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WATERBURY HOSPITAL UW FULTON I K: Form 990PF, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
WATERBURY HOSPITAL UW FULTON I K (EIN 06-6031258)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-05-01
IRS object ID
202421229349100032
Schema version
2023v5.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2024-05-01T08:01:15-05:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt
Return Type990PFReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN066031258EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FULTON I K U10W WATERBURY HOSPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFULTBusinessNameControlTxt
Phone8888663275PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 653067AddressLine1Txt
CityDALLASCityNm
State AbbreviationTXStateAbbreviationCd
ZIP752653067ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBANK OF AMERICA N APersonNm
Person TitleMANAGING DIRPersonTitleTxt
Phone8888663275PhoneNum
Signature2024-04-30SignatureDt
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Additional Filer Information AdditionalFilerInformation

FieldValueIRS element (for citing)
Trusted CustomerTrustedCustomerGrp
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization4947a1 Trtd PFYes (X)Organization4947a1TrtdPFInd
FMV Assets EOY$7,933,619FMVAssetsEOYAmt

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$173,600DividendsRevAndExpnssAmt
Dividends Net Invst Incm$173,600DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$86,793NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$1,197,463GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$86,793CapGainNetIncmNetInvstIncmAmt
Net ST Capital Gain Adj Net Incm$0NetSTCapitalGainAdjNetIncmAmt
Other Income Rev And Expnss$3,600OtherIncomeRevAndExpnssAmt
Total Rev And Expnss$263,993TotalRevAndExpnssAmt
Total Net Invst Incm$260,393TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$65,678CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$39,407CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$26,271CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Net Invst Incm$0OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Adj Net Incm$0OthEmplSlrsWgsAdjNetIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$0OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Net Invst Incm$0PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Adj Net Incm$0PensionEmplBnftAdjNetIncmAmt
Legal Fees Dsbrs Chrtbl$0LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$1,250AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$750AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$500AccountingFeesChrtblPrpsAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Interest Dsbrs Chrtbl$0InterestDsbrsChrtblAmt
Taxes Rev And Expnss$3,787TaxesRevAndExpnssAmt
Taxes Net Invst Incm$3,787TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$0DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$0DeprecAndDpltnNetInvstIncmAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Adj Net Incm$0TravConfMeetingAdjNetIncmAmt
Printing And Pub Net Invst Incm$0PrintingAndPubNetInvstIncmAmt
Printing And Pub Adj Net Incm$0PrintingAndPubAdjNetIncmAmt
Tot Opr Expenses Rev And Expnss$70,715TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$43,944TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$26,771TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$247,085ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$247,085ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$317,800TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$43,944TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$273,856TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$53,807ExcessRevenueOverExpensesAmt
Net Investment Income$216,449NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$226,411SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$187,613SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$187,613SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl EOY$0AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$0AcctRcvblEOYFMVAmt
Other Rcvbl Allwnc Dbtfl Acct$0OtherRcvblAllwncDbtflAcctAmt
Corporate Stock BOY$6,406,928CorporateStockBOYAmt
Corporate Stock EOY$6,391,900CorporateStockEOYAmt
Corporate Stock EOYFMV$7,746,006CorporateStockEOYFMVAmt
Other Investments EOYFMV$0OtherInvestmentsEOYFMVAmt
Total Assets BOY$6,633,339TotalAssetsBOYAmt
Total Assets EOY$6,579,513TotalAssetsEOYAmt
Total Assets EOYFMV$7,933,619TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$6,633,339CapitalStockBOYAmt
Capital Stock EOY$6,579,513CapitalStockEOYAmt
Tot Net Ast Or Fund Balances BOY$6,633,339TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$6,579,513TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$6,633,339TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$6,579,513TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$6,633,339TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$53,807ExcessRevenueOverExpensesAmt
Other Increases$304OtherIncreasesAmt
Subtotal$6,579,836SubtotalAmt
Other Decreases$323OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$6,579,513TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (82 entries)

PropertyPropertyDescAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
2259. ISHARES S&P SMALLCAP 600 INDEX FUND2018-04-132023-01-31$233,315$177,524$55,791$55,791
1429. ISHARES EDGE MSCI MIN VOL EAFE ETF2022-09-302023-01-31$95,295$81,732$13,563$13,563
2. ISH USD HIGH YIELD CORPORATE BOND ETF SH2020-02-112023-01-31$72$83-$11-$11
1603. ISH USD HIGH YIELD CORPORATE BOND ETF SH2020-01-212023-01-31$57,410$66,388-$8,978-$8,978
97. ISH USD HIGH YIELD CORPORATE BOND ETF SH2021-01-292023-01-31$3,474$3,999-$525-$525
53. ISH USD HIGH YIELD CORPORATE BOND ETF SH2021-12-032023-01-31$1,898$2,158-$260-$260
207. ISH USD HIGH YIELD CORPORATE BOND ETF SH2020-08-312023-01-31$7,414$8,279-$865-$865
3. ISH USD HIGH YIELD CORPORATE BOND ETF SH2022-06-012023-01-31$107$112-$5-$5
5526.493 METRO WEST T/R BD CL I2021-09-232023-01-31$51,673$60,874-$9,201-$9,201
102. VANGUARD FTSE DEVELOPED MARKETS ETF2019-08-142023-01-31$4,655$3,975$680$680
3095. VANGUARD FTSE DEVELOPED MARKETS ETF2017-03-072023-01-31$141,237$118,863$22,374$22,374
28. VANGUARD MID-CAP ETF2022-02-022023-01-31$6,130$6,647-$517-$517
11. VANGUARD MID-CAP ETF2022-07-152023-01-31$2,408$2,194$214$214
138. VANGUARD MID-CAP ETF2022-07-152023-01-31$30,212$27,441$2,771$2,771
342. VANGUARD MID-CAP ETF2020-01-212023-01-31$74,872$62,576$12,296$12,296
10. ISHARES EDGE MSCI MIN VOL EMERGING MARKETS ETF2023-01-312023-03-22$538$548-$10-$10
19. ISHARES S&P SMALLCAP 600 INDEX FUND2018-04-132023-03-22$1,810$1,493$317$317
28. VANGUARD FTSE DEVELOPED MARKETS ETF2017-03-072023-03-22$1,224$1,075$149$149
48. VANGUARD FTSE EMERGING MARKETS ETF2021-02-192023-03-22$1,892$2,479-$587-$587
67. VANGUARD FTSE EMERGING MARKETS ETF2021-09-232023-03-22$2,641$3,416-$775-$775
29. VANGUARD 500 INDEX FUND SHS ETF2022-02-022023-03-22$10,651$12,165-$1,514-$1,514
42. VANGUARD MID-CAP ETF2020-01-212023-03-22$8,612$7,685$927$927
4391.276 JP MORGAN U.S. LARGE CAP CORE PLUS FUND CL R62018-04-132023-07-31$81,195$131,167-$49,972-$49,972
182.246 JP MORGAN U.S. LARGE CAP CORE PLUS FUND CL R62019-07-022023-07-31$3,370$5,178-$1,808-$1,808
159. VANGUARD 500 INDEX FUND SHS ETF2022-02-022023-07-31$66,816$66,699$117$117
12. VANGUARD 500 INDEX FUND SHS ETF2022-06-012023-07-31$5,043$4,534$509$509
163. VANGUARD 500 INDEX FUND SHS ETF2023-01-312023-07-31$68,497$60,604$7,893$7,893
4. ISHARES EDGE MSCI MIN VOL EMERGING MARKETS ETF2023-07-312023-11-01$209$227-$18-$18
47. ISHARES EDGE MSCI MIN VOL EAFE ETF2023-07-312023-11-01$3,033$3,249-$216-$216
16. ISHARES EDGE MSCI MIN VOL EAFE ETF2023-03-222023-11-01$1,032$1,056-$24-$24
43. ISHARES EDGE MSCI MIN VOL EAFE ETF2022-09-302023-11-01$2,774$2,459$315$315
1102.194 JP MORGAN U.S. LARGE CAP CORE PLUS FUND CL R62019-07-022023-11-01$19,454$31,316-$11,862-$11,862
457.858 JP MORGAN U.S. LARGE CAP CORE PLUS FUND CL R62020-01-212023-11-01$8,081$11,821-$3,740-$3,740
216.289 METROPOLITAN WEST TOTAL RETURN BOND FD CL P2021-09-232023-11-01$1,730$2,234-$504-$504
566.965 METROPOLITAN WEST TOTAL RETURN BOND FD CL P2020-01-212023-11-01$4,536$5,850-$1,314-$1,314
511.671 METROPOLITAN WEST TOTAL RETURN BOND FD CL P2021-12-032023-11-01$4,093$5,270-$1,177-$1,177
9830.208 METROPOLITAN WEST TOTAL RETURN BOND FD CL P2017-03-152023-11-01$78,642$96,819-$18,177-$18,177
8. VANGUARD TOTAL INTERNATL BOND ETF2023-03-222023-11-01$383$390-$7-$7
131. VANGUARD TOTAL INTERNATL BOND ETF2023-07-312023-11-01$6,264$6,376-$112-$112
98. VANGUARD TOTAL INTERNATL BOND ETF2023-01-312023-11-01$4,686$4,753-$67-$67
51. VANGUARD 500 INDEX FUND SHS ETF2023-01-312023-11-01$19,796$18,962$834$834
CAPITAL GAIN DIVIDENDS$80,289P
CAPITAL GAIN DIVIDENDS$80,289P
CAPITAL GAIN DIVIDENDS$80,289P
CAPITAL GAIN DIVIDENDS$80,289P
CAPITAL GAIN DIVIDENDS$80,289P
CAPITAL GAIN DIVIDENDS$80,289P
CAPITAL GAIN DIVIDENDS$80,289P
CAPITAL GAIN DIVIDENDS$80,289P
CAPITAL GAIN DIVIDENDS$80,289P
CAPITAL GAIN DIVIDENDS$80,289P
CAPITAL GAIN DIVIDENDS$80,289P
CAPITAL GAIN DIVIDENDS$80,289P
CAPITAL GAIN DIVIDENDS$80,289P
CAPITAL GAIN DIVIDENDS$80,289P
CAPITAL GAIN DIVIDENDS$80,289P
CAPITAL GAIN DIVIDENDS$80,289P
CAPITAL GAIN DIVIDENDS$80,289P
CAPITAL GAIN DIVIDENDS$80,289P
CAPITAL GAIN DIVIDENDS$80,289P
CAPITAL GAIN DIVIDENDS$80,289P
CAPITAL GAIN DIVIDENDS$80,289P
CAPITAL GAIN DIVIDENDS$80,289P
CAPITAL GAIN DIVIDENDS$80,289P
CAPITAL GAIN DIVIDENDS$80,289P
CAPITAL GAIN DIVIDENDS$80,289P
CAPITAL GAIN DIVIDENDS$80,289P
CAPITAL GAIN DIVIDENDS$80,289P
CAPITAL GAIN DIVIDENDS$80,289P
CAPITAL GAIN DIVIDENDS$80,289P
CAPITAL GAIN DIVIDENDS$80,289P
CAPITAL GAIN DIVIDENDS$80,289P
CAPITAL GAIN DIVIDENDS$80,289P
CAPITAL GAIN DIVIDENDS$80,289P
CAPITAL GAIN DIVIDENDS$80,289P
CAPITAL GAIN DIVIDENDS$80,289P
CAPITAL GAIN DIVIDENDS$80,289P
CAPITAL GAIN DIVIDENDS$80,289P
CAPITAL GAIN DIVIDENDS$80,289P
CAPITAL GAIN DIVIDENDS$80,289P
CAPITAL GAIN DIVIDENDS$80,289P
CAPITAL GAIN DIVIDENDS$80,289P
FieldValueIRS element (for citing)
Capital Gain Net Income$86,793CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$3,009InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$3,009SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$3,009TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$1,396EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Total Payments And Credits$1,396TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Tax Due$1,613TaxDueAmt
Applied To ES Tax$0AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Form1120 POL FiledfalseForm1120POLFiledInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Changes To Articles Or BylawsfalseChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (true)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (true)AtLeast5000InAssetsInd
Org Report Or Register StateCTOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (true)Form990PFFiledWithAttyGenInd
Private Operating FoundationfalsePrivateOperatingFoundationInd
New Substantial ContributorsfalseNewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1BANK OF AMERICA NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8888663275PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 653067AddressLine1Txt
CityDALLASCityNm
State AbbreviationTXStateAbbreviationCd
ZIP752653067ZIPCd
FieldValueIRS element (for citing)
NECT Filing In Lieu OF Form1041Yes (X)NECTFilingInLieuOFForm1041Ind
Foreign Accounts QuestionfalseForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified PrsnfalseSaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified PrsnfalseBrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified PrsnfalseFurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnYes (true)PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Acts Fail To Qlfy As ExceptionsfalseActsFailToQlfyAsExceptionsInd
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
Undistributed Income PYfalseUndistributedIncomePYInd
Business HoldingsfalseBusinessHoldingsInd
Jeopardy InvestmentsfalseJeopardyInvestmentsInd
Uncorrected PY Jeopardy InvstfalseUncorrectedPYJeopardyInvstInd
Influence LegislationfalseInfluenceLegislationInd
Influence ElectionfalseInfluenceElectionInd
Grants To IndividualsfalseGrantsToIndividualsInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonBANK OF AMERICAPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 653067AddressLine1Txt
CityDALLASCityNm
State AbbreviationTXStateAbbreviationCd
ZIP752653067ZIPCd
FieldValueIRS element (for citing)
TitleTRUSTEETitleTxt
Average Hrs Per Wk Devoted To Pos1AverageHrsPerWkDevotedToPosRt
Compensation$65,678CompensationAmt
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt
FieldValueIRS element (for citing)
Summary Of Direct Chrtbl ActySummaryOfDirectChrtblActyGrp
Sum Of Program Related InvstSumOfProgramRelatedInvstGrp

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$7,360,922AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$91,617AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$7,452,539TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$7,452,539AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$111,788CashDeemedCharitableAmt
Net Vl Noncharitable Assets$7,340,751NetVlNoncharitableAssetsAmt
Minimum Investment Return$367,038MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$367,038MinimumInvestmentReturnAmt
Tax Based On Investment Income$3,009TaxBasedOnInvestmentIncomeAmt
Total Tax$3,009TotalTaxAmt
Distributable Before Adj$364,029DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$364,029DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$364,029DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$273,856ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$273,856QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$364,029DistributableAsAdjustedAmt
Undistributed Income PY$26,836UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$0ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$0ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$0ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$0ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$0ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$273,856QualifyingDistributionsAmt
Applied To Year1$26,836AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$247,020AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$0TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$117,009UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt
Excess From Year4$0ExcessFromYear4Amt
Excess From Year3$0ExcessFromYear3Amt
Excess From Year2$0ExcessFromYear2Amt
Excess From Year1$0ExcessFromYear1Amt
Excess From Current Year$0ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1LEGACY WATERBURY HOSPITAL INCBusinessNameLine1Txt

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line150 LEAVENWORTH STREETAddressLine1Txt
CityWATERBURYCityNm
State AbbreviationCTStateAbbreviationCd
ZIP067211110ZIPCd
FieldValueIRS element (for citing)
Recipient RelationshipN/ARecipientRelationshipTxt
Recipient Foundation StatusPCRecipientFoundationStatusTxt
Grant Or Contribution PurposeUNRESTRICTED GENERALGrantOrContributionPurposeTxt
Amt$247,085Amt
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$247,085TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

FieldValueIRS element (for citing)
Fees Contracts From Govt AgFeesContractsFromGovtAgGrp
Membership Dues And AssmntMembershipDuesAndAssmntGrp
Int On Sav And Temp Cash InvstIntOnSavAndTempCashInvstGrp

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$173,600ExclusionAmt
FieldValueIRS element (for citing)
Net Rntl Incm Re Debt Fincd PropNetRntlIncmReDebtFincdPropGrp
Net Rntl Incm Re Not Debt Fincd PropNetRntlIncmReNotDebtFincdProp
Net Rental Income Personal PropNetRentalIncomePersonalPropGrp
Other Investment IncomeOtherInvestmentIncomeGrp

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$86,793ExclusionAmt
FieldValueIRS element (for citing)
Net Income Loss From Special EvtNetIncomeLossFromSpecialEvtGrp
Gross Profit Loss Sls Of InvntryGrossProfitLossSlsOfInvntryGrp

Other Revenue Described OtherRevenueDescribedGrp

FieldValueIRS element (for citing)
DescEXCISE TAX REFUNDDesc
Exclusion1ExclusionCd
Exclusion$3,600ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$263,993ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$263,993TotalIncomeProducingActyAmt
FieldValueIRS element (for citing)
Rln Of Acty To Accom Of Exmpt PrpsRlnOfActyToAccomOfExmptPrpsGrp

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EOfalseTrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EOfalseTrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EOfalsePurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth AssetsfalseRentalOfFacilitiesOthAssetsInd
Reimbursement ArrangementsfalseReimbursementArrangementsInd
Loans Or Loan GuaranteesfalseLoansOrLoanGuaranteesInd
Performance Of Services EtcfalsePerformanceOfServicesEtcInd
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtcInd
Relationships Nonchrtbl EOfalseRelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryTAX PREPARATION FEE - BOACategoryTxt
Amt$1,250Amt
Net Investment Income$750NetInvestmentIncomeAmt
Disbursements Charitable Prps$500DisbursementsCharitablePrpsAmt

Compensation Explanation CompensationExplanation

Compensation Explanation CompensationExplanationGrp

FieldValueIRS element (for citing)
PersonBANK OF AMERICAPersonNm
Short ExplanationSEE ATTACHED STATEMENTShortExplanationTxt

General Explanation Attachment GeneralExplanationAttachment

General Explanation GeneralExplanationGrp

FieldValueIRS element (for citing)
IdentifierFEDERAL FOOTNOTEIdentifierTxt
Form And Line ReferencePART VIII LIST OF OFFICERS AND DIRECTORSFormAndLineReferenceDesc
Medium ExplanationTHE COMPENSATION SHOWN ON THE RETURN THAT IS PAID TO BANK OF AMERICA, N.A. AS CORPORATE TRUSTEE IS NOT CALCULATED BASED UPON AN HOURLY RATE FOR THE TIME SPENT BY THE TRUSTEE; RATHER, BANK OF AMERICA'S COMPENSATION AS CORPORATE TRUSTEE IS CALCULATED USING A MARKET VALUE FEE SCHEDULE. THE TRUST OFFICER'S TIME SPENT PERFORMING ADMINISTRATIVE RESPONSIBILITIES FOR THIS FOUNDATION AVERAGES ONE HOUR PER WEEK. IN ADDITION, TIME IS SPENT BY OTHER STAFF MEMBERS FOR RECORDKEEPING, INVESTMENT MANAGEMENT, INCOME COLLECTION, RENDERING STATEMENTS AND ACCOUNTINGS, REGULATORY REPORTING, REGULATORY COMPLIANCE, AND TAX SERVICES.MediumExplanationTxt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (14 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
922042858 VANGUARD FTSE EMERGI$397,631$417,535
921943858 VANGUARD FTSE DEVELO$491,451$635,777
592905509 METROPOLITAN WEST TO
464287226 ISHARES CORE U.S. AG$925,976$904,168
464287804 ISHARES CORE S&P SMA$318,899$512,023
922908363 VANGUARD 500 INDEX F$1,146,065$1,912,310
92203J407 VANGUARD TOTAL INTER$140,497$145,133
46435U853 ISH USD HIGH YIELD C
78468R663 SPDR BLOOMBERG 1-3 M
922908629 VANGUARD MID-CAP ETF$1,117,526$1,479,125
48129C603 JP MORGAN U.S. LARGE$841,922$713,340
464286533 ISHARES EDGE MSCI MI$173,219$188,283
46429B689 ISHARES EDGE MSCI MI$250,254$303,432
592905764 METROPOLITAN WEST TO$588,460$534,880

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail (4 entries)

DescDescAmtAmt
CARRYING VALUE ADJUSTMENT$243
UPDATED SALES ADJUSTMENT$28
MUTUAL FUND ADJUSTMENT$47
ROUNDING$5

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescEXCISE TAX REFUNDDesc
Revenue And Expenses Per Books$3,600RevenueAndExpensesPerBooksAmt
Net Investment Income$0NetInvestmentIncomeAmt

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescINCOME ADJUSTMENTDesc
Amt$304Amt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FOREIGN TAXES ON QUALIFIED FOR$2,055$2,055$0
FOREIGN TAXES ON NONQUALIFIED$1,732$1,732$0