BURBURY ELM FOUNDATION: Form 990PF, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- BURBURY ELM FOUNDATION (EIN 83-4097640)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-09
- IRS object ID
- 202243139349100004
- 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
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Legal Fees Schedule
- Other Assets Schedule
- Other Decreases Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Increases Schedule
- Substantial Contributors Sch
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-09T06:39:29-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 020354851 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MELANSON PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 NEW ENGLAND BUSINESS CENTER | AddressLine1Txt |
| Address Line2 | DRIVE | AddressLine2Txt |
| City | ANDOVER | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01810 | 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 | 834097640 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BURBURY ELM FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BURB | BusinessNameControlTxt |
| Phone | 6179483800 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 MARINA PARK DRIVE 1150 | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02210 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SCOTT R TOBIN | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 6179483800 | PhoneNum |
| Signature | 2022-11-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | SCOTT | PersonFirstNm |
| Person Last | TOBIN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SHERYL L STEPHENS-BURKE CPA | PreparerPersonNm |
| PTIN | P00085224 | PTIN |
| Phone | 9787490005 | PhoneNum |
| Preparation | 2022-11-09 | 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) |
|---|---|---|
| Name Change | Yes (X) | NameChangeInd |
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $20,911,463 | 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 | $6,202,309 | ContriRcvdRevAndExpnssAmt |
| Interest On Sav Rev And Expnss | $9,330 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $9,330 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $84,872 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $84,872 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $1,231,614 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $17,979,202 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $6,926,447 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $12,912 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $0 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | $7,541,037 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $7,020,649 | 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 |
| Legal Fees Rev And Expnss | $4,417 | LegalFeesRevAndExpnssAmt |
| Legal Fees Net Invst Incm | $0 | LegalFeesNetInvstIncmAmt |
| Legal Fees Dsbrs Chrtbl | $0 | LegalFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $66,372 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $16,372 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $484,484 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $480,684 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $0 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $555,273 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $497,056 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $800,000 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $800,000 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $1,355,273 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $497,056 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $800,000 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $6,185,764 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $6,523,593 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $3,450,062 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $228,297 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $228,297 | SavAndTempCashInvstEOYFMVAmt |
| Corporate Stock BOY | $1,433,286 | CorporateStockBOYAmt |
| Corporate Stock EOY | $593,853 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $593,853 | CorporateStockEOYFMVAmt |
| Other Investments BOY | $10,475,755 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $20,084,152 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $20,084,152 | OtherInvestmentsEOYFMVAmt |
| Other Assets BOY | $3,281 | OtherAssetsBOYAmt |
| Other Assets EOY | $5,161 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $5,161 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $15,362,384 | TotalAssetsBOYAmt |
| Total Assets EOY | $20,911,463 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $20,911,463 | 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 | $15,362,384 | RetainedEarningBOYAmt |
| Retained Earning EOY | $20,911,463 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $15,362,384 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $20,911,463 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $15,362,384 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $20,911,463 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $15,362,384 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $6,185,764 | ExcessRevenueOverExpensesAmt |
| Other Increases | $87,807 | OtherIncreasesAmt |
| Subtotal | $21,635,955 | SubtotalAmt |
| Other Decreases | $724,492 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $20,911,463 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (13 entries)
| PropertyPropertyDesc | AcquiredAcquiredDt | SoldSoldDt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | How AcquiredHowAcquiredCd |
|---|---|---|---|---|---|---|---|
| FIDELITY 6710 - ST | 2021-01-01 | 2021-12-31 | $0 | $0 | |||
| FIDELITY 6710 - LT | 2020-01-01 | 2021-12-31 | $4,246,359 | $4,246,359 | $4,544,953 | $298,594 | |
| FIDELITY 0454 - ST | 2021-01-01 | 2021-12-31 | $0 | $0 | |||
| FIDELITY 0454 - LT | 2020-01-01 | 2021-12-31 | $1,587,223 | $1,587,223 | $1,790,663 | $203,440 | |
| INTERACTIVE BROKERS - ST | 2021-01-01 | 2021-12-31 | $654,240 | $654,240 | $11,199,518 | $10,545,278 | |
| BGA FOCUS FUND - K-1 | 2021-01-01 | 2021-12-31 | $234 | $234 | $234 | P | |
| BGA FOCUS FUND - K-1 | 2020-01-01 | 2021-12-31 | $93,889 | $93,889 | $93,889 | P | |
| BGA HORIZON FUND - K-1 | 2021-01-01 | 2021-12-31 | $92,791 | $92,791 | $92,791 | P | |
| BGA HORIZON FUND - K-1 | 2020-01-01 | 2021-12-31 | $147,690 | $147,690 | $147,690 | P | |
| BGA HORIZON FUND - K-1 - SECT 1256 | 2021-01-01 | 2021-12-31 | $14,247 | $14,247 | $14,247 | P | |
| BGA HORIZON FUND - K-1 - SECT 1256 | 2020-01-01 | 2021-12-31 | $21,371 | $21,371 | $21,371 | P | |
| BGA HORIZON FUND - K-1 - SECT 988 | 2020-01-01 | 2021-12-31 | $243 | $243 | $243 | P | |
| RAYMOND JAMES | 2021-01-01 | 2021-12-31 | $68,160 | $68,160 | $73,603 | $5,443 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $6,926,447 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $90,678 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $90,678 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $90,678 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $138,596 | EstimatedPlusOvpmtIncmTxAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Extsn Request Income Tax Paid | $65,000 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $203,596 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Overpayment | $112,918 | OverpaymentAmt |
| Applied To ES Tax | $112,918 | 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 | Yes (1) | 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 | JOHN DINNEEN CO BGA | IndividualWithBooksNm |
| Phone | 6179483800 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 MARINA PARK DRIVE SUITE 1150 | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02210 | 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 |
|---|---|---|---|---|---|---|---|---|
| JOHN M O'CONNOR CO BGA | ||||||||
| 1 MARINA PARK DRIVE | BOSTON | MA | 02210 | PRESIDENT | 1.00 | $0 | $0 | $0 |
| DANIEL L BURNS CO BGA | ||||||||
| 1 MARINA PARK DRIVE | BOSTON | MA | 02210 | VICE PRESIDENT | 1.00 | $0 | $0 | $0 |
| JOHN W DINNEEN CO BGA | ||||||||
| 1 MARINA PARK DRIVE | BOSTON | MA | 02210 | TREASURER | 1.00 | $0 | $0 | $0 |
| KRISTIN D GRIFFIN CO BGA | ||||||||
| 1 MARINA PARK DRIVE | BOSTON | MA | 02210 | CLERK | 1.00 | $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 | $19,149,983 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $0 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $19,149,983 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $19,149,983 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $287,250 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $18,862,733 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $943,137 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $943,137 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $90,678 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $90,678 | TotalTaxAmt |
| Distributable Before Adj | $852,459 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $852,459 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $852,459 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $800,000 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $800,000 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $852,459 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $228,240 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Total Excess Distribution Cyov | $0 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $800,000 | QualifyingDistributionsAmt |
| Applied To Year1 | $228,240 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $571,760 | 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 | $280,699 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (2 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|
| AMERICAN FRIENDS OF NEVE HANNA INC | ||||||
| PO BOX 640685 | BAYSIDE | NY | 11360 | 501(C)3 | GRANT | $25,000 |
| PEF ENDOWMENT FUNDS INC | ||||||
| 630 THIRD AVENUE 15TH FLOOR | NEW YORK | NY | 10017 | 501(C)3 | GRANT | $775,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $800,000 | 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 | $9,330 | ExclusionAmt |
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $84,872 | ExclusionAmt |
Other Investment Income OtherInvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $12,912 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $1,231,614 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $1,338,728 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $1,338,728 | 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 (7 entries)
| ContributorContributorNum | Address Line1ContributorForeignAddress/AddressLine1Txt | CityContributorForeignAddress/CityNm | Province Or StateContributorForeignAddress/ProvinceOrStateNm | CountryContributorForeignAddress/CountryCd | Total ContributionsTotalContributionsAmt | Noncash ContributionNoncashContributionInd |
|---|---|---|---|---|---|---|
| SCOTT R TOBIN | ||||||
| 1 | 63 AHAD HAAM | RAANANA | CENTRAL | IS | $756,720 | Yes (X) |
| SCOTT R TOBIN | ||||||
| 2 | 63 AHAD HAAM | RAANANA | CENTRAL | IS | $1,837,245 | Yes (X) |
| SCOTT R TOBIN | ||||||
| 3 | 63 AHAD HAAM | RAANANA | CENTRAL | IS | $217,040 | Yes (X) |
| SCOTT R TOBIN | ||||||
| 4 | 63 AHAD HAAM | RAANANA | CENTRAL | IS | $506,833 | Yes (X) |
| SCOTT R TOBIN | ||||||
| 5 | 63 AHAD HAAM | RAANANA | CENTRAL | IS | $1,200,225 | Yes (X) |
| SCOTT R TOBIN | ||||||
| 6 | 63 AHAD HAAM | RAANANA | CENTRAL | IS | $1,606,078 | Yes (X) |
| SCOTT R TOBIN | ||||||
| 7 | 63 AHAD HAAM | RAANANA | CENTRAL | IS | $78,168 | Yes (X) |
Non Cash Property Contribution NonCashPropertyContributionGrp (7 entries)
| ContributorContributorNum | Noncash PropertyNoncashPropertyDesc | Fair Market ValueFairMarketValueAmt | ReceivedReceivedDt |
|---|---|---|---|
| 1 | 6,000 SHARES OF GUIDEWIRE SOFTWARE INC | $756,720 | 2021-01-05 |
| 2 | 15,192 SHARES OF Q2 HOLDINGS INC | $1,837,245 | 2021-01-06 |
| 3 | 2,000 SHARES OF GUIDEWIRE SOFTWARE INC | $217,040 | 2021-07-15 |
| 4 | 1,953 SHARES OF COINBASE GLOBAL INC | $506,833 | 2021-08-16 |
| 5 | 15,000 SHARES OF Q2 HOLDINGS INC. | $1,200,225 | 2021-08-18 |
| 6 | 17,940 SHARES OF AFFIRM HLDGS INC | $1,606,078 | 2021-09-09 |
| 7 | 480 SHARES OF AFFIRM HLDGS INC | $78,168 | 2021-11-05 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Stock | FIDELITY - SECURITIES X0454 | StockNm |
| EOY Book Value | $593,853 | EOYBookValueAmt |
| EOYFMV | $593,853 | EOYFMVAmt |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (12 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| POLYCHAIN OPPORTUNITIES FUND I - COINDCX | FMV | $986,312 | $986,312 |
| NAVAT FEEDER FUND | FMV | $1,191,670 | $1,191,670 |
| BGA HORIZON FUND - BRIARWOOD | FMV | $3,997,408 | $3,997,408 |
| PARALOS FUND LP | FMV | $2,136,067 | $2,136,067 |
| ZP OFFSHORE FUND | FMV | $721,396 | $721,396 |
| 1080 LORIMER MEZZ INVESTORS1080 LORIMER MEZZ INVESTORS | FMV | $344,000 | $344,000 |
| WHALE ROCK FLAGSHIP FUND | FMV | $3,135,548 | $3,135,548 |
| HARBOUR OFFSHORE FUND V | FMV | $53,134 | $53,134 |
| REYNOLDS CHANNEL PARTNERS | FMV | $1,403,648 | $1,403,648 |
| HCIF OFFSHORE - BAKER BROTHERS | FMV | $4,585,145 | $4,585,145 |
| ADDTION THREE | FMV | $486,860 | $486,860 |
| BRIARWOOD CAPITAL OFFSHORE | FMV | $1,042,964 | $1,042,964 |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | LEGAL FEES | CategoryTxt |
| Legal Fees | $4,417 | LegalFeesAmt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | FOCUS FUND - HOLDBACK | Desc |
| BOY Book Value | $3,281 | BOYBookValueAmt |
| EOY Book Value | $5,161 | EOYBookValueAmt |
| EOYFMV | $5,161 | EOYFMVAmt |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | BOOK TAX DIFFERENCES | Desc |
| Amt | $724,492 | Amt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (4 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| INVESTMENT EXPENSE | $479,864 | $479,864 | $0 |
| PROFESSIONAL FEES | $3,800 | $0 | $0 |
| INVESTMENT INTEREST EXPENSE FROM PASS THROUGH ENTITIES | $810 | $810 | $0 |
| BANK CHARGES | $10 | $10 | $0 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NON-DIVIDEND DISTRIBUTIONS | Desc |
| Revenue And Expenses Per Books | $12,912 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $12,912 | AdjustedNetIncomeAmt |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET UNREALIZED GAINS | Desc |
| Amt | $87,807 | Amt |
Substantial Contributors Sch SubstantialContributorsSch
Substantial Contributor Detail SubstantialContributorDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SCOTT R TOBIN | PersonNm |
Foreign Address ForeignAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 63 AHAD HAAM | AddressLine1Txt |
| City | RAANNA | CityNm |
| Province Or State | CENTRAL | ProvinceOrStateNm |
| Country | IS | CountryCd |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (3 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| FEDERAL TAXES | $50,000 | $0 | $0 |
| FOREIGN TAX | $15,342 | $15,342 | $0 |
| STATE FILING | $1,030 | $1,030 | $0 |
Comments