MARY LINCOLN JOHNSON CHARITABLE FOUNDATION: Form 990PF, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- MARY LINCOLN JOHNSON CHARITABLE FOUNDATION (EIN 13-4281942)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-06-18
- IRS object ID
- 201401699349100600
- Schema version
- 2013v3.0
- 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 Expenses Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-06-18T10:35:06-05:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 043006399 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAUMANN & BAUMANN CPAS | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 62 WALNUT STREET | AddressLine1 |
| City | WELLESLEY | City |
| State | MA | State |
| ZIP Code | 02481 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 134281942 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE MARY LINCOLN JOHNSON CHARITABLE FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MARY | BusinessNameControlTxt |
| Phone | 7812370150 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9 BRANDYWYNE | AddressLine1 |
| City | WAYLAND | City |
| State | MA | State |
| ZIP Code | 01778 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RICHARD NAVINS | PersonNm |
| Person Title | TRUSTEE | PersonTitleTxt |
| Phone | 7812370150 | PhoneNum |
| Signature | 2014-06-18 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KARL M BAUMANN | PreparerPersonNm |
| PTIN | P00118643 | PTIN |
| Phone | 7812390190 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-12-30 17:16:21Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $2,099,124 | 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 |
| Dividends Rev And Expnss | $62,259 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $58,209 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $80,582 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $235,849 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $80,582 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $142,841 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $138,791 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $18,830 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $17,830 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $1,000 | CompOfcrDirTrstDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $3,400 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $3,400 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $0 | AccountingFeesChrtblPrpsAmt |
| Taxes Rev And Expnss | $1,550 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $350 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $35 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $35 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $0 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $23,815 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $21,615 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $1,000 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $110,000 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $110,000 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $133,815 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $21,615 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $111,000 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $9,026 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $117,176 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $450 | CashBOYAmt |
| Sav And Temp Cash Invst BOY | $133,962 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $197,785 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $197,785 | SavAndTempCashInvstEOYFMVAmt |
| US Government Obligations BOY | $79,941 | USGovernmentObligationsBOYAmt |
| US Government Obligations EOY | $79,941 | USGovernmentObligationsEOYAmt |
| US Govt Obligations EOYFMV | $81,588 | USGovtObligationsEOYFMVAmt |
| Corporate Stock BOY | $1,136,389 | CorporateStockBOYAmt |
| Corporate Stock EOY | $981,122 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $1,526,717 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $182,102 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $283,022 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $293,034 | CorporateBondsEOYFMVAmt |
| Total Assets BOY | $1,532,844 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,541,870 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $2,099,124 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Capital Stock BOY | $1,532,844 | CapitalStockBOYAmt |
| Capital Stock EOY | $1,541,870 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | $0 | RetainedEarningBOYAmt |
| Retained Earning EOY | $0 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $1,532,844 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $1,541,870 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $1,532,844 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $1,541,870 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $1,532,844 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $9,026 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $1,541,870 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $1,541,870 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (10 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|---|---|
| FORD MOTOR CO 7.5% 06/10/43 25,000 1000 | P | 2010-03-02 | 2013-02-04 | $25,000 | $25,052 | -$52 | -$52 |
| KOHLS CORP 500 SHS | P | 2010-03-17 | 2013-11-19 | $26,589 | $27,960 | -$1,371 | -$1,371 |
| BRISTOL MYERS SQUIBB CO 525 SHS | P | 2005-01-12 | 2013-12-04 | $26,539 | $12,946 | $13,593 | $13,593 |
| CHEVRON CORP 200 SHS | P | 2005-01-12 | 2013-12-04 | $24,258 | $10,498 | $13,760 | $13,760 |
| HOME DEPOT 500 SHS | P | 2009-11-25 | 2013-12-04 | $38,869 | $14,058 | $24,811 | $24,811 |
| IRON MOUNTAIN 600 SHS | P | 2006-08-24 | 2013-12-04 | $16,610 | $23,820 | -$7,210 | -$7,210 |
| IRON MOUNTAIN 300 SHS | P | 2007-03-01 | 2013-12-04 | $8,305 | $8,305 | $8,305 | |
| IRON MOUNTAIN 79 SHS | P | 2012-11-21 | 2013-12-04 | $2,187 | $2,597 | -$410 | -$410 |
| NIKE INC 600 SHS | P | 2006-04-26 | 2013-12-04 | $46,794 | $12,521 | $34,273 | $34,273 |
| OMNICOM GROUP 300 SHS | P | 2005-01-12 | 2013-12-04 | $20,698 | $25,815 | -$5,117 | -$5,117 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $80,582 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $101,000 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $1,821,504 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.055449 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $86,036 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $1,766,734 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.048698 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $95,709 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $1,663,666 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.057529 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $85,433 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $1,615,175 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.052894 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $97,710 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $1,441,941 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.067763 | DistributionYr5Rt |
| Total Distribution | 0.282333 | TotalDistributionRt |
| Average Distribution | 0.056467 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $1,992,784 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $112,527 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $1,172 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $113,699 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $111,000 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $2,344 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $2,344 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $2,344 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $1,433 | EstimatedPlusOvpmtIncmTxAmt |
| Applied To Es Tax | $3,000 | AppliedToEsTaxAmt |
| Total Payments And Credits | $4,433 | TotalPaymentsAndCreditsAmt |
| Overpayment | $2,089 | OverpaymentAmt |
| Applied To ES Tax | $2,089 | AppliedToESTaxAmt |
| Refund | $0 | RefundAmt |
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 | 0 | 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 |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROBERT S JOHNSON | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7812370150 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9 BRANDYWYNE | AddressLine1 |
| City | WAYLAND | City |
| State | MA | State |
| ZIP Code | 01778 | ZIPCode |
| 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 (9 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| ROBERT S JOHNSON | ||||||||
| 9 BRANDYWYNE | WAYLAND | MA | 01778 | TRUSTEE | 0.10 | $0 | $0 | $0 |
| PETER G JOHNSON | ||||||||
| 6 TIFFANY TRAIL | HOPKINTON | MA | 01748 | TRUSTEE | 0.10 | $0 | $0 | $0 |
| DAVID B JOHNSON | ||||||||
| 24 BEECH DRIVE | BRUNSWICK | ME | 04001 | TRUSTEE | 0.10 | $0 | $0 | $0 |
| ANNE S EVANS | ||||||||
| 10 LINCOLN AVENUE | BARRINGTON | RI | 02806 | TRUSTEE | 0.10 | $0 | $0 | $0 |
| THOMAS R JOHNSON | ||||||||
| 54 RIVER STREET | MARLBOROUGH | MA | 01752 | TRUSTEE | 0.10 | $0 | $0 | $0 |
| JOHN H JOHNSON | ||||||||
| 912 JAYSMITH STREET | GREAT FALLS | VA | 22066 | TRUSTEE | 0.10 | $0 | $0 | $0 |
| BENJAMIN B JOHNSON | ||||||||
| CHURCH ROAD | BRUNSWICK | ME | 04011 | TRUSTEE | 0.10 | $0 | $0 | $0 |
| JACK W SWENSON | ||||||||
| 30 COLPITTS ROAD PO BOX 348 | WESTON | MA | 02193 | TRUSTEE | 0.70 | $13,830 | $0 | $0 |
| RICHARD R NAVINS | ||||||||
| 2 MORAY LANE | IPSWICH | MA | 01938 | TRUSTEE | 0.50 | $5,000 | $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 | $1,906,600 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $116,531 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $2,023,131 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $2,023,131 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $30,347 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $1,992,784 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $99,639 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $99,639 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $2,344 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $2,344 | TotalTaxAmt |
| Distributable Before Adj | $97,295 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $97,295 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $97,295 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $111,000 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $111,000 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $111,000 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $97,295 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $21,849 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $5,934 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $13,108 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr1 | $10,855 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $51,746 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $111,000 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $97,295 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $13,705 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $65,451 | 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 | $21,849 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $43,602 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $5,934 | ExcessFromYear4Amt |
| Excess From Year3 | $13,108 | ExcessFromYear3Amt |
| Excess From Year1 | $10,855 | ExcessFromYear1Amt |
| Excess From Current Year | $13,705 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | ROBERT S JOHNSON | ContributingManagerNm |
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (10 entries)
| Address Line1RecipientUSAddress/AddressLine1 | CityRecipientUSAddress/City | StateRecipientUSAddress/State | ZIP CodeRecipientUSAddress/ZIPCode | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| CURE | |||||||
| 223 W EARIE STREET SUITE 2 SW | CHICAGO | IL | 60654 | NONE | HEALTH CARE | DISEASE RESEARCH | $5,000 |
| FOLLOW A DREAM INC | |||||||
| 381 OLD FALMOUTH ROAD | MARSTONS MILLS | MA | 02648 | NONE | EDUCATION | HEALTH CARE | $5,000 |
| MID COAST HOSPITAL | |||||||
| 123 MEDICAL CENTER DRIVE | BRUNSWICK | ME | 04011 | NONE | HEALTH CARE | HEALTH CARE | $10,000 |
| NEWTON WELLESLEY HOSPITAL | |||||||
| 2014 WASHINGTON STREET | NEWTON | MA | 02462 | NONE | HEALTH CARE | HEALTH CARE | $10,000 |
| PARMENTER VNA & COMMUNITY CARE INC | |||||||
| 266 COCHITUATE ROAD | WAYLAND | MA | 01778 | NONE | COMMUNITY HEALTH CAR | HEALTH CARE | $40,000 |
| PARMENTER VNA & COMMUNITY CARE INC | |||||||
| 266 COCHITUATE ROAD | WAYLAND | MA | 01778 | NONE | HEALTH CARE | HEALTH CARE TRAINING | $10,000 |
| PARMENTER VNA & COMMUNITY CARE INC | |||||||
| 266 COCHITUATE ROAD | WAYLAND | MA | 01778 | NONE | HEALTH CARE | HEALTH CARE TRAINING | $10,000 |
| REGIS COLLEGE | |||||||
| 235 WELLESLEY STREET | WESTON | MA | 02493 | NONE | EDUCATION | HEALTH EDUCATION | $10,000 |
| RETT SYNDROME RESEARCH TRUST | |||||||
| 67 UNDER CLIFF ROAD | TRUMBULL | CT | 06611 | NONE | HEALTH CARE | DISEASE RESEARCH | $5,000 |
| UMASS MEMORIAL FOUNDATION | |||||||
| 333 SOUTH STREET | SHREWSBURY | MA | 015454169 | NONE | HEALTH CARE | DISEASE RESEARCH | $5,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $110,000 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $62,259 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $80,582 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $142,841 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $142,841 | 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 | ACCOUNTANTS | CategoryTxt |
| Amt | $3,400 | Amt |
| Net Investment Income | $3,400 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond | CORPORATE BONDS | BondNm |
| EOY Book Value | $283,022 | EOYBookValueAmt |
| EOYFMV | $293,034 | EOYFMVAmt |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (2 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| STOCK & EQUITY INVESTMENTS | $941,831 | $1,480,722 |
| PREFERRED STOCK | $39,291 | $45,995 |
Investments Govt Obligations Sch InvestmentsGovtObligationsSch
| Field | Value | IRS element (for citing) |
|---|---|---|
| US Govt Obligations Book Vl EOY | $0 | USGovtObligationsBookVlEOYAmt |
| US Govt Obligations EOYFMV | $0 | USGovtObligationsEOYFMVAmt |
| State Local Sec Book Vl EOY | $79,941 | StateLocalSecBookVlEOYAmt |
| State Local Sec EOYFMV | $81,588 | StateLocalSecEOYFMVAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | STATE FILING FEES | Desc |
| Revenue And Expenses Per Books | $35 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $35 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| FOREIGN | $350 | $350 | $0 |
| FEDERAL | $1,200 | $0 | $0 |
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