EILEEN D BROWN CHARITABLE TR: Form 990PF, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
EILEEN D BROWN CHARITABLE TR (EIN 06-6475783)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-06-08
IRS object ID
202101599349100715
Schema version
2020v4.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2021-06-08T11:22:25-07:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RAL CPA LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1238 West Town StAddressLine1Txt
CityNORWICHCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06360ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN066475783EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE EILEEN D BROWN CHARITABLE TRUSTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlEILEBusinessNameControlTxt
Phone8603760235PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1C/O PATRICIA JACKMAN 119 COLONEL BRAddressLine1Txt
CityGRISWOLDCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06351ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPATRICIA JACKMANPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone8603760235PhoneNum
Signature2021-05-27SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstPATRICIAPersonFirstNm
Person LastJACKMANPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRobert A LaSaracinaPreparerPersonNm
PTINP01460566PTIN
Phone8608865186PhoneNum
Preparation2021-06-08PreparationDt
Self EmployedYes (X)SelfEmployedInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$1,371,161FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$26InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$26InterestOnSavNetInvstIncmAmt
Interest On Savings Adj Net Incm$26InterestOnSavingsAdjNetIncmAmt
Dividends Rev And Expnss$27,664DividendsRevAndExpnssAmt
Dividends Net Invst Incm$27,664DividendsNetInvstIncmAmt
Dividends Adj Net Incm$27,664DividendsAdjNetIncmAmt
Net Gain Sale Ast Rev And Expnss$55,310NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$872,584GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$0CapGainNetIncmNetInvstIncmAmt
Gross Profit Rev And Expnss$0GrossProfitRevAndExpnssAmt
Other Income Rev And Expnss$0OtherIncomeRevAndExpnssAmt
Total Rev And Expnss$83,000TotalRevAndExpnssAmt
Total Net Invst Incm$27,690TotalNetInvstIncmAmt
Total Adj Net Incm$27,690TotalAdjNetIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$11,200CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Adj Net Incm$11,200CompOfcrDirTrstAdjNetIncmAmt
Legal Fees Rev And Expnss$375LegalFeesRevAndExpnssAmt
Legal Fees Adj Net Incm$375LegalFeesAdjNetIncmAmt
Accounting Fees Rev And Expnss$675AccountingFeesRevAndExpnssAmt
Accounting Fees Adj Net Incm$675AccountingFeesAdjNetIncmAmt
Other Prof Fees Rev And Expnss$0OtherProfFeesRevAndExpnssAmt
Taxes Rev And Expnss$5,723TaxesRevAndExpnssAmt
Taxes Adj Net Incm$5,723TaxesAdjNetIncmAmt
Taxes Dsbrs Chrtbl$5,723TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$2,341DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Adj Net Incm$2,341DeprecAndDpltnAdjNetIncmAmt
Occupancy Rev And Expnss$3,267OccupancyRevAndExpnssAmt
Occupancy Adj Net Incm$3,267OccupancyAdjNetIncmAmt
Occupancy Dsbrs Chrtbl$3,267OccupancyDsbrsChrtblAmt
Trav Conf Meeting Rev And Expnss$130TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Adj Net Incm$130TravConfMeetingAdjNetIncmAmt
Other Expenses Rev And Expnss$43,406OtherExpensesRevAndExpnssAmt
Other Expenses Adj Net Incm$43,406OtherExpensesAdjNetIncmAmt
Tot Opr Expenses Rev And Expnss$67,117TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$0TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$67,117TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$8,990TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$3,959ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$3,959ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$71,076TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$0TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$67,117TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$12,949TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$11,924ExcessRevenueOverExpensesAmt
Net Investment Income$27,690NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$36,988CashBOYAmt
Cash EOY$148,095CashEOYAmt
Cash EOYFMV$148,095CashEOYFMVAmt
Sav And Temp Cash Invst BOY$45,994SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$50,425SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$50,425SavAndTempCashInvstEOYFMVAmt
Rcvbl From Officers EOY$0RcvblFromOfficersEOYAmt
Other Nts And Loans Rcvbl EOY$0OtherNtsAndLoansRcvblEOYAmt
Corporate Stock BOY$950,519CorporateStockBOYAmt
Corporate Stock EOY$840,320CorporateStockEOYAmt
Corporate Stock EOYFMV$840,320CorporateStockEOYFMVAmt
Land Bldg Investments EOY$0LandBldgInvestmentsEOYAmt
Other Investments EOY$0OtherInvestmentsEOYAmt
Land Bldg Equip Cost Or Other Bss$351,800LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$24,243LandBldgEquipAccumDeprecAmt
Land BOY$329,898LandBOYAmt
Land EOY$327,557LandEOYAmt
Land EOYFMV$327,557LandEOYFMVAmt
Other Assets BOY$5,162OtherAssetsBOYAmt
Other Assets EOY$4,764OtherAssetsEOYAmt
Other Assets EOYFMV$4,764OtherAssetsEOYFMVAmt
Total Assets BOY$1,368,561TotalAssetsBOYAmt
Total Assets EOY$1,371,161TotalAssetsEOYAmt
Total Assets EOYFMV$1,371,161TotalAssetsEOYFMVAmt
Loans From Officers EOY$0LoansFromOfficersEOYAmt
Mortgages And Notes Payable EOY$0MortgagesAndNotesPayableEOYAmt
Other Liabilities BOY$0OtherLiabilitiesBOYAmt
Other Liabilities EOY$0OtherLiabilitiesEOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Retained Earning BOY$1,368,561RetainedEarningBOYAmt
Retained Earning EOY$1,371,161RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$1,368,561TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$1,371,161TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$1,368,561TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$1,371,161TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$1,368,561TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$11,924ExcessRevenueOverExpensesAmt
Other Increases$8,487OtherIncreasesAmt
Subtotal$1,388,972SubtotalAmt
Other Decreases$17,811OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$1,371,161TotNetAstOrFundBalancesEOYAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$385InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$385SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$385TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$320EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Total Payments And Credits$320TotalPaymentsAndCreditsAmt
Original Return Tax Paid$320OriginalReturnTaxPaidAmt
Tax Due$65TaxDueAmt
Applied To ES Tax$0AppliedToESTaxAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Form1120 POL FiledfalseForm1120POLFiledInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Changes To Articles Or BylawsfalseChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (true)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (true)AtLeast5000InAssetsInd
Form990 PF Filed With Atty GenYes (true)Form990PFFiledWithAttyGenInd
Private Operating FoundationYes (true)PrivateOperatingFoundationInd
New Substantial ContributorsfalseNewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksPATRICIA JACKMANIndividualWithBooksNm
Phone8603760235PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1119 COLONEL BROWN ROADAddressLine1Txt
CityGRISWOLDCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06351ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts QuestionfalseForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified PrsnfalseSaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified PrsnfalseBrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified PrsnfalseFurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnfalsePayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
Undistributed Income PYfalseUndistributedIncomePYInd
Business HoldingsfalseBusinessHoldingsInd
Jeopardy InvestmentsfalseJeopardyInvestmentsInd
Uncorrected PY Jeopardy InvstfalseUncorrectedPYJeopardyInvstInd
Influence LegislationfalseInfluenceLegislationInd
Influence ElectionfalseInfluenceElectionInd
Grants To IndividualsfalseGrantsToIndividualsInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
ALEXANDER FRAME
22017 138 AVENUESPRINGFIELD GARDENSNY114132326PRESIDENT2.00$3,480$0$0
PATRICIA JACKMAN
119 COLONEL BROWN RDGRISWOLDCT06351TRUSTEE2.00$2,554$0$0
MAUREEN POITRAS
9 COLONEL BROWN RDGRISWOLDCT06351TRUSTEE2.00$3,513$0$0
MARY REIF
61 OLD VOLUNTOWN RDGRISWOLDCT06351TRUSTEE2.00$1,653$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1LAND TRUST ALLIANCE 1250 H ST. NW, SUITE 600 WASHINGTON, DC 20005Description1Txt
Expenses1$1,250Expenses1Amt
Description2GRISWOLD VOLUNTEER FIRE DEPT RTE 138 JEWETT CITY, CT 06351Description2Txt
Expenses2$500Expenses2Amt
Description3FRANCISCAN FRIARS 183 COLONEL BROWN RD GRISWOLD, CT 06351Description3Txt
Expenses3$500Expenses3Amt
Description4TUNNEL TO TOWER FOUNDATION 2361 HYLAN BLVD STATEN ISLAND, NY 10306-3100Description4Txt
Expenses4$134Expenses4Amt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$0AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$0AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$0TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Adjusted Total FMV Of Unused Ast$0AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$0CashDeemedCharitableAmt
Net Vl Noncharitable Assets$0NetVlNoncharitableAssetsAmt
Minimum Investment Return$0MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Sect4942j3j5 Fndtn And Frgn OrgYes (X)Sect4942j3j5FndtnAndFrgnOrgInd
Distributable As Adjusted$0DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$12,949ExpensesAndContributionsAmt
Qualifying Distributions$12,949QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$12,949AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$0DistributableAsAdjustedAmt
Excess Distribution Cyov Yr5$27,689ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$20,053ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$28,105ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$23,030ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$10,014ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$108,891TotalExcessDistributionCyovAmt
Qualifying Distributions$12,949QualifyingDistributionsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Remaining Distri From Corpus$12,949RemainingDistriFromCorpusAmt
Total Corpus$121,840TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Excess Distri Cyov From Yr5$27,689ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$94,151ExcessDistriCyovToNextYrAmt
Excess From Year4$20,053ExcessFromYear4Amt
Excess From Year3$28,105ExcessFromYear3Amt
Excess From Year2$23,030ExcessFromYear2Amt
Excess From Year1$10,014ExcessFromYear1Amt
Excess From Current Year$12,949ExcessFromCurrentYearAmt

Private Operating Foundations PrivateOperatingFoundationsGrp

FieldValueIRS element (for citing)
Section4942j3Yes (X)Section4942j3Ind

Lessor Adj Net Incm Min Invst Ret LessorAdjNetIncmMinInvstRetGrp

FieldValueIRS element (for citing)
Current Year$0CurrentYearAmt
Year1$0Year1Amt
Year2$0Year2Amt
Year3$0Year3Amt
Total$0TotalAmt

Qualifying Distributions QualifyingDistributionsGrp

FieldValueIRS element (for citing)
Current Year$12,949CurrentYearAmt
Year1$10,014Year1Amt
Year2$23,030Year2Amt
Year3$28,105Year3Amt
Total$74,098TotalAmt

Qualifying Distri Made Drt QualifyingDistriMadeDrtGrp

FieldValueIRS element (for citing)
Current Year$12,949CurrentYearAmt
Year1$10,014Year1Amt
Year2$23,030Year2Amt
Year3$28,105Year3Amt
Total$74,098TotalAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
Current Year$1,371,161CurrentYearAmt
Year1$1,368,561Year1Amt
Year2$1,255,024Year2Amt
Year3$1,354,674Year3Amt
Total$5,349,420TotalAmt

Total Assets Sect4942j3 Bi TotalAssetsSect4942j3BiGrp

FieldValueIRS element (for citing)
Current Year$1,371,161CurrentYearAmt
Year1$1,368,561Year1Amt
Year2$1,255,024Year2Amt
Year3$1,354,674Year3Amt
Total$5,349,420TotalAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (47 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
SPECIAL OLYMPICS-CONNECTICUT
2666 STATE ST SUITE 1HAMDENCT065142232501c3CHARITABLE$0
MAKE A WISH FOUNDATION
P O BOX 97104WASHINGTONDC20090501C3CHARITABLE$75
FRANCISCAN FRIARS
183 COLONEL BROWN RDGRISWOLDCT06351501C3CHARITABLE$500
FIDELCO GUIDE DOG FOUNDATION
103 VISION WAYBLOOMFIELDCT06002501C3CHARITABLE$0
UNITED SERVICE ORGANIZATION INC
PO BOX 96860WASHINGTONDC20077501C3CHARITABLE$50
KITTY HARBOR
2263 GLASGO ROADGRISWOLDCT06351501C3CHARITABLE$0
CT FOOD BANK
2 RESEARCH AVEWALLINGFORDCT06492501C3CHARITABLE$0
ALZHEIMERS ASSOCIATION- CT CHAPTER
P O BOX 96011WASHINGTONDC200906011501C3CHARITABLE$0
SLOAN KETTERING CANCER
P O BOX 5028HAGERTOWNMD217415028501C3CHARITABLE$100
SHRINERS HOSPITAL FOR CHILDREN
2900 ROCKY POINT DRTAMPAFL33607501C3CHARITABLE$0
DANA FARBER CANCER INSTITUTE
P O BOX 970025BOSTONMA022970025501C3CHARITABLE$0
HABITAT FOR HUMANITY
P O BOX 6439AMERICUSGA317096439501C3CHARITABLE$100
LAND TRUST ALLIANCE
1250 H ST NW SUITE 600WASHINGTONDC20005501C3CHARITABLE$1,250
GRISWOLD FIRE DEPT
RTE 138JEWETT CITYCT06351501C3CHARITABLE$500
SALVATION ARMY-NORWICH AREA
P O BOX 707NORWICHCT06360501C3CHARITABLE$100
AMERICAN VET AND FIRST RESPONDERS
371 EAST MAIN ST- JERICHO TURNPIKESMITHTOWNNY117879897501C3CHARITABLE$75
VFW UNITED STATES PROCESSING
P O BOX 8958TOPEAKAKS666088958501C3CHARITABLE$0
JEWETT CITY FIRE DEPT -TOY DRIVE
MAIN STREETJEWETT CITYCT06351501C3CHARITABLE$50
IRAN DOG K-9 SEARCH
P O BOX 1983MERRIFIELDVA221161983501C3CHARITABLE$100
NO K-9 ABANDONED HERO NATIONAL SUPPORT
P O BOX 1692MORRISFIELDVA221161692501C3MUNICIPAL$50
ST JUDE HOSPITAL
501 JUDE PLACEMEMPHISTN38105501C3CHARITABLE$100
SLATER LIBRARY
26 MAIN STJEWETT CITYCT06351501C3MUNICIPAL$100
WOUNDED WARRIOR
P O BOX 758540TOPEKAKS666758540501C3CHARITABLE$100
TUNNEL TO TOWERS FOUNDATION
2361 HYLAN BLVDSTATEN ISLANDNY103063100501C3CHARITABLE$134
THE NATURE CONSERVATIVE
4245 N FAIRFOX DR SUITE 100ARLINGTONVA22203501C3CHARITABLE$75
SUSAN KOMER BREAST CANCER
DEPT 41839 P O BOX 650309DALLASTX752650309501C3CHARITABLE$0
PARALYZED VETERANS
7 MILL BROOK RDWILTONNH03086501C3CHARITABLE$50
TOYS FOR TOTS
ATTN COLONEL TED SILVESTER NATIONALDES MOINESIA503402036501C3CHARTIABLE$100
HUMANE SOCIETY
169 OLD COLCHESTER RDQUAKER HILLCT06375501C3CHARITABLE$75
(no name)
$0
CT AUDOBON SOCIETY
314 UNQUOWA ROADFAIRFIELDCT06824501C3CHARITABLE$50
ST MARY'S FOOD PANTRY
NORTH MAIN STREETGRISWOLDCT06351501C3CHARITABLE$75
HELEN KELLER BLIND
P O BOX 6077ALBERTLEAMN560079860501C3CHARITABLE$0
AMERICAN HEART ASSOCIATION
P O BOX 78851PHOENIXAZ850628851501C3CHARITABLE$100
GUIDE DOGS FOR BLIND INC
P O BOX 3950SAN RAFAELCA949123950501C3CHARITABLE$0
IRON DOG K9
ATTN CHARLIE NASH PO BOX 1983MERRIFIELDVA221161983501C3CHARITABLE$0
AMERICAN LUNG IN CT NATIONAL PROCESSING
P O BOX 7000ALBERTLEAMN560078000501C3CHARITABLE$0
PAWS OF WAR INC
P O BOX 1727SMITHTOWNNY117878670501C3CHARITABLE$50
MULTIPLE SCIEROSIS OF AMERICA
P O BOX 96219WASHINGTONDC200986219501C3CHARITABLE$0
OPERATION FINALLY HOME
P O BOX 1218MERRIFIELDVA221161218501C3CHARITABLE$0
(no name)
$0
ALS DONATION CENTER AQ 18091
P O BOX 37022BOONEIA500370022501C3CHARITABLE$0
(no name)
$0
ASPCA SPECIAL GIFT CENTER
359 SPRING HILL RDMONROECT06468501C3CHARITABLE$0
THE SEEING EYE
P O BOX 1056MORRISTOWNNJ079629902501C3CHARITABLE$0
TVCCA-GRISWOLD OIL FOR NEED
1 SYLVANDALE ROADJEWETT CITYCT06351501C3CHARITABLE$0
HELP HEAL VETERANS
P O BOX 98088WASHINGTONDC200908088501C3CHARITABLE$0
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$3,959TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Program Service Rev Part VII ProgramServiceRevPartVIIGrp

FieldValueIRS element (for citing)
DescCHARITABLE REAL ESTATEDesc
Exclusion30ExclusionCd

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$26ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$27,664ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$0ExclusionAmt
Related Or Exempt Function Incm$55,310RelatedOrExemptFunctionIncmAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$27,690ExclusionAmt
Related Or Exempt Function Incm$55,310RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$83,000TotalIncomeProducingActyAmt

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

FieldValueIRS element (for citing)
Line Number8LineNumberTxt
Relationship StatementN/ARelationshipStatementTxt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EOfalseTrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EOfalseTrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EOfalsePurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth AssetsfalseRentalOfFacilitiesOthAssetsInd
Reimbursement ArrangementsfalseReimbursementArrangementsInd
Loans Or Loan GuaranteesfalseLoansOrLoanGuaranteesInd
Performance Of Services EtcfalsePerformanceOfServicesEtcInd
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtcInd
Relationships Nonchrtbl EOfalseRelationshipsNonchrtblEOInd

Gain Loss Sale Other Assets Sch GainLossSaleOtherAssetsSch

Gain Loss Sale Other Asset GainLossSaleOtherAssetGrp (5 entries)

AssetAssetDescHow AcquiredHowAcquiredTxtGross Sales PriceGrossSalesPriceAmtBasisBasisAmtTotal NetTotalNetAmt
SEE STMT ATTACHED- TD AMERITRADE ST TYPE APurchased$590,339$594,802-$4,463
SEE STMT ATTACHED - TD AMERITRADE ST TYPE BPurchased$17,658$16,792$866
SEE STMT ATTACHED - TD AMERITRADE LT TYPE DPurchased$262,574$205,655$56,919
SEE STMT ATTACHED - TD AMERITRADEPurchased$25$25$0
TD AMERITRADE - CAPITAL GAIN DISTRIBUTIONPurchased$1,988$1,988

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockTD AMERITRADE- INVESTMENTSStockNm
EOY Book Value$840,320EOYBookValueAmt
EOYFMV$840,320EOYFMVAmt

Land Etc Schedule2 LandEtcSchedule2

Land Etc LandEtcGrp (3 entries)

Category Or ItemCategoryOrItemTxtCost Or Other BasisCostOrOtherBasisAmtAccumulated DepreciationAccumulatedDepreciationAmtBook ValueBookValueAmt
LAND$265,000$0$265,000
FURNITURE AND FIXTURES$7,977$7,070$907
IMPROVEMENTS$78,823$17,173$61,650

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp

FieldValueIRS element (for citing)
DescINTANGIBLE -BOND PREMIUMDesc
BOY Book Value$5,162BOYBookValueAmt
EOY Book Value$4,764EOYBookValueAmt
EOYFMV$4,764EOYFMVAmt

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail (2 entries)

DescDescAmtAmt
FEDERAL TAX$287
UNREALIZED LOSS ON INVESTMENTS$17,524

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (11 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtAdjusted Net IncomeAdjustedNetIncomeAmt
INVESTMENT FEES$8,991$8,991
INSURANCE$8,860$8,860
BANK CHARGES$25$25
SECURITY-ALARM$375$375
OFFICE EXPENSE$948$948
REPAIRS & MAINTENANCE$19,616$19,616
MEMBERSHIPS$554$554
AMORTIZATION$2,413$2,413
SUPPLIES$1,358$1,358
FOREIGN TAXES$91$91
OUTSIDE SERVICES$175$175

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail (4 entries)

DescDescAmtAmt
SECTION 199A DIVIDENDS$218
UNRECAPTURED SEC 1250 GAIN$6
NON DIVIDEND DISTRIBUTION$249
USDA$8,014

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryREAL ESTATE TAXESCategoryTxt
Amt$5,723Amt
Adjusted Net Income$5,723AdjustedNetIncomeAmt
Disbursements Charitable Prps$5,723DisbursementsCharitablePrpsAmt

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