JOHN H AND BARBARA N BRECK CHARITABLE FOUNDATION: Form 990PF, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- JOHN H AND BARBARA N BRECK CHARITABLE FOUNDATION (EIN 22-3151304)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-04-27
- IRS object ID
- 202141179349101239
- 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
- Form 990-PF
- Accounting Fees Schedule
- All Oth Prog Rltd Investments Sch
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-04-27T14:37:22-05:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 043393793 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JM O'BRIEN & COMPANY PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1350 MAIN STREET - 15TH FL | AddressLine1Txt |
| City | SPRINGFIELD | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01103 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 223151304 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHN H BRECKJR AND BARBARA N BRECK | BusinessNameLine1Txt |
| Business Name Line2 | CHARITABLE FOUNDATION | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | JOHN | BusinessNameControlTxt |
| Phone | 4137338288 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | CO JOHN M OBRIEN 1350 MAIN STREE | AddressLine1Txt |
| City | SPRINGFIELD | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01103 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN M O'BRIEN III | PersonNm |
| Person Title | TRUSTEE | PersonTitleTxt |
| Phone | 4137338288 | PhoneNum |
| Signature | 2021-04-26 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JOHN | PersonFirstNm |
| Person Last | OBRIEN III | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOHN M O'BRIEN III CPA | PreparerPersonNm |
| PTIN | P00748085 | PTIN |
| Phone | 4137338288 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| 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) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $492,514 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Interest On Sav Rev And Expnss | $2 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $2 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $25,296 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $25,296 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $788 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $17,266 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $788 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $26,086 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $26,086 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $0 | CompOfcrDirTrstDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $3,150 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $0 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $0 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $935 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $0 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $0 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $591 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $0 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $4,676 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $0 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $33,000 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $33,000 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $37,676 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $0 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $33,000 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$11,590 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $26,086 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $42,217 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $27,604 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $27,604 | SavAndTempCashInvstEOYFMVAmt |
| Corporate Stock BOY | $197,681 | CorporateStockBOYAmt |
| Corporate Stock EOY | $200,704 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $424,823 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $39,820 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $39,820 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $40,087 | CorporateBondsEOYFMVAmt |
| Total Assets BOY | $279,718 | TotalAssetsBOYAmt |
| Total Assets EOY | $268,128 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $492,514 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Capital Stock BOY | $0 | CapitalStockBOYAmt |
| Capital Stock EOY | $0 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | $279,718 | RetainedEarningBOYAmt |
| Retained Earning EOY | $268,128 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $279,718 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $268,128 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $279,718 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $268,128 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $279,718 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$11,590 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $268,128 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $268,128 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (7 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|---|---|
| 35 SHARES COLGATE PALMOLIVE | P | 2020-05-21 | 2020-10-01 | $2,684 | $2,473 | $211 | $211 |
| 40 SHARES CONOPHILLIPS | P | 2019-11-25 | 2020-03-10 | $1,362 | $2,441 | -$1,079 | -$1,079 |
| 225 SHARES GENERAL ELECTRIC CO | P | 2020-02-20 | 2020-05-15 | $1,222 | $2,838 | -$1,616 | -$1,616 |
| 25 SHARES PEPSICO | P | 2014-02-25 | 2020-12-07 | $3,614 | $1,986 | $1,628 | $1,628 |
| 50 SHARES VERIZION COMMUNICATIONS | P | 2019-05-21 | 2020-07-09 | $2,691 | $2,980 | -$289 | -$289 |
| 25 SHS AMGEN | P | 2016-12-19 | 2020-12-14 | $5,644 | $3,760 | $1,884 | $1,884 |
| CAPITAL GAINS DIVIDENDS | P | $49 | $49 | $49 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $788 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $363 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $363 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $363 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $0 | EstimatedPlusOvpmtIncmTxAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $0 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Tax Due | $363 | TaxDueAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | 0 | LegislativePoliticalActyInd |
| More Than100 Spent | 0 | MoreThan100SpentInd |
| Form1120 POL Filed | 0 | Form1120POLFiledInd |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Tax Reimbursed | $0 | TaxReimbursedAmt |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (1) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | MA | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (1) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | 0 | PrivateOperatingFoundationInd |
| New Substantial Contributors | 0 | NewSubstantialContributorsInd |
| Own Controlled Entity | 0 | OwnControlledEntityInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (1) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
| Individual With Books | JOHN M O'BRIEN CPA | IndividualWithBooksNm |
| Phone | 4137338288 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1350 MAIN STREET 15TH FLOOR | AddressLine1Txt |
| City | SPRINGFIELD | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01103 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | 0 | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | 0 | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | 0 | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | 0 | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | 0 | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActsInd |
| Undistributed Income PY | 0 | UndistributedIncomePYInd |
| Business Holdings | 0 | BusinessHoldingsInd |
| Jeopardy Investments | 0 | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | 0 | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | 0 | InfluenceLegislationInd |
| Influence Election | 0 | InfluenceElectionInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Noncharitable Purpose | 0 | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| SUSAN B CARPENTER | ||||||||
| PO BOX 1876 | WHITEFISH | MT | 59937 | TRUSTEE | 0.00 | $0 | $0 | $0 |
| SANDRA B KELLEY | ||||||||
| 230 WHEELER ROAD | BOCA GRANDE | FL | 33921 | TRUSTEE | 0.00 | $0 | $0 | $0 |
| JOHN H BRECK III | ||||||||
| 7515 PELICAN BAY BLVD15D | NAPLES | FL | 34108 | TRUSTEE | 0.00 | $0 | $0 | $0 |
| JOHN M O'BRIEN III | ||||||||
| 1350 MAIN STREET | SPRINGFIELD | MA | 01103 | TRUSTEE | 0.00 | $0 | $0 | $0 |
| 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 |
Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | FOUNDATION WAS CREATED TO MAKE GRANTS AND CONTRIBUTIONS TO ORGANIZATIONS DESCRIBED IN IRC 170(C), 501(C)(3), 2055(A), AND 2522(A). THERE ARE NO OTHER ACTIVITIES. | Description1Txt |
| Expenses1 | $0 | Expenses1Amt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | NONE | Description1Txt |
| Expenses1 | $0 | Expenses1Amt |
| All Other Program Rltd Invst Tot | $0 | AllOtherProgramRltdInvstTotAmt |
| Total | $0 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $541,776 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $34,911 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $576,687 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $576,687 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $8,650 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $568,037 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $28,402 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $28,402 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $363 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $363 | TotalTaxAmt |
| Distributable Before Adj | $28,039 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $28,039 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $28,039 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $33,000 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $33,000 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $33,000 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $28,039 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $29,879 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr1 | $992 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $30,871 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $33,000 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $28,039 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $4,961 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $35,832 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $29,879 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $5,953 | ExcessDistriCyovToNextYrAmt |
| Excess From Year1 | $992 | ExcessFromYear1Amt |
| Excess From Current Year | $4,961 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (11 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| AMERICAN INTERNATIONAL COLLEGE | |||||||
| 1000 STATE STREET | SPRINGFIELD | MA | 01103 | NONE | PUBLIC CHARITY | PROVIDE EDUCATIONAL ASSISTANCE | $3,000 |
| BAYSTATE MEDICAL CENTER (CHILDREN'S MIRACLE NETWORK) | |||||||
| 759 CHESTNUT STREET | SPRINGFIELD | MA | 01199 | NONE | PUBLIC CHARITY | PROVIDE MEDICAL ASSISTANCE TO CHILDREN | $3,500 |
| INNER - CITY SCHOLARSHIP FUND | |||||||
| 260 FRANKLIN STREET SUITE 630 | BOSTON | MA | 02110 | NONE | PUBLIC CHARITY | PROVIDE SCHOLARSHIP TO NEEDY CHILDREN | $5,000 |
| M CONSTANCE BRECK MEMORIAL ENDOWED SCHOLARSHIP - SAINT ANSELM COLLEGE | |||||||
| 100 SAINT ANSELM DRIVE | MANCHESTER | NH | 03102 | NONE | PUBLIC CHARITY | PROVIDE ASSISTANCE TO STUDENTS | $2,500 |
| MERCY HOSPITAL INFANT CARE CENTER | |||||||
| 271 CAREW STREET | SPRINGFIELD | MA | 01104 | NONE | PUBLIC CHARITY | PROVIDE MEDICAL ASSISTANCE FOR INFANTS | $3,500 |
| RONALD MCDONALD HOUSE CHARITIES | |||||||
| 34 CHAPIN TERRACE | SPRINGFIELD | MA | 01107 | NONE | PUBLIC CHARITY | PROVIDE MEDICAL ASSISTANCE TO CHILDREN | $3,000 |
| SHRINERS HOSPITAL | |||||||
| 516 CAREW STREET | SPRINGFIELD | MA | 01104 | NONE | PUBLIC CHARITY | PROVIDE ASSISTANCE TO FAMILIES & CHILDREN | $2,000 |
| SPRINGFIELD BOYS & GIRLS CLUB | |||||||
| 481 CAREW STREET | SPRINGFIELD | MA | 01104 | NONE | PUBLIC CHARITY | FOR THE BENEFIT OF LOCAL YOUTH | $3,000 |
| SPRINGFIELD MUSEUMS | |||||||
| 21 EDWARDS STREET | SPRINGFIELD | MA | 01103 | NONE | PUBLIC CHARITY | PROVIDE EDUCATIONAL EXPERIENCE TO CHILDREN | $3,000 |
| TRINITY METHODIST CHURCH | |||||||
| 361 SUMNER AVENUE | SPRINGFIELD | MA | 01103 | NONE | PUBLIC CHARITY | PROVIDE EDUCATIONAL ASSISTANCE | $1,000 |
| WILLIE ROSS SCHOOL FOR THE DEAF | |||||||
| 32 NORWAY STREET | LONGMEADOW | MA | 01106 | NONE | PUBLIC CHARITY | PROVIDE ASSISTANCE TO HEARING IMPAIRED INFANTS & TODDLERS | $3,500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $33,000 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $2 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $25,296 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | -$1,096 | ExclusionAmt |
| Related Or Exempt Function Incm | $1,884 | RelatedOrExemptFunctionIncmAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $24,202 | ExclusionAmt |
| Related Or Exempt Function Incm | $1,884 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $26,086 | TotalIncomeProducingActyAmt |
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Line Number | 8 | LineNumberTxt |
| Relationship Statement | SALE OF INVESTMENTS | RelationshipStatementTxt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | 0 | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | 0 | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | 0 | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | 0 | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | 0 | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | 0 | RelationshipsNonchrtblEOInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING FEES | CategoryTxt |
| Amt | $3,150 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
All Oth Prog Rltd Investments Sch AllOthProgRltdInvestmentsSch
All Other Program Related Invst AllOtherProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NONE | Desc |
| Amt | $0 | Amt |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp (4 entries)
| BondBondNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| 1000 FIDELITY FLOATING RATE HIGH INCOME | $9,660 | $9,270 |
| 200 SHS SSGA ACTIVE TR SPDR DBLELN EMRG | $10,100 | $10,241 |
| NUVEEN MASSACHUSETTS MUNICIPAL CLASS I | $10,030 | $10,645 |
| NUVEEN SHORT DURATION HIGH YIELD | $10,030 | $9,931 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (22 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| 1,000 SHS NUVEEN MUN VALUE | $9,693 | $11,100 |
| 1,000 SHS PUTNAM MANAGED MUN INCOM TR COM ISIN | $7,257 | $8,070 |
| 75 SHS AMGEN INC | $11,280 | $17,244 |
| 100 SHS AT&T INC. | $3,014 | $2,876 |
| 125 SHS BANK OF AMERICA | $2,347 | $3,789 |
| 125 SHS FIDELITY NATIONAL FINANCIAL IN FNF GROUP | $1,027 | $4,886 |
| 2,000 SHS WASH TRUST BANCORP INC | $33,495 | $89,600 |
| 200 SHS MERCK & CO | $12,513 | $16,360 |
| 250 CITIGROUP 7.125 % PFD | $7,227 | $7,110 |
| 3,775 SHS EXXON MOBIL | $18,307 | $155,605 |
| 38 SHS BLACK KNIGHT INC | $381 | $3,357 |
| 100 SHS CANNAE HLDGS INC | $2,377 | $4,427 |
| 5,500 SHS BABSON CAPITAL PARTICIPATION | $59,663 | $65,340 |
| 50 SHS CHEVRON CORP | $5,855 | $4,223 |
| 50 SHS PEPSICO INC | $1,986 | $3,707 |
| 600 SHS PUTNAM PREMIER INCOME TR SH BEN INT | $3,113 | $2,790 |
| 7 SHS J ALEXANDERS HLDGS INC COM | $26 | $51 |
| 700 PIMCO MUN INCOME FD | $9,141 | $9,695 |
| 50 SHS CVS HEALTH | $2,930 | $3,415 |
| 50 SHS DUPONT | $2,663 | $3,556 |
| 20 SHS UNITED PARCEL SERVICE | $3,349 | $3,368 |
| 20 SHS HONEYWELL | $3,060 | $4,254 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | INVESTMENT FEES | CategoryTxt |
| Amt | $935 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| EXCISE TAX ON INVESTMENT INCOME | $556 | $0 | $0 |
| MASSACHUSETTS ANNUAL FEE | $35 | $0 | $0 |