CLAREMONT SAVINGS BANK FOUNDATION: Form 990PF, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- CLAREMONT SAVINGS BANK FOUNDATION (EIN 33-1014741)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2013-10-28
- IRS object ID
- 201343019349100154
- Schema version
- 2012v2.1
- 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 Corp Stock Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-10-28T11:50:05-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 030210880 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | A M PEISCH & COMPANY LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 326 | AddressLine1 |
| City | RUTLAND | City |
| State | VT | State |
| ZIP Code | 057020326 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 331014741 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLAREMONT SAVINGS BANK FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CLAR | NameControl |
| Phone | 6035427711 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1600 | AddressLine1 |
| City | CLAREMONT | City |
| State | NH | State |
| ZIP Code | 037431600 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SHERWOOD MOODY | Name |
| Title | TRUSTEE | Title |
| Phone | 6035427711 | Phone |
| Date Signed | 2013-10-23 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | NORMAN J LADABOUCHE CPA | Name |
| PTIN | P01255942 | PTIN |
| Phone | 8027732721 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exempt PF | X | ExemptPF |
| FMV Assets EOY | 591101 | FMVAssetsEOY |
| Method Of Accounting Cash | X | MethodOfAccountingCash |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Not Required To Attach Schedule B | X | NotRequiredToAttachScheduleB |
| Interest On Savings Rev And Expnss | 8 | InterestOnSavingsRevAndExpnss |
| Interest On Savings Net Invst Incm | 8 | InterestOnSavingsNetInvstIncm |
| Dividends Rev And Expnss | 24173 | DividendsRevAndExpnss |
| Dividends Net Invst Incm | 24173 | DividendsNetInvstIncm |
| Net Gain Sale Assets Rev And Expnss | 29087 | NetGainSaleAssetsRevAndExpnss |
| Gross Sales Price | 108725 | GrossSalesPrice |
| Capital Gain Net Incm Net Invst Incm | 29087 | CapitalGainNetIncmNetInvstIncm |
| Other Income Rev And Expnss | 2500 | OtherIncomeRevAndExpnss |
| Other Income Net Invst Incm | 0 | OtherIncomeNetInvstIncm |
| Total Revenue And Expenses | 55768 | TotalRevenueAndExpenses |
| Total Net Investment Income | 53268 | TotalNetInvestmentIncome |
| Comp Ofcr Dir Trst Rev And Expnss | 0 | CompOfcrDirTrstRevAndExpnss |
| Comp Ofcr Dir Trst Net Invst Incm | 0 | CompOfcrDirTrstNetInvstIncm |
| Comp Ofcr Dir Trst Dsbrs Chrtbl Prps | 0 | CompOfcrDirTrstDsbrsChrtblPrps |
| Accounting Fees Rev And Expnss | 800 | AccountingFeesRevAndExpnss |
| Accounting Fees Net Invst Incm | 0 | AccountingFeesNetInvstIncm |
| Accounting Fees Dsbrs Chrtbl Prps | 0 | AccountingFeesDsbrsChrtblPrps |
| Taxes Rev And Expnss | 125 | TaxesRevAndExpnss |
| Taxes Net Invst Incm | 0 | TaxesNetInvstIncm |
| Taxes Dsbrs Chrtbl Prps | 0 | TaxesDsbrsChrtblPrps |
| Other Expenses Rev And Expnss | 179 | OtherExpensesRevAndExpnss |
| Other Expenses Net Invst Incm | 0 | OtherExpensesNetInvstIncm |
| Other Expenses Dsbrs Chrtbl Prps | 0 | OtherExpensesDsbrsChrtblPrps |
| Tot Opr Expenses Rev And Expnss | 1104 | TotOprExpensesRevAndExpnss |
| Tot Opr Expenses Net Invst Incm | 0 | TotOprExpensesNetInvstIncm |
| Tot Opr Expenses Dsbrs Chrtbl Prps | 0 | TotOprExpensesDsbrsChrtblPrps |
| Contri Gifts Paid Rev And Expnss | 85300 | ContriGiftsPaidRevAndExpnss |
| Contri Gifts Paid Dsbrs Chrtbl Prps | 85300 | ContriGiftsPaidDsbrsChrtblPrps |
| Total Expenses Rev And Expnss | 86404 | TotalExpensesRevAndExpnss |
| Total Expenses Net Invst Incm | 0 | TotalExpensesNetInvstIncm |
| Total Expenses Dsbrs Chrtbl Prps | 85300 | TotalExpensesDsbrsChrtblPrps |
| Excess Of Revenue Over Expenses | -30636 | ExcessOfRevenueOverExpenses |
| Net Investment Income | 53268 | NetInvestmentIncome |
Balance Sheets BalanceSheets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Savings And Temp Cash Invst BOY | 2165 | SavingsAndTempCashInvstBOY |
| Savings And Temp Cash Invst EOY | 12913 | SavingsAndTempCashInvstEOY |
| Savings And Temp Cash Invst EOYFMV | 12913 | SavingsAndTempCashInvstEOYFMV |
| Investments Corp Stock BOY | 490770 | InvestmentsCorpStockBOY |
| Investments Corp Stock EOY | 449386 | InvestmentsCorpStockEOY |
| Investments Corp Stock EOYFMV | 578188 | InvestmentsCorpStockEOYFMV |
| Total Assets BOY | 492935 | TotalAssetsBOY |
| Total Assets EOY | 462299 | TotalAssetsEOY |
| Total Assets EOYFMV | 591101 | TotalAssetsEOYFMV |
| Total Liabilities BOY | 0 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 0 | TotalLiabilitiesEOY |
| Org That Do Not Follow SFAS117 | X | OrgThatDoNotFollowSFAS117 |
| Capital Stock BOY | 492935 | CapitalStockBOY |
| Capital Stock EOY | 462299 | CapitalStockEOY |
| Paid In Or Capital Surplus BOY | 0 | PaidInOrCapitalSurplusBOY |
| Paid In Or Capital Surplus EOY | 0 | PaidInOrCapitalSurplusEOY |
| Retained Earnings BOY | 0 | RetainedEarningsBOY |
| Retained Earnings EOY | 0 | RetainedEarningsEOY |
| Total Net Assets BOY | 492935 | TotalNetAssetsBOY |
| Total Net Assets EOY | 462299 | TotalNetAssetsEOY |
| Total Liabilities Net Assets BOY | 492935 | TotalLiabilitiesNetAssetsBOY |
| Total Liabilities Net Assets EOY | 462299 | TotalLiabilitiesNetAssetsEOY |
Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Net Assets Fund Balances BOY | 492935 | TotalNetAssetsFundBalancesBOY |
| Excess Of Revenue Over Expenses | -30636 | ExcessOfRevenueOverExpenses |
| Other Increases | 0 | OtherIncreases |
| Subtotal | 462299 | Subtotal |
| Other Decreases | 0 | OtherDecreases |
| Total Net Assets Fund Balances EOY | 462299 | TotalNetAssetsFundBalancesEOY |
Capital Gains And Losses CapitalGainsAndLosses
Capital Gains And Losses Info CapitalGainsAndLossesInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Asset | HEINZ HJ CO. | DescriptionOfAsset |
| How Acquired | P | HowAcquired |
| Date Acquired | 2012-01-11 | DateAcquired |
| Date Sold | 2013-03-14 | DateSold |
| Gross Sales Price | 108725 | GrossSalesPrice |
| Cost Or Other Basis | 79638 | CostOrOtherBasis |
| Gain Or Loss | 29087 | GainOrLoss |
| Gains Minus Excess Or Losses | 29087 | GainsMinusExcessOrLosses |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | 29087 | CapitalGainNetIncome |
Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable For4942 Tax | 0 | LiableFor4942Tax |
| Qualifying Distributions Year1 | 1074465 | QualifyingDistributionsYear1 |
| Noncharitable Assets Year1 | 1044563 | NoncharitableAssetsYear1 |
| Distribution Ratio Year1 | 1.028626 | DistributionRatioYear1 |
| Qualifying Distributions Year2 | 76500 | QualifyingDistributionsYear2 |
| Noncharitable Assets Year2 | 1499935 | NoncharitableAssetsYear2 |
| Distribution Ratio Year2 | 0.051002 | DistributionRatioYear2 |
| Qualifying Distributions Year3 | 75371 | QualifyingDistributionsYear3 |
| Noncharitable Assets Year3 | 1318694 | NoncharitableAssetsYear3 |
| Distribution Ratio Year3 | 0.057156 | DistributionRatioYear3 |
| Qualifying Distributions Year4 | 78148 | QualifyingDistributionsYear4 |
| Noncharitable Assets Year4 | 1343543 | NoncharitableAssetsYear4 |
| Distribution Ratio Year4 | 0.058166 | DistributionRatioYear4 |
| Qualifying Distributions Year5 | 88677 | QualifyingDistributionsYear5 |
| Noncharitable Assets Year5 | 1726654 | NoncharitableAssetsYear5 |
| Distribution Ratio Year5 | 0.051358 | DistributionRatioYear5 |
| Total Distribution Ratio | 1.246308 | TotalDistributionRatio |
| Average Distribution Ratio | 0.249262 | AverageDistributionRatio |
| Net Noncharitable Assets | 627194 | NetNoncharitableAssets |
| Adjusted Noncharitable Assets | 156336 | AdjustedNoncharitableAssets |
| One Percent Net Investment Income | 533 | OnePercentNetInvestmentIncome |
| Adj Nonchrtbl Assets And One | 156869 | AdjNonchrtblAssetsAndOnePct |
| Qualifying Distributions | 85300 | QualifyingDistributions |
Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | 1065 | InvestmentIncomeExciseTax |
| Tax Under Section511 | 0 | TaxUnderSection511 |
| Subtotal | 1065 | Subtotal |
| Subtitle A Tax | 0 | SubtitleATax |
| Tax Based On Investment Income | 1065 | TaxBasedOnInvestmentIncome |
| Est Tax Payments And Overpayment | 655 | EstTaxPaymentsAndOverpayment |
| Total Credits And Payments | 655 | TotalCreditsAndPayments |
| Form2220 Attached | X | Form2220Attached |
| Tax Due | 410 | TaxDue |
Statements Regarding Activities StatementsRegardingActivities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Activities | 0 | LegislativePoliticalActivities |
| More Than100 Spent | 0 | MoreThan100Spent |
| Form1120 POL Filed | 0 | Form1120POLFiled |
| Sect4955 Tax On Organization | 0 | Sect4955TaxOnOrganization |
| Sect4955 Tax On Managers | 0 | Sect4955TaxOnManagers |
| Reimbursement Of Tax | 0 | ReimbursementOfTax |
| Activities Not Prev Reported | 0 | ActivitiesNotPrevReported |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylaws |
| Unrelated Bus Income Over1000 | 0 | UnrelatedBusIncomeOver1000 |
| Termination Etc | 0 | TerminationEtc |
| Requirements Of Sect508e | 1 | RequirementsOfSect508e |
| At Least5000 In Assets | 1 | AtLeast5000InAssets |
| States Filed With | NH | StatesFiledWith |
| Form990 PF Filed With AG | 1 | Form990PFFiledWithAG |
| Private Operating Foundation | 0 | PrivateOperatingFoundation |
| New Substantial Contributors | 0 | NewSubstantialContributors |
| Interest In Controlled Entity | 0 | InterestInControlledEntity |
| Applicable Insurance Contract | 0 | ApplicableInsuranceContract |
| Comply With Public Inspection Rqr | 1 | ComplyWithPublicInspectionRqr |
| Website Address | N/A | WebsiteAddress |
| Books In Care Of Person Name | LYNN SMITH | BooksInCareOfPersonName |
| Books In Care Of Phone Number | 6035427711 | BooksInCareOfPhoneNumber |
Books In Care Of US Address BooksInCareOfUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1600 | AddressLine1 |
| City | CLAREMONT | City |
| State | NH | State |
| ZIP Code | 03743 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Bank | 0 | ForeignBank |
Statements Regarding Acty4720 StatementsRegardingActy4720
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exchange With Dsqfly Person | 0 | SaleOrExchangeWithDsqflyPerson |
| Borrow Or Lend With Dsqfly Person | 0 | BorrowOrLendWithDsqflyPerson |
| Furnished Goods With Dsqfly Person | 0 | FurnishedGoodsWithDsqflyPerson |
| Pay Compensation To Dsqfly Person | 0 | PayCompensationToDsqflyPerson |
| Transfer Assets To Dsqfly Person | 0 | TransferAssetsToDsqflyPerson |
| Payment To Government Offical | 0 | PaymentToGovernmentOffical |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActs |
| Undistributed Income Prior Years | 0 | UndistributedIncomePriorYears |
| Business Holdings | 0 | BusinessHoldings |
| Jeopardy Investments | 0 | JeopardyInvestments |
| Uncorrected Jeopardy Investments | 0 | UncorrectedJeopardyInvestments |
| Influence Legislation | 0 | InfluenceLegislation |
| Influence Election | 0 | InfluenceElection |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Noncharitable Purpose | 0 | NoncharitablePurpose |
| Rcv Funds To Pay Prsnl Bnft Contract | 0 | RcvFundsToPayPrsnlBnftContract |
| Pay Premiums Prsnl Bnft Contract | 0 | PayPremiumsPrsnlBnftContract |
| Prohibited Tax Shelter Transactn | 0 | ProhibitedTaxShelterTransactn |
Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo
Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (5 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation | Contri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtc | Expense Account Other AllowancesExpenseAccountOtherAllowances |
|---|---|---|---|---|---|---|---|---|
| WAYNE C MCCUTCHEON | ||||||||
| 492 WASHINGTON ST | CLAREMONT | NH | 03743 | TRUSTEE | 0.50 | 0 | 0 | 0 |
| SHERWOOD MOODY | ||||||||
| 29 RIVERVIEW | NEWPORT | NH | 03773 | TRUSTEE | 0.50 | 0 | 0 | 0 |
| JILL M EDSON | ||||||||
| 65 CLARK CAMP ROAD | CORNISH | NH | 03745 | TRUSTEE | 0.50 | 0 | 0 | 0 |
| JOLENE TENNEY | ||||||||
| 19 TENGREN AVENUE | CLAREMONT | NH | 03743 | TRUSTEE | 0.50 | 0 | 0 | 0 |
| JACQUELINE GUILLETTE | ||||||||
| 56 RIDGE AVENUE | CLAREMONT | NH | 03743 | TRUSTEE | 0.50 | 0 | 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Highest Paid Empl NONE | NONE | CompOfHighestPaidEmplNONE |
| Tot Number Of Oth Empl Paid Over50k | 0 | TotNumberOfOthEmplPaidOver50k |
| Comp Of Hghst Paid Cntrct NONE | NONE | CompOfHghstPaidCntrctNONE |
| Tot Number Of Cntrct Paid Over50k | 0 | TotNumberOfCntrctPaidOver50k |
Summary Of Direct Charitable Acty SummaryOfDirectCharitableActy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | N/A. | Description1 |
| Expenses1 | 0 | Expenses1 |
Sum Of Program Related Investments SumOfProgramRelatedInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Minimum Investment Return MinimumInvestmentReturn
| Field | Value | IRS element (for citing) |
|---|---|---|
| Avg Monthly FMV Of Securities | 601151 | AvgMonthlyFMVOfSecurities |
| Avg Monthly Cash Balances | 35594 | AvgMonthlyCashBalances |
| FMV All Other Noncharitable Assets | 0 | FMVAllOtherNoncharitableAssets |
| Total FMV Of Unused Assets | 636745 | TotalFMVOfUnusedAssets |
| Reduction Claimed | 0 | ReductionClaimed |
| Acquisition Indebtedness | 0 | AcquisitionIndebtedness |
| Adj Total FMV Of Unused Assets | 636745 | AdjTotalFMVOfUnusedAssets |
| Cash Deemed Charitable | 9551 | CashDeemedCharitable |
| Net Noncharitable Assets | 627194 | NetNoncharitableAssets |
| Minimum Investment Return | 31360 | MinimumInvestmentReturn |
Distributable DistributableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | 31360 | MinimumInvestmentReturn |
| Tax Based On Investment Income | 1065 | TaxBasedOnInvestmentIncome |
| Total Tax | 1065 | TotalTax |
| Distributable Amount Before Adj | 30295 | DistributableAmountBeforeAdj |
| Recoveries Qlfy Distributions | 0 | RecoveriesQlfyDistributions |
| Distributable Amount Before Ded | 30295 | DistributableAmountBeforeDed |
| Deduction Fr Distributable | $0 | DeductionFrDistributableAmount |
| Distributable Amount As Adjusted | 30295 | DistributableAmountAsAdjusted |
Qualifying Distributions QualifyingDistributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | 85300 | ExpensesAndContributions |
| Program Related Investments Total | 0 | ProgramRelatedInvestmentsTotal |
| Qualifying Distributions | 85300 | QualifyingDistributions |
| One Pct Sect4940e Org Net Invst Incm | 0 | OnePctSect4940eOrgNetInvstIncm |
| Adj Qualifying Distributions | 85300 | AdjQualifyingDistributions |
Undistributed Income UndistributedIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable Amount As Adjusted | 30295 | DistributableAmountAsAdjusted |
| Undistributed Income Prior Year | 0 | UndistributedIncomePriorYear |
| Total For Prior Years | 0 | TotalForPriorYears |
| Excess Distri Carryover Year5 | 2915 | ExcessDistriCarryoverYear5 |
| Excess Distri Carryover Year4 | 12359 | ExcessDistriCarryoverYear4 |
| Excess Distri Carryover Year3 | 10574 | ExcessDistriCarryoverYear3 |
| Excess Distri Carryover Year2 | 2910 | ExcessDistriCarryoverYear2 |
| Excess Distri Carryover Year1 | 1023087 | ExcessDistriCarryoverYear1 |
| Total Excess Distri Carryover | 1051845 | TotalExcessDistriCarryover |
| Qualifying Distributions | 85300 | QualifyingDistributions |
| Applied To Year1 | 0 | AppliedToYear1 |
| Applied To Prior Years | 0 | AppliedToPriorYears |
| Treated As Distri From Corpus | 0 | TreatedAsDistriFromCorpus |
| Applied To Current Year | 30295 | AppliedToCurrentYear |
| Remaining Distri From Corpus | 55005 | RemainingDistriFromCorpus |
| Excess Distri Cyov App CY Corpus | 0 | ExcessDistriCyovAppCYCorpus |
| Excess Distri Cyov Applied CY | 0 | ExcessDistriCyovAppliedCY |
| Total Corpus | 1106850 | TotalCorpus |
| Prior Year Undistributed Income | 0 | PriorYearUndistributedIncome |
| Prior Year Deficiency Or Tax | 0 | PriorYearDeficiencyOrTax |
| Taxable Amount1 | 0 | TaxableAmount1 |
| Taxable Amount2 | 0 | TaxableAmount2 |
| Undistributed Income CY | 0 | UndistributedIncomeCY |
| Distri From Corpus170b1 E Or4942g3 | 0 | DistriFromCorpus170b1EOr4942g3 |
| Excess Distri Cyov From Year5 | 2915 | ExcessDistriCyovFromYear5 |
| Excess Distri Cyov To Next Year | 1103935 | ExcessDistriCyovToNextYear |
| Excess From Year4 | 12359 | ExcessFromYear4 |
| Excess From Year3 | 10574 | ExcessFromYear3 |
| Excess From Year2 | 2910 | ExcessFromYear2 |
| Excess From Year1 | 1023087 | ExcessFromYear1 |
| Excess From Current Year | 55005 | ExcessFromCurrentYear |
Supplementary Information SupplementaryInformation
Appication Submission Info AppicationSubmissionInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Name | LYNN SMITH | RecipientName |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1600 | AddressLine1 |
| City | CLAREMONT | City |
| State | NH | State |
| ZIP Code | 03743 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone Number | 6035427711 | RecipientPhoneNumber |
| Form And Info And Materials | SEE ATTACHED APPLICATION FORM.. | FormAndInfoAndMaterials |
| Submission Deadlines | SEE ATTACHED FOUNDATION GUIDELINES | SubmissionDeadlines |
| Restrictions On Awards | SEE ATTACHED FOUNDATION GUIDELINES. | RestrictionsOnAwards |
Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (40 entries)
| Address Line1RecipientUSAddress/AddressLine1 | CityRecipientUSAddress/City | StateRecipientUSAddress/State | ZIP CodeRecipientUSAddress/ZIPCode | Recipient RelationshipRecipientRelationship | Recipient Foundation StatusRecipientFoundationStatus | Purpose Of Grant Or ContributionPurposeOfGrantOrContribution | AmountAmount |
|---|---|---|---|---|---|---|---|
| SULLIVAN COUNTY ATV CLUB | |||||||
| PO BOX 64 | CLAREMONT | NH | 03743 | NONE | 501(C) | REPLACE DECKING ON BRIDGE & PURCHASE CALCIUM SPREADER | $800 |
| NEWPORT MONTESSORI SCHOOL | |||||||
| PO BOX 634 | NEWPORT | NH | 03773 | NONE | 501(C) | FUND STUDENT SERVICE PROJECTS AND TECHNOLOGY CURRICULUM | $1,000 |
| COMM ALLIANCE HS - TRANSPORTATION | |||||||
| PO BOX 188 | NEWPORT | NH | 03773 | NONE | 501(C) | REIMBURSE DRIVERS | $1,000 |
| COMM ALLIANCE HS - FAMILY SERVICES | |||||||
| PO BOX 188 | NEWPORT | NH | 03773 | NONE | 501(C) | PROGRAM MATERIALS | $1,000 |
| FRIENDS OF VETERANS | |||||||
| 222 HOLIDAY DRIVE SUITE 20 | WHITE RIVER JUNCTION | VT | 05001 | NONE | 501(C) | PREVENTION OF HOMELESSNESS - ASSIST WITH MORTGAGE, UTILITY, ETC. | $1,000 |
| SPECIAL NEEDS SUPPORT CENTER | |||||||
| 12 FLYNN STREET | LEBANON | NH | 03766 | NONE | 501(C) | SUPPORT THE EDUCATIONAL ADVOCACY SERVICES | $1,000 |
| HIVHCV RESOURCE CENTER | |||||||
| 2 BLACKSMITH STREET | LEBANON | NH | 03766 | NONE | 501(C) | TRANSPORTATION TO MEDICAL APPTS AT DHMC | $1,000 |
| NEW ENGLAND CLASSICAL ACADEMY (NECA) | |||||||
| 18 CENTRAL STREET | CLAREMONT | NH | 03743 | NONE | 501(C) | REPLACE ALL CLASSROOM DOORS WITH 30 MINUTE FIRE RATED DOORS | $1,000 |
| CONNECTICUT RIVER WATERSHED COUNCIL | |||||||
| 15 BANK ROW | GREENFIELD | MA | 01301 | NONE | 501(C) | MAINSTREAM SPONSORSHIP FOR THE CONN. RIVER CLEANUP | $1,000 |
| CLAREMONT PRESCHOOL SPECIAL EDUCATION PROGRAM | |||||||
| 165 BROAD STREET | CLAREMONT | NH | 03743 | NONE | 501(C) | IPADS FOR SPEECH AND LANGUAGE AND OCCUP THERAPIST | $1,500 |
| CLAREMONT HISTORICAL SOCIETY | |||||||
| 26 MULLBERRY STREET | CLAREMONT | NH | 03743 | NONE | 501(C) | FUNDS WILL PROVIDE THE ABILITY TO OFFER FREE FUN AND EDUCATIONAL PROGRAMS | $1,500 |
| SENIOR CITIZENS HOUSING DEVELOPMENT CORP | |||||||
| 67 MAPLE AVE | CLAREMONT | NH | 03743 | NONE | 501(C) | COMPUTERS AND LASER PRINTER | $1,500 |
| VITAL COMMUNITIES | |||||||
| 195 N MAIN STREET | WHITE RIVER JUNCTION | VT | 05001 | NONE | 501(C) | SUPPORT EDUCATION DAY OF LEADERSHIP UPPER VALLEY PROGRAM TO BE HELD IN CLMT | $1,500 |
| BRIDGING THE GAP LEARNING CENTER | |||||||
| 127 STATE STREET | WINDSOR | VT | 05089 | NONE | 501(C) | SUMMER CHILD CARE PROGRAM FOR AT-RISK CHILDREN | $1,500 |
| SECOND GROWTH | |||||||
| PO BOX 5227 | WEST LEBANON | NH | 03784 | NONE | 501(C) | COACHING FOR CAPTAINS - A PROGRAM COACHING YOUNG WOMEN ATHLETES | $1,500 |
| RIVER THEATER COMPANY OF CHARLESTOWN | |||||||
| PO BOX 47 | CHARLESTOWN | NH | 03603 | NONE | 501(C) | 75 CHAIRS FOR TOWN HALL THEATER | $1,700 |
| CLAREMONT OPERA HOUSE INC | |||||||
| 58 OPERA HOUSE SQUARE | CLAREMONT | NH | 03743 | NONE | 501(C) | COMPLETE PAINTING RESTORATION THAT WAS ORIGINALLY FUNDED IN PART BY CSB | $2,000 |
| FAMILY SCHOOL CONNECTIONS CHILD CARE RESOURCE | |||||||
| 1 COLLEGE DRIVE | CLAREMONT | NH | 03743 | NONE | 501(C) | ASSIST WITH CHILDCARE EXPENSES | $2,000 |
| COMM ALLIANCE HS - TRUSTING HANDS HOME HEALTH CARE | |||||||
| PO BOX 188 | NEWPORT | NH | 03773 | NONE | 501(C) | HOMEMAKER COMPANION SERVICES | $2,000 |
| PLANNED PARENTHOOD OF NNE | |||||||
| 136 PLEASANT STREET | CLAREMONT | NH | 03743 | NONE | 501(C) | SLIDING SCALE FEE REPRODUCTIVE HEALTH CARE AND EDUCATION | $2,000 |
| CHARLESTOWN SENIOR CITIZENS CLUB | |||||||
| PO BOX 1333 | CHARLESTOWN | NH | 03603 | NONE | 501(C) | PURCHASE COMMERCIAL 60" GAS RANGE | $2,000 |
| CLAREMONT COOL CATS SPECIAL OLYMPICS | |||||||
| 519 JARVIS HILL ROAD | CLAREMONT | NH | 03743 | NONE | 501(C) | PURCHASE ACTIVE PLAY SUPPLIES, T-SHIRTS, LOCKING STORAGE CONTAINER | $2,000 |
| ARROWHEAD RECREATION CLUB | |||||||
| 18 ROBERT EASTER WAY | CLAREMONT | NH | 03743 | NONE | 501(C) | PURCHASE TABLES, TABLE CLOTHS, AND CHAIRS | $2,000 |
| TWIN VALLEY YOUTH HOCKEY | |||||||
| PO BOX 184 | MERIDEN | NH | 03770 | NONE | 501(C) | MONIES FOR COST ASSOCIATED TO PLAY HOCKEY, RECEIVE MENTORING, ETC. | $2,000 |
| LIBRARY ARTS CENTER | |||||||
| 58 NORTH MAIN STREET | NEWPORT | NH | 03773 | NONE | 501(C) | KILN FOR THE CERAMICS AND STUDIO ARTS EDUCATION PROGRAM | $2,000 |
| MEETING WATERS YMCA | |||||||
| 66 ATKINSON STREET | BELLOWS FALLS | VT | 05101 | NONE | 501(C) | SCHOOL MILK COOLER AND BUSSING | $2,000 |
| SOUTHEASTERN VERMONT COMMUNITY ACTION | |||||||
| 91 BUCK DRIVE | WESTMINISTER | VT | 05301 | NONE | 501(C) | EMERGENCY HOME REPAIR PROGRAM FOR LOW-INCOME HOUSEHOLDS IN CRISIS | $2,000 |
| CORNISH MEETING HOUSE COMMITTEE | |||||||
| 1 STAGE ROAD | CORNISH | NH | 03745 | NONE | 501(C) | PAINTING AND STRUCTURAL IMPROVEMENTS TO BUILDING | $2,500 |
| FRIENDS OF THE FISKE FREE LIBRARY | |||||||
| 108 BROAD STREET | CLAREMONT | NH | 03743 | NONE | 501(C) | LECTURE/CONCERT PROGRAMS TO COINCIDE WITH CLAREMONT'S 250TH ANNIVERSARY | $2,500 |
| WEST CLAREMONT CENTER FOR MUSIC AND THE ARTS | |||||||
| 133 OLD CHURCH ROAD | CLAREMONT | NH | 03743 | NONE | 501(C) | FUNDING ENDING FOR MUSIC & ART PROGRAMS | $2,500 |
| CLAREMONT SENIOR CENTER | |||||||
| 5 ACER HEIGHTS | CLAREMONT | NH | 03743 | NONE | 501(C) | PURCHASE COMPRESSOR FOR WALK-IN FREEZER | $3,000 |
| UPPER VALLEY BUS & ED PARTNERSHIP | |||||||
| PO BOX 350 | HANOVER | NH | 03755 | NONE | 501(C) | JUNIOR ACHIEVEMENT FINANCIAL LITERACY PROGRAMS TO TEN MORE CLASSROOMS | $3,000 |
| ASCUTNEY VOLUNTEER FIRE ASSOCIATION | |||||||
| PO BOX 91 | ASCUTNEY | VT | 05030 | NONE | 501(C) | LARGE SCREEN MONITOR TO RECEIVE COMPUTER-AIDED DISPATCH INFORMATION | $3,000 |
| BIG BROTHERS BIG SISTERS OF WESTERN NH | |||||||
| 169 CASTLE STREET | KEENE | NH | 03431 | NONE | 501(C) | EVIDENCE-BASED MONITORING PROGRAM FOR CHILDREN FACING ADVERSITY IN SULLIVAN COUNTY | $3,000 |
| CLAREMONT JAGUARS 4-H CLUB OF SULLIVAN COUNTY NH | |||||||
| 8 BLOCK AVENUE | CLAREMONT | NH | 03743 | NONE | 501(C) | ASSISTANCE WITH WELLNESS & BABY STEPS FAMILY ASSISTANCE PROGRAM | $3,000 |
| TURNING POINTS NETWORK | |||||||
| 11 SCHOOL STREET | CLAREMONT | NH | 03743 | NONE | 501(C) | REPLACE COUNTER TOPS, SOME FLOORING, BASEBOARDS AND POWERWASH | $3,500 |
| CLAREMONT SOUP KITCHEN | |||||||
| PO BOX 957 | CLAREMONT | NH | 03743 | NONE | 501(C) | MEALS | $4,000 |
| HIS HELPING HANDS OF CLAREMONT INC | |||||||
| 106 MAIN STREET | CLAREMONT | NH | 03743 | NONE | 501(C) | FREE BREAKFAST LUNCH AND DRINKS - MEAL DELIVERY - EDUCATIONAL SEMINARS | $4,000 |
| COPPER CANNON CAMP | |||||||
| PO BOX 124 | FRANCONIA | NH | 03580 | NONE | 501(C) | TUITION-FREE LOW-INCOME SUMMER CAMP | $4,800 |
| TRINITY EPISCOPAL CHURCH - TWO DIFFERENT PROGRAMS | |||||||
| PO BOX 172 | CLAREMONT | NH | 03743 | NONE | 501(C) | 4,000 FOR BABY STEPS FAMILY ASSISTANCE 2,000 BREAKFAST AND BACK PACK FOOD PROGRAM | $5,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Grant Or Contri Paid During Year | 85300 | TotGrantOrContriPaidDuringYear |
| Tot Grant Or Contri Approved Future | 0 | TotGrantOrContriApprovedFuture |
Analysis Income Producing Acty AnalysisIncomeProducingActy
Int On Savings And Temp Cash Invst IntOnSavingsAndTempCashInvst
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 14 | ExclusionCode |
| Exclusion | $8 | ExclusionAmount |
Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 14 | ExclusionCode |
| Exclusion | $24,173 | ExclusionAmount |
Gain Sales Assets Oth Than Invntry GainSalesAssetsOthThanInvntry
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 18 | ExclusionCode |
| Exclusion | $29,087 | ExclusionAmount |
Other Revenue Described OtherRevenueDescribed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | 2011 GRANT RETURNED | Description |
| Related Or Exempt Function Income | 2500 | RelatedOrExemptFunctionIncome |
Subtotals Part XVIA SubtotalsPartXVIA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Income | $0 | UnrelatedBusinessIncomeAmount |
| Exclusion | $53,268 | ExclusionAmount |
| Related Or Exempt Function Income | 2500 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Part XVIA | 55768 | TotalPartXVIA |
Rln Of Acty To Accom Of Exempt Prps RlnOfActyToAccomOfExemptPrps
Rln Of Acty To Accom Of Exempt Prps RlnOfActyToAccomOfExemptPrps
| Field | Value | IRS element (for citing) |
|---|---|---|
| Line Number | 11A | LineNumber |
| Relationship Statement | PRIOR YEAR GRANT RETURNED | RelationshipStatement |
Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Noncharitable EO | 0 | TrnsfrOfCashToNoncharitableEO |
| Trnsfr Oth Assets Noncharitable EO | 0 | TrnsfrOthAssetsNoncharitableEO |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssets |
| Purchase Assets Noncharitable EO | 0 | PurchaseAssetsNoncharitableEO |
| Rental Of Facilities Etc | 0 | RentalOfFacilitiesEtc |
| Reimbursement Arrangements | 0 | ReimbursementArrangements |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuarantees |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtc |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtc |
| Relationships Noncharitable E Os | 0 | RelationshipsNoncharitableEOs |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees AccountingFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | TAX PREPARETION | Category |
| Amount | $800 | Amount |
| Net Investment Income | 0 | NetInvestmentIncome |
| Disbursements Charitable Prps | 0 | DisbursementsCharitablePrps |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corp Stock InvestmentsCorpStock (9 entries)
| Name Of StockNameOfStock | EOY Book ValueEOYBookValue | EOYFMVEOYFMV |
|---|---|---|
| ALTRIA GROUP | 85890 | 104970 |
| AT & T | 83678 | 99120 |
| CENTURYLINK INC | 72399 | 70700 |
| HEINZ HJ CO | 0 | 0 |
| KINDER MORGAN | 56455 | 85400 |
| NEXTERA ENERGY | 59252 | 81480 |
| HEALTH CARE PROPERTIES | 47664 | 90880 |
| FAIRPOINT COMMUNICATIONS | 537 | 0 |
| PAYCHECK INC | 43511 | 45638 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses OtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS | Description |
| Revenue And Expenses Per Books | 179 | RevenueAndExpensesPerBooks |
| Net Investment Income | 0 | NetInvestmentIncome |
| Disbursements Charitable Prps | 0 | DisbursementsCharitablePrps |
Other Income Schedule2 OtherIncomeSchedule2
Other Income OtherIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | 2011 GRANT RETURNED | Description |
| Revenue And Expenses Per Books | 2500 | RevenueAndExpensesPerBooks |
| Adjusted Net Income | 2500 | AdjustedNetIncome |
Taxes Schedule TaxesSchedule
Taxes Taxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | STATE FEE | Category |
| Amount | $125 | Amount |
| Net Investment Income | 0 | NetInvestmentIncome |
| Disbursements Charitable Prps | 0 | DisbursementsCharitablePrps |
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