FURP.ORG / PUBLIC DATA EXPLORER

THE NESSEL FAMILY FOUNDATION INC: Form 990PF, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
THE NESSEL FAMILY FOUNDATION INC (EIN 06-1596433)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-05-09
IRS object ID
201741299349100304
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 ReturnHeader

FieldValueIRS element (for citing)
Return2017-05-09T07:17:45-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN061175330PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Allison & GodfreyBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1134 East AvenueAddressLine1Txt
CityNorwalkCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06851ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN061596433EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The Irwin and Dorothy NesselBusinessNameLine1Txt
Business Name Line2Foundation IncBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlNESSBusinessNameControlTxt
Phone2032277470PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1134 East AvenueAddressLine1Txt
CityNorwalkCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06851ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDavid GodfreyPersonNm
Person TitleSecretaryPersonTitleTxt
Phone2032277470PhoneNum
Signature2017-05-04SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDavid L GodfreyPreparerPersonNm
PTINP00232920PTIN
Phone2032277470PhoneNum
Self EmployedYes (X)SelfEmployedInd

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address75.99.220.194IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-05-04IPDt
IP Tm15:14:43IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id08F5EB8A3CFCA204D6E62A8FD480B155B8199C1AAtSubmissionCreationDeviceId
At Submission Filing Device Id2B84CCDC0E0E5679B50B20AFEC916E4EEC725DA0AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$5,008,624FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$55InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$55InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$116,520DividendsRevAndExpnssAmt
Dividends Net Invst Incm$116,520DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$352,881NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$1,497,406GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$352,881CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$10OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$10OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$469,466TotalRevAndExpnssAmt
Total Net Invst Incm$469,466TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Legal Fees Rev And Expnss$8,000LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$4,000LegalFeesNetInvstIncmAmt
Legal Fees Dsbrs Chrtbl$4,000LegalFeesDsbrsChrtblAmt
Other Prof Fees Rev And Expnss$24,513OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$24,513OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$32,513TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$28,513TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$4,000TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$262,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$262,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$294,513TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$28,513TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$266,000TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$174,953ExcessRevenueOverExpensesAmt
Net Investment Income$440,953NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$641CashBOYAmt
Cash EOY$760CashEOYAmt
Cash EOYFMV$760CashEOYFMVAmt
Sav And Temp Cash Invst BOY$202,019SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$289,983SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$289,983SavAndTempCashInvstEOYFMVAmt
Corporate Stock BOY$2,170,052CorporateStockBOYAmt
Corporate Stock EOY$1,851,732CorporateStockEOYAmt
Corporate Stock EOYFMV$3,175,789CorporateStockEOYFMVAmt
Corporate Bonds BOY$869,905CorporateBondsBOYAmt
Corporate Bonds EOY$1,234,415CorporateBondsEOYAmt
Corporate Bonds EOYFMV$1,230,404CorporateBondsEOYFMVAmt
Other Investments BOY$211,546OtherInvestmentsBOYAmt
Other Investments EOY$252,226OtherInvestmentsEOYAmt
Other Investments EOYFMV$311,688OtherInvestmentsEOYFMVAmt
Total Assets BOY$3,454,163TotalAssetsBOYAmt
Total Assets EOY$3,629,116TotalAssetsEOYAmt
Total Assets EOYFMV$5,008,624TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$0CapitalStockBOYAmt
Capital Stock EOY$0CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$3,454,163RetainedEarningBOYAmt
Retained Earning EOY$3,629,116RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$3,454,163TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$3,629,116TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$3,454,163TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$3,629,116TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$3,454,163TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$174,953ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$3,629,116SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$3,629,116TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (3 entries)

PropertyPropertyDescGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
Publicly Traded Securities$124,481$134,921-$10,440-$10,440
Publicly Traded Securities$1,366,496$1,009,604$356,892$356,892
Capital Gains Dividends$6,429$6,429$6,429P
FieldValueIRS element (for citing)
Capital Gain Net Income$352,881CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$262,728AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$4,970,799NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.052854DistributionYr1Rt
Adjusted Qlfy Distri Yr2$231,072AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$4,805,775NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.048082DistributionYr2Rt
Adjusted Qlfy Distri Yr3$200,695AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$4,390,831NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.045708DistributionYr3Rt
Adjusted Qlfy Distri Yr4$182,196AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$4,164,454NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.043750DistributionYr4Rt
Adjusted Qlfy Distri Yr5$174,571AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$4,057,572NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.043024DistributionYr5Rt
Total Distribution0.233418TotalDistributionRt
Average Distribution0.046684AverageDistributionRt
Net Vl Noncharitable Assets$4,818,847NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$224,963AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$4,410NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$229,373AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$266,000QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$4,410InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$4,410SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$4,410TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$395EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$395TotalPaymentsAndCreditsAmt
Es Penalty$113EsPenaltyAmt
Tax Due$4,128TaxDueAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateCTOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksDavid L GodfreyIndividualWithBooksNm
Phone2032270424PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1134 East AvenueAddressLine1Txt
CityNorwalkCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06851ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
Dorothy M Nessel
2321 Meadow RidgeReddingCT06896President0.50$0$0$0
David L Nessel
25 Rock Major RoadFairfieldCT06430Vice President0.50$0$0$0
Judy Nessel
25 Rock Major RoadFairfieldCT06430Director0.50$0$0$0
David L Godfrey
134 East AvenueNorwalkCT06851Secretary0.50$0$0$0
Paul Nessel
113 Portland AvenueWiltonCT06897Director0.50$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$4,637,625AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$254,605AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$4,892,230TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$4,892,230AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$73,383CashDeemedCharitableAmt
Net Vl Noncharitable Assets$4,818,847NetVlNoncharitableAssetsAmt
Minimum Investment Return$240,942MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$240,942MinimumInvestmentReturnAmt
Tax Based On Investment Income$4,410TaxBasedOnInvestmentIncomeAmt
Total Tax$4,410TotalTaxAmt
Distributable Before Adj$236,532DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$236,532DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$236,532DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$266,000ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$266,000QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$4,410PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$261,590AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$236,532DistributableAsAdjustedAmt
Undistributed Income PY$145,630UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$266,000QualifyingDistributionsAmt
Applied To Year1$145,630AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$120,370AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$0TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$116,162UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerDorothy M NesselContributingManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (22 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
A Hand for a Paw Inc
114 Lakeside DriveBridgeportCT06606NonePCGeneral$2,000
Applied Behaviorial Rehabilitation Institute dba Home For the Brave
655 Park AvenueBridgeportCT06604NonePCGeneral$5,000
Aspetuck Land Trust
18 Cold Spring RoadEastonCT06612NonePCGeneral$2,500
Bridgeport Hospital Foundation
267 Grant StBridgeportCT06610NonePCGeneral$30,000
Bridgeport Ladies Charitable Society
427 Center RdEastonCT06612NonePCGeneral$2,000
Bridgeport Rescue Mission
PO Box 9057BridgeportCT066019057NonePCGeneral$5,000
Center for Family Justice
753 Fairfield AveBridgeportCT06604NonePCGeneral$35,000
Connecticut Challenge
250 Pequot AvenueSouthportCT06890NonePCGeneral$25,000
Episcopal Social Service of the Diocese of Connecticut
235 Nicoll Street 2nd FloorNew HavenCT06511NonePCIntegrated Refugee & Immigrant Services (IRIS)$3,000
Fairfield County Community Foundation
383 Main AvenueNorwalkCT068511543NonePCMeadow Ridge Scholarship Foundation$8,000
Friends of The Norwalk River Valley Trail Inc
PO Box 174GeorgetownCT06829NonePCGeneral$2,500
Grace Cottage Foundation
74 Grafton RoadTownshendVT05353NonePCGeneral$40,000
High School Scholarship Fund of Fairfield Inc
PO Box 682FairfieldCT06896NonePCGeneral$1,000
Horizons at GFA
35 Beachside AvenuePO Box Greens FarmCT06838NonePCGeneral$20,000
Fairfield Woods Middle School PTSA
1115 Fairfield Woods RoadFairfieldCT06824NonePCOutdoor Adventure Club$5,000
Near and Far Aid Association Inc
PO Box 717SouthportCT06490NonePCGeneral$5,000
Norma F Pfriem Breast Care Center
267 Grant StBridgeportCT06610NonePCGeneral$30,000
Norwalk Hospital Foundation
34 Maple StreetNorwalkCT06856NonePCRich - 04/24/17 03:26PM Worksheet Private Foundation$25,000
Roger Ludlowe Middle School PTA
689 Unquowa RoadFairfieldCT06824NonePCOutdoor Adventure Club Scholarships$5,000
Shaw Regional Cancer Center
322 Beards Creek RoadEdwardsCO81632NonePCGeneral$1,000
Sustainable Organic Integrated Livelihoods
124 Church RoadSherburneNY13460NonePCGeneral$5,000
Tomlinson Middle School PTSA
Unquowa RoadFairfieldCT06824NonePCCounselors Discretionary Fund$5,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$262,000TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$55ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$116,520ExclusionAmt

Other Investment Incm Part VII OtherInvestmentIncmPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$10ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$352,881ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$469,466ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$469,466TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp (15 entries)

BondBondNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
50M AMC Networks Inc 4.75% 12/15/22$51,484$50,375
50M Blue Cube Spinco 10% 10/25/25$60,989$60,375
75M Clean Harbors Inc 5.25% 08/01/20$74,915$76,687
75M Constellation Brands 4.25% 05/01/23$74,292$77,438
75M Energy Transfer Eq 5.875% 01/15/24$75,459$77,250
100M Levi Strauss 6.875% 5/1/22$107,370$105,000
100M Mastec Inc 4.875% 3/15/23$97,310$97,500
50M Olin Corp 5.50% 08/15/2022$52,283$51,687
100M Service Corp Intl 8% 11/15/2021$116,197$116,500
100M Tenneco Inc 6.875% 12/15/15$104,444$103,375
50M Time Warner 8.75% 02/14/2009$59,381$56,342
75M Treehouse Foods Inc 4.875% 03/15/22$75,805$77,250
100M Triumph Group 4.875% 3/15/22$96,100$93,250
50M William Carter C 5.25% 8/15/21$52,230$51,750
125M Zebra Technologies 7.25% 10/15/22$136,156$135,625

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (32 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
2650 Alexandria RE 6.45% Pfd$68,674$66,475
190 Alphabet Inc Cl C$86,735$146,646
2000 Altria Corp$23,723$135,240
170 Amazon.com$50,148$127,478
2300 Apple Inc$10,763$266,386
3500 Blue Buffalo Pet Products$65,535$84,140
600 Caterpillar Inc$26,399$55,644
1000 Celgene Corp$27,876$115,750
1500 Cerner Corp$94,494$71,055
2200 Cognizant Technology Solutions$18,978$123,266
5000 Charles Schwab 6% Pfd$124,900$126,350
800 Deere & Co$70,000$82,432
1700 Dunkin Brands Group Inc$76,155$89,148
725 Facebook Inc A$55,068$83,412
3000 General Electric$31,852$94,800
3944 Hospitality Pptys Tr - Pfd Stock$98,295$99,468
1000 Johnson & Johnson$55,370$115,210
600 Kansas City Southern$49,638$50,910
850 Monsanto Co New$66,296$89,429
700 Palo Alto Networks$102,761$87,535
800 Paypal Holdings Incorporated$26,097$31,576
600 Pepsico Inc$36,631$62,778
1200 Philip Morris Intl Inc$32,808$109,788
3600 Quanta Services Inc$98,742$125,460
1400 Quintiles Transnational$80,247$106,470
1400 Resmed Inc$35,029$86,870
1000 Schlumberger Ltd$28,399$83,950
60 The Priceline Group$72,570$87,964
1507 Under Armour Inc Cl C$51,146$37,931
900 United Parcel Service$66,245$103,176
1600 Visa Inc Cl A$20,689$124,832
1000 Walt Disney Co$99,469$104,220

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (5 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
1000 American Tower CorpAT COST$71,374$105,680
100 Allergan Inc 5.5% Con Pfd 3/1/18AT COST$83,262$76,246
400 Colony Starwood HMS REITAT COST$8,665$11,524
1000 Starwood Ppty Trust REITAT COST$20,314$21,950
3200 Weyerhaeuser Co REITAT COST$68,611$96,288

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryGunn Godfrey & AllisonCategoryTxt
Legal Fees$8,000LegalFeesAmt
Net Investment Income$4,000NetInvestmentIncomeAmt
Disbursements Charitable Prps$4,000DisbursementsCharitablePrpsAmt

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescOther Portfolio IncomeDesc
Revenue And Expenses Per Books$10RevenueAndExpensesPerBooksAmt
Net Investment Income$10NetInvestmentIncomeAmt
Adjusted Net Income$10AdjustedNetIncomeAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryInvestment Mgmt FeesCategoryTxt
Amt$24,513Amt
Net Investment Income$24,513NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt