| Grantee's Name | Grantee's Address | Grant Date | Grant Amount | Grant Purpose | Amount Expended By Grantee | Any Diversion By Grantee? | Dates of Reports By Grantee | Date of Verification | Results of Verification |
|---|---|---|---|---|---|---|---|---|---|
|
AN ASSOCIATION FOUNDATION INC C/O HOWARD E COX JR ESQ |
GREYLOCK MGT CORP 15 CONGRESS ST B6 BOSTON,MA02109 |
2012-09-28 | 29,728 | GENERAL SUPPORT AS STIPULATED BY RESIDUARY TRUST | 29,728 | TO THE KNOWLEDGE OF BEDELL HOLMES HARNED TRUST FUND, THE GRANTEE HAS NOT DIVERTED ANY OF THE FUNDS F | 2012 990-PF ON EXTENSION - SEE TAX RETURN FOOTNOTE. | 2013-10-10 | NO VERIFICATION REQUIRED |
| Name of Bond | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| CORPORATE BONDS | 81,761 | 91,596 |
| FIXED INCOME FUNDS | 81,948 | 85,426 |
| STRUCTURED NOTES | 10,000 | 9,522 |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| EQUITY MUTUAL FUNDS | 347,488 | 453,732 |
| INTL EQUITY FUNDS | 376,662 | 454,841 |
| COMMON STOCK EIS | 300,852 | 329,604 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| LEGAL FEES PAID | 4,000 | 4,000 |
| Description | Beginning of Year - Book Value | End of Year - Book Value | End of Year - Fair Market Value |
|---|---|---|---|
| ASSETS SOLD 2011, SETTLED 2012 | 12,824 | 0 | 0 |
| COMMODITIES | 82,278 | 91,812 | |
| HEDGE FUNDS | 250,000 | 251,015 | |
| REIT | 11,523 | 11,124 | |
| REAL ESTATE MUTUAL FUNDS | 50,726 | 61,401 |
| Description | Amount |
|---|---|
| ADJUST BEG BOOK VALUE - PER SALES IN LATE 2011 | 12,036 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| NY CHAR500 FILING FEE | 250 | 0 | 250 |
| Description | Revenue And Expenses Per Books | Net Investment Income | Adjusted Net Income |
|---|---|---|---|
| CITIGROUP MTN V-A 1.860% 9/23/17 | 189 | 189 | |
| ISHARES S&P GSCI COMMODITY IN TR ETF | 68 |
| Description | Amount |
|---|---|
| RETURN OF CAPITAL NOT ADJUSTED IN 2012 | 138 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| INVESTMENT FEES-PRIN | 3,836 | 3,836 | ||
| INESTMENT FEES-INCOME | 2,557 | 2,557 | ||
| TAX PREPARATION FEE | 1,500 | 1,500 | ||
| INVESTMENT MGMT FEES-SUBJECT T | 193 | 193 | ||
| PARTNERSHIP K-1 | 694 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| FEDERAL EXCISE TAX | 1,500 | 0 | 0 | |
| QUARTERLY TAX DEPOSIT | 800 | 0 | 0 |