BERNATCHEZ FAMILY FOUNDATION TR UA 12132006: Form 990PF, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- BERNATCHEZ FAMILY FOUNDATION TR UA 12132006 (EIN 30-6201571)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-05-04
- IRS object ID
- 202041259349101534
- Schema version
- 2019v5.1
- 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
- Form 990-PF
- Accounting Fees Schedule
- Applied To Prior Year Election
- Investments Other Schedule2
- Other Expenses Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-05-04T07:23:27-05:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 592213319 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUPLEE SHEA CRAMER & ROCKLEIN PA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 SOUTH OSPREY AVENUE | AddressLine1Txt |
| City | SARASOTA | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 342367834 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 306201571 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE BERNATCHEZ FAMILY FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BERN | BusinessNameControlTxt |
| Phone | 5088983418 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 S OSPREY AVE | AddressLine1Txt |
| City | SARASOTA | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 34236 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL BERNATCHEZ | PersonNm |
| Person Title | CO-TRUSTEE | PersonTitleTxt |
| Phone | 5088983418 | PhoneNum |
| Signature | 2020-04-22 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | T RAYMOND SUPLEE | PreparerPersonNm |
| PTIN | P00456310 | PTIN |
| Phone | 9413663600 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | 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 | $1,991,395 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Dividends Rev And Expnss | $43,168 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $43,168 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $23,245 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $362,321 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $23,245 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $66,413 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $66,413 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $0 | TotalAdjNetIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Adj Net Incm | $0 | CompOfcrDirTrstAdjNetIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $0 | CompOfcrDirTrstDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $1,930 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $1,930 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Adj Net Incm | $0 | AccountingFeesAdjNetIncmAmt |
| Accounting Fees Chrtbl Prps | $0 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $18,557 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $18,557 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Adj Net Incm | $0 | OtherProfFeesAdjNetIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $0 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $2,071 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $1,350 | TaxesNetInvstIncmAmt |
| Taxes Adj Net Incm | $0 | TaxesAdjNetIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Trav Conf Meeting Rev And Expnss | $3,599 | TravConfMeetingRevAndExpnssAmt |
| Trav Conf Meeting Net Invst Incm | $3,599 | TravConfMeetingNetInvstIncmAmt |
| Trav Conf Meeting Adj Net Incm | $0 | TravConfMeetingAdjNetIncmAmt |
| Trav Conf Meeting Dsbrs Chrtbl | $0 | TravConfMeetingDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $311 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $311 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Adj Net Incm | $0 | OtherExpensesAdjNetIncmAmt |
| Other Expenses Dsbrs Chrtbl | $0 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $26,468 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $25,747 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $0 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $96,000 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $96,000 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $122,468 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $25,747 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $0 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $96,000 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$56,055 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $40,666 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $45,469 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $65,572 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $65,572 | SavAndTempCashInvstEOYFMVAmt |
| Other Investments BOY | $1,818,103 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $1,741,945 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $1,925,823 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $1,863,572 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,807,517 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $1,991,395 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
| No Donor Rstr Net Assests BOY | $1,863,572 | NoDonorRstrNetAssestsBOYAmt |
| No Donor Rstr Net Assests EOY | $1,807,517 | NoDonorRstrNetAssestsEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $1,863,572 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $1,807,517 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $1,863,572 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $1,807,517 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $1,863,572 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$56,055 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $1,807,517 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $1,807,517 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (3 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|---|
| SEE ATTACHED-MERRILL LYNCH | P | 2019-12-31 | $144,387 | $143,213 | $1,174 | $1,174 |
| SEE ATTACHED-MERRILL LYNCH | P | 2019-12-31 | $216,662 | $195,863 | $20,799 | $20,799 |
| CAPITAL GAINS DIVIDENDS | P | $1,272 | $1,272 | $1,272 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $23,245 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $84,000 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $1,926,916 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.043593 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $88,000 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $1,895,834 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.046418 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $94,528 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $1,773,352 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.053305 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $95,410 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $1,888,329 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.050526 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $87,111 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $1,911,591 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.045570 | DistributionYr5Rt |
| Total Distribution | 0.239412 | TotalDistributionRt |
| Average Distribution | 0.047882 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $1,890,514 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $90,522 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $407 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $90,929 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $96,000 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Domestic Org Meeting Sect4940e | Yes (X) | DomesticOrgMeetingSect4940eInd |
| Investment Income Excise Tax | $407 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $407 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $407 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $3,440 | EstimatedPlusOvpmtIncmTxAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $3,440 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Overpayment | $3,033 | OverpaymentAmt |
| Applied To ES Tax | $3,033 | 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 | FL | 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 | N/A | WebsiteAddressTxt |
| Individual With Books | MICHAEL BERNATCHEZ | IndividualWithBooksNm |
| Phone | 5088983418 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5 ROSEWOOD PLACE | AddressLine1Txt |
| City | WESTBOROUGH | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01581 | 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 |
|---|---|---|---|---|---|---|---|---|
| MICHAEL E BERNATCHEZ | ||||||||
| 5 ROSEWOOD PLACE | WESTBOROUGH | MA | 01581 | CO-TRUSTEE | 5.00 | $0 | $0 | $0 |
| JAMES J BERNATCHEZ | ||||||||
| 242 BAXTER LANE | MILFORD | CT | 06486 | CO-TRUSTEE | 5.00 | $0 | $0 | $0 |
| DANIEL P BERNATCHEZ | ||||||||
| 201 WEST TRAIL | STAMFORD | CT | 06903 | CO-TRUSTEE | 5.00 | $0 | $0 | $0 |
| MARC G BERNATCHEZ | ||||||||
| 34 N PRINCETON DRIVE | SHELDON | CT | 06484 | CO-TRUSTEE | 5.00 | $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 | $1,873,673 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $45,631 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $1,919,304 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $1,919,304 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $28,790 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $1,890,514 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $94,526 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $94,526 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $407 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $407 | TotalTaxAmt |
| Distributable Before Adj | $94,119 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $94,119 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $94,119 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $96,000 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $96,000 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $407 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $95,593 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $94,119 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $92,308 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Total Excess Distribution Cyov | $0 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $96,000 | QualifyingDistributionsAmt |
| Applied To Year1 | $92,308 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $3,692 | 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 | $90,427 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $0 | ExcessDistriCyovToNextYrAmt |
Supplementary Information SupplementaryInformationGrp
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | MICHAEL E BERNATCHEZ | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5 ROSEWOOD PLACE | AddressLine1Txt |
| City | WESTBOROUGH | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01581 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 5088983418 | RecipientPhoneNum |
| Form And Info And Materials | DESIGNATED APPLICATION TO INCLUDE ORGANIZATION'S GENERAL INFORMATION AND PURPOSE OF FUNDS REQUESTED. | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | NONE | SubmissionDeadlinesTxt |
| Restrictions On Awards | NO RESTRICTIONS | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (15 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| ST LAWRENCE CHURCH | |||||||
| 505 SHELTON AVE | SHELTON | CT | 06484 | NONE | 501(C)3 | GENERAL | $3,000 |
| AMERICAN CANCER SOCIETY | |||||||
| 250 WILLIAMS ST NW | ATLANTA | GA | 30303 | NONE | 501(C)3 | GENERAL | $12,000 |
| BETH-EL CENTER INC | |||||||
| 90 NEW HAVEN AVE | MILFORD | CT | 06460 | NONE | 501(C)3 | GENERAL | $12,000 |
| CENTER FOR FAMILY JUSTICE | |||||||
| 753 FAIRFIELD AVE | BRIDGEPORT | CT | 06604 | NONE | 501(C)3 | GENERAL | $9,000 |
| CENTER OF COASTAL STUDIES | |||||||
| 115 BRADFORD ST | PROVINCETOWN | MA | 02657 | NONE | 501(C)3 | GENERAL | $4,000 |
| COVENANT HOUSE FLORIDA INC | |||||||
| 733 BREAKERS AVE | FT LAUDERDALE | FL | 33304 | NONE | 501(C)3 | GENERAL | $12,000 |
| BACK ON MY FEET | |||||||
| 100 S BROAD ST SUITE 2136 | PHILADEPHIA | PA | 19110 | NONE | 501(C)3 | GENERAL | $2,500 |
| HABITAT FOR HUMANITY FAIRFIELD COUNTY | |||||||
| 1542 BARNUM AVE | BRIDGEPORT | CT | 06610 | NONE | 501(C)3 | GENERAL | $5,000 |
| HOUSING FAMILIES INC | |||||||
| 919 EASTERN AVE | MALDEN | MA | 02148 | NONE | 501(C)3 | GENERAL | $3,000 |
| INCARNATION SCHOOL FOUNDATION | |||||||
| 2911 BEE RIDGE RD | SARASOTA | FL | 34239 | NONE | 501(C)3 | GENERAL | $12,000 |
| KOMERA | |||||||
| PO BOX 1491 | JAMAICA PLAIN | MA | 02130 | NONE | 501(C)3 | GENERAL | $1,500 |
| LIFE IS GOOD KIDS FOUNDATION | |||||||
| 51 MELCHER ST | BOSTON | MA | 02210 | NONE | 501(C)3 | GENERAL | $1,000 |
| LITERACY VOLUNTEERS OF GREATER WORCESTER | |||||||
| 3 SALEM SQUARE ROOM 332 | WORCESTER | MA | 01608 | NONE | 501(C)3 | GENERAL | $4,000 |
| MULTIPLE SCLEROSIS FOUNDATION INC | |||||||
| 6520 N ANDREWS AVENUE | FT LAUDERDALE | FL | 33309 | NONE | 501(C)3 | GENERAL | $12,000 |
| PLANNED PARENTHOOD OF SOUTHERN NEW ENGLAND | |||||||
| 345 WHITNEY AVE | NEW HAVEN | CT | 06511 | NONE | 501(C)3 | GENERAL | $3,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $96,000 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $43,168 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $23,245 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $66,413 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $66,413 | TotalIncomeProducingActyAmt |
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp (3 entries)
| Line NumberLineNumberTxt | Relationship StatementRelationshipStatementTxt |
|---|---|
| 4 | THE FOUNDATION PROVIDES GRANTS TO CERTAIN RECOGNIZED CHARITABLE |
| 7 | ORGANIZATIONS AND OTHER QUALIFIED CHARITIES WITHIN THE MEANING OF |
| 8 | SECTION 501(C)3 OF THE INTERNAL REVENUE CODE |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | 0 | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | 0 | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | 0 | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | 0 | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | 0 | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | 0 | RelationshipsNonchrtblEOInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING | CategoryTxt |
| Amt | $1,930 | Amt |
| Net Investment Income | $1,930 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Applied To Prior Year Election AppliedToPriorYearElection
| Field | Value | IRS element (for citing) |
|---|---|---|
| Election | ORGANIZATION ELECTS TO APPLY $228 TO THE UNDISTRIBUTED INCOME REMAINING FROM YEAR 2012. | ElectionDesc |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (44 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| ISHARES RUSSELL 1000 GROWTH INDEX FUND | AT COST | $191,504 | $241,538 |
| ISHARES RUSSELL 1000 VALUE INDEX FUND | AT COST | $348,410 | $378,459 |
| ISHARES MSCI EAFE INDEX FUND | AT COST | $187,181 | $190,175 |
| ISHARES MSCI EMERGING MKTS INDEX FD | AT COST | $137,650 | $161,226 |
| SPDR S&P 600 SMALL CAP VALUE | AT COST | $53,034 | $61,426 |
| JP MORGAN CHASE & CO | AT COST | $7,025 | $9,897 |
| LOCKHEED MARTIN CORP | AT COST | $8,180 | $9,735 |
| SPDR GOLD TRUST | AT COST | $61,195 | $73,879 |
| AMAZON COM INC | AT COST | $14,232 | $14,783 |
| PROLOGIS INC | AT COST | $3,673 | $4,903 |
| AMERICAN TOWER REIT INC | AT COST | $3,386 | $5,286 |
| ALPHABET INC | AT COST | $12,125 | $14,733 |
| APPLE INC | AT COST | $13,667 | $19,087 |
| BLACKROCK INC | AT COST | $5,536 | $6,032 |
| CAPITAL ONE FINL | AT COST | $6,324 | $6,895 |
| COSTCO WHOLESALE CRP | AT COST | $6,915 | $9,112 |
| CITIGROUP INC | AT COST | $6,323 | $7,190 |
| CHUBB LTD | AT COST | $5,731 | $6,538 |
| DANAHER CORP | AT COST | $6,861 | $9,823 |
| DISNEY WALT CO | AT COST | $10,086 | $12,294 |
| HONEYWELL INTL INC | AT COST | $10,904 | $12,390 |
| HOME DEPOT INC | AT COST | $7,774 | $8,735 |
| KEURIG DR PEPPER INC | AT COST | $5,651 | $6,311 |
| MICROSOFT CORP | AT COST | $14,839 | $20,186 |
| MICROCHIP TECHNOLOGY INC | AT COST | $4,642 | $7,121 |
| NEXTERA ENERGY INC | AT COST | $7,167 | $9,686 |
| SHERWIN WILLIAMS | AT COST | $7,305 | $9,920 |
| ANTHEM INC | AT COST | $6,538 | $6,947 |
| TRUIST FINL CORP | AT COST | $7,737 | $8,561 |
| SYSCO CORPORATION | AT COST | $5,586 | $6,929 |
| TOTAL SA | AT COST | $12,314 | $11,226 |
| THERMO FISHER SCIENTIFIC INC | AT COST | $8,641 | $11,695 |
| UNION PACIFIC CORP | AT COST | $8,812 | $9,763 |
| VISA INC | AT COST | $8,103 | $10,710 |
| WALMART INC | AT COST | $6,294 | $7,725 |
| JOHCM INTERNATIONAL SELECT FUND | AT COST | $186,556 | $185,129 |
| GOLDMAN SACHS ABSOLUTE RETURN TRACKER FD | AT COST | $127,372 | $128,354 |
| BLACKSTONE ALT MULTI STRATEGY FD | AT COST | $127,770 | $126,556 |
| ZOETIS INC | AT COST | $4,995 | $6,220 |
| ISHARES RUSSELL 1000 VALUE CURRENT YIELD | AT COST | $55,930 | $59,923 |
| ROSS STORES INC | AT COST | $5,854 | $6,520 |
| CONSTELLATION BRANDS INC | AT COST | $5,678 | $5,503 |
| CISCO SYSTEMS INC | AT COST | $8,765 | $8,537 |
| ABBOTT LABS | AT COST | $7,680 | $8,165 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INVESTMENT EXPENSES | Desc |
| Revenue And Expenses Per Books | $311 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $311 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | MERRILL LYNCH FEES | CategoryTxt |
| Amt | $18,557 | Amt |
| Net Investment Income | $18,557 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|---|
| FOREIGN TAXES | $1,350 | $1,350 | $0 | $0 |
| FEDERAL TAXES | $721 | $0 | $0 | $0 |