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
2012
Open to Public Inspection
For calendar year 2012, or tax year beginning 01-01-2012 , and ending 12-31-2012
Name of foundation
KENWOOD FOUNDATION 7569-07552021240
 

Number and street (or P.O. box number if mail is not delivered to street address)45 SCHOOL ST 5TH FLOOR   Room/suite
City or town, state, and ZIP code
BOSTON, MA021083204
A Employer identification number

04-6012784
B Telephone number (see instructions)

(617) 523-1635
C bullet
G Check all that apply:

D 1. bullet
2. bullet
H Check type of organization:
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$334,736J 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 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) 188,522
2 Check bullet
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities...... 5,569 5,569  
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 58,969
b Gross sales price for all assets on line 6a 222,623
7 Capital gain net income (from Part IV, line 2)... 58,969
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........ 253,060 64,538  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc.        
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)....... Click to see attachment 3,530 3,530 0 0
c Other professional fees (attach schedule).... Click to see attachment 1,406 1,266   141
17 Interest...............       0
18 Taxes (attach schedule) (see instructions) Click to see attachment 1,326 56   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)....... Click to see attachment 8,894      
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 15,156 4,852 0 141
25 Contributions, gifts, grants paid........ 201,765 201,765
26 Total expenses and disbursements. Add lines 24 and 25 216,921 4,852 0 201,906
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 36,139
b Net investment income (if negative, enter -0-) 59,686
c Adjusted net income (if negative, enter -0-)... 0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2012)
Form 990-PF (2012)
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...............      
2 Savings and temporary cash investments.......... 8,282 8,426 8,426
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)      
b Investments—corporate stock (attach schedule)........ 114,024 Click to see attachment111,910 219,583
c Investments—corporate bonds (attach schedule)........      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)........... 106,727 Click to see attachment106,727 106,727
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) 229,033 227,063 334,736
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......... 229,033 227,063
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).................... 229,033 227,063
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 229,033 227,063
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)............... 1 229,033
2 Enter amount from Part I, line 27a..................... 2 36,139
3 Other increases not included in line 2 (itemize) bullet 3 0
4 Add lines 1, 2, and 3.......................... 4 265,172
5 Decreases not included in line 2 (itemize) bulletClick to see attachment 5 38,109
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 227,063
Form 990-PF (2012)
Form 990-PF (2012)
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 25. ABBOTT LABS   1973-06-13 2012-10-16
b 50. ANSYS INC COM   2007-05-16 2012-09-25
c 25. ANSYS INC COM   2007-05-16 2012-10-01
d 25. ANSYS INC COM   2007-05-16 2012-10-16
e 151. ANSYS INC COM   2007-05-16 2012-12-06
50. CARMAX INC   2004-07-08 2012-10-16
278. CARMAX INC   2004-07-08 2012-12-06
25. CONSTANT CONTACT INC   2010-06-30 2012-10-16
175. CONSTANT CONTACT INC   2010-06-30 2012-12-11
25. DANAHER CORPORATION   2005-06-14 2012-10-16
129. DANAHER CORPORATION   2005-06-14 2012-12-06
25. EXPEDITORS INTL WASH INC   2004-01-21 2012-10-01
25. EXPEDITORS INTL WASH INC   2004-01-21 2012-10-16
100. IRON MOUNTAIN INC NEW   2004-04-16 2012-04-04
25. IRON MOUNTAIN INC NEW   2004-02-10 2012-10-01
25. IRON MOUNTAIN INC NEW   2004-02-10 2012-10-16
.8815 IRON MOUNTAIN INC NEW   2012-11-21 2012-11-21
78. JOHNSON & JOHNSON   1979-03-06 2012-05-11
25. JOHNSON & JOHNSON   1979-03-06 2012-10-16
4697. JOHNSON CTLS INC   2010-06-30 2012-12-06
213. LIFE TIME FITNESS INC   2008-02-26 2012-12-06
200. MICROSOFT CORP   1994-02-23 2012-04-04
50. PROCTER & GAMBLE CO   1991-06-06 2012-08-30
25. PROCTER & GAMBLE CO   1991-06-06 2012-10-16
111. PROCTER & GAMBLE CO   1994-02-23 2012-12-06
104. STERICYCLE INC   2006-03-16 2012-12-06
(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 1,807   12 1,795
b 3,616   1,393 2,223
c 1,815   697 1,118
d 1,780   697 1,083
e 9,976   4,208 5,768
1,639   499 1,140
9,936   2,774 7,162
429   539 -110
2,268   3,654 -1,386
1,415   681 734
6,805   3,515 3,290
906   488 418
881   488 393
2,851   1,888 963
848   472 376
910   472 438
28   29 -1
5,049   110 4,939
1,733   35 1,698
129,071   127,831 1,240
10,050   6,867 3,183
6,272   518 5,754
3,342   516 2,826
1,724   258 1,466
7,710   1,612 6,098
9,762   3,401 6,361
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       1,795
b       2,223
c       1,118
d       1,083
e       5,768
      1,140
      7,162
      -110
      -1,386
      734
      3,290
      418
      393
      963
      376
      438
      -1
      4,939
      1,698
      1,240
      3,183
      5,754
      2,826
      1,466
      6,098
      6,361
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 58,969
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 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))
2011 177,387 241,951 0.733153
2010 145,070 223,353 0.64951
2009 132,747 310,751 0.427181
2008 140,492 361,941 0.388163
2007 167,780 415,092 0.4042
2 Total of line 1, column (d) ...................... 2 2.602207
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 0.520441
4 Enter the net value of noncharitable-use assets for 2012 from Part X, line 5..... 4 230,896
5 Multiply line 4 by line 3....................... 5 120,168
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 597
7 Add lines 5 and 6......................... 7 120,765
8 Enter qualifying distributions from Part XII, line 4.............. 8 201,906
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.
Form 990-PF (2012)
Form 990-PF (2012)
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 1 597
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............................ 3 597
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- ..... 5 597
6 Credits/Payments:
a 2012 estimated tax payments and 2011 overpayment credited to 2012 6a 1,084
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 1,084
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  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 487
11 Enter the amount of line 10 to be: Credited to 2013 estimated taxBullet487 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 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 2012 or the taxable year beginning in 2012 (see instructions for Part XIV)?
    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 instructions) .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement (see instructions).................
    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 ofbulletWELCH & FORBES LLC Telephone no.bullet (617) 523-1635
    Located atbullet45 SCHOOL STREETBOSTONMA ZIP+4bullet02108
    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 2012, 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 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 (2012)
    Form 990-PF (2012)
    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
     
     
    .........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 2012?.............
    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 2012, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2012?...............
    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 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 2012 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 2012.)....................
    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 2012?
    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 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 instructions)? ......
    5b
     
     
    .........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 (2012)
    Form 990-PF (2012)
    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 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
    EDITH L DABNEY TRUSTEE
    1     		0    
    45 SCHOOL STREET 5TH FLOOR
    BOSTON,MA02108
    JOHN H KNOWLES JR TRUSTEE
    1     		0    
    45 SCHOOL STREET 5TH FLOOR
    BOSTON,MA02108
    EDITH K WILLIAMS TRUSTEE
    0     		0    
    45 SCHOOL STREET 5TH FLOOR
    BOSTON,MA02108
    THOMAS M WILLIAMS TRUSTEE
    1     		0    
    45 SCHOOL STREET 5TH FLOOR
    BOSTON,MA02108
    JEAN KNOWLES HEDLUND TRUSTEE
    1     		0    
    45 SCHOOL STREET 5TH FLOOR
    BOSTON,MA02108
    JAMES T KNOWLES TRUSTEE
    1     		0    
    45 SCHOOL STREET 5TH FLOOR
    BOSTON,MA02108
    ROBERT M KNOWLES TRUSTEE
    1     		0    
    45 SCHOOL STREET 5TH FLOOR
    BOSTON,MA02108
    THEODORE E OBER TRUSTEE
    1     		0    
    45 SCHOOL STREET 5TH FLOOR
    BOSTON,MA02108
    2 Compensation of five highest-paid employees (other than those included on line 1—see 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 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 (2012)
    Form 990-PF (2012)
    Page 7
    Part IX-B
    Summary of Program-Related Investments (see 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 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
    234,412
    b
    Average of monthly cash balances.......................
    1b
    0
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    234,412
    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
    234,412
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see
    instructions) .............................
    4
    3,516
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    230,896
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    11,545
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    11,545
    2a
    Tax on investment income for 2012 from Part VI, line 5......
    2a
    597
    b
    Income tax for 2012. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    597
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    10,948
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    10,948
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,
    line 1................................
    7
    10,948
    Part XII
    Qualifying Distributions (see 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
    201,906
    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
    201,906
    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 instructions).................
    5
    597
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    201,309
    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 (2012)
    Form 990-PF (2012)
    Page 8
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2011     		(c)
    2011     		(d)
    2012
    1 Distributable amount for 2012 from Part XI, line 7 10,948
    2 Undistributed income, if any, as of the end of 2012:
    a Enter amount for 2011 only....... 0
    b Total for prior years:2010, 20, 20 0
    3 Excess distributions carryover, if any, to 2012:
    a From 2007....... 0
    b From 2008....... 140,492
    c From 2009....... 132,747
    d From 2010....... 135,688
    e From 2011....... 167,453
    fTotal of lines 3a through e......... 576,380
    4Qualifying distributions for 2012 from Part
    XII, line 4: bullet$ 201,906
    a Applied to 2011, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions)......     		0
    c Treated as distributions out of corpus (Election
    required—see instructions).........     		0
    d Applied to 2012 distributable amount..... 10,948
    e Remaining amount distributed out of corpus 190,958
    5 Excess distributions carryover applied to 2012. 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 5 767,338
    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 instructions ...........     		0
    e Undistributed income for 2011. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2012. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2013 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see
    instructions) .............     		0
    8Excess distributions carryover from 2007 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9Excess distributions carryover to 2013.
    Subtract lines 7 and 8 from line 6a ......     		767,338
    10 Analysis of line 9:
    a Excess from 2008.... 140,492
    b Excess from 2009.... 132,747
    c Excess from 2010.... 135,688
    d Excess from 2011.... 167,453
    e Excess from 2012.... 190,958
    Form 990-PF (2012)
    Form 990-PF (2012)
    Page 9
    Part XIV
    Private Operating Foundations (see 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 2012, 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) 2012 (b) 2011 (c) 2010 (d) 2009
             
    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 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).)
    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.
    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:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2012)
    Form 990-PF (2012)
    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
    ACORD Food Pantry
    69 WILLOW STREET
    Hamilton,MA01982     		NONE PUBLIC UNRESTRICTED 250
    American Red Cross of Mass
    139 MAIN STREET SUITE 1
    CAMBRIDGE,MA02142     		NONE PUBLIC UNRESTRICTED 1,500
    Animal Rescue League of BOSTON
    10 CHANDLER ST
    BOSTON,MA02116     		NONE PUBLIC UNRESTRICTED 1,000
    Annisquam Village Church
    820 WASHINGTON STREET
    Annisquam,MA01930     		NONE PUBLIC UNRESTRICTED 150
    Belmont Hill School
    350 PROSPECT STREET
    BELMONT,MA02178     		NONE PUBLIC UNRESTRICTED 750
    Beverly Bootstraps Food Pantry Inc
    371 CABOT STREET
    Beverly,MA01915     		NONE PUBLIC UNRESTRICTED 750
    BOSTON SYMPHONY ORCHESTRA
    301 MASSACUHSETTS AVENUE
    BOSTON,MA02115     		NONE PUBLIC UNRESTRICTED 10,000
    Brookwood School
    PO BOX 1429
    Manchester,MA01944     		NONE PUBLIC UNRESTRICTED 250
    Buckingham Browne & Nichols School
    80 GERRYS LANDING ROAD
    CAMBRIDGE,MA02138     		NONE PUBLIC UNRESTRICTED 100
    Buckley School
    113 EAST 73RD STREET
    New York,NY01121     		NONE PUBLIC UNRESTRICTED 250
    Campaign For A Commercial-Free Chil
    FREE CHILDHOOD
    53 PARKER HILL AVENUE
    BOSTON,MA02120     		NONE PUBLIC UNRESTRICTED 250
    CARE USA
    151 ELLIS STREETNE
    ATLANTA,GA30303     		NONE PUBLIC UNRESTRICTED 1,000
    CASPAR Inc
    315 HIGHLAND AVENUE
    SOMMERVILLE,MA02144     		NONE PUBLIC UNRESTRICTED 1,000
    Childreach PLAN USA
    155 PLAN WAY
    Warwick,RI02886     		NONE PUBLIC UNRESTRICTED 1,000
    Children's Cancer Research Fund
    PO BOX 7006
    ALBERT LEA,MN56007     		NONE PUBLIC UNRESTRICTED 1,000
    Children's Home of Poughkeepsie
    10 CHILDRENS WAY
    Poughkeepsie,NY12601     		NONE PUBLIC UNRESTRICTED 500
    Children Incorporated
    4205 DOVER ROAD
    Richmond,VA23221     		NONE PUBLIC UNRESTRICTED 1,000
    Christian Children's Fund
    2821 EMERYWOOD PKWYBOX 26484
    Richmond,VA26484     		NONE PUBLIC UNRESTRICTED 1,000
    Christopher Reeve Foundation
    636 MORRIS TURNPIKESUITE 3A
    Short Hills,NJ07078     		NONE PUBLIC UNRESTRICTED 1,000
    Coalition for Buzzards Bay
    620 BELLEVILLE AVENUE
    NEW BEDFORD,MA02745     		NONE PUBLIC UNRESTRICTED 250
    Columbia University
    622 W 113TH ST MAIL CODE 4524
    new york,NY10025     		NONE PUBLIC UNRESTRICTED 150
    Conservation Law Foundation
    62 SUMMER STREET
    BOSTON,MA02210     		NONE PUBLIC UNRESTRICTED 1,500
    Dexter School
    20 NEWTON STREET
    BROOKLINE,MA02445     		NONE PUBLIC UNRESTRICTED 650
    Doctors Without Borders
    333 SEVENTH AVE 2ND FLOOR
    New York,NY10001     		NONE PUBLIC UNRESTRICTED 1,000
    Environmental Defense Fund
    1875 CONNECTICUT AVENW
    Washington,DC20009     		NONE PUBLIC UNRESTRICTED 1,000
    Epilepsy Foundation
    8301 PROFESSIONAL PLACE
    Landover,MD20785     		NONE PUBLIC UNRESTRICTED 1,000
    Esperanza Academy
    198 GARDEN STPO BOX 4175
    Lawrence,MA01843     		NONE PUBLIC UNRESTRICTED 5,200
    Essex County Greenbelt
    82 EASTERN AVENUE
    Essex,MA01929     		NONE PUBLIC UNRESTRICTED 350
    FAMILY OF NEW PALTZ
    51 N CHESTNUT STREET
    NEW PALTZ,NY12561     		NONE PUBLIC UNRESTRICTED 1,000
    First Church of Chestnut Hill
    26 SUFFOLK ROAD
    CHESTNUT HILL,MA02467     		NONE PUBLIC UNRESTRICTED 2,500
    Food Bank of the Hudson Valley
    195 HUDSON STREET
    CornwallonHudson,NY12520     		NONE PUBLIC UNRESTRICTED 700
    Harvard College Fund - Class
    ENDOWMENT PROJECT
    124 MOUNT AUBURN STREET
    CAMBRIDGE,MA02138     		NONE PUBLIC UNRESTRICTED 1,250
    Home for Little Wanderers
    271 HUNTINGTON AVENUE
    BOSTON,MA02115     		NONE PUBLIC UNRESTRICTED 1,000
    Horizons for Homeless Children
    1705 COLUMBUS AVENUE
    Roxbury,MA02119     		NONE PUBLIC UNRESTRICTED 250
    Ipswich River Watershed Assn Inc
    PO BOX 576
    Ipswich,MA01938     		NONE PUBLIC UNRESTRICTED 250
    Jackson Laboratory
    610 MAIN STREET
    BAR HARBOR,ME04609     		NONE PUBLIC UNRESTRICTED 1,500
    Landmark School
    429 HALE STREET
    Prides Crossing,MA01965     		NONE PUBLIC UNRESTRICTED 1,250
    Leukemia & Lymphoma Society
    PO BOX 4072
    PITTSFIELD,MA01202     		NONE PUBLIC UNRESTRICTED 1,000
    Make-a-Wish Foundation of the
    HUDSON VALLEY
    PO BOX 97104
    Washington,DC20090     		NONE PUBLIC UNRESTRICTED 500
    Manchester Community Center
    BOX 212HARBORS POINT
    Manchester,MA01944     		NONE PUBLIC UNRESTRICTED 100
    Manchester Public Library
    15 UNION STREET
    MANCHESTER,MA01944     		NONE PUBLIC UNRESTRICTED 100
    Massachusetts Audubon Society
    208 SOUTH GREAT ROAD
    Lincoln,MA01773     		NONE PUBLIC UNRESTRICTED 250
    Massachusetts General Hospital
    165 CAMBRIDGE STSUITE 600
    BOSTON,MA02114     		NONE PUBLIC UNRESTRICTED 1,000
    Massachusetts Society for the Preve
    of Cruelty to Children
    99 SUMMER STREET
    BOSTON,MA02110     		NONE PUBLIC UNRESTRICTED 1,250
    McLean Hospital
    115 MILL STREET
    BELMONT,MA02478     		NONE PUBLIC UNRESTRICTED 10,000
    Memorial Sloan-Kettering Cancer Cen
    633 THIRD AVENUE 28TH FLOOR
    NEW YORK,NY10017     		NONE PUBLIC UNRESTRICTED 1,000
    MGH INSTITUTE OF HEALTH
    PROFESSIONALS
    36 FIRST AVENUE
    BOSTON,MA02129     		NONE PUBLIC UNRESTRICTED 24,700
    Mohonk Preserve
    PO BOX 715
    New Paltz,NY12561     		NONE PUBLIC UNRESTRICTED 500
    Museum of Science
    SCIENCE PARK
    BOSTON,MA02114     		NONE PUBLIC UNRESTRICTED 12,500
    Nativity Preparatory School
    39 LAMARTINE STREET
    Jamaica Plain,MA02130     		NONE PUBLIC UNRESTRICTED 500
    Nature Conservancy
    205 PORTLAND STREETSUITE 4000
    BOSTON,MA02114     		NONE PUBLIC UNRESTRICTED 250
    Nature Conservancy of New York
    570 7TH AVE SUITE 601
    New York,NY10008     		NONE PUBLIC UNRESTRICTED 500
    NORTH SHORE UNITED WAY
    248 CABOT STREET
    BEVERLY,MA01915     		NONE PUBLIC UNRESTRICTED 1,000
    Ohio Wesleyan University
    61 S SANDUSKY STREET
    Delaware,OH43015     		NONE PUBLIC UNRESTRICTED 250
    Phillips Brooks House
    HARVARD UNIVERSITY
    CAMBRIDGE,MA02138     		NONE PUBLIC UNRESTRICTED 250
    PINGREE SCHOOL
    537 HIGHLAND STREET
    SOUTH HAMILTON,MA01982     		NONE PUBLIC UNRESTRICTED 28,000
    Planned Parenthood Federation
    of America Inc
    434 W 33RD STREET8TH FLOOR
    NEW YORK,NY10001     		NONE PUBLIC UNRESTRICTED 500
    Poughkeepsie Day School
    260 BOARDMAN ROAD
    Poughkeepsie,NY12603     		NONE PUBLIC UNRESTRICTED 3,000
    Salvation Army
    147 BERKELEY STREET
    BOSTON,MA02116     		NONE PUBLIC UNRESTRICTED 1,000
    Scenic Hudson Inc
    ONE CIVIC CENTER PLAZASUITE 200
    Poughkeepsie,NY12601     		NONE PUBLIC UNRESTRICTED 500
    Shore Country Day School
    545 CABOT STREET
    BEVERLY,MA01915     		NONE PUBLIC UNRESTRICTED 27,500
    Smith College - THE SMITH FUND
    33 ELM STREET
    Northampton,MA01063     		NONE PUBLIC UNRESTRICTED 6,000
    Spaulding Education Fund
    PO BOX 192
    Manchester,MA01944     		NONE PUBLIC UNRESTRICTED 100
    St John's EPISCOPAL Church
    705 HALE STREET
    Beverly,MA01915     		NONE PUBLIC UNRESTRICTED 250
    St Lawrence University
    23 ROMODA DRIVE
    CANTON,NY13617     		NONE PUBLIC UNRESTRICTED 500
    St Luke's Hospital -
    SouthCoast Health System
    101 PAGE STREET
    NEW BEDFORD,MA02740     		NONE PUBLIC UNRESTRICTED 1,000
    Trustees of Reservations
    572 ESSEX STREET
    BEVERLY,MA01915     		NONE PUBLIC UNRESTRICTED 2,500
    Unison Arts and Learning Center
    68 MOUNTAIN REST ROAD
    New Paltz,NY12561     		NONE PUBLIC UNRESTRICTED 500
    United Way of Massachusetts Bay
    51 SLEEPER STREET
    BOSTON,MA02210     		NONE PUBLIC UNRESTRICTED 6,000
    US Fund for UNICEF
    125 MAIDEN LANE
    NEW YORK,NY10038     		NONE PUBLIC UNRESTRICTED 1,000
    Veterans of Foreign Wars of the US
    200 MARYLAND AVENUE NE
    WASHINGTON,DC20002     		NONE PUBLIC UNRESTRICTED 1,000
    WBGH Educational Foundation
    125 WESTERN AVENUE
    BOSTON,MA02134     		NONE PUBLIC UNRESTRICTED 12,000
    WBUR Radio Station Boston
    UNIVERSITY
    890 COMMONWEALTH AVENUE
    BOSTON,MA02215     		NONE PUBLIC UNRESTRICTED 365
    Wellspring House
    302 ESSEX AVENUE
    Gloucester,MA01930     		NONE PUBLIC UNRESTRICTED 3,250
    Wenham Museum
    132 MAIN STREET
    WENHAM,MA01984     		NONE PUBLIC UNRESTRICTED 250
    Westminster School
    PO BOX 337
    SIMSBURY,CT06070     		NONE PUBLIC UNRESTRICTED 1,000
    Wheelock College Annual Fund
    200 THE RIVERWAY
    BOSTON,MA02215     		NONE PUBLIC UNRESTRICTED 250
    Winsor School
    PO BOX 414068
    BOSTON,MA02241     		NONE PUBLIC UNRESTRICTED 2,500
    CAMP KIEVE
    PO BOX 169
    NOBLEBORO,ME04555     		NONE PUBLIC UNRESTRICTED 250
    FUND TO PREVENT HOMELESSNESS
    PO BOX 17
    MANCHESTER,MA01944     		NONE EXEMPT UNRESTRICTED 100
    EVELYN LILLY LUTZ FOUNDATION
    BEVERLY HOSPITAL
    BEVERLY,MA01915     		NONE EXEMPT UNRESTRICTED 500
    NATIONAL RELIEF CHARITIES
    PARTNERSHIP IN GIVING
    PO BOX 118
    ELKWOOD,VA22718     		NONE EXEMPT UNRESTRICTED 1,000
    SUSAN KOMEN BREAST CANCER FNDN
    PO BOX 224523
    DALLAS,TX75222     		NONE PUBLIC UNRESTRICTED 500
    GEORGE WASHINGTON UNIVERSITY
    2100 M STREET 310
    WASHINGTON,DC20052     		NONE PUBLIC UNRESTRICTED 250
    BEVERLY HOSPITAL
    85 HERRICK STREET
    BEVERLY,MA01915     		NONE PUBLIC UNRESTRICTED 1,000
    Total .................................bullet 3a 201,765
    bApproved for future payment
    Total .................................bullet 3b  
    Form 990-PF (2012)
    Form 990-PF (2012)
    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 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          
    4 Dividends and interest from securities....     14 5,569  
    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 58,969  
    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)..   64,538  
    13Total. Add line 12, columns (b), (d), and (e)..................
    1364,538
    (See worksheet in line 13 instructions 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 foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2012)
    Form 990-PF (2012)
    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
    Sign Here
    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
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's namebullet



    Firm's addressbullet







         		Firm's EINbullet
    Phone no.
    Form 990-PF (2012)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990, 990-EZ,
    or 990-PF)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors
    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    OMB No. 1545-0047
    2012
    Name of the organization
    KENWOOD FOUNDATION 7569-07552021240
     
    Employer identification number

    04-6012784
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ





    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......................... Arrow Bullet   $    
    Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2 of its Form 990; or check the box on line H of its
    Form 990-EZ or on Part I, line 2 of its Form 990-PF, to certify that it does not meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2012)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
    Page 2
    Name of organization
    KENWOOD FOUNDATION 7569-07552021240
          		Employer identification number

    04-6012784
    Part I
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    		     
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    1
     
     

    EDITH LACROIX DABNEY    
    C/O WELCH FORBES LLC 45 SCHOOL
    STREET  
    BOSTON, MA   02108

    		$71,495


    (Complete Part II if there is a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    2
     
     

    JAMES T KNOWLES    
    C/O WELCH FORBES LLC 45 SCHOOL
    STREET  
    BOSTON, MA   02108

    		$20,979


    (Complete Part II if there is a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    3
     
     

    JEAN KNOWLES HEDLUND    
    C/O WELCH FORBES LLC 45 SCHOOL
    STREET  
    BOSTON, MA   02108

    		$8,485


    (Complete Part II if there is a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    4
     
     

    JOHN H KNOWLES    
    C/O WELCH FORBES LLC 45 SCHOOL
    STREET  
    BOSTON, MA   02108

    		$45,714


    (Complete Part II if there is a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    5
     
     

    ROBERT M KNOWLES    
    C/O WELCH FORBES LLC 45 SCHOOL
    STREET  
    BOSTON, MA   02108

    		$41,849


    (Complete Part II if there is a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

         
     
       

    		$  


    (Complete Part II if there is a noncash contribution.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
    Page 3
    Name of organization
    KENWOOD FOUNDATION 7569-07552021240
          		Employer identification number

    04-6012784
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    		     
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    1
    		 900 SH JOHNSON CTRLS 107 SH STERICYCLE 278 SHS CARMAX, INC., 129 SHS DANAHER CORP. 213 SHS LIFETIME   $71,495 2012-12-05
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    2
    		 764 SHS JOHNSON CONTROLS, INC.   $20,979 2012-12-05
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    3
    		 309 SHS JOHNSON CONTROLS INC.   $8,485 2012-12-05
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    4
    		 1200 SHS JOHNSON CONTROLS, INC 111 SHS PROCTOR & GAMBLE CO 78 SHS JOHNSON & JOHNSON   $45,714 2012-12-05
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
    5
    		 1524 SHS JOHNSON CONTROLS, INC.   $41,849 2012-12-05
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

    Schedule B (Form 990, 990-EZ, or 990-PF) (2012)
    Page 4
    Name of organization
    KENWOOD FOUNDATION 7569-07552021240
          		Employer identification number

    04-6012784
    Part III
    Exclusively religious, charitable, etc., individual contributions to section 501(c)(7), (8), or (10) organizations
    that total more than $1,000 for the year. Complete columns (a) through (e) and the following line entry.
    For organizations completing Part III, enter the total of exclusively religious, charitable, etc.,
    contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a) No.
    from
    Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    (a) No.
    from
    Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    (a) No.
    from
    Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    (a) No.
    from
    Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
           
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2012)

    Additional Data


    Software ID:  
    Software Version:  

    TY 2012 AccountingFeesSchedule
    Name:
    KENWOOD FOUNDATION 7569-07552021240
    EIN: 04-6012784
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 3,530 3,530    

    TY 2012 DistributionFromCorpusElection
    Name:
    KENWOOD FOUNDATION 7569-07552021240
    EIN: 04-6012784
    Election:
    IN ACCORDANCE WITH SECTIONS 4942(h)(2) AND REG 53-4942(a)-3(d)(2), OF THE INTERNAL REVENUE CODE OF 12/31/97 AS AMENDED, THE KENWOOD FOUNDATION HEREBY ELECTS TO TREAT CERTAIN CURRENT-YEAR QUALIFYING DISTRIBUTIONS IN EXCESS OF THE IMMEDIATELY PRECEEDING TAX YEAR'S UNDISTRIBUTED INCOME AS BEING MADE FROM CORPUS. IN 2012, THE FOUNDATION RECEIVED $188,522 IN CONTRIBUTIONS OF SECURITIES FROM VARIOUS INDIVIDUALS. THE FOUNDATION'S DISTRIBUTABLE AMOUNT FOR 2012 WAS $10,948. THE FOUNDATION MADE QUALIFYING DISTRIBUTIONS IN 2012 IN THE AMOUNT OF $201,765. WITH RESPECT TO 2012 CONTRIBUTIONS RECEIVED, $190,958 WAS DISTRIBUTED OUT OF CORPUS, TO WHICH THIS ELECTION APPLIES THE EXCESS DISTRIBUTION CARRYOVER TO 2013 TOTALS $767,338.

    TY 2012 InvestmentsCorpStockSchedule
    Name:
    KENWOOD FOUNDATION 7569-07552021240
    EIN: 04-6012784
    Name of Stock End of Year Book Value End of Year Fair Market Value
    175 SHS ABBOTT LAB 86 11,463
    70 SHS APACHE CORP 4,711 5,495
    400 SHS CARMAX INC 3,991 15,016
    175 SHS DANAHER CORP 4,769 9,783
    250 SHS EXPEDITORS INTERNATION 4,880 9,888
    100 SHS EXXON MOBIL CORP 24 8,651
    108 SHS IRON MOUNTAIN INC PA 2,151 3,353
    175 SHS JOHNSON & JOHNSON 247 12,268
    200 SHS MICROSOFT CORP 508 5,342
    100 SHS PEPSICO INC 3,528 6,843
    125 SHS STRYKER CORP 5,460 6,853
    140 SHS NOBLE CORP 4,821 4,875
    200 SHS ANSYS INC 5,573 13,468
    200 SHS CONSTANT CONTACT    
    200 SHS LIFE TIME FITNESS 6,448 9,842
    100 SHS SCHLUMBERGER LTD 7,542 6,930
    75 SHS IDEXX LABORATORIES INC 4,095 6,960
    100 SHS PROCTER & GAMBLE CO 1,032 6,789
    100 SHS STERICYCLE INC 3,271 9,328
    75 SHS PRAXAIR 5,424 8,209
    175 SHS CENOVUS ENERGY INC 4,310 5,870
    100 SHS AFLAC 4,320 5,312
    100 SHS ECHOLAB INC 4,529 7,190
    175 SHS JOHNSON CONTROLS 4,763 5,367
    100 SHS LANCASTER COLONY CORP 5,351 6,919
    150 SHS TERADATA CORP 4,320 9,284
    75 SHS TORONTO DOMINION BANK 4,925 6,325
    100 SHS TRIMBLE NAVAGATION LTD 4,794 5,978
    175 SHS WELLS FARGO & CO 6,037 5,982

    TY 2012 InvestmentsOtherSchedule2
    Name:
    KENWOOD FOUNDATION 7569-07552021240
    EIN: 04-6012784
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    SAVINGS BANK LIFE INS POLICY AT COST 106,727 106,727

    TY 2012 OtherDecreasesSchedule
    Name:
    KENWOOD FOUNDATION 7569-07552021240
    EIN: 04-6012784
    Description Amount
    ADJUST 2012 CONTRIBUTIONS TO TAX COST BASIS 38,109


    TY 2012 OtherExpensesSchedule
    Name:
    KENWOOD FOUNDATION 7569-07552021240
    EIN: 04-6012784
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER NON-ALLOCABLE EXPENSE - 8,894 0   0


    TY 2012 OtherProfessionalFeesSchedule
    Name:
    KENWOOD FOUNDATION 7569-07552021240
    EIN: 04-6012784
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT MGMT FEES-SUBJECT T 1,406 1,266   141


    TY 2012 TaxesSchedule
    Name:
    KENWOOD FOUNDATION 7569-07552021240
    EIN: 04-6012784
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 56 56   0
    FEDERAL TAX PAYMENT - PRIOR YE 1,270 0   0