 2,226.

TOTAL TO FORM 990-PF, PART I, LINE 11 2,226. 2,226. 2,226.

FORM 990-PF ACCOUNTING FEES STATEMENT 3

(A) (B) (C) (D)

EXPENSES NET INVEST- ADJUSTED CHARITABLEDESCRIPTION PER BOOKS MENT INCOME NET INCOME PURPOSES

AUDITING AND TAX PREP 14,625. 7,312. 7,312. 7,313.ACCOUNTING CONSULTANT FEE 21,935. 10,968. 10,968. 10,967.

TO FORM 990-PF, PG 1, LN 16B 36,560. 18,280. 18,280. 18,280.

FORM 990-PF OTHER PROFESSIONAL FEES STATEMENT 4

(A) (B) (C) (D)EXPENSES NET INVEST- ADJUSTED CHARITABLE

DESCRIPTION PER BOOKS MENT INCOME NET INCOME PURPOSES

INVESTMENT MGT. &CONSULTING 99,340. 99,340. 99,340. 0.WEBSITE DEVELOPMENT 7,196. 0. 0. 7,196.BONY CUSTODIAL FEES 13,472. 13,472. 13,472. 0.COMPUTER CONSULTANT 200. 100. 100. 100.

TO FORM 990-PF, PG 1, LN 16C 120,208. 112,912. 112,912. 7,296.

18 STATEMENT(S) 1, 2, 3, 415180804 756359 08070 2010.04010 THE HAVENS RELIEF FUND SOCI 080701


FORM 990-PF TAXES STATEMENT 5

DESCRIPTION

PAYROLL

TO FORM 990-PF, PG 1, LN 18

(A) (B) (C)EXPENSES NET INVEST- ADJUSTEDPER BOOKS MENT INCOME NET INCOME

11,798. 0. 0.

11,798. 0. 0.

(D)CHARITABLEPURPOSES

11,798.

11,798.

FORM 990-PF OTHER EXPENSES STATEMENT 6

DESCRIPTION

OFFICE SUPPLIESPOSTAGE AND DELIVERYSUBSCRIPTIONS AND DUESINSURANCEFURNISHINGS AND EQUIPMENT

TRAINING AND WORKSHOPSFILING FEESCOMPUTER SOFTWAREPAYROLL SERVICEMISCELLANEOUSCOPIER LEASE PAYMENTSOFFICE MAINTENANCETELEPHONESTORAGEBANK FEE

TO FORM 990-PF, PG 1, LN 23

(A) (B)EXPENSES NET INVEST-PER BOOKS MENT INCOME

3,336. 0.3,985. 0.2,322. 0.8,018. 0.2,158. 0.

325. 0.1,525. 0.

562. 0.1,677. 0.5,723. 0.3,475. 0.

652. 0.3,802. 0.

794. 0.40. 0.

38,394. 0.

(C)ADJUSTED

NET INCOME

(D)CHARITABLEPURPOSES

0. 3,336.0. 3,985.0. 2,322.0. 8,018.0. 2,158.0. 325.0. 1,525.0. 562.0. 1,677.0. 5,723.0. 3,475.0. 652.0. 3,802.0. 794.0. 40.

0. 38,394.

19 STATEMENT(S) 5, 615180804 756359 08070 2010.04010 THE HAVENS RELIEF FUND SOCI 080701


FORM 990-PF U.S. AND STATE/CITY GOVERNMENT OBLIGATIONS STATEMENT 7

DESCRIPTIONU.S. OTHERGOV'T GOV T BOOK VALUE

FAIR MARKETVALUE

SEE ATTACHMENT B X 1,805,824.

TOTAL U.S. GOVERNMENT OBLIGATIONS 1,805,824.

TOTAL STATE AND MUNICIPAL GOVERNMENT OBLIGATIONS

TOTAL TO FORM 990-PF, PART II, LINE 10A 1,805,824.

1,805,824.

1,805,824.

1,805,824.

FORM 990-PF CORPORATE STOCK STATEMENT 8

FAIR MARKETDESCRIPTION BOOK VALUE VALUE

SEE ATTACHMENT B 17,529,913. 17,529,913.

TOTAL TO FORM 990-PF, PART II, LINE 10B 17,529,913. 17,529,913.

FORM 990-PF CORPORATE BONDS STATEMENT 9

FAIR MARKETDESCRIPTION BOOK VALUE VALUE

SEE ATTACHMENT B 4,540,958. 4,540,958.

TOTAL TO FORM 990-PF, PART II, LINE 10C 4,540,958. 4,540,958.

20 STATEMENT(S) 7, 8, 915180804 756359 08070 2010.04010 THE HAVENS RELIEF FUND SOCI 080701

Form 990-PF Part IV HAVENS RELIEF 'FD SOCIETY

Gains & Losses for period: January 1, 2010 - December 31, 2010

John W. Bristol & Co., Inc.

Account 's Tax Convention: Highest Cost Per Share Attachment A(HCPS)

Realized : Gains/Losses

Long Positions

Purchase Sell Shares! Security Gains/Loss

Date Date Par Value ID Security Cost Basis Proceeds Short Term Long Term

05954CAMO BOAMS 2007-3 2AB 7 , 000 9 /25/2037

9/18/2007 12/25/2010 615 626 55 615.02 .00 (11.53)

9/18/2007 11/25/2010 412 419.47 411.75 .00 (772)

9/18/2007 10/25/2010 912 929.10 912.00 .00 (1710)

9/18/2007 9/25/2010 408 415.31 407 . 67 00 (7 64)

9/18/2007 8/25/2010 544 554 06 543 87 . 00 (10 19)

9118/2007 7125/2010 51 52.40 51.43 00 (.97)

911812007 6/25/2010 982 1,000.57 982.16 00 (1841)

9/18/2007 5/25/2010 752 765 75 751 66 00 (14 09)

9/18/2007 4/25/2010 618 629 30 617 72 00 (11 58)

9/18/2007 3/25/2010 899 91564 898 78 00 (1686)

9/18/2007 2/25/2010 792 806 60 791 . 75 00 (14.85)

9/18/2007 1/25/2010 396 403 . 48 396 06 .00 (7.42)

7,380 $7 , 518.23 $7 , 379.86 $ 0.00 ($138.37)

17309AAH2 CITIMTGE 2006 -Al CMO 5 , 250 3/25/2021

1/31/2008 12/25/2010 2,507 2,501.88 2,50697 .00 5 091/31/2008 11 /25/2010 2,017 2,01258 2,016.68 00 4.091131 /2008 10/25/2010 1, 446 1,442.83 1,445.77 00 2.941/3112008 9/25/2010 2,171 2,16695 2,171 .36 00 4 41

1/31/2008 8/25/2010 1,895 1,891 22 1,89507 .00 3.851/31/2008 7/25/2010 1 , 851 1,847.14 1,85090 .00 3761/31/2008 6/25/2010 777 775 34 776 92 00 1 581/31/2008 5/25/2010 1,651 1,64758 1,65093 .00 3.351131/2008 4 /25/2010 1 , 915 1,911 40 1 , 91529 .00 3 891/31/2008 3/25/2010 2 ,739 2,732. 96 2,73852 .00 5 561/31/2008 2/25/2010 1 , 052 1 , 049.49 1,051 63 00 2141 /31 /2008 1 /25/2010 1,744 1,740.56 1,744 10 .00 3.54

21,764 $21,719.93 $21,764.13 $0.00 $44.20

Page 1 of 18

:Realized Gains/LdsLong Positions

Purchase Sell

Date Date

se

Shares/ Security

Par Value ID

HAVENS RELIEF FD SOCIETY

Gains & Losses for period : January 1, 2010 - December 31, 2010

ecurity Cost Basis


ains/Loss

Proceeds Short Term Long Term

3/31/2010 7/2/2010 210805BUO CONTINENTAL AIRLINES 6 . 900 112/2018INC EETC 1997-4

923 $953.82 $923.08 ($30.74) $0.00

9/29/2009 3/15/2010 210805CB1 CONTINENTAL AIRLINES 6 . 648 9/1512017INC EETC

1,341 $ 1,287.35 $1,340.99 $53.64 $0.00

9/2312009 5/1/2010 210805CY1 CONTINENTAL AIRLINES 8 . 048 11 / 112020INC EETC

7,188 $7,080.65 $7,188.48 $107 . 83 $0.00

4/17/2002 3/22/2010 3134A4J12 FEDERAL HOME LN MTG 5.750 1115/2012CORP

200,000 $198 , 250.00 $216 , 800.00 $ 0.00 $18,550.00

11/8/2006 3/19/2010 31395M7F0 FREDDIE MAC 2932AP 5.000 1/15/2031CMO

150,000 $146,320 . 31 $153,468.75 $0.00 $ 7,148.44

10/1312006 3/1912010 31397A5V1 FREDDIE MAC 3209TB 5.000 6/15/2031CMO

80,000 $76,737 . 50 $81,950.00 $0 . 00 $5,212.50

31403CZL8 FNMA #745147 CL 4.500 1211/2035

7/25/2007 3/25/2010 2,244 2, 048.07 2,244 08 .00 196 017/25/2007 3/ 19/2010 217 , 668 198 , 656 31 220,457.17 00 21,800 867/2512007 2/25/2010 2,419 2,207.47 2,418. 73 00 211 267/25/2007 1/25/2010 3 , 103 2,83226 3,103 . 32 .00 271.06

225,434 $205,744 . 11 $228 , 223.29 $0.00 $22,479.18

31403FPN8 FNMA #747529 CL 4.500 10/1/2033

1/22/2004 3/25/2010 1,5841,53998 1,58352 .00 43 551/22/2004 3/ 19/2010 211,280 205,469 76 213,986 98 .00 8,517.22

1/22/2004 2 /25/2010 1,713 1,66584 1,712.95 .00 47.11

Page 2 of 18

HAVENS RELIEF FD SOCIETYJohn W. Bristol & Co., Inc.

Gains & Losses for period : Janua ,ry 1, 2010 - December 31, 2010

Long Positio ns

Purchase Sell Shares/ Security

Date Date Par Value ID Security

1/22/2004 1/25/2010 2,232

216,808

36201JCZO GNMA #584288 SF

4/10/2002 12/15/2010 333

4/10/2002 11/15/2010 332

4/10/2002 10/15/2010 330

4/10/2002 9/1512010 328

4/10/2002 8/1512010 342

4/10/2002 7/15/2010 325

4/10/2002 6/15/2010 323

4/10/2002 5/15/2010 322

4/10/2002 4/15/2010 320

4/10/2002 3/15/2010 319

4/10/2002 2115/2010 317

4/10/2002 1/15/2010 315

3,906

3620AF4W4 GNMA#729037 SF

3/19/2010 12/15/2010 4,641

3/19/2010 11/15/2010 5,483

3/19/2010 10/15/2010 8,677

3/19/2010 9/15/2010 7,604

3/19/2010 8/15/2010 3,230

3/19/2010 7/15/2010 1,620

3/19/2010 6/15/2010 1,050

3/19/2010 5/15/2010 617

32,922

3620AQHZ9 GNMA #736548 SF

3/18/2010 12/15/2010 5,673

3/18/2010 11/15/2010 3,209

3/18/2010 10/15/2010 4,731

Page 3 of 18

Cost Basis Proceeds

Gains/Loss

Short Term Long Term

2,170 22 2,231.59 00 61.37

$210,845.80 $219,515.04 $0.00 $8,669.24

5 500 3115/2032

316 91 333 26 .00 16 35

315 34 331.61 .00 16.27

313.77 329.96 00 16.19

312.14 328.24 .00 16.10

324 96 341.73 .00 16 77

309.03 324 98 00 15 95

307 50 323.37 00 15.86

305.97 321.76 .00 15.79

30444 320.14 .00 15 70

302 93 318.56 .00 15.63

301.43 316.98 .00 15.55

299.92 315 39 .00 15.47

$3,714.34 $3,905.98 $0.00 $191.64

5.000 2/1512040

4,858.15 4,641.31 (216.84) .00

5,739 05 5,48289 (256 16) .00

9,082 20 8.67683 (405 37) 00

7,959 46 7,604.21 (355.25) .00

3,381 01 3,230.10 (150.91) .00

1,69525 1.61958 (75.67) .00

1,098,78 1,049 73 (49 05) .00

646 24 617 39 (2885) .00

$34,460.14 $32,922.06 ($1,538 .08) - $0.00

4.500 2115/2040

5,771 95 5,67268 (99 27) 00

3,26504 3, 208.88 (56.16) 00

4,81343 4,730.64 (82.79) 00

John W. Bristol & Co., Inc.HAVENS RELIEF FD SOCIETYGains & Losses for period : January 1, 2010 - December 31, 2010

Long Positions

Purchase Sell Shares/ Security Gains/Loss


3/18/2010 9/15/2010 2 , 061 2,097 16 2,061 . 09 (36 07) .00

3/18/2010 8/15/2010 366 372.65 366 24 (6.41) .00

3/18/2010 7/15/2010 3,626 3,68935 3,62590 (63.45) .00

3/18/2010 6/ 15/2010 1,059 1,077.81 1,05927 ( 1854) 00

3/18/2010 5/15/2010 376 382 27 375 70 (657) 00

21,100 $21,469 . 66 $21,100.40 ($369 . 26) $0.00

362OAQJBO GNMA #736558 SF 5.000 211512040

4/15/2010 12/ 15/2010 9 , 648 10 , 031 38 9.64846 (382 92) .004/15/2010 11/15 /2010 5 , 818 6,048 . 93 5,818.03 (230 90) .004/15/2010 10/15/2010 6,113 6,355.10 6,112 . 51 (242 59) .004/15/2010 9/15/2010 11 , 264 11,711 . 12 11,264.07 (447.05) .004/15/2010 8/ 15/2010 397 413.13 397.36 (15.77) .004/15/2010 7/ 15/2010 398 413 82 398 02 (15 . 80) .00

4/15/2010 6/15/2010 3 , 094 3 , 21654 3,093.76 (122.78) 0036,732 $ 38,190 .02 $36 , 732.21 ($1,457.81) $0.00

36211RHP7 GNMA #520538 SF 6.000 2115/2030

4/11/2002 12/15/2010 118 116 00 118.36 .00 2 364/11/2002 11/15/2010 347 340.30 347 25 .00 6.954/11/2002 10/15/2010 116 113 . 55 115.86 .00 2 314/11/2002 9/15/2010 115 112.92 115 23 .00 2 314/11/2002 8/15/2010 115 112.31 114 61 .00 2.304/11/2002 7/15/2010 114 111.71 113.99 .00 228411112002 6/ 15/2010 113 111 . 11 113.37 00 2.264/11 /2002 5/15/2010 344 336.66 343 53 00 6.874/11/2002 4/15/2010 111 108 70 110 . 91 00 2 214/11/2002 3/15/2010 110 108 10 110.31 00 2 214/11/2002 2/15/2010 110 107.53 109.72 .00 2194/11/2002 1 / 15/2010 109 106 . 95 109 13 .00 2.18

1,822 $1,785.84 $1,822.28 $0.00 $36.44

Page 4 of 18



Long Positions


Date Date P a r Value ID Security Cost Basis Proceeds Short Term Long Term

36213CVD9 GNMA #550612 SF 4.500 8115/2035

6/27/2006 12/15/2010 3,975 3,658.08 3,97482 .00 316.74

6127/2006 11/15/2010 2,851 2,62394 2,851.14 .00 227.20

6/27/2006 10/15/2010 1,127 1,037.11 1,126.91 00 89.80

6/27/2006 9/15/2010 1,978 1,820.76 1,978.41 .00 157.65

6127/2006 8115/2010 3,093 2,846.97 3,09348 00 246 51

6/27/2006 7/15/2010 1,755 1,614.94 1,754.77 00 139 83

6/27/2006 6/15/2010 2,173 2,000 09 2,173 27 00 173.18

6/27/2006 5/15/2010 4,397 4,046.52 4,396 90 .00 350.38

6/27/2006 4/15/2010 2,506 2,306 18 2,505.87 .00 199 69

6/27/2006 3/15/2010 1,679 1,54487 1,67864 00 133 77

6/27/2006 2/15/2010 7,696 7,083.02 7,69632 00 613.30

6/27/2006 1/15/2010 5,623 5.17508 5,623 18 00 448 10

38,854 $35,757.56 $38,853.71 $0.00 $3,096.15

36213EWP7 GNMA #552454 SF 5.500 311512032

4/11/2002 12/1512010 2,715 2,57457 2,71543 .00 140 86

4/17/2002 12/15/2010 4,073 3,865.66 4,073.14 .00 207.47

4111/2002 11/15/2010 67 63.31 66.78 .00 3 464/17/2002 11/15/2010 100 95.07 100.17 .00 5.10

4/11/2002 10/15/2010 2,595 2,460 02 2,594.62 .00 134.604117/2002 10/15/2010 3,892 3,693.68 3,891.92 00 198.244/11/2002 9/15/2010 82 77.70 81 95 00 4 254/17/2002 9/15/2010 123 116 67 122.93 .00 6 264/11/2002 8/15/2010 72 67.90 7162 .00 3.72

4/17/2002 8/15/2010 107 101.95 107 42 00 5.474/11/2002 7/15/2010 71 67.57 71.27 .00 3.704/17/2002 7/15/2010 107 10146 106.91 .00 5.454/11/2002 6/15/2010 71 67.23 70 90 .00 3 684/17/2002 6/15/2010 106 100.94 106.36 00 5.414/11/2002 5/15/2010 71 67.73 71 43 00 3714/17/2002 5/15/2010 107 101.69 107.15 .00 5464/11/2002 4/15/2010 71 67 73 71.44 .00 3 70

Page 5 of 18

HAVENS RELIEF 'FD SOCIETYJohn W. Bristol & Co., Inc.


Lona Positions


Da te Date Par Value ID Security Cost Basis Proceeds Short Term Long Term

4/17/2002 4/15/2010 107 101 70 107.15 .00 5 46

4/11/2002 3/15/2010 81 76.32 80.50 .00 4.18

4/17/2002 3/15/2010 121 114 60 120 75 00 615

4/11/2002 2/15/2010 69 65.77 69 36 .00 3.60

4/17/2002 2/15/2010 104 98.74 104.04 .00 5.30

4/11/2002 1/1512010 71 67.37 71.06 .00 3.68

4/17/2002 1/15/2010 107 101.16 106.58 .00 5 43

15,091 $14,316.54 $15,090. 89 $0.00 $774.35

36241KL71 GNMA#782150 SP 5.500 4/15/2037

9/4/2007 12/15/2010 4,099 4,030.28 4,09580 00 68.52

9/4/2007 11/15/2010 3,163 3,109.96 3,16283 00 52 87

9/4/2007 10/15/2010 3,776 3,712.86 3,77599 00 63.13

9/4/2007 9/15/2010 3,755 3,69235 3,755.13 00 62.78

914/2007 8/15/2010 5,448 5,357.18 5,448.27 00 91.09

914/2007 7/15/2010 3,501 3,44254 3,501.07 00 58.53

9/4/2007 6/15/2010 3,935 3,869.01 3,934.80 00 65 79

9/4/2007 5/15/2010 3,083 3,031.45 3,082.99 00 51.549/4/2007 4/15/2010 3,898 3,83320 3,898.37 .00 65.179/4/2007 3/15/2010 3,874 3,80926 3,874.03 .00 64.779/4/2007 2/15/2010 3,810 3,746.04 3,809.74 .00 63.709/4/2007 1/15/2010 10,999 10,815 58 10,999 48 .00 183 90

53,342 $52,449.71 $53,341.50 $ 0.00 $891.79

36266WAG7 GSR 2006-IOF 5A1 6.000 1/25/2027

517/2010 12/25/2010 1,118 1,01744 1,11807 100 63 .005/712010 11/25/2010 2,369 2,15545 2,368.62 213.17 .005/7/2010 10/25/2010 1,297 1,18007 1,296.78 116.71 .00517/2010 9/25/2010 272 247 49 271.97 24.48 .005/7/2010 8/25/2010 272 247.86 272.38 24 52 .005/7/2010 7/25/2010 3,480 3,16657 3,47974 313 17 .00

Page 6 of 18

John W. Bristol. & Co., Inc.HAVENS RELIEF FD SOCIETY


S es

Long Positions

Purchase Sell Shares! Security GainslLoss


517/2010 6/25/2010 1,396 1,270.53 1,396 19 125 66 .00

10,204 $9,285.41 $10,203.75 $918.34 $0.00

36290RU43 GNMA #615403 SF 4.500 8/1512033

81512003 12/15/2010 2,074 1,927.11 2,073.90 00 146.798/5/2003 11/15/2010 2,386 2,21725 2,386 14 .00 168 898/5/2003 10/15/2010 1,973 1,83334 1,97299 .00 139.658/5/2003 9/15/2010 1,351 1,255.14 1,350.75 .00 95.618/512003 8/15/2010 1,379 1,281,17 1,37876 .00 97 598/5/2003 7/15/2010 2,988 2,776.92 2,98845 .00 211.538/5/2003 6/15/2010 3,604 3,349.33 3,60445 .00 255.12

8/5/2003 5/15/2010 3,082 2,863.40 3,081.52 .00 218.128/5/2003 4/15/2010 2,526 2,347.01 2,52579 .00 178.788/5/2003 3/15/2010 2,529 2,35001 2.52902 .00 179.018/5/2003 2/15/2010 3,611 3,355.69 3,611.30 ,00 255.618/5/2003 1/15/2010 1,465 1,361.15 1,464 84 .00 103 69

28,968 $26 ,917.52 $28,967.91 $0.00 $2,050.39

383751-6T2 GNMA REMIC TR 2007-82 5.000 10/20/2036AG CMO

1/7/2008 12/20/2010 2,182 2,206.86 2,182.31 .00 (24.55)1/7/2008 11/20/2010 2,005 2,027.57 2,00501 00 (22 56)1/7/2008 10/20/2010 1,999 2,021.81 1,99932 00 (2249)1/7/2008 9/20/2010 2,372 2,398.85 2,37216 00 (26 69)1/7/2008 8/20/2010 6,697 6,77230 6,696 96 .00 (75.34)1/7/2008 7/20/2010 2,301 2,326 79 2,300 91 .00 (25 88)1/7/2008 6/20/2010 2,525 2,553.16 2,524.76 .00 (28 40)1/7/2008 5/20/2010 2,376 2,40258 2,375.86 .00 (26 73)1/7/2008 4/20/2010 2,457 2,485.03 2,457.38 .00 (27.65)1/7/2008 3/20/2010 3,443 3,481.90 3,443.16 00 (38 74)1/7/2008 2/20/2010 4,273 4,321 14 4,27307 .00 (48 07)

Page 7 of 18


'


'Realize Gallhs/L6s ses^:.Long Positions


Date Date Par V a l ue ID Security Cost Basis Proceeds Short Term Long Term

1/7/2008 1/20/2010 9,877 9,98822 9,877 10 .00 (111.12)

42,508 $42,986.21 $42,507.99 $0.00 ($478.22)

667294667 NORTHWEST AIRLINES 6.264 11/20/2021INC EETC

4/15/2010 11/22/2010 36,258 35,894 98 37,617.22 1,722.24 .0010/7/2009 11/20/2010 1,964 1,836.42 1,964 09 .00 127.674/15/2010 11/20/2010 786 777 78 785.64 7.86 .0010/7/2009 8/20/2010 808 755 66 808.19 52 53 004/15/2010 8/20/2010 323 32004 323.28 3 23 .0010/7/2009 2/20/2010 5,302 4,956 92 5.301 52 344.60 .00

45,440 $44,541.80 $46,799.93 $2,130.46 $127.67

8/14/2007 7/16/2010

100,000

760985TC5 RESDNTL FND SEC CORP 5.750 2/25/203303-RM1 AB CMO

8/17/2010 10/6/2010 912810QK7 UNITED STATESTREASURY NIB

210,000

10/24/2006 1/15/2010 912828DG2 UNITED STATESTREASURY NIB

500,000

618/2005 5/17/2010 912828DU1 UNITED STATESTREASURY NIB

76,000

6/1/2007 11/15/2010 190,000

6/20/2007 11/15/2010 60,000

250,000

912828EM8 UNITED STATESTREASURY N/B

$90,375.00 $100,500.00 $0.00 $10,125.00

3.875 8115/204-0

$215,906.25 $217,218.75 $1,312.50 $0.00

3.625 1115/20'10

$482,656.25 $500,000.00 $0.00 $17,343.75

3.875 5/15/2010

$76,688.75 $76,000.00 $0.00 ($688.75)

4.500 11/15/2010

187,684 37 190,000.00 00 2,315.6359,118 75 60,000 00 .00 881 25

$246,803 .12 $250,000.00 $0.00 $3,196.88

Page 8 of 18



Lona Positions

Purchase Sell Shares/ Security

D ate Date Par Value ID Security

ADI ANALOG DEVICES

12/14/2004 4/14/2010 218

12115/2004 4/14/2010 931

1,149

APD AIR PRODUCTS &CHEMICALS INC.

9/29/2008 4/14/2010

4/21/2009 4/14/2010

4111/2002 4/14/2010

9/29/2008 4/14/2010

12/3112007 4/14/2010

9/29/2008 4/14/2010

11/6/2008 4/14/2010

4/21/2009 4/14/2010

2/10/2010 4/14/2010

2/11/2010 4/14/2010

119/2004 6/18/2010

Page 9 of 18

58

362

420

AVP AVON PRODUCTS

705

130

835

Gains/Loss

Cost Basis Proceeds Short Term Long Term

8,211 47 6,68721 00 (1,524 26)

35,509.09 28,558 68 .00 (6,950.41)

$43,720.56 $35,245.89 $0.00 ($8,474.67)

3,847.05 4,351.64 .00 504.59

20,769.09 27,160 25 6,391 16 .00

$24,616.14 $31,511.89 $6,391.16 $504.59

20,004.38 22,934.95 .00 2,930.57

5,23294 4,229.14 00 (1,003 80)

$25,237.32 $27,164.09 $0.00 $1,926.77

AXP AMER EXPRESS

789 $40,946.73 $36,013.22 $0.00 ($4,933.51)

BDX BECTON DICKINSON

59 4,74427 4,632.28 00 (111 99)196 13,423 06 15,388.60 00 1,965.54156 10,585 61 12,248.07 1,662.46 .00411 $28,752.94 $32,268.95 $1,662.46 $1,853.55

BHI BAKER HUGHES INC

30 1,358.00 1,456.54 98.54 .00553 25,088.61 26,848 91 1,760 30 00

583 $26,446.61 $28,305.45 $1,858.84 $0.00

BP BP PLC ADR

3,500 171,932 60 110,883.72 00 (61,048.88)


HAVENS RELIEF/ FD SOCIETYJohn W. Bristol & Co., Inc.

Gains & Losses for period : Janua ry 1, 2010 - December 31, 2010

Lona PositionsPurchase

Date

Sell

Date

Shares/ Security

Par Value ID Security Cost Basis P roceeds

Gains/Loss


1/12/2004 6/1812010 275 13,680.86 8,71229 00 (4,968.57)

8/26/2008 6/18/2010 627 35,723.01 19,864.03 00 (15,858.99)

9/29/2008 8/18/2010 221 10,789.55 7,001.51 00 (3,788.04)

11/6/2008 6/18/2010 237 11,102.03 7,508.41 .00 (3,593.62)4/21/2009 6/18/2010 413 16,469.24 13,084.28 00 (3,384 96)

2/10/2010 6/18/2010 618 33,129 00 19,578 90 (13,550 10) .002/11/2010 6/18/2010 383 20,767.03 12,133.85 (8,63318) .00

8/26/2008 4/14/2010 583 33.216 14 34,969.14 .00 1,753.00

6,857 $346,809.46 $233,736.13 ($22,183.29) ($90,890.04)

BWA BORGWARNER INC

10/27/2008 11/29/2010 808 16,11217 48,204.94 .00 32,092.77

10/27/2008 11/26/2010 487 9,834.04 29,540 09 .00 19,706.0510/27/2008 11/26/2010 413 8,235 55 25,051 45 .00 16,815 9010/27/2008 11/24/2010 1,500 30,289 65 91,792.29 .00 61,502.6410/27/2008 11/16/2010 347 7,007.01 19,758.12 .00 12,751.1110/28/2008 11/16/2010 393 8,225.17 22,377.35 .00 14,152 1810/28/2008 9/15/2010 405 8,476.33 19,211.05 .00 10,734.7210/28/2008 9/14/2010 579 12,118 01 27,508 69 .00 15,390.6811/6/2008 9/14/2010 83 1,781 49 3,94339 00 2,161.904/21/2009 9/14/2010 380 9,28857 18,054 06 00 8,765491/29/2010 9/1412010 600 21,322 20 28,479 23 7,157.03 .001/29/2010 9/14/2010 458 16,275.95 21,759.90 5,48395 001/29/2010 9/13/2010 600 21,322 20 28,752 35 7,43015 .001/29/2010 4/14/2010 656 23,312.27 25,616 56 2,304.29 .00

7,709 $193,600.61 $410,049.47 $22,375.42 $194,073.44

5127/2009 4/14/2010 CAT CATERPILLAR INC

475 $16,731.97 $31,482.94 $14,750.97 $0.00

CCL CARNIVAL CORP

411212002 4/14/2010 543 17,674.54 21,025.63 00 3,351.094/1212002 3/16/2010 1,136 36,976.57 42,018.96 .00 5,042.39

Page 10 of 18

HAVENS RELIEF FD SOCIETYJohn W . Bristol & Co., Inc.


Long Positions

Purchase Sell Shares! Security


Gains/Loss


9/29!2008 3/16/2010

5/10/2007 3/15/2010

9/29/2008 3!15/2010

8/13/2007 4/14/2010

1/23/2003 4/14/2010

3/14/2006 4/14/2010

4/30/2007 4/14/2010

9/29/2008 4/14/2010

11/6/2008 9/15/2010

2/1312009 9/15/2010

2/17/2009 9/15/2010

4/21/2009 9/15/2010

1!30/2007 9/14/2010

2/1/2007 9/14/2010

2/13/2009 9/14/2010

2/13/2009 9/14/2010

2/1/2007 9/10/2010

2/5/2007 9/10/2010

2/6/2007 9!10/2010

2/2/2007 9/9/2010

2/6/2007 9/9/2010

274 9,03263 10,134.86 .00 1,10223

875 42,188 65 32,324.18 .00 (9,864 47)

55 1,813.12 2,031.81 .00 218 69

2,883 $107,685.51 $107,535.44 $0.00 ($150.07)

CMCSA COMCAST CORP

1,806 $46,527.08 $33,585.43 $0.00 ($12,941.65)

CNQ CANADIAN NATURALRESOURCES

351 $2,755.03 $27,763.03 $0.00 $25,008.00

COST COSTCO WHOLESALECORP

13 704 34 769.56 .00 65 22

505 27,470.99 29,894 28 .00 2,423.2989 5,614.37 5,268 50 .00 (345.87)

607 $33,789.70 $35,932.33 $0.00 $2,142.63

CRL CHARLES RIVERLABORATORIES

163 4,246.44 4,927.57 .00 68113888 24,790.83 26,844.67 .00 2,053.84708 19,437 08 21,403 19 .00 1,966.11430 11,288 53 12,999.11 00 1,710.58300 13,509.21 8,89001 00 (4,619.20)51 2,325.54 1,511.30 00 (814.24)149 4,159.72 4,415 37 .00 255 65200 5,583.52 5,936.83 00 353.31349 15,913.98 10,203 96 00 (5,710 02)400 18,256 96 11,695 08 .00 (6,561.88)51 2,32967 1,491.12 .00 (83855)

551 25,328 31 16,227 23 00 (9,101.08)249 11,374.30 7,33317 .00 (4,041 13)

Page 11 of 18



Long Positions

Purchase

Date

Sell

Date

Shares/ Security

Par Value ID Security Cost B asi s P roceeds

GaInslLoss


2/2/2007 9/8/2010 149 6,84922 4,403 57 .00 (2,445.65)

2/7/2007 9/8/2010 251 11,581.37 7,418 10 00 (4,163.27)

2/8/2007 9/8/2010 200 9,204 68 5,910 84 .00 (3,293.84)

2/7/2007 9/7/2010 500 23,070 45 14,781 99 00 (8,288.46)

2/7/2007 4/14/2010 49 2,260.90 1,970.47 .00 (290.43)

2/9/2007 4/14/2010 422 19,603.00 16,970.15 00 (2.632.85)

9/29/2008 4/14/2010 49 2,792.21 1,970.47 .00 (821.74)

6,109 $233,905.92 $187,304.20 $0.00 ($46,601.72)

6112/2008 4/14/2010 CSCO CISCO SYSTEMS INC

1,935 $50,560.58 $51,550.23 $0.00 $989.65

CVS CVS CAREMARK CORP

7/23/2002 8/27/2010 900 11,114.15 24,573 54 00 13,459.3912/31/2002 8/27/2010 2,700 34,029,59 73,720.63 .00 39,691.046/9/2003 8/27/2010 3,194 43,746.94 87,208 78 00 43,461.846/9/2003 6/2/2010 6 8218 207.81 .00 125.636/10/2003 6/2/2010 556 7,726.84 19,257.24 .00 11,530.404/12/2002 6/1/2010 356 6,100 06 12,261 78 ,00 6,161.726/10/2003 6/1/2010 1,144 15,898.40 39,403.04 00 23,504.644/12/2002 5/25/2010 1,623 27,81010 54,572.29 00 26,762.1811/6/2008 5/25/2010 463 13,867.59 15,56806 .00 1,700.479/29/2008 4/14/2010 154 5,028.92 5,698.10 00 669.1811/612008 4/14/2010 21 628 98 777 01 00 146.034/21/2009 4/14/2010 842 25,693 97 31,154.56 5,460.59 .00

11,959 $191,727.72 $364,402.85 $5,460.59 $167,214.54

DOV DOVER CORP

7/23/2002 2/9/2010 400 11,895 40 16,783 18 .00 4,887.7812/31/2002 2/9/2010 700 20,408.29 29,370.57 .00 8,962.281/2/2003 2/9/2010 66 1,98787 2,76923 00 781 361/2/2003 2/8/2010 484 14,577.75 19,947.85 .00 5,370.109/27/2004 2/8/2010 400 15,087.12 16,485 83 .00 1,398 71

Page 12 of 18

John W. Bristol & Co., Inc.HAVENS RELIEF F D SOCIETY


Long Positions



9/29/2008 2/8/2010 50 1,900 43 2,060.73 .00 160 30

11/6/2008 2/8 /2010 301 9,110.46 12,405.59 .00 3,295.13

4/21/2009 2 /8/2010 524 16,527 17 21,596.44 5,06927 .00

4/10/2002 2/5/2010 2,219 91,089 95 91,431 40 .00 341 45

9/29/2008 2/5/2010 231 8,779.99 9.51809 . 00 738.10

5,375 $191,364.43 $222 , 368.90 $5,069.27 $25,935.20

10/3/2008 4/1412010 EMR EMERSON ELECTRICCOMPANY

704 $27,723 . 17 $36 , 085.22 $0.00 $8,362.05

EOG EOG RESOURCES INC

3/4/2009 4/14/2010 2 101.30 216 . 57 .00 115 27

3/6/2009 4 /14/2010 203 10,581 . 44 21,981.84 00 11,400.40

3/6/2009 1 /29/2010 641 33,412 31 58,961.12 25,548 81 .00

4/21/2009 1 /29/2010 231 13 , 090.89 21,248.08 8,157.19 .00

1,077 $57 , 185.94 $102,407.61 $33,706.00 $ 11,515.67

10/3/2008 4114/2010 EXC EXELON CORP

617 $38,075.32 $27 , 319.61 $0.00 ($10,755.71)

FDX FEDEX CORPORATION

4/27/2007 4/14/2010 127 13,603 66 11,775 41 .00 (1,828.25)4/30/2007 4/14/2010 278 29,639 .72 25,776 .08 .00 (3,863.64)

405 $43 , 243.38 $37,551.49 $0.00 ($5,691.89)

8/8/2008 4/14/2010 GOOG GOOGLE INC-CL A

63 $30 ,696.11 $36,917.07 $0 . 00 $6,220.96

3/25/2008 4/14/2010 GS GOLDMAN SACHS GROUPINC

133 $23 , 862.29 $24,577 .55 $0.00 $715.26

Page 13 of 18

John W. Bristol & Co., Inc.HAVENS RELIEF FD SOCIETY


Long Positions

Purchase Sell Shares! Security Gains/Loss


4/1112002 4114/2010 GWW GRAINGER WW

353 $20 ,731.44 $ 39,092.70 $0.00 $18,361.26

IBM INTL BUSINESSMACHINES CORP

4/10/2002 4 /14/2010 7 623.35 909.74 .00 286.39

9/29/2008 4/14 /2010 37 4,180.79 4,808.62 .00 627.83

4/21/2009 4/14/2010 210 21,426 28 27,292 15 5,86587 .00

254 $26,230.42 $33,010.50 $5,865.87 $914.21

JNJ JOHNSON & JOHNSON

4/11/2002 4/14/2010 405 25,766.10 26,486 .54 .00 72044

9/29/2008 4/14/2010 57 3,861.54 3 ,72774 .00 (133.80)

462 $29,627.64 $30,214.28 $0 . 00 $586.64

71312007 4/14/2010 KO COCA-COLA COMPANY

648

MDT MEDTRONIC

4/12/2002 4/14/2010 562

9/29/2008 4/14/2010 93

655

MON MONSANTO COMPANY

9/29/2008 4/14/2010 17

10120/2008 4/14/2010 494

511

MSFT MICROSOFT CORP

5/20/2002 4/14/2010 534

12/31/2002 4/14/2010 1,100

$34,269 . 55

25,835 14

4,642 09

$35,458.41

25,531.73

4,225.00

$0.00

.00

.00

$1,188.86

(303.41)

(417.09)

$30,477. 23 $29,756.73 $0.00 ($720.50)

1,614.72 1,13918 00 (47554)

43,776.30 33,103.32 00 (10,672 98)

$45,391.02 $34,242.50 $0.00 ($11,148.52)

14,405.56 16,411.30 .00 2,005.74

28,677.00 33,806 05 .00 5,129.05

Page 14 of 18

HAVENS RELIEF FD SOCIETYJohn W . Bristol & Co., Inc.

Gains & Losses for period : Janua ry 1, 2010 - December 31, 2010

Long Positions



9/29/2008 4/14/2010 85

1,719

11/17/2009 4/1412010 MTB M&T BANKCORPORATION

210

NSRGY NESTLES SA ADR

11/18/2002 4/14/2010 225

4/21/2009 4/14/2010 1,081

1,306

3/14/2006 4/14/2010 52

4/30/2007 4/14/2010 586

9/29/2008 4/14/2010 26

664

NVS NOVARTIS AG-ADR

7/9/2009 4114/2010 OXY OCCIDENTALPETROLEUM CORP

271

4/23/2007 4/14/2010 PEP PEPSICO INC

561

7/17/2007 4/14/2010 197

7/27/2007 4/14/2010 146

11/6/2008 4/14/2010 192

535

3/5/2007 4/14/2010 465

Page 15 of 18

PG PROCTER & GAMBLE CO.

PGR PROGRESSV CP OH

2,21536 2,61229 00 396.93

$45,297.92 $52,829.64 $0.00 $7,531.72

$13,281 .98 $18 ,174.52 $4,892.54 $0.00

4,89272

35,164 93

11 ,415.74

54 , 846.31

00

19 , 681 38

6,523.02

.00

$40,057 . 65 $66 , 262.05 $19 , 681.38 $6 , 523.02

2,907 . 32 2,782 . 12 00 (125.20)34,343 58 31 , 352 33 00 (2,991.25)

1,360 64 1 , 391 06 .00 30 42

$38,611 . 54 $35 , 525.51 $ 0.00 ($3 , 086.03)

$16,550 .73 $23,298.23 $6,747. 50 $0.00

$37,469 .47 $37 ,019.31 $0.00 ($450.16)

12,455.56 12,407 28 .00 (48.28)9,199 42 9,195 25 .00 (4 17)

12,294 61 12,092 38 00 (202 23)$33,949.59 $33,694.91 $0.00 ($254.68)

10,564 29 9,397.49 .00 (1,166 80)

HAVENS RELIEF' FD SOCIETYJohn W. Bristol & Co., Inc.


R6ake'd Gains/Losses:.:

Long Positions



9/18/2007 4/14/2010 217

9/19/2007 4/14/2010 1,242

1,924

9/29/2008 4/14/2010 66

11/6/2008 4114/2010 219

4/21/2009 4/14/2010 175

460

PM PHILIP MORRISINTERNATIONAL INC

QCOM QUALCOMM INC.

4/21/2009 4/14/2010 377

2/5/2010 4/14/2010 251

628

2/27/2007 2/11/2010 2,390

2/28/2007 2/11/2010 1,571

11/6/2008 2/11/2010 335

4/21/2009 2/11/2010 583

2/27/2007 2/10/2010 3,313

9/29/2008 2/10/2010 96

8,288

2/1/2006 4/14/2010 1,013

9/29/2008 4114/2010 171

SAP SAP AG SPONSORED ADR

SYY SYSCO CORP

1,184

TIF TIFFANY & CO.

3/20/2006 11117/2010 438

3/21/2006 11/17/2010 500

Page 16 of 18

4,250.18 4,38550 00 135.32

24,821.37 25,100.39 .00 279.02

$39,635.84 $38,883.38 $0.00 ($752.46)

3,194 39 3,372.47 .00 178.08

9,065.42 11,190.47 .00 2,125.05

6,44973 8,942.15 2,492.42 00

$18,709.54 $23,505.09 $2,492.42 $2,303.13

15,086.45 16,038.77 952.32 .00

9,572.69 10,678.34 1,10565 .00

$24,659.14 $26,717.11 $2,057.97 $0.00

110,188 32 101,681.73 .00 (8,506.59)

72,253.44 66,837.66 .00 (5,415.78)

11,493.25 14,252.46 .00 2,75921

22,235.62 24,803 54 2,567.92 00

152,742.22 143,710.48 .00 (9,031.74)

5,209.79 4,164.26 .00 (1,045 53)

$374,122.64 $355,450.13 $2,567.92 ($21,240.43)

31,158 57 30,374,69 00 (783.88)

5,37761 5.12741 00 (25020)

$36,536 . 18 $35 ,502.10 $0. 00 ($1,034.08)

17,114.59 24, 368.51 .00 7,25392

19,507.00 27,817.93 00 8,310.93



Long Positions

Purchase Sell Shares! Security


Gains/Loss


3/24/2006 11/17/2010

3/27/2006 11/1712010

3/20/2006 11/16/2010

3/23/2006 11/16/2010

5/12/2008 11/16/2010

5/13/2008 11/16/2010

5/13/2008 4/14/2010

5/14/2008 4/14/2010

10/312008 4/14/2010

1/5/2007 4/14/2010

2/10/2010 4/14/2010

2/11/2010 4114/2010

110

503

62

188

378

572

29

729

3,509

UNP UNION PACIFICCORPORATION

499

UTIW UTI WORLDWIDE INC.

1,004

WFC WELLS FARGO & CO.

1,091

146

1,237

WMT WAL-MART STORES

12/16/2003 4/14/2010

9/27/2004 4/14/2010

3^R

507

4,283.27 6,119.94 .00 1,836 67

19,588 79 27,984.64 .00 8,396.05

2,42261 3,437.15 .00 1,014.54

7,34838 10,422.34 .00 3,07396

16,482.09 20,955 55 00 4,473.46

26,011.18 31,710 51 .00 5,69933

1,318.75 1,467.09 .00 148.34

33,590.13 36,879.63 .00 3,289.50

$147,666.79 $191,163.49 $0.00 $43,496.70

$31,534.90 $38,323.10 $0.00 $6,788.20

$29,844.00 $16,963.90 $0.00 ($12,880.10)

29,681 86 36,33612 6,654.26 .00

3,947 49 4,862 58 915.09 .00

$33,629.35 $41,198.70 $7,569.35 $0.00

17,264 53 18,410 51 00 1,145.98

8,96135 9,205.26 .00 243.91

$26,225.88 $27,615.77 $0.00 $1,389.89

Total Realized Gains/Losses-LongPositions

$5,315,236.78 $5,839,502.02 $122,093.24 $402,172.00

4150.02

Short $ 844,123 $ 966,216 $122,093

Long $4,471,114 $4,873,286 $402,172

Page 17 of 18



NO SHORT POSITION GAINS OR LOSSES

Page 18 of 18

Form 990-PF - Attachment B John W. Bristol & Co., Inc..HAVENS RELIEF FD SOCIETY

12131/2010

INVESTMENT SUMMARY

INDICATED CURRENTTOTAL COST TOTAL VALUE % OF PORT INCOME YIELD

CASH EQUIVALENTS Part II Line 2 1 ,278,796.48 1,278,796 .48 5.1 639.40 0.1

FIXED INCOME

U.S.TREASURY Part II Line l0a

CORPORATE Part II line l0c

SECURITIZED Part II Line l0c

TOTAL FIXED INCOME

EQUITIES

ENERGY

MATERIALS

INDUSTRIALS

CONSUMERDISCRETIONARY

CONSUMER STAPLES

HEALTH CARE

FINANCIALS

INFORMATIONTECHNOLOGY

UTILITIES

Part I I Line lob TOTAL EQUITIES

TOTAL VALUE

TOTAL ACCRUED INCOME

TOTAL VALUE + ACCRUED INCOME

1,701,149.22 1,805,824.13 72 86,093.75 4.8

1,994,322.07 2,213,292.70 88 134,810 94 6.12,235,566.01 2,327,665.56 9.3 115,311.98 5.0

5,931 ,037.30 6,346,782.39 25 . 2 336 ,216.67 5.3

888, 370.50 1,641.172.01 6.5 20, 333.12 1.2

775,467.60 940,571.70 3.7 17,512.88 1.9

2.,074,552.68 3,159,518.87 12.6 49,737.92 1.6

782,252.03 1,075,716.22 4.3 15,685.34 1.5

2;849,23412 3,972,736.46 15.8 99,178.70 2.5

1,182,163 08 1,447,844.00 5.8 38,381.60 2.7

1,389,326.93 1,726,130.13 6.9 21,713.34 1 3

2,627,703.65 3,272,910.75 13.0 41,803.00 1.3

355,538.22 293,312.16 1 2 14,792.40 5.0

12,924,608.81 17,529,912.30 69.7 319,138.30 1.8

$20,134,442.59 $25,155,491.17 100 % $655,994.36 2.6 %

88,634.08

$25,244,125.25

4150.02

Page 1 of 9


HAVENS RELIEF FD SOCIETY12/31/2010

AVERAGETOTAL COST PRICE TOTAL VALUE

% OF INDICATED CURRENTCOST PORTFOLIO INCOME YIELD

CASH EQUIVALENTS

LIQUID ASSETS

1,278,796 CASH RESERVE 1.00 1,278,79648 1.00 1,278,796.48 5.1 639.40 0.1ACCOUNT V

TOTAL LIQUID ASSETS 1,278,796.48 1,278,796.48 5.1 639.40 0.1

Part I I Line 2 TOTAL CASH EQUIVALENTS 1 278 796 4$ , , 8 $1,278,796.48 5.1 $639.40 0.1

FIXED INCOME

U. S. TREASURY

215,000 UNITED STATES 1.00% 10/31/2011 100 38 215,806.25 100 59 216,259.68 0.9 2,150.00 1.0TREASURY NIB

155,000 UNITED STATES 4.75% 1/31/2012 100 31 155,484 37 104.70 162,289.81 0.6 7,362.50 4.5TREASURY NIB

245,000 UNITED STATES 4.88% 2/15/2012 105.42 258,283.60 105.01 257,278 67 10 11,943.75 4.6TREASURY N/B

205,000 UNITED STATES 5.25 % 11/15/2028 110 37 226,262.50 114.61 234,949 27 09 10.762 50 4.6TREASURY NIB

400,000 UNITED STATES 7.50% 11/15/2016 117.06 468,250.00 128.52 514,093.60 2.0 30,000 00 58TREASURY NIB

200,000 UNITED STATES 788% 2/15/2021 123.34 246,687.50 139.50 279,000 00 1.1 15,750.00 5.6TREASURY NIB

100,000 UNITED STATES 8.13% 5/15/2021 130.38 130,375.00 141.95 141,953.10 0.6 8,12500 5.7TREASURY NIB

TOTAL U. S. TREASURY Part II Line 10a 1,701,149.22 1,805,824.13 7.2 86,093.75 4.8

CORPORATE

270,000 AMERICAN EXPRESS 7.30% 8/20/2013 103.88 280,482.75 112.69 304,251.66 1.2 19,710.00 6.5CREDIT CO

70,000 CANADIAN NATL 600% 8/15/2016 88.93 62,251.00 114.93 80,452.54 0.3 4,200 00 5.2RESOURCES

24,759 CONTINENTAL AIRLINES 665% 9/15/2017 96.00 23,768 66 104 25 25,811.27 0.1 1,645.98 64INC EETC

41,517 CONTINENTAL AIRLINES 8.05% 11/1/2020 98.50 40,894 63 113.00 46,914 65 02 3,341 32 7.1INC EETC

Page 2 of 9

FIXED INCOME

CORPORATE

42,495 CONTINENTAL AIRLINES 690% 1/2/2018INC EETC 1997-4

190,000 FORD MOTOR CREDIT 7 .80% 6/1/2012CO LLC

250,000 HOME DEPOT INC 540% 3/1/2016

100,000 KRAFT FOODS INC 600% 2/11/2013

210,000 KRAFT FOODS INC 6.75 % 2/19/2014

250,000 MCDONALDS CORP 535% 3/ 1/2018

116,024 NORTHWEST AIRLINES 626 % 11/20/2021INC EETC

225,000 PACCAR INC 6.38 % 2/15/2012

200,000 STAPLES INC 9.75 % 1/1512014

TOTAL CORPORATE

SECURITIZED

ASSET BACKED

100,000 AMCAR 2009-1 B 9.79 % 4/15/2014

50,000 AMCAR 2009-1 C 14 55 % 1/15/2016

80,000 AMCAR 2010 -2 B 2.73 % 3/9/2015

71,874 BOAMS 2007 -3 2A8 700% 9/25/2037

100,000 CARMX 2009 -2 8 4.65 % 8/17/2015

35,000 CARMX 2010 - 1 B 375% 12 / 15/2015

71,713 CITIMTGE 2006-Al CMO 525% 3/25/2021

175,000 FORDO 2008-C A413 1.99% 4/15/2013

77,615 GSR 2006-1 OF 5A1 6 . 00% 1 /25/2027

TOTAL ASSET BACKED


12/3112010

AVERAGETOTAL COST PRICE TOTAL VALUE % OF INDICATED CURRENT

COST PORTFOLIO INCOME YIELD

103.33 43,909 83 106 25 45,150.68 02 2,932 14 6.5

99 00 188,100.00 106.31 201,994.13 08 14,820.00 7.3

93.66 234,137.50 112.06 280,151.25 1.1 13,500.00 4.8

110 51 110,509 00 109.51 109,505 60 04 6,000.00 5.5

103 71 217,792 50 113.99 239,387 40 1 0 14,175 00 59

98 39 245,975 00 112.20 280,502 75 1 1 13,375 00 4.8

9384 108,881.45 102.00 118,344.67 05 7,267.75 6.1

102.83 231,369.75 105 98 238,455.90 0.9 14,343.75 60

103.13 206,250.00 121.19 242,370.20 1.0 19,500.00 80

1,994,322.07 2,213,292.70 8.8 134,810.94 6.1

109 83 109,828.13 113 76 113,755 95 0.5 9,790.00 86

126.48 63,242.19 122.94 61,469.07 02 7,275.00 11 8

100 00 79,997.16 101 73 81,382.47 03 2,184.00 2.7

101.87 73,222.05 78 50 56,421 43 02 5,031 21 89

99 99 99,990.29 105 42 105,417 17 0.4 4,650.00 4.4

100 36 '35.125 11 102.31 35,807 30 0.1 1,31250 37

99.80 71,567.23 91.00 65,258.73 0.3 3,76493 58

97.42 170,492.19 101.43 177,504.70 07 3,480.31 2.0

91 00 70,629.42 85 00 65,972 54 03 4,656.88 7.1

774,093.77 762,989.36 3.0 42,144.83 5.5

r

Page 3 of 9

John W. Bristol & Co., Inc.-

FIXED INCOME

SECURITIZED

U. S. MORTGAGE-BACKED

33,226 GNMA #520538 SF 6.00% 2115/2030

168,144 GNMA#550612 SF 450% 8/15/2035

65,683 GNMA #552454 SF 5.50 % 3/15/2032

166,883 GNMA #584288 SF 5.50% 3/15/2032

141,319 GNMA 9615403 SF 4,50% 8/15/2033

191,336 GNMA #729037 SF 5.00% 2/15/2040

237,226 GNMA #736548 SF 4.50 % 2/15/2040

287,008 GNMA #736558 SF 500% 211 512040

137,221 GNMA #782150 SP 5.50 % 4/15/2037

46,342 GNMA REMIC TR 2007-82 500% 10/20/2036AG CMO

TOTAL U. S. MORTGAGE-BACKED

TOTAL SECURITIZED


12/31/2010



98.00 32,561 30 110.41 36,684 88 0.1 1,993.55 5.4

92 03 154,745 42 104.33 175,429.57 0.7 7,566.50 43

94 87 62,312.16 108.67 71,378.09 0.3 3,612.54 5.1

95.09 158,696.14 108.67 181,354.53 0.7 9,178.59 5.1

92.92 131,316.21 104 55 147,795.09 0.6 6,35935 4.3

104.67 200,274 63 106 39 203,552.61 0.8 9,566.78 47

101.75 241,377.72 103 96 246,614.87 1.0 10,675.18 4.3

103.97 298,398.36 106 39 305,333 42 1.2 14,350.39 47

98.33 134,926.89 108.39 148,734.07 06 7,547.16 51

101.12 46,863.41 103.14 47,799.07 0.2 2,317.10 48

1,461,472.24 1,564,676.20 6.2 73,167.14 4.7

2,235i,566.01 2 , 327,665 . 56 9.3 115,311.98 5.0

TOTAL FIXED INCOME $ 5,931;037 . 30 $6,346,782.39 25 . 2 $336,216.67 5.3

EQUITIES

ENERGY

8,636 BAKER HUGHES INC

8,018 CANADIAN NATURALRESOURCES

2,339 EOG RESOURCES INC

3,732 EXXON MOBIL CORP

3,105 OCCIDENTALPETROLEUM CORP

TOTAL ENERGY

35 92 310,174.85 57 17 493,720.12 20 5,181.60 1.0

5 86 47,009 90 44.42 356,159.56 14 2,413.42 07

50.35 117,763.26 91.41 213,807.99 08 1,450.18 0.7

59 78 223,086.01 73.12 272,883.84 1 1 6,56832 24

61 30 190,336.48 98 10 304,600 50 1.2 4,719.60 1.5

888,370.50 1,641,172.01 6 5 20,333.12 1.2

Page 4 of 9

L I


12/31/2010


COST PORTFOLIO INCOME YIELDEQUITIES

MATERIALS

4,798 AIR PRODUCTS & 57.63 276,492.51 90.95 436,378.10 1.7 9 404 08 22CHEMICALS INC.,

7,240 MONSANTO COMPANY 68.92 498,975.09 69.64 504,193.60 20 8,108.80 1.6

TOTAL MATERIALS 775,467.60 940,571.70 3.7 17,512.88 1.9

INDUSTRIALS

3,987 3M CO. 85.42 340,575.01 86.30 344,078 10 1 4 8,372.70 2.4

5,423 CATERPILLAR INC 37.76 204,789 74 93 66 507,918.18 2.0 9,544 48 1 9

8,034 EMERSON ELECTRIC 36.43 292,697.11 57 17 459,303.78 1 8 11,086 92 2.4COMPANY

5,600 FEDEX CORPORATION 70.07 392,367.94 93.01 520,856 00 2.1 2,688 00 0.5

4,021 GRAINGER WW 59 32 238,507 97 138 11 555,340.31 2.2 8,685.36 1.6

5,705 UNION PACIFIC 56.55 322,637.04 92.66 528,625.30 2.1 8.671 60 1.6CORPORATION

11,481 UTI WORLDWIDE INC. 24.65 282,977 87 21 20 243,397.20 1.0 688 86 0.3

TOTAL INDUSTRIALS 2,074,552,68 3,159,518.87 12.6 49,737.92 1.6

CONSUMER DISCRETIONARY

6,194 CARNIVAL CORP 25.63 158,726.15 46.11 285,605 34 1.1 2.47760 09

20,621 COMCAST CORP 21.08 434,645.56 21.97 453,043 37 18 7,79474 1.7

5,413 TIFFANY & CO. 34.89 188,880.32 62.27 337,067.51 13 5,413.00 16

TOTAL CONSUMER DISCRETIONARY 782,252.03 1,075,716.22 4.3 15,685.34 1.5

CONSUMER STAPLES

9,535 AVON PRODUCTS 26.07 248,620 84 29.06 277,087.10 1.1 8,390.80 30

7,411 COCA-COLA COMPANY 51.78 383,778.35 65 77 487,421.47 1.9 13,043 36 27

6,926 COSTCO WHOLESALE 43.72 302,819 39 72 21 500,126.46 20 5,679 32 11CORP

14,921 NESTLES SA ADR 23.12 344,996 39 58 74 876,434.17 35 13,384.14 1.5

6,417 PEPSICO INC 63.34 406,443.79 65.33 419,222 61 17 12,320.64 29

Page 5 of 9

John W. Bristol & Co., Inc.'HAVENS RELIEF FD SOCIETY

12131/2,010



EQUITIES

CONSUMER STAPLES

5,265 PHILIP MORRIS 23.35 122,950.90 58 53 308,160.45 12 13,478.40 44INTERNATIONAL INC

6,118 PROCTER & GAMBLE 60 95 372,890 69 64 33 393,570 94 1 6 11,789 39 3.0CO

13,531 SYSCO CORP 28.40 384,338.62 29 40 397,811 40 1.6 14,072.24 3.5

5,802 WAL-MART STORES 48.67 282,395 15 53.93 312,901 86 1.2 7,02042 2.2

TOTAL CONSUMER STAPLES 2,849,234.12 3,972,736.46 15.8 99,178.70 2.5

HEALTH CARE

4,683 BECTON DICKINSON 38.07 178,263.14 84 52 395,807.16 1.6 7,680.12 1.9

5,287 JOHNSON & JOHNSON 59.20 312,985.93 61.85 327,000.95 1 3 11,419.92 35

7,491 MEDTRONIC 43 39 325,068.05 37.09 277,841.19 1.1 6,741 90 24

7,586 NOVARTIS AG-ADR 48.23 365,845 96 58.95 447,194.70 1.8 12,539 66 2.8

TOTAL HEALTH CARE 1,182,163.08 1,447,844.00 5.8 38,381.60 2.7

FINANCIALS

9,014 AMER EXPRESS 34 77 313;426.09 42.92 386,880 88 1.5 6,490.08 1.7

1,516 GOLDMAN SACHS 164.29 249;071.18 16B 16 254,930.56 1.0 2,12240 0.8GROUP INC

2,405 M&T BANK 64.14 154,257.34 87 05 209,355 25 08 6,734.00 3.2CORPORATION

21,978 PROGRESSV CP OH 16.28 357,898.57 19.87 436,702.86 1.7 3,538.46 0.814,142 WELLS FARGO & CO. 22 25 314,673 75 30.99 438,260.58 1.7 2,828.40 0.6

TOTAL FINANCIALS 1,389,326.93 1,726,130.13 6.9 21,713.34 1.3

INFORMATION TECHNOLOGY

9,131 ADOBE SYSTEMS INC 28.36 258,913 65 30.78 281,052.18 1.1 0.00 0.013,114 ANALOG DEVICES 32 37 424,479.01 37.67 494,004.38 20 11,540 32 2322,098 CISCO SYSTEMS INC 1959 432,851.82 2023 447,042.54 1.8 0 00 0.0

721 GOOGLE INC-CL A 438.33 316,035 98 593.97 428,252.37 1.7 0.00 0.0

Page 6 of 9


EQUITIES

INFORMATION TECHNOLOGY

2,899 INTL BUSINESSMACHINES CORP

19,646 MICROSOFT CORP

7,182 QUALCOMM INC.

9,026 TEXAS INSTRUMENTSINC

TOTAL INFORMATION TECHNOLOGY

UTILITIES

7,044 EXELON CORP

TOTAL UTILITIES

HAVENS RELIEF FD SOCIETY12/31/2010

AVERAGETOTAL COST PRICE TOTAL VALUE %OF INDICATED CURRENT


88 56

23.67

35 37

24,33

256,731.17

465,093 21

254,025.67

219,573.14

146.76

27.91

49.49

32 50

425,457 24

548,319 86

355,437.18

293,345.00

1.7

2.2

1.4

1.2

7,537.40

12,573.44

5,45832

4,69352

1 8

2.3

1.5

1.6

2,627, 703.65 3 , 272,910 .75 13. 0 41,803.00 1.3

50.47 355,538.22 41.64 293,312 16 1.2 14,792.40 50

355,538.22 293,312.16 1.2 14,792.40 5.0

$12,924 , 608.81 $ 17,529 , 912.30 69.7 $319 , 138.30 1.8

$20,134,442.59 $25,155,491 . 17 100% $655 , 994.36 2.6%

TOTAL EQUITIES

TOTAL VALUE

TOTAL ACCRUED INCOME

TOTAL VALUE + ACCRUED INCOME

88,634.08

$25,244,125.25

Page 7 of 9

Form 990-PF

Part VIIIThe âvens ,e(ef 1ûndSociety

Page 6 >

Attachment C Board of Managers

2010

All members of the Board of Managers can be reached at the agency's address:

475 Riverside Drive, Suite 1940

New York, NY 101 15

Arthur V. Savage, Esq. President

Michael Loening, Esq., Vice President

Paul J. Brignola, Treasurer

Russell G. D'Oench, III, Esq., Secretary

Sarah L. Morgan, Assistant Secretary

The Honorable Deborah A. Batts

- - - The-Honorable P. -Kevin-Castel -

Bayard D. Clarkson, M.D.

David Condliffe, Esq.

JoAnn Delafield

Abigail Jones Feder

George A. von Hassel

Dianne L. Mack

Regina S. Peruggi, Ed.D.

David L. Plimpton, Ph.D.

The Honorable Laura Taylor Swain

Jose A. Tavares

i

Form 990-PFPage 7, Part IX-A, Line 1The Havens Relief Fund Society EIN: 13-5562382

Attachment D

The Society makes grants to needy individuals who are faced with an unexpectedfinancial crisis which can be resolved with a one-time emergency grant. Recipients areidentified by trained volunteers. During 2010, the Society made 2,236 grants. Theaverage grant was $312. In the larger cases, the grant process involves not only aninterview, but also documentation, personal assistance where necessary, approval by theexecutive director and in some cases by the board members. Grants consist of directpayments to the recipient, to a vendor, to a landlord, or to a utility. Written reports areprepared for all grants, and these reports are reviewed annually by the executive directorand by the board. The Society has a single program for making grants that consist of thedirect active conduct of charitable activities.

Direct program grants by nature of expense are as follows:

Rent $ 271,449Clothing 72,632Home care 7,139

Furnishings 103,609Health care 36,864Food 36,791Utilities 38,441Transportation 26,708Child care 9,279Moving & storage 21,333Other 147,633

Total Expenditures $ 771,879

Total Cases 2,236

The Society incurred approximately $278,000 of indirect costs associated with managingthe program.

Havens Relief Fund Society

Financial Statements

December 31, 2010 and 2009

A

O'Connor Davies Munns & Dobbins, UpACCOUNTANTS AND CONSULTANTS

A

O'Connor Davies Munns & Dobbins, llpACCOUNTANTS AND CONSULTANTS

Independent Auditors' Report

To the Board of ManagersThe Havens Relief Fund Society

We have audited the accompanying statements of assets and net assets-modified cash basis of The

Havens Relief Fund Society (the "Society") as of December 31, 2010 and 2009 and the related

statements of income, expenses and changes in net assets - modified cash basis and functional

expenses - modified cash basis for the years then ended. These financial statements are the

responsibility of the Society's management. Our responsibility is to express an opinion on these

financial statements based on our audits.

We conducted our audits in accordance with auditing standards generally accepted in the United

States of America. Those standards require that we plan and perform the audit to obtain reasonable

assurance about whether the financial statements are free of material misstatement. An audit

includes consideration of internal control over financial reporting as a basis for designing audit

procedures that are appropriate in the circumstances, but not for the purpose of expressing an

opinion on the effectiveness of the Society's internal control over financial reporting. Accordingly,

we express no such opinion. An audit also includes examining, on a test basis, evidence supporting

the amounts and disclosures in the financial statements, assessing the accounting principles used

and significant estimates made by management, as well as evaluating the overall financial

statement presentation. We believe that our audits provide a reasonable basis for our opinion.

As described in Note 2, these financial statements were prepared on the modified cash basis of

accounting, which is a comprehensive basis of accounting other than accounting principles

generally accepted in the United States ofAmerica.

In our opinion, the financial statements referred to above present fairly, in all material respects, the

assets and net assets of The Havens Relief Fund Society at December 31, 2010 and 2009 and its

income, expenses and changes in its net assets for the years then ended, on the basis of accounting

referred to in Note 2.

S&n>r21 /) l^41^,tâo /^cv^nro ^^bbMW, hAP

New York, New YorkMay 10, 2011

60 East 42i' Street, New York, New York 10165 212 .286 2600 tel 212 286 4080 fax www odmd corn

The Havens Relief Fund Society

Statements of Assets and Net Assets - Modified Cash Basis

December 31,

2010

ASSETSInvestments, at fair value

Operating cash

NET ASSETS

Unrestricted net assets

$ 25,155,491

275,284

$ 25,430,775

$ 25,430,775

See notes to financial statements.

2009

$ 23,498,296

288,768

$ 23,787,064

$ 23,787,064

2


Statements of Income, Expenses and

Changes in Net Assets - Modified Cash Basis

Years Ended December 31,

innn )nno

OPERATING INCOMEDividends and interest (net of investment feesof $112,812 and $103,128)

DonationsOther income

Total Operating Income

OPERATING EXPENSESProgram

AdministrativeFundraising

Change in Net Assets from Operations

NON-OPERATING INCOME

Net realized gain (loss) on sale of investmentsChange in unrealized gain on investments

Change in Net Assets

UNRESTRICTED NET ASSETS

Beginning of year

End of year


$ 558,763 $ 538,30232,450 22,1502,226 13,607 ,

593,439 574,059

1,049,539 963,308

83,175 66,11012,805 11,247

1,145,519 1,040,665

(552,080) (466,606)

524,265 (533,961)1,671,526 4,554,535

1,643,711 3,553,968

23,787,064 20,233,096

$ 25,430,775 $ 23,787,064

3

Havens Relief Fund Society

Statements of Functional Expenses - Modified Cash Basis

Years Ended December 31,

Salaries

Payroll taxes and fringe benefits

Almoner appropriations

Managers revolving fund

Insurance

Professional fees

Office expenses and support

Meetings

Rent and utilities

Federal excise tax (refund)

Capital expenditures

2010 2009Program Administrative Fundraising Total Program Administrative Fundraising Total

$ 116,100 $ 13,500 $ 5,400 $ 135,000 $ 130,032 $ 15,120 $ 6,048 $ 151,200102,362 11,902 4,761 119,025 64,504 7,501 3,000 75,005589,052 - - 589,052 579,629 - - 579,629182,827 - - 182,827 128,715 - - 128,715

- 8,018 - 8,018 - 8,006 - 8,006- 36,560 - 36,560 - 29,435 - 29,435

34,134 3,132 1,753 39,019 27,932 3,248 1,299 32,4795,914 5,679 - 11,593 5,828 4,797 - 10,62519,150 2,226 891 22,267 19,348 2,250 900 22,498

- - - - - (5,247) - (5,247)- 2,158 - 2,158 7,320 1,000 - 8,320

$ 1,049,539 $ 83,175 $ 12,805 $ 1,145,519 $ 963,308 $ 66,110 $ 11,247 $ 1,040,665


A


Notes to Financial Statements

1. Organization and Taxation

The Havens Relief Fund Society ("the Society") allocates money each year to its Almoners to

be expended for the relief of poverty and distress, and especially the affording of temporary

relief of unobtrusive suffering, endured by industrious or worthy persons.

The Society has qualified as a charitable organization which is exempt from tax under Section501(c)(3) of the Internal Revenue Code of 1986, (the Code), as amended. It is a private

operating foundation as further described in Section 4942(j)(3) of the Code. As such, it isliable for Federal excise taxes on net investment income as defined by the Code.

2. Summary of Significant Accounting Policies

Basis ofAccounting

The accompanying financial statements have been prepared on the modified cash basis of

accounting. On that basis, revenue and related assets are recognized when received andexpenses and related liabilities are recognized when paid. An exception is the recognition of

investments at fair value. Deferred federal excise tax has not been provided for on theunrealized gain on investments.

Basis ofPresentation

Net assets and revenues , expenses , gains and losses are classified based on the existence or

absence of donor imposed restrictions . The Society 's net assets are neither permanently nortemporarily restricted by donor-imposed restrictions and are classified as unrestricted.

Almoners

The Society carries out its charitable mission through a network of approximately 160

Almoners who act as agents of the Society for the identification and distribution of charitablefunds to needy individuals. Allocations to Almoners are expensed when paid to them. No

provision for expense is made when Almoners' allocations are approved.

Fair Value Measurements

The Society follows Financial Accounting Standards Board (FASB) guidance on Fair ValueMeasurements which defines fair value and establishes a fair value hierarchy organized intothree levels based upon the input assumptions used in pricing assets. Level 1 inputs have thehighest reliability and are related to assets with unadjusted quoted prices in active markets.Level 2 inputs relate to assets with other than quoted prices in active markets which mayinclude quoted prices for similar assets or liabilities or other inputs which can be corroboratedby observable market data. Level 3 inputs are unobservable inputs and are used to the extentthat observable inputs do not exist.

5


Notes to Financial Statements(Continued)

2. Summary of Significant Accounting Policies (continued)

Investments Valuation

The Society carries its' investments at their fair value in the statements of financial position.

Unrealized gains and losses are included in the change in net assets in the accompanying

statements of activities. Securities transactions are reported on a trade date basis.

Functional Expenses

The Society allocates its expenses on a functional basis among its program and support

services. Expenses that can be specifically identified with a program or support service are

allocated directly. Other expenses that are common to several functions are allocated based on

estimates made by management.

Accountingfor Uncertainty in Income Taxes

The Society recognizes the effect of tax positions only when they are-more -likely -than-not of

being-sustained.- -Management has detern fined that the Society had no uncertain tax positions

that would require financial statement recognition. The Society is no longer subject to audits by

the applicable taxing jurisdictions for periods prior to 2007.

Subsequent Events Evaluation by Management

Management has evaluated subsequent events for disclosure and/or recognition in the financial

statements through the date that the financial statements were available to be issued, which date

is May 10, 2011.

3. Concentration of Credit Risk

The Society's cash, cash equivalents and investments are potentially exposed to concentrations

of credit risk. The Society invests in common stocks, bonds and notes issued by financially

strong corporations, the United States, and foreign issuers. The Society routinely assesses the

diversification and financial strength of its cash and investment portfolio. As a consequence,

concentrations of credit risk are limited.

6



4. Investments and Investment Return

The Society utilizes a total return investment approach with its asset allocation diversified over

multiple asset classes. Investments are managed by an independent fund manager under

guidelines established by the Finance Committee and approved by the Board of Managers.The investment policy considers market conditions as well as the relative risk/reward

characteristics of appropriate asset categories in the asset mix.

Investments at December 31 consisted of the following:

2010 2009

Level 1 Inputs

Equities

Energy $ 1,641,172 $ 1,445,588

Industrials 3,159,519 2,236,802

Consumer staples 3,972,736 3,996,986

Health care 1,447,844 1,646,478

Financials 1,726,130 1,492,580

Information technology 3,272,911 2,965,944

Other 2,309,600 2,262,342

Total Equities 17,529,912 16,046,720

Money market funds 1,278,796 1,145,059

U.S. Treasury notes 1,805,824 1,987,559

Total Level 1 Inputs 20,614,532 19,179,338

Level 2 Inputs

U.S. government related agencies 1,564,677 1,867,956

Corporate bonds and notes 2,976,282 2,451,002

Total Level 2 Inputs 4,540,959 4,318,958

Total Investments $ 25,155,491 $ 23,498,296

7



4. Investments and Investment Return (continued)

Total investment return consisted of the following:

2010 2009

Dividends and interest $ 671,575 $ 641,430Net realized gain (loss) on sale of investments 524,265 (533,961)Appreciation of investments 1,671,526 4,554,535Investment fees (112,812) (103,128)

Total Investment Return $ 2,754,554 $ 4, 558,876

5. Funds Held for Long Term Investment

The Society maintains funds whose purpose is to provide long-term support for its charitableprograms. In classifying such funds for financial statement purposes as either permanentlyrestricted, temporarily restricted or-unrestricted-net assets the Board-looks to explicit directions of-the donor where applicable and the provisions of the laws ofNew York State.

Activity of such long-term funds for 2010 and 2009 is summarized as follows:

2010 2009

Investments - beginning of year $ 23,498,296 $ 19,975,727Other income 34,676 35,758Investment income, net 2,754,554 4,558,876Appropriation for expenditures (1,132,035) (1,072,065)

Investments - end of year $ 25,155,491 $ 23,498,296

6. Provision for Federal Excise Tax

In accordance with the applicable provision of the Code, the Society is subject to a Federalexcise tax of two percent on its net investment income. A reduction of the two percent taxrate to one percent can be achieved by meeting qualifications under Section 4940(c). As aresult of an overpayment from the prior year, there were no payments required to be paid in2010. The Federal excise tax expense (refund) for 2009 amounted to $(5,247), and consistedof a refund from the prior year's return and estimated payments for the current year'sliability.

8



7. Office Leases

The Society occupies office space under an operating lease agreement which expires onDecember 31, 2013. Under the terms of the lease agreement, the Society is required to paymonthly in advance a rental based upon the total costs of ownership. After the close of eachyear, the Landlord will provide the tenant with a statement of their share of the prior year costs.Based upon the tenant's advance payments, a payment or refund is required within thirty daysof the statement. Monthly advance rental payments in 2011 total $1,930. Rent expenseamounted to $22,267 for 2010 and 2009.

8. Pension Plan

The Society maintains a noncontributory defined benefit pension plan covering all eligibleemployees employed prior to January 1, 2010 through Mutual of America. Pension planinformation for 2010 and 2009 is based on valuations made by actuaries.

As at June 30, 2010, the Plan had an accumulated plan benefit obligation of $364,000, fairvalue of assets of $329,000 and an unfunded status of $35,000. The expected amount ofcontribution for the Plan for 2011 is $60,000.

As at June 30, 2010, the Plan assets consisted of investments in All America Fund (64%), Mid-Term Bond fund (7%) and a General Account (29%). The Finance Committee reviews theasset mix periodically and reallocates assets when the market dictates. The Society isprojecting to make a retirement benefit disbursement of approximately $331,000 in 2012,$151,000 in 2015 and $105,000 in 2016.

9

Form $868

(Rev January 2011)

Department of the Treasury

Internal Revenue Service

Application for Extension of Time To File anExempt Organization Return OMB No 1545-1709

File a 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 li 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 e-file for Charities & Nonprofits

Part 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 - ►All other corporations (including 1120-C filers), partnerships, REMICs, and trusts must use Form 7004 to request an extension of timeto file income tax returns

Type or I Name of exempt organization

print

File by the

due date for

filing your

return See

instructions

Number, street, and room or suite no If a P 0 box, see instructions

Employer identification number

13-5562382

City, town or post office, state, and ZIP code For a foreign address, see instructions.

Enter the Return code for the return that this application is for (file a separate application for each return) DEC

Application

Is For

Return

Code

Application

Is For

Return

- Code

Form 990 01 - -Form 990-T (corporation ) 07

Form 990-BL 02 Form 1041-A 08

Form 990-EZ 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

THE HAVENS RELIEF FUND SOCIETY• The books are in the care of ► 475 RIVERSIDE DRIVE, ROOM 1940 - NEW YORK, NY 10115

Telephone No ► 212 - 870-2636 FAX No. ►• If the organization does not have an office or place of business in the United States , check this box ► Eil

• 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 ► 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

1 I request an automatic 3-month (6 months for a corporation required to file Form 990-T) extension of time until

AUGUST 15 , 2011 , to file the exempt organization return for the organization named above The extension

is for the organization ' s return for.

►® calendar year 2 010 or

►0 tax year beginning , and ending

2 If the tax year entered in line 1 is for less than 12 months, check reason 0 Initial return 0 Final return

0 Change in accounting period

3a If this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069 , enter the tentative tax, less any

nonrefundable credits. See instructions

b If this application is for Form 990-PF, 990-T, 4720 , or 6069 , enter any refundable credits and

estimated tax payments made Include

c Balance due. Subtract line 3b from line 3a Include your payment with this form, if required,

Caution . If you are going to make an electronic fund withdrawal with this Form 8868, see Form 8453-EO and Form 8879-EO for payment instructions

LHA For Paperwork Reduction Act Notice , see Instructions . Form 8868 (Rev 1-2011)

02384101-03-11


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