CHENEVERT FAMILY FOUNDATION INC: Form 990PF, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
CHENEVERT FAMILY FOUNDATION INC (EIN 27-0886303)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-03-04
IRS object ID
201620649349100302
Schema version
2015v2.1
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)
Return2016-03-04T12:24:35-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN350921680PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1175 POWDER FOREST DRIVEAddressLine1Txt
CitySIMSBURYCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06089ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN270886303EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHENEVERT FAMILY FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCHENBusinessNameControlTxt
Phone8607296500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 BEACH DRIVE NE UNIT 2405AddressLine1Txt
CityST PETERSBURGCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33701ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLOUIS R CHENEVERTPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone8607287669PhoneNum
Signature2016-02-21SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRichard BuggyPreparerPersonNm
PTINP00512316PTIN
Phone8606789200PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$3,802,081FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$946,529ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$10InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$10InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$73,672DividendsRevAndExpnssAmt
Dividends Net Invst Incm$73,672DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss-$742NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$8,924GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$0CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$1,019,469TotalRevAndExpnssAmt
Total Net Invst Incm$73,682TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$15,000CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$15,000CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$3,750AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$1,750AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$2,000AccountingFeesChrtblPrpsAmt
Taxes Rev And Expnss$750TaxesRevAndExpnssAmt
Taxes Net Invst Incm$750TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Trav Conf Meeting Rev And Expnss$1,581TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Dsbrs Chrtbl$1,303TravConfMeetingDsbrsChrtblAmt
Other Expenses Rev And Expnss$339OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$339OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$0OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$21,420TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$2,839TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$18,303TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$47,750ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$47,750ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$69,170TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$2,839TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$66,053TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$950,299ExcessRevenueOverExpensesAmt
Net Investment Income$70,843NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$0CashBOYAmt
Sav And Temp Cash Invst BOY$73,405SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$54,864SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$54,864SavAndTempCashInvstEOYFMVAmt
Corporate Stock BOY$2,784,399CorporateStockBOYAmt
Corporate Stock EOY$3,752,014CorporateStockEOYAmt
Corporate Stock EOYFMV$3,662,486CorporateStockEOYFMVAmt
Other Investments BOY$90,530OtherInvestmentsBOYAmt
Other Investments EOY$91,755OtherInvestmentsEOYAmt
Other Investments EOYFMV$84,731OtherInvestmentsEOYFMVAmt
Total Assets BOY$2,948,334TotalAssetsBOYAmt
Total Assets EOY$3,898,633TotalAssetsEOYAmt
Total Assets EOYFMV$3,802,081TotalAssetsEOYFMVAmt
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$2,948,334RetainedEarningBOYAmt
Retained Earning EOY$3,898,633RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$2,948,334TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$3,898,633TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$2,948,334TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$3,898,633TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$2,948,334TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$950,299ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$3,898,633SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$3,898,633TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp

FieldValueIRS element (for citing)
PropertyPUBLICLY TRADED SECURITIESPropertyDesc
Gross Sales Price$8,924GrossSalesPriceAmt
Cost Or Other Basis$9,666CostOrOtherBasisAmt
Gain Or Loss-$742GainOrLossAmt
Gains Minus Excess Or Losses-$742GainsMinusExcessOrLossesAmt
FieldValueIRS element (for citing)
Capital Gain Net Income-$742CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$41,807AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$2,258,251NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.018513DistributionYr1Rt
Adjusted Qlfy Distri Yr2$57,320AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$1,523,290NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.037629DistributionYr2Rt
Adjusted Qlfy Distri Yr3$64,814AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$788,570NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.082192DistributionYr3Rt
Adjusted Qlfy Distri Yr4$53,588AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$110,515NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.484893DistributionYr4Rt
Adjusted Qlfy Distri Yr5$73,269AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$107,787NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.679757DistributionYr5Rt
Total Distribution1.302984TotalDistributionRt
Average Distribution0.260597AverageDistributionRt
Net Vl Noncharitable Assets$3,165,466NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$824,911AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$708NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$825,619AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$66,053QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$1,417InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$1,417SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$1,417TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$777EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$777TotalPaymentsAndCreditsAmt
Tax Due$640TaxDueAmt

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 ContributorsYes (1)NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1DEBRA L CHENEVERTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8607296500PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1400 BEACH DRIVE NE UNIT 2405AddressLine1Txt
CityST PETERSBURGCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33701ZIPCd
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 (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
LOUIS R CHENEVERT
400 BEACH DRIVE NE UNIT 2405ST PETERSBURGFL33701CHAIRMAN AND PRESIDENT1.00$0$0$0
DEBRA L CHENEVERT
400 BEACH DRIVE NE UNIT 2405ST PETERSBURGFL33701SECRETARY AND TREASURER1.00$0$0$0
LISA CHENEVERT KRAUSE
33 PORTAGE CROSSINGFARMINGTONCT06032DIRECTOR1.00$7,500$0$0
SOPHIE CHENEVERT SCHILKE
3 BEAVER POND LANESOUTH SALEMNY10590DIRECTOR1.00$7,500$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

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1ONE CONTRIBUTION OF $20,000 TO THE FRIENDS OF HEC, MONTREAL IN 2015.Description1Txt
Expenses1$0Expenses1Amt
Description2ONE CONTRIBUTION OF $19,500 TO THE CONGRESSIONAL MEDAL OF HONOR FOUNDATION IN 2015.Description2Txt
Expenses2$0Expenses2Amt
Description3ONE CONTRIBUTION OF $3,000 TO CONNECTICUT CHILDREN'S MEDICAL CENTER IN 2015.Description3Txt
Expenses3$0Expenses3Amt
Description4ONE CONTRIBUTION OF $2,000 TO THE ALZHEIMER'S ASSOCIATION IN 2015.Description4Txt
Expenses4$0Expenses4Amt

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$3,157,816AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$55,855AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$3,213,671TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$3,213,671AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$48,205CashDeemedCharitableAmt
Net Vl Noncharitable Assets$3,165,466NetVlNoncharitableAssetsAmt
Minimum Investment Return$158,273MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$158,273MinimumInvestmentReturnAmt
Tax Based On Investment Income$1,417TaxBasedOnInvestmentIncomeAmt
Total Tax$1,417TotalTaxAmt
Distributable Before Adj$156,856DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$156,856DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$156,856DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$66,053ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$66,053QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$66,053AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$156,856DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$58,052ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$48,145ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$25,800ExcessDistributionCyovYr3Amt
Total Excess Distribution Cyov$131,997TotalExcessDistributionCyovAmt
Qualifying Distributions$66,053QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$66,053AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$90,803ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$90,803ExcessDistributionCyovAppCYAmt
Total Corpus$41,194TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$41,194ExcessDistriCyovToNextYrAmt
Excess From Year4$15,394ExcessFromYear4Amt
Excess From Year3$25,800ExcessFromYear3Amt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerLOUIS R CHENEVERTContributingManagerNm

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonLOUIS R CHENEVERTRecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1400 BEACH DRIVE NE UNIT NO 2405AddressLine1Txt
CityST PETERSBURGCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33701ZIPCd
FieldValueIRS element (for citing)
Recipient Phone8607296500RecipientPhoneNum
Form And Info And MaterialsNO SPECIAL FORM REQUIRED; LETTER TO FOUNDATION MANAGER WILL SUFFICE.FormAndInfoAndMaterialsTxt
Submission DeadlinesNONE.SubmissionDeadlinesTxt
Restrictions On AwardsTHE PRIMARY ACTIVITIES OF THE FOUNDATION SHALL BE THE MAKING OF GRANTS TO DOMESTIC ORGANIZATIONS WHICH QUALIFY AS CHARITABLE, EDUCATIONAL AND/OR RELIGIOUS ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, AND WHICH SHALL BE TAX EXEMPT UNDER SECTION 501(A), AND CONTRIBUTIONS TO WHICH SHALL BE TAX DEDUCTIBLE UNDER SECTION 170(C)(2).RestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (7 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ALZHEIMER'S ASSOCIATION
PO BOX 96011WASHINGTONDC200906011NONEPCTO FIGHT ALZHEIMER'S THROUGH RESEARCH AND SUPPORT PROGRAMS$2,000
AMERICAN SOCIETY FOR THE PREVENTION OF CRUELTY TO ANIMALS
424 EAST 92ND STREETNEW YORKNY101286804NONEPCTO WORK TO END ANIMAL CRUELTY$1,000
CONNECTICUT CHILDREN'S MEDICAL CENTER
282 WASHINGTON STREETHARTFORDCT06106NONEPCFUNDING FOR MEDICAL RESEARCH AND HEALTH CARE$3,000
FRIENDS OF HEC MONTREAL
1725 l STREET NW SUITE 300WASHINGTONDC01037NONEPCTO SUSTAIN EXCELLENCE IN EDUCATION$20,000
AMERICAN DIABETES ASSOCIATION
1701 N BEAUREGARD STREETALEXANDRIAVA22311NONEPCTO FIND A CURE FOR TYPE 1 DIABETES$1,000
NORTHERN WESTCHESTER HOSPITAL
400 EAST MAIN STREETMT KISCONY10549NONEPCTO SUPPORT THE HIGHEST QUALITY HEALTH CARE$1,250
CONGRESSIONAL MEDAL OF HONOR FOUNDATION
1501 LEE HIGHWAY SUITE 300ARLINGTONVA22209NONEPCFUNDING FOR SCHOLARSHIPS TO SUPPORT OUTREACH OF MEDAL RECIPIENTS$19,500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$47,750TotalGrantOrContriPdDurYrAmt
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$10ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$73,672ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion-$742ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$72,940ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$72,940TotalIncomeProducingActyAmt

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

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
General RuleYes (X)GeneralRuleInd

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
Contributor1ContributorNum
Contributor PersonLOUIS R CHENEVERTContributorPersonNm

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1400 BEACH DRIVE NE UNIT 2405AddressLine1Txt
CityST PETERSBURGCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33701ZIPCd
FieldValueIRS element (for citing)
Total Contributions$946,529TotalContributionsAmt
Noncash ContributionYes (X)NoncashContributionInd

Non Cash Property Contribution NonCashPropertyContributionGrp

FieldValueIRS element (for citing)
Contributor1ContributorNum
Noncash Property9,752 SHARES UNITED TECHNOLOGIES CORPORATION STOCKNoncashPropertyDesc
Fair Market Value$946,529FairMarketValueAmt
Received2015-12-30ReceivedDt

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$3,750Amt
Net Investment Income$1,750NetInvestmentIncomeAmt
Disbursements Charitable Prps$2,000DisbursementsCharitablePrpsAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (6 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
3000 SHS UNITED TECHNOLOGIES CORP.$330,930$288,210
10334 SHS UNITED TECHNOLOGIES CORP.$867,953$992,787
4786 SHS UNITED TECHNOLOGIES CORP.$440,647$459,791
10,026 SHS UNITED TECHNOLOGIES CORP$1,144,869$963,198
9,752 SHS UNITED TECHNOLOGIES CORP$946,529$936,875
MERRILL LYNCH$21,086$21,625

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (2 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
3380 SHS PIMCO FLOATING INCOME CLASS CAT COST$31,755$27,556
2568 SHS NUVEEN NWQ MULTI CAP VALUE FUNDAT COST$60,000$57,175

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

FieldValueIRS element (for citing)
DescINVESTMENT FEESDesc
Revenue And Expenses Per Books$339RevenueAndExpensesPerBooksAmt
Net Investment Income$339NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Substantial Contributors Sch SubstantialContributorsSch

Substantial Contributor Detail SubstantialContributorDetail

FieldValueIRS element (for citing)
PersonLOUIS R CHENEVERTPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1400 BEACH DRIVE NE UNIT 2405AddressLine1Txt
CityST PETERSBURGCityNm
State AbbreviationFLStateAbbreviationCd
ZIP33701ZIPCd

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryEXCISE TAX ON INV. INCOMECategoryTxt
Amt$750Amt
Net Investment Income$750NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

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