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          <FormAndInfoAndMaterials>SUBMIT A WRITTEN REQUEST DESCRIBING THE INTENDED USE OF THE CONTRIBUTION, INFORMATION REGARDING THE SOLICITOR, AND PROVIDE SUBSTANTIATION OF CHARITABLE STATUS, INCLUDING DETERMINATION LETTER ISSUED BY THE INTERNAL REVENUE SERVICE.</FormAndInfoAndMaterials>
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          <RecipientPersonName>ROLF BENIRSCHKE LEGACY</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>PO BOX 231429</AddressLine1>
            <City>ENCINITAS</City>
            <State>CA</State>
            <ZIPCode>92023</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>EXEMPT</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>GENERAL</PurposeOfGrantOrContribution>
          <Amount>1562</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>BOYS AND GIRLS CLUB OF GOSHEN</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>PO BOX 614</AddressLine1>
            <City>GOSHEN</City>
            <State>IN</State>
            <ZIPCode>46527</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>EXEMPT</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>CHILDREN'S PROGRAMS</PurposeOfGrantOrContribution>
          <Amount>550</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>NATIVITY SCHOOL</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>1250 LAUREL STREET</AddressLine1>
            <City>MENLO PARK</City>
            <State>CA</State>
            <ZIPCode>94025</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>EXEMPT</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>GENERAL</PurposeOfGrantOrContribution>
          <Amount>3000</Amount>
        </GrantOrContriPaidDuringYear>
        <TotGrantOrContriPaidDuringYear>9124</TotGrantOrContriPaidDuringYear>
      </SupplementaryInformation>
      <AnalysisIncomeProducingActy>
        <IntOnSavingsAndTempCashInvst>
          <ExclusionCode>14</ExclusionCode>
          <ExclusionAmount>1339</ExclusionAmount>
        </IntOnSavingsAndTempCashInvst>
        <DividendsAndIntFromSecPartVII>
          <ExclusionCode>14</ExclusionCode>
          <ExclusionAmount>3225</ExclusionAmount>
        </DividendsAndIntFromSecPartVII>
        <SubtotalsPartXVIA>
          <ExclusionAmount>4564</ExclusionAmount>
        </SubtotalsPartXVIA>
        <TotalPartXVIA>4564</TotalPartXVIA>
      </AnalysisIncomeProducingActy>
      <TrnsfrTrRlnWithNoncharitableEO>
        <TrnsfrOfCashToNoncharitableEO>false</TrnsfrOfCashToNoncharitableEO>
        <TrnsfrOthAssetsNoncharitableEO>false</TrnsfrOthAssetsNoncharitableEO>
        <SalesOrExchangesOfAssets>false</SalesOrExchangesOfAssets>
        <PurchaseAssetsNoncharitableEO>false</PurchaseAssetsNoncharitableEO>
        <RentalOfFacilitiesEtc>false</RentalOfFacilitiesEtc>
        <ReimbursementArrangements>false</ReimbursementArrangements>
        <LoansOrLoanGuarantees>false</LoansOrLoanGuarantees>
        <PerformanceOfServicesEtc>false</PerformanceOfServicesEtc>
        <SharingOfFacilitiesEtc>false</SharingOfFacilitiesEtc>
        <RelationshipsNoncharitableEOs>false</RelationshipsNoncharitableEOs>
      </TrnsfrTrRlnWithNoncharitableEO>
    </IRS990PF>
    <AccountingFeesSchedule documentId="AccountingFeesSchedule" softwareId="12000229" softwareVersion="2012v2.0">
      <AccountingFees>
        <Amount>1729</Amount>
        <NetInvestmentIncome>864</NetInvestmentIncome>
        <AdjustedNetIncome>0</AdjustedNetIncome>
        <DisbursementsCharitablePrps>0</DisbursementsCharitablePrps>
      </AccountingFees>
    </AccountingFeesSchedule>
    <DepreciationSchedule documentId="DepreciationSchedule" softwareId="12000229" softwareVersion="2012v2.0">
      <Depreciation>
        <DescriptionOfProperty>APPLE COMPUTER</DescriptionOfProperty>
        <DateAcquired>2012-01-01</DateAcquired>
        <CostOrOtherBasis>2162</CostOrOtherBasis>
        <ComputationMethod>53</ComputationMethod>
        <Rate>0.2000</Rate>
        <CurrentYearExpense>432</CurrentYearExpense>
      </Depreciation>
    </DepreciationSchedule>
    <LandEtcSchedule2 documentId="LandEtcSchedule2" softwareId="12000229" softwareVersion="2012v2.0">
      <LandEtc>
        <CategoryOrItem>Machinery and Equipment</CategoryOrItem>
        <CostOrOtherBasis>2162</CostOrOtherBasis>
        <AccumulatedDepreciation>432</AccumulatedDepreciation>
        <BookValue>1730</BookValue>
      </LandEtc>
    </LandEtcSchedule2>
    <OtherAssetsSchedule documentId="OtherAssetsSchedule" softwareId="12000229" softwareVersion="2012v2.0">
      <OtherAssets>
        <Description>GIFTS FOR POTENTIAL DONORS</Description>
        <BOYBookValue>2400</BOYBookValue>
        <EOYBookValue>2400</EOYBookValue>
      </OtherAssets>
    </OtherAssetsSchedule>
    <OtherExpensesSchedule documentId="OtherExpensesSchedule" softwareId="12000229" softwareVersion="2012v2.0">
      <OtherExpenses>
        <Description>MISCELLANEOUS</Description>
        <RevenueAndExpensesPerBooks>1415</RevenueAndExpensesPerBooks>
      </OtherExpenses>
      <OtherExpenses>
        <Description>INVESTMENT EXPENSES</Description>
        <RevenueAndExpensesPerBooks>257</RevenueAndExpensesPerBooks>
        <NetInvestmentIncome>257</NetInvestmentIncome>
      </OtherExpenses>
      <OtherExpenses>
        <Description>ADMIN</Description>
        <RevenueAndExpensesPerBooks>1000</RevenueAndExpensesPerBooks>
      </OtherExpenses>
    </OtherExpensesSchedule>
    <OtherProfessionalFeesSchedule documentId="OtherProfessionalFeesSchedule" softwareId="12000229" softwareVersion="2012v2.0">
      <OtherProfessionalFees>
        <Category>LEGAL</Category>
        <Amount>50</Amount>
        <NetInvestmentIncome>0</NetInvestmentIncome>
        <AdjustedNetIncome>0</AdjustedNetIncome>
        <DisbursementsCharitablePrps>0</DisbursementsCharitablePrps>
      </OtherProfessionalFees>
    </OtherProfessionalFeesSchedule>
    <TaxesSchedule documentId="TaxesSchedule" softwareId="12000229" softwareVersion="2012v2.0">
      <Taxes>
        <Category>STATE</Category>
        <Amount>7</Amount>
      </Taxes>
      <Taxes>
        <Category>FEDERAL EXCISE ON INVESTMENT INCOME</Category>
        <Amount>113</Amount>
      </Taxes>
    </TaxesSchedule>
  </ReturnData>
</Return>