JOSEPH W & FAITH K TIBERIO CHARITABLE FOUNDATION: Form 990PF, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
JOSEPH W & FAITH K TIBERIO CHARITABLE FOUNDATION (EIN 04-3253603)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-05-14
IRS object ID
201831349349100913
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)
Return2018-05-14T07:34:00-05:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN043296201PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SULLIVAN BILLE PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1600 CLARK ROADAddressLine1Txt
CityTEWKSBURYCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01876ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN043253603EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JOSEPH W & FAITH K TIBERIO CHARITABLEBusinessNameLine1Txt
Business Name Line2FOUNDATIONBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlJOSEBusinessNameControlTxt
Phone5084297524PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line179 LOWLAND STAddressLine1Txt
CityHOLLISTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01746ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonFAITH DOUGHERTYPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone5084297524PhoneNum
Signature2018-05-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMaria E Marchand CPAPreparerPersonNm
PTINP01024791PTIN
Phone9789702900PhoneNum
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$961,283FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$6,410ContriRcvdRevAndExpnssAmt
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$31,650InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$31,650InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$17,005DividendsRevAndExpnssAmt
Dividends Net Invst Incm$17,005DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$20,654NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$292,172GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$20,654CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$218OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$218OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$75,937TotalRevAndExpnssAmt
Total Net Invst Incm$69,527TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$5,700CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$5,700CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$3,850AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$3,850AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$0AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$9,483OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$9,483OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Interest Rev And Expnss$1,747InterestRevAndExpnssAmt
Interest Net Invst Incm$1,747InterestNetInvstIncmAmt
Interest Dsbrs Chrtbl$0InterestDsbrsChrtblAmt
Taxes Rev And Expnss$2,894TaxesRevAndExpnssAmt
Taxes Net Invst Incm$2,894TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Trav Conf Meeting Rev And Expnss$1,807TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Net Invst Incm$1,807TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Dsbrs Chrtbl$0TravConfMeetingDsbrsChrtblAmt
Other Expenses Rev And Expnss$486OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$486OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$0OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$25,967TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$20,267TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$5,700TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$89,500ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$89,500ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$115,467TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$20,267TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$95,200TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$39,530ExcessRevenueOverExpensesAmt
Net Investment Income$49,260NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$5,718CashBOYAmt
Cash EOY$15,875CashEOYAmt
Cash EOYFMV$15,875CashEOYFMVAmt
Sav And Temp Cash Invst BOY$53,687SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$78,113SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$78,113SavAndTempCashInvstEOYFMVAmt
Other Nts And Loans Rcvbl$117,769OtherNtsAndLoansRcvblAmt
Other Rcvbl Allwnc Dbtfl Acct$0OtherRcvblAllwncDbtflAcctAmt
Other Nts And Loans Rcvbl BOY$135,226OtherNtsAndLoansRcvblBOYAmt
Other Nts And Loans Rcvbl EOY$117,769OtherNtsAndLoansRcvblEOYAmt
Other Nts And Loans Rcvbl EOYFMV$0OtherNtsAndLoansRcvblEOYFMVAmt
US Government Obligations BOY$25,000USGovernmentObligationsBOYAmt
US Government Obligations EOY$25,000USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$24,016USGovtObligationsEOYFMVAmt
Corporate Stock BOY$380,570CorporateStockBOYAmt
Corporate Stock EOY$386,418CorporateStockEOYAmt
Corporate Stock EOYFMV$549,191CorporateStockEOYFMVAmt
Corporate Bonds BOY$354,463CorporateBondsBOYAmt
Corporate Bonds EOY$294,959CorporateBondsEOYAmt
Corporate Bonds EOYFMV$294,088CorporateBondsEOYFMVAmt
Other Assets BOY$3,000OtherAssetsBOYAmt
Other Assets EOY$0OtherAssetsEOYAmt
Other Assets EOYFMV$0OtherAssetsEOYFMVAmt
Total Assets BOY$957,664TotalAssetsBOYAmt
Total Assets EOY$918,134TotalAssetsEOYAmt
Total Assets EOYFMV$961,283TotalAssetsEOYFMVAmt
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$957,664RetainedEarningBOYAmt
Retained Earning EOY$918,134RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$957,664TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$918,134TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$957,664TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$918,134TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$957,664TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$39,530ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$918,134SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$918,134TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (18 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
AT & T INC NOTE 144A 5.15%P2017-05-162017-12-08$25,259$24,255$1,004$1,004
PACIFIC BELL BOND 7.125%P2017-05-162017-12-01$6,028$6,028$0$0
RITE AID CORP COM, RADP2017-03-312017-11-20$7,330$22,369-$15,039-$15,039
ALLEGHENY TECHNOLOGIES INCP2014-03-282017-10-24$15,430$15,471-$41-$41
APPLE INC.P2012-11-132017-05-17$18,704$10,121$8,583$8,583
CITIGROUP INC.P2014-03-182017-04-03$8,993$7,206$1,787$1,787
GENERAL ELECTRIC CO, GEP2011-01-052017-10-24$15,465$12,991$2,474$2,474
GOODYEAR TIRE & RUBR CO NOTEP2015-05-062017-05-15$20,700$21,443-$743-$743
JP MORGAN CHASE & COP2012-05-112017-08-09$4,655$2,034$2,621$2,621
QUALCOMM INC. QCOMP2011-02-252017-01-30$16,159$16,780-$621-$621
TEVA PHARMACEUTICAL INDUSTRIESP2011-02-252017-02-07$8,006$12,577-$4,571-$4,571
THERMO FISHER SCIENTIFICP2011-02-252017-05-17$5,132$1,663$3,469$3,469
UNITED RENTALS INCP2015-04-212017-01-25$5,631$4,889$742$742
COLUMBIA FINL TR I BONDSP2013-12-052017-08-09$50,480$49,895$585$585
FLIR SYS INC FLIRP2010-11-042017-08-09$7,509$5,691$1,818$1,818
FPL GROUP CAP INC BOND CALLP2013-06-182017-12-05$20,236$22,468-$2,232-$2,232
STRYKER CORP, SYKP2006-05-032017-08-03$29,225$8,644$20,581$20,581
WEATHERFORD INTL LTDNOTE CALLP2015-01-072017-02-24$27,230$26,993$237$237
FieldValueIRS element (for citing)
Capital Gain Net Income$20,654CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$98,900AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$901,601NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.109694DistributionYr1Rt
Adjusted Qlfy Distri Yr2$94,400AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$987,213NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.095623DistributionYr2Rt
Adjusted Qlfy Distri Yr3$135,973AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$1,041,615NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.130541DistributionYr3Rt
Adjusted Qlfy Distri Yr4$99,650AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$951,675NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.104710DistributionYr4Rt
Adjusted Qlfy Distri Yr5$128,664AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$932,696NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.137948DistributionYr5Rt
Total Distribution0.578516TotalDistributionRt
Average Distribution0.115703AverageDistributionRt
Net Vl Noncharitable Assets$941,100NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$108,888AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$493NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$109,381AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$95,200QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$985InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$985SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$985TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$1,480EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$1,480TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Overpayment$495OverpaymentAmt
Applied To ES Tax$495AppliedToESTaxAmt
Refund$0RefundAmt

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 BooksFAITH DOUGHERTYIndividualWithBooksNm
Phone5084228514PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line179 LOWLAND STREETAddressLine1Txt
CityHOLLISTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01746ZIPCd
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
FAITH DOUGHERTY
260 SPRINGVALE ROADGREAT FALLSVA22066PRESIDENT & CHAIRMAN2.00$5,000$0$0
JOAN CURRIER
PO BOX 1208UPTONMA01568SECRETARY2.00$700$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$901,255AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$54,176AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$955,431TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$955,431AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$14,331CashDeemedCharitableAmt
Net Vl Noncharitable Assets$941,100NetVlNoncharitableAssetsAmt
Minimum Investment Return$47,055MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$47,055MinimumInvestmentReturnAmt
Tax Based On Investment Income$985TaxBasedOnInvestmentIncomeAmt
Total Tax$985TotalTaxAmt
Distributable Before Adj$46,070DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$46,070DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$46,070DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$95,200ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$95,200QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$95,200AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$46,070DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$82,701ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$53,286ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$85,446ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$45,537ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$55,272ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$322,242TotalExcessDistributionCyovAmt
Qualifying Distributions$95,200QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$46,070AppliedToCurrentYearAmt
Remaining Distri From Corpus$49,130RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$371,372TotalCorpusAmt
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$82,701ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$288,671ExcessDistriCyovToNextYrAmt
Excess From Year4$53,286ExcessFromYear4Amt
Excess From Year3$85,446ExcessFromYear3Amt
Excess From Year2$45,537ExcessFromYear2Amt
Excess From Year1$55,272ExcessFromYear1Amt
Excess From Current Year$49,130ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

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

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (47 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ADOPT A PLATOON
25089 CENTERLINE ROADSAN BENITOTX78586NONE501CCHARITABLE$250
AMERICAN INDIAN COLLEGE FUND
8333 GREENWOOD BOULEVARDDENVERCO80221NONE501CEDUCATIONAL$850
AMERICAN INDIAN RELEIF COUNCIL
PO BOX 6200RAPID CITYSD57709NONE501CCHARITABLE$500
AMERICAN REPERTORY THEATRE
64 BRATTLE STREETCAMBRIDGEMA02138NONE501CLITERARY$1,000
ANTIOCH CHRISTIAN CHURCH
2041 W WALNUT HILL LNIRVINGTX75038NONE501CCHARITABLE$6,000
BLACKSTONE FIRE DEPT
15 ST PAUL STBLACKSTONEMA01504NONE501CPUBLIC SAFETY$2,000
BLACKSTONE POLICE DEPT
15 ST PAUL STBLACKSTONEMA01504NONE501CPUBLIC SAFETY$2,000
BOSTON BALLET
19 CLARENDON STREETBOSTONMA02116NONE501CLITERARY$1,000
BOSTON MUSEUM OF FINE ARTS
465 HUNTINGTON AVEBOSTONMA02115NONE501CEDUCATIONALLITERARY$2,500
CIVIL WAR PRESERVATION TRUST
1331 H STREET-SUITE 1001WASHINGTONDC20005NONE501CEDUCATIONAL$1,000
CUMBERLAND COLLEGE
6178 COLLEGE STATION DRIVEWILLIAMSBURGKY40769NONE501CEDUCATIONAL$1,000
DOWD CENTER FOR THE HOMELESS
651 BROAD STREETCOLUMBUSOH43215NONE501CCHARITABLE$550
DUBLIN MONTESSORI ACADEMY
10465 SAWMILL ROADPOWELLOH43065NONE501CEDUCATIONAL$500
EMMA CONCERT ASSOCIATION
2692 US 1ST AUGUSTINEFL32086NONE501CLITERARY$500
FAITH MISSION
245 N GRANT AVECOLUMBUSOH43215NONE501CCHARITABLE$250
FIRST COAST OPERA
PO BOX 2223ST AUGUSTINEFL32085NONE501CLITERARY$3,000
FLAGLER COLLEGE
KING STREETST AUGUSTINEFL32084NONE501CEDUCATIONAL$2,000
FRAMINGHAM HISTORICAL SOCIETY
16 VERNON STREETFRAMINGHAMMA01703NONE501CEDUCATIONAL$500
HOLLISTON HIGH SCHOOL AGRICULTURAL
370 HILLIS STREETHOLLISTONMA01746NONE501CEDUCATIONAL$500
HOLLISTON SENIOR CENTER
150 GOULDING STREETHOLLISTONMA01746NONE501CCHARITABLE$500
HUNTINGTON THEATER
264 HUNTINGTON AVEBOSTONMA02115NONE501CLITERARYLITERARY$20,000
LIGHTNER MUSEUM
75 KING STREETST AUGUSTINEFL32085NONE501CEDUCATIONAL$8,000
LIMELIGHT THEATER INC
PO BOX 1196ST AUGUSTINEFL32085NONE501CLITERARY$2,000
MASS 4H CLUB
22 ELIOT STREETASHLANDMA01721NONE501CCHARITABLE$1,000
MUSEUM OF THE AMERICAN REVOLUTION
123 CHESTNUT STPHILADELPHIAPA19106NONE501CEDUCATIONALCHARITABLE$500
NEW ENGLAND OES RESCUE
49 STONEHEDGE RDLINCOLNMA01773NONE501CCHARITABLE$400
RED CLOUD INDIAN SCHOOL
100 MISSION DRIVEPINE RIDGESD57770NONE501CCHARITABLE$500
SHERBORN FIRE AND RESCUE
22 NORTH MAIN STREETSHERBORNMA01770NONE501CPUBLIC SAFETY$1,500
SHERBORN LIONS
288 DOVER ROADWESTWOODMA01770NONE501CCHARITABLE$1,000
SHERBORN POLICE DEPARTMENT
19 WASHINGTON STREETSHERBORNMA01770NONE501CPUBLIC SAFETY$1,500
ST AUGUSTINE SISTER CITIES ASSN
PO BOX 210ST AUGUSTINEFL32085NONE501CCHARITABLE$2,000
ST AUGUSTINE TRUST FOR HISTORIC PRESERVATION
75 KING STREETST AUGUSTINEFL32084NONE501CHISTORICAL$1,000
TEMPLE UNIVERSITY
580 MEETINGHOUSE ROADAMBLERPA19002NONE501CEDUCATIONAL$4,000
WELLESLEY FRIENDS MEETING HOUSE CHURCH
20 BENVENUE STREETWELLESLEYMA02482NONE501CCHARITABLE$4,000
WOMAN'S NATIONAL FARM & GARDEN ASSOCIATION
PO 325RAWSONOH45881NONE501CCHARITABLE$1,000
GEORGIA INSTITUTE OF TECHNOLOGY
NORTH AVE NWATLANTAGA30332NONE501CEDUCATIONAL$3,000
ENDICOTT COLLEGE
376 HALE STREETBEVERLYMA01915NONE501CEducational$3,000
PURDUE UNIVERSITY
610 PURDUE MALLWEST LAFAYETTEIN47907NONE501CEducational$3,000
CAPE COD CHILDREN'S PLACE
10 BALLWIC ROADEASTHAMMA02642NONE501CEducational$2,500
THE HOME FOR LITTLE WANDERERS
271 HUNTINGTON AVEBOSTONMA02115NONE501CCharitable$1,000
JOHN F KENNEDY HYANNIS MUSEUM FOUNDATIONS INC
397 MAIN STREETHYANNISMA02601NONE501CEDUCATIONAL$500
METEA VALLE HS
1801 N EOLA RDAURORAIL60502NONE501CEDUCATIONAL$100
KONA HISTORICAL SOCIETY
81-6551 MAMALAHOA HWYKEALAKEKUAHI96750NONE501CEDUCATIONAL$100
FLORIDA TRUST FOR HISTORIC PRESERVATION
906 E PARK AVETALLAHASSEEFL32301NONE501CEDUCATIONAL$100
METROWEST YMCA
280 OLD CONNECTICUT PATHFRAMINGHAMMA01701NONE501CCHARITABLE$500
SALVATION ARMY
25 SHAWMUT ROADCANTONMA02021NONE501CCHARITABLE$500
PILOTS CLUB
102 PRESTON CTMACONGA31210NONE501CCHARITABLE$400
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$89,500TotalGrantOrContriPdDurYrAmt
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$31,650ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$17,005ExclusionAmt

Other Investment Incm Part VII OtherInvestmentIncmPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$218ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion01ExclusionCd
Exclusion$20,654ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$69,527ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$69,527TotalIncomeProducingActyAmt

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)
CategorySULLIVAN BILLE PCCategoryTxt
Amt$3,850Amt
Net Investment Income$3,850NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp (10 entries)

BondBondNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
30000 BSB CAP TR I GTD CAP SECS$30,513$30,113
30000 VALLEY NATL BANCORP SUB DEB$30,190$32,114
35000 BANK OF AMERICA PERPETUAL PFD$38,910$35,119
25000 ALUMINUM CO AMER NT$26,927$29,458
25000 WELLS FARGO&CO NEW BOND PERPETUAL$27,185$25,405
25000 NORTHERN TR CORP BOND$25,097$25,813
25000 ROGERS CABLE INC CORP BOND$36,322$35,518
FIRST MIDWEST BANCORP$26,136$26,808
BNSF FUNDING TRUST$28,624$28,813
CORNING INC.$25,055$24,927

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (24 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
116 APPLE INC (AAPL)$9,101$19,631
120 THERMO FISHER SCIENTIFIC INC$6,654$22,786
600 PFIZER INC (PFE)$11,303$21,732
450 ORACLE CORPORATION (ORCL)$14,848$21,276
417 JOHNSON CTLS INC$19,052$15,892
270 JP MORGAN CHASE & CO (JPM)$10,233$28,874
700 CISCO SYS INC$13,508$26,810
640 BANK OF AMERICA$4,819$18,893
100 SH PRAXAIR$9,823$15,468
325 NESTLE S SPON$15,439$27,948
600 SH FLIR SYS$17,074$27,972
250 SH EXXON MOBIL$16,951$20,910
354 CITIGROUP INC COM NEW (C)$17,007$26,341
300 EXPRESS SCRIPTS HLDG CO COM$20,555$22,392
320 LOWES COS INC COM ISIN$21,151$29,741
200 SHS CELGENE CORP$23,760$20,872
200 SHS UNITED RENTALS INC$19,556$34,382
41 SHARES ADIENT PLC COM$1,866$3,227
450 ROYAL DUTCH SHELL PLC$23,789$30,731
300 SHARES TJX COS INC$21,270$22,938
300 SHS GILEAD SCIENCES INC$22,075$21,492
ADIENT PLC COMM-300 SHS$20,779$23,610
350 SHS SCHLUMBERGER LTD$23,464$23,587
AMERICAN TOWER CORP$22,341$21,686

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Obligations Book Vl EOY$25,000USGovtObligationsBookVlEOYAmt
US Govt Obligations EOYFMV$24,016USGovtObligationsEOYFMVAmt
State Local Sec Book Vl EOY$0StateLocalSecBookVlEOYAmt
State Local Sec EOYFMV$0StateLocalSecEOYFMVAmt

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp

FieldValueIRS element (for citing)
DescDUE FROM CAPITAL ADVISORSDesc
BOY Book Value$3,000BOYBookValueAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
COMM MASS ANNUAL REPORT FILING FEE$35$35$0
MISCELLANEOUS$451$451$0

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescFEDERAL TAX REFUNDDesc
Revenue And Expenses Per Books$218RevenueAndExpensesPerBooksAmt
Net Investment Income$218NetInvestmentIncomeAmt
Adjusted Net Income$218AdjustedNetIncomeAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryINVESTMENT MANAGEMENT FEECategoryTxt
Amt$9,483Amt
Net Investment Income$9,483NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FOREIGN TAXES ON DIVIDEND INCOME$260$260$0
FEDERAL EXCISE TAX ON INVESTMENT$2,634$2,634$0

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