Page 3 Employer identification number
Schedule B (Form 990, 990-EZ, or 990-PF) (2012) Name of organization
Miriam Foundation Part II
Noncash Property
(a) No. from Part I
43-0667478 (see instructions). Use duplicate copies of Part II if additional space is needed.
(b) Description of noncash property given
(c) FMV (or estimate) (see instructions)
(d) Date received
(c) FMV (or estimate) (see instructions)
(d) Date received
(c) FMV (or estimate) (see instructions)
(d) Date received
(c) FMV (or estimate) (see instructions)
(d) Date received
(c) FMV (or estimate) (see instructions)
(d) Date received
(c) FMV (or estimate) (see instructions)
(d) Date received
$ (a) No. from Part I
(b) Description of noncash property given
$ (a) No. from Part I
(b) Description of noncash property given
$ (a) No. from Part I
(b) Description of noncash property given
$ (a) No. from Part I
(b) Description of noncash property given
$ (a) No. from Part I
(b) Description of noncash property given
$ 223453 12-21-12
15041004 793956 430667478
Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
23 2012.03030 Miriam Foundation
43066741