2020-11-12T08:14:08-06:00 2019-12-31 043245662 DAVIES & MONAHAN PC 1 BATTERYMARCH PARK STE 101 QUINCY MA 021697454 990PF 2019-01-01 056149205 THE DAVIS FAMILY CHARITABLE FOUNDATION C/O JONATHAN G DAVIS & MARGOT T DAVIS DAVI 6174511300 125 HIGH STREET SUITE 2111 BOSTON MA 02110 JONATHAN DAVIS TRUSTEE 6174511300 2020-11-09 1 KELLY A MCLAUGHLIN P00088611 6177699600 23.30.139.73 2020-11-09 15:12:54 ES P BB4AA2145E8F53ED1DD2BBDD33206690BB4A7B40 7910EB590B0C0875919CA383C8AA64E2036D6F7C 2019 2021-04-22 16:20:28Z X 36171423 X 4850568 75848 75848 368146 368146 1874549 7042693 1624620 -148098 -38901 7021013 2029713 40000 0 40000 18500 0 0 238322 156440 73882 8530 1710 4320 11470 0 11470 9449 0 0 190062 165870 0 516333 324020 129672 2348003 2348003 2864336 324020 2477675 4156677 1705693 3956674 3508089 3508089 28 38 38 100000 0 0 100000 100000 2775317 1303721 1380976 18392909 24369757 31182320 25124928 29281605 36171423 0 0 X 0 0 0 0 25124928 29281605 25124928 29281605 25124928 29281605 25124928 4156677 0 29281605 0 29281605 FIDELITY#9894 P 2019-12-31 2639666 2467772 171894 171894 FIDELITY#9894 P 2019-12-31 2647903 2557352 90551 90551 FIDELITY#9894 P 2019-12-31 157543 114617 42926 42926 SCHWAB#7113 P 2019-12-31 25513 28403 -2890 -2890 PARTNERSHIP INVESTMENTS P 2019-12-31 1094231 1094231 1094231 PARTNERSHIP INVESTMENTS - 1231 P 2019-12-31 140810 140810 140810 PARTNERSHIP INVESTMENTS P 2019-12-31 86495 86495 86495 PARTNERSHIP INVESTMENTS-UBTI P 2019-12-31 249929 249929 0 0 CAPITAL GAINS DIVIDENDS P 603 603 603 1624620 0 1243615 26698282 0.046580 993491 24082588 0.041253 1014296 19623012 0.051689 969714 18436765 0.052597 877177 17449483 0.050270 0.242389 0.048478 31093278 1507340 17057 1524397 2577675 X 17057 0 17057 0 17057 16015 16500 0 32515 0 15458 15458 0 0 0 0 0 0 0 0 0 1 1 0 1 1 MA CA 1 0 0 0 0 1 DAVISFAMILYCF.ORG JONATHAN G DAVIS 6174511300 125 HIGH STREET SUITE 2111 BOSTON MA 02110 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 JONATHAN G DAVIS 125 HIGH STREET SUITE 2111 BOSTON MA 02110 TRUSTEE 1.00 0 0 0 MARGOT T DAVIS 125 HIGH STREET SUITE 2111 BOSTON MA 02110 TRUSTEE 0.50 0 0 0 MOLLY DAVIS MACLEOD 125 HIGH STREET SUITE 2111 BOSTON MA 02110 TRUSTEE / PROGRAM OFFICER 20.00 40000 0 0 STEPHEN T DAVIS 125 HIGH STREET SUITE 2111 BOSTON MA 02110 TRUSTEE 0.50 0 0 0 NONE 0 PARTNERS CAPITAL INVESTMENT GROUP LLC 600 ATLANTIC AVENUE BOSTON MA 02110 INVESTMENT MANAGEMENT FEES 115568 THE PHILANTHROPIC INITIATIVE 75 ARLINGTON STREET BOSTON MA 02116 PHILANTHROPIC CONSULTING 73711 0 THE BOSTON IMPACT INITIATIVE FUND (THE "BII FUND")INVESTMENT IS TO BE USED BY THE ORGANIZATION TO MAKE LOANS TO LOCAL BUSINESSES AND ORGANIZATIONS THROUGHOUT BOSTON AND EASTERN MASSACHUSETTS. BII FUND IS A 503(C)(3) PUBLIC CHARITY AND THE INVESTMENT IS MADE TO ACCOMPLISH THE CHARITABLE PURPOSE OF THE FOUNDATION. 100000 100000 2763364 914212 27889204 31566780 0 0 31566780 473502 31093278 1554664 1554664 17057 26401 43458 1511206 0 1511206 0 1511206 2477675 100000 2577675 17057 2560618 1511206 178697 0 0 2577675 178697 0 0 1511206 887772 0 0 887772 0 0 0 0 0 0 0 887772 887772 JONATHAN G DAVIS MARGOT T DAVIS X BOSTON IMPACT INITIATIVE PO BOX 300443 JAMAICA PLAIN MA 02130 PUBLIC CHARITY CHARITABLE GIFT 25000 ALZHEIMER'S ASSOCIATION 309 WAVERLY OAKS ROAD WALTHAM MA 02452 PUBLIC CHARITY CHARITABLE GIFT 10000 ANTI-DEFAMATION LEAGUE 40 COURT STREET BOSTON MA 02108 PUBLIC CHARITY CHARITABLE GIFT 10000 AUSBON SARGENT LAND PRESERVATION TRUST PO BOX 2040 NEW LONDON NH 03257 PUBLIC CHARITY CHARITABLE GIFT 2500 BIG BROTHERS BIG SISTERS OF MASSACHUSETTS 75 FEDERAL STREET 8TH FLOOR BOSTON MA 02110 PUBLIC CHARITY CHARITABLE GIFT 50000 GREATER BOSTON LEGAL SERVICES 197 FRIEND STREET BOSTON MA 02114 PUBLIC CHARITY CHARITABLE GIFT 5000 BOSTON FOUNDATION 75 ARLINGTON STREET BOSTON MA 02116 PUBLIC CHARITY CHARITABLE GIFT 20000 BOYS & GIRLS CLUBS BOSTON 200 HIGH STREET 3RD FLOOR BOSTON MA 02110 PUBLIC CHARITY CHARITABLE GIFT 250000 BOYS & GIRLS CLUB OF ST HELENA & CALISTOGA 1420 TAINTER STREET ST HELENA CA 94574 PUBLIC CHARITY CHARITABLE GIFT 60000 BRANDEIS UNIVERSITY PO BOX 549110 MS 126 WALTHAM MA 02454 PUBLIC CHARITY CHARITABLE GIFT 1110000 JEWISH FAMILY & CHILDREN SERVICES 1430 MAIN STREET WALTHAM MA 02451 PUBLIC CHARITY CHARITABLE GIFT 10000 BOSTON CHILDREN HOSPITAL 300 LONGWOOD AVENUE BOSTON MA 02115 PUBLIC CHARITY CHARITABLE GIF 35000 COMBINED JEWISH PHILANTHROPIES 126 HIGH STREET BOSTON MA 02110 PUBLIC CHARITY CHARITABLE GIFT 200000 GEORGETOWN UNIVERSITY 2115 WISCONSIN AVE NW SUITE 500 WASHINGTON DC 20007 PUBLIC CHARITY CHARITABLE GIFT 2500 HEADING HOME 529 MAIN STREET SUITE 100 CHARLESTOWN MA 02129 PUBLIC CHARITY CHARITABLE GIFT 25000 JEWISH VOCATIONAL SERVICES 75 FEDERAL STREET BOSTON MA 02110 PUBLIC CHARITY CHARITABLE GIFT 60000 LAKE SUNAPEE PROTECTIVE ASSOCIATION 63 MAIN STREET PO BOX 683 SUNAPEE NH 03782 PUBLIC CHARITY CHARITABLE GIFT 10000 LEHIGH UNIVERSITY 306 S NEW ST SUITE 500 BETHLEHAM PA 18015 PUBLIC CHARITY CHARITABLE GIFT 2500 LESLEY UNIVERSITY 29 EVERETT STREET CAMBRIDGE MA 02138 PUBLIC CHARITY CHARITABLE GIFT 17500 THE COREY C GRIFFIN FOUNDATION 8 PLEASANT STREET SOUTH UNIT D NATICK MA 01760 PUBLIC CHARITY CHARITABLE GIFT 10000 NEW LONDON HOSPITAL 273 COUNTY ROAD NEW LONDON NH 03257 PUBLIC CHARITY CHARITABLE GIFT 2500 SAVE THE CHILDREN FEDERATION 501 KINGS HIGHWAY EAST SUITE 400 FAIRFIELD CT 16825 PUBLIC CHARITY CHARITABLE GIFT 180000 TEMPLE ISRAEL 477 LONGWOOD AVENUE BOSTON MA 02115 PUBLIC CHARITY CHARITABLE GIFT 15000 THE PARK SCHOOL 171 GODDARD AVE BROOKLINE MA 02445 PUBLIC CHARITY CHARITABLE GIFT 2500 WBUR BOSTON 890 COMMONWEALTH AVENUE 3RD FL BOSTON MA 02215 PUBLIC CHARITY CHARITABLE GIFT 230000 WESTOVER SCHOOL 1237 WHITTLEMORE ROAD MIDDLEBURY CT 06762 PUBLIC CHARITY CHARITABLE GIFT 3000 2348000 0 14 75848 14 368146 900099 249929 18 1624620 PASSTHROUGH ENTITIES 01 -38901 PASSTHROUGH ENTITIES 900099 -109197 140732 2029713 0 2170445 0 0 0 0 0 0 0 0 0 0 X X 1 JONATHAN AND MARGOT DAVIS 125 HIGH STREET SUITE 2111 BOSTON MA 02110 4850568 X ACCOUNTING 18500 0 0 INFORMATION PROVIDED BY RIVA CAPITAL PARTNERS IV LP: FORM 8886 LINE 7E: THE TAXPAYER IS FILING BECAUSE THEY BECAME AWARE OF THEIR POTENTIAL INVOLVEMENT IN A "TRANSACTION OF INTEREST", WHICH REQUIRES DISCLOSURE UNDER SECTION 1.6001-4(D), SHORTLY AFTER NOVEMBER 1, 2016, WHEN NOTICE 2016-66 ("THE NOTICE") WAS PUBLISHED. THE TAXPAYER HAS TAKEN TAX DEDUCTIONS UNDER IRC 162 FOR INSURANCE PREMIUMS PAID TO GAH INSURANCE COMPANY, LLC ("GAH"), WHO WAS ESTABLISHED IN 2015 AS A CAPTIVE INSURANCE COMPANY UNDER THE LAWS OF THE STATE OF VERMONT. GAH MADE AN IRREVOCABLE ELECTION UNDER SECTION 831(B) IN 2015, TO BE A SMALL INSURANCE COMPANY TAXABLE ONLY ON INVESTMENT INCOME, LESS CERTAIN ADMINISTRATIVE EXPENSES. UNDER THIS ELECTION, ALL UNDERWRITING ACTIVITY IS EXCLUDED FROM GAH'S TAXABLE INCOME WHILE THE TAXPAYER, AS AN INSURED, CAN TAKE A TAX DEDUCTION FOR THE PREMIUMS PAID TO GAH.THE TAXPAYER IS REPORTING ON A PROTECTIVE BASIS AS THEY DO NOT BELIEVE THEY MEET THE CRITERIA FOR REPORTING UNDER THE NOTICE ON AN INDIVIDUAL BASIS. HOWEVER, THE TAXPAYER IS INSURED BY GAH, IS RELATED TO OTHER INSURED ENTITIES AND HAS BEEN INFORMED THAT GAH MEETS THE CRITERIA FOR REPORTING UNDER THE NOTICE.THE TAXPAYER WOULD ONLY LOSE THE TAX DEDUCTION IN THE EVENT THAT GAH FAILED TO QUALIFY AS AN INSURANCE COMPANY FOR FEDERAL TAX PURPOSES. IF THIS WERE TRUE, THE DIRECT TAX BENEFIT WOULD BE DETERMINED SEPARATELY FOR EACH INSURED BASED ON THEIR RESPECTIVE TAX POSITION FOR THE RESPECTIVE TAX YEAR. AS SUCH, THE TAXPAYER IS UNABLE TO QUANTIFY THE ESTIMATED TAX BENEFIT UNDER THESE TRANSACTIONS.THE TAXPAYER HAS NOT RECEIVED ANY DIRECT OR INDIRECT FINANCING, NOR HAVE THEY OTHERWISE BEEN CONVEYED OR AGREED TO RECEIVE LOANS, GUARANTEES OR OTHER TRANSFER OF GAH'S CAPITAL. BLACKSTON ALTERNTV MULTI STRATEGY 319127 322340 SCHWAB# 7113 984594 1058636 ALTIMETER AT COST 100000 564360 BAYPOND AT COST 1737664 2981185 ORCHARD LANDMARK AT COST 1850000 3324104 PROSPECT HARBOR LTD/SANKATY OFFSHORE AT COST 214491 0 LINX PARTNERS III AT COST 361240 395145 IGUAZU INVESTORS AT COST 1122000 1554502 MAVERICK LIEN FUND III LP AT COST 121097 137633 HADLEY HARBOR INVESTORS (CAYMAN) LP AT COST 147207 406416 MINER PARTNERS CRESCENT POINT I LP AT COST 849796 1591507 RIVA CAPITAL PARTNERS IV AT COST 704659 811604 VISTA FOUNDATION FUND III-A AT COST 673535 825548 TYBOURNE AT COST 1500000 2052711 DIV FUND III-B, LP AT COST 1123525 1455192 MARKEL CATCO DIVERSIFIED FUND LTD AT COST 481407 98804 MAVERICK LIEN FUND IV , LP AT COST 376055 439451 BLACKSTONE TACTICAL OPPORTUNITIES AT COST 570707 469662 GEMSPRING CAPITAL FUND I, LP AT COST 218291 311198 RENAISSANCE INSTUTIONAL DIVESFIED AT COST 912354 1084476 MSD PRIVATE CREDIT OPP FUND II AT COST 524162 526546 ADAGE CAPITAL PARTNERS AT COST 2763557 3235010 CENTER ROCK PARTNERS FUND I-A, LP AT COST 99019 93494 PERCEPTIVE CREDIT OPP. OFFSHORE FUND II AT COST 230664 227538 CNK FUND I, LP AT COST 141751 143944 CRAFT VENTURES II, LP AT COST 131524 134590 GLS CAPITAL ACCESS FUND I, INC. AT COST 97122 95391 HILLHOUSE CHINA VALUE FEEDER LTD AT COST 1500000 1667295 PARTNERS CAPITAL PHOENIX FUND II, LTD - DIVERSIFIED INCOME FUND AT COST 1929185 1967906 RIVA CAPITAL PARTNERS V AT COST 222060 227007 RTW INNOVATION OFFSHORE FUND LTD AT COST 850000 1193962 DIV VAL OPP FUND IV-B, LP AT COST 48558 46399 WP GLOBAL GROWTH PARTNERS LP AT COST 35299 36488 WMQS GLOBAL EQUITY ACTIVE EXTENSION OFFSHORE FUND LTD AT COST 1500000 1581661 TDC LATHAM FARMS MEMBER, LLC AT COST 1232828 1501591 PARTNERSHIP PASSTHROUGH-PORTFOLIO DEDUCTIONS 165870 165870 0 FEDERAL TAXES 23715 0 0 OTHER EXPENSES 390 0 0 PASSTHROUGH - EXCESS BUSINESS INT EXP 87 0 0 PASSTHROUGH ENTITIES -38901 -38901 -38901 PASSTHROUGH ENTITIES -109197 -109197 INVESTMENT FEES 156440 156440 0 PAYROLL SERVICE FEES 171 0 171 MARKETING AND LOGO 8000 0 0 PHILITHROPIC CONSULTING 73711 0 73711 FOREIGN TAXES 1710 1710 0 STATE TAXES 3010 0 510 PAYROLL TAXES 3810 0 3810