ALEXANDER EASTMAN FOUNDATION: Form 990PF, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: ALEXANDER EASTMAN FOUNDATION (EIN 02-0222124)
Tax period: 2012-10-01 to 2013-09-30
Filed: 2014-01-14
IRS object ID: 201420149349100507
Schema version: 2012v2.1
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
Schedule B
Accounting Fees Schedule
Investments Other Schedule2
Other Assets Schedule
Other Expenses Schedule
Other Increases Schedule
Other Liabilities Schedule
Other Professional Fees Schedule
Taxes Schedule

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-01-14T13:50:23-06:00	Timestamp
Tax Period End Date	2013-09-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	020383073	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Edward C David & Company CPAs PLLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 925	AddressLine1
City	Hampstead	City
State	NH	State
ZIP Code	03841	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990PF	ReturnType
Tax Period Begin Date	2012-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	020222124	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ALEXANDER EASTMAN FOUNDATION	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	ALEX	NameControl
Phone	6036228881	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	C/O MIKE BUCKLEY 75 SOUTH ST PMB	AddressLine1
Address Line2	250 No 7	AddressLine2
City	CONCORD	City
State	NH	State
ZIP Code	03301	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	MICHAEL BUCKLEY	Name
Title	TREASURER	Title
Phone	6036228881	Phone
Date Signed	2014-01-09	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Judith E Emery-David	Name
PTIN	P00951716	PTIN
Phone	6038930594	Phone
Date Prepared	2014-01-08	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-12-30 17:16:21Z	BuildTS

Form 990-PF IRS990PF

Field	Value	IRS element (for citing)
Address Change	X	AddressChange
Exempt PF	X	ExemptPF
FMV Assets EOY	11822480	FMVAssetsEOY
Method Of Accounting Accrual	X	MethodOfAccountingAccrual

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

Field	Value	IRS element (for citing)
Contri Received Rev And Expnss	76441	ContriReceivedRevAndExpnss
Interest On Savings Rev And Expnss	33	InterestOnSavingsRevAndExpnss
Interest On Savings Net Invst Incm	33	InterestOnSavingsNetInvstIncm
Dividends Rev And Expnss	217499	DividendsRevAndExpnss
Dividends Net Invst Incm	217499	DividendsNetInvstIncm
Net Gain Sale Assets Rev And Expnss	442551	NetGainSaleAssetsRevAndExpnss
Gross Sales Price	2444051	GrossSalesPrice
Capital Gain Net Incm Net Invst Incm	442551	CapitalGainNetIncmNetInvstIncm
Total Revenue And Expenses	736524	TotalRevenueAndExpenses
Total Net Investment Income	660083	TotalNetInvestmentIncome
Comp Ofcr Dir Trst Rev And Expnss	0	CompOfcrDirTrstRevAndExpnss
Comp Ofcr Dir Trst Net Invst Incm	0	CompOfcrDirTrstNetInvstIncm
Comp Ofcr Dir Trst Dsbrs Chrtbl Prps	0	CompOfcrDirTrstDsbrsChrtblPrps
Accounting Fees Rev And Expnss	22169	AccountingFeesRevAndExpnss
Accounting Fees Net Invst Incm	9877	AccountingFeesNetInvstIncm
Accounting Fees Dsbrs Chrtbl Prps	12292	AccountingFeesDsbrsChrtblPrps
Other Prof Fees Rev And Expnss	87587	OtherProfFeesRevAndExpnss
Other Prof Fees Net Invst Incm	36250	OtherProfFeesNetInvstIncm
Other Prof Fees Dsbrs Chrtbl Prps	51337	OtherProfFeesDsbrsChrtblPrps
Taxes Rev And Expnss	12363	TaxesRevAndExpnss
Taxes Net Invst Incm	0	TaxesNetInvstIncm
Taxes Dsbrs Chrtbl Prps	75	TaxesDsbrsChrtblPrps
Trav Conf Meeting Rev And Expnss	3560	TravConfMeetingRevAndExpnss
Trav Conf Meeting Net Invst Incm	0	TravConfMeetingNetInvstIncm
Trav Conf Meeting Dsbrs Chrtbl Prps	3560	TravConfMeetingDsbrsChrtblPrps
Printing And Pub Rev And Expnss	254	PrintingAndPubRevAndExpnss
Printing And Pub Net Invst Incm	0	PrintingAndPubNetInvstIncm
Printing And Pub Dsbrs Chrtbl Prps	254	PrintingAndPubDsbrsChrtblPrps
Other Expenses Rev And Expnss	6283	OtherExpensesRevAndExpnss
Other Expenses Net Invst Incm	0	OtherExpensesNetInvstIncm
Other Expenses Dsbrs Chrtbl Prps	6283	OtherExpensesDsbrsChrtblPrps
Tot Opr Expenses Rev And Expnss	132216	TotOprExpensesRevAndExpnss
Tot Opr Expenses Net Invst Incm	46127	TotOprExpensesNetInvstIncm
Tot Opr Expenses Dsbrs Chrtbl Prps	73801	TotOprExpensesDsbrsChrtblPrps
Contri Gifts Paid Rev And Expnss	522513	ContriGiftsPaidRevAndExpnss
Contri Gifts Paid Dsbrs Chrtbl Prps	531259	ContriGiftsPaidDsbrsChrtblPrps
Total Expenses Rev And Expnss	654729	TotalExpensesRevAndExpnss
Total Expenses Net Invst Incm	46127	TotalExpensesNetInvstIncm
Total Expenses Dsbrs Chrtbl Prps	605060	TotalExpensesDsbrsChrtblPrps
Excess Of Revenue Over Expenses	81795	ExcessOfRevenueOverExpenses
Net Investment Income	613956	NetInvestmentIncome

Balance Sheets BalanceSheets

Field	Value	IRS element (for citing)
Cash BOY	83670	CashBOY
Cash EOY	77096	CashEOY
Cash EOYFMV	77096	CashEOYFMV
Other Notes And Loans Receivable	9138	OtherNotesAndLoansReceivable
Allwnc For Dbtfl Acct Other Rcvbl	0	AllwncForDbtflAcctOtherRcvbl
Other Notes And Loans Rcvbl BOY	0	OtherNotesAndLoansRcvblBOY
Other Notes And Loans Rcvbl EOY	9138	OtherNotesAndLoansRcvblEOY
Other Notes And Loans Rcvbl EOYFMV	9138	OtherNotesAndLoansRcvblEOYFMV
Prepaid Expenses EOY	2058	PrepaidExpensesEOY
Prepaid Expenses EOYFMV	2058	PrepaidExpensesEOYFMV
Investments Other BOY	11471116	InvestmentsOtherBOY
Investments Other EOY	11734188	InvestmentsOtherEOY
Investments Other EOYFMV	11734188	InvestmentsOtherEOYFMV
Other Assets BOY	6307	OtherAssetsBOY
Other Assets EOY	0	OtherAssetsEOY
Other Assets EOYFMV	0	OtherAssetsEOYFMV
Total Assets BOY	11561093	TotalAssetsBOY
Total Assets EOY	11822480	TotalAssetsEOY
Total Assets EOYFMV	11822480	TotalAssetsEOYFMV
Accounts Payable BOY	6652	AccountsPayableBOY
Accounts Payable EOY	6315	AccountsPayableEOY
Grants Payable BOY	158561	GrantsPayableBOY
Grants Payable EOY	149814	GrantsPayableEOY
Other Liabilities BOY	0	OtherLiabilitiesBOY
Other Liabilities EOY	5981	OtherLiabilitiesEOY
Total Liabilities BOY	165213	TotalLiabilitiesBOY
Total Liabilities EOY	162110	TotalLiabilitiesEOY
Org That Follow SFAS117	X	OrgThatFollowSFAS117
Unrestricted BOY	6009035	UnrestrictedBOY
Unrestricted EOY	6046428	UnrestrictedEOY
Permanently Restricted BOY	5386845	PermanentlyRestrictedBOY
Permanently Restricted EOY	5613942	PermanentlyRestrictedEOY
Total Net Assets BOY	11395880	TotalNetAssetsBOY
Total Net Assets EOY	11660370	TotalNetAssetsEOY
Total Liabilities Net Assets BOY	11561093	TotalLiabilitiesNetAssetsBOY
Total Liabilities Net Assets EOY	11822480	TotalLiabilitiesNetAssetsEOY

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

Field	Value	IRS element (for citing)
Total Net Assets Fund Balances BOY	11395880	TotalNetAssetsFundBalancesBOY
Excess Of Revenue Over Expenses	81795	ExcessOfRevenueOverExpenses
Other Increases	182695	OtherIncreases
Subtotal	11660370	Subtotal
Other Decreases	0	OtherDecreases
Total Net Assets Fund Balances EOY	11660370	TotalNetAssetsFundBalancesEOY

Capital Gains And Losses CapitalGainsAndLosses

Capital Gains And Losses Info CapitalGainsAndLossesInfo (16 entries)

Description Of AssetDescriptionOfAsset	How AcquiredHowAcquired	Date AcquiredDateAcquired	Date SoldDateSold	Gross Sales PriceGrossSalesPrice	Cost Or Other BasisCostOrOtherBasis	Gain Or LossGainOrLoss	Gains Minus Excess Or LossesGainsMinusExcessOrLosses
Pimco Total Return	P	2007-09-30	2013-09-18	1000000	994744	5256	5256
Vanguard Inflation	P	2007-09-30	2013-09-17	750000	670595	79405	79405
Vanguard 500	P	2007-09-30	2013-02-15	75000	39141	35859	35859
Vanguard 500	P	2007-09-30	2013-04-15	70000	35189	34811	34811
Vanguard 500	P	2007-09-30	2013-05-14	29980	14637	15343	15343
Vanguard 500	P	2007-09-30	2013-07-15	74970	35759	39211	39211
Vanguard 500	P	2007-09-30	2013-09-17	44980	21095	23885	23885
Harbor Funds	P	2007-09-30	2013-01-10	60000	31788	28212	28212
Harbor Funds	P	2007-09-30	2013-09-17	39980	19216	20764	20764
Managers	P	2007-09-30	2013-02-15	37500	30929	6571	6571
Managers	P	2007-09-30	2013-05-14	9980	7852	2128	2128
Managers	P	2007-09-30	2013-07-15	34980	26749	8231	8231
Times Square	P	2007-09-30	2013-02-15	37500	28365	9135	9135
Times Square	P	2007-09-30	2013-04-15	20000	14614	5386	5386
Times Square	P	2007-09-30	2013-07-15	45000	30827	14173	14173
Capital Gains Dividends	P			114181		114181	114181

Field	Value	IRS element (for citing)
Capital Gain Net Income	442551	CapitalGainNetIncome

Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax

Field	Value	IRS element (for citing)
Liable For4942 Tax	0	LiableFor4942Tax
Qualifying Distributions Year1	624858	QualifyingDistributionsYear1
Noncharitable Assets Year1	9755900	NoncharitableAssetsYear1
Distribution Ratio Year1	0.064049	DistributionRatioYear1
Qualifying Distributions Year2	551129	QualifyingDistributionsYear2
Noncharitable Assets Year2	9554445	NoncharitableAssetsYear2
Distribution Ratio Year2	0.057683	DistributionRatioYear2
Qualifying Distributions Year3	584062	QualifyingDistributionsYear3
Noncharitable Assets Year3	9579380	NoncharitableAssetsYear3
Distribution Ratio Year3	0.060971	DistributionRatioYear3
Qualifying Distributions Year4	544353	QualifyingDistributionsYear4
Noncharitable Assets Year4	8424935	NoncharitableAssetsYear4
Distribution Ratio Year4	0.064612	DistributionRatioYear4
Qualifying Distributions Year5	602503	QualifyingDistributionsYear5
Noncharitable Assets Year5	10904920	NoncharitableAssetsYear5
Distribution Ratio Year5	0.055251	DistributionRatioYear5
Total Distribution Ratio	0.302566	TotalDistributionRatio
Average Distribution Ratio	0.060513	AverageDistributionRatio
Net Noncharitable Assets	10364270	NetNoncharitableAssets
Adjusted Noncharitable Assets	627173	AdjustedNoncharitableAssets
One Percent Net Investment Income	6140	OnePercentNetInvestmentIncome
Adj Nonchrtbl Assets And One	633313	AdjNonchrtblAssetsAndOnePct
Qualifying Distributions	605060	QualifyingDistributions

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

Field	Value	IRS element (for citing)
Investment Income Excise Tax	12279	InvestmentIncomeExciseTax
Tax Under Section511	0	TaxUnderSection511
Subtotal	12279	Subtotal
Subtitle A Tax	0	SubtitleATax
Tax Based On Investment Income	12279	TaxBasedOnInvestmentIncome
Est Tax Payments And Overpayment	6298	EstTaxPaymentsAndOverpayment
Total Credits And Payments	6298	TotalCreditsAndPayments
Tax Due	5981	TaxDue

Statements Regarding Activities StatementsRegardingActivities

Field	Value	IRS element (for citing)
Legislative Political Activities	0	LegislativePoliticalActivities
More Than100 Spent	0	MoreThan100Spent
Form1120 POL Filed	0	Form1120POLFiled
Sect4955 Tax On Organization	0	Sect4955TaxOnOrganization
Sect4955 Tax On Managers	0	Sect4955TaxOnManagers
Reimbursement Of Tax	0	ReimbursementOfTax
Activities Not Prev Reported	0	ActivitiesNotPrevReported
Changes To Articles Or Bylaws	0	ChangesToArticlesOrBylaws
Unrelated Bus Income Over1000	0	UnrelatedBusIncomeOver1000
Termination Etc	0	TerminationEtc
Requirements Of Sect508e	1	RequirementsOfSect508e
At Least5000 In Assets	1	AtLeast5000InAssets
States Filed With	NH	StatesFiledWith
Form990 PF Filed With AG	1	Form990PFFiledWithAG
Private Operating Foundation	0	PrivateOperatingFoundation
New Substantial Contributors	0	NewSubstantialContributors
Interest In Controlled Entity	0	InterestInControlledEntity
Applicable Insurance Contract	0	ApplicableInsuranceContract
Comply With Public Inspection Rqr	1	ComplyWithPublicInspectionRqr
Website Address	www.alexandereastman.org	WebsiteAddress
Books In Care Of Person Name	MIKE BUCKLEY	BooksInCareOfPersonName
Books In Care Of Phone Number	8882281821	BooksInCareOfPhoneNumber

Books In Care Of US Address BooksInCareOfUSAddress

Field	Value	IRS element (for citing)
Address Line1	75 SOUTH STREET UNIT 7 PMB 250	AddressLine1
City	CONCORD	City
State	NH	State
ZIP Code	03301	ZIPCode

Field	Value	IRS element (for citing)
Foreign Bank	0	ForeignBank

Statements Regarding Acty4720 StatementsRegardingActy4720

Field	Value	IRS element (for citing)
Sale Or Exchange With Dsqfly Person	0	SaleOrExchangeWithDsqflyPerson
Borrow Or Lend With Dsqfly Person	0	BorrowOrLendWithDsqflyPerson
Furnished Goods With Dsqfly Person	0	FurnishedGoodsWithDsqflyPerson
Pay Compensation To Dsqfly Person	0	PayCompensationToDsqflyPerson
Transfer Assets To Dsqfly Person	0	TransferAssetsToDsqflyPerson
Payment To Government Offical	0	PaymentToGovernmentOffical
Uncorrected Prior Acts	0	UncorrectedPriorActs
Undistributed Income Prior Years	0	UndistributedIncomePriorYears
Business Holdings	0	BusinessHoldings
Jeopardy Investments	0	JeopardyInvestments
Uncorrected Jeopardy Investments	0	UncorrectedJeopardyInvestments
Influence Legislation	0	InfluenceLegislation
Influence Election	0	InfluenceElection
Grants To Individuals	0	GrantsToIndividuals
Grants To Organizations	0	GrantsToOrganizations
Noncharitable Purpose	0	NoncharitablePurpose
Rcv Funds To Pay Prsnl Bnft Contract	0	RcvFundsToPayPrsnlBnftContract
Pay Premiums Prsnl Bnft Contract	0	PayPremiumsPrsnlBnftContract
Prohibited Tax Shelter Transactn	0	ProhibitedTaxShelterTransactn

Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo

Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (12 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	TitleTitle	Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition	CompensationCompensation	Contri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtc	Expense Account Other AllowancesExpenseAccountOtherAllowances
John Patrick Ahern
30 Pinkerton Street	Derry	NH	03038	Chair	2.50	0	0	0
William Lonergan
96 Harantis Lake Road	Chester	NH	03036	Vice Chair	1.50	0	0	0
Mike Buckley
22 Highland Ave	Derry	NH	03038	Treasurer	2.50	0	0	0
Cindy Gray
4 Adams Shore Road	Derry	NH	03038	Clerk	1.50	0	0	0
Sharyn Findlay
1 Gertrude Road	Windham	NH	03087	Trustee	1.50	0	0	0
Robert McDonald
49 Forest Street	Londonderry	NH	03053	Trustee	1.50	0	0	0
Dr Wayne White
63 North Road	Sandown	NH	03873	Trustee	1.50	0	0	0
Angela Kouroyen
7 Debbie Terrace	Derry	NH	03038	Trustee	1.50	0	0	0
Angela Loring
74 Jennifer Drive	Chester	NH	03036	Trustee	1.50	0	0	0
Rebecca Rutter
52 Lane Road	Derry	NH	03038	Trustee	1.50	0	0	0
Larry VanDeventer
PO Box 24	Windham	NH	03087	Trustee	1.50	0	0	0
Earle Rosse
9 Anderson Lane	Londonderry	NH	03053	Trustee	1.50	0	0	0

Field	Value	IRS element (for citing)
Comp Of Highest Paid Empl NONE	NONE	CompOfHighestPaidEmplNONE
Tot Number Of Oth Empl Paid Over50k	0	TotNumberOfOthEmplPaidOver50k
Comp Of Hghst Paid Cntrct NONE	NONE	CompOfHghstPaidCntrctNONE
Tot Number Of Cntrct Paid Over50k	0	TotNumberOfCntrctPaidOver50k

Sum Of Program Related Investments SumOfProgramRelatedInvestments

Field	Value	IRS element (for citing)
Total	0	Total

Minimum Investment Return MinimumInvestmentReturn

Field	Value	IRS element (for citing)
Avg Monthly FMV Of Securities	10441719	AvgMonthlyFMVOfSecurities
Avg Monthly Cash Balances	80383	AvgMonthlyCashBalances
FMV All Other Noncharitable Assets	0	FMVAllOtherNoncharitableAssets
Total FMV Of Unused Assets	10522102	TotalFMVOfUnusedAssets
Reduction Claimed	0	ReductionClaimed
Acquisition Indebtedness	0	AcquisitionIndebtedness
Adj Total FMV Of Unused Assets	10522102	AdjTotalFMVOfUnusedAssets
Cash Deemed Charitable	157832	CashDeemedCharitable
Net Noncharitable Assets	10364270	NetNoncharitableAssets
Minimum Investment Return	518214	MinimumInvestmentReturn

Distributable DistributableAmount

Field	Value	IRS element (for citing)
Minimum Investment Return	518214	MinimumInvestmentReturn
Tax Based On Investment Income	12279	TaxBasedOnInvestmentIncome
Total Tax	12279	TotalTax
Distributable Amount Before Adj	505935	DistributableAmountBeforeAdj
Recoveries Qlfy Distributions	0	RecoveriesQlfyDistributions
Distributable Amount Before Ded	505935	DistributableAmountBeforeDed
Deduction Fr Distributable	$0	DeductionFrDistributableAmount
Distributable Amount As Adjusted	505935	DistributableAmountAsAdjusted

Qualifying Distributions QualifyingDistributions

Field	Value	IRS element (for citing)
Expenses And Contributions	605060	ExpensesAndContributions
Program Related Investments Total	0	ProgramRelatedInvestmentsTotal
Qualifying Distributions	605060	QualifyingDistributions
One Pct Sect4940e Org Net Invst Incm	0	OnePctSect4940eOrgNetInvstIncm
Adj Qualifying Distributions	605060	AdjQualifyingDistributions

Undistributed Income UndistributedIncome

Field	Value	IRS element (for citing)
Distributable Amount As Adjusted	505935	DistributableAmountAsAdjusted
Undistributed Income Prior Year	0	UndistributedIncomePriorYear
Total For Prior Years	0	TotalForPriorYears
Excess Distri Carryover Year5	66735	ExcessDistriCarryoverYear5
Excess Distri Carryover Year4	130470	ExcessDistriCarryoverYear4
Excess Distri Carryover Year3	112143	ExcessDistriCarryoverYear3
Excess Distri Carryover Year2	93159	ExcessDistriCarryoverYear2
Excess Distri Carryover Year1	144637	ExcessDistriCarryoverYear1
Total Excess Distri Carryover	547144	TotalExcessDistriCarryover
Qualifying Distributions	605060	QualifyingDistributions
Applied To Year1	0	AppliedToYear1
Applied To Prior Years	0	AppliedToPriorYears
Treated As Distri From Corpus	0	TreatedAsDistriFromCorpus
Applied To Current Year	505935	AppliedToCurrentYear
Remaining Distri From Corpus	99125	RemainingDistriFromCorpus
Excess Distri Cyov App CY Corpus	0	ExcessDistriCyovAppCYCorpus
Excess Distri Cyov Applied CY	0	ExcessDistriCyovAppliedCY
Total Corpus	646269	TotalCorpus
Prior Year Undistributed Income	0	PriorYearUndistributedIncome
Prior Year Deficiency Or Tax	0	PriorYearDeficiencyOrTax
Taxable Amount1	0	TaxableAmount1
Taxable Amount2	0	TaxableAmount2
Undistributed Income CY	0	UndistributedIncomeCY
Distri From Corpus170b1 E Or4942g3	0	DistriFromCorpus170b1EOr4942g3
Excess Distri Cyov From Year5	66735	ExcessDistriCyovFromYear5
Excess Distri Cyov To Next Year	579534	ExcessDistriCyovToNextYear
Excess From Year4	130470	ExcessFromYear4
Excess From Year3	112143	ExcessFromYear3
Excess From Year2	93159	ExcessFromYear2
Excess From Year1	144637	ExcessFromYear1
Excess From Current Year	99125	ExcessFromCurrentYear

Supplementary Information SupplementaryInformation

Appication Submission Info AppicationSubmissionInfo

Field	Value	IRS element (for citing)
Recipient Name	AMY LOCKWOOD SEE ATTACHED	RecipientName

Recipient US Address RecipientUSAddress

Field	Value	IRS element (for citing)
Address Line1	75 SOUTH MAIN ST PMB 250	AddressLine1
City	CONCORD	City
State	NH	State
ZIP Code	03301	ZIPCode

Field	Value	IRS element (for citing)
Recipient Phone Number	8882281821	RecipientPhoneNumber
Form And Info And Materials	SEE ATTACHED	FormAndInfoAndMaterials
Submission Deadlines	SEE ATTACHED	SubmissionDeadlines
Restrictions On Awards	SEE ATTACHED	RestrictionsOnAwards

Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (26 entries)

Address Line1RecipientUSAddress/AddressLine1	CityRecipientUSAddress/City	StateRecipientUSAddress/State	ZIP CodeRecipientUSAddress/ZIPCode	Recipient Foundation StatusRecipientFoundationStatus	Purpose Of Grant Or ContributionPurposeOfGrantOrContribution	AmountAmount
LORI CHILD AND EMERGENCY EDUCATORS
24 DERRY RD	CHESTER	NH	03036	IND	SCHOLARSHIP	$500
SHIRLEY DAWSON AND FRANKLIN PIERCE
34 ELM STREET	PLAISTOW	NH	03865	IND	SCHOLARHSIP	$2,500
MEAGHAN LAMOTHE AND UNIVERSITY OF N
19 PUTNAM ROAD	HUDSON	NH	03051	IND	SCHOLARSHIP	$2,500
GENESIS NIEMIEC AND MANCHESTER COMM
975 CEDAR STREET	MANCHESTER	NH	03103	IND	SCHOLARSHIP	$1,200
CAMP SPAULDING - CHILD AND FAMILY SERVICES
PO BOX 4488	MANCHESTER	NH	03105	ORG	TO SUPPORT COST OF 12 LOW-INCOME CHILDREN AT CAMP SPAULDING.	$9,100
SONSHINE SOUP KITCHEN
4 CRYSTAL AVENUE	DERRY	NH	03038	ORG	TO SUPPORT THE ADDITION OF HEALTHIER, FRESH FOODS TO THE SOUP KITCHEN MENU.	$5,000
COMMUNITY CAREGIVERS
58 EAST BROADWAY	DERRY	NH	03038	ORG	PROGRAM FOR ELDERLY, DISABLED & CHRONICALLY ILL TO ENABLE INDEPENDENCE	$17,500
COPPER CANNON CAMP
124 GALE RIVER ROAD	FRANCONIA	NH	03580	ORG	SCHOLARSHIPS FOR 8 LOW-INCOME DERRY AREA CAMPERS	$6,000
MAURA PENNISI AND NASHUA COMMUNITY
12 SHARON ROAD	WINDHAM	NH	03087	IND	SCHOLARSHIP	$2,500
LINDA SAUCIER AND UNIVERSITY OF NH
61 WAVERLY STREET	MANCHESTER	NH	03109	IND	SCHOLARSHIP	$2,500
GATEWAYS COMMUNITY SERVICE
144 CANAL STREET	NASHUA	NH	03064	ORG	TO SUPPORT THE PARTNERS IN HEALTH FLEX FUNDS PROGRAM	$10,000
MOLLY AMBROSE AND MANCHESTER COMMUN
184 HIGH RANGE RD	LONDONDERRY	NH	03053	IND	SCHOLARSHIP	$2,500
GREATER DERRY COMMUNITY HEALTH SERVICES
28 SOUTH MAIN STREET	DERRY	NH	03038	ORG	TO PROVIDE ACCESS TO HEALTH CARE NETWORK FOR LOW-INCOME OR UNINSURED	$235,000
GREATER DERRY ORAL HEALTH COLLABORATIVE
28 SOUTH MAIN STREET	DERRY	NH	03038	ORG	TO PROVIDE SUPPORT FOR THE CHILDREN'S DENTAL NETWORK	$107,717
JENNIFER BYRD AND SALTER SCHOOL OF
4 ISINGLASS ROAD	CHESTER	NH	03036	IND	SCHOLARSHIP	$2,500
KAITLYN CHENEY AND NHTI
8 RANGEWAY AVE	SANDOWN	NH	03873	IND	SCHOLARSHIP	$1,000
AMANDA DAY AND RIVIER UNIVERSITY
31 FAIRWAY DRIVE 2831	DERRY	NH	03038	IND	SCHOLARSHIP	$2,500
LAURA RUTHS-SMITH AND WESTERN GOVER
3 SYCAMORE RD	MILFORD	NH	03055	IND	SCHOLARSHIP	$1,000
WENDY J TAYLOR AND SALTER SCHOOL OF
11R OVERLOOK DRIVE	DERRY	NH	03038	IND	SCHOLARSHIP	$2,500
NH CATHOLIC CHARITIES
215 MYRTLE STREET	MANCHESTER	NH	03104	ORG	TO SUPPORT COST OF STAFF TO REJUVENATE AND STABLIZE THE LONDONDERRY MEALS ON WHEELS SITE	$15,000
PLANNED PARENTHOOD OF NEW ENGLAND
14 MANNING STREET	DERRY	NH	03038	ORG	TO SUPPORT AFFORDABLE REPRODUCTIVE AND SEXUAL HEALTH	$25,000
ROCKINGHAM NUTRITION & MEAL ON WHEELS
106 NORTH ROAD	BRENTWOOD	NH	03833	ORG	TO SUPPORT COST OF FOOD PURCHASED BY NH FOOD BANK AND FOOD PANTRIES	$10,000
THE FRIENDS PROGRAM
249 PLEASANT STREET	CONCORD	NH	03301	ORG	TO SUPPORT THE RETIRED SENIOR VOLUNTEER PROGRAM (RSVP)	$7,000
THE UPPER ROOM EDUCATION FOR PARENTING
PO BOX 1017	DERRY	NH	03038	ORG	TO SUPPORT COSTS OF GREATER DERRY FAMILY OUTREACH PROGRAM	$30,000
VINTAGE GRACE
12 PEABODY ROAD	DERRY	NH	03038	ORG	TO COVER COST OF 8 LOW-INCOME SENIORS PARTICIPATING IN MEDICAL DAY PROGRAM ON WEEKENDS.	$18,045
FAMILY PROMISE OF GREATER ROCKINGHAM COUNTY
145 HAMPSTEAD ROAD	DERRY	NH	03038	ORG	TO PROVIDE SAFE SHELTER, MEALS AND INTENSIVE CASE MANAGEMENT TO FAMILIES IN NEED.	$12,197

Field	Value	IRS element (for citing)
Tot Grant Or Contri Paid During Year	531259	TotGrantOrContriPaidDuringYear

Grant Or Contri Approved For Future GrantOrContriApprovedForFuture (3 entries)

Address Line1RecipientUSAddress/AddressLine1	CityRecipientUSAddress/City	StateRecipientUSAddress/State	ZIP CodeRecipientUSAddress/ZIPCode	Recipient Foundation StatusRecipientFoundationStatus	Purpose Of Grant Or ContributionPurposeOfGrantOrContribution	AmountAmount
GREATER DERRY COMMUNITY HEALTH SERVICES
28 SOUTH MAIN STREET	DERRY	NH	03038	ORG	TO PROVIDE ACCESS TO HEALTH CARE NETWORK FOR LOW-INCOME OR UNINSURED	$95,000
GREATER DERRY ORAL HEALTH COLLABORATIVE
28 SOUTH MAIN STREET	DERRY	NH	03038	ORG	TO PROVIDE SUPPORT FOR THE CHILDREN'S DENTAL NETWORK	$54,486
LORI CHILD AND VARIOUS
24 DERRY RD	CHESTER	NH	03036	IND	SCHOLARSHIP	$328

Field	Value	IRS element (for citing)
Tot Grant Or Contri Approved Future	149814	TotGrantOrContriApprovedFuture

Analysis Income Producing Acty AnalysisIncomeProducingActy

Int On Savings And Temp Cash Invst IntOnSavingsAndTempCashInvst

Field	Value	IRS element (for citing)
Related Or Exempt Function Income	33	RelatedOrExemptFunctionIncome

Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII

Field	Value	IRS element (for citing)
Related Or Exempt Function Income	217499	RelatedOrExemptFunctionIncome

Gain Sales Assets Oth Than Invntry GainSalesAssetsOthThanInvntry

Field	Value	IRS element (for citing)
Related Or Exempt Function Income	442551	RelatedOrExemptFunctionIncome

Subtotals Part XVIA SubtotalsPartXVIA

Field	Value	IRS element (for citing)
Unrelated Business Income	$0	UnrelatedBusinessIncomeAmount
Exclusion	$0	ExclusionAmount
Related Or Exempt Function Income	660083	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Part XVIA	660083	TotalPartXVIA

Rln Of Acty To Accom Of Exempt Prps RlnOfActyToAccomOfExemptPrps

Field	Value	IRS element (for citing)
Line Number	3,4	LineNumber
Relationship Statement	PROVIDE FUNDS NEEDED TO ACCOMPLISH EXEMPT PURPOSE	RelationshipStatement

Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO

Field	Value	IRS element (for citing)
Trnsfr Of Cash To Noncharitable EO	0	TrnsfrOfCashToNoncharitableEO
Trnsfr Oth Assets Noncharitable EO	0	TrnsfrOthAssetsNoncharitableEO
Sales Or Exchanges Of Assets	0	SalesOrExchangesOfAssets
Purchase Assets Noncharitable EO	0	PurchaseAssetsNoncharitableEO
Rental Of Facilities Etc	0	RentalOfFacilitiesEtc
Reimbursement Arrangements	0	ReimbursementArrangements
Loans Or Loan Guarantees	0	LoansOrLoanGuarantees
Performance Of Services Etc	0	PerformanceOfServicesEtc
Sharing Of Facilities Etc	0	SharingOfFacilitiesEtc
Relationships Noncharitable E Os	0	RelationshipsNoncharitableEOs

Schedule B IRS990ScheduleB

Field	Value	IRS element (for citing)
Organization501c3 Exempt PF	X	Organization501c3ExemptPF
General Rule	X	GeneralRule

Contributor Info ContributorInfo (2 entries)

Contributor NumberContributorNumber	Contributor Name IndividualContributorNameIndividual	Address Line1ContributorAddressUS/AddressLine1	CityContributorAddressUS/City	StateContributorAddressUS/State	ZIP CodeContributorAddressUS/ZIPCode	Aggregate ContributionsAggregateContributions	Person Contribution TypePersonContributionType
1	LEON P WIDGER TRUST	C/O BANK OF AMERICA	NASHUA	NH	03064	32412	X
2	HARRISON ALEXANDER TRUST	75 SOUTH ST PMB 250 UNIT 7	CONCORD	NH	03301	39169	X

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees AccountingFees (2 entries)

CategoryCategory	AmountAmount	Net Investment IncomeNetInvestmentIncome	Disbursements Charitable PrpsDisbursementsCharitablePrps
ACCOUNTING SERVICES	$13,169	9877	3292
AUDIT EXPENSE	$9,000	0	9000

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOther (2 entries)

Category Or ItemCategoryOrItem	Listed At Cost Or FMVListedAtCostOrFMV	Book ValueBookValue	EOYFMVEOYFMV
MUTUAL FUNDS	FMV	10558178	10558178
BENEFICIAL INTEREST IN TRUSTS	FMV	1176010	1176010

Other Assets Schedule OtherAssetsSchedule

Other Assets OtherAssets

Field	Value	IRS element (for citing)
Description	PREPAID FEDERAL TAX	Description
BOY Book Value	6307	BOYBookValue

Other Expenses Schedule OtherExpensesSchedule

Other Expenses OtherExpenses (6 entries)

DescriptionDescription	Revenue And Expenses Per BooksRevenueAndExpensesPerBooks	Disbursements Charitable PrpsDisbursementsCharitablePrps
INSURANCE	847	847
MEMBERSHIP	2295	2295
BANK FEES	325	325
WEB DESIGN	817	817
OTHER ADMIN COSTS	925	925
POSTAGE	1074	1074

Other Increases Schedule OtherIncreasesSchedule

Other Increases OtherIncreases

Field	Value	IRS element (for citing)
Description	UNREALIZED GAIN ON INVESTMENTS	Description
Amount	$182,695	Amount

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	ACCRUED FEDERAL TAX	Description
BOY Book Value	0	BOYBookValue
EOY Book Value	5981	EOYBookValue

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees OtherProfessionalFees (3 entries)

CategoryCategory	AmountAmount	Net Investment IncomeNetInvestmentIncome	Disbursements Charitable PrpsDisbursementsCharitablePrps
ADMINISTRATIVE SERVICES	$38,066	0	38066
INVESTMENT MANAGEMENT FEES	$36,250	36250	0
GRANT ADMINISTRATION	$13,271	0	13271

Taxes Schedule TaxesSchedule

Taxes Taxes (2 entries)

CategoryCategory	AmountAmount	Net Investment IncomeNetInvestmentIncome	Disbursements Charitable PrpsDisbursementsCharitablePrps
STATE FILING FEE	$75	0	75
FEDERAL EXCISE TAX	$12,288	0	0