STRATEGY STUDIO / PUBLIC DATA EXPLORER

BERGERON FAMILY FOUNDATIONS: Form 990PF, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
BERGERON FAMILY FOUNDATIONS (EIN 03-0370623)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-05-11
IRS object ID
202241319349100414
Schema version
2021v4.2
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)
Return2022-05-11T06:54:55-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Danaher Attig & Plante PLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line141 Rye Cr PO Box 2166AddressLine1Txt
CityS BurlingtonCityNm
State AbbreviationVTStateAbbreviationCd
ZIP054072166ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN030370623EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Bergeron Family FoundationBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% JANE B GUYETTEInCareOfNm
Business Name ControlBERGBusinessNameControlTxt
Phone8028640034PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 4397AddressLine1Txt
CityBurlingtonCityNm
State AbbreviationVTStateAbbreviationCd
ZIP054064397ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJANE B GUYETTEPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone8028640034PhoneNum
Signature2022-05-06SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJANE BPersonFirstNm
Person LastGUYETTEPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCathy H AttigPreparerPersonNm
PTINP00641183PTIN
Phone8023830399PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$2,595,651FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$0ContriRcvdRevAndExpnssAmt
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$25,295DividendsRevAndExpnssAmt
Dividends Net Invst Incm$25,295DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$517,748NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$1,365,153GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$517,748CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$543,043TotalRevAndExpnssAmt
Total Net Invst Incm$543,043TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Accounting Fees Rev And Expnss$1,805AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$1,805AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$25,204OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$25,204OtherProfFeesNetInvstIncmAmt
Taxes Rev And Expnss$5,263TaxesRevAndExpnssAmt
Taxes Net Invst Incm$95TaxesNetInvstIncmAmt
Other Expenses Rev And Expnss$510OtherExpensesRevAndExpnssAmt
Tot Opr Expenses Rev And Expnss$32,782TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$25,299TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$1,805TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$213,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$213,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$245,782TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$25,299TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$214,805TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$297,261ExcessRevenueOverExpensesAmt
Net Investment Income$517,744NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$21,034CashBOYAmt
Cash EOY$551CashEOYAmt
Cash EOYFMV$551CashEOYFMVAmt
Sav And Temp Cash Invst BOY$116,011SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$142,285SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$142,285SavAndTempCashInvstEOYFMVAmt
Corporate Stock BOY$1,090,515CorporateStockBOYAmt
Corporate Stock EOY$1,266,191CorporateStockEOYAmt
Corporate Stock EOYFMV$1,719,537CorporateStockEOYFMVAmt
Corporate Bonds BOY$611,961CorporateBondsBOYAmt
Corporate Bonds EOY$727,755CorporateBondsEOYAmt
Corporate Bonds EOYFMV$733,278CorporateBondsEOYFMVAmt
Total Assets BOY$1,839,521TotalAssetsBOYAmt
Total Assets EOY$2,136,782TotalAssetsEOYAmt
Total Assets EOYFMV$2,595,651TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$1,839,521CapitalStockBOYAmt
Capital Stock EOY$2,136,782CapitalStockEOYAmt
Tot Net Ast Or Fund Balances BOY$1,839,521TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$2,136,782TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$1,839,521TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$2,136,782TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$1,839,521TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$297,261ExcessRevenueOverExpensesAmt
Subtotal$2,136,782SubtotalAmt
Tot Net Ast Or Fund Balances EOY$2,136,782TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (6 entries)

PropertyPropertyDescAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
TD BANK - 590152021-01-012021-12-31$408,140$315,338$93,233$92,802
TD BANK - 590152020-01-012021-12-31$859,295$522,406$336,967$336,889
TD BANK - 590152020-01-012021-12-31$86,074$10,170$75,904$75,904
CAPITAL GAIN DIVIDENDS$11,644P
CAPITAL GAIN DIVIDENDS$11,644P
CAPITAL GAIN DIVIDENDS$11,644P
FieldValueIRS element (for citing)
Capital Gain Net Income$517,748CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$7,197InvestmentIncomeExciseTaxAmt
Subtotal$7,197SubtotalAmt
Tax Based On Investment Income$7,197TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$3,360EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Total Payments And Credits$3,360TotalPaymentsAndCreditsAmt
Tax Due$3,837TaxDueAmt

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 StateVTOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenfalseForm990PFFiledWithAttyGenInd
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 Line1JANE B GUYETTEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8025972605PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 4397AddressLine1Txt
CityBURLINGTONCityNm
State AbbreviationVTStateAbbreviationCd
ZIP054064397ZIPCd
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 PrsnfalsePayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
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 (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmtAddress Line2USAddress/AddressLine2Txt
PAUL U BERGERON
PO Box 4397BurlingtonVT054064397TRUSTEE - AS REQUIRED0$0$0$0
JOHN J BERGERON
167 Old Schoolhouse RoadSouth BurlingtonVT05403TRUSTEE - AS REQUIRED0$0$0$0PO Box 4397
JANE B GUYETTE
79 Alexis DriveBurlingtonVT05408TRUSTEE - AS REQUIRED0$0$0$0PO Box 4397
JAY BERGERON
337 Great Plains AvenueNeedhamMA02492TRUSTEE - AS REQUIRED0$0$0$0PO Box 4397
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$2,381,281AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$139,940AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$2,521,221TotalFMVOfUnusedAssetsAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$2,521,221AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$37,818CashDeemedCharitableAmt
Net Vl Noncharitable Assets$2,483,403NetVlNoncharitableAssetsAmt
Minimum Investment Return$124,170MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$124,170MinimumInvestmentReturnAmt
Tax Based On Investment Income$7,197TaxBasedOnInvestmentIncomeAmt
Total Tax$7,197TotalTaxAmt
Distributable Before Adj$116,973DistributableBeforeAdjAmt
Distributable Before Ded$116,973DistributableBeforeDedAmt
Distributable As Adjusted$116,973DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$214,805ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$214,805QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$116,973DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Prior Year12019PriorYear1Yr
Prior Year22018PriorYear2Yr
Prior Year32017PriorYear3Yr
Excess Distribution Cyov Yr2$0ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$33,859ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$33,859TotalExcessDistributionCyovAmt
Qualifying Distributions$214,805QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Current Year$116,973AppliedToCurrentYearAmt
Remaining Distri From Corpus$97,832RemainingDistriFromCorpusAmt
Total Corpus$131,691TotalCorpusAmt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Excess Distri Cyov To Next Yr$131,691ExcessDistriCyovToNextYrAmt
Excess From Year2$0ExcessFromYear2Amt
Excess From Year1$33,859ExcessFromYear1Amt
Excess From Current Year$97,832ExcessFromCurrentYearAmt
FieldValueIRS element (for citing)
Private Operating FoundationsPrivateOperatingFoundationsGrp

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerNONEContributingManagerNm

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonBERGERON FAMILY FOUNDATIONRecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 4397AddressLine1Txt
CityBURLINGTONCityNm
State AbbreviationVTStateAbbreviationCd
ZIP054064397ZIPCd
FieldValueIRS element (for citing)
Recipient Phone8025972605RecipientPhoneNum
Form And Info And MaterialsREQUESTS FOR GRANTS SHOULD BE MADE IN WRITINGFormAndInfoAndMaterialsTxt
Submission DeadlinesTHERE ARE NO DEADLINESSubmissionDeadlinesTxt
Restrictions On AwardsNONERestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (35 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ST ANNE'S SHRINE
92 ST ANNES ROADISLE LA MOTTEVT05463NO RELATIONSHIPPCGENERAL SUPPORT$3,500
ST SEBASTIAN'S
1191 GREENDALE AVENUENEEDHAMMA02492NO RELATIONSHIPPCGENERAL SUPPORT$4,500
LOYOLA UNIVERSITY
4501 N CHARLES STBALTIMOREMD21210NO RELATIONSHIPPCGENERAL SUPPORT$2,500
SAINT MICHAEL'S COLLEGE
ONE WINOOSKI PARKCOLCHESTERVT05439NO RELATIONSHIPPCGENERAL SUPPORT$100,000
BISHOP'S FUND
55 JOY DRIVESOUTH BURLINGTONVT05403NO RELATIONSHIPPCGENERAL SUPPORT$5,000
COMMITTEE ON TEMPORARY SHELTER
95 NORTH AVENUEBURLINGTONVT05401NO RELATIONSHIPPCGENERAL SUPPORT$5,000
RICE MEMORIAL HIGH SCHOOL
99 PROCTOR AVENUESOUTH BURLINGTONVT05403NO RELATIONSHIPPCGENERAL SUPPORT$5,000
UVM MEDICAL CENTER HOME HEALTHCARE ASSOC
1110 PRIM ROADCOLCHESTERVT05446NO RELATIONSHIPPCGENERAL SUPPORT$5,000
COMMUNITY COLLEGE OF VERMONT
1 ABENAKI WAYWINOOSKIVT05404NO RELATIONSHIPPCGENERAL SUPPORT$15,000
BOYS & GIRLS CLUB OF BURLINGTON
62 OAK STREETBURLINGTONVT05401NO RELATIONSHIPPCGENERAL SUPPORT$5,000
ALZHEIMER'S ASSOCIATION
300 CORNERSTONE DRWILLISTONVT05495NO RELATIONSHIPPCGENERAL SUPPORT$1,000
SPECTRUM YOUTH & FAMILY SERVICES
31 ELMWOOD AVENUEBURLINGTONVT05401NO RELATIONSHIPPCGENERAL SUPPORT$5,000
HOMESHARE VERMONT
412 FARRELL ST 300SOUTH BURLINGTONVT05403NO RELATIONSHIPPCGENERAL SUPPORT$1,500
CHITTENDEN EMERGENCY FOOD SHELF
228 N WINOOSKI AVEBURLINGTONVT05401NO RELATIONSHIPPCGENERAL SUPPORT$5,000
TURNING POINT CENTER
191 BANK STREET 2BURLINGTONVT05401NO RELATIONSHIPPCGENERAL SUPPORT$5,000
CHRIST THE KING SCHOOL
136 LOCUST STREETBURLINGTONVT05401NO RELATIONSHIPPCGENERAL SUPPORT$2,500
CHRIST THE KING PARISH
305 FLYNN AVENUEBURLINGTONVT05401NO RELATIONSHIPPCGENERAL SUPPORT$2,500
ST MARK CATHOLIC PARISH
1251 NORTH AVENUEBURLINGTONVT05408NO RELATIONSHIPPCGENERAL SUPPORT$15,000
MERCY CONNECTIONS
255 S CHAMPLAIN STBURLINGTONVT05401NO RELATIONSHIPPCGENERAL SUPPORT$2,500
SOUTH BURLINGTON LIBRARY
155 DORSET STREETSOUTH BURLINGTONVT05403NO RELATIONSHIPPCGENERAL SUPPORT$1,000
MAKE-A-WISH
6655 SHELBURNE ROAD STE 300SHELBURNEVT05482NO RELATIONSHIPPCGENERAL SUPPORT$1,000
PARTNERS IN ADVENTURE
1394 ORCHARD ROADCHARLOTTEVT05445NO RELATIONSHIPPCGENERAL SUPPORT$1,500
YMCA CAMP BELKNAP
PO BOX 1546WOLFEBORONH03894NO RELATIONSHIPPCGENERAL SUPPORT$1,000
PATHWAY TO POSSIBLE
1301 CENTRE STREETNEWTON CENTREMA02459NO RELATIONSHIPPCGENERAL SUPPORT$1,000
WESTON METCO SCHOLARSHIP FUND
89 WELLESLEY STREETWESTONMA02493NO RELATIONSHIPPCGENERAL SUPPORT$1,000
HUNGER FREE VERMONT
38 EASTWOOD DRIVE SUITE 100SOUTH BURLINGTONVT05403NO RELATIONSHIPPCGENERAL SUPPORT$1,000
TURNING POINT CENTER OF CHITTENDEN COUNTY
179 SOUTH WINOOSKI AVENUE SUITE 30BURLINGTONVT05401NO RELATIONSHIPPCGENERAL SUPPORT$1,000
MICHAEL J FOX FOUNDATION
PO BOX 5014HAGERSTOWNMD217415014NO RELATIONSHIPPCGENERAL SUPPORT$1,000
OPERATION UNDERGROUND RAILROAD
PO BOX 560902DENVERCO80256NO RELATIONSHIPPCGENERAL SUPPORT$4,000
ST JUDE CHILDREN'S RESEARCH HOSPITAL
501 ST JUDE PLACEMEMPHISTN881051942NO RELATIONSHIPPCGENERAL SUPPORT$3,000
FAMILIES IN TRANSITION
122 MARKET STREETMANCHESTERNH03101NO RELATIONSHIPPCGENERAL SUPPORT$3,000
HOWARD MENTAL HEALTH
208 FLYNN AVENUE STE 3JBURLINGTONVT05401NO RELATIONSHIPPCGENERAL SUPPORT$1,000
PENACOOK COMMUNITY CENTER
71 COMMUNITY DRIVEPENACOOKNH03303NO RELATIONSHIPPCGENERAL SUPPORT$1,000
YMCA CAMP ABNAKI
1252 ABNAKI ROADNORTH HEROVT05474NO RELATIONSHIPPCGENERAL SUPPORT$500
KIDS ON THE BALL
19 LINDENWOOD DRIVESOUTH BURLINGTONVT05403NO RELATIONSHPPCGENERAL SUPPORT$500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$213,000TotalGrantOrContriPdDurYrAmt

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$25,295ExclusionAmt
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$517,748ExclusionAmt
FieldValueIRS element (for citing)
Net Income Loss From Special EvtNetIncomeLossFromSpecialEvtGrp
Gross Profit Loss Sls Of InvntryGrossProfitLossSlsOfInvntryGrp

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$543,043ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$543,043TotalIncomeProducingActyAmt

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 FEESCategoryTxt
Amt$1,805Amt
Disbursements Charitable Prps$1,805DisbursementsCharitablePrpsAmt

Depreciation Schedule DepreciationSchedule

Expln Of Non Filing With AG Stmt ExplnOfNonFilingWithAGStmt

FieldValueIRS element (for citing)
ExplanationNO FILING REQUIREDExplanationTxt

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp (2 entries)

BondBondNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
CORPORATE BONDS -$727,755$733,278
SEE ATTACHED SCHEDULE

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (2 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
CORPORATE STOCK AND MUTUAL FDS$1,266,191$1,719,537
SEE ATTACHED SCHEDULE

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt
BANK SERVICE CHARGE$170
ANNUAL MEETING EXPENSE$340

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryASSET MANAGEMENT FEESCategoryTxt
Amt$25,204Amt
Net Investment Income$25,204NetInvestmentIncomeAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmt
FEDERAL ESTIMATED PAYMENTS$5,168
FOREIGN TAXES$95$95