Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions. Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
PRINCE HENRY SOCIETY OF MASSACHUSETTS GROUP FILING
Employer identification number
90-0079877
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization?
................
11g(i)
(ii)
A family member of a person described in (i) above?
......................
11g(ii)
(iii)
A 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
7
Amounts from line 4..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (see instructions)
..................
12
13
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.................................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2013.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
.......................
b
33 1/3% support test—2012.
If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2013.
If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization
.....................................................
b
10%-facts-and-circumstances test—2012.
If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization
................................................
18
Private foundation.
If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
.....................................................
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
221,809
193,902
195,612
98,019
124,282
833,624
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
221,809
193,902
195,612
98,019
124,282
833,624
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
0
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
0
c
Add lines 7a and 7b..
0
8
Public support (Subtract line 7c from line 6.)
833,624
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
9
Amounts from line 6...
221,809
193,902
195,612
98,019
124,282
833,624
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
2,743
2,155
1,595
4,515
6,650
17,658
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
2,743
2,155
1,595
4,515
6,650
17,658
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
13
Total support. (Add lines 9, 10c, 11, and 12.)..
224,552
196,057
197,207
102,534
130,932
851,282
14
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f))
.........
15
97.930 %
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
98.200 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
2.070 %
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
1.800 %
19a
33 1/3% support tests—2013.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
........
b
33 1/3% support tests—2012.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
.....
20
Private foundation.
If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information.
Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2013
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
PRINCE HENRY SOCIETY OF MASSACHUSETTS GROUP FILING
Employer identification number
90-0079877
Return Reference
Explanation
FORM 990, PART VI, SECTION A, LINE 6
EACH CHAPTER IN THE GROUP IS COMPRISED OF DUES PAYING MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7A
EACH LOCAL CHAPTER CONDUCTS ANNUAL ELECTIONS OF ITS RESPECTIVE OFFICERS AND DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B
EACH LOCAL CHAPTER CONDUCTS MONTHLY BOARD OF DIRECTORS MEETINGS. THE DECISIONS MADE AT THESE MEETINGS ARE SUBJECT TO APPROVAL AT MONTHLY MEETINGS OF THE GENERAL MEMBERSHIP OF EACH CHAPTER.
FORM 990, PART VI, SECTION B, LINE 11
THE BOARD OF DIRECTORS OF EACH CHAPTER ARE PROVIDED WITH A COPY OF FORM 990 FOR REVIEW AT A REGULARLY SCHEDULED MEETING OR, IF NECESSARY, A SPECIAL MEETING. THE MEMBERS ARE ALLOWED TO ASK QUESTIONS AND UPON THE APPROVAL OF EACH CHAPTER'S BOARD OF DIRECTORS, THE PRESIDENT OF EACH CHAPTER IS INSTRUCTED TO SIGN THE GROUP RETURN THE ON BEHALF OF THE CHAPTER.
FORM 990, PART VI, SECTION C, LINE 19
EACH LOCAL CHAPTER MAINTAINS A FILE OF ITS ORGANIZING DOCUMENTS, MINUTES TO MEETINGS, TAX RETURNS AND OTHER INFORMATION AT ITS RESPECTIVE OFFICE. THIS FILE IS AVAILABLE TO THE GENERAL PUBLIC UPON WRITTEN REQUEST.
FORM 990, PART VII
ED CORREIRA - 123 BROADWAY, TAUNTON, MA 02780. JOSEPH MONIZ - 330 WINTHROP STREET, TAUNTON, MA 02780. VICTOR SANTOS - 64 WAGON WHEEL ROAD, TAUNTON, MA 02780. LEWIS PACHECO - 20 TAUNTON GREEN, TAUNTON, MA 02780. FERNANDO AGUIAR - 36 MARY DRIVE, TAUNTON, MA 02780. GABRIEL ANDRADE - 353 ELDRIDGE STREET, FALL RIVER, MA 02790. DOUGLAS RODRIGUES - 215 PLEASANT STREET, FALL RIVER, MA 02722. WAYNE MEDEIROS - 473 MADISON STREET, FALL RIVER, MA 02720. HELEN SOARES - 450 ROCK STREET, FALL RIVER, MA 02720. GUALDINO MEDEIROS - 600 DICKERSON STREET, FALL RIVER, MA 02721. STEVEN FERREIRA - 19 GAMMONS ROAD, ACUSHNET, MA 02743. MICHAEL TAVARES - 22 HILL ROAD, NEW BEDFORD, MA 02745. AGOSTINHO PINTO - 16 QUERY STREET, NEW BEDFORD, MA 02745. DAN COSTA - 350 BELAIR STREET, NEW BEDFORD, MA 02745. JOSEPH TAVARES - 526 WEST RODNEY FRENCH BLVD, NEW BEDFORD, MA 02745. ED BERNANDO - 80 NASH ROAD, NEW BEDFORD, MA 02746. KEVIN DACOSTA - 601 FISHER ROAD, DARTMOUTH, MA 02747. WILLIAM VIVEROS - 205 CENTRAL AVENUE, NEW BEDFORD, MA 02745. AL ALVES - 45 HOLLYCOCK STREET, NEW BEDFORD, MA 02740. SHAWN BRAZ - 476 BROCK AVENUE, NEW BEDFORD, MA 02744. SCOTT FERREIRA - 21 BISHOP ROAD, ROCHESTER, MA 02770. CARLOS DACUNHA - 15 FREEDOM WAY BLVD., NEW BEDFORD, MA 02744. ADRIEL CALVAO - 13 BROOK STREET, NEW BEDFORD, MA 02746. NELSON RODRIQUES - 324 SLOCUM ROAD, DARTMOUTH, MA 02747. PAUL REGO - 203 CORNELL STREET, NEW BEDFORD, MA 02740. JEFFREY GOULART - 71 BULLIVANT FARM ROAD, MARION , MA 02738. DONALD MONIZ - 1832 ACUSHNET AVENUE, NEW BEDFORD, MA 02746. ROBERT GASPAR - 3 SNOWFIELDS ROAD, MATTAPOISETT, MA 02739. DAVE LISTER - 33 FRANKLIN STREET, SOUTH DARTMOUTH, MA 02748. ARMAND PERREIRA - 2 HOLLY TREE LANE, WEST WAREHAM, MA 02576. JOSEPH PERREIRA - 226 BELLEVUE STREET, NEW BEDFORD, MA 02744. CARLOS PINHANCOS - 284 BRALEY HILL ROAD, ROCHESTER, MA 02770. KENNETH FERREIA - 9 OLD PLATE DRIVE , WEST WAREHAM, MA 02576. MANUEL PERREIRA - 853 PINE HILL DRIVE , NEW BEDFORD, MA 02745. MANUEL LOURO - 23 HIGHBRIDGE LANE, SOUTH DARTMOUTH, MA 02748. JOSE CASTELO - 505 MIDDLE ROAD, ACUSHNET, MA 02743. RONALD BORGES - 70 WESTVIEW STREET, NEW BEDFORD, MA 02740. MANUEL GOULART - 111 MAIN STREET, ACUSHNET, MA 02743. AL DIAS - 16 SKYLINE DRIVE, NORTH DARTMOUTH, MA 02747. VICTOR PINHEIRO - 540 BROCK AVENUE, NEW BEDFORD, MA 02744. THOMAS ALVES - 420 OLD WESTPORT ROAD, NORTH DARTMOUTH, MA 02747. ANTHONY MARTIN - 6 PLUMLEIGH DRIVE, NORTH DARTMOUTH, MA 02747. DAN DALUZ - 52 COUNTRY WAY, MATTAPOISETT, MA 02739.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.