JOHN W AND CLARA C HIGGINS FOUNDATION: Form 990PF, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- JOHN W AND CLARA C HIGGINS FOUNDATION (EIN 04-6026914)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-09-20
- IRS object ID
- 201832639349100408
- Schema version
- 2017v2.3
- 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
- Investments Corp Stock Schedule
- 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 | 2018-09-20T15:12:07-04:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 042628601 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FLETCHER TILTON PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 370 MAIN ST 11TH FLOOR | AddressLine1Txt |
| City | WORCESTER | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 016081779 | 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 | 046026914 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHN W & CLARA C HIGGINS FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | JOHN | BusinessNameControlTxt |
| Phone | 5084598000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 370 MAIN STREET 12TH FLOOR | AddressLine1Txt |
| City | WORCESTER | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01608 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SUMNER B TILTON JR | PersonNm |
| Person Title | POWER OF ATTORNEY | PersonTitleTxt |
| Phone | 5084598000 | PhoneNum |
| Signature | 2018-09-18 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ROBERT H THOMPSON CPA | PreparerPersonNm |
| PTIN | P01236382 | PTIN |
| Phone | 5084598000 | PhoneNum |
| Preparation | 2018-09-18 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 131.239.15.98 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-09-20 | IPDt |
| IP Tm | 14:12:07 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 5AFC690F395F0A734E0825ADC4DC24929672A085 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 602955D7919B63BB9FAC985AAC2BD55356110632 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2018-06-14 16:35:46Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $2,009,899 | 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 | $24,873 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $24,873 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $109,655 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $449,299 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $109,655 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $1,187 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $1,118 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | $135,715 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $135,646 | TotalNetInvstIncmAmt |
| Accounting Fees Rev And Expnss | $6,961 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $3,480 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $3,481 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $18,535 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $18,535 | OtherProfFeesNetInvstIncmAmt |
| Taxes Rev And Expnss | $1,963 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $5 | TaxesNetInvstIncmAmt |
| Other Expenses Rev And Expnss | $299 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Dsbrs Chrtbl | $76 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $27,758 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $22,020 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $3,557 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $85,001 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $85,001 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $112,759 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $22,020 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $88,558 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $22,956 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $113,626 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $102,606 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $157,682 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $157,682 | SavAndTempCashInvstEOYFMVAmt |
| Corporate Stock BOY | $994,854 | CorporateStockBOYAmt |
| Corporate Stock EOY | $1,000,125 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $1,852,217 | CorporateStockEOYFMVAmt |
| Other Investments BOY | $37,391 | OtherInvestmentsBOYAmt |
| Total Assets BOY | $1,134,851 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,157,807 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $2,009,899 | TotalAssetsEOYFMVAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Retained Earning BOY | $1,134,851 | RetainedEarningBOYAmt |
| Retained Earning EOY | $1,157,807 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $1,134,851 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $1,157,807 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $1,134,851 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $1,157,807 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $1,134,851 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $22,956 | ExcessRevenueOverExpensesAmt |
| Subtotal | $1,157,807 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $1,157,807 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (21 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|---|---|
| 100 SHS GENERAL ELECTRIC | P | 2000-06-22 | 2017-01-25 | $3,024 | $4,846 | -$1,822 | -$1,822 |
| 1500 SHS BLACKSTONE GROUP LP | P | 2013-10-14 | 2017-11-15 | $45,714 | $37,356 | $8,358 | $8,358 |
| 300 SHS GENERAL ELECTRIC | P | 2008-07-23 | 2017-01-25 | $9,071 | $8,791 | $280 | $280 |
| 50 SHS FACEBOOK INC | P | 2012-12-27 | 2017-11-30 | $8,785 | $1,321 | $7,464 | $7,464 |
| 100 SHS JOHNSON & JOHNSON | P | 2000-04-10 | 2017-01-27 | $11,281 | $3,813 | $7,468 | $7,468 |
| 150 SHS FACEBOOK INC | P | 2012-11-19 | 2017-11-30 | $26,353 | $3,487 | $22,866 | $22,866 |
| 700 SHS GILEAD SCIENCES INC | P | 2014-04-28 | 2017-02-16 | $48,906 | $52,576 | -$3,670 | -$3,670 |
| 10 SHS ALPHABET, INC | P | 2012-01-27 | 2017-12-06 | $10,308 | $2,901 | $7,407 | $7,407 |
| 600 SHS EXXON MOBIL | P | 2000-06-16 | 2017-03-02 | $50,282 | $25,205 | $25,077 | $25,077 |
| K-1 BLACKSTONE GROUP LP | P | $1,684 | $1,684 | $1,684 | |||
| 600 SHS MOBILEYE NV AMSTELVEE | P | 2017-02-16 | 2017-05-22 | $37,042 | $27,019 | $10,023 | $10,023 |
| K-1 BLACKSTONE GROUP LP - 1231 | P | $194 | $194 | $194 | |||
| 500 SHS MEAD JOHNSON NUTRITION | P | 2012-12-28 | 2017-05-22 | $44,436 | $36,841 | $7,595 | $7,595 |
| 1000 SHS PFIZER, INC | P | 2016-01-22 | 2017-08-01 | $32,823 | $31,073 | $1,750 | $1,750 |
| 100 SHS AMERISOURCEBERGEN CORP | P | 2014-02-25 | 2017-10-05 | $8,414 | $6,878 | $1,536 | $1,536 |
| 100 SHS AMERISOURCEBERGEN CORP | P | 2013-07-31 | 2017-10-05 | $8,414 | $5,860 | $2,554 | $2,554 |
| 400 SHS AMERISOURCEBERGEN CORP | P | 2013-06-26 | 2017-10-05 | $33,654 | $22,042 | $11,612 | $11,612 |
| 332 SHS JOHNSON CONTROLS INTL PLC | P | 2016-09-30 | 2017-10-05 | $13,693 | $15,520 | -$1,827 | -$1,827 |
| 668 SHS JOHNSON CONTROLS INTL PLC | P | 2013-09-06 | 2017-10-05 | $27,551 | $30,521 | -$2,970 | -$2,970 |
| 500 SHS GENERAL ELECTRIC | P | 2003-05-13 | 2017-10-18 | $11,529 | $14,370 | -$2,841 | -$2,841 |
| 700 SHS GENERAL ELECTRIC | P | 2009-06-15 | 2017-10-18 | $16,141 | $9,224 | $6,917 | $6,917 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $109,655 | CapitalGainNetIncomeAmt |
| Net Short Term Capital Gain Loss | $11,901 | NetShortTermCapitalGainLossAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | false | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $87,996 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $1,731,300 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.050827 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $96,664 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $1,859,120 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.051994 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $94,266 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $1,867,012 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.050490 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $93,207 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $1,682,198 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.055408 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $91,341 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $1,562,580 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.058455 | DistributionYr5Rt |
| Total Distribution | 0.267174 | TotalDistributionRt |
| Average Distribution | 0.053435 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $1,892,757 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $101,139 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $1,136 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $102,275 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $88,558 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $2,273 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $2,273 | SubtotalAmt |
| Tax Based On Investment Income | $2,273 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $1,680 | EstimatedPlusOvpmtIncmTxAmt |
| Extsn Request Income Tax Paid | $3,500 | ExtsnRequestIncomeTaxPaidAmt |
| Total Payments And Credits | $5,180 | TotalPaymentsAndCreditsAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Es Penalty | $22 | EsPenaltyAmt |
| Overpayment | $2,885 | OverpaymentAmt |
| Applied To ES Tax | $2,885 | AppliedToESTaxAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | false | LegislativePoliticalActyInd |
| More Than100 Spent | false | MoreThan100SpentInd |
| Form1120 POL Filed | false | Form1120POLFiledInd |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | false | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (true) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Org Report Or Register State | MA | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (true) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | false | PrivateOperatingFoundationInd |
| New Substantial Contributors | false | NewSubstantialContributorsInd |
| Own Controlled Entity | false | OwnControlledEntityInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (true) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FLETCHER TILTON PC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5084598000 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 370 MAIN STREET 12TH FLOOR | AddressLine1Txt |
| City | WORCESTER | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 016081779 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | false | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | false | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | false | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | false | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | false | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | false | UncorrectedPriorActsInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| Business Holdings | false | BusinessHoldingsInd |
| Jeopardy Investments | false | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | false | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | false | InfluenceLegislationInd |
| Influence Election | false | InfluenceElectionInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Noncharitable Purpose | false | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (3 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 |
|---|---|---|---|---|---|---|---|---|
| VERONICA WILDING-WHITE WINTERS | ||||||||
| 2210 E MULE DEER RD | SEDONA | AZ | 86336 | TRUSTEE | 1.00 | $0 | $0 | $0 |
| ELISABETH H NULL | ||||||||
| 706 BONIFONT STREET | SILVER SPRING | MD | 20910 | TRUSTEE | 1.00 | $0 | $0 | $0 |
| HEATHER J WILDING | ||||||||
| 135 NASHUA ROAD | BEDFORD | NH | 03110 | TRUSTEE | 1.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | N/A | Description1Txt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $1,808,759 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $112,822 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $1,921,581 | TotalFMVOfUnusedAssetsAmt |
| Adjusted Total FMV Of Unused Ast | $1,921,581 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $28,824 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $1,892,757 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $94,638 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $94,638 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $2,273 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $2,273 | TotalTaxAmt |
| Distributable Before Adj | $92,365 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $92,365 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $92,365 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $88,558 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $88,558 | QualifyingDistributionsAmt |
| Adjusted Qualifying Distri | $88,558 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $92,365 | DistributableAsAdjustedAmt |
| Excess Distribution Cyov Yr3 | $2,878 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $4,333 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $3,080 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $10,291 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $88,558 | QualifyingDistributionsAmt |
| Applied To Current Year | $88,558 | AppliedToCurrentYearAmt |
| Excess Distri Cyov App CY Corpus | $3,807 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $3,807 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $6,484 | TotalCorpusAmt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Excess Distri Cyov To Next Yr | $6,484 | ExcessDistriCyovToNextYrAmt |
| Excess From Year2 | $3,404 | ExcessFromYear2Amt |
| Excess From Year1 | $3,080 | ExcessFromYear1Amt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | SEE ATTACHED | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 370 MAIN STREET | AddressLine1Txt |
| City | WORCESTER | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01608 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Relationship | NONE | RecipientRelationshipTxt |
| Grant Or Contribution Purpose | SEE ATTACHED | GrantOrContributionPurposeTxt |
| Amt | $85,001 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $85,001 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $24,873 | ExclusionAmt |
Other Investment Incm Part VII OtherInvestmentIncmPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $1,118 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $109,655 | ExclusionAmt |
Other Revenue Described OtherRevenueDescribedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | K-1 BUSINESS AND RENTAL BLA | Desc |
| Business | 523000 | BusinessCd |
| Unrelated Business Taxbl Incm | $69 | UnrelatedBusinessTaxblIncmAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $69 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $135,646 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $135,715 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | false | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | false | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | false | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | false | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | false | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | false | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | false | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | false | RelationshipsNonchrtblEOInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | TRUST AND ACCOUNTING FEES | CategoryTxt |
| Amt | $6,961 | Amt |
| Net Investment Income | $3,480 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $3,481 | DisbursementsCharitablePrpsAmt |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Stock | INVESTORS BANK AND TRUST | StockNm |
| EOY Book Value | $1,000,125 | EOYBookValueAmt |
| EOYFMV | $1,852,217 | EOYFMVAmt |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category Or Item | BLACKSTONE GROUP LP COM | CategoryOrItemTxt |
| Listed At Cost Or FMV | AT COST | ListedAtCostOrFMVCd |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (4 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|
| EXPENSES | ||
| PC FILING FEE | $35 | $35 |
| MICROEDGE FEE | $41 | $41 |
| K-1 EXPENSES | $223 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail (3 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| K-1 OTHER INCIME | $1,111 | $1,111 |
| K-1 ROYALTY | $7 | $7 |
| K-1 BUSINESS AND RENTAL BLACK | $69 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| INVESTMENT FEES | $16,626 | $16,626 |
| CUSTODIAL FEES | $1,909 | $1,909 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| FEDERAL TAX PAYMENT | $1,958 | |
| K-1 FOREIGN TAXES | $5 | $5 |
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