JOHN H AND BARBARA N BRECK CHARITABLE FOUNDATION: Form 990PF, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- JOHN H AND BARBARA N BRECK CHARITABLE FOUNDATION (EIN 22-3151304)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-05-11
- IRS object ID
- 201631329349101503
- 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
- All Oth Prog Rltd Investments Sch
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Investments Govt Obligations Sch
- Other Decreases Schedule
- Other Expenses Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-05-11T09:58:56-05:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 043393793 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JM O'BRIEN & COMPANY PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1350 MAIN STREET - 15TH FL | AddressLine1Txt |
| City | SPRINGFIELD | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01103 | 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 | 223151304 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHN H BRECKJR AND BARBARA N BRECK | BusinessNameLine1Txt |
| Business Name Line2 | CHARITABLE FOUNDATION | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | JOHN | BusinessNameControlTxt |
| Phone | 4137338288 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | C/O JOHN M OBRIEN 1350 MAIN STREET | AddressLine1Txt |
| City | SPRINGFIELD | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01103 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN M O'BRIEN III | PersonNm |
| Person Title | TRUSTEE | PersonTitleTxt |
| Phone | 4137338288 | PhoneNum |
| Signature | 2016-05-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOHN M O'BRIEN III CPA | PreparerPersonNm |
| PTIN | P00748085 | PTIN |
| Phone | 4137338288 | 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 | $644,698 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $0 | ContriRcvdRevAndExpnssAmt |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Interest On Sav Rev And Expnss | $6,311 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $4,767 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $20,955 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $20,955 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $3,958 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $39,193 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $3,958 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $31,224 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $29,680 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $0 | CompOfcrDirTrstDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $3,125 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $3,125 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $0 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $1,104 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $920 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $0 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $321 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $54 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $71 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $71 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $0 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $4,621 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $4,170 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $61,500 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $61,500 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $66,121 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $4,170 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $61,500 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$34,897 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $25,510 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $51,647 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $26,594 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $26,594 | SavAndTempCashInvstEOYFMVAmt |
| US Government Obligations BOY | $10,223 | USGovernmentObligationsBOYAmt |
| US Government Obligations EOY | $0 | USGovernmentObligationsEOYAmt |
| US Govt Obligations EOYFMV | $0 | USGovtObligationsEOYFMVAmt |
| Corporate Stock BOY | $589,681 | CorporateStockBOYAmt |
| Corporate Stock EOY | $529,246 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $529,246 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $92,176 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $88,858 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $88,858 | CorporateBondsEOYFMVAmt |
| Total Assets BOY | $743,727 | TotalAssetsBOYAmt |
| Total Assets EOY | $644,698 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $644,698 | 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 | $743,727 | RetainedEarningBOYAmt |
| Retained Earning EOY | $644,698 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $743,727 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $644,698 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $743,727 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $644,698 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $743,727 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$34,897 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $708,830 | SubtotalAmt |
| Other Decreases | $64,132 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $644,698 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (2 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|
| PUBLICLY TRADED SECURITIES | P | $38,531 | $35,235 | $3,296 | $3,296 |
| CAPITAL GAINS DIVIDENDS | P | $662 | $662 | $662 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $3,958 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $64,233 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $717,256 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.089554 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $64,192 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $718,342 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.089361 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $64,219 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $694,852 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.092421 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $78,756 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $701,546 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.112261 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $44,226 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $642,223 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.068864 | DistributionYr5Rt |
| Total Distribution | 0.452461 | TotalDistributionRt |
| Average Distribution | 0.090492 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $637,521 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $57,691 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $255 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $57,946 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $61,500 | 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 | $255 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $255 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $255 | TaxBasedOnInvestmentIncomeAmt |
| Total Payments And Credits | $0 | TotalPaymentsAndCreditsAmt |
| Tax Due | $255 | TaxDueAmt |
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 | MA | 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 | JOHN M O'BRIEN CPA | IndividualWithBooksNm |
| Phone | 4137338288 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1350 MAIN STREET 15TH FLOOR | AddressLine1Txt |
| City | SPRINGFIELD | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01103 | 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 | 0 | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| 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 (5 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 |
|---|---|---|---|---|---|---|---|---|
| BARBARA N BRECK | ||||||||
| 24 DOCKSIDE LANE BOX 399 | KEY LARGO | FL | 33037 | TRUSTEE | 0.00 | $0 | $0 | $0 |
| SUSAN B CARPENTER | ||||||||
| PO BOX 1876 | WHITEFISH | MT | 59937 | TRUSTEE | 0.00 | $0 | $0 | $0 |
| SANDRA B KELLEY | ||||||||
| 24 MARK LANE | SUDBURY | MA | 01776 | TRUSTEE | 0.00 | $0 | $0 | $0 |
| JOHN H BRECK III | ||||||||
| 7515 PELICAN BAY BLVD15D | NAPLES | FL | 34108 | TRUSTEE | 0.00 | $0 | $0 | $0 |
| JOHN M O'BRIEN III | ||||||||
| 1350 MAIN STREET | SPRINGFIELD | MA | 01103 | TRUSTEE | 0.00 | $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 |
Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | FOUNDATION WAS CREATED TO MAKE GRANTS AND CONTRIBUTIONS TO ORGANIZATIONS DESCRIBED IN IRC 170(C), 501(C)(3), 2055(A), AND 2522(A). THERE ARE NO OTHER ACTIVITIES. | Description1Txt |
| Expenses1 | $0 | Expenses1Amt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | NONE | Description1Txt |
| Expenses1 | $0 | Expenses1Amt |
| All Other Program Rltd Invst Tot | $0 | AllOtherProgramRltdInvstTotAmt |
| Total | $0 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $585,761 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $61,468 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $647,229 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $647,229 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $9,708 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $637,521 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $31,876 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $31,876 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $255 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $255 | TotalTaxAmt |
| Distributable Before Adj | $31,621 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $31,621 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $31,621 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $61,500 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $61,500 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $255 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $61,245 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $31,621 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $12,803 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $44,237 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $30,038 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $28,891 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $28,904 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $144,873 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $61,500 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $31,621 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $29,879 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $174,752 | 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 | $12,803 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $161,949 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $44,237 | ExcessFromYear4Amt |
| Excess From Year3 | $30,038 | ExcessFromYear3Amt |
| Excess From Year2 | $28,891 | ExcessFromYear2Amt |
| Excess From Year1 | $28,904 | ExcessFromYear1Amt |
| Excess From Current Year | $29,879 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (9 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| AMERICAN INTERNATIONAL COLLEGE | |||||||
| 1000 STATE STREET | SPRINGFIELD | MA | 01109 | NONE | PUBLIC CHARITY | PROVIDE ASSISTANCE TO STUDENTS | $40,000 |
| BAYSTATE MEDICAL CENTER (CHILDREN'S MIRACLE NETWORK) | |||||||
| 759 CHESTNUT STREET | SPRINGFIELD | MA | 01199 | NONE | PUBLIC CHARITY | PROVIDE MEDICAL ASSISTANCE TO CHILDREN | $3,000 |
| INNER - CITY SCHOLARSHIP FUND | |||||||
| 260 FRANKLIN STREET SUITE 630 | BOSTON | MA | 02110 | NONE | PUBLIC CHARITY | PROVIDE SCHOLARSHIP TO NEEDY CHILDREN | $5,000 |
| M CONSTANCE BRECK MEMORIAL ENDOWED SCHOLARSHIP - SAINT ANSELM COLLEGE | |||||||
| 100 SAINT ANSELM DRIVE | MANCHESTER | NH | 03102 | NONE | PUBLIC CHARITY | PROVIDE ASSISTANCE TO STUDENTS | $1,000 |
| MERCY HOSPITAL INFANT CARE CENTER | |||||||
| 271 CAREW STREET | SPRINGFIELD | MA | 01104 | NONE | PUBLIC CHARITY | PROVIDE MEDICAL ASSISTANCE FOR INFANTS | $3,000 |
| RONALD MCDONALD HOUSE CHARITIES | |||||||
| 34 CHAPIN TERRACE | SPRINGFIELD | MA | 01107 | NONE | PUBLIC CHARITY | PROVIDE MEDICAL ASSISTANCE TO CHILDREN | $2,500 |
| SHRINERS HOSPITAL | |||||||
| 516 CAREW STREET | SPRINGFIELD | MA | 01104 | NONE | PUBLIC CHARITY | PROVIDE ASSISTANCE TO FAMILIES & CHILDREN | $1,000 |
| SPRINGFIELD BOYS & GIRLS CLUB | |||||||
| 481 CAREW STREET | SPRINGFIELD | MA | 01104 | NONE | PUBLIC CHARITY | FOR THE BENEFIT OF LOCAL YOUTH | $2,500 |
| WILLIE ROSS SCHOOL FOR THE DEAF (INFANT PROGRAM) | |||||||
| 32 NORWAY STREET | LONGMEADOW | MA | 01106 | NONE | PUBLIC CHARITY | PROVIDE ASSISTANCE TO HEARING IMPAIRED INFANT & TODDLER | $3,500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $61,500 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $6,311 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $20,955 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $3,958 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $31,224 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $31,224 | TotalIncomeProducingActyAmt |
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp
Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Line Number | 8 | LineNumberTxt |
| Relationship Statement | SALE OF INVESTMENTS | RelationshipStatementTxt |
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 | $3,125 | Amt |
| Net Investment Income | $3,125 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
All Oth Prog Rltd Investments Sch AllOthProgRltdInvestmentsSch
All Other Program Related Invst AllOtherProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NONE | Desc |
| Amt | $0 | Amt |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp (2 entries)
| BondBondNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| 10,000 SHS AMERICAN TOWER CORP | $10,429 | $10,429 |
| 75,000 GOLDMAN SACHS | $78,429 | $78,429 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (24 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| 1,000 SHS NUVEEN MUN VALUE | $10,180 | $10,180 |
| 100 SHS PEPSICO INC | $9,992 | $9,992 |
| 100 SHS PROCTER & GAMBLE | $7,941 | $7,941 |
| 125 SHS DSW INC | $0 | $0 |
| 125 SHS FIDELITY NATL FINL INC | $0 | $0 |
| 125 SHS VIRTUSA CORP | $5,168 | $5,168 |
| 150 SHS GENERAL ELECTRIC | $2,336 | $2,336 |
| 175 SHS CISCO SYS INC | $0 | $0 |
| 2,000 SHS WASH TRUST BANCORP INC | $79,040 | $79,040 |
| 200 SHS METHANEX CORP | $6,602 | $6,602 |
| 250 SHS BANK OF AMERICA | $4,208 | $4,208 |
| 250 SHS NAVIENT CORP | $0 | $0 |
| 3,575 SHS EXXON MOBIL | $278,671 | $278,671 |
| 41 SHS FIDELITY NATIONAL FINANCIAL IN FNFV | $460 | $460 |
| 5,500 SHS BABSON CAPITAL PARTICIPATION | $75,600 | $75,600 |
| 50 SHS CHEVRON CORP | $4,498 | $4,498 |
| 50 SHS EXXON MOBIL CORP | $0 | $0 |
| 600 SHS AMTRUST FINL SVCS | $15,336 | $15,336 |
| 700 PIMCO MUN INCOME FD | $10,815 | $10,815 |
| 125 SHS FIDELITY NATIONAL FINANCIAL IN FNF GROUP | $4,334 | $4,334 |
| 125 SHS GOODYEAR TIRE & RUBBER CO | $4,084 | $4,084 |
| 7 SHS J ALEXANDERS HLDGS INC COM | $76 | $76 |
| 1,000 SHS PUTNAM MANAGED MUN INCOM TR COM ISIN | $7,360 | $7,360 |
| 50 SHS QORVO INC COM ISIN | $2,545 | $2,545 |
Investments Govt Obligations Sch InvestmentsGovtObligationsSch
| Field | Value | IRS element (for citing) |
|---|---|---|
| US Govt Obligations Book Vl EOY | $0 | USGovtObligationsBookVlEOYAmt |
| US Govt Obligations EOYFMV | $0 | USGovtObligationsEOYFMVAmt |
| State Local Sec Book Vl EOY | $0 | StateLocalSecBookVlEOYAmt |
| State Local Sec EOYFMV | $0 | StateLocalSecEOYFMVAmt |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail (2 entries)
| DescDesc | AmtAmt |
|---|---|
| UNREALIZED LOSS ON SECURITIES | $63,132 |
| PRIOR PERIOD ADJUSTMENT | $1,000 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| MASSACHUSETTS FILING FEES | $35 | $35 | $0 |
| MISCELLANEOUS FEES | $36 | $36 | $0 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | INVESTMENT FEES | CategoryTxt |
| Amt | $1,104 | Amt |
| Net Investment Income | $920 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| FOREIGN TAXES | $54 | $54 | $0 |
| NET INVESTMENT INCOME EXCISE TAX | $267 | $0 | $0 |