2014-03-14T14:12:24-05:00 2013-12-31 061533253 SASLOW LUFKIN & BUGGY LLP 10 TOWER LANE AVON CT 06001 990PF 2013-01-01 270886303 CHENEVERT FAMILY FOUNDATION INC CHEN 8606777982 8 ATWATER TERRACE FARMINGTON CT 06032 LOUIS R CHENEVERT PRESIDENT 8607287669 2014-03-08 1 RICHARD BUGGY P00512316 8606789200 2013 2015-12-30 17:16:21Z X 2228558 X 881887 9 9 32291 32291 4196 223758 4196 918383 36496 10000 0 10000 3175 0 3175 415 0 415 230 0 230 795 795 0 14615 795 13820 43500 43500 58115 795 57320 860268 35701 137774 137774 867953 1639530 2062056 109252 29328 28728 977205 1806632 2228558 32341 32341 0 X 0 0 0 0 944864 1806632 944864 1806632 977205 1806632 944864 860268 1500 1806632 0 1806632 MFS RESEARCH BOND CL C P 27407 25571 1836 1836 OPPENHEIMER INTL BD FD C P 27572 26784 788 788 PIMCO TOTAL RTN FD CL C P 28388 27794 594 594 1000 SH. UNITED TECHNOLOGIES P 111035 110310 725 725 FIDELITY ADV STRAT INC C P 29351 29103 248 248 CAPITAL GAINS DIVIDENDS P 5 5 5 4196 0 64814 788570 0.082192 53588 110515 0.484893 73269 107787 0.679757 80000 78330 1.021320 2.268162 0.567041 1523290 863768 357 864125 57320 714 0 714 0 714 0 9 723 0 0 0 0 0 0 0 0 0 0 1 1 CT 1 0 1 0 0 1 N/A DEBRA L CHENEVERT 8606777982 8 ATWATER TERRACE FARMINGTON CT 06032 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 LOUIS R CHENEVERT 8 ATWATER TERRACE FARMINGTON CT 06032 CHAIRMAN AND PRESIDENT 1.00 0 0 0 DEBRA L CHENEVERT 8 ATWATER TERRACE FARMINGTON CT 06032 SECRETARY AND TREASURER 1.00 0 0 0 LISA CHENEVERT KRAUSE 33 PORTAGE CROSSING FARMINGTON CT 06032 DIRECTOR 1.00 5000 0 0 SOPHIE CHENEVERT SCHILKE 3 BEAVER POND ROAD SOUTH SALEM NY 10590 DIRECTOR 1.00 5000 0 0 NONE 0 NONE 0 ONE CONTRIBUTION OF $35,000 TO CONNECTICUT CHILDREN'S HOSPITAL IN 2013. 0 ONE CONTRIBUTION OF $5,000 TO THE YALE CANCER CENTER IN 2013. 0 ONE CONTRIBUTION OF $1,500 TO THE ARCHBISHOP'S ANNUAL APPEAL IN 2013. 0 ONE CONTRIBUTION OF $1,500 TO THE ST. PATRICK CHURCH IN 2013. 0 0 0 1513516 32971 0 1546487 0 0 1546487 23197 1523290 76165 76165 714 714 75451 0 75451 0 75451 57320 0 57320 0 57320 75451 0 0 78573 67943 48145 25800 220461 57320 0 0 0 57320 0 18131 18131 202330 0 0 0 0 0 0 0 202330 60442 67943 48145 25800 LOUIS R CHENEVERT LOUIS R CHENEVERT 8 ATWATER TERRACE FARMINGTON CT 06032 8606777982 NO SPECIAL FORM REQUIRED. LETTER TO FOUNDATION MANAGER WILL SUFFICE. NONE. THE 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). CONNECTICUT CHILDREN'S MEDICAL CENTER 282 WASHINGTON STREET HARTFORD CT 06106 N/A CHARITY FUNDING FOR MEDICAL RESEARCH AND HEALTH CARE 35000 NORTHERN WESTCHESTER HOSPITAL 400 EAST MAIN STREET MT KISCO NY 10549 N/A CHARITY FUNDING FOR THE NEONATAL UNIT 500 ARCHBISHOP'S ANNUAL APPEAL 134 FARMINGTON AVENUE HARTFORD CT 06105 N/A CHARITY FUNDING TO ADVANCE THE GOOD WORKS OF THE CHURCH 1500 YALE CANCER CENTER 333 CEDAR STREET NEW HAVEN CT 06510 N/A CHARITY FUNDING FOR MEDICAL RESEARCH AND HEALTH CARE 5000 SAINT PATRICK CHURCH 110 MAIN STREET FARMINGTON CT 06032 N/A CHARITY PARISH SUPPORT 1500 43500 0 14 9 14 32291 18 4196 0 36496 0 36496 0 0 0 0 0 0 0 0 0 0 X X 1 LOUIS R CHENEVERT 8 ATWATER TERRACE FARMINGTON CT 06032 440647 X 2 LOUIS R CHENEVERT 8 ATWATER TERRACE FARMINGTON CT 06032 441240 X 1 4,786 SHARES UNITED TECHNOLOGIES CORP COMMON STOCK 440647 2013-03-08 2 4,000 SHARES UNITED TECHNOLOGIES CORP COMMON STOCK 441240 2013-12-02 ACCOUNTING FEES 3175 0 3175 NONE 0 3000 SHS UNITED TECHNOLOGIES CORP. 330930 341400 10334 SHS UNITED TECHNOLOGIES CORP. 867953 1176009 4786 SHS UNITED TECHNOLOGIES CORP. 440647 544647 MFS RESEARCH BOND CL C AT COST 0 0 OPPENHEIMER INTERNATL BOND FUND AT COST 0 0 PIMCO TOTAL RETURN FUND AT COST 0 0 FIDELITY ADV STRATEGIC INCOME FUND AT COST 0 0 PIMCO FLOATING INCOME CLASS C AT COST 29328 28728 INVESTMENT FEES 795 795 0 COST BASIS ADJUSTMENT 1500 LOUIS R CHENEVERT 8 ATWATER TERRACE FARMINGTON CT 06032 EXCISE TAX ON INV. INCOME 415 0 415