DAVIS FAM CHARITABLE FNDN: Form 990PF, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- DAVIS FAM CHARITABLE FNDN (EIN 05-6149205)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-14
- IRS object ID
- 202233189349102438
- 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
- Schedule B
- Accounting Fees Schedule
- General Explanation Attachment
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Other Income Schedule2
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-14T12:16:43-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 043245662 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVIES & MONAHAN PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 BATTERYMARCH PARK STE 101 | AddressLine1Txt |
| City | QUINCY | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 021697454 | 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 | 056149205 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVIS FAMILY CHARITABLE FOUNDATION | BusinessNameLine1Txt |
| Business Name Line2 | JONATHAN G DAVIS ET AL TTEE | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | DAVI | BusinessNameControlTxt |
| Phone | 6174511300 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 125 HIGH ST STE 2111 | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02110 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JONATHAN DAVIS | PersonNm |
| Person Title | TRUSTEE | PersonTitleTxt |
| Phone | 6174511300 | PhoneNum |
| Signature | 2022-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JONATHAN | PersonFirstNm |
| Person Last | DAVIS | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KELLY A MCLAUGHLIN | PreparerPersonNm |
| PTIN | P00088611 | PTIN |
| Phone | 6177699600 | PhoneNum |
| Preparation | 2022-11-14 | PreparationDt |
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 | $54,071,483 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $6,212,544 | ContriRcvdRevAndExpnssAmt |
| Interest On Sav Rev And Expnss | $109,839 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $109,839 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $417,196 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $417,196 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $5,011,780 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $12,226,433 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $10,752,259 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $340,128 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $8,118 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | $12,091,487 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $11,287,412 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $73,961 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $73,961 | CompOfcrDirTrstDsbrsChrtblAmt |
| Pension Empl Bnft Rev And Expnss | $22,426 | PensionEmplBnftRevAndExpnssAmt |
| Pension Empl Bnft Net Invst Incm | $0 | PensionEmplBnftNetInvstIncmAmt |
| Pension Empl Bnft Dsbrs Chrtbl | $22,426 | PensionEmplBnftDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $31,575 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $0 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $0 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $294,839 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $185,009 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $106,230 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $58,882 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $2,175 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $6,412 | TaxesDsbrsChrtblAmt |
| Occupancy Rev And Expnss | $7,056 | OccupancyRevAndExpnssAmt |
| Occupancy Net Invst Incm | $0 | OccupancyNetInvstIncmAmt |
| Occupancy Dsbrs Chrtbl | $7,056 | OccupancyDsbrsChrtblAmt |
| Trav Conf Meeting Rev And Expnss | $3,199 | TravConfMeetingRevAndExpnssAmt |
| Trav Conf Meeting Net Invst Incm | $0 | TravConfMeetingNetInvstIncmAmt |
| Trav Conf Meeting Dsbrs Chrtbl | $3,199 | TravConfMeetingDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $491,938 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $187,184 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $219,284 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $2,203,000 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $2,203,000 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $2,694,938 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $187,184 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $2,422,284 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $9,396,549 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $11,100,228 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $2,460,581 | CashBOYAmt |
| Cash EOY | $2,547,333 | CashEOYAmt |
| Cash EOYFMV | $2,547,333 | CashEOYFMVAmt |
| Other Nts And Loans Rcvbl | $100,000 | OtherNtsAndLoansRcvblAmt |
| Other Rcvbl Allwnc Dbtfl Acct | $0 | OtherRcvblAllwncDbtflAcctAmt |
| Other Nts And Loans Rcvbl BOY | $100,000 | OtherNtsAndLoansRcvblBOYAmt |
| Other Nts And Loans Rcvbl EOY | $100,000 | OtherNtsAndLoansRcvblEOYAmt |
| Other Nts And Loans Rcvbl EOYFMV | $100,000 | OtherNtsAndLoansRcvblEOYFMVAmt |
| Corporate Stock BOY | $328,776 | CorporateStockBOYAmt |
| Corporate Stock EOY | $5,733,689 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $5,936,635 | CorporateStockEOYFMVAmt |
| Other Investments BOY | $26,349,947 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $30,254,831 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $45,487,515 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $29,239,304 | TotalAssetsBOYAmt |
| Total Assets EOY | $38,635,853 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $54,071,483 | 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 | $29,239,304 | RetainedEarningBOYAmt |
| Retained Earning EOY | $38,635,853 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $29,239,304 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $38,635,853 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $29,239,304 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $38,635,853 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $29,239,304 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $9,396,549 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $38,635,853 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $38,635,853 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (9 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|---|---|
| 9141 SHARES SNOWFLAKE INC | D | 2017-03-24 | 2021-02-01 | $2,536,663 | $31,993 | $2,504,670 | $2,504,670 |
| 12811 SHS SNOWFLAKE INC | D | 2017-03-24 | 2021-08-06 | $3,554,644 | $44,839 | $3,509,805 | $3,509,805 |
| PUBLICLY TRADED SECURITIES | P | 2021-12-31 | $690,193 | $836,960 | -$146,767 | -$146,767 | |
| 436 SHS COINBASE GLOBAL | P | 2019-10-15 | 2021-04-15 | $139,577 | $10,028 | $129,549 | $129,549 |
| PARTNERSHIP INVESTMENTS | P | 2021-12-31 | $372,176 | $372,176 | $372,176 | ||
| PARTNERSHIP INVESTMENTS | P | 2021-12-31 | $4,327,297 | $4,327,297 | $4,327,297 | ||
| PARTNERSHIP INVESTMENTS-UBTI | P | 2020-01-01 | 2021-12-31 | $237,393 | $237,393 | $0 | $0 |
| PARTNERSHIP INVESTMENTS - 1231 | P | 2020-01-01 | 2021-12-31 | $51,298 | $51,298 | $51,298 | |
| PUBLICLY TRADED SECURITIES | P | 2021-02-04 | 2021-12-31 | $317,192 | $312,961 | $4,231 | $4,231 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $10,752,259 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $154,293 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $154,293 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $154,293 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $19,851 | EstimatedPlusOvpmtIncmTxAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Extsn Request Income Tax Paid | $250,000 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $269,851 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $37 | EsPenaltyAmt |
| Overpayment | $115,521 | OverpaymentAmt |
| Applied To ES Tax | $115,521 | 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 | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| 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 | DAVISFAMILYCF.ORG | WebsiteAddressTxt |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JONATHAN G DAVIS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6174511300 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 125 HIGH STREET SUITE 2111 | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02110 | 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 |
|---|---|---|---|---|---|---|---|---|
| JONATHAN G DAVIS | ||||||||
| 125 HIGH STREET SUITE 2111 | BOSTON | MA | 02110 | TRUSTEE | 1.00 | $0 | $0 | $0 |
| MARGOT T DAVIS | ||||||||
| 125 HIGH STREET SUITE 2111 | BOSTON | MA | 02110 | TRUSTEE | 0.50 | $0 | $0 | $0 |
| MOLLY DAVIS MACLEOD | ||||||||
| 125 HIGH STREET SUITE 2111 | BOSTON | MA | 02110 | TRUSTEE/PROGRAM OFFICER | 20.00 | $73,961 | $22,426 | $0 |
| STEPHEN T DAVIS | ||||||||
| 125 HIGH STREET SUITE 2111 | BOSTON | MA | 02110 | TRUSTEE | 0.50 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Other Employee Paid Over50k | 0 | OtherEmployeePaidOver50kCnt |
Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Service TypeServiceTypeTxt | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PARTNERS CAPITAL INVESTMENT GROUP LLC | |||||
| 600 ATLANTIC AVENUE | BOSTON | MA | 02110 | INVESTMENT MANAGEMENT FEES | $122,841 |
| THE PHILANTHROPIC INITIATIVE | |||||
| 75 ARLINGTON STREET SUITE 710 | BOSTON | MA | 02116 | CHARITABLE GRANT CONSULTING | $105,788 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | $2,850,130 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $3,667,711 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $42,030,210 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $48,548,051 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $48,548,051 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $728,221 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $47,819,830 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $2,390,992 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $2,390,992 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $154,293 | TaxBasedOnInvestmentIncomeAmt |
| Income Tax | $102,450 | IncomeTaxAmt |
| Total Tax | $256,743 | TotalTaxAmt |
| Distributable Before Adj | $2,134,249 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $2,134,249 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $2,134,249 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $2,422,284 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $2,422,284 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $2,134,249 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr2 | $887,772 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $428,012 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $1,315,784 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $2,422,284 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $2,134,249 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $288,035 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $1,603,819 | 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 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $1,603,819 | ExcessDistriCyovToNextYrAmt |
| Excess From Year2 | $887,772 | ExcessFromYear2Amt |
| Excess From Year1 | $428,012 | ExcessFromYear1Amt |
| Excess From Current Year | $288,035 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | JONATHAN G DAVIS | ContributingManagerNm |
| Contributing Manager | MARGOT T DAVIS | ContributingManagerNm |
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (40 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|
| ALZHEIMER'S ASSOCIATION | ||||||
| 309 WAVERLY OAKS ROAD | WALTHAM | MA | 02452 | PUBLIC CHARITY | CHARITABLE GIFT | $10,000 |
| ANTI-DEFAMATION LEAGUE | ||||||
| 40 COURT STREET | BOSTON | MA | 02108 | PUBLIC CHARITY | CHARITABLE GIFT | $10,000 |
| AUSBON SARGENT LAND PRESERVATION TRUST | ||||||
| PO BOX 2040 | NEW LONDON | NH | 03257 | PUBLIC CHARITY | CHARITABLE GIFT | $2,500 |
| BIG BROTHERS BIG SISTERS OF MASSACHUSETTS | ||||||
| 75 FEDERAL STREET 8TH FLOOR | BOSTON | MA | 02110 | PUBLIC CHARITY | CHARITABLE GIFT | $50,000 |
| BOSTON CHILDRENS HOSPITAL | ||||||
| 401 PARK DRIVE SUITE 602 | BOSTON | MA | 02115 | PUBLIC CHARITY | CHARITABLE GIFT | $130,500 |
| BOSTON FOUNDATION | ||||||
| 75 ARLINGTON STREET ST 300 | BOSTON | MA | 02116 | PUBLIC CHARITY | CHARITABLE GIFT | $20,000 |
| BOYS & GIRLS CLUBS BOSTON | ||||||
| 200 HIGH STREET 3RD FLOOR | BOSTON | MA | 02110 | PUBLIC CHARITY | CHARITABLE GIFT | $265,000 |
| BRANDEIS UNIVERSITY | ||||||
| 415 SOUTH ST MS 126 | WALTHAM | MA | 02454 | PUBLIC CHARITY | CHARITABLE GIFT | $210,000 |
| COMBINED JEWISH PHILANTHROPIES | ||||||
| 126 HIGH STREET | BOSTON | MA | 02110 | PUBLIC CHARITY | CHARITABLE GIFT | $100,000 |
| COOLIDGE CORNER THEATER FOUNDATION INC | ||||||
| 290 HARVARD STREET | BROOKLINE | MA | 02446 | PUBLIC CHARITY | CHARITABLE GIFT | $172,000 |
| GEORGETOWN UNIVERSITY | ||||||
| 2115 WISCONSIN AVE NW SUITE 500 | WASHINGTON | DC | 20007 | PUBLIC CHARITY | CHARITABLE GIFT | $2,500 |
| GREATER BOSTON LEGAL SERVICES | ||||||
| 197 FRIEND STREET | BOSTON | MA | 02114 | PUBLIC CHARITY | CHARITABLE GIFT | $5,000 |
| HEADING HOME | ||||||
| 529 MAIN STREET SUITE 100 | CHARLESTOWN | MA | 02129 | PUBLIC CHARITY | CHARITABLE GIFT | $25,000 |
| JEWISH VOCATIONAL SERVICES | ||||||
| 75 FEDERAL STREET | BOSTON | MA | 02110 | PUBLIC CHARITY | CHARITABLE GIFT | $135,000 |
| LAKE SUNAPEE PROTECTIVE ASSOCIATION | ||||||
| 63 MAIN STREET PO BOX 683 | SUNAPEE | NH | 03782 | PUBLIC CHARITY | CHARITABLE GIFT | $10,000 |
| LEHIGH UNIVERSITY | ||||||
| 306 S NEW ST SUITE 500 | BETHLEHAM | PA | 18015 | PUBLIC CHARITY | CHARITABLE GIFT | $2,500 |
| LESLEY UNIVERSITY | ||||||
| 29 EVERETT STREET | CAMBRIDGE | MA | 02138 | PUBLIC CHARITY | CHARITABLE GIFT | $25,000 |
| NEW LONDON HOSPITAL | ||||||
| 273 COUNTY ROAD | NEW LONDON | NH | 03257 | PUBLIC CHARITY | CHARITABLE GIFT | $2,500 |
| SAVE THE CHILDREN FEDERATION | ||||||
| 501 KINGS HIGHWAY EAST SUITE 400 | FAIRFIELD | CT | 16825 | PUBLIC CHARITY | CHARITABLE GIFT | $245,000 |
| TEMPLE ISRAEL | ||||||
| 477 LONGWOOD AVENUE | BOSTON | MA | 02115 | PUBLIC CHARITY | CHARITABLE GIFT | $15,000 |
| THE PARK SCHOOL | ||||||
| 171 GODDARD AVE | BROOKLINE | MA | 02445 | PUBLIC CHARITY | CHARITABLE GIFT | $5,000 |
| THE TRUSTEES OF RESERVATIONS | ||||||
| 200 HIGH STREET 4TH FLOOR | BOSTON | MA | 02110 | PUBLIC CHARITY | CHARITABLE GIFT | $20,000 |
| WBUR BOSTON | ||||||
| 890 COMMONWEALTH AVENUE 3RD FL | BOSTON | MA | 02215 | PUBLIC CHARITY | CHARITABLE GIFT | $265,000 |
| WESTOVER SCHOOL | ||||||
| 1237 WHITTLEMORE ROAD | MIDDLEBURY | CT | 06762 | PUBLIC CHARITY | CHARITABLE GIFT | $3,000 |
| URBAN COLLEGE OF BOSTON | ||||||
| 2 BOYLSTON ST2 | BOSTON | MA | 02116 | PUBLIC CHARITY | CHARITABLE GIFT | $25,000 |
| UNITED WAY OF MASS | ||||||
| 9 CHANNEL CENTER ST UNIT 500 | BOSTON | MA | 02210 | PUBLIC CHARITY | CHARITABLE GIFT | $50,000 |
| THE RECORD CO | ||||||
| 960 MASS AVE | BOSTON | MA | 02118 | PUBLIC CHARITY | CHARITABLE GIFT | $10,000 |
| SUMMER SEARCH | ||||||
| 3840 WASHINGTON STREET | BOSTON | MA | 02130 | PUBLIC CHARITY | CHARITABLE GIFT | $2,500 |
| SOLSTICE INITIATIVE | ||||||
| 186 ALEWIFE BROOK PKWAY1048 | CAMBRIDGE | MA | 02138 | PUBLIC CHARITY | CHARITABLE GIFT | $15,000 |
| PROJECT BREAD | ||||||
| 145 BORDER STREET | BOSTON | MA | 02128 | PUBLIC CHARITY | CHARITABLE GIFT | $50,000 |
| MASS HOUSING & SHELTER ALLIANCE | ||||||
| 7 BLUFINCH PL201 | BOSTON | MA | 02114 | PUBLIC CHARITY | CHARITABLE GIFT | $5,000 |
| LOVIN' SPOONFULS | ||||||
| 1304 COMMONWEALTH AVE | BOSTON | MA | 02134 | PUBLIC CHARITY | CHARITABLE GIFT | $25,000 |
| INNERCITY WEIGHTLIFING INC | ||||||
| PO BOX 171313 | BOSTON | MA | 02117 | PUBLIC CHARITY | CHARITABLE GIFT | $50,000 |
| FRANCISCAN CHILDREN'S | ||||||
| 30 WARREN STREET | BRIGHTON | MA | 02135 | PUBLIC CHARITY | CHARITABLE GIFT | $50,000 |
| FAMILY AID BOSTON INC | ||||||
| 3815 WASHINGTON STREET | BOSTON | MA | 02130 | PUBLIC CHARITY | CHARITABLE GIFT | $75,000 |
| EMERSON HEALTH CARE FOUNDATION | ||||||
| 133 OLD RD TO NINE ACRE CORNER | CONCORD | MA | 01742 | PUBLIC CHARITY | CHARITABLE GIFT | $5,000 |
| CAMBRIDGE HEALTH ALLIANCE FOUNDATION | ||||||
| 1493 CAMBRIDGE STREET | CAMBRIDGE | MA | 02139 | PUBLIC CHARITY | CHARITABLE GIFT | $10,000 |
| BOTTOM LINE | ||||||
| 500 AMORY ST STE 3 | JAMAICA PLAIN | MA | 02130 | PUBLIC CHARITY | CHARITABLE GIFT | $25,000 |
| BOSTON MEDICAL CENTER | ||||||
| ONE BOSTON MEDICAL CENTER PL | BOSTON | MA | 02118 | PUBLIC CHARITY | CHARITABLE GIFT | $50,000 |
| EAST BOSTON NEIGHBORHOOD HEALTH CENTER | ||||||
| 10 GOVE STREET | EAST BOSTON | MA | 02128 | PUBLIC CHARITY | CHARITABLE GIFT | $25,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $2,203,000 | 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 | $109,839 | ExclusionAmt |
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $417,196 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business | 531390 | BusinessCd |
| Unrelated Business Taxbl Incm | $237,393 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | 18 | ExclusionCd |
| Exclusion | $4,774,387 | ExclusionAmt |
Other Revenue Described OtherRevenueDescribedGrp (3 entries)
| DescDesc | ExclusionExclusionCd | ExclusionExclusionAmt | Related Or Exempt Function IncmRelatedOrExemptFunctionIncmAmt | BusinessBusinessCd | Unrelated Business Taxbl IncmUnrelatedBusinessTaxblIncmAmt |
|---|---|---|---|---|---|
| PASSTHROUGH ENTITIES | 01 | $8,118 | $0 | ||
| PASSTHROUGH ENTITIES-UBIT | $0 | 531390 | $286,488 | ||
| FEDERAL TAX REFUND | 01 | $45,522 | $0 |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $523,881 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $5,355,062 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $5,878,943 | 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 |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| General Rule | Yes (X) | GeneralRuleInd |
Contributor Information ContributorInformationGrp (3 entries)
| ContributorContributorNum | Address Line1ContributorUSAddress/AddressLine1Txt | CityContributorUSAddress/CityNm | State AbbreviationContributorUSAddress/StateAbbreviationCd | ZIPContributorUSAddress/ZIPCd | Total ContributionsTotalContributionsAmt | Person ContributionPersonContributionInd | Noncash ContributionNoncashContributionInd |
|---|---|---|---|---|---|---|---|
| JONATHAN AND MARGOT DAVIS | |||||||
| 1 | 125 HIGH STREET SUITE 2111 | BOSTON | MA | 02110 | $157,840 | Yes (X) | |
| JONATHAN AND MARGOT DAVIS | |||||||
| 2 | 125 HIGH STREET SUITE 2111 | BOSTON | MA | 02110 | $2,543,849 | Yes (X) | |
| JONATHAN AND MARGOT DAVIS | |||||||
| 3 | 125 HIGH STREET SUITE 2111 | BOSTON | MA | 02110 | $3,510,855 | Yes (X) | |
Non Cash Property Contribution NonCashPropertyContributionGrp (2 entries)
| ContributorContributorNum | Noncash PropertyNoncashPropertyDesc | Fair Market ValueFairMarketValueAmt | ReceivedReceivedDt |
|---|---|---|---|
| 2 | 9,141 SHARES SNOWFLAKE COMMON STOCK | $2,543,849 | 2021-02-01 |
| 3 | 12,811 SHARES OF SNOWFLAKE COMMON STOCK | $3,510,855 | 2021-08-06 |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING | CategoryTxt |
| Amt | $31,575 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
General Explanation Attachment GeneralExplanationAttachment
General Explanation GeneralExplanationGrp (4 entries)
| IdentifierIdentifierTxt | Form And Line ReferenceFormAndLineReferenceDesc | Medium ExplanationMediumExplanationTxt |
|---|---|---|
| INFORMATION PROVIDED BY RIVA CAPITAL PARTNERS IV LP: | FORM 8886 LINE 7E: | THE TAXPAYER IS FILING BECAUSE THEY BECAME AWARE OF THEIR POTENTIAL INVOLVEMENT IN A "TRANSACTION OF INTEREST", WHICH REQUIRES DISCLOSURE UNDER SECTION 1.6001-4(D), SHORTLY AFTER NOVEMBER 1, 2016,WHEN NOTICE 2016-66 ("THE NOTICE") WAS PUBLISHED. THE TAXPAYER HAS TAKEN TAX DEDUCTIONS UNDERIRC 162 FOR INSURANCE PREMIUMS PAID TO GAH INSURANCE COMPANY, LLC ("GAH"), WHO WAS ESTABLISHED IN 2015 AS A CAPTIVE INSURANCE COMPANY UNDER THE LAWS OF THE STATE OF VERMONT. GAH MADE AN IRREVOCABLE ELECTION UNDER SECTION 831(B) IN 2015, TO BE A SMALL INSURANCE COMPANY TAXABLE ONLY ON INVESTMENT INCOME, LESS CERTAIN ADMINISTRATIVE EXPENSES. UNDER THIS ELECTION, ALL UNDERWRITING ACTIVITY IS EXCLUDED FROM GAH'S TAXABLE INCOME WHILE THE TAXPAYER, AS AN INSURED, CAN TAKE A TAX DEDUCTION FOR THE PREMIUMS PAID TO GAH.THE TAXPAYER IS REPORTING ON A PROTECTIVE BASIS AS THEY DO NOT BELIEVE THEY MEET THE CRITERIA FOR REPORTING UNDER THE NOTICE ON AN INDIVIDUAL BASIS. HOWEVER, THE TAXPAYER IS INSURED BY GAH, IS RELATED TO OTHER INSURED ENTITIES AND HAS BEEN INFORMED THAT GAH MEETS THE CRITERIA FOR REPORTING UNDER THE NOTICE.THE TAXPAYER WOULD ONLY LOSE THE TAX DEDUCTION IN THE EVENT THAT GAH FAILED TO QUALIFY AS AN INSURANCE COMPANY FOR FEDERAL TAX PURPOSES. IF THIS WERE TRUE, THE DIRECT TAX BENEFIT WOULD BE DETERMINED SEPARATELY FOR EACH INSURED BASED ON THEIR RESPECTIVE TAX POSITION FOR THE RESPECTIVE TAX YEAR. AS SUCH, THE TAXPAYER IS UNABLE TO QUANTIFY THE ESTIMATED TAX BENEFIT UNDER THESE TRANSACTIONS.THE TAXPAYER HAS NOT RECEIVED ANY DIRECT OR INDIRECT FINANCING, NOR HAVE THEY OTHERWISE BEEN CONVEYED OR AGREED TO RECEIVE LOANS, GUARANTEES OR OTHER TRANSFER OF GAH'S CAPITAL. |
| INFORMATION PROVIDED BY RIVA CAPITAL PARTNERS IV LP: | FORM 8886 LINE 7E: | THE TAXPAYER IS FILING AS IT IS AWARE OF ITS POTENTIAL INVOLVEMENT IN A "TRANSACTION OF INTEREST", WHICH REQUIRES DISCLOSURE UNDER SECTION 1.6001-4(D) AND PER NOTICE 2016-66 ("THE NOTICE"). THE TAXPAYER HAS TAKEN TAX DEDUCTIONS UNDER IRC 162 FOR INSURANCE PREMIUMS PAID TO GAH INSURANCE COMPANY, LLC ("GAH"), WHICH WAS ESTABLISHED IN 2015 AS A CAPTIVE INSURANCE COMPANY UNDER THE LAWS OF THE STATE OF VERMONT. GAH MADE AN IRREVOCABLE ELECTION UNDER SECTION 831(B) IN 2015, TO BE A SMALL INSURANCE COMPANY TAXABLE ONLY ON INVESTMENT INCOME, LESS CERTAIN ADMINISTRATIVE EXPENSES. UNDER THIS ELECTION, ALL UNDERWRITING ACTIVITY IS EXCLUDED FROM GAH'S TAXABLE INCOME WHILE THE TAXPAYER, AS AN INSURED, CAN TAKE A TAX DEDUCTION FOR THE PREMIUMS PAID TO GAH.THE TAXPAYER IS REPORTING ON A PROTECTIVE BASIS AS THEY DO NOT BELIEVE THEY MEET THE CRITERIA FOR REPORTING UNDER THE NOTICE ON AN INDIVIDUAL BASIS. HOWEVER, THE TAXPAYER IS INSURED BY GAH, IS RELATED TO OTHER INSURED ENTITIES AND HAS BEEN INFORMED THAT GAH MEETS THE CRITERIA FOR REPORTING UNDER THE NOTICE.THE TAXPAYER WOULD ONLY LOSE THE TAX DEDUCTION IN THE EVENT THAT GAH FAILED TO QUALIFY AS AN INSURANCE COMPANY FOR FEDERAL TAX PURPOSES. IF THIS WERE TRUE, THE DIRECT TAX BENEFIT WOULD BE DETERMINED SEPARATELY FOR EACH INSURED BASED ON THEIR RESPECTIVE TAX POSITION FOR THE RESPECTIVE TAX YEAR. AS SUCH, THE TAXPAYER IS UNABLE TO QUANTIFY THE ESTIMATED TAX BENEFIT UNDER THESE TRANSACTIONS.THE TAXPAYER HAS NOT RECIEVED ANY DIRECT OR INDIRECT FINANCING, NOR HAVE THEY OTHERWISE BEEN CONVEYED OR AGREED TO RECEIVE LOANS, GUARANTEES OR OTHER TRANSFER OF GAH'S CAPITAL. |
| INFORMATION PROVIDED BY RIVA CAPITAL PARTNERS V, LP: | FORM 8886 LINE 7E: | BEGINNING IN THE 2013 TAX YEAR, BAYVILLE HOUSING ASSOCIATES ("TAXPAYER") ENTERED INTO AN INSURANCE ARRANGEMENT FOR FEDERAL INCOME TAX PURPOSES WITH A RELATED ENTITY, RICHMAN SELF INSURANCE, INC. ("CAPTIVE"). TAXPAYER OWNS AN APARTMENT COMMUNITY. TAXPAYER ALONG WITH A LARGE NUMBER OF AFFILIATED ENTITIES ("INSURED AFFILIATES") PROVIDE HOUSING IN THE UNITED STATES. TAXPAYER AND THE INSURED AFFILIATES FOUND THAT THEY WERE UNABLE TO OBTAIN REASONABLY PRICED GENERAL PROPERTY AND CASUALTY INSURANCE COVERAGE FROM THIRD-PARTY INSURANCE COMPANIES FOR NON-CATASTROPHIC EVENTS FOR THE INITIAL-TIER OF COVERAGE FOR LOSSES BELOW $100,000. IN ADDITION, THESE THIRD PARTY INSURANCE COMPANIES IMPOSED COLLECTIVE DAMAGE RECOVERY CAPS ON THESE POLICIES WITH COVERAGE FOR AMOUNTS BELOW $100,000 WHILE CHARGING HIGH PREMIUMS TO THE INSURED. IT WAS WITHIN THIS CONTEXT THAT INDEPENDENT INSURANCE BROKERS RECOMMENDED THAT THE INSURED AFFILIATES ENTER INTO A MASTER INSURANCE POLICY WITH THIRDPARTY INSURANCE COMPANIES WITH A $100,000 PER CLAIM DEDUCTIBLE AND ESTABLISH A CAPTIVE SELFINSURANCE ARRANGEMENT TO REDUCE INSURED AFFILIATES' (INCLUDING TAXPAYER'S) DEDUCTIBLE LOSS EXPOSURES BELOW SUCH A LIMIT. CONSEQUENTLY, RICHARD P. RICHMAN, DAVID A. SALMAN, KRISTIN MILLER, SCOTT RICHMAN, BROOKE RICHMAN, BRIAN MYERS AND THE ELLEN SCHAPPS RICHMAN 2009 GST FAMILY TRUST FORMED CAPTIVE IN 2013 TO PROVIDE COVERAGE TO TAXPAYER AND THE INSURED AFFILIATES FOR NONCATASTROPHIC EVENTS WITH RECOVERIES LESS THAN $100,000. CASUALTY AMOUNTS HIGHER THAN $100,000 WERE AND CONTINUE TO BE PROVIDED BY THIRDPARTY INSURERS. UPON ITS FORMATION, CAPTIVE MADE AN ELECTION PURSUANT TO SECTION 831(B).CAPTIVE WAS FORMED PRINCIPALLY FOR RISK MANAGEMENT PURPOSES AND WAS NOT FORMED FOR EITHER TAX AVOIDANCE OR ESTATE TAX PLANNING PURPOSES. SINCE ITS CREATION, CAPTIVE'S INSURANCE POLICIES HAVE PROVIDED STRAIGHT PROPERTY AND CASUALTY COVERAGE, AND HAVE BEEN UNDERWRITTEN BY A THIRD PARTY. FURTHERMORE, ALL PREMIUM PAYMENTS DUE TO CAPTIVE HAVE BEEN DETERMINED USING ARMSLENGTH STANDARDS AND THE PRIMARY PURPOSE OF THE PREMIUM HAS BEEN TO ADMINISTER AND PAY CLAIMS UNDER CAPTIVE'S RESPECTIVE INSURANCE POLICIES WITH THE INSURED AFFILIATES. CAPTIVE HAS NOT LOANED OR DISTRIBUTED ANY AMOUNTS RECEIVED AS PREMIUMS TO TAXPAYER OR TO ANY OF THE INSURED AFFILIATES. AS OF 12/31/2021 THE CAPTIVE HAS NOT REVOKED ITS SECTION 831(B) ELECTION.IN 2021 TAXPAYER PAID FOR FEDERAL INCOME TAX PURPOSES A TOTAL OF APPROXIMATELY $11,353 TO CAPTIVE IN PREMIUMS. TAXPAYER TOOK A CORRESPONDING DEDUCTION UNDER SECTION 162(A) OF $11,353 ON ITS 2021 U.S. FEDERAL INCOME TAX RETURN. AS DISCUSSED ABOVE, TAXPAYER ENTER INTO THE INSURANCE ARRANGEMENT WITH CAPTIVES SOLELY FOR BUSINESS PURPOSES AS THIS ARRANGEMENT PROVIDED A COST-EFFECTIVE SOLUTION FOR SAVINGS ON OVERALL PROPERTY AND CASUALTY INSURANCE PREMIUMS. TAXPAYER PAID THE PREMIUMS DIRECTLY TO CAPTIVE AND DID NOT RECEIVE ANY FUNDS BACK FROM CAPTIVE. |
| INFORMATION PROVIDED BY RIVA CAPITAL PARTNERS V, LP: | FORM 8886 LINE 8A: | RICHMAN SELF INSURANCE INC. ("CAPTIVE") IS AN INSURANCE COMPANY SET UP BY AN AFFILIATE OF CAPTIVE AND THE TAXPAYER. TAXPAYER PAID PREMIUMS TO CAPTIVE BEGINNING IN 2013 IN EXCHANGE FOR CAPTIVE PROVIDING INSURANCE COVERAGE FOR NON-CATASTROPHIC PROPERTY AND CASUALTY LOSSES FOR AMOUNTS UNDER THE $100,000 DEDUCTIBLE IMPOSED UNDER THE TAXPAYER'S MASTER INSURANCE PROGRAM WITH THID-PARTY INSURANCE COMPANIES. TAXPAYER ENTERED INTO THIS INSURANCE ARRANGEMENT WITH CAPTIVE AS A COST-EFFECTIVE SOLUTION TO MANAGE ITS OVERALL INSURANCE COSTS AND NOT FOR TAX AVOIDANCE PURPOSES. AS NOTED ABOVE IN LINE 7, SOME OF THE SHAREHOLDERS OF CAPTIVE ALSO INDIRECTLY OWN INTEREST IN TAXPAYER. |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (3 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| BLACKSTONE ALTERNTV MULTI STRATEGY | $334,333 | $335,608 |
| MORGAN STANLEY# 2276-650 | $565,795 | $518,269 |
| MORGAN STANLEY# 7298-650 | $4,833,561 | $5,082,758 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (50 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| ALTIMETER | AT COST | $100,000 | $790,086 |
| BAYPOND | AT COST | $1,737,664 | $5,017,092 |
| ORCHARD LANDMARK | AT COST | $0 | $107,780 |
| PROSPECT HARBOR LTD/SANKATY OFFSHORE | AT COST | $212,161 | $0 |
| LINX PARTNERS III | AT COST | $529,048 | $463,284 |
| IGUAZU INVESTORS | AT COST | $1,122,000 | $1,853,109 |
| MAVERICK LIEN FUND III LP | AT COST | $9,870 | $37,661 |
| MINER PARTNERS CRESCENT POINT I LP | AT COST | $795,692 | $1,899,338 |
| RIVA CAPITAL PARTNERS IV | AT COST | $705,431 | $984,504 |
| VISTA FOUNDATION FUND III-A | AT COST | $550,861 | $969,323 |
| DIV FUND III-B, LP | AT COST | $781,364 | $1,080,966 |
| MARKEL CATCO DIVERSIFIED FUND LTD | AT COST | $418,070 | $44,197 |
| MAVERICK LIEN FUND IV , LP | AT COST | $133,539 | $158,231 |
| BLACKSTONE TACTICAL OPPORTUNITIES | AT COST | $564,359 | $433,444 |
| GEMSPRING CAPITAL FUND I, LP | AT COST | $318,358 | $560,859 |
| RENAISSANCE INSTUTIONAL DIVESFIED | AT COST | $715,681 | $823,623 |
| MSD PRIVATE CREDIT OPP FUND II | AT COST | $518,273 | $515,111 |
| ADAGE CAPITAL PARTNERS | AT COST | $4,210,318 | $5,309,316 |
| CENTER ROCK PARTNERS FUND I-A, LP | AT COST | $209,648 | $331,408 |
| PERCEPTIVE CREDIT OPP. OFFSHORE FUND II | AT COST | $140,813 | $152,938 |
| CNK FUND I, LP | AT COST | $115,976 | $1,199,645 |
| CRAFT VENTURES II, LP | AT COST | $491,124 | $1,335,623 |
| GLS CAPITAL ACCESS FUND I, INC. | AT COST | $301,155 | $277,946 |
| HILLHOUSE CHINA VALUE FEEDER LTD | AT COST | $1,500,000 | $2,829,891 |
| PARTNERS CAPITAL PHOENIX FUND II, LTD - DIVERSIFIED INCOME FUND | AT COST | $1,679,805 | $2,013,733 |
| RIVA CAPITAL PARTNERS V | AT COST | $894,211 | $1,189,016 |
| RTW INNOVATION OFFSHORE FUND LTD | AT COST | $850,000 | $1,617,104 |
| DIV VAL OPP FUND IV-B, LP | AT COST | $781,308 | $879,076 |
| WP GLOBAL GROWTH PARTNERS LP | AT COST | $213,322 | $257,220 |
| TDC LATHAM FARMS MEMBER, LLC | AT COST | $999,086 | $1,465,986 |
| ALTA PARK OFFSHORE FUND LTD | AT COST | $600,000 | $884,770 |
| CLIMATE IMPACT SOLUTIONS FUND | AT COST | $382,574 | $412,883 |
| FORTRESS LEGAL ASSETS FUND I (B) | AT COST | $63,812 | $61,728 |
| FOUNDERS FUND GROWTH | AT COST | $138,456 | $178,129 |
| STOCKBRIDGE FUND OFFSHORE | AT COST | $1,500,000 | $1,865,090 |
| STRATEGY CAPITAL INVESTORS | AT COST | $740,396 | $1,341,821 |
| BC VENTURE FUND 2021 | AT COST | $141,232 | $164,549 |
| BC GLOBAL LONG EQUITY FUND | AT COST | $610,713 | $656,631 |
| VISTA FOUNDATION FUND IV-A | AT COST | $88,328 | $93,502 |
| MELVIN CAPITAL OFFSHORE LTD | AT COST | $547,500 | $621,742 |
| MERLIN CO-INVESTMENT FUND II (CAYMAN) LP | AT COST | $118,000 | $117,772 |
| CRAFT VENTURES GROWTH FEEDER I, LP | AT COST | $281,095 | $279,000 |
| CRAFT VENTURES FEEDER III, LP | AT COST | $195,670 | $193,800 |
| 8VC OPPORTUNITIES FUND II, LP | AT COST | $93,708 | $102,050 |
| GENSTAR X OPPORTUNITIES FUND I & GCP X, LP | AT COST | $17,521 | $17,534 |
| 8VC OPPORTUNITIES FUND IV, LP | AT COST | $29,127 | $29,750 |
| FINANCIAL OPPORTUNITY FUND LTD | AT COST | $1,000,000 | $1,000,000 |
| GENSTAR CAPITAL PARTNERS X LP | AT COST | $30,616 | $31,320 |
| FIRST BOSTON BRIDGE LENDING POOL IV | AT COST | $2,076,946 | $2,000,000 |
| LATHAM FARMS SPECIAL | AT COST | $0 | $837,934 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail (3 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt |
|---|---|---|---|
| PASSTHROUGH ENTITIES | $8,118 | $8,118 | $8,118 |
| PASSTHROUGH ENTITIES-UBIT | $286,488 | $286,488 | |
| FEDERAL TAX REFUND | $45,522 | $45,522 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail (4 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| INVESTMENT FEES | $177,179 | $177,179 | $0 |
| PAYROLL SERVICE FEES | $442 | $0 | $442 |
| PHILITHROPIC CONSULTING | $105,788 | $0 | $105,788 |
| OTHER PROFESSIONAL FEES | $11,430 | $7,830 | $0 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (4 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| FOREIGN TAXES | $2,175 | $2,175 | $0 |
| STATE TAXES | $6,795 | $0 | $500 |
| FEDERAL TAXES | $44,000 | $0 | $0 |
| PAYROLL TAXES | $5,912 | $0 | $5,912 |
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