WATERBURY HOSPITAL UW FULTON I K: Form 990PF, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- WATERBURY HOSPITAL UW FULTON I K (EIN 06-6031258)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-05-10
- IRS object ID
- 201631319349100248
- Schema version
- 2015v2.0
- 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
- Compensation Explanation
- Gain Loss Sale Other Assets Sch
- General Explanation Attachment
- Investments Corp Stock Schedule
- Legal Fees Schedule
- Other Decreases Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Increases Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-05-10T11:00:28-05:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 066031258 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FULTON I K U10W WATERBURY HOSP | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FULT | BusinessNameControlTxt |
| Phone | 8888663275 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O BOX 1802 | AddressLine1Txt |
| City | PROVIDENCE | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 029011802 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BANK OF AMERICA N A | PersonNm |
| Person Title | SVP Tax | PersonTitleTxt |
| Phone | 8888663275 | PhoneNum |
| Signature | 2016-05-05 | SignatureDt |
| 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) |
|---|---|---|
| Organization4947a1 Trtd PF | Yes (X) | Organization4947a1TrtdPFInd |
| FMV Assets EOY | $6,528,185 | FMVAssetsEOYAmt |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Dividends Rev And Expnss | $131,566 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $131,566 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $284,183 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $1,931,644 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $284,183 | CapGainNetIncmNetInvstIncmAmt |
| Net ST Capital Gain Adj Net Incm | $0 | NetSTCapitalGainAdjNetIncmAmt |
| Other Income Rev And Expnss | $2,546 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $21 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | $418,295 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $415,770 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $51,623 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $30,974 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $20,649 | CompOfcrDirTrstDsbrsChrtblAmt |
| Oth Empl Slrs Wgs Net Invst Incm | $0 | OthEmplSlrsWgsNetInvstIncmAmt |
| Oth Empl Slrs Wgs Adj Net Incm | $0 | OthEmplSlrsWgsAdjNetIncmAmt |
| Oth Empl Slrs Wgs Dsbrs Chrtbl | $0 | OthEmplSlrsWgsDsbrsChrtblAmt |
| Pension Empl Bnft Net Invst Incm | $0 | PensionEmplBnftNetInvstIncmAmt |
| Pension Empl Bnft Adj Net Incm | $0 | PensionEmplBnftAdjNetIncmAmt |
| Legal Fees Rev And Expnss | $1,174 | LegalFeesRevAndExpnssAmt |
| Legal Fees Net Invst Incm | $0 | LegalFeesNetInvstIncmAmt |
| Legal Fees Adj Net Incm | $0 | LegalFeesAdjNetIncmAmt |
| Legal Fees Dsbrs Chrtbl | $1,174 | LegalFeesDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $1,250 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $0 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Adj Net Incm | $0 | AccountingFeesAdjNetIncmAmt |
| Accounting Fees Chrtbl Prps | $1,250 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Dsbrs Chrtbl | $0 | OtherProfFeesDsbrsChrtblAmt |
| Interest Dsbrs Chrtbl | $0 | InterestDsbrsChrtblAmt |
| Taxes Rev And Expnss | $1,784 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $1,784 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Deprec And Dpltn Rev And Expnss | $0 | DeprecAndDpltnRevAndExpnssAmt |
| Deprec And Dpltn Net Invst Incm | $0 | DeprecAndDpltnNetInvstIncmAmt |
| Trav Conf Meeting Net Invst Incm | $0 | TravConfMeetingNetInvstIncmAmt |
| Trav Conf Meeting Adj Net Incm | $0 | TravConfMeetingAdjNetIncmAmt |
| Printing And Pub Net Invst Incm | $0 | PrintingAndPubNetInvstIncmAmt |
| Printing And Pub Adj Net Incm | $0 | PrintingAndPubAdjNetIncmAmt |
| Other Expenses Rev And Expnss | $1,334 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $2,570 | OtherExpensesNetInvstIncmAmt |
| Tot Opr Expenses Rev And Expnss | $57,165 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $35,328 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $0 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $23,073 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $303,745 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $303,745 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $360,910 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $35,328 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $0 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $326,818 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $57,385 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $380,442 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $289,033 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $287,553 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $287,553 | SavAndTempCashInvstEOYFMVAmt |
| Acct Rcvbl EOY | $0 | AcctRcvblEOYAmt |
| Acct Rcvbl EOYFMV | $0 | AcctRcvblEOYFMVAmt |
| Other Rcvbl Allwnc Dbtfl Acct | $0 | OtherRcvblAllwncDbtflAcctAmt |
| Corporate Stock BOY | $6,047,178 | CorporateStockBOYAmt |
| Corporate Stock EOY | $6,147,467 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $6,240,632 | CorporateStockEOYFMVAmt |
| Other Investments EOYFMV | $0 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $6,336,211 | TotalAssetsBOYAmt |
| Total Assets EOY | $6,435,020 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $6,528,185 | TotalAssetsEOYFMVAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Capital Stock BOY | $6,336,211 | CapitalStockBOYAmt |
| Capital Stock EOY | $6,435,020 | CapitalStockEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $6,336,211 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $6,435,020 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $6,336,211 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $6,435,020 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $6,336,211 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $57,385 | ExcessRevenueOverExpensesAmt |
| Other Increases | $44,507 | OtherIncreasesAmt |
| Subtotal | $6,438,103 | SubtotalAmt |
| Other Decreases | $3,083 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $6,435,020 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (24 entries)
| PropertyPropertyDesc | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt | How AcquiredHowAcquiredCd |
|---|---|---|---|---|---|---|---|
| 4798.042 INTERM GOVT/CREDIT BOND CTF | 2012-01-31 | 2015-09-11 | $60,000 | $65,428 | -$5,428 | -$5,428 | |
| 3001.418 INTERM GOVT/CREDIT BOND CTF | 2012-01-31 | 2015-12-18 | $37,289 | $40,827 | -$3,538 | -$3,538 | |
| 3884.37 INTERM GOVT/CREDIT BOND CTF | 2012-08-17 | 2015-12-18 | $48,259 | $52,548 | -$4,289 | -$4,289 | |
| 15409.948 INTERM GOVT/CREDIT BOND CTF | 1995-11-24 | 2015-12-18 | $191,452 | $199,200 | -$7,748 | -$7,748 | |
| 1978.239 COLUMBIA INCOME OPPORTUNITIES FUND CL Z | 2014-01-15 | 2015-12-15 | $18,299 | $20,000 | -$1,701 | -$1,701 | |
| 699.578 COLUMBIA INCOME OPPORTUNITIES FUND CL Z | 2012-01-23 | 2015-12-15 | $6,471 | $6,625 | -$154 | -$154 | |
| 1341.202 COLUMBIA INCOME OPPORTUNITIES FUND CL Z | 2011-08-22 | 2015-12-15 | $12,406 | $12,500 | -$94 | -$94 | |
| 2035.035 COLUMBIA INCOME OPPORTUNITIES FUND CL Z | 2009-07-16 | 2015-12-15 | $18,824 | $16,922 | $1,902 | $1,902 | |
| 11277.525 COLUMBIA MID CAP VALUE FUND CLASS Z SHARES | 2009-07-16 | 2015-12-15 | $155,968 | $101,159 | $54,809 | $54,809 | |
| 3646.412 COLUMBIA SMALL CAP GROWTH I FUND CLASS Z SHARES | 2009-07-16 | 2015-02-24 | $99,693 | $70,923 | $28,770 | $28,770 | |
| 8564.947 LAZARD FUNDS INC EMERGING MKTS PORTFOLIO INSTL | 2010-04-06 | 2015-12-15 | $118,025 | $167,787 | -$49,762 | -$49,762 | |
| 2899.315 LAZARD FUNDS INC EMERGING MKTS PORTFOLIO INSTL | 2011-08-22 | 2015-12-15 | $39,953 | $55,000 | -$15,047 | -$15,047 | |
| 824.629 LAZARD FUNDS INC EMERGING MKTS PORTFOLIO INSTL | 2014-01-15 | 2015-12-15 | $11,363 | $15,000 | -$3,637 | -$3,637 | |
| 2810.568 MFS VALUE FUND CL I | 2013-03-12 | 2015-03-16 | $100,000 | $79,427 | $20,573 | $20,573 | |
| 7307.459 MFS VALUE FUND CL I | 2013-03-12 | 2015-12-15 | $241,000 | $206,509 | $34,491 | $34,491 | |
| 329. POWERSHARES DB COMMODITY INDEX TRACKING FUND UNIT BEN INT | 2014-05-13 | 2015-09-08 | $4,996 | $5,689 | -$693 | -$693 | |
| 3641.661 TCW SELECT EQUITIES FUND CL I | 2013-12-23 | 2015-03-16 | $100,000 | $94,246 | $5,754 | $5,754 | |
| 12536.932 TCW SELECT EQUITIES FUND CL I | 2013-12-23 | 2015-12-15 | $367,457 | $324,456 | $43,001 | $43,001 | |
| 325.572 TCW SELECT EQUITIES FUND CL I | 2014-01-15 | 2015-12-15 | $9,543 | $8,253 | $1,290 | $1,290 | |
| 937. VANGUARD FTSE EMERGING MKTS ETF | 2012-12-05 | 2015-12-15 | $30,517 | $39,931 | -$9,414 | -$9,414 | |
| 970. VANGUARD FTSE EMERGING MKTS ETF | 2012-08-15 | 2015-12-15 | $31,592 | $39,974 | -$8,382 | -$8,382 | |
| 376. VANGUARD FTSE EMERGING MKTS ETF | 2013-06-17 | 2015-12-15 | $12,246 | $15,061 | -$2,815 | -$2,815 | |
| 251. VANGUARD FTSE EMERGING MKTS ETF | 2014-01-15 | 2015-12-15 | $8,175 | $9,996 | -$1,821 | -$1,821 | |
| CAPITAL GAIN DIVIDENDS | $249,232 | P |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $284,183 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | false | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $331,488 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $6,722,322 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.049312 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $301,710 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $6,432,345 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.046905 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $279,919 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $5,970,726 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.046882 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $296,699 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $5,971,829 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.049683 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $272,542 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $5,645,684 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.048274 | DistributionYr5Rt |
| Total Distribution | 0.241056 | TotalDistributionRt |
| Average Distribution | 0.048211 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $6,614,641 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $318,898 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $3,804 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $322,702 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $326,818 | 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 | $3,804 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $3,804 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $3,804 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $7,428 | EstimatedPlusOvpmtIncmTxAmt |
| Applied To Es Tax | $0 | AppliedToEsTaxAmt |
| Total Payments And Credits | $7,428 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Overpayment | $3,624 | OverpaymentAmt |
| Applied To ES Tax | $3,624 | AppliedToESTaxAmt |
| Refund | $0 | RefundAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | false | LegislativePoliticalActyInd |
| More Than100 Spent | false | MoreThan100SpentInd |
| Form1120 POL Filed | false | Form1120POLFiledInd |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | false | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (true) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Org Report Or Register State | CT | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (true) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | false | PrivateOperatingFoundationInd |
| New Substantial Contributors | false | NewSubstantialContributorsInd |
| Own Controlled Entity | false | OwnControlledEntityInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (true) | ComplyWithPublicInspRqrInd |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | US TRUST FIDUCIARY TAX SERVICES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8888663275 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1802 | AddressLine1Txt |
| City | PROVIDENCE | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 029017348 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| NECT Filing In Lieu OF Form1041 | Yes (X) | NECTFilingInLieuOFForm1041Ind |
| Foreign Accounts Question | false | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | false | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | false | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | false | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | Yes (true) | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Acts Fail To Qlfy As Exceptions | false | ActsFailToQlfyAsExceptionsInd |
| Uncorrected Prior Acts | false | UncorrectedPriorActsInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| Business Holdings | false | BusinessHoldingsInd |
| Jeopardy Investments | false | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | false | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | false | InfluenceLegislationInd |
| Influence Election | false | InfluenceElectionInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Noncharitable Purpose | false | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BANK OF AMERICA | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 99 FOUNDERS PLZ | AddressLine1Txt |
| City | EAST HARTFORD | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 061083208 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Title | TRUSTEE | TitleTxt |
| Average Hrs Per Wk Devoted To Pos | 1 | AverageHrsPerWkDevotedToPosRt |
| Compensation | $51,623 | CompensationAmt |
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Summary Of Direct Chrtbl Acty | SummaryOfDirectChrtblActyGrp | |
| Sum Of Program Related Invst | SumOfProgramRelatedInvstGrp |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $6,602,109 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $113,263 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $6,715,372 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $6,715,372 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $100,731 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $6,614,641 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $330,732 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $330,732 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $3,804 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $3,804 | TotalTaxAmt |
| Distributable Before Adj | $326,928 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $326,928 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $326,928 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $326,818 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Charitable Assets Acquis Paid | $0 | CharitableAssetsAcquisPaidAmt |
| Set Aside Suitability Test | $0 | SetAsideSuitabilityTestAmt |
| Set Aside Cash Distri Test | $0 | SetAsideCashDistriTestAmt |
| Qualifying Distributions | $326,818 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $3,804 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $323,014 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $326,928 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $65,453 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $0 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $0 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $0 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $0 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $0 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $0 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $326,818 | QualifyingDistributionsAmt |
| Applied To Year1 | $65,453 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $261,365 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $0 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $65,563 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $0 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $0 | ExcessFromYear4Amt |
| Excess From Year3 | $0 | ExcessFromYear3Amt |
| Excess From Year2 | $0 | ExcessFromYear2Amt |
| Excess From Year1 | $0 | ExcessFromYear1Amt |
| Excess From Current Year | $0 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WATERBURY HOSPITAL | BusinessNameLine1Txt |
| Business Name Line2 | ATTN SCOTT BOWMAN ASST DIR | BusinessNameLine2Txt |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | CORPORATE FINANCE | AddressLine1Txt |
| City | WATERBURY | CityNm |
| State Abbreviation | CT | StateAbbreviationCd |
| ZIP | 067082613 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Relationship | N/A | RecipientRelationshipTxt |
| Recipient Foundation Status | PC | RecipientFoundationStatusTxt |
| Grant Or Contribution Purpose | UNRESTRICTED GENERAL | GrantOrContributionPurposeTxt |
| Amt | $303,745 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $303,745 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees Contracts From Govt Ag | FeesContractsFromGovtAgGrp | |
| Membership Dues And Assmnt | MembershipDuesAndAssmntGrp | |
| Int On Sav And Temp Cash Invst | IntOnSavAndTempCashInvstGrp |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $131,566 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Rntl Incm Re Debt Fincd Prop | NetRntlIncmReDebtFincdPropGrp | |
| Net Rntl Incm Re Not Debt Fincd Prop | NetRntlIncmReNotDebtFincdProp | |
| Net Rental Income Personal Prop | NetRentalIncomePersonalPropGrp | |
| Other Investment Incm Part VII | OtherInvestmentIncmPartVIIGrp |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $284,183 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Income Loss From Special Evt | NetIncomeLossFromSpecialEvtGrp | |
| Gross Profit Loss Sls Of Invntry | GrossProfitLossSlsOfInvntryGrp |
Other Revenue Described OtherRevenueDescribedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | EXCISE TAX REFUND | Desc |
| Exclusion | 1 | ExclusionCd |
| Exclusion | $2,546 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $418,295 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $418,295 | TotalIncomeProducingActyAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Rln Of Acty To Accom Of Exmpt Prps | RlnOfActyToAccomOfExmptPrpsGrp |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | false | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | false | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | false | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | false | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | false | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | false | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | false | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | false | RelationshipsNonchrtblEOInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | TAX PREPARATION FEE - BOA | CategoryTxt |
| Amt | $1,250 | Amt |
| Disbursements Charitable Prps | $1,250 | DisbursementsCharitablePrpsAmt |
Compensation Explanation CompensationExplanation
Compensation Explanation CompensationExplanationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BANK OF AMERICA | PersonNm |
| Short Explanation | SEE ATTACHED | ShortExplanationTxt |
Gain Loss Sale Other Assets Sch GainLossSaleOtherAssetsSch
Gain Loss Sale Other Asset GainLossSaleOtherAssetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Asset | 329. POWERSH | AssetDesc |
| Acquired | 2014-05 | AcquiredDt |
| Sold | 2015-09 | SoldDt |
Purchaser Name PurchaserNameGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PURCHASER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Price | $4,996 | GrossSalesPriceAmt |
| Basis | $5,689 | BasisAmt |
| Total Net | -$693 | TotalNetAmt |
General Explanation Attachment GeneralExplanationAttachment
General Explanation GeneralExplanationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | FEDERAL FOOTNOTE | IdentifierTxt |
| Form And Line Reference | PART VIII LIST OF OFFICERS AND DIRECTORS | FormAndLineReferenceDesc |
| Medium Explanation | THE COMPENSATION SHOWN ON THE RETURN THAT IS PAID TO BANK OF AMERICA, N.A. AS CORPORATE TRUSTEE IS NOT CALCULATED BASED UPON AN HOURLY RATE FOR THE TIME SPENT BY THE TRUSTEE; RATHER, BANK OF AMERICA'S COMPENSATION AS CORPORATE TRUSTEE IS CALCULATED USING A MARKET VALUE FEE SCHEDULE. THE TRUST OFFICER'S TIME SPENT PERFORMING ADMINISTRATIVE RESPONSIBILITIES FOR THIS FOUNDATION AVERAGES ONE HOUR PER WEEK. IN ADDITION, TIME IS SPENT BY OTHER STAFF MEMBERS FOR RECORDKEEPING, INVESTMENT MANAGEMENT, INCOME COLLECTION, RENDERING STATEMENTS AND ACCOUNTINGS, REGULATORY REPORTING, REGULATORY COMPLIANCE, AND TAX SERVICES. | MediumExplanationTxt |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (20 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| 922042858 VANGUARD FTSE EMERGI | ||
| 19765J830 COLUMBIA MID CAP VAL | ||
| 19765N567 COLUMBIA SMALL CAP V | $145,695 | $160,750 |
| 19765P232 COLUMBIA MID CAP GRO | $199,129 | $259,868 |
| 19765P547 COLUMBIA REAL ESTATE | $283,448 | $323,562 |
| 19765P596 COLUMBIA SMALL CAP G | ||
| 19763T889 COLUMBIA INCOME OPPO | $173,292 | $194,016 |
| 52106N889 LAZARD EMERGING MKTS | ||
| 885215566 THORNBURG INTL VALUE | $512,117 | $495,708 |
| 197199813 COLUMBIA ACORN INTER | $183,270 | $192,229 |
| 1261291M7 INTERM GOVT/CREDIT B | $847,646 | $818,197 |
| 993361880 GOVERNMENT CREDIT CT | $873,881 | $817,075 |
| 552983694 MFS VALUE FUND CL I | $735,952 | $858,350 |
| 87234N302 TCW SELECT EQUITIES | $774,747 | $840,149 |
| 73935S105 POWERSHARES DB COMMO | $222,765 | $127,628 |
| 464287655 ISHARES RUSSELL 2000 | $169,525 | $161,610 |
| 55272P596 MFS MID CAP VALUE FU | $262,000 | $251,287 |
| 008882532 INVESCO INTL GROWTH | $306,000 | $288,845 |
| 808090757 SCHRODER EMERGING MK | $327,000 | $329,116 |
| 693390882 PIMCO FOREIGN BD US$ | $131,000 | $122,242 |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFeesGrp (3 entries)
| CategoryCategoryTxt | Legal FeesLegalFeesAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|
| LEGAL FEES - PRINCIPAL (ALLOCA | $387 | $387 |
| LEGAL FEES - INCOME (ALLOCABLE | $387 | $387 |
| LEGAL FEES - CHARITABLE | $400 | $400 |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail (3 entries)
| DescDesc | AmtAmt |
|---|---|
| INCOME ADJUSTMENT | $7 |
| COST ADJUSTMENT | $2,970 |
| WASH SALE ADJUSTMENT | $106 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (3 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| OTHER ALLOCABLE EXPENSE-PRINCI | $667 | $667 | $0 |
| OTHER ALLOCABLE EXPENSE-INCOME | $667 | $667 | $0 |
| PARTNERSHIP EXPENSES | $1,236 | $0 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail (2 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| EXCISE TAX REFUND | $2,546 | $0 |
| PARTNERSHIP INCOME | $21 |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail (3 entries)
| DescDesc | AmtAmt |
|---|---|
| CTF ADJUSTMENT | $1,833 |
| ROUNDING | $1 |
| PARTNERSHIP ADJUSTMENT | $42,673 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| FOREIGN TAXES ON QUALIFIED FOR | $1,630 | $1,630 | $0 |
| FOREIGN TAXES ON NONQUALIFIED | $154 | $154 | $0 |