DAVIS FAMILY FOUNDATION TR: Form 990PF, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- DAVIS FAMILY FOUNDATION TR (EIN 04-6907384)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-11-15
- IRS object ID
- 201943199349103204
- Schema version
- 2018v3.1
- 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
- Investments Other Schedule2
- Other Expenses Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-11-15T12:23:17-06:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 331197384 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ANDERSEN TAX LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 125 HIGH STREET 16TH FLOOR | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02110 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 046907384 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE DAVIS FAMILY FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | DAVI | BusinessNameControlTxt |
| Phone | 7812357055 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 22 LIBERTY DRIVE | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02210 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROBERT J DAVIS | PersonNm |
| Person Title | TRUSTEE | PersonTitleTxt |
| Phone | 7812357055 | PhoneNum |
| Signature | 2019-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ANDERSEN TAX LLC | PreparerPersonNm |
| PTIN | P00637150 | PTIN |
| Phone | 6172928400 | PhoneNum |
| Preparation | 2019-11-15 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 38.104.6.58 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-11-15 | IPDt |
| IP Tm | 11:01:26 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | C6DE77DF7EAFCE64E84CE20962AB172FB6FF0A8D | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | B1F6754162BA34960FF6E5961467431CD3790A95 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-03-31 21:24:44Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $3,339,835 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $4,500 | ContriRcvdRevAndExpnssAmt |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Interest On Sav Rev And Expnss | $17,461 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $17,461 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $81,304 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $81,304 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $60,566 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $4,542,382 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $60,566 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $163,831 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $159,331 | 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 |
| Other Prof Fees Rev And Expnss | $29,183 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $28,816 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Adj Net Incm | $0 | OtherProfFeesAdjNetIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $0 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $18,853 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $0 | TaxesNetInvstIncmAmt |
| Taxes Adj Net Incm | $0 | TaxesAdjNetIncmAmt |
| Taxes Dsbrs Chrtbl | $35 | TaxesDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $6,653 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $6,653 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Adj Net Incm | $0 | OtherExpensesAdjNetIncmAmt |
| Other Expenses Dsbrs Chrtbl | $0 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $54,689 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $35,469 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $0 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $35 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $176,934 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $176,934 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $231,623 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $35,469 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $0 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $176,969 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$67,792 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $123,862 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $88,681 | CashBOYAmt |
| Cash EOY | $134,379 | CashEOYAmt |
| Cash EOYFMV | $134,379 | CashEOYFMVAmt |
| Other Investments BOY | $3,302,212 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $3,188,722 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $3,205,456 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $3,390,893 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,323,101 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $3,339,835 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Capital Stock BOY | $3,390,893 | CapitalStockBOYAmt |
| Capital Stock EOY | $3,323,101 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | $0 | RetainedEarningBOYAmt |
| Retained Earning EOY | $0 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $3,390,893 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $3,323,101 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $3,390,893 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $3,323,101 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $3,390,893 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$67,792 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $3,323,101 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $3,323,101 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (13 entries)
| PropertyPropertyDesc | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt | How AcquiredHowAcquiredCd |
|---|---|---|---|---|---|
| FIRST REPUBLIC 7109 | $76,348 | $79,501 | -$3,153 | -$3,153 | |
| FIRST REPUBLIC 7109 | $243,553 | $253,921 | -$10,368 | -$10,368 | |
| FIRST REPUBLIC 7109 | $60,478 | $62,785 | -$2,307 | -$2,307 | |
| FIRST REPUBLIC 7109 | $141,480 | $149,026 | -$7,546 | -$7,546 | |
| FIRST REPUBLIC 2505 | $400,617 | $426,556 | -$25,939 | -$25,939 | |
| FIRST REPUBLIC 2505 | $71,270 | $77,707 | -$6,437 | -$6,437 | |
| ML 02667 | $2,515,832 | $2,447,595 | $68,237 | $68,237 | |
| ML 02667 | $338,034 | $262,698 | $75,336 | $75,336 | |
| ML 02791 | $174,265 | $176,906 | -$2,641 | -$2,641 | |
| ML 02791 | $492,402 | $517,353 | -$24,951 | -$24,951 | |
| ML 02791 | $19,349 | $19,363 | -$14 | -$14 | |
| ML 02791 | $8,146 | $8,405 | -$259 | -$259 | P |
| CAPITAL GAINS DIVIDENDS | $608 | $608 | $608 | P |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $60,566 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $372,845 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $3,524,786 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.105778 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $324,960 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $3,377,296 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.096219 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $229,487 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $3,570,140 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.064280 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $440,173 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $4,026,415 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.109321 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $101,936 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $2,798,200 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.036429 | DistributionYr5Rt |
| Total Distribution | 0.412027 | TotalDistributionRt |
| Average Distribution | 0.082405 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $3,370,866 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $277,776 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $1,239 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $279,015 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $176,969 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $2,477 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $2,477 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $2,477 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $5,554 | EstimatedPlusOvpmtIncmTxAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $5,554 | TotalPaymentsAndCreditsAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Es Penalty | $0 | EsPenaltyAmt |
| Overpayment | $3,077 | OverpaymentAmt |
| Applied To ES Tax | $3,077 | 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 | MA | 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 | ROBERT J DAVIS | IndividualWithBooksNm |
| Phone | 7812357055 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 22 LIBERTY DRIVE UNIT 11A | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02110 | 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 (2 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 |
|---|---|---|---|---|---|---|---|---|
| ROBERT J DAVIS | ||||||||
| 22 LIBERTY DRIVE UNIT 11A | BOSTON | MA | 02110 | TRUSTEE | 1.00 | $0 | $0 | $0 |
| RITA M DAVIS | ||||||||
| 22 LIBERTY DRIVE UNIT 11A | BOSTON | MA | 02110 | TRUSTEE | 1.00 | $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 |
Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | NONE | Description1Txt |
| Expenses1 | $0 | Expenses1Amt |
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 | $3,259,323 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $162,876 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $3,422,199 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $3,422,199 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $51,333 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $3,370,866 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $168,543 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $168,543 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $2,477 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $2,477 | TotalTaxAmt |
| Distributable Before Adj | $166,066 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $166,066 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $166,066 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $176,969 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $176,969 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $176,969 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $166,066 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $10,290 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $274,387 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $51,708 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $156,792 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $209,627 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $702,804 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $176,969 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $166,066 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $10,903 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $713,707 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $10,290 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $703,417 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $274,387 | ExcessFromYear4Amt |
| Excess From Year3 | $51,708 | ExcessFromYear3Amt |
| Excess From Year2 | $156,792 | ExcessFromYear2Amt |
| Excess From Year1 | $209,627 | ExcessFromYear1Amt |
| Excess From Current Year | $10,903 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (21 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| CYSTIC FIBROSIS FOUNDATION | |||||||
| 4550 MONTGOMERY AVE SUITE 1100 N | BETHESDA | MD | 20814 | N/A | 501(C)(3) | GENERAL | $20,000 |
| BRIDGE OVER TROUBLED WATERS | |||||||
| 47 WEST STREET | BOSTON | MA | 02111 | N/A | 501(C)(3) | GENERAL | $2,500 |
| COREY C GRIFFIN FOUNDATION | |||||||
| 205 NEWBURY STREET SUITE 410 | FRAMINGHAM | MA | 01701 | N/A | 501(C)(3) | GENERAL | $9,550 |
| BIG BROTHER BIG SISTER FOUNDATION | |||||||
| 5 MEAR ROAD | HOLBROOK | MA | 02343 | N/A | 501(C)(3) | GENERAL | $10,000 |
| TRAVIS ROY FOUNDATION | |||||||
| 101 HUNTINGTON AVE SUITE 520 | BOSTON | MA | 02199 | N/A | 501(C)(3) | GENERAL | $5,000 |
| MARTIN RICHARD FOUNDATION | |||||||
| 1452 DORCHESTER AVENUE 4TH FLOOR | DORCHESTER | MA | 02122 | N/A | 501(C)(3) | GENERAL | $250 |
| OYSTER HARBORS SCHOLARSHIP FUND | |||||||
| 2067 OYSTER HBR | OSTERVILLE | MA | 02655 | N/A | 501(C)(3) | GENERAL | $500 |
| TEEN IMPACT | |||||||
| PO BOX 131286 | CARLSBAD | CA | 92013 | N/A | 501(C)(3) | GENERAL | $5,000 |
| CAMP HARBOR VIEW FOUNDATION | |||||||
| 200 CLARENDON STREET 60TH FLOOR | BOSTON | MA | 02116 | N/A | 501(C)(3) | GENERAL | $5,000 |
| RON BURTON TRAINING VILLAGE | |||||||
| PO BOX 2 | HUBBARDSTON | MA | 01452 | N/A | 501(C)(3) | GENERAL | $9,600 |
| BRIDGE OVER TROUBLED WATERS | |||||||
| 47 WEST STREET | BOSTON | MA | 02111 | N/A | 501(C)(3) | GENERAL | $48,560 |
| BRIGHAM AND WOMEN'S HOSPITAL | |||||||
| 75 FRANCIS STREET | BOSTON | MA | 02115 | N/A | 501(C)(3) | GENERAL | $250 |
| MARTHAS VINEYARD CEREBRAL PALSY CAMP INC | |||||||
| PO BOX 1357 | VINEYARD HAVEN | MA | 02568 | N/A | 501(C)(3) | GENERAL | $3,100 |
| THE NEW ENGLAND PATRIOTS CHARITABLE FOUNDATION | |||||||
| ONE PATRIOT PLACE | FOXBOROUGH | MA | 02035 | N/A | 501(C)(3) | GENERAL | $15,000 |
| CAPE COD HEALTHCARE | |||||||
| 297 NORTH ST SUITE BLDG 3 | HYANNIS | MA | 02601 | N/A | 501(C)(3) | GENERAL | $5,000 |
| KING BOSTON FUND - THE BOSTON FOUNDATION | |||||||
| 75 ARLINGTON ST 1000 | BOSTON | MA | 02116 | N/A | 501(C)(3) | GENERAL | $1,282 |
| CYSTIC FIBROSIS FOUNDATION | |||||||
| 4550 MONTGOMERY AVE SUITE 1100 N | BETHESDA | MD | 20814 | N/A | 501(C)(3) | GENERAL | $1,700 |
| NAHESIAN MEMORIAL | |||||||
| FOUNDATION SOURCE 501 SILVERSIDE RD | WILMINGTON | DE | 19809 | N/A | 501(C)(3) | GENERAL | $104 |
| CYSTIC FIBROSIS FOUNDATION | |||||||
| 4550 MONTGOMERY AVE SUITE 1100 N | BETHESDA | MD | 20814 | N/A | 501(C)(3) | GENERAL | $4,538 |
| FRESH START FURNITURE BANK INC | |||||||
| 16 BRENT DRIVE | HUDSON | MA | 01749 | N/A | 501(C)(3) | GENERAL | $5,000 |
| RIVERS SCHOOL | |||||||
| 333 WINTER STREET | WESTON | MA | 02493 | N/A | 501(C)(3) | GENERAL | $25,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $176,934 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $17,461 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $81,304 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $608 | ExclusionAmt |
| Related Or Exempt Function Incm | $59,958 | RelatedOrExemptFunctionIncmAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $99,373 | ExclusionAmt |
| Related Or Exempt Function Incm | $59,958 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $159,331 | TotalIncomeProducingActyAmt |
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Line Number | 8 | LineNumberTxt |
| Relationship Statement | NOT APPLICABLE | RelationshipStatementTxt |
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 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (2 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| MERRILL LYNCH - OTHER SECURITIES | FMV | $3,010,562 | $2,983,696 |
| FROM K-1 - CAUSEWAY MEDIA PARTNERS L.P. | FMV | $178,160 | $221,760 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | FROM K-1 - CAUSEWAY MEDIA PARTNERS, L.P. | Desc |
| Revenue And Expenses Per Books | $6,653 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $6,653 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail (3 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|---|
| BANK FEES | $367 | $0 | $0 | $0 |
| ADVISORY FEES | $24,316 | $24,316 | $0 | $0 |
| TAX PREPARATION FEES | $4,500 | $4,500 | $0 | $0 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (3 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|---|
| FOREIGN TAX WITHHELD | $3,818 | $0 | $0 | $0 |
| 2017 EXTENSION PAYMENT | $15,000 | $0 | $0 | $0 |
| MA FILING FEE | $35 | $0 | $0 | $35 |