SEIFERT FAMILY FOUNDATION: Form 990PF, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
SEIFERT FAMILY FOUNDATION (EIN 20-1277158)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-05-04
IRS object ID
201841249349100419
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)
Return2018-05-04T10:46:01-05:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN061355927PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1GREGORY AND ADAMS PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1190 OLD RIDGEFIELD ROADAddressLine1Txt
CityWILTONCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06897ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN201277158EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE SEIFERT FAMILY FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSEIFBusinessNameControlTxt
Phone2037629000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1190 OLD RIDGEFIELD RDAddressLine1Txt
CityWILTONCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06897ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLINDA D SEIFERTPersonNm
Person TitleCHAIRPersonTitleTxt
Phone2037629000PhoneNum
Signature2018-05-04SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonROGER VALKENBURGHPreparerPersonNm
PTINP00313104PTIN
Phone2037629000PhoneNum
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$656,949FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$6,646DividendsRevAndExpnssAmt
Dividends Net Invst Incm$6,646DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$58,560NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$218,769GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$58,560CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$65,206TotalRevAndExpnssAmt
Total Net Invst Incm$65,206TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Other Prof Fees Rev And Expnss$3,538OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$0OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$3,538TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$0TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$48,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$48,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$51,538TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$0TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$48,000TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$13,668ExcessRevenueOverExpensesAmt
Net Investment Income$65,206NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$14,109CashBOYAmt
Cash EOY$5,127CashEOYAmt
Cash EOYFMV$5,127CashEOYFMVAmt
Other Investments BOY$418,156OtherInvestmentsBOYAmt
Other Investments EOY$440,806OtherInvestmentsEOYAmt
Other Investments EOYFMV$651,822OtherInvestmentsEOYFMVAmt
Total Assets BOY$432,265TotalAssetsBOYAmt
Total Assets EOY$445,933TotalAssetsEOYAmt
Total Assets EOYFMV$656,949TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind
Unrestricted BOY$432,265UnrestrictedBOYAmt
Unrestricted EOY$445,933UnrestrictedEOYAmt
Tot Net Ast Or Fund Balances BOY$432,265TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$445,933TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$432,265TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$445,933TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$432,265TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$13,668ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$445,933SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$445,933TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (43 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
175 SHS. CBS CORP. NEWP2017-04-132017-11-14$9,771$11,685-$1,914-$1,914
50 SHS. EOG RESOURCES, INC.P2016-12-052017-08-15$4,326$5,302-$976-$976
150 SHS. HD SUPPLY HOLDINGS, INC.P2016-11-172017-07-06$4,582$5,751-$1,169-$1,169
150 SHS. MOBILE ENERGY, INC.P2016-12-052017-05-25$4,476$6,017-$1,541-$1,541
75 SHS.. SCHLUMBERGER, LTD.P2016-12-122007-06-15$5,039$6,382-$1,343-$1,343
50 SHS. ALIGN TECHOLOGY, INC.P2012-06-262017-04-11$5,718$1,625$4,093$4,093
25 SHS. ALIGN TECHOLOGY, INC.P2012-06-262017-10-12$4,845$813$4,032$4,032
15 SHS. ALIGN TECHOLOGY, INC.P2012-06-262017-11-02$3,509$488$3,021$3,021
50 SHS. ANALOG DEVICES, INC.P2016-10-142017-11-02$4,527$3,107$1,420$1,420
25 SHS. BARD C.R., INC.P2016-08-042017-11-09$8,374$5,538$2,836$2,836
25 SHS. BARD C.R., INC.P2016-09-192017-11-09$8,374$5,668$2,706$2,706
50 SHS. AEROSPACE, INC.P2015-03-272017-02-10$3,085$3,088-$3-$3
100 SHS. CELGENE CORP.P2015-10-022017-11-03$10,042$11,258-$1,216-$1,216
25 SHS. COSTCO WHOLESALE CORP.P2015-08-172017-07-07$3,886$3,649$237$237
25 SHS. FISERV, INC.P2016-01-122017-11-02$3,158$2,224$934$934
125 SHS, HAHMAN INTERNAT. INDS.INC.P2013-10-102017-03-13$14,000$8,329$5,671$5,671
25 SHS. HEXCEL CORP. NEWP2011-10-282017-11-02$1,535$645$890$890
25 SHS. HUNT J.B. TRANS. SVCS., INC.P2011-02-032017-08-10$2,301$1,022$1,279$1,279
25 SHS. INTUIT INC.P2015-07-202017-08-10$3,378$2,675$703$703
25 SHS. INTUIT INC.P2015-07-202017-11-30$3,869$2,675$1,194$1,194
25 SHS. ESTEE LAUDER COMPANIES, INC.P2015-10-082017-11-02$2,994$2,096$898$898
25 SHS. ESTEE LAUDER COMPANIES, INC.P2015-10-082017-11-30$3,108$2,096$1,012$1,012
25 SHS. MCCORMICK & CO., INC.P2014-06-232017-04-11$2,473$1,783$690$690
5 SHS. METTLER TOLEDO INTL. INC.P2011-07-292017-07-11$2,948$793$2,155$2,155
25 SHS. O REILLY AUTOMOTIVE, INC.P2016-02-022017-07-05$4,428$6,458-$2,030-$2,030
25 SHS. O REILLY AUTOMOTIVE, INC.P2016-02-162017-07-05$4,428$6,456-$2,028-$2,028
75 SHS. PAYPAL HOLDINGS, INC.P2015-07-302017-07-20$4,418$2,914$1,504$1,504
100 SHS. PAYPAL HOLDINGS, INC.P2015-07-302017-11-02$7,229$3,886$3,343$3,343
150 SHS. PRIVATEBANCORP. INC.P2015-12-152017-04-18$8,794$6,327$2,467$2,467
25 SHS. RAYTHEON CO.P2016-03-012017-10-12$4,705$3,122$1,583$1,583
75 SHS. SUNTRUST BANKS, INC.P2015-06-302017-08-10$4,244$3,224$1,020$1,020
75 SHS. TJX COS. INC.P2015-10-092017-07-06$5,296$5,441-$145-$145
75 SHS. VALSPAR CORP.P2013-04-262017-03-31$8,314$4,766$3,548$3,548
4 SHS. WABTECP2012-11-122017-08-24$280$162$118$118
46 SHS. WABTECP2013-11-132017-08-24$3,226$1,863$1,363$1,363
75 SHS. WHIRLPOOL CORP.P2014-05-022017-04-18$12,609$11,489$1,120$1,120
25 SHS. AMPHENOL CORP.P2007-06-272017-11-02$2,179$439$1,740$1,740
25 SHS. ANSYS, INC.P2009-07-132017-08-10$3,068$734$2,334$2,334
75 SHS. BE AEROSPACE, INC.P2010-10-072017-02-10$4,628$1,705$2,923$2,923
100 SHS. BROWN FORMAN CORP.P2007-06-282017-04-11$4,583$1,952$2,631$2,631
125 COGNIZANT TECHNOLOGY SOLUTIONS CORP.P2007-06-282017-04-11$6,728$1,799$4,929$4,929
100 COGNIZANT TECHNOLOGY SOLUTIONS CORP.P2008-09-042017-03-17$5,850$1,439$4,411$4,411
125 SHS 1919 FINANCILA SERVICES FUNDP2010-09-152017-11-30$3,444$1,324$2,120$2,120
FieldValueIRS element (for citing)
Capital Gain Net Income$58,560CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$41,000AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$559,128NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.073328DistributionYr1Rt
Adjusted Qlfy Distri Yr2$45,000AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$620,779NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.072490DistributionYr2Rt
Adjusted Qlfy Distri Yr3$41,000AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$623,569NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.065751DistributionYr3Rt
Adjusted Qlfy Distri Yr4$41,000AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$576,843NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.071077DistributionYr4Rt
Adjusted Qlfy Distri Yr5$40,000AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$495,858NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.080668DistributionYr5Rt
Total Distribution0.363314TotalDistributionRt
Average Distribution0.072663AverageDistributionRt
Net Vl Noncharitable Assets$613,352NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$44,568AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$652NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$45,220AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$48,000QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$652InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$652SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$652TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$0EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$0TotalPaymentsAndCreditsAmt
Form2220 AttachedYes (X)Form2220AttachedInd
Es Penalty$21EsPenaltyAmt
Tax Due$673TaxDueAmt

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 Satisfied0Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateCTOrgReportOrRegisterStateCd
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 BooksGREGORY AND ADAMS PCIndividualWithBooksNm
Phone2037629000PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1190 OLD RIDGEFIELD ROADAddressLine1Txt
CityWILTONCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06897ZIPCd
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 (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
LINDA SEIFERT
190 OLD RIDGEFIELD ROADWILTONCT06897CHAIR0.00$0$0$0
CHRISTOPHER SEIFERT
190 OLD RIDGEFIELD ROADWILTONCT06897BOARD MEMBER0.00$0$0$0
JEFFREY SEIFERT
190 OLD RIDGEFIELD ROADWILTONCT06897BOARD MEMBER0.00$0$0$0
TIM SEIFERT
190 OLD RIDGEFIELD ROADWILTONCT06897BOARD MEMBER0.00$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$609,252AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$13,440AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$622,692TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$622,692AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$9,340CashDeemedCharitableAmt
Net Vl Noncharitable Assets$613,352NetVlNoncharitableAssetsAmt
Minimum Investment Return$30,668MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$30,668MinimumInvestmentReturnAmt
Tax Based On Investment Income$652TaxBasedOnInvestmentIncomeAmt
Total Tax$652TotalTaxAmt
Distributable Before Adj$30,016DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$30,016DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$30,016DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$48,000ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$48,000QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$652PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$47,348AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$30,016DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$15,827ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$13,308ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$10,848ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$15,186ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$14,341ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$69,510TotalExcessDistributionCyovAmt
Qualifying Distributions$48,000QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$30,016AppliedToCurrentYearAmt
Remaining Distri From Corpus$17,984RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$87,494TotalCorpusAmt
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$15,827ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$71,667ExcessDistriCyovToNextYrAmt
Excess From Year4$13,308ExcessFromYear4Amt
Excess From Year3$10,848ExcessFromYear3Amt
Excess From Year2$15,186ExcessFromYear2Amt
Excess From Year1$14,341ExcessFromYear1Amt
Excess From Current Year$17,984ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

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

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (16 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
AMERICARES
88 HAMILTON AVENUESTAMFORDCT06902PUBLIC CHARITYNONEGENERAL SUPPORT$10,000
DOCTORS WITHOUT BORDERS
333 SEVENTH AVENUENEW YORKNY10001PUBLIC CHARITYNONEGENERAL SUPPORT$10,000
EASTER SEALS - SENIORS COUNT
555 AUBURN STREETMANCHESTERNH03103PUBLIC CHARITYNONEGENERAL SUPPORT$1,000
MANI NH
85 NORTH STATE STREETCONCORDNH03301PUBLIC CHARITYNONEGENERAL SUPPORT$1,000
FAMILIES IN TRANSITION
122 MARKET STREETMANCHESTERNH03101PUBLIC CHARITYNONEGENERAL SUPPORT$1,000
LOVE FOR CITY FOUNDATION
3100 WEST END AVENUE 1530NASHVILLETN37203PUBLIC CHARITYNONEGENERAL SUPPORT$5,000
FRIENDS OF BOSTON'S HOMELESS
12 WISE STREETBOSTONMA02130PUBLIC CHARITYNONEGENERAL SUPPORT$1,000
HAND IN HAND HURRICANE RELIEF FUND
PO BOX 4199892BOSTONMA02241PUBLIC CHARITYNONEGENERAL SUPPORT$5,000
MOORE CENTER SERVICES
195 MCGREGOR STREET 400MANCHESTERNH03102PUBLIC CHARITYNONEGENERAL SUPPORT$2,000
JUVENILE DIABETES RESEARCH FOUNDATION
200 CONNECTICUT AVENUENORWALKCT06854PUBLIC CHARITYNONEGENERAL SUPPORT$5,000
MASS GENERAL CELIAC RESEARCH CENTER
125 NASHUA STREET 540BOSTONMA02114PUBLIC CHARITYNONEGENERAL SUPPORT$1,500
MEDICAL MISSION SISTER
8400 PINE ROADPHILADELPHIAPA19111PUBLIC CHARITYNONEGENERAL SUPPORT$1,000
SALVATION ARMY - KIDS CAFE
121 CEDAR STREETMANCHESTERNH03101PUBLIC CHARITYNONEGENERAL SUPPORT$1,000
ST JOSEPH COMMUNITY SERVICES
PO BOX 910MERRIMACKNH03054PUBLIC CHARITYNONEGENERAL SUPPORT$1,000
FRIENDS OF BOSTON'S HOMELESS
12 WISE STREETJAMAICA PLAINMA02130PUBLIC CHARITYNONEGENERAL SUPPORT$1,000
CHILD & FAMILY SERVICES
464 CHESTNUT STREETMANCHESTERNH03105PUBLIC CHARITYNONEGENERAL SUPPORT$1,500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$48,000TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$6,646ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$58,560ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$65,206ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$65,206TotalIncomeProducingActyAmt

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp (2 entries)

Line NumberLineNumberTxtRelationship StatementRelationshipStatementTxt
4ALL EARNINGS FROM ASSETS HELD BY THE FOUNDATION ARE USED TO PAY GRANTS
8ALL CAPITAL GAINS AND LOSSES FROM ASSETS HELD BY THE FOUNDATION ARE USED TO PAY GRANTS

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

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp

FieldValueIRS element (for citing)
Category Or ItemPERSHING ADVISOR SOLUTIONS, ACCOUNT #N7H-716094CategoryOrItemTxt
Listed At Cost Or FMVFMVListedAtCostOrFMVCd
Book Value$440,806BookValueAmt
EOYFMV$651,822EOYFMVAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryINVESTMENT MANAGEMENT FEESCategoryTxt
Amt$3,538Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

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