990-PF Return of Private...

84
Not rental income u Poi) 6, 8 ' 1 gain a pass) from ante of n.^.x1a rot on ) 10 , 178 , 824 " ' _~ D C-0099 CN0 .1 pfCO Ip "WI . ... . . . . -14 ~ . ,f, ,.s-1 7 , I ; ,' . 4 . assots on line Its 7 capital gain neiincome (nor Part rv,line z) . . .. . . .. . . . ~13 . 879 198 0 a ,- -r . , . . 8 Net short-term Cipit, l gain .. . ........ 9 Income modifications, . . ' .... . ..... ~'b~~ dfis: '1 1 .4 Gross aalw l= returns . ........ .. .. . ,~x,~i,~ . `~ "r~ , ,tt.' ,% 2 108 and n1lowrinc: gown 1~0 b Lo= Cost oil c Cross profit or flossi 1~t 25 Ir%jljnjVW5gr aid 17 091 502 . C14 C V ip s I n Sgr 2 6N I p _n ses and di ~ ements - ~ ~ ~ t r ."c r . to _ r a .,.~ 271 ~'}IN~6\{AfA line ~ `r o ievenu e over expenses and disbursements 13 , 752 , ' 366 , b Net investment income (if negative . enter -o-) ^r:. 20 , 195 , ' 938 .' C Musted net income (if negative enter 0-) °~~T- , L ~~-r ~~ . ;r O LHA For Privacy Act and Paperwork Reduction Act Notice, see the instructions . Form 990-PF (2004) 423501 0 7-03-OS 09311108 131839 15511-TRUST 2004 .06030 C . K . BLANDIN RESIDUARY TRU 15511-T1 i Form 990-PF Return of Private Foundation OMD No. 1545-0052 or Section 4947(a)(1) Nonexempt Charitable Trust ,~oo o~t a,t a the Tr~.r Treated as a Private Foundation internal R°°°`"'° Service Note : Me organization may be able to use a copy of this return to satisfy state reporting requirements. For calendar year 2004 , or tax year beginning , and ending d Check all That a Initial return Final return Amended return Address change [] Name chang e " the IRS Name of organization A Employer Identification number C-4tabol. " K . BLANDIN RESIDUARY TRUST U0lnerwise . O LOWRY HILL 41-6012374 print Numbs tow carrot (a P.O. box mnnbv a mrvl 13 not Jeuvaallo oboot w1An ;a) Nrxordrolo B l ulcphOnu numbui - °~ 90 SOUTH 7TH STREET __1530 0 612-667-4387 8 Specific Li UI town, S1810, ;1114 ZIP code C h wanNllai npplicaIlai a iwnuing, Check he,* ,~ iructione, ty MN 55402 D 1 . Foreign OIq111II1110115, check here , 1 rn :n . Fuo~~+ a~ynlrnllunn .mwilnp the O :r% feet .",, I-I hCCk Q 0~ or g anization: section 501 (c )(3) exemp t V MecA 1+ao mid p rivate foundation 2 M~ rn:n compulnt O Section 4947 ( a) ( 1) nonoxampt Charitable trust Other taxable private foundation E II private foundation status was terminated ~pir market value of all assets at end of year J Accounting method : M Cash 0 Accrual under section 507(b)(1)(A), check hero , " 1-1 m Port ll, coL (c), line 16) 0 Other (specify) F II the foundation is in a 60-month termination 3 5 5 4 3 7 3 6 . (Part i . column (d) must be on cosh basis.) under section 507( b )( 1 ) B check here . .. Do. El `pWrff Analysis of Revenue and Expenses d oisa.n« «,io (rr~e total a om«~Me v, con's ft (ca and (a) m~ no, (a) Revenue and (b) Net investment (c) AdNSted net for charltablo purposes necessarily equal , amounts I, a,, , (o~) expenses per books income income 1 ContrrDutions,gifts,grants,etc .,received chock ,[y] GNlIDUnOLI0nhn0t ttpu6tOtD7W SO B interest on ravings and temporary ro . . '- 4 Dividends and interest from securities 6 , 176 , 045 . 6 , 362 , 149 . TAT ' 1-'- : Se Gross rents '` ty;~ : : J t Other income , , 15 15 , 532 . 1 , 12 3 , 9 2 4 . 12 Total . Add lines 1 throu gh I i 32 , 270 , 401 . 21 3 6 5 271 . 13 Compensation of officers. directors, trustees. ale . 963 , 772 . 9 63 , 772 . 14 Other employee salaries and wages 15 Pension plans, employee benefits , N tsa legal lees . .. , . .... ., .. ., . 12 , 387 . 0 . Accounting lees ,$ .T.MT, ,4 . 10 , 920 . 0 . ~ c Other professional tees , > 17 Interest to Taxes . . STMT 5 233 , 772 . 0 . 19 Depreciation and depletion E 20 Occupancy a 21 Travel, conferences, and meetings v 22 Printing and publications °' `t ~ STMT 6 205 682 . 205 ,561 . ~ 2e~C~gM1d ado istrative uses Add Mmes t u h93 1 4 2 6 5 3 3 1 16 9 3 3 3 e

Transcript of 990-PF Return of Private...

Page 1: 990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/416/416012374/41601… · C-4tabol. " K. BLANDIN RESIDUARY TRUST U0lnerwise. O LOWRY HILL 41-6012374

Not rental income u Poi) 6, 8 ' 1 gain a pass) from ante of n.^.x1a rot on ) 10 , 1 78 , 824 " '

_~ D C-0099 CN0.1 pfCO Ip "WI . . . . . . . .

-14 ~ . ,f,�,.s-1 7 , I ; ,' . 4 .

assots on line Its

7 capital gain neiincome (nor� Part rv,line z) . . . . . . . . . . . ~13 . 879 198 0 a ,- -r . , . .

8 Net short-term Cipit, l gain . . . . . . . . . . . 9 Income modifications, . . ' . . . . . . . . . . ~'b~~ dfis:

'1 1.4 Gross aalw l= returns

. . . . . . . . . . . . . . ,~x,~i,~ . `~ "r~ , ,tt.' ,% 2 108 and n1lowrinc: gown 1~0

b Lo= Cost oil c Cross profit or flossi

1~t

25 Ir%jljnjVW5gr aid 17 091 502 . C14 C V

ip s

I n

Sgr 2 6N I p _n ses and di ~ ements -

~ ~ ~ t r."c r . to _ r a.,.~ 271 ~'}IN~6\{AfA line ~

`r o ievenu e over expenses and disbursements 13,

752 , ' 366 , b Net investment income (if negative . enter -o-) ^r:. 20 , 195 , ' 938 .' C Musted net income (if negative enter 0-) °~~T- , L ~~-r ~~ . ;r O

LHA For Privacy Act and Paperwork Reduction Act Notice, see the instructions . Form 990-PF (2004) 423501 0 7-03-OS

09311108 131839 15511-TRUST 2004 .06030 C . K . BLANDIN RESIDUARY TRU 15511-T1

i

Form 990-PF Return of Private Foundation OMD No. 1545-0052

or Section 4947(a)(1) Nonexempt Charitable Trust ,~oo o~t� a,t a the Tr~.r Treated as a Private Foundation internal R°°°`"'° Service Note : Me organization may be able to use a copy of this return to satisfy state reporting requirements. For calendar year 2004 , or tax year beginning , and ending d Check all That a Initial return Final return Amended return Address change [] Name change

" the IRS Name of organization A Employer Identification number C-4tabol. " K . BLANDIN RESIDUARY TRUST U0lnerwise . O LOWRY HILL 41-6012374

print Numbs tow carrot (a P.O. box mnnbv a mrvl 13 not Jeuvaallo oboot w1An ;a) Nrxordrolo B l ulcphOnu numbui -

°~ 90 SOUTH 7TH STREET __1530 0 612-667-4387 8 Specific

Li UI town, S1810, ;1114 ZIP code C h wanNllai npplicaIlai a iwnuing, Check he,* �,~ iructione, ty MN 55402 D 1 . Foreign OIq111II1110115, check here � , 1

rn :n. Fuo~~+ a~ynlrnllunn .mwilnp the O :r% feet .",, I-I hCCk Q 0~ or g anization: section 501 (c )(3) exemp t V MecA 1+ao mid p rivate foundation

2 M~ rn:n compulnt

O Section 4947 (a) ( 1) nonoxampt Charitable trust Other taxable private foundation E II private foundation status was terminated ~pir market value of all assets at end of year J Accounting method : M Cash 0 Accrual under section 507(b)(1)(A), check hero � ," 1-1 m Port ll, coL (c), line 16) 0 Other (specify) F II the foundation is in a 60-month termination

3 5 5 4 3 7 3 6 . (Part i . column (d) must be on cosh basis.) under section 507( b )( 1 ) B check here . . . Do. El `pWrff Analysis of Revenue and Expenses d oisa.n« �«,io (rr~e total a om«~Me v, con's ft (ca and (a) m~ no, (a) Revenue and (b) Net investment (c) AdNSted net for charltablo purposes

necessarily equal ��, amounts I, a,,���, (o~) expenses per books income income

1 ContrrDutions,gifts,grants,etc.,received chock ,[y] GNlIDUnOLI0nhn0t ttpu6tOtD7W SO B interest on ravings and temporary

ro . . '-

4 Dividends and interest from securities 6 , 176 , 045 . 6 , 362 , 149 . TAT ' 1-'-: Se Gross rents '` ty;~ : : J

t Other income � ������� ��� , � �� , 15 15 , 532 . 1 , 12 3 , 9 2 4 . 12 Total . Add lines 1 through I i 32 , 270 , 401 . 21 3 6 5 271 . 13 Compensation of officers. directors, trustees. ale . 963 , 772 . 963 , 772 . 14 Other employee salaries and wages ��� �� 15 Pension plans, employee benefits ���� � ,

N tsa legal lees . . . , . . . . . ., . . ., . 12 , 387 . 0 . Accounting lees �� �� ��� ,$.T.MT, ,4. 10 , 920 . 0 .

�~ c Other professional tees � , > 17 Interest

to Taxes . . STMT 5 233 , 772 . 0 . 19 Depreciation and depletion

E 20 Occupancy a 21 Travel, conferences, and meetings v

22 Printing and publications °' `t ~ STMT 6 205 682 . 205 ,561 . ~ 2e~C~gM1d ado istrative

uses Add Mmes t u h93 1 4 2 6 5 3 3 1 16 9 3 3 3 e

Page 2: 990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/416/416012374/41601… · C-4tabol. " K. BLANDIN RESIDUARY TRUST U0lnerwise. O LOWRY HILL 41-6012374

C. K . BLANDIN RESIDUARY TRUST Form 990-PF (2004) C/O LOWRY HILL

year 'pafi~~~. Balance Sheets A~b~~~olaac0auwnobinlEeOemfpffoo

Beginning otyear coromaseooroDttamo~m~nr~mooonoM~. a Book Value

1 Cash - non-inteiesl-bearin9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Savings and temporary cash investments ., � ., . . . . . . � , .� � , ���� 1 , 600 , 78 9 . 3 Accounts ieccivable "

Loss: allowance for doubtful accounts 4 Plodnes receivable "

41-6012374 Page 2 End of yeas

D Book Value c Fair Market Value

2 , 421 , 553 . 2 , 421 , 553 .1

d , v~,y x,, .

Less: allowance for doubtful accounts 5 Giants raceivablo . . . . . . . . . . . . . . . . . . .. . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 fiCCnMrtblos dun li0m OIIiCQrS, directors, trustees, and other

disqualified persons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 emir acres and tome iKeIwD4 1

Less : allowance la doubtful accounts

yt B Inventories log sale of use m ;2 9 Prepaid expenses and deterred charges � . , , � , �� , . � ,

t0a Investments - U.S . and state government obligations 5,TMT � .7, 62 , 397 , D investments - corporate stock

. . , ., � . . STMT . . $ ~ 139 , 999 ,

c Investments - corporate bonds ~ ~i`,F.vf ~~ w, F~

11 investments -IanO.DuH0lnps,ao0equipment basis . 1

Less.aaumuute0dewahdoo , , , , , 1

12 Investments - mortgage loans

13 Investments - other . . . . . .,$,TMT . 9 120 911 14 Land, buildings, and equipment basis 0,

Less accumulated depieclabon 10.

15 Other assets (describe " . . . . . . .

57,089 645 . 57 667 901 . 37 212 872 . 173 754 694 .

26 044 497 . 122 . 099 . 638 .

r~ ~[

'It, .'''

.",

,?~ r

1`~J

Organizations that follow SFAS 117, check here " I-} and complete lines 24 through 26 and lines 90 and 31 .

24 Unrestricted !~ 25 Temporarily restricted � � , , . . . . . . m 28 Permanently restricted � , _ . . . . � . . . , , , . . . , . . . .

Organizations that do not follow SFAS 117, check here ILL and complete lines 27 through 31 . °, 27 Capdal stock, trust principal, or current tunas 324 , 910 , 139 . 322 , 768 , 5E

28 Paid-in or capital surplus, or land, bldg., and equipment fund 0 . a 29 Retained earnings, accumulated income, endowment, or other funds 0 .1 0 Z 30 Total net assets or fund balances 324 , 910 , 139 . 322 , 768 , 5E

31 Total liabilities and net assets/fund balances 324 , 910 , 139 . 322 , 768 , 5E

paft;filAnalysis of Changes in Net Assets or Fund Balances

1 Total net assets or fund balances at beginning of year - Part II, column (a), fine 30 (must agree with end-of-year figure reported on prior year's return)

2 Enter amount from Pail I, line 27a 3 Other increases not included m line 7 (ilem¢e) 4 Add lines 1, 7, and 3 5 Decreases not included in line 2 (itemize) " CARRYING VALUE ADJUSTMENTS 6 Total net assets or fund balances at end of yew (line 4 minis fine 5) - Past N, column (b), line 30

4,

324,910 .139 . 13,752,366 .

338,662,505 . 15,893,938 .

322,768,567 . Form 990-PF (2004)

423511 Ol-03-05

09311108 131839 15511-TRUST 2

2004 .06030 C . K . BI.ANDIN RESIDUARY TRU 15511-T1

17 Accounts payable and accrued expenses 18 Grants payable ���� ., 19 Deferred revenue y . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 loma dam oflleqo, d40ClqC, buGtppy, and olha (tl5qunllllOC! pqCp76 . . . . .

21 Mortgages and other notes payable � , . , . � � �� , � �� , "' 22 Other liabilities (describe " )

Page 3: 990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/416/416012374/41601… · C-4tabol. " K. BLANDIN RESIDUARY TRUST U0lnerwise. O LOWRY HILL 41-6012374

Form 99aPF pitai Gains and Losses for Tax on Investment Income (a) List and describe the kind(s) of property sold (e.g, real estate, (DI H~ 2-story brick warehouse; or common stock, 200 shs. MLC Co.) p .

TILL - SEE STMT 11 SILL - SEE STMT 11 1TT .T_ . CLIP emMm i i

~r7I11rwl - Oz,

:SHIPS - SE; (1) Oepteclation allowed

(or allowable) (q) Cost (it What basis plus oxpnnsu UI ;ado

in column (h) and owned by the foundation on 12/31/69 (j) Adjusted basis (k) Excess of coL (i) as of 12/31/69 over cot (1), d any

(1) Gains (Col . (h) gain minus cot. (k), but not less than -0-) or

Losses (from cot . (h)) (i) F.M.V. as of 12131/69

8 Enter qualifying distributions from Part XII, line 4 1 8 ~ 17 , 114 ,03 0 . If line 8 is equal to or greater than line 7, check the box m Pan VI, line tb, and complete that pan using a 1% lax rate . See the Part VI instructions.

423521/p1-03-A5 Form 990-PF (2004) 3

09311108 131839 15511-TRUST 2004 .06030 C . K. BLANDIN RESIDUARY TRU 15511-T1

C . R . BLANDIN RESIDUARY TRUST

(o) Gross sallis price

for assets

l It gain, also enter in Pail 1,1me 7 2 Capital gain net income or (net capital loss). , IIloss), enter -0- in Part I, line 7

3 Net shod-term capital gain or (loss) as defined in sections 1222(5) and (6): II gain, also enter in Part I, line 8, column (c). II (loss), enter -0- in Part I, line 8

J Part:V,' I Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income

(For optional use by domestic private foundations subject to the section 4940(x) tax on net investment income.)

II section 4940(d)(2) applies . leave this part blank

Was the organization liable for the section 4942 lax on the distributable amount of any year in the base period? Yes [X-j No It 'Yes,'the organization does not qualify under section A940(e) . Do not complete this cart. 1 Enter the appropriate amount in each column for each year ; see instructions before making any entices.

Base peri6d years Adjusted qualifying 'di (~) Distribution patio Calendar year (or tax year beainnina inl distributions Net value of nonchaiitable-use assets (cot. (bl divided by cot . (c))

2 Total of line 1, column (d), . . . 3 Average distribution ratio for the 5-year base period - divide the total on line 2 by 5, or by the number of ycais

the foundation has been m existence it less than 5 years

4 Enter the net value of noncharitable-use assets for 2004 from Part X, line 5

5 Multiply line 4 by line 3

6 Entei 1% of net investment income (1% of Pail I, line 27b)

7 Add lines 5 and 6

acquired I (c, Date acquired 1 (d) Date sold fCI1aSB (mo., day. yr .) ~ (mo., day, n~? mlinn

V

(A) Wn or (loss) (o) pills (I) minus (61)

Page 4: 990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/416/416012374/41601… · C-4tabol. " K. BLANDIN RESIDUARY TRUST U0lnerwise. O LOWRY HILL 41-6012374

J-6012374 Page4 48 - see instructions) s

201 .9 59 .

to Exempt operating foundations described in section 4940(d)(2), check here " L] and enter *WA* on line 1 . Date of ruling letter: (attach copy of ruling letter if necessary-see instructions)

D Domestic organizations that meet the section 4940(e) requirements in Part V, check here Ito. and enter 1% of Part I, line 27b . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c All other domestic oipanicilions enter 2% of line 27b . Exempt foreign orqaniralions enter 4% of Past I, line 17, coL (b) 2 lax under section 511 (domestic section 4947(a)(1) trusts and taxable lound ;itions only . Others enter -0-)�� � , 3 Add lines 1 and 7. 4 Subtitle A (income) lax (domestic section 4947(a)(1) if ustS and taxable IUUndations only. Others enter -0-) �� , 6 Tax based on Investment income . Subtract line A from line 3. II zero or loss, enter -0- , �� ��� , � , ��� , ��

8 CIQIIIIS/P8y1flC1iIS;

a 2004 ostlmaled tax paymorts and 2003 ovcipaymanl credited to 2004 , � �� , 6a 1.37 , 375 D Exempt foreign organfzallons-lax withhold at Source ��� , ����� �� � , � 6D c fix paid with application lot extension of limo to file (Form 8868)�� . , Be 142 , 000 d Backup withholding erroneously withheld �� � � 6d

7 folal credits and payments. Add lines 6a through 6v , . �� , � , 8 Enter any penalty toy underpayment of estimated tax Check here M if Form 2220 is attached 9 Tax due . II the total 01 lines 5 and B is more than line 7, enter amount owed 10 Overpayment. It line 7 is more than the total of lines 5 and 8, enter the amount overpaid 11 Enter the amount of line 10 to be : Credited to 2005 estimated tax 10, '77 , 416 . 1 Refunded Iti, Pa'rtV11~,4 Statements Regarding Activities

201,959 . _0 .

2~01,959 .

. 2 7 9 , 375 .

77 .416 .

09311108 131839 15511-TRUST 2004 .06030 C . K . BLANDIN RESIDUARY TRU 15511-T1

, . C . R . BI.ANDIN RESIDUARY TRUST

Form 990-PF ax Eased on Investment Income (Section 49401a1. 494U(b). 494U1e1, or

. .

1a During the tax year, did the organization attempt to influence any national, state, or local legislation or did d participate or intervene m YeS NO any political campaign? 18 X

D Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see instructions for definition)? 1b X If the answer is 'Yes' to 1a or 1D, attach o detailed description of the activities and copies of any materials published or distributed by the organization in connection with the activities .

c Did the organization tits Form 1120-POL for this year? � , ��� , . . ., , 1e X d Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year : ~

(t) On the organization. " $ 0 . (2) On organization managers. l3 0 . ~' J f Mk' C e Enter the reimbursement (it any) paid by the organization during the year la political expenditure lax imposed on organization

managers . t $ 0 . 2 Has the organization engaged m any activitios that have not previously been reported to the IRS? 2 X

If 'Yes,' attach a detailed description of the activities. 3 Has the orpanvation made any changes, not previously reported to the IRS, in its governing instrument, articles of incorporation, or

bylaws, or other similar instruments? 11 *Yes,* attach a conformed copy of the changes �� 3 X 4a Did the organization have unrelated business gross income of $1,000 or more during the year? 4e X D 11 'Yes,* has it tiled a tax return on Form 990-T for this year? _, , . � �� , � , 4p X 5 Was there a liquidation, terrninaSion, dissolution, or substantial contraction during the year? 6 X

11 'Yes,' attach the statement required by General Instruction T.

8 Are the requirements of section 508(e) (rotating to sections 4941 through 4945) satisfied either. + ~ " By language in the governing instrument, or ' r s ;;t~ ~ ; !H~~~ " By stale legislation that effectively amends the governing instrument so that no mandatory directions that conflict with the state law

remain in the governing instrument? _ 6 X T Did the organization have al least $5,000 in assets at any time during the years 7 X

If 'Yes,' complete Part ll, cot (c), and Part XV `;:~~ r'='~'' `r'~ 8a Enter the states to which the foundation reports or with which it is registered (see instructions) " s:~ ̀ "":r:~ =`ri~~ MINNESOTA ', , .~7~.

D II the answer is 'Yes" to line 7, has the organization furnished a copy of Form 990-PF to tie Attorney General (a designate) :~: of each state as required by General Instruction 6? 11 'No,' attach explanation 8D X

9 Is the organization claiming status as a private operating foundation within the meaning of section 4942(1)(3) a 4942(j)(5) for calendar year 2004 or the taxable year beginning in 2004 (see instructions for Part XIV)? 11 'Yes,' complete Part XIV 9 X

10 Did any persons become substantial contributors during the tax years it 'Yes,' attach a schedule listing their names and addresses 10 X

11 Did the organization comply with the public inspection requirements for its annual returns sect exemption application? it X

web site address 1 N/A 12 l he books ar e m care of " LOWRY HILL T elephone no- " 6 12 - 6 6 7 -17 7 5

Locatedat " 90 S . 7TH ST . , STE 5300, MPLS, MN 55402 ZAP+4 .55402 13 Section 4947(x)(1) nonexempt charitable trusts fling form 990-PF m lieu of Form 1041 - Check here

and enter the amount of tax-exempt interest received of accrued during the year 10- 1 13 1 N/A 0 3oios Foim 990-PF (2004)

4

Page 5: 990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/416/416012374/41601… · C-4tabol. " K. BLANDIN RESIDUARY TRUST U0lnerwise. O LOWRY HILL 41-6012374

Form 990-PF Page 5 menu fired orrn

File Form 4720 if any item is checked in the 'Yes' column, unless an exception applio--to During the year did the organization (either directly or Indirecly):

(1) Engage in the sale or exchange, or leasing of property with a disqualified person? Yes n No (2) Borrow moony from, lend money to, a otherwise extend credit to (or accept it from) '

a disqualified person? �������� . ., . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . [--I Yes . . . . nX. , No (3) furnish goods, services, a facilities to (or accept them from) a disqualified person? � , �� , , �� 0 Yes EX-1 No 1~ (4) Pay compensation lo, or pay or reimburse the expenses of, a disqualified parson?

. . . . . . . . . FX-J Yes 1-1 No

(5) 'transfer any 6ir.Umo Or 1SSoIS to adlsquidilie0 person (oi mike any of either available for the benefit or user of a disqualified parson)? � . ������ , ., . . ��� , ., ~.a) Yes ~.X.~ No

(6) Agree to pay money or property to n government ollicial? (Exception . Check *No* if the organization agreed t0 make A giant to or l0 employ the Ilifal , for ,a period after ,

No termination of government service, if terminating within 90 (lays.) ~J Yes D II any answer is Yes' l0 1a(1}(6), did any of the acts tail to qualify tinder the exceptions described in Regulations

section 53.4941(4)-3 or fn a currant notice regarding disaster assistance (see page 20 0l the instructions)? Organizations relying on a current notice regarding disaster assistance check here

c Did the organization 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 2004? ��

2 Taxes on failure to distribute income (section 4942) (does not apply for years the organization was a private operating foundation defined in section 4942(j)(3) a 4942()(5)):

a A1 the end of tax year 2004, did the organization have any undistributed income (lines 6d and 6e, Part XIII) for tax yeai(s) beginning before 2004? ~ Yes ~ No y 11 'Yes,' list the years 1 ,

b Are there any years listed in 2a for which the organization is not applying the provisions of section 4942(a)(2) (relating to incorrect valuation of assets) to the year's undistributed income? (II applying section 4942(a)(2) to all years listed, answer 'No' and attach statement - see instructions .) N/A

e II the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here. _ i t

3a Did the organization hold more than a 2% direct or indirect interest in any business enterprise at any time during the year? , , � , 0 r~ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yea L . . . . . . . . . . . . . . . . . . . X] No

D It 'Yes," did it have excess business holdings in 2004 as a result of (1) any purchase by the organization 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 gill or bequest or (3) the lapse of the 10-, 15-, or 20-year lirsl phase holding period? (Use Schedule C, Form 4720, to determine if the organization hod excess business holdings in 2004 .) � , � , N/A

4a Did the organization invest during the year any amount in a manner that would jeopardize fits charitable purposes? D Did the organization make any investment in a prior year (but alter December 31, 1969) that could jeopardize its charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2004?

5a During the year did the organization pay or incur any amount to: (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))7 ~ Yes ~ No ~, (2) Influence the outcome o1 any specific public election (see section 4955); or to carry on, directly or indirectly,

any voter registration drive? . . . 0 Yea ~ No "? 31 Provide a grant to an individual for travel, study, or other similar purposes? o Yea EENo (4) Provide a grant to an organization other than a charitable, etc, organization desci abed in section

509(a)(1), (2), or (3), or section 4940(4)(2)? ERI Yes 0 No (5) Provide for any purpose other than religious, charitable, scientific, literary, or educational purposes, or for Y

the prevention of cruelty to children or animals 0 Yes DO No b If any answer is 'Yes* to Sa(t}(5), did any of the transactions fail to quality under the exceptions described m Regulations

section 53 4945 or in a current notice regarding disaster assistance (see instructions)? Organizations relying on a current notice regarding disaster assistance check here " 0

3` c If the answer is 'Yes'to question 5a(4), does the organization claim exemption from the tax because it maintained expenditure responsibility for the grants ST M1- ) 3 ERI Yes 0 No 11 'Yes,' attach the statement required by Regulations section 53 4945-5(d)

6a Did the organization, during the year, receive any funds, directly or indirectly, to pay premiums on a personal benefit contract'? Yes E-X- No

b Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract I! you answered 'Yes' to 6b . also file Form 8870 . .

:wke .~'

~ " ' ~+1V t'Ca,i y

M

. .y-`rj na: N " s,~ r I ~

Form 990-PF (2004)

5 09311108 131839 15511-TRUST 2004 .06030 C . K . BLANDIN RESIDUARY TRU 15511-T1

C . R . BLANDIN RESIDUARY TRUST

No

~~ov. r

i

; .I . i

, lip,

i :. . ̀ `

42354 t 01-03-05

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" . . " . ', . . . "n .

' C ., R : .HLANDIN RESIDOARY TRUST C/O LOWRY HILL 41-6012374

Information About Officers, Directors, Trustees, Foundation Managers, Highly Page e Paid Employees, and Contractors

2 Compensation of five highest-paid employees other than those included on line 1 ) . M none enter "NONE.' (b) Title and average (di concmuaon~ro (e) Expense

(a) Name and address of each employee aid more than $50,000 hours per week emo ogee nrnem os D (c) Compensation ,~a od~,~ account, other devoted to Dosition comoeosmon allowances

oi3o5a5-os Form 99a-PF (2004)

6 D9311108 131839 15511-TRUST 2004 .06030 C . K . BLANDIN RESTDTTARV TRTi 1g;[;11-mi

Total number o1 other employees paid over $50.000 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~ I 0 3 Five highest-paid independent contractors for professional services. H none, enter "NONE."

(a) Name and address of each person paid more than $50,000 (b) hype of service (c) Compensation

Total number of others receiving over $50.000 for professional services 10.

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

NONE

2

3

4

Page 7: 990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/416/416012374/41601… · C-4tabol. " K. BLANDIN RESIDUARY TRUST U0lnerwise. O LOWRY HILL 41-6012374

'1 " ~ . . . . . . . " ,~~ " . .. "y .. . .

C . R . BI.ANDIN RESIDUARY TRUST Form 9WPF(20o4) C/O LOWRY HILL 41-6012374 Page 7

Part IX =B Summary of Program-Related Investments

Amount Describe the two largest pro0ram-related investments made by the foundation during the tax year on lines 1 and 7. .

2

All other ptOqrun"iOl;itpd inv0 :itmOnl3. Sao fnSIruC1i0n9 .

9

09311108 131839 15511-TRUST 2004 .06030 C . K . BLANDIN RESIDUARY TRII 15511-T1

Total. Add lines 1 through 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 0 .

Pdl"t Xt ̀ J Minimum Investment Return (All domestic foundations must complete this part . Foreign foundations, see instructions .)

1 Fair market value of assets not used (or held for use) directly in carrying out charitable, etc., purposes: a Average monthly tar market value of securities . � , . . . to 348 , 011 , 510 . D Average of monthly cash balances . . . . 1D c Fair market value of all other assets 1e d Total (add tines la, b, and c) . � ., , . � .��� . . .�� . . , _ Id 348 , 011 , 510 . e Reduction claimed !or blockage or other factors reported on lines t a and

1c (attach detailed explanation) � , , . , . 1e 0 . 2 Acquisition indebtedness applicable to line 1 assets , . 2 0 . 3 Subtract line 2 horn line 1d 3 3 48 , 011 , 510 . 4 Cash deemed held for charitable activities . Enter 1 12`Yo of line 3 (for greater amount, see instructions) 4 5 , 220 , 173 . 5 Net value of noncAaritaDle-use assets . Subtract line 4 from line 3. Enter here and on Pact V, line 4 5 342 , 791 , 337 . 6 Minimum investment return . Enter 590 of line 5 B 17 , 13 9 567 .

, DistrIbUtabIA Amount (see instructions) (Section A942(1)(3) and (j)(5) private operating foundations and certain foreign organizations check here ljo~ and do not complete this part)

1 Minimum investment ieturn from Part X, line 6 �� , . . . _ . � , , 1 17,139 . 567 . 2a fax on investment income for 20041iom Part VI, line 5 2a 2 0 1 9 S 9 . ' b Income lax for 2004 . (This dons not include the tax from Part VI ), , . ', ., , , 2D 169 , 630 . ',L c add lines 2a and ?.b 2c 371 58 9

3 Disti ibutabla amount before adjustments . Subtract line 2c from line 1 3 16 7 67 978 . 4 Recoveries of amounts heated as qualifying distributions 4 0 . s Add lines 3 and a 5 16 767 . 978 . 6 Deduction from distributable amount (see instructions) ., , .

Pa ; I 8 0 .

7 DiaViDutaDle amount as adjusted. Subtract line 6 horn line 5 . Enter here and on Part XIII, line 1 7 16 767 9 78 .

Part'XII; Qualifying Distributions see instructions)

1 Amounts paid (including administrative expenses) to accomplish charitable, etc ., purposes : a Expenses, contributions, gifts, etc. - total horn Part I, column (d), line 26 _ 1a 17 , 114 , 030 . b Program-related investments - total from Part IX-13 lb 0 .

2 Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc ., purposes 2 3 Amounts set aside for specific charitable projects that satisfy the : a Suitability test (prior IRS approval required) 3a b Cash distribution test (attach the required schedule) 3b

4 Qualifying distributions . Add lines 1a through 3b. Enter here and on Pan V, line 8, and Part XIII, line A 4 17 , 1 14,030 . 5 Organizations that quality under section 4940(e) for the reduced rate of tax on net investment

income Enter 1% of Part I, line 27b 5 201 , 959 . 6 Adjusted qualifying distributions . Subtract line 5 from line 4 6 16 912 , 071 .

Note . The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for the section 4940(e) reduction of fax in those years

Form 990-PF (2004)

423581 01-03-05

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1 DisUibulableamount for 2004 from P11 I A line 7 A 16 767,978 .

2 Un<B3Ulbulod income. d my. as of the and d :.WO3 :

a Entoi tunnunt 1012003 only . . . . . . . . . . . . . . . . . . . . . :+ ~ ~ . ~} y 0 ' .~, . ,c,e ~~na p Iu1a1101 p1 i0i Mu S :

I ' P4y~ `,, i ~ -~y~ 7

9 kxccss (listiibuifons canyovcr, fl any,'to 200 : '`

a from 1999 . . . . '~=.~~,~ k-~ jDFrom2000

c From 2001 dFrom2002 eFrom 2003 21 ,9 33 . I Total of lines 3a through e . ��� ., _ . 21 , 933 . rr ~lt~T,~

tr ~ ~~+ 4 Qualifying distributions ta2004from

Part Xll,line 4 : " $ 17 , 114 , 0 3 0 . ;;~ ;r .

a Applied l0 2003, but not more than line 2a 1) .w ~ :,ti r:~ t:2 ' 0 D Applied to undistributed income of prior v . t ~.a~~ years (Election required - see instructions) Q . S

c treated as distributions out o1 corpus Election requited - see instructions) . . . . . . 01 ~ ' :;1 :i'ra .

- ~"A i:4~~~ d lied l0 2004 distnbutable amount 777".", ' Applied . . . . . . . 16 767 978 . e Remaining amount distributed owl of corpus 346 . 052 ~ .

5 Excess distributions ttrryovp applied t0 ZOW 0 :r,~ O

(~f on amount appears fn column (d~ the same (rtnaint f f feliNtT4k'2~4~

.i~,~F~h must be rhown m column (off)

.NIA

6 Enter the net total of each column as ~-f~~ indicated below : !:

8Capua Acid lines 3l,n e, and 4a. Subtract line S ��� , In . b

367 9 8 5 Prior years' undistributed income. Subtract " line 4b from line 2b . . . . . . . . . . . . . . . . . . . . . . . . . . . . '~~'~: 5;,'~t~~; , .~ . .:~r,~ , ~ 0 , . :

c Enter the amount of prior years' undistributed income for which a notice of deficiency has been issued, or on which the section A942(a) lax has been previously assessed

T

d SubUact line 6c from line 6b . Taxable amount - see instructions . . . . . . . . . . . . . . . . . `f Q ~"~t~3 ; 'T r~i, ~~R x

e Undistributed income for 2003. Subtract line ~ }~;~ 4a from line 2a. Taxable amount see instr. . 0, ;<< 7~-~, "'° , r

I Undistributed income for 2004 . Subtract "} fines 4d and 5 from fine 1 . This amount must be distributed m 2005

7 Amounts treated as distributions out of ;;s : ` ~- ~r~~; ,; '~

corpus to satisfy requirements imposed by section 170(b)(1)(E) or '942 (9)(3) O

8 Excess distributions r v r f 1999 j- Ceryoe rOm ~ ~~ i 'aJ,:~, rtu->,, not applied on line 5 or line 7 0 ~i_t,

9 Excess distributions carryover to 2005 '~t, Subtr act pines 7 and 8 from line 6a 367 , 985 .

10 Analysis of line 9' a Excess from2000 bExcess from 2001 r

b'-,:r,'_C 3^: V ^~3" c Excess If om 2002

d Excess from 2003 21 9 3 3 e Excess from 2004 2 a.-

42357 1 Form 990-PF (2004)

O 1-03-OS

09311108 131839 15511-TRUST 2004 .06030 C . R . BLANDIN RESIDUARY TRU 15511-T1

C . K . BLANDIN RESIDUARY TRUST Form 990-PF (2004) C/O LOWRY HILL 41-6012374 Page e Paft XIII Undistributed Income see mstructrom)

'a' . .I _ 'b, I (c) - I (al

Corpus Years prior to 2003 2003 2004

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instructions and Part VII-A, c

1 a It the foundation has received a ruling or determinalion letter that it is a private operating foundation, and the ruling is effective for 2004, enter the date of the ruling

D Check box to indicate whether the orpan¢alfon is a p rivate o eratin foundation described in 2 a Enter the lesser of the adjusted net Tax ear

income If om Pact I or the minimum (a) 2004 (0) 2003

investment return from Part X for each year listed . . . . . . . . . . . . . . . . . . . . . . . . . .

e 85% of Ihiu 2a c Qualifying disUibutions IrOin Purl XII,

Ifne 4 for each year listed ������ � d Amounts included in lino ?.C not used directly for active conduct of exempt activities . . . . . . . . . . . . . . . . . . . . . . . . .

e Oualitying distributions made directly for active conduct of exempt activities . Subtract line 2d from line 2c

3 Complete 3a, b, or c for the alternative test relied upon:

a 'Assets' alternative test - enter. (1) Value of all assets ��� ,

(2) Value of assets qualifying under section 4942(l)(3)(B)(i)

b 'Endowment alternative test - enter 2/3 0l minimum investment return shown in Part X, line 6 for each year listed

c 'SuppoiY alternative test - enter: (1) Total support other than gross

investment income (interest, dividends, rents, payments on securities loans (section 512(a)(5)), or royalties) � ,

(2) Support from general public and 5 or more exempt organizations as provided in section 4942(j)(3)(B)(iii)

(3) Largest amount of support Iron an exempt organization , �� ,

.ti .

Prior 3 cars (C 12007 (d12001 lel Total

e Any submission deadlines : N/A

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

a~asevoi-a~-os Form 990-PF (2004) 9

09311108 131839 15511-TRUST 2004 .06030 C . R . BLANDIN RESIDUARY TRU 15511-T1

C . R . BLANDIN RBSIDUARY TRUST Form 99o-PF(2oo4) C/O LOWRY HILL "' - : ' Page

,Pait,XV~-~ ~ Supplementary Information (Complete this part only if the organization had $5,000 or more in assets at any time during the year-see page 26 of the instructions.)

1 Information Regarding Foundation Managers : a List any managers of the foundation who have contributed more than 29'e of the total contributions received by the foundation before the close o1 any tax

year (but only if they have contributed more than $5,000) . (See section 507(d)(2).)

NONE D List any managers o1 the foundation who own 10% or more of the stock of a corporation (a an equally large portion of the ownership o1 a partnership or

other entity) of which the foundation has a 10% or greater interest

2 Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs: Check here " [Ifl if the organ¢ation only makes contributions to preselected charitable organizations and does not accept unsolicited requests for funds. It the organization makes gifts, grants, etc. (see instructions) to individuals or agan¢ations under other conditions, complete items 2a, b, c, and d.

a The name, address, and telephone number of the person to whom applications should be addressed. N/A

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

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Total 3a b Approved for future payment

NONE

Total " 3b 1 423807/01-03-OS Form 990-PF (2004)

10 09311108 131839 15511-TRUST 2004 .06030 C . R . BLANDIN RESIDUARY TRU 15511-T1

C . R . HLANDIN RBSIDUARY'TRIIST, ~~-~' Form 99o-PF (2004) C/O LOWRY HILL ~4,1-60.123~74', ~'e t0 . Pait~~XV] Supplementary Information (continued ) 3 Grants end Contributions Paid During the Year or Approved for FutuTo Payment

Recipient II recipient is an individual ~ . .' show any relationship to foundation Purpose of grant a

Name and address (home m business) any foundation manager status of contributron Amount or substantial contributor recipient

a laid dunng the year

RIVATE C .K . BLANDIN FOUNDATION ~OUNDATIOTENERAL i7,osi,5oa .

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C . R . BLANDIN RESIDUARY TRUST Form 99o-PF (2004) C/O LOWRY HILL 41-6012374, Page 11

[Part )-A, Analysis of Income-Producing Activities

Enter gross amounts unless otherwise indicated . iS II1I:UIIIU EJtWOOtI o COCIWn 51z D73 a 014 W

(D) Cli (d) Related m exempt

J 11 Form 990-PF 01303-OS , , (~~41

11

09311108 131839 15511-TRUST 2004 .06030 C . K . BLANDIN RESIDUARY TRU 15511-T1

ousmess 1 Program service revenue: Code amount rr«~~«~ , Amount function income

e b c a 0 1 p teas and contracts from government agencies . . . . . . . .

2 Membership duos and assessments . . . . . . 3 Intciast on savings and temporary cash

investments � , . ����� , �� . , � 4 Dividends and interest from securities 14 6 17 . 045 . 5 Net rental income or (loss) from real estate : t .i_ a Debt- financed property D Not debt- financed property . ., ,

6 Net rental income or (loss) from personal property

7 Other investment income 14 15 , 915 , 532 . 8 Gain or (loss) from sales o1 assets other . .

than inventory _ . . � , . . . , 18 10 , 178 , 824 . 9 Net income or (loss) from special events

10 Gross profit or (loss) from sales of inventory 11 Olherievenue:

a b c d e

12 Subtotal . Add columns (b), (d), and (e) 0 . . r ~.'- 32 , 270 , 401 . 0 . 13 Total . Add line 12, columns (b), (J), and (e) 13 32,27 0 , 401 . (See worksheet in line 13 instructions to verify calculations.) . . . � ,

~Pa!t XVI-B Relationship of Activities to the Accomplishment of Exempt Purposes

Line No . I Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to the accomplishment of the organization's exempt purposes (other than by providing funds la such purposes) .

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1 Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of YAS NO the Code (other than section 501(c)(3) organizations) or in section 527, relating to political orqanirations? '

a franslers from the reporting organization to a noncharitable exempt oiganintion of (1) Cash ���� , . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1a t X (2) Other ascots . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . , to 2 X

b Other transactions: 0 (1) Sales of assets to a noncliatilablo exempt organization . . . . . . ��� , � ��� , , , , � , �� � , � , ��� , ��� , 1D 1 X

_ � _ , �� � � � , ������ ��� �� ����� , , �� 1(2) Purchases al ;ssots from a noncharitablo oxompt organization �� , D X (3) R(tntal of facilities, equipment, or other assets ������� � , ����� , , � , � � , , , ���� , , , �� , , ����� , 1E 9 X (4) Hotmbuiscmenl aiianpcmcnts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1D d X ($) L0111S or loan guarantees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . jA US - -X (6) Pciloimanco of services or membership or tundraislnp solicitations 1D B X

c Sharing of facilities, equipment, mailing lists, other assets, or paid employees 1c X d II the answer to any of the above is Yes; complete the following schedule. Column (p) should always show the fair market value of the goods, other assets,

or services given by the reporting organization. II the organization received less than tae market value m any transaction or sharing arrangement, show in

28 Is the organization directly a indirectly affiliated with, or related to, one or more tax-exempt organintions described m section 501(c) of the Code (other than section 501(c)(3)) or in section 527? ED Yes M No

2004 .06030 09311108 15511-TRUST

C . K . BLANDIN RESIDUARY TRUST Form 99U-PF(20o4 C/O LOWRY HILL 41-6012374 Pa Q812 Part=XV11' Information Regarding Transfers To and Transactions and Relationships With Noncharitable

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Form 2220 Underpayment of Estimated Tax by Corporations III,- See separate Instructions. Departmorit W the Troa,tRy IN.- A" Ill. rom u ' c t

OMB No. 1545-0142

tritvnal 'Vv. swko ac e corpora on s ax Ire or .. pQXLM 0 - Fr Name C . K. BLANDIN RESIDUARY TRUST Employer identification number

C/O LOWRY HILL 41-6012374 Note : In most trios, the corporation is not required to file Form 2220 . (see Part I below for exceptions) because the IRS will figure any penalty owed and bill the

Coipoi :dion. Evan it Form 2220 is not required, the corporation may still use it to figure the penalty. In such a case, ants the amount front page 2, line 38 on

Part~l~~ Keasons for riling -Check the boxes below that apply . II any boxes are checked, and line G, below, is $500 or rnoro, the corporation moat file Form 2220, even it it cops not owe e penalty.

1 CD 'I ho cat poralion is using the ad juslod seasonal Inslillmenil if lot hod. 2 M 'I ho cot pnralion IS using The annualized Income installment mothal .

c Credit for federal tax paid on fuels (see instructions) , . . _ 5c d Total . Add lines 5a through 5c � , ., . .,

6 Subtract line 5d from line 4. II the result is less than $500, do not complete or file this lam. The corporation does not owe the penalty . . . ., . . . . . . . ., �

7 Enter the tax shown on the corporation's 2003 income tax return. Caution : lithe taxis zero or the tax year was for less then 12 months, skip this line and enter The amount from line B on line 8

7 line

9 Installment due dates. Enter In col (n) through (d)tho 15th day of the 41h (Form 990-PF filers : Use 5th Monthl 61h . 91h. and 121h me* of the cppantlOfl'o 1M y0.'n

Exception . 111 one Of yaw Installment duo dales la Sept 15. 2004 . o00 the instructions,

10 Required installments . n the box a, ilno t one/« line 2 above Is chocked. onto Ihe tvnOUnta ban $ChoWlo l~ line 38 . h 'he box on In 9 (but not 1 Of :)1s MoptpH, sea Instructions for file amounts to enter. II none of IhR.A boxes are chocked. enter zsx w m e above In o3ch column . . . . . .

11 Estimated tax paid or credited for each period (see instructions). For column (a) only, enter the amount from line 11 on line 15 Complete lines 12 tArouph~18~o1 one column before going to the next column .

12 Enter amount, d any, from line 18 of the preceding column

13 Add lines 11 and 12 . 14 Add amounts on lines 16 and 17

of the preceding column 15 Subtract line 14 from line 13 . II

zero or less, enter -0- 16 It the arnoctrif on line is is

zero.

subtract

line 73 from ime 14 Otherwise, only -O-

17 Underpayment if line t5 .5 less than w equal to line 10, subtract Irne 15 from line 10 Then go to line 12 0l the nest column Otherwise go to line is

18 Overpayment If Line 10 is less than fine 15, subtrxt line 10 hom line 15

1 . 5 , 405 . 1 . 86,405 .

1 . 86 , 405 . ., t~_r,,ti 15 56 375 . 37 . 526 .

~s . . -�. . a, . . . I 0 .

16 09311108 131839 15511-TRUST 2004 .06030 C . K . BLANDIN RESIDUARY TRU 15511-T1

- 4 Total tax (see instructions) �

5 a Personal holding company tax (Schedule PH (Form 1120), line 26) Included on line A D Look-back interest included on line 4 under section 460(b)(2) la completed long-term contracts or of section 167(8) for depreciation under the income forecast method

8 Enter the smaller of line 6 or line 7 If

- .,

37 , 526 . 10 , 885 . 37 , 526 . 10 , 885 .

1, Fv~ ~+lf . _

.i .

7

Then q0 IO Im9 72 OI IfiC nE%1 WlVmn I 10 I J / , J 4 V " I 1 V , V V J " 1 V , J V .L " I .J Y V J . 1r='~?~. Y_';:.~-:=,-7 2~L',:?

Go to Part III on pane 2 to figure the penalty. Do not no to Part 111 if there are no entries on line 17 - no penalty is owed a~28ot o,-os-as JWA For Paperwork Reduction Act Notice, see separate instructions form 2220 (2404)

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NumOd of days from duo data al 1100-20 mad an M P to the (Life Chown on line 10

NUfn11tt pi (IAyO 011 line 20 filter 21 utWaou4 and ~mno Wt/:Ow

22 Underpayment on Ihno 17 x

Number of tfayn on Ibw 21 x (i% 900

Number o1 drays on line 20 nna 3 6/908004 and bolas 1U/1/2004

24 Underpnymmt on line 17 x

Numbs of days on Ilno 23 x 4%

900

Numbs of days m line 20 after 25 e13oi200+ and before 111n005 26 Underpayment on line 17 x

Numbs of days on line 25 x 59A 388

Numbs of days on Ina 20 after 12/31/2004 27 and before M112003

28 Underpayment an line 17 x

Number of days on line 27 % 5%

385

29 Numbs o1 drays on Imo 20 after 3x3512005 and base T/ tf2005

30 Underpayment an line 17 x

NumDtr of dmm on line 29 x "16

306

Number of day0 on line 20 offer 31 8/30/2005 ma eoiao ,0i1n005 32 Underpayment on line 17 x

Numbs of d.yyo on line 31 x 'A

905

Numbs of Wy0 an line 20 nflp 33 0r3a2005 ova bc+ao 1/1n00e 34 unoaPaymont online 17 x

Number of days on line x IA 365

Numbs of days m line 20 after 35 ,zninoos ono before vierrooa

36 Undvpoymcrd on line 17 x

Number of days on Ime 35 x '% 305

37 Add Imes 22 .24,28,28.30.32. 34, b 30

38 Penalty . Add columns (a) Through (e), of line 37 . Enter the local here and on Form 1120; line 33, Form 1120-N line 29; or the comparable line for other income tax returns

1

)9311108 131839 15511-TRUST 2004 .06030 C . K . BLANDIN RESIDUARY TRU 15511-T1

FORM 11990-PF . . .C . R . BLANDIN RESIDUARY TRUST Form 222o(2004) C/O LOWRY HILL 41-6012374 Pane 2

' .'Part~llt1 Figuring the Penalty ,

1s Enter the dato 01 payment or the 15th d3y of the Net month Ufta the Cbco p1 the tax Gr, whkApvct U anllp l~ ImWOtlono rFoim 990-PF end Form 990-7 filers : use sin nwnih InWoad of 3id

For underpayments paid after March 31, 2005: For lines 30, 32, 34, aid 36, use the penalty interest rate for each calendar quarter, which the IRS will determine during the first month m the preceding quarler . These rates are published quarterly m an IRS News Release and m a revenue ruling m the Internal Revenue Bulletin. To obtain this information on the Internet, access the IRS websde at www irs gov You can also call 1-800-829-1040 to get intere st s a te information .

JWA form 2220 (9004)

412802 01-24-OS

Page 15: 990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/416/416012374/41601… · C-4tabol. " K. BLANDIN RESIDUARY TRUST U0lnerwise. O LOWRY HILL 41-6012374

2 Enter taxable income for each period for the tax year

t~" ,SIP 11b 14 }~~rit~;,~4,

C i

12

13

18 For each period, enter the same type of credits as allowed

Form 2220 (2004) 18

2004 .06030 C . K . BI.ANDIN RESIDUARY TRU 15511-T1 09311108 131839 15511-TRUST

C K"' RESIDUARY TRUST C/O LOWRY HILL 41-6012374 B Form 2220 2004 FORM 0 - P F Page 3 - S"CheCiul6 A'J Adjusted Seasonal Installment Method and Annualised Income Installment Method (see instructions) Foim 1120S filers : Fm lines t, 2, 3, and 21, below, laxable income' refers to excess net passive income or the amount on which tax is imposed under section 1374(a), whichever applies.

Part I -Adjusted Seasonal Installment Method [Caution : use this method only it the base period pot cema e for

firsl3 I First 5 I First e I First > > t Enter taxable Income for the lollowinp periods:

1

3 Enter taxable income low the following periods:

c i ax year oepinnmg m zuus 4 Divide the amount in each column on line to by the

5 Divide the amount in each column on line 1b by the amount in column (d) on line 3b.

6 Divide the amount in each column on line tc by the amount in column (d) on line 3c.

10 Figure the lax on the amt on In 9 using the inso lot Form

1b Divide the amount in columns (a) IN ouph (c) on line 3a

D Divide tie amount in columns (a) through (c) on line 3b

c Divide the amount in columns (a) through (C) on line 3C

14 Multiply the amount m columns (a) through (c) of line 10

by columns (a) Through (c) of line 13. In column (d), enter

the amount from line 10 . Column (d).

15 Enter any alternalrve minimum tax for each payment period (see instructions).

16 Enter anv other saxes

First 4 I First 6 I First 9 Entire year

19 Total tax after credits. Subtract line 18 from line 17 . II zero or less, enter -4-

ai2e2i o 1-oa-os JWA

Page 16: 990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/416/416012374/41601… · C-4tabol. " K. BLANDIN RESIDUARY TRUST U0lnerwise. O LOWRY HILL 41-6012374

28 For each period, enter the same type o1 credits as allowed on Form 2220, lines 4 and Sc (see instructions

29 Total tax after credits. Subtract line 28 from line 27. II

Part 111 - Required Installments

Note : Complete lines 32 through 38 0l ono column before completing the next column .

32 II only Part I or Part II is completed, enter the amount in each column from line 19 or line 31 . II both pats ale completed, enter the smaller o1 the amounts in each column from line 19 or line 31 .

33 Add the amounts in all preceding columns of line 38 (see instructions).

34 Adjusted seasonal or annualised income installments . Subtract line 33 from line 32. II zero or tens, enter -0- .

35 Enter 25% of line 8 on page 1 of Form 2220 in each column. (Note : 'Large corporations,' see the instructions for line 10 for the amounts to enter.)

36 Subtract line 38 of the preceding column from line 37 0l the preceding column .

37 Add lines 35 and 36. 38 Required installments Enter the smaller of line 34 or

line 37 here and on page 1 0l Form 2220, line 10 (see instructions) .

JWA

2nd

~~ . .

5,480 .1 86,050 . form 2220 (2004)

412822 01-03-0.5

19 09311108 131839 15511-TRUST 2004 .06030 C . K . BLANDIN RESIDUARY TRU 15511-Tl

C 'K : BLANDIN RESIDUARY TRUST .C/O LOWRY .HILL Form 2220 2004 FORM 0-PF Part 11 - Annualized Income Installment Method * * . la) ~D)

First 2 First 3

21 Enter taxable income for each annual'¢alion period (sae

24 Figure the tax on the amount on line 23 using the Instructions lug Form 1120, Schedule J, line 3 (or comparable line of corporation's return).

25 Enter any alternative minimum tax log each payment

ntcr

1st

41-6012374

(c) (d)

First ( First

3rd I 4th

** ANNUALIZED INCOME INSTALLMENT METHOD USING STANDARD OPTION

Page 17: 990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/416/416012374/41601… · C-4tabol. " K. BLANDIN RESIDUARY TRUST U0lnerwise. O LOWRY HILL 41-6012374

C . K .,BLANDIN RESIDUARY TRUST C/O LOWRY 41-6012374

FORM 990-PF DIVIDENDS AND INTEREST FROM SECURITIES STATEMENT I

CAPITAL GAINS COLUMN (A) DIVIDENDS AMOUNT

0 . 3,293,395 . 0 . 2,882,650 .

0 . 6,176,045 .

SOURCE GROSS AMOUNT

DIVIDENDS 3,293,395 . INTEREST 2,882,650 .

TOTAL TO FM 990-PF, PART I, LN 4 6,176,095 .

FORM 990-PF OTHER INCOME STATEMENT 2

PARTNERSHIP DISTRIBUTIONS PARTNERSHIP INCOME - SEE STMT 14

TOTAL TO FORM 990-PF, PART I, LINE 11, COLUMN A

STATEMENT 3 LEGAL FEES

(A) (B) (C) (D) EXPENSES NET INVEST- ADJUSTED CHARITABLE PER BOOKS MENT INCOME NET INCOME PURPOSES

12,387 . 0 . 0 . 12,387 .

12,387 . 0 . 0 . 12,387 .

DESCRIPTION

LEGAL

TO FM 990-PF, PG 1, LN 16A

FORM 990-PF ACCOUNTING FEES STATEMENT 4

(C) ADJUSTED NET INCOME

0 .

0 .

(D) CHARITABLE PURPOSES

10,020 .

10,020 .

(A) (B) EXPENSES NET INVEST-

DESCRIPTION PER BOOKS MENT INCOME

ACCOUNTING 10,920 . 0 .

TO FORM 990-PF, PG 1, LN 16B 10,920 . 0 .

13 STATEMENT(S) 1, 2, 3, 4 09311108 131839 15511-TRUST 2004 .06030 C . K . BLANDIN RESIDUARY TRU 15511-T1

DESCRIPTION

FORM 990-PF

AMOUNT

14,791,608 . 1,123,924 .

15,915,532 .

Page 18: 990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/416/416012374/41601… · C-4tabol. " K. BLANDIN RESIDUARY TRUST U0lnerwise. O LOWRY HILL 41-6012374

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

DESCRIPTION PER BOOKS MENT INCOME NET INCOME PURPOSES

0 . 121 . 0 . 0 .

0 . 0 .

0 . 0 .

0 . 0 .

0 . 121 .

0 . 28,750 .

2,847 .

35,064 .

138,900 .

121 . 28,750 .

2,847 .

35,064 .

138,900 .

205,682 . 205,561 . TO FORM 990-PF, PG 1, LN 23

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

U .S . OTHER FAIR MARKET GOVT GOVT BOOK VALUE VALUE

X 57,089,645 . 57,667,901 .

57,089,645 . 57,667,901 . TOTAL U .S . GOVERNMENT OBLIGATIONS

TOTAL TO FORM 990-PF, PART II, LINE 10A 57,089,645 . 57,667,90.1 .

14 STATEMENT S) 5, 6, 7 13471111 131839 15511-TRUST 2004 .06030 C . R . BLANDIN RESIDUARY TRU 15511-T1

C . K . HLANDIN RESIDUARY TRUST C/O LOWRY 41-6012374

FORM 990-PF TAXES STATEMENT 5

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

DESCRIPTION PER HOOKS MENT INCOME NET INCOME PURPOSES

FEDERAL AND STATE TAXES 233,772 . 0 . 0 . 0 .

TO FORM 990-PF, PG 1, LN 18 233,772 . 0 . 0 . 0 .

FORM 990-PF OTHER EXPENSES STATEMENT 6

MISCELLANEOUS DEDUCTIBLE FEES CONSULTANT FEES - DEMARCHE INVESTMENT MANAGEMENT FEES -TOCQUEVILLE INVESTMENT MANAGEMENT FEES -BARCLAYS INVESTMENT MANAGEMENT FEES -SPRUCEGROVE

DESCRIPTION

US OBLIGATIONS-SEE STMT 10

TOTAL STATE AND MUNICIPAL GOVERNMENT OBLIGATIONS

Page 19: 990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/416/416012374/41601… · C-4tabol. " K. BLANDIN RESIDUARY TRUST U0lnerwise. O LOWRY HILL 41-6012374

TOTAL TO FORM 990-PF, PART II, LINE 13 126,044,497 . 122,099,638 .

15 STATEMENT S) 8, 9 09311108 131839 15511-TRUST 2004 .06030 C . R . BLANDIN RESIDUARY TRU 15511-T1

IC . R . BLANDIN RESIDUARY TRUST C/O LOWRY 41-6012374

FORM 990-PP "'. CORPORATE STOCK STATEMENT 8

FAIR MARKET DESCRIPTION BOOK VALUE VALUE

::ORPORATfi STOCKS-SEE STMT 10 137,212,872 . 173,754,64 .

TOTAL TO FORM 990-PF, PART II, LINE lOB 137,212,872 . 173,754,649 .

FORM 990-PF OTHER INVESTMENTS STATEMENT 9

FAIR MARKET DESCRIPTION BOOK VALUE VALUE

OTHER-SEE STMT 10 126,044,497 . 122,099,638 .

Page 20: 990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/416/416012374/41601… · C-4tabol. " K. BLANDIN RESIDUARY TRUST U0lnerwise. O LOWRY HILL 41-6012374

STATEMENT I O

L iIInRI .LS I. RL.wNDIN TRUST al-bul :57d .0U: I URNS "0 Pf

%W I SI,NMAkS COST ,C F\fV m \ ca r FnAtd I ;PI1 :Op.f

11~')52 11 596,01 Ilj<9§;Q? 11~95;Qs 11596M5 11 59 11 59 .0 : 1154_10 j

%i Col; i tn"

CASfI - g) al CASH EJliIVqI .FNTS ?829)9 :24,273 125,747 130510 511239 1,600,703 ('ORPOR.\TI . STCX'K 116 305 465 12 .062.e37 91-19_S50 2.4M, 150 179,999,623 BONDS VS 1 296,602 ~ 62,101 .739 62,3,961 BONDS OTliLR CONVERTIBLE SECURITIES LAND

BUILDING

- MISC 38.849.422 I2,MJ.09~ 15.713.33] Xq131 Q,£47,763 120,911,76) 116588,s08 12,583 .332 38.849e21 22,168.8e1 15,715 .753 9=6,273 106.1 18,310 32 .910,139

AT F(1l7 - ]nn4

C VtiH CAS14 f0 111V I L[\7 S 1101932 8,593 =52:6 5_590 26,90 426.429 2,21,333 ('ORpnRATE CTnCK 111 155 255 9 7,3 573 3 253 IE6 9.789 I0, 15.':,5u 2.901,5_1 137,212,Q72 BONDS (IS 2 655671 76.W.97 57.0S9 .643 BONDS 01 HER Cr1vA'EFTiRI F SCC'URITIfS LAND BUILDING

MISC 2S,:9S.5)S SL2S9,5:< 26.397 .413 2_197,170 :Il,le6,'.S+ 126.044.497 117457 19 ; 10417, $37 2 5 513 OS1 3 .335 717, 32.259824 26937.292 197 170 10.114b1 i 7-,,399,i76 321.768,567

A f I %1%' - `0o4

CASH

CASH hOUI% ALENTS 1 701 932 8 593 =9 2=6 8-590 ~ 26,490 924y:9 1-411,333 CORPOR%TfSTOCK 136706 503 14,9=17+3 J6<:%0 133,167 Ii F1i,51S 3,7 31,GC6 113,734,644 BONDS I i5 19 683035 - 36.954 .6+% 37,667,901 BONDS OTHER COvVERTIRLF SCCI rRITIES [ .A'-TD BUILDING %115C. :s,030056 34' 779 796 20,816 536 .: 197 1i0 I I:.094.6)8

13500F454 15 611373 24 129.302 ) 7:} .4S 3779,796 20,978,194 24 197.1A 1e,6 .93-192 74_865,860 355,943.736

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N 0 0 Y ras26087 (6-aa2540e)

r

LOv. .- .' HILL ~

PAGE S

STATEMENT OF ASSETS AHD LIABILITIES C K BLAliDIN-RESIDUARY U/W AS OF DECEMBER 31, 2004 ACCOUNT NUMBER 11596200

STATEMENT OF ASSETS AND LIABILITIES

COST VALUE MARKET VALUE $ TOTAL ESTIMATED CURRENT PAR VALUE/SHARES DESCRIPTION UNIT COST UNIT PRICE MARKET ANNUAL INCOME YIELD

PRINCIPAL CASH 501,349 .20- 501,349 .20-

INCOME CASH 501,349.20 501,349.20-

CASH EQUIVALENTS

1,301,932 .02 WELLS FARGO CASH INVESTMENT 1,301,932 .02 1,301,932 .02 0.94 29,683 2 .28 MONEY MARKET SVC CLASS 250 REBATE 1 .000 1 .000

TOTAL CASH EQUIVALENTS 1,301,932 .02 1,301,932 .02 0 .94 29,683 2 .28

TAXABLE BONDS

20,000 FRAC CUSIP TIMCO AVATION SERVICES 0 .00 0 .02 0 .00 1,600 $800000 1 UNIT = 100,000 0 .000 0 .000

389 TIMCO AVIATION SVCS INC 2 .00 19 .45 0 .00 31 159 .38 DTD 09/20/02 8 . 000 01/02/2007 0 .514 5 .000

TOTAL TAXABLE BONDS 2 .00 19 .47 0 .00 1,631 E8376 .9

EQUITIES WRY' H GROWTH U

27,100 BAC FINANCIAL GROUP, INC . COM 1,533,383 .50 2,225,723 .00 1 .61 13,550 0 .61 56 .582 82 .130

27,695 AMERICAN INTL GROUP INC 1,757,650.22 1,818,730 .65 1 .32 8,309 0 .4b 63 .465 65 .670

20,800 APACHE CORP 957,801 .56 1,051,856 .00 0 .76 6,656 0 .63 46 .048 50 .570

121,800 APPLIED MATERIALS INC 951,005 .25 2,082,780 .00 1 .51 0 0 .00 . 7 .808 17 .100

45,600 AVON PRODS INC 1,122,897 .70 1,764,720.00 1 .28 25,536 1 .45 24 .625 _38 .700

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LOWRYHILL

PAGE 6

STATEMENT OF ASSETS AND LIABILITIES C K BLANDIN-RESIDUARY U/W AS OF DECEMBER 31, 2004 ACCOUNT NiA'18fR 11596200

STATEMENT OF ASSETS AND LIABILITIES COST VALUE MARKET VALUE Y TDTAL ESTIMATED CURRENT

PAR VALUE/SHARES DESCRIPTION UNIT COST UNIT PRICE MMET ANNUAL INCOME YIELD

27,400 CARDINAL HEALTH INC COM 1,478,286 .40 1,593,310 .00 1 .15 3,288 0 .21 53 .952 58 .150

26,121 CAREMARK RX INC 941,490 .14 1,029,951 .03 0 .75 0 0 .00 36 .043 39.430

38,500 CINTAS CORP 1,495,742 .5,0 1,688,610.00 1 .22 11,165 0.66 38 .850 43 .860

32,700 CITIGROUP INC 1,388,765 .36 1,575,486 .00 1 .14 52,320 3 .32 42 .470 48 .180

61,100 COMCAST CORP-SPECIAL CL A 1,853,255 .60 2,006,524.00 1 .45 0 0.00 30.332 32 .840

55,000 DELL INC 1,868,985 .50 2,317,700.00 1 .68 0 0.00 33 .982 42 .140

51,400 FIRST DATA CORP 1,307,657 .12 2,186,556 .00 1 .58 4,112 0 .19 25 .441 42 .540

33,400 KOHLS CORP 1,532,213 .86 1,642,278 .00 1 .19 0 0 .00 45 .875 49 .170

29,700 MEDTRONIC INC 289,578 .70 1,475,199 .00 1 .07 9,950 0 .67 9 .750 49 .670

60,620 MICROSOFT CORP 22,416 .77 1,619,766 .40 1 .17 19,398 1 .20 0 .370 26 .720

24,400 MQRGAN STANLEY 306,589 .85 1,354,688 .00 0 .98 26,352 1 .95 COM 12 .565 55 .520

23,075 NOBLE CORPORATION 767,448 .22 1,147,750 .50 0 .83 0 0 .00 33 .259 49 .740

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LO~~~xY HIL L 19 PAGE "I

STATEMENT OF ASSETS AND LIABILITIES C K BLAHDIN-MSIDUARY U/V AS OF DECEMBER 31, 2004 ACCOUNT NUMBER 115%200

STATEMENT OF ASSETS AND LIABILITIES COST VALUE MARKET VALUE $ TOTAL ESTIMATED CURRENT

PAR VALUE/SHARES DESCRIPTION UNIT COST UNIT PRICE MARKET ANNUAL INCOME YIELD

71,565 PFIZER INC 2,212,615 .83 1,924,382 .85 1 .39 . 54,389 2 .83 30.918 26 .840

112,000 SCHWAB CHARLES CORP NEW 1,018,028 .97 1,339,520.00 0 .97 8,960 0 .67 9 :090 11 .960

49,400 SYSCO CORP 1,625,400.70 1,885,598.00 1 .37 29,640 1 .57 32 .903 38 .170

31,400 TARGET CORP 973,593 .11 1,630,602 .00 1 .18 10,048 0 .62 31 .006 51 .930

18,300 UNITED PARCEL SERVICE-CL B 1,022,658.89 1,563,918.00 1 .13 20,496 1 .31 55 .883 85 .460

18,200 UNITED TECHNOLOGIES CORP 882,752.78 1,880,970.00 1 .36 25,484 1 .35 48 .503 103 .350

19,400 UNITEDHEAITH GROUP INC 258,337 .65 1,707,782 .00 1 .24 582 0 .03 13 .316 88 .030

OTHER COMMON STOCKS 15,200 AUTOZONE INC

GENERAL ELECTRIC CO

N e

n TRS 16007(6-00 25406)

..

..

..

28,900

35,905

23,020

43,600

BARR LABS INC COM

BOSTON SCIENTIFIC CORP COM

CINCINNATI FINANCIAL CORP

1,079,205 .02 1,387,912 .00 1 .01 0 0 .00 71 .000 91 .310

1,194,369 .05 1,316,106 .00 0 .95 0 0 .00 41 .328 45 .540

1,261,635 .62 1,276,422 .75 0 .92 0 0 .00 35 .138 35 .550

826,020 .54 1,018,865 .20 0 .74 25,322 2 .49 35 .883 44 .260

1,188,100 .00 1,591,400 .00 1 .15 38,368 2 .41 27 .250 36 .500

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LOWRY H I L L

TOTAL EQUITIES 111,155,258 .22 136,706 .502 .53 99 .06 1,903,874 1 .39

TOTAL I MIESTMElfT'S 112,457,192 .24 138,008,454 .02 100.00 1,935,188 1 .40

PAGE 8

STATEMENT OF ASSETS AND LIABILITIES C K Bi.AJfD I M-RES I DUARY UN AS OF DECEMBER 31 . 2004 ACCOUNT NUMBER 115%200

STATEMENT OF ASSETS AND LIABILITIES CWT VALUE MARKET VALUE $ TOTAL ESTIMATED CURRENT

PAR VALUE/SHARES DESCRIPTION UNIT COST UNIT PRI`Cf MARKET ANNUAL INCOME YIELD

19,800 HUGOTON ROYALLY TRUST 151,951 .79 518,760.00 0.38 41,263 7 :95 7 .674 26 .200

30,200 JOHNSON b JOHNSON 1,594,786:77 1,915,284.00 1 .39 34,428 1 .80 52 .808 63 .420

97,405 LIBERTY MEDIA CORP NEW 845,663.50 1,069,506 .90 0.77 0 0.00 COM SERA 8.682 10 .980

76,700 MATTEL INC 1,445,437 .42 1,494,883.00 1 .08 34,515 2 .31 18 .845 19 .440

16,335 STATE STREET CORP 697,704.09 802,375.20 0.58 11,108 1 .38 42 .712 49 .120

TOTAL COMMON STOCK

OTHER EQUITIES 11,725 BP PLC - ADR 560,565 .21 684,740.00 0.50 19,487 2.85

SPONSORED ADR 47 .809 58 .400

1,323,453 .486 fl5`ff-pfQl~P'T"S~'''~NDEX FUND - 13,998,247 .09 '~74~;(~k8 " ~ 11 .41 571,732 3 .63 INSMITIONAL GLASS If558 10.577 11 .900

596,513.894 ;eAblPvE7P`'T~t'sSt'1A~ti'-CAP ST!C FO f 13,077,411 .08 -,~5;~198;502:64-- 11 .59 158,076 0.99 21 .923 26 .820

327,844.326 YANGFJ y~NDE-J(~ FUND--~NYZSTOR 31,513,665 .12 36"'C~;540~~ 26 .52 639,296 1 .75 SHARE 96 .124 111 .640

479, 938 . 459 WF,~,~`~4~'SI4A~d;~CA~SF~< GROWTH 14, 151, 938 . 74 ,10. 70 48 0.00 FUND - INSTITUTIONAL CLASS 29 .487 30 .770

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" '1 "I4

LOV\,-r:Y H I L L

STATEMENT OF ASSETS AND LIABILITIES COST VALUE MARKET VALUE $ TOTAL ESTIMATED CURRENT

PAR VALUE/SHARES DESCRIPTION UNIT COST UNIT PRICE MARKET ANNUAL INCOME YIELD

PRINCIPAL CASH 4,579 .88- 4,579 .88-

INCOME CASH 4,579 .88 4,579 .88 r

CASH EQUIVALENTS

8,593 .17 WELLS FARGO CASH INVESTMENT 8,593 .17 8,593 .17 0 .06 196 2 .28 MONEY MARKET SVC CLASS 250 REBATE 1 .000 1 .000

.. TOTAL CASH EQUIVALENTS 8,593 .17 8,593 .17 0.06 196 2 .28 TAXABLE BONDS

8,388 ISHARES TR 1-3 YR TREAS INDEX FD 685,670 .69 683,034 .84 4 .37 15,484 2 .27 81 .744 8 1 .430

TOTAL TAXABLE BONDS 685,670 .69 683,034 .84 4 .37 15,484 2 .27

EQUITIES WRY 2M A 8,711 AO INC 535,581 .33 609,247 .42 3 .40 8,613 1 .41

v COM 18 .654 21,220 r '= 18,845 AFTERMARKET TECHNOLOGY CORP COM 217,741 .36 303,404.50 1 .94 0 0 .00

11 .554 16.100

30,886 AMERICAN PWR CONVERSION CORP 514,943 .03 660,960.40 4.23 12,354 1 .87 16 .672 21 .400

13,895 ARBITRON INC 371,002 .87 544,406 .10 3 .49 0 0 .00 26 .700 39 .180

14,330 BARNES & NOBLE INC 178,011 .98 462,429.10 2 .46 0 0.00 12 .422 32 .270

15,440 BEMIS INC 269,671 .92 449,149 .60 2 .88 9,882 1.20 17 .466 29 .090

t I

PAGE 3

STATEMENT OF ASSETS AND LIABILITIES C K BLANDIN RES - LH SMALL GAP AS OF DECEMBER 31, 2004 ACCOUNT N11RBER 11596201

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LOWRY HIL L

" ~ --~ --

PAGE 4

STATEMENT OF ASSET'S AND LIABILITIES C K BLAMIN RES - LH SMALL CAP AS OF DECEMBER 31 . 2004 ACCOUNT N11118ER 115%201

STATEMENT OF ASSETS AND LIABILITIES PAR VALUE/SHARES DESCRIPTION ~UJdITVC05T AU~NI

ET VALUE % TOTAL T PRICE MARKET ANJ~IAL~IN~ME YIELD

22,578 CASEYS GEN STORES INC 283,898 .76 409,790.70 2 .62 3,612 0 .88 12 .574 18 .150

9,580 CHOICEPOINT INC COM 330,677 .78 440,584 .20 2 .82 0 0.00 34 .518 45 .990

21,470 DARDEN RESTAURANTS INC 375,360.89 595,577 .80 3 .81 1,718 0 .29 17 .483 27 .740

12,415 DENTSPLY INTL INC COM 291,700 .90 697,723 .00 4 .47 2,980 0 .43 23 .496 56 .200

7,242 FOSSIL INC CQM 180,766 .09 185,684 .88 1,19 0 0.00 24 .961 25 .640

14,825 GENTEX CORP 573,635 .41 548,821 .50 3 .52 10,081 1 .84 38 .694 37 .020

17,670 HARTE-HANKS COMMUNICATIONS INC 277,435 .52 459,066 .60 2 .94 2,827 0 .62 COMMON STOCK 15 .701 25 .980

8,778 HNI CORPORATION 331,771 .62 377,892 .90 2 .42 4,916 1 .30 37 .796 43 .050

12,213 LEUCADIA NATL CORP COM 360,667 .31 848,559.24 5 .43 4,580 0.54 29 .531 69 .480

15,502 LIZ CLAIBORNE INC 447,051 .52 654,339 .42 4 .19 3,488 0 .53 28 .838 42 .210

2,005 MARKEL HOLDINGS 363,138 .39 729,820.00 4 .67 0 0 .00 181 .116 364 .000

9,634 NEWFIELD EXPL CO COl1 306,107.87 568,887.70 3 .64 0 0.00 31 .774 59 .050 --

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ru 26087 (6-00-2s4os)

-- LOV, i'.z' HILL

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STATEMENT OF ASSETS AND LIABILITIES C K BLANDIN RES - LH SMALL CAP AS OF DECEMBER 31 . 2044 ACCOUNT NUMBER 115%201

STATEMENT OF ASSETS AND LIABILITIES

COST VALUE MARKET VALUE $ TOTAL ESTIMATED CURRENT PAR VALUE/SHARES DESCRIPTION UNIT COST UNIT PRICE MARKET ANNUAL INCOME YIELD

14,298 PINNACLE WEST CAP CORP 554,581 .49 634,974 .18 4 .07 27,165 4 .28 38 .787 44 .410

12,505 RADIAN GROUP INC 398,849 .68 665,766 .20 4 .26 1,000 0.15 COM 31 .895 53 .240

26,565 REGAL ENTERTAINMENT GROUP- CL A 475,584 .38 551,223 .75 3 .53 31,878 5 .78 17 .903 20 .750

15,754 SCHOOL SPECIALTY INC COM 319,158.70 607,474 .24 3 .89 0 0 .00 20 .259 38 .560

18,258 SELECT COMFORT CORPORATION 320,427 .94 327,548.52 2 .10 0 0 .00 17 .550 17 .940

11,425 STERICYCLE INC COM 144,781 .60 524,978 .75 3 .36 0 0 .00 12 .672 45 .950

21,466 STERIS CORP COM 512,120.76 509,173 .52 3 .26 0 0 .00 23 .857 23 .720

12,079 UNITED STATIONERS INC COM 498,003 .18 558,049 .80 3 .57 0 0 .00 41 .229 46.200

7,875 ZEBRA TECHNOLOGIES CORP CL A 144,585 .54 443,205 .00 2 .84 0 0.00 18 .360 56 .280

OTHER COMMON STOCKS 12,745 PATTERSON COS INC 146,315 .48 553,005 .55 3 .54 0 0 .00

COM 11 .480 43 .390

TOTAL OTHER COMMON STOCKS --s-.5v

TOTAL EQUITIES 9,723,573 .30 14,921,744 .57 95 .57 125,095 0 .84

TOTAL I M/E5171EN7"S 10, 417, 837 .16 15, 613, 372 . 58 100.00 140,775 0.96

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LOWRYHILL

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STATEMENT OF ASSETS AND LIABILITIES C K BLANDIN RES- INCOME PARTNERSHIPS AS OF DECEMBER 31, 2004 ACCOUNT NUMBER 11596202

STATEMENT OF ASSETS AND LIABILITIES COST VALUE MARKET VALUE $ TOTAL ESTIMATED CURRENT

PAR VALUE/SHARES DESCRIPTION UNIT COST UNIT PRICE MARKET ANNUAL INCOME YIELD

PRINCIPAL CASH 597,614 .19 597,614 .19

INCOME CASH 597,614 .1 597,614 .1

CASH EQUIVALENTS

49,245 .63 WELLS FARGO CASH INVESTMENT 49,245 .63 49,245 .63- 0.20 1,123 2 .28 MONEY MARKET SVC CLASS 250 REBATE 1 .000 1 .000

TOTAL CASH EQUIVALENTS 49,245 .63 49,245 .63 0 .20 1,123 2 .28

TOTAL OTHER COMMON STOCKS 49, 745767 49, ZW-.'GT _-0-M 1,171 _7.Z8

TOTAL EQUITIES 49,245 .63 49,245 .63 0.20 1,123 2 .28

OTHER HOLDINGS

3,000 CB RICHARD ELLIS PARTNERS III LP 733,165 .40 734,940 .20 3 .05 0 0 .00 244 .388 244 .980

2,500 CHURCHILL CAPITAL PARTNERS II 294,549 .00 ,-262,450.00. 1 .09 45,837 17 .47 117 .820 104 .980

2,000 CHURCHILL CAPITAL PARTNERS IV *CH* 1,602,796 .00 758;800 .00 3 .14 31,518 4 .15 801 .398 379.400

1,500 .CHURCHILL ESOP CAP PTNRS 665,491 .00 580,245 .00 ' 2 .40 40,519 6.98 LTD PTNSHP 443 .661 386 .830

26,000 DRA GROWTH E INCOME FD III 2,377,166.00 2,468,446 .01 10 .23 86,518 3 .50 91 .429 94 .940

25,000 ORA GROWTH & INCOME FUND LLC ),847,912 .00 1,666,217.95 6 .91 2,462 0.15 73 .916 66 .649

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STATEMENT OF ASSETS AND LIABILITIES C K BLAAIlDIN RfS- INCOME PARTNERSHIPS AS OF DECEMBER 31 . 2004 ACCOUNT HUMBER 11596202

STATEMENT OF ASSETS AND LIABILITIES COST VALUE MARKET VALUE $ TOTAL ESTIMATED CURRENT

PAR VALUE/SHARES DESCRIPTION UNIT COST UNIT PRICE BARNET ANNUAL INCOME YIELA

45,000 DRA GROWTH AND INCOME FO IV LLC *CH* 4,515,541 .00 4,310,253 .00 17 .86 47,504 1 .10 100 .345 95 .783

amm 32,500 DRA GROWTH INCOME FUND 11, LLC 3,045,418.00 3,108,579 .08 12 .88 4,400 0 .14

93 .705 95 .649

70,000 DRA OPPORTUNITY FUND CORP, 468,838 .46 0 .98 0.00 0 0 .00 ..." REIT 6 .698 0.000

1,500 DRA PL RETAIL CO-INVESTMENT LLC 1,343,025 .00 1,343,025 .00 5 .57 0 0 .00 895 .350 895 .350

2,000 LYME NORTHERN FOREST FUND LP *CH* 1,293,845 .00 1,282,697 .63 5 .32 0 0.00 mono 646.922 641 .349

5,000 METROPOLITAN REAL ESTATE PARTNERS II 521,762 .30 521,762 .50 2 .16 0 0 .00 LP 104 .352 104 .353

gem 3 NEW BOSTON INSTITUTIONAL FUNS LP VI 452,188.00 450,000.00 1 .86 3,500 0.78 150,729 .333 150,000 .000

"̀ 2 WORTRSTaR[MEZZAIJ) I NE I I~I~LP *CH* f 1 458, 159 .00 ~r:228;b53.:26 . +' 5 .09 0 0 .00 729,079 .500 614,326 .630

2,500 NORTldSTAR ~~SE~I~DLER~'MEZZAN.INE ; 1,758,037 .00 :;<155$,801 . .Q0 ~ 6.46 0 0 .00 PARTNERS 11 L .P . 703 .215 623 .520

20,502 .273 RREEF AMERICA REIT 11, INC . 1,758,383 .87 1,937,259.82 8.03 95,157 4 .91 CL/HD 85 .765 94 .490

32,255 .65 RREEF AMERICA REIT, INC 1,357,558 .02 1,867,924 .68 7 .74 115,431 6 .18 CL/HD 42 .087 57 .910

TOTAL OTHER HOLDINGS 25,493,835 .05 24,080,056 .11 99 .80 472,846 1 .96

TOTAL INVESTMENTS 25,543,080 .68 24,129,301 .74 100 .00 473,969 1 .96

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LO~~VKY HIL L

STATEMENT OF ASSETS AND LIABILITIES COST VALUE MARKET VALUE $ TOTAL ESTIMATED CURRENT

PAR VALUE/SHARES DESCRIPTION UNIT COST UNIT PRICE MARKET ANNUAL INCOME YIELD

PRINCIPAL CASH 9,994.71- 9,994.71-

INCOME CASH 9,994 .71 9,994.71

CASH EQUIVALENTS

82,590 .34 WELLS FARGO CASH INVESTMENT 82,540 .34 82,590 .34 2 .22 1,883 2 .28 MONEY MARKET SVC CLASS 250 REBATE 1 .000 1 .000

TOTAL CASH EQUIVALENTS 82,540 .34 82,590 .34 2 .22 1,883 2 .28 EQUITIES

TACKS 13,150 AGILE SOFTWARE CORP 101,233 .96 107,435 .50 2 .88 0 0.00

7 .698 8 .170 7,000 ASCENTIAL SOFTWARE CORP 93,340 .82 114,170 .00 3 .Qb 0 0.00

COM NEW 13 .334 16 .310

15,575 ASPEN TECHNOLOGY INC COM 97,771 .75 96,720 .75 2 .60 0 0.00 6.277 6.210

5,300 BALDOR ELEC CO 117,307 .02 145,909 .00 3 .92 3,180 2 .18 22 .133 27 .530

4,000 BOWNE & CO INC 58,976 .25 65,040.00 1 .75 880 1 .35 14,744 16 .260

2,350 BROOKS AUTOMATION INC 33,829 .49 40,467 .00 1 .09 0 0.00 14 .396 17 .220

6,750 CbD TECHNOLOGIES INC COM 112,839 .88 115,020.00 3 .09 371 0 .32 16 .717 17 .040

9,900 CAPTARIS INC 48,259.05 51,084 .00 1 .37 0 0.00 4 .875 5 .160

c

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STATEMENT OF ASSETS AND LIABILITIES C K BLANDIN RES - TOCQUEVILLE AS OF DECEMBER 31, 2004 ACCOUNT NUMBER 115%263

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--

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STATEMENT OF ASSETS AND LIABILITIES C K BLAHDIN RES - TpCOUEVILLE AS OF DECEMBER 31, 2004 ACCOUNT NUMBER 115%2d3

STATEMENT OF ASSETS AND LIABILITIES COST VALUE MARKET VALUE $ TOTAL ESTIMATED CURRENT

PAR VALUE/SHARES DESCRIPTION UNIT COST UNIT PRICE MARKET Alt)AJAL INCOME YIELD

11,450 CARDIODYNAMICS INTL CORP 64,460 .18 59,196 .50 1 .59 0 0 .00 5 .630 5 .170

8,750 CHOLESTECH CORP COM 63,811 .88 71,750 .00 1 .93 0 0.00 7 .293 8.200

9,200 CIBER INC COM 77,682 .57 88,688 .00 2 .38 0 0.00 8.444 9 .640

3,350 COLLAGENEX PHARMACEUTICALS INC COM 24,207 .86 24,589 .00 0.66 0 0.00 7 .226 7 .340

10,400 COMPUTER HORIZONS CORP CQ11 41,534 .48 39,624 .00 1 .06 0 0.00 3 .994 3 .810

2,600 DELTA b PINE LTD CO COM 65,550 .68 70,928 .00 1 .40 1,248 1 .76 25 .212 27 .280

7,350 ENZON PHARMACEUTICAL INC . 106,281 .00 100,842 .00 2 .71 0 0 .00 14 .460 13 .720

3,250 FLOWSERVE CORP COM 74,123 .08 89,505 .00 2 .40 0 0 .00 22 .807 27 .540

13,400 GLOBAL INDS LTD COM 81,670 .32 111,086 .00 2 .98 0 0 .00 6 .095 8 .290

6,800 GLOBAL PA EQUIP GROUP INC 58,663 .43 66,912 .00 1 .80 0 0 .00 8 .627 9.840

15,100 HOOPER HOLHES INC 61,589 .88 89,392 .00 2 .40 906 1 .01 4 .079 5 .920

21,900 INDUS INTERNATIONAL INC 36,193 .00 46,866 .00 1 .26 0 0.00 1 .653 2.140

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Tps 26087 (o-oo-2s406)

LOS . -,~''H ILL

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STATEMENT OF ASSETS AND LIABILITIES C K BLANDIN RES - TOCOLIEVILLE AS OF DECEMBER 31 2004 ACCOUNT NUMBER 115%2d3

STATEMENT OF ASSETS AND LIABILITIES COST VALUE MARKET VALUE $ TOTAL ESTIMATED CURRENT

PAR VALUE/SHARES DESCRIPTION UNIT COST UNIT PRICE MARKET ANNUAL INCOME YIELD

6,950 INFOCUS CORP 55~878:040

63,669 :Q6o 1 .71 0 0.00

15,700 INFORIIATICA CORP 100,447 .08 127,484 .00 3 .42 0 0.00 6.398 8.120

3,050 INFRASOURCE SVCS INC 34,615 .06 39,650 .00 1 .06 0 0.00 COM 11 .349 13 .000

2,700 IVAX CORP ' 52,398 .36 42,114 .00 1 .15 0 0.00 19 .407 15 .820

8,100 KEANE INC 119,908 .35 119,070 .00 3 .20 0 0.00 14 .803 14 .700

8,100 KINROSS GOLD CORP 48,514 .95 57,024 .00 1 .53 0 0.00 COM NO PAR 5 .990 7 .040

4,150 LEAPFROG ENTERPRISES INC 70,597 .67 56,440 .00 1 .52 0 0 .00 CLASS A 17 .011 13 .600

3,000 LIONBRIDGE TECHNOLOGIES INC 17,183 .10 20,160 .00 0.54 0 0.00 5 .728 6.720

4,000 MANTECH INTERNATIONAL CORP 74,953 .29 94,960 .00 2 .55 0 0 .00 CL A 18.738 23 .740

3,800 MERIDIAN GOLD, INC . COM 47,753 .46 72,086.00 1 .94 0 0.00 12 .567 18 .970

1,900 MGP INGREDIENTS INC 16,833 .81 16,416 .00 0 .44 285 1 .74 8 .860 8 .640

2,400 MOBILE MINI INC 65,424 .00 79,296 .00 2 .13 0 0 .00 GOM 27.260 33 .040

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*EVILIE STATEMENT OF ASSETS AND LIABILITIES C K BLANDIN RES - TUC AS OF DECEMBER 31 . 2004 ACCOUNT lfUrl9ER 115%2Q3

STATEMENT OF ASSETS AND LIABILITIES COST VALUE MARKET VALUE $ TOTAL ESTIMATED CURRENT

PAR VALUE/SHARES DESCRIPTION UNIT COST UNIT PRICE MARKET ANNUAL INCOME YIELD

3,400 OCEANEERING INTL INC 111,374 .14 126,888.00 3 .41 0 0.00 32 .757 37 .320

3,365 OFFSHORE LOGISTICS INC 108,464 .04 109,261 .55 2 .93 0 0 .00 32 .233 32 .470

1,600 OSHKOSH B GOSH INC CL A 36,816 .00 34,240 .00 0 .92 704 2 .0b 23 .010 21 .400

3,050 PALL CORP 74,915 .93 88,297 .50 2.37 1,098 1 .24 24 .563 28 .950

1,800 PHARMACEUTICAL PROD DEV INC C01i 63,826 .20 74,322 .00 2 .00 0 0.00 35 .459 41 .290

14,000 POWERWAVE TECHNOLOGIES INC COM 82,600 .00 118,720.00 3 .19 0 0.00 5 .900 8 .480

5,125 PRIORITY HEALTHCARE CORP CL B COM 112,951 .41 111,571 .25 2 .99 0 0 .00 22 .039 21 .770

29,500 RAINDANCE COMM 48,913 .95 68,440 .00 1 .84 0 0 .00 COM 1 .658 2 .320

3,500 SYNOVIS LIFE TECHNOLOGIES INC 29,461 .50 37,835 .00 1 .02 0 0.00 8 .418 10.810

2,550 TETRA TECHNOLOGIES INC DEL 72,037 .50 72,165 .00 1 .94 0 0.00 28 .250 28 .300

7,600 THERAGENICS CORP COM 28,064 .44 30,856 .00 0 .83 0 0.00 3 .693 4 .060

3 .650 THORATEC LABORATORIES CORD COM 35,987 .91 38,033 .00 1 .02 0 0 .00 9.860 10 .420

r

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STATEMENT OF ASSETS AND LIABILITIES C K BLANDIN RfS - TpCQ!,IEVILLE AS OF DECEMBER 31, 2004 ACCOUNT WABER 115%263

STATEMENT OF ASSETS AND LIABILITIES COST VALUE MARKET VALUE $ TOTAL ESTIMATED CURRENT

PAR VALUE/SHARES DESCRIPTION UNIT COST UNIT PRICE MARKET AKtUAL~INCOME YIELD

3,650 TIDEWATER INC 111,190 .32 129,976 .50 3 .49 2,190 1 .68 30 .463 35 .610

7,925 TIER TECHNOLOGIES INC 75,350 .83 73,306 .25 1 .97 0 0 .00 CL B 9.508 9 .250

6,000 TRC COMPANIES INC 106,945 .28 102,000 .00 2 .74 0 0.00 17 .824 17 .000

16,200 VASTERA INC 30,456 .00 42,606 .00 1 .14 0 0.00 1 .880 2 .630

" 3,64r ,707.M 10,867 -7rm

3,253,186 .28 3,642,704 .80 97 .78 10,862 0 .30

3,335,776 .62 3,725,295 .14 100.00 12,745 0.34 TOTAL INVESTMENT'S

Low xy H I L L

TOTAL OTHER COMMON STOCKS

TOTAL EQUITIES

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LOWRI'HILL

COST VALUE MARKET VALUE $ TOTAL ESTIMATED CURRENT PAR VALUE/SHARES DESCRIPTION UNIT COST UNIT PRICE MARKET ANNUAL INCOME YIELD

OTHER HOLDINGS

732,100.57 BARCLAY'S EQUITY VALUE FUND 8 32,289,823 .96 34,779,796 .36 100 .00 44 .106 47 .507

0 .00

r

PAGE 2

STATEMENT OF ASSETS AND LIABILITIES BLAHDIN RESID BARCLAYS VALUE AS OF DECEMBER 31, 2004 ACCOUNT liWlBER 115%204

STATEMENT OF ASSETS AND LIABILITIES

TOTAL OTHER HOLDINGS 32,289,823 .46 34,779,796 .36 100 .00 0 0.00

TOTAL INVESTMENTS 32 .289,823 .96 34,779 .796.36 100.00 0 0.00

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LOS%, , <Y HILL

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STATEMENT OF ASSETS AND LIABILITIES BLAND I N RES TRUST - PRIVATE EQUITY AS OF DECEMBER 31 . 2004 ACCOUNT HUMBER 115%205

STATEMENT OF ASSETS AND LIABILITIES COST VALUE MARKET VALUE $ TOTAL ESTIMATED CURRENT

PAR VALUE/SHARES DESCRIPTION UNIT COST UNIT PRICE MARKET ANNUAL INCOME YIELD

2,000 BRAND EQUITY VENTURES II 743,985 .00 689,429.58 3 .29 0 0.00 371 .992 344.715

3,000 DLJ MERCHANT BANKING PARTNERS III 2,041,554 .85 1,652,342 .85 7 .88 0 0 .00 680 .518 550 .781

1,500 ENVIRONMENTAL PRIVATE EQUITY FD II 1 .Q0 289,440.00 1 .38 0 0.00 0.001 192 .960

2,500 EUROPEAN STRATEGIC PARTNERS II BACH* 343,968.99 363,244 .41 1 .73 0 0.00 137 .588 145 .298

2,000 KINDERHOOK CAPITAL FUND L .P . *CH* 939,472.42 971,097 .12 4 .63 0 0 .00 469.736 485 .549

2,000 MARATHON FUND L .P . IV 992,562 .35 771,652 .35 3 .68 0 0 .00 496 .281 385 .826

2,000 MARATHON FUND LIMITED PARTNERSHIP 900,275 .00 759,306.00 3 .62 0 0.00 I I I *CH* 450 .138 379 .653

1,000 MARATHON FUND LP V *CH* 149,100 .06 149,099 .06 0 .71 0 0 .00 149 .100 149 .099

1,300 MEDICAL INNOVATION FUND II 593,575.00 363,454 .00 1 .73 0 0.00 456.596 279.580

1 MT T00 T35N-R2W 1 .00 1 .00 0.00 0 0.00 SEC 17 : E/2 NW/4 1 .000 1 .000 SEC 18 : S/2 NE/4

2,500 NORTH BRIDGE VENTURE PARTNERS III 415,856 .00 17,737 .06 0.08 0 0.00 L .P . 166 .342 7 .095

4,000 NORTH BRIDGE VENTURE PARTNERS IV 1,214,943 .00 1,307,805 .00 6.23 0 0.00 303 .736 326.951

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LOWRY HIL L

PAGE 4 .

STATEMENT OF ASSETS AND LIABILITIES BLAHDIN RES TRUST - PRIVATE EQUITY AS OF DECEMBER 31 . 2004 ACCOUNT NUMBER 115%205

STATEMENT OF ASSETS AND LIABILITIES COST VALUE MARKET VALUE $ TOTAL ESTIMATED CURRENT'

PAR VALUE/SHARES DESCRIPTION UNIT COST UNIT PRICE MARKET ANNUAL INCOME YIELD

1,750 NORTH BRIDGE VENTURE PARTNERS L P 32,411 .00 29,583 .02 0 .14 0 0 .00 18 .521 16.405

4,000 NORTH BRIDGE VENTURE PARTNERS V *CH* %3,775 .00 1,173,376.94 5 .59 0 0.00 240.944 293.344

1,750 NORTH BRIDGE VENTURE PTNRS II L .P . 339,769.00 151,305.00 0.72 0 0.00 194 .154 86 .460

5,000 PORTFOLIO ADVISORS PRIVATE EQUITY 1,966,451 .09 2,001,070.09 9.54 0 0.00 FUND II *CH* 393.290 400.214

2,000 RCP FUND II LP *CH* 100,000 .00 100,000 .00 0.48 0 0.00 50 .000 50 .000

1,500 RCP QP-FUND 1 LP *CH* 527,354 .00 505,000 .00 2 .41 0 0 .00 351 .569 336 .667

1,500 ROSEMONT PARTNERS II LP *CH* 28,301 .61 28,301 .55 0.13 0 0 .00 18 .868 18 .868

2,500 TECHNOLOGY CROSSOVER VENT V *CH* 876,500.00 876,500.00 4 .18 0 0.00 350.600 350.600

2,750 THOMAS MCNERNEY b PARTNERS, LP *CH* 682,752.00 713,131 .00 3 .40 0 0.00 AKA LUMINA VENTURES LP 248 .273 259.320 EFFECTIVE 04/25/03 SEI UPDATED 09/03/03

1,500 TRANS-EUROPE BUYOUT PARTNERS 375,000.00 375,000.00 1 .79 0 0.00 (US-IF) *CH* 250 .000 250.000

1,500 U S VENTURE PARTNERS IV LTD 1,728,029 .00 3)0,700.31 1 .48 0 0.00 PARTNERSHIP 1,152 .019 207.134

2,250 U 5 VENTURE PARTNERS V.L .P . 1,167,277.88 762,002.67 3 .63 0 0.00 518.790 338.668

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1

PAGE 5

STATEMENT OF ASSETS AND LIABILITIES BLANDIN RES TRUST - PRIVATE EQUITY AS OF DECEMBER 31, 2004 ACCOUNT HUMBER 11596205

STATEMENT OF ASSETS AND LIABILITIES CAST VALUE MARKET VALUE' $ TOTAL ESTIMATED CURRENT

PAR VALUE/SHARES DESCRIPTION UNIT COST UNIT PRICE MARKET ANNUAL INCOME YIELD

2,250 U S VENTURE PARTNERS V1, LP 1,356,864 .00 860,931 .00 4 .10 0 0.00 603 .051 382 .636

2,250 U S VENTURE PARTNERS VII 1,314,751 .00 921,320.00 4 .39 0 0.00 584 .334 409 .476

2,250 US VENTURE PARTNERS VIII, L .P . 1,015,416 .00 895,110.86 4 .27 0 0.00 451 .296 397.827

11000 US VENTURES PARTNERS IX LP *CH* 1 .00 0.00 0 .00 0 0.00 0 .001 0 .000

2,000 VALLEY VENTURES, 11 L .P, 1,070,364.00 909,978.00 4.34 0 0.00 535 .182 454.989

2,750 VCFA PRIVATE EQUITY PARTNERS IV LP 341,169 .00 302,500 .00 1 .44 0 0 .00 124 .061 110 .000

1,500 WESTON PRESIDIO OFFSHORE CAPITAL 1 .00 : 1,00 0.00 0 0.00 0.001 0.001

TOTAL OTHER HOLDINGS 26,897,413 .25 20,816,538 .10 99 .23 0 0.00

TOTAL INVESTMENTS 26,933,292 .38 20.978,194.46 - .100.00 644 0.00

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STATEMENT OF ASSETS AND LIABILITIES COST VALUE MARKET VALUE $ TOTAL ESTIMATED CURRENT

PAR VALUE/SHARES DESCRIPTION UNIT COST UNIT PRICE MARKET ANNUAL INCOME YIELD

OTHER HOLDINGS

960,494 .84 SPRUCEGROVE DELAWARE TRUST 24,197,170 .21 24,197,170 .21 100.00 0 0 .00 INTERNATIONAL INVESTMENT FUND 25 .192 25 .192

PAGE 2

STATEMENT OF ASSETS AND LIABILITIES BLAKDIN RESID SPitUtEGftOVE INT'L AS OF DECEMBER 31, 2004 ACCOUNT RJrtBFR 115%2a6

TOTAL OTHER HOLDINGS 24,197,170.'21

TOTAL INVESTMENTS 24,197,170.21

24,197,170.21 100 .00 0 0.00

24,197,170.21 100.00 0 0.00

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LO~ .Y HILL

TRS 26087 16 00 2306)

PAGE 3

STATEMENT OF ASSETS AND LIABILITIES CK BLANDIN RES LH INT'L INVEST ACCT AS OF DECEMBER 31, 2004 ACCOUNT HUMBER 115%207

STATEMENT OF ASSETS AND LIABILITIES

COST VALUE MARKET VALUE $ TOTAL ESTIMATED CURRENT PAR VALUE/SHARES DESCRIPTION UNIT COST UNIT PRICE MARKET ANKIJAL INCOME YIELD

PRINCIPAL CASH 16,249 .94- 16,249 .94- .

INCOME CASH 16,249 .94 16,249 .94

CASH EQUIVALENTS '

25,773 .24 WELLS FARGO CASH INVESTMENT 25,773 .24 25,773 .24 0.18 588 2 .28 MONEY MARKET SVC CLASS 250 REBATE 1 .000 1 .000

TOTAL CASH EQUIVALENTS 25,773 .24 25,773 .21 0 .18 588 2 .28

EQUITIES LOWRY HILL INTL EQUITIES

16,360 AFLAC INC 521,554 .64 651,782 .40 4 .45 6,217 0 .95 31 .880 39 .840

8,106 ASTRAZENECA PLC 292,189 .76 294,977 .34 2 .01 6,769 2 .29 SPONSORED ADR 36 .046 36 .340

30,405 BHP BILLITON LIMITED - ADR 363,659 .69 730,328 .10 4 .99 15,811 2 .16 SPONSORED ADR 11 .961 24 .020

29,655 GLOBAlSANTAFE CORD 596,836 .17 981,877 .05 6 .71 6,672 0 .68 20 .126 33 .110

6,525 HSBC - ADR 373,239 .12 555,538 .50 3 .79 20,554 3 .70 SPONSORED AOR 57 .201 85 .140

44,775 MITSUBISHI TOKYO FINANCIAL GRO - ADR 429,742 .07 457,600 .50 3 .12 2,284 0.50 SPONSORED ADR 9 .598 10 .220

13,675 NESTLE S .A . REGISTERED SHARES - ADR 692,855 .14 894,454.40 6 .11 15,972 1 .79 SPONSORED ADR 50 .666 65 .408

36,640 NOKIA CORPORATION - ADR 532,548 .71 574,148 .80 3 .92 11,175 1 .95 SPONSORED ADR 14 .535 15 .670

Page 41: 990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/416/416012374/41601… · C-4tabol. " K. BLANDIN RESIDUARY TRUST U0lnerwise. O LOWRY HILL 41-6012374

TOTAL LOWRY HILL INTL EQUITIES -gT-.Tg TOTAL EQUITIES 9,266,184.86 13,352,842 .52 91 .19 159,681 1 .20

~ ---i

LOWRY HILL

PAGE 4 STATEMENT OF ASSETS AND LIABILITIES CK BLAHDIN RES LH INT'L INVEST ACCT AS OF DECEMBER 31 . 2004 ACCOUNT NUMBER 115%207

STATEMENT OF ASSETS AND LIABILITIES COST VALUE MARKET VALUE $ TOTAL ESTIMATED CURRENT PAR VALUE/SHARES DESCRIPTION UNIT COST UNIT PRICE MARKET ANNUAL INCOME YIELD

31,870 RECKITT BENCKISER ORD GBP0 .105263 580,854 .75 963,087.59 6.58 0 0.00 18 .226 30 .219

12,030 RODAMCO NV EUR 8 .0 568,889 .67 954,943 .59 6.52 0 0.00 47.289 79 .380

16,135 SAP AG - ADR 407,109.60 713,328.35 4 .87 3,001 0.42 SPONSORED ADR 25 .231 44 .210

29,295 STMICROELECTRONICS N.V. - ADR 516,717 .81 565,979.40 3 .87 2,637 0.47 SPONSORED AOR 17 .638 19 .320

69,962 TAIWAN SEMICONDUCTOR MANUFACTU - AOR 504,926 .71 593,977.38 4 .Q6 1,819 0.31 SPONSORED ADR 7 .217 8.490

8,354 TELEFONICA SA - ADR 253,257 .29 472,001 .00 3 .22 5,021 l .Ob SPONSORED ADR 30 .316 56 .500 152,606 TESCO PLC 5P 480,166 .09 942,690 .60 6 .44 0 0 .00

3 .146 6 .177 7,635 TOTAL S .A . - ADR 582,113 .08 838,628 .40 5 .73 28,417 3 .39 SPONSORED ADR 76 .243 109 .840 9,230 UBS AG ADR 502,626 .87 773,843 .20 5 .28 18,488 2 .39

54 .456 83 .840 26,794 VODAFONE GROUP PLC - ADR 503,089 .15 733,619.72 5 .01 14,84 2 .02

SPONSORED ADR 18 .776 27 .380

192,150 WAL-r1ART DE MEXICO SER V NPV 563,808 .54 660,036.20 4.51 0 0.00 2 .934 3 .435

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LO\,r~Y HIL L

PAGE 5

C

TOTAL INVESTMENTS 10,194,617 .18 14,643,292.26 100.00 176,519 1 .21

STATEMENT OF ASSETS AND LIABILITIES CK BLAHDIN Rf5 LH INT'L INVEST ACCT AS OF DECEMBER 31 . 2004 ACCOUNT NUMBER 11595207

STATEMENT OF ASSETS AND LIABILITIES COST VALUE MARKET VALUE $ TOTAL ESTIMATED CURRENT

PAR VALUE/SHARES DESCRIPTION UNIT COST UNIT PRICE MARKET ANNUAL INCOME YIELD

OTHER HOLDINGS

2,293 ISHARES TR EAFE INDEX FUND 318,703 .26 367,453 .25 2 .51 5,524 1 .50 138 .990 160 .250

4,445 ISHARES TR MSCI EMERGING MARKETS 583,955 .82 897,223 .25 6.13 10,726 1 .20 I NDEX FUND 131 . 374 201 .850

TOTAL OTHER HOLDINGS 402,659 .08 1,264,676.50 8 .64 16,250 1 .28

Page 43: 990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/416/416012374/41601… · C-4tabol. " K. BLANDIN RESIDUARY TRUST U0lnerwise. O LOWRY HILL 41-6012374

LO'% Y HIL L

PAGE 5 -'

ras26oe7 (6 o0-754o6)

STATEMENT OF ASSETS AND LIABILITIES C K BLAttDIN RES - INCOME INVESTMENT'S AS OF DECEMBER 31, 2004 ACCOUNT NIklSER 11596210

STATEMENT OF ASSETS AND LIABILITIES COST VAGUE MARKET VALUE $ TOTAL ESTIMATED CURRENT

PAR VALUE/SHARES DESCRIPTION UNIT COST UNIT PRICE MARKET ANNUAL INCOME YIELD

PRINCIPAL CASH 893.90- 893.90-

INCOME CASH 893 .40 893 .40

CASH EQUIVALENTS

926,929 .15 WELLS FARGO CASH INVESTMENT 926,929 .15 926,929 .15 1 .16 21,133 2 .28 MONEY MARKET SVC CLASS 250 REBATE 1 .000 1 .000

TOTAL CASH EQUIVALENTS 926,929.15 926,929 .15 1 .16 21,133 2 .28

TAXABLE BONDS

334 .91 GOVT NATL MTG ASSN POOL #7202 291 .79 338.68 0.00 24 7 .09 DTD 10/01/75 87 .125 101 .126 7 .2500 06/15/2005 ~.

1,749 .45 GOVT NATL MTG ASSN POOL #9408 1,577 .25 1,772 .04 0 .00 127 7 .17 DTD 05/01/76 90 .157 101 .291 7 .2500 01/15/2006

6,104 .94 GOVT NATL MTG ASSN POOL #9409 3,678 .22 6,258.36 0.01 443 7 .08 DTD 05/01/76 60 .250 102 .513 7 .2500 01/15/2006

5,396 .12 GOVT NATL MTG ASSN POOL X10546 3,077 .49 5,541 .06 0 .01 405 7 .31 DTD 06/01/76 57 .032 102 .686 7 .5000 03/15/2006

6,400,000 U S TREASURY NOTES 6,416,000 .00 6,339,264 .00 7 .94 152,000 2 .40 DTD 08/15/03 2 .375 08/15/2006 100 .250 99 .051 MOODY'S RATING AAA

4,000,000 U 5 TREASURY NOTE 3,985,000 .00 3,960,160 .00 4 .46 95,000 2 .40 DTD 08/31/04 2 .375 08/31/2006 99 .625 99 .004 MOODY'S RATING AAA

Page 44: 990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/416/416012374/41601… · C-4tabol. " K. BLANDIN RESIDUARY TRUST U0lnerwise. O LOWRY HILL 41-6012374

LOwRY H I L L

PAGE o

STATEMENT OF ASSETS AND LIABILITIES C K BLA11D I N RES - INCOME I NVES11lENT'S AS OF DECEMBER 31 . 2004 ACCOUNT NMER 115%210_

STATEMENT OF ASSETS AND LIABILITIES COST VALUE MARKET VALUE $ TOTAL ESTIMATED CURRENT

PAR VALUE/SHARES DESCRIPTION UNIT COST UNIT PRICE MARKET ANKIJAL INCOrlE YIELD

3,926 .91 GOVT NATL MTG ASSN POOL #18749 3,427 .61 4,099 .54 0 .01 314 7 .66 DTD 09/01/77 87 .285 104 .396 8 .0000 09/15/2007

5,318 .31 FED HOME LN MTG CORD POOL /Y160036 5,422 .23 5,633 .05 0.01 452 8 .02 DTD 01/01/78 8.500 01/01/2008 101 .954 105 .918

50,000 FED NATL MTG ASSN SER MED TERM NT 49,829 .50 53,265 .50 0 .07 2,875 5 .40 DTD 02/05/98 99 .659 106 .531 5 .7500 02/15/2008 MOODY'S RATING AAA

455 .51 FED HOME LN MTG CORP POOL #160050 399.91 480.67 0.00 41 8.53 DTD 06/01/78 9.000 06/01/2008 87 .794 105 .523

4,000,000 U S TREASURY NOTES 4,026,054 .69 3,987,360 .00 4 .99 135,OQ0 3 .39 OTD 12/15/03 3 .375 12/15/2008 100 .651 99 .684 MOODY'S RATING AAA

3,300,000 U 5 TREASURY NOTE 3,299,742 .19 3,239,280 .00 4 .06 99,000 3 .06 DTD 02/15/04 3 .000 02/15/2009 99 .992 98 .160 MOODY'S RATING AAA

12,896 .68 FED HOME LN MTG CORP POOL #251152 13,531 .34 13,635 .92 0.02 1,225 8.98 DTD 12/01/84 9 .500 07/01/2009 104 .921 105 .732

1,000,000 FED HOME LN BK 1,000,000 .00 1,008,440 .00 1 .26 50,400 5 .00 TRANCHE # TR 00612 100 .000 100 .844 DTD 06/07/04 5 .040 06/07/2010 MOODY'S RATING AAA

1,000,000 FED HOME LN BK TRANCHE # TR 00030 1,000,000 .00 1,021,250 .00 1 .28 53,000 5 .19 DTD 06/01/04 5 .300 06/01/2011 100 .000 102 .125 MOODY'S RATING AAA

2,000,000 FED HOME LN BK 1,998,750 .00 2,025,620 .00 2 .54 124,000 6 .12 DTD 06/06/02 6 .200 06/06/2012 99 .938 101 .281 MOODY'S RATING AAA

Page 45: 990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/416/416012374/41601… · C-4tabol. " K. BLANDIN RESIDUARY TRUST U0lnerwise. O LOWRY HILL 41-6012374

LO~~\- r<1' H I L L

TPS 26067 16 00 2306)

PAGE 7

STATEMENT OF ASSETS AND LIABILITIES C K BLANDIN RES - INCOME INVESTMENTS AS OF DECEMBER 31 . 2004 ACCOUNT tdUMBER 115%210

STATEMENT OF ASSETS AND LIABILITIES COST VALUE MARKET VALUE $ TOTAL ESTIMATED CURRENT*

PAR VALUE/SHARES DESCRIPTION UNIT COST UNIT PRICE MARKET ANNUAL INCOME YIELD

12,500,000 U 5 TREASURY INFLATION INDEX 14,229,969 .75 14,814,150 .00 18 .55 375,000 2 .53 DTD 07/15/02 3 .000 07/15/2012 113 .840 118.513 MOODY'S RATING AAA

5,000,000 FED HOME LN BK 5,000,000.00 4,404,700 .00 6.14 218,750 4 .46 DTD 06/03/03 4 .375 06/03/2013 100 .000 98 .094 MOODY'S RATING AAA

3,300,000 U S TREASURY INFLATION INDEX 3,371,470 .11 3,529,208 .10 4 .42 65,000 1 .87 DTD 01/15/04 2 .000 01/15/2014 102 .166 106.946 MOODY'S RATING AAA

1,000,000 FED HOME LN BK TRANCHE # TR 00167 1,000,000 .00 1,013,750.00 1 .27 50,000 4.93 DTD 09/15/04 5 .000 09/15/2014 100 .000 101 .375 MOODY'S RATING AAA

2,000,000 FED HOME LN MTG CORP MED TERM NOTE 2,000,000 .00 1,999,640.40 2 .50 100,000 5 .00 TRANCHE 1f TR 00618 100 .000 99.982 OTD 10/27/04 5 .000 10/27/2014 MOODY'S RATING AAA

2,000,000 FED FARM CREDIT BK 2,000,000.00 2,011,260 .00 2 .52 100,000 4 .97 DTD 11/05/04 5 .000 11/05/2014 100 .000 100 .563 MOODY'S RATING AAA

2,000,000 FED HOME LN BK 1,998,000 .00 2,000,000 .00 2 .50 115,000 5 .75 DTD 10/16/02 5 .750 10/16/2017 99 .900 100 .000 MOODY'S RATING AAA

3,000,000 FED HOME LN BK 2,997,750.00 3,030,000 .00 3 .79 187,500 6.19 DTD 08/22/03 6 .250 08/22/2018 99.925 101 .000 MOODY'S RATING AAA

1,000,000 FED HOME LN BK l,OQ0,000 .00 1,006,880 .00 1 .26 61,250 6 .08 DTD 09/12/03 6 .125 09/12/2018 100 .000 100 .688 MOODY'S RATING AAA

Page 46: 990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/416/416012374/41601… · C-4tabol. " K. BLANDIN RESIDUARY TRUST U0lnerwise. O LOWRY HILL 41-6012374

LOWRY H I L L

J

PAGE $ STATEMENT OF ASSETS AND LIABILITIES C K BLAHDIN RES - INCOME INVESTMENTS AS OF DECEMBER 31, 2004 ACCOUNT NUMBER 11596210

STATEMENT OF ASSETS AND LIABILITIES COST VALUE MARKET VALUE $ TOTAL ESTIMATED CURRENT PAR VALUE/SHARES DESCRIPTION UNIT COST UNIT PRICE MARKET ANNUAL INCOME YIELD

1,000,000 FED HOME LN MTG CORP MED TERM NOTE 1,000,000 .00 1,002,860.00 1 .26 61,500 6.13 TRANCHE # TR 00336 100,000 100,186 DTD 07/19/04 6 .150 07/19/2019 MOODY'S RATING AAA

TOTAL TAXABLE BONDS 56,403,972 .08 . ~56~;984;846~:92 r 71 .35 2,049,306 3 .60 EQUITIES UTHER COMMON STOCKS

5,070 ALEXANDRIA REAL ESTATE EQUITIES 327,773 .44 377,309.40 0 .47 13,385 3 .55 INC COM 64 .650 74 .420 11,410 CATELLUS DEVELOPMENT CORP 306,293.75 349,146.00 0.44 12,323 3 .53

26 .844 30 .600 8,360 DEVELOPERS DIVERSIFIED RLTY CORP 203,288.36 370,933.20 0.4b 17,054 4.60

COM 24 .317 44 .370

10,465 DUKE REALTY CORPORATION 285,062 .86 357,275 .10 0 .45 19,465 5 .45 27 .240 34 .140

13,440 GLIMCHER RLTY TR CQM 269,723 .54 372,422 .40 0.47 25,845 6.94 20.069 27 .710

15,765 NATIONWIDE HEALTH PPTYS INC 349,688 .62 374,418 .75 0.47 23,332 6 .23 22 .181 23 .750

9,470 PLUM CREEK TIMBER CO INC 216,755 .54 364,026.80 0.4b 13,637 3 .75 COM 22 .889 38 .440

8,899 PROLOGIS SHS OF BENEFICIAL INTEREST 295,697.79 385,593 .67 0.48 12,993 3 .37 33 .228 43 .330

6,385 ST JOE COMPANY COM 282,421 .27 409,917 .00 0.51 3,576 0.87 44 .232 64 .200

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LOS Y H I L L

PAGE 9 "~

a 0 0

T0.5160b716-0015406)

_' -

STATEMENT OF ASSETS AND LIABILITIES C K BLAHDIN RES -INCOME INVESTMENT'S AS OF DECEMBER 31 2004 ACCOUNT HUMER 11596210

STATEMENT OF ASSETS AND LIABILITIES COST VALUE MARKET VALUE $ TOTAL ESTIMATED CURRENT

PAR VALUE/SHARES DESCRIPTION UNIT COST UNIT PRICE MARKET ANNUAL INCOME YIELD

12,775 THORNBERG MTG ASSET CARP COM 365,915 .85 369,964 .00 0.4b 34,748 9 .39 28 .643 28.460

r--

TOTAL OTHER COMMON STOCKS 2,902,bzi .oz 3,731,006 .32 X67 176, 35TI x:73

TOTAL EQUITIES 2,902,621 .02 3,731,006 .32 4 .67 176,358 4 .73

OTHER HOLDINGS

268,421 .291 BAILARD, BIEHL S KAISER REIT *CH* 4,980,256 .03 5,373,794 .25 6 .73 91,285 1 .70 18 .554 20 .020 ..

4,705 .452 GUGGENHEIM PLUS 11 LP *CH* 5,385,998 .00 6,052,282 .93 7 .58 0 0 .00 1,144 .629 1,286 .228

.. 6,800 6,800,000 .00 - 8 .51 0 0 .00

1,000 .000 , 00 .000

TOTAL OTHER HOLDINGS 17,166,254 .03 18,226,077 .18 22 .82 91,285 0 .50

TOTAL INVESTMENTS 77,399,776 .28 79,868,859.57 100 .00 2,338,082 2 .93

Page 48: 990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/416/416012374/41601… · C-4tabol. " K. BLANDIN RESIDUARY TRUST U0lnerwise. O LOWRY HILL 41-6012374

S'fA~I~EIIENT II

CIIARI.ES K . BLANDIN TRUST 41-GU12374 2004 FORM 990-PF

CAPITAL CAIN

WELLS FrVtC(J ACCOUIV'1' NUiV113G11 ti'f(;f: l ;l'CG UIV .

11596200 1,081,212 5,087,833 8G,323

1159G201 (3G1,G34) 2,103,759 2G,202

11596203 21,643 23,092

1159G204 - 675,467 -

1159G205 - 259,991

1159G207 133,507 303,890

1159G210 97,727 184,316 26,616

TOTALS FROM WILLS FnIZGO ACCOUNTS 977,455 9,215,256 162,233

Page 49: 990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/416/416012374/41601… · C-4tabol. " K. BLANDIN RESIDUARY TRUST U0lnerwise. O LOWRY HILL 41-6012374

SOLD 12/22/2004 50788 80 Ac0 3000.0000 07/29/2004 50788 80 49302 10 1486 50 S~r

2200 0000 AUTOZO14E INC - 053332102 - MINOR = 61 SOLD 02/03/2004 787981 19 no 2200.0000 12/19/2003 187981 19 182506 72 5474 47 ST

4600 0000 RUT020NE INC - 053732102 - MINOR = 61 SOLD 07/29/2004 505848.45 nC0 6600.0000 12/19/2003 505848 45 547520 16 -41611 .71 ST

1000 0000 AUT020NE INC - 05333102 - MINOR - 61 SOLD 12/22/2004 90257 88 hC0 1000.0000 12/19/2003 90257 88 82957 60 7300 .28 LT15

3600 0000 AVON PRODS INC 1 COM d 1 TAKEOVE RT EFF~ 04-11-88 EXP 03-30-98 - 054303102 - MINOR = 61 SOLD 02/03/2004 226969 .36 ACQ 587 .0000 08/08/2003 37008 62 36394 .00 614 62 ST

3013 0000 08/08/7003 189960.74 186806 00 3154 .79 ST 9300 0000 AVON PRODS INC 1 COH d 1 TAKEOVE RT EFF 04-17-88 E]cP 03-30-98 - 059303102 - MINOR = 61 SOLD 05/10/2004 356676.64

ACO 750.0000 10/30/2002 62211 .04 36917 .43 25273 .61 LT15 400.0000 08/08/2003 33179 .22 24800 .00 8379 .22 ST 305.0000 10/70/2002 25?99 16 15021 22 10277 99 LT15 615.0000 08/08/2003 51013 05 38170 00 12883 .05 ST 385 0000 08/08/2003 31935 00 23870 00 8065 00 ST 1845 0000 10/30/2007. 153039 .16 90844 0'1 6117l .09 1.~115 16600 0001 : AVON PRODS INC 1 COw b 1 T1U(EOVE RT EFF~ 04-I1-88 E:!P 03-:0-98 - 05430319 : - MINOR = 61 :01 D 07/2/2009 800065 .83

"C ;+ 6967 .0000 10/30/2002 299680 57 171542 03 923 OOOU 10/70/2002 39702 19 1M8 83 7284 0000 10/30/2002 141758 .93 90868 .34 7426 0000 10/30/2002 319424 . 13 182864 88

?700 0000 19P AMOCO P 1. C - 055622104 - MINOR ~ 66 SOLD 07/29/2004 150924 .46 ACC 2700 0000 02/07/2004 150924 .46 119495 39

5000 000 !;P AMOCO P L C - 055622104 - MINOR ~ 66 SOLD 11/03/2004 295443 08 nC0 5000 .0000 02/03/2004 295443 08 279047 00

5775 0000 BF AMOCO P 1. C - 055622104 - MINOR " 66 COLD 12/02/2004 342127 .24 ACp 5775 .0000 02/03/2004 342127 24 276099 29

1500 0000 BUR LABS INC COM - OG8]06109 - MINOR - 61 SOLD 12/22/2004 68081 45 NCO 52 .0000 05/10/2004 2360 16 2240 10

35 .0000 05/10/2004 1588 57 1507 76 1413 .0000 05/10/2004 64132 73 60870 .35

3600 C000 BLOCK H t. R INC 1 COM 6 1 TNCEOV RT EXP 07-25-98 - 0936''1105 - HIr+OR "OLD 02/07/2004 213146 01 :.CC 293 0000 03/27/2003 17747 12 12515 38

328 0000 03/27/2003 19419 97 14010 39 299 .0000 03/27/2003 17638 32 127246 79

36400 0000 BLOCK H 6 R INC 1 C014 6 1 TlUCEOV R'f EXP 07-25-98 - 093671105 - MINOR SOLD 03/19/2004 1679982 97 ACC 301 0000 03/27/2003 15596 01 12857 09

199 0000 03/28/2003 102211 16 94458 97 375 0000 03/28/2003 19367 96 16004 10 500 0000 03/28/2003 25823 94 21338 80

3436 0000 08/08/2003 177962 13 146123 E0 2315 0000 03/27/2003 119564 85 98894 30 2239 0000 03/27/2003 115639 61 95637 99 2392 0000 03/27/2003 112695 68 93203 26 3523 000G 08;08/2003 1E2471 57 150248 95 3273 OOOC 03/26/200 :1 , 109043 52 137663 79 112' 0000 03/27/2001 89195 90 13756 11 ''v0 0000 03/27/200 1039 58 95~~2 92 6 S13 0001. 03/2/2003 -33415 ~2 : %9? 12 -?5

3110? 0000 0=/27/201 . lE0`~22 ~1 119629 74 30"1 nppG 08/0P/2073 156~14 ;4 I :B ;JO "5

61

2688 9 : ST 1752 19 Sr 3363 BG ST 4485 19 ST 31338 33 ST 20680 55 ST 20001 62 S r 19492 42 ST 3 221 02 ST 2359 73 ST 15-02) )9 S1 1786 06 ST

~E60 : 96 S" 1137? 0' Sr 31291 30 ST _161, 19 Sr

ACCT 5011) 11596200 WELLS FARGO BANK, N . A . DSA LONRY HILL PAGE 52 FROM 01/01/2004 STATEMENT OF CAPITAL GAINS AND LOSSES 7'0 !2/3!/2004 C K BIANDIN-RESIDUARY U/v RUN 05/04/2005

TRUST YEAR ENDING 12/71/2004

TAX PNE PNtER " OA TRUST ALTtIN157PAT9R " 5006 LEGEND . F - FEDERAL 5 - STATE 1 - INHERITED INVESTMENT OFFICER 562 t - EXEMPT FROM STATE U - ACQ COST UNKt+d+N

PROPERTY DESCRIPTION SHARES DATE SALES PRICE COST BASIS CJ11N/tpSS TERM -------------------- ------ ----------- ---------- --------- ----

)IOO .G000 M1LAC FINANCIAL CROUP . INC COM - 0271)9108 - MINOR - 61 SOLD 02/03/200 201402 .08 ACO 3700 .0000 02/08/2002 283402 .00 7x1926 .00 61676 .08 L9'15

8200 0000 1wbAC I'INFWCIAL GROUP, INC COrt - 0?)179!08 - MINOR - GI L;0111) 07/2q/2004 581863 .29 ACO 8200 .0000 02/08/2002 581863 .29 4918i6 00 900n . 29 t.'r15

1000 .0000 N4t3nC FINANCIAL CROUP, INC . COM - A1 ;f1 ;fg10A - MINOR 6 61 ..OLD 12/22/2004 81958,09 nC0 1000 .0000 02/08/2002 91458 .06 S990 .00 219'19 .00 Lr15

4000 .0000 APACHE CORP 1 COM 6 I TAKEOVER R EKV . U1-]1-96 - 03'1411105 - MINOR Y 61 S01.1) 12/22/2004 201175 .28 fCQ 4000.0000 07/29/2004 201175 .28 184192 .e0 169e2 .48 ST

8800 0000 APPLIED MATI .S INC 1 COt4 b 1 TAKEOVER RT EPF : 06-2G-89 EXP - 08222105 - MINOk = 61 SOLD 02/03/2004 188223 17 nC0 6898 .0000 01/09/1996 147541 30 29284 60 118254 .70 LT15

1902 .0000 01/09/1996 40681 .87 8074 .70 32607 .11 LTl5 3000 0000 APPLIED r+ATIS INC 1 COM 6 1 TAKEOVER RT EFF 06-2G-89 ExP - 038222105 - MINOR - 61

61

128118 54 LT15 16973 36 L'l15 40390 ;9 Lrl ; 136559 2S LT15

21811 OH ST

56396 08 ST

66027 95 ST

120.06 Sr 80 .81 ST

3262 38 ST

4832 3~1 sr 540? 58 S f

49131 53 Sl

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SIl'I LL ;ES 8 1 h~BE S : 655 S6o1/~VpI UOiO 511 56 31tE 9L EOrt~ Sc z : ;L7 ao51/:[/0[ JLuO o13 Sill Z~ Z L6 lL B769 ca 0 1 6C 3061/:110[ 0000 9 :i Sicr 5G atrE 5c Eoarz Sc Z?acC 96otict/Ot 0000 o~9

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Page 51: 990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/416/416012374/41601… · C-4tabol. " K. BLANDIN RESIDUARY TRUST U0lnerwise. O LOWRY HILL 41-6012374

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b5 3'htd TIIH A1irltyj V80 'V't7 'XNVfB 001ft3 1'13M 0029651 1 4105 .I.J.7Ff

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4400 .0000 KOHIS CORD COa - 500255104 - MINOR " 61 SOLD 02/03/2001 19836.42 nC0 795 .0000 07/10/200 17811 .19 21020,32 -1206 .14 ST

1500 .0000 07/10/200 67648 .78 79821 .00 -17.175,22 S7 2505 .0000 07/10/2007 1129'],46 173306.06 -20332 62 ST

13200 .0000 KON1 .5 COMP COM - 500255104 - MINOR e 61 SOLD 07/29/2004 1050190 .67 nC0 500.0000 07/10/2009 22633 .42 16608 .00 -3974 .50 4T15

1000 0000 07/10/2003 ~1 b266 . 84 r3216 .00 -'1949 .16 I .TI5 12905.0000 07/10/2003 584168 56 6867,2 . 48 -102583 .92 L'r15 $200.0000 07/10/2003 275787,56 26723 20 -41375 .64 LTt5 500.0000 07/10/2003 22633 42 26608 00 -3974 .58 L r15 500.0000 12/79/2007 22633 42 22674 .70 -41 .28 ST 495.0000 07/10/2003 2240 09 26741 92 -3934 .83 Lr15

2100.0000 12/19/2003 95060 36 95233 74 -177 38 ST 54140 0000 LIBERTY MEDIA CORP NEW - 530718105 - MINOR = 61

SOLD 12/07/2004 5'6907 68 NCO 12000.0000 02/07/2004 12780 19 114291 .05 13519 14 ST

42140.0000 02/03/2004 449037 49 401352 07 41685 42 ST 65000.0000 LIBERTY MEDIA CORD NEW - 530718105 - MINOR - 61

SOLD 12/22/2004 703978 95 AC? 51660 0000 02/03/2004 561666 90 493927 81 6739 .09 5T

17140 0000 09/28/2004 142312 .05 114318 00 27994 05 ST 5300 OOOC LIBERTY MEDIA INTL INC - 530719103 - MINOR = 61

SOLD 07/29/2004 165670 93 'ACC 600 .0000 02/01/2004 18755 20 22355 35 -3600 .15 ST

4700 .0000 02/03/2004 146915 73 175716 92 -28201 19 ST LOGO 0000 LIBERTY MEDIA IN'PI . INC 8/16/04 - 530719111 - MINOR = 64

SOLD 08/17/2004 7689 82 ."ICQ 120 .0000 02/03/2005 269 98 0 .00 869 .98 ST

940 0000 02/03/2004 6819 84 0 00 6814 84 ST 13700 0000 MATTEL INC 1 COM 5 1 TAKEOVER RT EFF 02-17-92 EXP~ 02-1%-C2 - 577081102 - MINOR - 61

SOLD 07/29/2004 239223 78 ACO 13700 0000 02/03/2004 239223 78 2'0231 13 -3100"1 .35 5'f

3000 OOOC rnTTeL INC I COrt b 1 TAKEOVER RT EFF 02-17-92 EXp 02-17-07 - 577081102 - MINOR = 61 SOLD 12/22/2004 56788 66 nC0 509 0000 02/03/2004 9635 14 10039 59 -40a 84 5'r

2491 .0000 02/03/2004 47153 52 19174 73 -1981 21 ST 4100 0000 MEDTRONIC INC 1 COM 6 1 TAKEOVER - 585055106 - MINOR ~ GI

SOLD 02/03/2004 209828 17 NCO 1100 .0000 07/06/1995 56295 36 10725 14 45570 22 LT15

1900 .0000 07/06/1995 97237 .44 18525 24 78712 .20 Lr15 700 .0000 0/06/1995 35829 .32 6825 09 28999 .2 1 .7115 400 0000 07/06/1995 7.041 .04 3900 05 16510 99 LT15

11200 0000 MEl7IRONIC INC 1 COM b 1 TAKEOVER - 585055106 - MINOR o 61 'OLU 07/29/2004 555506 98 NC0 11200 0000 07/06/1995 555506 98 109201 40 4 .16305 58 L'I'15

4200 0000 MERCK s CO INC - 589131107 - M]ttOR - 61 SOLD 02/03/2004 702262 52 AC0 9200 .0000 07/28/2003 202262 52 275129 .37 -22866 .85 ST

7800 0000 MERCK 6 CO INC - 589371107 - MINOR " 61 SOLD 07/29/2004 351515 .92 ACG 7800 .0000 07/28/2003 351515 .72 419057 39 -66581 47 LT15

10000 0000 MERCK a CO INC - 589]]1107 - MINOR - 41 SOLD 11/03/2004 274693 56 ACO 8000 0000 07/28/2003 219754 85 428817 84 -209062 99 LT15

2000 .0000 04/03/2003 54938 '11 10620 75 -51332 .04 LT15 93000 6000 MERCK L CO INC - 589131107 - MINOR - 61

SOLD 12/22/2004 791732 61 VICO 23000 0000 04/03/2003 741732 51 1222113 62 -480381 01 LT15

7200 (i0G? NICPOSGFT CORP - 594918704 - t41NOR " 61 SOID 02/03/2004 195974 81 tC(~ 1540 .0000 07/01/1995 41516 83 25695 81 16221 02 L'f15

722 .0000 07/01/1998 19651 92 12047 00 764 92 L115 291 0000 07/07/1999 1920 65 4855 51 3065 14 L'115 1647 0000 07/01/199E 126485 4 1 )7537 94 48947 41 L~i15

12196 0003 ;41CnO50F''' CORP - 594918104 - MINOR ~ 61 fol 0 07/29/2004 346634 57 ACC~ 809 000C 07/01/1998 23023 60 13498 b~1 9525 96 LT15

5513 0000 07/01/1998 768280 03 98E61 90 69618 13 L'r15 108 0000 07/01/1998 j069 j6 J7987 05 12692 .10 1.T15 2959 0000 07/17/1989 e4211 16 1094 e2 8 :116 94 L't15 1421 0000 07/17/1989 40410 71 525 ~17 39915 24 Lr15

258 OOOC MiCFOSTRATEQ INC 6/24/07 - 5949721!° - MINOR = 64 `OLD 02/03/2004 54 17 ',CO 158 0000 07/26/2002 57 17 0 G0 54 1 % Lf15

361 COQ^ ; ;]CZOSTRA1E,Y INC ,:L A - 59~14)2~IQ8 - M1NGH = 51 oil, 02/03/2004 14011 S1 C( 6 0000 07/24/2002 ='18 97 .8 10 310 87 LT 15

3 OVOC 07/24/2002 1F9 48 19 05 110 72 L"I5 2 0000 07/24/2002 126 32 12 70 113 62 1,11 ; 9 0000 07/21/2002 252 E5 25 40 227 2S LT15 4 0000 07/24/2002 252 C5 25 0 2 ?7 2S LT15 3 "1070 01/29/2002 215 19 0 00 215 15 1, PI 5 i7 0000 07 ;29/2032 1G13 14 0 00 107, 74 Lr15

5930 07/24/2002 .7 .5 3 77 33 68 LT15 19 0000 07/25/2002 1200 07 0 GO 1200 0% LT 15

ACCT SO1D 11556200 WELLS FARCO BANK, N .A . SBA I.OWRY HILL PACE 55 FROM O1/01/200e STATEMENT OF CAPITAL GAINS AND IQSSES 1'0 12/31/200) C K B1ANDIN-RESIDUARY U/W RUN 05/09/2005

TRUST YEAR ENDING 12/31/200

TAX PREPAPEH OA TRUST ADMINISTRATOR' 5006 LtGEND . F - FEDERAL 5 - 57ATF: 1 - INHERITED INVESTMENT OFFICER 562 E - EXEMPT fPOM STATE U - ACp COST UNKNOWN

PROPERTY DESCRIPTION SHARES DATE; SALES PRICE COST BASIS CJ%IN/IASS TF:FW -------------------- ------ ---- ----------- ---------- --------- ----

Page 53: 990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/416/416012374/41601… · C-4tabol. " K. BLANDIN RESIDUARY TRUST U0lnerwise. O LOWRY HILL 41-6012374

ACCT 501D 11596200 FROM 01/01/2004 7'0 12/31/2004

TAX PFtEPARER " OA TRUST ADMINISTRATOR 5006 INVESTMENT OMCER : 562

PROPERTY DESCRIPTION --------------------

PAGE 56

RUN 05104/2005

HELLS FARGO BANK, t1 . A . DBA IQWRY HILL STATEMENT OF CAPITAL GAINS AND LOSSES C K HIANDIN-RESIDUARY U/w

TRUST YEAR ENDING 12/)1/?009

LEGEND F - FEDERAL ; - STATE i - INHERITED E - E.XFJ4F'T FYOf1 STATE V - AC'Q COST UNKNOWN

SHARES DATE SnLFS PRICE CO:; C ms 15 ( ..IN/1.055 TERM

9 .0000 07/24/2002 Go . -Is 57 16 Sl1 .29 t.r15 1 .4070 07/29/2002 80 .87 8 93 '19 .99 LT15

202 .0000 07/29/2002 12758 .61 0 .00 127y8,61 LTl5 29 .0000 07/29/2002 1831 69 0 .00 1871 68 LT1 ; 5 .0000 07(24/2002 315 .91 71 .75 204 .06 Lr15 5 .0000 07/29/2002 115 .81 0 .00 715 .81 4'!l5 4 .5970 07/24/2002 790 .10 .9 .17 26P.93 4715 1 .0000 07/21/2002 6 .16 6 35 56 51 L715

65 .0000 07/29/2002 1105 .49 0 .00 4 1 OS .4 9 L7'l5 10700 .0000 MOHGM+ STANLEY DEAN w17'l'BR 6 CO COn - 617446448 - MINOR 61

SOLO 02/07/2004 615970 14 nC0 1100 .0000 08/08/2003 6332 .03 53809 14 9514 .09 ST

3317,0000 08/08/2003 194404 78 165190 06 29210 72 S7 5523.0000 08/08/2007 317944 21 2'10170 80 47773 41 ST 700.0000 07/12/1995 40297 11 8965 30 3131 .81 L~r15

14000 0000 MORGAN STANLEY DEAN N1TTER 6 CO COM - 617946448 - MINOR - 61 SOLD 07/29/2004 695310 .51 ;,CO 14000 0000 07/12/1995 695310 51 1"9306 06 516004 .45 Ll 15

900 0000 MOFGIUI STANLEY DEAN WITTER 6 CO COM - 617946448 - MINOR - El SOLD 12/22/2004 49552 83 nC0 900 .0000 07/12/1995 49552 83 11526 82 38026 01 Lr15

5400 0000 PFIZER INC 1 COM d 1 TAKEOVER RT E?(P " GOtJOTL - 717081103 - MINOR - 61 SOLD 02/03/2004 202166 52 nC0 5400 0000 12/19/2003 202166 52 785100 66 1065 86 ST

15500 0000 PFIZER INC 1 COM b 1 TAKEOVER RT EXP CONDTL - 717081103 - MINOR = 61 SOLD 07/29/2004 492266 91 ACO 15500.0000 12/19/2003 492266 91 531307 45 -39040 .54 ST

3000 0000 SCHWAB CHARLES CORD NEW - 808513105 - MINOR = 61 SOLD 12'/22/2004 35939 15 ACQ 3000 .0000 06/22/2004 35939 15 27692 .40 8246 75 ST

4600 0000 STATE STREET CORP COM - 857977103 - MINOR - 61 SOLO 02/03/2004 244353 89 ACG 803 0000 06/12/2001 42655 69 42448 27 207,42 LT15

2300 0000 06/12/2001 722176 95 121582 83 594 .12 LT15 1497,0000 06/12/2001 19521 .26 77134 56 386 70 LTi5

12000 OJO(1 SPATE SfFEET COMP CON - 857477103 - MINOR = 61 SOLD 06/21/2004 567587 83 f~CG 1779 0000 06/12/2001 87109 90 94011 68 -6931 .8 I.f15

10271 .0000 06/12/2001 500477 93 ,~10203 52 -34821. 59 LT 15 13165 0000 SI'A1E STREET CORP COtd - 857477103 - MINOR ~ Gl

SOLD 11/01/2004 603139 .7 4CO 189 .0000 02/08/2002 80134 95 92182 70 -12017 . 15 I:r15

3804 .0000 02/0517002 170393 14 196010 G1 -2,611 41 L'TI5 7400 .0000 06/12/2001 152296 71 179731 14 -27~134 43 1.1,15 3089 0000 02/08/2002 138366 04 159168 45 -20801 41 1.r15 1383 .0000 02/08/2002 61948 .93 11762 0 -9313 60 LT15

11000 0000 STATE STREET CORP C01f - 857477103 - MINOR " 61 SOLD 12/22/2004 533276 30 11C0 13') .0000 02/08/2002 6641 71 7059 27 -417 .56 L115

709 0000 02/08/2002 14372 08 36533 00 -260 92 Lr15 3012 .0000 02/08/2002 146020 .75 155200 83 -9180 08 t.T15 2000 0000 02/08/2002 96959 33 103055 00 -6095 67 L'I'l5 3900 .0000 02/08/2002 189070 69 200957 1.5 -11886 56 LT15 1242 .0000 02/08/2002 60211 74 6399 15 -3785 .41 Lr15

3600 0000 S'f5C0 CORP 1 COM 6 1 TAKEOVER - 871829107 - MINOR = 61 SOLD 02/03/2004 135353 65 NCO 450 .0000 10/16/2003 16919 21 14965 65 1953 56 S7'

31SO .000C 10/16/2003 118434 44 104159 55 1367~1 89 ST 700 0000 SYSCO CORP 1 COM 6 1 TAKEOVER - 871829107 - MINOR - 61

SOLD 12/27./2004 26739 37 ACO 700 0000 07/29/2004 2639 37 23814 21 2925 16 ST

6500 0000 TARGET CORD - 87612E106 - MINOR - 61 SOLD 02/07/2004 253163 13 nC0 6500 0000 02/08/2002 253163 13 273109 85 -199x6 77 L'P15

8200 OOOC TARGET CORP - 87612E106 - MINOR = 61 SOLD 05/10/2004 356281 65 ''Co 8200 0000 02/08/2002 356281 65 354538 58 11743 07 LT15

21600 000 TAFGEf CORD - 87612E106 - MINOR = 61 SOLD 07/29/2004 959570 48 'C(5400 0000 02/08/2002 219692 62 275891 76 13001 36 LT15

2760 0000 02/08/2002 722611 78 115956 b5 6645 13 LT15 :3540 000C 02/08/2002 597066 08 564707 14 32358 94 LI15

2300 GOC : T1FCEf r_qRp - ?'672E106 - MINOR - 61 :OLD 12/22/2004 116929 26 1C( 460 0000 02/08/2002 233E5 85 19327 77 4058 08 LT15

60 OUOC 02!08/2002 3050 33 2511 01 52 .37 1,r15 !1c0 0000 02/08/2002 59989 79 9519 SI 10409 85 LT15 E00 0000 07/14/200U _0503 29 8603 69 1189 9 60 LT15

l ;2 COG, -i1-CG i,J'A710N SEFVICES INC - P8'1141i0`3 - 11 NOR = E1 _01 .D 02/03/-'005 c9 43 : .̂ 112 OC~00 04101/200~ b9 43 13 "0 35 6'- SP

:SE GOOF 2114('0 :-V1ATIOt1 SVCS IhC 12/31/Cl - 8Q7151!16 - 11fPQR = 64 'OLD 07/29/2004 0 03 .C~ 316 9(jOC 01/01/'.950 0 7 ; 1 LO -0 97 LEIS

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SUMMARY OF CAPITAL CAI NS/!ASSES ------------------------------- -------------------------------

FEDERAL SHORT TERM LONG TERM 2Q9. LONG, TERM 15% ;T WASH SALE LT WASH SALE ------------ ------------- ------------- ------------- -------------

SUBT07AL FROM 150V"c 10E1211 9e 0 00 `_5E7832 63 0 00 0 CO COF4fON TRUST FUND 0 On 0 00 0 00 CAPITAL GAIN DIVIDENDS 0 00 C, 00 @6322 C-5

------------ ------------ ------------ ------------- ------------- iGoiZil 98 0 UO 5774155 -18 0 00 0 00

ACCT SO1D 11556200 WELLS FARCA BANK, N .A OBA LONiIY HILL PAGE 57 FROM 01/01/2004 STATFJiEt7f OF CAPITAL GAINS AND LOSSES 7'0 12/71/2004 C K B(J4tIDIN-ftE51WARY U/W RUN OS/04/2Q05

TRUST YEAR ENDING 12/31/2004

TAX PitEPARER : OA TRUST ADMINISTRATOR 5006 LEGEND . F - FEDERAL S - STATE 1 - INHERITED INVES7TfENT OFFICER : 562 E - EXEMPT FROM STATE U - ACQ COST UNKNOWN

PROPERTY DESCRIPTION SHARES GATE SALES PRICE COST BASIS GAIN/LOSS TERM -------------------- ------ ---- ----------- ---------- ---------

2)00 .0009 UNITED PARCEL SERVICE-CI. H - 911712106 - MINOR - 61 501,n 02/03/200 162952 88 NCO $6 .0000 02/08/2002 1947 .55 7179 45 830 .10 I'll' 15

1172 .0000 02/08/2002 8035.12 65494 .89 17540 .24 1.115 476 .0000 02/08/2002 17721 .16 26600 31 712 8S 1,T15 596 .0000 02/08/2002 42226.05 7530G .7,'/ 9919 .78 L'rl5

IH00 .0000 UNITED PARCEL SERVICE-CL B " 9111 :106 - MINOR e 61 50 .0 07/29/2004 129220 .95 AC :~ 653 .0000 02/08/2002 46879.49 36491 .60 10386 89 1 :r15

576 .0000 02/08/2002 41350.70 52188 .61 9162 .09 LT 15 51 .0000 02/08/7002 40991 .76 31909 .9 9082 .5 4~r t5

2600 .4000 UNITED PARCEL SERVICE-CI. B - 911311106 - MINOR - 61 SOLD 12/22/2004 225643 .17 nc0 82 .0000 02/08/2002 1116 e6 4502 .41 7534 .05 4T15

2518 .0000 02/08/2002 218527 31 140713 .39 77813 .92 L'1'I5 6800 0000 UNITED TECHNOLOGIES CORP - 913017109 - MINOR - 61

SOLD 02/07/2004 653986 57 aC0 6800.0000 04/23/2003 653986 57 419424 00 234562 57 5T

2900 OOOU UN17ED TECHNOLOGIES CORP - 91]017109 - MINOR - 61 SOLD 07/29/2004 21882 26 ACC 1200 0000 04/23/2003 112503 00 19016 00 78487 00 LT15

1700 0000 10/02/2001 759379 26 82454 93 76929 33 LTIS 100 0000 UNITED TECHNOLOGIES CORP - 913017109 - MINOR - 61

SOLD 12/22/2004 10469 75 AC0 100 0000 10/02/2001 10469 75 4650 29 5619.46 LT15

3000 0000 UNITEDHEALTH GROUP INC - 91329P102 - MINOR - 61 SOLD 02/03/2004 779091 61 hC0 506 .0000 03/31/1999 30206 78 6738 09 23468 69 LT15

2494 .0000 03/31/1999 148884 83 33211 04 115673 .79 LT15 1000 .000 UNITEDHFJILTH CROUP ]NC - 91324 P1 U2 - MINOR = 61

SOLD 07/29/2004 63098 52 ACO 268 .0000 03/31/1999 16910 40 3568 79 13391 .61 L'P15

202 .0000 03/31/1999 12745 90 2689 91 10055 .99 L'r15 530 .0000 03/31/1999 33442 22 7057 68 26384 54 LT15

8400 0000 UNITEDHfALTF1 GROUP INC - 91329P102 - MINOR ~ 61 SOLD 12/02/2004 685646 54 nC0 1132 0000 03/31/1999 92399 03 15074 14 77324 89 LT15

5206 .0000 03/31/1999 424937 61 69325 05 355612 56 LT15 1868 .0000 03/11/1999 152474 73 24879 99 127599 74 LT15

92 0000 03/31/1999 7509 .46 1225 11 G284 35 L~115 102 .0000 03/31/1999 8325 ")1 1358 2~ 6967 n4 Lr15

200 000 UNI'ftDFIF.ALTN GROUP IttC - 91320102 - MINOR ~ 61 SOLD 12/22/2004 17039 60 ACO 200 0000 03/31/1999 17039 60 2663 28 14376 32 L~r15

3500 0000 NACNItaGT'ON NUT INC COM - 979322103 - MINOR ~ 61 SOLD 02/03/2004 152701 69 nC0 3500.0000 05/21/2002 152701 69 136963 60 16238 09 LT15

34000 0004 wASii]NGroN ieuT ANC COre - 9393]2103 - MINOR ~ 61 SOLD 07/29/2004 1311053 .48 AC9 1000 .0000 05/21/2002 38560 .40 38989 .60 -429 20 LT15

6991 .0000 05/21/2002 269575 73 212576 .29 -3000 56 LT15 3000.0000 05/21/2002 115681 19 116968 80 -1247 61 L~rt5

23009 0000 05/21/2002 887236 .16 897111 '71 -9875 55 L'r15 5000 0000 NOBLE CORPOfiH1I0N - 665922100 - td1NOH - 66

SOLD 02/03/2004 189241 13 ~~C O 5000 .0000 12/19/2003 189741 13 181554 50 7686 63 Sr

7500 U)0( : NOBLE CORPORA710N - 665422100 - MINOR - 66 SOLD 0712/2004 287093 27 l.CO 7500 .0000 12/19/003 281093 27 272331 75 14761 52 ST

19115 000 NOBLE CORPORATION - 665922100 - MINOR = G6 SOLD 09/2Q/2004 867298 43 ACC 750 0000 12/19/2003 390117 03 272331 75 67785 28 ST

11625 0000 07/28/2003 527181 90 386656 30 140515 30 LT15 300 0000 NOBLE CORPORATION - 665422100 - MINOR - 66

SOLD 12/22/2004 14738 65 :.C() 300 0000 07/28/2002 14738 65 9578 48 4760 17 LT15

--------------- --------------- 'TOTALS 35978651 53 22709606 7?

Page 55: 990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/416/416012374/41601… · C-4tabol. " K. BLANDIN RESIDUARY TRUST U0lnerwise. O LOWRY HILL 41-6012374

CAPITAL WSS CARRYOVER ----------------------Ft.DeRnL 0 .00 0 00

MINNESOTA N/A N/A

ACCT SOLO 11596200 WELLS FAAGO BANK, N .A . OBA W+7RY HILL PAGE 58 FROM 01/01/2004 STATEMENT OF CAPITAL GAINS AND LOSSES 7'0 l2/31/200a C K BtANDIN-RESIDUARY U/W RUN 05/04/2005

TRUST YEAR ENDING 12/71/2004

TAX PREPIIHER : OA TRUST ADMINISTRATOR 5006 LEGEND' F - FEDERAL S - STATE 1 - INHERITED ItNES711Eti7' OFFICER . 562 E - EXEMPT FROM STATE U - ACQ COST Ut+KtlOlaN

PROPERTY DESCRIPTION SHARES DATE SALES PRICE COST BASIS CAIN/LOSS TERM -------------------- ------ ---- ----------- ---------- --------- ---------

STATE

sua,0,11nL FROM ABOVE 10e1211 .9e 0 .00 5687832 83 0 .00 0 00 COMMON TRUST FUND 0 .00 0 .00 0 00 CAPITAL GAIN DIVIDENDS 0 .00 0 .00 86322 .9~

------------ ------------ ------------ ------------- ------------- ------------- 1081211 . 98 0 .00 077155 .78 0 00 0 00

sase ..aa. ao naueaeoaaa. . .. .. ....

Page 56: 990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/416/416012374/41601… · C-4tabol. " K. BLANDIN RESIDUARY TRUST U0lnerwise. O LOWRY HILL 41-6012374

SO1D " GL»l6

ACCT SO1D 11596]01 WELLS PARGO BANK . ti .A bbA LOWRY HILL PAGE 33 FROM Ol/01/700 STATEMENT OP CAPITAL GAINS A11D WtiGES

7'O 1]/]I/7004 C N UI.AttbIN AH6 . 1 .11 flMLl . CAP RUN 04/11/200S

TRUST YEAR FINDING 17/yl/700

7A.( VNLI " AIIK4 OA INVG'! ADM111IG1YA'1'ONi 5004 I .hCF:NDi 1 " FI.DIi1lAi . " C7ATF: I " 11111NN11'hU

1NVI : : ;IMI :NI UVI"ICkHi "4J If " I:AKNPT 1NOM i%IATI( U ACS) Mr UNKNOWN

I,HCII'IU17/ DIiGCIIII,rior+ ciail¢a unrIt ;,41A1 ; PRICE CO:: r IMlilft CA IN/TISNM

7115 nn00 AITRqNANNISY TIiC11NO1 .OCiY CORP COM " (lau,1 lain! MINOR - A]

iiOLU OG/OJ/JOUR JOJb') .1! ACQ iL2 .0000 OJ/la/2p01 204 3 . 20 7~~ . .Uv 9~0 ji I ri!'"

200 0000 05/14/2001 7941 .67 74 01- .76 5 ;1 .41 49'l5

300.0000 OJ/It/90U1 .447 .711 inl,i,n~ a]n,f1 I .TI' .

900.0000 0/14/2001 91) 6 1 ,f*1 :a09,16 1^~1 .4 1 I .Y11

600.0000 03 /14 /2 09,1 000 : .01 '~277 'in 16h'1,7) x'1'15 700 .0000 07/l4/JpUJ 4442 .'a1 IoIi uv U'tu G! 1 :1'I4

2110 e000 01/14i2001 11120 1,6 ~10~1 ~1r . . . i .rI t.

7+}7 OUOU AY7'RIiMARKHT TI;CHNOLOOY CORY COM - UOU .1IUIU1 " MINOR - GI fiOI .D 07/21/2004 S1962 .31

ACO 700 0000 07/14/2003 10805 22 0432 41 1372 111 1 .715 100 0000 07/11/7003 1543 60 1f04 6 .1 730 77 1'!11 900 .0000 03/14/7001 I1897 47 IOP41 67 X050 7(, 1 .1'1>

1500 .0000 0J/14/7003 7J154 05 18069 45 SOBS 60 LT IS 555 0000 03/1/2007 B567 00 f.GBS 70 1881 30 1-1 15

)105 0000 AMGRICAN ITALIAN PASTA CO CL 11 - 077070101 " MINOR . 61

SOLD 01/71/2004 10191 21

!.CO 398,0000 02/13/200 4 11982 82 16004 18 -4021 16 ST 2871 0000 02/18/700 86138 91 515117 34 -7N678 47 ST 116 0000 02/30/2004 3497 48 4647 33 -119 BS ST

]74Z OOQO AMERICAN ITALIAN PASTA CO CL A " 0]70'7O101 " MINOR . 61 SOLD 11/17/2004 64647 56 nC0 36 0000 02/09/7004 740 66 1923 97 .687 BI ST

1430 0000 07/10/700 29420 84 57728 74 -77807 90 5T 72 0000 12/01/7001 452 61 847 60 -3119 47 ST

501 0000 17/01/700) 10101 58 19188 30 " 8880 '72 51' 154 0000 12/01/7003 3168 40 SB98 10 -7729 80 . "̂ T 929 0000 07/09/700 19113 26 761)J SO -17410 24 !,T

70 0000 17/07/7007 190 18 7481 AO -1]00 87 9T 4980 0000 AMLRICAN ITALIAN V11S'fA CO CL A " 07'70'10101 - MINOR - 61

SOLD 11/IP/700 98071 45

ACO 117 0000 11/26/7003 72 ;0 91 417i 63 :02e 17 ..1 G6 0000 17/01/2003 1376 43 7 ;7! 80 .1701 37 6~T

1879 0000 17/07/7003 36758 20 69q7q 00 -1J270 HO " .T 435 0000 12/01/2003 8742 18 14440 50 .791 B 11 t7T

397 0000 11/26/2003 7078 19 14971 10 .7093 " .1 ." :f 61 0000 11/24/7003 1715 94 1179 'is -1107 04 S'!

734 .0000 12/01/+001 1,7,1 ,1 2e112 20 -1,160 . .v ~T 10e6 0000 12/01/2003 21075 111 4159, 80 ~197c1 9o Si

109 .0000 12/02/2001 7190 62 4110 43 " 19'19 PI .:r

56 0000 11/26/2003 1125 4 G 77JU Ol -1013 J5 51 If,9 1 0000 AHCPICAt7 ITALIAN PAJ7'A CO CI . A - 07070101 " MINOR " 1.1

SOLD 11/19/7001 J7 ;78 71

ACO 1111 0000 11/76/3003 1710 01 3199 19 -IGHV .IFI ST

3 .0000 11/7S/7007 57 4< 11! 84 -i4 70 SI

li 0000 11/2b/7007 J49 78 493 79 .24i bl 51 540 .0000 il/7c/200 .1 10375 37 2004 .21 -102,e 20 L.T 1111 0000 11/26/2003 3592 95 '1142 .11 -3549 .16 UT 11 0000 11/7 ;/2007 326 6 l 1 .45 07 " 1 1 u 44 t; t

470 0000 11/74/2001 9010 47 1'7150 1', "N9 10 1 ! Sf 3 0000 11/73/7007 5'1 64 111 84 -S6 70 ::T 15 .0000 11/76/2007 1441 02 7864 40 -147] 4 G ST <6 0000 11/25/003 8B3 .87 174 y,4 0 -861 r.5 ST

750 0000 11/25/1003 4803 41 9486 20 -662 117 Sr 7425 0000 AMERICAN ITALIAN PASTA GO CI . A " OS70"10701 - MINOR . 61

SOLD 11/17/2004 140080 13 A('p 6 0000 17/45/7003 117 94 227 67 " ]l] e3 S7

106 0000 11/20/2007 7011 72 3991 96 -1980 74 S! B 0000 11/25/2007 151 79 303 56 -757 77 ST

112 0000 11/25/7007 2125 06 <749 85 -713 79 ST 54 10 0000 06/07/2004 107618 01 161061 55 561] 64 ST

74 0000 1 1/15/2007 455 7" 910 ~B -4,5 1 1 ST 14 0000 11/25/2003 165 43 S)1 73 -145 60 ST

157 0000 11/25/2001 `902 98 5805 60 -2907 G3 S I' 138 0000 11/75 ;7001 7618 38 523e "77 " :6 1B 04 5!

786 0000 11/75/)003 5475 49 10952 70 1,475 hl ST 191 0000 11/75/2007 162' 99 7247 51 -362 . r2 ST 177 0(.04 11/757'101 )OAP l4 14115 '.7 -705'7 37 ST 18 6000 11/75/2003 571 17 1062 96 -531 19 ST 174 000 17/75/7047 7757 15 405 19 -7357 4 4 ;T 117 0000 11/28/4703 7717 ~7 .632 18 -2296 4 1 CT 14 ; 000n 10/75/2009 . ,1 .9 4009 J5 7258 06 ST 100 0000 11/25/2007 1697 ]B ) 194 51 -1847 11 ;,1 AS 0000 11/28/700) 161? 17 ?201 10 -1186 .3 '.T

6075 0070 AMERICAN HWR CONVERSION CORP - 029066107 - MINOR . 63 SOLD OlJ21/7004 '05l47 91 ACp 2002 0000 08/15/3007 76035 15 35831 40 20- '7 5 ST

779 0000 08/19/2003 1=071 69 1 .920 71 X69 01 ,T ))49 0000 05/07i2004 6 07E0 58 59513 14 777 4 7 £T

790 0000 t.PL]1'ROtI INC ClE7yQ10B - MINOR " 61

SOLD 06iG3/7001 ?105' ~I ACO 3 1 0000 13/10/1002 `2 .0 17 (13 11 P7 181 32 LTI5

158 0000 04/7?/7003 6216 73 5i9S 0 919 93 1 T1 5 252 0000 12/18/7007 1918 59 6744 55 1171 94 1 .T]5 107 0000 12/7P/7002 4211 43 3S85 SE f?, t4 L115 100 000 04/22/1007 :5=5 91 3351 99 581 92 1 T15

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SO1D " GL74 16

7 .0000 (IA/t7/IbOt %7 :r~1~1 31a . 11, do .'71 1'fl~.

fyS 0000 04/71/7901 '.J13 .40 4 141,1,0 9'l 1,n0 I :PIb

200 nhuu AHU1'1'NpN INC " OJU'+5^IOU - MINOR -1

1:01.1) 01/?1/?U04 yaUG4 .1J

ACO 50.0000 10/91 " /'J0 4) 1 17,14 ,b1 I 1e,0,4 1 0 .1 , " . II I I 1' . 704 .0009 04/1t1 /'1p0,% '1H4 .11 1 .624 ,at. ;39,1C" I .I'1'.

109 .0000 04 / :,1 />4U1 10714,f0 4" 17 44 7'111,91 /:r l'1

1509 .0000 0q/24/YUU1 S5 106 .119 47 ;" O1 ,0 ;, IY(. 03 7'I 1 Y11y f.16 0000 04/7o/7001 J116 .1 .06 1 G4 76 9, 4 11 u~~ 01~ 1 Ti%

to UU00 AHUITNON INC " O7B'lsOlOU " MINOR - GI

GOLD soils/2oo+ i :rI 49

AM 10 .0000 09/26/2001 781 40 =b l 98 90 01 I .riS 1150 0000 BARNES 6 NOBLE INC COM " 06777410n - MINOR 61

SOLD 06/03/1004 J8076 61

ACID 106 0000 12/18/2002 7771 50 2308 44 914 06 I .1'l5 1344 0000 12/18/2002 3811 11 24915 86 9895 25 I .TI5

3550 0000 OARNPS L NODLC INC COM - 067774109 - MINOR " 61

SOLD 07/31/700 17708 58

ACO 955 0000 17/10/700 73540 36 20799 52 1278 84 I .T1 ; 88 .0000 17/18/2007 1091 77 1916 67 117 76 LT IS

157 0000 17/18/2002 51007 ,7 71677 78 19J83 59 1 .715 1055 .0000 17/18/2002 37061 28 77977 48 14083 80 LT 15

7196 0000 BARNES 6 NOBLE INC COM - OG7774]09 " MINOR " 61 SOLD 09/23/2004 79819 00 ACO 55 .0000 17/18/7007 1999 11 139 BB 801 23 L'1'15

1260 0000 17/18/3002 45791 79 27442 39 1035S SO I .YIS 55 0000 17/18/2007 1999 11 1197 BB BOl 13 I:f15

495 0000 17/10/1003 15761 48 15136 82 10124 66 I .T15 171 0000 12/18/2007 4761 57 7853 17 1708 79 LTIS

1J66 0000 BARNES 6 NOBLE INC COM - 067774109 - MINOR 61 GOLD 09/74/3004 49955 76 ACQ 460 0000 00/27/2003 16822 50 8813 60 BOOB 98 L.T15

90 .0000 12/18/7007 3791 is 1940 16 1331 77 LT1 ; 401 0000 77/10/2007 17590 S7 1041y 9B 711 5 9 I.71!, 18 0000 17/18/2001 650 70 792 03 266 25 I " TIS

717 0000 04/71/2003 1 1 i9] 9, . 6036 13 _ ,,r. . 71 1 T1~" 1.4o (7004 ISRN1 . .̂ INC 1 COM L 1 TAIfEOVCi1 11f FVYi on " ]7-l19 FXV ON-7f- "I) 0111~~710' . MINOR . 1.1

594D 04/03/2004 1l630 17 ACO 160 0000 00/7S/7002 9414 94 9042 69 10',4 76 I fly

200 0000 01/11/3007 7711 19 6 14~ . 20 91.7 ;r l1 I .P1!. 100 0000 IlEMIS INC 1 COM 6 1 1'ANEOVER PT I:VV " OP-3J 09 FXV oX 1 : 7~, OX14 1710'. MINOR - "1

r"CO 1900 0000 10/14/2001 27700 55 7.'J0', 00 ,34y ITIS 120 0000 01i31/2001 3J74 07 2U90 00 413 7'1 I. r IS 1000 0000 00/7/7001 29916 S9 74754 7, ;Gf,l x4 .'r

11'10 .0000 04/22/7007 24099 48 1935~ 94 474 7,,4 1 . PI ; 1170 0000 CAGI:YC CQN S'IONIL. .̂ INC 1 COM l. 1 TAIfQOVILH NT fiPY ; OG " 14 -117 I[%I' - 14 1520103 MINOR - 61

SOLD 06/03/2004 70841 i NCO 1770 0000 0'x/75/7001 20061 5tGS U 06 3 1147 69 1 .r 1S

4480 0000 CAGY :YG (7I[N ;TORI:B I HC 1 COM L 1 7ANIiOVl ;R NT bFF 06- 14-09 F%P " la'1,78107 " MINOR . GI SOLD 07/73/700 74785 J9 A(:p 7745 0000 07/25/2001 47190 98 36824 27 19 :,!,1, 71 ITIy

1015 .0000 04/22/7007 11394 69 ))$l0 97 7085 77 IT1 ; 700 0000 0/27/7003 11997 71 7771 AO >764 72 I .T1S

0743 CATCLLUS ClLVISLOpMI:NT CORP - 1<911J101 " MINOR - 61

SOLD 01/17/700 0 87

ACO .0743 12/20/700) 0 82 0 07 0 00 ; :f l7,r 0000 l'ATFI .I .U;~ UI:VELOPMENT CORP - 149113102 - ta1NOR " 61

SOLD 07/20/2004 97939 91 ACO 206 0000 32/24/2007 5371 57 4708 98 462 S9 : .T

100 0000 12/24/2003 2607 56 7383 00 274 56 ST

890 0000 12/74/2003 23107 Z7 71709 70 799a ,7 ST

900 0000 11/24/2007 23468 03 21441 00 2021 07 : :r 1660 0000 77/24/2007 41185 98 79!;57 80 7727 6e ;f

7211 0000 C6N'I'VAYTEL INC - 15600106 - MINOR . GI SOLD 07/19/1004 62016 48 ACQ 2711 0000 04/18/3007 67815 18 74771 14 -11',5 6 . If1S

5194 0000 CEiJTUNYTEL JUL - 15600306 - MINOR " 61 SOLD 03/12/200 14886E ;6

ACO 5044 0000 04/79/7007 179708 96 147042 31 -2787 16 LT15 71 0000 04/12/7002 579 58 705 43 -17 ; 85 I f15

379 000C 17/18/7002 ^OB0 05 9999 9P -8G9 93 'T'5 ;0la nD0O (FiITUPITEI . INC 156700106 - MINOR 41

SOLD 03/13/2004 110009 61 J, ('n 16 UC00 12/78/2002 41P 50 G 6J R9 -t, 39 1 TIS

285 0000 ]?/31/2002 '810 E 6 8415 05 -l.04 19 1115 :0 P00t 12i_l ;200 : 17X71 74 19191 i3 `377 9 9 1 .lIS

1 2 5 000! 0:/71/7007 :465 98 792) 10 227 22 C1 1300 0000 12/31 1i002 3S678 15" 78167 4', 2755 ,6 1 T1S ylv 0000 04i21/7001 14 114 36 19955 50 851 54 L I' 110 ClOU 17/ .1 .2002 1 :?77 2 3 IS059 51 1091 18 1 1`15 55 OGO : 1 :/11 .201] 1501 i5 162 : 46 11[ E0 ' .f15

S4B 0006 0510312001 :5018 %B 1 .797 ^4 -7'12 9, If1S

ACCT SOID 11596]01 1iHLl.F PAHCO BANK . H A OUA LOWRY HILL PAGE )4 FROM 01/01/700 STATIU1Bti7' OF CAPITAL GAINS AJID LOSSES TO 77/)1/)00 C K OLAt+DIN RFD " 1 .11 LMALI. CAP RUN 0/11/7005

TRUST MAP ENDING IJ1311WO04

TAX VNISI'AHISN . OA 7PUl.'I' AUMINICTNA7'ON, SOOG I .FMKNOi i " YIiU1S4AL f" " L'IA7i : 1 " INIINNI'I'!CU 111V1{SrMlSN7 OYYICLN, y67 F. - IS%I:nvf 1140" LtiA'i1L U " NCO CQ:IT UNKNOWN

DqOVIS117 Y U6CCN I P710N liF1AHli;: qA76 Ln1.HC 1'N I CIf "C,[' I PAf1 11 : (:A I N/ L6 :::{ 7 KN^1

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" . 5010 CL7436

1]II .f1f1d0 CI :N'1'VWY7m . INC " ISo0010G " MINON - r.1

COLIJ OS/74/9004 Ol" '!47 IJ

nCG 76 .0000 09/0]/J007 7ulpu .p4 'ti50 ;" .eN ~ii1S

095,0000 04/77/900J .150b .) . 00 1e9911 .1 b " 79 :1'f

706 .0000 04/77/7001 1 40nn,n7 7U111,11,~ 10' .l n1 1 . C 7,pi i .Tlb 465 .0000 09/09/7007 a ~5 vu .9U 1 12'13,1 9 6 0

0000 CRN9'URYTISL INC " 156700106 - MINOR - C.1

COLD 03/94/7004 UU60!~ .'I1

ACO 1406 .0000 09/07/Z009 J11 :121 . I! . 4OUa . ",Y -~~,I0 a I .TI~,

1760 .0000 00/19I7002 3 4 JS 4 .U1 35 .13} Is 1101 12 ITI,

299 .000 07/77/2007 Y12 11 ,`14 791''.,46 1'11 00 LT 1 ; .

1 .0000 CI:N'IURVTRI. INC " 196700104 " MINOR - 61

SOLD 0e/11/7004 77 '+o

AC0 1 0000 07/73/7007 71,y0 76 ;4 0 96 1 TIS

GGO 0000 CH01CPI'OINT INC CON " 170700107 " MINOR " GI

GOLD 06/07/700 78550 97

ACO 660 .0000 02/30/2004 28550 77 75429 54 3121 39 S?

1880 0000 CHO1CftPO1NT INC COM - 170]88109 " MINOR - v1

SOLD 07/70/2004 19467 99

ACO 999 0000 02/10/2004 42727 94 70<91 07 776 97 ST

881 0000 07/09/200 37240 0S 37925 20 3314 05 ST

160 0000 U1INDEN RESTAURANTS INC COM - 231194105 MINOR - 61

601.D 06/07/9004 16628 41

ACO 760.0000 08/19/003 19626 41 16077 31 605 10 ST

4270 0000 UARI+tl+ RCJTAURMITS INC CON - 237194105 - MINOR . 61 501 .1) 07/23/2004 97213 67

ACO 650 0000 09/21/7003 1400 75 12620 86 119 39 LTl$

870,0000 04/72/7003 18797 31 17179 80 1617 154 I.T15

7334 0000 03/77/2001 50115 31 41765 57 8649 70 LTI$

110,0000 08/19/7003 7376 04 2319 16 S6 8B ST

306 0000 07/12/2007 6609 12 5475 .69 1174 03 L(15

900 0000 DQNTSPLY INTL ]NC CON " ]9070107 - MINOk " 61 SOLD OG/07/700 45312 41

rC0 750 0000 11/17/7001 38163 .12 22506 60 1,656 51 I .T7S

142 0000 11/11/001 719 29 4216 28 f9~] 01 I .T15

775 0900 UHNTuPLY 1NTL INC CON " 7907010'7 " MINOR " 61

GOLD 07/11/2004 122526 31

ACV 721 .0000 11/17/7001 J6279 07 2107 99 14071 00 1.715

702,0000 11/11/7001 10164 40 599 BO 4165 60 I .T1 ;

050 0000 11/17/7001 47771 00 2S730 27 17517 73 I .TI5 318 .0000 11/12/7001 17007 76 70035 .92 "971 04 111 :.

S24 0000 12/0/2000 IGJOJ 70 Dial 00 X117 10 I .f15

9310 on00 FIRST IIRAI.TII ONOUI' CONIC COM " ]]09G0107 " MINOR - 61 SOt.I, 02/07/7004 18JUS7 69 ACV 1970 0000 01a /1A 0 / :100A )n64 2 ." '1 41,940 .94 '0 0f. \7 1Tl ",

592 .0000 07/79/7007 10191 .09 12176 06 -1970 17 1 .15

910.0000 04/71/2003 10b%o .31 72177 ;0 " 3011 7J : .T

IH,0 .0000 04/22/7003 361e1 94 44237 ;0 -8097 ,6 ,T 7450 .0000 04/22/7007 47863 G5 511579 ;0 .10'1 ; 0s ST

1569 0000 11/11/7001 30652 71 76181 14 5579 0'7 I1P15 7191 0000 I'IN,^,T 11fil.L711 (;13001' C011V CON " 1709G0107 - MINOR - 61

bQl.l) 02/04/7004 179196,72 nco s3 0000 11/12/200> >025 c4 1222 1e -196 54 LT I ~

178 .0000 11/17/7001 7444 60 4104 68 " 650 08 I .T1 5 77 .0000 11/22/2001 475 74 507 72 " 02 S0 1 .f15

6940 0000 17/12/2001 134300 74 160076 00 -2,715 66 1 .719 17057 0000 FIRST NPJILTH CROUP CORD COM - 7709G0]07 " MINOR " Gl

SOLD 02/05/100 73997 7d

nC0 100 0000 05/1 1/2000 1908 11 1104 16 204 05 I .7I 5

518 0000 11/1/7001 11077 44 1117H 66 " 1794 74 I .TIi 460.0000 11/12/2001 12574 IN 15219 60 .7615 42 IT1b

75b0 0000 11/07/7003 144069 "4 142379 41 1690 37 ;?

3000 0000 11/07/7003 :7246 25 56b74 60 6,11 .'s ST

115 0000 11/07/2007 7194 44 7149 49 15 l5 S! 49 0000 01/70/2000 975 02 761 9B 1">> 04 Ll15

.' .71 0(100 FIRST fiFAI.T11 GHOUL CORP COM " 13094030"1 - MINOR " 61

SOI .p 07/06/700 143791, 78

FCO 571 0000 07/10/2000 9961 26 612) 1B 1638 oil I,TI ;

126 0000 08/211000 797 30 1796 00 6S1 30 1,f15 3811 0000 06/21/7000 7 .7070 13 54719 00 19707 71 1.715

1000 0000 01110/2000 5735e st 46774 50 1f15fle 01 l .'C1 S

11577 0000 FISHER S U ENTIFIC IKPL INC - 3!00!7204 - MINOR . GI

SOLD 06/01/2004 669079 16 J.CO 980 0000 09/27/2003 56637 E7 27061 60 29565 27 :715

87S 0000 05/01/3007 4767S 67 21545 33 2x170 30 It15

E30 0000 04/37/2003 7517 52 J564 15 3946 37 LT 1K

G1C 0000 05/01/ 2003 352S1 07 17409 18 17847 79 IT15

200 0000 04/1"1/2003 11557 73 S486 3 8 .071 .5 :.1'15

590 0000 04/17/2003 34095 30 16187 82 17970 4 0 IT75

970 0000 04/17/2007 53IC5 55 25237 35 21928 :0 x .715

1.10 0000 04 /77/700i 9(806 P0 22714 89 2 .LOE 116 'fIS

1920 0000 04 ;1/2007 110954 20 52459 'S ;P284 15 IT5

570 0000 09/1/200) 577 ;3 94 :S :" 11 67 2h277 17 l?15

1900 0400 04/7/1007 10919E 4 3 57170 a1 5'67- P 2 1, T I ',

00 0000 04/17/2007 7,115 4 4 10972 76 12142 -0 LT 15

1090 0000 04/17/7003 67589 52 29900 17

'

.7088 E5 LT15

212 0000 04/17/2001 157]e 51 7161 48 P25- 03 Lt15

ACCT SOIU 11596701 WELLS PARGO DANK . N,A UIIA I.OwNY HILL PACE JS FROM 01/Ol/100 STATIiPIHt7T OP CAPITAL GAINS AND LOSSES TO 1]/71/ZOn4 C K ULNIUIN 16F3 " LII SMALL CAP NUN 0/11/700;

TItVDT YEAR ENDING 17/)1/]004

TNf PN6I"AHBN . OA TRUST ADMINISTRATOR, +OOG I .Y.f71SNDi Y " YHUISIUL C " C'I'A I'1{ 1 " INIIKNIIhU INVNS7MICN'( OFFICER : "] It - IS%ILMVT 1'NOM STATE V " ACp CQUI UNKNOWN

t`kOPICN7Y DILIICNIpTION UIWtRfI DATE DIILND PRICE t'OCI' U1WI[i CAIN/1.0::. "̂ TNNM

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- SOLD CL74]6

PAGE J 6

RUN 0/11/7005

ACCT SO1D 11596701 WELLS PAAGO BANK, N A UDA I.ONRY HILT . FROM 01/01/700 4 STATEMENT OV CAPITAL GAINS AND LOSSES TO 1]/]1/700 C K OlJ1NpIN RRb - 1.14 SMALL CAP

TRUST YEAR ENp117f. 17/71/]004

TAX VHHVANEN OA TRUST AU11111IETPATUXi C"00G LIi0KNUi V " YFDI:HAL .. " G'IAI'i, 1 - ItnIfiN1T6U INVNSM6Nr OPPICtu4t 5G7 li " I[%ISNvf I'RVM GTAlB V " ACV COLT UNKNOWN

1"HOI'hN'1Y DISCCHIVTIOII CIU1Rit . .̂ DA I'B :in1.CU PRICE CO". T UAt:IC GAIN/Iq,: .4 71SpM

1171 006U 1't^III;N ilC11SN'I/VIC INTO. INC " ?JU01790a " MINUN - i~l SOLD 06/01/4004 77147 .17 nCQ 97,0000 04/17/7009 15114 .114 '14 0 ." 4 U14 .00 t:11

.375.0000 04/71/2007 21071,36 10 1161 �'~0 "603 uc i:rI ' . 170 .0000 04/17/200J 4UIt.,0J 4 f"F" ',A9 ;.9!.1 b fl 611 1 S 1D0 .0000 04/19/7007 11001 .4 :> S2 11,01" ;06'J .43 I:Y15 900 .0000 04 /V7 /2 0 0 3 12131 )2 ~001 . b3 fi42 ;, 4o LT 15

;. 753 .0000 0e/17/2009 70 S0 0 .2 4 u i.4 1 1 UY9 40 t.ra 47o OOUO V111H1!R pCIRN'PIPIC IN'I'1 . INC " ))np)27ot " MINOR - .;I

SOLD 06/03/2004 24jIj 56 ACQ 420 0000 04/17/2003 7411J 1 .6 11172 p4 17p39 ('7 1 .71 ;

2406 OUUO C1AME:ITOV CORP - I64GGN200 - MINOR - 41 SOLD 11/11/4004 47660 27 ACO 7161 .6706 07/11/700) 49001 18 24372 :] 24'!!0 95 1 :1'15

877,7194 12/31/7009 10657 09 9'~5e 61 '090 48 I .T1 ; 7102 0000 GAME .^ii'OV CORP " ]G4GGfi300 - MINOR - Gl

SOLD 11/18/2004 67806 89 ACO 4780 12/31/7007 10 <5 5 55 4 70 LT15

!3 9901 10/75/2004 742 09 104 54 J8 4S ST 247 7079 04/21/2003 5414 56 1101 97 2312 K9 LT15 1273,354< 02/13/2003 27034 37 1267 97 1J564 40 LT15

25 8953 72/31/1007 566 OS 700 62 265 43 LT 15 1520 5793 02/10/2007 33778 48 1GB44 74 16394 74 LT15

4780 GAME ":TOP CORP - ]6466R200 M1NOR " 51 SOLD 11/29/2004 30 71 ACO 4780 02/10/3007 10 33 5 30 ., 03 I,T15

7~30 0000 CENTF.]( CORV - 311901109 - MINOR . 61 SOLD 07/77/7004 103743 .87 ACO 107,0000 03/19/2004 38029 45 43196 98 .5757 57 ST

N98 0000 03/19/2004 11797 44 36411 .56 -819 01 St' 958 0000 03/72/700 3J471 99 38095 47 -4973 48 ST

1765 0000 HNI CORPORATION - 404251100 " MINOR . 61 SOLD 01/70/200 73771 20 ACO 1256 .0000 06/03/700 5110 811 ;0575 79 1G0i 50 ST

194 0000 06/04/2004 BOSS 60 7752 65 300 91 ST >>5 0000 05/32/2004 >>076 » 11994 2 c 1082 47 sT

55 0000 NNI CORPORATION - 404]1100 " MINOR " !.l SOLD 10/75/2004 2730 19 ACO 55 .0000 05/19/2001 2130 19 1044 >1 11,.,9(. ;:f

1340 0000 IIAHTL' " IUANKi; COMMUtJ]CATIONS INC " 416196103 " MINOR - 6) 06/03/2004 3064 !, OR

NCO 1155 0000 0/27/7007 76414 23 21011 r) S407 10 1.1 In

191 0000 04/71/7003 1230 BS 3b'# ( .0 0,71 I5 LT I

J401, OobO IIARTI:-qIWK(i COMMUNICATIONS INC " 416196101 " MINOR - 61

':01.0 07/41/7004 807S6 96 ACO 903 .0000 0'1/76/lU01 22094 21 14390 11 X50 .10 LA 15

464 .0000 04/2117003 11'764 0f e426 f4 3337 19 1.i1 -1 151 0000 04/21/2003 781H .JN 3147 16 1006 22 1 .1 1S

1967,0000 07/24/700, 49870 74 )1!4 ''" q0 30524 44 I :I'15 7171 0000 ID% C.YC CORP COM - 449491109 - MINOR . GI

~OLU 03/10/2004 106471 97 ACO 1137 .0000 17/12/7001 106421 .97 37457 80 73964 09 1 T15,

7401 0000 IU7f SYS CONY COM " Ja9<91109 " MINOR . 61 SOLD 07/79/2004 882y3 94 ACO 1777 0000 11/12/2001 58476 79 17839 92 40588 81 LT 15

879,0000 11/12/7001 29875 3 5 9101 . 44 20718 71 ITIS 706 0000 ID% SYS CORP COM " <49491109 - MINOR " 61

501.1) 03/72/3004 10195 ;2 ACO 306 0000 11/17/7001 10195 52 )1'10 16 "+025 16 1715

1989 0000 ;OX SYS CpPP (;OM " nq9091]09 - MINOR . 67 SOLD 03/23/700 64827 72 1+CQ 1650 0000 11!17/2001 S'a93 3 71 1'7099 00 78339 :l 1 .TIS

779 0000 10/26;2001 11309 01 1301 h, BOBS 15 LTt ; 1]5% GOAD IAA SY ; CORP COM - 449491109 " M]NOR . 61

SOLD 0=/:4/2004 44 94G 69 ACO 1357 OC00 10/2b/7001 1996 59 13 :17 18 71719 51 III ;

730 0000 ID-4 SYS CORY COM " 449497109 " MINOR . 61 SOLD 03/75/2004 109669 69 Ac() 549 0000 10/76/2001 18727 96 5347 :6 12875 10 I,I1~~

7755 0000 10/16/2001 9196 77 16637 10 64613 03 I.T15 a512 0000 ISHARFS LFNHTN 7 " J YR US fP6f.5UPY - <642B7<57 MINOR . 6 ;

SOLD 02/26/3001 77 :471 11 xf'p 4512 0000 02/06/200 773471 11 177668 64 '757 47 :T

2704 0000 ISIlARES LE7iMAN 1-l 1H US IFEASURY - 464267457 " MINOR . GS

SOLD 05/07/7004 187652 95

ACO 198 0000 30/17/2007 16 126 4 3 36330 98 -70< SS ST 775 ^C0^ 07/7L;'.00 ; ;5041j 78 59081 38 -872 60 .T

1781 0000 02/05i2004 1!]417 74 1 1 :909 G5 -142G 31 59

1079 0000 ISFiARES LFIiTW1 1-? ',H US TNEJ,SURI - 769787ay1 - MINOR

SCI .D 07 ;70/2004 B+13E 73 ),[n 1030 0000 G'{OS'7004 69138 "71 545_ 1 S b]b C6 ST

1 09 0000 ISIIi.FFS LEhhIAN 1-) fH US TR6n5UPY - 9(,x287 :=7 - MINOR " i.

SOIL) 09/73/ :009 140750 60

ACC) 977 0000 0'/65/7004 "'7716 79 78 10" 99 391 "0 Sl 741 GGOU 10/10/2007 !2534 2 7 L :B07 oS 273 64 Sr

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LC 9JVd '1'IIM AMM'1 VETO V'N 'XlMl OJl1Md 3'1'IaM

COOL/IC/&I QL tOOC/f0/f0 NObA

(OL9G5Il 0105 ,UJY

9IDIL90 CEOs i

" NO I I A Dan 03111 A1X71d011A

L~ "i MA11AA0 A.t7 :IKL :::IAl11 900: " N0.1V11,1,SINIIILIV 13(IML VO " MAd`fA?lNA 7LV1

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f

5010 OL74 )6

PAGE )B

RUN 0/11/7005

ACCT SOLD 11596201 WELLS PARCO BANK . N, A DM IqwRY HILL PROM 01/O1/7004 STAT6MB1t1' OF CAPITAL GAINS A21D LOSSES TO 17/]1/700 C K OIJUlUIN RtiS - LH 6MA1 .1. CAD

TRUST YEW 6NUINC 17/]1/J004

TAX PNBPARILN OA 7RVL(' APMIN1 ; I'RA7VR : ;00G LNOBNDi V " PI:DBPhL C " STATE 1 " Iu11HH1Yl3D

1NVIS : :77.ICN'f oYYICILN, aG7 K " IS%ISMI'T FROM :'7A'/ It U " ACV CV:.T UNKNUwIJ

I'R4PHHTV bR : "CNIPTION SKAu¢a qATlt GAt .Y.F PRICK COSt' HA ; : 1 : ~~A IN/I.Ob, .̂ I KHM

260 .0000 09/10/iu00 ~1101,01 ~~~a as In-." ~.2 1 n". 170 .0000 ~1/10/:UUU lJV4 .17 :ao'~ 1~ -a4 .n9 i'rt!, 7'i0 .G000 I0/0L/7000 51U0 .~ " 'i ~ "+I + .uY 1 4 '/,1 ,~ " ! " [.I-I% 110 .0000 09/29/2000 7196 .JO 1.4 .1 .46 IT 111

~ 1115 . 0000 09/211/2000 u:01 1 .0 J1. It 4 .- 1010 .111 LT I )00,0000 09/7v/7uU0 d2Ut+ .G A +j .+ .'14 1'r :~4 o" 11'r I

117(1 bUPO I.F:UCAUIA NA1'b CORD CCIM " J97yUI1104 MINOR 61

GOLD 06/07/900 40) 10, :?G ACO 641. 0000 1't/?l/'tOUJ 11,101 . 46 f401L11 47 +I49,54 I

:I'1'119,0000 04/21/2001 0601.1 .110 4101 17 :201 e0 4'I'19 74!' " nO00 I.ftUCAUIA NATL CORP CON - ;.4770010 " MINOR . 4I

COLD 07/21/2004 12!t448.26 ACV 45 0000 07/31/2002 2.118 .35 1 t,21 4!1 796 .00 iris

400 .0000 01/11/1001 2040'l 53 146)1 17 119'16 40 LTIi 1225 . 0000 02/28/7002 6l110 52 10004 111 24775,71 LI'I5 500.0000 01/18/2007 35759 40 15871 35 9880 05 LT 15 765 0000 02/20/7002 13652 48 8<11 82 S24 0 66 LT 15

1070 0000 1.12 CLAIBORNE INC - 539720101 - M1170R . 61 SOLD 06/03/700 37843 23 ACO 77 0000 06/71/2007 754 19 339 05 15 74 LT75

1009 0000 06/10/2002 3289 04 31009 19 179 85 1,715 10A0 0000 L32 CLAIBORNE INC - S79)20]O1 - MINOR - &I

SOLD 07/21/200 106608 69 ACO 146 0000 06/10/2002 2580 83 72426 52 291 71 L'f15

90 .0000 08/15/2007 7117 53 2742 53 375 00 LT15 300 .0000 12/1P/3007 10791 76 9102 96 1169 AO LT1S

1944 0000 06/06/7007 67739 58 58718 73 8420 .75 I.T15 150 0000 MARKEL HOLDINGS - 57057530 - MINOR - III

SOLD 06/03/2004 43791 47 ACQ 76,0000 12/37/7007 72187 48 IS43B 57 679 17 LT15

26 .0000 12/31/2002 7590 57 S781 60 1308 .92 I.T15 48 0000 17/32/7007 1017 21 7750 64 4767 .63 LT15

SOS 0000 MAMKI:L HOLDINGS - 5705]510 4 - MINOR 61 5040 07/20/2004 1110S6 58 ACC1 100 0000 06/14/2001 77471 39 19921 00 X500 .78 1.715

15,0000 04/75/2001 4113 21 7951 15 11!1,04 LT15 105 .0000 10/26/2001 78797 4s 21117 10 7681 .15 LT15 14 0000 17/31/2007 4387 47 3250 21 1137 21 LTIS 26 0000 04/25/2001 7129 ,l 5115 . 13 7014 .23 I,T15 71 .0000 19/1/2007 70291 87 15032 73 5257 S9 LTIS 0 0000 04/25/1001 2193 71 1571 ny 419 .76 I .T15

6 .0000 44/29/001 164S .28 1100 4(, 4L4 07 I .T15

"b 0000 10176l2001 4113,At 30111 .90 1091 31 I .rI y

40 0000 0/75/7001 10948 !15 '1069 '0 1099 . 07 l:i11, 7n p0(Iq MANNI:i. IlOl .l)INp ;i " 100!015104 - MINOR AI

SOLD 10/25/2004 6008 BS ACC, 14 0000 04/75/2001 4206 70 1'7s4 .41 14s1 -19 1.ris

6 0000 0/27/7001 1807 (16 1180,46 6J1,90 4715 117', OUUO NHWF11Ll.G 13%hl. CO COM " 6512DO108 MINOR 61

SOLU 07/09/700 16)307 )0 NCO 50 0000 0/79/1001 7076 7, 19801 96 7870 '19 LT1S

i ."̀ 1 0000 10/74/7001 7312 )9 5]66 S4 19l.!, 75 IT1 ;

2y00 .0000 12/77/002 17380 21 9140i,r1 33'194 1) 1 I.T1 S 20,0000 12/31/7007 15538 61 11]<704 4191 y9 IT15

]S3 0000 04/75/2001 729 41 5J1B 28 2111 77 I .T1; 910 0000 NEWFI6L.U E%PL CO CON 652290308 MINOR - 61

SOLD 04/07/2001 47500 09 FCp 356,0000 04/25/7001 18582 77 17371 56 6100 77 LT1;

554 0000 04/15/2001 78918 12 19257 04 9461 .08 LT15 Z]60 0000 NENF/ELD F%P1. CO COM - 611290708 " MINOR - 61

SOLD 07/22/2001 175002 57 r.CO 764 0000 04/7S/3001 70934 83 12771 16 827 61 LT15

160 0000 04/22/2003 9152 71 5.714 00 7736 71 I.T15 853 0000 0/72/7003 48795 41 18879 05 39771 36 1.fl ; 981 0000 04/27/2003 56117 58 73204 85 27910 73 1 I'I5

2367 0000 NEwFIELD E%NL CO COM " 451290]08 - MINOR - 61 SOI,D 09/27/700< 147840 37 ACO 15 0000 06/1/2001 901 20 503 70 501 50 1 .T15

166 0000 04/22/2001 10017 53 5619 10 4 378 <1 I .fl ;

7186 0000 06/7/2007 131917 64 73405 8e 5x511 -6 I .T15 I ]B^ 0000 PFI'TFRSON COS INC " '703J9510J - MINOR . GI

SOLD 0'1/21J2004 94S25 "78 RCn 700 0000 10/23/2001 2'1 ;4 4 6 1093X 00 11218 58 1 T1 ;

95 0000 10/73/2001 ?!77 17 1640 70 1682 47 1,I'15 935 0000 11/17/2001 6 904 P 11 3 396H !,5 7 ",079 b8 IT1b

BS UOOG PhT7CR50t7 CnS INC - 703395103 - MINOR " 61

SOLD 10/75/700 3727 16

+C:, F5 0000 11/17/2001 3727 16 154< 11 ] 7581 17 1 .1'15 `GG 1000 I'ATTI :R ;ON CERTAL CO CDM - 70]417104 - MINOR 61

;OLD 06/03/7004 3e3'4 .0 nCo 334 0000 10/73/7007 7S600 50 1?17 ',a 7_47 . t6 1 f7L

164 0000 10/27/1001 17723 60 S0S : 2, 24 Lf15 :IfIU (COQ PINNACLE %7F~T C ..P CORP " -?7+83307 MINOR 6'

SOf U 07171 ; 2004 11777 : ,b pin 900 0000 0e/03 ;2009 74187 29 d5e27 68 X51 ~1 ST

19 :0 O000 03/01/2004 17646 17 7554e 60 2099 5 1 57

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" SOID 06741 16

ACCT S07D 11596701 NIsl .Lf: PANCO HANK . It A DOA lqt+NY HILL PACE 79

FROM O1/O1/:004 bTATIiMBNT OF CAPITAL MINS AND lA6EHS TO l7/71/7004 C 1( UI.IINDIN NELS " I.H IMAM . CAP Hit?? 04 /1 1 /7005

rNUBT YEAH F:t7p117Q I1/J1/700

TAX 1'NF:PANHN UA 7NU5'1 AUNINI :7NA1'ONi ',006 L6CF:IiD~ Y " VI:DNNAL F " blAl'!t 1 " INIIISHITKU

/t7V1i;TTAI,N7 hNVil1:4, ' .47 IL " IS%ISM{'T FNOM ;fIA71C V " AI-V CO-,'] UNKNOWN

1`NOVI[ulY UfSCCHII'T1011 L11ANiC :' I)ATll ;;ALRO 1'NICIS COU'1 1In1:S0 OAiti/Lpi:D 7SS5lM

Il'I ;;U Onq0 V1 .11N f'NILISK TIMIII N (,'p INC '12t.251100 MINOR - 61

bOLU 0/71/7004 277939 . 11

ACC, US OUOU 01/10/70V0 2700 .111 11A".40 J6l,6p 1:1'1 ;'

1 ;'10 .0000 01150/7000 4965 .01 4174 ' .U 44 O . OA ~~C1' :

h0 0000 011/10/7000 J54 1 . ;14 7000 00 11,1 " I :YI!~

:0 ;, nuno u'+noiiuuu va "rI .I v 1111 . .41 1250 "1r i :ri ;.

111 0000 IP/J! ./'JOOO a196,11 21,29 06 690 .0f~ I'PI}

310 0000 IU/75/7000 `11147,47 '1900 . 9v 1914,'J0 1 .T1 ;

:.0,0000 ~~/~~/ "raoo "no a4 121.0 e0 . t2n 09 1 .rI ;

461 000 11/10/7000 2 1 124 ,09 1 G16 1 .79 4361 60 LEIS

210 0000 12/11/7000 7706 15 - .VIs 16 1112A 19 LT 15

50 .0000 07/30/7000 1598 74 1314 119 711 35 LI'I5

SO 0000 01/11/2001 1 ;80 )41 1J61 s7 374 77 LT 15 310 0000 01/11/7001 987 69 1834 09 :U1] 60 4T15

216 0000 01/11/7001 6061 67 ',458 59 1407 03 1 .T1 ;

110 .0000 01/11/2001 3194 74 2179 84 714 50 LEIS

215 0000 07/10/2000 6029 05 5912 98 917 37 LT15

930 0000 04/25/7001 76366 41 20786 07 5500 34 [.T15 70 0000 0'1/76/7001 2777 67 1940 82 787 .05 LT15 100 0000 07/26/2001 3176 68 7772 60 104 08 1.715

115 0000 0/10/2000 7653 18 )162 <9 490 69 LTIS

5 0000 0?/10/7000 158 81 177 50 22 37 LT 15

SO 0000 0/10/2000 1588 74 137 ; 00 213 34 LT15 700 0000 01/10/2000 6757 75 5499 99 057 36 I.T15 730 0000 07/10/000 7706 35 6374 98 981 77 LT15

75 0000 11/10/7000 1111 84 897 17 239 67 LT1S

270 0000 12/1S/7000 8577 02 6783 07 179 95 Lf15

900 0000 1 ./lh/7000 711S90 08 77410 19 ,979 09 I.T15 704 0000 01/11/2001 6543 95 5205 as 1338 07 L'P15

400 0000 01/11/7001 13706 70 10108 ~0 2598 20 LTIS

154 0000 01/11/2001 4892 08 3891 1000 .71 LT15

790 0000 01/11/1001 12789 OJ 9855 79 2537 24 1 .115 100 .0000 04/25/3001 3176 GB 250 35 671 3) 11 I'15 !00 0000 07/74/7002 7176 60 1777 60 404 00 LT1 ;

109 0000 01/11/7001 1462 5 8 2154 17 708 01 I fly 70 .0000 01/11/2001 7021 76 7177 04 1844 72 171 ;

64 0000 10/25/7000 2033 07 1f .)1 1'I X01,90 1 .1'1 . 100 0000 00/75/7001 7176 60 1504 35 472 ,13 LT 15 71 0000 02/31/3001 647 10 ' .60 i.9 lie, 41 1 .I'ly

1090 0000 04/25/7001 3467 ; 76 27297 37 7128 J9 1 .1'1 ; IB .1PO 01100 PLUM cxeeK TIMflS:A CO INC " X29151]OP " MINOR - 61

SOLD 70/25/2004 634045 . 02

ACO r 0000 011/21/7000 177 ; 0 171 60 ',1 10 1 I IS

Sib 0000 00/21/7000 16478 89 !16 '17 18157 17 LI'I5

7S 0000 00/71/7000 1708 90 05 1 20 1 V7 70 I .TIy

200 .0000 00/31/2000 G908 00 4740 9Y 7147,01 1.1 Is 10 0000 OR/3312000 1034 70 '111 14 _j, 06 1 :isS

400 0000 09/2S/3000 1J016 00 8081 97 4974 03 I.T1S

J?0 0000 12/0/1000 11390 20 7q 1`J 1S 3479 OS LT 1 ; 410 0000 01/07/2001 11049 39 15130 it 5939 20 1 .1 is

4 10 0000 03/07/001 1161 40 1016LO 42 3991 .98 LT 15

10 0000 00/21/2000 1036 70 739 911 296 17 I .T1 ;

30 0000 04/75/2001 103 G .70 751 30 764 90 LTlS 4S 0000 08/77/2000 2,145 10 IyBO 79 664 37 I .T15

710 .0000 08/71/2000 24523 37 17267 16 7256 .77 LT1, 465 0000 08/77/2000 16061 70 1169 67 4597 47 I .T15 270 0000 08/71/3000 9325 80 4400 34 ]97S <6 I .T15 170 0000 12/0/3000 5B?1 80 4079 57 1792 77 LTI ;

390 0000 03/07/2001 1770 40 9673 15 3'1'J7 75 LT 15 790 0000 03/07/2001 11170 60 9677 15 7797 25 1.715

400 0000 09/25/2001 20723 99 15076 07 5497 92 LT 15

700 0000 0/07/7003 6908 00 4940 70 197 30 1 .115

5B 0000 04/25/2001 2007 32 1452 52 550 so LT 15 5'0 0000 04/25/7001 19667 79 19777 17 ,917 02 LT 15

896 0000 10/27/2003 1094 7 83 70154 13 10793 70 1115 471 0000 77/71/2002 7179< 77 14 77y 1B ~019 55 L715

915 0000 12'31/2002 31604 ~9 21475 1e 1017p 91 ITIS 771 0000 04/25/002 4717 BB l055 30 11511 58 LT 15

7750 0000 10/23/7003 9989 97 1,1W 00 1]737 97 1 .115 7178 0000 10/23/7007 80063 70 52177 83 27917 87 LT 15 635 0000 10/23/2002 21967 43 1a30 ..̀ 84 7667 59 1715

7000 0000 72/31/7002 69079 98 46871 00 2:718 98 I .T]5 1700 0000 12/31/3002 17997 95 7 ;7 5 7 C5 12276 94 L11 15 754 000 12/31/2002 17777 16 0789 09 i97B 07 Lf15 155 0000 08/772000 S1S3 70 1-,61 59 158< 71 1,T 15

" "CIIANGFD " " 011201 05 CB

100 OOGO NAD7 . .?7 GonVp , C '; ;O :iG!O] MIdON . 61

SO1 .D 06/D=/2009 =23G0 29 ;,cc 100 0000 07/09/2009 323E0 74 2 .,7- _ 232 r8 Sr

:455 0000 PADInN GROUP INC - l5O2)G101 - MINOR " 61 SOLD 07/21/7004 119191 59 I.CQ 70 0000 30/27/2007 1455 51 106~ 50 359 G1 1115

119 000U 10/24/3001 ;777 51 anal 30 1630 31 ITIS 1 :90 000 1213111002 67630 10 4eb54 18 1_91S F7 1715 865 0000 02109/2004 61996 15 <4275 7e 1710 37 ST 151 0000 10/26/2001 1333 12 5 :54 80 2076 32 1 f15

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r - SOLD CL7416

lOt:o,UnOn 41i1tA1 . ISN'fISI1fAINMI[N1' bNOUV " CL A " 75074610" MINOR - 41

:i0613 OG/03/2004 53 .131 .171,

ACO 050 .0000 l7/04/9007 i4110 .if J"GU't ;.0 " 53'1J .)4 ,`r

s00 0000 11/0./2003 01+46 .1.10 1 ut 71: 00 1 . ;11P .410 r-

coo.0000 11/04/200-1 11) 4 v :, . . .1 1 2 .i0 00 ~1-r14 . :,~i v r

79 :ri,0000 HILCIAI . ICNY'RR7AINMIIN'P CROUP- Cl, A " 7$p76410Y " N117Uk - b1

1101 .0 09/91/900 VS193,46

ASV 2000 0000 11/04/200) 14177 15 40,100 . 00 " 4490,04 :;C

32?b 0000 11/04/2003 }4044 1l 66211, 2S " 1f04 74 ;27

J~~l,I,qUUO ;SCNOOL SPECIALTY INC CON " 007867107 - MINOR - 61

F.01 .15 02/06/2004 09731 69

ACO 666 0000 01/12/7002 71780 60 15787 S2 1403 08 1 YIS

871 0000 01/20/7004 70698 '76 1929J r0 94 0 ; 76 I .TiS 758 0000 07/33/7003 9018 61 6101 '10 7916 91 1 .715

330 0000 01/79/2002 11535 43 7750 45 1704 .90 L .TI ; 92 0000 07/73/2002 715 94 7175 80 1040 14 LTIS

400 0000 01/29/2002 13982 34 9394 49 X587 86 I .T15

]B]J 0000 SCHOOL SPCCIALTY INC CON " 807867105 - MINOR " 61

SOLD 07/09/200 . 133971 BI

ACO 1658 0000 01/29/7004 57929 17 38940 12 18989 01 LT15 2115 0000 01/15/2002 15997 68 51079 BB 24912 e0 t .TiS

640 0000 SCHOOL SPECIALTY INC CON - 60786 .3105 - MINOR " 67

SOLO 06/03/2004 7769 06

ACO 640 0000 01/75/1004 77649 05 15030 40 7618 66 I .T15 3090 0000 Et1100L SPECIALTY ]NC CON " 00706705 - MINOR - 61

SOLD 07/77/2004 70960 S7

ACO 6 0000 01/1,/2004 212 69 13B 24 '14 V5 I.C1S 777 0000 01/16/700 7699 67 5034 40 16Gh 77 LT15 716 0000 01/17/2002 76767 65 50421 20 243G2 1,5 I.T15 468 0000 02/75/9007 16605 '75 10990 98 561 77 LT15 235 0000 02/15/2004 e13 8 .3 6 S4 14 40 1927 76 I.T1 ;

7755 0000 STCRICYCLI: INC CON - 858912308 - MINOR GI SOLO 0'1/71/100 159160 1,4 ACO 310 .0000 11/30/2000 163 9b. 02 4427 19 179G1 03 l. fl ;

no 0000 01/11/7001 4654 07 1427 2 S 3216 pt ITI}

300 0000 01/11/7001 15866 15 4865 62 11000 ;J 1.r 1 ; 57 .0000 01/11/2001 2750 13 843 17 1906 In ITIS

90 .0000 01/11/200> >057 74 J24 37 743 37 , .ri s 450 .0000 71/10/1000 ]!'I9') .21 6416 ',6 17\'1't ~~G I T1~,,

530 .0000 11/10/7000 70030 19 7569 07 70461,11 LT15 250 .0000 01/17/2001 13771 79 405< 68 9]G 7 11 1 .1'1 .

250 .0000 06/07/700 13771 79 I1400 55 17a1 24 ,:r r 0000 11/10/7000 164 44 71 41 I4 .1 01 1 .r 1',

:4!1 OUUO ;;'ll:klfi CqNI, CON " 8 :" 9151100 " MINOR - 61 SOLD 0*7J71/200. 94044 47 nC0 474, 0000 07/79/2004 94044 49 108663 ~-4 -14619 45 :.1

1100 0000 WAqI)I :I .L h NI:NI1 FINANCIAL INC CON CIA:i,^, A " 9!0019100 " MINOR - 61

:;OGII Ov/0J/700 7J847 44 nC0 477 .0000 12/11/7001 14560 67 19461 12 -897 ,0 LI'15

11,0000 15/10/1001 781 83 31,,80 -95 UI I .fI5

411, .0000 12/11/2001 6996 97 12015 .40 .7011 41 l.Tl5 18J0 OUOQ 1rAUUC1 .1 . A PIiF:U FINANCIAL INC CON CLASS A " 9]00 :'9100 " MINOR . 61

SOLD 07/23/200 50160 07 ACO 81 .0000 12/06/7007 1745y 21 7356 50 -6007 29 LTI5

1577 0000 12/06/2003 32927 17 4<241 10 -22310 .98 LT15

486 .0000 17/11/7007 10177 74 10074 56 "3902 81 I.T15 194 0000 11/0617001 4040 J2 5456 11 -1195 99 1.715 743 0000 12/06/2007 15 SS0 63 70897 10 ;]4 6 47 I .TI~

7068 0000 WN)DELI, b REED FINANCIAL INC COM CLASS \ - 9!0059300 " MINOR . 61

SOLD 07/26/200 4061> 71

ACO 7068 0000 17/04/2001 40612 71 58161 12 -17550 41 LT15 67]9 0000 wAl)UEI .L a REED FINANCIAL INC COM CLASS A - 770059100 - MINOR - 61

SOLD 0'1/27l1003 17115 21 ACQ 68 0000 10/76/7001 1!3A 49 1829 94 -<85 9 LT15

?6 0000 11/12/001 1495 96 2018 98 523 02 I .T]S ]t9 OU00 10 ;26/7001 1932 E0 7997 67 -7064 '.9 1T15 400 0000 10/26/7007 '.877 49 10732 00 -^856 51 1 T75

=G< 0000 11/77/2001 716a 88 9669 64 -150 56 I .T15

7000 0000 71!17/700} 1958! 70 75565 SO -Feel 76 1 .715 574 0000 30/76/3007 10l14 78 1<058 92

.:74< G9 UT Ii

'6 0000 11/22/7007 1195 56 1018 98 577 02 1 T15

300 0000 11/12/2001 5905 12 067 .5 -2064 53 1 T15 308 0000 12/06/2007 E062 59 8E62 ' .9 -7400 00 1 .fli 176 0000 10/26/2001 =969 24 9722 08 -175 . 74 1 .f15 193 0000 10/26!1001 =602 72 4909 H9 -1]O' %'7 iil ;

ilk 0000 12/06/2001 P195 07 1 1114 ~ W1 :49q � 7' : ;

7'9 0000 11/72/2001 7513 39 4'55 17 -1731 84 I.T7 ;

475 0000 11/1212001 t765 59 11790 29 -,e74 ",5 1 T15 . :9 0000 11/1Z/200] 179= 76 !161 j0 -818 'J4 1 T1S S53 0000 11/12/2003 10865 11 1 "1690 72 -7805 G1 171 ; 880 0000 17/06/2007 .'J :1 65 :4"750 .G -'42P Sl LT 1S 14L 0000 11/12/2001 2 854 71 ir52 00 -99% F6 1 f1S

. ._ : PO0C W%.ULI :1 . L FCEU FINAi7Cf :L INC COM CLASS .. E7005^100 - 111110R . 6l S, ~LII 0'7/22/3004 42156 04

xC0 7+0 0000 10/73/2003 14465 30 19!51 00 -4861 70 ~T75 119 0000 11/11/7001 7561 84 ,155 22 -1250 38 I .T15 591 OG00 11/11/2007 7675 ,1 10<11 G'7 E 76 1 .T15

ACCT SOIU 11',96701 4qLLE PARW DANK, N A. DUA WWRY HILL PAGE 40 PROM OI/01/700 CTATIiMPINT OF CAPITAL CLAIMS AND LOSSES TO 17/71/2004 C K UI,/WpIN NfiS - LN SMALL CAP RUN D4/I1/7005

fHUSI YEAR 6f1UINC 1]/J1/2004

TAX PR6PAHBN OA 7NUST ADMINI,l'NAfOH ;005 1.WkNUi F ~ F6I)IiHAL 0 " GYNTIi I " INIINNI'IliU INViL.'"MIfNT OF'VICEN, '.,47 IL - I :1fI:MV7 FROM J'I'11'llS V " ACd cc),,. I' I)NI:NUHN

VHUPILN7Y UB::CWII'IION CIlAl119A DATA , "̂ALHU PRICE COLT IIAL'IG GAIN/I.OCD 71SNM

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- SO1D CL74 76

SUMMARY W CAPITAL GAINS/LOSSES - --------------------- -------

F 6UFNnL S11017 7LYM LONG ItRM 281 LONG TERM 151 Sr Wi.514 --AIE L1 NASIi SAIE -------

SUBTOTAL fROli ABOVE -741434 JJ O 00 710775p 56 ~ p0 , pp

COmMOo fP1~57 F Ut1D 0 00 0 00 0 00 CAI'l I' .ll GAIN UIVIUhNUS 0 00 0 00 16]07 29

361634 33 0 00 2729960 85 11 00 0 00

ACCT 5011) 11596]Ot WELLS PARGO UNIK . H,n URA UDWRY BILL PACE 41 PROM Ol/O1/7004 6TATIiNWT OF CAPITAL GAINS AND LoOSS96 7'O 12/71/]004 C K BI.M7DIN ROD " IJI SNALI. CAP RUN 04/I1/7005

TRUST YEAH KNDIUG 11/31/2004

7tVf VNfiVANBNi OA 7 XkIb'r At)M 1 NI ; .TItA7'Op i 5004 I .hVi :1JD, F - YF:DIi1lAL D " C7 A I'li 1 . 1 NIIRN I71iD INVI: ;;IMISNI OVMICLN, S G7 N. " 1:7tISNV'1 F'ItUN LTATH U " ACV CO:,T UNKNOWN

VNOIIISUi1 11KLCNIV'1'ION SHARES I)ni1S ; :ALH;1 PRICK COll'I' BAD ili CA IN/IA!;l7 I'IINM

192 .0000 I1/1 :/Yllpl 1'! ;.'J .14 'ilOA ' .7 1,14 1 111 1 .1'1j )co.oooo io/yy/ruo1 7o4u .oc 9+1+ .oo :jts .I ", I .rI ;. 790.0000 00/JU/SUU1 S67U .14 'J'" 3" Im

In11?,uUbO NJ11)UIi1,L 4. ROOD PINIWCIAL INC CUM Ct .A ;' .1: A " 7ju0 ;SUlUU " MINI1q - oI roi.o ou/o4/tio(14 '+ .u4u .ao neo 499 .0000 04i22i2003 9 .62 .u6 LuI21 ./s 66 . .00 vr1,

1261 .0000 0,/22i2001 21911 .1, 2,lig, in -1600 .21 rrif. 060 .0000 00/10i2001 10705 11 11,00~ . ot) .6000 .~+9 : :r :I".0 .0000 04/22/2001 6639 70 '1101,f.4 466 16 1 . I'14 707,0000 12/31/9043 I4U2n SU I%i81 94 ,57,76 I:P15

4 7yti obnq wAUqE4t. 6 REED FINANCIAL INC COM CI .Abl: A " n,10049100 n1NON - 61 SOLD 08/05/2004 91639 65 ACO 100 0000 07/31/1009 '1679 BJ 7170 00 41S 97 I.T15

480 .0000 17/18/7007 9167 78 9336 00 -168 27 LT15 410 0000 12/71/2007 11450 .73 1199e 70 " 347,97 LTIS 260 0000 04/21/2001 4965 .88 SONG 60 " 80 '13 LT15 668 0000 17/71/4003 72758 50 13179 56 -381 06 LT15 500 0000 13/77/7007 959 70 9835 00 .785 27 LT 15

17<0 0000 12/31/2002 23687 44 24390 80 -707 36 LT15 640 .0000 04/21/2003 11773 71 11471 90 .198 69 LT15

177 0000 ZEBRA THCIINOI.OGIQS CORP CL A - 9B9J07105 " MINOR . 61 SOLD 06/07/2004 97328 71 ACO 171,0000 13/28/4000 13346 .54 5116 77 8729 77 LT15

99 .0000 71/28/7000 7726 95 2962 34 4764 62 LT15 27 0000 07/07/2001 1717 10 667 50 1019 60 LT15 51 0000 11/28/7000 7980 ,5 1576 06 751 49 I.T15 3 .0000 11/28/2000 271 15 89 77 144 78 LT15

30,0000 11/78/000 2341 50 897 GB 1441 .87 LT1S IS 0000 11/28/7000 1 170 75 440 84 721 91 Lf15

GIs 0000 10/26/7001 48734 88 1935s 57 70079 75 LT15 738,0000 11/78/7000 18575 89 7111 58 11454 71 1 .'f15

X75: 0000 ZEBRA THCNNOI.OCIHS CORP CL A - 989707105 " MINOR - 61 SOLO 06/04/2004 76127 19 ACp 275.0000 12/15/2000 17163 79 6300 00 31763 79 LT15

195,0000 03/07/4001 15771 9; 578 .,00 9<16 95 I.T15 495 0000 03/07/2001 70649 3J 14685 00 23955 )1 I.T15 90 0000 11/18/7000 707 ; 51 I691 01 4 1J2 40 I.TI5 5] .0000 11/20/2000 J981 17 1 "~76 05 255 07 1.T15

!125 . 0000 17/15/7000 40982 17 1700 00 J6382 17 I.T1 ; 45 0000 11/28/lUOU J :.17 16 1346 1,1 7144 75 LT1!, '1!, . 0000 11/20/7000 ;654 60 7244 19 3610 4 1 LT I!, 22 0000 12i04/7000 1711 )s s10 ~1, lopu 60 iris 21 0000 11/20i2000 Ic39 ,9 r.2 e 17 1010 95 1.ri :~ 90 0000 03/0/5001 '1035 51 7670 00 4755 51 1.715 1y 0000 01/07/7001 1170 97 441, 00 72 ;,,V] I.T1S 72 0(`0U 04/25/2001 1'71'1 JS 471 7y 109h 60 LT 15 1 i 0000 07/07/7001 1170 77 4<ti 00 '72 ; 91 l: [SS

107 0000 11/18/70V0 7]4O f 5 11 DyB7 79 13015,80 f.T15 49 0000 11/JB/7000 1.-106 21 7064 64 J377 .97 LT 15 740 0000 03/07/2001 191371 1110 00 11614 71 1.715 427,0000 OJ/07/2001 33371 16 77687 so 20649 .66 LTI$ 744 000 In/J3/7001 19046 ;+,, 6025 .49 72133 46 I.T15

IOSO 0000 7.I:IlRA TRCHIiUI.OCIBu COT CL H " 909707]O; " MINUH - GI SOI.0 0'1/71/2 004 8,1986 37 ACO 197 0000 04/75/4001 14501 72 5443 77 11064 IS LTIS

480 0000 04/25/2001 40777 74 13264 .00 24958 74 I.TIS 60 0000 04/75/9001 5077 79 1GSH 00 3149 79 I.T]5 30 0000 04/2S/2001 7;73 90 e29 00 769 90 I.TI ; 56 0000 10/23/2001 4697 61 1566 51 7126 10 1.I'15

777 0000 0/75/2001 111] 01 4766 7y 9646 76 1.P15 15 0000 04/35/7001 1754 95 414 50 842 45 LT15 40 0000 04/75/3002 3351 86 1105 33 2346 57 LT15

15 0000 ZEBRA TECHNOLOGIES CORP CL A - 989707305 - tA1NOR " 61 SOLD 10/25/2004 884 37 ACO 75 0000 04/25/2001 981 37 282 61 60l 76 l1'15

TOTALS 10046 183 69 830<059 46

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r SO1D GL74 16

(;API I'AI . LOSS (.ARRYOVY.N

Flil)61tA1 . 0 00 0 UU

M1PI1JE:;OI A N/A N/A

ACCT SOID 11596701 WELLS VAAGO BANK . 1J A UBA LOWRY III LL PACE 42 PROM 01/01/700 GTA7'£MEM7T OF CAPITAL GAIIIS AND LOSSES TO 17/11/7004 C N DIJWDIN NE'J " US SMALL CAP Run O4/11/7005

7NUt ;T YKAN ENDING 12/31/2004

TAX VNHVANHH " OA '1'NVG'r A17M1 N 1 LT1tATOR i 5006 L1iqLNU i Y - VISU1S1lA1 . V " L 1 All; 1 - 11I1INH 1 1 fSD ItN1i5'ITrtiNr OPFICI:N~ ;47 IS " B%IWI'T VNpM STATE V - ACV co,- ;r UNKNVwI$

1"NOPISN7Y UBLCNIV710N CIIARISD UA'I'B CAI.NC PRICK ('Qt:. t' IMV 111 CAIN/LO-'.O 7614M

117A71 .

t3Ub'1'G'1'AI. 1'NOM AIiOVIS -141()< .!J 0 .00 71u)1!SU U,OU Q . (10 ~ CU+tMt7ll rulA:'~ VUUU 0 .00 0 .00 0 .00

CAI~I7AI . CAIN 0IVIUNNUU 0 .00 0 .00 Y00:p . vi

" ,6;6?4

.5j -0+60 _'st79v(,0-n_ -_O .OU _-__-__--O_00 -

Page 66: 990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/416/416012374/41601… · C-4tabol. " K. BLANDIN RESIDUARY TRUST U0lnerwise. O LOWRY HILL 41-6012374

t 50]D CL7]90

ACCT SO1D 3 11,96202 NULLS PAAGO OA77K, N A, DIfA LOWRY "ILL PAGE 29 FROM 01/0I/7004 CTATIiMIittI' OF CJ1C17AL W1NS AIiD t-0LSBG TO 1]/]1/7004 C K NI.A7IDIN itEB IInL INVEST ACCT NVI7 O4/I1/]005

TRUST YIiAN 6NDIt;C 1J/)1/)004

TAX CNfiPAN6N . NT f'ItUPT AUM1N15INATViti SOOG L606NUi Y - YIiUNItAL C " GTA7G I " INIINNITIiD INVL+: :'ITtI:N'I OPVII'hN " 54.2 !S " ISIIISPIVT 1'HUN G't'A7lL U " ACQ CO,-*.'l UNKNOWN

1 "NOI "ISHTY I11S ;CItIVI'1017 ::IIAHLSU UATIL ::AI.NL" 1'N[CIS COUY UAJ I- CA IN/I.Ol�S 71117M

Nn l:AI.IC ;: Pbu 11117: ACCOVNT

SUMMARY OI Cnl+l fAl. GAINu/IA,^,~E. .̂

FEDF;RhI GIIOW7 TERN LONG TERM 28% LONG 'TLRM 1S%

SUBTOTAL FROM ABOVE 0 00 0 00 0 00 COMMON TRUST FUND 0 00 0 00 0 00 CAPITAI GAIN DIVIDENDS 0 00 0 DO 0 OO

0 00 0 00 o ao

o uo 0 00

CAPITAL I.OSt~ CARRYOVER

FEDERAL

MINNErOfA

0 .00 b 00

N/A N/A

STATE

SUPTOTAI . FRCM ABOVE COMMON TRUST FUND CAPITAL GAIN DIVIDENDS

0 00 0 00 0 00 0 00 0 00 0 00 0 00 0 00 0 00

0.00 0 .00 0 00

~1 WASP[ ;:AI.F LI NA511 F,Ai6

0 00 0 00

0 00 a ao

0 00 0 n0

Page 67: 990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/416/416012374/41601… · C-4tabol. " K. BLANDIN RESIDUARY TRUST U0lnerwise. O LOWRY HILL 41-6012374

r " 50]D CL7394

400 0000 UALDON ISI .IiC CO . Oy7741fOb " MINOP - ul SOLD 17/OU/7U04 11074,d0 ACO 400,0000 0'1/0l/900 11(174 ,J0 III.!, I ,J11 7770 .P4 t1 'P

':OU,b400 COMMONwtSHI.TtI 'Cal, RN'I'ISN~'1tIRRC INC " 20 .1,14,J10-4 - M; NOR .I flour 1a/14/2on4 ,a4 "ra .ra nr0 4!10 . 0000 n:,/o1 /+uo4 20200 .02 :Out ". as 1 114 ,» ;; "r

750 .0000 09/01/7004 11777 ., . 11 119 . . , 102 .41 nr ) :,o ooao conwor+uanuTu T¢1. Rr+'ritNruiri!^ INC :a~~ .14 '1 1u~, - MINOR t.1

not.n 34iy'J .m NCO 550 .0000 09/01/7004 7}QJ0,74 p41161 e1 $(,7 1~ SI

700 .0000 07/0 1 /2004 9107 .09 fib 1.S O( 706,1 ;IT 2150 0000 FPUNU9 CONK " 70274k101 " MINOR - 41

GOLD 09/73/700 49796 .,10 ACO 2750 .0000 07/01/100 49796 35 41G90 00 9106 18

10017 0000 ION1CS INC " 462218100 - MINOR " 61 SOLD 11/15/2004 70836 87 ACO 5 0000 09/02/700 4 154 13 131 07 23 D& ST

60.0000 09/07/2004 189 61 1572 82 776 79 ST 30 0000 09/01/700 974 81 186 41 178 40 ST 905 .0000 09/01/2004 17898 77 23773 31 4175 01 ST

q50 0000 fON1CS INC - 462218108 - MINOR " 61 SOLD 11/16/200 29272 33 71C0 <00 .0000 09/01/2004 12308 35 10485 91 1022 93 ST

90 0000 09/01/700 2769 3B 3359 22 410 16 ST 405 0000 09/01/7004 1767 20 10416 bi 1845 69 ST 55 0000 09/01/2004 1697 40 1<41 74 350 66 ST

2106 0000 IMN7'F.CII INTERNATIONAL CORP - 56456]l0a - MINOR " GI SOLD 09/77/700 34738 19 TCO 2100 0000 09/01/7004 7078 79 1l18! 33 555 06 5'f

61,0 0000 OCCI1NHIiRING ]NTL INC - 675232202 - MINOR 61 SOLD 09/27/700 77406 08 ACQ 450 0000 09/03/2004 24406 OB 21292 12 1113 96 Sr

550 0000 OCF:ANf31:R1N0 INTL INC - 675232102 " MINOR " GI SOLD 17/06/2004 17677 99 ACp 550 .0000 09/01/700 19627 99 111016 40 7411 59 ::T

t!0 0000 OPPGIIORB I.0016TICu INC " 474255]07 - MINOR - 61 GOLD 10/29/2004 0190 All ACO 230 .0000 09/00/2004 8790 63 741) $9 877 04 SY

SOS. 0000 OPV(i110R8 LOGISTICS INC - 676255102 MINOR 61 SOLD 17/00/200 16006 81 AC'7 50 :x .0000 09/08/2004 16006 al 16?71 !.7 ~,19 14 ST

!00 0000 VIIAHMAC8U1'ICA:" PROS) UIiV INC CON " 'll"1124101 " MINOR " GI ~OI.t) 12/71/900 78091 GO ACO 700 .0000 09/00/7004 38091 60 24n2i io 3j'10 70 .".T

] :OO .OOQO 1 "pNILI1WAVIS TBCHNOl.OOIICf. INC CON " ')3936)109 141 NOR - GI SOLD 12/00/2004 1783) 61 nC0 !1 0000 09/07/900 763 26 Lei N0 DO 16 ST

7069 .0000 09/07/700 1'1;70 75 17207 10 :.363 35 GI' 1',,00 0000 ; :TICILLCAu^li INC CI. A - UhBI!, :r]U] " MINOR . GI

bOLI) 11%01I2004 19<01 '74 NCO 1'x00 0000 0P/01/700 19401 74 70617 7, -14 11, 01 ST

1 ;00 0000 ;:T6CI.CADIS INC CI . A " 0!0155]OJ " MINOR . 61 SOLD 11/02/7004 24Y17 Bs ACO 1900 .0000 09/01/700 7e127 8'v 7~lby 1 ; -711 30 ST

74150 0000 $TCI:I.CASIi INC C1, A " 850155701 " MINOR - 61 SOLD 11/10/2004 31516 77 nC0 2450 0000 09/01/2004 73536 71 14007 ]! -4 6S 56 57

1100 0000 7ETRA TPCNNOIAOIRS INC DEI. " BB167F'70S - MINOR . 61 SOLD 12/71/1009 31514 15 ACO 1100 0000 09/07/700 1151 15 1107, 00 439 1 ; ST

7 " 00 0+000 TOWER AUI'OHOT]VE INC CON - 891707101 " MIHOR " 41 SOLD 10/08/7004 16675 6G AC0 9900 0000 09/08/200 16575 66 29007 00 .13381 31 : ;1

2000 0000 TUPPLRWAItC CORP CON - 89911961041 - MINOR " 61 SOLD 09/14/7004 35090 57 FCQ 7000 0000 09/01/2004 75090 S7 34 ;61, 70 721 37 ;I'

2100 0000 TUPPERWARE CORD CON - 899896104 - MINOR 61 SOLD 10/22/200 I5044 97

2700 0000 09/01 /200< I50<e :"3 41,797 07 -1757 14 ST 2050 0000 TUPPERWARE CORP CON " 899096104 " 141t70h . 61

SOLD 10/29/300 34 774 76 FCO 2050 0000 09/01/2004 3724 76 3,227 41 -1007 G5 Sr

1,700 0000 \'ASTFRA INC - 92779N109 " MINOR - 61 SOLD 11/07/007 36906 12 Fin 16700 0000 09/01/2004 3905 12 11196 00 5510 12 Sr

------------- - OT Al's 61045 ; .) -- - ;a6E0'~ 19

ACCT SOID 1159670) NBLI ...̂ VAtiGO BANK, N .A DIIA IquRY HILL DACE 70 PROM 01/01/2004 &TA7'liMBtri' OP CAPITAL 6AING M70 lqC6B5 7'O 17/71/700 C K OIJWDIN RHS " LONG BOND ACCT . NUN D" /l1/7005

TNUGT YKAR RNDiIU; 17/J1/]004

7N( t'NBPANgN NT

TRUST AIMIItiIGTftA7VN . 5006 LNQtNDi Y " YL'nISiUi. C - C'I'A7'6 1 " INIIIUtITIfU INVESTMENT OVPICISNt 163 I( " (S%IiNV7 I'HOh . "̂TATIS V " ACO COST UNKNOWN

1'I+OI,KHTY UNliCNIP710N OIIANICC" nAYl1 CALILG i'NICR C0S (' I-AV ID CA IN/1.0.1: TI:NM

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" 5030 CL7]94

CAPITAL LOSS CARRYOVER

FEDERAL 0 00 0 00

MINNE507A N/A N/A

ACCT SO1D 11596]0) W6LIb PAItCp BANK . 11, A . OlfA LOWRY HILL PACE 21

FROM O1/01/7004 STATEMENT OF CAPITAL CAIN ; AND 1qSSB5

TO 1]/7l/2004 l' If IIIJU7DiN kH8 " I.OliO UONb ACCT PU7S 04/11/2005

TRV3T YEAR ENDING 1 .1/31/700 4

TAX VIIAI" AI+BN NT

7PUGT NDMINIG7PA'TONi 50V4 L1.OLNUi N - L6UKPAL C " CTA'I'1. 1 . 1NIIKN1fKD

INVItL71+GNT OPPIC6N, IgJ Y, R7(ISMVI 'NUM f :7A'fIS 11 " ACV COV7 UNKNOWN

PNOVNN'f'l I7RL:CNI1~'I'IOu GIIANY.ti UA71C fA1.Hl' PRICK COOT UA :lIt7 OA I N/14 : .^" 'tltuM

OUr1MANY pY CAV11'AI, pAJNIi/IqRlIIf1i

VIfUtINAi. , .̂IIpqT TItkM IqNO TURN 20% AON(I 71MN 1}\ G! NACII $ALI[ 1 .7 NAL:11 FAI.IS

3Uli'1'O'fAI V11OM AupvIS 21f ;? .~a U,00 0 UU 0 UO U 00 CO141UN 'PIiU71T VUNI) 0 00 U.00 0 00 CAPITAL CAIN uivlDRtipD 0 .00 u.oo :3o92

]1641 .a4 0 00 77077 Iv 0 00 0 00

SUH7UTAL FROM Af10VE 21643 44 0 .00 0 00 0 00 0 00 COMMON TRUST 1'UNU 0,00 0 00 0 00 CAPITAI GAIN DIVIDENDS 0 00 0 00 1091 ]6

71643 44 0 00 71092 1e 0 00 0 00

Page 69: 990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/416/416012374/41601… · C-4tabol. " K. BLANDIN RESIDUARY TRUST U0lnerwise. O LOWRY HILL 41-6012374

S

ACCT SO1D 11596205 WELLS FARM BANK, H .A . OBA LOWRY HILL FROM 01/01/2004 STATEMENT OF CAPITAL GAINS AND LOSSES TO 12/31/2004 BIANDIN RES TRUST - VENTURE 6 R/E

TRUST YEAR ENDING 12/J1/2004

PAGE 36

RUN 05/06/2005

TAX PREPf1AEN " NT TRUST AQ41 Nl S7'ttATOR 5006 INVESTMENT OFFICER- 562

PROPERTY DESCRIPTION SHARES DATE -------------------- ------ ----

1588 0000 ROAD, INC - 04648K105 - MINOR - 61 SOLD 06/04/2004 nco 15ee3 .ooo0 o9i15i199e

14561 .0000 ROAD, INC - 04648K105 - MINOR 0 61 sol .u 12i3oi2oo4 nC0 10126 .0000 09/15/1998

9475 .0000 09/15/1998 TOTALS

LEGEND F - FEDERAL S - STATE I - INHERITED E - EXEMPT FROM STATE: U - AC4 COST UNKNOWN

SN .l;S PRICE COST 811515 CAIN/LOSS TERN

144165 00 14e165 .oo 7623 .e4 136541 16 1 .rI 5 172039 .53 68766 .07 4860 .48 61905 .59 LT IS 64073 46 4529 .80 ,9544 66 LT 15

----------- --- --------------- z77U01 .5J 171013 .12

a~csFaeea aaar essrwasesse . ees

------------- -------------000 000

CAPITAL LOSS CARPYOVER ---------------------- FEDEfLAL 0 .00 0 00

MINNESOTA N/A N/A

SUMMARY OF CAPITAL GAINS/LOSSES -------------------------------

FEDERIU. SHORT TERM LONG TERM 281 LANG TERM 151 -------------

SUBTOTAL FROM ABOVE 0 .00 ------------ ------------- -------------

0 .00 259991 41 COMMON TRUST FUND 0 00 0 .00 0 00 CAPITAL GAIN DIVIDENDS 0 .00 0 .00 0 00

------------ ------------ ------------0 .00 0 .00 259991 41

a.naeooesc .a ncnnnnovuacc unocaucnwce STATE

SUBTOTAL FROM leove 0 .00 0 00 25999 a i COMMON TRUST FUND 0 .00 0 00 0 00 CAPITAL GAIN DIVIDEt7DS 0.00 0 .00 0 .00

------------ ------------ ------------0 .00 0 00 259991 41

ST WASH SALE LT WISH SALE ------------ -------------

0 00 0 00

------------- -------------0 00 0 00

0 00 0 no

Page 70: 990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/416/416012374/41601… · C-4tabol. " K. BLANDIN RESIDUARY TRUST U0lnerwise. O LOWRY HILL 41-6012374

so1'o 113807

e.10 pOQO AVI .AC ANC " OOIOSS107 " MINOR - GI ; ;171 .1) l0/07/7004 74 (, 00 .'!7 ACO 465 .0000 11/11/200) IU7;I,P1 If.,tl',,qJ f :J7 "10 ff

105 .0000 04/21/900? ;,U " '!,'ll '.U7 "" .1I'7 U}t .u4 1'T1 ;. 'lllti1" ,UO0q All'1'NAXI;IIISCA VI .C " 0461010111 - MINOR 46

l ;UI .U OJ/lb/700 lUJOQIi,01

:0 4 .0000 17/23/19B11 190,114 161 76 17 �,n I .T15 0 .0000 0e/70/1999 417 :~ .5- ~a~~ 1~1 041 .06 i :ft .°.

215 .0000 0./20f1999 1 nsu~I . : .1 u,.%4 110 211,2 .'i> > Ti',

6 .0000 17/73/1990 190 ,'J6 241 .89 ,6 J7 UT 15 448,0000 12/23/1998 27269 . 1!t 11 .061 7 P 4100 ' .1 1 . I'15 37,0000 17/77/1998 1590,0 1 290 09 100 L1 LI'19 77,0000 17/27/1998 1590,70 1190 09 300 L1 LY15 116 0000 04/26/1999 51 Gi~ 2 n 4604 B2 1161 .7 L715 163 0000 12/27/1970 0102 67 G571 40 1571 73 LT 15 166 .0000 17/23/1998 8751 75 6692 35 1559 40 Lf15

1055 .0000 04/28/3999 57447 37 41080 04 10563 13 LTIS 161 .0000 12/73/7998 899 39 7297 08 1700 71 LT 15 $0 .0000 17/73/19D8 785 41 7015 77 X69 70 1.T15 5 0000 12/23/1998 248 ;S 201 58 46,97 LT15

287 0000 17/27/1998 14266 59 11570 50 2696 .09 LTIS 57 0000 12/27/1998 7077 47 7797 99 535 45 l.T1S 78 .0000 17/77/1998 17727 97 9998 21 7379 71 LT15 510 .0000 0'1/25/2003 2635 .96 21')6A 77 4591 19 ST 492 .0000 07/25/2007 74457 00 20704 27 4252 77 5T 177,0000 77/23/1998 8798 56 71) ; 82 1662 74 LT15

7200 0000 07/25/7003 109758 27 90672 84 19085 43 S I' 300 .0000 17/27/1998 1917 e1 1209 60 2818 71 I.TI5 24 0000 12/23/3998 119J .02 967 57 725 45 I.T15 76,0000 04/20/1999 3777,91 3016 75 760 96 I.T15 124 0000 04/78/1999 6167 96 4927 39 1]x],57 1 .715 127,0000 17/7/1998 6064 54 4918 47 1146 07 LT 15 656 0000 04/28/1999 32609 34 2601 0 ; : ;68 29 I.rIS 98 .0000 Od/f0/]999 1191 06 1111 5I ,780 35 I.T75

1161 0000 AVCN'i1R - 053561106 " MINOR . 66 SOLD 04/30/700 164365 70 ACO 107,0000 06/13/700J oils 69 7084 10 ]017 .79 LT 15

715 .0000 06/23/1007 1782 61 1555P 55 27605 06 ITIS i4~0000 06/17/2007 4095 07 1~~75 1n S20 71 I .T1 ;~ 56 .0000 06/13/7007 4247 ,.7 1707 51 540 00 1 T1~. 169,0000 06/17/2001 72078 nI 711-11 97 7119 r, 1 11'1 104 .0000 04/17/7002 1559 tj 135'12 J5 1974 '10 I.TI5 10 .0000 04/13/2007 7880 34 6095 49 1002 0', I .T1 ; 79,0000 04/13/7002 19t65 75 14814 41 7449, 20 1 .Pl, 144,0000 06/11/700 10972 71 9,)7,7, 1100 �,7 I .P1S 144 ,0000 06/13/1007 1097 74 953 j '1, 17nB S9 LI'l5 114 0000 06/13/7007 OG46 .113 7'r4 1 y 1099 20 1.71, 54 0000 04/17/7003 4095 81 1!, 75,1G 520 71 1.I'15 ;77 0000 12/11/7003 77772 4': J1 106 V1 0036 .00 ST

u04 0000 nvl :Nl'lrj " 053561106 MINOR . 46

SOLD 05/07/2004 6074 l,47

ACO 80 .0000 12/11/7001 60747 47 08'07 1 . 6 12019 "1 '1 '.JO .) 0000 AVI:NI'IS " 0 ;) ;41104 " MINOR - 66

60I .U 05/04/2004 S45679 73 ACO <2 .0000 17/20/2007 3178 .84 2371 33 1007 5,1 I .T15

3<Q .0000 17/24/7007 75737 66 17944 50 7709 09 LT 1'. 495 .0000 04/21/2003 S2607 67 37077 69 2056 9) 1 .l15 57 0000 12/74/1001 4314 17 3008 36 1]0 ; 61 1 I'1S

$00 .0000 00/21/2007 31 B4 7 63 7)048 70 14774 91 I,T15 1)],0000 12/70/1007 10066 40 6875 89 3190 SI ITIS 544 0000 08/05/7007 41177 05 77792 4B 17881 17 5r 1405 0000 04/21/2007 106340 S5 64166 85 47,73 7U LP1S 500 0000 0/31/7007 77843 61 770<8 '10 14794 91 ' .115 161 0000 08/05/7003 17185 64 y077 J7 X106 7'7 ST 727 0000 17/70/2002 168l11 25 11528 '7 5 5349 !,0 LT 15 150 0000 12/11/7003 379,8 58 9-,14 91 2 ]d7 ~~! ,f 48 0000 12170/21107 2677 y9 74hl 57 7751 47 LT 15

701 0004 12/74/2002 5056 75 3499% SO 16019 75 I.TI ; 902 0000 71/74/7007 6e269 EB 41605 97 20657 96 1.T1, 474 0000 71/20/2002 3587 ; 1 ; ;7505 04 1170 71 I T15 376 0000 17/17/7003 21674 04 19'55 x3 4 978 71 ,.T

)ISO 0000 QHP BILLITON LIMITED ADR - 088606108 - MINOR . 66 SOLO 10/07/7005 1'461 E5 FCO 179 0000 07/18/7003 10523 38 G'54 61 416P "77 1 .715

605 0000 0178/7003 1791 S4 6026 17 5265 17 LT1S 166 0000 07/28/7003 76<1 93 7102 22 14 14 '1 IT :,

3220 0000 I ;ISJ.RFq TA CAFE INDEX f'll'lp - 4642874 .5 - 1ilupF . 50 SOLD 10/07/2004 462257 3B ACC 2807 0000 03/20/3004 407963 49 371791 ;8 9471 91 ST

<17 0000 05/04/2004 59788 69 57727 "1 ~ 1565 12 .'f 70 0000 ]SHARES TR I:1.FE INDEX FUND - 464287465 - MItlUP . SO

SOLD 11/27/2004 1016 41 nCO "'0 0000 05/0412004 107C7 41 '~~783 V9 9 P . 76 51

ACCT SO1D I IS96707 WELLS PARGO BANK . N .A . DOA IqWpY IILLL PACE 21 PROM 01/O1/7004 6TATBMB~r1' Op CAVITAL GAINS AND LOSSES 7'O 1]/~1/7004 CII OW7DIN REII UI iKf" L ItNBLT ACCT RUN 04/11/2005

TRU:I7 YEAR ENDING 17/]1/700

TAX 1'HBPANeR, HT T1iVL7 AUMINIl:THATONi 5006 LKCHtIp . F' " F'L'UILNAL L " F:IAPIi I " INIIUHI7ISU I1+VN, .̂7MEHT pVYfCISN : ,G7 IL " 6%6MI'T I'NOM U111TIS U " ACV Cb::7 UNKNOWN

t`NOI'Y.N I'Y I)ISGCN 1 P7I ON OIIAHI[C DATE CALNL" Vlt f CIS Cdl:7 UA:t I C CA t N/ IA::G 1 6NM

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sole 113001

ACCT SOID 11;9G707 WELLS PARGO HANK. N.A bHA LOVNY N11.1 . VACS 77 FROM 01/011700 4 STATrJ49M OF CAPITAL GAINS AND LOSSES 7'O 17/J1/7004 CN UI.At7DIN RE-' LM IN7'L IIN6CT ACCT RUN 0/11/7005

TRUST YIiAN ENDING i2/ji/2oo4

TAX I1pKVANBii H7 I'NVCI' AUNINISTXATONI 5006 1.6U6NDI Y " FEDERAL 8 - crnrts t " INIIKNITBD 11NISZ7MHt7T OFFICER . 562 IC " E%NMPT f'HOn UTA71S ii " ACV COZ;T UNKNOWN

DRpVKNTY 01(CCNIV7ION UlIANQD OATH liAL1iC PRICK CV:I f HAS 10 (;AIN/lqt7..̂ PILHM

+0 .0000 t01UNR0 TA IL1PR INDIS% FUND " 41WIIJ'14C-!~ MINOR 1,0 LOI.b 11/71/2004 4D3'~'~ .11 A CO 00 .0000 0&/04/7004 Gv177,1~ h70 9 ". .15 6]U1 ,y6 ::1

650.n000 IOIU1RItD 7R ICAPII INDIC% PVNB " 4847074G',' " M11I011 - YO ftOLt) IS/JO/5pp4 IOIU7q,7,~ ACO 40 .0000 05/04/9004 101074 .17 :1 10792 !4 : :f

'I-,I,Opb0 Ill11ANR/1 YR IWVR INUl3M VUNq - 464J('MG ;. " MItl01i - JO f.Q4n 11/90/7004 121717,12 ACO 791 .0000 O:i/04/2004 12 :17 12 ~0 I10'~;' " ,'70 It1~.6,oJ 7 :'I'

77f�0000 (011AH110 9'k CAPIi INDEX FUND - 464267465 " MINOR - 90 ttql.q ]9/0Z/9004 17tly0 .09 n(p 176,0000 05/04/9004 1771S0 .01 fOb479 19 1)L90 .03 9i

4170 UOOO NOK1A CORP SPONSORED ADR - 6590]104 - MINOR . 66 SOLO 10/0"1/3004 5950 50 ACO 2045 .0000 1/27/1998 79181 46 11667 47 -2406 01 1.1115

715.0000 12/77/1890 301123 04 37906 79 -t507 25 I.YIS 9716 TAIWAN SEMICONDUCTOR NPO CO COM - 9140 .19100 " MINOR - 66

SOLD 07/16/700 6 49 ACO 9376 07/7/7003 6 49 B 68 -7 19 ST

7000 0000 TEI.FFONICA D8 E$PANA S A ADR " 079707700 - MINOR . 66 SOLD 10/07/2004 17897 59 ACO 090 6700 02/27/1999 41714 76 74767 22 767 14 LT1S

15 .0000 12/24/1990 7247 55 5979 04 1708 51 I.T15 193 .3400 12/7/1998 9098 97 7230 17 7860 00 I.T15 705 .0000 17/7</1998 967 71 7920 '15 3726 96 LT15 105,5000 01/72/1999 4959 79 4078 87 BBO 52 1.T15 740 6200 12/74/1998 76030 26 17718 57 3311 G9 1,715 67 3000 12/24/1998 3167 21 1595 44 571 e3 I.T15

757 0000 17/2/1998 12094 97 9911 25 7183 68 I,T15 140 6700 17/7/1998 16070 76 11160 80 7BG7 46 1T15 319 7000 12/74/1990 1504 ; 72 17l29 29 7714 43 I.[15 S5 .6800 02/73/1999 7610 41 2142 33 47y Do 1.71 ;

070 700 13/2</1990 40978 V6 31512 97 P4e5 79 I :T 15 4090 0000 VOUAFONB CROUP PLC-5i'ON9 AUR " 9705"1W300 - MINOR . 611

SOLD 10/01/2004 100991 i9 ACQ 1695 0000 12/10/3003 44791 9i 4 4 9]),' :. 18!.2 40 ST

1790 0000 11/11/3007 3e327 11 If998 11 117 01 ::f 005 .0000 04/ti/2003 Ion71 J> >6067 00 coos 52 LT 15

1100 0000 NFCKITT HI :NCNIBF.R ORU GI11+0 70'12G7 . 077]K110 " MINOR - 67 SOLD 10/07/7004 26357 .74 ACp 1100 0000 17/71/2007 261 :.7 774 70S52 '+3 iN04 III IfIS

10180 0000 Yk..̂CO PLC I'll " CO1G]1101 - MINOR - 62 SOLD 10/07/700 101039 '10 A CO 5710 .0000 0'7/74/2001 2 e6 0 1 .J7 18?14 9!. '16 8 7 42 Llly

1970.0000 00/06/7005 761'7 11 ,2914 90 J1 ;01 71 I.T1, !GU 0000 NODAMCO NV HUN 0 .0 - N'l51UK100 - MINOR - 62

SOLD 10/07/]004 S0J01 73 ACO 630 0000 12/11/2003 4161< 98 3634B 09 S76i 69 SI'

00 0000 07/74/2003 W, 81 13 o1le 91 100e 16 1.ri ",

'10 1 A1.S 26710')5 11 717970 6G

SUM14ARY OF CAPITAL GAINS/LOSSES

FF()EI1AL SHORT TERM LONG TERM 28% LONG TERM lS\

SUH701'AI, FROM A130VE 13 ;1.6 -76 0 00 103009 77 COMMON 1'RUET FUND 0 00 0 00 O 00 CAPITAL GAIN DIVIDENDS 0 00 0 00 0 00

17P506 76 0 00 303089 77 . .. . .e . . . . . . e .e . ... ... . . ... . . . . .. . ..

178506 76 0 00 30889 7 : 0 00 0 00 0 00 0 00 0 00 0 00

13915116 l6 0 00 70]089 7' 0 00 O 00

CFPIT..L LOSS Cf.PIt,O'rk

FEUEHAL

HI1f11F50TA

0 00

n /A

G UU

Ni :.

.^,TAIE

SUBTOIAL FROM ABOVE

COMMON rRUST FUND CAPITAL CAIN DIVIDENDS

ST NJ,,qlt SALE L .T WASII SALE

0 00 0 00

0 00 0 UO . . . ... . . . ... . . ... . .ao .. ...

0 00 0 00

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, . soon iss~so

ACCT 5011) X1596710 WELLS PARCO ISNJK . N "A DbA LpYpY HILL PACE 40

PROM 02/01/2004 STATEMENT OF CAPITAL GAINS AND LOSSES TO l?/)1/700 C It BI,qNDIN NEO ' DOMESTIC YIYF:r) RUN 0/11/7005

TRUST YEAR ENDING 12/31/20D-

TAX Vp4PANY.N PT

TNUSI' ADMINI :7PA7'ON . 500f. I.e(Sbt1U, F' " YI :OBRAI. 1: " ClAlb I " INIINNIIIiU

ItIVkn7M61~1' 0f'I'SCiSN, 561 C ~ J:AS«4Vf 1'NOM G1 A 1'U V " ACp CU6C UNKNOWN

PIiOVGN7Y UYLCRIVTION OIUIRISO 1)ATIt UA1.8ll PRICK COLT IIN! 1C CAIN/WL- 76NM

1'+4U .d000 AVAIA11IIAY (;MN'YYlI INC " 05JaUe101 - MINOR .1 L01 .1) 01/27/7004 74 9i,!, . 06

AM 1100 .0000 05/14/5007 06t0 . 16 S4041 00 U609 .16 ::'r

409 .0000 0e/74/7009 ),U4 0 . 0') iv>ail ,jn e,17u,4 11 '17

171,0000 04/94/9001 1, e 4 1 .4,1 '~07'.n,all I,:04 ' . . r7

1000 VnuU AVAIANIIAY CMNTYU INC 053404101 MINOR 61

V0111) 02/19/2004 5A

Ac0 323 .0000 04/74/7007 00 9'1 345~i,Ji ;:r

677 .0000 04/24/9001 14Y4 : . .1 1 inv9v J, 9246 .`~0 17'

669 Ou00 AVA/qNIIAY CMNTYC INC " 053404101 - MINOR - 61

1 :0I .U 09/17/100 40l. :~1 09

nco 103 .0000 04/24i2003 63se 69 4107 ~11 :!ISO 98 Isis

177 .0000 04/24/2003 UJ34 66 ',46J .66 2867 00 1.1115

429 0000 11/19/2002 26067,74 16575 8'1 944J 117 1.115

11,71 0000 AVAIqNP11Y CTW7'Y.". 1 NC ~ 05]40410] - MINOR " 61

SOLD 09/10/2004 100609 77

AC'0 721 .0000 11/19/7007 13306 25 8539 09 4767 16 L715

153 .0000 04/07/2007 9717 02 5801 76 1410 26 LT1 ;

300 0000 04/07/2003 6070 93 3797 00 278 93 L?15

346 0000 04/07/7007 20837 41 11130 12 7717 09 I .Tt5

23 .0000 0/07/7003 178 81 873 16 512 65 LT15

760 0000 0/07/2003 9677 49 6067 20 3566 79 LT15

17,0000 04/07/2007 1027 56 6<4 64 378 92 I.T15

600 .0000 04/03/2003 36175 57 77753 00 17373 57 I.TI5

53 .0000 04/03/2003 '1D70 G'? 1933 92 1136 ')5 LT15

7?BO 0000 DEVELOPRRS p1VER,^,IFIRD R1.7'1' CORP " 75159110] - MINOR fil

SOLD 01/27/7004 114746 97

ACO 3360 0000 05/34/1007 114746 77 91113 06 20673 91 ST 1607 0000 ORVEIq!'4N$ OIVERSIR3FD 1iLTY CORP " 151 ;9110] - MINOR 61

SOLO 11/30/2004 51,882 48 ACO 1302 0000 05/14/700) 55887 48 116253 01 171124 46 LI'IS

776u 0000 UICVf;IAI'RRC DIVCRLIFII[U ftLTY CORP - 75iS9110J " MINOR . GI

SOLD 12/01/2004 SS168 46 ACO 1260 .0000 05/14/2007 5S360 46 3S306 12 1006 : 14 LT1S

1020 0000 URVI:Iqi'RAt: DIVRpGIFiNp PLTY CORP " ?5159110] " MINOR . 61

SOLD 17/02/7004 4 .3999 03

ACO 50 .0000 04/14/7003 7156 115 1197 .0 764 1~5 I :I'1''970

.0000 04/74/2003 41042 .99 71405 03 111231 95 1 .r 1 ;

"" CIIANCED "" 01/17/OS CID U75 0000 DUKE PITY 1NVT^u INC COM NEW " 264411505 MINOR . 61

.oLu 01/27/2004 7uo06 09

ACID 07,,0000 04/74/2003 20086 0 9 24551 9e 751e 1e .̂r

1 X71 0000 I)UNI : PITY INV'fD INC CON NEW - 264411',0!, MINOR - 61

SOLD 11/79/2004 S9019 32

ACO 1711 0000 04/2 4/2001 ;9019 37 q7NIf. 87 111 R2 .4', LT I "" C'11A1106U "" 01/111/0 :. CO

lY] 0000 DUKE IiLTY INYf^ INC CON NEW - 1G4411i0 :, - MINOR . Gt

:+OLtY 17/01/]004 1!740 .18

ACO 783 .0000 04/74/7007 1!740 is 10 749 J5 Z510 0J 1 .71y

1)(. .0000 UUKl: N1 :1'Y ItIVYB INC COM NEW " ]G4411505 - MINOR . 41

SOLD 17/03/2004 4753 08

ACO 136 0000 04/74/2007 4753 08 1817 00 436 08 LT 1 ;

400000 0000 PRO 140Ma 114 OK r 4501 13/01/11 - 3137MJJC6 - MINOR " 15 COLD r 11/01/100 600000 00

AC0 400000 0000 OS/24/2004 600000 00 400000 00 0 00 57

500000 0000 FED HOME L.N UK a ]15\ 9/17/00 - Jl]7MRFRB - MINOR I!,

SOLD 09/17/Y004 1000000 00

ACO .̀"000000 0000 OB/7S/2007 5000000 00 5000000 00 O 00 lTl ; 5140000 0000 FED IIOME LN UK 0 000\ 10/10/07 - 3])]MSG80 - MINOR " 15

SOLD 07/77/700 510000 00

ACO 1600000 0000 09/77/7007 7600000 00 359943 7 ',O 562 so LTIS

150000 0000 09/27/7007 150000 00 15397,9 a8 740 62 LT lS

51+1u57 1400 FED HOME LN BK 4 0001 ]0/10/07 - ]lJ)MSCBO - MINOR " IS SOLD 02/27/7004 1857 14

5 ACO 2857 1400 09/27/2002 2857 14 7854 69 0 45 1 .l'1 ;

3600000 0000 09/27/7007 Me4401~~A3 3599437 50 "45, 96n ~- LI'I5

15<0000 0000 09/27/2007 .ii-4LGGL- .d0 1$3y>~ 153 q 'S9 38 -p-tTT9'~S_^TL I,T1 ; 2S - 6461 5 4 00 FCD HOME I.N BK 6 3501 9/Z4/1N " J1J?`L14T1 " MItIOF

SOLD 09/24/2004 7518161 5A

FCO 7538461 5400 09/19/2007 2538461 54 7575795 17 -17287 6S t.l'15 8<61576 4500 FED HOME 1 .11 BY 6 7501 9/74/18 - 3133,114Tl - M1110R . 15

SOLD 10/07/7004 946' 536 4 6

Frq 9461S78 4600 09/19/7007 8461 ;38 46 NS8'1917 1 7 17427P 6 ; 1.fl`, 99C 1740 F'EU IlOfig LIl M'1'G CORD POOL C]G-00 UTD O1/01 :9 !3]4U16N7 - MINOR - 30

SOLD 01/3517004 99E 72

%.CO 956 1200 0 :/05/1978 994 12 1075 S8 -1^ <a L7 : b

5100 FFtI "Of- Lt' "":CCI7P Pv0~ Kid-OJ :ITC 01/Ol/"d 7 : :++OIEtl7 II1t7pH . l0

50' .D 02 ;15!2004 25 53

FCC :S 5?00 01105/19'78 2 S S3 75 U3 0 '0 '-7' S 485 5,00 FED 11011E ' .t, MIG CChP PCC1 C16-00 DID O1/Ol,7fi 713a01FN7 MINOR . i0

SOLD 0]/IS/700 485 ', I

ACO 185 5904 01/4511978 .9S 54 ~9S G3 - . ~9 1 .115 'aG 770U °ED HOME ',t7 M"fG !'DAP POOL C1G-OU llTD O1/G1 ;IQ - 313i01EH'1 117170P . ,O

SCUD 04 ;75/7009 740 '7

nC0 340 7'00 01/05/1979 340 '7 3 .7 4, -6 66 LT] 5

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t SO]D Ib6790

PACE 19

RUN 04/11/2005

ACCT SOIU 11596210 WELLS PARGO UAJ7K, N A O11A LOVqY HILL FROM Ol/O1/Z004 STATEMENT OP CAPITAL GAINS AND WSGES TO 1]/)1/700 C K DI.ANDIN RH£. " DOMESTIC PIXRD

TpUST YEAR ENDING 17/]1/700

TAX VA81'ARHN i tit 71tU..̂7 ADMINISTRATOR, 5006 LEGEND , F F'I:bQKAL h " 2: 1APIi I " I NIIKN 17 FiU INVI ; ;:IMI :Nf' OYI'IfL+Nj 562 C " UISMI"'f IROM ll1 ATiL U " ACV CO!:T UNKNOWN

pNOI'ISIITY DI{SCItIVTION SHARES OATH LAI.BG I~u1CN CUf 1 PnLI :: CAIN/1 .05:: 1BNM

7f,c. 4400 P1;U HOME Lt7 NYf7 CORP POOL olG " OQ U'IU 01/U1/11- " It 14016N7 NINIlu - lot SOLD 4'u/IV/70U4 j45.46 ACO 265 .4600 O!/Or/t0"!U 7f ;� 4 n :1'1U t " S -~,1'~ 1'PIS

'IOp .4700 PRO IIOMU IdJ MYp CORP POOL 4]G" 00 D'I'D Ol/01/7U - y1J~0t1:N7 - NINUN - JO GOLD 06/ts/2004 0-1 411 ACO 309 .4900 01/05/1970 111~I .47 1 :17 011 " 1,l,1 1 .1114

X71" X100 FED IlOntlf IN MTO CORD V001. q16.00 IYPU 01/o1/fin " }~?+u~N~+b " HIr+Ou - ?0 SOLD 0'l/19/Z004 X71 GI ACO 425 .6100 01I05I19711 41V . .6 1 4 J3,"1 -11,11 1'1'15

96 ",too PIED HOME Al! N'Pp CORP POOL f11G " 00 UTp 01/01/IH " JIJ4UfFN'! " MINOR - JO

SOLD 011/19/700 96 . 07 A CO 96 .0700 01/05/1970 96 e1 9B 76 -1 119 1 .1115

'144 ,8100 FED IIOMfS W NTO CORD P004 p]G " 00 D'I'D 01/01/)p " J1 14OII:N'l " MINOR - 10 SOLD 09/15/700 744 81 NCO 7<4 8100 01/05/1970 144 A1 2e7 59 " 4 70 L'P15

212 1700 FED HOME IN MEG CORP V004 d1G-00 D'1'D 0l/01/7B - JI)4OIEN'7 " MINOR " JO SOLD 20/15/700 212 17 ACO 717 .1700 01/05/1978 712 17 216 32 -4 l ; I .TIi

758 7700 FED HOME LN MTG CORY POOL p]6-00 DTD O1/01/7B - 7Il4OlEN7 - MINOR - JO SOLD 11/15/2004 758 '73 ACO 956 7700 01/05/1978 358 .73 365 74 -7 .01 LT15

]BS x]00 PFD ROMP. IN M7'O CORP P001. q16-00 UTD Ol/01/7B - ]174O1F.N7 " MINOR - 10 504D 12/35/700 3115 111 ACp 785 8100 01/05/2978 385 81 393 15 -7 ,4 t.T15

49 8900 FED HOME LN NTC CORY POOL 1116 .00 DTD 06/01/78 . 7174O1FC0 " MINOR a JO SOLD 03/15/2004 49 88 ACO 49 .8800 01/10/1900 49 88 91 Y9 6 09 1.T15

77 6900 FED IIOML LN NTO CORP POOL p]G" 00 OTC 06/01/78 - 71]4UlFCO - MINOR - )0 SOLD 02/35/700 27 69 ACp 27 6900 01/10/1980 211 69 24 31 J 38 LT1 ;

7B 5700 FED HOME LN MTC CORN POOL p]G-00 D'I'D 0!/D1/7b " !1)401FC0 - MINOR - 30 SOLD 04/1,/200 28 52 ACO 38 5700 01/20/3980 28 52 7r 04 7 46 L11,

40 1500 FED HOME l.N MTC CORD POOL plG" 00 DPD 04/01/78 " J1J4OIFCO - MINOR " JO SOI.U 05/15/2004 40 16 1, CO 40 . 1600 01/10/1980 40 1 G i5 26 4 70 LI'l~ "

1 0700 PEI) NpMR l.N MTC CORD POOL. p]fi " OQ I)'Ip 06/01/70 " 111401F1'0 " MINOR - lot

SOLO 06/15/3004 1 07 ACp 1 .000 01/10/1980 1 07 0 q4 0 11 LT I'.

40 000 VIED IIOMIS 4N MTC CORP i'001. G]G " 00 DTD 04/01/711 " i1J4OIFCO - M1NON " JO SOLD 07/15/2004 40 04 ACp 40 0400 01/1011980 40 04 31, 11, 4 e4 1.T15

]l 000 F'Y.b HOME 1 .14 NTG CORD POOL C1G " 00 UTU OG/01/7p 11d4O1FC0 " MINON - 10 SOLD 00/15/700 73 09 ACV 23 0900 01/10/1900 21 09 20 1 02 1 .t'1!,

1 ; 1600 RF:U IIOMC I .N N'1'C CORP POOL . 91G" 00 UPU OL/01/7p " 711011'(0 " 14 INUIi " JO 501.0 On/!b/700 15 .36 AC'() 15 3400 01/10/1900 11.1 36 1 J 40 1 08 w7'lt,

7 : 3200 VIED IiO1tIS LN M'IC1 CORP I'001. nIG-UO DfU 0("/01/7B " 1]l4O1F4'0 14 [NOR - 10 GOLD 10/15/700 21 32 Al'O 77 3700 01/10/1900 77 �17 17 t .0 7,72 LT I!,

17 4400 FEE) HOME I .N MTf. CORD POOL 4]f.-00 UTb OG/O1/7B - 11]401F(;0 " MINOR - 10 SOLD 11/35/2004 17 44 ACO 17,4400 01/10/1180 17 4e 1b 31 7 31 Lily

17 '!'700 FCD HOME Id7 MTC CORP POOL p7G" UO DTD 06/01/78 " 71J4OlYCO " MINOR " JO SOLD 12/15/700 17 97 ACO 13 9700 01/10/1980 73 97 12 26 1 71 LT15

100; 700 FED HOME 1,14 NT(: CORP POOL p15-11 I)7'D 17/Ol/BI - )!]11HH;0 - MINOR - JO SOLD 01/15/700 3005 )6 ACQ 3005 7600 01/10/1990 100 ; 76 315J 68 147 97 IT75

<Oa 0600 FED HOME I.fl MTG CORP POOL. M25-11 DTU 12/Ol/B4 " 71741HIi50 " MINOR . ]0 SOLD 07/15/200 409 06 ACO 404 0600 03/30/1990 404 06 931 94 -t9 BB I.T15

~'i'7 6300 FED HOME I .N MTC CORD POOL p75-ll OTq 17/Ol/X4 - 1IS4lU11;0 - MINOR o t0 SOLID 03/15/2004 3?1 63 ACO 377 E300 01/30/190 177 63 376 21 -1B 58 LT15

190 x,100 F'Ef) HOME Ilk M'1'G CORD POOL 415-71 DID 13/O1!84 - ]1701HHSL MINOti - DO

SOLD 04/15/2004 390 51 ACO 390 5100 01/30/3990 190 51 409 73 -19 27 LT 15

o] . f400 FED HOMC I.N MTG CORP POOL p25-11 DTD ]7/Ol/ea - ]174113N50 - MINOR - 30 SOLD 05/75/2004 4 1 3 69 ;,CO 413 6900 01/30/1990 913 69 434 05 -20 76 1.1`15

197 1700 PEb HONE 1 .0 MTC CORP POOL 075-11 UTD 77/01!e4 3'3<1dH50 111IION " 10

901.1) 06/15/2004 787 11 hCQ 787 7100 01130/1990 78' "77 906 13 ; -19 08 LT1S

390 9]00 FED HOUR LN MTG CORP POOL M75-11 D?D 17101/pi - 3'ea1HH ;0 - HINOP = DO

SOLD 0?, IS/7 0 GJ 390 ~, 3 J1~ CO .90 9200 0170,19°0 350 4 1 0 17 -19 27 IT15

)C4 1300 1'EU HOME iN MTG CORP PCOl, r2S 11 UIC 1''D h . )'~]~1U~~bp H'pOp . ,U

SOI.I) 08/ 15/2004 ,,t 13 A('0 .La 1700 01/30/ 1990 364 11 0 ; -17 "" 1 1 I'1~

-7 " ,a00 !FL I+O1 iE ' .t1 f4IC CGFV POOH p :5-1 oro I . /o, As - 11J91 ;,50 V I'IDb . 30

=OLD 04/1=12004 ,75 -08

. .[n 1n"5 <H00 01/ :0/7790 6^3 .F 1762 1 3 82 05 LTI5

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SO]D 156790

7A% V4kVAHICR i NT TRUST ADM(N1F:TIlA'1'ORt SOOG LISOI:WDi Y - VeUBRAL L " STATE 1 - INIINNIfliU itrillS,^,TM1:117 UPVICIiiti "7 I: " K%IWVT LuOM STATIC V " ACV co-ir UNKNOWN

PNpPKNTY UBUCHlV'CION aIUUiBa DIM CIALItu PRICK COt" C IthGIC MlN/IA:.S YBHM

1~" r4 ,A one Pen non¢ i,r+ M"ro coup Pool . vas,-11 an) 17/Q1/01 . 1114 11111 "~0 MINOR 10

SOLO 10/15/2004 IS64 .40 ACO 1564 .4000 01/30/1990 1l "64 .40 ~t "~t . ~A " 7G V9 1 IP~ ;

i.lY, .l(IUO VIiD IIOMQ LN NTO COUP POOL /7'3 .11 DTI) 19/n1/111 " JIJ4II111;.0 M/NGN - !d GOLD 11/1'u/700 10 nCp 5J7 .7uo0 01/90/1090 1~7 .!U 1411 . 6". " Ib,,Jg 1.r19

C71,,G-',n0 FED HOMK IJi M'fA COI1P POOL C7J" 11 trill) Ir/pl/n4 " ]1741uu;,0 MINOR ~ ~o SOLD 17/19/700 J71,4 . ACQ 399,6800 01/70/1990 17U F,. 1~+0 ,J! -10 !11 1 :t1',

IUUUUUU .UUUO YWD NA'YI. M7Y1 ASSN 6 .000\ 0/75/16 - JIIGY4Al1'! " MINOR 1101.0 09/73/900 100000n,00 ACQ 1000000.0000 06/29/900 1000000 00 996250 00 ]750 .00 :'r

552 3000 GOVT NATO MTQ ASSN POOL p4729 DTD 06/0l/7 " , " J690JI4N1 " MINO11 - )0 GOLD 01/15/2004 597 JB ACQ 552 .3900 01/70/1901 552 79 J32 81 717 ~7 LT15

S90 8200 GOVT NATL MTO ASSN POOL 06779 DI'D OG/Ol/7', - 76]0)14N] - MINOR - 30 SOLD 07/35/700 590 113 ACp 590 8200 07/70/1987 590 87 355 97 214 85 I .TIS

490 1600 GOVT NATL MTC ASSN POOL 06729 D'I'D OG/01/75 - ]670714NJ " MINOR . 30 SOLD 03/15/700 490 76 ACO e70 .1600 07/70/181 490 56 795 11 194 84 LTL5

4]'t 5200 GOAT Nl.TL M7 C ASSN POOL Y6729 DTD OG/01/75 - 36201I4N] - MINOR . 30 SOLD 04/35/2004 427 52 ACO 422 5200 07/78/1981 472 57 75< 57 167 91, LT 15

]2B 3000 COV'I' NATL MTC ASSN POOL 46229 D'I'D 06/01/'75 3620314N3 MINOR - 30 SOLn 0!i/15/]004 178 70 ACO 378 3000 07/78/1981 738 70 197 80 130 ;0 I.T15

]B1 1000 COV7' NATL NTC ASSN POOL pG2]9 DTD 06/01/75 36203141,13 MINOR - 30 SOLD 06/15/700 381 10 ACQ 381 1000 07/20/1981 J81 10 779 61 151 49 1.T15

379 5000 COYI' NA'!L 147'C ASSN POOL 06339 D'fD 06/01/75 36203141,13 MINOR - 30 SOLD 07/35/2004 379 .50 ACO 779 1000 07/28/1981 379 50 198 52 130 98 Lf15

251 7200 GOVT NATL MTG ASSN POOL pG3]9 DTD 06/01/75 " 3620 .1141,13 - MINOR . !0 SOLD 00/75/700 7b'7 77 aco 257 .7200 01/20/39e1 257 r2 155 2e 102 . . i .T15

197 GOQO GOVT NATL MTQ ASSN POOL 116229 DTl1 OG/01/75 Ib>O)I4NI - MINOR . 10 SOLD 09/15/2004 177 40 ACp 197,6000 09/70/7981 197 60 117 06 711 S4 1 .r1 ;

137 0700 COVT NATL MTO ASSN POpt . dG7]J D'1'D 06/01/75 " JG70ll4Ili] - MINOR . 10 SOLD 10/15/2004 137 02 Ac0 139 .0200 0'7/20/1901 177 02 e2 ;, 154 47 t.flS

'17 0000 COV7' NATI . MTC A;7Ut! 11001. 136229 U7D 06/01/75 " J4701141J1 - MINOR . 70 60L1) IS/1S/7001 77 08 ACO 7 .0000 01/211/19111 '72 08 41 41 ill 1" . 1. r 15

b7; 7200 0017' "A71. M'1'C ASSN POOL 07202 D7D ]0/01/75 - 1G]OJJAIlb - MINOR - 30 GOLD 01/19/2004 57 ; 77 ACI} 17$ 7200 12/25/1970 b,25 ;I 4tO 03 (0 69 LT 15

541, 4]00 GOVT NATL MTO A,^,F,t! VOpi. 47202 DTU 10/O1/7i " JG707JAUB - MINOR . )0 SOLD 07/15/200 S46 62 ACQ S46 6200 17/lr/1970 1~46 67 476 74 70 30 111715

101 9400 COQ NA7L MID A..̂f.N 1001 . p7207 DID 10/01/75 " 1G2OJJAUP - MINOR - )n SOLD 03/25/700 J07 74 ACp 307 7000 12/1S/1978 307 94 268 29 19 65 LT I'~

397 9600 COST NATI. MTG ASSN POOL 9707 DTD 10/01/75 " JG70l7ABB - MINOR . 30 SOLD 04/15/2004 397 90 ACp 397.9800 17/15/3978 J97 98 346 ';0 51 24 t .rl ;

191 7n.q0 GOVT Nn'iL MTC ARCH POOL 01702 IYTD 10)O11lS " 7G]0J3AR8 " MINOR - 10 SOLD 05/15/2004 791 75 ACO 791 2500 12/35/7978 291 7; 251 '15 37 SO IT]',

277 1600 COV7 NATL MTC ASSN POOL, 0'7702 DTD 10/Ol/75 . 7G107]A[fB " MINOR - 30 SOLD 06/15/7004 177 76 ACp 271 7600 12/15/1978 271 76 236 V7 34 99 1115

292 0900 COVT NATL MSG ASSN POOL 07707 DTD ]0/U1/7S - ]G70JJFHB - tiltlOR . JO

SOLO 07/15/2004 797 09 hC0 197 0900 12/15/1978 192 07 754 49 77 60 l.T15

324 1,100 GOJT NnTI . MTC ASSN POOL 07202 OTD 10/O1/-,' - 167011Ane - MINOR . 70 SOLD 08/15/2009 '.75 6l Alp 3J4 6300 12/15/1978 .74 63 787 84 41 79 IT75

290 4100 GOVT NATL MTC ASSN POOL p'720] DTD ]0/O1/7S - 362033ASS MINOR 30

SOLD 09/35/7004 790 61

ACO 790 8100 17/75/198 290 81 ?5) 3l 37, 44 1T15

" IP 19Q0 LO "-f NAIL MTG ASSN POOL 07202 DTD 10/O7/i_~ 1620331"He MINOR 30

SOLD 10/15/2009 710 19 FCp 210 1900 12/15/79'8 110 15 183 :3 27 05 I .T1S

?10 0900 GOVT NAIL MT4 ASSN POOL 01202 DTD 10/01/75 - 16707) :,88 - MINOR = 30

SOLD 11/15!2001 .10 09

I.CQ 710 0900 12/15/198 210 09 182 07 27 05 LEIS

ISU 9700 GOVT NATL MTG ASST! POOL. 57202 DTU 70/01/75 )6'O1JI.H6 - HINC'H - 70

SOLID 12/15/7004 150 17 f.C'n 190 4'100 12/15/1978 .~!0 47 165 5- 2 . '.1 'T :1,

-1U', 1 100 GO» NATL m I'G ASSN POOL n9<09 DTD 05,07/16 1GZ025N2y HIUO4 79

SOLID 07/35/2004 705 17

ACn 705 1700 07/28/1981 705 17 424 87 180 _0 T i15

ACCT i01D 11596]10 WELLS PAftCO ILANK" N. A . DUA LOSIRY l17LL PACE SO PROM O1/01/7004 STATMONT OF CAPITAL. GAINS AND LOSS" To l7/]1/7004 C K BLMNDIN R6G - DOMESTIC VI%BD RUN Ot/11/]005

TRUST YEAR ENDING 1}/)1/700

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f e SO1D 156790

ACCT SOLD 11596210 WELLS PARCO BANK . II, A . OOA L011NY HILL PAGE 51 PROM 01/01/2004 STATEMENT OF CAPITAL GAINS AND LOSSES 7'O 1Z/11/?004 C N OLANOIN RED " DOMESTIC FIXED RUN 04/I1/7005

TRUST YEAR ENDING I7/)1/2004

TAX ruevawer+ . NT THUS f AUM 114 I STqA7'ON 1 SOOG L606ND i P " 1'BDBHAL D " 07A'I'li I " 117111{N 17ND

IttVNaImHNt OVFIC[SRi ::G7 IS - H1tIWI'i F'HOM STATE U " ACO COST VNKNqrti

PROPERTY UISGCNII''1'ION OINRQO DATE f:A1.NU VNICG "0 ::T nAt11D C.A I11/I.O-- :ti TNNM

",17 .44f10 (1OV1' NATI . INTO ACTIN POOL 89409 VYIJ 0:1/01P1( " JOjo!!,NJ7 MINOu - Ip

SOLD 07/IC/906 'YJ= .b4 ACO ~1J9 .5400 07/70/1V01 'rJ7 .'J4 e41 . .4 7~+1,IP 1"1 1 :,

IJJp .'~P00 ROV7 NA'I'L M'YO AJCN POOL 00409 D't1) OJ/n1/Yf. - d(,70dJN99 " MINOR - JO

VOW 09/lu/7Q04 AC'0 19'J0.'7U00 07/7U/1JU1 IJ :iO.7U PIJ .nO '414 JO I.fl;

Gvp .e,1OQ pOV1' NA'ft. N'I'p AOf:N POOL . qP409 D'I'D OJ/01/7G " .1G70JSN79 " MINOH - JO COL!) 04/15/9004 695.43 Ar.O 0nS.000 07/711/1901 4111,00 ne .i

;04 .4G00 QOYI' NA'FL M'YQ ASSN VQpI. 09409 A7'p 0'1/01/'1L " J61075t129 " MINVk - 70 f"041) OS/15/7004 704 46 ACQ 709,600 07/20/1901 '109 .4G 471 45 1B7 01 l.fly

L9y,B100 OOV1' NATI. MTO ASSN POOL 90409 DTD 03/01/76 . 7G70a5N79 " MINOR - 30 504U 06/15/700 695 81 ACO 695 8100 07/10/1981 695 81 4 1'i 13 276 58 LT1 ;

!10 8600 GOVT NAIL MTO ASSN POOL 49409 DTp 05/01/76 - ]610]$N79 " MINOR 3o SOLD 07/15/700 710 86 ACQ 710 8600 07/28/7981 710 86 42B 39 7B7 57 1.715

74U 500 GOVT NAT1 . MTC ASSN POOL f19409 STD 05/01/74 " 36203SH29 MINOR 30 SOLD 08/15/700 740 51 ACO 1,0 500 07/70/3991 740 5< 446 78 294 36 L'f15

776 6]00 GOVT NATL MTG ASSN POOL 49409 f7I'p 05/01/76 - 36701SN29 MINOR )o SOLD 09/15/700 776 63 ACO 176 6700 07/78/1981 716 63 437 80 789 81 I.T15

457 4200 GOVT NA'fL M'I'O ASSN POOL 09409 DTD 05/01/76 - ]62075N79 - MINOR . 30 SOLD 10/15/001 6S0 42 ACO 657 1200 07/28/1981 657 .17 396 10 267 32 I.T15

946 0400 GOVT NATL MTO ASSN POOL 09409 D'I'D 0'~/O1/76 - J6]07SNJ9 " MINOR . )0 SOLD 11/35/2004 946 04 ACO 946 000 07/28/3902 946 04 569 99 376 05 LTIS

639 7800 GOVT NATL M7'O ASSN POOL 49409 nl'D OS/01/7G " )G2075N79 " MINOR . )0 SOLD 12/15/2004 639 7B A CO 679 7000 07/28/2981 639 'is l BS 47 754 31 LTIS

JOT BB00 GOVT NATL MTC ASSN POOL 1194OB DYD OS/01/7G - 36707!,N26 - MI NOR . !0 SOLD 01/25/2004 302 so ACO 307 8800 07/17/3770 302 88 273 07 79 01 I.T15

X57 a'!00 GOVT NATI . MTC ASSN POOL 0900 IffD 05/01/76 " 362015N76 MINOR - 30 s01.0 02/35/2004 J53 47 ACO 757,700 02/17/1978 351 47 11e 611 14 7n 17t5

536 X100 GO V7' NATL MTC ASSN POOL 40400 DTU 0S/O1/7G " JG2OJSNZL " MINOR . 30

SOLD 03/19/2004 536 44 ACO S76 .4400 02/17/1970 536 44 483 64 52 50 1 .1'IS

:tSe .l,e00 GOVT NA'Cl . MCG ASSN POOL . 4D408 UTb Or/Ot/7G " 1420)YN7G " MINOR - 30 COLD 04/15/2004 754 64 ACO :154 .64 00 02/17/19711 254 64 277 ;.7 1' . 07 1.I1S

tS(, 0100 GOVT NATL M'1'O ASSN V001. 194011 D'I'D 05/O1/7G - JG]0]SN'!.G - MINOR . 30 FOLD 09/]r/9004 756 0l ACO 756 .0100 02/17/1978 756 01 2)0 UL JS 10 1 .l'15

7h7 9400 GOVT NATI . MTO ASSN POOL 0'J4OU D7D Or/01/7b " JG70!!.N26 " MINOR . 30 GOLD 06/15/2004 2s7 94 ACQ 757 900 02/17/]770 257 94 717 5o .r 39 LTI!,

TS~l ~l .000 CO V7' NATI . M'I'O ASSN POOL 139406 DYq 05/01/74 " ]6]OJSN7.l. " MINOR - 30 SOLD 07/15/7004 257 60 ACO 759 6000 02/17/1978 159 60 21e 05 5 . S,. ITIy

:GI 1700 COVY NA7L MTG ASSt7 POOL 09408 DTD 05/01/76 . 76]OJStiZ6 - MINOR . 30 21 soLn ow/ls/2004 1261

ACO 761 7700 07/17/1978 261 71 275 55 25 -77 I.T1; >0Y 7100 GOVT NATI. MTG ASSN POOL 09400 L7TU Oi/01/76 " J6201StJl6 - MINOR - 70

::OLD 09/15/700 669 93 ACO 489 9700 02/17/1978 689 97 621 02 61 91 111

735 7900 GOVT NAIL MTG ASSN POOL q?SOB DTD OS/OI/76 " )67015N1.4 - MINOR " JO SOLO 10/]S/2004 135 '79 ACO 715 7900 02/17/2978 375 "19 217 58 33 71 1 .115

2'74 '100 GOVT Nn TI . MTC ASSN POOL 09408 DTU OS/Ol/76 - ]6]O3SNZb - n1NON . )0 SOLD 11/15/700 47< 71 FCO 474 7100 07/77/1978 474 71 177 78 74 73 I.TI5

221 0100 GOUT NJ.TI. MSG ASSN Dppl p9<OB DTD 05/01/75 - l6JD35NZG - MINOR . 30

SOLO 17/15/700 221 04 ACQ 771 0400 03/17/7978 271 04 19y 28 21 5 ITIS

OC00 GOVT NJ.TL MTG ASSN POOL $110546 DTD 06/01/76 " 36701GNF8 - MINOR - j0 SOLD 01/15/3000 543 06 AcO 591 0600 09/01/1981 5<7 06 209 '+I 273 35 i .T15

S9G 0100 GOVT IIATL MTG ASSN POOL d10S<6 DTD 06/01/ .6 7620J6WFP - td1llOF . JO

SOLO 07/15/7009 546 44 1.C7 S46 <<00 09/0115985 1;46 44 Ill .4 231 F0 ITIS

550 0600 GUS N :.TI. MTG ASSN FOUL p10546 DTD OG/O1/76 - 362OlGNFB - IlItiUF ~ )0

SOLD 03/75/700 S~ C 08 ACO 550 0800 09/01/7981 550 08 j13 72 23G 3G LI'IS

y1 LGOG (,O'7' NATl, NI'G ASSN POOL 010546 DI'D OG/O1/7G - J67n3GWFB - ftItJOA " 70

SOLD 04/15/2009 554 56 FCQ oi4 500 09/07/1981 $54 56 316 27 231 ~7 LT :S

1956 1N00 GO'J7 NI.TL MIG ASSN POOL 010546 DID 0~>/GI/7n J620)4WF'6 - tUPOH _ ,U

SOLD 05115/3004 24 50 78

7.C0 2490 7P00 09/01/1981 2490 l8 1420 53 1070 75 LT15

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'f , J " ~ SOID 256790

ACCT SOLD 11596710 WELLS' PARGO ONiN, N,A . DOA LpYNY HILL PADS 51

FROM 01/01/700 liTATliML'tfl' OF CAPITAL GAINS AND LiOSSES

TO 17/)1/700 C K g UWDIN NEG " DommIrIC FIXED RUN 04/11/200S

TRUST YEAR RNb)NC 17/)t/]004

TAX PNILVAItaN , 117

'I RUST ADMIN1 ..̂TXAION, SOOG L6f:liND, Y - VCUILItAL D " U'I'ATIS i - It711KR17ti0

INVf[III'MNNT qVVICN.H ; +G1 1 . " IC%RNVT I NOM ^uTA'IIS U " ACQ CWT UNYtJONN

PNOI'I :RTY UR ::CNIVTION UItAHQD DATE DAI.HL VNICIL CO :IT UA6I0 CAIN/I.059 iN1iM

412 900 OOV'1' NATI . MY(1 ADON POOL 010546 hYU AI./oi/it 1f.9nii:wVn " MIN(I)4 - lo

V-01,11 06/ 1 "u/YV04 477 91

ACO 4'12 .9300 04/01/1901 477 .9J At.Y .'12 201 . 71 11,111, "

+7<" .0V00 GOVT NA'YL MTQ 11 ;tI;N VI)pl . 410546 pTU 06/U1/7r. " 3620 :16WPI. MINOR .0

401 .0 011/115i200 . ,7,, .09

neo " 1s .oyoo o-0/oii1nn1 4,r, .u0 a~1 . : " i 204 V? i .rI a Jet,() QOV'1 NA'I'I . M'IY1 AUDN VOQI . 1110546 U'YU O6/01/'1 f, JbJUJGNVU " MINpp - JO

SOLD otl/ItU2004 47q ^6

ACO 479 .2600 00/01/1snl 4'1", 2f. a71 tJ 20b . ')I wr I ,

481 .4600 GOVT NA'1'1. MTO ASSN POOL 010546 p'I'p OG/01/i6 - )f70"HF'N - MINOR . 10 SOLD 09/15/7004 487 46

ACO 487,4G00 09/01/1`!U1 482 46 175 .17 707 11 I :I'15 40h 4700 GOVT NdTL N'f0 ASSN POOL 410546 D'I'D 06/01/76 . 7G70JfNPB - Mltfpii - )0

SOLD 10/15/2006 485 67

ACO 405 6700 09/02/1901 485 67 276 97 209 68 LT1, 4Be 9100 C0V7 NA1'L MTO ASSN POOL 117056 D'N 06/01/16 - JG70J6NF8 - MINOR - 30

SOLD 11/15/200 468 91

ACp 488 9100 09/01/1981 496 91 278 93 710 08 IT15 155 0700 GOVT NATL MTO ASSN POOL 020546 DTD 06/01/76 " ]6]0]6NFB - MINOR - 30

SOLD 17/25/7004 ISSN 07 ACO 155 0700 09/01/3981 1554 07 886 31 66 .76 LT15

140 4700 GOVT NATI . MTO ASSN POOL N]8749 DTD 09/01/77 - ]6]0462N7 - MINOR . )0

SOLD 01/15/2004 140 <7

ACQ 148 1700 09/79/1977 148 47 149 59 18 BB I.T15

151 7600 GOB NATL MTC ASSN POOL 1118749 D'fD 09/01/77 - ]G2046Ltl7 - MINOR " )0 SOLD 02/15/2004 757 16 ACO 151 7600 09/19/1977 151 76 133 96 39 30 LT15

1984 1600 GOVT NAT1 . MTC ASSN POOL p]8749 DTD 09/01/77 " 362046V17 MINOR - 30 GOLD 03/15/700 198 26

ACO 1984 2600 09/19/1977 1984 26 1731 97 757 .79 LT15 111 5900 GOVT NATL M7'O ASSN POOL, 018749 dl'D 09/01/77 - 36Z0462N"7 - MINOR " JO

SOLD 04/15/2004 111 59

ACQ 111 5900 09/19/1977 111 }7 97 00 14 19 LT15 117 JS00 GOVT NATI. MTG ASSN POOL 1118149 UTD 09/01/77 - JG]D4GZN7 - MINOR " 10

601.p 05/15/2004 117 15 Ac'p 112 700 09/19/1977 117,J+ 98 06 1< 29 I . I'1s

111, 9700 GOVT NA'I'l . MTO ASSN POOL 918749 I]'(9 OH/O1/77 . 16704f.ZN7 " MINOR . )0

SOLD 06/15/2004 116 97 ACQ 116 .7700 09/19/1979 115 7! 102 10 14 87 1 rl,,

11! 9900 GOVT NATL NTO ASSN POOL AfB7A9 p'YD 09/41/7'1 " JG2OaL2N7 - MINUN " ]U

SOLD 07/15/7004 I IJ 99

ACO 113 9900 09/19/1477 I U 77 99 50 14 49 1 .1`15 I1'" O~)UO CO%rI Nnrt MTG ASSN I'001, 11111749 UTD 0Y/01/7'7 JG204GZN1 MINOR 10

COLD 00/1S/2004 111 09 nC0 117 bY00 0')/19/1'J7'1 I1i 09 ID] . 'l0 14 '+4 I T7'.

11S 1,400 OOV'1 Nl~I'L 147C ASSN POOL 418749 VIM 09/01/7'7 " ]G704GZN1 - MINOR " 70

Soup 07/15/2004 1 1_', ,4

ACO 115 6400 09/1'J/1'!'!'1 115 64 100 94 14 '10 1 .111S ]1'1 '510Q (:OVT NAT] . 141C ASSN NOOI . CIU'1 .9 D7D 0?/Ol/'!! " ]G2O4GLN! " MINOR - !0

GOLD 10/1'u/700 119 .57 A CO 119 y700 09/19/7777 119,52 10,17 IS 20 I.TIi

1] -, 7900 GOVT NA'Z'I . M'iG A ;". :SN DOOI . 111879 p7D 0'J/01/7'! " 1G7046'I,N7 " MINOR . 30

601.D 13/15/700 117 79

ACQ 117,2900 09/19/1977 117 29 103 38 14 91 I.T1S 110 IJ00 GOVT NAI'1. M7'C ASSN POOL 1110749 D7'D 09/01/77 . 76704G2N7 - MINOR . JO

SOLD 17/15/100 118 11

ACO lie 1300 09/19/1977 118 1 .1 103 11 15 02 LrI$ 4A 6700 GOVT NATI. MTO ASSN POOL 4262319 D7'D OB-O1-89 - J6]19%KBO - MINOR - 30

SOLO 01/15/300 48 67 ACO 46 6700 08/77/2909 48 67 48 09 0 so LT l :.

<9 0800 COV't NATL MTO ASSN POOL t17G]719 DTD OB-O1-89 - J6719%NBO " MINOR - 30

SOLD 01/15/2004 49 08

ACO 49 OB00 08/23/1989 <9 08 4e 50 0 be LI'IS 49 9H00 GOVT N :.I'L MTC ASSN POOL 4262319 D7V 08-01 .89 - J6719.(KBO - MINOR " !0

SOLD 03/15/2004 49 <8

ACO 49 4800 08/23/1989 49 18 4e 69 0 59 1 .1'1 ;

27511 9500 GOVT NATI. MTC ASSN POOL 4262319 UTD OB " Ol-B9 " l6z19XK90 - MINOR - ]0 SOLU 04/15/700 7157 75

1.C0 2157 9500 08/33/7989 21574 95 ]1718 75 2~~6 16 IT1 ; 825 0000 CLINCHER RLTY TN CON - ]79307103 - MINOR . 61

SOLD 01/78/200 20327 0 ;

Ace 075 0000 05/1972007 20371 05 11602 70 2724 BS ST

103 ', 0000 CI .IMCHER RLTY TP CO1i " 7"19702702 - MINOR . 67

SOLO 11/29/2004 77818 50

ACQ 75 0000 OS/14/3003 1010 24 1 600 20 X10 09 IT15

e65 0000 05/14/2007 231e4 75 16455 64 4729 11 LT15

99 0000 05/14/2007 7FS, _ 711 _v 741 75 IT1S 6 L0~~C t,LIMl11FN FI .TY Tk SUM 179302102 MINOR - 61

SOLD 11/30/2004 6770L 50

Ace :101 0000 05/14/7003 56735 17 415]8 47 1440~ '7 1 .1 1 S 48C 0000 05/19/7001 17870 65 1024' :5 16'b _8 'f15

_-?0 CQ00 .. :BLPTS VPTV !F 51+ f:l'N INT - 5l117 :]Oa - 111,10P - C' SOLD 01/27/2004 140098 'o

Ace 7055 OOOC 05/14i200i '1016 +0 661,20 98 16195 <2 ST 200 0000 05/14/7007 30178 57 26140 24 :986 43 ST

E75 0000 0417a x]003 7'957 :7 -8754 29 4596 ." 4 ST

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" soio 1136,90

ACCT SOID 11596710 utBLl. ..̂ PARGO BANK, N A UnA IqwRY IIILL FROM O1/01/7004 STATEMENT OP CAPITAL CLAINS AND LOSSES TO 17/]1/2004 C K BUWDIN RBII - DOMESTIC FIXED

TRUST YEAR ENDING 17/J1/7004

PAGE 5)

mull 04/11/3005

7W( I1I1BVAl1BN , N7 'PHUiif AI)MINIG7NAT'ON 5006 I.6Cht1Di Y " VI:1)FtYAI . D - UTA'fii 1 - 117111iR{TLh INVHCtmI :NT OF'YIC6NI :~G7 C " IL%ISMVT IRON JI'n'llf V - ACV CO ;:'! UNKNOWN

DHOmiN7Y qRt:CHIVfIOu GRAPHS OATH rALKli P4ICN CObf OMIC CAIN/I.OL3 IIiNM

19~~,uun0 I,IOI:li7'Y PVTY TA 011 MW INY " 91102104 " NINOU - 1 . uuLD 01/70/2004 ACD 1915 0000 04/24/700J 7700 .1 1 670L ;" 30 10041 V3 III'

CU' " .bU00 I .t11UI1TY VV7'Y TO Oil URN 1tYf " JJ11'lJlp4 " MINOR - 61 ~ l :OI.U 06/99/2004 5 1 ~ 9Y, 0

nc:0 410.0000 04/74/ :1001 7+~Y9 � 0 1 1 1 1,t

95 .0000 01/04/9001 J9'J9 It 41o,?6 l.i'I ;f

1'+4~ .nuUO LIDICIITY VhTY 7'k 011 IIIiN iNY' " 5?11771p4 - MINOR - fit

SOLO 06/30/200 70"711 9fi NCO 1508 .0000 04/04/7007 60404,6;i 41628 . 0-1 1 f'I 16 . 62 1 r1 ;

2 ;4 .0000 04/04/2003 10 04 :l'l 11022 21 :!1"7 04 LT 11. I S4 4 ,oo00 L .101:N7v PPTY TO Oil ItRN INY' " 97]1'791u4 - MINOR . 61

SOLD 07/02/7004 61?001 42 NCO 1.9,0000 04/04/2007 18070 21 14 181 04 789 17 I Y15

104 0000 0410412001 '009 77 ;811 58 lS11 39 LT 111 911 .0000 11/39/1002 36597 4 4 77001 57 8900 87 4f15

339 0000 LIBERTY PV7Y TR uH BEN TNT - S3ll'77104 - MINOR . 61 SOLD 07/02/700 17868 ,3 ACQ 339 .0000 11/19/2002 13868 57 10371 06 3597 47 LTIS

761 0000 PLUM CP2QK TINDER CO INC - 7]9157108 - MINOR - 61 SOLD 13/30/7004 98027 40 ACQ 2010 0000 01/27/2004 7595 58 63792 19 11403 19 ST

671 0000 05/14/2003 2J427 87 1988 07 6928 95 I.TI5 "CAANGED" 01/20/05 CB

1071 0000 PLUM CREEK TIMBER CO INC " 779]5]!08 - MINOR " Gl SOLD 12/07/2004 40405 74 AC'Q 1011 0000 05/1</7007 40105 74 26067 71 14378 03 LT1$

Se 0000 PLUM CNBEK TIMBER CO INC " 7]975]108 - MINOR - 61 SOLD 34/07/700 2193 95 ACO 50 0000 05/14/2007 2193 95 1<11 70 787 15 LT1S

ll'! 0000 PPOLOOIS TRUST CON - 74]10307 - MINOR - 61 SOLD 11/30/700 17655 77 nco 317 .0000 09/17/2004 12655 99 11358 06 1261 13 511

)14 0000 PROIAGIS TRUST CON " 74)430307 - MINOR . 61 SOLO 22/01/700 12608 09 ACO 374 0000 09/17/700 11608 09 112111 08 1177 01 ST

74 0000 PNp1AG1 ;: TRUST CON - 741410101 " MINOR - 61 SOLD 12/03/2004 1175 e4 ACp 79 .0000 09/77/2004 1195 4l 1011 fill 1,3 76 ST

5SB2 000 PUBLIC STOMCIC INC CON " '14440U]09 " MINOR " 61 101.0 01/27/2004 2 6?OJ0 bJ r.co 734 0000 osi14/+003 cosec 9c 1101 s .s :s~i ~r t,r

76G 0000 0J/14/2003 17+09 44 9111 114 13 *17 !,H 5T 307 0000 0r/14/2003 14414 il 10!, 16 32 1898 19 ;:'f 1494 0000 01~/14 /700,1 7017 48 '117! 12 18770 16 :"1

600 0000 0S/14/7003 28171 48 70S53 06 7610 67 L'1' 104 0000 05/11/2001 4971 00 1631 04 134!, 96 ST 400 0000 01./14/7003 1970 17 13 Y02 04 f .079 00 b l'

1 149 0000 05/14/2003 ,4 4 1 n 30 39101 66 14776 .4 .^T 9)x .0000 OS/14/7003 41B53 91 11994 26 11059 6 . t: l

112 0000 04/74/2003 1 B!10 13 ]7%1 4 3 1117 70 :7 1]111 0000 I+UU1 .1f TOKACI: INC CON - '14460DI09 MINOR 61

SOI.0 01/2U/7004 IS5546 05 ACp 111,0000 04/24/7007 5703 65 368S 25 1510 40 ':T

1173 .0000 09/2/7003 �927 48 19600 08 16319 40 ::T 600 0000 04/24/2003 28127 87 19920 24 8207 58 ST 1<14,0000 04/24/3003 46787 90 46945 36 19347 54 ST

B9] 0000 PUBLIC STORAGE 114C CON - 744600209 MINOR 61 SOLD 11/16/200 50537 40 ACO 50 .0000 04/24/7003 72294 08 18934 27 13369 d5 Ii15

130 0000 0</24/3007 7J45 77 4314 05 709 77 1 T1 ; 147 0000 04/07/2007 8128 e7 4703 70 3675 19 I.fl ; 95 0000 00/07/2007 2599 57 1139 78 1109 75 LT15

67 p000 PUBLIC STOP-AGE INC CON - 704G00709 - MINOR . 61 SOLD 11/17/2004 , .195 67 ncp ,90 0000 04/07/2003 27927 62 1ee71 11 14 04S '71 Ln5

177 0000 0</07/2007 587, 85 5663 11 4217 72 I .T15 1609 0000 PUBLIC STORAGE INC CON - 74a60D109 - MINOR bI

SOLD 11/38/2004 91420 45 l.CO 36 0000 04/08/7007 199 71 1150 32 799 41 L.715

707 0000 04/06/2001 71210 92 5614 33 4596 59 IT15

541 0000 04/08/7007 25300 04 11296 79 12013 30 I .TI5

164 0000 04/08/1007 15733 89 11631 00 1+087 89 ills

89 0000 04/04/2007 4820 15 2814 07 3986 17 1 .1'15 177 0000 0</07/3007 17497 77 103342 '156 55 LT 1b

77 0000 04/07/2007 755 47 ISO3 77 1091 70 IT15

91 0000 04/04/200] .2BC '9 .S7y _8 X80"7 60 1,1'15 . OuGO vUEI,IC SIUhAGF' INC CON " '7446OD109 MINOR 61

SOLD 31/19/7004 793E6 19

i.CQ .89 0000 04/C4/2003 .070e ~s 17181, 93 E721 F2 : .PI S

163 0000 01/04/2003 E57" 4 4 5790 ,1 3187 03 1 . fIS I : .1 (,OfO CUhI.'C STOII.GI' ANC CON " 7a960D'09 MINVP , r

SULC 11/2 :,?007 (,Bob 54

" C? 8 " '" CLOP 11)]9/7002 -"S. : A7 7,161 12 164?0 'S ITI ; 219 0000 04/0</2007 11766 47 Gala 40 44S2 07 1 .715

167 0000 09/05j3003 ?792 06 531"1 ?8 374 20 I.T15

3 000 11/'4/200: 157, 94 97 66 65 28 IT15

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-1 11 soi'G' is6190

ACCT SOIb 11596210 MULLS PAHCO 8"K. N a . USA I.oupl HILL PACE 54 FROM O1/O!/]004 STATQMSt7T OF CAPITAL GAINS A17D IqSGHS 7'O I]/JI/700 C K UI.At7D1N RE'3 - DOMESTIC FIXED RUt7 O4/I1/]005

TRUST YEAR BINDING 17/]1/700

7A% t'N6PAYBP : NT 7NVGI AUMINII;TXA'fON SOOG LEGEND, w " LtUBHAL E " GlA71i f " INIIBNITtiD

INVIiDT7Lli(' ONVICf :Ni 562 IC " R%IWVT FROM STATI( V " ACQ 002:7 UNKNOWN

DHOPISN7Y bISDCNit" 'I'10N UNANILO DATE CALIfU I'RICIS CUl:7 UALIC CA 111/1,0110 TURN

77".00O 0000 V n Ti11 :ALiUHY NO'1'Y1j q'IYI 07/]5/9 RATR .̂ 07". MAT 07/1f,/lOll4 " '~I 711T7N111 " MIN,,N - It GOLD 07/1'+/l004 77~10U0.00 A C'V 130000 .0000 09/18/19US 110000.00 1771,g,4 6 J74 4 ,1,4 1 .1'1S

100000,0000 09/15/1998 100000.00 U0 Y7,s .4 4 1794 .SG I .Y1!l 11000 .0000 09/15 /19 U:r 11000.00 101.16 9n Jill, '+j I .7t!. 314000 .0000 09/15/19DS S4000 00 Ji4l9 .'r9 :~U7 .0 ~ 1 .11 15

17YbU0o OoUn U 71 '1'NISAAVPV NO'1'RII IYII) OZ/19/94 ItA'1'IS II')S MAT pJ/IJ/JbO4 71741711U1 " NINO14 - 14 GOLD 02/15/2004 122tJ000 .00 AC-0 1000,0000 04/1 :i/799; 14000 .00 1 1 1 " ,1l,211 741 .'7J LT 15

27000.0000 09/14/19!5 711000 00 21690 16 119 01 LTlS 900000.0000 09/19/1995 100000 .00 196s46 .u7 14 ~.3 1) LT 15 45000.0000 09/17/7995 45000 00 44771 05 776 .95 L715 6000 .0000 09/15/199 4;000 00 5896 41 103 :. 9 LT 15

36000 .0000 0/15/1995 16000 00 75770 44 621 56 LT15 50000 .0000 09/15/1995 ;8000 00 S6998 59 1001 .1 LT15 75000 0000 09/15/1995 15000 00 74548 36 411 64 LT15

761000 0000 09/15/1995 141000 00 15<767 11 6232 89 LT15 458000,0000 09/75/1995 458000 00 <50093 34 7907 66 I.T15

100000 0000 U 5 TREASURY NOTES 2 .3751 8/15/06 - 9178280F6 - MINOR " 14 SOLD 02/06/700 30707 14 7"l'O 1000 0000 10/23/2003 1008 01 1002 50 5 51 ST

1000 0000 10/77/2003 7024 02 3007 50 16 57 ST 48000 0000 10/23/007 48784 37 48120 00 764 37 6T 9000 .0000 10/73/7003 9077 07 9027 50 450 57 ST

64000 0000 10/77/7007 66578 51 64165 00 J67 S1 .",P 173000 0000 70/77/7003 17785 75 177972 50 9.7 BS ST

600000 0000 U S '1'Pf{AGURY NOTES 2 )751 B/15/OG - 9118780FG - MINOR - 14 SOLO 05/94/7004 595101 56 ACO 400000 0000 02/77/700 595101 SG 60112S 00 -17021 4< ST

1000000 0000 U 5 TREASURY NOTQS 1 175 8/15/06 " 917826BF6 - MINOR - 14 SOLD 05/28/7001 793989 38 ACO 1000000 0000 07/27/2004 99390 78 1011075 00 .17070 67 ST

1000000 0000 V :. TNF:AfiURY N07HS ],)751 8/15/06 " 912BTBIIF6 - MINOR " 7< SOLD 06/04/7004 990546 08 ACO 1000000 .0000 02/27/700 990540; bb 1017075 AO .11328 12 Sf

700000 OU00 U S TREASURY NOTES ] .]751 0/l°./OG " 91]B7BOP6 " MINOR - 14 GOLD 06/15/700 692509 94 A CO 700000 .0000 07/27/700 492589 04 7013J12 50 .15777 46 ST

1000000 OOnO V G TfiItADURY NOTED 7 .]75\ 8/15/06 - 9129280P6 " MINOR - Id SOLD 06/24/2004 991189 .04 ACQ 1000000 0000 OZ/77/]004 9912810 06 101114'1, 0(I " 2 0 " P5 44 i.T

10000!70 0000 U L '1'N1LA1,VHY N071iL ! .)751 0/lr/OG - 914B7BUFL - ntINON " It 11OI .U 01/1!,/2004 994179 .69 nCp 1000000 .0000 02/77/700 99179 69 1011P7" 00 " t164, 71 ::T

2000000 0900 11 1 : 7PI:A£"UNY NOTR:1 X . Y7 ;% 11/IS/OG - 'J1iB2UbFl, " MINOR - 14 SOLD 17/77/7004 1980790,63 ECU 1000 0000 10/73/200) 790 70 1002,10 " 12 30 I.TIy

10000 .0000 10/23/700! 7901 95 10025 00 " 113 05 111 is 11000,0000 10/7J/7003 10092 1S 11077 50 .135 7r I.T15 2000 .0000 10/73/200i 19e0 .39 coos 00 -24 GI i:rIs 1000.0000 10/23/200J 990 .20 1002 s0 -11 30 Lri!,

700000 0000 07/77/100 69]17G 72 7011111 '.0 .15775 78 ST 1!8000 .0000 10/73/3003 1]664 .95 1!8l45 00 .1498 .05 1.115 7000.0000 10/27/2001 ,971 .77 701 ;0 " 86 17 1.T15

77000 0000 20/73/2003 77284 26 7l102 50 " 890 .24 LT15 158000.0000 10/33/2007 156450 .06 158395 00 -1944 14 I.T15 11000 0000 20/23/2003 10897 35 11027 50 -135 75 I.T]5 4000 0000 10/93/2003 597 17 6015 00 -73 .03 I.T15

147000 0000 10/23/2003 165342 62 167417 50 -205 4 08 I.T 15 7150,70 0000 10/27/2007 707989 65 716187 50 -0797 BS IT75

TOTALS 33891743 43 3PI40131 38

SUIA1nR5 OF Ci.PIIAL GAINS/LOSSES

FFI)F:P :.I. ;ItORT TERM LONG TERM )81 LONG TFPM 15l Sl WASH SALE I.f WASH SALE

~UnTOI'Al. FROM ABOVE 96492 22 0 00 ~^~-r ̀ ~3~b 0 00 0 00 COMMON TRUST FUND O 00 0 00 0 00 , (FPif:.f GAil) DIVIUFI7US 1235 47 0 00 26616 41

9'7727 69 0 0o ~ y~0 ~q32 0 o0 0 00 . .e . . . .. . . . . . .. . . . . . . . .. . . . .. .. .. . . . . . . ... . . . ... . . . ..e . . . . ..e .

sra'I e

SUf1TOI' :.L FNOI1 A14OVE 96497 22 0 00 ~- I Vt4 ~3116 0 00 0 00 COMMON I'Hl'ST FUND 0 00 0 00 0 OU CAPI f:.l . GAIN DIVIDF11D5 1775 97 0 00 76616 43

917=7 19 0 00 '" 73. to y 3Z u 00 e 00 . . . . . . . . .. . . . . . .. . ., . . . . .. . . . . . . . . .. . . . . . . . ., . .. . .--- . . . .. . .e .

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" 5021i IS6790

0.00 0 .00

N/A N/A

ACC! 5010 11596210 FROM 01/01/2004 TO 17/31/700

TAX PN6hAPHN ; NT TRUST AUMINILTAATON " 5004 INVESTMENT VPVICBPi "..G7

VNUI'NN'IY fIYllCN1PTION

CAPITAL Lpl:t: QANHYGYISH

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M I IJNIW0'YA

WELLS PARGO HANK, N.A . DOA LpWpY HILL PACE SS STATEMENT OP CAPITAL GAINS AND LDSGgr C K OI .A77DiN RCS " DOMHS'fIC V17fED Pull O4/11/7005

TRUST YEAR ENU111G 17/1/]004

I.h~EtiD~ F' " FF:DHNAL f. " C'1'ATIi I " IN118NI71SD B " E%ISMPT PROM UTATit V " ACQ COST UNMOWN

CIIAHISD UATIL [;AM. PRICK COT LIAJ16 CA IN/IA;;D rIfHM

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1 n 'a

DI VEItSIONS~ THE-'I'IZUSTIEI:S 0FTt-I1; 131_ANI)IN "I ItUS'I' AitE- ItOUTIN1'l1_1' GIVE-N COPIES 01-THE FINANCIAL IZ1:1'Olt I:5 AND 9901'F, ALONG WITH DETAILED Itl:l'OR'I'S OFTI HE BLANDIN FOUNDATION EXPENDITURES TO THE KNOWLEDGE OI-"Il1IS "IltUti"I"S'I'IZUS'I'I--LS, AND 13nSE-D ON TI II-. INFORMATION AVAILAl3LETO "I HEM, NO PORTION OFTHE GRANTS MADE HAVE- BEEN USI~I) I-OR 0'I'I-Il :lt'ITIAN'I'lll : INTENDED I'UIZI'OSES OF'fFfl-1 GRANT

S-T rw 13

CHARLES K. BLANDFN RESIDUARY 4I-G012374

2004 FU FiN1 990-P F

1'f\Ii'1 \111, LINE 5c, 'IA\ES ON'fAXA13LE EXPENDITURE-ti INFORMATION ItI-",L,A I'INC:'I () CIZAN'I~ ti111f.II;C'I"I'() I-,XI'I, .IVI)1 I l)Ill ; IZN;SI'()ti11311,1'I'1'

q

G,ItAN'1'Cf: : C.K . 13L.AN1)IN I'OUNDA'I'ION 100 I'OKl'-GAMn nvENlJI: N . GRAND RAPIDS, MN 557411 1?IN . 41-6038619

DATES PAID- VARIOUS

TOTAL AMOUN"1' : 17,091,502

PURPOSE-- FOR'fFIL GLNFf2AL SUNPOR'I' OF "1'f IE C K . 13LANDIN FOUNDATION

AMOUNTS EXPENSED BY'ri-iE. GIL1N"1'EE ; , 17,091,502

Page 82: 990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/416/416012374/41601… · C-4tabol. " K. BLANDIN RESIDUARY TRUST U0lnerwise. O LOWRY HILL 41-6012374

OTHER PORTFOLIO Cf{AR INTEREST DMDENDS INCOME OEDUCTIOI.S CON'TIRIB . TOTALS

ORDINARY RENTAL PARTNERSHIP INCOME(LOSS) INCOf.1E(LO55)

rBS CAPITAL PARTNERS II L P RAILARD HIEHL h KAISER (REIT 1099-DIV) BAILARD R}:.IT II new (a 2003 BAKER COAIAt7UT'ICATIONS FUND L P BA KFRCOMMtIP'IGTfONSFUND (CAYNfAN) LP f1AKER COMMUNICATIONS FUND II (CAYMAN), L P CIO MAPLES k CALDER BAKER ('C1M',ilNICATIONS FUND II (OP), L P (Si) BARCLAYS GLOBAL IM'FSTORS-EOUITV VALUE FUND B BRAND FQUIiY VENTURES I L P ARqND EQUITY VENTURES II L P CB RICHARD ELLIS STRATEGIC PTR$ 111 LP 13b (la,?i~ CHURCHILL CAPITAL PARTNERS II CHURCHILL CAPITAL PARTNERS N CHURCHILL ESOP CAPITAL PARTNERS DLJ MERCHANT BANKING PARTNERS III L P DLJMB OVERSEAS DARTERS III C V DRA GROWTH 8 INCOME FUND LLC 17,544 DR.4 GROWTH 8 INCOME FUND II lLC 77,165 DRA GROWTH 8 INCOME FUND III PLC (IC6,65a) DRA GROWTH 8 INCOME FUND N. LLC DRA OPPORTUNITY FUND (REIT ~ X09,-DM ENVIRONMENTAL VENTURE FUND C`n'IRO`nfE\TAI PRIVATE EQUITY FUND 11 EUROPEAN STRATEGIC PARTERS 11 GUGGENHEIM PLUS 11 LP IVYCLARUS ASSOCIATES It KINDERHGOH CAPITAL FUND I LP I ) ML NORTHERN FOREST FUND LP 5.:;,) 3 793 MARATHON FUND LI%fITED PARTNERSHIP III MARATHON FUND LIMITED PARTNERSHIP IV unRaThO,,,' F~~'D LIMITED PARTNERSHIP V %IBP III A[% (3051 %1CDICAL INNOVATION FUND II METROPOLITAN REAL ESTATE PARTNERS 11 LP (I 2-%A) NAUTILUS AID', LP ~'F%V BOSTON INSTITUTIONAL FUND ( :,~~'9) NORTH BRIDGE VENTURE PARTNERS L P NORTH BRIDGE VENTURE PARTNERS 1(, L P FORTH BRIDGE VENTURE PARTNERS Ill . L P NORTH BRIDGE VENTURE PARTNERS R'-B, L P NORTH BRIDGE VENTURE PARTNERS V-B, L P NORTHSTAR SEIDLER MEZZAZINE PARTNERS II LP NORTf1ST4R SEIDLER MFZZAZfNE PARTNERS III LP PL RETAIL --O-fA`VESTMENT LLC PORTFOLIO ADVISORS PVT II )u1 RCP OP FUND I (A 9v) ROSEMONT PARTNERS 11 (21,193) RREEF A~1hR1CA REIT (RER - 1099 DID') kREEF AMERICA REIT II (REIT 1099-DfV) SPRUCEGROVE US INTERNATIONAL

TCV V LP THOMAS h7CNERNEY & PARTNERS TRANS-EUROPE BUYOUT V US VENTURE PARTNERS N l P L~S X CN'fURE PARTNERS v L P US VENTU"RE PARTNERS V1, L P US VENTURE PART'N'ERS vll L P US vE?17URE PARTNERS v11! L P VS VENTURE PARTNERS IX L P U\T AID' LP (9150 VALLE\' VE\'TURE$ II L P uCFA PRR'ATE EQUITY PARTNERS N LP Iil WESTOA' PRFS(DIO OFFSHORE CAPITAL CV

10 1,62 re 1,614 63 .216 63,2]6

u 225 (17 .433) (1 ;-,Os) 3 (17.6911 (1).698)

49 A9 (1 _ (16,9E9) 30S 1 Qi.S6i) (27}151

3,155 811,811 (5,,361) E06,605 3.228 1,873 9 (31,291) (+6.155) 342 896 (53,31S) (17, s0"0)

21.946 15,<90 (54769) (14.4i0) 20,033 (1 :AlSy 3943

11).'.S3 (3,394) 0-; $-a 1 30,959 (13.82) 17.476 2.378 15,493 (33,373) (17.962) 6,253 7,344 1,220 (TU) 14,7<9 1,632 536 (8,621) (53.260) (44,125) 3.014 (83.+64 (sJ03%1 845 114,972 73,777 (IOQ,662) (15,722)

I,SSS 76,692 (4,747) 77,414 0 0

1 .5ss (1-1) 1s51 3,415 ("96) (1,7 :1 3.460 1,917 1 039 (1S+13) (11,991) $62 203.e37 (s:..̀Al £7 14 1 s

(59.0:}) (£S.0:3) 9.15 e-557 :.J :i

7:.699 179,087 (6:6) (:5) 101 131 406 18 402 (102) 1B,706 24 (1 .261) (113i) 31 (3 .265) c3s39>

5.299 (7 .5A_) (:.S47) 717a 133 (3 .255) (97,0961 (35.6+1)

()5) (33) 16956 ii :6 :

376 (7Qh (33:) 1,997 (t99) 1 494

(6M (am) :25 2 (5193=) 191,70) 73 2,110 (41.75--) (~S.TiJ)

56,29) M_ :SS 179.9D9 179909

0 7, 703 16,759 (3.655) (95,%40) (3=.e:3) 1,6+9 4.629 (1,633) (23.675) (76,039)

(:%,191) 60 .957 00.957 61 .404 61 .44

3 .380 719 799 2 462 (20.557) w+ .6b5 469 (3b.903) (3S.433) 626 (67,7-19) (61,1+5)

6921 e 137 (3z552) (:1 .94) 1,255 (525) 763 1 .506 (t6.S)S) (x7.0:9) 1 .214 (36.7,39) (333+5) 926 (1,551) (23.075)

1a53 O3 .0a1 pz4sn 0

10% 2,226 12,109 (149 .291) (323,611) 6.093 (15.913) (31.E10) 1,924 ISO 46 (6,09:) (4 3. :6a)

3' (727) (27 1)

TOTALS FROM PARTNERSHIPS (57.! 6:) (79.75) 1=9,518 :,J76, a7 : JSI 117, (I .ib6,3e1) (:S) 1 .12J .4:s -s < TYIrt 1 L 1

CHARLES K BIANDIN RESIDUARY TRUST 41~601277d 2004 FORM 990"PF J

.l

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Electronic Filing (c-file) . Corm 81160 can be Mod olocUaivic ;dly it you want ri 3~rrionth tiutorr4dic extension of lime to file one of the returns noted hCbw, (6 moolh.- for corporate Form 990-*f IiICr;t) . 6owevei, ycx, cannot fit() it CIOCho1jiC-Mly i1 you w;ud the ;i(ldiliOn31 (not siuloirwNic) 3. month oxlen..̂ion, inslo:id you must subnut the fully complolcU signed I)ngc ?. (Part 11) a1 Fonn IIpGEf F'or more details on the electronic filing of this lone, visit www.ils .gov/efi/c

Type a N.mie of Exempt Organization print 1C . K . BLANDIN RESIDUARY TRUST

Re by me we Mile Irv hlm8 ya . Nun See fnsnuclima

Mimbei, street, and room or suite no . 11 a P.O . box, see instructions .

90 SOUTH 7TH STREET, NO . 5300 City, down or post office, state, and PIP code . Fog a foreign address, see instructions .

26 3520513 133839 155]1-TRUST 7009 .05060 C . K . BLATIDIN RESIDUARY TRU 15511-T1

M

Form 8868 Application for Extension of Time To File an (Rev. December 2004) Exempt Organization Return OMB No 154S17QJ

,,e2u.� Inland Reva,w sovke 1 File a separate application for each return .

0 11 you arc filing lot an Automatic 3-Month Extension, complete only Pat I and chock this box ,

, ,

, . . ., .

0 II you are Idinc~ lot tin Additional (not automatic) 3-Month Exlansion, complete only Part 11 (on page 2v1 . . . . .

Ibis loam). , .

Do not complete Part 11 unless you have already boon granted :in tujlom:dic 3-month oxlonsion on a pruvrously filed Form 8868 .

r1 1 Automatic 3-Month Extension of limo - Only s�binit urkjinai (no copies noodod)

Form 99O-~f CMpor:ItiOnS whu9l:ling :in aulUinatiC 6 nMnlh qxlGn ::it)r1 " chock IN : box and Cbrnp101U Part I 00Y , , . . . . . . 1 (~ I

M other corporations furChidinJ rosin D90-C filets) must usC I"uirrr 7004 to roquo. "̂ t nn extension of thrift to file income tax rrtlurnti . I'ruln(;ishipa, RCMfCS, and trusts most uSG rosin fl7;ffi to toque; f nn CXfRnSiOn of limp to life 17(wirt, 10135, 1066, or 104 1 .

Employer identification number

Check type o1 return to be filed(lile a separate applrcatiorr lot each ieluin)

U Foam 990 ~j---~I Form 990 T (coi per at ion) ~ Foam 4720

~~ Foiin 990 BI_ I-I Form 99U-f (sec 101 (a) or 4Oa(a) gust) ~ foiin 5227

-~ Fonn 990 F! ~~ Form 99a'f (trust other thin iibovc) ~-~ Form 6069

I_XJ For in 990 Pf ~ Form 1041 l1 (-~ Fort. BA%0

'Ihe books :ue in file care of 110- LOWRY HILL 'telephone No " 612-667-1775 FAX No 11 the or ganiy:dion does. not have ;m office or place of biisinC,,s if i IhQ Untied Slat es, chock I hi ;: box II tln:: is log ti Group Return, enter the organi'rati0n' : low digit Group Exemption Nui fiber (GI: N) If this i :: for file whole group, check

box 1 1-1 II d i:: lot plot of the croup, chock this box 1 1_1 :u7d ,Ntach a list with the mmo,^, ;end FINS of :dl InCnibcis tlic extension will cover

7 I ~t;quu:.t ;nt :wtomatiC 3 inonlli (6 month;: lot a Foam 9J0-7 corporation) extension of time urdil AUGUST 15 ,- 2 00 5 __

to file 1l7C exempt Or JarliZ :lli0t 1 IQ1Urn /Or IhC org :lni7. :lti01it nii nod above [lie extension is for file olgarillaltur)'s return for

" calendar yeas 2 0 0 4 or 1 lax yeas beginning _ , nrid ending

2 II Ihis lax yeas is for less than 12 months . check reason ~~ Initial return Final return I-~ Change in accounting period

3a 11 fill,- application is lot Form 990 BL, 990 FIF, 990 T, 47?.0 of 6069, enter the tentative lax, less any noniehmdablc credits See instructions $ 279 375 .

b II 11ns application is fog foam 990 PF or 9901, enter any refundable credits and estimated lax paymeMS rnaJe Include any prior year overpayment allowed as a credit 137,375 .

c Balance Due. Subtract line 3b horn line 3a Include your payment with this form, or, d iequned, depo ;,d Will) f=l D

coupon or, d ro(luired, by using EFIPS (Electronic Federal lax Payment System) See insIruct1ons $ 142 , 000 .

Caution H you ire qowg 1o make an eIeCIroinC turret wdhchaWal Will) tln; Fossil 8868, sin 1-rnm 84~~3 FO ind f pnn 8II7`J l .0 lot paymcul mtilru~lwn, .

I IIA For Privacy Act and Paperwork Reduction 11c1 Notice . see instructions . I win BSGB (Hev 17 2004)

<, .;e3 1 o> >o o5

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Form 8868 (Rev . 12-2004) Pace 2

If you are tiling for an Additional (not automatic) 3-Month Extension, complete only Part II and check this box , . . . . . . . 1 [~] Note : Only complete Part II if you have already been granted an automatic 3 month extension on a previously tiled Form 8868. . . " If you are filing for an Automatic 3-Month Extension complete only Part I on page 1 ) . Part II Additional (not automatic 3-Month Extension of Time - Must file Orig inal and One Co

Name of Exempt Organization I I Employer identification number Type or ~ K . BLANDIN RESIDUARY TRUST print. / n T llTdil V V T T T A 1 -CAI '))"7A

kilo by Iho Wended duo data IW

: Inu IhQ

,.,IV", Sag i"01juatia"al

Number, street, and room or suite no . II ti P.O . box. see instructions . For IRS use only

City, town or post office . state, Gild ZIP Code . For a foreign address, see instructions .

By Dale Director

Alternate Mailing Address - Enter the address if you want the copy of this application for an additional 3-month extension returned to an address different than the one entered above

Name

Type Number and street (include suite, room, or apt no .) or a P 0 box number or pint

City or town, province or state, and country (including postal or ZIP code) 423832 01-10 05

26 09080810 131839 15511-TRUST 2004 .05080 C . K . BLANDIN RESIDUARY TRU 15511-T1

V

Chock typo of return to be tiled (File u sOparatO application for onch return), CD Form 990 0 form 990~EZ C3 Form 990~T (sec 4Ot(A) or nOfi(a) crust) r f~oim 1041~A ~ Form 5227 ~ loan 8670 1_7 Foam 9J0~l3L M Form 990~PF El Form 99o ."r (trust other than above) 0 Foam 4%20 (.-J Form 6069

STOP : Do not complete Part II if you were not already grunted an automatic 3-month extension on a previously filed Form 8868.

" The books are in the care of 1 LOWRY H I LL Telephone No " 612- 6 67-1775 FAX No. t If the organization does not have an office or place o1 business in the United States, check this box . . If this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN) If this is for the whole group, check this

box 1 ID If it is for part of the group, check this box 1 = and attach a fist with the names and EINs of all members the extension is for 4 I request an additional 3 month extension of time until NOVEMBER 15, 2005 . 5 For calendar year 2 0 0 4 , or other tax year beginning and ending 6 If this tax year is for less than 12 months, check reason ~ Initial return ~ Final return ED Change in accounting period

7 State in detail why you need the extension

INFORMATION IS NEEDED FROM OUTSIDE SOURCES IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN .

Sa If this application is for Form 990-BL . 990~PF, 990~T, 4720, or 6069, aster the tentative tax, less any nonrefundable credits See instructions . ., ., $ 207,930 .

b If this application is Ior Form 990~I2F, 990~T, 4720, or 6069, seer any refundable credits and estimated tax payments made Include any prior year overpayment allowed as a credit and any amount paid previously with Form 8868 $ 27 9, 375 .

c Balance Due . Subtract line 8b from line pa Include your payment with this term, pi, R required, deposit with FTID coupon or, if required, by using EF'tpS (Electronic Federal Tax Payment System) See instructions . . . . . . . . . . $

Signature and Verification Under penalties of perjury, I declare that I have examined this loam, including accompanying schedules and statements, and to the best of my knowledge and bCGel, it is title, coned, nd c omplete, and that lain authorized to prepare IhiS form

Signalure " 7-m= :7, ~~. fi11e t r P-q Dace Notice to Applicant - To Be Completed by the IRS

(D We have approved this application . Please attach this term to the organization's return [~ We have not approved this application However, we have granted a 10-day grace period from the later of the date shown below or the due

date of the organization's return (including any prior extensions) This grace period is considered to be a valid extension of time for elections otherwise required to be made on a Ninety return Please attach this term to the organization's return We have not approved this application Alter considering the seasons stated m item 7, we cannot grant your request for an extension of time to file We aye not granting a 10-day grace period

[] We cannot consider this application because it was filed otter the extended due date of the return for which an extension was requested Other

form 8868 (Rev 12-2004)