2017-05-09T07:45:07-05:00 2016-12-31 592213319 SUPLEE SHEA CRAMER & ROCKLEIN PA 800 SOUTH OSPREY AVENUE SARASOTA FL 342367834 990PF 2016-01-01 306201571 THE BERNATCHEZ FAMILY FOUNDATION BERN 5088983418 800 S OSPREY AVE SARASOTA FL 34236 MICHAEL BERNATCHEZ CO-TRUSTEE 5088983418 2017-05-02 1 T RAYMOND SUPLEE P00456310 9413663600 74.93.34.33 2017-05-02 14:34:36 ED P 8F697655E740237B3A950E1E389F8EA329B756B4 8F697655E740237B3A950E1E389F8EA329B756B4 2016 2021-01-29 14:40:06Z X 1785100 X X 38819 38819 133493 861063 133493 172312 172312 0 0 0 0 0 2000 2000 0 0 20174 20174 0 0 1201 931 0 0 2004 2004 0 0 25379 25109 0 0 96000 96000 121379 25109 0 96000 50933 147203 0 64185 9598 9598 1458991 1563982 1775502 1523176 1573580 1785100 0 0 X 1523176 1573580 1523176 1573580 1523176 1573580 1523176 50933 0 1574109 529 1573580 ISHARES TR RUSSELL 2000 VALUE P 2015-08-11 2016-04-12 3970 4175 -205 -205 ISHARES TR P 2015-10-13 2016-04-12 5651 6053 -402 -402 ISHARES S&P P 2015-08-11 2016-04-12 18185 17729 456 456 ISHARES IBOXX$ HIGH P 2015-08-11 2016-04-12 983 1055 -72 -72 POWERSHARES ETF TR II P 2016-04-12 2016-12-28 202 198 4 4 POWERSHARES S&P INTL P 2016-04-12 2016-12-28 44185 44167 18 18 POWERSHARES EXCHANGE P 2016-04-12 2016-12-28 2556 2492 64 64 SPDR S&P SMALL CAP P 2016-04-12 2016-12-28 25343 24608 735 735 SPDR S&P 600 SMALL P 2016-04-12 2016-12-28 9464 8450 1014 1014 SPDR SER TR LEHMAN INTL P 2016-04-12 2016-12-28 103 103 0 0 ISHARES TR P 2013-07-25 2016-12-28 5480 6138 -658 -658 ISHARES TR P 2013-04-15 2016-12-28 2265 2299 -34 -34 ISHARES TR P 2013-11-18 2016-12-28 213779 217114 -3335 -3335 ISHARES TR P 2012-08-10 2016-12-28 230321 162700 67621 67621 ISHARES TR P 2012-08-10 2016-12-28 86197 55991 30206 30206 ISHARES TR RUSSELL 2000 VALUE P 2015-03-11 2016-04-12 81978 66889 15089 15089 ISHARES TR P 2014-06-10 2016-04-12 95154 70541 24613 24613 ISHARES IBOXX$ HIGH P 2014-12-18 2016-04-12 16060 17978 -1918 -1918 ISHARES LEHMAN MBS P 2013-07-25 2016-12-28 106 105 1 1 ISHARES LEHMAN INTERMDT P 2012-08-10 2016-12-28 18777 18785 -8 -8 CAPITAL GAINS DIVIDENDS P 304 304 304 133493 0 95410 1888329 0.050526 87111 1911591 0.045570 75839 1747988 0.043386 76352 1585258 0.048164 32283 1593938 0.020254 0.207900 0.041580 1773352 73736 1472 75208 96000 X 1472 0 1472 0 1472 600 600 872 0 0 0 0 0 0 0 0 0 0 1 1 FL 1 0 0 0 0 1 N/A MICHAEL BERNATCHEZ 5088983418 5 ROSEWOOD PLACE WESTBOROUGH MA 01581 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 MICHAEL E BERNATCHEZ 5 ROSEWOOD PLACE WESTBOROUGH MA 01581 CO-TRUSTEE 5.00 0 0 0 JAMES J BERNATCHEZ 242 BAXTER LANE MILFORD CT 06486 CO-TRUSTEE 5.00 0 0 0 DANIEL P BERNATCHEZ 201 WEST TRAIL STAMFORD CT 06903 CO-TRUSTEE 5.00 0 0 0 MARC G BERNATCHEZ 34 N PRINCETON DRIVE SHELDON CT 06484 CO-TRUSTEE 5.00 0 0 0 NONE 0 NONE 0 0 1724642 75715 0 1800357 0 0 1800357 27005 1773352 88668 88668 1472 1472 87196 0 87196 0 87196 96000 0 96000 1472 94528 87196 91483 0 0 96000 91483 0 0 4517 0 0 0 0 0 0 0 0 82679 0 0 0 MICHAEL E BERNATCHEZ 5 ROSEWOOD PLACE WESTBOROUGH MA 01581 5088983418 DESIGNATED APPLICATION TO INCLUDE ORGANIZATION'S GENERAL INFORMATION AND PURPOSE OF FUNDS REQUESTED. NONE NO RESTRICTIONS AMERICAN CANCER SOCIETY 250 WILLIAMS ST NW ATLANTA GA 30303 NONE 501(C)3 GENERAL 12000 BETH-EL CENTER INC 90 NEW HAVEN AVE MILFORD CT 06460 NONE 501(C)3 GENERAL 8000 CENTER FOR FAMILY JUSTICE 753 FAIRFIELD AVE BRIDGEPORT CT 06604 NONE 501(C)3 GENERAL 16000 CENTER OF COASTAL STUDIES 115 BRADFORD ST PROVINCETOWN MA 02657 NONE 501(C)3 GENERAL 6000 COVENANT HOUSE FLORIDA INC 733 BREAKERS AVE FT LAUDERDALE FL 33304 NONE 501(C)3 GENERAL 12000 HOUSING FAMILIES INC 919 EASTERN AVE MALDEN MA 02148 NONE 501(C)3 GENERAL 4000 INCARNATION SCHOOL FOUNDATION 2911 BEE RIDGE RD SARASOTA FL 34239 NONE 501(C)3 GENERAL 12000 PLANNED PARENTHOOD OF SOUTHERN NEW ENGLAND 345 WHITNEY AVE NEW HAVEN CT 06511 NONE 501(C)3 GENERAL 6000 LIFE IS GOOD KIDS FOUNDATION 51 MELCHER ST BOSTON MA 02210 NONE 501(C)3 GENERAL 3000 LITERACY VOLUNTEERS OF GREATER WORCESTER 3 SALEM SQUARE ROOM 332 WORCESTER MA 01608 NONE 501(C)3 GENERAL 5000 MULTIPLE SCLEROSIS FOUNDATION INC 6520 N ANDREWS AVENUE FT LAUDERDALE FL 33309 NONE 501(C)3 GENERAL 12000 96000 0 14 38819 14 133493 0 172312 0 172312 4 THE FOUNDATION PROVIDES GRANTS TO CERTAIN RECOGNIZED CHARITABLE 7 ORGANIZATIONS AND OTHER QUALIFIED CHARITIES WITHIN THE MEANING OF 8 SECTION 501(C)3 OF THE INTERNAL REVENUE CODE 0 0 0 0 0 0 0 0 0 0 ACCOUNTING 2000 2000 0 0 ORGANIZATION ELECTS TO APPLY $228 TO THE UNDISTRIBUTED INCOME REMAINING FROM YEAR 2012. ISHARES RUSSELL 1000 GROWTH INDEX FUND AT COST 280020 429880 ISHARES RUSSELL 1000 VALUE INDEX FUND AT COST 171702 214874 ISHARES MSCI EAFE INDEX FUND AT COST 165215 148597 ISHARES IBOXX $ INVT GRADE CORP AT COST 75536 76519 ISHARES MSCI EMERGING MKTS INDEX FD AT COST 112876 110071 ISHARES IBOXX$ HIGH YIELD CORPORATE BOND FD AT COST 0 0 ISHARES RS 2000 GROWTH INDEX FD AT COST 0 0 ISHARES RS 2000 VALUE INDEX FD AT COST 0 0 ISHARES 3 YEAR INTL TREASURY BOND AT COST 0 0 ISHARES INTERMEDIATE GOV CREDIT BOND AT COST 77004 76016 ISHARES MBS ETF AT COST 38067 37751 SPDR BLMBRG BRCLY INTL TRSRY AT COST 40557 37723 SPDR S&P 600 SMALL CAP VALUE AT COST 106239 128769 SPDR S&P 600 SMALL CAP GROWTH AT COST 94585 112363 POWERSHARES ETF TR II AT COST 18172 18978 POWERSHARES S&P 500 LOW VOLATILITY AT COST 228972 236424 POWERSHARES S&P INTL DEV LOW AT COST 155037 147537 WASH SALE LOSS DISALLOWED 529 ANNUAL MEETING 2004 2004 0 0 MERRILL LYNCH FEES 20174 20174 0 0 FOREIGN TAXES 931 931 0 0 FEDERAL TAXES 270 0 0 0