V Form 990-PF Department of 'he Treasury - i^re-l 2n •,enue Seraco Return of Private Foundation or Section 4947(a)(1) Nonexempt Charitable Trust Treated as a Private Foundation Note. The foundation may be able to use a copy of this return to satisfy state reporting OMB No 1545-0052 2012 O u_i UI For calendar year 2012 or tax year beainnina . 2012. and ending 20 Name of foundation 'Down Pum p Charitable Foundation A Employer identification number 81-0523786 Number and street ( or P 0 box number if mail is not delivered to street address) PO Box 6000 Room / suite B Telephone number ( see instr .ictions) 406-497-6700 City or town. state , and ZIP code Butte , M T 5 9702 C it exemption eppl,cat on is , q pending, check here • • • • . G Check all that apply Initial return Initial return of a former public charity D 1 n or cherkhnre Forei anizatons q Final return J Amended return . g g , . 2 Fore i gn organzatons meeting the Address chan g e Name chan g e 85% test chec. here and attach computation ► H Check type of organization - x Section 501 (c )( 3 ) exempt private foundation Section 4947 ( a )( 1 ) nonexempt charitable trust Other taxable p rivate foundation . . . , . . . . . E If private foundation status was term noted q ► urider section b07(b )( 1)(A) check here 1 Fair market value of all assets at end of year (from Part ll, col. (c), line 16) ► $ 18 389 559. 00 J Accountin g method : Cash Accrual Other ( specify ) _ - _--- - ------ - ------ (Part 1, column (d) must be on cash basis. ) . . F it the loundatlon 1s in a 60-month termination under section 507 ( bi(l)(8). cneck nere , ► Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and !d) may not necessemy equal the amounts in column a)(see instructions ) (a ) Revenue and expenses per books (b) Net investment income ( c) Adjusted net income (d) Disbursements for charitable purposes ( cash basis onl y) 1 Conlflbutions dls, grants , etc, received ( attach schedule ) , 2 , 000 , 000.00 2 Check ► Li if the foundation is not required to attach Sch B • , , , , • , , 3 Interest on savings and temporary cash investments ' 4 Dividends and interest from securities ,. 321 , 4 36.00 327 , 406.00 5 a Gross rents . . . . . . . . . . . . . . . . . b Net rental income or (loss) 0 6 a Net gain or (loss ) from sale of assets not or, line 10 -'24 . 00 ej b Gross sales pr'ce for all assets on line 6a 281.00 4) 7 Capital gain net income (from Part IV, line 2) 124.00 8 Net short-term capital gain . . . . . . . . 9 Income modifications 10 a Gross sales less returns and allowances b Less Cost of goods sold c Gross profit or ( loss) (attach schedule) . • , • 11 Other income ( attach schedule) • , , • , , • 42 Total . Add lines,1 throu g h 11 2 327 , 530.00 327 , 530.00 13 Compensation of officers, directors , trustees, etc 14 Other employee salar ies and wa es in 15 Pension plans , empl ee ben ECE 'WE 16a Legal fees (attach sc' du , 9 2_ 08.00 I^ b Accounting fees (alt hedule) ' m c Other professional fie ^^r1 t ^0 tactt^ch^dt^)Q w 17 Interest , • . , , , L 18 Taxes ( attach schedule ) ( ee inslru^ft GD E N I 0 51 . 0 C IT 7 0 51 . UU t v v V E 19 Depreciat i on (attach p , nd ) Q 20 Occupancy . . . . . . . . . . . . . . . . 21 Travel , conferences , and meetings . _ . . . . 22 Print i ng and publications . . . . . . . . . . 23 Other expenses ( attach schedule) . . . . . . 135.00 rJ 0 24 Total operating and administrative expenses Add lines 13 through 23 . . . . . . . . . 10 094.00 7 051.00 2 908.00 25 Contributions , gifts, grants paid . . . . . . . 90 90 . 00 909 . 900. 0 26 Total ex p enses and disbursements. Add lines 24 and 25 919 , 994 .00 7 0 51 - 0 0 91 21 808.00 27 Subtract line 26 from line 12 a Excess of revenue over expenses and disbursements 1 40-7 , 536.0 0 b Net Investment income ( if negative, enter -0-) 320 , 479.00 c Adjusted net Income ( if ne g ative , enter -0-). . JsA For Paperwork Reduction Act Notice , see Instructions. 2E 1410 1,000 Form 990-PF (2012) 1^
Transcript
V
Form 990-PFDepartment of 'he Treasury -i^re-l 2n •,enue Seraco
Return of Private Foundationor Section 4947(a)(1) Nonexempt Charitable Trust
Treated as a Private FoundationNote. The foundation may be able to use a copy of this return to satisfy state reporting
OMB No 1545-0052
2012
O
u_i
UI
For calendar year 2012 or tax year beainnina . 2012. and ending 20Name of foundation
'Down Pump Charitable Foundation
A Employer identification number
81-0523786Number and street ( or P 0 box number if mail is not delivered to street address)
PO Box 6000
Room / suite B Telephone number ( see instr .ictions)
406-497-6700City or town. state , and ZIP code
Butte , MT 5 9702
C it exemption eppl,cat on is , qpending, check here • • • • .
G Check all that apply Initial return Initial return of a former public charity D 1 n or cherkhnreForei anizatons q
Final return
J
Amended return. gg , .
2 Fore ign organzatons meeting the
Address chang e Name chang e85% test chec. here and attach
computation ►
H Check type of organization - x Section 501 (c )( 3 ) exempt private foundation
Section 4947 ( a)( 1 ) nonexempt charitable trust Other taxable p rivate foundation
. . . , . . . . .
E If private foundation status was term noted q
►urider section b07(b )( 1)(A) check here
1 Fair market value of all assets at end
of year (from Part ll, col. (c), line
16) ► $ 18 389 559. 00
J Accountin g method : Cash Accrual
Other ( specify ) _ - _---- ------ - ------
(Part 1, column (d) must be on cash basis. )
..
F it the loundatlon 1s in a 60-month termination
under section 507 ( bi(l)(8). cneck nere , ►
Analysis of Revenue and Expenses (Thetotal of amounts in columns (b), (c), and !d)may not necessemy equal the amounts incolumn a) (see instructions )
27 Capital stock , trust principal, or current funds , , , , , , , , ,
28 Paid-in or capital surplus , or land , bldg , and equipment fund
29 Retained earnings, accumulated income , endowment , or other funds
d 30 Total net assets or fund balances (see instructions ) , 12 4 0' 8 9 . 0 0 1 3 1 d 1151.00Z 31 Total liabilities and net assets/fund balances (see
instructions)
Analysis of Changes in Net Assets or Fund BalancesI Total net assets or fund balances at beginning of year - Part II, column (a), line 30 ( must agree with
2 Enter amount from Part 1, line 27a 2 1 ,4 07 , 536 , 00
3 Other increases not included in line 2 ( itemize ) ► Roundingadjustments in basis 3 19.00- _ ______4 Add lines 1, 2, and 3 , , 4 13 814 451.00, . , , , , ,
5 Decreases not included in line 2 ( itemize ) ► 5 0 . 00_ _ _ _
6 Total net assets or fund balances at end of ear Ilse 4 minus Ilne 5
_
- Part II, column b line 30 6
Fo-m 990-PF (2012)
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Form 990-PF (2012) Page 3
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e g , real estate,
2-story brick warehouse, or common stock, 200 shs. MLC Co)
accu,Ho*'
,_r', ,,,qwiD re
acquired(rn0.. day, yr )
(d) Date soldrrr,n rfay yr1
la Se e attachmentb
cd
e
(e) Gross sales price(f) Depreciation allowed
(or allowable)(9) Cost or other basisplus expense of sale
(h) Gain or (loss)(e) plus (f) minus (g)
a 281.0 15/.00 124.0 0
b
c
d
e
Complete onl y for assets showing g ain in column ( h) and owned by the foundation on 12/31/69 (I) Gains (Col (h) gain minus
(I) F,M V as of 12131/69 0) Adjusted basisas of 12/31169
(k) Excess of col (I)over col (I), if any
col. (k), but not less than -0-) orLosses (from col (h))
a '.24,00
b
cd
e
2 Capital gain net income or (net capital loss) {If gain, also enter in Part I, line 7
If (loss), enter -0- in Part 1, line 7 } 2 124.003 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6)
If gain, also enter in Part I, line 8, column (c) (see instructions) If (loss), enter -0- in
Part I, line 8 J.......................................... 3
Qualification Under Section 4940 (e ) for Reduced Tax on Net Investment Income(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income )
If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period '? Yes xx NoIf "Yes," the foundation does not qualify under section 4940 ( e) Do not complete this part
I Enter the a ra nare amount in each column ror each year, see the instructions oerore Makin any entries(a)
Base p aod yearsCalendar year(a
ttax year berynning fn} Adjusted qualifying distributions Net value of nonchantable-use assets
2 Total of line 1, column (d) , , , , , . , , , , 2 0,28063 Average distribution ratio for the 5-year base period - divide the total on line 2 by 5, or by the
number of years the foundation has been in existence if less than 5 years , , . . . . . . 3 0.0561
4 Enter the net value of nonchantable- use assets for 2012 from Part X, line 5 4 17 ,-758, 296.09
Enter qualifying distributions from Part XII, line 4 8 912 , 8 08. 00If line 8 is eaual to or areater than line 7. check the box in Part VI' line 1b. and complete t hat d art usina a 1% tax rate . See thePart VI instructions
SSA Form 990-PF (2012)2E 1430 1 000
Form 990-PF (2012) 4
Excise Tax Based on Investment Income (Section 4940(a ) , 4940 ( b ) , 4940 (e ) , or 4948 - see instructions)
I a Exempt operating foundations aescnbed in section 4940(d)(2), check here ► L_j and enter "NIA" on I ne 1. .
Date of ruling or determination letter _ _ ------------- (attach copy of letter If necessary - see instructions)
b Domestic foundations [,',at meet the section 4940(e) requirements n Part V, ch eck
here ► q and enter 1 % of Part I, line 27b ,
i ii . 40 7 . t
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-C-) , . 2
If the answer is 'Yes " to 1a or 1b, attach a detailed description of the activities and copies of any materials published or
distributed by the foundation in connection with the activities
c Did the foundation file Form 1120 - POL for this year? , , , , , , , , , , , , , , , , , , , , , , , , , , le A, , , , , , , , , ,
d Enter the amount ( if any) of tax on political expenditures ( section 4955 ) imposed during the year
(1) On the foundation ► $ ( 2) On foundation managers ► $
e Enter the reimbursement ( if any) paid by the foundation du•ing the year for political expenditure tax imposed on
foundation managers. ► $
2 Has the foundation engaged in any activities that have not previously been reported to the IRS? 2 x, , , , , , , , , , , , , , , ,
If "Yes," attach a detailed description of the activities.
3 Has the foundation made any changes , not previously reported to the IRS, in its governing instrument , articles of incorporation,
or bylaws , or other similar instruments) If "Yes," attach a conformed copy of the changes . . . . . . . . . . . . . . . . . 3
4a Did the foundation have unrelated business gross income of $ 1,000 or more during the year '? . . . . . . . . . . . . . . . . 4a
b If "Yes ," has it filed a tax return on Form 990 - T for this year? 4b, , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ,
5 Was there a liquidation , term i nation, dissolution, or substant i al contraction during the year? 6. . . . . . . . . . . . . . . . . .
If "Yes," attach the statement required by General Instruction T
6 Are the requirements of section 508(e) ( relating to sections 4941 through 4945) satisfied either-
• By language in the governing instrument, or
• By state legislation that effectively amends the governing instrument so that no mandatory directions that conflict
with the state law remain in the governing instrument? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
7 Did the foundation have at least $5 , 000 in assets at any time during the year? If "Yes," complete Part Il, col (c), and Part XV 7
Sa Enter the states to which the foundation reports or with which it Is registered (see instructions) ►NI T'---------------------------------------------------------------------------_
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 (j)( 3) or
4942 ())( 5) for calendar year 2012 or the taxable year beginning in 2012 (see instructions for Part XI\O? If "Yes," complete
10 Did any persons become substantial contributors during the tax year? If 'Yes," attach a schedule listing their names andaddresses ......................................................... 10 x
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Statements Reaardina Activities (continued)
11 At any time during the year, did the founaation, directly or indirectly, own a controlled entity within the
meaning of section 512(b)(13)? If "Yes," attach scheaule (see instruc:ions . . . . . . . . . . . . . . . . . . . . . . . . . 11 x
12 D:d the foundation make a distribution to a donor advised fund over which the foundation or a disqualified
person had advisory privileges? If "Yes," attach statement (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . 12 x
13 Did the foundation comply with the public inspection requirements for its annual returns aid exemption applications , 13 I x
Website address NA ______ ______---- ---------------------------------------------------------14 The books are in care of ► Maureen _Kenea11y------------------- Telephone no. ► -------------406-4 97-6700
(3) Furnish goods, services , or facilities to (or accept them from ) a disqualified person?. . . . . . . Yes x No
(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? . . . . . . . Yes x No
(5) Transfer any income or assets to a disqualified person ( or make any of either available for
the benefit or use of a disqualified person )? . . . . . . . . . . . . . . . . . . . . . . . . . . . El Yes ED No
(6) Agree to pay money or property to a government official? ( Exception . Check " No" if the
foundation agreed to make a grant to or to employ the official for a period after
termination of government service, if terminating within 90 days ) . . . . . . . . . . . . . . . q Yes F No
b If any answer Is "Yes" to la(1)-(6 ), did any of the acts fail to qualify under the exceptions described in Regulations
section 53 4941(d)-3 or in a current notice regarding disaster assistance (see instructions )? . . . . . . . . . . . . . . 1 b..
Organizations relying on a current notice regarding disaster assistance check here . . . . . . . . . . . . . . ►c Did the foundation engage in a prior year in any of the acts described in la, other than excepted acts, that
were not corrected before the first day of the tax year beginning in 2012? . . . . . . . . . . . . . . . . . . . . . . . . . 1 c 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 (j )(5))
a At the end of tax year 2012, did the foundation have any undistributed income ( lines 6d and
6e, Part XIII ) for tax year (s) beginning before 2012? . . . . . . . . . . . . . . . . . . . . . . . . . q Yes o 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 ,) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 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 ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . q Yes No
b If "Yes," did it have excess business holdings in 2012 as a result of ( 1) any purchase by the foundation or
disqualified persons after 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
Total number of others receiving over $50,000 for professional services .. ►
Summary of Direct Charitable Activities
List the foundation ' s four largest direct charitable act,vlties dur i ng the tax year. Inc ude relevant statistical information such as the number of
organizations and other oeneflciaries served , conferences convened research papers produced. etc.Expenses
I1 U:I Summary of Program-Related Investments (see instructions)Describe the two largest program - related investments made by the foundat.on durirg the tax year on lines 1 and 2, Amount
1 Not Applicable-------------------------- -------------------
Minimum investment Return (All domestic foundations must complete this part Foreign foundations,see instructions.)
'i Fair market value of assets not used (or held for use) directly in Carry;ng Out charitable, etc ,
purposes
a Average monthly fair market value of securities . . . .. . . . .. . . .. . . . . . . . . . . . . . .. . . Ia 11 , 295 , 024 . OC
b Average of monthly cash balances, , , , , , , , , , , , , , lb 6 , 733 , 70 3.0
c Fair market value of all other assets (see instructions) . . . . . . . . . . . . . . . . . . . . . . 1c
d Total (add lines 1a, b, and c) . . , , , - , , , , , Id 18 , -028 , 72 OC
e Reduction claimed for blockage or other factors reported on lines la and
1c (attach detailed explanation) le
2 Acquisition indebtedness applicable to line 1 assets
.
2
3 Subtract line 2 from line 1d
.
3 18 , 02 8 7 27
4 Cash deemed held for charitable activities Enter 1 112% of line 3 (for greater amount, see
instructions) . ......... . ........ 4 270 430.91. . . ... ........ ..5 Net value of noncharitable - use assets . Subtract line 4 from line 3 Enter here and on Part V, line 4 5 17 , 758 ,296.06 Minimum investment return . Enter 5% of line 5 6 88 7 91 4 . 8C
Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operatingfoundations and certain foreign organizations check here ► and do not complete this part )
I Minimum investment return from Part X, line 6 . . .. . . . . . . ... .. . . . .. . . . . . ... . 1 887 914 . 8C
2a Tax on investment income for 2012 from Part VI, line 5 .. . 2a 6 , 407.00
b Income tax for 2012 (This does not include the tax from Part VI) 2b
c Add lines 2a and 2b 2c 6 407. OC
3 Distributable amount before adjustments Subtract line 2c from line 1 3 881, 507 . 8(
4 Qualifying distributions . Add lines 1a through 3b Enter here and on Part V, line 8, and Part XI II, line 4 . . . . . ,
.
4 912 808.0(
5 Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment income.
Enter 1% of Part I, line 27b (see instructions), , , , , , , , , , , , , , , , , , , , , , , , , , 5
6 Adjusted qualifying distributions . Subtract line 5 from line 4 . . . , . . .. . . 6 (912 , 80 8.0Note . The amount on line 6 will be used in Part V, column (b), in subsequent years when cal
qualifies for the section 4940(e) reduction of tax in those yearsculating whether the foundation
Form 990-PF (2012)
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Form 990-PF ( 2012) Page 9
MWFM Undistributed Income (see instruction s)
1 Distributable amount for 2012 from Part XI,
line 7
2 Undistrbuted income, if any, as of the end of 2012
a Enter amount for 2011 only . . . . . . . . . .
b Total for pricr years 20 , 2 0 , 2 0
3 Excess distributions carryover, if any, to 2012:
a From 2007
b From 2008
c From 2009 , , , , , , 7 Q 5 7 . 0 0
d From 2010 70 , 677 .00
e From 2011 77 , 281 , 00
f Total of lines 3a through e , , , . , . . . . . .
4 Qualifying distributions for 2012 from Part XII,
line4 ► $ 912,808.00
a Applied to 2011, but not more than line 2a , , ,
b Applied to undistributedincome of prior years(Election required - see instructions) . . . . . . .
c Treated as distributions out of corpus (Electionrequired - see instructions) , , . . . . . . . . .
d Applied to 2012 distributable amount . . . . .
e Remaining amount distributed out of corpus , ,
5 Excess distributions carryover applied to 2012(If an amount appears in column (d), the sameamount must be shown in column (a) )
6 Enter the net total of each column asindicated below:
a Corpus Add lines 3f, 4c, and 4e, Subtract I ne 5
b Prior years' undistributed :ncome Subtractline 4b from line 2b
c En:er the amount of prior years' undistributedincome for which a notice of deficiency has beenissued, or on which the section 4942(a) tax hasbeen previously assessed . . . . . . . . . . . .
d Subtract line 6c from line 6b Taxableamount - see instructions
e Undistributed income for 2011 Subtract line4a from line 2a Taxable amount - seeinstructions . . . . . . . . . . . . . . . . .
f Undistributed income for 2012 Subtract lines
4d and 5 from line 1 This amount must bedistributed in 2013 . . . . . . . . . . . . . .
7 Amounts treated as distrloutions out of corpus
to satisfy requirements imposed by section
170(b)(1)(F) or 4942(g)(3) (see instructions)
8 Excess distributions carryover from 2007 not
applied on line 5 or line 7 (see instructions) , , ,
9 Excess distributions carryover to 2013.
Subtract lines 7 and 8 from line 6a
10 Analysis of line 9
a Excess from 2008 , , ,
b Excess from 2009 , . . 76 , 657.00
c Excess from 2010 . , . 70 , 67-7 .00
d Excess from 2011 . . . 77 , 28--.00
e Excess from 2012 31 300.20
r_ r r(a) tb) (C) (d)
Corpus Years prior to 2011 2011 2012
881 , 507.80
224 , 615 .0 0
881 507.80
3' 0' '0
255 915.20
255.915.20
Form 990-PF (2012)
ISA
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Form 990-PF 10
Private Operatinq Foundations (see instructions and Part VII-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 2012, enter the date of the ruing ►
`1 UYLn/n,/\
42(/ G\L
Check box{lu..indicate
.. . hetherthe
fo.lVU.ndatlUII
operating- n ...
IJ O.. -.-..,..,..
fJl1VPlCfo
VII-U I I V IIJat ion
described00 in section^.Ilca.n uVn vvGlI1CI uIIUCln IV I ( (J)tO/ UI I 1 491)(5)
2a Enter the lesser of the ad-justed net income from Part
I or the minimum investmentreturn from Part X for eachyear listed
b 85% of line 2a , , , , ,
C Qua dying dls'nbubons frorr Par
X11 I ne 4 for each year istod ,
d Amos'rts Included Ir line 2c not
used directly for active coniuct
of exerlp. acllw•les . . . . .
e Qualifying mslnb.itions made
d 'octly 'or act vo conduct of
exempt auliHhes Sub fact line
2d from ins 2c
•3 Complete 3a, L or c for the
alternative fast relied ./pon
a "Am o's" al'emat ve lest - enter
(1) Value of all assets . . .
(2) Value of assets qushfylrg
under section
b "E'tdowrmenr" alter native lest-
enter 213 of irlnlrnum Irvest-
menl return shown in Pan X
line 6 for each ycar listed , .
C Support altemet ve test - erte'
(1) Total support other than
gross investment Income
( rile-est clvdends rents
payments on securnes
loans (bec.lon 512(a)l5)),
or royalties). , . .
(2) Suppu•t flour ge ie•alpublic and 5 cr it ore
exempt orgzrvahons as
provided in se tior 4942
0!t3)(t3)('.i) .
(3) Largest arno.mt of suo-
port horr an exempt
organization , , , , ,
(4) Goss investment scone ,
Tax year Prior 3 years
(a) 2012 ( b) 2011 (c) 2010 (d) 20 09( e) Total
Supplementary Information (Complete this part only if the foundation had $5,000 or more in assetsat any time during the year -see instructions.)
I Information Regarding Foundation Managers:
a List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundationbefore the close of any tax year (but only if they have ccntnbuted more than $5,000) (See section 507(d)(2).)
Non-
b List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large port ion of theownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
Check here ► q if the foundation only makes contributions to preselected charitable organizations and does not acceptunsolicited requests for funds If the foundation makes gifts, grants, etc. (see instructions) to individuals or organizations underot her co nditions, complete items 2 a, b, c, a nd d
a The name, address, and telephone number or e-mail of the person to whom applications should be addressed
Karen Kelly, 600 S. Main Street, Bute MT 59701b The form in welch applications should be submitted and information and materials they should include
Saa Attachmentc Any submission deadlines:
See Attachmentd Any restrictions or limitations on awards , such as by geographical areas , charitable fields , kinds of institutions , or other
factors.
Cue Atta;=Ler-JSA
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(2012)
Form 990-PF (2012) Page 11
F7ffM. Supplementa ry Information (continued)3 Grants a nd Contributions Paid Duri na the Year or Aonroved for Future Payment
D ec,,.,+ 11 'eaulenl-a an indneuusl e... ,..a...__""°^`r show any relationsh i p to ' Purpose of grant or(
Narne and aadress home or businessany 'ou ndatlon manager status of
contributionAmount
or quos`antuit conlrbutor recipient
a Paid during the year
See Attachment
Total 3a 909 , 900 . 00b Approved for future payment
NON T;
Total t 3b
Form 990-PF (2012)
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Form 990-PF (2012) Page 12
Analysis of Income-Producing Activities
Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)Related or exempt
(=) (^) (^) (") function incomeBusiness ccdo Amcun, I Excfusio^ cage I Amount I 1
(6) Performance of services or membership or fundraising solicitations . . . . ,,.. , . , . . , . . . . . . 1b ( 6 ) x
c Sharing of facilities, equipment, mailing lists, other assets , or paid employees .. .. . . . . . . . . . . . . . . . . 1c
d If the answer to any of the above is "Yes ," complete the following schedule Column (b) should always show the fair marketvalue of the goods , other assets , or services given by the reporting foundation . If the foundation received less than fair market
(a) Name of organization (b) Type of organization (c) Description of relationship
Under penalties of pegury, i aecare that I have examined this return, including accompanying schcd.iles and statements , ana to the best of my knowledge and belief, it is true,
Signcorrect , and complete Deciaralion of preparer'other t han taxpayer) is based cn all inrornehon of which preparer has any knowledge-
Here Y_\4_.JL I % ii,Signature of officer or trustee Date
PaidPrint/Type preparer' s name reoarer's sig t
Preparer Joei KG_e aFirm's name 0- Crowley F_eci , PLL2
Use Only Firm's address 11. 2. 0. Box 7099
Missoula T 5 801-7 9
J,A
2E1493 1 000
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? .. . . .. . . . . . .. q Yes Q No
h If "Yes " cmmnlata the fnllnwinn ccharil IIP
Schedule B Schedule of Contributors OMB No 15 45-0047(Form 990, 990 -EZ ,or 990-PF) ► Attach to Form 990 , Form 990 -EZ, or Form 990-PF.Department of the Treasury LmU I A"Internal Revenue Service
Name of the organization Employer identification number
't'nt. rj Piimn ('hari t nh1 a Rnitrrist- i nn 81-0523786
Organization type (check one)
Filers of:
Form 990 or 990-EZ
Form 990-PF
Section:
q 501(c)( ) (enter number) organization
q 4947(a)(1) nonexempt charitable trust not treated as a private foundation
q 527 political organization
0 501(c)(3) exempt private foundation
q 4947(a)(1) nonexempt charitable trust treated as a private foundation
q 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
q For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II
Special Rules
q For a section 501(c)(3) organization filing Form 990 or 990-EZ that met the 33 1/3 % support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi) and received from any one contributor, during the year, a contribution of
the greater of (1) $5,000 or (2) 2% of the amount on (I) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1
Complete Parts I and II
q For a section 501(c)(7), ( 8), or (10 ) organization filing Form 990 or 990 - EZ that received from any one contributor,
during the year, total contributions of more than $ 1,000 for use exclusively for religious , charitable , scientific , literary,
or educational purposes , or the prevention of cruelty to children or animals Complete Parts I , II and III
q For a section 501(c)(7), (8), or (10) organization filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions for use exclusively for religious, charitable, etc , purposes, but these contributions did
not total to more than $1,000 If this box is checked, enter here the total contributions that were received during the
year for an exclusively religious, charitable, etc , purpose Do not complete any of the parts unless the General Rule
applies to this organization because it received nonexclusively religious, charitable, etc., contributons 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
Part I, line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990-PF).
For Paperwork Reduction Act Notice , see the Instructions for Form 990, 990-EZ , or 990 -PF Schedule B (Form 990 , 990-EZ, or 990.PF) (2012)
JSA
2E125' 1.000
S(,hecule B (Fcrrn 990, 990-EZ, cr990-?F) (2012)
Name of organization
Page 2
Employer identification number
Contributors (see instructions) Use duplicate copies of Part I if additional space is needed.
(a) (b) (c) (d)
No. Name , address , and ZIP + 4 Total contributions Type of contribution
1 Torn me Ma= vAnx{er.real ly ---------------- Person
Payroll
PO Box 6000 ------------------------------ $----21000L000.OO Noncash
(Complete Part II if there isButte , -_,4T- 59702--------------------------- a noncash contribution )
(a) (b) (c) (d)
No. Name , address , and ZIP + 4 Total contributions Type of contribution
- - - - -------------------------------------'---- Person
SSA Schedule B (Form 990 , 990-EZ , or 990-PF) (2012)
2171254 1 000
Schedule B (Form 990, 990-EZ, o• 990-PF) (2012) Page 4
Name of organization Employer Identification number
Town Pumo Charitable Foundation 81-0523786Exclusively religious , charitable, etc., individual contributions to section 501(c )(7), (8), or ( 10) organizationsthat total more than $ 1,000 for the year . Complete columns (a) through ( e) and the following line entry.
For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,contributions of $1,000 or less for the year. (Enter this information once. See instructions.) ► $
Use duplicate cop ies of Part III if additional s ace is needed.(a) No.from ( b) Purpose of gift ( c) Use of gift ( d) Description of how gift Is heldPart
JSA Schedule B (Form 990, 990-EZ , or 990 -PF) (2012)
2E1255 1 CCU
Town Pump Charitable FoundationP 0 Box 6000Butte, MT 5970120/2 Form 990-PF EIN 81-0523786
Part I, Line 16a . Legal Fees and Costs.
Legal fees paid for services associated with Foundation business , $2908.
Part I, Line 18. Taxes.
Withholding taxes for dividends paid from Suncor Energy stock: $4480.Withholding taxes for dividends paid from Royal Dutch Shell -A: $32Withholding taxes for dividends paid from Royal Dutch Shell - B: $19
{ Tax on net investment income: $2520.
Part IT. Line I Oh. Investments - Cnrnorate Stock
Number of Shares Descrip tion Basis Book ValueFMV on12/31/12
Pursuant to IRC Regulation Section 53,4945-5(d)(2), the Foundation provides the
following information:
Grant 1:
(i) Grantee : Little Big Horn Days Committee
Rural Route 1, Box 1274 East
Hardin, MT 59034
(ii) Amount: $500.00 Date: 03/23/12
(iii) Purpose: Little Big Horn Days Committee provides printed materials for the
community promoting Little Big Horn Days and Custer Re-enactment.
Town Pump Charitable FoundationP 0 Box 6000Butte, MT 597012U12 Form 990-1'F EJN 81-0523786
(iv & (vi) reports: Little Big Horn Days Committee provided a report of itsexpenditure of the grant funds for the allowed purposes to the Foundation in March,2012.
(v) To the knowledge of the grantor, no funds have been diverted toany activity other than the activity for which the grant was originally made.
(vii) Verification: The grantor has no reason to doubt the accuracy or reliability of the
report from the grantee; therefore, no independent verification of the report was made.
Grant 2:
(i) Grantee: Whitehall Community GardenP.O. Box 414Whitehall, MT 59759
(ii) Amount: $500.00 Date: 04/09/12
(iii) Purpose: Whitehall Community Garden funds were used to purchase anderect an above ground greenhouse at the onsite garden.
(iv & (vi) reports: Whitehall Community Garden provided a report of its expenditureof the grant funds f'or the allowed purposes to the Foundation in January, 2013.
(v) To the knowledge of the grantor, no funds have been diverted toany activity other than the activity for which the grant was originally made.
(vii) Verification: The grantor has no reason to doubt the accuracy or reliability of thereport from the grantee; therefore, no independent verification of the report was made.
Grant 3:
(i) Grantee: Northern Rodeo Association
P.O. Box 4507
Butte, MT 59702
(ii) Amount: $5000.00 Date: 05/03/12
(Iii) Purpose: The Northern Rodeo Association funds were used to offsetexpenses for the hosted rodeo.
(iv & (vi) reports: Northern Rodeo Association provided a report of its expenditure ofthe grants funds for the allowed purposes to the Foundation in October, 2012.
Town Pump Charitable FoundationP 0 Box 6000Butte 11T 597012012 Form 990-PF EIN 81-0523786
(v) To the knowledge of the grantor, no funds have been diverted to
any activity other than the activity for which the grant was originally made.
(vii) Verification: The grantor has no reason to doubt the accuracy or reliability of the
report from the grantee; therefore, no independent verification of the report was made.
Grant 4:
(i) Grantee: Clark Fork Valley Elks LodgeP.O. Box 1553Thompson Falls, MT 59873
(ii) Amount: $500.00 Date: 05/03/12
(iii) Purpose : The Clark Fork Valley Elks Lodge used their funds to replace
destroyed scoreboard at baseball fields for the benefit of the community and its children.
(iv & (vi) reports: Clark Fork Valley Elks Lodge provided a report of its expenditureof the grants funds for the allowed purposes to the Foundation in March, 2013.
(v) To the knowledge of the grantor, no funds have been diverted toany activity other than the activity for which the grant was originally made.
(vii) Verification- The grantor has no reason to doubt the accuracy or reliability of thereport from the grantee; therefore, no independent verification of the report was made.
Grant 5:
(i) Grantee: Missoula Fire Fighters Benefit Fund
625 East Pine Street
Missoula, MT 59802
(ii) Amount: $1000.00 Date: 05/31/12
(iii) Purpose: The Missoula Fire Fighters Benefit Fund used their funds to pay
for expenses related to veterans attending an event of the organization recognizing the
sacrifices of these individuals for the benefit of the country.
(iv & (vi) reports: Missoula Fire Fighters Benefit Fund provided a report of its
expenditure of the grants for the allowed purposes to the Foundation in January, 2013.
(v) To the knowledge of the grantor, no funds have been diverted to
any activity other than the activity for which the grant was originally made.
(vii) Verification: The grantor has no reason to doubt the accuracy or reliability of thereport from the grantee; therefore, no independent verification of the report was made.
Grant 6:
(i) Grantee: National Honor Choir/Kendrick LeeP.O. Box 8596Kalispell, MT 59904
(ii) Amount: $250.00 Date: 05/31/12
(iii) Purpose: To assist in paying for expenses to allow student Kendrick Lee tor attend the National Honors Choir.
(iv & (vi) reports: A report of the expenditure of the grants for the allowed purposes
was provided to the Foundation in June, 2012.
(v) To the knowledge of the grantor, no funds have been diverted to
any activity other than the activity for which the grant was originally made.
(vii) Verification: The grantor has no reason to doubt the accuracy or reliability of thereport from the grantee; therefore, no independent verification of the report was made.
Grant 7:
(i) Grantee : Kiwanis Club of Great FallsP.O. Box 6735Great Falls, MT 59406
(ii) Amount: $500.00 Date. 05/31/12
(iii) Purpose : The Kiwanis Club of Great Falls used their funds to purchase giftfor special needs children for Christmas.
(iv & (vi) reports: Kiwanis Club of Greats Falls provided a report of its expenditureof the grants for the allowed purposes to the Foundation in September, 2013.
(v) To the knowledge of the grantor, no funds have been diverted toany activity other than the activity for which the grant was originally made.
(vii) Verification: The grantor has no reason to doubt the accuracy or reliability of thereport from the grantee; therefore, no independent verification of the report was made.
Town Pump Charitable FoundationP 0. Box 6000Butte, MT 5970/2012 Form 990-PF FIN 81-0523786
Grant 8:
(i) Grantee: Lewistown Area Chamber of Commerce408 NE MainLewistown , MT 59457
(ii) Amount: $500.00 Date: 07/19/12
(iii) Purpose: Lewistown Area Chamber of Conuneice used their funds to payfor the 2012 community 4`h of July fireworks display.
(iv & (vi) reports: Lewistown Area Chamber of Commerce provided a report of itsexpenditure of the grants for the allowed purposes to the Foundation in July, 2012.
(v) To the knowledge of the grantor, no funds have been diverted toany activity other than the activity for which the grant was originally made.
(vii) Verification: The grantor has no reason to doubt the accuracy or reliability of thereport from the grantee; therefore, no independent verification oCthe report was made.
Grant 9:
(i) Grantee: Prickly Pear Fireworks
P.O. Box 383East Helena, MT 59635
(ii) Amount: $2500.00 Date: 09/25/12
(iii) Purpose: The Prickly Pear Fireworks used their funds to pay for thecommunity fireworks display.
(iv & (vi) reports: Prickly Pear Fireworks provided a report of its expenditure of thegrants for the allowed purposes to the Foundation in July, 2012.
(v) To the knowledge of the grantor , no funds have been diverted toany activity other than the activity for which the grant was originally made.
(vii) Verification: The grantor has no reason to doubt the accuracy or reliability of thereport from the grantee; therefore, no independent verification of the report was made.
Town Pump Charitable FoundationP.O Box 6000Butte, MT 597012012 Form 990-PF E1,V 81-0523786
Grant 10:
(i) Grantee: Rotary Club of Anaconda
1202 Elaine Drive
Anaconda, MT 59711
(ii) Amount: $500.00 Date: 12/05/12
(iii) Purpose: The Rotary Club of Anaconda used their funds to purchase gift
cards for 20 needy children ages 13-18 that were referred to them by local schools.
(iv & (vi) reports: Rotary Club of Anaconda provided a report of its expenditure ofthe grants for the allowed purposes to the Foundation in September, 2013.
(v) To the knowledge of the grantor, no funds have been diverted toany activity other than the activity for which the grant was originally made.
(vii) Verification: The grantor has no reason to doubt the accuracy or reliability of thereport from the grantee; therefore, no independent verification of the report was made.
Grant 11:
(i) Grantee: Flat Iron Quilting Guild
4 Howells Lane
Plains, MT 59859
(ii) Amount: $500.00 Date: 12/05/12
(iii) Purpose: The Flat Iron Quilting Guild used their funds to purchase materialsfor donated quilts.
(iv & (vi) reports: Flat Iron Quilting Guild provided a report of its expenditure of thegrants for the allowed purposes to the Foundation in February, 2013.
(v) To the knowledge of the grantor, no funds have been diverted toany activity other than the activity for which the grant was originally made.
(vii) Verification: The grantor has no reason to doubt the accuracy or reliability of thereport from the grantee; therefore, no independent verification of the report was made.
Town Pump Chat stable FoundationP 0 Box 6000Rultn L1T 59701
2012 Forin 990-PF EIN 81-0523786
Grant 12:
(i) Grantee: Cut Bank Love Package
P.O. Box 1166
Cut Bank; MT 59427
(ii) Amount: $500.00 Date: 12/05/12
(iii) Purpose: The Cut Bank Love Package helps families in the Cut Bank,
Montana area during the holiday season by purchasing food, clothing and toys for needy
families. The grant fiends were used to purchase grocery coupons for needy and
impoverished families.
(iv & (vi) reports: Cut Bank Love Package provided a report of its expenditure of the
grants for the allowed purposes to the Foundation in December, 2012.
(v) To the knowledge of the grantor, no funds have been diverted to
any activity other than the activity for which the grant was originally made.
(vii) Verification: The grantor has no reason to doubt the accuracy or reliability of thereport from the grantee; therefore, no independent verification of the report was made.
Grant 13:
(i) Grantee: Clark Fork Valley Elks LodgeP.O. Box 332Thompson Falls, MT 59873
(ii) Amount: $500.00 Date: 12/05/12
(iii) Purpose : Clark Fork Valley Elks Lodge used their funds to provide gifts for5 needy foster children.
(iv & (vi) reports: Clark Fork Valley Elks Lodge provided a report of its expenditureof the grants for the allowed purposes to the Foundation in December, 2013.
(v) To the knowledge of the grantor, no funds have been diverted toany activity other than the activity for which the grant was originally made.
(vii) Verification: The grantor has no reason to doubt the accuracy or reliability of thereport from the grantee; therefore, no independent verification of the report was made.
Town Pump Charitable FoundationP 0 Box 6000Butte, MT 597012012 Form 990-PF F_IN. 81-0523786
(iii) Purpose: The Missoula Jaycees used their funds to provide clothing andschool supplies for 5 needy children that were referred to them by WORD.
(iv & (vi) reports: Missoula Jaycees provided a report of its expenditure of the grantsfor the allowed purposes to the Foundation in September, 2013.
(v) I To the knowledge of the grantor, no funds have been diverted toany activity other than the activity for which the grant was originally made.
(vii) Verification: The grantor has no reason to doubt the accuracy or reliability of thereport from the grantee; therefore, no independent verification of the report was made.
(iii) Purpose: Mountain Brook Ladies Club used their funds to provide gifts andother necessities for 4 needy families.
(iv & (vi) reports: Mountain Brook Ladies Club provided a report of its expenditureof the grants for the allowed purposes to the Foundation in February, 2013.
(v) To the knowledge of the grantor, no funds have been diverted toany activity other than the activity for which the grant was originally made.
(vii) Verification: The grantor has no reason to doubt the accuracy or reliability of thereport from the grantee; therefore, no independent verification of the report was made.
Town Pump Charitable FoundationP 0 Box 6000Butte, A47'597012012 Form 990-PF EIN• 81-0523786
Grant 16:
(i) Grantee: American Legion Auxiliary Unit #135P.O. Box 1206Lolo, MT 59847
(ii) Amount: $500.00 Date: 12/05/12
(iii) Purpose: The American Legion Auxiliary used their funds to provide food
and gills to a needy family.
(iv & (vi) reports: American Legion Auxiliary Unity #135 provided a report of itsexpenditure of the grants for the allowed purposes to the Foundation in January, 2013.
(v) To the knowledge of the grantor, no funds have been diverted toany activity other than the activity for which the grant was originally made.
(vii) Verification: The grantor has no reason to doubt the accuracy or reliability of thereport from the grantee; therefore, no independent verification of the report was made.
(iii) Purpose: Ruby Valley Giving Tree used their funds to provide gifts and
clothing for needy families in Alder and surrounding communities.
(iv & (vi) reports: Ruby Valley Giving Tree provided a report of its expenditure ofthe grants for the allowed purposes to the Foundation in January, 2013.
(v) To the knowledge of the grantor, no funds have been diverted toany activity other than the activity for which the grant was originally made.
(vii) Verification: The grantor has no reason to doubt the accuracy or reliability of thereport from the grantee; therefore, no independent verification of the report was made.
Town Pump Charitable FoundationPO Box 6000Butte, MT 597012012 Form 990-PP Ely, 81-0523786
Grant 18:
(i) Grantee : Miles City Foster Care Project
P.O. Box 1348
Miles City, MT 59301
(ii) Amount: $500.00 Date: 12/05/12
(iii) Purpose: Miles City Foster Care Project used their funds to provide avariety of items for needy foster care children and their families.
(iv & (vi) reports: Miles City Foster Care Project provided a report of its expenditureof the grants for the allowed purposes to the Foundation in January, 2013.
(v) To the knowledge of the grantor, no finds have been diverted toany activity other than the activity for which the grant was originally made.
(vii) Verification: The grantor has no reason to doubt the accuracy or reliability of thereport from the grantee; therefore, no independent verification of the report was made.
Grant 19:
(i) Grantee: American Legion Ladies Auxiliary Unit # 14
5570 Durston Road
Bozeman, MT 59718
(ii) Amount: $500.00 Date: 12/05/12
(iii) Purpose: The American Legion Ladies Auxiliary used their funds toprovide three needy veteran families with funds to help them during the holidays.
(iv & (vi) reports: American Legion Ladies Auxiliary Unit # 14 provided a report ofits expenditure of the grants for the allowed purposes to the Foundation in August, 2013.
(v) To the knowledge of the grantor, no funds have been diverted toany activity other than the activity for which the grant was originally made.
(vii) Verification: The grantor has no reason to doubt the accuracy or reliability of thereport from the grantee; therefore, no independent verification of the report was made.
Grant 20:
(i) Grantee: Ruder Elementary PTOP.O. Box 1259Columbia Falls, MT 59912
Town Punip Charitable FoundationP () Box 6000Butte, AlIT 597012012 Form 990-PF EIN 81-0523786
(ii) Amount: $500.00 Date: 12/05/12
(iii) Purpose: Ruder Elementary PTO used their funds to purchase educationalsupplies for eight children in four different needy families.
(iv & (vi) reports: Ruder Elementary P1'O provided a report of its expenditure of thegrants for the allowed purposes to the Foundation in January, 2013.
(v) To the knowledge of the grantor, no funds have been diverted toany activity other than the activity for which the grant was originally made.
(vii) Verification: The grantor has no reason to doubt the accuracy or reliability of thereport from the grantee; therefore, no independent verification of the report was made.
(iii) Purpose: Evergreen Elementary used their funds to purchase food, staples,and necessities for four needy families.
(iv & (vi) reports: Evergreen Elementary provided a report of its expenditure of thegrants for the allowed purposes to the Foundation in February, 2013.
(v) To the knowledge of the grantor, no funds have been diverted toany activity other than the activity for which the grant was originally made.
(vii) Verification: The grantor has no reason to doubt the accuracy or reliability of thereport from the grantee; therefore, no independent verification of the report was made.
Grant 22:
(i) Grantee: Medora Rebekah Lodge No. 53
298 Vicks Lane
Libby, MT 59923
(ii) Amount: $500.00 Date: 12/05/12
(iii) Purpose: The Medora Rebekah Lodge used their funds on many different
charity projects for different organizations.
Town Pump Charitable I,oundationP.O. Box 6000Butte, MT 597012012 Form 990-PF EIN 81-0523786
(iv & (vi) reports: Medora Rebekah Lodge No. 54 provided a report of itsexpenditure of the grants for the allowed purposes to the Foundation in June, 2013.
(v) To the knowledge of the grantor, no fluids have been diverted toany activity other than the activity for which the grant was originally made.
(vii) Verification: The grantor has no reason to doubt the accuracy or reliability of thereport from the grantee; therefore, no independent verification of the report was made.
Grant 23:
(i) Grantee: Conrad/Brady Christmas Giving Tree
10586 Brady Rd.
Brady, MT 59416
(ii) Amount: $500.00 Date: 12/05/12
(iii) Purpose: Conrad/Brady Christmas Giving Tree used their funds to purchasewinter coats for needy children in the community.
(iv & (vi) reports: Conrad/Brady Christmas Giving Tree provided a report of itsexpenditure of the grants for the allowed purposes to the Foundation in January, 2013.
(v) To the knowledge of the grantor, no funds have been diverted toany activity other than the activity for which the grant was originally made.
(vii) Verification: The grantor has no reason to doubt the accuracy or reliability of thereport from the grantee; therefore, no independent verification of the report was made.
(iii) Purpose : Shepherd Montana Lions Club used their funds to purchase
clothing and necessities for children from five different needy families.
(iv & (vi) reports: Rotary Club of Anaconda provided a report of its expenditure ofthe grants for the allowed purposes to the Foundation in January, 2013.
(v) To the knowledge of the grantor, no funds have been diverted to
any activity other than the activity for which the grant was originally made.
(vii) Verification: The grantor has no reason to doubt the accuracy or reliability of thereport from the grantee; therefore, no independent verification of the report was made.
Grant 25:
(i) Grantee: Ground for Change2000 Clark StreetMiles City, MT 59301
(ii) Amount: $500.00 Date: 12/05/12
(iii) Purpose: Ground for Change used their funds to provide necessities for four
needy families.
(iv & (vi) reports: Ground for Change provided a report of its expenditure of the
grants for the allowed purposes to the Foundation in December, 2012.
(v) To the knowledge of the grantor, no funds have been diverted to
any activity other than the activity for which the grant was originally made.
(vii) Verification: The grantor has no reason to doubt the accuracy or reliability of the
report from the grantee; therefore, no independent verification of the report was made.
Grant 26:
(i) Grantee: Central Montana Spirit of ChristmasP.O. Box 205Lewistown, M"1' 59457
(ii) Amount: $500.00 Date: 12/05/12
(iii) Purpose: Central Montana Spirit of Christmas used their funds to purchasefood and supplies for Christmas baskets for needy families.
(iv & (vi) reports: Central Montana Spirit of Christmas provided a report of its
expenditure of the grants for the allowed purposes to the Foundation in February, 2013.
(v) To the knowledge of the grantor, no funds have been diverted toany activity other than the activity for which the grant was originally made.
(vii) Verification: The grantor has no reason to doubt the accuracy or reliability of thereport from the grantee; therefore, no independent verification of the report was made.
Town Pump Chartiable FoundationP 0 Box 6000Butte . MT 597012012 Form 990-PF EGV. 81-0523786
(iii) Purpose: Mountain View Homemakers used their funds to pay energy bills
for four different impoverished households, and purchased a gas card for a needy chemo
patient to enable them to drive to the hospital for treatment.
(iv & (vi) reports: Mountain View Homemakers provided a report of its expenditure
of the grants for the allowed purposes to the Foundation in January, 2013.
(v) To the knowledge of the grantor, no funds have been diverted toany activity other than the activity for which the grant was originally made.
(vii) Verification: The grantor has no reason to doubt the accuracy or reliability of the
report from the grantee; therefore, no independent verification of the report was made.
Grant 28:
(i) Grantee: Flathead M.O.M.S115 E. Bluegrass Dr.Kalispell, MT 59901
(ii) Amount: $500.00 Date: 12/05/12
(iii) Purpose: Flathead M O.M.S used their funds to pay for necessities for twoneedy families.
(iv & (vi) reports: Flathead M.O.M.S provided a report of its expenditure of thegrants for the allowed purposes to the Foundation in January, 2013.
(v) To the knowledge of the grantor, no funds have been diverted toany activity other than the activity for which the grant was originally made.
(vii) Verification: The grantor has no reason to doubt the accuracy or reliability of thereport from the grantee; therefore, no independent verification of the report was made.
Town Pump Charitable FoundationP 0 Box 6000Butte, ArfT 5970!2012 Form 990-PF EIN• 81-0523786
(iii) Purpose: The Rotary Club used their funds to purchase gifts, fuel, andgroceries for two needy families that were referred by the local Head Start.
(iv & (vi) reports: Rotary Club provided a report of its expenditure of the grants for
the allowed purposes to the Foundation in September, 2013.
(v) To the knowledge of the grantor, no funds have been diverted toany activity other than the activity for which the grant was originally made.
(vii) Verification: The grantor has no reason to doubt the accuracy or reliability of thereport from the grantee; therefore, no independent verification of the report was made.
(iii) Purpose: The Crest Nursing I [ome used their funds to purchase toiletriesand gifts for nursing home residents.
(iv & (vi) reports: The Crest Nursing home provided a report of its expenditure of
the grants for the allowed purposes to the Foundation in March, 2013.
(v) To the knowledge of the grantor, no funds have been diverted toany activity other than the activity for which the grant was originally made.
(vii) Verification: The grantor has no reason to doubt the accuracy or reliability of thereport from the grantee; therefore, no independent verification of the report was made.
Grant 31:
(i) Grantee : Sun River Valley Food Drive
P.O. Box 114
Simms , MT 59477
Town Pump Charitable FoundationP.O. Box 6000Butte, MT 597012012 Form 990-Ph F.IN. 81-0523786
(ii) Amount: $500.00 Date: 01/14/13
(iii) Purpose: Sun River Valley Food Drive used their funds to purchaseclothing, and food for needy families in the Simms, Montana area.
(iv & (vi) reports: Sun River Valley Food Drive provided a report of its expenditure
of the grants for the allowed purposes to the Foundation in January, 2013.
(v) To the knowledge of the grantor, no funds have been diverted toany activity other than the activity for which the grant was originally made.
(vii) Verification: The grantor has no reason to doubt the accuracy or reliability of thereport from the grantee; therefore, no independent verification of the report was made.
(iii) Purpose: Dillon Elks Lodge used their funds to purchase food for thecommunity Christmas dinner.
(iv & (vi) reports: Dillon Elks Lodge No. 1554 provided a report of its expenditure ofthe grants for the allowed purposes to the Foundation in January, 2013.
(v) To the knowledge of the grantor, no funds have been diverted toany activity other than the activity for which the grant was originally made.
(vii) Verification: The grantor has no reason to doubt the accuracy or reliability of thereport from the grantee; therefore, no independent verification of the report was made.
(iii) Purpose: Loaves and Fishes Food Bank used their funds to purchase foodfor their food batik distribution.
Town Pump Charitable FoundationP 0 Box 6000Butte, MT 59701
EIN• 81-05237862012 Form 990-PF
(iv & (vi) reports: Loaves and Fishes Food Bank provided a report of its expenditureof the grants for the allowed purposes to the Foundation in January, 2013.
(v) To the knowledge of the grantor, no funds have been diverted toany activity other than the activity for which the grant was originally made.
(vii) Verification: The grantor has no reason to doubt the accuracy or reliability of thereport from the grantee; therefore, no independent verification of the report was made.
(iii) Purpose : Chinook Food Bank used their funds to purchase food for theirfood bank distribution.
(iv & (vi) reports: Chinook Food Bank provided a report of its expenditure of thegrants for the allowed purposes to the Foundation in January, 2013.
(v) To the knowledge of the grantor, no funds have been diverted toany activity other than the activity for which the grant was originally made.
(vii) Verification: The grantor has no reason to doubt the accuracy or reliability of thereport from the grantee; therefore, no independent verification of the report was made.
Grant 35:
(i) Grantee Harvest Food Pantry
230 7"' Ave. SECut Bank, MT 59427
(ii) Amount : $3000 . 00 Date : 12/17/12
(iii) Purpose: Harvest Food Pantry used their funds to purchase groceries fortheir food bank.
(iv & (vi) reports: Harvest Food Pantry provided a report of its expenditure of thegrants for the allowed purposes to the Foundation in September, 2013.
Town Pump Charitable FoundationP 0 Box 6000Butte A11'5970/2012 Forin 990-PF EIN 81-0523786
(v) To the knowledge of the grantor, no funds have been diverted toany activity other than the activity for which the grant was originally made.
(vii) Verification: The grantor has no reason to doubt the accuracy or reliability of thereport from the grantee; therefore, no independent verification of the report was made.
Part VIII, Line 1. List all officers , directors , trustees, foundation managers andtheir compensation (see page 19 of the instructions):
(a) Name and address ( b) Title, and average ( c) (d) Contribution to (c) Expensehours per week devoted Compensation employee benefit plans account,
to position ( If not paid , and deferred otherenter -0- ) compensation allowances
Thomas F Kcnncally Picsidcnt/ 0 0 02727 Pamela Road Director - .5 hrsButte, MT 59701Mary Ann Kenneally V. President/ 0 0 02727 Pamela Road Director - .5 hrsButte, MI" 59701Thomas P Kenneally V President/ 0 0 02004 Hancock Director - I hr.Butte, MT 59701Daniel J. Kenneally Dnectoi - 5 hrs. 0 0 04000 Hillside Di theButte, MT 59701
James M Kenneally Director - 5 his 0 0 0121 Rampart DuiveButte, MT 59701
Michael E Kenneally Duector - .5 itrs 0 0 011 Flccccr Drive
Maureen E. Kcnrcally Secretary/ 0 0 02705 Moulton Ti easurer / Dii ectorButte, MT 59701 - .5 hrs
Part XV, Line 2b. The form in which applications should be submitted andinformation and materials they should include:
The Foundation requires a written grant request describing the charitable programto be supported by the requested grant. Section 501 (c)(3) organizations, other than arecognized church, must provide a copy of their IRS determination letter with the grantrequest. For grants to organization other than public charities, the Foundation exertsexpenditure responsibility.
Town Pump Charitable Foundation
P 0. Box 6000
Butte, MT 597012012 Forme 990-PF EJN 81-0523786
Part XV, Line 2d. Any restrictions or limitations on awards, such as by
geographical areas, charitable fields, kinds of institutions , or other factors:
Grants are primarily awarded to Montana organizations for charitable uses in
Montana. Only in extraordinary circumstances are grants made to organizations that are
not recognized Section 501(c)(3) organizations or governmental units Priority is granted
to basic needs organizations.
Part XV, Line 3a . Grants and contributions.
Please sec spreadsheets following. Expenditure responsibility grants described
above are highlighted.
During 2012, the Foundation made two gifts individuals for purposes of meeting
basic needs of the individuals during a time of temporary distress within the meaning of
Reg Section 53.4945-4(a)(3)(i). The first was a gift of $1000 to a family in Shelby,
Montana that lost its home in a fire. The second was a gift of $500 to a family in Butte,Montana that lost its home just prior to Christmas in both cases, the Foundation exertedexpenditure responsibility to ensure that the funds were only used for purposes ofreplacing necessities of the families and received reports and maintains records regardingthe direct use of the funds for charitable purposes.
During 2012, the Foundation made one gift to an individual to cover basic livingneeds of indigent and needy families within the meaning of Reg Section 53.4945-4(a)(3)(i). The gift was in the amount of $500 and the Foundation received reports andmaintains records regarding the direct use of the funds for such purpose.
DATE ORGANIZATION ADDRESS CITY ZIP PURPOSE AMOUNT1/11/2012 Hot Springs Public Schools PO Box 1005 Hot Springs 59845 2011 Adopt-A-Family Program 6th Grade Class 500 00
2/17/2012 Central Education Foundation P 0 Box 634 Butte 59701 Maroon Activities Center 15000 002/17/2012 Big Sky State Games P. O. Box 7036 Bil rags 59103 Big Sky Fit Kids 2012 Program Support 10000 00
2011 Relay For Life 3550 Mullan Road, Suite 103 Missoula 59808 2012 Relay For Life 500 00
St James Parish Tn County Wood Bank Ministry P 0 Box 1374 Dillon 59725 Dillon Wood Bank Ministry 500.002/17/2012 UGrlCamp Skychild 413 Riverview Drive East Great Falls 59404 Camp Skychild Program Expense 500 002117/2012 Kay McKenna Youth Foundation 2009 Oro Finn Gulcrr Di Helena 59601 Summer Recreation Program Expense 500 00
Ski for Light Montana, Inc. 9576 Snowberry Circle Pocatello ID 83204 2012 Ski for Light Progam 500 002/17/2012 Rapege Community Scholarship Committee P.O Box 38 Rapelte 59067 Rapel a Community Scholarship Fund 500 002/1712012 Hobson School P 0 Box 410 Hobson 59452 Hobson Scholarship Fund 500.002/17/2012 Clancy Elementary School P.O Box 209 Clancy 59634 2012 Science Olympiad 500.00
2117f2012 Hellgate High School 900 S, Higgins Ave Missoula 59801 Room 309 500 002117/2012 Grass Range School P 0 Box 58 Grass Range 59032 2012 Close-Up 25000211712012 Whitehall Middle School 309 Division St Whitehall 59759 2017 Close-Up 500 00
Governor's Office of Community Service P 0 Box 200801 Helena 59620 2012 Serve Montana Symposium 1000 00Butte- Silver Bow Courthouse/ Safety & Risk Management Office 155 West Granite Butte 59701 2 AED Unns 2825 00
2/24/2012 G.I F.T S 2275 West Kock St Bozeman 59718 Program Support 520000
2/2412012 Sunrise Kiwanis of Butte P 0 Box 3573 Butte 59701 Program Support 1000 00
312312012 Rocky Mountain Baptist Church P.O. Box 5010 Kalispell 59903 2011 Adopt a Family 500 00Rocky Mountain Baptist Church - Void check 2152 los' P 0. Box 5010 Kalispell 59903 2011 Adopt a Family (500 00)
3/23/2012 Cystic Fibrosis Foundation 1355 S Colorado Blvd, St C-700 Denver CO 80222 2012 Montana Cystic Fibrosis Walks 500 00
3123/2012 Lewis & Clark Literacy Council 815 Front St Helena 59601 Community Literacy & Life Skills Improvement 700,00
3123/2012 The Jeremiah Learning Center P 0 Box 50030 Billings 59105 Common Core Values Program 750 003/2312012 Montana Association For the Blind 3222 2nd Ave N Great Falls 59401 2012 Summer Orientation Program 50000312312012 Y W C A. of Great Falls 220 2nd St N Great Falls 59401 Mercy Home Program Support 1000 00
3/23/2012 VSA Montana P 0. Box 7225 Missoula 59807 Autism Summer Theatre Program 750 003/2 31201 2 Family Promise of Missoula P.O. Box 5882 Missoula 59806 Program Support 500 003/23/2012 Landon's Lookout 110 E. Lewis St Livingston 59047 Program Support 500.00
3/2 312 0 1 2 Big Hom County Library 419 N. Custer Ave Hardin 59034 Summer Read ng Program Support 500 00
3/23/2012 Missoula Family YMCA 3000 S Russell St Missoula 59801 Summer Program Support 500 003/23/2012 Butte High School 401 S Wyoming Butte 59701 Butte High Speech & Debate National Tourney 500,003/23/2012 Operation Never Forgotten 610 Upper Pass Road Manhattan 59741 Program Support 500 00
3123/212 City of Livingston 414 East Callender Livingston 59047 Summerfest 2012 1000 003/23/2012 HAVEN P.O Box 752 Bozeman 59771 Domestic Violence Prevention Programs 500 00
3/23/2012 Women's Resource/Community Support Center P.O Box 888 Dillon 59725 Program Support 500 00
3/23/2012 Big Sky High School 215 S 6th St West, Admin Bldg Missoula 59801 Native Stylex Program Support 500 003/2 3120 1 2 Powell County High School 709 Missouri Ave Deer Lodge 59722 Fitness Facility Equipment 500 003/23/2012 Big Sky Honor Flight Fund of the Montana Community Foundation P 0. Box 80201 Billings 59.08 Program Support 1000 003/23/2012 Jackson's Community Garden, Inc 44 Duncan District Road Sheridan 59749 Program Support 500 003/23/2012 Anderson School District #41 10040 Cottonwood Rd Bozeman 59718 American History Trip 500 003/23/2012 Mile High Little League 122 Laurel Road Butte 59701 Program Support 175 003!23/2012 Livingston Education Foundation P,O Box 14 Livingston 59047 Program Support 500 003/23/2012 Education Foundation for Billings Public Schools 415 North 30th Street Billings 59101 Program Support 500.003/2312012 Anchor Ministry Center 326 N Bozeman Ave Bozeman 59715 Program Support 500 00
3/23/2012 Tobacco Valley Community Development Council P,O Box 1616 Eureka 59917 Seeds of Hope Community Garden 200 00
3(2312012 St Michael & All Angels Episcopal Church P.O Box 342 Eureka 59917 Wood Bank Ministry 50000312312012 Sweet Grass Health & Wellness P 0 Box 517 Big Timber 59011 Program Support 500 003/23/2012 Central Montana Youth Mentonng Program P 0 Box 59457 Lewistown 59457 Program Support 500 003/23,2012 East Middle School 2600 Grand Ave Butte 59701 Earth Shuttle Program Support 500 00
East Middle School void check 2600 Grand Ave Butte 59701 Earth Shuttle Program Support (500 00)3/23/2012 Mountain Home Montana 2606 South Ave West Missoula 59804 Program Support 500 003/23/2012 Lockwood Little League P 0 Box 127 Billings 59103 Program Support 250.00
3/2312012 DAV Department of Montana 569 El Capitan Loop Stevensville 59870 Program Support 4000 00
3123/2012 Center for Music by People with Disabilities 415 W Central Avenue Missoula 59801 Program Support 1000.003123/2012 Lolo Peak Little League P 0. Box 1051 Lolo 59847 Program Support 500.003/23/2012 Lions Sight & Hearing Foundation do Electric City Lions Club P.O. Box 6735 Great Falls 59406 2012 Seeing Great Falls Project 300.00312312012 2012 Hi-Line Relay for Life 408 Mountain View Blvd Cut Bank 59427 2012 Relay for Life 500 00
3/2312012 Lrttle Big Hom Days Committee RR1, Box 1274 E - Hardin 59034 Pr6gram Support - - 500 003123/2012 North American Indian Alliance 55 East Galena Bette 59701 2011 Pow wow 500 00
3/2312012 North American Indian Alliance Void check #1806 lost 55 East Galena Butte 59701 2011 Pow Wow (500 00)
2 /1 712 01 2 Central Education Foundation P. O. Box 634
4/912012 Earth Shuttle of Butte P.O Box 4911
4/9/2012 Mainstreet Uotown Butte P.O Box 696
4/9/2012 Carroll College 1601 North Ben•on
4/9/2012 Angel Flight West 3161 Donald Douglas South
4/912012 Montana Gaelic Cultural Society P 0. Box 3612
4/912012 Whitehall Communtry Garden P,O' Box 414
4/9/2012 Powell County High School 709 Missouri Ave
419/2012 Laurel High School 203 East 8th sL
4/912012 Anaconda High School 515 Main St
4/9/2012 The Angel Fund P.O Box 7436
4/9/2012 Bagdad Shrine Center Transportation Fund P.O Box 3064
4/9/2012 Alzheimer Association 3010 11th Ave. N
4/9/2012 Clark Fork Coalition PO Box 75934/9/2012 Noth American Indian Alliance 55 East Galena
5/3/2012 Living Water Communtry Church of South Billings
+
4220 State Ave #4
5/3/2012 Northern Rodeo 4ssocrat^on v P 0 Box 4507,
5/3/2012 Clark Fork Valley Elks Lodge -P.O. Box 1553 - ,
5/312012 Bozeman Public Schools P 0. Box 520
5/3/2012 Rocky Mountain Development Council P.O. Box 1717
5/3/2012 Thompson Fal's Pubic Schools P 0 Box 129
5/3/2012 Central Montana Head Start 25 Meadow ark Lane
5/3/2012 Special Olympics Montana Inc P 0 Box 3507
5/3/2012 Phillipsburg Volunteer Fire Department P.O Box 37
5/3/2012 Montana Shrine East-West Football Game Inc. P O Box 20673
51312012 City of Conrad Swimming Department 411 112 S. Main
5/312012 Student Assistance Foundation 2500 E. Broadway
511012012 Big Sky Honor Flight Fund of the Montana Community Foundation P.O. Box 80201
5/10/2012 Deer Lodge Little League 108 Clark Street
5/1012012 Schoolhouse f listory & Art Cen•er P.O. Box 430
511012012 Edgerton School 1400 Whitefish Stage Rd
Edgerton School Void Check 92267 Lost 1400 Whitefish Stage Rd
5/21,12012 Central Education Foundaton
5/31/2012 Sunburst Unlimited
5/31/2012 Museum of the Beartooths
5/3112012 Deartooth Billings Clinic Foundation
5/31/2012 Quality of Life Corpora'ron
5/31/2012 Sanders County Extension Office
513112012 Columbus High School FCCLA
5/31/2012 Adopt-A-Sox
5/31/2012 Missoula Public Library
5/31/2012 Huntley Community Club-Barkerneyer Park
5/31/2012 Ronan/Pablo Summer Rec Association
513112012 Camp Fire USA North Central MT Courcri
513112012 Flathead Industries5/31/2012 Great Falls ASA
513112012 Boys & Girls Club of the Flathead Reservation
5/31/2012 Havre Parks & Recreation Department
5/31/2012 Befrienders
5131/2012 Flathead Valley Habitat For Humanity
5/31/2012 Havre-Hill Crime Stoppers
5/31/2012' Missoula Fire Fighters Benefit Fund
5/3112012 Whitehall Communtry Library
5/31/2012 National Honors Choir/K.,Lee
5/31/2012 Krwanis Club of Great Falls -
5/31/2012 Madison County Relay For Life
6/7/2019 World Museum of Mining6/7/2012 Exchange Club Foundation c/o Butte Exchange Club
6/7/2012 Lake County Community Development
P 0. Box 6341917 1st Ave. North
P.O Box 1
P.O Box 1290
P,O Box 127
P.O. Box 129
433 N 3rd Street
P.O Box 6113
301 East Main
561 West G
P.O.Box 225
1925 2nd Ave. SouthP 0. Box 1916P.O Box 1982
P. 0. Box 334
P.O Box 231
807 N Tracy Ave
307 First Ave. East Suite N1
P 0. Box 308
625 East Pine StreetP0. Box 659P 0 Boz 8596 -P 0' Box 6735
52 Bear Creek Rd E,P.O Box 33
P 0. Box 763
407 Main St SW
Butte 59701 Maroon Activities Center 15000.00
Butte 59701 Earth Shuttle Program Support 500.00Butte 59701 2012 Montana Folk Festival 5000.00
He ena 59625 Program Support 5000.00
Santa Monica, CA 90405 Program Support 500.00
Butte 59702 2012 An Rr Ra Festival 5000.00Whitehall 59759 Program Support _ I _500 00Deer Lodge 59722 Flipped Math & Science Classroom Project 500.00
Laurel 59044 We The People Program Support 500 00
Anaconda 59711 2012 We The People 500.00Helena 59604 Program Support 500 00
Bute 5370; Transportation Fund 500 00Billings 59101 Great Falls Walk to End Alzheimer; 1000 00Missoula 59807 Hands on the Ranch Program 500 00
Butte 59701 2012 Pow Wow Support 500.00
Billings 59101 Community Bike Clinic 500 00-Butte 59702 Program Support 5000 00
Helena 59624 Senior Companion Program 1000 00Thompson Falls 59873 National Science Olympiad Competition 500 00Lewistown 59457 Backpacks for Kindergarten Students 500 00
Great Falls 59403 Program Support 40000.00Phillipsburg 59858 Extrication Equipment 1000 00
Billings 59104 2012 Montana Shrine Football Game 5000 00
Conrad 59425 Caring for Kids Swimming Pass Fund 500 00
Helena 59601 Foster Care Summer Camp Computers for Camp participants 2000.00Billings 59108 Program Support 1500.00
Deer Lodge 59722 Program Support 150.00
Colstrip 59323 Educational Program Support 500 00Kalispell 59901 Sit to Succeed Project 500 00Kalispell 59901 Sit to Succeed Project (500 00)
Tom & Mark Ann Kenneally excellence in Education Fund, KenneallyFamily Town Pump Scholarship Fund, Keanneally Family Faculty Fund
Butte 59703 100000 00
Great Falls 59401 Arnericorps VISTA Program Support 3000 00
Columbus 59019 Stillwater County Centennial History Project 500-00
Red Lodge 59068 Woodstock Fundraiser 5000 00
Colstnp 59323 Breakfast Club Program 500 00Thompson Falls 59873 Lego Robotics 4 H Programs 500,00
Columbus 59019 FCCLA National Convention 500 00
Bozeman 59771 Program Support 500 00
Missoula 59802 The Big Read Project 500,00Huntley 59037 Barkemeyer Park Playground Equipment Project b00.00
Ronan 59864 Summer Rec Programs Support 500,00
Great Falls 59405 Camp Fire Day Camp Program 500.00
Kalispell 59903 Program Support 1000 00
Great Falls 59401 Program Support 250 00Ronan 59864 2012 Summer Program Support 500,00
Havre 59501 Pepin Park Playground Equipment Protect 500 00
Bozeman 59715 Program Support 500.00Kalispell 59901 Columbia Falls Fifth Street Homes Project 1000 00
Havre 59501 Program Support 1000 00
Missoula 59802 Program Support , i o00 doWhitehall 59759 2012 Summer Reading Program 500 00Kalispell 59904 All-National Honors Ensemble Mixed Choir Washington D C " 250 00Great Falls 59406 Program Support 50000Cameron 59720 2012 Relay for Life 250 00
Butte 59703 Summer Education Program Support 500.00
Butte 59703 Butte Field of Honor 1000 00Ronan 59864 Lake County Friends of the Fairgrounds 2500.00
211112012 Central Education Fourdation P 0 Box 634 Butte 59701 Maroon Activities Center 15000 006/7/2012 Silver Bow Amateur Wrestling Association P 0 Box 3391 Butte 59702 Program Support 400 006/7/2012 Florence Rasehe'l Association P O Box 992 Florence 59833 Program Support 150 00
6/25/2012 Big Sky Youth training Inc 8 West Park Ste A Butte 59701 Culina Cifa'is- Kitchen for t ife 1000 00612512012 Pintler Pets P.O Box 1204 Anaconda 59711 Program Support 500.00
White Sulphur Springs Community Fund c/o Meagher County Community612512012 Fourdation P.O Box 631 White Sulphur Sprii 59645 4th of July Fun Run! Senior Cente• Fundraiser 500 006/25/2012 Miles Community College 2715 Dickinson St Miles City 59301 Program Support 2012- 2013 1000 006125/2012 Sunburst Community Service Foundation P.O. Box 1863 Eureka 59917 Music Outreach Program 500,006/75/2017 Valley View Elementary School 42448 Valley View Road Poison 59860 Reading Programs - Books for Bingo 500 006125/2012 Montana Veteran's Foundation 318 Fuller Ave Helena 59601 Veteran's Recovery Workshops 1000 306125/2012 Libby Revitalization, Inc P 0. Box 677 l ibby 59923 2012 Riverfront Blues Festival 500 0C6/25/2012 City of Shelby 112 First Street South Shelby 59474 Shelby Street Feet 500 006/27/2012 American Indian Alaska Native Tourism Association 3042 Cain Road SE Olympia, WA 98501 Program Support - Billings 2012 1000 006127/2012 Mainstreet Uptown Butte P.O Box 696 Butte 59703 2012 July 4th Fireworks 35000 00612712012 Evel Knievel Week, Inc. P.O Box 186 Butte 59103 Program Support 5000 006/27/2012 Ravalli Count' Relay for Life 220 Main Street Stevensville 59870 2012 Relay for Life 250 00
7f1912012 Special Olympics Montana Inc P 0. Box 3507 Great Falls 59403 "Over the Edge" Campaign 2500,007/19/2012=lewrstown Area Chamber of Commerce - 140"E Main Lewistown 594577FComrriunity Fireworks 500.00711912012 Chase Hawks Memorial Associatior P.O Box 31333 Billings 59107 Community Crisis Fund - Montana Wildfires 5000,00711912012 Career T raining Institute 347 Last Chance Gulch He,ena 59601 Youth Build Program Support 500.007/19/2012 Carroll College 1601 North Benton He;ena 59625 Program Support (2012-2013) 5000 00
7/18/2012ALTACARE ofMoniana _ P 0 ox 1109 Whitehall .59759^Summer Program Support 500 006/22/2012 American Foundation for Suicide Prevention 120 Wit Streer 29th Floor New York, NY 10005 Billings MT Out of the Darkness Walk 1000 00
Cascade County Deputy Sheriffs Association Back To School Shopping
812212012 Great Falls Police Community Foundation P 0 Box 6735 Great Falls 59401 Spree 500 008/22/2012 First United Methodist Church 24 North 11th S: Miles City 59301 Lunch On Us Program 500 008/22/2012 Afterschool Program 535 N Ewing Helena 59601 After School Programs Support 500,008/22120 1 2 Red Lodge Area Community Foundation P.O. Box 1871 Red Lodge 59068 2012 Fun Run 'or Chanties 250 008122/2012 LVA Butte Literacy Program P 0 Box 224 Burte 59703 Team Up for Literacy Program 500.00
8122/2012 White Sulphur Springs Public Schools P.O, Box C White Sulphur Spn 59645 2013 Close-Up 500 00Western Montana Mercal Health Center The Flagship Program 1325 Wyoming St Missoula 59801 The Flagship Program 500 00
8122/2012 Ar' Mobile of Montana 610 N, Montana St Dillon 59775 Program Support 500 00
8/22!2012 flellgate Elementary School 2385 Flynn Lane Missoula 59808 Bullying Prevention Programs 500008/22/2012 North Lincoln County CAN DO 124 Riverside Drive #101 Euroka 59917 Program Support 500 00
8122/2012 United Veterans of Anaconda 1910 Hamburg Anaconda 59711 2012 July 4th Fireworks 1000,00812212017 Bozeman Schools Foundation P 0. Box 1803 Bozeman 59771 Spark Grant Program 500,008123/2012 Yellowstone Wildlife Sanctuary P.O. Box 675 Red Lodge 59068 Program Support 750,009/7/2012 Leadership Montana P 0. Box 1373 Billings 59103 Program Support 5000 009/7/2012 Montana Tech Foundation 1300 West Park St Butte 59701 Butte Choral Union 15co 009/712012 Envision Butte, Inc. 1000 George St. Butte 59701 New Copy Machine 26600 00
9/25/2012 Silver Bow 4-H Livestock P 0, Box 685 Butte 59703 Program Support 500,00
9/25/2012°Pnckly PearFireworks Oz<Box 383- East Helena 59635"Program Suppoii' 2500 00Montana Newspapers In Education, Montana Standard - Butte$1250 00, Independent Record - Helena $1250.00, Missoulian - -
10/11/2012 Literacy I eadership, Inc. 201 North Harrison St, Ste. 600 Davenport, LA 52801-1t Missoula $1250 00, Billings Gazette- Billings $1250.00 5000 0010/11/2012 YWCA P.O Box 518 Helena 59624 Program Support 1000 0010111/2012 Friendship House of Christian Se-vice 3123 8th Avenue South Billings 59101 After School Program 500.00
10/11,2012 Interfaith Hospitality Network 40 10th Street West Billings 59102 Program Support 1000.0010/11/2012 A WAR E Inc 616 Helena Ave, Suite 305 Helena 59601 KANA Upgrades 1000 0010/11/2012 Montana Independert Living Project 3475 Monroe, Suite 100 Butte 59701 Youth In Motion Prqram 500 OD
10/1112012 Star Lanes Family Sports Center 4601 Harrison Ave Butte 59701 USBC-Jr Ring i ng Ten Scholarship Program 200 0010/11/2012 SAFE Harbor P 0. Box 497 Ronan 59864 Program Support 500 00
Big Sky State Games P 0. Box 7036 Billings 59103-7' Big Sky Fit Kids 2013 Program Support 10000.00
10/11/2012 Lame Deer Public School P O. Box 96 Lame Deer 59043 2012 National FFA Convention 500 0010/11/2012 City of Cut Bank 721 West Main Cut Bank 59427 Cut Bank Veteran's Memorial Poled 10000 001 0130120 12 Gift for Basicliverneeds for indigent •> a.,.„. Browning ,59417 Adopt a Child ClothingAssistance Program 566,60-10130/2012 Gift for family suffenng Temporary Distress for loss of home to fi re ' Sheloy. ^ 59474 Emergency Assistance r Ere Loss 1000 0o
2/17/2012 Central Education Foundation P- O Box 634 Butte 59701 Maroon Activities Center 15000.00
12/5/2012 Western Montana Mental Health Center Silver House 106 West Broadway Butte 59701 2012 Adopt-a-Family Program Silver House 500 00
12/5/2012 Toys for Tots Deer Lodge 1386 Eastsrde Road Deer Lodge 59722 2012 Adopt-a - Family Program Deer Lodge 500.00
12/5/2012 Resource , Support and Development . Inc. 4635 Simpson B i llings 59101 2012 Adopt-a Family Billings Activity Program 500 00
12512012 P , E A K.S 914 Mossman Dr Billings 59105 2012 Adopt-a-Family Program 500 00
121512012 Donald J Ruhl Maine Corps Leauge and Auxiliary P.O. Box 173 East Helena 59635 2012 Adopt-a-Family Program The 2012 Birthday Ball Committee 500 00
12/5/2012 Toys for Tots Kalispell 41 4th Ave. West Kalispell 59901 2012 Adopt-a-Family Program Flathead Valley Detacnment 500,00
`12/512012 Children's Safety Bureau 2017 Harrison Ave Butte 59701 2012 Adopt-a-Family Program 500,0012/5/2012 Big Sky Senior Services 3 1/2 North 35th St Billings 59101 2012 Adopt-a - Family Program Friends Volunteer Program 500 00
12/512012 Western Montana Mental Health Center 418 Windward Way Kalispell 59901 2012 Adopt-a-Family Program Sinopah House 500 00
12/5/2012 YWCA 909 Wyoming Billings 59101 2012 Adopt-a-Family Program 500.00
12/5/2012 Coats for Kids P O. Bix 427 Kalispell 59203 2012 Adopt-a-Family Program . Flathead Lake & Cascade Counties 1500 00
121512012 Saint Mary Catholic Community 1700 Missoula Ave Helena 59601 2012 Adopt -a-Family Program 500.00
121512012 Tobacco Valley Community Development Council P.O Box 395 Eureka 59917 2012 Adopt -a-Family Program 500 00
1215/2012 Forever Families 1411 4th Ave N Suite B Billings 59101 2012 Adopt-a-Family Program Presents for Parents 500 00
12/5/2012 Friends of the Community 1313 W. Geyser Livingston 59047 2012 Adopt- a-Family Program 500 00
12/5/2012 Missoula Family YMCA 300 South Russell St Missoula 59601 2012 Adopt-a-Family Program 500 00
12/512012 Corvallis United Methodist Church CUMC Box 38 Corvallis 59828 2012 Adopter -Family Program 500 00
121512012 Soroptimist International of Hamilton P 0. Box 1012 Hamilton 59840 2012 Adopt-a-Family Program 500 00
12/5/2012 Region IV Family Outreach , Inc 110 E. Lyndale Ave Helena 59601 2012 Adopt-a-Family Program 500.00
12/512012 Angels in Camo P.O Box 2989 Great Falls 59403 2012 Adopt-a-Family Program 500.00
12/5/2012 Western Montana Mental Health Center Stillwater Theraputic Services 418 Windward Way Kalispell 59901 2012 Adopt-a-Family Program Stillwater Therapeutic Services 500.00
1215/2012 Youth Dynamics Wolf Point 200 Eureka Wolf Point 59201 2012 Adopt -a-Family Program Wolf Point 500 00
1215/2012 Holy Spirit Catholic Community 3930 East Lake Butte 59701 2012 Adopter-Family Program 500,00
12/5/2012 Lolo Creek 411 Club 5400 Monty Lake Lolo 59847 2012 Adopt-a-Family Program 500.00
12/5/2012 Bozeman Sourdough Lions Club 3615 Nelson Road Bozeman 59718 2012 Adopt-a-Family Program 500 00
12/5 /2012 Knees Community Club 14095 Brady Road Brady 59416 2012 Adopt-a- Family Program 500 00
12/5/2012 Great Falls Children ' s Receiving Home P O. Box 1061 Great Falls 59403 2012 Adopter - Family Program 500 00
121512012 l lealthy Mothers Healthy Babies P 0. Box 2085 Great Falls 59403 2012 Adopter -Family Program 5C0 00
12/5/2012 Bethel Quilters P 0 Box 123 Joplin 59531 2012 Adopt-a-Family Program 500.00
12/5/2012 Shodair Children ' s Hospital P 0. Box 5539 Helena 59604 2012 Adopt-a-Family Program 500 00
12/5/2012 Montana Tech Foundation 1301 W Park Butte 59701 2012 Adopter -Famrly Program Circle K Christmas Care Progre m 500 00
12/5/2012 Toys for Tots 1120 Ave. C NW Great Falls 59404 2012 Adopt -a Family Program Great Falls 500 00
12/5/2012 Interfaith Hospitality Network 40 10th Street West Billings 59102 2012 Adopt-a -Family Program 500 00
1215/2012 Landon ' s Lookout 611 N. 9th St Livingston 59047 2012 Adopt-a -Family Program 500 00
121512012 Dress for Success 4520 Rangeview Dr Billings 59106 2012 Adopt-a-Family Program 500 00
12/5/2012 Lighthouse Christian Home & Services Inc 384 N Somers Road Kalispell 59901 2012 Adopt-a-Family Program 500 00
12/512012 Head Start 1000 S. Art;ona Butte 59701 2012 Adopt-a-Family Program Butte 500 00
121512012 Bitterroot Therapeutic Riding 599 Popham Lane Corvallis 59828 2012 Adopt-a-Family Program 500 00
12/5/2012 Montana Hope Project Coordinator P 0 Box 673 Anaconda 59711 2012 Adopt-a-Family Program 500.00
12/512012 Hamilton Assembly of God 601 West Main Street Hamilton 59840 2012 Adopt-a - Family Program Ham ; lton Christian Academy 500 00
12/512012 The Lutheran Center P.O. Box 825 Billings 59103 2012 Adopt-a-Family Program 500.00
12/5/2012 Summit Independent L i ving Center 1203 Highway 2 W, #35 Kalispell 59901 2012 Adopt a Family Program 500 00
12/5/2012 Youth Dynamics Bozeman 1609 West Babcock Suite A Bozeman 59715 2012 Adopt-a-Family Program Bozeman 500-00
12/512012 Dayton Proctor Park Association P.O Box 73 Dayton 59914 2012 Adopt-a-Famiy Program 500 00
1215/2012 Sairt Leo's Catholic Church P O Box 421 Lewistown 59457 2012 Adopt-a-Family Program 500 00
121512012 4-C's Community Coordinated Child Care 101 East Broadway Butte 59701 2012 Adopt-a-Family Program 500.00
121512012 Catholic Social Services 420 West Pine Missoula 59802 2012 Adopt-a - Family Program 500 00
12/5/2012 Cathedral of St Helena 530 N Ewing Helena 59601 2012 Adopt -a-Family Program 500 00
2012 Adopt-a Family Program Anaconda Adult Community Support
12/512012 Western Montana Mental Health Center 307 E Park , Suite 211 Anaconda 59711 Program 500 00
1215/2012 Pad for Paws Foundation P 0 Box 267 Helena 59624 2012 Adopt-a-Family Program 500.002012 Adopt-a-Family Program Billings, Hardin , Joliet, Lockwood, Red
12/5/2012 Head Start 615 N 19th St Billings 59101 Lodge Head Start Programs ($500 for each) 3000 00
21512012 Boys & Girls Club Lame Deer P 0. Box 160 Lame Deer 59043 2012 Adopt-a-Family Program 500 00
21512012 Acts of Kindness 401 Spring St Stevensville 59870 2012 Adopt-a-Family Program 500 00
2/17/2012 Central Education Foundation P 0, Box 634 Butte 59701 Maroon Activities Center 15000 00
1215(2012 The Friendship Center 1430 Sanders Helena 59601 2012 Adopt-a-Family Program 500 00
121512012 Central Montana Community Cupboard P 0 Box 194 Lewistown 59457 2012 Adopt-a-Family Program 500 00
12/5/2012 SI Martin de Porres Mission of Great Falls P 0 Box 141 Great Fats 59403 2012 Adopt-a Family Program Emilie Center 500 00
1215;2012 From Range CASAIGAL P.O. Box 954 Conrad 59425 2012 Adopt-a-Fami!y Program 500.00
12/5/2012 Hi-Lines for Abused Spouses 300 N. Virginia, Suite 307 Conrad 59425 2012 Adopt a-Family Program 500 00
12/5/2012 The Sacred Portion Children's Outreach 7104 Bristol Lane Bozeman 59715 2012 Adopt-a-Family Program 50D 00
17/5/2012 Gloria Der Lutheran Church 2300 Florence Ave Butte 59701 2012 Adopt-a-Family Program 500 00
12/5/2012 TOPS #414 P O Box 191 Hingham 59528 2012 Adopt-a-Family Program 500 00
12/5/2012 Miles City Meals on Wheels P.O Box 792 Miles City 59301 2012 Adopt-a-Family Program Miles City 503 00
12/5/2012 CCW Blessed John Paul P 0. Box 277 Big Fork 59911 2012 Adopt-a-Family Program 500.001215/2012 The 111 Center 1225 8th Ave. North Great Falls 59404 2012 Adopt-a-Family Program 500 00
12J512012 Benefits Health System Foundation P.O Box 7008 Great Falls 59406 2012 Adopt-a-Family Program 500.00
12/512012 Youth Dynamics 775 W Gold Butte 59701 2012 Adopt-a-Family Program 500.00
12/5'2012 United Way of Hit County P.O Box 113' Havre 59501 2012 Adopt-a-Family Program 500 00
12/512012 Open Aid Alliance 500 North Higgins Suite 100 Missoula 59802 2012 Adopt-a-Family Program 500.00
121512012 Rocky Mountain Baptist Church P.O. Box 5010 Kalispell 59903 2012 Adopt-a-Family Program 500 00
12/5/2012 Region IV Family Outreach, Inc 641 Sampson Butte 59701 2012 Aaopt-a-Farnily Program 500.00
12/5/2012 Willing Workers Ladies Aid, Inc P 0. Box 329 Gallatin Gateway 59730 2012 Adopt-a-Family Program 500.00
12/5/2012 Allance for Youth, Inc P.O Box 2982 Great Falls 59403 2012 Adopt-a-Family Program 500 00Toys for Tots Anaconda 510 Spruce St. Anaconda 59711 2012 Adopt-a-Family Program Anaconda Toys for Tots 500 00
12/5/2012 The Salvation Army P.O Box 811 Butte 59703 2012 Adopt-a-Family Program 1000.00
1215/2012 The Salvation Army P.O Box 2585 Great Falls 59403 2012 Adopt-a-Family Program 500 00
12/5/2012 YWCA-He!ena P 0. Box 518 Helena 59624 2012 Adopt-a-Family Program 500 00
121512012 East Valley Fire Department P O.Bcx 2087 East Helena 59635 2012 Adopt-a-Family Program 500 00
12,5/2012 liellgate High School 900 South Higgins Missoula 59801 2012 Adopt a Fami y Program 500 00
12/5/2012 Heck Quaw Elementary School 308 N. Broadway Belgrace 59714 2012 Adopt-a-Fami y Program Heck Quaw Parent Teacher Coucil 500,00
12/5/2012 Browning Public Schools 124 First Ave S.E. Browning 59417 2012 Adopt-a Famr y Program Napi Elementary 500.00
12/5/2012 Hot Springs Public Schools #14-J P.O Box 1005 Hot Springs 59845 2012 Adopt-a-Famr.y Program 500.00
12/5/2012 Shop with a Cop 525 S. Washington Butte 59701 2012 Adopt-a-Family Program 500 00
Three Forks High School 210 East Neal Three Forks 59752 2012 Adopl-a-Farmly Prograrr FCCLA 500.00
Anaconda- Deer Lodge County Head Star P 0 Box 219 Anaconda 59711 2012 Adopt-a-Family Program 500,00
121512012 Custer County High School 20 South Center Miles City 59301 2012 Adop•-a-Family Program SADD 500 00
1215/2012 Joliet Public Schools P 0 Box 590 Joliet 59041 2012 Adopt-a-Family Program MBI Youth Team 500 00
12/512012 Margaret Leary Elementary 4 112 M Ic Vue Bute 59701 2012 Adop'-a-Family Program 500.00
East Middle School 2600 Grand Ave Butte 59701 2012 Adopt a-Family Program Leaders of Lunch and Recycling Club 500.00
12/512012 Fergus High School 1001 Casino Creek Drive Lewistown 59457 2012 Adopt-a-Family Program 500.00
12J512012 Lewis & Clark School 2901 Park St Missoula 53801 2012 Adopt-a-Family Program 500.00
12/5/2012 PEO Chapter CE 6928 Bristol Lane Bozeman 59715 2012 Adopt-a-Family Program 500.00
12/5/2012 Rotary Club of Anaconda ' - 1202 Elaine Dnve Anaconda 59711 2012 Adopter-Family Program 500 0012/5/2012 Flat Iron Quilting Guild '° ' <4 Howells Lane Plains ",59859 2012 Adopt-a-Family Program 500.00,1215/2012 Cut Bank Love Package • P.O Box 1166 Cut Bank ' 59427 2012 Adopt-a-Family Program 500 00
1215/2012 Clark Fork Valley Elks Lodge - P.O Box 332" Thompson Falls - 59873 2012 Adopter-Family Program 500 00
-°-,,3824 Foothill Rd Kalispell 59901 2012 Adopt-a-Family Program 500 00
17/512012 Amencari`LegionAuxil1ary Unit #135 P'0. Box 1206 Lob ,, 58847 2012 Adopt-a-Family Program 500.00
1215/2012 Ruby Valley Giving free tE :. -'P 0 Box-126 Alder ., 59710 2012 Adopt-a-Family Program 500 00
12x5/2012 Miles City Foster Care Project ' P O, Box 1348 Miles City .,-• 59301 2012 Adopt-a-Family Program 500 00
1215/2012 American Legion Ladles Auxiliary Unit #14 5570 Durston Road - Bozeman , 59718 2012 Adopt-a-Family Program 50000
1215/2012 Ruder Elementary PTO • 'P b Box 1259 Columbia Falls 59912 2012 Adopt-a-Family Program 500 00
12/512012 Evergreen Elementary P.O Box 463. Laurel 59044 2012 Adopt-a-Family Program i 500 00
121512012 Medora Rebekah Lodge No 53 - y t - , 298 Vicks Lane Libby . , 59923 2012 Adopt-a-Family Program 500 00
1262012 Conrad!Brady Christmas Giving Tree 10586 Brady Rd Brady 59416 2012 Adopt-a-Family Program 500 00
12/5/2012 Shepherd Montana Lions Club 8180 Shepherd Rd., .. Shepherd - 59079 2012 Adopt-a-Family Program 500 00
12/512012 Grounds'for Change . -2000 Clark Street Miles City ' 59301 2012 Adopt-a-Family Program - 500 0012/5/2012 Central Montana Spirit of Chinstinas P O Box 205 Lewistown ' . 59457 2012 Adopt-a-Family Program - - 500 0012/5/2012 Mountain View Homemakers • P 0 Box 224 ' ' Fortine - 59918,2012 Adopt-a-Farinily Program 500 00
2117/2012 Central Education Foundation P. 0. Box 634 Butte 59701 Maroon Activities Center 15000 0012/5/2012 Flathead'M.0 M.S 115 E Bluegrass Dr Kal spell = 59901 2012 Adopt-6-Family Program - ;I 500.00121512012 Rotary Club P.O. Box 247 Townsend 59644 2012 Adopt-a-Family Program 500 0012/512012 The Crest Nursing Home 3131 Amherst Butte 59701 2012 Adopt-a-Family Program 500 00
Anaconda Family Resource Center 118 W. 7th SL, Ste 1B Anaconda 59711 Boys & Girls Club of Deer Lodge County 500 0017/17/2012 Survivors & l havers 1834 Thornton Butte 59701 2012 Adopt-a-Family Program 500.00
1211712012 GFWC - Helena Women's Club P.O Box 6663 He,ena 5960/ 2012 Adopt-a-Family Program 500 0012/1712012 Domestic & Sexual Violence Services P 0 Box 314 Red Lodge 59068 2012 Adopt-a-Family Program 500 0012117/2012 The Drift Gallery 12 S. Idaho Dillon 59725 2012 Adopt-a-Family Program 500 00
112/1712012 NeighborWorks - Great Falls 509 1st Ave S Great Falls 59401 2012 Adopt-a-Family Program 500 0012/17/2012 Discovery House 65 Sheep Gulch Road Anaconda 59711 2012 Adopt-a-Family Program 500 00
12/17(2012 Rocky Mountain Development Council, Inc. P.O Box 1717 Helena 59624 2012 Adopt-a-Family Program Whitehall Head Start Christmas Party 500 001211712012 Great Falls Police Community Foundation P 0. Box 6735 Great Falls 59406 2012 Adopt-a-Family Program 500 00
Park County RFD - Santa on the Fire I ruck P 0, Box 1134 Livingston 59047 2012 Adopt a-Family Program 500 0012/17/2012 Florence-Carlton High School Student Council 5602 Old Highway 93 Florence 59833 2012 Adopt-a-Family Program 500 0012117/2012 9-1-1 City-County Dispatch 2305 8th Ave N, Billings 59101 2012 Adopt-a-Family Program 500 00
12/1712012 Alberton Community Food Pantry P 0 Box 8 Alberton 59820 -1 th Annual Food Bank Matching Campaign 1000 0012/1712012 Anaconda Project Care P 0. Box 1280 Anaconda 59711 11th Annual Food Bank Matching Campaign 7500 001211712012 St Labre Food Pantry P 0. Box 216 Ashland 59003 11th Annual Food Bank Matching Campaign 1000 0012117/2012 Big Timber Food Bank P O.Box 340 Big Timber 59011 :1•h Annual Food Bank Matching Campaign 7500 0012/17/2012 Billings Food Bank P C Box 1158 Billings 59103 11th Annual Food Bank Matching Campaign 25000 0012117/2012 Montana Rescue Mission P.O, Box 3232 Billings 59103 11•h Annual Food Bank Matching Campaign 5000 0012/17/2012 Jeffco Food Share P C Box 244 Boulder 59632 11th Annual Food Bank Matching Campaign 3000,0012/17/2012 Gallatin Valley Food Bank P.O. Box 1129 Bozeman 59771 11th Annual Food Bank Matching Campaign 25 00 0012/17/2012 Butte Emergency Food Bank 1019 E Second St Bute 59703 11•h Annual Food Bank Matching Campaign 25000 0012/17/2012 Butte Rescue Mission 1204 East 2nd Butte 59701 11th Annual Food Bank Matching Campaign 25D00 0012/1712012 Teton County Food Pantry 1'.0. Box 534 Choteau 59422 11th Annual Food Bank Matching Campaign 1000 0012/17/2012 Colstnp Community Fooo Bank P.O Box 543 Colstrip 59323 11th Annual Food Bank Matching Campaign 1000 0012/1 //2012 Columbia Falls Food Bank P,O, Box 1081 Columbia Falls 59912 11th Annual Food Bank Matching Campaign 80CD 0012/17/2012 Protect Hooe of Stillwater County P.O. Box 1443 Columbus 59019 11th Annual Fcod Bank Matching Campaign 5000,0012117/2012 Ponders Food Pantry 174 Jadel Lare Conrad 59425 11th Annual Food Bank Matching Campaign 3000 001211712012 Darby Bread Box P 0 Box 189 Darby 59879 11th Annual Food Bank Matching Campaign 2000 0012/1712012 Deer Lodge Food Pantry C/O Depot Church Deer Lodge 59722 11'h Annual Food Bank Matching Campaign 75C0.0012/1712012 Beaverhead Community Food Pantry, Inc P 0. Box 1356 Dillon 59725 11th Annual Food Bank Matching Campaign 80130,0012/17/2012 Madison Valley Caring and Sharing P.O Box 1717 Ennis 59729 11th Annual Food Bank Matching Campaign 5000 0012/17/2012 Tobacco Valley Food Pantry P.O. Box 714 Eureka 59917 11th Annual Food Bank Matching Campaign 5000 0012/17/2012 Samaritans Pantry HC 84 Box 3058 Forsyth 59327 11th Annual Food Bank Ma'ching Campaign 4000 00
12/17/2012 FISH P.O- Box 662 Great Falls 59403 11th Annual Food Bank Ma•chmg Campaign 12500,0012117/2012 St Vincent DePaul Society 426 Central Ave. West Great Falls 59403 11th Annual Food Bank Ma-ching Campaign 12500 0012/17/2012 Great Falls Rescue Mission P 0. Box 127 Great Falls 59403 11th Annual Food Bank Matching Campaign 12500 0012/17/2012 Helping Hands/lst English Evangelical Lutheran Church 112 8th Street North Great Falls 59401 11th Annual Food Bank Matching Campaign 2500 0012/17/2012 Haven House Food Bank P 0. Box 1343 Hamilton 59840 11th Annual Food Bank Matching Campaign 8000,00
12/17/2012 Helping Hands in Hardin, Inc P 0. Box 1259 Hardin 59034 11th Annual Food Bank Matching Campaign 7500.0012/17/2012 Harlem Food Bank P,O.Box 402 Harlem 59526 11th Annual Food Bank Matching Campaign 1000,0012/17/2012 Havre Food Bank 2229 Fifth Ave Havre 59501 11th Annual Food Bank Matching Campaign 5000,0012/17/2012 Helena Food Share P 0. Box 943 Helena 59624 11th Annual Food Bank Matching Campaign 30000,0012/ 17/2012 Flathead Food Bank 1203 Hwy. 2 W, Sure 2 Kalispell 59901 11th Annual Food Bank Matching Campaign 20000,0012117/2012 Northwest Montana Veterans Stand Down & Food Pantry 1349 Hwy 2 East Kalispell 59901 11th Annual Food Bank Matching Campaign 5000,00
1211712012 Community Hope Inc P.O Box 524 Laurel 59044 11th Annual Food Bank Matching Campaign 7500 0012/17/2012 Central Montana Community Cupboard 5833 Maiden Rd. Lewistown 59457 11th Annual Food Bank Matching Campaign 5000 0012/17/2012 Libby Food Pantry P.O. Box 311 Libby 59923 11th Annual Food Bank Matching Campaign 4000.0012/17/2012 Livingston Food Pantry of Park County 112 North M Street Livingston 59047 11th Annual Food Bank Matching Campaign 8000.0012/17/2012 Custer County Food Bank 210 S. Winchester Miles City 59301 11th Annual Food Bank Matching Campaign 6000 0012/17/2012 Milers City Soup Kitchen P.O. Box 93 Miles City 59301 11th Annual Food Bank Matching Campaign 4000 0012/17/2012 Missoula Food Bank 219 South 3rd West Missoula 59801 11th Annual Food Bank Matching Campaign 12500 0012/17/2012 Poveiello Center, Inr P-0 Box 7644 Missoula 59501 11th Annual Food Bank Matching Campaign 12500,001211712012 Missoula 3 16 Rescue Mission P.O. Box 16833 Missoula 59808 11th Annual Food Bank Matching Campaign 12500,0012/17/2012 Community Services Fellowship, Inc, 1419 Hwy 200 Noxon 59853 11th Annual Food Bank Matching Campaign 2500 0012/1712012 Granite County Food Bank 11 Maxwt!e Road Philipsburg 59858 11th Annual Food Bank Matching Campaign 1500,0012/1712012 Community Food Pantry P 0 Box 767 Plains 59659 11th Annual Food Bank Matching Campaign 5000,00
2/17/2012 Central Education Foundation P O Box 634 Butte 59701 Maroon Activities Center 15000.00
12/17/2012 Poison Loaves & Fish Pantry 904 1st St E. Poison 59860 11th Annual Food Bank Matching Campaign 7500 00
1211712012 Carbon County Community Food Bank P.O Box 665 Red Lodge 59068 11th Annual Food Bank Matching Campaign 2000.0012/17/2012 Bread Basket Food Pantry 10 6th Ave. SW Ronan 59864 11th Annual Food Bank Matching Campaign 5000 0012/17/2012 Sagebrush Food Pantry P.O, Box 393 Shelby 59/-74 11th Annual Food Bank Matching Campaign 3000 CO
12/17/2012 Ruby Valley Food Pantry P,O. Box 637 Sheridan 59749 11th Annual Food Bank Matching Campaign 1000 0012/17/2012 Richland County Food Bank 223 14th Ave SW Sidney 59270 11th Annual Food Bank Matching Campaign 2500,0012/17/2012 Pantry Partners Food Bank P.O. Box 806 Stevensville 59870 11th Annual Food Bank Matching Campaign 2500 00
1211712012 Community Food Bank of Mineral County P 0. Box 463 Superior 59872 11th Annual Food Bank Matching Campaign 5000.0012/1712012 Community Harvest Food Bank P 0. Box 417 Thompson Falls 59873 11th Annual Food Bank Matching Campaign 2500.0012/17/2012 Gospel Mountain Assembly of God Food Pantry P 0 Box 1029 Thompson Falls 59873 11th Annual Food Bank Matching Campaign 2500 0012117/2012 Headwaters Area Fooc Bank P 0. Box 836 Three Forks 59752 11th Annual Food Bank Matching Campaign 6000 0012J17/2012 Broaewater Food Pantry P.O, Boix 1164 Townsend 59644 11th Annual Food Bank Matching Campaign 5000 00
12/17/2012 North Valley Food Bang 311 1st St Whitefish 59937 11th Annual Food Bank Matching Campaign 5000 0012/17/2012 Whitehall Area Food Pantry P.O. Box 266 Whitehall 59759 11th Annual Food Bank Matching Campaign 3500 00
12/17/2012 Basket of Hope 205 Johnson St Wolf Point 59201 11th Annual Food Bank Matching Campaign 3000 00
12/1712012 The Nur'uring Center P.O. Box 3010 Browning 59417 11th Annual Food Bank Matching Campaign 5000.0012/17/2012 Blackfeet Foodbank Center P 0. Box 3003 Browning 59417 11th Annual Food Bank Matching Campaign 2500.00
1211712012 Northern Cheyenne Food Bank P.O Box 1118 Lame Deer 59043 11th Annual Food Bank Matching Campaign 2000 0012117/2012 Central Montana Family Planning 505 W. Main St., Ste 108 Lewistown 59457 2012 Adopt-A-Family Program 500 00
12/17/2012 Sun River Valley Food Drive $ P O Box 114 Simms M'59477°2012'Adopt-A-Famdy Program, LL 500.0012/17/2012 Dillon Elks Lodge No X1554 ,P 0, Box 505 Dillon 59725; 2012 Adopt-A-Family Program,,„ 50000
Loaves and Fishes Food Bank Z. P0O Box-683 Chester .59522 11th Annual Food Bank%Matching Campaign 1000.00Chinook Food Bank =^^•3 P O Box 262 Chinook - 59523 11th Annual Food Bank Matchrng` Campaign. 4000 00Harvest Food Pantry 230 7th Ave SE Cut Bank 5942711th Annual Food Bank Matching Campaign 3000 001 he Yaak Food Cupboard 34 Riverview Or Yaak 59935 11th Annual Food Bank Matching Campaign 1000 00
12/2112012 Soroptimist International of Dillon PO Box 765 Dillon 59725 2012 Adopt-A-Family Program 500.0012/21/2012 Community Services Fellowship, Inc 1419 Hwy 200 Ncxon 59853 2012 Adopt-A-Famity Program 500 00
12121/2012 Blackfeet Children Christmas Fund P 0. Box 2613 Browning 59417 2012 Adopt-A-Family Program 500.0012/2112012 Gift for family sutienng Temporary Distress for loss-of home to fire T Butte- 59701: 2012 Adopt-A-Family Program Emergency Assistance-- 500 00
