BERNATCHEZ FAMILY FOUNDATION TR UA 12132006: Form 990PF, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- BERNATCHEZ FAMILY FOUNDATION TR UA 12132006 (EIN 30-6201571)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-05-14
- IRS object ID
- 201831349349100623
- 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
- Form 990-PF
- Accounting Fees Schedule
- Applied To Prior Year Election
- Investments Other Schedule2
- Other Expenses Schedule
- Other Income Schedule2
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-05-14T08:13:33-05:00 | ReturnTs |
| Tax Period End | 2017-12-31 | 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 | 2017-01-01 | 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 | 2018-05-02 | 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 | 2017 | 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 | $1,975,682 | 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 | $48,023 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $48,023 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $280,342 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $2,895,532 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $280,342 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $26 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $26 | OtherIncomeNetInvstIncmAmt |
| Other Income Adj Net Incm | $0 | OtherIncomeAdjNetIncmAmt |
| Total Rev And Expnss | $328,391 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $328,391 | 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 | $2,012 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $2,012 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Adj Net Incm | $0 | AccountingFeesAdjNetIncmAmt |
| Accounting Fees Chrtbl Prps | $0 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $17,680 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $17,680 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Adj Net Incm | $0 | OtherProfFeesAdjNetIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $0 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $3,438 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $1,456 | TaxesNetInvstIncmAmt |
| Taxes Adj Net Incm | $0 | TaxesAdjNetIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $1,826 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $1,826 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Adj Net Incm | $0 | OtherExpensesAdjNetIncmAmt |
| Other Expenses Dsbrs Chrtbl | $0 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $24,956 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $22,974 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $0 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $88,000 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $88,000 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $112,956 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $22,974 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $0 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $88,000 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $215,435 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $305,417 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $9,598 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $71,584 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $71,584 | SavAndTempCashInvstEOYFMVAmt |
| Other Investments BOY | $1,563,982 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $1,717,431 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $1,904,098 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $1,573,580 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,789,015 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $1,975,682 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
| Unrestricted BOY | $1,573,580 | UnrestrictedBOYAmt |
| Unrestricted EOY | $1,789,015 | UnrestrictedEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $1,573,580 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $1,789,015 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $1,573,580 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $1,789,015 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $1,573,580 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $215,435 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $1,789,015 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $1,789,015 | 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 | 2017-12-31 | $1,955,400 | $1,847,796 | $107,604 | $107,604 |
| SEE ATTACHED-MERRILL LYNCH | P | 2017-12-31 | $939,798 | $767,394 | $172,404 | $172,404 |
| CAPITAL GAINS DIVIDENDS | P | $334 | $334 | $334 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $280,342 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $94,528 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $1,773,352 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.053305 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $95,410 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $1,888,329 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.050526 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $87,111 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $1,911,591 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.045570 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $75,839 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $1,747,988 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.043386 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $76,352 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $1,585,258 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.048164 | DistributionYr5Rt |
| Total Distribution | 0.240951 | TotalDistributionRt |
| Average Distribution | 0.048190 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $1,895,834 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $91,360 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $3,054 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $94,414 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $88,000 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $6,108 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $6,108 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $6,108 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $1,110 | EstimatedPlusOvpmtIncmTxAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $1,110 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $20 | EsPenaltyAmt |
| Tax Due | $5,018 | TaxDueAmt |
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 |
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 | $1,867,227 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $57,478 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $1,924,705 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $1,924,705 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $28,871 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $1,895,834 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $94,792 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $94,792 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $6,108 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $6,108 | TotalTaxAmt |
| Distributable Before Adj | $88,684 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $88,684 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $88,684 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $88,000 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $88,000 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $88,000 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $88,684 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $82,679 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Total Excess Distribution Cyov | $0 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $88,000 | QualifyingDistributionsAmt |
| Applied To Year1 | $82,679 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $5,321 | 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 | $83,363 | 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 (12 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| AMERICAN CANCER SOCIETY | |||||||
| 250 WILLIAMS ST NW | ATLANTA | GA | 30303 | NONE | 501(C)3 | GENERAL | $11,000 |
| BETH-EL CENTER INC | |||||||
| 90 NEW HAVEN AVE | MILFORD | CT | 06460 | NONE | 501(C)3 | GENERAL | $6,000 |
| CENTER FOR FAMILY JUSTICE | |||||||
| 753 FAIRFIELD AVE | BRIDGEPORT | CT | 06604 | NONE | 501(C)3 | GENERAL | $12,000 |
| CENTER OF COASTAL STUDIES | |||||||
| 115 BRADFORD ST | PROVINCETOWN | MA | 02657 | NONE | 501(C)3 | GENERAL | $5,000 |
| COVENANT HOUSE FLORIDA INC | |||||||
| 733 BREAKERS AVE | FT LAUDERDALE | FL | 33304 | NONE | 501(C)3 | GENERAL | $11,000 |
| HOUSING FAMILIES INC | |||||||
| 919 EASTERN AVE | MALDEN | MA | 02148 | NONE | 501(C)3 | GENERAL | $2,000 |
| INCARNATION SCHOOL FOUNDATION | |||||||
| 2911 BEE RIDGE RD | SARASOTA | FL | 34239 | NONE | 501(C)3 | GENERAL | $11,000 |
| LIFE IS GOOD KIDS FOUNDATION | |||||||
| 51 MELCHER ST | BOSTON | MA | 02210 | NONE | 501(C)3 | GENERAL | $2,000 |
| 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 | $11,000 |
| PLANNED PARENTHOOD OF SOUTHERN NEW ENGLAND | |||||||
| 345 WHITNEY AVE | NEW HAVEN | CT | 06511 | NONE | 501(C)3 | GENERAL | $5,500 |
| MAMA HOPE FBO SHANTI UGANDA | |||||||
| 1885 MISSION ST | SAN FRANCISCO | CA | 94103 | NONE | 501(C)3 | GENERAL | $7,500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $88,000 | 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 | $48,023 | ExclusionAmt |
Other Investment Incm Part VII OtherInvestmentIncmPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $26 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $280,342 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $328,391 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $328,391 | 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 | $2,012 | Amt |
| Net Investment Income | $2,012 | 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 | $205,925 | $251,852 |
| ISHARES RUSSELL 1000 VALUE INDEX FUND | AT COST | $90,354 | $99,348 |
| ISHARES MSCI EAFE INDEX FUND | AT COST | $373,371 | $411,212 |
| ISHARES MSCI EMERGING MKTS INDEX FD | AT COST | $123,100 | $158,523 |
| SPDR BLMBRG BRCLY INTL TRSRY | AT COST | $98,225 | $97,369 |
| SPDR S&P 600 SMALL CAP VALUE | AT COST | $52,513 | $58,971 |
| SPDR S&P 600 SMALL CAP GROWTH | AT COST | $52,401 | $58,872 |
| ASTRAZENECA PLC | AT COST | $20,649 | $22,624 |
| AT&T INC | AT COST | $17,676 | $16,835 |
| AMN ELEC POWER CO | AT COST | $14,567 | $15,818 |
| BB&T CORPORATION | AT COST | $10,826 | $10,988 |
| CARNIVAL CORP | AT COST | $15,534 | $16,593 |
| CME GROUP INC | AT COST | $17,246 | $21,031 |
| CISCO SYSTEMS INC | AT COST | $9,550 | $11,030 |
| COCA COLA COM | AT COST | $15,276 | $16,425 |
| DOMINION ENERGY INC | AT COST | $20,301 | $21,157 |
| DIGITAL RLTY TR INC | AT COST | $14,831 | $16,174 |
| EMERSON ELEC CO | AT COST | $9,702 | $11,429 |
| GENERAL MOTORS CO | AT COST | $11,929 | $10,862 |
| HSBC HLDG | AT COST | $11,424 | $11,567 |
| INTEL CORP | AT COST | $19,517 | $23,403 |
| INTL BUSINESS MACHINES CORP | AT COST | $18,189 | $16,416 |
| JP MORGAN CHASE & CO | AT COST | $13,785 | $16,576 |
| KRAFT HEINZ CO | AT COST | $12,170 | $10,731 |
| KIMBERLY CLARK | AT COST | $12,186 | $11,221 |
| LOCKHEED MARTIN CORP | AT COST | $18,429 | $21,831 |
| METLIFE INC | AT COST | $14,733 | $15,674 |
| MCDONALDS CORP | AT COST | $12,209 | $16,179 |
| OCCIDENTAL PETE CORP | AT COST | $14,894 | $17,310 |
| PACCAR INC | AT COST | $10,508 | $11,160 |
| PHILIP MORRIS INTL INC | AT COST | $22,651 | $21,341 |
| PFIZER INC | AT COST | $20,368 | $21,660 |
| PROCTER & GAMBLE CO | AT COST | $21,775 | $22,143 |
| ROYAL DUTCH SHEL | AT COST | $18,586 | $22,604 |
| TEXAS INSTRUMENTS | AT COST | $10,897 | $11,593 |
| TRANSCANADA CORP | AT COST | $10,556 | $10,895 |
| TORONTO DOMINION BANK | AT COST | $19,154 | $22,788 |
| UNITED TECHS CORP | AT COST | $10,674 | $11,354 |
| VENTAS INC REIT | AT COST | $16,457 | $15,363 |
| VERIZON COMMUNICATIONS COM | AT COST | $15,006 | $16,461 |
| VODAFONE GROUP | AT COST | $10,304 | $11,165 |
| ISHARES U.S. REAL ESTATE | AT COST | $92,276 | $96,321 |
| SPDR GOLD TRUST | AT COST | $97,576 | $101,640 |
| COHEN & STEERS PREFERRED SEC & INC | AT COST | $19,131 | $19,589 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|---|
| ANNUAL MEETING | $1,524 | $1,524 | $0 | $0 |
| INVESTMENT EXPENSES | $302 | $302 | $0 | $0 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CLASS ACTION SETTLEMENT | Desc |
| Revenue And Expenses Per Books | $26 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $26 | NetInvestmentIncomeAmt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | MERRILL LYNCH FEES | CategoryTxt |
| Amt | $17,680 | Amt |
| Net Investment Income | $17,680 | 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 | $1,456 | $1,456 | $0 | $0 |
| FEDERAL TAXES | $1,982 | $0 | $0 | $0 |