Form990-PF
Click to see attachment

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
MERRIMACK RIVER VALLEY HOUSE INC
 

Number and street (or P.O. box number if mail is not delivered to street address)520 FLETCHER STREET   Room/suite
City or town, state, and ZIP code
LOWELL, MA01854
A Employer identification number

04-2104808
B Telephone number (see instructions)

(978) 452-6071
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$6,479,549J 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) 379,787
2 Check bullet
3 Interest on savings and temporary cash investments 40 40 40
4 Dividends and interest from securities...... 110,772 110,772 110,772
5a Gross rents..............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 106,719
b Gross sales price for all assets on line 6a 1,038,032
7 Capital gain net income (from Part IV, line 2)... 106,719
8 Net short-term capital gain.........  
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)....... Click to see attachment 685,984    
12 Total. Add lines 1 through 11........ 1,283,302 217,531 110,812
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 64,000     64,000
14 Other employee salaries and wages...... 702,129     702,129
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... Click to see attachment 275     275
b Accounting fees (attach schedule)....... Click to see attachment 19,645 2,945 2,945 16,700
c Other professional fees (attach schedule).... Click to see attachment 29,193 29,193 29,193  
17 Interest............... 10,914     10,914
18 Taxes (attach schedule) (see instructions) Click to see attachment 72,962     72,962
19 Depreciation (attach schedule) and depletion... Click to see attachment 56,574    
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see list of attachments 360,012     360,012
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 1,315,704 32,138 32,138 1,226,992
25 Contributions, gifts, grants paid........ 0 0
26 Total expenses and disbursements. Add lines 24 and 25 1,315,704 32,138 32,138 1,226,992
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -32,402
b Net investment income (if negative, enter -0-) 185,393
c Adjusted net income (if negative, enter -0-)... 78,674
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............... 107,768 76,643 76,643
2 Savings and temporary cash investments.......... 492,929 247,597 247,597
3 Accounts receivable bullet6,523
Less: allowance for doubtful accounts bullet   1,739 6,523  
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................   25,000  
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 bullet        
8 Inventories for sale or use...............      
9 Prepaid expenses and deferred charges........... 16,637 12,718 11,618
10a Investments—U.S. and state government obligations (attach schedule) 785,996 Click to see attachment649,955 649,955
b Investments—corporate stock (attach schedule)........      
c Investments—corporate bonds (attach schedule)........ 163,443 Click to see attachment138,472 138,472
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans..............      
13 Investments—other (attach schedule)........... 2,488,970 Click to see attachment3,011,236 3,011,236
14 Land, buildings, and equipment: basis bullet2,342,998
Less: accumulated depreciation (attach schedule) bullet968,628 1,298,338 Click to see attachment1,374,370 2,344,028
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 5,355,820 5,542,514 6,479,549
Liabilities 17 Accounts payable and accrued expenses.......... 39,926 65,155
18 Grants payable...................    
19 Deferred revenue..................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)...... 340,000 Click to see attachment300,000
22 Other liabilities (describe bullet) Click to see attachment400  
23 Total liabilities (add lines 17 through 22).......... 380,326 365,155
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......... 4,975,494 5,177,359
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).................... 4,975,494 5,177,359
31 Total liabilities and net assets/fund balances (see page 17 of
the instructions).................. 5,355,820 5,542,514
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 4,975,494
2 Enter amount from Part I, line 27a..................... 2 -32,402
3 Other increases not included in line 2 (itemize) bulletClick to see attachment 3 234,267
4 Add lines 1, 2, and 3.......................... 4 5,177,359
5 Decreases not included in line 2 (itemize) bullet 5  
6 Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30. 6 5,177,359
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.)
1a
b
c
d
e
(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
b
c
d
e
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
c
d
e
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 2 106,719
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 1,456,881 4,101,571 0.35520
2010 1,244,309 4,136,138 0.30084
2009 1,213,485 4,051,269 0.29953
2008 1,589,348 5,485,649 0.28973
2007 1,300,602 6,690,493 0.19440
2 Total of line 1, column (d) ...................... 2 1.43970
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 0.28794
4 Enter the net value of noncharitable-use assets for 2012 from Part X, line 5..... 4 3,609,648
5 Multiply line 4 by line 3....................... 5 1,039,358
6 Enter 1% of net investment income (1% of Part I, line 27b)........... 6 1,854
7 Add lines 5 and 6......................... 7 1,041,212
8 Enter qualifying distributions from Part XII, line 4.............. 8 1,257,558
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 1,854
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  
3 Add lines 1 and 2............................ 3 1,854
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-). 4  
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 1,854
6 Credits/Payments:
a 2012 estimated tax payments and 2011 overpayment credited to 2012 6a 3,000
b Exempt foreign organizations—tax withheld at source....... 6b
c Tax paid with application for extension of time to file (Form 8868) 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 3,000
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. Click to see attachment 8 1
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 1,145
11 Enter the amount of line 10 to be: Credited to 2013 estimated taxBullet1,145 Refunded Bullet 11  
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
 
No
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
    Yes
     
    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 addressbulletwww.rivervalleyhouse.org
    14
    The books are in care ofbulletSHIRLEY COLMER Telephone no.bullet (978) 452-6071
    Located atbullet520 FLETCHER STREETLOWELLMA ZIP+4bullet01854
    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
     
    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 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
     
    No
    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
     
    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
     
    No
    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
    CLEMENTINE ALEXIS TRUSTEE
    0.00     		0    
    142 HOLYROOD AVE
    LOWELL,MA01852
    STEVEN GEOFFROY Trustee
    0.00     		0    
    225 STEDMAN ST
    LOWELL,MA01851
    PAULINE LEBLANC Trustee
    0.00     		0    
    267 PAWTUCKET ST
    LOWELL,MA01854
    LAWRENCE ZIMMERMAN Trustee
    0.00     		0    
    29 MULBERRY RD
    DEDHAM,ME04429
    ROLAND MARTIN Trustee
    0.00     		0    
    308 PAWTUCKET ST
    LOWELL,MA01854
    CHARLES SULLIVAN Treasurer
    0.00     		0    
    104 NEWBURY ST
    DRACUT,MA01826
    JOSEPH CALLAHAN Trustee
    0.00     		0    
    15 CABOT ROAD
    WOBURN,MA01801
    MICHAEL CONWAY TRUSTEE
    0.00     		0    
    823 ANDOVER ST
    LOWELL,MA01852
    BARRY PEARSON Vice President
    0.00     		0    
    30 STEDMAN ST
    CHELMSFORD,MA01824
    LAURIE B BOTIE Trustee
    0.00     		0    
    172 MASSAPOAC RD
    TYNGSBORO,MA01879
    ELEANOR RICHARDSON Trustee
    0.00     		0    
    1508 BRIDGE ST
    DRACUT,MA01826
    DEBORAH CHAUSSE Trustee
    0.00     		0    
    10 DAYTON ST
    LOWELL,MA01852
    TAMMY ZANI Executive Direc
    40.00     		64,000    
    12 DEACON DR
    NASHUA,NH03063
    LAURIE HOGAN President
    0.00     		0    
    30 BERKELEY ST
    PELHAM,NH03076
    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
    JANALEE GILMAN HEAD OF NURSING
    40.00     		60,116    
    BRYAN AVE
    DRACUT,MA01826
    Total number of other employees paid over $50,000...................bullet  
    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.............bullet  
    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 OPERATE A HOME FOR THE ELDERLY 1,226,992
    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
    3,664,617
    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
    3,664,617
    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
     
    3
    Subtract line 2 from line 1d.........................
    3
    3,664,617
    4
    Cash deemed held for charitable activities. Enter 1 1⁄2% of line 3 (for greater amount, see
    instructions) .............................
    4
    54,969
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    3,609,648
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    180,482
    Part XI
    Distributable Amount bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
     
    2a
    Tax on investment income for 2012 from Part VI, line 5......
    2a
     
    b
    Income tax for 2012. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
     
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
     
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
     
    6
    Deduction from distributable amount (see instructions).................
    6
     
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII,
    line 1................................
    7
     
    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
    1,226,992
    b
    Program-related investments—total from Part IX-B..................
    1b
     
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
    30,566
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    1,257,558
    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
    1,854
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    1,255,704
    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  
    2 Undistributed income, if any, as of the end of 2012:
    a Enter amount for 2011 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2012:
    a From 2007.......  
    b From 2008.......  
    c From 2009.......  
    d From 2010.......  
    e From 2011.......  
    fTotal of lines 3a through e.........  
    4Qualifying distributions for 2012 from Part
    XII, line 4: bullet$  
    a Applied to 2011, but not more than line 2a  
    b Applied to undistributed income of prior years
    (Election required—see instructions)......     		 
    c Treated as distributions out of corpus (Election
    required—see instructions).........     		 
    d Applied to 2012 distributable amount.....  
    e Remaining amount distributed out of corpus  
    5 Excess distributions carryover applied to 2012.    
    (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  
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ...........     		 
    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......     		 
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		 
    e Undistributed income for 2011. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		 
    f Undistributed income for 2012. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2013 ..........     		 
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (see
    instructions) .............     		 
    8Excess distributions carryover from 2007 not
    applied on line 5 or line 7 (see instructions) ...     		 
    9Excess distributions carryover to 2013.
    Subtract lines 7 and 8 from line 6a ......     		 
    10 Analysis of line 9:
    a Excess from 2008....  
    b Excess from 2009....  
    c Excess from 2010....  
    d Excess from 2011....  
    e Excess from 2012....  
    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
    1950-05-01
    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
    0       0
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		1,257,558 1,459,703 1,246,735 1,214,559 5,178,555
    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 ....     		1,257,558 1,459,703 1,246,735 1,214,559 5,178,555
    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...     		120,321 136,719 137,871 135,042 529,953
    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
    Total .................................bullet 3a  
    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     14 40  
    4 Dividends and interest from securities....     14 110,772  
    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         106,719
    9 Net income or (loss) from special events:     1    
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: aROOM AND BOARD         634,256
    bMISCELLANEOUS INCOME          
    cADMISSION FEES & LEGACIES         12,368
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..   110,812 753,343
    13Total. Add line 12, columns (b), (d), and (e)..................
    13864,155
    (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.)
    11 INCOME FROM ROOM AND BOARD AND ADMISSION FEES ARE USED IN THE DAILY OPERATIONS OF THE FACILITY.
    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: 12000229
    Software Version: 2012v2.0


    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
    MERRIMACK RIVER VALLEY HOUSE INC
     
    Employer identification number

    04-2104808
    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
    MERRIMACK RIVER VALLEY HOUSE INC
          		Employer identification number

    04-2104808
    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
    2
     
     

    NATIONAL GRID    
    PO BOX 1040
       
    NORTHBOROUGH, MA   01532

    		$102,040


    (Complete Part II if there is a noncash contribution.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    1
     
     

    THEODORE EDSON PARKET FOUNDATION    
    77 SUMMER ST 8/F
       
    BOSTON, MA   021101006

    		$25,000


    (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.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

         
     
       

    		$  


    (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.)
    (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
    MERRIMACK RIVER VALLEY HOUSE INC
          		Employer identification number

    04-2104808
    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
    2
    		 BOILER SYSTEM, AIR CONDITIONERS, FREEZERS AND REFRIGERATORS   $102,040 2012-11-30
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a) No.
    from
    Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (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
    MERRIMACK RIVER VALLEY HOUSE INC
          		Employer identification number

    04-2104808
    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: 12000229
    Software Version: 2012v2.0

    TY 2012 AccountingFeesSchedule
    Name:
    MERRIMACK RIVER VALLEY HOUSE INC
    EIN: 04-2104808
    Software ID:12000229
    Software Version:2012v2.0
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING AND AUDIT FEES 19,645 2,945 2,945 16,700

    Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

    TY 2012 DepreciationSchedule
    Name:
    MERRIMACK RIVER VALLEY HOUSE INC
    EIN: 04-2104808
    Software ID:12000229
    Software Version:2012v2.0
    Description of Property Date Acquired Cost or Other Basis Prior Years' Depreciation Computation Method Rate /
    Life (# of years)    		 Current Year's Depreciation Expense Net Investment Income Adjusted Net Income Cost of Goods Sold Not Included
    2 REFRIGERATORS-NAT'L GR 2012-11-30 1,810   57 3.57 % 65      
    FREEZER-NAT'L GRID 2012-11-30 825   57 3.57 % 29      
    18 AIR CONDITIONERS-NAT'L 2012-11-30 5,460   57 3.57 % 195      
    BOILER SYSTEM-NAT'L GRID 2012-11-30 93,945   57 3.57 % 3,354      
    SMOKE DETECTORS 2012-02-29 2,176   57 25.00 % 544      
    BASEMENT WINDOWS 2012-05-15 7,900   87 1.61 % 127      
    EMERGENCY CALL SYSTEM 2012-07-01 20,490   57 10.71 % 2,194      
    CARPET - NURSE STATION 2011-03-23 1,080 270 57 21.43 % 231      
    FARMER PORCH ROOF 2011-12-15 11,000 12 87 2.56 % 282      
    DRYER 2011-06-16 600 150 53 30.00 % 180      
    DRYER 2011-04-14 550 138 53 30.00 % 165      
    BOOSTER HEATER 2011-10-06 1,595 57 57 27.55 % 439      
    FIRE ESCAPE (EGRESS ) 2011-07-01 211,731 2,492 87 2.56 % 5,429      
    TANK PUMP 2010-10-15 2,945 1,142 57 17.49 % 515      
    BOILER 2010-09-20 2,100 814 57 17.49 % 367      
    FREEZER 2010-10-12 700 364 53 19.20 % 134      
    DELL COMPUTERS (5) 2010-04-15 2,348 1,221 53 19.20 % 451      
    ICE MACHINE 2010-03-31 2,400 1,248 53 19.20 % 461      
    CARPET 2010-08-12 10,000 3,878 57 17.49 % 1,749      
    IMPROVEMENT 2010-07-01 6,100 228 87 2.56 % 156      
    PORCH ROOF 2009-12-31 6,400 335 87 2.56 % 164      
    TOSHIBA 40" LCD HDTV 2009-12-02 619 407 53 13.68 % 85      
    DELL COMPUTER-LIBRARY 2009-12-01 699 460 53 13.68 % 96      
    TWO WASHERS 2009-09-01 920 639 53 12.24 % 113      
    TOSHIBER 2060 COPIER 2009-09-01 545 378 53 12.24 % 67      
    3RD FL RM REMODELLING 2009-11-01 2,545 138 87 2.56 % 65      
    MEDICATION RM FIXTURES 2009-11-01 1,730 879 57 14.06 % 243      
    MOVING BOOKCASE 2009-12-01 861 437 57 14.06 % 121      
    RESIDENTS PRINTER 2009-12-01 335 220 53 13.68 % 46      
    PORCH RENOVATION 2009-06-01 6,233 407 87 2.56 % 160      
    ACTIVITY RM FURNITURE 2007-10-22 672 523 57 8.92 % 60      
    CABINET & DESK 2006-09-20 417 361 57 8.93 % 37      
    FLOOR COVERING 2006-09-01 3,065 2,654 57 8.93 % 274      
    CARPET 2006-03-01 1,056 914 57 8.93 % 94      
    DELL COMPUTER 2007-02-15 583 550 53 5.76 % 33      
    TOSHIBA COPIER 2007-01-16 3,838 3,617 53 5.76 % 221      
    TWO WASHERS 2007-07-01 880 829 53 5.76 % 51      
    COMMUNICATION SYSTEM 2006-06-25 2,516 2,179 57 8.93 % 225      
    WATER HEATER 2006-01-22 6,500 5,629 57 8.93 % 580      
    SECURITY SYSTEM 2006-02-01 3,675 3,183 57 8.93 % 328      
    LANDSCAPING 2004-03-31 72,772 37,606 67 6.67 % 4,854      
    SPRINLER & SIDEWALK 1998-03-01 3,498 3,225 67 6.67 % 233      
    HAIRDRESSER SINK 2006-06-23 2,035 1,763 57 8.93 % 182      
    STEAM CONDENSATE TANK 2005-10-07 5,657 5,405 57 4.46 % 252      
    STREAMTRAPS & RADIATOR VA 2005-11-15 25,283 24,155 57 4.46 % 1,128      
    ELECTRICAL WORK 2006-06-22 12,437 4,564 67 6.67 % 830      
    FRAME & SCREEN DOOR 2005-08-01 3,350 1,432 67 6.67 % 223      
    ELEVATOR 2005-09-01 80,533 13,078 87 2.56 % 2,065      
    ELECTRICAL WORK 2005-07-01 4,722 2,047 67 6.67 % 315      
    BRICK & SIDING 2004-12-01 25,100 4,560 87 2.56 % 644      
    BUILDING IMPROVEMENTS 2004-03-31 38,103 7,572 87 2.56 % 977      
    IMPROVEMENTS 2002 2002-07-01 135,507 32,639 87 2.56 % 3,474      
    IMPROVEMENTS 2001 2001-07-01 85,775 23,504 87 2.56 % 2,199      
    LEASEHOLD IMP FOR 9/30/00 2000-04-01 44,145 13,253 87 2.56 % 1,132      
    BUILDING IMPROVEMENTS 1998-03-01 40,825 14,438 87 2.56 % 1,047      
    IMRPOVEMENTS 1996-07-01 16,096 6,326 87 2.56 % 413      
    IMPROVEMENTS 1995-07-01 33,209 13,934 87 2.56 % 851      
    SAFETY LEDGE 1993-12-03 1,982 1,100 87 2.56 % 51      
    ELEVATOR & RAMP 1994-05-01 100,668 54,710 87 2.56 % 2,581      
    IMPROVEMENTS 1991-09-01 8,398 5,399 87 3.18 % 267      
    IMPROV & RENNOVATIONS 1990-07-01 60,753 42,080 87 3.18 % 1,929      
    BUILDING IMPROVEMENTS 1988-09-30 228,749 183,323 87 3.18 % 7,263      
    RAMP 2008-11-15 108,617 8,704 87 2.56 % 2,785      
    DINNING ROOM CARPET 2008-07-01 8,385 5,765 57 8.93 % 749      

    TY 2012 InvestmentsCorpBondsSchedule
    Name:
    MERRIMACK RIVER VALLEY HOUSE INC
    EIN: 04-2104808
    Software ID:12000229
    Software Version:2012v2.0
    Name of Bond End of Year Book Value End of Year Fair Market Value
    CORPORATE BONDS 138,472 138,472

    TY 2012 InvestmentsGovtObligationsSch
    Name:
    MERRIMACK RIVER VALLEY HOUSE INC
    EIN: 04-2104808
    Software ID:12000229
    Software Version:2012v2.0
    US Government Securities - End of Year Book Value:

    649,955
    US Government Securities - End of Year Fair Market Value:

    649,955
    State & Local Government Securities - End of Year Book Value:


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


     


    TY 2012 InvestmentsOtherSchedule2
    Name:
    MERRIMACK RIVER VALLEY HOUSE INC
    EIN: 04-2104808
    Software ID:12000229
    Software Version:2012v2.0
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    MUTUAL FUNDS FMV 3,006,077 3,006,077
    GLCF ENDOWMENT FUND FMV 5,159 5,159

    TY 2012 LandEtcSchedule2
    Name:
    MERRIMACK RIVER VALLEY HOUSE INC
    EIN: 04-2104808
    Software ID:12000229
    Software Version:2012v2.0
    Category / Item Cost / Other Basis Accumulated Depreciation Book Value End of Year Fair Market Value
    Land 398,403   398,403 398,403
    Improvements 463,841 238,856 224,985 811,471
    Buildings 1,132,068 515,230 616,838 1,000,000
    Machinery and Equipment 252,703 126,586 126,117 126,127
    Furniture and Fixtures 95,983 87,956 8,027 8,027


    TY 2012 LegalFeesSchedule
    Name:
    MERRIMACK RIVER VALLEY HOUSE INC
    EIN: 04-2104808
    Software ID:12000229
    Software Version:2012v2.0
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEE 275 0 0 275


    TY 2012 MortgagesAndNotesPayableSch 
    Name:
    MERRIMACK RIVER VALLEY HOUSE INC
    EIN: 04-2104808
    Software ID:12000229
    Software Version:2012v2.0
    Total Mortgage Amount: 300000

    Item No. 1
    Lender's Name ENTERPRISE BANK AND TRUST CO
    Lender's Title  
    Relationship to Insider  
    Original Amount of Loan 200000
    Balance Due 120000
    Date of Note 2011-02
    Maturity Date 2021-06
    Repayment Terms 10 YEARS
    Interest Rate 4.0000
    Security Provided by Borrower MARKETABLE SECURITIES
    Purpose of Loan CAPITAL IMPROVEMENT
    Description of Lender Consideration  
    Consideration FMV 120000

    Item No. 2
    Lender's Name ENTERPRISE BANK AND TRUST CO
    Lender's Title  
    Relationship to Insider  
    Original Amount of Loan 600000
    Balance Due 180000
    Date of Note 2004-05
    Maturity Date  
    Repayment Terms ON DEMAND
    Interest Rate 2.7500
    Security Provided by Borrower MARKETABLE SECURITIES
    Purpose of Loan CAPITAL IMPROVEMENT
    Description of Lender Consideration  
    Consideration FMV 180000


    TY 2012 OtherExpensesSchedule
    Name:
    MERRIMACK RIVER VALLEY HOUSE INC
    EIN: 04-2104808
    Software ID:12000229
    Software Version:2012v2.0
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    WATER AND SEWER 7,768     7,768
    TELEPHONE 2,601     2,601
    SPECIAL EVENT - FUNDRAISING 10,982     10,982
    REPAIR AND MAINTENANCE 16,686     16,686
    PAYROLL PROCESSING 2,828     2,828
    OFFICE EXPENSE 10,419     10,419
    MEDICAL EXPENSE 2,506     2,506
    INSURANCE MEDICAL 41,346     41,346
    INSURANCE GENERAL 59,588     59,588
    HEAT, LIGHT AND GAS 37,085     37,085
    FOOD 69,899     69,899
    FIRE ALARM SERVICES 3,400     3,400
    FILING FEE 855     855
    EMPLOYEE GOODWILL 3,731     3,731
    DUES AND FEES 350     350
    DONATION 125     125
    CONSULTING FEE 6,419     6,419
    CABLE 9,783     9,783
    BUILDING EXPENSE 65,067     65,067
    ADVERTISING 3,300     3,300
    ACTIVITIES 5,274     5,274


    TY 2012 OtherIncomeSchedule2
    Name:
    MERRIMACK RIVER VALLEY HOUSE INC
    EIN: 04-2104808
    Software ID:12000229
    Software Version:2012v2.0
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    ROOM AND BOARD 634,256    
    Income From Special Events 39,360    
    ADMISSION FEES & LEGACIES 12,368    


    TY 2012 OtherProfessionalFeesSchedule
    Name:
    MERRIMACK RIVER VALLEY HOUSE INC
    EIN: 04-2104808
    Software ID:12000229
    Software Version:2012v2.0
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT FEE 29,193 29,193 29,193 0


    TY 2012 TaxesSchedule
    Name:
    MERRIMACK RIVER VALLEY HOUSE INC
    EIN: 04-2104808
    Software ID:12000229
    Software Version:2012v2.0
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    PAYROLL TAXES 71,040     71,040
    FEDERAL EXCISE TAX 1,922     1,922