STRATEGY STUDIO / PUBLIC DATA EXPLORER

SETH ADAMS TRUST: Form 990PF, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
SETH ADAMS TRUST (EIN 23-7125976)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-08
IRS object ID
202443139349100129
Schema version
2023v5.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2024-11-08T09:01:15-06:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN041309690PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FIDUCIARY TRUST COMPANYBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 55806AddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP022055806ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237125976EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SETH ADAMS TRBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlADAMBusinessNameControlTxt
Phone6174825270PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 55806AddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP022055806ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonFIDUCIARY TRUST COMPANYPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone6174825270PhoneNum
Signature2024-11-08SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOHN AVILAPreparerPersonNm
PTINP00644833PTIN
Phone6174825270PhoneNum
Preparation2024-11-08PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$10,013,912FMVAssetsEOYAmt

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$229,499DividendsRevAndExpnssAmt
Dividends Net Invst Incm$202,660DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss-$9,943NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$2,052,004GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$0CapGainNetIncmNetInvstIncmAmt
Net ST Capital Gain Adj Net Incm$0NetSTCapitalGainAdjNetIncmAmt
Other Income Rev And Expnss$10,680OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$344OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$230,236TotalRevAndExpnssAmt
Total Net Invst Incm$203,004TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$72,847CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$58,296CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$14,551CompOfcrDirTrstDsbrsChrtblAmt
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
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Interest Dsbrs Chrtbl$0InterestDsbrsChrtblAmt
Taxes Rev And Expnss$2,000TaxesRevAndExpnssAmt
Taxes Net Invst Incm$2,254TaxesNetInvstIncmAmt
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
Other Expenses Rev And Expnss$2,690OtherExpensesRevAndExpnssAmt
Other Expenses Dsbrs Chrtbl$2,690OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$77,537TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$60,550TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$17,241TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$491,334ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$491,334ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$568,871TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$60,550TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$508,575TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$338,635ExcessRevenueOverExpensesAmt
Net Investment Income$142,454NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$1,752CashBOYAmt
Cash EOY$3,253CashEOYAmt
Cash EOYFMV$3,253CashEOYFMVAmt
Sav And Temp Cash Invst BOY$674,856SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$823,517SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$823,517SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl EOY$0AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$0AcctRcvblEOYFMVAmt
Other Rcvbl Allwnc Dbtfl Acct$0OtherRcvblAllwncDbtflAcctAmt
Corporate Stock BOY$4,169,974CorporateStockBOYAmt
Corporate Stock EOY$3,219,352CorporateStockEOYAmt
Corporate Stock EOYFMV$5,345,576CorporateStockEOYFMVAmt
Other Investments BOY$2,994,630OtherInvestmentsBOYAmt
Other Investments EOY$3,421,231OtherInvestmentsEOYAmt
Other Investments EOYFMV$3,841,566OtherInvestmentsEOYFMVAmt
Total Assets BOY$7,841,212TotalAssetsBOYAmt
Total Assets EOY$7,467,353TotalAssetsEOYAmt
Total Assets EOYFMV$10,013,912TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$7,841,212CapitalStockBOYAmt
Capital Stock EOY$7,467,353CapitalStockEOYAmt
Tot Net Ast Or Fund Balances BOY$7,841,212TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$7,467,353TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$7,841,212TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$7,467,353TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$7,841,212TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$338,635ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$7,502,577SubtotalAmt
Other Decreases$35,224OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$7,467,353TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (28 entries)

PropertyPropertyDescAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
311. ACTIVISION BLIZZARD INC COM2019-06-062023-08-08$28,484$13,724$14,760$14,760
33847.186 MEDALIST PARTNERS MBS TOTAL RETURN FUND2020-12-232023-12-11$268,408$312,410-$44,002-$44,002
20341.493 BARON EMERGING MARKETS FUND2023-02-01$288,646$292,539-$3,893-$3,893
146. BRISTOL MYERS SQUIBB CO COM2019-11-212023-08-08$8,775$8,161$614$614
1200. FIFTH THIRD BANCORP (OHIO)2017-10-042023-02-01$43,967$33,480$10,487$10,487
360. GENERAL DYNAMICS COM2023-04-10$82,369$54,563$27,806$27,806
8526.604 GOLDMAN SACHS SMALL CAP EQ INSIGHTS FD2023-02-01$209,925$283,141-$73,216-$73,216
667. ISHARES S&P 500 INDEX FUND2023-04-10$274,069$237,536$36,533$36,533
1350. ISHARES SHORT-TERM CORPORATE BOND ETF2019-07-192023-02-01$68,437$72,050-$3,613-$3,613
11626. ISHARES SHORT-TERM CORPORATE BOND ETF2023-08-08$583,911$604,223-$20,312-$20,312
1745. ISHARES CORE MSCI EUROPE ETF2021-07-062023-02-01$91,619$100,247-$8,628-$8,628
1. KENDALL PRIVATE EQUITY ACCESS FUND III L.P.2008-06-122023-06-30$18,848$33,045-$14,197-$14,197
325. PPG INDUSTRIES COM2023-04-10$44,868$34,328$10,540$10,540
77. ACCENTURE PLC CL A2019-06-062023-02-01$21,798$13,915$7,883$7,883
CAPITAL GAIN DIVIDENDS$17,880P
CAPITAL GAIN DIVIDENDS$17,880P
CAPITAL GAIN DIVIDENDS$17,880P
CAPITAL GAIN DIVIDENDS$17,880P
CAPITAL GAIN DIVIDENDS$17,880P
CAPITAL GAIN DIVIDENDS$17,880P
CAPITAL GAIN DIVIDENDS$17,880P
CAPITAL GAIN DIVIDENDS$17,880P
CAPITAL GAIN DIVIDENDS$17,880P
CAPITAL GAIN DIVIDENDS$17,880P
CAPITAL GAIN DIVIDENDS$17,880P
CAPITAL GAIN DIVIDENDS$17,880P
CAPITAL GAIN DIVIDENDS$17,880P
CAPITAL GAIN DIVIDENDS$17,880P
FieldValueIRS element (for citing)
Capital Gain Net Income-$41,358CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$1,980InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$1,980SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$1,980TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$3,400EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$2,000ExtsnRequestIncomeTaxPaidAmt
Total Payments And Credits$5,400TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Overpayment$3,420OverpaymentAmt
Applied To ES Tax$3,420AppliedToESTaxAmt
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 StateMAOrgReportOrRegisterStateCd
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 Line1FIDUCIARY TRUST COMPANYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6174825270PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line153 STATE STREETAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02109ZIPCd
FieldValueIRS element (for citing)
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 (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
BRENDA S DIANA
C/O ROPES GRAY 1 INTL PLACEBOSTONMA02110TRUSTEE0$14,215
FIDUCIARY TRUST COMPANY
PO BOX 55806BOSTONMA022055806TRUSTEE0$58,632
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt

Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp

FieldValueIRS element (for citing)
PersonFIDUCIARY TRUST COMPANYPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line153 STATE STREETAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02109ZIPCd
FieldValueIRS element (for citing)
Service TypeTRUSTEE / TAX PREP FServiceTypeTxt
Compensation$61,252CompensationAmt
FieldValueIRS element (for citing)
Contractor Paid Over50k0ContractorPaidOver50kCnt

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1GRANTS ARE PAID TO THE ADAMS HOUSE AT THE FAULKNER HOSPITAL VIA ADAMS NERVINE ASYLUM. THE FAULKNER HOSPITAL IS A CHARITABLE ORGANIZATION DESCRIBED UNDER IRC SECTION 501(C)(3Description1Txt
Expenses1$491,334Expenses1Amt
FieldValueIRS element (for citing)
Sum Of Program Related InvstSumOfProgramRelatedInvstGrp

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$9,505,351AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$1,091AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$9,506,442TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$9,506,442AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$142,597CashDeemedCharitableAmt
Net Vl Noncharitable Assets$9,363,845NetVlNoncharitableAssetsAmt
Minimum Investment Return$468,192MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$468,192MinimumInvestmentReturnAmt
Tax Based On Investment Income$1,980TaxBasedOnInvestmentIncomeAmt
Total Tax$1,980TotalTaxAmt
Distributable Before Adj$466,212DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$466,212DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$466,212DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$508,575ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$508,575QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$466,212DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$50,084ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$57,767ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$58,889ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$0ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$104,763ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$271,503TotalExcessDistributionCyovAmt
Qualifying Distributions$508,575QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$466,212AppliedToCurrentYearAmt
Remaining Distri From Corpus$42,363RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$313,866TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$50,084ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$263,782ExcessDistriCyovToNextYrAmt
Excess From Year4$57,767ExcessFromYear4Amt
Excess From Year3$58,889ExcessFromYear3Amt
Excess From Year2$0ExcessFromYear2Amt
Excess From Year1$104,763ExcessFromYear1Amt
Excess From Current Year$42,363ExcessFromCurrentYearAmt

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 Line1FAULKNER HOSPITALBusinessNameLine1Txt

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line11153 CENTRE STAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02130ZIPCd
FieldValueIRS element (for citing)
Recipient RelationshipN/ARecipientRelationshipTxt
Recipient Foundation StatusPCRecipientFoundationStatusTxt
Grant Or Contribution PurposeGENERAL PURPOSESGrantOrContributionPurposeTxt
Amt$491,334Amt
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$491,334TotalGrantOrContriPdDurYrAmt

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$229,499ExclusionAmt
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-$9,943ExclusionAmt
FieldValueIRS element (for citing)
Net Income Loss From Special EvtNetIncomeLossFromSpecialEvtGrp
Gross Profit Loss Sls Of InvntryGrossProfitLossSlsOfInvntryGrp

Other Revenue Described OtherRevenueDescribedGrp (2 entries)

DescDescExclusionExclusionCdExclusionExclusionAmt
PARTENRSHIP RECEIP18$8,617
FEDERAL TAX REFUND18$2,063

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$230,236ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$230,236TotalIncomeProducingActyAmt
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

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockCORPORATE STOCKStockNm
EOY Book Value$3,219,352EOYBookValueAmt
EOYFMV$5,345,576EOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp

FieldValueIRS element (for citing)
Category Or ItemINVESTMENTS - OTHERCategoryOrItemTxt
Listed At Cost Or FMVAT COSTListedAtCostOrFMVCd
Book Value$3,421,231BookValueAmt
EOYFMV$3,841,566EOYFMVAmt

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescPARTNERSHIP BOOK VALUE ADJUSTMENTSDesc
Amt$35,224Amt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
TAX PREP$2,620$0$2,620
FILING FEE$70$0$70

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmt
FEDERAL TAX REFUND$2,063$0
PARTNERSHIP RECEIPTS$8,617$344

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FEDERAL TAX ESTIMATES$2,000$0$0
FOREIGN TAXES W/H ON DIVIDEND$2,254$0