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MAKE WAVES FAMILY FOUNDATION: Form 990PF, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
MAKE WAVES FAMILY FOUNDATION (EIN 26-0379241)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-13
IRS object ID
201933179349102238
Schema version
2018v3.1
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)
Return2019-11-13T16:43:58-06:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

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 Begin2018-01-01TaxPeriodBeginDt

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
Signature2019-11-08SignatureDt
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)
IP2019-11-08IPDt
IP Tm14:55:57IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id88A95745C6A9C61C38A5C000108B77D9CA88E618AtSubmissionCreationDeviceId
At Submission Filing Device Id88A95745C6A9C61C38A5C000108B77D9CA88E618AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-03-31 21:24:44ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$6,786,024FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$319,260ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$349InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$349InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$120,621DividendsRevAndExpnssAmt
Dividends Net Invst Incm$120,621DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$72,373NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$339,333GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$72,373CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$512,603TotalRevAndExpnssAmt
Total Net Invst Incm$193,343TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Legal Fees Rev And Expnss$2,669LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$1,335LegalFeesNetInvstIncmAmt
Legal Fees Dsbrs Chrtbl$1,335LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$33,289AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$16,645AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$16,645AccountingFeesChrtblPrpsAmt
Other Expenses Rev And Expnss$52,358OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$51,289OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$769OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$88,316TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$69,269TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$18,749TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$189,092ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$189,092ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$277,408TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$69,269TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$207,841TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$235,195ExcessRevenueOverExpensesAmt
Net Investment Income$124,074NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$100,978SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$75,096SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$75,096SavAndTempCashInvstEOYFMVAmt
Other Investments BOY$4,575,037OtherInvestmentsBOYAmt
Other Investments EOY$4,683,495OtherInvestmentsEOYAmt
Other Investments EOYFMV$6,710,928OtherInvestmentsEOYFMVAmt
Total Assets BOY$4,676,015TotalAssetsBOYAmt
Total Assets EOY$4,758,591TotalAssetsEOYAmt
Total Assets EOYFMV$6,786,024TotalAssetsEOYFMVAmt
Other Liabilities BOY$1,310OtherLiabilitiesBOYAmt
Other Liabilities EOY$2,444OtherLiabilitiesEOYAmt
Total Liabilities BOY$1,310TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,444TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$0CapitalStockBOYAmt
Capital Stock EOY$0CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$4,674,705RetainedEarningBOYAmt
Retained Earning EOY$4,756,147RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$4,674,705TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$4,756,147TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$4,676,015TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$4,758,591TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$4,674,705TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$235,195ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$4,909,900SubtotalAmt
Other Decreases$153,753OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$4,756,147TotNetAstOrFundBalancesEOYAmt

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$339,333GrossSalesPriceAmt
Cost Or Other Basis$266,960CostOrOtherBasisAmt
Gain Or Loss$72,373GainOrLossAmt
Gains Minus Excess Or Losses$72,373GainsMinusExcessOrLossesAmt
FieldValueIRS element (for citing)
Capital Gain Net Income$72,373CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$247,589AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$6,174,651NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.040098DistributionYr1Rt
Adjusted Qlfy Distri Yr2$250,400AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$5,023,286NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.049848DistributionYr2Rt
Adjusted Qlfy Distri Yr3$17,170AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$4,620,670NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.003716DistributionYr3Rt
Adjusted Qlfy Distri Yr4$20,898AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$1,456,219NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.014351DistributionYr4Rt
Adjusted Qlfy Distri Yr5$76,670AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$728,390NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.105260DistributionYr5Rt
Total Distribution0.213273TotalDistributionRt
Average Distribution0.042655AverageDistributionRt
Net Vl Noncharitable Assets$7,311,325NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$311,865AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$1,241NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$313,106AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$207,841QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$2,481InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$2,481SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$2,481TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$7,336EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$7,336TotalPaymentsAndCreditsAmt
Form2220 AttachedYes (X)Form2220AttachedInd
Es Penalty$0EsPenaltyAmt
Overpayment$4,855OverpaymentAmt
Applied To ES Tax$4,855AppliedToESTaxAmt
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 & DIRECTO1.00$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$7,345,426AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$77,239AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$7,422,665TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$7,422,665AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$111,340CashDeemedCharitableAmt
Net Vl Noncharitable Assets$7,311,325NetVlNoncharitableAssetsAmt
Minimum Investment Return$365,566MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$365,566MinimumInvestmentReturnAmt
Tax Based On Investment Income$2,481TaxBasedOnInvestmentIncomeAmt
Total Tax$2,481TotalTaxAmt
Distributable Before Adj$363,085DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$363,085DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$363,085DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$207,841ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$207,841QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$207,841AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$363,085DistributableAsAdjustedAmt
Undistributed Income PY$185,902UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$207,841QualifyingDistributionsAmt
Applied To Year1$185,902AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$21,939AppliedToCurrentYearAmt
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$341,146UndistributedIncomeCYAmt
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 (17 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
FIRST PLACE AZ
717 E MARYLAND AVE SUITE 110PHOENIXAZ850141561NONEPUBLICGENERAL SUPPORT$25,000
BIKE TO THE BEACH
PO BOX 1270NEWARKNJ071011270NONEPUBLICGENERAL SUPPORT$258
TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
622 WEST 113TH STREET MC4524NEW YORKNY10025NONEPUBLICGENERAL SUPPORT$1,000
MORGAN STANLEY GLOBAL IMPACT FUNDING TRUST INC
1177 6TH AVE 41ST FLOORNEW YORKNY100362714NONEPUBLICGENERAL SUPPORT$150,000
NATIONAL MULTIPLE SCLOROSIS SOCIETY
733 THIRD AVE 3RD FLOORNEW YORKNY100173211NONEPUBLICGENERAL SUPPORT$1,150
FRIENDSHIP HOME INC
458 MAIN STREETNORWELLMA020612113NONEPUBLICGENERAL SUPPORT$50
CALIFORNIA COMMUNITY FOUNDATION
221 S FIGUEROA ST SUITE 400LOS ANGELESCA90012NONEPUBLICGENERAL SUPPORT$1,134
AUTISM SOCIETY OF AMERICA
4340 EAST WEST HWY STE 350BETHESDAMD208144593NONEPUBLICGENERAL SUPPORT$500
BRIAN BELTRAM CO IGLOO PRODUCTS COR
777 IGLOO ROADKATYTX77494EMPLOYEE OF RELATED PARTYINDIVIDUALEMERGENCY ASSISTANCE AND DISASTER RELIEF IN CONNECTION WITH HURRICANE HARVEY$750
JAVIER REYES CO IGLOO PRODUCTS CORP
777 IGLOO ROADKATYTX77494EMPLOYEE OF RELATED PARTYINDIVIDUALEMERGENCY ASSISTANCE AND DISASTER RELIEF IN CONNECTION WITH HURRICANE HARVEY$1,000
KAREN NEWELL CO IGLOO PRODUCTS CORP
777 IGLOO ROADKATYTX77494EMPLOYEE OF RELATED PARTYINDIVIDUALEMERGENCY ASSISTANCE AND DISASTER RELIEF IN CONNECTION WITH HURRICANE HARVEY$1,000
RAUL ACOSTA CANIZALES CO IGLOO PROD
777 IGLOO ROADKATYTX77494EMPLOYEE OF RELATED PARTYINDIVIDUALEMERGENCY ASSISTANCE AND DISASTER RELIEF IN CONNECTION WITH HURRICANE HARVEY$750
RITA HOYUELA CO IGLOO PRODUCTS CORP
777 IGLOO ROADKATYTX77494EMPLOYEE OF RELATED PARTYINDIVIDUALEMERGENCY ASSISTANCE AND DISASTER RELIEF IN CONNECTION WITH HURRICANE HARVEY$1,000
BENJAMIN LIMON CO IGLOO PRODUCTS CO
777 IGLOO ROADKATYTX77494EMPLOYEE OF RELATED PARTYINDIVIDUALEMERGENCY ASSISTANCE AND DISASTER RELIEF IN CONNECTION WITH HURRICANE HARVEY$500
EXIQUIO BARCENAS CO IGLOO PRODUCTS
777 IGLOO ROADKATYTX77494EMPLOYEE OF RELATED PARTYINDIVIDUALEMERGENCY ASSISTANCE AND DISASTER RELIEF IN CONNECTION WITH HURRICANE HARVEY$1,000
JAMES WILSON CO IGLOO PRODUCTS CORP
777 IGLOO ROADKATYTX77494EMPLOYEE OF RELATED PARTYINDIVIDUALEMERGENCY ASSISTANCE AND DISASTER RELIEF IN CONNECTION WITH HURRICANE HARVEY$3,000
DUSTIN GIBBS CO IGLOO PRODUCTS CORP
777 IGLOO ROADKATYTX77494EMPLOYEE OF RELATED PARTYINDIVIDUALEMERGENCY ASSISTANCE AND DISASTER RELIEF IN CONNECTION WITH HURRICANE HARVEY$1,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$189,092TotalGrantOrContriPdDurYrAmt
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$349ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$120,621ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$72,373ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$193,343ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$193,343TotalIncomeProducingActyAmt

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 ContributionsTotalContributionsAmtNoncash ContributionNoncashContributionIndPerson ContributionPersonContributionInd
HENRY M AND DONNA J ROTH
1C/O JDJ FAMILY OFFICE PO BOX 962049BOSTONMA02196$304,260Yes (X)
HENRY M AND DONNA J ROTH
2C/O JDJ FAMILY OFFICE PO BOX 962049BOSTONMA02196$15,000Yes (X)

Non Cash Property Contribution NonCashPropertyContributionGrp

FieldValueIRS element (for citing)
Contributor1ContributorNum
Noncash Property3,000 SHARES OF MICROSOFT CORP STOCK.NoncashPropertyDesc
Fair Market Value$304,260FairMarketValueAmt
Received2018-12-31ReceivedDt

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryTAX & ACCOUNTING FEESCategoryTxt
Amt$33,289Amt
Net Investment Income$16,645NetInvestmentIncomeAmt
Disbursements Charitable Prps$16,645DisbursementsCharitablePrpsAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp

FieldValueIRS element (for citing)
Category Or ItemCORPORATE STOCK - MSSBCategoryOrItemTxt
Listed At Cost Or FMVAT COSTListedAtCostOrFMVCd
Book Value$4,683,495BookValueAmt
EOYFMV$6,710,928EOYFMVAmt

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryLEGAL FEESCategoryTxt
Legal Fees$2,669LegalFeesAmt
Net Investment Income$1,335NetInvestmentIncomeAmt
Disbursements Charitable Prps$1,335DisbursementsCharitablePrpsAmt

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescBOOK/TAX DIFFERENCES - BASIS DIFFERENCES TO REPORT STOCK AT TAX BASISDesc
Amt$153,753Amt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (5 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
BROKERAGE FEES$36,992$36,992$0
MA FILING FEES$769$0$769
FEDERAL TAXES$300$0$0
OTHER DEDUCTIONS$11,066$11,066$0
FOREIGN TAXES$3,231$3,231$0

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail

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

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