JOSEPH W & FAITH K TIBERIO CHARITABLE FOUNDATION: Form 990PF, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- JOSEPH W & FAITH K TIBERIO CHARITABLE FOUNDATION (EIN 04-3253603)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-05-13
- IRS object ID
- 202221339349101222
- 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
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Other Decreases Schedule
- Other Expenses Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-13T08:49:56-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 043296201 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SULLIVAN BILLE PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 CLARK ROAD | AddressLine1Txt |
| City | TEWKSBURY | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01876 | 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 | 043253603 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOSEPH W & FAITH K TIBERIO CHARITABLE | BusinessNameLine1Txt |
| Business Name Line2 | FOUNDATION | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | JOSE | BusinessNameControlTxt |
| Phone | 5084297524 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 79 LOWLAND ST | AddressLine1Txt |
| City | HOLLISTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01746 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | FAITH DOUGHERTY | PersonNm |
| Person Title | TRUSTEE | PersonTitleTxt |
| Phone | 5084297524 | PhoneNum |
| Signature | 2022-05-03 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | FAITH | PersonFirstNm |
| Person Last | DOUGHERTY | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MARIA E MARCHAND CPA | PreparerPersonNm |
| PTIN | P01024791 | PTIN |
| Phone | 9789702900 | 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 | $2,287,058 | 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 | $32,897 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $32,897 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $27,266 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $27,266 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $78,576 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $455,070 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $78,576 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $138,739 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $138,739 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $6,800 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $3,400 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $3,400 | CompOfcrDirTrstDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $3,100 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $3,100 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $0 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $13,970 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $13,970 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $0 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $690 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $420 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Trav Conf Meeting Rev And Expnss | $1,352 | TravConfMeetingRevAndExpnssAmt |
| Trav Conf Meeting Net Invst Incm | $0 | TravConfMeetingNetInvstIncmAmt |
| Trav Conf Meeting Dsbrs Chrtbl | $1,352 | TravConfMeetingDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $672 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $672 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $0 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $26,584 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $21,562 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $4,752 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $63,450 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $63,450 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $90,034 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $21,562 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $68,202 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $48,705 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $117,177 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $10,092 | CashBOYAmt |
| Cash EOY | $12,140 | CashEOYAmt |
| Cash EOYFMV | $12,140 | CashEOYFMVAmt |
| Sav And Temp Cash Invst BOY | $26,717 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $67,258 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $67,258 | SavAndTempCashInvstEOYFMVAmt |
| Other Nts And Loans Rcvbl BOY | $21,285 | OtherNtsAndLoansRcvblBOYAmt |
| Other Nts And Loans Rcvbl EOY | $0 | OtherNtsAndLoansRcvblEOYAmt |
| Other Nts And Loans Rcvbl EOYFMV | $0 | OtherNtsAndLoansRcvblEOYFMVAmt |
| Corporate Stock BOY | $806,320 | CorporateStockBOYAmt |
| Corporate Stock EOY | $776,371 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $1,283,191 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $790,268 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $765,502 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $802,223 | CorporateBondsEOYFMVAmt |
| Other Investments BOY | $27,906 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $109,093 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $122,246 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $1,682,588 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,730,364 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $2,287,058 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Capital Stock BOY | $0 | CapitalStockBOYAmt |
| Capital Stock EOY | $0 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | $1,682,588 | RetainedEarningBOYAmt |
| Retained Earning EOY | $1,730,364 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $1,682,588 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $1,730,364 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $1,682,588 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $1,730,364 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $1,682,588 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $48,705 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $1,731,293 | SubtotalAmt |
| Other Decreases | $929 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $1,730,364 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (4 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|
| PUBLICLY TRADED SECURITIES | P | $230,660 | $226,461 | $4,199 | $4,199 |
| PUBLICLY TRADED SECURITIES | P | $192,908 | $135,805 | $57,103 | $57,103 |
| PUBLICLY TRADED SECURITIES | P | $29,157 | $14,228 | $14,929 | $14,929 |
| CAPITAL GAINS DIVIDENDS | P | $2,345 | $2,345 | $2,345 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $78,576 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $1,629 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $1,629 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $1,629 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $443 | 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 | $443 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Tax Due | $1,186 | 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 | MA | 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 | FAITH DOUGHERTY | IndividualWithBooksNm |
| Phone | 5084228514 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 79 LOWLAND STREET | AddressLine1Txt |
| City | HOLLISTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01746 | 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 (3 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 |
|---|---|---|---|---|---|---|---|---|
| FAITH DOUGHERTY | ||||||||
| 260 SPRINGVALE ROAD | GREAT FALLS | VA | 22066 | PRESIDENT & CHAIRMAN | 2.00 | $5,000 | $0 | $0 |
| JOAN CURRIER | ||||||||
| PO BOX 1208 | UPTON | MA | 01568 | SECRETARY | 2.00 | $1,200 | $0 | $0 |
| FAITH T FEUER | ||||||||
| 7 SPARROW ROAD | NORFOLK | MA | 02056 | BOARD MEMBER | 1.00 | $600 | $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 | $2,077,099 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $92,702 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $2,169,801 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $2,169,801 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $32,547 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $2,137,254 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $106,863 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $106,863 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $1,629 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $1,629 | TotalTaxAmt |
| Distributable Before Adj | $105,234 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $105,234 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $105,234 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $68,202 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $68,202 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $105,234 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $55,272 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $49,130 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $45,808 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $44,567 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $2,192 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $196,969 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $68,202 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $68,202 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $37,032 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $37,032 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $159,937 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $18,240 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $141,697 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $49,130 | ExcessFromYear4Amt |
| Excess From Year3 | $45,808 | ExcessFromYear3Amt |
| Excess From Year2 | $44,567 | ExcessFromYear2Amt |
| Excess From Year1 | $2,192 | ExcessFromYear1Amt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (52 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| ADOPT A PLATOON | |||||||
| 25089 CENTERLINE ROAD | SAN BENITO | TX | 78586 | NONE | 501(C)(3) | CHARITABLE | $250 |
| ALZHEIMER'S ASSOCIATION | |||||||
| 225 N MICHIGAN AVE | CHICAGO | IL | 60601 | NONE | 501(C)(3) | CHARITABLE | $500 |
| AMERICAN BATTLEFIELD TRUST | |||||||
| PO BOX 79535 | BALTIMORE | MD | 21279 | NONE | 501(C)(3) | CHARITABLE | $1,000 |
| AMERICAN INDIAN COLLEGE FUND | |||||||
| 8333 GREENWOOD BOULEVARD | DENVER | CO | 80221 | NONE | 501(C)(3) | EDUCATIONAL | $850 |
| AMERICAN INDIAN RELEIF COUNCIL | |||||||
| PO BOX 6200 | RAPID CITY | SD | 57709 | NONE | 501(C)(3) | CHARITABLE | $250 |
| AMERICAN REPERTORY THEATRE | |||||||
| 64 BRATTLE STREET | CAMBRIDGE | MA | 02138 | NONE | 501(C)(3) | LITERARY | $500 |
| BLACKSTONE FIRE DEPT | |||||||
| 15 ST PAUL ST | BLACKSTONE | MA | 01504 | NONE | 501(C)(3) | PUBLIC SAFETY | $1,000 |
| BLACKSTONE POLICE DEPT | |||||||
| 15 ST PAUL ST | BLACKSTONE | MA | 01504 | NONE | 501(C)(3) | PUBLIC SAFETY | $1,000 |
| BOSTON BALLET | |||||||
| 19 CLARENDON STREET | BOSTON | MA | 02116 | NONE | 501(C)(3) | LITERARY | $1,000 |
| BOSTON MUSEUM OF FINE ARTS | |||||||
| 465 HUNTINGTON AVE | BOSTON | MA | 02115 | NONE | 501(C)(3) | EDUCATIONAL LITERARY | $1,000 |
| BRYN MAWR COLLEGE | |||||||
| 101 N MERION AVENUE | BRYN MAWR | PA | 19010 | NONE | 501(C)(3) | EDUCATIONAL | $2,000 |
| CAPE COD CHILDREN'S PLACE | |||||||
| 10 BALLWIC ROAD | EASTHAM | MA | 02642 | NONE | 501(C)(3) | EDUCATIONAL | $2,500 |
| CAPE COD HEALTH CARE FOUNDATION | |||||||
| 261 WHITES PATH STE 2 | S YARMOUTH | MA | 02664 | NONE | 501(C)(3) | CHARITABLE | $250 |
| CPSA(CITIZEN'S FOR THE PRESERVATION OF ST AUG) | |||||||
| PO BOX 487 | ST AUGUSTINE | FL | 32085 | NONE | 170(C)(2)(B) | CHARITABLE | $1,000 |
| CUMBERLAND COLLEGE | |||||||
| 6178 COLLEGE STATION DRIVE | WILLIAMSBURG | KY | 40769 | NONE | 501(C)(3) | EDUCATIONAL | $1,000 |
| DOWD CENTER FOR THE HOMELESS | |||||||
| 651 BROAD STREET | COLUMBUS | OH | 43215 | NONE | 501(C)(3) | CHARITABLE | $750 |
| DUBLIN MONTESSORI ACADEMY | |||||||
| 10465 SAWMILL ROAD | POWELL | OH | 43065 | NONE | 501(C)(3) | EDUCATIONAL | $500 |
| DUFFY HEALTH CENTER | |||||||
| 94 MAIN STREET | HYANNIS | MA | 02601 | NONE | 501(C)(3) | CHARITABLE | $250 |
| EMMA CONCERT ASSOCIATION | |||||||
| 2692 US 1 | ST AUGUSTINE | FL | 32086 | NONE | 501(C)(3) | LITERARY | $1,000 |
| ENDICOTT COLLEGE - CHRISTIAN SCHNEELOCH | |||||||
| 376 HALE ST | BEVERLY | MA | 01915 | NONE | 501(C)(3) | EDUCATIONAL | $3,000 |
| FAITH MISSION | |||||||
| 245 N GRANT AVE | COLUMBUS | OH | 43215 | NONE | 501(C)(3) | CHARITABLE | $250 |
| FIRST COAST OPERA | |||||||
| PO BOX 2223 | ST AUGUSTINE | FL | 32085 | NONE | 501(C)(3) | LITERARY | $3,000 |
| FLAGLER COLLEGE | |||||||
| KING STREET | ST AUGUSTINE | FL | 32084 | NONE | 501(C)(3) | EDUCATIONAL | $1,500 |
| FRAMINGHAM HISTORICAL SOCIETY | |||||||
| 16 VERNON STREET | FRAMINGHAM | MA | 01703 | NONE | 501(C)(3) | EDUCATIONAL | $500 |
| HOLLISTON HIGH SCHOOL AGRICULTURAL | |||||||
| 370 HILLIS STREET | HOLLISTON | MA | 01746 | NONE | 501(C)(3) | EDUCATIONAL | $1,000 |
| HOLLISTON SENIOR CENTER | |||||||
| 150 GOULDING STREET | HOLLISTON | MA | 01746 | NONE | 501(C)(3) | CHARITABLE | $500 |
| HUNTINGTON THEATER | |||||||
| 264 HUNTINGTON AVE | BOSTON | MA | 02115 | NONE | 501(C)(3) | LITERARY | $5,000 |
| INFUSED IMPACT | |||||||
| 126 CORAM LANE | ORANGE | CT | 06477 | NONE | 501(C)(3) | CHARITABLE | $1,000 |
| KONA HISTORICAL SOCIETY | |||||||
| 81-6551 MAMALAHOA HWY | KEALAKEKUA | HI | 96750 | NONE | 501(C)(3) | EDUCATIONAL | $100 |
| MASS 4H CLUB | |||||||
| 22 ELIOT STREET | ASHLAND | MA | 01721 | NONE | 501(C)(3) | CHARITABLE | $1,000 |
| MEDFIELD ANIMAL SHELTER | |||||||
| 101 OLD BRIDGE STREET | MEDFIELD | MA | 02052 | NONE | 501(C)(3) | CHARITABLE | $250 |
| MUSEUM OF THE AMERICAN REVOLUTION | |||||||
| 123 CHESTNUT ST | PHILADELPHIA | PA | 19106 | NONE | 501(C)(3) | EDUCATIONAL | $500 |
| NEOESR INC | |||||||
| 49 STONEHEDGE RD | LINCOLN | MA | 01773 | NONE | 501(C)(3) | CHARITABLE | $400 |
| NEW ENGLAND TENNIS AND EDUCATION FOUNDATION | |||||||
| 110 TURNPIKE RD | WESTBOROUGH | MA | 01581 | NONE | 501(C)(3) | CHARITABLE | $1,000 |
| NORTHERN PLAINS RESERVATION AID - PARTNERSHIP WITH NATIVE AMERICANS | |||||||
| 16415 ADDISON ROAD STE 200 | ADDISON | TX | 75001 | NONE | 501(C)(3) | CHARITABLE | $250 |
| QUINNIPIAC UNIVERSITY | |||||||
| 275 MT CARMEL AVE | HAMDEN | CT | 06518 | NONE | 501(C)(3) | EDUCATIONAL | $3,000 |
| RED CLOUD INDIAN SCHOOL | |||||||
| 100 MISSION DRIVE | PINE RIDGE | SD | 57770 | NONE | 501(C)(3) | CHARITABLE | $500 |
| ROSIE'S PLACE | |||||||
| 889 HARRISON AVENUE | BOSTON | MA | 02118 | NONE | 501(C)(3) | CHARITABLE | $250 |
| SHERBORN FIRE AND RESCUE | |||||||
| 22 NORTH MAIN STREET | SHERBORN | MA | 01770 | NONE | 501(C)(3) | PUBLIC SAFETY | $1,000 |
| SHERBORN LIONS CLUB | |||||||
| 288 DOVER ROAD | WESTWOOD | MA | 01770 | NONE | 501(C)(3) | CHARITABLE | $1,000 |
| SHERBORN POLICE DEPARTMENT | |||||||
| 19 WASHINGTON STREET | SHERBORN | MA | 01770 | NONE | 501(C)(3) | PUBLIC SAFETY | $1,000 |
| ST AUGUSTINE ART ASSOCIATION | |||||||
| 22 MARINE STREET | ST AUGUSTINE | FL | 32084 | NONE | 501(C)(3) | CHARITABLE | $3,500 |
| ST AUGUSTINE PILOT'S CLUB | |||||||
| 102 PRESTON COURT | MACON | GA | 31210 | NONE | 501(C)(3) | CHARITABLE | $750 |
| ST AUGUSTINE SISTER CITIES ASSOCIATION | |||||||
| PO BOX 210 | ST AUGUSTINE | FL | 32085 | NONE | 501(C)(3) | CHARITABLE | $2,000 |
| ST JUDE'S CHILDREN'S RESEARCH HOSPITAL | |||||||
| 501 ST JUDE PLACE | MEMPHIS | TN | 38105 | NONE | 501(C)(3) | CHARITABLE | $1,000 |
| TEMPLE UNIVERSITY | |||||||
| 580 MEETINGHOUSE ROAD | AMBLER | PA | 19002 | NONE | 501(C)(3) | EDUCATIONAL | $4,000 |
| THE FAMILIA FAMILY MEMORIAL FUND | |||||||
| 805 WEST BOYLSTON ST | WORCESTER | MA | 01606 | NONE | 501(C)(3) | CHARITABLE | $100 |
| THE FAMILY PANTRY OF CAPE COD CORP | |||||||
| 133 QUEEN ANNE ROAD | HARWICH | MA | 02645 | NONE | 501(C)(3) | CHARITABLE | $750 |
| THE HOME FOR LITTLE WANDERERS | |||||||
| 271 HUNTINGTON AVE | BOSTON | MA | 02115 | NONE | 501(C)(3) | CHARITABLE | $1,750 |
| TRUSTEES OF HAMILTON COLLEGE | |||||||
| 198 COLLEGE HILL RD | CLINTON | NY | 13323 | NONE | 501(C)(3) | EDUCATIONAL | $3,000 |
| WELLESLEY FRIENDS MEETING HOUSE CHURCH | |||||||
| 20 BENVENUE STREET | WELLESLEY | MA | 02482 | NONE | 501(C)(3) | CHARITABLE | $3,000 |
| WOMAN'S NATIONAL FARM & GARDEN ASSOCIATION | |||||||
| PO 325 | RAWSON | OH | 45881 | NONE | 501(C)(3) | CHARITABLE | $1,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $63,450 | 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 | $32,897 | ExclusionAmt |
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $27,266 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $78,576 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $138,739 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $138,739 | TotalIncomeProducingActyAmt |
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 | SULLIVAN BILLE PC | CategoryTxt |
| Amt | $3,100 | Amt |
| Net Investment Income | $3,100 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp (16 entries)
| BondBondNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| ALLFIRST PFD CAP TR NOTE | $52,592 | $59,366 |
| ALTRIA GROUP INC NOTE | $27,927 | $32,795 |
| BNSF FUNDING TRUST | $109,438 | $110,875 |
| BSB CAP TR I GTD CAP SECS | $30,366 | $30,138 |
| DEVON ENERGY CORP NEW BOND | $25,625 | $28,051 |
| GENENTECH INC NOTE | $69,135 | $63,396 |
| NEWMONT CORP NOTE CALL | $30,873 | $30,741 |
| NORTHERN TR CORP BOND | $25,097 | $26,910 |
| OCCIDENTAL PETE CORP NOTE | $26,181 | $26,700 |
| PLAINS ALL AMERN PIPELINE | $110,921 | $128,660 |
| ROGERS COMMUNICATIONS INC | $33,841 | $37,739 |
| SCRIPPS NETWORKS INTERACT | $24,341 | $25,841 |
| TRANSCANADA PIPELINES LTD | $6,934 | $6,814 |
| APPALACHIAN PWR CO | $59,370 | $57,597 |
| ORACLE CORP NOTE CALL | $73,951 | $73,447 |
| ONEOK PARTNERS LP NOTE | $58,910 | $63,153 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (23 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| ABBVIE INC COM | $37,022 | $54,160 |
| ALPHABET INC | $27,346 | $57,941 |
| BANK OF AMERICA | $21,117 | $45,602 |
| BRISTOL-MYERS SQUIBB CO COM | $52,425 | $56,115 |
| BROADCOM INC | $26,932 | $59,887 |
| CISCO SYS INC | $41,827 | $76,044 |
| GENERAL MOTORS INC | $32,626 | $51,477 |
| GILEAD SCIENCES INC | $44,357 | $43,566 |
| HONEYWELL INTERNATIONAL INC | $34,656 | $50,459 |
| INTL BUSINESS MACH | $42,296 | $47,449 |
| JP MORGAN CHASE & CO (JPM) | $26,149 | $60,173 |
| LOWES COS INC COM ISIN | $18,148 | $66,171 |
| MASTERCARD INCORPORATED | $35,925 | $46,712 |
| MICROSOFT CORP | $35,982 | $66,255 |
| NESTLE S SPON | $15,439 | $45,457 |
| ORACLE CORPORATION (ORCL) | $31,443 | $65,408 |
| PIONEER NATURAL RESOURCES CO | $53,616 | $72,752 |
| RAYTHEON TECH CORP | $44,142 | $60,156 |
| THERMO FISHER SCIENTIFIC INC | $4,436 | $53,379 |
| TJX COS INC | $31,780 | $53,144 |
| UNITEDHEALTH GROUP | $33,787 | $65,278 |
| ZIMMER BIOMET HOLDINGS INC | $35,972 | $38,239 |
| TRUIST FINL CORP | $48,948 | $47,367 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (2 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| AMERICAN TOWER CORP | AT COST | $56,313 | $73,125 |
| FIDELITY EMERGING MARKETS | AT COST | $52,780 | $49,121 |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CUMMULATIVE UNRECOGNIZED VALUE OF DONATED STOCK SOLD | Desc |
| Amt | $929 | Amt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| COMM MASS ANNUAL REPORT FILING FEE | $250 | $250 | $0 |
| BROKERAGE TRANSACTION FEES | $422 | $422 | $0 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | INVESTMENT MANAGEMENT FEE | CategoryTxt |
| Amt | $13,970 | Amt |
| Net Investment Income | $13,970 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| FOREIGN TAXES ON DIVIDEND INCOME | $420 | $420 | $0 |
| FEDERAL EXCISE TAX ON INVESTMENT | $270 | $0 | $0 |
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