2011-05-16T14:49:24-05:00 2010-12-31 KAHN LITWIN RENZA & CO LTD 800 SOUTH STREET SUITE 300 WALTHAM MA 02453 990PF 2010-01-01 260379241 ROTH FAMILY FOUNDATION CO HENRY & DONNA ROTH ROTH 5088303440 19 SEABURY POINT ROAD DUXBURY MA 02332 DONNA ROTH 5088303440 2011-05-03 1 RAY W NUTE 7815478800 2010 2016-02-24 21:20:13Z X X 393346 X 194196 9 9 0 500 194205 9 500 0 0 0 1113 0 0 80 0 0 1193 0 0 25140 25140 26333 0 25140 167872 9 500 96610 70786 70786 84656 278852 322560 181266 349638 393346 0 0 X 0 0 0 0 181266 349638 181266 349638 181266 349638 181266 167872 500 349638 0 349638 0 21450 120117 0.178576 21180 85291 0.248326 12498 46945 0.266226 0.693128 0.231043 200201 46255 0 46255 25140 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 MA 1 0 1 0 0 1 N/A DONNA J ROTH 5088303440 19 SEABURY POINT ROAD DUXBURY MA 02332 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 DONNA J ROTH 19 SEABURY POINT ROAD DUXBURY MA 02332 0.00 0 0 0 HENRY ROTH 19 SEABURY POINT ROAD DUXBURY MA 02332 0.00 0 0 0 NONE 0 NONE 0 0 110199 93051 0 203250 0 0 203250 3049 200201 10010 10010 0 10010 500 10510 0 10510 25140 0 25140 0 25140 10510 0 0 11245 16960 15445 43650 25140 0 0 0 10510 14630 0 0 58280 0 0 0 0 0 0 0 58280 11245 16960 15445 14630 DONNA J ROTH HENRY ROTH X AUTISM SPEAKS 2 PARK AVENUE 11TH FLOOR NEW YORK NY 10016 NONE PUBLIC GENERAL 2000 BOSTON MARATHON JIMMY FUND WALK 10 BROOKLINE PLACE WEST 6TH FLOOR BROOKLINE MA 024457226 NONE PUBLIC GENERAL 200 DANA FARBER CANCER INSTITUTE 44 BINNEY STREET BOSTON MA 024457226 NONE PUBLIC GENERAL 6440 PAN MASS CHALLENGE 77 FOURTH AVENUE NEEDHAM MA 02494 NONE PUBLIC GENERAL 600 SOUTH SHORE CONSERVATORY ONE CONSERVATORY DRIVE HINGHAM MA 02043 NONE PUBLIC GENERAL 1000 SPECIAL OLYMPICS 1133 19TH STREET NW WASHINGTON DC 200363604 NONE PUBLIC GENERAL 1000 THE NATIONAL MS SOCIETY 733 THIRD AVE 3RD FLOOR NEW YORK NY 10017 NONE PUBLIC GENERAL 2500 WILLIAM J CLINTON FOUNDATION 383 DORCHESTER AVENUE SUITE 400 BOSTON MA 02127 NONE PUBLIC GENERAL 1000 WOODS HOLE OCEANOGRAPHIC INSTITUTE 86 WATER STREET WOODS HOLD MA 025431052 NONE PUBLIC GENERAL 5000 KINGSTON PUBLIC LIBRARY 6 GREEN STREET KINGSTON MA 023641441 NONE PUBLIC GENERAL 2700 FISHER CENTER FOR ALZHEIMER'S RESEARCH FOUNDATION ONE INTREPID SQUARE WEST 46TH ST 12TH AVE NEW YORK NY 10036 NONE PUBLIC GENERAL 200 PILGRIM CHURCH PO BOX 186 DUXBURY MA 02331 NONE PUBLIC GENERAL 1000 THE GENESIS FUND 52 SECOND AVENUE 1ST FLOOR WALTHAM MA 02451 NONE PUBLIC GENERAL 1500 25140 0 14 9 0 9 0 9 0 0 0 0 0 0 0 0 0 0 X X 1 HENRY AND DONNA J ROTH 19 SEABURY POINT ROAD DUXBURY MA 02332 194196 X 1 600 SHS APPLE, INC. 194196 2010-12-30 ACCOUNTING FEES 1113 0 0 CORPORATE STOCKS 278852 322560 CHANGE IN 2009 CONTRIBUTION AMOUNT 500 HENRY AND DONNA J ROTH 19 SEABURY PT ROAD DUXBURY MA 02332 MA FORM PC 80 0 0