STRATEGY STUDIO / PUBLIC DATA EXPLORER

SOMERVILLE HEALTH FOUNDATION INC: Form 990PF, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
SOMERVILLE HEALTH FOUNDATION INC (EIN 04-3382001)
Tax period
2020-07-01 to 2021-06-30
Filed
2021-11-08
IRS object ID
202103129349101505
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)
Return2021-11-08T12:00:22-06:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN941687665PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BANK OF AMERICA NABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 1802AddressLine1Txt
CityPROVIDENCECityNm
State AbbreviationRIStateAbbreviationCd
ZIP029011802ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN043382001EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SOMERVILLE HEALTH FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSOMEBusinessNameControlTxt
Phone8888663275PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 1802AddressLine1Txt
CityPROVIDENCECityNm
State AbbreviationRIStateAbbreviationCd
ZIP029011802ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDOUG KRESSPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone8888663275PhoneNum
Signature2021-07-22SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKAREN J KISERPreparerPersonNm
PTINP00146417PTIN
Phone8888663275PhoneNum
Preparation2021-07-22PreparationDt

Additional Filer Information AdditionalFilerInformation

FieldValueIRS element (for citing)
Trusted CustomerTrustedCustomerGrp
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$719,532FMVAssetsEOYAmt

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Dividends Rev And Expnss$13,761DividendsRevAndExpnssAmt
Dividends Net Invst Incm$13,761DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$20,092NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$99,712GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$20,092CapGainNetIncmNetInvstIncmAmt
Net ST Capital Gain Adj Net Incm$0NetSTCapitalGainAdjNetIncmAmt
Other Income Rev And Expnss$363OtherIncomeRevAndExpnssAmt
Total Rev And Expnss$34,216TotalRevAndExpnssAmt
Total Net Invst Incm$33,853TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$7,585CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$4,551CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$3,034CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Net Invst Incm$0OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Adj Net Incm$0OthEmplSlrsWgsAdjNetIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$0OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Net Invst Incm$0PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Adj Net Incm$0PensionEmplBnftAdjNetIncmAmt
Legal Fees Dsbrs Chrtbl$0LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$1,250AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$750AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$500AccountingFeesChrtblPrpsAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Interest Dsbrs Chrtbl$0InterestDsbrsChrtblAmt
Taxes Rev And Expnss$122TaxesRevAndExpnssAmt
Taxes Net Invst Incm$122TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$0DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$0DeprecAndDpltnNetInvstIncmAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Adj Net Incm$0TravConfMeetingAdjNetIncmAmt
Printing And Pub Net Invst Incm$0PrintingAndPubNetInvstIncmAmt
Printing And Pub Adj Net Incm$0PrintingAndPubAdjNetIncmAmt
Other Expenses Rev And Expnss$35OtherExpensesRevAndExpnssAmt
Other Expenses Dsbrs Chrtbl$35OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$8,992TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$5,423TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$3,569TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$27,500ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$27,500ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$36,492TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$5,423TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$31,069TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$2,276ExcessRevenueOverExpensesAmt
Net Investment Income$28,430NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$22,113SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$14,374SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$14,374SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl EOY$0AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$0AcctRcvblEOYFMVAmt
Other Rcvbl Allwnc Dbtfl Acct$0OtherRcvblAllwncDbtflAcctAmt
Corporate Stock BOY$570,056CorporateStockBOYAmt
Corporate Stock EOY$575,515CorporateStockEOYAmt
Corporate Stock EOYFMV$705,158CorporateStockEOYFMVAmt
Other Investments EOYFMV$0OtherInvestmentsEOYFMVAmt
Total Assets BOY$592,169TotalAssetsBOYAmt
Total Assets EOY$589,889TotalAssetsEOYAmt
Total Assets EOYFMV$719,532TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$592,169CapitalStockBOYAmt
Capital Stock EOY$589,889CapitalStockEOYAmt
Tot Net Ast Or Fund Balances BOY$592,169TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$589,889TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$592,169TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$589,889TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$592,169TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$2,276ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$589,893SubtotalAmt
Other Decreases$4OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$589,889TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (64 entries)

PropertyPropertyDescAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
3. ISHARES CORE TOT U S BD MKT ETF2016-09-152020-09-18$355$335$20$20
12. ISHARES CORE TOT U S BD MKT ETF2016-09-142020-09-18$1,419$1,448-$29-$29
76. ISHARES S&P SMALLCAP 600 INDEX FUND2018-09-212020-08-31$5,650$6,724-$1,074-$1,074
34. ISHARES S&P SMALLCAP 600 INDEX FUND2018-09-212020-09-18$2,453$3,008-$555-$555
9. ISHARES S&P SMALLCAP 600 INDEX FUND2018-09-212020-12-31$828$796$32$32
21. ISHARES BROAD USD HIGH YIELD CORP BOND ETF2020-01-172020-09-18$833$870-$37-$37
432.613 JPMORGAN U S LARGE CAP CORE PLUS FUND CL R62018-09-212020-08-31$12,550$14,431-$1,881-$1,881
82.768 JPMORGAN U S LARGE CAP CORE PLUS FUND CL R62018-09-212020-09-18$2,265$2,761-$496-$496
182.375 JPMORGAN U S LARGE CAP CORE PLUS FUND CL R62018-09-212021-01-29$4,297$6,084-$1,787-$1,787
244.323 METRO WEST T/R BD CL I2018-09-212020-09-18$2,844$2,517$327$327
69.906 METRO WEST T/R BD CL I2018-09-212020-12-31$782$720$62$62
13. SPDR BLOOMBERG BARCLAYS 1-3 MONTH T-BILL ETF2020-03-202020-09-18$1,190$1,192-$2-$2
16. VANGUARD FTSE DEVELOPED MARKETS ETF2017-05-082020-09-18$674$593$81$81
9. VANGUARD FTSE DEVELOPED MARKETS ETF2017-05-082020-09-18$379$333$46$46
63. VANGUARD FTSE DEVELOPED MARKETS ETF2017-06-052020-09-18$2,653$2,649$4$4
25. VANGUARD FTSE DEVELOPED MARKETS ETF2017-06-052020-12-31$1,181$1,051$130$130
31. VANGUARD FTSE DEVELOPED MARKETS ETF2017-06-052021-01-29$1,451$1,303$148$148
25. VANGUARD TOTAL INTL BOND INDEX FUND ETF2018-09-212020-09-18$1,453$1,366$87$87
24. VANGUARD FTSE EMERGING MKTS ETF2017-05-082020-08-31$1,061$887$174$174
13. VANGUARD FTSE EMERGING MKTS ETF2017-05-082020-09-18$576$480$96$96
65. VANGUARD S&P 500 ETF2017-06-052020-08-31$20,920$14,572$6,348$6,348
18. VANGUARD S&P 500 ETF2017-06-052020-09-18$5,518$4,035$1,483$1,483
5. VANGUARD S&P 500 ETF2017-06-052020-12-31$1,713$1,121$592$592
14. VANGUARD S&P 500 ETF2017-06-052021-01-29$4,771$3,139$1,632$1,632
3. VANGUARD S&P 500 ETF2018-01-192021-01-29$1,022$771$251$251
7. VANGUARD S&P 500 ETF2018-09-212021-01-29$2,386$1,888$498$498
19. VANGUARD MID-CAP ETF2019-12-202020-08-31$3,422$2,967$455$455
1. VANGUARD MID-CAP ETF2019-12-202020-08-31$180$156$24$24
15. VANGUARD MID-CAP ETF2020-01-172020-08-31$2,702$2,754-$52-$52
24. VANGUARD MID-CAP ETF2020-01-172020-09-18$4,224$4,407-$183-$183
7. VANGUARD MID-CAP ETF2020-01-172020-12-31$1,447$1,285$162$162
14. VANGUARD MID-CAP ETF2020-01-172021-01-29$2,878$2,571$307$307
CAPITAL GAIN DIVIDENDS$11,374P
CAPITAL GAIN DIVIDENDS$11,374P
CAPITAL GAIN DIVIDENDS$11,374P
CAPITAL GAIN DIVIDENDS$11,374P
CAPITAL GAIN DIVIDENDS$11,374P
CAPITAL GAIN DIVIDENDS$11,374P
CAPITAL GAIN DIVIDENDS$11,374P
CAPITAL GAIN DIVIDENDS$11,374P
CAPITAL GAIN DIVIDENDS$11,374P
CAPITAL GAIN DIVIDENDS$11,374P
CAPITAL GAIN DIVIDENDS$11,374P
CAPITAL GAIN DIVIDENDS$11,374P
CAPITAL GAIN DIVIDENDS$11,374P
CAPITAL GAIN DIVIDENDS$11,374P
CAPITAL GAIN DIVIDENDS$11,374P
CAPITAL GAIN DIVIDENDS$11,374P
CAPITAL GAIN DIVIDENDS$11,374P
CAPITAL GAIN DIVIDENDS$11,374P
CAPITAL GAIN DIVIDENDS$11,374P
CAPITAL GAIN DIVIDENDS$11,374P
CAPITAL GAIN DIVIDENDS$11,374P
CAPITAL GAIN DIVIDENDS$11,374P
CAPITAL GAIN DIVIDENDS$11,374P
CAPITAL GAIN DIVIDENDS$11,374P
CAPITAL GAIN DIVIDENDS$11,374P
CAPITAL GAIN DIVIDENDS$11,374P
CAPITAL GAIN DIVIDENDS$11,374P
CAPITAL GAIN DIVIDENDS$11,374P
CAPITAL GAIN DIVIDENDS$11,374P
CAPITAL GAIN DIVIDENDS$11,374P
CAPITAL GAIN DIVIDENDS$11,374P
CAPITAL GAIN DIVIDENDS$11,374P
FieldValueIRS element (for citing)
Capital Gain Net Income$20,092CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$395InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$395SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$395TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$188EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Total Payments And Credits$188TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Tax Due$207TaxDueAmt
Applied To ES Tax$0AppliedToESTaxAmt
Refund$0RefundAmt

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 StateMAOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (true)Form990PFFiledWithAttyGenInd
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 Line1BANK OF AMERICA NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8888663275PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1802AddressLine1Txt
CityPROVIDENCECityNm
State AbbreviationRIStateAbbreviationCd
ZIP02901ZIPCd
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 PrsnYes (true)PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Acts Fail To Qlfy As ExceptionsfalseActsFailToQlfyAsExceptionsInd
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 (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
GERALD MCCUE
21 BROMFIELD RD APT 1SOMERVILLEMA02144PRESIDENT /CHAIR.1$0
KATHLEEN MCGILVRAY
17 GILMAN STSOMERVILLEMA02145TRUSTEE1$0
BANK OF AMERICA
1 FINANCIAL PLAZAPROVIDENCERI02903AGENT FOR TRUSTEE, INVEST MGT1$7,585
ROBINA BHASIN
32 N MADISON ST 2SOMERVILLEMA02143TRUSTEE/CLERK1$0
DOUG KRESS
50 EVERGREEN AVESOMERVILLEMA02143TRUSTEE/DIRECTOR1$0
ROB BUCHANAN
16 WESLEY PARKSOMERVILLEMA02143TRUSTEE/TREASURER1$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
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$633,066AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$22,401AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$655,467TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$655,467AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$9,832CashDeemedCharitableAmt
Net Vl Noncharitable Assets$645,635NetVlNoncharitableAssetsAmt
Minimum Investment Return$32,282MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$32,282MinimumInvestmentReturnAmt
Tax Based On Investment Income$395TaxBasedOnInvestmentIncomeAmt
Total Tax$395TotalTaxAmt
Distributable Before Adj$31,887DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$31,887DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$31,887DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$31,069ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$31,069QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$31,069AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$31,887DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$777ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$1,156ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$1,364ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$0ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$3,032ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$6,329TotalExcessDistributionCyovAmt
Qualifying Distributions$31,069QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$31,069AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$818ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$818ExcessDistributionCyovAppCYAmt
Total Corpus$5,511TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$5,511ExcessDistriCyovToNextYrAmt
Excess From Year4$1,115ExcessFromYear4Amt
Excess From Year3$1,364ExcessFromYear3Amt
Excess From Year2$0ExcessFromYear2Amt
Excess From Year1$3,032ExcessFromYear1Amt

Supplementary Information SupplementaryInformationGrp

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonSOMERVILLE COMMUNITY HEALTH AGENDARecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1230HIGHLAND AVERM102 ATTN ISABELAddressLine1Txt
CitySOMERVILLECityNm
State AbbreviationMAStateAbbreviationCd
ZIP02143ZIPCd
FieldValueIRS element (for citing)
Recipient Phone6175914433RecipientPhoneNum
Recipient Email Addressitorres@challiance.orgRecipientEmailAddressTxt
Form And Info And MaterialsWWW.CHALLIANCE.ORG/INTHECOMMUNITY/SOMERVILLEHEALTHAGENDA.ASPX SEE ATTACHED GUIDELINES FOR APPLICANTSFormAndInfoAndMaterialsTxt
Submission DeadlinesWWW.CHALLIANCE.ORG/INTHECOMMUNITY/SOMERVILLEHEALTHAGENDA.ASPX SEE GUIDELINES FOR APPLICANTSSubmissionDeadlinesTxt
Restrictions On AwardsWWW.CHALLIANCE.ORG/INTHECOMMUNITY/SOMERVILLEHEALTHAGENDA.ASPX SEE GUIDELINES FOR APPLICANTSRestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (7 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
BEAUTIFUL STUFF PROJECT
511 MEDFORD STSOMERVILLEMA02145N/APCUNRESTRICTED GENERAL$3,000
BREAKTHROUGH GREATER BOSTON
459 BROADWAYCAMBRIDGEMA02138N/APCUNRESTRICTED GENERAL$2,000
FORSYTH KIDS
245 FIRST STCAMBRIDGEMA02142N/APCUNRESTRICTED GENERAL$5,000
FRIENDS OF THE COMM GROWING CTR
22 VINAL AVESOMERVILLEMA02143N/APCUNRESTRICTED GENERAL$4,250
MYSTIC LEARNING CENTER
530 MYSTIC AVESOMERVILLEMA02145N/APCUNRESTRICTED GENERAL$5,000
NEIGHBORHOOD COUNSELING AND COMMUNITY
403 HIGHLAND AVE SUITE 202 RM 5SOMERVILLEMA02144N/APCUNRESTRICTED GENERAL$4,000
SOMERVILLE HOMELESS COALITION
1 DAVIS SQUARESOMERVILLEMA02144N/APCUNRESTRICTED GENERAL$4,250
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$27,500TotalGrantOrContriPdDurYrAmt

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

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$13,761ExclusionAmt
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 Incm Part VIIOtherInvestmentIncmPartVIIGrp

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$20,092ExclusionAmt
FieldValueIRS element (for citing)
Net Income Loss From Special EvtNetIncomeLossFromSpecialEvtGrp
Gross Profit Loss Sls Of InvntryGrossProfitLossSlsOfInvntryGrp

Other Revenue Described OtherRevenueDescribedGrp

FieldValueIRS element (for citing)
DescEXCISE TAX REFUNDDesc
Exclusion1ExclusionCd
Exclusion$363ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$34,216ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$34,216TotalIncomeProducingActyAmt
FieldValueIRS element (for citing)
Rln Of Acty To Accom Of Exmpt PrpsRlnOfActyToAccomOfExmptPrpsGrp

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 FEE - BOACategoryTxt
Amt$1,250Amt
Net Investment Income$750NetInvestmentIncomeAmt
Disbursements Charitable Prps$500DisbursementsCharitablePrpsAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (67 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
464287507 ISHARES CORE S&P MID
464287655 ISHARES RUSSELL 2000
921943858 VANGUARD FTSE DEVELO$75,902$93,200
922042858 VANGUARD FTSE EMERGI$30,052$34,215
00078H281 ASTON MONTAG & CALDW
269858304 EAGLE SM CAP GROWTH
277905642 EATON VANCE LARGE-CA
47803W406 JOHN HANCOCK FDS III
552983694 MFS VALUE FUND CL I
744336504 PRUDENTIAL GLOBAL RE
74441C808 PRUDENTIAL JENNISON
87234N302 TCW SELECT EQUITIES
92646A815 VICTORY SMALL CO OPP
19765N245 COLUMBIA DIVIDEND IN
19765N567 COLUMBIA SMALL CAP V
19765Y688 COLUMBIA SELECT LARG
55272P778 MFS RESEARCH BD FUND
64128K868 NEUBERGER BERMAN HIG
693390700 PIMCO TOTAL RETURN F
693390841 PIMCO HIGH YIELD FD
722005667 PIMCO COMMODITY REAL
008882532 INVESCO INTL GROWTH
38142Y401 GOLDMAN SACHS GROWTH
411511306 HARBOR INTERNATIONAL
47803T627 JOHN HANCOCK FDS III
4812A0573 JPMORGAN INTL VALUE
483438206 KALMAR POOLED INVT T
52106N889 LAZARD EMERGING MKTS
19765Y852 COLUMBIA EMERGING MA
55273E640 MFS EMERGING MKTS DE
592905509 METRO WEST T/R BD CL$63,317$65,311
693390882 PIMCO FOREIGN BD US$
464288588 ISHARES MBS ETF
78464A474 SPDR BARCLAYS SHORT
057071813 BAIRD MIDCAP FUND IN
76628R615 RIDGEWORTH MID CAP V
89154Q737 TOUCHSTONE SMALL CAP
904504842 UNDISCOVERED MANAGER
22544R305 CREDIT SUISSE COMMOD
233051200 DB X-TRACKERS MSCI E
464287200 ISHARES CORE S&P 500
92203J407 VANGUARD TOTAL INTL$31,592$32,433
922908553 VANGUARD REIT ETF
97717X701 WISDOMTREE EUROPE HE
413838608 OAKMARK SELECT FUND
808090757 SCHRODER EMERGING MK
464287226 ISHARES CORE US AGGR$37,683$38,982
464287440 ISHARES 7-10 YEAR TR
464287499 ISHARES RUSSELL MID-
464288661 ISHARES 3-7 YR TREAS
92206C870 VANGUARD INTERMEDIAT
922908363 VANGUARD S&P 500 ETF$93,345$140,093
41665H847 HARTFORD MUT FDS II
543487110 NATIXIS LOOMIS SAYLE
55272P596 MFS MID CAP VALUE FU
94975P447 WELLS FARGO SPECIAL
464287101 ISHARES S&P 100 ETF
207019704 CONESTOGA SMALL CAP
412295107 HARDING LOEVNER FDS
413838723 OAKMARK INTL FUND IN
464287804 ISHARES CORE S&P SMA$55,698$81,346
78468R622 SPDR BLOOMBERG BARCL
4812A2389 JP MORGAN US LARGE C
46435U853 ISHARES BROAD USD HI$19,917$20,109
78468R663 SPDR BLOOMBERG BARCL$26,484$26,435
922908629 VANGUARD MID-CAP ETF$84,543$114,403
48129C603 JPMORGAN U S LARGE C$56,982$58,631

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescINCOME ADJUSTMENTDesc
Amt$4Amt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

FieldValueIRS element (for citing)
DescSTATE FILING FEEDesc
Revenue And Expenses Per Books$35RevenueAndExpensesPerBooksAmt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$35DisbursementsCharitablePrpsAmt

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescEXCISE TAX REFUNDDesc
Revenue And Expenses Per Books$363RevenueAndExpensesPerBooksAmt
Net Investment Income$0NetInvestmentIncomeAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FOREIGN TAXES ON QUALIFIED FOR$88$88$0
FOREIGN TAXES ON NONQUALIFIED$34$34$0