Professional Documents
Culture Documents
Return of Private Foundation
Return of Private Foundation
H Check type of organization: Section 501(c)(3) exempt private foundation E If private foundation status was terminated
Section 4947(a)(1) nonexem pt charitable trust 0 Other taxable private fo undation under section 507(b)(1)(A), check here ^
I Fair market value of all assets at end of year J Accounting method: Cash 0 Accrual F If the foundation is in a 60-month termination
(from Part 11, col. (c), line 16) 0 Other (specify) under section 507(b)(1)(B), check here
lio. $ 3 9 2 713. (Part 1, column (d) must be on cash basis)
Part I Analysis of Revenue and Expenses (a) Revenue and (b) Net investment (c) Adjusted net (d) Disbursements
(The total of amounts in columns (b^ (c), and (d) may not for charitable purposes
necessarily equal the amounts in column (a}) expenses per books income income (cash basis only)
r-7^
1 Contributions, gifts, grants, etc., received N/A
2 Check ^ If the foundation Is not required to attach Sch It
3 Interest on savings and temporary
cash investments
4 Dividends and interest from securities 12 , 796. 12 1 796. S TATEMENT 1
O
5a Gross rents 64. 64. S TATEMENT 2
b Net rental income or (loss) 64.
W 6a Net gain or (loss) from sale of assets not on line 10 -19 , 777.
2 3 b Gross sales price for all
2 assets on line Be 2 8 4 018 .
i
7 Capital gain net income (from Part IV, line 2) 0.
\\--f
BERLIN LEHMAN FUND, INC
Fnrm OOfl -Dr t,2n1 ('/n T.nTTR a T1R nV 11-ni 1;n7A0 P2na9
A^chedschedulesandamountsintedescdptlon Beginning of year End of year
Part II B a l a nce Sheets column should be for endot-yearamounts only
(a) Book Val ue (b) Book Value (c) F a i r Market Va l ue
1 Cash - non-interest-bearing
2 Savings and temporary cash investments _ 21 , 422.
3 Accounts receivable ^
Less: allowance for doubtful accounts ^
4 Pledges receivable ^
Less: allowance for doubtful accounts ^
5 Grants receivable
6 Receivables due from officers, directors, trustees, and other
disqualified persons 3 , 000. 3 , 000. 3 , 000.
7 Other notes and loans receivable
16 Total assets to be com p leted b all filers 443 , 556. 394 , 690. 392 , 713.
17 Accounts payable and accrued expenses
18 Grants payable
co 19 Deferred revenue
20 Loans from officers, directors, trustees, and other disqualified persons
2 21 Mortgages and other notes payable
' 22 Other liabilities (describe ^ MARGIN LOAN 0. 16 416 .
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period? _ 0 Yes No
If 'Yes, the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter th e appropriate amount in eac h column for each year; see the instructions be fore making any entries.
a d
Base period years (c) Distribution ratio
Calendar year or tax year beginning m (b distributions
Adjusted qualifying Net value of noncharitable-use assets (col. (b) divided by col. (c))
2011 50 , 800. 482 770. .105226
2010 76 , 058. 539 672. .140934
2009 88 118. 594 639. .148187
2008 125 , 795. 869 449. .144684
2007 128 887. 1 , 200 , 666. .107346
4 Enter the net value of noncharitable-use assets for 2012 from Part X, line 5 4 405 , 229.
7 Addlines5and6 _ 7 52 , 410.
la During the tax year, did the foundation attempt to influence any national, state, or local legislation or did it participate or intervene in Yesl No
any political campaign?
b Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see instructions for definition)? lb X
If the answer is 'Yes' to la or 1b, attach a detailed description of the activities and copies of any materials published of
distributed by the foundation in connection with the activities.
c Did the foundation file Form 1120-POL for this year?
d Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year.
(1) On the foundation. ^ $ 0. (2) On foundation managers. ^ $ 0.
e Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed on foundation
managers. ^ $ 0.
2 Has the foundation engaged in any activities that have not previously been reported to the IRS?
If 'Yes," attach a detailed description of the activities.
3 Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles of incorporation, or
bylaws, or other similar instruments? If "Yes,' attach a conformed copy of the changes 3 I I X
4a Did the foundation have unrelated business gross income of $1,000 or more during the year?
b If 'Yes; has it filed a tax return on Form 990 -T for this year? N/A
5 Was there a liquidation, termination, dissolution, or substantial contraction during the year?
If "Yes,' attach the statement required by General Instruction T.
6 Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
By language in the governing instrument, or
By state legislation that effectively amends the governing instrument so that no mandatory directions that conflict with the state law
remain in the governing instrument?
7 Did the foundation have at least $5,000 in assets at any time during the year? 171X1
If "Yes," complete Part ll, col. (c), and Part XV.
Ba Enter the states to which the foundation reports or with which it is registered (see instructions) ^
b If the answer is'Yes'to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney General (or designate)
of each state as required by General Instruction G? If 'No," attach explanation _ SEE STATEMENT 12 8b X
9 Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3) or 4942(j)(5) for calendar
year 2012 or the taxable year beginning in 2012 (see instructions for Part XIV)? If 'Yes,' complete Part XIV 9 X
0 Did any persons become substantial contributors durin g the tax year? if -Yes , " attach a schedule listin g their names and addresses 10 X
Form 990-PF (2012)
223531
12-05-12
BERLIN LEHMAN FUND, INC
11 At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the meaning of
section 512(b)(13)? If 'Yes; attach schedule (see instructions)
12 Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had advisory privileges?
If 'Yes; attach statement ( see instructions) 12 X
13 Did the foundation comply with the public inspection requirements for its annual returns and exemption application? 13 X
Website address ^ N/A
14 The books are in care of ^ WILLIAM H. LEHMAN Telephone no. ^ (2 0 7) 3 3 2 - 9 9 4 4
Located at ^ 6 4 0 OCEAN AVE. , APT. # 216 , PORTLAND , ME ZIP+4 ^0 410 3
15 Section 4947 (a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 - Check here ^0
and enter the amount of tax-exempt interest received or accrued during the year ^ 15 N/A
16 At any time during calendar year 2012, did the foundation have an interest in or a signature or other authority over a bank, J Yes No
securities, or other financial account in a foreign country?. _ 16 X
See the instructions for exceptions and filing requirements for Form TD F 90-22. 1. If 'Yes," enter the name of the foreign
mart VII- B I Statements Regarding Activities for Which Form 4720 May Be Required
File Form 4720 if any item is checked in the "Yes" column , unless an exception applies. No
la During the year did the foundation ( either directly or indirectly):
(1) Engage in the sale or exchange , or leasing of property with a disqualified person? O Yes No
(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person? 0 Yes No
(3) Furnish goods , services, or facilities to ( or accept them from) a disqualified person? _ E:]Yes No
(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? 0 Yes No
(5) Transfer any income or assets to a disqualified person ( or make any of either available
for the benefit or use of a disqualified person )? = Yes No
(6) Agree to pay money or property to a government official? ( Exception . Check "No'
if the foundation agreed to make a grant to or to employ the official for a period after
termination of government service, if terminating within 90 days.) 0 Yes No
b If any answer is Yes to la(1)-(6), did any of the acts fail to qualify under the exceptions described in Regulations
section 53.4941(d )- 3 or in a current notice regarding disaster assistance (see instructions ) N/A
Organizations relying on a current notice regarding disaster assistance check here ^ L1
c Did the foundation engage in a prior year in any of the acts described in la, other than excepted acts , that were not corrected
before the first day of the tax year beginning in 2012? _ is X
Taxes on failure to distribute income ( section 4942 ) ( does not apply for years the foundation was a private operating foundation
defined in section 4942 ( I)(3) or 4942 (j)(5)):
a At the end of tax year 2012 , did the foundation have any undistributed income ( lines 6d and Be, Part XIII) for tax year ( s) beginning
before 2012? 0 Yes No
If 'Yes; list the years ^
b Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942 ( a)(2) (relating to incorrect
valuation of assets ) to the year ' s undistributed income? ( If applying section 4942 ( a)(2) to all years listed , answer 'No' and attach
statement - see instructions.) N/A
c If the provisions of section 4942 (a)(2) are being applied to any of the years listed in 2a, list the years here.
^
3a Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at any time
during the year? 0 Yes No
b If 'Yes; did it have excess business holdings in 2012 as a result of ( 1) any purchase by the foundation or disqualified persons after
May 26, 1969; (2 ) the lapse of the 5-year period ( or longer period approved by the Commissioner under section 4943 (c)(7)) to dispose
of holdings acquired by gift or bequest; or (3) the lapse of the 10 -, 15-, or 20 -year first phase holding period? (Use Schedule C,
Form 4720, to determine if the foundation had excess business holdings in 2012.) _ N/A 3b
4a Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
b Did the foundation make any investment in a prior year ( but after December 31, 1969) that could jeopardize its charitable purpose that
been
Form 990-PF (2012)
223541
12-05-12
BERLIN LEHMAN FUND, INC
4720
5a During the year did the foundation pay or incur any amount to:
(1) Carry on propaganda , or otherwise attempt to influence legislation ( section 4945(e))? 0 Yes No
(2) Influence the outcome of any specific public election (see section 4955 ); or to carry on , directly or indirectly,
any voter registration drive? O Yes No
(3) Provide a grant to an individual for travel, study, or other similar purposes? _ 0 Yes No
(4) Provide a grant to an organ ization other than a charitable, etc., organization described in section
509(a )( 1), (2), or (3 ), or section 4940 (d)(2)? E] Yes No
(5) Provide for any purpose other than religious , charitable, scientific, literary, or educational purposes, or for
the prevention of cruelty to children or animals? 0 Yes No
b If any answer is 'Yes' to 5a( 1)-(5), did any of the transactions fail to qualify under the exceptions described in Regulations
section 53.4945 or in a current notice regarding disaster assistance ( see instructions )? N/A 5b
Organizations relying on a current notice regarding disaster assistance check here ^0
c If the answer is'Yes'to question 5a(4), does the foundation claim exemption from the tax because it maintained
expenditure responsibility for the grant? _ N/A 0 Yes No
If 'Yes,' attach the statement required by Regulations section 53. 4945-5(d).
6a Did the foundation , during the year , receive any funds, directly or indirectly , to pay premiums on
a personal benefit contract? 0 Yes No
b Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? 6b X
If 'Yes ' to 6b, file Form 8870.
7a At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction ? 0 Yes No
b If 'Yes ' did the foundation receive any p roceeds or have any net income attributable to the transaction? . . N /A . 7b
Information About Officers , Directors , Trustees , Foundation Managers , Highly
Part VIII Paid Employees, and Contractors
1 List all officers, directors, trustees, foundation managers and their compensation.
(b) Title, and average (c) Compensation ( dtGOODubons fu (e) Expense
(a) Name and address hours per week devoted ( If not paid, emp anddeterrreedp^ns account, other
to position enter -0-) compensation allowances
TERRY MILLER RESIDENT/DI CTOR / NE
3345 N 51ST BLVD
MILWAUKEE , WI 53216 0.00 0. 0. 0.
WILLIAM LEHMAN ECRETARY/TRE SURER / S N
640 OCEAN AVE. , APT. #216
PORTLAND , ME 04103 0.00 0. 0. 0.
KENNETH LEHMAN DIRECTOR / AS NEEDED
28 NEWELL RIDGE
CUMBERLAND , ME 04021 0.00 0. 0. 0.
LAURA DRAY DIRECTOR / AS NEEDED
1221 SEVILLA
CORAL GABLES , FL 33134 0.00 0. 0. 0.
2 Compensation of five highest-paid employees (other than those included on line 1). If none, enter "NONE."
(b) Title, and average ifid) Contnbutlons to (e) Expense
a poyeebenefitplans
(a) Name and address of each employee paid more than $50,000 hours per week (c) Compensation account other
devoted to position compensaton allowances
NONE
223551
12-05-12
BERLIN LEHMAN FUND, INC
Form 990-PF (2012) C/O LAURA DRAY 33-0160740 Page 7
Information About Officers , Directors, Trustees, Foundation Managers, Highly
Part vlll
Paid Employees, and Contractors (continued)
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) Type of service (c) Compensation
NONE
223561
12-05-12
BERLIN LEHMAN FUND, INC
Form 990-PF (2012) C/O LAURA DRAY 33-0160740 Page 8
Part X Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
1 Fair market value of assets not used (or held for use) directly in carrying out charitable, etc., purposes:
Average monthly fair market value of securities
a la 393 , 397.
Average of monthly cash balances
b . , lb 2 , 503.
Fair market value of all other assets , .
c tc 15 500 .
Total (add lines 1a, b, and c)
d td 411 400 .
e Reduction claimed for blockage or other factors reported on lines la and
1c (attach detailed explanation) le 0.
2 Acquisition indebtedness applicable to line 1 assets 2 0 .
3 Subtract line 2 from line 1d 3 411 , 400 .
4 Cash deemed held for charitable activities. Enter 1 12% of line 3 (for greater amount, see instructions) 4 6 , 171 .
5 Net value of noncharitable - use assets . Subtract line 4 from line 3. Enter here and on Part V, line 4 5 405 , 229 .
6 Minimum investment return . Enter 5% of line 5 6 20 , 261.
Distributable Amount (see instructions) (Section 4942(1)(3) and (1)(5) private operating foundations and certain
Part XI
foreign organizations check here ^ E -land do not complete this part.)
1 Minimum investment return from PartX, line 6 , 1 20 , 261.
2a Tax on investment income for 2012 from Part VI, line 5 . 2a 49.
b Income tax for 2012. (This does not include the tax from Part VI.) 2b
c Add lines 2a and 2b 2c 49.
3 Distributable amount before adjustments. Subtract line 2c from line 1 3 20 212 .
4 Recoveries of amounts treated as qualifying distributions 4 0 .
5 Add lines 3 and 4 5 20 , 212.
6 Deduction from distributable amount (see instructions) _ 6 0 .
7 Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII , line 1 7 2 0 212 .
223571
12-05-12
BERLIN LEHMAN FUND, INC
Form 990-PF (2012) C/O LAURA DRAY 33-0160740 Page 9
Part XIII Undistributed Income (see instructions)
(a) (b) (c) (d)
Corpus Years prior to 2011 2011 2012
1 Distributable amount for 2012 from Part XI,
line 7 20 , 212.
2 Undistributed income, if any , as of the end of 2012
Part XV Supplementary Information (Complete this part only if the foundation had $5,000 or more in assets
at any time during the year-see instructions.)
1 Information Regarding Foundation Managers:
a List any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation before the close of any tax
year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
b List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the ownership of a partnership or
other entity) of which the foundation has a 10% or greater interest.
NONE
2 Information Regarding Contribution , Grant, Gift, Loan , Scholarship, etc., Programs:
Check here ^ 0 if the foundation only makes contributions to preselected charitable organizations and does not accept unsolicited requests for funds. If
the foundation makes gifts , grants , etc. (see instructions ) to individuals or organizations under other conditions , complete items 2a, b, c, and d.
a The name , address, and telephone number or e-mail of the person to whom applications should be addressed:
WILLIAM LEHMAN, (207) 332-9944
640 OCEAN AVE., APT #216, PORTLAND, ME 04103
b The form in which applications should be submitted and information and materials they should include:
NO SPECIFIC FORM
c Any submission deadlines:
d Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other factors:
NONE
R Grants and Cnntrih.,tinnc Paid During the Year or Annroved for Future Payment
Recipient If recipient is an individual,
show any relationship to Foundation Purpose of grant or
status of contribution amount
Name and address (home or business) any foundation manager
or substantial contributor recipient
a Paid dung the year
Total ^ 3a 49 400
b Approved for future payment
NONE
Total ^ 3b 1 0.
Form 990-PF (2012)
223611
12-05-12
BERLIN LEHMAN FUND, INC
Form 990-PF (2012) C/O LAURA DRAY 33-01607 40 Page 12
Part XVI -A Analysis of Income - Producing Activities
unreiate a business income Exclu ded by section 512 , 513, or 514 (e)
E n t er gross amoun t s un l ess o therwise indicated .
(a) (b) ExC,,. (d) Related or exempt
Business Amount sio e Amount function income
1 Program service revenue: code
a
b
c
d
e
f
g Fees and contracts from government agencies
2 Membership dues and assessments
3 Interest on savings and temporary cash
investments
4 Dividends and interest from securities 12 , 7S
5 Net rental income or (loss) from real estate:
a Debt-financed property
b Not debt-financed property
6 Net rental income or (loss) from personal
property
7 Other investment income E
8 Gain or (loss) from sales of assets other
than inventory -19 7'
9 Net income or (loss) from special events
10 Gross profit or (loss) from sales of inventory
11 Other revenue:
a
b
c
d
e
12 Subtotal. Add columns (b), (d), and (e) 0. 0. -6 , 835.
13 Total . Add line 12, columns (b), (d), and (e) 13 -6,835.
(See worksheet in line 13 instructions to verify calculations.)
Line No . Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to the accomplishment of
V the foundation's exempt purposes (other than by providing funds for such purposes).
3,4, INCOME RECEIVED FROM INVESTMENTS TO INCREASE AMOUNT AVAILABLE FOR
7,8 CHARITABLE CONTRIBUTIONS
1 Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of Yes No
the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
a Transfers from the reporting foundation to a noncharitable exempt organization of
(1) Cash la ( l ) X
(2) Other assets . la ( 2 ) X
b Other transactions:
(1) Sales of assets to a noncharitable exempt organization lb ( l ) X
(2) Purchases of assets from a noncharitable exempt organization lb (2 ) X
(3) Rental of facilities, equipment, or other assets lb ( 3 ) X
(4) Reimbursement arrangements lb ( 4 ) X
(5) Loans or loan guarantees _ lb ( 5 ) X
(6) Performance of services or membership or fundraising solicitations !1b 6 X
c Sharing of facilities, equipment, mailing lists, other assets, or paid employees c X
d If the answer to any of the above is *Yes, complete the following schedule. Column (b) should always show the fair market value of the goods, ot her ass ets,
or services given by the reporting foundation. If the foundation received less than fair market value in any transaction or sharing arrangement, sh ow in
2a Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations described
in section 501 ( c) of the Code (other than section 501(c)(3 )) or in section 527? _ O Yes No
h If Nac' rmmnlatp the fohinwlnn srhardiile
(a) Name of organization (b) Type of organization (c) Description of relationship
N /A
Under penalties of p ry tar that I have examined thi return , including accompanying schedules and statements, and to the best of my knowledge
May the IRS discuss this
and belief , it is true d mplete Decl of preparer (other than taxpayer) is to
Sign
Here If
Signature of Icer or trustee Date
Print/Type preparer's name ep is sI ature
PAUL R MARSHALL,
Paid CPA
Preparer I Firm's name ^ MARSHALL & LIBB^,^LC
Use Only
Firm's address ^ 2 3 6 7 CONGRESS S'r.
223622
12-05-12
Form 8868 (Rev. 1-2013) Page 2
If you are filing for an Additional (Not Automatic ) 3-Month Extension , complete only Part 11 and check this box . . ...... ...... . ^
Note. Only complete Part II if you have already been granted an automatic 3-month extension on a previously filed Form 8868.
If you are filing for an Automatic 3-Month Extension , comp lete on ly Part I (on page 1).
Part II Additional (Not Automatic) 3-Month Extension of Time. Only file the original (no copies needed).
Type or Name of exempt organization or other filer, see instructions Employer identification number (EIN) or
print ERLIN LEHMAN FUND, INC
Filebythe ^ /O LAURA DRAY 33-0160740
due date for
Number , street, and room or suite no . If a P.O. box, see instructions. Social security number (SSN)
filing your
return See
instructions
City, town or post office , state , and ZIP code . For a foreign address, see instructions.
ORAL GABLES , FL 33134
Enter the Return code for the return that this application is for (file a separate application for each return) O 4
8a If this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069 , enter the tentative tax, less any
nonrefundable credits. See
b If this application is for Form 990-PF, 990-T, 4720, or 6069, enter any refundable credits and estimated
tax payments made . Include any prior year overpayment allowed as a credit and any amount paid
20
c Balance due. Subtract line 8b from line 8a. Include your payment with this form, if required, by using
EFTPS (Electronic Federal Tax Paymen t System). See instructions.
Signature and Verification must be completed for Part II only.
Under penalties of perjury, I declare that I have examined this form, including accompanying schedules and statements, and to the best of my knowledge and belief,
it is true, correct, and complete, and that I am authorized to prepare this form.
Sianature ^ Title ^ Date ^
Form 8868 (Rev. 1-2013)
223842
01-21-13
BERLIN LEHMAN FUND, INC CONTINUATION FOR 990-PF, PART IV
C/O LAURA DRAY 33-0160740 PAGE 1 OF 1
Part IV, Ca p ital Gains and Losses for Tax on Investment Income
(a) List and describe the kind ( s) of property sold, e.g., real estate, (b How acquired ( e) Date acquired (d) Date sold
2-story brick warehouse ; or common stock, 200 shs. MLC Co. D - Donataon lmo., day, yr.) (mo., day, yr.)
m
n
0
(f) Depreciation allowed (g) Cost or other basis ( h) Gain or (loss)
(e) Gross sales price (or allowable ) plus expense of sale ( e) plus (f) minus (g)
a 20 , 392. 19 , 517. 875.
b 121 306. 148 874. -27 , 568.
c 124 716. 113 497. 11 , 219.
d 17 , 358. 21 , 907. -4 , 549.
e 1. 1.
f 85. 85.
160. 160.
h
m
n
0
Complete only for assets showing gain in column ( h) and owned by the foundation on 12/31/69 (I) Losses (from col. (h))
(j) Adjusted basis (k) Excess of col. (Q Gains (excess of col . ( h) gain over col. (k),
(i) F.M.V. as of 12/31/69 as of 12/31/69 over col. (1), if any but not less than'-0- )
a 875.
b -27 , 568.
c 11 , 219.
d -4 , 549.
e 1.
f 85.
160.
h
k
I
m
n
0
If gain, also enter in Part I, line 7
2 Capital gain net income or ( net capital loss) If (loss) , enter '-0' in Part I , line 7 ) - 2 -19 , 777.
3 Net short-term capital gain or (loss ) as defined in sections 1222 ( 5) and (6):
If gain, also enter in Part I, line 8, column (c).
If (loss), enter "-O-" in Part I , line 8 3 N/A
223591
05-01-12
BERLIN LEHMAN FUND, INC C/O LAURA DRAY 33-0160740
ACTIVITY GROSS
KIND AND LOCATION OF PROPERTY NUMBER RENTAL INCOME
STATEMENT (S) 1, 2, 3
BERLIN LEHMAN FUND, INC C/O LAURA DRAY 33-0160740
STATEMENT(S) 4, 5, 6, 7
BERLIN LEHMAN FUND, INC C/O LAURA DRAY 33-0160740
FAIR MARKET
DESCRIPTION BOOK VALUE VALUE
FAIR MARKET
DESCRIPTION BOOK VALUE VALUE
STATEMENT(S) 8, 9, 10, 11
BERLIN LEHMAN FUND , INC C/O LAURA DRAY 33-0160740
EXPLANATION
NOT REQUIRED
STATEMENT(S) 12
BERLIN LEHMAN FUND, INC C/O LAURA DRAY 33-0160740
EXPLANATION
STATEMENT(S) 13
2011 Tax Information Statement
Page 8 of
Account Number : 06-4421 Recipient's Name and Address:
Recipient 's Tax ID Number : XX-XXX0740 BERLIN LEHMAN FUND. INC.
Payer ' s Federal ID Number : 01-0471500 1221 SEVILLA
Questions ? (207)774-3333 CORAL GABLES, FL 33134
Payer ' s Name and Address:
ACADIA TRUST, N.A. Corrected 2nd TIN notice
511 CONGRESS STREET-NINTH FLOOR
PORTLAND, ME 04101
Fede
Sales Price Incc
Cusip Date of Date of of Stocks Cost or Net Gain
Number Description Sale Acquisition Bonds, etc. Other Basis or Loss Withh
921937868 482 6010 Vanguard Total Bond Market Index Fd - 04/01/2011 Various 5,08662 5,18806 -101.44
Signal
921937868 1.3920 Vanguard Total Bond Market Index Fd- 04/25/2011 04/01/2011 14 77 14.67 0 10
Signal . . . ............... ....... . ...... - ....... .......... . -
921937868 1350 Vanguard Total Bond Market Index Fd - 05/27/2011 05/01/2011 1.45 1.44 001
Signal
Total Short Term Sales Reported on 1099 -B 26,704.35 28, 287.56 - 1,583.22
Report on Form 8949 , Part I, with Box B checked
This is important tax information and is being furnished to the Internal Revenue Service (except as indicated ) . If you are required to file a return, a
negligence penalty or other sanction may be imposed on you if this income is taxable and the IRS determines that it has not been reported. Fnr
.ti: . .
noncovered eor,,.^r^o< <ti...,, ^----- ` -
2011 Tax Information Statement
Page 9 o
Account Number : 06-4421 Recipient ' s Name and Address:
Recipient 's Tax ID Number : XX-XXX0740 BERLIN LEHMAN FUND. INC.
Payer's Federal ID Number : 01-0471500 1221 SEVILLA
Questions? (2071774 -3333 CORAL GABLES, FL 33134
Payer's Name and Address :
ACADIA TRUST, N.A. Corrected 2nd TIN notice
511 CONGRESS STREET-NINTH FLOOR
PORTLAND, ME 04101
This is important tax information and is being furnished to the Internal Revenue Service ( except as indicated) . If you are required
li e to file a return, a
ne g li g ence pena lt y or o th er sanct i on may b e imposed on you if this income is taxable and the IRS determines that it has not
been reported. For
noncovered securities shown on this statement , cost basis information including wash sale disallowed loss is not being reported to the Internal
Revenue Service. The ta,rna .. e.:^ ^ --^ _.._ __ __ . -
charles scu w" Report Period
Schwab One Account of Account Number January 1 - December 31,
BERLIN LEHMAN FUND 1534-7790 2011
Schwab by Phone
Automated Services:
Message Center 1 (800) 435-8804
Page 1 of 17
CGIG2501- 000196 65349
02011 Charles Schwab & Co Inc All nghts reserved Member SIFC 0006-7021 Sim
charlesscxwAs Report Period
Schwab One Account of Account Number January 1 - December 31 ,
BERLIN LEHMAN FUND 1534 -7790 2011
Accounting Method
Mutual Funds: Average
Realized Gain or (Loss) All O t h er I nvestments: First In First Out [FIFOI
AGNICO- EAGLE MINES LTD F : AEM 50 . 0000 11 / 12/10 01 /04111 $3,543 .99 $4 ,037.95 $0 .00
AGNICO- EAGLE MINES LTD F: AEM 23 . 0000 11 /26/10 03/03/11 $ 1,611.83 $1,844 . 10 ($232 . 27) -
^35'o3/Fl
AGNICO- EAGLE MINES LTD F: AEM 27 . 0000 11 /26110 03/03/11 $1,892 . 15 $2,164 . 81 ($272.66)
Security Subtotal $ 7,047 .97 $8,046 . 86 ($504.93)
C54F-)
AUGME TECHNOLOGIES INC: AUGT 250 . 0000 04/07/ 11 05/18111 $727.04 - $932 . 47 ($205.43) -
AUGME TECHNOLOGIES INC: AUGT 150 . 0000 04/07111 07108111 $580 .04 - $559 . 48 $20.56 -
Security Subtotal $1,307 . 08 $1 , 491.95 ($184.87)
BARRICK GOLD CORP F: ABX 75 . 0000 11/12/10 01 /04111 $3,805 . 74 $3,853 . 20 ($15.82 )
CY7,'i- )
BARRICK GOLD CORP F: ABX 50 . 0000 11/26/10 03/ 09111 $2,564.00 $2,438 . 59 $125.41-
Security Subtotal $ 6,369 .74 $6,291 . 79 $109.59
7-7-15-
2 of 17
CG1G2601000195 65350
11)
2011 Charles Schwab & Co.. Inc. All nghs reserved . Member SIPC 0005-7021
SIC
charles scxwAB Report Period
Schwab One@Account of Account Number January 1 - December 31,
BERLIN LEHMAN FUND 1534-7790 2011
^^ s - raa^xkp s zra^ r_ra^z- c^ n^ -a ir-e.err=
Accounting
Mutual Funds : Average
Realized Gain or (Loss ) (continued ) All Other Investments ' First In First Out [FIFO]
CALL AETNA INC$37 EXP 10/22/11: 1.0000 04/01111 10/21/11 $76.60 / $353.74 ($277.14)-
AET 111022000037000
CALL AETNA INC$37 EXP 10/22/11: 1.0000 04/01111 10/21111 $76.60 $353.74 ($277 .14)-
AET 11 1022CO0037000
CALL AETNA INC$37 EXP 10/22/11: 1.0000 04/01/11 10/21/11 $76.60 $353.74 ($277.14) -
AET 111022000037000
CALL QUALCOMM INC$50 EXP 3.0000 01/27/11 03116/11 $423.77 - $1,556.22 ($1,132.45)
03/19/11: QCOM 110319000050000
- -- ------ - ------
Security Subtotal $423.77 $1, 556.22 ($ 1,132.45) - ^^
CALL QUALCOMM INC$50 EXP 3.0000 12/20/10 04/15/11 $918.76 $788.22 $130.54
04/16/11: QCOM 110416000050000
CALL CONOCOPHILLIPS $65 EXP 20000 08/02/ 11 09116/11 $293 . 17 $1,44681 ($1,153.64)- `D
09117/11: COP 110917000065000
Page 3 of 17
C0152601 000195 65351
02011 Chades Schwab 8 Co - Inc All nghLs reserved Member SIPC 0005 -7021
"m,
char/es SCHWAB Report Period
Schwab One@ Account of Account Number January 1 - December 31,
BERLIN LEHMAN FUND 1534 -7790 2011
Accounting Method
Mutual Funds - Average
Realized Gain or (Loss) ( continued ) All Other Investments: First In First Out [FIFOI
CALL HALLIBURTON CO$42 EXP 1. 0000 01127/11 03/17/11 $235 .26 $253.73 ($18.47),
03/19111: HAL 110319000042000
CALL HALLIBURTON CO$42 EXP 2. 0000 01 /27/11 03/17/11 $470.51 $507 . 49 ($36.98)-
03/19111: HAL 110319000042000
CALL CHENIERE ENERGY$8 EXP 2.0000 03/22111 09/16111 $0 .53 $500 .47 ($499.94)
09/17/11: LNG 110917000008000
CALL BAKER HUGHES INC$65 EXP 1. 0000 01 /27/11 04 / 15111 $541.25 $428 . 73 $112.52
04116111: BHI 110416000065000
CALL BAKER HUGHES INC$ 65 EXP 2 . 0000 01127/11 04/ 15/11 $1,082 . 50 $857.49 $22501
04116/11 : BHI 110416000065000
CALL COSTCO WHSL CORP$ 67.50 EXP 3 . 0000 12102/10 04/15111 $2 , 808.73 $1 , 31622 $1 ,492 51
04116/11: COST 110416000067500
CALL EXXON MOBIL CORP$ 62.50 EXP 1 . 0000 08/04/10 01/19/11 $1,602 .73 $34724 $1, 255.49 -
01122/11: XOM 110122000062500
Page 4 of 17
C01G2601- 000196 65352
0 2011 Charles Schwab & Co.. Inc All rights reserved Member SIPC 0005-7021 `1PIC
cha rlesSCHWAB Report Period
Schwab One Account of Account Number January I - December 31,
BERLIN LEHMAN FUND 11534-7790 2011
O-K^g^_.SRBAOS-g MIZE
p: t^p^^
Acrnuntinn Methnd
Mutual Funds: Average
Realized Gain or (Loss) (continued) All Other Investments: First In First Out [FIFO]
CALL EXXON MOBIL CORP$62.50 EXP 6.0000 08/04/110 01/19111 $8,013.61 $1,736.21 $6,27T.40
01122/11:XOM 110122CO0062500
CALL EXXON MOBIL CORP$72.50 EXP 6.0000 12/23/10 01113/11 $4,456.42 $3,37349 $1,082.93-
01121/12:XOM 120121CO0072500
Security Subtotal $4,456.42 $3,373.49 $1,082.93 -
CALL EXXON MOBIL CORP$80 EXP 4.0000 01128/11 04/15/111 $1,667.99 $843.98 $824.01 -
04116111:XOM 110416CO0080000
CALL SCHLUMBERGER LTD$85 EXP 4.0000 01/27111 03/16/11 $160.02 $1,551.98 ($1,391.96)
03/19/11:SLB 110319CO0085000
Security Subtotal $1160.02 $1,551.98 ($1,391.96) -
CALL SILICON GRAPHICS$22 EXP 3.0000 04/07111 06/18/11 $0.00 $491.22 ($491.22)- 0
06/18/11:SGI 110618CO0022000
CALL WELLS FARGO & CO$31 3.0000 02122111 03129111 $258.77 $617.22 ($358.45) _- 9
EXP
04116/11:WFC 110416CO0031000
Page 5 of 17
CCIG2601 000195 55353
02011 ChBrics-Schwab &CO Inc AJI'nghLS reServLd McmberSIPC 0005-7021
S111C.
charles sci was Report Period
Schwab Oneral Account of Account Number January 1 - December 31,
BERLIN LEHMAN FUND 1534-7790 2011
Accounting Method
Mutual Funds: Average
Realized Gain or (Loss) (continued) All Other Investments: First In First Out [FIFO]
CALL CHESAPEAKE ENERGY$33 EXP 2.0000 04/01/11 10/22/11 $0.00 - $780.47 ($780.47) -
10122111: CHK 111022000033000
CALL CHESAPEAKE ENERGY$33 EXP 2 . 0000 04/20111 10122 / 11 $0.00 $62947 ($629.47) -
10/22111: CHK 111022C00033000
Security Subtotal $ 0.00 $1,409.94 ($1,409.94) -
CALL DEVON ENERGY CORP$ 85 EXP 3 . 0000 02103111 04/15111 $648 .77 $2,021 22 ($1,372.45)
04/16111: DVN 110416000085000
Security Subtotal $648.77 $ 2,021.22 ($1,372.45)
CALL INTERDIGITAL INC $65 EXP 2 . 0000 08/ 18/11 12/17/11 $0.00 $2,829.47 ($2,829.47)
12/17111: IDCC 111217000065000
CALL TEVA PHARM INDS F$55 EXP 1. 0000 01 /26/11 02/ 09111 $227 .78 - $49023 ($262.45) i
09/17111: TEVA 110917C00055000
CALL TEVA PHARM INDS F$55 EXP 1.0000 01/26111 02/09111 $227.77 $490 24 ($262.47)-
09/17/11: TEVA 110917000055000
Page 6 of 17
CG1G2601-000196 65354
.170111 Charles Schwab & Co. Inc All nghls reserved. Member SIPC 0005-?\)21
S1PC
charlesscHw Report Period
Schwab One Account of Account Number January 1 - December 31,
BERLIN LEHMAN FUND 1534-7790 2011
Arcnlmtina Method
Mutual Funds : Average
Realized Gain or (Loss) ( Continued ) All Other Investments : First In First Out [FIFOI
CALL BRAZIL FOODS ADR $ 20 EXP 5 . 0000 10/ 11111 12115111 $63 .26 $536.74 ($473 48)
12117/11: BRFS 111217000020000
CALL ABERCROMBIE & FITCH$55 EXP 3.0000 12/06/10 01103111 $2,088 .74 $2,23122 ($142.48)
05/21/11: ANF 110521000055000
CALL ARIAD PHARMACEUTICA$9 EXP 1.0000 07/ 19/11 11/18111 $120.28 ' $404.74 ($284.46)
11!19/11: ARIA 111119000009000
CALL ARIAD PHARMACEUTICA$9 EXP 1. 0000 07/ 19/11 11/18111 $120 .27 ' $404. 74 ($284 .47) -
11119111:ARIA 111119000009000
CALL GOLDMAN SACHS GROUP$160 EXP 1 .0000 01/28/11 03/17/11 $0.76 $685.22 ($684.46) -
03119/11: GS 110319000160000 Gi
0
0
CALL GOLDMAN SACHS GROUP$ 160 EXP 1 .0000 01/28111 03117/11 $0.77 $685.23 ($684.46) o
03/19/11: GS 110319000160000 rn
Page 7 of 17
CG1G2601.000166 65355
0 2011 Charles Schwab & Ca Inc All ngI'd reserved. Member SIPC 0005 -7021 S IC
charlesscxnm Report Period
Schwab One Account of Account Number January 1 - December 31,
BERLIN LEHMAN FUND 1534 -7790 2011
Accounting Method
Mutual Funds: Average
Realized Gain or (Loss) (continued) All Other Investments: First In First Out (FIFOI
CALL JPMORGAN CHASE & CO$44 EXP 3.0000 01/28/11 03/17111 $72.78 $629.22 ($556.44)
03119111: JPM 110319000044000
CALL MKT VEC GOLD MINERS$57 EXP 2.0000 12/17110 01/04111 $749.52 $1,060.47 ($310.95)
03119111: GDX 110319000057000
CALL MKTVEC JR GOLD MINR$36 EXP 1.0000 01/07111 02118111 $282.00 $238.00 $44.00-
02119/11: GDXJ 110219000036000
CALL MKTVEG JR GOLD MINR$ 36 EXP 3.0000 01/07111 02/ 18/11 $846 .00 ' $713.98 $132.02 -
02119111: GDXJ 1102 11 9COOD36000
CALL PEABODY ENERGY CORP$ 60 EXP 2.0000 12/03110 01 / 19111 $143.53 ' $1,050.47 ($906.94) -
01122111 : BTU 110122000060000
Security Subtotal $143.53 $1 , 050.47 ($906.94)
CALL PEABODY ENERGY CORP$60 EXP 1.0000 02/03/ 11 09/17111 $0 . 00 $880.22 ($880.22) -
09117111: BTU 110917000060000
CALL PEABODY ENERGY CORP$60 EXP 1.0000 02/03/11 09/17111 $0.00 $880.23 ($880.23)
09/17/11: BTU 110917000060000
Page 8 of 17
C0102601 000196 65356
07011 Charles Schwab & Co Inc All rights reserved Member SIPC 0005-7021 SIP(
charlesSCHWAB Report Period
Schwab One Account of Account Number January 1 -December 31,
BERLIN LEHMAN FUND 1534 -7790 2011
i-ca4W&P
pp
Acrniintinn Methnd
Mutual Funds : Average
Realized Gain or ( Loss) (continued ) All Other Investments : First In First Out [FIFO]
CALL PEABODY ENERGY CORP $ 60 EXP 4 .0000 02/03111 D9/17/11 $0 . 00 $3,511 . 98 ($3,511 .98) - ^^
09/17/11: BTU 110917000060000
CALL PETROLEO BRASILEIRO$38 EXP 1 .0000 02104111 03/03/11 $334 . 76 $192 . 22 $142 . 54 -- ^
04116/11: PBR 110416000038000
CALL PETROLEO BRASILEIRO $ 38 EXP 1 .0000 02/04/11 03103/11 $334 .76 $192.23 $142.53
04116111 : PBR 110416000038000
Security Subtotal $ 669.52 - $384.45 $285.07
CALL PHILIP MORRIS INTL $ 57.50 EXP 2 . 0000 12/03110 01118111 $719 . 52 $980 .47 ($260 .95) -
01121/12 : PM 120121000057500
CALL SILVER WHEATON CORP$34 EXP 3.0000 01112)11 03116/11 $1,593 . 75 $1,001 . 22 $592.53 -
03119/11 : SLW 110319000034000
CALL SILVER WHEATON CORP$37 EXP 3 . 0000 12/28/10 01104/11 $651.77 $1 , 03122 ($379.45) -
02/19111 : SLW 110219000037000 N
Page 9 of 17
CGIG2601 -0001-06 65357
2011 Charles Schwab 9 Co. Inc All nahLS reserved Member SIPC 0005-7021 S11'T
charlesscxww Report Period
Schwab One@ Account of Account Number January 1 - December 31,
BERLIN LEHMAN FUND 1534-7790 2011
Accounting Method
Mutual Funds : Average
Realized Gain or (Loss ) ( continued ) All Other Investments : First In First Out [FIFO]
CALL SILVER WHEATON CORP$37 EXP 1.0000 12131110 03/17111 $265 .25 $483 . 73 ($21848) -
03119/11: SLW 110319000037000
CALL SILVER WHEATON CORP$37 EXP 2.0000 12/31/10 03/17/11 $530.51 $967.49 ($43698)-
03119111: SLW 110319000037000
CALL SILVER WHEATON CORP$37 EXP 2. 0000 12/17/ 10 06/18/11 $0.00 $1,230.47 ($1,230.47) -
06118111: SLW 110618000037000
CALL SILVER WHEATON CORP$43 EXP 2.0000 03/23/11 05121111 $0.00 $85047 ($850.47) -
05121111: SLW 110521 000043000
CALL SILVER WHEATON CORP$45 EXP 1.0000 03/24/11 09/17111 $0.00 $625.22 ($625.22) -
09117111 : SLW 110917000045000
CALL SILVER WHEATON CORP$45 EXP 1.0000 03/24111 09/17111 $0.00 $625 23 ($625.23) -
09117111: SLW 110917000045000
Security Subtotal $0.00 $1 , 250.45 ($ 1,250.45)
Page 10 of 17
CGIG2601-0 00196 65358
9)2011 Charles Schwab & Co, Inc All rights rosencd Nember 51PC 0005.7021
SIPIC
charles SCHWAB Report Period
Schwab One Account of Account Number January 1 - December 31,
BERLIN LEHMAN FUND 1534-779 0 2011
^--5;^>^-^'f?: .c'Ya^ ^:;^^ ..^.n^-^.e-s'r^.^^^^ ^'i^'r.^s. =,k^?`.^^'- --^-.^^ ^Q''.^^ a:^-,...,...a^rtc i
Accnnntinn Methnri
Mutual Funds: Average
Realized Gain or (Loss) (continued) All Other Investments- First In First Out [FIFO]
CASEYS GEN STORES INC: CASY 1.0000 06/09/11 11104111 $49.95 - $40.51 $9.44
CASEYS GEN STORES ING: CASY 1.0000 06/09/11 11/04/11 $49.95' $40.51 $9.44
CASEYS GEN STORES ING: CASY 48.0000 06/09/11 11/04111 $2,397.60 - $1,94443 $453.17
DENISON MINES CORP F: DNN 100.0000 02/01/11 03114111 $236.41 $397.19 ($160.78)-
DENISON MINES CORP F: DNN 100.0000 02/01111 03114111 $236.41 $397.27 ($160.86)'
DENISON MINES CORP F: DNN 100.0000 02/01/11 03114111 $236.41 $397 .49 ($161.08) -
DENISON MINES CORP F: DNN 200.0000 02/01/11 03/14/11 $472.80 $794.98 ($322.18) ' o
Security Subtotal $ 1,182.03 $1,986 . 93 ($804.90) o
cc
rn
ECOTALITY INC NEW: ECTY 50.0000 02122111 05124111 $196 68 $188.33 $8.35 o
W
ECOTALITY INC NEW: ECTY 250.0000 02/22/11 05124/11 $983.35 $941.62 $41.73
Security Subtotal $ 1,180.03 $1,129 95 $50.08
Page 11 of 17
CGIG2601000196 65359
2011 Croncs Schwab & Cc Inc M nghls reseried Member SIPC 0005.7021
X71 Pc
charlesscHwAB Report Period
Schwab One Account of Account Number January 1 - December 31,
BERLIN LEHMAN FUND 1534-7790 2011
aa^r'^e.1I^.C3^a^7r3CO^
w^ TY!^^^FVi';C^^ ^x .^^at-.4a- i72r LSSCsr^^3^ii-_Sv'^,v ^eb e^i ^m ^ _ _ N6^aJS -"- ^ sc
Accounting Method
Mutual Funds: Average
Realized Gain or (Loss) (continued) All Other Investments: First In First Out [FIFO]
GOLDMAN SACHS GROUP INC: GS 25.0000 11/29110 07120111 $3,269.26 $3,966.20 ($696.94) -
GOLDMAN SACHS GROUP INC: GS 10.0000 05/13/11 07/20111 $1,307.70 $1,410.95 ($103.25) -
Security Subtotal $4,576 .96 - $5,377 .15 ($800.19) 7
HRT PARTICIPACOES GDR FSPONSORED 0.5315 10/19/10 05/25111 $4.55 $3.48 $1.07
GDR 1 GDR REPS.: 404275109
JEFFERIES GROUP INC NEW: JEF 50.0000 11/04/11 12/21111 $676.04 $61445 $61.59 i
Security Subtotal $ 676.04 - $614.45 $ 61.59
KINDER MORGAN MGMT LLC: KMR 0.7397 11111110 08/02/11 $44.74 $45.50 ($0.76)
KINDER MORGAN MGMT LLC: KMR 4.0000 11/11/10 08/02/11 $241.99 $246.05 ($4.06) -
KINDER MORGAN MGMT LLC: KMR 9.0000 11/11110 08/02/11 $544.46 ' $55362 ($9.16)
KINDER MORGAN MGMT LLC: KMR 38.0000 11/11110 08/02/11 $2,298.82 $2,337.53 ($38.71)
Security Subtotal $ 3,130 . 01 $3,182 .70 ($52.69)
Page 12 of 17
CGIG2601.000196 65360
917011 Charbe Schwab & Co. Inc M nghts reserved . Member SIFC 0005 -7021
SIPIC
charles SCHWAB Report Period
Schwab One@ Account of Account Number January 1 - December 31,
BERLIN LEHMAN FUND 1534 -7790 2011
-^.^^a .xasaa5s^c^ ^r r-_ 5^^
^z..r^sa .asvsea ;
^-,7 -^. ^F.daToL-'
Armuntinn Method
Mutual Funds. Average
Realized Gain or (Loss) (continued) All Other Investments: First In First Out [FIFO]
MARKET VECTORS ETF TRUSTGOLD MINERS 60.0000 11/12/10 01/04/11 $3,495.99 - $3,636.15 ($140.16)
FUND:GDX
MARKET VECTORS ETF TRUSTGOLD MINERS 30.0000 02117111 03109111 $1,758.72 - $1,759.05
FUND: GDX ;
NOVAGOLD RES INC NEW F: NG 250.0000 11/12110 01/04/11 $3,205.97 $3,805.45 ($599.48)-
( S, 9 -r)
NOVAGOLD RES INC NEW F: NG 250.0000 11/12/10 01104/11 $3,205.97 $3,805.45 ($119.90)
Security Subtotal $ 6,411 .94 - $7, 610.90 ($719.38 ) C'1-79
POWERSI-iS DB US DOLLAR TRINDEX BEARISH 50.0000 10/13/10 01/05111 $1,324.03 $1,384 95 ($60.92) $
FUND:UDN
Page 13 of 17
C01026010001-06 65361
0 2011 Charles Schwab & Co , Inc All rights reserved Member SIPC 0005-7021
charlesscHw.,As Report Period
Schwab One Account of Account Number January 1 - December 31 ,
BERLIN LEHMAN FUND 1534-7790 2011
^:c-3 ^ ^;,^^a,--^-,_z.a-^^a - ^-- -,f-^- -^ ^- _^,^-^^a r^=="^_ - ^^ti^c ^r^c^
+^s^.aa.^.-^.
Accounting Method
Mutual Funds: Average
Realized Gain or (Loss) (continued) All Other Investments: First In First Out [FIFO)
PROSHS ULTRASHORT YEN: YCS 100.0000 03/29/11 04/11111 $1,669.12 $1,600 85 $68.27
PUT ISHRS FTSE CHINA 25$40 EXP 1.0000 05/10111 08119111 $380.27 -- $86.73 $293.54
08120/11: FXI 110820P00040000
PUT ISHRS FTSE CHINA 25$40 EXP 1.0000 05/ 10/11 08119/11 $380.26 $86 .74 $29352
08120/11: FXI 110820P00040000
SOC QUIMICA MINER B ADRFDE CHILE S A 30.0000 02/22111 09/22/11 $1,399. 32 $1,609 .35 ($210.03)
1 SPON ADR R: SQM
Security Subtotal $ 1,399 .32 - $1,609 . 35 ($210.03)
STILLWATER MINING CORP: SWC 100.0000 01/21111 03125111 $2,294.21 $2,163. 95 $130.26
Security Subtotal $ 2,294 .21 - $2,163 . 95 $130.26
TECK RESOURCES LTD CL BF: TCK 50.0000 11/12/10 02118111 $2,734.50 $2,472.95 $261.55
Security Subtotal $2,734. 50 - $2,472 . 95 $261.55
TIM PARTICIPACOES ADR FSPONSORED ADR 0.0900 11/29/10 08/10/11 $2.36 $1.71 $0 65
1 ADR REPS 5: TSU
Security Subtotal $ 2.36 $1 . 71 $0.65
Page 14 of 17
C0162601-000196 65362
@201 1 Charles Schwab & Co , Inc NI rights reserved Member SIFC. 0005.7021 t1 C