EILEEN D BROWN CHARITABLE TR: Form 990PF, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- EILEEN D BROWN CHARITABLE TR (EIN 06-6475783)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-05-15
- IRS object ID
- 201841359349102109
- 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
- Gain Loss Sale Other Assets Sch
- Investments Corp Stock Schedule
- Land Etc Schedule2
- Other Assets Schedule
- Other Assets Schedule
- Other Assets Schedule
- Other Decreases Schedule
- Other Expenses Schedule
- Other Increases Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-05-15T09:20:56-07:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RAL CPA LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 238 West Town St | AddressLine1Txt |
| City | NORWICH | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06360 | 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 | 066475783 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE EILEEN D BROWN CHARITABLE TRUST | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | EILE | BusinessNameControlTxt |
| Phone | 8603760235 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | C/O PATRICIA JACKMAN 119 COLONEL BR | AddressLine1Txt |
| City | GRISWOLD | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06351 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PATRICIA JACKMAN | PersonNm |
| Person Title | TRUSTEE | PersonTitleTxt |
| Phone | 8603760235 | PhoneNum |
| Signature | 2018-04-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ROBERT A LASARACINA | PreparerPersonNm |
| PTIN | P01460566 | PTIN |
| Phone | 8608865186 | PhoneNum |
| Preparation | 2018-05-15 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 70.88.46.13 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-05-15 | IPDt |
| IP Tm | 09:20:46 | IPTm |
| IP Timezone | PD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 48A099E781B76355FAEE99A9B4B170A5A136C7DB | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 47C9A74EDBCAEF352ADE75B4B131D66D9AEFD4B9 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $1,354,674 | FMVAssetsEOYAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Dividends Rev And Expnss | $30,331 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $30,331 | DividendsNetInvstIncmAmt |
| Dividends Adj Net Incm | $30,331 | DividendsAdjNetIncmAmt |
| Net Gain Sale Ast Rev And Expnss | -$416 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $160,528 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $2 | CapGainNetIncmNetInvstIncmAmt |
| Net ST Capital Gain Adj Net Incm | $2 | NetSTCapitalGainAdjNetIncmAmt |
| Total Rev And Expnss | $29,915 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $30,333 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $30,333 | TotalAdjNetIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $15,000 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Adj Net Incm | $15,000 | CompOfcrDirTrstAdjNetIncmAmt |
| Accounting Fees Rev And Expnss | $1,370 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Adj Net Incm | $1,370 | AccountingFeesAdjNetIncmAmt |
| Taxes Rev And Expnss | $5,445 | TaxesRevAndExpnssAmt |
| Taxes Adj Net Incm | $5,445 | TaxesAdjNetIncmAmt |
| Taxes Dsbrs Chrtbl | $5,445 | TaxesDsbrsChrtblAmt |
| Deprec And Dpltn Rev And Expnss | $2,319 | DeprecAndDpltnRevAndExpnssAmt |
| Deprec And Dpltn Adj Net Incm | $2,319 | DeprecAndDpltnAdjNetIncmAmt |
| Occupancy Rev And Expnss | $7,115 | OccupancyRevAndExpnssAmt |
| Occupancy Adj Net Incm | $7,115 | OccupancyAdjNetIncmAmt |
| Occupancy Dsbrs Chrtbl | $7,115 | OccupancyDsbrsChrtblAmt |
| Trav Conf Meeting Rev And Expnss | $445 | TravConfMeetingRevAndExpnssAmt |
| Trav Conf Meeting Adj Net Incm | $445 | TravConfMeetingAdjNetIncmAmt |
| Other Expenses Rev And Expnss | $31,374 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Adj Net Incm | $31,374 | OtherExpensesAdjNetIncmAmt |
| Tot Opr Expenses Rev And Expnss | $63,068 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $0 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $63,068 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $12,560 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $15,545 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $15,545 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $78,613 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $0 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $63,068 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $28,105 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$48,698 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $30,333 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $26,738 | CashBOYAmt |
| Cash EOY | $9,386 | CashEOYAmt |
| Cash EOYFMV | $9,386 | CashEOYFMVAmt |
| Sav And Temp Cash Invst BOY | $964 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $965 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $965 | SavAndTempCashInvstEOYFMVAmt |
| Corporate Stock BOY | $921,526 | CorporateStockBOYAmt |
| Corporate Stock EOY | $1,011,897 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $1,011,897 | CorporateStockEOYFMVAmt |
| Land Bldg Equip Cost Or Other Bss | $345,300 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $17,203 | LandBldgEquipAccumDeprecAmt |
| Land BOY | $330,416 | LandBOYAmt |
| Land EOY | $328,097 | LandEOYAmt |
| Land EOYFMV | $328,097 | LandEOYFMVAmt |
| Other Assets BOY | $3,409 | OtherAssetsBOYAmt |
| Other Assets EOY | $4,329 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $4,329 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $1,283,053 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,354,674 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $1,354,674 | TotalAssetsEOYFMVAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Retained Earning BOY | $1,283,053 | RetainedEarningBOYAmt |
| Retained Earning EOY | $1,354,674 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $1,283,053 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $1,354,674 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $1,283,053 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $1,354,674 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $1,283,053 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$48,698 | ExcessRevenueOverExpensesAmt |
| Other Increases | $120,681 | OtherIncreasesAmt |
| Subtotal | $1,355,036 | SubtotalAmt |
| Other Decreases | $362 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $1,354,674 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Property | TD AMERITRADE - CAPITAL GAIN DISTRIBUTIONS | PropertyDesc |
| How Acquired | P | HowAcquiredCd |
| Acquired | 2017-01-01 | AcquiredDt |
| Sold | 2017-12-31 | SoldDt |
| Gross Sales Price | $2 | GrossSalesPriceAmt |
| Depreciation | $0 | DepreciationAmt |
| Cost Or Other Basis | $0 | CostOrOtherBasisAmt |
| Gain Or Loss | $2 | GainOrLossAmt |
| FMV As Of123169 | $0 | FMVAsOf123169Amt |
| Adjusted Basis As Of123169 | $0 | AdjustedBasisAsOf123169Amt |
| Excess FMV Over Adjusted Bss | $0 | ExcessFMVOverAdjustedBssAmt |
| Gains Minus Excess Or Losses | $2 | GainsMinusExcessOrLossesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $2 | CapitalGainNetIncomeAmt |
| Net Short Term Capital Gain Loss | $2 | NetShortTermCapitalGainLossAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | false | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $19,731 | AdjustedQlfyDistriYr1Amt |
| Distribution Yr1 | 0.000000 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $27,370 | AdjustedQlfyDistriYr2Amt |
| Distribution Yr2 | 0.000000 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $19,046 | AdjustedQlfyDistriYr3Amt |
| Distribution Yr3 | 0.000000 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $14,743 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $1,334,787 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.011045 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $23,791 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $1,282,960 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.018544 | DistributionYr5Rt |
| Total Distribution | 0.029589 | TotalDistributionRt |
| Average Distribution | 0.005918 | AverageDistributionRt |
| Net Investment Income Pct | $303 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $303 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $28,105 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Domestic Org Meeting Sect4940e | Yes (X) | DomesticOrgMeetingSect4940eInd |
| Investment Income Excise Tax | $303 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $303 | SubtotalAmt |
| Tax Based On Investment Income | $303 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $360 | EstimatedPlusOvpmtIncmTxAmt |
| Total Payments And Credits | $360 | TotalPaymentsAndCreditsAmt |
| Original Return Overpayment | -$360 | OriginalReturnOverpaymentAmt |
| Overpayment | $57 | OverpaymentAmt |
| Applied To ES Tax | $57 | 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 |
| Form990 PF Filed With Atty Gen | Yes (true) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | Yes (true) | 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 |
| Individual With Books | PATRICIA JACKMAN | IndividualWithBooksNm |
| Phone | 8603760235 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 119 COLONEL BROWN ROAD | AddressLine1Txt |
| City | GRISWOLD | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 06351 | 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 (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 |
|---|---|---|---|---|---|---|---|---|
| ALEXANDER FRAME | ||||||||
| 22017 138 AVENUE | SPRINGFIELD GARDENS | NY | 114132326 | PRESIDENT | 2.00 | $5,000 | $0 | $0 |
| PATRICIA JACKMAN | ||||||||
| 119 COLONEL BROWN RD | GRISWOLD | CT | 06351 | TRUSTEE | 2.00 | $5,000 | $0 | $0 |
| MAUREEN POITRAS | ||||||||
| 9 COLONEL BROWN RD | GRISWOLD | CT | 06351 | TRUSTEE | 2.00 | $5,000 | $0 | $0 |
| GEORGE W CLARKE ESQ | ||||||||
| 80 PLYMOUTH ROAD | SMITHTOWN | NY | 11787 | TRUSTEE | 2.00 | $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 |
Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | SPECIAL OLYMPICS - CONNECTICUT2666 STATE ST SUITE 1HAMDEN, CT 06517-2232 | Description1Txt |
| Expenses1 | $500 | Expenses1Amt |
| Description2 | MAKE A WISHP O BOX 97104WASHINGTON D.C. 20090 | Description2Txt |
| Expenses2 | $500 | Expenses2Amt |
| Description3 | FRANCISCAN FRIARS-MARIAN FRIARY OF OUR LADY OF GUADALUPE183 COLONEL BROWN RDGRISWOLD, CT 06351 | Description3Txt |
| Expenses3 | $500 | Expenses3Amt |
| Description4 | FIDELCO GUIDE DOG FOUNDATION103 VISION WAYBLOOMFIELD, CT 06002 | Description4Txt |
| Expenses4 | $500 | Expenses4Amt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $0 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $0 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $0 | TotalFMVOfUnusedAssetsAmt |
| Adjusted Total FMV Of Unused Ast | $0 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $0 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $0 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $0 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sect4942j3j5 Fndtn And Frgn Org | Yes (X) | Sect4942j3j5FndtnAndFrgnOrgInd |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $28,105 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $28,105 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $303 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $27,802 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $0 | DistributableAsAdjustedAmt |
| Excess Distribution Cyov Yr5 | $24,002 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $14,743 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $19,357 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $27,689 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $20,053 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $105,844 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $28,105 | QualifyingDistributionsAmt |
| Remaining Distri From Corpus | $28,105 | RemainingDistriFromCorpusAmt |
| Total Corpus | $133,949 | TotalCorpusAmt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Excess Distri Cyov From Yr5 | $24,002 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $109,947 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $14,743 | ExcessFromYear4Amt |
| Excess From Year3 | $19,357 | ExcessFromYear3Amt |
| Excess From Year2 | $27,689 | ExcessFromYear2Amt |
| Excess From Year1 | $20,053 | ExcessFromYear1Amt |
| Excess From Current Year | $28,105 | ExcessFromCurrentYearAmt |
Private Operating Foundations PrivateOperatingFoundationsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Section4942j3 | Yes (X) | Section4942j3Ind |
Lessor Adj Net Incm Min Invst Ret LessorAdjNetIncmMinInvstRetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $0 | CurrentYearAmt |
| Total | $0 | TotalAmt |
Qualifying Distributions QualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $28,105 | CurrentYearAmt |
| Year1 | $20,053 | Year1Amt |
| Year2 | $27,689 | Year2Amt |
| Year3 | $19,357 | Year3Amt |
| Total | $95,204 | TotalAmt |
Qualifying Distri Made Drt QualifyingDistriMadeDrtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $28,105 | CurrentYearAmt |
| Year1 | $20,053 | Year1Amt |
| Year2 | $27,689 | Year2Amt |
| Year3 | $19,357 | Year3Amt |
| Total | $95,204 | TotalAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Assets Sect4942j3 Bi TotalAssetsSect4942j3BiGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Two Thirds Minimum Invst Ret TwoThirdsMinimumInvstRetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Support TotalSupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Public Support Type PublicSupportType
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Largest Support From EO LargestSupportFromEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Gross Investment Income GrossInvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (48 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|
| SPECIAL OLYMPICS-CONNECTICUT | ||||||
| 2666 STATE ST SUITE 1 | HAMDEN | CT | 065142232 | 501c3 | CHARITABLE | $500 |
| MAKE A WISH FOUNDATION | ||||||
| P O BOX 97104 | WASHINGTON | DC | 20090 | 501C3 | CHARITABLE | $500 |
| FRANCISCAN FRIARS | ||||||
| 183 COLONEL BROWN RD | GRISWOLD | CT | 06351 | 501C3 | CHARITABLE | $500 |
| FIDELCO GUIDE DOG FOUNDATION | ||||||
| 103 VISION WAY | BLOOMFIELD | CT | 06002 | 501C3 | CHARITABLE | $500 |
| UNITED SERVICE ORGANIZATION INC | ||||||
| PO BOX 96860 | WASHINGTON | DC | 20077 | 501C3 | CHARITABLE | $300 |
| KITTY HARBOR | ||||||
| 2263 GLASGO ROAD | GRISWOLD | CT | 06351 | 501C3 | CHARITABLE | $250 |
| CT FOOD BANK | ||||||
| 2 RESEARCH AVE | WALLINGFORD | CT | 06492 | 501C3 | CHARITABLE | $200 |
| ALZHEIMERS ASSOCIATION- CT CHAPTER | ||||||
| P O BOX 96011 | WASHINGTON | DC | 200906011 | 501C3 | CHARITABLE | $250 |
| SLOAN KETTERING CANCER | ||||||
| P O BOX 5028 | HAGERTOWN | MD | 217415028 | 501C3 | CHARITABLE | $500 |
| SHRINERS HOSPITAL FOR CHILDREN | ||||||
| 2900 ROCKY POINT DR | TAMPA | FL | 33607 | 501C3 | CHARITABLE | $400 |
| DANA FARBER CANCER INSTITUTE | ||||||
| P O BOX 970025 | BOSTON | MA | 022970025 | 501C3 | CHARITABLE | $500 |
| HABITAT FOR HUMANITY | ||||||
| P O BOX 6439 | AMERICUS | GA | 317096439 | 501C3 | CHARITABLE | $500 |
| TOYS FOR TOTS FOUNDATION | ||||||
| P O BOX 4002036 | DES MOINES | IA | 503402036 | 501C3 | CHARITABLE | $500 |
| GRISWOLD FIRE DEPT | ||||||
| RTE 138 | JEWETT CITY | CT | 06351 | 501C3 | CHARITABLE | $500 |
| SALVATION ARMY | ||||||
| P O BOX 509 | HARTFORD | CT | 061410509 | 501C3 | CHARITABLE | $500 |
| MACULAR DEGENERATION | ||||||
| 22512 GATEWAY CENTER DR P O BOX 195 | CLARKSBURG | MD | 208711952 | 501C3 | CHARITABLE | $250 |
| VFW UNITED STATES PROCESSING | ||||||
| P O BOX 8958 | TOPEAKA | KS | 666088958 | 501C3 | CHARITABLE | $200 |
| ANDERSON CANCER CENTER | ||||||
| P O BOX 4464 | HOUSTON | TX | 772104464 | 501C3 | CHARITABLE | $500 |
| MARCH OF DIMES | ||||||
| PO BOX 2547 | DECATIER | IL | 625252547 | 501C3 | CHARITABLE | $500 |
| TOWN OF GRISWOLD | ||||||
| MAIN STREET | JEWETT CITY | CT | 06351 | 501C3 | MUNICIPAL | $300 |
| ST JUDE HOSPITAL | ||||||
| 501 JUDE PLACE | MEMPHIS | TN | 38105 | 501C3 | CHARITABLE | $500 |
| (no name) | ||||||
| $0 | ||||||
| WOUNDED WARRIOR | ||||||
| P O BOX 758541 | TOPEKA | KS | 666758541 | 501C3 | CHARITABLE | $500 |
| LEUKEMIA LYMPHONA SOCIETY | ||||||
| P O BOX 98011 | WASHINGTON | DC | 200908011 | 501C3 | CHARITABLE | $250 |
| NATIONAL PARK | ||||||
| P O BOX 17394 | BALTIMORE | MD | 212989450 | 501C3 | CHARITABLE | $150 |
| SUSAN KOMER BREAST CANCER | ||||||
| DEPT 41839 P O BOX 650309 | DALLAS | TX | 752650309 | 501C3 | CHARITABLE | $200 |
| PARALYZED VETERANS | ||||||
| 7 MILL BROOK RD | WILTON | NH | 03086 | 501C3 | CHARITABLE | $250 |
| HOLE IN THE WALL GANG CAMP | ||||||
| 565 ASHFORD CENTER RD | ASHFORD | CT | 06278 | 501C3 | CHARITABLE | $25 |
| HUMANE SOCIETY | ||||||
| 1255 23 ST NW SUITE 450 | WASHINGTON | DC | 20037 | 501C3 | CHARITABLE | $265 |
| GUARDIAN ANGELS | ||||||
| 982 EAST 89TH ST | BROOKLYN | NY | 11236 | 501C3 | CHARITABLE | $25 |
| CT AUDOBON SOCIETY | ||||||
| 314 UNQUOWA ROAD | FAIRFIELD | CT | 06824 | 501C3 | CHARITABLE | $80 |
| ST MARY'S FOOD PANTRY | ||||||
| NORTH MAIN STREET | GRISWOLD | CT | 06351 | 501C3 | CHARITABLE | $500 |
| HELEN KELLER BLIND | ||||||
| P O BOX 6077 | ALBERTLEA | MN | 560079860 | 501C3 | CHARITABLE | $200 |
| AMERICAN HEART ASSOCIATION | ||||||
| P O BOX 78851 | PHOENIX | AZ | 850628851 | 501C3 | CHARITABLE | $400 |
| GUIDE DOGS FOR BLIND INC | ||||||
| P O BOX 3950 | SAN RAFAEL | CA | 949123950 | 501C3 | CHARITABLE | $500 |
| IRON DOG K9 | ||||||
| ATTN CHARLIE NASH PO BOX 1983 | MERRIFIELD | VA | 221161983 | 501C3 | CHARITABLE | $250 |
| AMERICAN LUNG IN CT NATIONAL PROCESSING | ||||||
| P O BOX 7000 | ALBERTLEA | MN | 560078000 | 501C3 | CHARITABLE | $250 |
| PAWS OF WAR INC | ||||||
| P O BOX 1727 | SMITHTOWN | NY | 117878670 | 501C3 | CHARITABLE | $400 |
| MULTIPLE SCIEROSIS OF AMERICA | ||||||
| P O BOX 96219 | WASHINGTON | DC | 200986219 | 501C3 | CHARITABLE | $250 |
| OPERATION FINALLY HOME | ||||||
| P O BOX 1218 | MERRIFIELD | VA | 221161218 | 501C3 | CHARITABLE | $250 |
| HUMANE EDUCATION | ||||||
| P O BOX 97139 | WASHINGTON | DC | 200777418 | 501C3 | CHARITABLE | $250 |
| ALS DONATION CENTER AQ 18091 | ||||||
| P O BOX 37022 | BOONE | IA | 500370022 | 501C3 | CHARITABLE | $250 |
| CARE GIFT CENTER | ||||||
| P O BOX 1871 | MERRIFIELD | VA | 221169753 | 501C3 | CHARITABLE | $250 |
| ASPCA SPECIAL GIFT CENTER | ||||||
| P O BOX 96929 | WASHINGTON | DC | 200777127 | 501C3 | CHARITABLE | $250 |
| THE SEEING EYE | ||||||
| P O BOX 1056 | MORRISTOWN | NJ | 079629902 | 501C3 | CHARITABLE | $200 |
| TVCCA-GRISWOLD OIL FOR NEED | ||||||
| 1 SYLVANDALE ROAD | JEWETT CITY | CT | 06351 | 501C3 | CHARITABLE | $500 |
| HELP HEAL VETERANS | ||||||
| P O BOX 98088 | WASHINGTON | DC | 200908088 | 501C3 | CHARITABLE | $200 |
| RED CROSS CHARTER OAK | ||||||
| 200 BOSTON POST ROAD | WATERFORD | CT | 06385 | 5013C | CHARITABLE | $250 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $15,545 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Program Service Rev Part VII ProgramServiceRevPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CHARITABLE REAL ESTATE | Desc |
| Exclusion | 30 | ExclusionCd |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Related Or Exempt Function Incm | -$416 | RelatedOrExemptFunctionIncmAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Related Or Exempt Function Incm | -$416 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | -$416 | 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 |
Gain Loss Sale Other Assets Sch GainLossSaleOtherAssetsSch
Gain Loss Sale Other Asset GainLossSaleOtherAssetGrp (8 entries)
| AssetAssetDesc | How AcquiredHowAcquiredTxt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Sales ExpenseSalesExpenseAmt | Total NetTotalNetAmt | AcquiredAcquiredDt |
|---|---|---|---|---|---|---|
| EATON VANCE FDS HIGH INC OPPTY | Purchased | 2017-12 | $1,223 | $1,231 | -$8 | |
| FIRST TRUST ISE HEALTH CARE ALPH ETF | Purchased | 2017-03 | $24,701 | $24,602 | $99 | 2016-08 |
| ISHARES MN VOL USA ETF | Purchased | 2017-01 | $27,399 | $24,837 | $2,562 | 2016-02 |
| EATON VANCE FDS HIGH INCM OPPTYS I | Purchased | 2017-12 | $21,824 | $22,070 | -$246 | |
| FIRST TRUST PFD SECS INC ETF | Purchased | 2017-10 | $28,202 | $25,713 | $2,489 | 2016-02 |
| GEN ELECT CAP CORP SR MED TERM NOTE CLBL QTRLY | Purchased | 2017-05 | $20,000 | $20,136 | -$136 | 2015-02 |
| SPDR SERIES TRUST S&P BIOTECH ETF | Purchased | 2017-01 | $23,322 | $31,279 | -$7,957 | |
| VANGUARD TOTAL STK MKT ETF | Purchased | 2017-12 | $13,857 | $11,076 | $2,781 | 2015-06 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Stock | TD AMERITRADE- INVESTMENTS | StockNm |
| EOY Book Value | $1,011,897 | EOYBookValueAmt |
| EOYFMV | $1,011,897 | EOYFMVAmt |
Land Etc Schedule2 LandEtcSchedule2
Land Etc LandEtcGrp (3 entries)
| Category Or ItemCategoryOrItemTxt | Cost Or Other BasisCostOrOtherBasisAmt | Book ValueBookValueAmt | Accumulated DepreciationAccumulatedDepreciationAmt |
|---|---|---|---|
| LAND | $265,000 | $265,000 | |
| FURNITURE AND FIXTURES | $7,977 | $1,374 | $6,603 |
| IMPROVEMENTS | $72,323 | $61,723 | $10,600 |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INTANGIBLE -BOND PREMIUM | Desc |
| BOY Book Value | $3,409 | BOYBookValueAmt |
| EOY Book Value | $4,329 | EOYBookValueAmt |
| EOYFMV | $4,329 | EOYFMVAmt |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INTANGIBLE -BOND PREMIUM | Desc |
| BOY Book Value | $3,409 | BOYBookValueAmt |
| EOY Book Value | $4,329 | EOYBookValueAmt |
| EOYFMV | $4,329 | EOYFMVAmt |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INTANGIBLE -BOND PREMIUM | Desc |
| BOY Book Value | $3,409 | BOYBookValueAmt |
| EOY Book Value | $4,329 | EOYBookValueAmt |
| EOYFMV | $4,329 | EOYFMVAmt |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | FEDERAL TAX | Desc |
| Amt | $362 | Amt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (12 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Adjusted Net IncomeAdjustedNetIncomeAmt |
|---|---|---|
| INVESTMENT FEES | $9,699 | $9,699 |
| INSURANCE | $7,172 | $7,172 |
| BANK CHARGES | $35 | $35 |
| SEMINARS AND CONFERENCES | ||
| OFFICE EXPENSE | $846 | $846 |
| REPAIRS & MAINTENANCE | $3,440 | $3,440 |
| MEMBERSHIPS | $223 | $223 |
| AMORTIZATION | $1,508 | $1,508 |
| SECURITY ALARM | $555 | $555 |
| FOREIGN TAXES | $97 | $97 |
| MEALS AND ENTERTAINMENT | $166 | $166 |
| LEGAL SETTLEMENT | $7,633 | $7,633 |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail (4 entries)
| DescDesc | AmtAmt |
|---|---|
| CAPITAL GAIN DISTRIBUTION(NET) | $2 |
| NONDIVIDEND DISTRIBUTIONS | $3 |
| UNREALIZED CAPITAL GAIN | $120,675 |
| ROUNDING | $1 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | REAL ESTATE TAXES | CategoryTxt |
| Amt | $5,445 | Amt |
| Adjusted Net Income | $5,445 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $5,445 | DisbursementsCharitablePrpsAmt |
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