2013-03-28T16:39:50-05:00 2012-12-31 061533253 SASLOW LUFKIN & BUGGY LLP TEN TOWER LANE AVON CT 06001 990PF 2012-01-01 270886303 CHENEVERT FAMILY FOUNDATION INC CHEN 8606777982 8 ATWATER TERRACE FARMINGTON CT 06032 LOUIS R CHENEVERT 8607287669 2013-03-19 1 RICHARD BUGGY P00512316 8606789200 2012 2016-02-24 21:20:13Z X 961097 X 867953 7 7 19761 19761 531 531 531 644 644 888896 20943 10000 0 10000 3675 0 3675 83 0 83 256 0 256 190 190 0 14204 190 14014 50800 50800 65004 190 64814 823892 20753 15931 0 867953 847491 104815 109252 113606 120746 977205 961097 32341 0 32341 X 0 0 0 0 120746 944864 120746 944864 120746 977205 120746 823892 226 944864 0 944864 CAPITAL GAINS DIVIDENDS P 531 531 531 531 0 53588 110515 0.484893 73269 107787 0.679757 80000 78330 1.021320 2.185970 0.728657 788570 574597 208 574805 64814 415 0 415 0 415 0 415 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 1.00 0 0 0 DEBRA L CHENEVERT 8 ATWATER TERRACE FARMINGTON CT 06032 1.00 0 0 0 LISA CHENEVERT KRAUSE 33 PORTAGE CROSSING FARMINGTON CT 06032 1.00 5000 0 0 SOPHIE CHENEVERT SCHILKE 56 TRUESDALE LAKE DRIVE SOUTH SALEM NY 10590 1.00 5000 0 0 NONE 0 NONE 0 ONE CONTRIBUTION OF $48,200 TO CONNECTICUT CHILDREN'S HOSPITAL IN 2012. 0 ONE CONTRIBUTION OF $2,500 TO THE CATHEDRAL OF SAINT JOSEPH IN 2012. 0 ONE CONTRIBUTION OF $100 TO THE UNIVERSITY OF NORTH DAKOTA IN 2012. 0 0 0 787725 12854 0 800579 0 0 800579 12009 788570 39429 39429 415 415 39014 0 39014 0 39014 64814 0 64814 0 64814 39014 0 0 78573 67943 48145 194661 64814 0 0 0 39014 25800 0 0 220461 0 0 0 0 0 0 0 220461 78573 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). THE CATHEDRAL OF SAINT JOSEPH 140 FARMINGTON AVENUE HARTFORD CT 06105 N/A CHARITY PARISH SUPPORT 2500 UNIVERSITY OF NORTH DAKOTA 264 CENTENNIAL DRIVE GRAND FORKS ND 58202 N/A CHARITY UNIVERSITY SUPPORT 100 CONNECTICUT CHILDREN'S MEDICAL CENTER 282 WASHINGTON STREET HARTFORD CT 06106 N/A CHARITY FUNDING FOR MEDICAL RESEARCH AND HEALTH CARE 48200 50800 0 14 7 14 19761 14 644 14 531 0 20943 0 20943 0 0 0 0 0 0 0 0 0 0 X X 1 LOUIS R CHENEVERT 8 ATWATER TERRACE FARMINGTON CT 06032 867953 X 1 10,334 SHARES UNITED TECHNOLOGIES CORP COMMON STOCK 867953 2012-03-03 ACCOUNTING FEES 3675 0 3675 NONE 0 UNITED TECHNOLOGIES CORP 867953 847491 MFS RESEARCH BOND CL C FMV 25428 27602 OPPENHEIMER INTERNATL BOND FUND FMV 26784 27405 PIMCO TOTAL RETURN FUND FMV 27758 28327 FIDELITY ADV STRATEGIC INCOME FUND FMV 29282 30272 MERRILL LYNCH ANNUAL FEE 150 150 0 MERRILL LYNCH PREPAYMENT CHARGE 40 40 0 FIDELITY ADV STRATEGIC - OTHER DISTR. 644 644 644 COST BASIS ADJUSTMENT 226 LOUIS R CHENEVERT 8 ATWATER TERRACE FARMINGTON CT 06032 EXCISE TAX ON INV. INCOME 83 0 83