BERNATCHEZ FAMILY FOUNDATION TR UA 12132006: Form 990PF, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- BERNATCHEZ FAMILY FOUNDATION TR UA 12132006 (EIN 30-6201571)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-05-15
- IRS object ID
- 201411359349100811
- 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 Other Schedule2
- Other Income Schedule2
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-05-15T08:15:50-05:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 592213319 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUPLEE & SHEA PA | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 SOUTH OSPREY AVENUE | AddressLine1 |
| City | SARASOTA | City |
| State | FL | State |
| ZIP Code | 342367834 | 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 | 306201571 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE BERNATCHEZ FAMILY FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BERN | BusinessNameControlTxt |
| Phone | 5088983418 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 S OSPREY AVE | AddressLine1 |
| City | SARASOTA | City |
| State | FL | State |
| ZIP Code | 34236 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL BERNATCHEZ | PersonNm |
| Person Title | CO-TRUSTEE | PersonTitleTxt |
| Phone | 5088983418 | PhoneNum |
| Signature | 2014-05-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | T RAYMOND SUPLEE | PreparerPersonNm |
| PTIN | P00456310 | PTIN |
| Phone | 9413663600 | 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 | $1,901,057 | 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 | $31,767 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $31,767 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $55,123 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $756,646 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $55,123 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $146 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $146 | OtherIncomeNetInvstIncmAmt |
| Other Income Adj Net Incm | $0 | OtherIncomeAdjNetIncmAmt |
| Total Rev And Expnss | $87,036 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $87,036 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $0 | TotalAdjNetIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Adj Net Incm | $0 | CompOfcrDirTrstAdjNetIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $0 | CompOfcrDirTrstDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $2,109 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $2,109 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Adj Net Incm | $0 | AccountingFeesAdjNetIncmAmt |
| Accounting Fees Chrtbl Prps | $0 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $17,467 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $17,467 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Adj Net Incm | $0 | OtherProfFeesAdjNetIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $0 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $3,321 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $692 | TaxesNetInvstIncmAmt |
| Taxes Adj Net Incm | $0 | TaxesAdjNetIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Trav Conf Meeting Rev And Expnss | $709 | TravConfMeetingRevAndExpnssAmt |
| Trav Conf Meeting Net Invst Incm | $709 | TravConfMeetingNetInvstIncmAmt |
| Trav Conf Meeting Adj Net Incm | $0 | TravConfMeetingAdjNetIncmAmt |
| Trav Conf Meeting Dsbrs Chrtbl | $0 | TravConfMeetingDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $23,606 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $20,977 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $0 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $76,500 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $76,500 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $100,106 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $20,977 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $0 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $76,500 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$13,070 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $66,059 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $21,469 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $21,614 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $21,614 | SavAndTempCashInvstEOYFMVAmt |
| Other Investments BOY | $1,550,578 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $1,537,363 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $1,879,443 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $1,572,047 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,558,977 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $1,901,057 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
| Unrestricted BOY | $1,572,047 | UnrestrictedBOYAmt |
| Unrestricted EOY | $1,558,977 | UnrestrictedEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $1,572,047 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $1,558,977 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $1,572,047 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $1,558,977 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $1,572,047 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$13,070 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $1,558,977 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $1,558,977 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (23 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | AcquiredAcquiredDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt | SoldSoldDt |
|---|---|---|---|---|---|---|---|
| ISHARES RUSSELL 1000 GROWTH INDEX FUND | P | 2012-08-10 | $21,723 | $19,399 | $2,324 | $2,324 | |
| ISHARES RUSSELL 1000 VALUE INDEX FUND | P | 2012-08-10 | $31,299 | $26,883 | $4,416 | $4,416 | |
| ISHARES MSCI EAFE INDEX FUND | P | 2012-08-10 | $151,985 | $131,250 | $20,735 | $20,735 | |
| ISHARES IBOXX $ INVT GRADE CORP BD FUND | P | 2012-08-10 | $37,840 | $39,510 | -$1,670 | -$1,670 | |
| ISHARES MSCI EMERGING MKTS INDEX FD | P | $79,975 | $82,640 | -$2,665 | -$2,665 | ||
| ISHARES BARCLAYS MBS BOND FUND | P | 2012-08-10 | $15,856 | $16,322 | -$466 | -$466 | 2013-06-11 |
| ISHARES 3 YEAR INTL TREASURY BOND | P | 2012-08-10 | $16,129 | $16,637 | -$508 | -$508 | |
| ISHARES RS 2000 GROWTH INDEX FUND | P | 2012-08-10 | $15,276 | $12,617 | $2,659 | $2,659 | |
| ISHARES RS 2000 VALUE INDEX FUND | P | 2012-08-10 | $10,537 | $8,700 | $1,837 | $1,837 | |
| DB X-TRACKERS MSCI EAFE HEDGED EQUITY FUND | P | 2013-07-09 | $141,552 | $140,822 | $730 | $730 | 2013-07-15 |
| DB X-TRACKERS MSCI EMERGING MARKETS HEDGED EQUITY FUND | P | 2013-07-10 | $53,643 | $52,106 | $1,537 | $1,537 | 2013-07-25 |
| SPDR BLACKSTONE GSO SENIOR LOAN | P | 2013-07-09 | $26,462 | $26,354 | $108 | $108 | 2013-07-15 |
| ANGEL OAK MULTI STRATEGY INCOME FUND | P | 2013-07-09 | $17,533 | $17,591 | -$58 | -$58 | 2013-07-15 |
| ISHARES RUSSELL 1000 GROWTH INDEX FUND | P | 2012-08-10 | $72,851 | $57,354 | $15,497 | $15,497 | |
| ISHARES RUSSELL 1000 VALUE INDEX FUND | P | 2012-08-10 | $13,942 | $10,739 | $3,203 | $3,203 | |
| ISHARES MSCI EAFE INDEX FUND | P | 2012-08-10 | $18,311 | $14,435 | $3,876 | $3,876 | |
| ISHARES IBOXX $ INVT GRADE CORP BD FUND | P | 2012-08-10 | $1,038 | $1,081 | -$43 | -$43 | 2013-10-29 |
| ISHARES MBS ETF | P | 2012-08-10 | $320 | $326 | -$6 | -$6 | 2013-10-29 |
| ISHARES IBOXX $ HIGH YIELD CORPORATE BOND | P | 2012-08-10 | $94 | $92 | $2 | $2 | 2013-10-29 |
| ISHARES 3 YEAR INTL TREASURY BOND | P | 2012-08-10 | $96 | $93 | $3 | $3 | 2013-10-29 |
| ISHARES RS 2000 GROWTH INDEX FUND | P | 2012-08-10 | $6,248 | $4,480 | $1,768 | $1,768 | |
| ISHARES RS 2000 VALUE INDEX FUND | P | 2012-08-10 | $4,118 | $3,041 | $1,077 | $1,077 | 2013-10-29 |
| ISHARES MSCI EMERGING MKTS INDEX FD | P | 2012-10-09 | $19,818 | $19,051 | $767 | $767 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $55,123 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $76,352 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $1,585,258 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.048164 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $32,283 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $1,593,938 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.020254 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $44,769 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $1,527,270 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.029313 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $0 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $0 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.000000 | DistributionYr4Rt |
| Total Distribution | 0.097731 | TotalDistributionRt |
| Average Distribution | 0.024433 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $1,747,988 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $42,709 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $661 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $43,370 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $76,500 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Domestic Org Meeting Sect4940e | Yes (X) | DomesticOrgMeetingSect4940eInd |
| Investment Income Excise Tax | $661 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $661 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $661 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $1,680 | EstimatedPlusOvpmtIncmTxAmt |
| Total Payments And Credits | $1,680 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $3 | EsPenaltyAmt |
| Overpayment | $1,016 | OverpaymentAmt |
| Applied To ES Tax | $680 | AppliedToESTaxAmt |
| Refund | $336 | 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 | Yes (1) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | FL | 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 |
| Individual With Books | MICHAEL BERNATCHEZ | IndividualWithBooksNm |
| Phone | 5088983418 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5 ROSEWOOD PLACE | AddressLine1 |
| City | WESTBOROUGH | City |
| State | MA | State |
| ZIP Code | 01581 | 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 | Yes (1) | UndistributedIncomePYInd |
| Undistributed Income PY1 | 2012 | UndistributedIncomePY1Yr |
| Undistr Incm Sect4942a2 Not App | Yes (1) | UndistrIncmSect4942a2NotAppInd |
| 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 (4 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 |
|---|---|---|---|---|---|---|---|---|
| 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 |
| 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 | $1,730,810 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $43,797 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $1,774,607 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $1,774,607 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $26,619 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $1,747,988 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $87,399 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $87,399 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $661 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $661 | TotalTaxAmt |
| Distributable Before Adj | $86,738 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $86,738 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $86,738 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $76,500 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $76,500 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $661 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $75,839 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $86,738 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $76,728 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Total Excess Distribution Cyov | $0 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $76,500 | QualifyingDistributionsAmt |
| Applied To Year1 | $76,500 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $0 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $0 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $228 | Taxable2Amt |
| Undistributed Income CY | $86,738 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $0 | ExcessDistriCyovToNextYrAmt |
Supplementary Information SupplementaryInformationGrp
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | MICHAEL E BERNATCHEZ | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5 ROSEWOOD PLACE | AddressLine1 |
| City | WESTBOROUGH | City |
| State | MA | State |
| ZIP Code | 01581 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 5088983418 | RecipientPhoneNum |
| Form And Info And Materials | DESIGNATED APPLICATION TO INCLUDE ORGANIZATION'S GENERAL INFORMATION AND PURPOSE OF FUNDS REQUESTED. | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | NONE | SubmissionDeadlinesTxt |
| Restrictions On Awards | NO RESTRICTIONS | RestrictionsOnAwardsTxt |
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 |
|---|---|---|---|---|---|---|---|
| AMERICAN CANCER SOCIETY | |||||||
| 250 WILLIAMS ST NW | ATLANTA | GA | 30303 | NONE | 501(C)3 | GENERAL | $10,000 |
| BETH-EL CENTER INC | |||||||
| 90 NEW HAVEN AVE | MILFORD | CT | 06460 | NONE | 501(C)3 | GENERAL | $7,000 |
| COVENANT HOUSE FLORIDA INC | |||||||
| 733 BREAKERS AVE | FT LAUDERDALE | FL | 33304 | NONE | 501(C)3 | GENERAL | $10,000 |
| INCARNATION SCHOOL FOUNDATION | |||||||
| 2911 BEE RIDGE RD | SARASOTA | FL | 34239 | NONE | 501(C)3 | GENERAL | $10,000 |
| LITERACY VOLUNTEERS OF GREATER WORCESTER | |||||||
| 3 SALEM SQUARE ROOM 332 | WORCESTER | MA | 01608 | NONE | 501(C)3 | GENERAL | $5,000 |
| MULTIPLE SCLEROSIS FOUNDATION INC | |||||||
| 6520 N ANDREWS AVENUE | FT LAUDERDALE | FL | 33309 | NONE | 501(C)3 | GENERAL | $12,000 |
| PARENTS 4 A CHANGE INC | |||||||
| PO BOX 333 | SOUTHINGTON | CT | 06489 | NONE | 501(C)3 | GENERAL | $5,000 |
| THE ANGEL FUND | |||||||
| 649 MAIN ST | WAKEFIELD | MA | 01880 | NONE | 501(C)3 | GENERAL | $500 |
| SPOONER HOUSE | |||||||
| 30 TODD ROAD | SHELTON | CT | 06484 | NONE | 501(C)3 | GENERAL | $5,000 |
| THE WILDLIFE ORPHANAGE | |||||||
| PO BOX 4706 | STAMFORD | CT | 06907 | NONE | 501(C)3 | GENERAL | $12,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $76,500 | 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 | $31,767 | ExclusionAmt |
Other Investment Incm Part VII OtherInvestmentIncmPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $146 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $55,123 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $87,036 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $87,036 | TotalIncomeProducingActyAmt |
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp (3 entries)
| Line NumberLineNumberTxt | Relationship StatementRelationshipStatementTxt |
|---|---|
| 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 |
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 | ACCOUNTING | CategoryTxt |
| Amt | $2,109 | Amt |
| Net Investment Income | $2,109 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (11 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| ISHARES RUSSELL 1000 GROWTH INDEX FUND | AT COST | $477,878 | $615,488 |
| ISHARES RUSSELL 1000 VALUE INDEX FUND | AT COST | $301,523 | $399,187 |
| ISHARES MSCI EAFE INDEX FUND | AT COST | $312,269 | $357,482 |
| ISHARES IBOXX $ INVT GRADE CORP | AT COST | $57,224 | $55,838 |
| ISHARES MSCI EMERGING MKTS INDEX FD | AT COST | $87,570 | $91,071 |
| ISHARES BARCLAY INTEMEDT GOVT CREDIT BOND FD | AT COST | $75,781 | $73,859 |
| ISHARES BARCLAYS MBS BON FUND | AT COST | $37,421 | $36,704 |
| ISHARES IBOXX$ HIGH YIELD CORPORATE BOND FD | AT COST | $18,328 | $18,576 |
| ISHARES S&P CITI 1-3 INT TRE BOND FD | AT COST | $18,386 | $18,491 |
| ISHARES RS 2000 GROWTH INDEX FD | AT COST | $80,029 | $116,132 |
| ISHARES RS 2000 VALUE INDEX FD | AT COST | $70,954 | $96,615 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Revenue And Expenses Per Books | $146 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $146 | NetInvestmentIncomeAmt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | MERRILL LYNCH FEES | CategoryTxt |
| Amt | $17,467 | Amt |
| Net Investment Income | $17,467 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|---|
| FOREIGN TAXES | $692 | $692 | $0 | $0 |
| FEDERAL TAXES | $2,629 | $0 | $0 | $0 |