STRATEGY STUDIO / PUBLIC DATA EXPLORER

MAX KAGAN FAMILY FOUNDATION: Form 990PF, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
MAX KAGAN FAMILY FOUNDATION (EIN 01-6019033)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-09-18
IRS object ID
201822619349100612
Schema version
2017v2.3
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)
Return2018-09-18T16:58:17-05:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN043097400PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KEVIN P MARTIN ASSOCIATES PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110 FORBES WESTAddressLine1Txt
CityBRAINTREECityNm
State AbbreviationMAStateAbbreviationCd
ZIP02184ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN016019033EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MAX KAGAN FAMILY FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMAXKBusinessNameControlTxt
Phone9785157415PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line142 MUSSEL POINT ROADAddressLine1Txt
CityGLOUCESTERCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01930ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLEAHGRACE BRIENNA KAYLERPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone9785157415PhoneNum
Signature2018-09-04SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOLANTA TUCK CPAPreparerPersonNm
PTINP01340068PTIN
Phone7813803520PhoneNum
Preparation2018-08-13PreparationDt
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$4,207,128FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$56,680ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$13,904InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$13,904InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$73,413DividendsRevAndExpnssAmt
Dividends Net Invst Incm$73,413DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$63,054NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$1,107,635GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$63,054CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$1,375OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$0OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$208,426TotalRevAndExpnssAmt
Total Net Invst Incm$150,371TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Rev And Expnss$4,503OthEmplSlrsWgsRevAndExpnssAmt
Oth Empl Slrs Wgs Net Invst Incm$2,252OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$2,251OthEmplSlrsWgsDsbrsChrtblAmt
Accounting Fees Rev And Expnss$5,250AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$3,937AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$1,313AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$34,031OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$34,031OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$4,099TaxesRevAndExpnssAmt
Taxes Net Invst Incm$3,112TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$495TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$10OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$0OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$10OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$47,893TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$43,332TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$4,069TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$215,502ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$215,502ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$263,395TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$43,332TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$219,571TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$54,969ExcessRevenueOverExpensesAmt
Net Investment Income$107,039NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$839,878SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$194,707SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$194,706SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl$7,407AcctRcvblAmt
Acct Rcvbl BOY$6,582AcctRcvblBOYAmt
Acct Rcvbl EOY$7,407AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$7,407AcctRcvblEOYFMVAmt
US Government Obligations BOY$174,730USGovernmentObligationsBOYAmt
US Government Obligations EOY$669,251USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$714,776USGovtObligationsEOYFMVAmt
Corporate Stock BOY$2,338,620CorporateStockBOYAmt
Corporate Stock EOY$2,433,476CorporateStockEOYAmt
Corporate Stock EOYFMV$3,290,239CorporateStockEOYFMVAmt
Total Assets BOY$3,359,810TotalAssetsBOYAmt
Total Assets EOY$3,304,841TotalAssetsEOYAmt
Total Assets EOYFMV$4,207,128TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$1,545,996CapitalStockBOYAmt
Capital Stock EOY$1,545,996CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$1,813,814RetainedEarningBOYAmt
Retained Earning EOY$1,758,845RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$3,359,810TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$3,304,841TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$3,359,810TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$3,304,841TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$3,359,810TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$54,969ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$3,304,841SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$3,304,841TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (13 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
UBS FINANCIAL 33224P$6,856$7,131-$275-$275
UBS FINANCIAL 33224P$115,649$104,622$11,027$11,027
UBS FINANCIAL 62595P$529,823$529,653$170$170
UBS FINANCIAL 62596P$35,082$37,660-$2,578-$2,578
UBS FINANCIAL 62596P$81,316$75,863$5,453$5,453
UBS FINANCIAL 62597P$14,247$14,980-$733-$733
UBS FINANCIAL 62597P$157,575$144,891$12,684$12,684
UBS FINANCIAL 62599P$1,726$1,224$502$502
UBS FINANCIAL 62599P$69,770$48,132$21,638$21,638
UBS FINANCIAL 62600P$64,211$58,090$6,121$6,121
UBS FINANCIAL 62600P$29,398$22,335$7,063$7,063
UBS FINANCIAL 62600P$140$140$140
CAP GAIN DISTRIBUTIONSP$1,842$1,842$1,842
FieldValueIRS element (for citing)
Capital Gain Net Income$63,054CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$233,538AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$3,620,696NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.064501DistributionYr1Rt
Adjusted Qlfy Distri Yr2$113,735AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$3,747,558NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.030349DistributionYr2Rt
Adjusted Qlfy Distri Yr3$178,545AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$3,822,735NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.046706DistributionYr3Rt
Adjusted Qlfy Distri Yr4$188,408AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$3,513,546NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.053623DistributionYr4Rt
Adjusted Qlfy Distri Yr5$152,110AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$3,212,175NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.047354DistributionYr5Rt
Total Distribution0.242533TotalDistributionRt
Average Distribution0.048507AverageDistributionRt
Net Vl Noncharitable Assets$3,898,000NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$189,080AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$1,070NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$190,150AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$219,571QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$1,070InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$1,070SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$1,070TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$62EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$775ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$837TotalPaymentsAndCreditsAmt
Es Penalty$19EsPenaltyAmt
Tax Due$252TaxDueAmt

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 StateMEOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksLEAHGRACE BRIENNA KAYLERIndividualWithBooksNm
Phone9785157415PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line142 MUSSEL POINT ROADAddressLine1Txt
CityGLOUCESTERCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01930ZIPCd
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 (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
LEAHGRACE BRIENNA KAYLER
42 MUSSEL POINT RDGLOUCESTERMA01930TRUSTEE1.00$0$0$0
RONALD STRIAR
42 MUSSEL POINT RDGLOUCESTERMA01930TRUSTEE1.00$0$0$0
RICHARD GROSSMAN
42 MUSSEL POINT RDGLOUCESTERMA01930TRUSTEE1.00$0$0$0
CANDACE PLATZ
42 MUSSEL POINT RDGLOUCESTERMA01930TRUSTEE1.00$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$3,579,814AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$377,546AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$3,957,360TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$3,957,360AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$59,360CashDeemedCharitableAmt
Net Vl Noncharitable Assets$3,898,000NetVlNoncharitableAssetsAmt
Minimum Investment Return$194,900MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$194,900MinimumInvestmentReturnAmt
Tax Based On Investment Income$1,070TaxBasedOnInvestmentIncomeAmt
Total Tax$1,070TotalTaxAmt
Distributable Before Adj$193,830DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$193,830DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$193,830DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$219,571ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$219,571QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$1,070PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$218,501AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$193,830DistributableAsAdjustedAmt
Undistributed Income PY$489UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$219,571QualifyingDistributionsAmt
Applied To Year1$489AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$193,830AppliedToCurrentYearAmt
Remaining Distri From Corpus$25,252RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$25,252TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$25,252ExcessDistriCyovToNextYrAmt
Excess From Current Year$25,252ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonLEAHGRACE BRIENNA KAYLERRecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1102 FOREST AVENUEAddressLine1Txt
CityORONOCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04473ZIPCd
FieldValueIRS element (for citing)
Recipient Phone9785157415RecipientPhoneNum
Recipient Email AddressLEAHGRACEKAYLER@GMAILCOMRecipientEmailAddressTxt
Form And Info And MaterialsN/AFormAndInfoAndMaterialsTxt
Submission DeadlinesN/ASubmissionDeadlinesTxt
Restrictions On AwardsN/ARestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (103 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line1RecipientForeignAddress/AddressLine1TxtCityRecipientForeignAddress/CityNmCountryRecipientForeignAddress/CountryCdForeign PostalRecipientForeignAddress/ForeignPostalCd
ACTION INC
180 MAIN STGLOUCESTERMA01930NONEPCOPERATIONAL SUPPORT$1,500
ADVOCATES FOR CHILDREN
PO BOX 3316AUBURNME04212NONEPCOPERATIONAL SUPPORT$100
ALASKAN MALAMUTE RESCUE OF NEW ENGLAND
1072 BURT HILL ROADTOLLANDMA01034NONEPCOPERATIONAL SUPPORT$300
AMERICAN CANCER SOCIETY
250 WILLIAMS STREET NWATLANTAGA30303NONEPCOPERATIONAL SUPPORT$150
AMERICAN INSTITUTE OF CANCER RESEARCH
1560 WILSON BOULEVARD SUITE 1000ARLINGTONVA22209NONEPCOPERATIONAL SUPPORT$100
AMERICAN JEWISH WORLD SERVICE
45 WEST 36TH STREETNEW YORKNY10018NONEPCOPERATIONAL SUPPORT$5,750
APPALACHIAN MOUNTAIN CLUB
5 JOY STREETBOSTONMA02108NONEPCOPERATIONAL SUPPORT$3,000
ARTIS NAPLES
5833 PELICAN BAY BLVDNAPLESFL34108NONEPCOPERATIONAL SUPPORT$5,000
ASPCA
PO BOX 96929WASHINGTONDC20077NONEPCOPERATIONAL SUPPORT$500
BOSTON MARATHON CO BOSTON ATHLETIC ASSOCIATION
185 DARTMOUTH ST SUITE 6BOSTONMA02116NONEPCOPERATIONAL SUPPORT$150
BOSTON UNIVERSITY HILLEL HOUSE
FLORENCE AND CHAFETZ HILLEL HOUSE 2BOSTONMA02215NONEPCOPERATIONAL SUPPORT$1,250
BROOKFIELD INSTITUTE
PO BOX 388BROOKFIELDMA01506NONEPCOPERATIONAL SUPPORT$2,000
CAMP SUNSHINE
35 ACADIA RDCASCOME04015NONEPCOPERATIONAL SUPPORT$1,000
CAMP SUSAN CURTIS FOUNDATION
1321 WASHINGTON AVE 104PORTLANDME04103NONEPCOPERATIONAL SUPPORT$9,600
CAPE ANN ANIMAL AID
4 PAWS LANEGLOUCESTERMA01930NONEPCOPERATIONAL SUPPORT$750
CAPE ANN FOOD PANTRY
28 EMERSON AVEGLOUCESTERMA01930NONEPCOPERATIONAL SUPPORT$1,650
CATHOLIC CHARITIES OF MAINE
PO BOX 10660PORTLANDME04104NONEPCOPERATIONAL SUPPORT$1,000
CIRCLE OF FRIENDS
11965 VENICE BLVD SUITE 301LOS ANGELESCA90066NONEPCOPERATIONAL SUPPORT$100
COMBINED JEWISH PHILANTHROPIES
126 HIGH STBOSTONMA02110NONEPCOPERATIONAL SUPPORT$1,500
COMMUNITY CONCEPTS INC
240 BATES STREETLEWISTONME04240NONEPCOPERATIONAL SUPPORT$2,500
CONGREGATION BETH ABRAHAM
145 YORK STBANGORME04401NONEPCOPERATIONAL SUPPORT$1,235
CONGREGATION BETH ISRAEL
PO BOX 1726BANGORME04402NONEPCOPERATIONAL SUPPORT$1,360
CORNELL LAB OF ORINITHOLOGY
PO BOX 11ITHACANY14851NONEPCOPERATIONAL SUPPORT$100
CORNELL UNIVERSITY VETERINARY COLLEGE
COLLEGE OF VETERINARY MEDICINEITHACANY14853NONEPCOPERATIONAL SUPPORT$3,500
CURE ALZHEIMER'S FUND
34 WASHINGTON STWELLESLEY HILLSMA02481NONEPCOPERATIONAL SUPPORT$9,750
DANA FARBER CANCER INSTITUTE
10 BROOKLINE PLACE WESTBROOKLINEMA02445NONEPCOPERATIONAL SUPPORT$5,000
DARTMOUTH HITCHCOCK MEDICAL CENTER
ONE MEDICAL CENTER DRIVELEBANONNH03756NONEPCOPERATIONAL SUPPORT$300
DEERFIELD ACADEMY
PO BOX 306DEERFIELDMA01342NONEPCOPERATIONAL SUPPORT$1,000
DISABLED AMERICAN VETERANS
PO BOX 14301CINCINNATIOH45250NONEPCOPERATIONAL SUPPORT$100
EMHS FOUNDATION
1 CUMBERLAND ST 300BANGORME04401NONEPCOPERATIONAL SUPPORT$5,000
ENGENDER HEALTH
440 NINTH AVENUENEW YORKNY10001NONEPCOPERATIONAL SUPPORT$100
EQUINE RESCUE NETWORK
370MIDDLETON RDMIDDLETONMA01949NONEPCOPERATIONAL SUPPORT$700
ESSEX COUNTY GREENBELT
82 EASTERN AVEESSEXMA01929NONEPCOPERATIONAL SUPPORT$750
FAMILY PLANNING ASSOCIATION OF MAINE
PO BOX 587AUGUSTAME04332NONEPCOPERATIONAL SUPPORT$1,000
FINCA
1201 15TH STREET NW 8TH FLOORWASHINGTONDC20005NONEPCOPERATIONAL SUPPORT$100
FOUNDATION FOR INDIVIDUAL RIGHTS EDUCATION
510 WALNUT STREET SUITE 1250PHILADELPHIAPA19106NONEPCOPERATIONAL SUPPORT$375
FREEPORT COMMUNITY SERVICES
53 DEPOT STFREEPORTME04032NONEPCOPERATIONAL SUPPORT$500
FREEPORT GRIDIRON CLUB
106 TENPENNY STFREEPORTME04032NONEPCOPERATIONAL SUPPORT$500
FRIENDS OF HARVARD SKIING
65 WORTH HARVARD STBOSTONMA02163NONEPCOPERATIONAL SUPPORT$1,000
FRIENDS OF ISRAEL DEFENSE FORCE
PO BOX 4224NEW YORKNY10163NONEPCOPERATIONAL SUPPORT$7,750
FRIENDS OF ISRAELS ENVIRONMENT
4182 BECK AVENUESTUDIO CITYCA91604NONEPCOPERATIONAL SUPPORT$1,500
FRIENDS OF THE ARAVA INSTITUTE
1320 CENTRE STREET SUITE 206NEWTONMA02459NONEPCOPERATIONAL SUPPORT$500
GLOBAL WILDLIFE CONSERVATION
PO BOX 129AUSTINTX78767NONEPCOPERATIONAL SUPPORT$4,100
GOOD SHEPPARD FOOD BANK
3121 HOTEL RDAUBURNME04210NONEPCOPERATIONAL SUPPORT$1,200
GREATER ANDROSCOGGIN HUMANE SOCIETY
55 STRAWBERRY AVELEWISTONME04240NONEPCOPERATIONAL SUPPORT$17,500
GREEN MOUNTAIN HORSE RESCUE
PO BOX 8SOUTH WOODSTOCKVT05071NONEPCOPERATIONAL SUPPORT$1,000
GROWTH THROUGH LEARNING
86 SHERMAN STREETCAMBRIDGEMA02140NONEPCOPERATIONAL SUPPORT$1,250
HARRY CHAPIN FOOD BANK
3760 FOWLER STREETFORT MYERSFL33901NONEPCOPERATIONAL SUPPORT$3,000
HARVARD COLLEGE FUND
CAMBRIDGECAMBRIDGEMA02138NONEPCOPERATIONAL SUPPORT$500
HELP HOSPITALIZED VETERANS
PO BOX 758505TOPEKAKS66675NONEPCOPERATIONAL SUPPORT$100
HILLEL AT UNIVERSITY OF MIAMI
1100 STANFORD DRIVECORAL GABLESFL33146NONEPCOPERATIONAL SUPPORT$1,000
HISPANIC FEDERATION
55 EXCHANGE PLACE 5TH FLOORNEW YORKNY10005NONEPCOPERATIONAL SUPPORT$950
HOLOCAUST & HUMAN RIGHTS EDUCATION CENTER
4 W RED OAK LN 330WEST HARRISONNY10604NONEPCOPERATIONAL SUPPORT$400
HORSES FOR THERAPEUTIC RIDING
23381 TORRE CIRBOCA RATONFL33433NONEPCOPERATIONAL SUPPORT$150
HOUSTON FOOD BANK
535 PORTWALL STREETHOUSTONTX77029NONEPCOPERATIONAL SUPPORT$3,100
HOUSTON HUMANE SOCIETY
14700 ALMEDA ROADHOUSTONTX77053NONEPCOPERATIONAL SUPPORT$300
HOUSTON SOCIETY FOR THE PREVENTION OF CRUELTY TO ANIMALS
900 PORTWAY DRHOUSTONTX77024NONEPCOPERATIONAL SUPPORT$2,000
HUNTINGTON'S DISEASE SOCIETY OF AMERICA
505 EIGHT AVENUE SUITE 902NEW YORKNY10018NONEPCOPERATIONAL SUPPORT$300
HURRICANE HARVEY RELIEF FUND CO GREATER HOUSTON COMMUNITY FOUNDATION
5120 WOODWAY DRIVE SUITE 6000HOUSTONTX77056NONEPCOPERATIONAL SUPPORT$300
IMMIGRANT LEGAL ADVOCACY
309 CUMBERLAND AVE 201PORTLANDME04101NONEPCOPERATIONAL SUPPORT$3,000
JEWISH COMMUNITY ALLIANCE
57 ASHMONT STPORTLANDME04103NONEPCOPERATIONAL SUPPORT$1,000
JEWISH FAMILY SERVICES OF METROWEST
475 FRANKLIN ST 101FRAMINGHAMMA01702NONEPCOPERATIONAL SUPPORT$1,000
JEWISH FEDERATION AUBURN CHAPTER
74 BRADMAN STAUBURNME04210NONEPCOPERATIONAL SUPPORT$500
JEWISH FEDERATION OF COLLIER COUNTY
2500 VANDERBILT BEACH RD 2201NAPLESFL34109NONEPCOPERATIONAL SUPPORT$5,000
LAST STOP HORSE RESCUE
938 TAR RIDGE ROADPRENTISSME04487NONEPCOPERATIONAL SUPPORT$2,100
LIGHTS ON THE MOUNTAIN
PO BOX 2366ROBBINSVILLENC28771NONEPCOPERATIONAL SUPPORT$3,500
LITERACY VOLUNTEERS OF AUBURN
165 HIGH STREETAUBURNME04240NONEPCOPERATIONAL SUPPORT$100
LOWN CARDIOVASCULAR GROUP
830 BOYLSTON ST 205CHESTNUT HILLMA02467NONEPCOPERATIONAL SUPPORT$500
MAINE CENTER FOR GRIEVING CHILDREN
555 FOREST AVEPORTLANDME04101NONEPCOPERATIONAL SUPPORT$1,000
MAINE EQUAL JUSTICE PARTNERS
126 SEWALL STAUGUSTAME04330NONEPCOPERATIONAL SUPPORT$1,000
MAINE JEWISH MUSEUM
267 CONGRESS STPORTLANDME04101NONEPCOPERATIONAL SUPPORT$1,000
MAINE PUBLIC BROADCASTING NETWORK
1450 LISBON STLEWISTONME04240NONEPCOPERATIONAL SUPPORT$500
MAINE STATE SOCIETY FOR PROTECTION OF ANIMALS
PO BOX 10WINDHAMME04082NONEPCOPERATIONAL SUPPORT$100
MIDDLEBURY COLLEGE
14 OLD CHAPEL RDMIDDLEBURYVT05753NONEPCOPERATIONAL SUPPORT$5,000
NATIONAL VACCINE INFORMATION CENTER
407 CHURCH ST NE HVIENNAVA22180NONEPCOPERATIONAL SUPPORT$90
NEVE MICHAEL CHILDREN'S VILLAGE
NONEPCOPERATIONAL SUPPORT$1,0001 HAZFIRA STREETPARDES HANAIS37000
OCETI SAKOWIN CAMP
PO BOX D 1 N STANDING ROCK AVENUEFORT YATESND58538NONEPCOPERATIONAL SUPPORT$5,000
OHEL AYALAH
PO BOX 654NEW YORKNY10159NONEPCOPERATIONAL SUPPORT$375
PATHWAYS FOR CHILDREN
29 EMERSON AVEGLOUCESTERMA01930NONEPCOPERATIONAL SUPPORT$3,500
PINE TREE LEGAL ASSISTANCE
88 FEDERAL STREET PO BOX 547PORTLANDME04112NONEPCOPERATIONAL SUPPORT$1,000
PLANNED PARENTHOOD OF NORTHERN NEW ENGLAND
784 HERCULES DRCOLCHESTERVT05446NONEPCOPERATIONAL SUPPORT$100
PREBLE STREET RESOURCE CENTER
5 PORTLAND STPORTLANDME04101NONEPCOPERATIONAL SUPPORT$1,000
RIDING TO THE TOP
PO BOX 1928WINDHAMME04062NONEPCOPERATIONAL SUPPORT$27,800
SAMFUND
89 SOUTH STBOSTONMA02111NONEPCOPERATIONAL SUPPORT$250
SCARBOROUGH HIGH SCHOOL
11 MUNICIPAL DRIVESCARBOROUGHME04074NONEPCOPERATIONAL SUPPORT$300
SOS ANIMAL RESCUE
PO BOX 8391BANGORME04402NONEPCOPERATIONAL SUPPORT$1,000
SPECIAL OLYMPICS
PO BOX 2170SOUTH PORTLANDME04116NONEPCOPERATIONAL SUPPORT$100
SPEE CLUB (HARVARD)
CAMBRIDGECAMBRIDGEMA02138NONEPCOPERATIONAL SUPPORT$1,000
STEP UP FOR STUDENTS
4655 SALISBURY RDJACKSONVILLEFL32256NONEPCOPERATIONAL SUPPORT$2,000
SUGARLOAF REGIONAL SKI EDUCATION FOUNDATION
PO BOX 546STRATTONME04982NONEPCOPERATIONAL SUPPORT$1,000
SUSAN CURTIS FOUNDATION
1321 WASHINGTON AVEPORTLANDME04103NONEPCOPERATIONAL SUPPORT$1,000
TEMPLE BETH SHALOM
193 EAST PLEASANT AVELIVINGSTONNJ07039NONEPCOPERATIONAL SUPPORT$9,000
THE BROOKE
NONEPCOPERATIONAL SUPPORT$1,0005TH FLOOR FRIARS BRIDGE COURTLONDONUKSE1 8NZ
THE SANCTUARY AT MAPLE HILL
464 MAPLE HILL RDAUBURNME04210NONEPCOPERATIONAL SUPPORT$1,667
TIDES FOUNDATION
PO BOX 29198SAN FRANCISCOCA94129NONEPCOPERATIONAL SUPPORT$2,000
TILTON SCHOOL
30 SCHOOL STLEWISTONME04240NONEPCOPERATIONAL SUPPORT$250
TREE STREET YOUTH
144 HOWE STLEWISTONME04240NONEPCOPERATIONAL SUPPORT$2,500
TRINITY JUBILEE CENTER
247 BATES STLEWISTONME04240NONEPCOPERATIONAL SUPPORT$1,000
TRITOWN TRACK AND FIELD OF FREEPORT
400 POWNAL RDFREEPORTME04032NONEPCOPERATIONAL SUPPORT$5,000
UNITED JEWISH APPEAL - NJ
130 E 59TH STNEW YORKNY10022NONEPCOPERATIONAL SUPPORT$500
WELLSPRING HOUSE
302 ESSEX AVEGLOUCESTERMA01930NONEPCOPERATIONAL SUPPORT$1,500
WOMEN'S FOUNDATION OF COLLIER COUNTY
1110 PINE RIDGE ROADNAPLESFL34108NONEPCOPERATIONAL SUPPORT$2,000
WOUNDED WARRIOR PROJECT
PO BOX 75816TOPEKAKS66675NONEPCOPERATIONAL SUPPORT$100
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$215,502TotalGrantOrContriPdDurYrAmt
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$13,904ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$73,413ExclusionAmt

Other Investment Incm Part VII OtherInvestmentIncmPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$1,375ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$63,054ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$151,746ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$151,746TotalIncomeProducingActyAmt

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 (4 entries)

ContributorContributorNumAddress Line1ContributorUSAddress/AddressLine1TxtCityContributorUSAddress/CityNmState AbbreviationContributorUSAddress/StateAbbreviationCdZIPContributorUSAddress/ZIPCdTotal ContributionsTotalContributionsAmtPerson ContributionPersonContributionInd
LEAHGRACE BRIENNA KAYLER
142 MUSSEL POINT ROADGLOUCESTERMA01930$10,030Yes (X)
JAMES A PLATZ
22 GREAT FALLS PLAZAAUBURNME04210$15,000Yes (X)
DANIEL G KAGAN
32 ROLAND KIMBALL ROADFREEPORTME04032$20,800Yes (X)
BETH GROSSMAN & ROCHARD BOBROW
41928 COCPLUM WAYNAPLESFL34105$10,000Yes (X)

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING & TAX PREPCategoryTxt
Amt$5,250Amt
Net Investment Income$3,937NetInvestmentIncomeAmt
Disbursements Charitable Prps$1,313DisbursementsCharitablePrpsAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockCORPORATE STOCKStockNm
EOY Book Value$2,433,476EOYBookValueAmt
EOYFMV$3,290,239EOYFMVAmt

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Obligations Book Vl EOY$669,251USGovtObligationsBookVlEOYAmt
US Govt Obligations EOYFMV$714,776USGovtObligationsEOYFMVAmt
State Local Sec Book Vl EOY$0StateLocalSecBookVlEOYAmt
State Local Sec EOYFMV$0StateLocalSecEOYFMVAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

FieldValueIRS element (for citing)
DescBANK FEESDesc
Revenue And Expenses Per Books$10RevenueAndExpensesPerBooksAmt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$10DisbursementsCharitablePrpsAmt

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescOVERPAYMENT OF TAXESDesc
Revenue And Expenses Per Books$1,375RevenueAndExpensesPerBooksAmt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryINVESTMENT ADVISORY FEESCategoryTxt
Amt$34,031Amt
Net Investment Income$34,031NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (4 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
STATE TAXES$430$0$0
FEDERAL TAXES$62$0$0
FOREIGN TAXES PAID$2,616$2,616$0
PAYROLL TAXES$991$496$495