NORDBLOM FAMILY FOUNDATION: Form 990PF, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
NORDBLOM FAMILY FOUNDATION (EIN 04-3491328)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-13
IRS object ID
202023189349103082
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 ReturnHeader

FieldValueIRS element (for citing)
Return2020-11-13T15:14:56-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN204071715PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BERTELETTI DESROCHERS & COMPANY PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12400 DISTRICT AVENUE STE 240AddressLine1Txt
CityBURLINGTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01803ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN043491328EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE NORDBLOM FAMILY FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNORDBusinessNameControlTxt
Phone7812724000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line171 THIRD AVENUEAddressLine1Txt
CityBURLINGTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01803ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL O'NEILLPersonNm
Person TitleTREASURER OF NORDBLOM MANAGEMENT COPersonTitleTxt
Phone7812724000PhoneNum
Signature2020-11-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL R DESROCHERS CPAPreparerPersonNm
PTINP00447691PTIN
Phone7813283200PhoneNum
Preparation2020-11-13PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address104.208.157.237IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-11-13IPDt
IP Tm15:30:38IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdA42E4846F3F995879C8E11B5841268FADE32876EAtSubmissionCreationDeviceId
At Submission Filing Device IdA42E4846F3F995879C8E11B5841268FADE32876EAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-04-22 16:20:28ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$42,892,669FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$929,457DividendsRevAndExpnssAmt
Dividends Net Invst Incm$929,457DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$1,296,423NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$5,865,299GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$1,296,423CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$34,828OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$0OtherIncomeNetInvstIncmAmt
Other Income Adj Net Incm$0OtherIncomeAdjNetIncmAmt
Total Rev And Expnss$2,260,708TotalRevAndExpnssAmt
Total Net Invst Incm$2,225,880TotalNetInvstIncmAmt
Total Adj Net Incm$0TotalAdjNetIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$54,562CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Adj Net Incm$0CompOfcrDirTrstAdjNetIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$54,562CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$19,975AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$19,975AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$0AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$261,147OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$244,854OtherProfFeesNetInvstIncmAmt
Other Prof Fees Adj Net Incm$0OtherProfFeesAdjNetIncmAmt
Other Prof Fees Dsbrs Chrtbl$16,293OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$41,667TaxesRevAndExpnssAmt
Taxes Net Invst Incm$41,667TaxesNetInvstIncmAmt
Taxes Adj Net Incm$0TaxesAdjNetIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$110,932OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$107,059OtherExpensesNetInvstIncmAmt
Other Expenses Adj Net Incm$0OtherExpensesAdjNetIncmAmt
Other Expenses Dsbrs Chrtbl$3,873OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$488,283TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$413,555TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$74,728TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$2,514,550ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$2,514,550ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$3,002,833TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$413,555TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$2,589,278TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$742,125ExcessRevenueOverExpensesAmt
Net Investment Income$1,812,325NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$65,040CashBOYAmt
Cash EOY$97,784CashEOYAmt
Cash EOYFMV$97,784CashEOYFMVAmt
Sav And Temp Cash Invst BOY$48,891SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$54,849SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$54,849SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl$25,000AcctRcvblAmt
Acct Rcvbl EOY$25,000AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$25,000AcctRcvblEOYFMVAmt
Prepaid Expenses BOY$15,181PrepaidExpensesBOYAmt
Corporate Stock BOY$14,281,796CorporateStockBOYAmt
Corporate Stock EOY$11,026,667CorporateStockEOYAmt
Corporate Stock EOYFMV$13,957,067CorporateStockEOYFMVAmt
Other Investments BOY$24,262,553OtherInvestmentsBOYAmt
Other Investments EOY$26,731,630OtherInvestmentsEOYAmt
Other Investments EOYFMV$28,757,969OtherInvestmentsEOYFMVAmt
Total Assets BOY$38,673,461TotalAssetsBOYAmt
Total Assets EOY$37,935,930TotalAssetsEOYAmt
Total Assets EOYFMV$42,892,669TotalAssetsEOYFMVAmt
Accounts Payable EOY$357AccountsPayableEOYAmt
Other Liabilities BOY$0OtherLiabilitiesBOYAmt
Other Liabilities EOY$4,237OtherLiabilitiesEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,594TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$38,673,461CapitalStockBOYAmt
Capital Stock EOY$37,931,336CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$0RetainedEarningBOYAmt
Retained Earning EOY$0RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$38,673,461TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$37,931,336TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$38,673,461TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$37,935,930TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$38,673,461TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$742,125ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$37,931,336SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$37,931,336TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (23 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
9264.406 SHS TOTAL INTL STOCK MKT IDX INSTP2019-01-25$1,000,000$1,049,015-$49,015-$49,015
9264.406 SHS TOTAL INTL STOCK MKT IDX INSTP2019-05-21$550,000$565,599-$15,599-$15,599
9264.406 SHS TOTAL INTL STOCK MKT IDX INSTP2019-06-24$50,000$50,160-$160-$160
9264.406 SHS TOTAL INTL STOCK MKT IDX INSTP2019-12-06$300,000$290,636$9,364$9,364
VANGUARD - TOTAL BOND MKT INDEX INSTP2019-05-21$100,000$100,618-$618-$618
VANGUARD - TOTAL BOND MKT INDEX INSTP2019-12-06$600,000$582,679$17,321$17,321
18811.136 SHS TOTAL STOCK MKT IDX INSTP2019-01-25$1,250,000$935,532$314,468$314,468
4904.709 SHS TOTAL STOCK MKT IDX INSTP2019-05-21$350,000$244,446$105,554$105,554
2057.331 SHS TOTAL STOCK MKT IDX INSTP2019-06-24$150,000$102,702$47,298$47,298
4486.029 SHS TOTAL STOCK MKT IDX INSTP2019-12-06$350,000$224,442$125,558$125,558
2890.90 SHS TOTAL STOCK MKT IDX INSTP2019-12-24$230,000$145,096$84,904$84,904
FPA CRESENT FUNDP$24,494$24,494$24,494
FARALLON CAPITALP$884-$884-$884
FARALLON CAPITALP$71,841$71,841$71,841
STATE STREET REAL ASSETP$77,278-$77,278-$77,278
STATE STREET REAL ASSETP$215,106$215,106$215,106
LONE JUNIPER LPP$199,789-$199,789-$199,789
LONE JUNIPER LPP$183,359$183,359$183,359
LONE JUNIPER LPP$85,058$85,058$85,058
LONE JUNIPER LPP$315,560$315,560$315,560
DAVIDSON KEMPNER INSTITUP$30,075$30,075$30,075
DAVIDSON KEMPNER INSTITUP$9,544$9,544$9,544
DAVIDSON KEMPNER INSTITUP$262$262$262
FieldValueIRS element (for citing)
Capital Gain Net Income$1,296,423CapitalGainNetIncomeAmt
Net Short Term Capital Gain Loss-$161,934NetShortTermCapitalGainLossAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$2,047,089AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$40,142,482NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.050996DistributionYr1Rt
Adjusted Qlfy Distri Yr2$1,766,578AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$41,229,948NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.042847DistributionYr2Rt
Adjusted Qlfy Distri Yr3$1,488,743AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$39,054,690NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.038119DistributionYr3Rt
Adjusted Qlfy Distri Yr4$1,450,301AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$40,064,329NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.036199DistributionYr4Rt
Adjusted Qlfy Distri Yr5$1,050,629AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$32,552,418NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.032275DistributionYr5Rt
Total Distribution0.200436TotalDistributionRt
Average Distribution0.040087AverageDistributionRt
Net Vl Noncharitable Assets$38,017,990NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$1,524,027AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$18,123NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$1,542,150AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$2,589,278QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$18,123InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$18,123SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$18,123TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$15,871EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$15,871TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Tax Due$2,252TaxDueAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateMAOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksNORDBLOM COMPANYIndividualWithBooksNm
Phone7812724000PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line171 THIRD AVENUEAddressLine1Txt
CityBURLINGTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01803ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (5 entries)

Address Line1USAddress/AddressLine1TxtAddress Line2USAddress/AddressLine2TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
PETER C NORDBLOM
C/O NORDBLOM COMPANY 71 THIRDAVENUEBURLINGTONMA01803TRUSTEE1.00$0$0$0
ROBERT W NORDBLOM
C/O NORDBLOM COMPANY 71 THIRDAVENUEBURLINGTONMA01803TRUSTEE1.00$0$0$0
ANNE N DODGE
C/O NORDBLOM COMPANY 71 THIRDAVENUEBURLINGTONMA01803TRUSTEE1.00$0$0$0
M LEE NORDBLOM
C/O NORDBLOM COMPANY 71 THIRDAVENUEBURLINGTONMA01803TRUSTEE25.00$54,562$0$0
CAROLYN C LOS
C/O NORDBLOM COMPANY 71 THIRDAVENUEBURLINGTONMA01803TRUSTEE1.00$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt

Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PRIME BUCHHOLZBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1273 CORPORATE DRIVEAddressLine1Txt
CityPORTSMOUTHCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03801ZIPCd
FieldValueIRS element (for citing)
Service TypeINVESTMENT CONSULTINGServiceTypeTxt
Compensation$100,000CompensationAmt
FieldValueIRS element (for citing)
Contractor Paid Over50k0ContractorPaidOver50kCnt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$20,449,027AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$133,281AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$18,014,636FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$38,596,944TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$38,596,944AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$578,954CashDeemedCharitableAmt
Net Vl Noncharitable Assets$38,017,990NetVlNoncharitableAssetsAmt
Minimum Investment Return$1,900,900MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$1,900,900MinimumInvestmentReturnAmt
Tax Based On Investment Income$18,123TaxBasedOnInvestmentIncomeAmt
Income Tax$10,874IncomeTaxAmt
Total Tax$28,997TotalTaxAmt
Distributable Before Adj$1,871,903DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$1,871,903DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$1,871,903DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$2,589,278ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$2,589,278QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$18,123PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$2,571,155AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$1,871,903DistributableAsAdjustedAmt
Undistributed Income PY$1,888,122UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$2,589,278QualifyingDistributionsAmt
Applied To Year1$1,888,122AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$701,156AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$0TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$1,170,747UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt

Supplementary Information SupplementaryInformationGrp

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

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (65 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line2RecipientUSAddress/AddressLine2Txt
ALZHEIMER'S ASSOCIATION
480 PLEASANT STREETWATERTOWNMA02472PUBLIC CHARITYCHARITABLE$15,000
APPALACHIAN MOUNTAIN CLUB
5 JOY STREETBOSTONMA02108PUBLIC CHARITYCHARITABLE$15,000
BIRCH ROCK CAMP
30 BELLEVUE AVENUESOUTH PORTLANDME04106PUBLIC CHARITYCHARITABLE$5,000
BOSTON CHINATOWN NEIGHBORHOOD CENTER
865 WASHINGTON STBOSTONMA02111PUBLIC CHARITYCHARITABLE$50,000
BOYS AND GIRLS CLUB OF BOSTON INC
50 CONGRESS ST SUITE 730BOSTONMA02109PUBLIC CHARITYCHARITABLE$50,000
CARE DIMENSIONS
75 SYLVAN STREET SUITE B-102DANVERSMA01923PUBLIC CHARITYCHARITABLE$50,000
CHILDREN'S HOME SOCIETY - AMERICA
125 S WACKER DRIVECHICAGOIL60606PUBLIC CHARITYCHARITABLE$50,000
CHILDREN'S HOME SOCIETY OF WASHINGTON
PO BOX 15190SEATTLEWA98115PUBLIC CHARITYCHARITABLE$50,000
CHILDREN'S LITERACY FOUNDATION
1536 LOOMIS HILL ROADWATERBURY CENTERVT05677PUBLIC CHARITYCHARITABLE$1,000
CHILDREN'S MIRACLE NETWORK HOSPITALS
22 BRAMHALL STPORTLANDME04102PUBLIC CHARITYCHARITABLE$250
CHILDREN'S TRUST INC
55 COURT STREET 4TH FLOORBOSTONMA02108PUBLIC CHARITYCHARITABLE$25,000
CIRCLE PROGRAM
PO BOX 815PLYMOUTHNH03264PUBLIC CHARITYCHARITABLE$1,000
COALITION ON TEMPORARY SHELTER
2211 E JEFFERSON SUITE 400DETROITMI48207PUBLIC CHARITYCHARITABLE$92,000
COLUMBIA LAND CONSERVANCY
49 MAIN STREETCHATHAMNY12037PUBLIC CHARITYCHARITABLE$1,000
COMMUNITY PARTNERSHIP FAMILY RESOURCE CENTER
PO BOX 396DIVIDECO80814PUBLIC CHARITYCHARITABLE$20,000
COMMUNITY SERVICES CONSORTIUM
250 BROADALBIN ST SUITE 2AALBANYOR97321PUBLIC CHARITYCHARITABLE$92,000
CONCORD FREE LIBRARY
129 MAIN STCONCORDMA01742PUBLIC CHARITYCHARITABLE$15,000
COURAGEOUS PARENTS NETWORK
21 ROCHESTER RDNEWTONMA02458PUBLIC CHARITYCHARITABLE$35,250
CROSSROADS FOR KIDS
119 MYRTLE STDUXBURYMA02332PUBLIC CHARITYCHARITABLE$45,000
ECONOMIC MOBILITY PATHWAYS
ONE WASHINGTON MALL 3RD FLOORBOSTONMA02108PUBLIC CHARITYCHARITABLE$250,000
EPIPHANY
154 CENTRE STREETDORCHESTERMA02124PUBLIC CHARITYCHARITABLE$50,000
FAMILIES FIRST PARENTING PROGRAMS
9 GALEN STWATERTOWNMA02472PUBLIC CHARITYCHARITABLE$45,000
FAMILY & CHILDREN'S SVC
111 NORTH COMMON STREETLYNNMA01902PUBLIC CHARITYCHARITABLE$20,000
FAMILY NURTURING CENTER OF MASSACHUSETTS INC
200 BOWDOIN STREETDORCHESTERMA02122PUBLIC CHARITYCHARITABLE$50,000
FATHER'S UPLIFT INC
12 SOUTHERN AVENUEDORCHESTERMA02124PUBLIC CHARITYCHARITABLE$50,000
FRIENDS OF CCHS LACROSSE
PO BOX 142CONCORDMA01742PUBLIC CHARITYCHARITABLE$1,000
FRIENDS OF THE CHILDREN - BOSTON
555 AMORY STREETBOSTONMA02130PUBLIC CHARITYCHARITABLE$25,000
GRANITE STATE UNITED WAY
258 HIGHLAND STREETPLYMOUTHNH03264PUBLIC CHARITYCHARITABLE$10,000
HEADING HOME
529 MAIN ST SUITE 100CHARLESTOWNMA02129PUBLIC CHARITYCHARITABLE$92,000
HOUSEHOLD GOOD INC
530 MAIN STREETACTONMA01720PUBLIC CHARITYCHARITABLE$25,000
INSTITUTE OF REAL ESTATE MANAGEMENT FOUNDATION
125 NASHUA STREET STE 540BOSTONMA02114PUBLIC CHARITYCHARITABLE$60,000
JULIE'S FAMILY LEARNING PROGRAM INC
133 FORCHESTER STSHOUTH BOSTONMA02127PUBLIC CHARITYCHARITABLE$35,000
JUSTICE RESOURCE INITIATIVE FBO FIRST CONNECTIONS
360 MASS AVEACTONMA01720PUBLIC CHARITYCHARITABLE$25,000
LA ALIANZA HISPANA
1000 MASS AVE 101BOSTONMA02118PUBLIC CHARITYCHARITABLE$25,000
LAHEY CLINIC FOUNDATION INC
41 MALL ROADBURLINGTONMA01805PUBLIC CHARITYCHARITABLE$25,000
MASSACHUSETTS AUDUBON SOCIETY
208 SOUTH GREAT ROADLINCOLNMA01773PUBLIC CHARITYCHARITABLE$20,000
MASSACHUSETTS GENERAL HOSPITAL
54 FRUIT STREETBOSTONMA02114PUBLIC CHARITYCHARITABLE$60,000
MSPCA - ANGELL
350 SOUTH HUNTINGTON AVEBOSTONMA02130PUBLIC CHARITYCHARITABLE$30,000
MUSEUM OF SCIENCE
1 SCIENCE PARKBOSTONMA02114PUBLIC CHARITYCHARITABLE$50,000
OPERATION SMILE
3641 FACULTY BOULEVARDVIRGINIA BEACHVA23453PUBLIC CHARITYCHARITABLE$15,000
ORTHODOX CHRISTIAN MISSION CENTER
220 MASON MANATEE WAYST AUGUSTINEFL32086PUBLIC CHARITYCHARITABLE$102,000
PARENT POSSIBLE
800 GRANT ST STE 200DENVERCO80203PUBLIC CHARITYCHARITABLE$10,000
PARENTING JOURNEY
366 SOMERVILLE AVESOMERVILLEMA02143PUBLIC CHARITYCHARITABLE$40,000
PATHWAYS FOR CHILDREN
29 EMERSON AVEGLOUCESTERMA01930PUBLIC CHARITYCHARITABLE$30,000
PEMI YOUTH CENTER
111 MAIN STREETPLYMOUTHNH03264PUBLIC CHARITYCHARITABLE$5,000
PEMI-BAKER COMMUNITY HEALTH
101 BOULDER POINT DRIVE SUITE 3PLYMOUTHMA03264PUBLIC CHARITYCHARITABLE$10,000
PEPS PARENTS FOR EARLY PARENT SUPPORT
4649 SUNNYSIDE AVE NORTH 324SEATTLEWA98103PUBLIC CHARITYCHARITABLE$5,000
RAW ART WORKS
37 CENTRAL SQUARELYNNMA01901PUBLIC CHARITYCHARITABLE$25,000
ROCA INC
101 PARK STREETCHELSEAMA02150PUBLIC CHARITYCHARITABLE$50,000
ROOM TO GROW NATIONAL INC
142 BERKELEY STREETBOSTONMA02116PUBLIC CHARITYCHARITABLE$50,000
ROOT NS INC
35 CONGRESS STREET BLDG 2 THIRDSALEMMA01970PUBLIC CHARITYCHARITABLE$10,000FLOOR
SCARBOROUGH LAND CONSERVATION TRUST
PO BOX 1237SCARBOROUGHME04070PUBLIC CHARITYCHARITABLE$1,000
SMILE TRAIN
41 MADISON AVE 28TH FLOORNEW YORKNY10010PUBLIC CHARITYCHARITABLE$750
THE CABOT PERFORMING ARTS CENTER
286 CABOT STREETBEVERLYMA01915PUBLIC CHARITYCHARITABLE$225,000
THE CHILDREN'S ROOM
1210 MASS AVEARLINGTONMA02476PUBLIC CHARITYCHARITABLE$50,000
THE CONVERSATION PROJECT INC
20 UNIVERSITY ROAD 7TH FLOORCAMBRIDGEMA02138PUBLIC CHARITYCHARITABLE$50,000
THE DOUG FLUTIE JR FOUNDATION FOR AUTISM
PO BOX 2157FRAMINGHAMMA01705PUBLIC CHARITYCHARITABLE$5,000
THE FAMILY PARTNERSHIP
414 S 8TH STMINNEAPOLISMN55404PUBLIC CHARITYCHARITABLE$92,000
THE MICHAEL J FOX FOUNDATION
PO BOX 4777NEW YORKNY10163PUBLIC CHARITYCHARITABLE$100
THE OPPORTUNITY ALLIANCE
50 LYDIA LANESOUTH PORTLANDME04106PUBLIC CHARITYCHARITABLE$92,000
UNIVERSITY OF NEW HAMPSHIRE FOUNDATION INC
9 EDGEWOOD ROADDURHAMNH03824PUBLIC CHARITYCHARITABLE$35,000
WESTERN NEW ENGLAND COLLEGE
1215 WILBRAHAM ROADSPRINGFIELDMA01119PUBLIC CHARITYCHARITABLE$1,000
WGBH EDUCATIONAL FOUNDATION
ONE GUEST STBOSTONMA02135PUBLIC CHARITYCHARITABLE$50,000
WIKIMEDIA
1 MONTGOMERY ST SUITE 1600SAN FRANCISCOCA94104PUBLIC CHARITYCHARITABLE$100
WINTERKIDS
506 MAIN STWESTBROOKME04092PUBLIC CHARITYCHARITABLE$100
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$2,514,550TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$929,457ExclusionAmt

Other Investment Incm Part VII OtherInvestmentIncmPartVIIGrp

FieldValueIRS element (for citing)
Business523000BusinessCd
Unrelated Business Taxbl Incm$34,828UnrelatedBusinessTaxblIncmAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$1,296,423ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$34,828UnrelatedBusinessTaxblIncmAmt
Exclusion$2,225,880ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$2,260,708TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING SERVICESCategoryTxt
Amt$19,975Amt
Net Investment Income$19,975NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockCORPORATE STOCKStockNm
EOY Book Value$11,026,667EOYBookValueAmt
EOYFMV$13,957,067EOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (3 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
PARTNERSHIP INTERESTAT COST$13,279,090$14,068,574
DOMESTIC BONDSAT COST$5,788,267$5,949,180
MUTUAL FUNDSAT COST$7,664,273$8,740,215

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (4 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
PROFESSIONAL ORGANIZATIONS$1,500$0$0$1,500
OFFICE SUPPLIES$2,683$1,341$0$1,342
BANK/PAYROLL FEES$2,062$1,031$0$1,031
LOSS FROM PARTNERSHIP PASSTHROUGHS$104,687$104,687$0$0

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescOTHERDesc
Revenue And Expenses Per Books$34,828RevenueAndExpensesPerBooksAmt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail (2 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmt
FED TAX PAYABLE$0$2,228
MA TAX PAYABLE$0$2,009

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
INVESTMENT FEES$244,854$244,854$0$0
GMA FEES$16,293$0$0$16,293

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (3 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
MA STATE TAXES$3,170$3,170$0$0
FEDERAL TAXES$28,998$28,998$0$0
FOREIGN TAXES$9,499$9,499$0$0

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