STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

MAKE WAVES FAMILY FOUNDATION: Form 990PF, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
MAKE WAVES FAMILY FOUNDATION (EIN 26-0379241)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-05-29
IRS object ID
201801499349100175
Schema version
2017v2.2
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)
Return2018-05-29T16:24:17-05:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

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 Begin2017-01-01TaxPeriodBeginDt

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
Signature2018-05-23SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANTHONY J DAIGLEPreparerPersonNm
PTINP00435918PTIN
Phone6176193350PhoneNum
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$7,137,266FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$573,639ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$320InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$320InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$103,172DividendsRevAndExpnssAmt
Dividends Net Invst Incm$103,172DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$1,116,576NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$1,604,964GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$1,116,576CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$1,793,707TotalRevAndExpnssAmt
Total Net Invst Incm$1,220,068TotalNetInvstIncmAmt
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$4,008LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$2,004LegalFeesNetInvstIncmAmt
Legal Fees Dsbrs Chrtbl$2,004LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$33,002AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$16,501AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$16,501AccountingFeesChrtblPrpsAmt
Other Expenses Rev And Expnss$100,925OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$40,836OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$89OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$137,935TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$59,341TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$18,594TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$228,995ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$228,995ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$366,930TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$59,341TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$247,589TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$1,426,777ExcessRevenueOverExpensesAmt
Net Investment Income$1,160,727NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$170,540SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$100,978SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$100,978SavAndTempCashInvstEOYFMVAmt
Other Investments BOY$4,808,120OtherInvestmentsBOYAmt
Other Investments EOY$4,575,037OtherInvestmentsEOYAmt
Other Investments EOYFMV$7,036,288OtherInvestmentsEOYFMVAmt
Total Assets BOY$4,978,660TotalAssetsBOYAmt
Total Assets EOY$4,676,015TotalAssetsEOYAmt
Total Assets EOYFMV$7,137,266TotalAssetsEOYFMVAmt
Other Liabilities BOY$1,310OtherLiabilitiesBOYAmt
Other Liabilities EOY$1,310OtherLiabilitiesEOYAmt
Total Liabilities BOY$1,310TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,310TotalLiabilitiesEOYAmt
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$4,977,350RetainedEarningBOYAmt
Retained Earning EOY$4,674,705RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$4,977,350TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$4,674,705TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$4,978,660TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$4,676,015TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$4,977,350TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$1,426,777ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$6,404,127SubtotalAmt
Other Decreases$1,729,422OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$4,674,705TotNetAstOrFundBalancesEOYAmt

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 AcquiredDHowAcquiredCd
Gross Sales Price$1,604,964GrossSalesPriceAmt
Cost Or Other Basis$488,388CostOrOtherBasisAmt
Gain Or Loss$1,116,576GainOrLossAmt
Gains Minus Excess Or Losses$1,116,576GainsMinusExcessOrLossesAmt
FieldValueIRS element (for citing)
Capital Gain Net Income$1,116,576CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$250,400AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$5,023,286NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.049848DistributionYr1Rt
Adjusted Qlfy Distri Yr2$17,170AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$4,620,670NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.003716DistributionYr2Rt
Adjusted Qlfy Distri Yr3$20,898AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$1,456,219NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.014351DistributionYr3Rt
Adjusted Qlfy Distri Yr4$76,670AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$728,390NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.105260DistributionYr4Rt
Adjusted Qlfy Distri Yr5$29,304AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$806,348NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.036342DistributionYr5Rt
Total Distribution0.209517TotalDistributionRt
Average Distribution0.041903AverageDistributionRt
Net Vl Noncharitable Assets$6,174,651NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$258,736AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$11,607NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$270,343AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$247,589QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$23,215InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$23,215SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$23,215TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$30,251EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$30,251TotalPaymentsAndCreditsAmt
Form2220 AttachedYes (X)Form2220AttachedInd
Es Penalty$0EsPenaltyAmt
Overpayment$7,036OverpaymentAmt
Applied To ES Tax$7,036AppliedToESTaxAmt
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.ROTHFAMILYFOUNDATION.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 96204AddressLine1Txt
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

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 96204BOSTONMA02196PRESIDENT1.00$0$0$0
HENRY M ROTH
C/O JDJ FAMILY OFFICE PO BOX 96204BOSTONMA02196TREASURER, CLERK & DIRECTOR1.00$0$0$0
DONNA J ROTH
C/O JDJ FAMILY OFFICE PO BOX 96204BOSTONMA02196DIRECTOR1.00$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$6,036,005AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$232,676AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$6,268,681TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$6,268,681AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$94,030CashDeemedCharitableAmt
Net Vl Noncharitable Assets$6,174,651NetVlNoncharitableAssetsAmt
Minimum Investment Return$308,733MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$308,733MinimumInvestmentReturnAmt
Tax Based On Investment Income$23,215TaxBasedOnInvestmentIncomeAmt
Total Tax$23,215TotalTaxAmt
Distributable Before Adj$285,518DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$285,518DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$285,518DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$247,589ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$247,589QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$247,589AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$285,518DistributableAsAdjustedAmt
Undistributed Income PY$147,973UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$247,589QualifyingDistributionsAmt
Applied To Year1$147,973AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$99,616AppliedToCurrentYearAmt
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$185,902UndistributedIncomeCYAmt
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 (32 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line2RecipientUSAddress/AddressLine2Txt
THE PREEMPTIVE LOVE COALITION
1300 DARBYTON DRIVEHEWITTTX76643NONEPUBLICGENERAL SUPPORT$1,000
AMERICAN REFUGEE COMMITTEE
615 FIRST AVENUE NE STE 500MINNEAPOLISMN55413NONEPUBLICGENERAL SUPPORT$1,000
BOSTON COLLEGE TRUSTEES
140 COMMONWEALTH AVECHESTNUT HILLMA02467NONEPUBLICGENERAL SUPPORT$5,000
MORGAN STANLEY GLOBAL IMPACT FUNDING TRUST INC
1177 AVENUE OF THE AMERICAS 37THNEW YORKNY100362714NONEPUBLICGENERAL SUPPORT$167,000FLOOR
NATIONAL MULTIPLE SCLOROSIS SOCIETY
733 THIRD AVE 3RD FLOORNEW YORKNY100173211NONEPUBLICGENERAL SUPPORT$1,250
ELS FOR AUTISM FOUNDATION
387 PARK AVE S 8TH FLOORNEW YORKNY100168810NONEPUBLICGENERAL SUPPORT$100
PARTNERS HEALTHCARE SYSTEM INC - SPAULDING REHAB HOSPITAL
399 REVOLUTION DR STE 645SOMERVILLEMA021451465NONEPUBLICGENERAL SUPPORT$100
SUNRISE DAY CAMPS ASSOCIATION INC
15 NEIL CTOCEANSIDENY115725815NONEPUBLICGENERAL SUPPORT$100
AUTISM SOCIETY OF AMERICA
4340 EAST WEST HWY STE 350BETHESDAMD208144593NONEPUBLICGENERAL SUPPORT$2,800
PARTNERS HEALTHCARE SYSTEM INC - PARTNERS HOME CARE INC
281 WINTER STREETWALTHAMMA02451NONEPUBLICGENERAL SUPPORT$500
DOCTORS WITHOUT BORDERS USA INC
333 7TH AVENUE 2ND FLOORNEW YORKNY100015004NONEPUBLICGENERAL SUPPORT$100
UNITED MISSION FOR NONPROFITS OF AMERICA
620 NEWPORT CENTER DR STE 1100NEWPORT BEACHCA926608011NONEPUBLICGENERAL SUPPORT$45
BRIAN BELTRAM CO IGLOO PRODUCTS COR
777 IGLOO ROADKATYTX77494EMPLOYEE OF RELATED PARTYINDIVIDUALEMERGENCY ASSISTANCE AND DISASTER RELIEF IN CONNECTION WITH HURRICANE HARVEY$1,000
JAVIER REYES CO IGLOO PRODUCTS CORP
777 IGLOO ROADKATYTX77494EMPLOYEE OF RELATED PARTYINDIVIDUALEMERGENCY ASSISTANCE AND DISASTER RELIEF IN CONNECTION WITH HURRICANE HARVEY$2,500
ZULAY BOSSIO CO IGLOO PRODUCTS CORP
777 IGLOO ROADKATYTX77494EMPLOYEE OF RELATED PARTYINDIVIDUALEMERGENCY ASSISTANCE AND DISASTER RELIEF IN CONNECTION WITH HURRICANE HARVEY$3,500
RICHARD TALLEY CO IGLOO PRODUCTS CO
777 IGLOO ROADKATYTX77494EMPLOYEE OF RELATED PARTYINDIVIDUALEMERGENCY ASSISTANCE AND DISASTER RELIEF IN CONNECTION WITH HURRICANE HARVEY$5,000
GANG WANG CO IGLOO PRODUCTS CORP
777 IGLOO ROADKATYTX77494EMPLOYEE OF RELATED PARTYINDIVIDUALEMERGENCY ASSISTANCE AND DISASTER RELIEF IN CONNECTION WITH HURRICANE HARVEY$5,000
KAREN NEWELL CO IGLOO PRODUCTS CORP
777 IGLOO ROADKATYTX77494EMPLOYEE OF RELATED PARTYINDIVIDUALEMERGENCY ASSISTANCE AND DISASTER RELIEF IN CONNECTION WITH HURRICANE HARVEY$1,500
SHARON TAYLOR CO IGLOO PRODUCTS COR
777 IGLOO ROADKATYTX77494EMPLOYEE OF RELATED PARTYINDIVIDUALEMERGENCY ASSISTANCE AND DISASTER RELIEF IN CONNECTION WITH HURRICANE HARVEY$500
ALONZO MARROQUIN JR CO IGLOO PRODUC
777 IGLOO ROADKATYTX77494EMPLOYEE OF RELATED PARTYINDIVIDUALEMERGENCY ASSISTANCE AND DISASTER RELIEF IN CONNECTION WITH HURRICANE HARVEY$5,000
RAUL ACOSTA CANIZALES CO IGLOO PROD
777 IGLOO ROADKATYTX77494EMPLOYEE OF RELATED PARTYINDIVIDUALEMERGENCY ASSISTANCE AND DISASTER RELIEF IN CONNECTION WITH HURRICANE HARVEY$1,000
KATHLEEN NIES CO IGLOO PRODUCTS COR
777 IGLOO ROADKATYTX77494EMPLOYEE OF RELATED PARTYINDIVIDUALEMERGENCY ASSISTANCE AND DISASTER RELIEF IN CONNECTION WITH HURRICANE HARVEY$5,000
JACQUELINE SOBLE CO IGLOO PRODUCTS
777 IGLOO ROADKATYTX77494EMPLOYEE OF RELATED PARTYINDIVIDUALEMERGENCY ASSISTANCE AND DISASTER RELIEF IN CONNECTION WITH HURRICANE HARVEY$3,000
RITA HOYUELA CO IGLOO PRODUCTS CORP
777 IGLOO ROADKATYTX77494EMPLOYEE OF RELATED PARTYINDIVIDUALEMERGENCY ASSISTANCE AND DISASTER RELIEF IN CONNECTION WITH HURRICANE HARVEY$2,500
BENJAMIN LIMON CO IGLOO PRODUCTS CO
777 IGLOO ROADKATYTX77494EMPLOYEE OF RELATED PARTYINDIVIDUALEMERGENCY ASSISTANCE AND DISASTER RELIEF IN CONNECTION WITH HURRICANE HARVEY$2,500
RAJA RAMON CO IGLOO PRODUCTS CORP
777 IGLOO ROADKATYTX77494EMPLOYEE OF RELATED PARTYINDIVIDUALEMERGENCY ASSISTANCE AND DISASTER RELIEF IN CONNECTION WITH HURRICANE HARVEY$1,500
ISABEL BRITO CO IGLOO PRODUCTS CORP
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$4,000
KELLY COOPER CO IGLOO PRODUCTS CORP
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$1,500
DUSTIN GIBBS CO IGLOO PRODUCTS CORP
777 IGLOO ROADKATYTX77494EMPLOYEE OF RELATED PARTYINDIVIDUALEMERGENCY ASSISTANCE AND DISASTER RELIEF IN CONNECTION WITH HURRICANE HARVEY$3,000
SHAMEECA HOLMES CO IGLOO PRODUCTS C
777 IGLOO ROADKATYTX77494EMPLOYEE OF RELATED PARTYINDIVIDUALEMERGENCY ASSISTANCE AND DISASTER RELIEF IN CONNECTION WITH HURRICANE HARVEY$500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$228,995TotalGrantOrContriPdDurYrAmt
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$320ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$103,172ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$1,116,576ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$1,220,068ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$1,220,068TotalIncomeProducingActyAmt

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 (6 entries)

ContributorContributorNumAddress Line1ContributorUSAddress/AddressLine1TxtCityContributorUSAddress/CityNmState AbbreviationContributorUSAddress/StateAbbreviationCdZIPContributorUSAddress/ZIPCdTotal ContributionsTotalContributionsAmtNoncash ContributionNoncashContributionIndPerson ContributionPersonContributionInd
HENRY M AND DONNA J ROTH
1C/O JDJ FAMILY OFFICE PO BOX 96204BOSTONMA02196$486,139Yes (X)
HENRY M AND DONNA J ROTH
2C/O JDJ FAMILY OFFICE PO BOX 96204BOSTONMA02332$25,000Yes (X)
IGLOO PRODUCTS CORPORATION
3777 IGLOO ROADKATYTX77494$27,500Yes (X)
ACON INVESTMENTS LLC
44640 ADMIRALTY WAY SUITE 500LOS ANGELESCA90292$14,526Yes (X)
AMERICAN GLOBAL LOGISTICS LLC
53399 PEACHTREE ROAD NE SUITE 1130ATLANTAGA30326$10,000Yes (X)
MILLIONSPORTS CO STEPHEN LEUNG
6C/O FOUNDATION SOURCE 55 WALLS DRIVFAIRFIELDCT06824$10,000Yes (X)

Non Cash Property Contribution NonCashPropertyContributionGrp

FieldValueIRS element (for citing)
Contributor1ContributorNum
Noncash Property2,850 SHARES OF APPLE STOCK.NoncashPropertyDesc
Fair Market Value$486,139FairMarketValueAmt
Received2017-12-26ReceivedDt

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryTAX & ACCOUNTING FEESCategoryTxt
Amt$33,002Amt
Net Investment Income$16,501NetInvestmentIncomeAmt
Disbursements Charitable Prps$16,501DisbursementsCharitablePrpsAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (2 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
CORPORATE STOCK - MSSBAT COST$4,088,913$6,553,983
CORPORATE STOCK - UBSAT COST$486,124$482,305

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryLEGAL FEESCategoryTxt
Legal Fees$4,008LegalFeesAmt
Net Investment Income$2,004NetInvestmentIncomeAmt
Disbursements Charitable Prps$2,004DisbursementsCharitablePrpsAmt

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail (2 entries)

DescDescAmtAmt
BOOK/TAX DIFFERENCES - BASIS DIFFERENCES FOR STOCK SOLD IN CURRENT YEAR$907,237
BOOK/TAX DIFFERENCES - BASIS DIFFERENCES TO REPORT STOCK AT TAX BASIS$822,185

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (5 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
BROKERAGE FEES$30,390$30,390$0
MA FILING FEES$89$0$89
FEDERAL TAXES$60,000$0$0
OTHER DEDUCTIONS$8,073$8,073$0
FOREIGN TAXES$2,373$2,373$0

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail

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