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MAKE WAVES FAMILY FOUNDATION: Form 990PF, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
MAKE WAVES FAMILY FOUNDATION (EIN 26-0379241)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-06-02
IRS object ID
202011549349100321
Schema version
2019v5.1
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)
Return2020-06-02T13:14:42-05:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN010825608PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DAIGLE & ASSOCIATES LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1176 FEDERAL STREETAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02110ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN260379241EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ROTH FAMILY FOUNDATIONBusinessNameLine1Txt
Business Name Line2C/O DAIGLE & ASSOCIATESBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlROTHBusinessNameControlTxt
Phone6176193350PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1176 FEDERAL STREETAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02110ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKRISTYN J ROTHPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone6176193350PhoneNum
Signature2020-05-18SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANTHONY J DAIGLEPreparerPersonNm
PTINP00435918PTIN
Phone6176193350PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address13.92.128.190IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-05-18IPDt
IP Tm11:05:21IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id9B6F520726A5452AC24610EB080F23DCFFA955E1AtSubmissionCreationDeviceId
At Submission Filing Device Id4792E8415C737DD9C2F7831C08DE321AFF2F72D5AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-04-22 16:20:28ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$9,393,063FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$350,655ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$370InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$370InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$127,365DividendsRevAndExpnssAmt
Dividends Net Invst Incm$127,365DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$42,701NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$752,358GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$42,701CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$521,091TotalRevAndExpnssAmt
Total Net Invst Incm$170,436TotalNetInvstIncmAmt
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$33,998AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$33,998AccountingFeesChrtblPrpsAmt
Other Expenses Rev And Expnss$54,458OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$40,271OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$12,987OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$88,456TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$40,271TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$46,985TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$296,172ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$296,172ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$384,628TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$40,271TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$343,157TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$136,463ExcessRevenueOverExpensesAmt
Net Investment Income$130,165NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$75,096SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$269,428SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$269,428SavAndTempCashInvstEOYFMVAmt
Other Investments BOY$4,683,495OtherInvestmentsBOYAmt
Other Investments EOY$4,409,431OtherInvestmentsEOYAmt
Other Investments EOYFMV$9,123,635OtherInvestmentsEOYFMVAmt
Total Assets BOY$4,758,591TotalAssetsBOYAmt
Total Assets EOY$4,678,859TotalAssetsEOYAmt
Total Assets EOYFMV$9,393,063TotalAssetsEOYFMVAmt
Other Liabilities BOY$2,444OtherLiabilitiesBOYAmt
Other Liabilities EOY$1,310OtherLiabilitiesEOYAmt
Total Liabilities BOY$2,444TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,310TotalLiabilitiesEOYAmt
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$4,756,147RetainedEarningBOYAmt
Retained Earning EOY$4,677,549RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$4,756,147TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$4,677,549TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$4,758,591TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$4,678,859TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$4,756,147TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$136,463ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$4,892,610SubtotalAmt
Other Decreases$215,061OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$4,677,549TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp

FieldValueIRS element (for citing)
PropertyMORGAN STANLEY SMITH BARNEY HOLDINGS LLC - 5663PropertyDesc
How AcquiredPHowAcquiredCd
Gross Sales Price$752,358GrossSalesPriceAmt
Cost Or Other Basis$709,657CostOrOtherBasisAmt
Gain Or Loss$42,701GainOrLossAmt
Gains Minus Excess Or Losses$42,701GainsMinusExcessOrLossesAmt
FieldValueIRS element (for citing)
Capital Gain Net Income$42,701CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$207,841AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$7,311,325NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.028427DistributionYr1Rt
Adjusted Qlfy Distri Yr2$247,589AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$6,174,651NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.040098DistributionYr2Rt
Adjusted Qlfy Distri Yr3$250,400AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$5,023,286NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.049848DistributionYr3Rt
Adjusted Qlfy Distri Yr4$17,170AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$4,620,670NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.003716DistributionYr4Rt
Adjusted Qlfy Distri Yr5$20,898AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$1,456,219NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.014351DistributionYr5Rt
Total Distribution0.136440TotalDistributionRt
Average Distribution0.027288AverageDistributionRt
Net Vl Noncharitable Assets$8,021,061NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$218,879AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$1,302NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$220,181AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$343,157QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$1,302InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$1,302SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$1,302TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$6,055EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$6,055TotalPaymentsAndCreditsAmt
Form2220 AttachedYes (X)Form2220AttachedInd
Es Penalty$0EsPenaltyAmt
Overpayment$4,753OverpaymentAmt
Applied To ES Tax$4,753AppliedToESTaxAmt
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 FundYes (1)DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressWWW.THEROTHFAMILYFOUNDATION.ORGWebsiteAddressTxt
Individual With BooksHENRY M ROTHIndividualWithBooksNm
Phone5088303440PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1C/O JDJ FAMILY OFFICE PO BOX 962049AddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02196ZIPCd
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 (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
KRISTYN J ROTH
C/O JDJ FAMILY OFFICE PO BOX 962049BOSTONMA02196PRESIDENT1.00$0$0$0
HENRY M ROTH
C/O JDJ FAMILY OFFICE PO BOX 962049BOSTONMA02196TREASURER, CLERK & DIRECTOR1.00$0$0$0
DONNA J ROTH
C/O JDJ FAMILY OFFICE PO BOX 962049BOSTONMA02196DIRECTOR1.00$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$7,948,847AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$194,362AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$8,143,209TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$8,143,209AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$122,148CashDeemedCharitableAmt
Net Vl Noncharitable Assets$8,021,061NetVlNoncharitableAssetsAmt
Minimum Investment Return$401,053MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$401,053MinimumInvestmentReturnAmt
Tax Based On Investment Income$1,302TaxBasedOnInvestmentIncomeAmt
Total Tax$1,302TotalTaxAmt
Distributable Before Adj$399,751DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$399,751DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$399,751DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$343,157ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$343,157QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$1,302PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$341,855AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$399,751DistributableAsAdjustedAmt
Undistributed Income PY$341,146UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$343,157QualifyingDistributionsAmt
Applied To Year1$341,146AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$2,011AppliedToCurrentYearAmt
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$397,740UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerKRISTYN J ROTHContributingManagerNm
Contributing ManagerHENRY M ROTHContributingManagerNm
Contributing ManagerDONNA J ROTHContributingManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (11 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line2RecipientUSAddress/AddressLine2Txt
BIKE TO THE BEACH
1990 K ST NW LBBY 2WASHINGTONDC200061103NONEPUBLICGENERAL SUPPORT$535
MORGAN STANLEY GLOBAL IMPACT FUNDING TRUST INC
1177 6TH AVE 41ST FLOORNEW YORKNY100362714NONEPUBLICGENERAL SUPPORT$275,806
NATIONAL MULTIPLE SCLOROSIS SOCIETY
733 THIRD AVE 3RD FLOORNEW YORKNY100173204NONEPUBLICGENERAL SUPPORT$500
FRIENDSHIP HOME INC
PO BOX 1270NEWARKNJ071011270NONEPUBLICGENERAL SUPPORT$1,250
AUTISM SOCIETY OF AMERICA
6110 EXECUTIVE BOULEVARD SUITE 305ROCKVILLEMD20852NONEPUBLICGENERAL SUPPORT$2,052
AMIGOS OF COSTA RICA INC
2101 L STREET NWWASHINGTONDC200371526NONEPUBLICGENERAL SUPPORT$2,552
AUGIES QUEST TO CURE ALS INC
PO BOX 9886DENVERCO80209NONEPUBLICGENERAL SUPPORT$100
INTERNATIONAL RESCUE COMMITTEE INC
263 W 38TH STREETNEW YORKNY10018NONEPUBLICGENERAL SUPPORT$200
DANA FARBER CANCER INSTITUTE INC
10 BROOKLINE PLACE WEST 6TH FLOORBROOKLINEMA02445NONEPUBLICGENERAL SUPPORT$12,700
PAN MASSACHUSETTS CHALLENGE TRUST
77 4TH AVENEEDHAM HGTSMA024942704NONEPUBLICGENERAL SUPPORT$102
COURT APPOINTED SPECIAL ADVOCATE
1625 MASSACHUSETTS AVENUE NW SUITEWASHINGTONDC20036NONEPUBLICGENERAL SUPPORT$375520
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$296,172TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$370ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$127,365ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$42,701ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$170,436ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$170,436TotalIncomeProducingActyAmt

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

FieldValueIRS element (for citing)
Contributor1ContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1HENRY M AND DONNA J ROTHBusinessNameLine1Txt

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1C/O JDJ FAMILY OFFICE PO BOX 962049AddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02196ZIPCd
FieldValueIRS element (for citing)
Total Contributions$350,655TotalContributionsAmt
Noncash ContributionYes (X)NoncashContributionInd

Non Cash Property Contribution NonCashPropertyContributionGrp

FieldValueIRS element (for citing)
Contributor1ContributorNum
Noncash Property1,070 SHARES OF THERMO FISHER STOCK.NoncashPropertyDesc
Fair Market Value$350,655FairMarketValueAmt
Received2019-12-24ReceivedDt

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryTAX & ACCOUNTING FEESCategoryTxt
Amt$33,998Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$33,998DisbursementsCharitablePrpsAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp

FieldValueIRS element (for citing)
Category Or ItemCORPORATE STOCK - MSSBCategoryOrItemTxt
Listed At Cost Or FMVAT COSTListedAtCostOrFMVCd
Book Value$4,409,431BookValueAmt
EOYFMV$9,123,635EOYFMVAmt

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescBOOK/TAX DIFFERENCES - BASIS DIFFERENCES TO REPORT STOCK AT TAX BASISDesc
Amt$215,061Amt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (5 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
BROKERAGE FEES$40,271$40,271$0
MA FILING FEES$644$0$644
FEDERAL TAXES$1,200$0$0
OTHER DEDUCTIONS$12,343$0$12,343
FOREIGN TAXES$0$0$0

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail

FieldValueIRS element (for citing)
DescDUE TO TRUSTEEDesc
BOY Book Value$2,444BOYBookValueAmt
EOY Book Value$1,310EOYBookValueAmt

Substantial Contributors Sch SubstantialContributorsSch

Substantial Contributor Detail SubstantialContributorDetail

FieldValueIRS element (for citing)
PersonHENRY DONNA ROTHPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1C/O JDJ FAMILY OFFICE PO BOX 96204AddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02196ZIPCd