2013-05-14T12:18:34-05:00 2012-12-31 043191789 MORIARTY & PRIMACK PC ONE MONARCH PLACE SUITE 900 SPRINGFIELD MA 011444011 990PF 2012-01-01 866341052 LEDGEWAYS CHARITABLE TRUST C/O DANIEL CARBONNEAU CASTLE ROCK ADV LEDG 6173166300 200 CLARENDON ST 35TH FLOOR BOSTON MA 02116 BRADLEY BLOOM 6173166300 2013-05-08 1 DOUGLAS THEOBALD P00368792 4137391800 2012 2016-03-07 17:11:31Z X 4702307 X 1628 X 79 79 135144 135144 -46670 844995 0 90181 135223 0 0 0 1628 814 0 17717 8859 0 2940 2870 0 22285 12543 0 225000 225000 247285 12543 225000 -157104 122680 8 271366 63465 63465 1043555 544055 560970 3000996 2877917 3381014 81240 700000 696241 0 617 617 4397165 4186054 4702307 59000 5000 59000 5000 X 0 0 0 0 4338165 4181054 4338165 4181054 4397165 4186054 4338165 -157104 0 4181061 7 4181054 GS STRATEGIC INCOME FUND (COVERED) P 2012-07-31 2012-08-07 1578 1549 29 29 GS STRATEGIC INCOME FUND (NON-COVERED) P 2011-08-31 2012-08-07 82847 81240 1607 1607 GS SHORT-DURATION GOVERNMENT FUND (NON-COVERED) P 2009-06-29 2012-08-07 499993 504883 -4890 -4890 ISHARES MSCI EAFE INDEX FUND (NON-COVERED) P 2008-03-03 2012-08-08 154107 215730 -61623 -61623 ISHARES RUSSELL 1000 GROWTH INDEX FUND (NON-COVERED) P 2010-12-30 2012-08-08 99312 88263 11049 11049 CAPITAL GAINS DIVIDENDS P 7158 7158 7158 -46670 0 98000 4555469 0.021513 221000 4192234 0.052717 99489 2604967 0.038192 73721 1753666 0.042038 124487 2052837 0.060641 0.215101 0.043020 4604661 198093 1227 199320 225000 X 1227 0 1227 0 1227 3991 3991 2764 2764 0 0 0 0 0 0 0 0 0 0 0 1 1 MA 1 0 0 0 1 1 N/A DANIEL CARBONNEAU - CASTLE ROCK ADV 6173166300 CASTLE ROCK ADVISORS 200 CLARENDON ST 35TH FLOOR BOSTON MA 021165021 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 BRADLEY M BLOOM CASTLE ROCK ADVISORS 200 CLARENDON STREET 35TH FLOOR BOSTON MA 02116 0.00 0 0 0 TERRIE F BLOOM CASTLE ROCK ADVISORS 200 CLARENDON STREET 35TH FLOOR BOSTON MA 02116 0.00 0 0 0 JESSICA A BLOOM GALEN CASTLE ROCK ADVISORS 200 CLARENDON STREET 35TH FLOOR BOSTON MA 02116 0.00 0 0 0 ERIC N BLOOM CASTLE ROCK ADVISORS 200 CLARENDON STREET 35TH FLOOR BOSTON MA 02116 0.00 0 0 0 MATTHEW R BLOOM CASTLE ROCK ADVISORS 200 CLARENDON STREET 35TH FLOOR BOSTON MA 02116 0.00 0 0 0 NONE 0 NONE 0 0 4469438 205345 0 4674783 0 0 4674783 70122 4604661 230233 230233 1227 1227 229006 0 229006 0 229006 225000 0 225000 1227 223773 229006 183964 0 0 225000 183964 0 0 41036 0 0 0 0 0 0 0 0 187970 0 0 0 BRADLEY M BLOOM TERRIE F BLOOM X BERKLEE COLLEGE OF MUSIC 1140 BOYLSTON STREET BOSTON MA 02215 NONE PUBLIC CHARITY GENERAL FUND 5000 BRIGHAM AND WOMEN'S HOSPITAL 116 HUNTINGTON AVE BOSTON MA 02116 NONE PUBLIC CHARITY BENJAMIN BANKS FELLOWSHIP 5000 COMBINED JEWISH PHILANTHROPIES OF GREATER BOSTON 126 HIGH STREET BOSTON MA 02110 NONE PUBLIC CHARITY GENERAL FUND 130000 GREATER BOSTON FOOD BANK 70 S BAY AVE BOSTON MA 02118 NONE PUBLIC CHARITY GENERAL FUND 25000 MASS MOCA FOUNDATION 87 MARSHALL STREET NORTH ADAMS MA 01247 NONE PUBLIC CHARITY GENERAL FUND 5000 NATIONAL YIDDISH BOOK CENTER 1021 WEST ST AMHERST MA 01002 NONE PUBLIC CHARITY GENERAL FUND 5000 WGBH ONE GUEST STREET BOSTON MA 02135 NONE PUBLIC CHARITY GENERAL FUND 50000 225000 0 14 79 14 135144 18 -46670 0 88553 0 88553 0 0 0 0 0 0 0 0 0 0 MORIARTY & PRIMACK 1628 814 0 EXPLANATION FOR PART VII-A, LINE 12 THE FOUNDATION TREATED THE DISTRIBUTION AS A QUALIFYING DISTRIBUTION AS IT WAS USED EXCULSIVELY FOR THE THE PURPOSE STIPULATED UNDER IRC 170(C)(2)(B) TO FURTHER BENEFIT A 501(C)(3) ORGANIZATION. GS EMERGING MARKETS DEBT FUND 200000 208677 GS INFLATION PROTECTED SECURITIES FUND 500000 487564 GS HIGH YIELD FUND 311786 364111 GS NON US EQUITY 1063888 1120209 GS US EQUITY 1502243 1896694 544055 560970 0 0 ACCRUED DIVIDENDS RECEIVABLE 0 617 617 BASIS ADJUSTMENT 7 OUTSTANDING CHECKS 59000 5000 GOLDMAN SACHS FEES 17717 8859 0 FOREIGN TAX 2870 2870 0 MASSACHUSETTS FEE 70 0 0