2014-06-30T14:22:52-05:00 2013-11-30 042206126 Raphael and Raphael LLP PO Box 730 Point Pleasant NJ 087420730 990PF 2012-12-01 306284986 Grousbeck Trust dated April 20 2011 GROU 7322951000 c/o RR LLP PO Box 730 Point Pleasant NJ 087420730 Wycliffe K Grousbeck 7322951000 2014-06-26 1 Mary C Buletza P00546079 7322951000 2014-06-26 2012 2015-12-30 17:16:21Z X X 42956250 X X 41 41 139433 122688 1076680 1076680 974651 38351 18455 1254505 1115835 0 0 0 6048 2708 0 53155 5350 0 157173 149910 0 216376 157968 0 2429522 2429522 2645898 157968 2429522 -1391393 957867 175541 175541 40548038 38981104 42780709 40548038 39156645 42956250 0 0 X 40548038 39156645 0 0 0 0 40548038 39156645 40548038 39156645 40548038 -1391393 0 39156645 0 39156645 K-1 STCG P 2012-12-01 2013-11-30 97831 97831 97831 K-1 LTCG P 2012-11-30 2013-11-30 819456 819456 819456 K-1 1231 P 2012-11-30 2013-11-30 57364 57364 57364 K-1 LTCG UBI P 14214 14214 0 0 K-1 1231 UBI P 87815 87815 0 0 974651 0 0 9850000 0.000000 15150196 185562757 0.081645 14830145 178633363 0.083020 11670011 164592975 0.070902 12481363 185408766 0.067318 0.302885 0.060577 40173192 2433571 9579 2443150 2429522 19157 0 19157 0 19157 27000 27000 X 7843 7843 0 0 0 0 0 0 0 0 0 1 1 0 1 1 MA 1 0 0 0 0 1 N/A Wycliffe K Grousbeck 6178543005 226 Causeway Street 4th Floor Boston MA 02114 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Wycliffe K Grousbeck 226 Causeway Street 4th Floor Boston MA 02114 1.00 0 0 0 Corinne B Grousbeck 226 Causeway Street 4th Floor Boston MA 02114 1.00 0 0 0 NONE 0 NONE 0 0 40429943 355023 0 40784966 0 0 40784966 611774 40173192 2008660 2008660 19157 6274 25431 1983229 0 1983229 0 1983229 2429522 0 2429522 0 2429522 1983229 0 0 1044551 651217 1301244 1355238 4352250 2429522 0 0 0 1983229 446293 0 0 4798543 0 0 0 0 0 0 1044551 3753992 651217 1301244 1355238 446293 Wycliffe K Grousbeck 226 Causeway Street 4th Floor Boston MA 02114 6178543005 GrousbeckTrust@gmail.com No formal procedures have been established at this time. No deadlines have been established at this time. Grants are limited to IRC Section 501(c)(3) defined purposes and charities. AIDS Action Committee of MA 75 Amory Street Boston MA 02119 N/A Public charities General 10000 Anti-Defamation League 605 Third Avenue New York NY 101583560 N/A Public charities General 11000 Bill Russell Legacy Project 226 Causeway Street 4th Floor Boston MA 02114 N/A Public charities General 50000 Boston Arts Academy 174 Ipswich Street Boston MA 02215 N/A Public charities General 1000 Boston Celtics Charitable Foundation 226 Causeway Street 4th Floor Boston MA 02114 N/A Public charities General 65000 Boston Children's Hospital 300 Longwood Avenue Boston MA 02115 N/A Public charities General 450000 Boston Foundation Inc 75 Arlington Street Suite 1000 Boston MA 02116 N/A Public charities General 10000 Boston Medical Center 715 Albany Street Boston MA 02118 N/A Public charities General 8000 Boys and Girls Club of Boston 50 Congress Street Boston MA 02109 N/A Public charities General 100000 Boys and Girls Club of Dorchester 1135 Dorchester Avenue Dorchester MA 02125 N/A Public charities General 5000 Breast Cancer Research Foundation 60 E 56th Street 8th Floor New York NY 10022 N/A Public charities General 5000 Bridge Over Trouble Waters 222 Forbes Road Suite 207 Braintree MA 02184 N/A Public charities General 5000 Chicago Lighthouse 1850 W Roosevelt Road Chicago IL 606081228 N/A Public charities General 25000 Combined Jewish Philantropics 126 High Street Boston MA 02110 N/A Public charities General 10000 Cradles to Crayons 155 North Beacon Street Brighton MA 02135 N/A Public charities General 10000 Design Corps 2243 The Circle Raleigh NC 27608 N/A Public charities General 5000 Foundation of Mass Eye & Ear Inc 243 Charles Street Boston MA 021143002 N/A Public charities General 5000 Isabella Stewart Gardner Museum 280 The Fenway Boston MA 02115 N/A Public charities General 100000 K-1 allocation 655 Knight Way Stanford CA 943057216 N/A Public charities General 22 Lovelane Special Needs Horseback Programs 40 Baker Bridge Road Lincoln MA 01773 N/A Public charities General 80000 Mass Challenge Inc One Marina Park Drive Boston MA 02210 N/A Public charities General 6000 Massachusetts Eye and Ear Infirmary 325 Cambridge Street 2nd Floor Boston MA 02114 N/A Public charities General 25000 Michigan State University D208 Veterinary Medical Center East Lansing MI 488241314 N/A Public charities General 75000 Morgan Memorial Goodwill Industries 1010 Harrison Avenue Boston MA 02119 N/A Public charities General 2500 MSPCC 99 Summer Street 6th Floor Boston MA 02110 N/A Public charities General 50000 MVCPC Inc-Camp Jabbeewocky PO Box 1357 Vineyard Haven MA 02568 N/A Public charities General 25000 National Braille Press 88 St Stephen St Boston MA 02115 N/A Public charities General 25000 Noble and Greenough School 10 Campus Drive Dedham MA 02026 N/A Public charities General 10000 Oregon Health and Science University 3375 SW Terwilliger Blvd Portland OR 972394197 N/A Public charities General 25000 Perkins School for the Blind 175 North Beacon Street Watertown MA 02172 N/A Public charities General 100000 Princeton Univeristy Rowing Association Crew Office Dillon Gym Princeton NJ 08544 N/A Public charities General 5000 Scheie Eye Institute-Jean Bennett 51 N 39th Street Philadelphia PA 19104 N/A Public charities General 150000 Scheie Eye Institute-SG Jacobson & Artur V Cideciyan 51 N 39th Street Philadelphia PA 19104 N/A Public charities General 75000 Stanford Athletics 326 Galvez Street Stanford CA 943055018 N/A Public charities General 25000 Stanford University 326 Galvez Street Stanford CA 943055018 N/A Public charities General 25000 The Italian Home for Children 1125 Centre Street Jamaica Plain MA 02130 N/A Public charities General 5000 The Joey Fund 220 N Main Street Suite 104 Natick MA 01760 N/A Public charities General 25000 The Truth on Health 1 Presidental Way Suite 103 Woburn MA 01801 N/A Public charities General 10000 Three Point Foundation 1270 Soliders Field Road Brighton MA 02135 N/A Public charities General 10000 University of Iowa Foundation PO Box 4550 Iowa City IA 522444550 N/A Public charities General 800000 Womens Lunch Place Inc 67 Newbury Street Boston MA 02116 N/A Public charities General 1000 2429522 0 14 41 900099 8260 14 131173 900099 19896 14 18455 900099 102029 14 974651 130185 1124320 0 1254505 0 0 0 0 0 0 0 0 0 0 TWO FORMS 8886 REPORTABLE TRANSACTION DISCLOSURESTATEMENTS WERE FILED FOR CURRENT YEAR LOSS TRANSACTIONSGREATER THAN $2 MILLION DOLLARS EACH AND TRANSACTIONSWITH CUMULATIVE LOSSES GREATER THAN $4 MILLIONEACH AS REQUIRED BY REG. SEC. 1.6011-4. THE PARTNER'SSHARE OF EACH TRANSACTION LOSS WAS LESS THAN $2MILLION FOR THE CURRENT YEAR, AND LESS THAN $4 MILLIONCUMULATIVELY UNLESS OTHERWISE NOTED. THIS IS BELOWTHE MINIMUM THRESHOLD FOR FILING OF FORM 8886 BY THE PARTNER. Investment in diversified investment partnerships 40548038 38981104 42780709 Massachussett filing fees 0 0 0 K-1 alloc non-ded exp 100 0 0 K-1 alloc deductions - portfolio 63268 56105 0 K-1 alloc deductions - portfolio (other)-CA filing fees 360 360 0 K-1 portfolio losses 93445 93445 0 K-1 Pship Portfolio income -19896 -19896 -19896 K-1 Pship Other income 255 255 255 K-1 Pship Other income UBI 19896 0 19896 K-1 Pship COD income 9905 9905 9905 K-1 Pship Ordinary income 32007 32007 32007 K-1 Pship Net Rental RE income -3816 -3816 -3816 Federal 990 PF tax payments 27000 0 0 Federal 990 T tax payments 18000 0 0 Foreign tax withheld 6218 3413 0 K-1 alloc state tax expense 1937 1937 0