Form990-PF

Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Nonexempt Charitable Trust
Treated as a Private Foundation
Note. The foundation may be able to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0052
2010
For calendar year 2010, or tax year beginning 01-01-2010 , and ending 12-31-2010
G
Check all that apply:
Name of foundation
FLORENCE EVANS BUSHEE FOUNDATION INC
 

Number and street (or P.O. box number if mail is not delivered to street address)P O BOX 990129   Room/suite
City or town, state, and ZIP code
BOSTON, MA021990129
A Employer identification number

04-6035327
B Telephone number (see page 10 of the instructions)

(617) 239-0100
C bullet
D 1. bullet
H Check type of organization:
2. bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$4,950,782
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
E bullet
F bullet
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see page 11 of the instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule)  
2 Check bullet
3 Interest on savings and temporary cash investments 2,055 2,055  
4 Dividends and interest from securities...... 94,299 94,299  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 332,443
b Gross sales price for all assets on line 6a 649,997
7 Capital gain net income (from Part IV, line 2)... 332,443
8 Net short-term capital gain......... 0
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 428,797 428,797  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 11,000     11,000
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule).........       0
b Accounting fees (attach schedule)....... 4,052 2,026 0 2,026
c Other professional fees (attach schedule).... 47,548 13,774   33,774
17 Interest...............       0
18 Taxes (attach schedule) (see page 14 of the instructions) 4,309 1,969   0
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......   0 0  
22 Printing and publications..........   0 0  
23 Other expenses (attach schedule)....... 165 80   85
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 67,074 17,849 0 46,885
25 Contributions, gifts, grants paid........ 248,500 248,500
26 Total expenses and disbursements. Add lines 24 and 25 315,574 17,849 0 295,385
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 113,223
b Net investment income (if negative, enter -0-) 410,948
c Adjusted net income (if negative, enter -0-)... 0
For Privacy Act and Paperwork Reduction Act Notice, see page 30 of the instructions.
Cat. No. 11289X Form 990-PF (2010)
Form 990-PF (2010)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............... 588 493 493
2 Savings and temporary cash investments.......... 481,100 61,800 61,800
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see page 15 of the
instructions)....................      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet0      
8 Inventories for sale or use...............      
9 Prepaid expenses and deferred charges...........      
10a Investments—U.S. and state government obligations (attach schedule) 155,025 Click to see attachment435,029 446,672
b Investments—corporate stock (attach schedule)........ 1,284,993 Click to see attachment1,542,394 2,880,684
c Investments—corporate bonds (attach schedule)........ 556,916 Click to see attachment557,158 571,301
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)........... 708,157 Click to see attachment708,157 989,832
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 3,186,779 3,305,031 4,950,782
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable...................    
19 Deferred revenue..................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)..........   0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted....................    
25 Temporarily restricted................    
26 Permanently restricted................    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds......... 3,186,779 3,305,031
28 Paid-in or capital surplus, or land, bldg., and equipment fund    
29 Retained earnings, accumulated income, endowment, or other funds    
30 Total net assets or fund balances (see page 17 of the
instructions).................... 3,186,779 3,305,031
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 3,186,779 3,305,031
Part III Analysis of Changes in Net Assets or Fund Balances
1 Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree
with end-of-year figure reported on prior year’s return)............... 1 3,186,779
2 Enter amount from Part I, line 27a...................... 2 113,223
3 Other increases not included in line 2 (itemize) bulletClick to see attachment 3 5,292
4 Add lines 1, 2, and 3.......................... 4 3,305,294
5 Decreases not included in line 2 (itemize) bulletClick to see attachment 5 263
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30.. 6 3,305,031
Form 990-PF (2010)
Form 990-PF (2010)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)
(b) How acquired
P—Purchase
D—Donation
(c) Date acquired
(mo., day, yr.)
(d) Date sold
(mo., day, yr.)
1 a 30000. FNMA FR DTD 01/14/2005 3.875% 02/15/2010   2008-06-04 2010-02-15
b 2400. NOKIA CORP SPONSORED ADR   2002-08-29 2010-04-29
c 750. 3M CO COM   1983-03-07 2010-04-29
d 2000. ANADARKO PETROLEUM COM   2001-12-04 2010-05-04
e 100000. STATE STREET CORP SUB NT DTD 06/20/2000   2003-01-06 2010-06-15
1000. EMERSON ELECTRIC CO COM   1994-06-21 2010-08-17
800. PROCTER & GAMBLE COM   1984-07-06 2010-08-17
1000. EMERSON ELECTRIC CO COM   1994-06-21 2010-11-10
750. JOHNSON & JOHNSON COM   1983-04-19 2010-11-10
625. PROCTER & GAMBLE COM   1984-07-06 2010-11-10
675. STATE STREET CORP COM   2004-07-02 2010-11-10
25000. FNMA NOTE DTD 11/3/00 6.625% 11/15/2010   2009-12-01 2010-11-15
. AIG FAIR FUND DISTRIBUTION     2010-12-31
(e) Gross sales price (f) Depreciation allowed
(or allowable)
(g) Cost or other basis
plus expense of sale
(h) Gain or (loss)
(e) plus (f) minus (g)
a 30,000   30,000  
b 28,776   32,376 -3,600
c 67,009   7,421 59,588
d 127,771   52,720 75,051
e 100,000   100,000  
48,883   14,894 33,989
48,495   2,622 45,873
55,753   14,893 40,860
47,797   2,258 45,539
40,278   2,048 38,230
29,932   33,322 -3,390
25,000   25,000  
303     303
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l) Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i) F.M.V. as of 12/31/69 (j) Adjusted basis
as of 12/31/69
(k) Excess of col. (i)
over col. (j), if any
a        
b       -3,600
c       59,588
d       75,051
e        
      33,989
      45,873
      40,860
      45,539
      38,230
      -3,390
       
      303
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
Bracket 2 332,443
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see pages 13 and 17 of the instructions).
If (loss), enter -0- in Part I, line 8 . . . . . . . . . . . . .
Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)

If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If “Yes,” the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see page 18 of the instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in)
(b)
Adjusted qualifying distributions
(c)
Net value of noncharitable-use assets
(d)
Distribution ratio
(col. (b) divided by col. (c))
2009 280,832 4,419,676 0.063541
2008 324,326 5,341,622 0.060717
2007 245,631 6,046,316 0.040625
2006 254,016 5,465,817 0.046474
2005 245,315 5,183,674 0.047325
2 Total of line 1, column (d) ...................... 2 0.258681
3 Average distribution ratio for the 5-year base period—divide the total on line 2 by 5, or by
the number of years the foundation has been in existence if less than 5 years
. . .
3 0.051736
4 Enter the net value of noncharitable-use assets for 2010 from Part X, line 5..... 4 4,732,838
5 Multiply line 4 by line 3....................... 5 244,859
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 4,109
7 Add lines 5 and 6......................... 7 248,968
8 Enter qualifying distributions from Part XII, line 4.............. 8 295,385
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See
the Part VI instructions on page 18.
Form 990-PF (2010)
Form 990-PF (2010)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see page 18 of the instructions)
1a Bulletand enter “N/A” on line 1. Bracket
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b 1 4,109
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2............................ 3 4,109
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-). 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 4,109
6 Credits/Payments:
a 2010 estimated tax payments and 2009 overpayment credited to 2010 6a 1,748
b Exempt foreign organizations—tax withheld at source....... 6b
c Tax paid with application for extension of time to file (Form 8868) 6c 0
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 1,748
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 2,361
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2011 estimated taxBullet   Refunded Bullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see page 19 of
the instructions for definition)?.............................
1b
 
No
If the answer is “Yes” to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If “Yes,” attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If “Yes,” attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If “Yes,” has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If “Yes,” attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If “Yes,” complete Part II, col. (c), and Part XV.
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see page 19 of the
    instructions)bulletMA
    b
    If the answer is “Yes” to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If “No,” attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2010 or the taxable year beginning in 2010 (see instructions for Part XIV on
    page 27)? If “Yes,” complete Part XIV...........................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If “Yes,” attach a schedule listing their names and addresses.
    10
     
    No
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see page 20 of the instructions) .......
    11
     
    No
    12
    Did the foundation acquire a direct or indirect interest in any applicable insurance contract before August 17, 2008?
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbullet  
    14
    The books are in care ofbulletR ROBERT WOODBURN JR
    c/o EAPD LLP
    Telephone no.bullet (617) 239-0100
    Located atbullet111 HUNTINGTON AVENUEBOSTONMA ZIP+4bullet02199
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    15  
    16
    At any time during calendar year 2010, did the foundation have an interest in or a signature or other authority over
    a bank, securities, or other financial account in a foreign country? .................
    16
     
    No
    See page 20 of the instructions for exceptions and filing requirements for Form TD F 90-22.1. If "Yes", enter the name of the foreign country bullet  
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 5
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the “Yes” column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?.........................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?.................
    (6) Agree to pay money or property to a government official? (Exception. Check “No”
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).........
    b
    If any answer is “Yes” to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see page 20 of the instructions)?...
    1b
     
    No
    .........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2010?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2010, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2010?...............
    If “Yes,” list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer “No” and attach statement—see page 20 of the instructions.) .........
    2b
     
    No
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business
    enterprise at any time during the year?.....................
    b
    If “Yes,” did it have excess business holdings in 2010 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2010.)....................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2010?
    4b
     
    No
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?...............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 509(a)(1), (2), or (3), or section 4940(d)(2)? (see page 22 of the instructions)...
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?........
    b
    If any answer is “Yes” to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see page 22 of the instructions)?
    5b
     
    No
    .........bullet
    c
    If the answer is “Yes” to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?............
    If “Yes,” attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay
    premiums on a personal benefit contract?....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If “Yes” to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 6
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see page 22 of the instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to
    employee benefit plans
    and deferred compensation
    (e) Expense account,
    other allowances
    JUDITH A ROBERTSON PRESIDENT
    1
    5,500    
    65 ELM STREET
    FREEDOM,NH03836
    R ROBERT WOODBURN JR TREASURER
    1
    0    
    111 HUNTINGTON AVENUE
    BOSTON,MA02199
    SHEILA CHRISTENSEN DIRECTOR
    1
    5,500    
    6 ORANGE ST UNIT 2
    NEWBURYPORT,MA01950
    2 Compensation of five highest-paid employees (other than those included on line 1—see page 23 of the instructions).
    If none, enter “NONE.”
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    3 Five highest-paid independent contractors for professional services (see page 23 of the instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 7
    Part IX-B
    Summary of Program-Related Investments (see page 23 of the instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See page 24 of the instructions.
    3  
    Total. Add lines 1 through 3...........................bullet  
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,
    see page 24 of the instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    4,602,361
    b
    Average of monthly cash balances.......................
    1b
    202,551
    c
    Fair market value of all other assets (see page 24 of the instructions)............
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    4,804,912
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) ..............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d..........................
    3
    4,804,912
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see page 25
    of the instructions) ............................
    4
    72,074
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    4,732,838
    6
    Minimum investment return. Enter 5% of line 5...................
    6
    236,642
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    236,642
    2a
    Tax on investment income for 2010 from Part VI, line 5......
    2a
    4,109
    b
    Income tax for 2010. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    4,109
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    232,533
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    500
    5
    Add lines 3 and 4.............................
    5
    233,033
    6
    Deduction from distributable amount (see page 25 of the instructions)...........
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,
    line 1.................................
    7
    233,033
    Part XII
    Qualifying Distributions (see page 25 of the instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
    295,385
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes................................
    2
    0
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
    0
    b
    Cash distribution test (attach the required schedule) .................
    3b
    0
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    295,385
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see page 26 of the instructions)............
    5
    4,109
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4...............
    6
    291,276
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 8
    Part XIII
    Undistributed Income (see page 26 of the instructions)
    (a)
    Corpus
    (b)
    Years prior to 2009
    (c)
    2009
    (d)
    2010
    1 Distributable amount for 2010 from Part XI, line 7 233,033
    2 Undistributed income, if any, as of the end of 2010:
    a Enter amount for 2009 only....... 78,428
    b Total for prior years:2008, 20, 20 0
    3 Excess distributions carryover, if any, to 2010:
    a From 2005....... 0
    b From 2006....... 0
    c From 2007....... 0
    d From 2008....... 0
    e From 2009....... 0
    fTotal of lines 3a through e......... 0
    4Qualifying distributions for 2010 from Part
    XII, line 4: bullet$ 295,385
    a Applied to 2009, but not more than line 2a 78,428
    b Applied to undistributed income of prior years
    (Election required—see page 26 of the instructions)
    0
    c Treated as distributions out of corpus (Election
    required—see page 26 of the instructions)...
    0
    d Applied to 2010 distributable amount..... 216,957
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2010. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 0
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........
    0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......
    0
    d Subtract line 6c from line 6b. Taxable
    amount—see page 27 of the instructions ...
    0
    e Undistributed income for 2009. Subtract line
    4a from line 2a. Taxable amount—see page 27
    of the instructions ...........
    0
    f Undistributed income for 2010. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2011 ..........
    16,076
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see page 27
    of the instructions) ...........
    0
    8Excess distributions carryover from 2005 not
    applied on line 5 or line 7 (see page 27 of the
    instructions) .............
    0
    9Excess distributions carryover to 2011.
    Subtract lines 7 and 8 from line 6a ......
    0
    10 Analysis of line 9:
    a Excess from 2006.... 0
    b Excess from 2007.... 0
    c Excess from 2008.... 0
    d Excess from 2009.... 0
    e Excess from 2010.... 0
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 9
    Part XIV
    Private Operating Foundations (see page 27 of the instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2010, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2010 (b) 2009 (c) 2008 (d) 2007
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ....
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets” alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment” alternative test— enter 2⁄3
    of minimum investment return shown in
    Part X, line 6 for each year listed...
             
    c “Support” alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see page 27 of the instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    NONE
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    NONE
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number of the person to whom applications should be addressed:
    R ROBERT WOODBURN JRFLORENCE BUSHE
    EAPD LLP 111 HUNTINGTON AVE
    BOSTON,MA02199
    (617) 239-0100
    bThe form in which applications should be submitted and information and materials they should include:
    PROPERLY FILLED OUT APPLICATION A COLLEGE TRANSCRIPT MUST BE PROVIDED
    cAny submission deadlines:
    MAY 1
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    NEWBURY MA AREA FOR UNDERGRADUATE STUDY AT ACCREDITED INSTITUTIONS
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 10
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    Foundation
    status of
    recipient
    Purpose of grant or
    contribution
    Amount
    Name and address (home or business)
    aPaid during the year
    FIRST PARISH OF NEWBURY
    20 HIGH ROAD
    NEWBURY,MA01951
    NONE NONE GENERAL OPERATING EXPENSES 2,500
    HISTORICAL SOCIETY OF OLD NEWBURY
    NEWBURY
    98 HIGH STREET
    NEWBURYPORT,MA01950
    NONE NONE SUMMER INTERN PROGRAM 3,500
    KATRINA BOULAY
    51 KENDALL LN
    SALISBURY,MA01952
    NONE NONE SALEM STATE COLLEGE TUITION 3,000
    LUKE EARLS
    25 MILK ST
    NEWBURYPORT,MA01950
    NONE NONE AMERICAN UNIVERSITY TUITION 3,000
    ASHLEY MATTHEWS
    4 47TH ST
    NEWBURY,MA01951
    NONE NONE UNIV OF TAMPA TUITION 750
    BRYANNA TEBBETTS
    47 SPENCER KNOWLES RD
    ROWLEY,MA01969
    NONE NONE JOHNSON & WALES UNIVERSITY TUITION 2,000
    JASON BASHAW
    120 CENTRAL ST
    BYFIELD,MA01922
    NONE NONE MASS COLLEGE OF ART TUITION 2,000
    FALLON CROSSMAN
    71 WETHERSFIELD ST
    ROWLEY,MA01969
    NONE NONE MT IDA COLLEGE TUITION 4,000
    FRANCESCA RAFFERTY
    37 OAKLAND ST
    NEWBURYPORT,MA01950
    NONE NONE SALEM STATE COLLEGE TUITION 3,000
    COURTNEY CHOATE
    8 LIONS WAY
    SALISBURY,MA01952
    NONE NONE BRANDEIS UNIVERSITY TUITION 4,000
    ZACHARY CROSSMAN
    71 WESTERSFIELD ST
    ROWLEY,MA01969
    NONE NONE BRYANT UNIV TUITION 4,000
    ROBERT MULKERN JR
    274 DODGE RD
    ROWLEY,MA01969
    NONE NONE UMASS DARTMOUTH TUITION 3,000
    CAMERON MCCULLOUGH
    12 SULLIVAN DR
    NEWBURYPORT,MA01950
    NONE NONE BRIDGEWATER STATE COLLEGE TUITION 500
    ASHLEY FUCALORO
    38 FATHERLAND RD
    BYFIELD,MA01922
    NONE NONE SYRACUSE UNIVERSITY TUITION 2,000
    REBECCA RALSTON
    8 HAYES ST
    SALISBURY,MA01952
    NONE NONE WHEELOCK COLLEGE TUITION 6,200
    SARAH MURRAY
    33 GREENTREE LANE
    BYFIELD,MA01922
    NONE NONE ST ANSELM COLLEGE TUITION 3,000
    JESSICA NICKLESS
    28 LESLIE RD
    ROWLEY,MA01969
    NONE NONE UMASS TUITION 2,200
    MATTHEW HUBBARD
    60 LOW ST
    NEWBURYPORT,MA01950
    NONE NONE STONEHILL COLLEGE TUITION 3,000
    JULIA PETRAS
    14 MAGNOLIA ST
    NEWBURYPORT,MA01950
    NONE NONE UNIV OF VERMONT TUITION 2,600
    KELLEN RYAN
    5 LINCOLN AVE
    SALISBURY,MA01952
    NONE NONE UNIV OF VERMONT TUITION 2,000
    LAURA STEIN
    12 DEL-LOGAN DR
    SALISBURY,MA01952
    NONE NONE UNIV OF VERMONT TUITION 2,000
    NATHAN HUNTER
    407 WETHERSFIELD ST
    ROWLEY,MA01969
    NONE NONE GORDON COLLEGE TUITION 2,000
    THOMAS HUNTER
    407 WETHERSFIELD ST
    ROWLEY,MA01969
    NONE NONE GORDON COLLEGE TUITION 2,600
    MEGAN MCCORMICK
    16 NORMAN AVE
    NEWBURYPORT,MA01950
    NONE NONE HOLY CROSS COLLEGE TUITION 3,600
    PATRICK NOYES
    49 FORESTER ST
    NEWBURYPORT,MA01950
    NONE NONE UMASS DARTMOUTH TUITION 3,000
    JEFFREY ARIAS
    14 BOSTON RD
    NEWBURY,MA01951
    NONE NONE GW UNIVERSITY TUITION 3,600
    NATASHA ASHWORTH
    465 MAIN ST
    ROWLEY,MD01969
    NONE NONE UNIV OF CINCINNATI TUITION 3,600
    TYLER FERRICK
    382 CENTRAL ST
    ROWLEY,MA01969
    NONE NONE UNITY COLLEGE TUITION 4,000
    STEPHANIE CULBERT
    17 BASIN FRONT DR
    NEWBURY,MA01951
    NONE NONE UMASS BOSTON TUITION 2,600
    KATELIN MURPHY
    377 WETHERSFIELD ST
    ROWLEY,MA01969
    NONE NONE UTICA COLLEGE TUITION 2,000
    MICHAEL ASTUCCIO
    13 BAKER RD
    SALISBURY,MA01952
    NONE NONE STONEHILL COLLGE TUITION 2,600
    CASEY DIDONATO
    111 FERRY RD
    SALISBURY,MA01952
    NONE NONE SALEM STATE COLLEGE TUITION 5,000
    NATALIE JONES
    127 ELM ST APT 2
    AMESBURY,MA01913
    NONE NONE MAINE COLLEGE OF ART TUITION 3,200
    HANNAH RAFFERTY
    37 OAKLAND ST
    NEWBURYPORT,MA01950
    NONE NONE KEENE STATE COLLEGE TUITION 3,000
    LINDSAY BUTLER
    375 MAIN ST
    WEST NEWBURY,MA01985
    NONE NONE UMASS AMHERST TUITION 2,600
    EVAN WALLACE
    6 GARRISON RD
    NEWBURYPORT,MA01950
    NONE NONE BROWN UNIVERSITY TUITION 7,200
    BRYANNA TEBBETTS
    47 SPENCER KNOWLES RD
    ROWLEY,MA01969
    NONE NONE JOHNSON AND WALES UNIV TUITION 2,000
    MORGAN FOSTER
    46 COTTAGE RD
    NEWBURY,MA01951
    NONE NONE WHEATON COLLEGE TUITION 2,600
    TAYLOR WHITEHILL
    7 GARFIELD ST
    SALISBURY,MA01952
    NONE NONE EMMANUEL COLLEGE TUITION 4,200
    DERRICK PURVIS
    106 LOW ST
    NEWBURYPORT,MA01950
    NONE NONE LYNDON STATE COLLEGE TUITION 750
    HANNAH CHASE
    17 PARKER RIDGE WAY
    NEWBURYPORT,MA01950
    NONE NONE UMASS AMHERST TUITION 1,000
    ALLI BAYKO
    PO BOX 1052
    NEWBURYPORT,MA01950
    NONE NONE BENTLEY UNIVERSITY TUITION 4,000
    EMMA SECTOR
    84 MAIN ST
    WEST NEWBURY,MA01985
    NONE NONE UNIV OF VERMONT TUITION 1,500
    BRIAN FOSTER
    17 CUSHING ST
    SALISBURY,MA01952
    NONE NONE SALEM STATE COLLEGE TUITION 1,000
    JAMES FOSTER
    17 CUSHING ST
    SALISBURY,MA01952
    NONE NONE SALEM STATE COLLEGE TUITION 1,000
    GLENN ANDERSON
    58 CROSS ST
    ROWLEY,MA01969
    NONE NONE MAINE MARITIME ACADEMY TUITION 1,000
    ELIZABETH METRANO
    13 ALLEN ST
    NEWBURYPORT,MA01950
    NONE NONE UMASS AMHERST TUITION 2,000
    JILL LARIVIERE
    19 HIGHFIELD RD
    NEWBURY,MA01951
    NONE NONE RINGLING COLLEGE OF ART AND DESIGN TUITION 2,600
    ELIAS EARLS
    25 MILK ST
    NEWBURYPORT,MA01950
    NONE NONE EMMANUEL COLLEGE TUITION 3,000
    ELIZABETH KANE
    65 ELM ST
    SALISBURY,MA01952
    NONE NONE LYNCHBURG COLLEGE TUITION 1,000
    JOSEPH COLBY
    5 KEL LORI DR
    SALISBURY,MA01952
    NONE NONE ENDICOTT COLLEGE TUITION 4,200
    RACHEL AGANSKI
    38 WAY TO THE RIVER
    WEST NEWBURY,MA01985
    NONE NONE UNIV OF SOUTHERN MAINE TUITION 1,000
    LEAH PARKS
    13 AUSTIN LANE
    BYFIELD,MA01922
    NONE NONE BOSTON UNIV TUITION 1,600
    CHELSEA HERSEY
    19 RUSSELL TERRACE
    NEWBURYPORT,MA01950
    NONE NONE SIMMONS COLLEGE TUITION 3,200
    VICTORIA DIDONATO
    111 FERRY RD
    SALISBURY,MA01952
    NONE NONE SALEM STATE COLLEGE TUITION 1,600
    KRISTINA GOURLEY
    17 CHESTNUT ST
    NEWBURYPORT,MA01950
    NONE NONE USD TUITION 2,600
    CONNOR SULLIVAN
    198 CRANE NECK ST
    WEST NEWBURY,MA01985
    NONE NONE UMASS AMHERST TUITION 2,000
    MAGGIE JONES
    165 GLEN ST
    ROWLEY,MA01969
    NONE NONE BRYANT UNIV TUITION 1,000
    REBECCA KNIGHT
    32 LOW ST
    NEWBURY,MA01951
    NONE NONE WESTFIELD STATE COLLEGE TUITION 2,000
    KIMBERLY SAVAGE
    32 MOULTON ST
    NEWBURYPORT,MA01950
    NONE NONE UMASS BOSTON TUITION 3,000
    JOHN ZIEMLAK
    26 HAMMOND ST
    ROWLEY,MA01969
    NONE NONE CHAMPLAIN COLLEGE TUITION 2,600
    ROBERT RANDOM
    225 HIGH ST
    NEWBURY,MA01951
    NONE NONE SALEM STATE COLLEGE TUITION 3,000
    ELIZABETH MORSE
    14 DONOVAN DR
    WEST NEWBURY,MA01985
    NONE NONE UNIV OF NEW HAMPSHIRE TUITION 3,200
    BERT COMINS
    80 HIGH ST
    NEWBURY,MA01951
    NONE NONE ST JOSEPH'S COLLEGE TUITION 3,000
    RORY PELSUE
    158 STATE ST
    NEWBURYPORT,MA01950
    NONE NONE SARAH LAWRENCE COLLEGE TUITION 4,200
    BENJAMIN COLLINS
    15 AUSTIN LANE
    BYFIELD,MA01922
    NONE NONE EMERSON COLLEGE TUITION 750
    EMILY KAMINSKI
    68 BAKER RD
    SALISBURY,MA01952
    NONE NONE JOHNSON & WALES UNIV TUITION 3,700
    ZACHARY TAYLOR
    26 HANOVER ST
    NEWBURY,MA01951
    NONE NONE MERRIMACK COLLEGE TUITION 3,200
    WILLIAM ANTRIM
    858 HAVERHILL ST
    ROWLEY,MA01969
    NONE NONE UMASS AMHERST TUITION 1,600
    BRYNN ANDREWS
    20 AUBURN ST
    NEWBURYPORT,MA01950
    NONE NONE SALEM STATE COLLEGE TUITION 3,200
    AMANDA ATHERTON
    10 49TH ST
    NEWBURY,MA01951
    NONE NONE NORTHEASTERN UNIV TUITION 3,000
    COURTNEY ROBERGE
    92 FERRY ST
    SALISBURY,MA01952
    NONE NONE MCPH TUITION 1,000
    MAXINE CROSSMAN
    71 WETHERSFIELD ST
    ROWLEY,MA01969
    NONE NONE LOYOLA UNIV TUITION 750
    SAMANTHA MANSON
    135 ELM ST
    SALISBURY,MA01952
    NONE NONE DEAN COLLEGE TUITION 750
    MARGARET GEORGE
    8R ROLFES LANE
    NEWBURY,MA01951
    NONE NONE BRIDGEWATER STATE COLLEGE TUITION 2,000
    HANNAH MCCORMICK
    16 NORMAN AVE
    NEWBURYPORT,MA01950
    NONE NONE HOLY CROSS COLLEGE TUITION 1,000
    KELLEIGH LAWRENCE
    7 COLTEN DRIVE
    NEWBURYPORT,MA01950
    NONE NONE SOUTHERN NH UNIV TUITION 1,250
    AMANDA MULKERN
    274 DODGE ROAD
    ROWLEY,MA01969
    NONE NONE CASTLETON STATE COLLEGE TUITION 3,000
    KYLE LEBLANC
    12 HART RD
    NEWBURYPORT,MA01950
    NONE NONE BOWDOIN COLLEGE TUITION 1,000
    ADAM ZWICK
    13 HOWARD ST
    NEWBURYPORT,MA01950
    NONE NONE UNITY COLLEGE TUITION 3,000
    JENNA NARDONE
    34 FARNHAM RD
    ROWLEY,MA01969
    NONE NONE UNIV OF NH TUITION 500
    AUSTIN LANHAM
    16 MOSLEY AVENUE
    NEWBURYPORT,MA01950
    NONE NONE UNIV OF VERMONT TUITION 1,000
    MALLORY SANDERS
    12 MARCH RD
    SALISBURY,MA01952
    NONE NONE FRAMINGHAM STATE COLLEGE TUITION 500
    CHERIZE SALDANHA
    342 HIGH ST APT 2
    NEWBURYPORT,MA01950
    NONE NONE RIVIER COLLEGE TUITION 2,000
    RYAN KELL
    3 TURKEY HILL RD
    NEWBURYPORT,MA01950
    NONE NONE SYRACUSE UNIVERSITY TUITION 750
    OLIVIA MATTHEWS
    4 4TH STREET
    NEWBURY,MA01951
    NONE NONE SIMMONS COLLEGE TUITION 750
    TAYLOR BEATON
    22 ALBION LANE
    WEST NEWBURY,MA01985
    NONE NONE BOSTON COLLEGE TUITION 1,000
    PAIGE MOULTON
    58 GREEN ST
    NEWBURY,MA01951
    NONE NONE BOSTON UNIVERSITY TUITION 1,250
    LINDSAY COMINS
    80 HIGH RD
    NEWBURY,MA01951
    NONE NONE ECKERD COLLEGE TUITION 3,000
    TAYLOR BEECH
    11 CAPTAIN PIERCE DR
    WEST NEWBURY,MA01985
    NONE NONE JOHNS HOPKINS UNIV TUITION 1,000
    JENNIFER NEWCOMBE
    252 DODGE RD
    ROWLEY,MA01969
    NONE NONE HOUGHTON COLLEGE TUITION 1,000
    COLLEEN LOUGHLIN
    94 HILLSIDE ST
    ROWLEY,MA01969
    NONE NONE TULANE UNIV TUITION 750
    CHRISTOPHER MURRAY
    33 GREENTREE LANE
    BYFIELD,MA01922
    NONE NONE MA MARITIME ACADEMY TUITION 750
    KRISTIN KELLEHER
    21 AUSTIN LANE
    BYFIELD,MA01922
    NONE NONE GW UNIVERSITY TUITION 1,250
    ALEX CONNOLLY
    34 WHETSONE ST
    WEST NEWBURY,MA01985
    NONE NONE FRANKLIN PIERCE COLLEGE TUITION 1,000
    DENIS IPBUKEN
    14 SHIP STREET
    NEWBURYPORT,MA01950
    NONE NONE COASTAL CAROLINA UNIV TUITION 2,000
    MCKENZIE CARIFIO
    34 WHETSTONE ST
    WEST NEWBURY,MA01985
    NONE NONE ST JOSEPH'S COLLEGE TUITION 1,000
    BRITTANY ADAMS
    514 MAIN ST
    WEST NEWBURY,MA01985
    NONE NONE EMMANUEL COLLEGE TUITION 1,000
    WILLIAM RALSTON
    8 HAYES ST
    SALISBURY,MA01952
    NONE NONE MCPHS TUITION 1,250
    BENJAMIN TAYLOR
    45 HANOVER ST
    NEWBURY,MA01951
    NONE NONE EMMANUEL COLLEGE TUITION 500
    CHLOE KEALEY
    9 DEL LOGAN DR
    SALISBURY,MA01952
    NONE NONE ST ANSELM TUITION 1,000
    EUGENE HAWKES
    2 ODIN ST
    SALISBURY,MA01952
    NONE NONE NORTHERN ESSEX COMM TUITION 1,000
    GABRIELLE SERGI
    5 HENDERSON CIRCLE
    NEWBURYPORT,MA01950
    NONE NONE BATES COLLEGE TUITION 1,000
    DIANAH TSILIFONIS
    1 COURTNEY DR
    BYFIELD,MA01922
    NONE NONE ENDICOTT COLLEGE TUITION 1,250
    ANTHONY DUBE
    20 FINNEGAN WAY
    NEWBURYPORT,MA01950
    NONE NONE BOSTON COLLEGE TUITION 1,000
    NEAL LOJEK
    113 MAIN ST
    BYFIELD,MA01922
    NONE NONE UMASS TUITION 750
    ASHLEY PURVIS
    106 LOW ST
    NEWBURYPORT,MA01950
    NONE NONE UMASS AMHERST TUITION 4,000
    THOMAS KUCZUN
    31 MEHAFFEY LANE
    ROWLEY,MA01969
    NONE NONE GROVE CITY COLLEGE TUITION 1,000
    CHRISTINE MADDEN
    6 NEWHALL LANE
    NEWBURYPORT,MA01950
    NONE NONE WESTFIELD STATE COLLEGE TUITION 1,000
    RYAN BARRY
    57 CHRISTOPHER RD
    ROWLEY,MA01969
    NONE NONE UMASS AMHERT TUITION 500
    ALISON EVANS
    278 HIGH ST
    NEWBURYPORT,MA01950
    NONE NONE ROGER WILLIAM UNIV TUITION 2,000
    SARAH GIBSON
    134 RABBIT RD
    SALISBURY,MA01952
    NONE NONE SUFFOLK UNIV TUITION 2,600
    AMANDA KUCZUN
    31 MEHAFFEY LANE
    ROWLEY,MA01969
    NONE NONE CORNELL UNIV TUITION 1,000
    MATTHEW CARROLL
    15 PHEASANT RUN DR
    NEWBURYPORT,MA01950
    NONE NONE BOSTON COLLEGE TUITION 1,000
    ALYSSA PATRICK
    291 WETHERSFIELD ST
    ROWLEY,MA01969
    NONE NONE PRATT INSTITUTE TUITION 1,000
    SAMANTHA BARIBEAULT
    43 STOREYBROOKE DR
    NEWBURYPORT,MA01950
    NONE NONE MCGILL UNIV TUITION 750
    ARIANA DENARDO
    14 JACKSON ST
    NEWBURYPORT,MA01950
    NONE NONE GORDON COLLEGE TUITION 1,500
    Total .................................bullet 3a 248,500
    bApproved for future payment
    Total ..................................bullet 3b  
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 11
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See page 28 of
    the instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3Interest on savings and temporary cash investments     14 2,055  
    4 Dividends and interest from securities....     14 94,299  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6Net rental income or (loss) from personal property          
    7 Other investment income.....          
    8Gain or (loss) from sales of assets other than inventory     18 332,443  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   428,797  
    13Total. Add line 12, columns (b), (d), and (e)...................
    13428,797
    (See worksheet in line 13 instructions on page 28 to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the organization’s exempt purposes (other than by providing funds for such purposes). (See
    page 28 of the instructions.)
    Form 990-PF (2010)
    Form 990-PF (2010)
    Page 12
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section
    Yes
    No
    501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash....................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements............................
    1b(4)
     
    No
    (5) Loans or loan guarantees..............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is “Yes,” complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?...........
    b
    If “Yes,” complete the following schedule.
    (a) Name of organization (b) Type of organization (c) Description of relationship
    SignHere
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer or fiduciary) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    Signature of officer or trustee Date Title
    PaidPreparersUseOnly Preparer's SignatureBullet Date PTIN
    Firm's namebullet



    Firm's addressbullet







    Firm's EINbullet
    Phone no.
    Form 990-PF (2010)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2010 AccountingFeesSchedule
    Name:
    FLORENCE EVANS BUSHEE FOUNDATION INC
    EIN: 04-6035327
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE 4,052 2,026   2,026

    TY 2010 CompensationExplanation
    Name:
    FLORENCE EVANS BUSHEE FOUNDATION INC
    EIN: 04-6035327
    Person Name Explanation
    JUDITH A ROBERTSON SEE FOOTNOTE
    R ROBERT WOODBURN JR SEE FOOTNOTE
    SHEILA CHRISTENSEN SEE FOOTNOTE

    TY 2010 InvestmentsCorpBondsSchedule
    Name:
    FLORENCE EVANS BUSHEE FOUNDATION INC
    EIN: 04-6035327
    Name of Bond End of Year Book Value End of Year Fair Market Value
    30000 FNMA FR DTD1/14/05 3.875    
    25000 FNMA NOTE 6.625%    
    55000 AT&T WIRELESS 8.125% 60,055 60,081
    40000 CATERPILLAR 4.75% 40,645 40,393
    150000 HEWLETT PACK 4.5% 158,601 160,554
    50000 WALMART NOTE 4.125% 50,784 50,212
    50000 S CALIF GAS CO 4.375% 50,792 50,045
    34000 N TRUST CO MTNS 6.5% 34,526 39,753
    45000 KELLOGG CO NT-B 6.6% 46,228 45,677
    65000 FHLMC MTN CALLABLE 5%    
    50000 VERIZON COMM 6.35% 49,644 57,708
    60000 ELECTRONIC DATA SYS 6.5% 65,883 66,878
    50000 FHLMC MTN 11/15/04 4.5%    
    30000 FEDERAL HOME LN MTG 4%    
    100000 STATE STREET CORP 7.65%    

    TY 2010 InvestmentsCorpStockSchedule
    Name:
    FLORENCE EVANS BUSHEE FOUNDATION INC
    EIN: 04-6035327
    Name of Stock End of Year Book Value End of Year Fair Market Value
    1300 AIR PRODUCTS & CHEMICALS 101,491 118,235
    1000 AMGEN 74,880 54,900
    2000 ANADARKO PETROLEUM    
    5500 APPLIED MATERIALS 105,160 77,275
    4000 CISCO SYSTEMS 35,583 80,920
    3375 MICROSOFT 80,154 94,196
    2000 EMERSON ELECTRIC 28,952 114,340
    2700 EXXON MOBIL 15,595 197,424
    5550 GENERAL ELECTRIC 8,852 101,510
    3000 HEWLETT PACKARD 23,509 126,300
    6000 INTEL 111,581 126,180
    2250 JOHNSON & JOHNSON 6,775 139,163
    1150 AUTOMATIC DATA & PROCESS 46,610 53,222
    1000 PEPSICO 63,190 65,330
    1875 PROCTER & GAMBLE 6,145 120,619
    2025 STATE STREET 99,965 93,839
    3400 STRYKER 19,489 182,580
    1365 CHURCH & DWIGHT 87,427 94,212
    4400 SYSCO CORP 30,230 129,360
    1775 TARGET CORP 88,786 106,731
    1250 3M CO 12,368 107,875
    1700 WALMART STORES 88,797 91,681
    2000 INFOSYS TECHNOLOGIES 103,657 152,160
    2400 NOKIA CORP    
    2000 SCHLUMBERGER 24,852 167,000
    1700 ABBOTT LAB 93,920 81,447
    1300 QUALCOMM 50,882 64,337
    1200 US BANCORP 30,442 32,364
    2000 XILINX 54,996 57,960
    950 TEVA PHARM INDS ADR 48,106 49,524

    TY 2010 InvestmentsGovtObligationsSch
    Name:
    FLORENCE EVANS BUSHEE FOUNDATION INC
    EIN: 04-6035327
    US Government Securities - End of Year Book Value:

    435,029
    US Government Securities - End of Year Fair Market Value:

    446,672
    State & Local Government Securities - End of Year Book Value:


     
    State & Local Government Securities - End of Year Fair Market Value:


     


    TY 2010 InvestmentsOtherSchedule2
    Name:
    FLORENCE EVANS BUSHEE FOUNDATION INC
    EIN: 04-6035327
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    21327.341EUROPACIFIC GROWTH AT COST 608,838 882,312
    1000 ISHARES TR US TIPS BD FD AT COST 99,319 107,520

    TY 2010 OtherDecreasesSchedule
    Name:
    FLORENCE EVANS BUSHEE FOUNDATION INC
    EIN: 04-6035327
    Description Amount
    TRANSACTIONS POSTED AFTER PERIOD END 263


    TY 2010 OtherExpensesSchedule
    Name:
    FLORENCE EVANS BUSHEE FOUNDATION INC
    EIN: 04-6035327
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    MA FILING FEES 85 0   85
    ADR PASS-THROUGH FEES 80 80   0


    TY 2010 OtherIncreasesSchedule
    Name:
    FLORENCE EVANS BUSHEE FOUNDATION INC
    EIN: 04-6035327
    Description Amount
    REFUND FROM UNC FOR E KAMINSKI 500
    TRANSACTIONS POSTED FOR PRIOR PERIOD 264
    TAX CODE ADJUSTMENTS 3,523
    ROUNDING 5
    REVERSALS FOR PRIOR PERIOD 1,000


    TY 2010 OtherProfessionalFeesSchedule
    Name:
    FLORENCE EVANS BUSHEE FOUNDATION INC
    EIN: 04-6035327
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EAPD - LEGAL/TRUSTEE FEES 27,548 13,774   13,774
    EAPD - GRANT ADMINISTRATION 20,000     20,000


    TY 2010 TaxesSchedule
    Name:
    FLORENCE EVANS BUSHEE FOUNDATION INC
    EIN: 04-6035327
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 1,969 1,969   0
    FEDERAL TAX PAYMENT - PRIOR YE 592 0   0
    FEDERAL ESTIMATES - PRINCIPAL 1,748 0   0