HULL SEASIDE ANIMAL RESCUE INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
HULL SEASIDE ANIMAL RESCUE INC (EIN 04-3498809)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-03-04
IRS object ID
202200639349300330
Schema version
2021v4.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-03-04T13:50:31-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN043498809EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Hull Seaside Animal Rescue IncBusinessNameLine1Txt
Business Name Line2HSARBusinessNameLine2Txt
FieldValueIRS element (for citing)
In Care Of% Chuck ShawInCareOfNm
Business Name ControlHULLBusinessNameControlTxt
Phone7819253121PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1487 Nantasket AvenueAddressLine1Txt
CityHullCityNm
State AbbreviationMAStateAbbreviationCd
ZIP020450787ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHUCK SHAWPersonNm
Person TitleTreasurerPersonTitleTxt
Phone7819253121PhoneNum
Signature2022-03-04SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstCHUCKPersonFirstNm
Person LastSHAWPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer1TrustedCustomerCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1HSARBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerMAURA NORTONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 787AddressLine1Txt
CityHullCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02045ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$160,642GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresshsar.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2000FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionProviding safe shelter nutrition and medical care while finding permanent homes for rescued cats and kittensActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee1TotalEmployeeCnt
Total Volunteers52TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$123,965PYContributionsGrantsAmt
CY Contributions Grants$119,332CYContributionsGrantsAmt
PY Program Service Revenue$30,665PYProgramServiceRevenueAmt
CY Program Service Revenue$35,533CYProgramServiceRevenueAmt
PY Investment Income$3,129PYInvestmentIncomeAmt
CY Investment Income$794CYInvestmentIncomeAmt
PY Other Revenue$2,030PYOtherRevenueAmt
CY Other Revenue$2,491CYOtherRevenueAmt
PY Total Revenue$159,789PYTotalRevenueAmt
CY Total Revenue$158,150CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$17,422PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$21,649CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$11,397CYTotalFundraisingExpenseAmt
PY Other Expenses$129,647PYOtherExpensesAmt
CY Other Expenses$120,050CYOtherExpensesAmt
PY Total Expenses$147,069PYTotalExpensesAmt
CY Total Expenses$141,699CYTotalExpensesAmt
PY Revenues Less Expenses$12,720PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$16,451CYRevenuesLessExpensesAmt
Total Assets BOY$544,331TotalAssetsBOYAmt
Total Assets EOY$566,762TotalAssetsEOYAmt
Total Liabilities BOY$129,760TotalLiabilitiesBOYAmt
Total Liabilities EOY$115,868TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$414,571NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$450,894NetAssetsOrFundBalancesEOYAmt
MissionTo provide safe shelter, nutrition and medical care while finding permanent homes for rescued cats & kittens.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$48,099ExpenseAmt
DescVeterinary services to help ensure healh of cats & kittens while in the shelter's care in preparation for adoption.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$71,375ExpenseAmt
Revenue$35,533RevenueAmt
DescOperating and maintaining a safe facility and environment for animals, volunteers, and visitors. Found 'forever homes' for over 180 cats & kittens during 2021.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$10,828ExpenseAmt
DescPet food, medicines and supplies to support our rescued cats & kittensDesc
FieldValueIRS element (for citing)
Total Program Service Expenses$130,302TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Excs Tax Sect4951 Or4952 Or4953falseExcsTaxSect4951Or4952Or4953Ind
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Hull Seaside Animal Rescue IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7819253121PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 787AddressLine1Txt
CityHullCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02045ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndKey EmployeeKeyEmployeeInd
MAURA NORTON
President20.00Yes (X)$0$0$0
CHRISTINE CROTTY
Corresponding Secretary25.00Yes (X)$0$0$0
CHUCK SHAW
Treasurer20.00Yes (X)$0$0$0
JUDY FAHEY
Director25.00$0$0$0Yes (X)
JOANNE BERMAN
Director20.00$0$0$0Yes (X)
ANN MARIE BEAUDOIN
Director20.00$0$0$0Yes (X)
LUCY SAGANSKY
Director20.00$0$0$0Yes (X)
ELLEN WHITNEY
Shelter Office Manager20.00$19,449$19,449$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$19,449TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$19,449TotReportableCompRltdOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
All Other Contributions$119,332AllOtherContributionsAmt
Total Contributions$119,332TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescAdopt Surrender FeeDesc
Business900099BusinessCd
Total Revenue Column$35,533TotalRevenueColumnAmt
Related Or Exempt Func Income$35,533RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$35,533TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$794TotalRevenueColumnAmt
Related Or Exempt Func Income$794RelatedOrExemptFuncIncomeAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$4,983GrossSalesOfInventoryAmt
Cost Of Goods Sold$2,492CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,491TotalRevenueColumnAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$158,150TotalRevenueColumnAmt
Related Or Exempt Func Income$36,327RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$19,197TotalAmt
Program Services$15,358ProgramServicesAmt
Management And General$3,839ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,452TotalAmt
Program Services$1,962ProgramServicesAmt
Management And General$490ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,546TotalAmt
Fundraising$5,546FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$5,851TotalAmt
Fundraising$5,851FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$22,402TotalAmt
Management And General$22,402ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,956TotalAmt
Management And General$4,956ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$7,775TotalAmt
Management And General$7,775ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
veterinary$32,888$32,888
spay/neuter$15,211$15,211
building maintenance$6,305$6,305
pet food & supplies$6,287$6,287

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$12,829TotalAmt
Program Services$6,554ProgramServicesAmt
Management And General$6,275ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$141,699TotalAmt
Program Services$78,260ProgramServicesAmt
Management And General$52,042ManagementAndGeneralAmt
Fundraising$11,397FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$50,000BOYAmt
EOY$91,902EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$191,331BOYAmt
EOY$171,860EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$303,000LandBldgEquipCostOrOtherBssAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$303,000BOYAmt
EOY$303,000EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$544,331BOYAmt
EOY$566,762EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$129,760BOYAmt
EOY$115,868EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$129,760BOYAmt
EOY$115,868EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$414,571BOYAmt
EOY$450,894EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$414,571BOYAmt
EOY$450,894EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$544,331BOYAmt
EOY$566,762EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$16,451ReconcilationRevenueExpnssAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$34,750CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$88,777CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$113,337CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$124,115CurrentTaxYearMinus1YearAmt
Current Tax Year$119,332CurrentTaxYearAmt
Total$480,311TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$123,659CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$39,040CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$41,029CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$33,557CurrentTaxYearMinus1YearAmt
Current Tax Year$40,516CurrentTaxYearAmt
Total$277,801TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$158,409CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$127,817CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$154,366CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$157,672CurrentTaxYearMinus1YearAmt
Current Tax Year$159,848CurrentTaxYearAmt
Total$758,112TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$758,112PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$304CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,083CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,133CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,129CurrentTaxYearMinus1YearAmt
Current Tax Year$794CurrentTaxYearAmt
Total$8,443TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$304CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,083CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,133CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,129CurrentTaxYearMinus1YearAmt
Current Tax Year$794CurrentTaxYearAmt
Total$8,443TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$158,713CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$128,900CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$157,499CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$160,801CurrentTaxYearMinus1YearAmt
Current Tax Year$160,642CurrentTaxYearAmt
Total$766,555TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98899PublicSupportCY509Pct
Public Support PY5090.98900PublicSupportPY509Pct
Investment Income CY0.01101InvestmentIncomeCYPct
Investment Income PY0.01110InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Org Leg CtrlfalseDisclosedOrgLegCtrlInd
Disclosed For Charitable PrpsfalseDisclosedForCharitablePrpsInd
Written Policy MonitoringfalseWrittenPolicyMonitoringInd
Section170h Rqr StsfdfalseSection170hRqrStsfdInd
Solicited Assets SalefalseSolicitedAssetsSaleInd
Agent Trustee EtcfalseAgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabfalseInclEscrowCustodialAcctLiabInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$100,000OtherCostOrOtherBasisAmt
Book Value$100,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$203,000OtherCostOrOtherBasisAmt
Book Value$203,000BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$303,000TotalBookValueLandBuildingsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part VI Line 11bReviewed by Treasurer & President prior to submission
Part VI Line 19Via Massachusetts Office of Attorney General website
Part VI Line 19&/or upon request
Part VIINone
Part VII Column Enot applicable

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