EDITH CROCKER CHARITABLE TR: Form 990PF, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- EDITH CROCKER CHARITABLE TR (EIN 04-6935987)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-11
- IRS object ID
- 202241319349102944
- Schema version
- 2020v4.2
- 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 Govt Obligations Sch
- 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 | 2022-05-11T11:23:28-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 041335260 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | J M FORBES & CO LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 121 MT VERNON ST | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02108 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 046935987 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EDITH CROCKER CHARITABLE TRUST | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | EDIT | BusinessNameControlTxt |
| Phone | 6174235705 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | JM FORBES CO 121 MOUNT VERNON ST | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02108 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JEFFREY L BERNIER | PersonNm |
| Person Title | TRUSTEE | PersonTitleTxt |
| Phone | 6174235705 | PhoneNum |
| Signature | 2022-05-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JEFFREY | PersonFirstNm |
| Person Last | BERNIER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KELLY TURNER | PreparerPersonNm |
| PTIN | P01249418 | PTIN |
| Phone | 6174235705 | 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 | 2020 | 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 | $852,505 | 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 |
| Dividends Rev And Expnss | $15,177 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $15,104 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $46,929 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $189,045 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $46,929 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $62,106 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $62,033 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $0 | CompOfcrDirTrstDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $3,500 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $3,500 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $0 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $7,513 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $7,513 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $0 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $105 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $105 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $37 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $37 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $0 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $11,155 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $11,155 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $38,877 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $38,877 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $50,032 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $11,155 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $38,877 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $12,074 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $50,878 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $2 | CashBOYAmt |
| US Government Obligations BOY | $214,186 | USGovernmentObligationsBOYAmt |
| US Government Obligations EOY | $149,098 | USGovernmentObligationsEOYAmt |
| US Govt Obligations EOYFMV | $151,968 | USGovtObligationsEOYFMVAmt |
| Corporate Stock BOY | $237,760 | CorporateStockBOYAmt |
| Corporate Stock EOY | $281,787 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $559,835 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $105,712 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $124,344 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $124,959 | CorporateBondsEOYFMVAmt |
| Other Investments BOY | $0 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $14,324 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $15,743 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $557,660 | TotalAssetsBOYAmt |
| Total Assets EOY | $569,553 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $852,505 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Capital Stock BOY | $557,660 | CapitalStockBOYAmt |
| Capital Stock EOY | $569,553 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | $0 | RetainedEarningBOYAmt |
| Retained Earning EOY | $0 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $557,660 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $569,553 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $557,660 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $569,553 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $557,660 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $12,074 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $569,734 | SubtotalAmt |
| Other Decreases | $181 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $569,553 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (56 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | Gross Sales PriceGrossSalesPriceAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt | AcquiredAcquiredDt | SoldSoldDt | Cost Or Other BasisCostOrOtherBasisAmt |
|---|---|---|---|---|---|---|---|
| JM FORBES - LONG TERM CAP GAIN DIVIDENDS | P | $372 | $372 | $372 | |||
| FFCB 2.650% 8/13/29 | P | $25,000 | $0 | $0 | 2019-08-13 | 2020-08-13 | $25,000 |
| FIDELITY CONS INCOME BOND-IS | P | $14,985 | -$15 | -$15 | 2020-06-25 | 2021-03-09 | $15,000 |
| FIDELITY CONS INCOME BOND-IS | P | $10,250 | -$10 | -$10 | 2020-06-25 | 2021-04-22 | $10,260 |
| AMERICAN TOWER CORP REIT | P | $247 | -$4 | -$4 | 2020-09-02 | 2021-05-14 | $251 |
| FEDERATED HERMES MUNI ULTRASH0RT-R6 | P | $8,000 | $56 | $56 | 2020-06-25 | 2021-05-14 | $7,944 |
| FIDELITY CONS INCOME BOND-IS | P | $5,110 | $0 | $0 | 2020-06-25 | 2021-05-14 | $5,110 |
| HOME DEPOT INC | P | $646 | $121 | $121 | 2020-03-08 | 2021-05-14 | $525 |
| INTERCONTINENTAL EXCHANGE INC | P | $339 | $52 | $52 | 2020-05-19 | 2021-05-14 | $287 |
| PROLOGIS INC REIT | P | $229 | $22 | $22 | 2020-09-02 | 2021-05-14 | $207 |
| SPDR PORTFOLIO EMERGING MARKETS ETF | P | $478 | $23 | $23 | 2020-12-28 | 2021-05-14 | $455 |
| ENERGY SELECT SECTOR SPDR | P | $853 | $4 | $4 | 2020-03-08 | 2021-05-14 | $849 |
| TJX COS INC | P | $435 | $18 | $18 | 2020-04-22 | 2021-05-14 | $417 |
| WALMART INC | P | $279 | $39 | $39 | 2020-06-08 | 2021-05-14 | $240 |
| FFCB 2.870% 7/30/29 | P | $25,000 | $0 | $0 | 2019-07-29 | 2020-07-30 | $25,000 |
| HEXCEL CORP | P | $6,389 | $4,790 | $4,790 | 2020-08-11 | $1,599 | |
| CISCO SYSTEMS INC | P | $9,972 | $3,529 | $3,529 | 2016-05-02 | 2020-09-02 | $6,443 |
| U.S. TREASURY NOTES 2.750% 11/30/20 | P | $24,000 | $0 | $0 | 2018-12-06 | 2020-11-30 | $24,000 |
| ADOBE INC | P | $4,481 | $4,070 | $4,070 | 2013-08-23 | 2020-12-28 | $411 |
| ALPHABET INC CL A | P | $5,342 | $4,129 | $4,129 | 2020-12-28 | $1,213 | |
| EXXON MOBIL CORP | P | $3,167 | $3,144 | $3,144 | 2020-12-28 | $23 | |
| VISA INC CL A | P | $2,752 | $1,717 | $1,717 | 2015-11-05 | 2020-12-28 | $1,035 |
| ADOBE INC | P | $4,601 | $4,190 | $4,190 | 2013-08-23 | 2021-04-22 | $411 |
| PAYPAL HOLDINGS INC | P | $4,536 | $2,596 | $2,596 | 2020-03-05 | 2021-04-22 | $1,940 |
| ZOETIS INC | P | $6,082 | $4,931 | $4,931 | 2021-04-22 | $1,151 | |
| AT&T INC | P | $579 | -$126 | -$126 | 2019-11-05 | 2021-05-14 | $705 |
| ABBOTT LABS | P | $1,185 | $537 | $537 | 2018-08-20 | 2021-05-14 | $648 |
| ADOBE INC | P | $486 | $440 | $440 | 2013-08-23 | 2021-05-14 | $46 |
| AMAZON.COM INC | P | $3,218 | $1,265 | $1,265 | 2020-03-05 | 2021-05-14 | $1,953 |
| APPLE INC | P | $892 | $798 | $798 | 2011-09-12 | 2021-05-14 | $94 |
| BANK OF AMERICA CORP | P | $888 | $296 | $296 | 2019-05-28 | 2021-05-14 | $592 |
| BRISTOL MYERS SQUIBB CO | P | $194 | $12 | $12 | 2019-12-06 | 2021-05-14 | $182 |
| COCA COLA CO | P | $438 | $59 | $59 | 2019-01-14 | 2021-05-14 | $379 |
| ECOLAB INC | P | $225 | $79 | $79 | 2018-08-15 | 2021-05-14 | $146 |
| HONEYWELL INTERNATIONAL INC | P | $1,139 | $593 | $593 | 2016-05-02 | 2021-05-14 | $546 |
| INTL. BUSINESS MACHINES CORP | P | $724 | $68 | $68 | 2020-03-05 | 2021-05-14 | $656 |
| ISHARES BIOTECHNOLOGY ETF | P | $150 | $83 | $83 | 2013-08-01 | 2021-05-14 | $67 |
| JP MORGAN CHASE & CO | P | $1,311 | $559 | $559 | 2017-08-08 | 2021-05-14 | $752 |
| JOHNSON & JOHNSON | P | $681 | $675 | $675 | 1980-02-15 | 2021-05-14 | $6 |
| MERCK & CO INC | P | $548 | $279 | $279 | 2012-02-08 | 2021-05-14 | $269 |
| MICROSOFT CORP | P | $995 | $903 | $903 | 2009-06-12 | 2021-05-14 | $92 |
| NESTLE SA SPONS ADR | P | $724 | $420 | $420 | 2010-04-15 | 2021-05-14 | $304 |
| NEXTERA ENERGY INC | P | $293 | $252 | $252 | 2005-08-12 | 2021-05-14 | $41 |
| PAYPAL HOLDINGS INC | P | $738 | $396 | $396 | 2020-03-05 | 2021-05-14 | $342 |
| PEPSICO INC | P | $147 | $97 | $97 | 2004-08-30 | 2021-05-14 | $50 |
| PROCTER & GAMBLE CO | P | $691 | $674 | $674 | 1973-07-24 | 2021-05-14 | $17 |
| SALESFORCE.COM | P | $653 | $477 | $477 | 2015-01-08 | 2021-05-14 | $176 |
| UNION PAC CORP | P | $686 | $589 | $589 | 2009-12-10 | 2021-05-14 | $97 |
| VERIZON COMMUNICATIONS | P | $470 | $248 | $248 | 2010-04-15 | 2021-05-14 | $222 |
| VISA INC CL A | P | $454 | $295 | $295 | 2015-11-05 | 2021-05-14 | $159 |
| XYLEM INC | P | $474 | $169 | $169 | 2018-08-20 | 2021-05-14 | $305 |
| ZOETIS INC | P | $344 | $298 | $298 | 2012-06-26 | 2021-05-14 | $46 |
| LINDE PLC | P | $903 | $413 | $413 | 2018-10-31 | 2021-05-14 | $490 |
| ISHARES GOLD TRUST | P | $18 | $2 | $2 | 2020-05-12 | 2021-06-03 | $16 |
| LINDE PLC | P | $5,243 | $2,301 | $2,301 | 2018-10-31 | 2021-06-09 | $2,942 |
| ORGANON & CO | P | $9 | $4 | $4 | 2012-02-08 | 2021-06-24 | $5 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $46,929 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $707 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $707 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $707 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $900 | 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 | $900 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Overpayment | $193 | OverpaymentAmt |
| Applied To ES Tax | $193 | AppliedToESTaxAmt |
| Refund | $0 | RefundAmt |
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 | WWW.GUIDESTAR.ORG | WebsiteAddressTxt |
| Individual With Books | JEFFREY L BERNIER TRUSTEE | IndividualWithBooksNm |
| Phone | 6174235705 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | J M FORBES CO LLP 121 MOUNT VERNON | AddressLine1Txt |
| Address Line2 | STREET | AddressLine2Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02108 | 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 (2 entries)
| Address Line1USAddress/AddressLine1Txt | Address Line2USAddress/AddressLine2Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|---|
| DAVID C WARNER | |||||||||
| C/O J M FORBES COLLP 121 MOUNT | VERNON ST | BOSTON | MA | 02108 | TRUSTEE | 2.00 | $0 | $0 | $0 |
| JEFFREY L BERNIER | |||||||||
| C/O J M FORBES COLLP 121 MOUNT | VERNON ST | BOSTON | MA | 02108 | TRUSTEE | 2.00 | $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 | $828,543 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $0 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $828,543 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $828,543 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $12,428 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $816,115 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $40,806 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $40,806 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $707 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $707 | TotalTaxAmt |
| Distributable Before Adj | $40,099 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $40,099 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $40,099 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $38,877 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $38,877 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $38,877 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $40,099 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $38,877 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Total Excess Distribution Cyov | $0 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $38,877 | QualifyingDistributionsAmt |
| Applied To Year1 | $38,877 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $0 | 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 | $40,099 | 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 | JEFFREY L BERNIER | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | C/O J M FORBES COLLP 121 MOUNT | AddressLine1Txt |
| Address Line2 | VERNON ST | AddressLine2Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02108 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 6174235705 | RecipientPhoneNum |
| Form And Info And Materials | BY LETTER DESCRIBING THE NEEDS OF THE CHARITABLE ORGANIZATION. | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | NONE | SubmissionDeadlinesTxt |
| Restrictions On Awards | BASED ON AVAILABLE FUNDS | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (30 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt | Address Line2RecipientUSAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|
| A PLACE TO TURN | ||||||||
| 99R HARTFORD STREET | NATICK | MA | 01778 | N/A | PUBLIC | NOT RESTRICTIVE, GENERAL USE OF ORGANIZATION | $1,000 | |
| AMMONOOSUC COMMUNITY HEALTH SERVICES | ||||||||
| 25 MT EUSTIS RD | LITTLETON | NH | 03561 | N/A | PUBLIC | NOT RESTRICTIVE, GENERAL USE OF ORGANIZATION | $250 | |
| AMMONOOSUC CONSERVATION TRUST | ||||||||
| PO BOX 191 | FRANCONIA | NH | 03585 | N/A | PUBLIC | NOT RESTRICTIVE, GENERAL USE OF ORGANIZATION | $1,500 | |
| AUDOBON SOCIETY OF NH | ||||||||
| 84 SILK FARM ROAD | CONCORD | NH | 03301 | N/A | PUBLIC | NOT RESTRICTIVE, GENERAL USE OF ORGANIZATION | $600 | |
| BETHANY HILL PLACE | ||||||||
| 89 BETHANY ROAD | FRAMINGHAM | MA | 01702 | N/A | PUBLIC | NOT RESTRICTIVE, GENERAL USE OF ORGANIZATION | $1,000 | |
| BOYS AND GIRLS CLUB OF MANCHESTER FBO NORTH COUNTRY UNIT | ||||||||
| PO BOX 111 | LITTLETON | NH | 03561 | N/A | PUBLIC | NOT RESTRICTIVE, GENERAL USE OF ORGANIZATION | $6,000 | |
| CAMP SUNSHINE | ||||||||
| 35 ACADIA ROAD | CASCO | ME | 04015 | N/A | PUBLIC | NOT RESTRICTIVE, GENERAL USE OF ORGANIZATION | $750 | |
| COLONIAL THEATRE | ||||||||
| PO BOX 204 | BETHLEHEM | NH | 03574 | N/A | PUBLIC | NOT RESTRICTIVE, GENERAL USE OF ORGANIZATION | $600 | |
| COPPER CANNON CAMP | ||||||||
| PO BOX 124 | FRANCONIA | NH | 03580 | N/A | PUBLIC | NOT RESTRICTIVE, GENERAL USE OF ORGANIZATION | $3,004 | |
| CURING KIDS FUND | ||||||||
| FOUNDATION OF THE MEEI 243 CHARLES | BOSTON | MA | 02114 | N/A | PUBLIC | NOT RESTRICTIVE, GENERAL USE OF ORGANIZATION | $1,000 | STREET |
| DOVER LAND CONSERVATION TRUST | ||||||||
| PO BOX 562 | DOVER | MA | 02030 | N/A | PUBLIC | NOT RESTRICTIVE, GENERAL USE OF ORGANIZATION | $300 | |
| DUCKS UNLIMITED INC | ||||||||
| ONE WATERFOWL WAY | MEMPHIS | TN | 38120 | N/A | PUBLIC | NOT RESTRICTIVE, GENERAL USE OF ORGANIZATION | $300 | |
| FAIRBANKS MUSEUM | ||||||||
| 1302 MAIN STREET | ST JOHNSBURY | VT | 05819 | N/A | PUBLIC | NOT RESTRICTIVE, GENERAL USE OF ORGANIZATION | $600 | |
| FEEDING AMERICA | ||||||||
| PO BOX 96749 | WASHINGTON | DC | 20090 | N/A | PUBLIC | NOT RESTRICTIVE, GENERAL USE OF ORGANIZATION | $1,871 | |
| GRACE PLACE FOR CHILDREN & FAMILIES | ||||||||
| PO BOX 990531 | NAPLES | FL | 34116 | N/A | PUBLIC | NOT RESTRICTIVE, GENERAL USE OF ORGANIZATION | $1,500 | |
| LISBON LIONS | ||||||||
| PO BOX 57 | LISBON | NH | 03585 | N/A | PUBLIC | NOT RESTRICTIVE, GENERAL USE OF ORGANIZATION | $1,200 | |
| LISBON REGIONAL SCHOOL EDUCATION FOUNDATION | ||||||||
| PO BOX 113 | LISBON | NH | 03585 | N/A | GOVERNMENT | NOT RESTRICTIVE, GENERAL USE OF ORGANIZATION | $500 | |
| LITTLETON STUDIO SCHOOL | ||||||||
| 21 MILL STREET | LITTLETON | NH | 03561 | N/A | PUBLIC | NOT RESTRICTIVE, GENERAL USE OF ORGANIZATION | $500 | |
| MCCLURE MILLER RESPITE HOUSE | ||||||||
| 1110 PRIM ROAD | COLCHESTER | VT | 05446 | N/A | PUBLIC | NOT RESTRICTIVE, GENERAL USE OF ORGANIZATION | $500 | |
| NASHOBA LEARNING GROUP | ||||||||
| 10 OAK PARK DRIVE | BEDFORD | MA | 01730 | N/A | PUBLIC | NOT RESTRICTIVE, GENERAL USE OF ORGANIZATION | $2,254 | |
| NEW ENGLAND FORESTRY FOUNDATION | ||||||||
| PO BOX 1346 | LITTLETON | MA | 01460 | N/A | PUBLIC | NOT RESTRICTIVE, GENERAL USE OF ORGANIZATION | $300 | |
| NORTH COUNTRY CHAMBER PLAYERS | ||||||||
| PO BOX 865 | FRANCONIA | NH | 03580 | N/A | PUBLIC | NOT RESTRICTIVE, GENERAL USE OF ORGANIZATION | $250 | |
| NORTH COUNTRY HOME HEALTH & HOSPICE | ||||||||
| 536 COTTAGE STREET | LITTLETON | NH | 03561 | N/A | PUBLIC | NOT RESTRICTIVE, GENERAL USE OF ORGANIZATION | $1,000 | |
| SECOND CHANCE ANIMAL RESCUE | ||||||||
| 1517 MEADOW STREET | LITTLETON | NH | 03561 | N/A | PUBLIC | NOT RESTRICTIVE, GENERAL USE OF ORGANIZATION | $600 | |
| SOCIETY FOR PROTECTION OF NH FORESTS | ||||||||
| 54 PORTSMOUTH ST | CONCORD | NH | 03301 | N/A | PUBLIC | NOT RESTRICTIVE, GENERAL USE OF ORGANIZATION | $1,200 | |
| TECH GOES HOME | ||||||||
| 867 BOYLSTON ST 5TH FL | BOSTON | MA | 02116 | N/A | PUBLIC | NOT RESTRICTIVE, GENERAL USE OF ORGANIZATION | $2,254 | |
| TEXAS CHILDREN'S HOSPITAL | ||||||||
| SUITE 5214 PO BOX 300630 | HOUSTON | TX | 77230 | N/A | PUBLIC | NOT RESTRICTIVE, GENERAL USE OF ORGANIZATION | $2,500 | |
| THE BANCROFT HOUSE | ||||||||
| PO BOX 344 | FRANCONIA | NH | 03580 | N/A | PUBLIC | NOT RESTRICTIVE, GENERAL USE OF ORGANIZATION | $1,036 | |
| WELLSPRING HOUSE INC | ||||||||
| 302 ESSEX AVENUE | GLOUCESTER | MA | 01930 | N/A | PUBLIC | NOT RESTRICTIVE, GENERAL USE OF ORGANIZATION | $2,254 | |
| WORLD OCEAN SCHOOL | ||||||||
| PO BOX 51091 | BOSTON | MA | 02205 | N/A | PUBLIC | NOT RESTRICTIVE, GENERAL USE OF ORGANIZATION | $2,254 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $38,877 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Related Or Exempt Function Incm | $15,177 | RelatedOrExemptFunctionIncmAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Related Or Exempt Function Incm | $46,929 | RelatedOrExemptFunctionIncmAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $0 | ExclusionAmt |
| Related Or Exempt Function Incm | $62,106 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $62,106 | 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 | ASSETS ARE INVESTED IN A BROKERAGE ACCOUNT TO GENERATE INVESTMENT |
| 4 | INCOME TO SUPPORT THE TRUST'S EXEMPT PURPOSE |
| 8 | SAME AS ABOVE |
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 | J M FORBES & CO. LLP TAX PREP. | CategoryTxt |
| Amt | $3,500 | Amt |
| Net Investment Income | $3,500 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond | INVESTMENTS-CORPORATE BONDS | BondNm |
| EOY Book Value | $124,344 | EOYBookValueAmt |
| EOYFMV | $124,959 | EOYFMVAmt |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Stock | INVESTMENTS-CORPORATE STOCK | StockNm |
| EOY Book Value | $281,787 | EOYBookValueAmt |
| EOYFMV | $559,835 | EOYFMVAmt |
Investments Govt Obligations Sch InvestmentsGovtObligationsSch
| Field | Value | IRS element (for citing) |
|---|---|---|
| US Govt Obligations Book Vl EOY | $141,857 | USGovtObligationsBookVlEOYAmt |
| US Govt Obligations EOYFMV | $144,676 | USGovtObligationsEOYFMVAmt |
| State Local Sec Book Vl EOY | $7,241 | StateLocalSecBookVlEOYAmt |
| State Local Sec EOYFMV | $7,292 | StateLocalSecEOYFMVAmt |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category Or Item | INVESTMENTS-INTERNATIONAL FUNDS | CategoryOrItemTxt |
| Listed At Cost Or FMV | AT COST | ListedAtCostOrFMVCd |
| Book Value | $14,324 | BookValueAmt |
| EOYFMV | $15,743 | EOYFMVAmt |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | BOOK TO TAX ADJUSTMENT | Desc |
| Amt | $181 | Amt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| COMMONWEALTH OF MASS FILING FEE | $35 | $35 | $0 |
| ADR FEES | $2 | $2 | $0 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | J M FORBES & CO. LLP INVESTMENTS ADVISORS | CategoryTxt |
| Amt | $7,513 | Amt |
| Net Investment Income | $7,513 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | FOREIGN TAX WITHHELD ON DIVIDENDS | CategoryTxt |
| Amt | $105 | Amt |
| Net Investment Income | $105 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Comments