2022-03-08T23:57:19-06:00 2021-11-30 861065772 DELOITTE TAX LLP 200 BERKELEY STREET BOSTON MA 02116 990PF 2020-12-01 201990804 AMY SMITH AND JOHN G BERYLSON CHARITABLE FOUNDATION AMYS 6174821776 CO GOULSTON 400 ATLANTIC AVE BOSTON MA 021103333 JOHN G BERYLSON TRUSTEE 6174821776 2022-03-05 1 JOHN BERYLSON 999009999 P00118839 6174372000 2022-03-05 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z X 8947515 X 288460 5396 5396 54626 54626 585126 577210 585126 8063 8063 941671 653211 0 0 0 5145 2573 2572 34791 34791 0 459 424 35 40395 37788 2607 520750 520750 561145 37788 523357 380526 615423 390391 467275 467275 4200290 4200290 7352500 1033125 1048307 1127740 5623806 5715872 8947515 0 0 X 5623806 5715872 0 0 0 0 5623806 5715872 5623806 5715872 5623806 380526 0 6004332 288460 5715872 GOULSTON P 2021-07-15 2915 2915 2915 JP MORGAN A/C 9009 P 2021-04-30 574295 574295 574295 AVIVA INVESTORS MULTI STRATEGY TARGET RETURN P 2020-12-31 7916 7916 585126 8554 0 8554 0 8554 41738 0 0 0 41738 X 0 33184 33184 0 0 0 0 0 0 0 0 0 0 0 1 1 MA 1 0 0 0 0 1 N/A JOHN BERYLSON 6174821776 C/O GOULSTON 400 ATLANTIC AVE BOSTON MA 021103333 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 AMY SMITH BERYLSON C/O GOULSTON STORRS 400 ATLANTIC AVE BOSTON MA 02110 TRUSTEE 1.00 0 0 0 JOHN G BERYLSON C/O GOULSTON STORRS 400 ATLANTIC AVE BOSTON MA 02110 TRUSTEE 1.00 0 0 0 JAMES BERYLSON C/O GOULSTON STORRS 400 ATLANTIC AVE BOSTON MA 02110 TRUSTEE 1.00 0 0 0 JENNIFER BLOCK C/O GOULSTON STORRS 400 ATLANTIC AVE BOSTON MA 02110 TRUSTEE 1.00 0 0 0 ELIZABETH KATZ C/O GOULSTON STORRS 400 ATLANTIC AVE BOSTON MA 02110 TRUSTEE 1.00 0 0 0 NONE 0 NONE 0 0 8504674 487061 0 8991735 0 0 8991735 134876 8856859 442843 442843 8554 8554 434289 0 434289 0 434289 523357 0 523357 0 523357 434289 0 0 1218902 1600355 9924 349533 128859 3307573 523357 0 0 0 434289 89068 0 0 3396641 0 0 0 0 0 0 1218902 2177739 1600355 9924 349533 128859 89068 AMY SMITH BERYLSON JOHN G BERYLSON X AMY SMITH AND JOHN G BERYLSON CHARI C/O GOULSTON STORRS 400 ATLANTIC AVE BOSTON MA 021103333 6174821776 WRITTEN FORM INDICATING AMOUNTS REQUESTED AND PROJECTED USE. NONE CHARITABLE PURPOSES UNDER I.R.C. SECTION 501(C)(3) APPLE ORCHARD SCHOOL 282 D NEWTON STREET BROOKLINE MA 02445 NONE PC EDUCATION 2500 BROWN UNIVERSITY FOOTBALL ASSOCIATION 235 HOPE ST BOX 1932 PROVIDENCE RI 02912 NONE PC EDUCATION 12500 DANA FARBER CANCER INSTITUTE 450 BROOKLINE AVE BOSTON MA 02215 NONE PC MEDICAL 5000 HARVARD BUSINESS SCHOOL HARVARD BUSINESS SCHOOL BOSTON MA 02163 NONE PC EDUCATION 55000 HARVARD UNIVERSITY MASSACHUSETTS HALL CAMBRIDGE MA 02138 NONE PC EDUCATION 120000 HARVARD VARSITY CLUB 65 N HARVARD ST BOSTON MA 02163 NONE PC PUBLIC WELFARE 5000 MEADOWBROOK SCHOOL 10 FARM RD WESTON MA 02493 NONE PC EDUCATION 7500 MILTON ACADEMY 170 CENTRE STREET MILTON MA 02186 NONE PC EDUCATION 267500 PAN MASS CHALLENGE 77 4TH AVE NEEDHAM MA 02494 NONE PC PUBLIC WELFARE 10000 PARK SCHOOL 171 GODDARD AVENUE BROOKLINE MA 02445 NONE PC EDUCATION 12500 TEMPLE ISRAEL 477 LONGWOOD AVE BOSTON MA 02215 NONE PC PUBLIC WELFARE 4750 THE ANDY BOVIN MEMORIAL FUND 36 UPPER OVERLOOK RD SUMMIT NJ 07901 NONE PC PUBLIC WELFARE 1000 UNIVERSITY OF PENNSYLVANIA LAW SCHOOL 3501 SANSOM ST PHILADELPHIA PA 19104 NONE PC EDUCATION 12500 WILLIAMSTOWN RURAL LANDS FOUNDATION 671 COLD SPRING RD WILLIAMSTOWN MA 01267 NONE PC PUBLIC WELFARE 5000 520750 0 14 5396 14 54626 14 8063 18 585126 0 653211 0 653211 0 0 0 0 0 0 0 0 0 0 X X 1 AMY SMITH AND JOHN G BERYLSON 38 HIGHGATE RD WELLESLEY MA 02481 288460 X 1 1000 SHS FLEETCOR TECHNOLOGIES INC COM 288460 2021-04-14 DELOITTE FEES 5145 2573 2572 GOULSTON 4200290 6938240 GOLDMAN 0 207130 JP MORGAN 0 207130 AVIVA INVESTORS MUTI-STRATEGY TARGET RETURN AT COST 1048307 1127740 ADJUSTMENT FOR CONTRIBUTED STOCK 288460 OTHER INCOME 8063 8063 8063 GOULSTON & STORRS 7341 7341 0 CAMBRIDGE ASSOCIATES 15519 15519 0 AVIVA INVESTORS MUTI-STRATEGY TARGET RETURN 11931 11931 0 MA FILING FEE 35 0 35 FOREIGN TAXES - AVIVA INVESTORS MUTI-STRATEGY TARGET RETURN 424 424 0