BERNATCHEZ FAMILY FOUNDATION TR UA 12132006: Form 990PF, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- BERNATCHEZ FAMILY FOUNDATION TR UA 12132006 (EIN 30-6201571)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-05-16
- IRS object ID
- 202201369349104690
- Schema version
- 2021v4.2
- 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
- Form 990-PF
- Accounting Fees Schedule
- Applied To Prior Year Election
- Investments Other Schedule2
- Other Expenses Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-16T15:30:39-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 592213319 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUPLEE SHEA CRAMER & MILLER PA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 SOUTH OSPREY AVENUE | AddressLine1Txt |
| City | SARASOTA | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 342367834 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 306201571 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE BERNATCHEZ FAMILY FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BERN | BusinessNameControlTxt |
| Phone | 5088983418 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 S OSPREY AVE | AddressLine1Txt |
| City | SARASOTA | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 34236 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL BERNATCHEZ | PersonNm |
| Person Title | CO-TRUSTEE | PersonTitleTxt |
| Phone | 5088983418 | PhoneNum |
| Signature | 2022-05-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | MICHAEL | PersonFirstNm |
| Person Last | BERNATCHEZ | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | T RAYMOND SUPLEE | PreparerPersonNm |
| PTIN | P00456310 | PTIN |
| Phone | 9413663600 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $2,448,494 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Interest On Sav Rev And Expnss | $240 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $240 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $37,828 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $37,828 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $195,899 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $745,689 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $195,899 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $233,967 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $233,967 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $0 | TotalAdjNetIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Adj Net Incm | $0 | CompOfcrDirTrstAdjNetIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $0 | CompOfcrDirTrstDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $1,795 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $1,795 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Adj Net Incm | $0 | AccountingFeesAdjNetIncmAmt |
| Accounting Fees Chrtbl Prps | $0 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $22,998 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $22,998 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Adj Net Incm | $0 | OtherProfFeesAdjNetIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $0 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $511 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $511 | TaxesNetInvstIncmAmt |
| Taxes Adj Net Incm | $0 | TaxesAdjNetIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $1,323 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $1,323 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Adj Net Incm | $0 | OtherExpensesAdjNetIncmAmt |
| Other Expenses Dsbrs Chrtbl | $0 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $26,627 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $26,627 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $0 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $96,000 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $96,000 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $122,627 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $26,627 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $0 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $96,000 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $111,340 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $207,340 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $37,082 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $57,363 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $57,363 | SavAndTempCashInvstEOYFMVAmt |
| Other Investments BOY | $1,749,546 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $1,840,605 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $2,391,131 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $1,786,628 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,897,968 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $2,448,494 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
| No Donor Rstr Net Assests BOY | $1,786,628 | NoDonorRstrNetAssestsBOYAmt |
| No Donor Rstr Net Assests EOY | $1,897,968 | NoDonorRstrNetAssestsEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $1,786,628 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $1,897,968 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $1,786,628 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $1,897,968 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $1,786,628 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $111,340 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $1,897,968 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $1,897,968 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (3 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|---|
| SEE ATTACHED-MERRILL LYNCH | P | 2021-12-31 | $163,068 | $125,540 | $37,528 | $37,528 |
| SEE ATTACHED-MERRILL LYNCH | P | 2021-12-31 | $561,607 | $424,250 | $137,357 | $137,357 |
| CAPITAL GAINS DIVIDENDS | P | $21,014 | $21,014 | $21,014 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $195,899 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $2,882 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $2,882 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $2,882 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $2,045 | EstimatedPlusOvpmtIncmTxAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $2,045 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Tax Due | $837 | TaxDueAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | 0 | LegislativePoliticalActyInd |
| More Than100 Spent | 0 | MoreThan100SpentInd |
| Form1120 POL Filed | 0 | Form1120POLFiledInd |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Tax Reimbursed | $0 | TaxReimbursedAmt |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (1) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | FL | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (1) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | 0 | PrivateOperatingFoundationInd |
| New Substantial Contributors | 0 | NewSubstantialContributorsInd |
| Own Controlled Entity | 0 | OwnControlledEntityInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (1) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
| Individual With Books | MICHAEL BERNATCHEZ | IndividualWithBooksNm |
| Phone | 5088983418 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5 ROSEWOOD PLACE | AddressLine1Txt |
| City | WESTBOROUGH | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01581 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | 0 | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | 0 | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | 0 | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | 0 | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | 0 | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActsInd |
| Undistributed Income PY | 0 | UndistributedIncomePYInd |
| Business Holdings | 0 | BusinessHoldingsInd |
| Jeopardy Investments | 0 | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | 0 | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | 0 | InfluenceLegislationInd |
| Influence Election | 0 | InfluenceElectionInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Noncharitable Purpose | 0 | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| MICHAEL E BERNATCHEZ | ||||||||
| 5 ROSEWOOD PLACE | WESTBOROUGH | MA | 01581 | CO-TRUSTEE | 5.00 | $0 | $0 | $0 |
| JAMES J BERNATCHEZ | ||||||||
| 242 BAXTER LANE | MILFORD | CT | 06460 | CO-TRUSTEE | 5.00 | $0 | $0 | $0 |
| DANIEL P BERNATCHEZ | ||||||||
| 88 UPPER HIGHLAND RD | CHARLESTOWN | RI | 02813 | CO-TRUSTEE | 5.00 | $0 | $0 | $0 |
| MARC G BERNATCHEZ | ||||||||
| 20 ASHWOOD CIRCLE | SHELTON | CT | 06484 | CO-TRUSTEE | 5.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Other Employee Paid Over50k | 0 | OtherEmployeePaidOver50kCnt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $2,360,260 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $19,741 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $2,380,001 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $2,380,001 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $35,700 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $2,344,301 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $117,215 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $117,215 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $2,882 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $2,882 | TotalTaxAmt |
| Distributable Before Adj | $114,333 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $114,333 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $114,333 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $96,000 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $96,000 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $114,333 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $93,625 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Total Excess Distribution Cyov | $0 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $96,000 | QualifyingDistributionsAmt |
| Applied To Year1 | $93,625 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $2,375 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $0 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $111,958 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $0 | ExcessDistriCyovToNextYrAmt |
Supplementary Information SupplementaryInformationGrp
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | MICHAEL E BERNATCHEZ | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5 ROSEWOOD PLACE | AddressLine1Txt |
| City | WESTBOROUGH | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01581 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 5088983418 | RecipientPhoneNum |
| Form And Info And Materials | DESIGNATED APPLICATION TO INCLUDE ORGANIZATION'S GENERAL INFORMATION AND PURPOSE OF FUNDS REQUESTED. | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | NONE | SubmissionDeadlinesTxt |
| Restrictions On Awards | NO RESTRICTIONS | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (15 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| AMERICAN CANCER SOCIETY | |||||||
| 250 WILLIAMS ST NW | ATLANTA | GA | 30303 | NONE | 501(C)3 | GENERAL | $12,000 |
| BERNARDIAN CHARITABLE FOUNDATION | |||||||
| 45 HARVARD ST | FITCHBURG | MA | 01420 | NONE | 501(C)3 | GENERAL | $1,000 |
| BETH-EL CENTER INC | |||||||
| 90 NEW HAVEN AVE | MILFORD | CT | 06460 | NONE | 501(C)3 | GENERAL | $3,000 |
| BRIDGEPORT RESCUE MISSION | |||||||
| 1088 FAIRFIELD AVE | BRIDGEPORT | CT | 06605 | NONE | 501(C)3 | GENERAL | $9,000 |
| CENTER FOR FAMILY JUSTICE | |||||||
| 753 FAIRFIELD AVE | BRIDGEPORT | CT | 06604 | NONE | 501(C)3 | GENERAL | $9,500 |
| CENTER OF COASTAL STUDIES | |||||||
| 115 BRADFORD ST | PROVINCETOWN | MA | 02657 | NONE | 501(C)3 | GENERAL | $4,000 |
| COVENANT HOUSE FLORIDA INC | |||||||
| 733 BREAKERS AVE | FT LAUDERDALE | FL | 33304 | NONE | 501(C)3 | GENERAL | $12,000 |
| HABITAT FOR HUMANITY FAIRFIELD COUNTY | |||||||
| 1542 BARNUM AVE | BRIDGEPORT | CT | 06610 | NONE | 501(C)3 | GENERAL | $4,000 |
| HOUSING FAMILIES INC | |||||||
| 919 EASTERN AVE | MALDEN | MA | 02148 | NONE | 501(C)3 | GENERAL | $4,000 |
| INCARNATION SCHOOL FOUNDATION | |||||||
| 2911 BEE RIDGE RD | SARASOTA | FL | 34239 | NONE | 501(C)3 | GENERAL | $12,000 |
| JOHNNYCAKE CENTER OF WESTERLY | |||||||
| 23 INDUSTRIAL DR | WESTERLY | RI | 02891 | NONE | 501(C)3 | GENERAL | $4,000 |
| LIFE IS GOOD KIDS FOUNDATION | |||||||
| 51 MELCHER ST | BOSTON | MA | 02210 | NONE | 501(C)3 | GENERAL | $3,000 |
| LITERACY VOLUNTEERS OF GREATER WORCESTER | |||||||
| 3 SALEM SQUARE SUITE 332 | WORCESTER | MA | 01608 | NONE | 501(C)3 | GENERAL | $4,000 |
| MULTIPLE SCLEROSIS FOUNDATION INC | |||||||
| 6520 N ANDREWS AVENUE | FT LAUDERDALE | FL | 33309 | NONE | 501(C)3 | GENERAL | $12,000 |
| ST LAWRENCE CHURCH | |||||||
| 505 SHELTON AVE | SHELTON | CT | 06484 | NONE | 501(C)3 | GENERAL | $2,500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $96,000 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $240 | ExclusionAmt |
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $37,828 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $195,899 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $233,967 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $233,967 | TotalIncomeProducingActyAmt |
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp (3 entries)
| Line NumberLineNumberTxt | Relationship StatementRelationshipStatementTxt |
|---|---|
| 4 | THE FOUNDATION PROVIDES GRANTS TO CERTAIN RECOGNIZED CHARITABLE |
| 7 | ORGANIZATIONS AND OTHER QUALIFIED CHARITIES WITHIN THE MEANING OF |
| 8 | SECTION 501(C)3 OF THE INTERNAL REVENUE CODE |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | 0 | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | 0 | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | 0 | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | 0 | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | 0 | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | 0 | RelationshipsNonchrtblEOInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING | CategoryTxt |
| Amt | $1,795 | Amt |
| Net Investment Income | $1,795 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Applied To Prior Year Election AppliedToPriorYearElection
| Field | Value | IRS element (for citing) |
|---|---|---|
| Election | ORGANIZATION ELECTS TO APPLY $228 TO THE UNDISTRIBUTED INCOME REMAINING FROM YEAR 2012. | ElectionDesc |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (52 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| ISHARES RUSSELL 1000 GROWTH INDEX FUND | AT COST | $160,718 | $324,537 |
| ISHARES RUSSELL 1000 VALUE INDEX FUND | AT COST | $323,609 | $434,603 |
| ISHARES MSCI EAFE INDEX FUND | AT COST | $174,076 | $204,588 |
| ISHARES MSCI EMERGING MKTS INDEX FD | AT COST | $79,601 | $81,529 |
| ISHARES S&P 600 SMALL CAP VALUE | AT COST | $33,288 | $48,170 |
| JP MORGAN CHASE & CO | AT COST | $8,605 | $11,560 |
| SPDR GOLD TRUST | AT COST | $101,890 | $121,724 |
| AMAZON COM INC | AT COST | $15,742 | $29,200 |
| PROLOGIS INC | AT COST | $4,618 | $8,923 |
| ALPHABET INC | AT COST | $11,829 | $26,073 |
| APPLE INC | AT COST | $11,114 | $30,009 |
| BLACKROCK INC | AT COST | $5,236 | $10,071 |
| CAPITAL ONE FINL | AT COST | $5,545 | $7,109 |
| COSTCO WHOLESALE CRP | AT COST | $6,902 | $10,786 |
| CITIGROUP INC | AT COST | $11,255 | $10,266 |
| DANAHER CORP | AT COST | $10,706 | $16,780 |
| DISNEY WALT CO | AT COST | $9,995 | $10,842 |
| HONEYWELL INTL INC | AT COST | $8,631 | $11,677 |
| HOME DEPOT INC | AT COST | $4,402 | $8,300 |
| MICROSOFT CORP | AT COST | $13,264 | $30,605 |
| MICROCHIP TECHNOLOGY INC | AT COST | $3,733 | $6,007 |
| NEXTERA ENERGY INC | AT COST | $4,841 | $8,589 |
| ANTHEM INC | AT COST | $2,650 | $4,635 |
| TRUIST FINL CORP | AT COST | $6,469 | $7,787 |
| THERMO FISHER SCIENTIFIC INC | AT COST | $2,545 | $6,672 |
| UNION PACIFIC CORP | AT COST | $4,788 | $6,550 |
| VISA INC | AT COST | $9,382 | $11,702 |
| WALMART INC | AT COST | $8,104 | $10,418 |
| JOHCM INTERNATIONAL SELECT FUND | AT COST | $158,804 | $192,018 |
| BLACKSTONE ALT MULTI STRATEGY FD | AT COST | $118,662 | $117,888 |
| ZOETIS INC | AT COST | $5,596 | $11,225 |
| CISCO SYSTEMS INC | AT COST | $6,889 | $9,252 |
| ABBOTT LABS | AT COST | $5,471 | $9,148 |
| PARKER HANNIFIN CORP | AT COST | $9,407 | $10,498 |
| PGIM ULTRA SHORT BOND | AT COST | $11,998 | $11,878 |
| FULLER & THALER BEHVRL SMALL CAP | AT COST | $77,869 | $110,282 |
| ISHARES S&P SMALLCAP 600 GROWTH | AT COST | $23,878 | $36,643 |
| HILTON WORLDWIDE HOLDINGS | AT COST | $2,931 | $4,524 |
| CHEVRON CORP | AT COST | $4,527 | $6,220 |
| CONOCOPHILIPS | AT COST | $6,848 | $8,229 |
| CARRIER GLOBAL CORP | AT COST | $6,502 | $8,028 |
| EQUITY RESIDENTIAL REIT | AT COST | $7,163 | $8,507 |
| EXPEDIA GROUP INC | AT COST | $4,135 | $4,337 |
| FORD MOTOR CO | AT COST | $2,647 | $4,154 |
| GARMIN LTD | AT COST | $3,345 | $3,677 |
| L3HARRIS TECHNOLOGIES | AT COST | $9,947 | $9,596 |
| INTL PAPER CO | AT COST | $4,412 | $3,477 |
| MARVELL TECH INC | AT COST | $9,159 | $16,711 |
| SHERWIN WILLIAMS | AT COST | $8,592 | $10,565 |
| BLACKROCK EVENT DRIVEN EQUITY FUND | AT COST | $109,304 | $108,071 |
| BLACKROCK STRATEGIC INCOME OPPR | AT COST | $109,156 | $106,573 |
| WCM FOCUSED EMERGING MARKETS FUND | AT COST | $89,825 | $79,918 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|---|
| INVESTMENT EXPENSES | $467 | $467 | $0 | $0 |
| MISCELLANEOUS EXPENSES | $856 | $856 | $0 | $0 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | MERRILL LYNCH FEES | CategoryTxt |
| Amt | $22,998 | Amt |
| Net Investment Income | $22,998 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | FOREIGN TAXES | CategoryTxt |
| Amt | $511 | Amt |
| Net Investment Income | $511 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |