STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

MAKE WAVES FAMILY FOUNDATION: Form 990PF, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
MAKE WAVES FAMILY FOUNDATION (EIN 26-0379241)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-10-26
IRS object ID
202312999349100901
Schema version
2022v5.0
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)
Return2023-10-26T11:48:21-05:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN010825608PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DAIGLE & ASSOCIATES LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1176 FEDERAL STREETAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02110ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN260379241EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MAKE WAVES FAMILY FOUNDATION INCBusinessNameLine1Txt
Business Name Line2C/O JDJ FAMILY OFFICE SOLUTIONSBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlROTHBusinessNameControlTxt
Phone6177652100PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 962049AddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02196ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKRISTYN J ROTHPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone6177652100PhoneNum
Signature2023-10-19SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstKRISTYNPersonFirstNm
Person LastROTHPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANDREW P RICEPreparerPersonNm
PTINP01848664PTIN
Phone6176193350PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$11,982,236FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$172,719ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$230InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$230InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$140,015DividendsRevAndExpnssAmt
Dividends Net Invst Incm$140,015DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$265,122NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$676,004GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$265,122CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$578,086TotalRevAndExpnssAmt
Total Net Invst Incm$405,367TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$47,432AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$47,432AccountingFeesChrtblPrpsAmt
Other Expenses Rev And Expnss$78,885OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$65,611OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$6,274OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$126,317TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$65,611TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$53,706TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$652,490ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$652,490ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$778,807TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$65,611TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$706,196TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$200,721ExcessRevenueOverExpensesAmt
Net Investment Income$339,756NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$227,980SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$288,727SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$288,727SavAndTempCashInvstEOYFMVAmt
Other Investments BOY$4,327,319OtherInvestmentsBOYAmt
Other Investments EOY$3,965,653OtherInvestmentsEOYAmt
Other Investments EOYFMV$11,693,509OtherInvestmentsEOYFMVAmt
Total Assets BOY$4,555,299TotalAssetsBOYAmt
Total Assets EOY$4,254,380TotalAssetsEOYAmt
Total Assets EOYFMV$11,982,236TotalAssetsEOYFMVAmt
Other Liabilities BOY$1,310OtherLiabilitiesBOYAmt
Other Liabilities EOY$1,310OtherLiabilitiesEOYAmt
Total Liabilities BOY$1,310TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,310TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$0CapitalStockBOYAmt
Capital Stock EOY$0CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$4,553,989RetainedEarningBOYAmt
Retained Earning EOY$4,253,070RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$4,553,989TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$4,253,070TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$4,555,299TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$4,254,380TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$4,553,989TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$200,721ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$4,353,268SubtotalAmt
Other Decreases$100,198OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$4,253,070TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp

FieldValueIRS element (for citing)
PropertyMORGAN STANLEY SMITH BARNEY HOLDINGS LLC - 5663PropertyDesc
How AcquiredPHowAcquiredCd
Gross Sales Price$676,004GrossSalesPriceAmt
Cost Or Other Basis$410,882CostOrOtherBasisAmt
Gain Or Loss$265,122GainOrLossAmt
Gains Minus Excess Or Losses$265,122GainsMinusExcessOrLossesAmt
FieldValueIRS element (for citing)
Capital Gain Net Income$265,122CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$4,723InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$4,723SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$4,723TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$5,136EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$5,000ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$10,136TotalPaymentsAndCreditsAmt
Form2220 AttachedYes (X)Form2220AttachedInd
Es Penalty$0EsPenaltyAmt
Overpayment$5,413OverpaymentAmt
Applied To ES Tax$5,413AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateMAOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial ContributorsYes (1)NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised FundYes (1)DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressWWW.MAKEWAVES.BLUEWebsiteAddressTxt
Individual With BooksHENRY M ROTHIndividualWithBooksNm
Phone5088303440PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1C/O JDJ FAMILY OFFICE PO BOX 962049AddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02196ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
KRISTYN J ROTH
C/O JDJ FAMILY OFFICE PO BOX 962049BOSTONMA02196PRESIDENT1.00$0$0$0
HENRY M ROTH
C/O JDJ FAMILY OFFICE PO BOX 962049BOSTONMA02196TREASURER, CLERK & DIRECTOR1.00$0$0$0
DONNA J ROTH
C/O JDJ FAMILY OFFICE PO BOX 962049BOSTONMA02196DIRECTOR1.00$0$0$0
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

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$13,429,254AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$736,912AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$14,166,166TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$14,166,166AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$212,492CashDeemedCharitableAmt
Net Vl Noncharitable Assets$13,953,674NetVlNoncharitableAssetsAmt
Minimum Investment Return$697,684MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$697,684MinimumInvestmentReturnAmt
Tax Based On Investment Income$4,723TaxBasedOnInvestmentIncomeAmt
Total Tax$4,723TotalTaxAmt
Distributable Before Adj$692,961DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$692,961DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$692,961DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$706,196ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$706,196QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$692,961DistributableAsAdjustedAmt
Undistributed Income PY$702,032UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$706,196QualifyingDistributionsAmt
Applied To Year1$702,032AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$4,164AppliedToCurrentYearAmt
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$688,797UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerKRISTYN J ROTHContributingManagerNm
Contributing ManagerHENRY M ROTHContributingManagerNm
Contributing ManagerDONNA J ROTHContributingManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (18 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line2RecipientUSAddress/AddressLine2Txt
MORGAN STANLEY GLOBAL IMPACT FUNDING TRUST INC
2000 WESTCHESTER AVEPURCHASENY10577NONEPUBLICGENERAL SUPPORT$352,000
FAIRFIELD COUNTY'S COMMUNITY FOUNDATION INC
40 RICHARDS AVENORWALKCT06854NONEPUBLICGENERAL SUPPORT$8,000
AUTISM SOCIETY OF AMERICA
6110 EXECUTIVE BOULEVARD SUITE 305ROCKVILLEMD20852NONEPUBLICGENERAL SUPPORT$10,158
ELS FOR AUTISM FOUNDATION
18370 LIMESTONE CREEK ROADJUPITERFL33458NONEPUBLICGENERAL SUPPORT$12,000
FIRST PLACE ARIZONA
3001 N 3RD STREETPHOENIXAZ85012NONEPUBLICGENERAL SUPPORT$200,000
AMIGOS OF COSTA RICA INC
PO BOX 748WEST CHESTERPA19381NONEPUBLICGENERAL SUPPORT$3,800
DUXBURY BEACH RESERVATION INC
PO BOX 2593DUXBURYMA02331NONEPUBLICGENERAL SUPPORT$1,029
AMERICARES FOUNDATION INC
88 HAMILTON AVENUESTAMFORDCT06902NONEPUBLICGENERAL SUPPORT$10,000
CITIZENS OF THE WORLD CHARTER SCHOOLS - LOS ANGELES
1316 N BRONSON AVELOS ANGELESCA90028NONEPUBLICGENERAL SUPPORT$213
GIVENGAIN FOUNDATION USA
251 LITTLE FALLS DRIVEWILMINGTONDE19808NONEPUBLICGENERAL SUPPORT$250
WORLD CENTRAL KITCHEN INCORPORATED
200 MASSACHUSETTS AVE NW 7TH FLOORWASHINGTONDC20001NONEPUBLICGENERAL SUPPORT$5,000
AUTISM SOCIETY INLAND EMPIRE INC
420 N MCKINLEY STREET SUITE 111-118CORONACA92879NONEPUBLICGENERAL SUPPORT$13,040
MASSACHUSETTS GENERAL HOSPITAL
275 CAMBRIDGE STREETBOSTONMA02114NONEPUBLICGENERAL SUPPORT$10,000
HEALTHCARE NEPAL INC
602 MOUNT ISRAEL ROADCENTER SANDWICHNH03227NONEPUBLICGENERAL SUPPORT$5,000
BEST BUDDIES INTERNATIONAL INC
100 SOUTHEAST SECOND STREET SUITEMIAMIFL33131NONEPUBLICGENERAL SUPPORT$5,0002200
CLEAN AIR TASK FORCE INC
114 STATE STREET 6TH FLOORBOSTONMA02109NONEPUBLICGENERAL SUPPORT$10,000
ARC OF GREATER PLYMOUTH INC
52 ARMSTRONG ROADPLYMOUTHMA023604807NONEPUBLICGENERAL SUPPORT$5,000
VERNON AVENUE PROJECT INC
8645 EDGERTON BLVDJAMAICANY11432NONEPUBLICGENERAL SUPPORT$2,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$652,490TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$230ExclusionAmt

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$140,015ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$265,122ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$405,367ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$405,367TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
General RuleYes (X)GeneralRuleInd

Contributor Information ContributorInformationGrp (2 entries)

ContributorContributorNumAddress Line1ContributorUSAddress/AddressLine1TxtCityContributorUSAddress/CityNmState AbbreviationContributorUSAddress/StateAbbreviationCdZIPContributorUSAddress/ZIPCdTotal ContributionsTotalContributionsAmtNoncash ContributionNoncashContributionInd
HENRY M AND DONNA J ROTH
1C/O JDJ FAMILY OFFICE PO BOX 962049BOSTONMA02196$149,029Yes (X)
BRUCE CRYSTAL
279 GOLF LANERIDGEFIELDCT06877$5,902Yes (X)

Non Cash Property Contribution NonCashPropertyContributionGrp (2 entries)

ContributorContributorNumNoncash PropertyNoncashPropertyDescFair Market ValueFairMarketValueAmtReceivedReceivedDt
1540 SHARES OF DANAHER CORPORATION STOCK.$149,0292022-12-14
260 SHARES OF CVS HEALTH CORP STOCK.$5,9022022-12-15

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryTAX & ACCOUNTING FEESCategoryTxt
Amt$47,432Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$47,432DisbursementsCharitablePrpsAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp

FieldValueIRS element (for citing)
Category Or ItemCORPORATE STOCK - MSSBCategoryOrItemTxt
Listed At Cost Or FMVAT COSTListedAtCostOrFMVCd
Book Value$3,965,653BookValueAmt
EOYFMV$11,693,509EOYFMVAmt

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescBOOK/TAX DIFFERENCES - BASIS DIFFERENCES TO REPORT STOCK AT TAX BASISDesc
Amt$100,198Amt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (5 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
BROKERAGE FEES$63,705$63,705$0
MA FILING FEES$269$0$269
FEDERAL TAXES$7,000$0$0
OTHER DEDUCTIONS$6,005$0$6,005
FOREIGN TAXES$1,906$1,906$0

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail

FieldValueIRS element (for citing)
DescDUE TO TRUSTEEDesc
BOY Book Value$1,310BOYBookValueAmt
EOY Book Value$1,310EOYBookValueAmt

Substantial Contributors Sch SubstantialContributorsSch

Substantial Contributor Detail SubstantialContributorDetail

FieldValueIRS element (for citing)
PersonHENRY DONNA ROTHPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1C/O JDJ FAMILY OFFICE PO BOX 96204AddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02196ZIPCd