LEVI S COBB TR UA FBO BRIDGEPORT HOSPITAL 124 1343664010: Form 990PF, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- LEVI S COBB TR UA FBO BRIDGEPORT HOSPITAL 124 1343664010 (EIN 04-6950238)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-04-15
- IRS object ID
- 202101059349101605
- Schema version
- 2020v4.0
- 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
- Form 990-PF
- Accounting Fees Schedule
- General Explanation Attachment
- Investments Corp Stock Schedule
- Other Decreases Schedule
- Other Expenses Schedule
- Other Increases Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-04-15T11:00:37-05:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 046950238 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COBB L S UA FBO BRIDGEPORT HOSP | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COBB | BusinessNameControlTxt |
| Phone | 8888663275 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 1802 | AddressLine1Txt |
| City | PROVIDENCE | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 029011802 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BANK OF AMERICA N A | PersonNm |
| Person Title | MANAGING DIR | PersonTitleTxt |
| Phone | 8888663275 | PhoneNum |
| Signature | 2021-04-15 | SignatureDt |
Additional Filer Information AdditionalFilerInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | TrustedCustomerGrp |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization4947a1 Trtd PF | Yes (X) | Organization4947a1TrtdPFInd |
| FMV Assets EOY | $1,389,146 | FMVAssetsEOYAmt |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Dividends Rev And Expnss | $20,514 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $20,149 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $62,231 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $320,401 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $62,231 | CapGainNetIncmNetInvstIncmAmt |
| Net ST Capital Gain Adj Net Incm | $0 | NetSTCapitalGainAdjNetIncmAmt |
| Total Rev And Expnss | $82,745 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $82,380 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $16,730 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $10,038 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $6,692 | CompOfcrDirTrstDsbrsChrtblAmt |
| Oth Empl Slrs Wgs Net Invst Incm | $0 | OthEmplSlrsWgsNetInvstIncmAmt |
| Oth Empl Slrs Wgs Adj Net Incm | $0 | OthEmplSlrsWgsAdjNetIncmAmt |
| Oth Empl Slrs Wgs Dsbrs Chrtbl | $0 | OthEmplSlrsWgsDsbrsChrtblAmt |
| Pension Empl Bnft Net Invst Incm | $0 | PensionEmplBnftNetInvstIncmAmt |
| Pension Empl Bnft Adj Net Incm | $0 | PensionEmplBnftAdjNetIncmAmt |
| Legal Fees Dsbrs Chrtbl | $0 | LegalFeesDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $1,250 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $750 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Adj Net Incm | $0 | AccountingFeesAdjNetIncmAmt |
| Accounting Fees Chrtbl Prps | $500 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Dsbrs Chrtbl | $0 | OtherProfFeesDsbrsChrtblAmt |
| Interest Dsbrs Chrtbl | $0 | InterestDsbrsChrtblAmt |
| Taxes Rev And Expnss | $1,199 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $553 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Deprec And Dpltn Rev And Expnss | $0 | DeprecAndDpltnRevAndExpnssAmt |
| Deprec And Dpltn Net Invst Incm | $0 | DeprecAndDpltnNetInvstIncmAmt |
| Trav Conf Meeting Net Invst Incm | $0 | TravConfMeetingNetInvstIncmAmt |
| Trav Conf Meeting Adj Net Incm | $0 | TravConfMeetingAdjNetIncmAmt |
| Printing And Pub Net Invst Incm | $0 | PrintingAndPubNetInvstIncmAmt |
| Printing And Pub Adj Net Incm | $0 | PrintingAndPubAdjNetIncmAmt |
| Other Expenses Rev And Expnss | $440 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $440 | OtherExpensesNetInvstIncmAmt |
| Tot Opr Expenses Rev And Expnss | $19,619 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $11,781 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $0 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $7,192 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $56,407 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $56,407 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $76,026 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $11,781 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $0 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $63,599 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $6,719 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $70,599 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $60,182 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $9,309 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $9,309 | SavAndTempCashInvstEOYFMVAmt |
| Acct Rcvbl EOY | $0 | AcctRcvblEOYAmt |
| Acct Rcvbl EOYFMV | $0 | AcctRcvblEOYFMVAmt |
| Other Rcvbl Allwnc Dbtfl Acct | $0 | OtherRcvblAllwncDbtflAcctAmt |
| Corporate Stock BOY | $1,044,973 | CorporateStockBOYAmt |
| Corporate Stock EOY | $1,102,370 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $1,379,837 | CorporateStockEOYFMVAmt |
| Other Investments EOYFMV | $0 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $1,105,155 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,111,679 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $1,389,146 | TotalAssetsEOYFMVAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Capital Stock BOY | $1,105,155 | CapitalStockBOYAmt |
| Capital Stock EOY | $1,111,679 | CapitalStockEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $1,105,155 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $1,111,679 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $1,105,155 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $1,111,679 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $1,105,155 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $6,719 | ExcessRevenueOverExpensesAmt |
| Other Increases | $80 | OtherIncreasesAmt |
| Subtotal | $1,111,954 | SubtotalAmt |
| Other Decreases | $275 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $1,111,679 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (58 entries)
| PropertyPropertyDesc | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt | How AcquiredHowAcquiredCd |
|---|---|---|---|---|---|---|---|
| 2056.795 AGGREGATE BOND CTF | 2020-01-17 | 2020-03-20 | $34,784 | $36,084 | -$1,300 | -$1,300 | |
| 26.782 AGGREGATE BOND CTF | 2020-01-17 | 2020-03-20 | $453 | $470 | -$17 | -$17 | |
| 85.626 EMERGING MARKETS STOCK COMMON TRUST FUND | 2018-03-31 | 2020-04-17 | $4,530 | $5,983 | -$1,453 | -$1,453 | |
| 28.161 EMERGING MARKETS STOCK COMMON TRUST FUND | 2018-03-31 | 2020-06-30 | $1,751 | $2,167 | -$416 | -$416 | |
| 60.179 EMERGING MARKETS STOCK COMMON TRUST FUND | 2018-03-31 | 2020-08-31 | $4,327 | $5,069 | -$742 | -$742 | |
| 121.374 MID CAP GROWTH CTF | 2019-02-08 | 2020-06-30 | $5,707 | $5,517 | $190 | $190 | |
| 111. ISHARES CORE TOT U S BD MKT ETF | 2016-02-18 | 2020-03-20 | $12,160 | $12,179 | -$19 | -$19 | |
| 232. ISHARES CORE TOT U S BD MKT ETF | 2019-02-08 | 2020-03-20 | $25,416 | $24,911 | $505 | $505 | |
| 36. ISHARES CORE S&P MID CAP ETF | 2018-03-29 | 2020-06-30 | $6,362 | $6,782 | -$420 | -$420 | |
| 250. ISHARES RUSSELL 2000 ETF | 2016-02-18 | 2020-01-17 | $42,213 | $25,039 | $17,174 | $17,174 | |
| 92.448 CLEARBRIDGE LARGE CAP GROWTH FUND CL I | 2020-01-21 | 2020-08-31 | $6,334 | $5,279 | $1,055 | $1,055 | |
| 71.921 CLEARBRIDGE LARGE CAP GROWTH FUND CL I | 2019-04-30 | 2020-08-31 | $4,927 | $3,821 | $1,106 | $1,106 | |
| 1367.242 PIMCO HIGH YIELD FD INSTL CL | 2018-03-29 | 2020-06-30 | $11,581 | $11,904 | -$323 | -$323 | |
| 921.773 PIMCO FOREIGN BD US$HD INSTL | 2019-02-08 | 2020-01-17 | $9,900 | $9,946 | -$46 | -$46 | |
| 177.26 PIMCO FOREIGN BD US$HD INSTL | 2019-02-08 | 2020-03-23 | $1,808 | $1,913 | -$105 | -$105 | |
| 228.509 PRINCIPAL MIDCAP BLEND FUND INSTL CL | 2020-01-21 | 2020-06-30 | $6,714 | $7,395 | -$681 | -$681 | |
| 51.235 ROWE T PRICE BLUE CHIP GROWTH FUND CL I | 2019-06-28 | 2020-08-31 | $8,345 | $5,956 | $2,389 | $2,389 | |
| 1.392 ROWE T PRICE BLUE CHIP GROWTH FUND CL I | 2019-04-30 | 2020-08-31 | $227 | $162 | $65 | $65 | |
| 106. SPDR BLOOMBERG BARCLAYS HIGH YIELD BOND ETF | 2019-02-08 | 2020-01-17 | $11,679 | $11,202 | $477 | $477 | |
| 216. VANGUARD FTSE DEVELOPED MARKETS ETF | 2020-01-17 | 2020-06-30 | $8,361 | $9,643 | -$1,282 | -$1,282 | |
| 190. VANGUARD TOTAL INTL BOND INDEX FUND ETF | 2019-02-08 | 2020-01-17 | $10,789 | $10,436 | $353 | $353 | |
| 39. VANGUARD TOTAL INTL BOND INDEX FUND ETF | 2019-02-08 | 2020-03-23 | $2,155 | $2,142 | $13 | $13 | |
| 133. VANGUARD FTSE EMERGING MKTS ETF | 2020-01-17 | 2020-04-17 | $4,728 | $6,095 | -$1,367 | -$1,367 | |
| 417. VANGUARD FTSE EMERGING MKTS ETF | 2016-02-18 | 2020-04-17 | $14,823 | $12,860 | $1,963 | $1,963 | |
| 96. VANGUARD FTSE EMERGING MKTS ETF | 2020-03-23 | 2020-04-17 | $3,412 | $2,958 | $454 | $454 | |
| 25. VANGUARD S&P 500 ETF | 2020-03-20 | 2020-06-30 | $7,035 | $5,274 | $1,761 | $1,761 | |
| 7. VANGUARD S&P 500 ETF | 2016-05-31 | 2020-06-30 | $1,970 | $1,344 | $626 | $626 | |
| 106. VANGUARD S&P 500 ETF | 2016-05-31 | 2020-08-31 | $34,144 | $20,355 | $13,789 | $13,789 | |
| 547.904 SMALL CAP CORE CTF | 2018-06-30 | 2020-01-17 | $5,935 | $5,754 | $181 | $181 | |
| CAPITAL GAIN DIVIDENDS | $4,251 | P | |||||
| CAPITAL GAIN DIVIDENDS | $4,251 | P | |||||
| CAPITAL GAIN DIVIDENDS | $4,251 | P | |||||
| CAPITAL GAIN DIVIDENDS | $4,251 | P | |||||
| CAPITAL GAIN DIVIDENDS | $4,251 | P | |||||
| CAPITAL GAIN DIVIDENDS | $4,251 | P | |||||
| CAPITAL GAIN DIVIDENDS | $4,251 | P | |||||
| CAPITAL GAIN DIVIDENDS | $4,251 | P | |||||
| CAPITAL GAIN DIVIDENDS | $4,251 | P | |||||
| CAPITAL GAIN DIVIDENDS | $4,251 | P | |||||
| CAPITAL GAIN DIVIDENDS | $4,251 | P | |||||
| CAPITAL GAIN DIVIDENDS | $4,251 | P | |||||
| CAPITAL GAIN DIVIDENDS | $4,251 | P | |||||
| CAPITAL GAIN DIVIDENDS | $4,251 | P | |||||
| CAPITAL GAIN DIVIDENDS | $4,251 | P | |||||
| CAPITAL GAIN DIVIDENDS | $4,251 | P | |||||
| CAPITAL GAIN DIVIDENDS | $4,251 | P | |||||
| CAPITAL GAIN DIVIDENDS | $4,251 | P | |||||
| CAPITAL GAIN DIVIDENDS | $4,251 | P | |||||
| CAPITAL GAIN DIVIDENDS | $4,251 | P | |||||
| CAPITAL GAIN DIVIDENDS | $4,251 | P | |||||
| CAPITAL GAIN DIVIDENDS | $4,251 | P | |||||
| CAPITAL GAIN DIVIDENDS | $4,251 | P | |||||
| CAPITAL GAIN DIVIDENDS | $4,251 | P | |||||
| CAPITAL GAIN DIVIDENDS | $4,251 | P | |||||
| CAPITAL GAIN DIVIDENDS | $4,251 | P | |||||
| CAPITAL GAIN DIVIDENDS | $4,251 | P | |||||
| CAPITAL GAIN DIVIDENDS | $4,251 | P | |||||
| CAPITAL GAIN DIVIDENDS | $4,251 | P |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $62,231 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $981 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $981 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $981 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $1,084 | EstimatedPlusOvpmtIncmTxAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Total Payments And Credits | $1,084 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Overpayment | $103 | OverpaymentAmt |
| Applied To ES Tax | $103 | AppliedToESTaxAmt |
| Refund | $0 | RefundAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | false | LegislativePoliticalActyInd |
| More Than100 Spent | false | MoreThan100SpentInd |
| Form1120 POL Filed | false | Form1120POLFiledInd |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | false | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (true) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Org Report Or Register State | CT | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (true) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | false | PrivateOperatingFoundationInd |
| New Substantial Contributors | false | NewSubstantialContributorsInd |
| Own Controlled Entity | false | OwnControlledEntityInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (true) | ComplyWithPublicInspRqrInd |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BANK OF AMERICA NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8888663275 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1802 | AddressLine1Txt |
| City | PROVIDENCE | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 029011802 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| NECT Filing In Lieu OF Form1041 | Yes (X) | NECTFilingInLieuOFForm1041Ind |
| Foreign Accounts Question | false | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | false | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | false | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | false | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | Yes (true) | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Acts Fail To Qlfy As Exceptions | false | ActsFailToQlfyAsExceptionsInd |
| Uncorrected Prior Acts | false | UncorrectedPriorActsInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| Business Holdings | false | BusinessHoldingsInd |
| Jeopardy Investments | false | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | false | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | false | InfluenceLegislationInd |
| Influence Election | false | InfluenceElectionInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Noncharitable Purpose | false | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BANK OF AMERICA N A | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 WESTMINSTER ST | AddressLine1Txt |
| City | PROVIDENCE | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02903 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Title | TRUSTEE | TitleTxt |
| Average Hrs Per Wk Devoted To Pos | 1 | AverageHrsPerWkDevotedToPosRt |
| Compensation | $16,730 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Other Employee Paid Over50k | 0 | OtherEmployeePaidOver50kCnt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Summary Of Direct Chrtbl Acty | SummaryOfDirectChrtblActyGrp | |
| Sum Of Program Related Invst | SumOfProgramRelatedInvstGrp |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $1,199,110 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $17,422 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $1,216,532 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $1,216,532 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $18,248 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $1,198,284 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $59,914 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $59,914 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $981 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $981 | TotalTaxAmt |
| Distributable Before Adj | $58,933 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $58,933 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $58,933 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $63,599 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Charitable Assets Acquis Paid | $0 | CharitableAssetsAcquisPaidAmt |
| Set Aside Suitability Test | $0 | SetAsideSuitabilityTestAmt |
| Set Aside Cash Distri Test | $0 | SetAsideCashDistriTestAmt |
| Qualifying Distributions | $63,599 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $63,599 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $58,933 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $12,877 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $0 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $0 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $0 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $0 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $0 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $0 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $63,599 | QualifyingDistributionsAmt |
| Applied To Year1 | $12,877 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $50,722 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $0 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $8,211 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $0 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $0 | ExcessFromYear4Amt |
| Excess From Year3 | $0 | ExcessFromYear3Amt |
| Excess From Year2 | $0 | ExcessFromYear2Amt |
| Excess From Year1 | $0 | ExcessFromYear1Amt |
| Excess From Current Year | $0 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRIDGEPORT HOSPITAL | BusinessNameLine1Txt |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 267 GRANT ST | AddressLine1Txt |
| City | BRIDGEPORT | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 066102805 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Relationship | N/A | RecipientRelationshipTxt |
| Recipient Foundation Status | PC | RecipientFoundationStatusTxt |
| Grant Or Contribution Purpose | UNRESTRICTED GENERAL | GrantOrContributionPurposeTxt |
| Amt | $56,407 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $56,407 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees Contracts From Govt Ag | FeesContractsFromGovtAgGrp | |
| Membership Dues And Assmnt | MembershipDuesAndAssmntGrp | |
| Int On Sav And Temp Cash Invst | IntOnSavAndTempCashInvstGrp |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $20,514 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Rntl Incm Re Debt Fincd Prop | NetRntlIncmReDebtFincdPropGrp | |
| Net Rntl Incm Re Not Debt Fincd Prop | NetRntlIncmReNotDebtFincdProp | |
| Net Rental Income Personal Prop | NetRentalIncomePersonalPropGrp | |
| Other Investment Incm Part VII | OtherInvestmentIncmPartVIIGrp |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $62,231 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Income Loss From Special Evt | NetIncomeLossFromSpecialEvtGrp | |
| Gross Profit Loss Sls Of Invntry | GrossProfitLossSlsOfInvntryGrp |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $82,745 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $82,745 | TotalIncomeProducingActyAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Rln Of Acty To Accom Of Exmpt Prps | RlnOfActyToAccomOfExmptPrpsGrp |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | false | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | false | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | false | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | false | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | false | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | false | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | false | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | false | RelationshipsNonchrtblEOInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | TAX PREPARATION FEE - BOA | CategoryTxt |
| Amt | $1,250 | Amt |
| Net Investment Income | $750 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $500 | DisbursementsCharitablePrpsAmt |
General Explanation Attachment GeneralExplanationAttachment
General Explanation GeneralExplanationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | FEDERAL FOOTNOTE | IdentifierTxt |
| Form And Line Reference | PART VIII LIST OF OFFICERS AND DIRECTORS | FormAndLineReferenceDesc |
| Medium Explanation | THE 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 (26 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| 921943858 VANGUARD FTSE DEVELO | $83,934 | $114,154 |
| 922042858 VANGUARD FTSE EMERGI | ||
| 464287226 ISHARES CORE US AGGR | $23,542 | $25,529 |
| 464287655 ISHARES RUSSELL 2000 | ||
| 922908363 VANGUARD S&P 500 ETF | $60,681 | $108,606 |
| 464287507 ISHARES CORE S&P MID | $46,621 | $61,824 |
| 74253Q747 PRINCIPAL MIDCAP BLE | $42,996 | $58,956 |
| 693390841 PIMCO HIGH YIELD FD | ||
| 202671913 AGGREGATE BOND CTF | $146,661 | $154,201 |
| 207543877 SMALL CAP GROWTH LEA | $36,261 | $42,476 |
| 29099J109 EMERGING MARKETS STO | $48,825 | $47,041 |
| 302993993 MID CAP VALUE CTF | $38,654 | $43,945 |
| 303995997 SMALL CAP VALUE CTF | $33,187 | $39,915 |
| 323991307 MID CAP GROWTH CTF | $37,418 | $45,682 |
| 45399C107 DIVIDEND INCOME COMM | $114,828 | $130,173 |
| 99Z466197 INTERNATIONAL FOCUSE | $102,058 | $117,491 |
| 99Z639934 LARGE CAP CORE CTF | $50,275 | $74,547 |
| 99Z639942 MID CAP CORE CTF | $41,010 | $61,200 |
| 99Z639959 SMALL CAP CORE CTF | $42,758 | $65,745 |
| 78468R622 SPDR BLOOMBERG BARCL | ||
| 92203J407 VANGUARD TOTAL INTL | $11,267 | $11,944 |
| 52469H784 CLEARBRIDGE LARGE CA | $41,573 | $56,868 |
| 77954Q403 ROWE T PRICE BLUE CH | $39,924 | $58,466 |
| 693390882 PIMCO FOREIGN BD US$ | $12,625 | $12,955 |
| 78468R663 SPDR BLOOMBERG BARCL | $35,470 | $35,418 |
| 74440Y884 PGIM HIGH YIELD FUND | $11,802 | $12,701 |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail (2 entries)
| DescDesc | AmtAmt |
|---|---|
| PARTNERSHIP SALES ADJUSTMENT | $18 |
| CTF ADJUSTMENT | $257 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| OTHER ALLOCABLE EXPENSE-PRINCI | $220 | $220 | $0 |
| OTHER ALLOCABLE EXPENSE-INCOME | $220 | $220 | $0 |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | TYE INCOME ADJUSTMENT | Desc |
| Amt | $80 | Amt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (4 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| FOREIGN TAXES | $367 | $367 | $0 |
| EXCISE TAX ESTIMATES | $646 | $0 | $0 |
| FOREIGN TAXES ON QUALIFIED FOR | $146 | $146 | $0 |
| FOREIGN TAXES ON NONQUALIFIED | $40 | $40 | $0 |