STRATEGY STUDIO / PUBLIC DATA EXPLORER

HAYNES FAMILY FOUNDATION INC: Form 990PF, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
HAYNES FAMILY FOUNDATION INC (EIN 04-3254694)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-05-15
IRS object ID
201401359349100635
Schema version
2013v3.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2014-05-15T09:13:14-05:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN043176941PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1O'BRIEN RILEY & RYAN PCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line130 BRAINTREE HILL OFFICE PARKAddressLine1
CityBRAINTREECity
StateMAState
ZIP Code02184ZIPCode
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN043254694EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE HAYNES FAMILY FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlHAYNBusinessNameControlTxt
Phone7812354300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line134 WASHINGTON STREET NO DEC 7AddressLine1
CityWELLESLEY HILLSCity
StateMAState
ZIP Code024811903ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonG ARNOLD HAYNESPersonNm
Person TitleTREASURERPersonTitleTxt
Phone7812354300PhoneNum
Signature2014-05-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDANIEL F O'BRIEN CPAPreparerPersonNm
PTINP01258990PTIN
Phone7814102300PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-12-30 17:16:21ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$2,704,778FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$14InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$14InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$61,910DividendsRevAndExpnssAmt
Dividends Net Invst Incm$61,910DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$120,992NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$1,033,165GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$120,992CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$2,108OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$2,108OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$185,024TotalRevAndExpnssAmt
Total Net Invst Incm$185,024TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$3,440AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$0AccountingFeesChrtblPrpsAmt
Taxes Rev And Expnss$1,246TaxesRevAndExpnssAmt
Taxes Net Invst Incm$1,246TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$3,004OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$0OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$0OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$7,690TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$1,246TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$109,150ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$109,150ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$116,840TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$1,246TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$109,150TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$68,184ExcessRevenueOverExpensesAmt
Net Investment Income$183,778NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$96,107SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$61,990SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$61,990SavAndTempCashInvstEOYFMVAmt
Corporate Stock BOY$1,633,189CorporateStockBOYAmt
Corporate Stock EOY$1,813,459CorporateStockEOYAmt
Corporate Stock EOYFMV$2,136,749CorporateStockEOYFMVAmt
Corporate Bonds BOY$24,500CorporateBondsBOYAmt
Corporate Bonds EOY$24,500CorporateBondsEOYAmt
Corporate Bonds EOYFMV$26,313CorporateBondsEOYFMVAmt
Other Investments BOY$541,018OtherInvestmentsBOYAmt
Other Investments EOY$463,049OtherInvestmentsEOYAmt
Other Investments EOYFMV$479,726OtherInvestmentsEOYFMVAmt
Total Assets BOY$2,294,814TotalAssetsBOYAmt
Total Assets EOY$2,362,998TotalAssetsEOYAmt
Total Assets EOYFMV$2,704,778TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind
Unrestricted BOY$2,294,814UnrestrictedBOYAmt
Unrestricted EOY$2,362,998UnrestrictedEOYAmt
Tot Net Ast Or Fund Balances BOY$2,294,814TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$2,362,998TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$2,294,814TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$2,362,998TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$2,294,814TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$68,184ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$2,362,998SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$2,362,998TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (2 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
VARIOUS PUBLICALLY TRADED SECURITIESP2013-12-31$1,030,413$912,173$118,240$118,240
CAPITAL GAINS DIVIDENDSP$2,752$2,752$2,752
FieldValueIRS element (for citing)
Capital Gain Net Income$120,992CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$362,700AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$2,792,880NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.129866DistributionYr1Rt
Adjusted Qlfy Distri Yr2$279,150AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$2,593,001NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.107655DistributionYr2Rt
Adjusted Qlfy Distri Yr3$280,299AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$2,618,212NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.107057DistributionYr3Rt
Adjusted Qlfy Distri Yr4$506,772AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$2,222,452NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.228024DistributionYr4Rt
Adjusted Qlfy Distri Yr5$302,299AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$3,184,927NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.094916DistributionYr5Rt
Total Distribution0.667518TotalDistributionRt
Average Distribution0.133504AverageDistributionRt
Net Vl Noncharitable Assets$2,442,422NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$326,073AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$1,838NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$327,911AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$109,150QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$3,676InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$3,676SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$3,676TaxBasedOnInvestmentIncomeAmt
Total Payments And Credits$0TotalPaymentsAndCreditsAmt
Es Penalty$64EsPenaltyAmt
Tax Due$3,740TaxDueAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateMAOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksTHE HAYNES FAMILY FOUNDATION INCIndividualWithBooksNm
Phone7812354300PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line134 WASHINGTON STAddressLine1
CityWELLESLEY HILLSCity
StateMAState
ZIP Code024811903ZIPCode
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 (5 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
G ARNOLD HAYNES
5 CAROLINE STWELLESLEYMA02481PRESIDENT & DIRECTOR0.00$0$0$0
G ARNOLD HAYNES
5 CAROLINE STWELLESLEYMA02481TREASURER0.00$0$0$0
MARY R BUTLER
315 EXCHANGE STMILLISMA02054SECRETARY & DIRECTOR0.00$0$0$0
MELINDA BRADLEY
91 EDMUNDS RDWELLESLEYMA02481DIRECTOR0.00$0$0$0
DANIEL F O'BRIEN
121 TIMBER VIEW LANECOHASSETMA02025DIRECTOR0.00$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$2,358,974AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$120,642AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$2,479,616TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$2,479,616AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$37,194CashDeemedCharitableAmt
Net Vl Noncharitable Assets$2,442,422NetVlNoncharitableAssetsAmt
Minimum Investment Return$122,121MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$122,121MinimumInvestmentReturnAmt
Tax Based On Investment Income$3,676TaxBasedOnInvestmentIncomeAmt
Total Tax$3,676TotalTaxAmt
Distributable Before Adj$118,445DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$118,445DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$118,445DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$109,150ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$109,150QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$109,150AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$118,445DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$143,794ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$397,145ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$151,047ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$150,752ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$225,902ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$1,068,640TotalExcessDistributionCyovAmt
Qualifying Distributions$109,150QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$109,150AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$9,295ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$9,295ExcessDistributionCyovAppCYAmt
Total Corpus$1,059,345TotalCorpusAmt
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$134,499ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$924,846ExcessDistriCyovToNextYrAmt
Excess From Year4$397,145ExcessFromYear4Amt
Excess From Year3$151,047ExcessFromYear3Amt
Excess From Year2$150,752ExcessFromYear2Amt
Excess From Year1$225,902ExcessFromYear1Amt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerG ARNOLD HAYNESContributingManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (33 entries)

Address Line1RecipientUSAddress/AddressLine1CityRecipientUSAddress/CityStateRecipientUSAddress/StateZIP CodeRecipientUSAddress/ZIPCodeRecipient RelationshipRecipientRelationshipTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
AMERICAN RED CROSS
139 MAIN STCAMBRIDGEMA02142(N/A)FURTHERANCE OF CHARITABLE GOALS$200
BARNSTORMERS COMP CAMPAIGN
PO BOX 434TAMWORTHNH03886(N/A)FURTHERANCE OF CHARITABLE GOALS$2,000
BENNINGTON MUSEUM
75 MAIN STBENNINGTONVT05201(N/A)FURTHERANCE OF CHARITABLE GOALS$200
BOK TOWER GARDENS
1151 TOWER BLVDLAKE WALESFL33853(N/A)FURTHERANCE OF CHARITABLE GOALS$1,200
BOSTON UNIVERSITY
ONE SHERBORN STBOSTONMA02215(N/A)FURTHERANCE OF CHARITABLE GOALS$2,000
CAHOON MUSEUM OF ART
4676 FALMOUTH RDCOTUITMA02635(N/A)FURTHERANCE OF CHARITABLE GOALS$1,000
CHILDRENS HOSPITAL OF BOSTON
300 LONGWOOD AVEBOSTONMA02115(N/A)FURTHERANCE OF CHARITABLE GOALS$500
CURE ALZHEIMER'S FUND
34 WASHINGTON STWELLESLEYMA02481(N/A)FURTHERANCE OF CHARITABLE GOALS$20,000
CURRIER MUSEUM OF ART
201 MYRTLE WAYMANCHESTERNH03104(N/A)FURTHERANCE OF CHARITABLE GOALS$1,500
FRIENDS OF LIBBY MUSEUM
PO BOX 629WOLFEBORONH03894(N/A)FURTHERANCE OF CHARITABLE GOALS$500
GRANITE STATE ADAPTIVE
44 MIRROR LAKE DRMIRROR LAKENH03853(N/A)FURTHERANCE OF CHARITABLE GOALS$5,000
HUGGINS HOSPITAL
240 SOUTH MAIN STWOLFEBORONH03894(N/A)FURTHERANCE OF CHARITABLE GOALS$2,000
JIMMY FUND
10 BROOKLINE PLBROOKLINEMA02455(N/A)FURTHERANCE OF CHARITABLE GOALS$200
KNOX TRAIL COUNCIL
490 UNION AVEFRAMINGHAMMA01702(N/A)FURTHERANCE OF CHARITABLE GOALS$5,000
LAKE WALES ART COUNCIL
PO BOX 608LAKE WALESFL33859(N/A)FURTHERANCE OF CHARITABLE GOALS$100
LAKE WALES CARE CENTER
PO BOX 608LAKE WALESFL33859(N/A)FURTHERANCE OF CHARITABLE GOALS$250
LAKES REGION CONSERVATION TRUST
PO BOX 1097MEREDITHNH03253(N/A)FURTHERANCE OF CHARITABLE GOALS$200
MASSACHUSETTS GENERAL HOSPITAL
165 CAMBRIDGE STBOSTONMA02114(N/A)FURTHERANCE OF CHARITABLE GOALS$500
MOULTONBOROUGH HISTORICAL SOCIETY
PO BOX 659MOULTONBORONH03254(N/A)FURTHERANCE OF CHARITABLE GOALS$500
NATIONAL TRUST FOR SCOTLAND FOUNDATION
45 SCHOOL STREETBOSTONMA02108(N/A)FURTHERANCE OF CHARITABLE GOALS$500
NATURE CONSERVANCY FLORIDA CHAPTER
PO BOX 630BABSON PARKFL33827(N/A)FURTHERANCE OF CHARITABLE GOALS$1,000
NEWTON-WELLESLEY HOSPITAL CHARITABLE FOUNDATION
2014 WASHINGTON STNEWTONMA02462(N/A)FURTHERANCE OF CHARITABLE GOALS$3,500
RIVERS SCHOOL
333 WINTER STWESTONMA02493(N/A)FURTHERANCE OF CHARITABLE GOALS$500
SALVATION ARMY
147 BERKELEY STBOSTONMA02116(N/A)FURTHERANCE OF CHARITABLE GOALS$200
SEA EDUCATION ASSOCIATION
PO BOX 608WOODS HOLEMA02543(N/A)FURTHERANCE OF CHARITABLE GOALS$200
SUDBURY VALLEY TRUSTEES
18 WOLBACH RDSUDBURYMA01776(N/A)FURTHERANCE OF CHARITABLE GOALS$200
VANGUARD SCHOOL
22000 HIGHWAY 27LAKE WALESFL33859(N/A)FURTHERANCE OF CHARITABLE GOALS$50,000
WAVUS FOUNDATION
PO BOX 350JEFFERSONME04248(N/A)FURTHERANCE OF CHARITABLE GOALS$1,000
WAYNFLETE SCHOOL
360 SPRING STPORTLANDME04102(N/A)FURTHERANCE OF CHARITABLE GOALS$1,000
WELLESLEY FRIENDLY AID ASSOCIATION
219 WASHINGTON STWELLESLEYMA02481(N/A)FURTHERANCE OF CHARITABLE GOALS$200
WILLISTON NORTHAMPTON SCHOOL
19 PAYSON AVEEASTHAMPTONMA01027(N/A)FURTHERANCE OF CHARITABLE GOALS$2,000
WINTERHAVEN HOSPITAL FOUNDATION
200 AVENUE F NORTHEASTWINTER HAVENFL33881(N/A)FURTHERANCE OF CHARITABLE GOALS$1,000
WRIGHT MUSEUM
PO BOX 1212WOLFEBORONH03894(N/A)FURTHERANCE OF CHARITABLE GOALS$5,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$109,150TotalGrantOrContriPdDurYrAmt
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$14ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$61,910ExclusionAmt

Other Investment Incm Part VII OtherInvestmentIncmPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$2,108ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$120,992ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$185,024ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$185,024TotalIncomeProducingActyAmt

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

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryANNUAL ACCOUNTING & FILINGS PREPARATIONCategoryTxt
Amt$3,440Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp

FieldValueIRS element (for citing)
Bond250 SHS CITIZENS COMMUNICATIONSBondNm
EOY Book Value$24,500EOYBookValueAmt
EOYFMV$26,313EOYFMVAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (37 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
100 SHS KRAFT FOODS$5,327$5,391
1000 SHS CENTURY LINK$30,678$31,850
1000 SHS FREEPORT-MCMORAN COPPER & GOLD INC.$33,948$37,740
1100 SHS BLACK DIAMOND INC$14,567$14,663
1100 SHS GENERAL ELECTRIC CO.$20,025$30,833
11000 SHS AK STEEL HOLDING CORPORATION$61,143$90,200
1400 SHS NEWMONT MINING$43,791$32,242
150 SHS APPLE, INC.$72,653$84,153
1600 SHS CISCO SYSTEMS, INC.$32,156$35,888
1600 SHS MICROSOFT CORP.$41,236$59,856
1900 SHS UNITED STATES STEEL CORP$34,865$56,050
200 SHS EXXON MOBIL CORP.$12,226$20,240
200 SHS MCDONALDS CORP$14,974$19,406
300 SHS BC PLC ADS$14,109$14,583
300 SHS CAMERON INTNL CORP$16,010$17,859
300 SHS INTL BUSINESS MACHINES$52,413$56,271
400 SHS QUALCOMM$27,963$29,700
500 SHS MARSH & MCLENNAN COS INC$11,477$24,180
500 SHS MERCK & CO$23,232$25,025
500 SHS PHILIP MORRIS INTL INC$32,715$43,565
500 SHS VERIZON$23,425$24,570
600 SHS BROADCOM CORP$16,240$17,787
750 SHS GASLOG LTD.$8,560$12,818
1000 SHS BROOKLINE BANCORP, INC.$8,473$9,550
1000 SHS FASTENAL CO.$46,149$47,510
1000 SHS LOWE'S COMPANIES, INC.$22,880$49,550
1000 SHS PROCTER & GAMBLE COMPANY$60,800$81,410
2000 SHS ALTRIA GROUP, INC.$62,233$76,780
2000 SHS FREEPORT-MCMORAN COPPER & GOLD$66,038$75,480
2000 SHS NUVERRA ENVIROMENTAL SOLUTIONS$57,880$33,580
2000 SHS WELLESLEY BANCORP INC.$24,260$39,100
250 SHS UNITED STATES STEEL CORP - BOND$25,694$26,313
500 SHS CATERPILLAR, INC.$42,580$45,405
500 SHS COCA COLA CO$19,510$20,655
5000 SHS CENTERSTATE BANKS INC.$62,185$50,750
5000 SHS SYSCO CORP.$115,350$180,500
6080 SHS EXXON MOBIL CORP.$555,694$615,296

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (9 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
500 SHS ENERGY TRANSFER EQUITY LPAT COST$20,616$40,870
1000 SHS CLEARBRIDGE ENERGY MLP TOTAL RETURN FUND INC.AT COST$19,312$22,050
1364.749 SHS IVA WORLDWIDE AAT COST$23,057$24,320
225 SHS PROSHARES ULTRASHORT 20+ YRS TRAT COST$29,989$17,820
26944.005 SHS LORD ABBETT SHT DURATION INC AAT COST$124,990$122,595
508 SHS KINDER MORGANAT COST$38,260$38,435
5969.872 SHS IVA WORLDWIDE AAT COST$96,539$106,383
8200.742 SHS JP MORGAN STRAT INC OPPORT AAT COST$100,286$97,261
843.882 SHS JP MORGAN STRAT INC OPPORT CAT COST$10,000$9,992

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (4 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
BROKERAGE ACCOUNT FEES$2,590$0$0
STATE FORM PC FEE$35$0$0
STATE ANNUAL REPORT FEE$15$0$0
OTHER$364$0$0

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescPASS-THROUGH ENTITIESDesc
Revenue And Expenses Per Books$2,108RevenueAndExpensesPerBooksAmt
Net Investment Income$2,108NetInvestmentIncomeAmt
Adjusted Net Income$2,108AdjustedNetIncomeAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryEXCISE TAXCategoryTxt
Amt$1,246Amt
Net Investment Income$1,246NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt