ANNE CAPANO CHARITABLE FOUNDATION FOR GIVING INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
ANNE CAPANO CHARITABLE FOUNDATION FOR GIVING INC (EIN 27-0227698)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-12
IRS object ID
202133169349308438
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)
Return2021-11-12T14:04:02-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN223453068PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MAFFEI MASIELLO & COMPANY PABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 210AddressLine1Txt
CityMENDHAMCityNm
State AbbreviationNJStateAbbreviationCd
ZIP079450210ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN270227698EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ANNE CAPANO CHARITABLE FOUNDATION FORBusinessNameLine1Txt
Business Name Line2GIVING INC C/O KENNETH CAPANO JRBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlANNEBusinessNameControlTxt
Phone8606084470PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1351 N FRONTAGE ROADAddressLine1Txt
CityNEW LONDONCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06320ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKENNETH CAPANO JRPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone8606084470PhoneNum
Signature2021-10-29SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstKENNETHPersonFirstNm
Person LastCAPANO JRPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSTEPHEN R MAFFEI CPAPreparerPersonNm
PTINP00292851PTIN
Phone9735436055PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKENNETH CAPANO JRPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1351 N FRONTAGE ROADAddressLine1Txt
CityNEW LONDONCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06320ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,536,808GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2009FormationYr
Legal Domicile StateCTLegalDomicileStateCd
Activity Or MissionSERVE AND CONTRIBUTE TO THE HEALTH AND WELLNESS OF THE MANY ORGANIZATIONS IN THE COMMUNITY IN WHICH THE ORGANIZERS LIVE AND WORK.ActivityOrMissionDesc
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers7TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$77,600PYContributionsGrantsAmt
CY Contributions Grants$5,800CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$54,321PYInvestmentIncomeAmt
CY Investment Income-$14,322CYInvestmentIncomeAmt
PY Other Revenue-$11,052PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$120,869PYTotalRevenueAmt
CY Total Revenue-$8,522CYTotalRevenueAmt
PY Grants And Similar Paid$43,450PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$10,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,025CYTotalFundraisingExpenseAmt
PY Other Expenses$31,749PYOtherExpensesAmt
CY Other Expenses$59,215CYOtherExpensesAmt
PY Total Expenses$75,199PYTotalExpensesAmt
CY Total Expenses$69,215CYTotalExpensesAmt
PY Revenues Less Expenses$45,670PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$77,737CYRevenuesLessExpensesAmt
Total Assets BOY$1,562,150TotalAssetsBOYAmt
Total Assets EOY$1,484,055TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,562,150NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,484,055NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSERVE AND CONTRIBUTE TO THE HEALTH AND WELLNESS OF THE MANY ORGANIZATIONS IN THE COMMUNITY IN WHICH THE ORGANIZERS LIVE AND WORK.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$5,000ExpenseAmt
Grant$5,000GrantAmt
DescDONATION OF SHOPRITE GIFT CARDS TO THE DICOSES OF NORWICH FOR THE PURPOSE OF PROVIDING ASSISTANCE TO THEIR COMMUNITY.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$3,000ExpenseAmt
Grant$3,000GrantAmt
DescDONATION OF SHOPRITE GIFT CARDS TO NEW LONDON WHALERS FOR THE PURPOSE OF PROVIDING ASSISTANCE TO NEW LONDON FAMILIES.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,000ExpenseAmt
Grant$1,000GrantAmt
DescDONATION OF SHOPRITE GIFT CARDS TO THE EAST LYME SCHOOL DISTRICT FOR THE PURPOSE OF PROVIDING ASSISTANCE TO THE SCHOOL FOR THEIR EDUCATIONAL NEEDS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$1,000ExpenseAmt
Grant$1,000GrantAmt
DescVARIOUS DONATIONS TO LOCAL ORGANIZATIONS, SCHOOLS, CHURCHES AND HOSPITALS.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$1,000TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$1,000TotalOtherProgSrvcGrantAmt
Total Program Service Expenses$10,000TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan OutstandingYes (1)LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (1)BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members3GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy0ConflictOfInterestPolicyInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCTStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KENNETH CAPANO JRBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8606084470PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1351 N FRONTAGE ROADAddressLine1Txt
CityNEW LONDONCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06320ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (3 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
KENNETH J CAPANO JR
PRESIDENT1.00Yes (X)Yes (X)$0$0$0
SCOTT T CAPANO
SECRETARY0.00Yes (X)Yes (X)$0$0$0
KENNETH J CAPANO SR
TREASURER0.00Yes (X)Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$5,800AllOtherContributionsAmt
Total Contributions$5,800TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,777TotalRevenueColumnAmt
Exclusion$17,777ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,513,231SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$1,545,330SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$32,099SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$32,099TotalRevenueColumnAmt
Exclusion-$32,099ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column-$8,522TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$14,322ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$10,000TotalAmt
Program Services$10,000ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$6,379TotalAmt
Management And General$6,379ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$106TotalAmt
Management And General$106ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,593TotalAmt
Management And General$1,593ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
RENT$50,000$50,000
CREDIT CARD FEES$1,025$1,025
FOREIGN TAXES WITHHELD$62$62
REGISTRATION FEES$50$50

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$69,215TotalAmt
Program Services$10,000ProgramServicesAmt
Management And General$58,190ManagementAndGeneralAmt
Fundraising$1,025FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$176,752BOYAmt
EOY$647,607EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$274,155EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$23,885LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,370LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$19,107BOYAmt
EOY$17,515EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,093,462BOYAmt
EOY$250,016EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$269,325BOYAmt
EOY$289,758EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,504BOYAmt
EOY$5,004EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,562,150BOYAmt
EOY$1,484,055EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$1,562,150BOYAmt
EOY$1,484,055EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,562,150BOYAmt
EOY$1,484,055EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,562,150BOYAmt
EOY$1,484,055EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$77,737ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$358OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$164,653CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$119,840CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$146,000CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$77,600CurrentTaxYearMinus1YearAmt
Current Tax Year$5,800CurrentTaxYearAmt
Total$513,893TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$164,653CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$119,840CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$146,000CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$77,600CurrentTaxYearMinus1YearAmt
Current Tax Year$5,800CurrentTaxYearAmt
Total$513,893TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$513,893PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$22,479CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$32,146CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$54,343CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$49,121CurrentTaxYearMinus1YearAmt
Current Tax Year$17,777CurrentTaxYearAmt
Total$175,866TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$25,200CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$24,900CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$29,100CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$40,200CurrentTaxYearMinus1YearAmt
Total$119,400TotalAmt
FieldValueIRS element (for citing)
Total Support$809,159TotalSupportAmt
Public Support CY1700.63510PublicSupportCY170Pct
Public Support PY1700.67580PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationFUNDRAISING INCOMEExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$23,885OtherCostOrOtherBasisAmt
Depreciation$6,370DepreciationAmt
Book Value$17,515BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$17,515TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescFIDELITY CONSERVATIV INCOME BOND FUNDDesc
Book Value$289,758BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$289,758TotalBookValueSecuritiesAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1DICOSES OF NORWICHBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1201 BROADWAYAddressLine1Txt
CityNORWICHCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06360ZIPCd
FieldValueIRS element (for citing)
Non Cash Assistance$5,000NonCashAssistanceAmt
Valuation Method UsedFMVValuationMethodUsedDesc
Non Cash AssistanceSHOPRITE GIFT CARDSNonCashAssistanceDesc
Purpose Of GrantTO ASSIST THEIR LOCAL COMMUNITY WITH PURCHASING FOOD AND SUPPLIES.PurposeOfGrantTxt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationPRIOR TO A DONATION BEING AWARDED, A MEMBER OF THE BOARD OR A REPRESENTATIVE OF THE FOUNDATION COMMUNICATES WITH THE ENTITY REQUESTING THE FUNDS. AT THIS TIME, RESTRICTIONS OF FUNDING, IF ANY, ARE DISCUSSED. IN ADDITION, IF THE FUNDS ARE RESTRICTED FOR A CERTAIN PURPOSE, A LETTER IS MAILED WITH THE DONATION INDICATING THE PURPOSE OF THE FUNDS AND THE PURPOSE IS ALSO INDICATED ON THE CHECK.ExplanationTxt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1101 WATER STREET LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship With OrgOFFICER OF THE ORGANIZATIONRelationshipWithOrgTxt
Loan PurposeBUILDING RENOVATIONLoanPurposeTxt
Loan From OrganizationYes (X)LoanFromOrganizationInd
Original Principal$270,000OriginalPrincipalAmt
Balance Due$274,155BalanceDueAmt
Default0DefaultInd
Board Or Committee ApprovalYes (1)BoardOrCommitteeApprovalInd
Written Agreement0WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$274,155TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1101 WATER STREET LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionOFFICER OF THE ORGANIZATIONRelationshipDescriptionTxt
Transaction$50,000TransactionAmt
TransactionOFFICE RENTTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2THE OFFICERS HAVE A FAMILY RELATIONSHIP (FATHER AND SONS).
FORM 990, PART VI, SECTION A, LINE 8BTHERE ARE NO INDIVIDUAL COMMITTEES.
FORM 990, PART VI, SECTION B, LINE 11BALL OFFICERS ARE AVAILABLE AT THE NOTED ADDRESS AND REVIEW THE RETURN PRIOR TO FILING.
FORM 990, PART VI, SECTION C, LINE 19ALL GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND TAX RETURNS ARE AVAILABLE UPON REQUEST AT THE ADDRESS INDICATED.
FORM 990, PART XI, LINE 9:COST BASIS ADJUSTMENT DUE TO STOCK MERGER -358.

Schedule R IRS990ScheduleR

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
FIVE STAR SUPERMARKETS OF CLINTON LLC
266 EAST MAIN STREETCLINTONCT06413271966740GROCERY STORECTN/A00
CAP REALTY LLC
130 MAIN STREETNORWICHCT06360200564118REAL ESTATECTN/A00
146 MAIN LLC
130 MAIN STREETNORWICHCT06360455277063RENTAL PROPERTYCTN/A00
101 WATER STREET LLC
130 MAIN STREETNORWICHCT06360472081836RENTAL PROPERTYCTN/A00
LEWIS & GARFIELD LLC
6 TRAILS ENDOLD SAYBROOKCT06475463396533INVESTMENTSCTN/A00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
FIVE STAR SUPERMARKETS OF NEW LONDON INC
634 WEST MAIN STREETNORWICHCT06360061549960GROCERY STORECTN/AS0
FIVE STAR SUPERMARKETS OF NORWICH INC
634 WEST MAIN STREETNORWICHCT06360061461813GROCERY STORECTN/AS0
MAJK CORPORATION
684 WEST POND MEADOW ROADWESTBROOKCT06498061631091LEASINGCTN/AS0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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