JOSEPH W & FAITH K TIBERIO CHARITABLE FOUNDATION: Form 990PF, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- JOSEPH W & FAITH K TIBERIO CHARITABLE FOUNDATION (EIN 04-3253603)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-05-15
- IRS object ID
- 201711359349101131
- Schema version
- 2016v3.0
- 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 Bonds Schedule
- Investments Corp Stock Schedule
- Investments Govt Obligations Sch
- Other Assets Schedule
- Other Expenses Schedule
- Other Increases Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-15T09:19:41-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 043296201 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SULLIVAN BILLE PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 CLARK ROAD | AddressLine1Txt |
| City | TEWKSBURY | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01876 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 043253603 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOSEPH W & FAITH K TIBERIO CHARITABLE | BusinessNameLine1Txt |
| Business Name Line2 | FOUNDATION | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | JOSE | BusinessNameControlTxt |
| Phone | 5084297524 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 79 LOWLAND ST | AddressLine1Txt |
| City | HOLLISTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01746 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | FAITH DOUGHERTY | PersonNm |
| Person Title | TRUSTEE | PersonTitleTxt |
| Phone | 5084297524 | PhoneNum |
| Signature | 2017-05-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Maria E Marchand CPA | PreparerPersonNm |
| PTIN | P01024791 | PTIN |
| Phone | 9789702900 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 70.88.222.235 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-05-10 | IPDt |
| IP Tm | 12:59:20 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 5E7CD946BD8BBA1FC5642FD3F06954BE8F07291E | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 599E66DEAA8A2E5B26984AD1837574275324F561 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | 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 | $1,063,287 | 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 |
| Interest On Sav Rev And Expnss | $23,956 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $23,956 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $18,376 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $18,376 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $45,141 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $225,127 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $45,141 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $87,473 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $87,473 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $6,100 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $6,100 | CompOfcrDirTrstDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $2,550 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $2,550 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $0 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $9,106 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $9,106 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $0 | OtherProfFeesDsbrsChrtblAmt |
| Interest Rev And Expnss | $1,656 | InterestRevAndExpnssAmt |
| Interest Net Invst Incm | $1,656 | InterestNetInvstIncmAmt |
| Interest Dsbrs Chrtbl | $0 | InterestDsbrsChrtblAmt |
| Taxes Rev And Expnss | $382 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $382 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Trav Conf Meeting Rev And Expnss | $1,164 | TravConfMeetingRevAndExpnssAmt |
| Trav Conf Meeting Net Invst Incm | $1,164 | TravConfMeetingNetInvstIncmAmt |
| Trav Conf Meeting Dsbrs Chrtbl | $0 | TravConfMeetingDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $942 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $0 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $0 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $21,900 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $14,858 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $6,100 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $92,800 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $92,800 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $114,700 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $14,858 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $98,900 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$27,227 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $72,615 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $15,976 | CashBOYAmt |
| Cash EOY | $5,718 | CashEOYAmt |
| Cash EOYFMV | $5,718 | CashEOYFMVAmt |
| Sav And Temp Cash Invst BOY | $51,242 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $53,687 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $53,687 | SavAndTempCashInvstEOYFMVAmt |
| Other Nts And Loans Rcvbl | $135,226 | OtherNtsAndLoansRcvblAmt |
| Other Rcvbl Allwnc Dbtfl Acct | $0 | OtherRcvblAllwncDbtflAcctAmt |
| Other Nts And Loans Rcvbl BOY | $152,115 | OtherNtsAndLoansRcvblBOYAmt |
| Other Nts And Loans Rcvbl EOY | $135,226 | OtherNtsAndLoansRcvblEOYAmt |
| Other Nts And Loans Rcvbl EOYFMV | $135,226 | OtherNtsAndLoansRcvblEOYFMVAmt |
| US Government Obligations BOY | $0 | USGovernmentObligationsBOYAmt |
| US Government Obligations EOY | $25,000 | USGovernmentObligationsEOYAmt |
| US Govt Obligations EOYFMV | $24,340 | USGovtObligationsEOYFMVAmt |
| Corporate Stock BOY | $445,868 | CorporateStockBOYAmt |
| Corporate Stock EOY | $380,570 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $501,641 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $318,836 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $354,463 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $339,675 | CorporateBondsEOYFMVAmt |
| Other Assets BOY | $0 | OtherAssetsBOYAmt |
| Other Assets EOY | $3,000 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $3,000 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $984,037 | TotalAssetsBOYAmt |
| Total Assets EOY | $957,664 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $1,063,287 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Capital Stock BOY | $0 | CapitalStockBOYAmt |
| Capital Stock EOY | $0 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | $984,037 | RetainedEarningBOYAmt |
| Retained Earning EOY | $957,664 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $984,037 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $957,664 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $984,037 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $957,664 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $984,037 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$27,227 | ExcessRevenueOverExpensesAmt |
| Other Increases | $854 | OtherIncreasesAmt |
| Subtotal | $957,664 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $957,664 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (16 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|---|---|
| ADIENT PLC COM USD0.001 | P | 2016-10-31 | 2016-11-03 | $31 | $33 | -$2 | -$2 |
| DEUTSCHE BANK AG ORDNPV | P | 2016-10-19 | 2016-12-20 | $30,746 | $22,880 | $7,866 | $7,866 |
| JOHNSON CONTROLS INTERNATIONAL | P | 2016-09-06 | 2016-09-07 | $41 | $39 | $2 | $2 |
| PROSHARES TR PROSHARES ULTRASHORT | P | 2015-07-10 | 2016-01-25 | $16,004 | $20,291 | -$4,287 | -$4,287 |
| BANK OF AMERICA CORP | P | 2014-01-01 | 2016-12-31 | $14,367 | $9,965 | $4,402 | $4,402 |
| CISCO SYS INC COM | P | 2011-01-05 | 2016-07-26 | $9,235 | $6,230 | $3,005 | $3,005 |
| GENERAL ELECTRIC CO, GE | P | 2011-01-05 | 2016-07-26 | $9,418 | $5,568 | $3,850 | $3,850 |
| JOHNSON CTLS INC | P | 2011-12-07 | 2016-09-06 | $21,956 | $16,203 | $5,753 | $5,753 |
| JP MORGAN CHASE & CO | P | 2011-01-05 | 2016-12-16 | $6,832 | $3,586 | $3,246 | $3,246 |
| PFIZER INC, | P | 2011-02-25 | 2016-07-26 | $8,561 | $4,408 | $4,153 | $4,153 |
| SCHLUMBERGER LIMITEDCOM | P | 2014-12-03 | 2016-08-04 | $19,279 | $21,190 | -$1,911 | -$1,911 |
| TOYOTA MOTOR COR SPADR REP2COM | P | 2014-03-27 | 2016-02-09 | $10,543 | $11,168 | -$625 | -$625 |
| VERIZON COMMUNICATIONS | P | 2014-01-01 | 2016-12-31 | $21,897 | $14,673 | $7,224 | $7,224 |
| WELLS FARGO | P | 2011-03-18 | 2016-09-21 | $19,295 | $13,670 | $5,625 | $5,625 |
| AMERIGAS PARTNERS LP NOTE 6.25% | P | 2012-09-04 | 2016-08-22 | $25,391 | $25,760 | -$369 | -$369 |
| STRYKER CORP | P | 2006-05-03 | 2016-07-26 | $11,531 | $4,322 | $7,209 | $7,209 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $45,141 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $94,400 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $987,213 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.095623 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $135,973 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $1,041,615 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.130541 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $99,650 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $951,675 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.104710 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $128,664 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $932,696 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.137948 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $115,812 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $1,041,373 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.111211 | DistributionYr5Rt |
| Total Distribution | 0.580033 | TotalDistributionRt |
| Average Distribution | 0.116007 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $901,601 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $104,592 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $726 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $105,318 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $98,900 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $1,452 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $1,452 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $1,452 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $302 | EstimatedPlusOvpmtIncmTxAmt |
| Total Payments And Credits | $302 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $4 | EsPenaltyAmt |
| Tax Due | $1,154 | TaxDueAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | 0 | LegislativePoliticalActyInd |
| More Than100 Spent | 0 | MoreThan100SpentInd |
| Form1120 POL Filed | 0 | Form1120POLFiledInd |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Tax Reimbursed | $0 | TaxReimbursedAmt |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (1) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | MA | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (1) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | 0 | PrivateOperatingFoundationInd |
| New Substantial Contributors | 0 | NewSubstantialContributorsInd |
| Own Controlled Entity | 0 | OwnControlledEntityInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (1) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
| Individual With Books | FAITH DOUGHERTY | IndividualWithBooksNm |
| Phone | 5084228514 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 79 LOWLAND STREET | AddressLine1Txt |
| City | HOLLISTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01746 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | 0 | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | 0 | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | 0 | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | 0 | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | 0 | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActsInd |
| Undistributed Income PY | 0 | UndistributedIncomePYInd |
| Business Holdings | 0 | BusinessHoldingsInd |
| Jeopardy Investments | 0 | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | 0 | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | 0 | InfluenceLegislationInd |
| Influence Election | 0 | InfluenceElectionInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Noncharitable Purpose | 0 | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (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 |
|---|---|---|---|---|---|---|---|---|
| FAITH DOUGHERTY | ||||||||
| 260 SPRINGVALE ROAD | GREAT FALLS | VA | 22066 | PRESIDENT | 2.00 | $5,000 | $0 | $0 |
| CATHERINE A AGIUS | ||||||||
| 382 OCEAN AVENUE APT 1701 | REVERE | MA | 02151 | SECRETARY | 2.00 | $1,100 | $0 | $0 |
| FAITH K TIBERIO | ||||||||
| 277 S MATANZAS BLVD | ST AUGUSTINE | FL | 32080 | CHAIRMAN | 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 |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $856,958 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $58,373 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $915,331 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $915,331 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $13,730 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $901,601 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $45,080 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $45,080 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $1,452 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $1,452 | TotalTaxAmt |
| Distributable Before Adj | $43,628 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $43,628 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $43,628 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $98,900 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $98,900 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $98,900 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $43,628 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $65,619 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $82,701 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $53,286 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $85,446 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $45,537 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $332,589 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $98,900 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $43,628 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $55,272 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $387,861 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $65,619 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $322,242 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $82,701 | ExcessFromYear4Amt |
| Excess From Year3 | $53,286 | ExcessFromYear3Amt |
| Excess From Year2 | $85,446 | ExcessFromYear2Amt |
| Excess From Year1 | $45,537 | ExcessFromYear1Amt |
| Excess From Current Year | $55,272 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (41 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| ADOPT A PLATOON | |||||||
| 25089 CENTERLINE ROAD | SAN BENITO | TX | 78586 | NONE | 501C | CHARITABLE | $200 |
| ALGONQUIN FOOTBALL BOOSTERS | |||||||
| PO BOX 303 | NORTHBOROUGH | MA | 01532 | NONE | 501C | CHARITABLE | $1,000 |
| AMERICAN INDIAN COLLEGE FUND | |||||||
| 8333 GREENWOOD BOULEVARD | DENVER | CO | 80221 | NONE | 501C | EDUCATIONAL | $700 |
| AMERICAN INDIAN RELEIF COUNCIL | |||||||
| PO BOX 6200 | RAPID CITY | SD | 57709 | NONE | 501C | CHARITABLE | $300 |
| AMERICAN REPERTORY THEATRE | |||||||
| 64 BRATTLE STREET | CAMBRIDGE | MA | 02138 | NONE | 501C | LITERARY | $1,000 |
| ANTIOCH CHRISTIAN CHURCH | |||||||
| 2041 W WALNUT HILL LN | IRVING | TX | 75038 | NONE | 501C | CHARITABLE | $1,000 |
| BLACKSTONE FIRE DEPT | |||||||
| 15 ST PAUL ST | BLACKSTONE | MA | 01504 | NONE | 501C | PUBLIC SAFETY | $2,000 |
| BLACKSTONE POLICE DEPT | |||||||
| 15 ST PAUL ST | BLACKSTONE | MA | 01504 | NONE | 501C | PUBLIC SAFETY | $2,000 |
| BOSTON BALLET | |||||||
| 19 CLARENDON STREET | BOSTON | MA | 02116 | NONE | 501C | LITERARY | $1,000 |
| BOSTON MUSEUM OF FINE ARTS | |||||||
| 465 HUNTINGTON AVE | BOSTON | MA | 02115 | NONE | 501C | EDUCATIONALLITERARY | $5,000 |
| CIVIL WAR PRESERVATION TRUST | |||||||
| 1331 H STREET-SUITE 1001 | WASHINGTON | DC | 20005 | NONE | 501C | EDUCATIONAL | $700 |
| CUMBERLAND COLLEGE | |||||||
| 6178 COLLEGE STATION DRIVE | WILLIAMSBURG | KY | 40769 | NONE | 501C | EDUCATIONAL | $1,000 |
| DOWD CENTER FOR THE HOMELESS | |||||||
| 651 BROAD STREET | COLUMBUS | OH | 43215 | NONE | 501C | CHARITABLE | $500 |
| DUBLIN MONTESSORI ACADEMY | |||||||
| 10465 SAWMILL ROAD | POWELL | OH | 43065 | NONE | 501C | EDUCATIONAL | $350 |
| EMMA CONCERT ASSOCIATION | |||||||
| 2692 US 1 | ST AUGUSTINE | FL | 32086 | NONE | 501C | LITERARY | $500 |
| FAITH MISSION | |||||||
| 245 N GRANT AVE | COLUMBUS | OH | 43215 | NONE | 501C | CHARITABLE | $200 |
| FIRST COAST OPERA | |||||||
| PO BOX 2223 | ST AUGUSTINE | FL | 32085 | NONE | 501C | LITERARY | $3,000 |
| FLAGLER COLLEGE | |||||||
| KING STREET | ST AUGUSTINE | FL | 32084 | NONE | 501C | EDUCATIONAL | $3,000 |
| FRAMINGHAM HISTORICAL SOCIETY | |||||||
| 16 VERNON STREET | FRAMINGHAM | MA | 01703 | NONE | 501C | EDUCATIONAL | $500 |
| HOLLISTON HIGH SCHOOL AGRICULTURAL | |||||||
| 370 HILLIS STREET | HOLLISTON | MA | 01746 | NONE | 501C | EDUCATIONAL | $500 |
| HOLLISTON SENIOR CENTER | |||||||
| 150 GOULDING STREET | HOLLISTON | MA | 01746 | NONE | 501C | CHARITABLE | $500 |
| HUNTINGTON THEATER | |||||||
| 264 HUNTINGTON AVE | BOSTON | MA | 02115 | NONE | 501C | LITERARYLITERARY | $25,000 |
| LIGHTNER MUSEUM | |||||||
| 75 KING STREET | ST AUGUSTINE | FL | 32085 | NONE | 501C | EDUCATIONAL | $8,000 |
| LIMELIGHT THEATER INC | |||||||
| PO BOX 1196 | ST AUGUSTINE | FL | 32085 | NONE | 501C | LITERARY | $2,000 |
| MASS 4H CLUB | |||||||
| 22 ELIOT STREET | ASHLAND | MA | 01721 | NONE | 501C | CHARITABLE | $1,000 |
| MUSEUM OF THE AMERICAN REVOLUTION | |||||||
| 123 CHESTNUT ST | PHILADELPHIA | PA | 19106 | NONE | 501C | EDUCATIONALCHARITABLE | $500 |
| NATICK VISITING NURSES | |||||||
| 209 W CENTRAL STREET 313 | NATICK | MA | 01760 | NONE | 501C | CHARITABLE | $1,000 |
| NEW ENGLAND OES RESCUE | |||||||
| 49 STONEHEDGE RD | LINCOLN | MA | 01773 | NONE | 501C | CHARITABLE | $350 |
| RED CLOUD INDIAN SCHOOL | |||||||
| 100 MISSION DRIVE | PINE RIDGE | SD | 57770 | NONE | 501C | CHARITABLE | $500 |
| SHERBORN FIRE AND RESCUE | |||||||
| 22 NORTH MAIN STREET | SHERBORN | MA | 01770 | NONE | 501C | PUBLIC SAFETY | $1,500 |
| SHERBORN LIONS | |||||||
| 288 DOVER ROAD | WESTWOOD | MA | 01770 | NONE | 501C | CHARITABLE | $1,000 |
| SHERBORN POLICE DEPARTMENT | |||||||
| 19 WASHINGTON STREET | SHERBORN | MA | 01770 | NONE | 501C | PUBLIC SAFETY | $1,500 |
| ST AUGUSTINE SISTER CITIES ASSN | |||||||
| PO BOX 210 | ST AUGUSTINE | FL | 32085 | NONE | 501C | CHARITABLE | $2,000 |
| ST AUGUSTINE TRUST FOR HISTORIC PRESERVATION | |||||||
| 75 KING STREET | ST AUGUSTINE | FL | 32084 | NONE | 501C | HISTORICAL | $1,000 |
| TEMPLE UNIVERSITY | |||||||
| 580 MEETINGHOUSE ROAD | AMBLER | PA | 19002 | NONE | 501C | EDUCATIONAL | $5,000 |
| WELLESLEY FRIENDS MEETING HOUSE CHURCH | |||||||
| 20 BENVENUE STREET | WELLESLEY | MA | 02482 | NONE | 501C | CHARITABLE | $3,000 |
| WOMAN'S NATIONAL FARM & GARDEN ASSOCIATION | |||||||
| PO 325 | RAWSON | OH | 45881 | NONE | 501C | CHARITABLE | $1,500 |
| BELMONT UNIVERSITY | |||||||
| 1900 BELMONT BLVD | NASHVILLE | TN | 37212 | NONE | 501C | CHARITABLE | $4,000 |
| ROCHESTER INST OF TECHNOLOGY | |||||||
| 1 LOMB MEMORIAL DRIVE | ROCHESTER | NY | 14623 | NONE | 501C | CHARITABLE | $4,000 |
| CMRI DBA FATIMA MARIAN CTR | |||||||
| 7745 MILITARY AVENUE | OMAHA | NE | 68134 | NONE | 501C | EDUCATIONAL | $3,000 |
| UNIVERSITY OF MASSACHUSETTS AMHERST | |||||||
| 300 MASSACHUSETTS AVE | AMHERST | MA | 01003 | nONE | 501C | EDUCATIONAL | $2,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $92,800 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $23,956 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $18,376 | ExclusionAmt |
Other Investment Incm Part VII OtherInvestmentIncmPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 01 | ExclusionCd |
| Exclusion | $45,141 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $87,473 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $87,473 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | 0 | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | 0 | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | 0 | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | 0 | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | 0 | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | 0 | RelationshipsNonchrtblEOInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | SULLIVAN BILLE PC | CategoryTxt |
| Amt | $2,550 | Amt |
| Net Investment Income | $2,550 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp (13 entries)
| BondBondNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| 25000 AMERIGAS PARTNERS LP | $0 | $0 |
| 30000 BSB CAP TR I GTD CAP SECS | $30,544 | $30,225 |
| 30000 VALLEY NATL BANCORP SUB DEB | $30,218 | $31,105 |
| 50000 COLUMBIA FINL TR I BONDS 144A | $49,895 | $49,335 |
| 35000 BANK OF AMERICA PERPETUAL PFD | $38,910 | $35,963 |
| 20000 FPL GROUP CAPITAL INC BONDS | $22,474 | $19,980 |
| 15000 ALLEGHENY TECHNOLOGIES INC | $15,580 | $14,513 |
| 25000 ALUMINUM CO AMER NT | $27,065 | $26,800 |
| 25000 WEATHERFORD INTL LTD NOTE CALL MAKE WHOLE | $28,902 | $26,688 |
| 20000 GOODYEAR TIRED &RUBR CO NOTE | $21,536 | $21,100 |
| 25000 WELLS FARGO&CO NEW BOND PERPETUAL | $27,185 | $26,125 |
| 25000 NORTHERN TR CORP BOND | $25,097 | $23,781 |
| 25000 ROGERS CABLE INC CORP BOND | $37,057 | $34,060 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (26 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| 245 APPLE INC (AAPL) | $19,222 | $28,376 |
| 425 WELLS FARGO & CO nEW | $0 | $0 |
| 400 VERIZON COMMUNICATIONS | $0 | $0 |
| 150 THERMO FISHER SCIENTIFIC INC | $8,317 | $21,165 |
| 400 TEVA PHARMACEUTICAL IND | $12,577 | $9,063 |
| 300 QUALCOMM INC (QCOM) | $16,994 | $19,560 |
| 600 PFIZER INC (PFE) | $11,303 | $19,488 |
| 450 ORACLE CORPORATION (ORCL) | $14,848 | $17,303 |
| 417 JOHNSON CTLS INC | $19,052 | $17,176 |
| 320 JP MORGAN CHASE & CO (JPM) | $12,267 | $27,613 |
| 700 GENERAL ELECTRIC CO | $12,991 | $22,120 |
| 700 CISCO SYS INC | $13,508 | $21,154 |
| 640 BANK OF AMERICA | $4,819 | $14,144 |
| 200 SH STRYKER CORP | $8,644 | $23,962 |
| 100 SH PRAXAIR | $9,823 | $11,719 |
| 325 NESTLE S SPON | $15,439 | $23,359 |
| 800 SH FLIR SYS | $22,765 | $28,952 |
| 250 SH EXXON MOBIL | $16,951 | $22,565 |
| 504 CITIGROUP INC COM NEW (C) | $24,213 | $29,953 |
| 300 EXPRESS SCRIPTS HLDG CO COM | $20,555 | $20,637 |
| 320 LOWES COS INC COM ISIN | $21,151 | $22,758 |
| CELGENE CORP | $23,760 | $23,150 |
| UNITED RENTALS INC | $24,446 | $26,395 |
| 41 SHARES ADIENT PLC COM | $1,866 | $2,403 |
| 450 ROYAL DUTCH SHELL PLC | $23,789 | $26,087 |
| 300 SHARES TJX COS INC | $21,270 | $22,539 |
Investments Govt Obligations Sch InvestmentsGovtObligationsSch
| Field | Value | IRS element (for citing) |
|---|---|---|
| US Govt Obligations Book Vl EOY | $25,000 | USGovtObligationsBookVlEOYAmt |
| US Govt Obligations EOYFMV | $24,340 | USGovtObligationsEOYFMVAmt |
| State Local Sec Book Vl EOY | $0 | StateLocalSecBookVlEOYAmt |
| State Local Sec EOYFMV | $0 | StateLocalSecEOYFMVAmt |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE FROM CAPITAL ADVISORS | Desc |
| EOY Book Value | $3,000 | EOYBookValueAmt |
| EOYFMV | $3,000 | EOYFMVAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (3 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| COMM MASS ANNUAL REPORT FILING FEE | $35 | $0 | $0 |
| BROKERAGE TRANSACTION FEES | $717 | $0 | $0 |
| MISCELLANEOUS | $190 | $0 | $0 |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NON DIVIDEND DISTRIBUTIONS | Desc |
| Amt | $854 | Amt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | INVESTMENT MANAGEMENT FEE | CategoryTxt |
| Amt | $9,106 | Amt |
| Net Investment Income | $9,106 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| FOREIGN TAXES ON DIVIDEND INCOME | $164 | $164 | $0 |
| FEDERAL EXCISE TAX ON INVESTMENT | $218 | $218 | $0 |
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