2017-11-08T15:09:16-06:00 2016-12-31 010523282 Berry Dunn McNeil & Parker LLC PO Box 1100 Portland ME 041041100 990PF 2016-01-01 461469375 Coulombe Family Foundation COUL 2072287168 PO Box 9729 Portland ME 04104 J Colby Wallace Secretary 2072287168 2017-11-03 1 Barbara J McGuan CPA P00219457 2077752387 2017-11-03 69.49.157.66 2017-11-03 14:59:23 ED P 444B8E07E82B94F17F50E41B46C5AAC764DCE57D 195DD2390B87809A4F2C1BC02D65E16960466FA1 2016 2021-01-29 14:40:06Z X 12758984 X 3061776 205125 205125 356855 3893725 356855 91 91 0 3623847 562071 0 0 0 0 0 33262 16631 0 16631 9334 4667 0 4667 37336 37336 0 0 7799 7799 0 0 80766 0 0 80766 1551 0 0 1551 170048 66433 0 103615 496345 496345 666393 66433 0 599960 2957454 495638 0 20331 10849 10849 125760 1415363 1415363 9193656 10870989 11332772 9339747 12297201 12758984 0 0 X 0 0 0 0 9339747 12297201 9339747 12297201 9339747 12297201 9339747 2957454 0 12297201 0 12297201 Publicly Traded Securities 183803 181215 2588 2588 Publicly Traded Securities 3709922 3391724 318198 318198 Capital Gains from Passthrough - Short Term 2767 2767 Capital Gains from Passthrough - Long Term 29745 29745 Capital Gains from Passthrough - Short Term 3268 3268 Capital Gain Distribution - Long Term 289 289 356855 0 518107 10284247 0.050379 501379 10493438 0.047780 28994 9926041 0.002921 0 1405685 0.000000 0.101080 0.025270 9905663 250316 4956 255272 599960 X 4956 0 4956 0 4956 3674 14000 17674 X 12718 12718 0 0 0 0 0 0 0 0 0 0 0 1 1 ME 1 0 0 0 0 1 coulombefamilyfoundation.org David Erb 2077752387 PO Box 1100 Portland ME 04104 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Michelle Coulombe-Hagerty PO Box 9729 Portland ME 04101 President 1.00 0 0 0 Paul Coulombe PO Box 9729 Portland ME 04101 Vice President 1.00 0 0 0 Geoff Alexander PO Box 9729 Portland ME 04101 Director 1.00 0 0 0 David A Erb PO Box 9729 Portland ME 04101 Treasurer 1.00 0 0 0 Colby Wallace PO Box 9729 Portland ME 04101 Secretary 1.00 0 0 0 NONE 0 NONE 0 0 9853635 202876 0 10056511 0 0 10056511 150848 9905663 495283 495283 4956 4956 490327 0 490327 0 490327 599960 0 599960 4956 595004 490327 479545 0 0 599960 479545 0 0 120415 0 0 0 0 0 0 0 0 369912 0 0 0 Michelle Coulombe-Hagerty Paul Coulombe Colby Wallace PO Box 9729 Portland ME 04104 2072287168 cwallace@bernsteinshur.com Applications must be submitted on the standard form provided on the Foundation's website and must be executed by a duly authorized representative of the applicant organization. September 30 N/A Big Brothers Big Sisters of Southern Maine 195 Lancaster Street Portland ME 04101 Public Charity General Operating Purposes 25000 Boothbay Harbor Memorial Library 4 Oak Street Boothbay Harbor ME 04538 Public Charity General Operating Purposes 20000 Boys & Girls Club of Southern Maine 277 Cumberland Avenue PO Box 7830 Portland ME 04112 Public Charity Special Project 25000 Children in Crisis Inc 1000 Lukes Way Fort Walton Beach FL 32547 Public Charity General Operating Purposes 5000 Children's Museum & Theatre of Maine 142 Free Street Portland ME 04101 Public Charity General Operating Purposes 20000 Company of Girls PO Box 7527 Portland ME 04112 Public Charity General Operating Purposes 2000 Gulf of Maine Research Institute 350 Commercial Street Portland ME 04101 Public Charity Special Project 25000 HALOS PO Box 70237 N Charleston SC 29415 Public Charity General Operating Purposes 25000 Jobs for Maine's Graduates 45 Commerce Drive Suite 9 Augusta ME 04330 Public Charity Special Project 30000 KidSafe Foundation 20283 State Road 7 300 Boca Raton FL 33498 Public Charity Special Project 10000 LifeFlight Foundation 13 Main Street PO Box 899 Camden ME 04843 Public Charity Special Project 25000 Make-A-Wish Maine 477 Congress Street Suite M1 Portland ME 04101 Public Charity General Operating Purposes 20000 Opportunity Alliance 50 Lydia Lane South Portland ME 04106 Public Charity Special Project 20000 Pedals 4 Peanuts PO Box 1025 Mount Pleasant SC 29464 Public Charity Special Project 10000 Boca Helping Hands Inc 1500 NW 1st Court Boca FL 33432 Public Charity General Operating Purposes 10000 Boothbay Region Community Resources Council PO Box 43 Boothbay Harbor ME 04538 Public Charity General Operating Purposes 25000 Camp Ketcha 336 Black Point Road Scarborough ME 04074 Public Charity General Operating Purposes 9042 Cheverus High School 267 Ocean Avenue Portland ME 04103 Public Charity General Operating Purposes 25000 Children's Organ Transplant Association 2501 W Cota Drive Bloomington IN 47403 Public Charity General Operating Purposes 5000 Children's Shelter 2039 W Woodlawn Avenue San Antonio TX 78228 Public Charity General Operating Purposes 15000 Coastal Kids Preschool 12 Jackies Trail Damariscotta ME 04543 Public Charity General Operating Purposes 10000 Courage League Sports 4405 121st Street Urbandale IA 50323 Public Charity General Operating Purposes 15000 Covenant Soup Kitchen Inc 220 Valley Street Willimantic CT 06226 Public Charity General Operating Purposes 5000 CMMC The Dempsey Center 29 Lowell Street Lewiston ME 04240 Public Charity General Operating Purposes 25000 SMART Child and Family Services PO Box 1360 Windham ME 04062 Public Charity General Operating Purposes 4000 Goals for Girls 6119 3rd Street NW Washington DC 20011 Public Charity General Operating Purposes 10000 Maine General Medical Center 35 Medical Center Parkway Augusta ME 04330 Public Charity General Operating Purposes 25000 Maine Red Cross 16 Community Way Topsham ME 04086 Public Charity General Operating Purposes 25000 Oral Health Institute 3520 S Morgan Street Chicago ME 60609 Public Charity General Operating Purposes 25000 Chris Evert Charities 7200 W Camino Real Boca Raton FL 33433 Public Charity General Operating Purposes 1303 496345 0 14 205125 14 91 18 356855 0 562071 0 562071 0 0 0 0 0 0 0 0 0 0 X X 1 The Michelle L Coulombe Irrevocable 24 City Center Portland ME 041014069 3061776 X Accountant Fees 9334 4667 0 4667 75,729 SHS Doubleline Total Return Bond Fund FMV 830518 804246 30,352 SHS Guggenheim - Total Return Bond-IS FMV 810688 802803 7,496 SHS IShares Core U.S. Aggregate BO FMV 815268 810018 25,325 Metropolitan West Total Return BD FD FMV 272409 266670 45,983 Vanguard FTSE Developed Markets ETF FMV 1696193 1680219 10,241 SHS Vanguard FTSE Emerging Markets ETF FMV 402569 366423 20,115 Vanguard Total Stock Market ETF FMV 2344009 2319662 712,090 Hedge FD-SCS Opportunities Fund LTD FMV 900200 1217869 5,468 Units SCS US Equity Fund, LLC FMV 1013717 1216013 9,422 Units SCS International Equity Fund, LLC FMV 1015418 1031830 595,807 Units SCS Special Situations Fund LTD FMV 770000 817019 22,613 SHS IShares MSCI EAFE ETF FMV 0 0 15,727 SHS IShares Russel 3000 ETF FMV 0 0 21,283 SHS Natixis Loomis Say C/P BND-Y FMV 0 0 Legal Fees 33262 16631 0 16631 Insurance 819 0 0 819 Office Expenses 532 0 0 532 Meals 200 0 0 200 Other Income From Passthrough 91 91 Investment Fees 37336 37336 0 0 Foreign Tax Paid 7799 7799 0 0