GEORGE H SCANLON FOUNDATION: Form 990PF, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: GEORGE H SCANLON FOUNDATION (EIN 42-6100764)
Tax period: 2015-01-01 to 2015-12-31
Filed: 2016-04-06
IRS object ID: 201630979349100728
Schema version: 2015v2.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990-PF
Accounting Fees Schedule
Depreciation Schedule
Investments Corp Bonds Schedule
Investments Corp Stock Schedule
Investments Other Schedule2
Land Etc Schedule2
Legal Fees Schedule
Other Decreases Schedule
Other Expenses Schedule
Other Professional Fees Schedule
Taxes Schedule

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-04-06T10:08:30-05:00	ReturnTs
Tax Period End	2015-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	420714325	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	RSM US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	221 THIRD AVENUE SE STE 300	AddressLine1Txt
City	CEDAR RAPIDS	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	524011512	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990PF	ReturnTypeCd
Tax Period Begin	2015-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	426100764	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THE GEORGE H SCANLON FOUNDATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	GEOR	BusinessNameControlTxt
Phone	6177340446	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 323	AddressLine1Txt
City	OKOBOJI	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	51355	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JAMES P SCANLON JR	PersonNm
Person Title	TREASURER	PersonTitleTxt
Phone	6177340446	PhoneNum
Signature	2016-04-02	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	CARLEY UMSTEAD	PreparerPersonNm
PTIN	P00982177	PTIN
Phone	3192985333	PhoneNum

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2016-09-27 15:27:22Z	BuildTS

Form 990-PF IRS990PF

Field	Value	IRS element (for citing)
Organization501c3 Exempt PF	Yes (X)	Organization501c3ExemptPFInd
FMV Assets EOY	$3,578,547	FMVAssetsEOYAmt
Method Of Accounting Cash	Yes (X)	MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

Field	Value	IRS element (for citing)
Schedule B Not Required	Yes (X)	ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss	$34,958	InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm	$34,958	InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss	$93,120	DividendsRevAndExpnssAmt
Dividends Net Invst Incm	$93,120	DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss	-$146,713	NetGainSaleAstRevAndExpnssAmt
Gross Sales Price	$1,270,359	GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm	$0	CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss	-$18,635	TotalRevAndExpnssAmt
Total Net Invst Incm	$128,078	TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss	$12,000	CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm	$6,000	CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl	$6,000	CompOfcrDirTrstDsbrsChrtblAmt
Legal Fees Rev And Expnss	$80	LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm	$40	LegalFeesNetInvstIncmAmt
Legal Fees Dsbrs Chrtbl	$40	LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss	$2,640	AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm	$1,320	AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps	$1,320	AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss	$50,348	OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm	$50,348	OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl	$0	OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss	$955	TaxesRevAndExpnssAmt
Taxes Net Invst Incm	$955	TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl	$0	TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss	$92	DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm	$0	DeprecAndDpltnNetInvstIncmAmt
Trav Conf Meeting Rev And Expnss	$9,604	TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Net Invst Incm	$0	TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Dsbrs Chrtbl	$9,604	TravConfMeetingDsbrsChrtblAmt
Other Expenses Rev And Expnss	$1,620	OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm	$734	OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl	$734	OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss	$77,339	TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm	$59,397	TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl	$17,698	TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss	$200,030	ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl	$200,030	ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss	$277,369	TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm	$59,397	TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl	$217,728	TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses	-$296,004	ExcessRevenueOverExpensesAmt
Net Investment Income	$68,681	NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

Field	Value	IRS element (for citing)
Cash BOY	$67,680	CashBOYAmt
Cash EOY	$448,865	CashEOYAmt
Cash EOYFMV	$448,865	CashEOYFMVAmt
Corporate Stock BOY	$2,533,079	CorporateStockBOYAmt
Corporate Stock EOY	$2,168,862	CorporateStockEOYAmt
Corporate Stock EOYFMV	$2,544,951	CorporateStockEOYFMVAmt
Corporate Bonds BOY	$560,359	CorporateBondsBOYAmt
Corporate Bonds EOY	$564,728	CorporateBondsEOYAmt
Corporate Bonds EOYFMV	$551,731	CorporateBondsEOYFMVAmt
Other Investments BOY	$373,182	OtherInvestmentsBOYAmt
Other Investments EOY	$33,000	OtherInvestmentsEOYAmt
Other Investments EOYFMV	$33,000	OtherInvestmentsEOYFMVAmt
Land Bldg Equip Cost Or Other Bss	$1,592	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,592	LandBldgEquipAccumDeprecAmt
Land BOY	$92	LandBOYAmt
Land EOY	$0	LandEOYAmt
Land EOYFMV	$0	LandEOYFMVAmt
Total Assets BOY	$3,534,392	TotalAssetsBOYAmt
Total Assets EOY	$3,215,455	TotalAssetsEOYAmt
Total Assets EOYFMV	$3,578,547	TotalAssetsEOYFMVAmt
Total Liabilities BOY	$0	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$0	TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117	Yes (X)	OrgDoesNotFollowSFAS117Ind
Capital Stock BOY	$0	CapitalStockBOYAmt
Capital Stock EOY	$0	CapitalStockEOYAmt
Additional Paid In Capital BOY	$0	AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY	$0	AdditionalPaidInCapitalEOYAmt
Retained Earning BOY	$3,534,392	RetainedEarningBOYAmt
Retained Earning EOY	$3,215,455	RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY	$3,534,392	TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY	$3,215,455	TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY	$3,534,392	TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY	$3,215,455	TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

Field	Value	IRS element (for citing)
Tot Net Ast Or Fund Balances BOY	$3,534,392	TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses	-$296,004	ExcessRevenueOverExpensesAmt
Other Increases	$0	OtherIncreasesAmt
Subtotal	$3,238,388	SubtotalAmt
Other Decreases	$22,933	OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY	$3,215,455	TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp

Field	Value	IRS element (for citing)
Property	PUBLICLY TRADED SECURITIES	PropertyDesc
How Acquired	P	HowAcquiredCd
Gross Sales Price	$1,270,359	GrossSalesPriceAmt
Cost Or Other Basis	$1,417,072	CostOrOtherBasisAmt
Gain Or Loss	-$146,713	GainOrLossAmt
Gains Minus Excess Or Losses	-$146,713	GainsMinusExcessOrLossesAmt

Field	Value	IRS element (for citing)
Capital Gain Net Income	-$146,713	CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

Field	Value	IRS element (for citing)
Liable Section4942 Tax	0	LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1	$182,220	AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1	$4,067,326	NetVlNoncharitableAssetsYr1Amt
Distribution Yr1	0.044801	DistributionYr1Rt
Adjusted Qlfy Distri Yr2	$185,048	AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2	$3,958,621	NetVlNoncharitableAssetsYr2Amt
Distribution Yr2	0.046746	DistributionYr2Rt
Adjusted Qlfy Distri Yr3	$158,155	AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3	$3,942,427	NetVlNoncharitableAssetsYr3Amt
Distribution Yr3	0.040116	DistributionYr3Rt
Adjusted Qlfy Distri Yr4	$246,211	AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4	$4,142,675	NetVlNoncharitableAssetsYr4Amt
Distribution Yr4	0.059433	DistributionYr4Rt
Adjusted Qlfy Distri Yr5	$199,264	AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5	$3,828,893	NetVlNoncharitableAssetsYr5Amt
Distribution Yr5	0.052042	DistributionYr5Rt
Total Distribution	0.243138	TotalDistributionRt
Average Distribution	0.048628	AverageDistributionRt
Net Vl Noncharitable Assets	$4,050,917	NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets	$196,988	AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct	$687	NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct	$197,675	AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions	$217,728	QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

Field	Value	IRS element (for citing)
Domestic Org Meeting Sect4940e	Yes (X)	DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax	$687	InvestmentIncomeExciseTaxAmt
Tax Under Section511	$0	TaxUnderSection511Amt
Subtotal	$687	SubtotalAmt
Subtitle A Tax	$0	SubtitleATaxAmt
Tax Based On Investment Income	$687	TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx	$3,173	EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits	$3,173	TotalPaymentsAndCreditsAmt
Overpayment	$2,486	OverpaymentAmt
Applied To ES Tax	$2,486	AppliedToESTaxAmt
Refund	$0	RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

Field	Value	IRS element (for citing)
Legislative Political Acty	0	LegislativePoliticalActyInd
More Than100 Spent	0	MoreThan100SpentInd
Form1120 POL Filed	0	Form1120POLFiledInd
Section4955 Organization Tax	$0	Section4955OrganizationTaxAmt
Section4955 Managers Tax	$0	Section4955ManagersTaxAmt
Tax Reimbursed	$0	TaxReimbursedAmt
Activities Not Previously Rpt	0	ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws	0	ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc	0	OrganizationDissolvedEtcInd
Section508e Rqr Satisfied	Yes (1)	Section508eRqrSatisfiedInd
At Least5000 In Assets	Yes (1)	AtLeast5000InAssetsInd
Org Report Or Register State	IA	OrgReportOrRegisterStateCd
Form990 PF Filed With Atty Gen	Yes (1)	Form990PFFiledWithAttyGenInd
Private Operating Foundation	0	PrivateOperatingFoundationInd
New Substantial Contributors	0	NewSubstantialContributorsInd
Own Controlled Entity	0	OwnControlledEntityInd
Donor Advised Fund	0	DonorAdvisedFundInd
Comply With Public Insp Rqr	Yes (1)	ComplyWithPublicInspRqrInd
Website Address	N/A	WebsiteAddressTxt
Individual With Books	ROBERT DOWNER	IndividualWithBooksNm
Phone	3193389222	PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

Field	Value	IRS element (for citing)
Address Line1	122 S LINN ST	AddressLine1Txt
City	IOWA CITY	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	52240	ZIPCd

Field	Value	IRS element (for citing)
Foreign Accounts Question	0	ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

Field	Value	IRS element (for citing)
Sale Or Exch Disqualified Prsn	0	SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn	0	BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn	0	FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn	Yes (1)	PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn	0	TransferAstDisqualifiedPrsnInd
Payment To Government Official	0	PaymentToGovernmentOfficialInd
Acts Fail To Qlfy As Exceptions	0	ActsFailToQlfyAsExceptionsInd
Uncorrected Prior Acts	0	UncorrectedPriorActsInd
Undistributed Income PY	0	UndistributedIncomePYInd
Business Holdings	0	BusinessHoldingsInd
Jeopardy Investments	0	JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst	0	UncorrectedPYJeopardyInvstInd
Influence Legislation	0	InfluenceLegislationInd
Influence Election	0	InfluenceElectionInd
Grants To Individuals	0	GrantsToIndividualsInd
Grants To Organizations	0	GrantsToOrganizationsInd
Noncharitable Purpose	0	NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	TitleTitleTxt	Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt	CompensationCompensationAmt	Employee Benefit ProgramEmployeeBenefitProgramAmt	Expense Account Other AllwncExpenseAccountOtherAllwncAmt
CLARKE W SCANLON
PO BOX 323	OKOBOJI	IA	51355	PRESIDENT	1.00	$0	$0	$0
JAMES P SCANLON JR
PO BOX 323	OKOBOJI	IA	51355	TREASURER	15.00	$12,000	$0	$0
JANE A SCANLON
PO BOX 323	OKOBOJI	IA	51355	SECRETARY	1.00	$0	$0	$0
MARCIA E SCANLON
PO BOX 323	OKOBOJI	IA	51355	VICE PRESIDENT	1.00	$0	$0	$0

Field	Value	IRS element (for citing)
Comp Of Hghst Pd Empl Or NONE	NONE	CompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k	0	OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONE	NONE	CompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k	0	ContractorPaidOver50kCnt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

Field	Value	IRS element (for citing)
Average Monthly FMV Of Sec	$3,925,989	AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances	$153,617	AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast	$33,000	FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets	$4,112,606	TotalFMVOfUnusedAssetsAmt
Reduction Claimed	$0	ReductionClaimedAmt
Acquisition Indebtedness	$0	AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast	$4,112,606	AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable	$61,689	CashDeemedCharitableAmt
Net Vl Noncharitable Assets	$4,050,917	NetVlNoncharitableAssetsAmt
Minimum Investment Return	$202,546	MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

Field	Value	IRS element (for citing)
Minimum Investment Return	$202,546	MinimumInvestmentReturnAmt
Tax Based On Investment Income	$687	TaxBasedOnInvestmentIncomeAmt
Total Tax	$687	TotalTaxAmt
Distributable Before Adj	$201,859	DistributableBeforeAdjAmt
Recoveries Qualfied Distri	$0	RecoveriesQualfiedDistriAmt
Distributable Before Ded	$201,859	DistributableBeforeDedAmt
Deduction From Distributable	$0	DeductionFromDistributableAmt
Distributable As Adjusted	$201,859	DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

Field	Value	IRS element (for citing)
Expenses And Contributions	$217,728	ExpensesAndContributionsAmt
Program Related Invst Total	$0	ProgramRelatedInvstTotalAmt
Qualifying Distributions	$217,728	QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm	$687	PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri	$217,041	AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

Field	Value	IRS element (for citing)
Distributable As Adjusted	$201,859	DistributableAsAdjustedAmt
Undistributed Income PY	$0	UndistributedIncomePYAmt
Total For Prior Years	$0	TotalForPriorYearsAmt
Excess Distribution Cyov Yr5	$11,793	ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4	$42,871	ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr2	$7,361	ExcessDistributionCyovYr2Amt
Total Excess Distribution Cyov	$62,025	TotalExcessDistributionCyovAmt
Qualifying Distributions	$217,728	QualifyingDistributionsAmt
Applied To Year1	$0	AppliedToYear1Amt
Applied To Prior Years	$0	AppliedToPriorYearsAmt
Treated As Distri From Corpus	$0	TreatedAsDistriFromCorpusAmt
Applied To Current Year	$201,859	AppliedToCurrentYearAmt
Remaining Distri From Corpus	$15,869	RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus	$0	ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY	$0	ExcessDistributionCyovAppCYAmt
Total Corpus	$77,894	TotalCorpusAmt
Prior Year Undistributed Incm	$0	PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax	$0	PriorYearDeficiencyOrTaxAmt
Taxable1	$0	Taxable1Amt
Taxable2	$0	Taxable2Amt
Undistributed Income CY	$0	UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3	$0	CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5	$11,793	ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr	$66,101	ExcessDistriCyovToNextYrAmt
Excess From Year4	$42,871	ExcessFromYear4Amt
Excess From Year2	$7,361	ExcessFromYear2Amt
Excess From Current Year	$15,869	ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

Field	Value	IRS element (for citing)
Only Contri To Preselected	Yes (X)	OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (44 entries)

Address Line1RecipientUSAddress/AddressLine1Txt	CityRecipientUSAddress/CityNm	State AbbreviationRecipientUSAddress/StateAbbreviationCd	ZIPRecipientUSAddress/ZIPCd	Recipient RelationshipRecipientRelationshipTxt	Recipient Foundation StatusRecipientFoundationStatusTxt	Grant Or Contribution PurposeGrantOrContributionPurposeTxt	AmtAmt	Address Line2RecipientUSAddress/AddressLine2Txt
ANIMAL PROTECTIVE ASSOCIATION DBA HARMONY HOUSE FOR CATS
PO BOX 18098	CHICAGO	IL	60618	NONE	PC	GENERAL OPERATING BUDGET	$5,000
ARTBARN COMMUNITY THEATER
PO BOX 470504	BROOKLINE	MA	02447	NONE	PC	GENERAL OPERATING BUDGET	$250
BEDELL FAMILY YMCA
1900 41ST ST	SPIRIT LAKE	IA	51360	NONE	PC	GENERAL OPERATING BUDGET	$500
BOSTON CHILDREN'S MUSEUM
308 CONGRESS ST	BOSTON	MA	02210	NONE	PC	GENERAL OPERATING BUDGET	$150
BROOKLINE ART CENTER
86 MONMOUTH ST	BROOKLINE	MA	02446	NONE	PC	GENERAL OPERATING BUDGET	$2,000
BROOKLINE EDUCATION FOUNDATION
PO BOX 470652	BROOKLINE	MA	02447	NONE	PC	GENERAL OPERATING BUDGET	$700
BROOKLINE TEEN CENTER
40 WEBSTER PL	BROOKLINE	MA	02245	NONE	PC	GENERAL OPERATING BUDGET	$1,000
CANINE COMPANIONS FOR INDEPENDENCE
PO BOX 446	SANTA ROSA	CA	65402	NONE	PC	GENERAL OPERATING BUDGET	$1,000
CHILDREN'S HOSPITAL BOSTON
300 LONGWOOD AVE	BOSTON	MA	02446	NONE	PC	GENERAL OPERATING BUDGET	$10,000
CHILDREN'S HOSPITAL LOS ANGELES
4650 SUNSET BLVD	LOS ANGELES	CA	90027	NONE	PC	GENERAL OPERATING BUDGET	$6,375
CHURCH OF OUR SAVIOUR
25 MONMOUTH ST	BROOKLINE	MA	02446	NONE	PC	GENERAL OPERATING BUDGET	$250
CLIMATE CHANGE ACTION BROOKLINE
20 CHAPEL STREET B-412	BROOKLINE	MA	02446	NONE	PC	GENERAL OPERATING BUDGET	$101
COOLIDGE CORNER THEATRE FOUNDATION
290 HARVARD ST	BROOKLINE	MA	02446	NONE	PC	GENERAL OPERATING BUDGET	$12,500
DANA FARBER CANCER INSTITUTE
450 BROOKLINE AVE	BOSTON	MA	02115	NONE	PC	GENERAL OPERATING BUDGET	$250
DAVID LYNCH FOUNDATION FOR CONSCIOUSNESS BASED EDUCATION
1000 NORTH FOURTH	FAIRFIELD	IA	52557	NONE	PC	GENERAL OPERATING BUDGET	$1,000
DOGS FOR DEAF AND DISABLED AMERICANS
PO BOX 100	PRINCETON	MA	01541	NONE	PC	GENERAL OPERATING BUDGET	$250
EPIPHANY SCHOOL
154 CENTRE STREET	DORCHESTER	MA	02124	NONE	PC	GENERAL OPERATING BUDGET	$150
INSTITUTE OF CONTEMPORARY ART
100 NORTHERN AVENUE	BOSTON	MA	02210	NONE	PC	GENERAL OPERATING BUDGET	$125
LAWRENCE SCHOOL PTO
27 FRANCIS ST	BROOKLINE	MA	02446	NONE	PC	GENERAL OPERATING BUDGET	$500
LEUKEMIA & LYMPHOMA SOCIETY
3 INTERNATIONAL DRIVE SUITE 200	RYE BROOK	NY	10573	NONE	PC	GENERAL OPERATING BUDGET	$250
MEALS ON WHEELS
203 S UNION ST	ALEXANDRIA	VA	22314	NONE	PC	GENERAL OPERATING BUDGET	$1,000
MIDWEST LUMBER MUSEUM
1301 19TH AVE NW	CLINTON	IA	52732	NONE	PC	GENERAL OPERATING BUDGET	$1,375
MOTHERS OUT FRONT
30 BOW ST	CAMBRIDGE	MA	02138	NONE	PC	GENERAL OPERATING BUDGET	$750
MUSEUM OF FINE ARTS
465 HUNTINGTON AVENUE	BOSTON	MA	02115	NONE	PC	GENERAL OPERATING BUDGET	$250
NEUE GALERIE NEW YORK
1048 5TH AVE	NEW YORK	NY	10028	NONE	PC	GENERAL OPERATING BUDGET	$100
NEW ENGLAND AQUARIUM
NEW ENGLAND AQUARIUM CENTRAL WHARF	BOSTON	MA	02110	NONE	PC	GENERAL OPERATING BUDGET	$199
NEW ENGLAND WHEELCHAIR SPORTS INC
20 HAVEN STREET	DOVER	MA	02030	NONE	PC	GENERAL OPERATING BUDGET	$650
NORTH LIBERTY LIBRARY
PO BOX 320	NORTH LIBERTY	IA	52317	NONE	PC	GENERAL OPERATING BUDGET	$7,000
NORTH SHORE ANIMAL LEAGUE
25 DAVIS AVENUE	PORT WASHINGTON	NY	11050	NONE	PC	GENERAL OPERATING BUDGET	$1,000
OCEANA INC
2501 M ST NW	WASHINGTON	DC	20037	NONE	PC	GENERAL OPERATING BUDGET	$25,000
OKOBOJI FOUNDATION ENDOWMENT (COMMUNITY FOUNDATION OF GREATER DES MOINES)
PO BOX 593	OKOBOJI	IA	51355	NONE	PC	GENERAL OPERATING BUDGET	$2,000
OPERATION WALK - WOMEN ORTHOPAEDIST GLOBAL OUTREACH
314 S SOUTH STREET	MOUNT AIRY	NC	27030	NONE	PC	GENERAL OPERATING BUDGET	$4,375
OPERATION WALK CHICAGO (NORTHWESTERN ARTHRITIS & REHABILITATION INSTITUTE)
680 N LAKE SHORE DR STE 900	CHICAGO	IL	60611	NONE	PC	GENERAL OPERATING BUDGET	$17,000
OTIS COLLEGE OF ART AND DESIGN
9045 LINCOLN BOULEVARD	LOS ANGELES	CA	90045	NONE	PC	GENERAL OPERATING BUDGET	$7,500
PEOPLE FOR THE ETHICAL TREATMENT OF ANIMALS (PETA)
500 FRONT STREET	NORFOLK	VA	23510	NONE	PC	GENERAL OPERATING BUDGET	$2,500
PROVIDENCE CATHOLIC HIGH SCHOOL
1800 W LINCOLN HWY	NEW LENOX	IL	60451	NONE	PC	GENERAL OPERATING BUDGET	$15,000
PROVINCETOWN INTERNATIONAL FILM FESTIVAL
PO BOX 605	PROVINCETOWN	MA	02657	NONE	PC	GENERAL OPERATING BUDGET	$5,000
PUPPET SHOWPLACE THEATER
32 STATION ST	BROOKLINE	MA	02445	NONE	PC	GENERAL OPERATING BUDGET	$100
ROTARY INTERNATIONAL - BROOKLINE
PO BOX 136	BROOKLINE	MA	02446	NONE	PC	GENERAL OPERATING BUDGET	$100
SEED FOUNDATION
1776 MASSACHUSETTS AVENUE NW SUITE	WASHINGTON	DC	20036	NONE	PC	GENERAL OPERATING BUDGET	$1,030	600
SERO PROJECT
455 E 51ST ST APT 2C	NEW YORK	NY	10022	NONE	PC	GENERAL OPERATING BUDGET	$250
SPECIAL OLYMPICS
1133 19TH ST NW	WASHINGTON	DC	20036	NONE	PC	GENERAL OPERATING BUDGET	$500
UNIVERSITY OF IOWA FOUNDATION
PO BOX 4550	IOWA CITY	IA	52244	NONE	PC	GENERAL OPERATING BUDGET	$40,000
UNIVERSITY OF IOWA LAW SCHOOL
PO BOX 4550	IOWA CITY	IA	52244	NONE	PC	ENDOWMENT/SCHOLARSHIPS	$25,000

Field	Value	IRS element (for citing)
Total Grant Or Contri Pd Dur Yr	$200,030	TotalGrantOrContriPdDurYrAmt

Grant Or Contri Apprv For Fut GrantOrContriApprvForFutGrp

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	COOLIDGE CORNER THEATRE FOUNDATION	BusinessNameLine1Txt

Recipient US Address RecipientUSAddress

Field	Value	IRS element (for citing)
Address Line1	290 HARVARD ST	AddressLine1Txt
City	BROOKLINE	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02446	ZIPCd

Field	Value	IRS element (for citing)
Recipient Relationship	NONE	RecipientRelationshipTxt
Recipient Foundation Status	PC	RecipientFoundationStatusTxt
Grant Or Contribution Purpose	GENERAL OPERATING BUDGET	GrantOrContributionPurposeTxt
Amt	$100,000	Amt

Field	Value	IRS element (for citing)
Total Grant Or Contri Apprv Fut	$100,000	TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

Field	Value	IRS element (for citing)
Exclusion	14	ExclusionCd
Exclusion	$34,958	ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

Field	Value	IRS element (for citing)
Exclusion	14	ExclusionCd
Exclusion	$93,120	ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

Field	Value	IRS element (for citing)
Exclusion	18	ExclusionCd
Exclusion	-$146,713	ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

Field	Value	IRS element (for citing)
Unrelated Business Taxbl Incm	$0	UnrelatedBusinessTaxblIncmAmt
Exclusion	-$18,635	ExclusionAmt
Related Or Exempt Function Incm	$0	RelatedOrExemptFunctionIncmAmt

Field	Value	IRS element (for citing)
Total Income Producing Acty	-$18,635	TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

Field	Value	IRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO	0	TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO	0	TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets	0	SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO	0	PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets	0	RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements	0	ReimbursementArrangementsInd
Loans Or Loan Guarantees	0	LoansOrLoanGuaranteesInd
Performance Of Services Etc	0	PerformanceOfServicesEtcInd
Sharing Of Facilities Etc	0	SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO	0	RelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

Field	Value	IRS element (for citing)
Category	ACCOUNTING FEES	CategoryTxt
Amt	$2,640	Amt
Net Investment Income	$1,320	NetInvestmentIncomeAmt
Disbursements Charitable Prps	$1,320	DisbursementsCharitablePrpsAmt

Depreciation Schedule DepreciationSchedule

Depreciation Property DepreciationPropertyGrp

Field	Value	IRS element (for citing)
Property	COMPUTER	PropertyDesc
Acquired	2010-08-20	AcquiredDt
Cost Or Other Basis	$1,592	CostOrOtherBasisAmt
Prior Year Depreciation	$1,500	PriorYearDepreciationAmt
Computation Method	200DB	ComputationMethodTxt
Life	5.000000000000	LifeRt
Current Year Expense	$92	CurrentYearExpenseAmt
Net Investment Income	$0	NetInvestmentIncomeAmt

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp (7 entries)

BondBondNm	EOY Book ValueEOYBookValueAmt	EOYFMVEOYFMVAmt
ALCOA INC	$103,970	$103,635
AVON PRODUCTS INC	$51,454	$46,500
DUN & BRADSTREET CORP	$100,326	$97,886
GENERAL ELECTRIC CAPITAL CORP	$0	$0
MONTPELIER RE HLDGS	$102,557	$101,650
OWENS CORNING	$101,096	$100,058
TUPPERWARE BRANDS CORP	$105,325	$102,002

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (26 entries)

StockStockNm	EOY Book ValueEOYBookValueAmt	EOYFMVEOYFMVAmt
ABBVIE INC COM	$130,956	$157,687
APPLE INC	$89,769	$180,931
COMCAST CORP	$100,000	$102,640
CONOCOPHILLIPS	$0	$0
DEERE & COMPANY	$137,509	$120,637
DTE ENERGY HOLDING CO	$29,193	$140,736
GENERAL MOTORS CO COM	$0	$0
GOLDMAN SACHS GROUP INC DEP SHS	$102,371	$103,960
ISHARES FUNDS	$345,291	$457,503
JPMORGAN CHASE & CO DEPOSITARY SHS	$25,000	$25,240
MANITOWOC INC	$0	$0
MICROSOFT CORP	$80,443	$117,148
NOVARTIS AG ADR-EACH REPR	$122,057	$135,573
PIMCO INCOME STRATEGY FD II	$213,569	$164,494
ROCHE HOLDINGS AG SPN ADR EACH REP	$0	$0
SANOFI SPONSORED ADR	$0	$0
TORTOISE MLP FUND INC COM	$0	$0
VANGUARD FUNDS	$90,846	$98,428
VERIZON COMMUNICATIONS	$101,658	$102,178
AETNA INC NEW COM	$91,844	$132,144
METLIFE INC COM	$83,473	$75,869
LYONDELLBASELL INDUSTRIES	$83,911	$84,691
GILEAD SCIENCES INC	$80,282	$79,354
KRAFT HEINZ CO COM	$81,467	$92,901
AMGEN INC	$97,333	$98,394
MERCK & CO INC NEW COM	$81,890	$74,443

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (2 entries)

Category Or ItemCategoryOrItemTxt	Listed At Cost Or FMVListedAtCostOrFMVCd	Book ValueBookValueAmt	EOYFMVEOYFMVAmt
MAINGATE MLP FUND	AT COST	$0	$0
PRIVATELY HELD STOCK	AT COST	$33,000	$33,000

Land Etc Schedule2 LandEtcSchedule2

Land Etc LandEtcGrp

Field	Value	IRS element (for citing)
Category Or Item	COMPUTER	CategoryOrItemTxt
Cost Or Other Basis	$1,592	CostOrOtherBasisAmt
Accumulated Depreciation	$1,592	AccumulatedDepreciationAmt
Book Value	$0	BookValueAmt

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

Field	Value	IRS element (for citing)
Category	LEGAL FEES	CategoryTxt
Legal Fees	$80	LegalFeesAmt
Net Investment Income	$40	NetInvestmentIncomeAmt
Disbursements Charitable Prps	$40	DisbursementsCharitablePrpsAmt

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

Field	Value	IRS element (for citing)
Desc	NONDIVIDEND DISTRIBUTIONS	Desc
Amt	$22,933	Amt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)

DescDesc	Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt	Net Investment IncomeNetInvestmentIncomeAmt	Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt
POSTAGE	$142	$0	$0
OFFICE SUPPLIES	$1,478	$734	$734

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

Field	Value	IRS element (for citing)
Category	INVESTMENT MANAGEMENT FEES	CategoryTxt
Amt	$50,348	Amt
Net Investment Income	$50,348	NetInvestmentIncomeAmt
Disbursements Charitable Prps	$0	DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

Field	Value	IRS element (for citing)
Category	FOREIGN TAX	CategoryTxt
Amt	$955	Amt
Net Investment Income	$955	NetInvestmentIncomeAmt
Disbursements Charitable Prps	$0	DisbursementsCharitablePrpsAmt