STRATEGY STUDIO / PUBLIC DATA EXPLORER

GOLDBERG & KAISER FAMILY FOUNDATION: Form 990PF, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
GOLDBERG & KAISER FAMILY FOUNDATION (EIN 47-5289272)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-05-15
IRS object ID
202101359349100610
Schema version
2020v4.1
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)
Return2021-05-15T08:58:59-05:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN042088368PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1GRAY GRAY & GRAY LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1150 ROYALL STREET SUITE 102AddressLine1Txt
CityCANTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02021ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN475289272EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GOLDBERG AND KAISER FAMILY FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlGOLDBusinessNameControlTxt
Phone7814440989PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line177 GRIGGS ROADAddressLine1Txt
CityBROOKLINECityNm
State AbbreviationMAStateAbbreviationCd
ZIP02446ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMARK A GOLDBERGPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone7814440989PhoneNum
Signature2021-05-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMARKPersonFirstNm
Person LastGOLDBERGPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonC JOSEPH CICCARELLOPreparerPersonNm
PTINP01202756PTIN
Phone7814070300PhoneNum
Preparation2021-05-13PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$5,838,065FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$2,214,000ContriRcvdRevAndExpnssAmt
Dividends Rev And Expnss$80,996DividendsRevAndExpnssAmt
Dividends Net Invst Incm$80,996DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$46,466NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$374,591GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$46,466CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$2,341,462TotalRevAndExpnssAmt
Total Net Invst Incm$127,462TotalNetInvstIncmAmt
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$2,100AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$2,100AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$0AccountingFeesChrtblPrpsAmt
Taxes Rev And Expnss$3,765TaxesRevAndExpnssAmt
Taxes Net Invst Incm$1,370TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$11,273OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$11,273OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$0OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$17,138TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$14,743TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$204,076ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$204,076ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$221,214TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$14,743TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$204,076TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$2,120,248ExcessRevenueOverExpensesAmt
Net Investment Income$112,719NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$47,276SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$208,805SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$208,805SavAndTempCashInvstEOYFMVAmt
Corporate Stock BOY$255,887CorporateStockBOYAmt
Corporate Stock EOY$2,269,886CorporateStockEOYAmt
Corporate Stock EOYFMV$2,801,947CorporateStockEOYFMVAmt
Corporate Bonds BOY$393,605CorporateBondsBOYAmt
Corporate Bonds EOY$1,466,410CorporateBondsEOYAmt
Corporate Bonds EOYFMV$1,483,071CorporateBondsEOYFMVAmt
Other Investments BOY$2,241,667OtherInvestmentsBOYAmt
Other Investments EOY$1,113,803OtherInvestmentsEOYAmt
Other Investments EOYFMV$1,344,242OtherInvestmentsEOYFMVAmt
Total Assets BOY$2,938,435TotalAssetsBOYAmt
Total Assets EOY$5,058,904TotalAssetsEOYAmt
Total Assets EOYFMV$5,838,065TotalAssetsEOYFMVAmt
Other Liabilities BOY$2,935OtherLiabilitiesBOYAmt
Other Liabilities EOY$2,935OtherLiabilitiesEOYAmt
Total Liabilities BOY$2,935TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,935TotalLiabilitiesEOYAmt
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$2,935,500RetainedEarningBOYAmt
Retained Earning EOY$5,055,969RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$2,935,500TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$5,055,969TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$2,938,435TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$5,058,904TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$2,935,500TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$2,120,248ExcessRevenueOverExpensesAmt
Other Increases$221OtherIncreasesAmt
Subtotal$5,055,969SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$5,055,969TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (2 entries)

PropertyPropertyDescSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
CHARLES SCHWAB #38932020-12-31$241,661$260,286-$18,625-$18,625
CHARLES SCHWAB #38932020-12-31$132,930$67,839$65,091$65,091
FieldValueIRS element (for citing)
Capital Gain Net Income$46,466CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$1,567InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$1,567SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$1,567TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$2,000EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$2,000TotalPaymentsAndCreditsAmt
Form2220 AttachedYes (X)Form2220AttachedInd
Es Penalty$0EsPenaltyAmt
Overpayment$433OverpaymentAmt
Applied To ES Tax$433AppliedToESTaxAmt
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 Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksMARK A GOLDBERGIndividualWithBooksNm
Phone7814440989PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line177 GRIGGS ROADAddressLine1Txt
CityBROOKLINECityNm
State AbbreviationMAStateAbbreviationCd
ZIP02446ZIPCd
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 (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
MARK A GOLDBERG
77 GRIGGS ROADBROOKLINEMA02446TRUSTEE0.50$0$0$0
URSULA B KAISER
77 GRIGGS ROADBROOKLINEMA02446TRUSTEE0.50$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$3,134,778AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$313,960AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$3,448,738TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$3,448,738AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$51,731CashDeemedCharitableAmt
Net Vl Noncharitable Assets$3,397,007NetVlNoncharitableAssetsAmt
Minimum Investment Return$169,850MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$169,850MinimumInvestmentReturnAmt
Tax Based On Investment Income$1,567TaxBasedOnInvestmentIncomeAmt
Total Tax$1,567TotalTaxAmt
Distributable Before Adj$168,283DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$168,283DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$168,283DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$204,076ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$204,076QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$204,076AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$168,283DistributableAsAdjustedAmt
Undistributed Income PY$159,623UndistributedIncomePYAmt
Prior Year12018PriorYear1Yr
Total For Prior Years$3,155TotalForPriorYearsAmt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$204,076QualifyingDistributionsAmt
Applied To Year1$159,623AppliedToYear1Amt
Applied To Prior Years$3,155AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$41,298AppliedToCurrentYearAmt
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$126,985UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt

Supplementary Information SupplementaryInformationGrp

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonMARK A GOLDBERGRecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line177 GRIGGS ROADAddressLine1Txt
CityBROOKLINECityNm
State AbbreviationMAStateAbbreviationCd
ZIP02446ZIPCd
FieldValueIRS element (for citing)
Recipient Phone7814440989RecipientPhoneNum
Recipient Email AddressMARK.GOLDBERG41@GMAIL.COMRecipientEmailAddressTxt
Form And Info And MaterialsAPPLICATION SHOULD BE SUBMITTED IN WRITING, STATING AMOUNT REQUESTED AND PURPOSEFormAndInfoAndMaterialsTxt
Submission DeadlinesNONESubmissionDeadlinesTxt
Restrictions On AwardsNONERestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (24 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ALZHEIMERS ASSOC
225 N MICHIGAN AVECHICAGOIL60601NONEPUBLIC CHARITYFURTHER TAX EXEMPT PURPOSE$500
AMERICAN CANCER SOCIETY
250 WILLIAMS STREET NWATLANTAGA30303NONEPUBLIC CHARITYFURTHER TAX EXEMPT PURPOSE$96,974
AMERICAN LEGION
700 N PENNSYLVANIA STREETINDIAPOLISIN46206NONEPUBLIC CHARITYFURTHER TAX EXEMPT PURPOSE$50
AMERICAN RED CROSS
101 STATION LANDING SUITE 510MEDFORDMA02155NONEPUBLIC CHARITYFURTHER TAX EXEMPT PURPOSE$1,250
BRIGHAM AND WOMEN'S HOSPITAL
116 HUNTINGTON AVENUEBOSTONMA02116NONEPUBLIC CHARITYFURTHER TAX EXEMPT PURPOSE$45,000
DANA-FARBER CANCER INSTITUTE
450 BROOKLINE AVENUEBOSTONMA02215NONEPUBLIC CHARITYFURTHER TAX EXEMPT PURPOSE$1,500
HARVARD UNIVERSITY
401 PARK DRIVEBOSTONMA02215NONEPUBLIC CHARITYFURTHER TAX EXEMPT PURPOSE$2,850
MINUTEMAN ARC
35 FOREST RIDGE ROADCONCORDMA01742NONEPUBLIC CHARITYFURTHER TAX EXEMPT PURPOSE$100
NEEDHAM COMMUNITY COUNCIL
570 HILLSIDE AVENUENEEDHAMMA02494NONEPUBLIC CHARITYFURTHER TAX EXEMPT PURPOSE$30,000
NEEDHAM EDUCATION FOUNDATION
1330 HIGHLAND AVENEEDHAMMA02492NONEPUBLIC CHARITYFURTHER TAX EXEMPT PURPOSE$250
PARTNERS IN HEALTH
800 BOYSTON STREETBOSTONMA02199NONEPUBLIC CHARITYFURTHER TAX EXEMPT PURPOSE$1,000
PINE STREET INN
444 HARRISON AVENUEBOSTONMA02118NONEPUBLIC CHARITYFURTHER TAX EXEMPT PURPOSE$2,000
ROSIE'S PLACE
889N HARRISON AVEBOSTONMA02118NONEPUBLIC CHARITYFURTHER TAX EXEMPT PURPOSE$1,000
WGBH
1 GUEST STREETBOSTONMA02135NONEPUBLIC CHARITYFURTHER TAX EXEMPT PURPOSE$100
WIKIMEDIA FOUNDATION
PO BOX 98204WASHINGTON DCDC20090NONEPUBLIC CHARITYFURTHER TAX EXEMPT PURPOSE$52
BOSTON CHILDREN'S HOSPITALBOSTON CHILDREN'S HOSPITALBOSTON CHILDREN'S H
300 LONGWOOD AVEBOSTONMA02115NONEPUBLIC CHARITYFURTHER TAX EXEMPT PURPOSE$100
NEEDHAM HIGH SCHOOL FRIEND AND MUSIC
609 WEBSTER STNEEDHAMMA02494NONEPUBLIC CHARITYFURTHER TAX EXEMPT PURPOSE$200
ASH FOUNDATION RUNWALK
11208 WAPLES MILL ROAD SUITE 112FAIRFAXVA22030NONEPUBLIC CHARITYFURTHER TAX EXEMPT PURPOSE$100
YALE NEW HEVAN HOSPITAL
20 YORK STNEW HEAVANCT06510NONEPUBLIC CHARITYFURTHER TAX EXEMPT PURPOSE$100
TOUCHDOWN CLUB OF NEEDHAM INC
935 GREAT PLAIN AVENUE 201NEEDHAMMA02492NONEPUBLIC CHARITYFURTHER TAX EXEMPT PURPOSE$100
DIE JIM CROW
636 KOSCIUSZKO STBROOKLYNNY11221NONEPUBLIC CHARITYFURTHER TAX EXEMPT PURPOSE$100
SYLVESTER COMPREHENSIVE CANCER CENTER
1475 NW 12TH AVEMIAMIFL33136NONEPUBLIC CHARIT1YFURTHER TAX EXEMPT PURPOSE$500
ASSOCIATES OF UNIVERSITY OF TORONTO
58 W 84TH APT 2FNEW YORKNY10024NONEPUBLIC CHARIT1YFURTHER TAX EXEMPT PURPOSE$20,000
NEEHAM STEPS UP
PO BOX 920245NEEDHAMMA02492NONEFURTHER TAX EXEMPT PURPOSE$250
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$204,076TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$80,996ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$46,466ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$127,462ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$127,462TotalIncomeProducingActyAmt

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

FieldValueIRS element (for citing)
Line Number8LineNumberTxt
Relationship StatementTHE AMOUNT ON PART XV, LINE 8, COLUMN E, IS INCOME EXCLUDED UNDER SECTION 512, 513, OR 514.RelationshipStatementTxt

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 ContributionsTotalContributionsAmtPerson ContributionPersonContributionIndNoncash ContributionNoncashContributionInd
MARK GOLDBERG
177 GRIGGS ROADBROOKLINEMA02446$200,000Yes (X)
MARK GOLDBERG
277 GRIGGS ROADBROOKLINEMA02446$2,014,000Yes (X)

Non Cash Property Contribution NonCashPropertyContributionGrp

FieldValueIRS element (for citing)
Contributor2ContributorNum
Noncash Property170,000 SHARES OF CANBRIDGE PHARMACEUTICALS STOCKNoncashPropertyDesc
Fair Market Value$2,014,000FairMarketValueAmt
Received2020-12-25ReceivedDt

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryTAX PREPARATION - GRAY, GRAY & GRAY, LLPCategoryTxt
Amt$2,100Amt
Net Investment Income$2,100NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Applied To Prior Year Election AppliedToPriorYearElection

FieldValueIRS element (for citing)
ElectionFOUNDATION ELECTS TO APPLY QUALIFYING DISTRIBUTIONS TO 2018 UNDISTRIBUTED INCOME OF $3,155.ElectionDesc

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp

FieldValueIRS element (for citing)
BondCHARLES SCHWAB INVESTMENTSBondNm
EOY Book Value$1,466,410EOYBookValueAmt
EOYFMV$1,483,071EOYFMVAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (2 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
CHARLES SCHWAB INVESTMENTS$255,886$787,947
CANBRIDGE PHARMACEUTICALS STOCK$2,014,000$2,014,000

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp

FieldValueIRS element (for citing)
Category Or ItemCHARLES SCHWAB INVESTMENTSCategoryOrItemTxt
Listed At Cost Or FMVAT COSTListedAtCostOrFMVCd
Book Value$1,113,803BookValueAmt
EOYFMV$1,344,242EOYFMVAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

FieldValueIRS element (for citing)
DescINVESTMENT FEEDesc
Revenue And Expenses Per Books$11,273RevenueAndExpensesPerBooksAmt
Net Investment Income$11,273NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescOTHER ADJUSTMENTDesc
Amt$221Amt

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail

FieldValueIRS element (for citing)
DescEXPENSES FOR REIMBURSEMENTDesc
BOY Book Value$2,935BOYBookValueAmt
EOY Book Value$2,935EOYBookValueAmt

Substantial Contributors Sch SubstantialContributorsSch

Substantial Contributor Detail SubstantialContributorDetail

FieldValueIRS element (for citing)
PersonMARK A GOLDBERGPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line177 GRIGGS ROADAddressLine1Txt
CityBROOKLINECityNm
State AbbreviationMAStateAbbreviationCd
ZIP02446ZIPCd

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (4 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FOREIGN TAX$1,300$1,300$0
MA DIVISION OF PUBLIC CHARITIES$70$70$0
IRS FORM 990-PF - 2021 ESTIMATE$2,000$0$0
IRS FORM 990-PF - 2019 TAX$395$0$0