FAN FAM FOUNDATION: Form 990PF, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
FAN FAM FOUNDATION (EIN 04-6925866)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-06-22
IRS object ID
201801739349100605
Schema version
2017v2.2
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)
Return2018-06-22T10:06:32-05:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN263753134PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CBIZ MHM LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 BOYLSTON STREETAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02116ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN046925866EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FAN FAMILY FOUNDATIONBusinessNameLine1Txt
Business Name Line2C/O JOHN FAN TRUSTEEBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlFANFBusinessNameControlTxt
Phone6179752363PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line139 WELCH ROADAddressLine1Txt
CityBROOKLINECityNm
State AbbreviationMAStateAbbreviationCd
ZIP02445ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTEPHANIE FANPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone6179752363PhoneNum
Signature2018-05-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOHN T WILMOTPreparerPersonNm
PTINP00095129PTIN
Phone6177610600PhoneNum
Preparation2018-05-14PreparationDt
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$3,043,012FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$0ContriRcvdRevAndExpnssAmt
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$8,849InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$8,849InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$42,110DividendsRevAndExpnssAmt
Dividends Net Invst Incm$42,110DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$115,153NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$528,217GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$464,848CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$166,112TotalRevAndExpnssAmt
Total Net Invst Incm$515,807TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$6,525AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$3,622AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$0AccountingFeesChrtblPrpsAmt
Taxes Rev And Expnss$262TaxesRevAndExpnssAmt
Taxes Net Invst Incm$262TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$25,026OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$24,991OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$0OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$31,813TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$28,875TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$100,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$100,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$131,813TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$28,875TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$100,000TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$34,299ExcessRevenueOverExpensesAmt
Net Investment Income$486,932NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$88,940SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$165,382SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$165,382SavAndTempCashInvstEOYFMVAmt
US Government Obligations BOY$175,190USGovernmentObligationsBOYAmt
US Government Obligations EOY$127,125USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$128,514USGovtObligationsEOYFMVAmt
Corporate Stock BOY$1,959,580CorporateStockBOYAmt
Corporate Stock EOY$1,897,552CorporateStockEOYAmt
Corporate Stock EOYFMV$2,260,890CorporateStockEOYFMVAmt
Other Investments BOY$424,778OtherInvestmentsBOYAmt
Other Investments EOY$492,728OtherInvestmentsEOYAmt
Other Investments EOYFMV$488,226OtherInvestmentsEOYFMVAmt
Total Assets BOY$2,648,488TotalAssetsBOYAmt
Total Assets EOY$2,682,787TotalAssetsEOYAmt
Total Assets EOYFMV$3,043,012TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$0CapitalStockBOYAmt
Capital Stock EOY$0CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$2,648,488RetainedEarningBOYAmt
Retained Earning EOY$2,682,787RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$2,648,488TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$2,682,787TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$2,648,488TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$2,682,787TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$2,648,488TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$34,299ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$2,682,787SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$2,682,787TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (15 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmt
K-1: POWERSHARES DB COMMODITY INDEXP2017-01-012017-12-31$2,119$2,119
K-1: POWERSHARES DB COMMODITY INDEXP2016-01-012017-12-31$651$651
VANGUARD SMALL CAP GROWTHP2014-10-022017-02-23$236$236$1,547$1,311
VANGUARD SMALL-CAP VALUEP2014-10-022017-02-23$697$697$3,369$2,672
VANGUARD VALUEP2014-10-022017-02-23$1,052$1,052$6,105$5,053
FEDERAL FARM CREDIT BANK BONDSP2012-05-312017-10-25$0$0$44,000$44,000
ZELTIQ AESTHETICS INCD2010-09-232017-04-28$89,668$89,668$94,186$4,518
UNIVERSAL FOREST PRODSD2007-07-092017-09-11$134,242$134,242$134,320$78
VALMONT INDUSTRIESD2007-07-092017-09-11$232,635$232,635$235,035$2,400
POWERSHARES DB COMMODITY INDEXP2016-03-292017-02-23$103$103$660$557
VANGUARD FTSE EMERGING MARKETSP2016-03-292017-02-23$30$30$198$168
VANGUARD GROWTHP2014-10-022017-02-23$484$484$2,647$2,163
VANGUARD MID-CAP GROWTHP2014-10-022017-02-23$181$181$1,129$948
VANGUARD MID-CAP VALUEP2014-10-022017-02-23$501$501$2,772$2,271
CAPITAL GAINS DIVIDENDSP$2,249$2,249$2,249
FieldValueIRS element (for citing)
Capital Gain Net Income$464,848CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$119,527AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$2,038,784NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.058627DistributionYr1Rt
Adjusted Qlfy Distri Yr2$84,874AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$1,344,785NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.063113DistributionYr2Rt
Adjusted Qlfy Distri Yr3$82,011AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$1,458,923NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.056213DistributionYr3Rt
Adjusted Qlfy Distri Yr4$37,983AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$604,406NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.062844DistributionYr4Rt
Adjusted Qlfy Distri Yr5$25,847AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$549,353NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.047050DistributionYr5Rt
Total Distribution0.287847TotalDistributionRt
Average Distribution0.057569AverageDistributionRt
Net Vl Noncharitable Assets$2,866,041NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$164,995AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$4,869NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$169,864AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$100,000QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$9,739InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$9,739SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$9,739TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$9,401EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$9,401TotalPaymentsAndCreditsAmt
Form2220 AttachedYes (X)Form2220AttachedInd
Es Penalty$0EsPenaltyAmt
Tax Due$338TaxDueAmt

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 Limit0UnrelatedBusIncmOverLimitInd
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 BooksSTEPHANIE FAN TRUSTEEIndividualWithBooksNm
Phone7819752363PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line139 WELCH ROADAddressLine1Txt
CityBROOKLINECityNm
State AbbreviationMAStateAbbreviationCd
ZIP02445ZIPCd
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

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
JOHN FAN
39 WELCH ROADBROOKLINEMA02445TRUSTEE1.00$0$0$0
STEPHANIE FAN
39 WELCH ROADBROOKLINEMA02445TRUSTEE1.00$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
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$2,779,055AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$130,631AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$2,909,686TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$2,909,686AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$43,645CashDeemedCharitableAmt
Net Vl Noncharitable Assets$2,866,041NetVlNoncharitableAssetsAmt
Minimum Investment Return$143,302MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$143,302MinimumInvestmentReturnAmt
Tax Based On Investment Income$9,739TaxBasedOnInvestmentIncomeAmt
Total Tax$9,739TotalTaxAmt
Distributable Before Adj$133,563DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$133,563DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$133,563DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$100,000ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$100,000QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$100,000AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$133,563DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr4$7,797ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$17,043ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$17,887ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$18,534ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$61,261TotalExcessDistributionCyovAmt
Qualifying Distributions$100,000QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$100,000AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$33,563ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$33,563ExcessDistributionCyovAppCYAmt
Total Corpus$27,698TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$27,698ExcessDistriCyovToNextYrAmt
Excess From Year2$9,164ExcessFromYear2Amt
Excess From Year1$18,534ExcessFromYear1Amt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerJOHN FANContributingManagerNm
Contributing ManagerSTEPHANIE FANContributingManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1HARVARD UNIVERSITYBusinessNameLine1Txt

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line15 JAMES STREETAddressLine1Txt
CityCAMBRIDGECityNm
State AbbreviationMAStateAbbreviationCd
ZIP02138ZIPCd
FieldValueIRS element (for citing)
Recipient RelationshipNONERecipientRelationshipTxt
Recipient Foundation StatusPUBLIC CHARITY 501(CRecipientFoundationStatusTxt
Grant Or Contribution PurposeUNRESTRICTEDGrantOrContributionPurposeTxt
Amt$100,000Amt
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$100,000TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$8,849ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$42,110ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$115,153ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$166,112ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$166,112TotalIncomeProducingActyAmt

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)
CategoryCBIZ TOFIASCategoryTxt
Amt$6,525Amt
Net Investment Income$3,622NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (2 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
MERRILL LYNCH$1,390,242$1,620,970
UBS$507,310$639,920

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Obligations Book Vl EOY$127,125USGovtObligationsBookVlEOYAmt
US Govt Obligations EOYFMV$128,514USGovtObligationsEOYFMVAmt
State Local Sec Book Vl EOY$0StateLocalSecBookVlEOYAmt
State Local Sec EOYFMV$0StateLocalSecEOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (3 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
MERRILL LYNCHAT COST$192,442$178,745
UBSAT COST$300,286$307,832
MERRILL LYNCH - ACCRUED INTERESTAT COST$0$1,649

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (4 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
MERRILL LYNCH - ADVISORY FEES$15,379$15,379$0
MASSACHUSETTS FILING FEE$35$0$0
UBS - ADVISORY FEES$9,102$9,102$0
POWERSHARES K-1 OTHER DEDUCTIONS$510$510$0

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryFOREIGN TAXESCategoryTxt
Amt$262Amt
Net Investment Income$262NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

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