Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletInformation about Form 990-PF and its instructions is at www.irs.gov/form990pf.
OMB No. 1545-0052
2015
Open to Public Inspection
For calendar year 2015, or tax year beginning 01-01-2015 , and ending 12-31-2015
Name of foundation
CAPE COD FIVE CENTS SAVINGS BANK
CHARITABLE FOUNDATION TRUST
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 10
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
ORLEANS, MA026530010
A Employer identification number

04-3423249
B Telephone number (see instructions)

(508) 240-0555
C bullet
G Check all that apply:

D 1. bullet
2. bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$12,979,530J Accounting method:
 
(Part I, column (d) must be on cash basis.)
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) 20,000
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments 493 493  
4 Dividends and interest from securities... 264,249 264,249  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 648,611
b Gross sales price for all assets on line 6a 7,014,451
7 Capital gain net income (from Part IV, line 2)... 648,611
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 16,250 0  
12 Total. Add lines 1 through 11........ 949,603 913,353  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 12,000 6,000   6,000
c Other professional fees (attach schedule).... Click to see attachment 61,303 61,303   0
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 13,156 1,956   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 5,135 47   0
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 91,594 69,306   6,000
25 Contributions, gifts, grants paid....... 725,000 725,000
26 Total expenses and disbursements. Add lines 24 and 25 816,594 69,306   731,000
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 133,009
b Net investment income (if negative, enter -0-) 844,047
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2015)
Form 990-PF (2015)
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............. 12,446 42,701 42,701
2 Savings and temporary cash investments......... 616,831 504,598 504,598
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
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 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..........      
10a Investments—U.S. and state government obligations (attach schedule) 397,599 Click to see attachment651,506 651,506
b Investments—corporate stock (attach schedule)....... 7,029,838 Click to see attachment6,721,708 6,721,708
c Investments—corporate bonds (attach schedule)....... 1,814,827 Click to see attachment1,328,633 1,328,633
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 3,874,148 Click to see attachment3,682,328 3,682,328
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet) Click to see attachment36,733 Click to see attachment48,056 Click to see attachment48,056
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 13,782,422 12,979,530 12,979,530
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) Click to see attachment80,694 Click to see attachment64,715
23 Total liabilities (add lines 17 through 22)......... 80,694 64,715
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted.................. 13,701,728 12,914,815
25 Temporarily restricted...............    
26 Permanently restricted...............    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........    
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 instructions)..... 13,701,728 12,914,815
31 Total liabilities and net assets/fund balances (see instructions). 13,782,422 12,979,530
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
13,701,728
2
Enter amount from Part I, line 27a .....................
2
133,009
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
18,723
4
Add lines 1, 2, and 3 ..........................
4
13,853,460
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
938,645
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
12,914,815
Form 990-PF (2015)
Form 990-PF (2015)
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 PUBLICALLY TRADED SECURITIES P    
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 7,014,451   6,365,840 648,611
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       648,611
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 2 648,611
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 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))
2014 704,074 13,578,024 0.051854
2013 677,960 12,696,122 0.053399
2012 588,903 11,164,710 0.052747
2011 563,753 10,926,255 0.051596
2010 538,636 10,463,125 0.051479
2
Total of line 1, column (d) .....................
20.261075
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
0.052215
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
13,375,272
5
Multiply line 4 by line 3......................
5
698,390
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
8,440
7
Add lines 5 and 6........................
7
706,830
8
Enter qualifying distributions from Part XII, line 4.............
8
731,000
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 (2015)
Form 990-PF (2015)
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 Bullet and enter “N/A" on line 1. Bracket
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b 1 8,440
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 8,440
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 8,440
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 10,064
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c 12,000
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 22,064
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. Click to see attachment 8 34
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 13,590
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet13,590 RefundedBullet 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 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$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
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 2015 or the taxable year beginning in 2015 (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
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    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.CAPECODFIVE.COM
    14
    The books are in care ofbulletMATTHEW BURKE Telephone no.bullet (508) 247-1813

    Located atbullet19 WEST ROADORLEANSMA ZIP+4bullet02653
    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 2015, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country?
    16   No
    See instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). If "Yes", enter the name of the foreign country bullet  
    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 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 2015?.............
    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 2015, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2015?.............
    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
     
     
    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 2015 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 2015.)..................
    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 2015?
    4b
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (Continued)
    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 4945(d)(4)(A)? (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 (2015)
    Form 990-PF (2015)
    Page 7
    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
    DOROTHY A SAVARESE CHAIRMAN
    1.00     		0 0 0
    19 WEST ROAD
    ORLEANS,MA02653
    MATTHEW S BURKE TREASURER
    1.00     		0 0 0
    19 WEST ROAD
    ORLEANS,MA02653
    DAVID B WILLARD SECRETARY
    1.00     		0 0 0
    19 WEST ROAD
    ORLEANS,MA02653
    ROBERT A TALERMAN VICE CHAIRMAN
    1.00     		0 0 0
    19 WEST ROAD
    ORLEANS,MA02653
    KRISTEN M DECORPO ASSISTANT TREASURER
    1.00     		0 0 0
    19 WEST ROAD
    ORLEANS,MA02653
    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
    CAPE COD FIVE CENTS SAVINGS BANK INVESTMENT MANAGEMENT 61,303
    PO BOX 10
    ORLEANS,MA026530010
    MARCUM LLP ACCOUNTING 12,000
    53 STATE STREET 38TH FLOOR
    BOSTON,MA02109
    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  
    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 instructions.
    3 Click to see attachment 0
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 8
    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
    13,521,834
    b
    Average of monthly cash balances.......................
    1b
    11,577
    c
    Fair market value of all other assets (see instructions)................
    1c
    45,545
    d
    Total (add lines 1a, b, and c).........................
    1d
    13,578,956
    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
    13,578,956
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    203,684
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    13,375,272
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    668,764
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    668,764
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    8,440
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    8,440
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    660,324
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    660,324
    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
    660,324
    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
    731,000
    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
     
    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
    731,000
    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
    8,440
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    722,560
    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 (2015)
    Form 990-PF (2015)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2014     		(c)
    2014     		(d)
    2015
    1 Distributable amount for 2015 from Part XI, line 7 660,324
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2015:
    a From 2010...... 19,273
    b From 2011...... 22,392
    c From 2012...... 37,532
    d From 2013...... 51,589
    e From 2014...... 34,283
    fTotal of lines 3a through e........ 165,069
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 731,000
    a Applied to 2014, 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 2015 distributable amount..... 660,324
    e Remaining amount distributed out of corpus 70,676
    5 Excess distributions carryover applied to 2015. 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 5 235,745
    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 2014. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2016. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2015 ..........     		0
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8Excess distributions carryover from 2010 not
    applied on line 5 or line 7 (see instructions) ...     		19,273
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......     		216,472
    10 Analysis of line 9:
    a Excess from 2011.... 22,392
    b Excess from 2012.... 37,532
    c Excess from 2013.... 51,589
    d Excess from 2014.... 34,283
    e Excess from 2015.... 70,676
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 10
    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 2015, 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) 2015 (b) 2014 (c) 2013 (d) 2012
             
    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 or e-mail address of the person to whom applications should be addressed:
    THE CAPE COD FIVE CENTS SAVINGS BAN
    PO BOX 10
    ORLEANS,MA02653
    (508) 240-0555
    bThe form in which applications should be submitted and information and materials they should include:
    CAPE COD FIVE AND ITS NAMESAKE FOUNDATION HAVE AN ONLINE APPLICATION PROCESS WHICH CAN BE FOUND AT: HTTP://CAPECODFIVE.EGRANT.NET. THIS PROCESS ALLOWS APPLICANTS TO SUBMIT A ROBUST APPLICATION,INCLUDING PICTURES AND VIDEO CONTENT, TO TELL THEIR STORY BEYOND THE WORDS ON THE PAGE."
    cAny submission deadlines:
    NONE
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    MUST BE OVER $250, MUST BE PUBLICLY SUPPORTED TYPE ENTITY
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 11
    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
    THE FORSYTHE INSTITUTE
    254 FIRST STREET
    CAMBRIDGE,MA02412     		  PUBLIC CHARITY DONATION 2,500
    FRIENDS OF THE ELDREDGE PUBLIC LIBRARY
    564 MAIN STREET
    CHATHAM,MA01633     		  PUBLIC CHARITY DONATION 750
    PAYOMET PERFORMING ARTS
    PO BOX 1202
    TRURO,MA02666     		  PUBLIC CHARITY DONATION 1,200
    CAPE COD CHAMBER MUSIC FESTIVAL
    PO BOX 1934
    EASTHAM,MA02651     		  PUBLIC CHARITY DONATION 1,500
    WELLFLEET HISTORICAL SOCIETY
    PO BOX 58
    WELLFLEET,MA02667     		  PUBLIC CHARITY DONATION 3,334
    YARMOUTH FOOD PANTRY
    90 BEACON STREET
    SOUTH YARMOUTH,MA02664     		  PUBLIC CHARITY DONATION 2,500
    HOMELESS PREVENTION COUNCIL
    PO BOX 828
    ORLEANS,MA02653     		  PUBLIC CHARITY DONATION 7,500
    CHILDREN'S COVE
    PO BOX 427
    BARNSTABLE,MA02630     		  PUBLIC CHARITY DONATION 2,310
    NANTUCKET INTERFAITH COUNCIL
    2 MADAKET ROAD
    NANTUCKET,MA02554     		  PUBLIC CHARITY DONATION 4,500
    SHEA'S YOUTH BASKETBALL ASSOCIATION
    10 BLUE ROCK ROAD
    SOUTH YARMOUTH,MA02664     		  PUBLIC CHARITY DONATION 5,000
    THREE BAY'S PRESERVATION INC
    PO BOX 215
    OSTERVILLE,MA02655     		  PUBLIC CHARITY DONATION 2,500
    COMPACT OF CAPE COD CONSERVATION TRUSTS
    PO BOX 443
    BARNSTABLE,MA02630     		  PUBLIC CHARITY DONATION 3,000
    NAMEQUOIT SAILING ASSOCIATION
    PO BOX 1851
    ORLEANS,MA02653     		  PUBLIC CHARITY DONATION 1,050
    MENTORING YOUTH NANTUCKET
    PO BOX 2653
    NANTUCKET,MA02584     		  PUBLIC CHARITY DONATION 2,000
    HARBOR STAGE COMPANY
    PO BOX 3009
    WELLFLEET,MA02667     		  PUBLIC CHARITY DONATION 1,000
    LYME AWARENESS OF CAPE COD
    20 WHEELER ROAD
    MASHPEE,MA02649     		  PUBLIC CHARITY DONATION 650
    COTUIT CENTER FOR THE ARTS
    4404 FALMOUTH ROAD
    COTUIT,MA02635     		  PUBLIC CHARITY DONATION 2,500
    ARTS FOUNDATION OF CAPE COD
    3 SHOOTFLYING HILL RD
    CENTERVILLE,MA02632     		  PUBLIC CHARITY DONATION 5,850
    WELLFLEET PRESERVATION HALL INC
    PO BOX 3024
    WELLFLEET,MA02667     		  PUBLIC CHARITY DONATION 2,500
    RECOVERY WITHOUT WALLS INC
    PO BOX 591
    WEST FALMOUTH,MA02574     		  PUBLIC CHARITY DONATION 2,700
    NANTUCKET COMMUNITY SAILING
    4 WINTER STREET
    NANTUCKET,MA02554     		  PUBLIC CHARITY DONATION 1,000
    HOMELESS NOT HELPLESS INC
    310 OCEAN ST
    HYANNIS,MA02601     		  PUBLIC CHARITY DONATION 2,500
    ORLEANS ELEMENTARY SCHOOL
    46 ELDRIDGE PARK WAY
    ORLEANS,MA02653     		  PUBLIC CHARITY DONATION 991
    LAWRENCE SCHOOL
    340 TEATICKET HIGHWAY
    FALMOUTH,MA02540     		  PUBLIC CHARITY DONATION 997
    CAPE MEDIATION
    PO BOX 193
    ORLEANS,MA02653     		  PUBLIC CHARITY DONATION 3,000
    STONY BROOK ELEMENTARY SCHOOL
    384 UNDERPASS ROAD
    BREWSTER,MA02631     		  PUBLIC CHARITY DONATION 500
    BIG BROTHERS BIG SISTERS OF CAPE COD
    1934 FALMOUTH RD
    CENTERVILLE,MA02632     		  PUBLIC CHARITY DONATION 3,300
    BARNSTABLE LAND TRUST
    407 NORTH ST
    HYANNIS,MA02601     		  PUBLIC CHARITY DONATION 3,995
    NANTUCKET MARIA MITCHELL ASSOCIATION
    4 VESTAL STREET
    NANTUCKET,MA02554     		  PUBLIC CHARITY DONATION 1,000
    BARNSTABLE PUBLIC SCHOOLS
    PO BOX 955
    HYANNIS,MA02601     		  PUBLIC CHARITY DONATION 1,000
    BOYS & GIRLS CLUB OF CAPE COD INC
    31 FRANK E HICKS DR
    MASHPEE,MA02649     		  PUBLIC CHARITY DONATION 5,000
    A BABY CENTER
    PO BOX 758
    HYANNIS,MA02601     		  PUBLIC CHARITY DONATION 2,500
    BOURNE SCHOOL DISTRICT
    26 SANDWICH ROAD
    BOURNE,MA02532     		  PUBLIC CHARITY DONATION 950
    BARNSTABLE HIGH SCHOOL
    744 WEST MAIN STREET
    HYANNIS,MA02601     		  PUBLIC CHARITY DONATION 1,573
    CAPE COD REPERTORY THEATRE COMPANY
    PO BOX 1305
    BREWSTER,MA02631     		  PUBLIC CHARITY DONATION 2,500
    CAPE & ISLANDS VETERANS OUTREACH CENTER
    PO BOX 2873
    HYANNIS,MA02601     		  PUBLIC CHARITY DONATION 2,500
    CAPE COD POTTERS INC
    110 STAGE NECK ROAD
    CHATHAM,MA02633     		  PUBLIC CHARITY DONATION 1,600
    CAPE COD WRITERS CENTER INC
    PO BOX 408
    OSTERVILLE,MA02655     		  PUBLIC CHARITY DONATION 1,000
    CAPE COD TIMES NEEDY FUND INC
    319 MAIN ST
    HYANNIS,MA02601     		  PUBLIC CHARITY DONATION 10,957
    ARTSFALMOUTH
    PO BOX 136
    FALMOUTH,MA02541     		  PUBLIC CHARITY DONATION 1,000
    CAPE COD HEALTHCARE FOUNDATION
    PO BOX 370
    HYANNIS,MA02601     		  PUBLIC CHARITY DONATION 25,000
    CREATIVE ARTS CENTER IN CHATHAM INC
    154 CROWELL RD
    CHATHAM,MA02633     		  PUBLIC CHARITY DONATION 1,075
    CAPE COD CHILDREN'S PLACE
    PO BOX 1935
    NORTH EASTHAM,MA02651     		  PUBLIC CHARITY DONATION 5,000
    CAPE COD REGIONAL TECHNICAL HIGH SCHOOL
    ATTN BUSINESS OFFICE
    HARWICH,MA02645     		  PUBLIC CHARITY DONATION 2,450
    DUFFY HEALTH CENTER
    105 PARK STREET
    HYANNIS,MA02601     		  PUBLIC CHARITY DONATION 2,000
    CAPE COD LIGHTHOUSE CHARTER SCHOOL
    195 MA-137
    HARWICH,MA02645     		  PUBLIC CHARITY DONATION 820
    CHILDRENS DISCOVERY MUSEUM OF CAPE COD
    577 GREAT NECK RD SOUTH
    MASHPEE,MA02649     		  PUBLIC CHARITY DONATION 2,500
    PROVINCETOWN JAZZ FESTIVAL
    36 FREEDOM TRAIL
    ORLEANS,MA02653     		  PUBLIC CHARITY DONATION 1,500
    CAPEABILITIES
    895 MARY DUNN RD
    HYANNIS,MA02601     		  PUBLIC CHARITY DONATION 5,000
    CAPE & ISLANDS UNITED WAY
    749 MAIN STREET 2ND FLOOR
    HYANNIS,MA02601     		  PUBLIC CHARITY DONATION 5,000
    CHATHAM CHORALE INC
    PO BOX 1111
    WEST DENNIS,MA02670     		  PUBLIC CHARITY DONATION 750
    CALMER CHOICE
    77 MAIN STREET
    COTUIT,MA02635     		  PUBLIC CHARITY DONATION 5,000
    THE CAPE COD COLLABORATIVE
    418 BUMPS RIVER ROAD
    OSTERVILLE,MA02655     		  PUBLIC CHARITY DONATION 1,368
    DENNIS-YARMOUTH REGIONAL SCHOOL DISTRICT
    296 STATION AVE
    S YARMOUTH,MA02664     		  PUBLIC CHARITY DONATION 3,350
    COMMUNITY HEALTH CENTER OF CAPE COD
    107 COMMERCIAL ST
    MASHPEE,MA02649     		  PUBLIC CHARITY DONATION 5,000
    PC CONNECTION SALES CORP
    PO BOX 536472
    PITTSBURGH,PA152535906     		  PUBLIC CHARITY DONATION 14,307
    THE BREWSTER HISTORICAL SOCIETY
    3171 MAIN STREET
    BREWSTER,MA02631     		  PUBLIC CHARITY DONATION 5,000
    EVENTIDE ARTS INC
    713 MAIN ST
    DENNIS,MA02638     		  PUBLIC CHARITY DONATION 500
    CAPE COD YOUNG PROFESSIONALS
    PO BOX 634
    BARNSTABLE,MA02630     		  PUBLIC CHARITY DONATION 5,000
    EASTHAM COMMITTEE ON
    PO BOX 1518
    NORTH EASTHAM,MA02651     		  PUBLIC CHARITY DONATION 1,000
    EASTHAM ELEMENTARY SCHOOL
    200 SCHOOL HOUSE ROAD
    EASTHAM,MA02642     		  PUBLIC CHARITY DONATION 1,400
    EDDY ELEMENTARY SCHOOL
    2298 MAIN STREET
    BREWSTER,MA02631     		  PUBLIC CHARITY DONATION 2,600
    THE FAMILY PANTRY OF CAPE COD
    133 QUEEN ANNE ROAD
    HARWICH,MA02645     		  PUBLIC CHARITY DONATION 10,000
    FALMOUTH SERVICE CENTER INC
    PO BOX 208
    FALMOUTH,MA02541     		  PUBLIC CHARITY DONATION 21,000
    FIRST NIGHT CHATHAM INC
    PO BOX 80
    CHATHAM,MA02633     		  PUBLIC CHARITY DONATION 1,700
    FORESTDALE PUBLIC SCHOOLS
    151 ROUTE 130
    FORESTDALE,MA02644     		  PUBLIC CHARITY DONATION 250
    FRIENDS OF THE HARWICH EARLY CHILDHOOD ADVISORY
    PO BOX 855
    HARWICH,MA02645     		  PUBLIC CHARITY DONATION 2,115
    FALMOUTH HOUSING CORP
    704 MAIN STREET
    FALMOUTH,MA02540     		  PUBLIC CHARITY DONATION 3,500
    FRIENDS OF THE WELLFLEET LIBRARIES
    PO BOX 857
    WELLFLEET,MA02667     		  PUBLIC CHARITY DONATION 1,500
    FINE ARTS WORK CENTER IN PROVINCETOWN
    24 PEARL ST
    PROVINCETOWN,MA02657     		  PUBLIC CHARITY DONATION 1,500
    FALMOUTH SCHOOL DISTRICT
    340 TEATICKET HIGHWAY
    FALMOUTH,MA02536     		  PUBLIC CHARITY DONATION 1,410
    GOSNOLD INC
    PO BOX 929
    FALMOUTH,MA02541     		  PUBLIC CHARITY DONATION 2,200
    COMPASSIONATE CARE ALS
    PO BOX 1052
    WEST FALMOUTH,MA02574     		  PUBLIC CHARITY DONATION 4,000
    HARWICH CONSERVATION TRUST
    PO BOX 101
    SOUTH HARWICH,MA02661     		  PUBLIC CHARITY DONATION 2,500
    HARWICH ECUMENICAL COUNCIL FOR THE HOMELESS
    PO BOX 86
    WEST HARWICH,MA02671     		  PUBLIC CHARITY DONATION 5,000
    HERITAGE MUSEUMS & GARDENS
    67 GROVE STREET
    SANDWICH,MA02563     		  PUBLIC CHARITY DONATION 10,000
    HOUSING ASSISTANCE CORP
    460 WEST MAIN STREET
    HYANNIS,MA02601     		  PUBLIC CHARITY DONATION 20,500
    HELPING OUR WOMEN INC
    PO BOX 1376
    PROVINCETOWN,MA02657     		  PUBLIC CHARITY DONATION 5,000
    JOHN F KENNEDY HYANNIS MUSEUM FOUNDATION
    397 MAIN STREET
    HYANNIS,MA02601     		  PUBLIC CHARITY DONATION 8,334
    KENNETH C COOMBS SCHOOL
    152 OLD BARNSTABLE ROAD
    MASHPEE,MA02649     		  PUBLIC CHARITY DONATION 500
    LOWER CAPE OUTREACH COUNCIL
    PO BOX 665
    ORLEANS,MA02653     		  PUBLIC CHARITY DONATION 4,000
    MEETING HOUSE CHAMBER MUSIC FESTIVAL INC
    172 TOWER HILL CIRCLE
    BREWSTER,MA02631     		  PUBLIC CHARITY DONATION 1,200
    MASHPEE PUBLIC SCHOOLS
    500 OLD BARNSTABLE RD
    MASHPEE,MA02649     		  PUBLIC CHARITY DONATION 1,475
    MASSACHUSETTS AUDUBON SOCIETY INC
    PO BOX 236
    S WELLFLEET,MA02663     		  PUBLIC CHARITY DONATION 2,500
    MATTACHEESE MIDDLE SCHOOL
    400 HIGGINS CROWELL ROAD
    WEST YARMOUTH,MA02673     		  PUBLIC CHARITY DONATION 1,000
    NAUSET REGIONAL SCHOOL DISTRICT
    PO BOX 5046
    NORTH EASTHAM,MA02651     		  PUBLIC CHARITY DONATION 2,824
    NATHANIEL H WIXON SCHOOL
    901 MA-134
    S DENNIS,MA02660     		  PUBLIC CHARITY DONATION 1,000
    ORENDA WILDLIFE TRUST
    PO BOX 669
    W BARNSTABLE,MA02668     		  PUBLIC CHARITY DONATION 600
    ORLEANS CONSERVATION TRUST
    PO BOX 1078
    E ORLEANS,MA02643     		  PUBLIC CHARITY DONATION 2,500
    PROVINCETOWN SCHOOL DISTRICT
    12 WINSLOW STREET
    PROVINCETOWN,MA02657     		  PUBLIC CHARITY DONATION 1,391
    CAPE COD SCORE
    270 COMMUNICATIONS WAY SUITE 5B
    HYANNIS,MA02601     		  PUBLIC CHARITY DONATION 5,000
    STURGIS CHARTER PUBLIC SCHOOL
    427 MAIN STREET
    HYANNIS,MA02601     		  PUBLIC CHARITY DONATION 2,200
    SANDWICH FOOD PANTRY INC
    PO BOX 1824
    SANDWICH,MA02563     		  PUBLIC CHARITY DONATION 5,000
    SANDWICH SCHOOL DISTRICT
    260 QUAKER MEETINGHOUSE ROAD
    SANDWICH,MA02537     		  PUBLIC CHARITY DONATION 1,687
    TALES OF CAPE COD INC
    PO BOX 41
    BARNSTABLE,MA02630     		  PUBLIC CHARITY DONATION 600
    TEATICKET ELEMENTARY SCHOOL
    45 MARAVISTA AVENUE EXTENSION
    FALMOUTH,MA02536     		  PUBLIC CHARITY DONATION 500
    THORTON W BURGESS SOCIETY
    6 DISCOVERY HILL RD
    EAST SANDWICH,MA02537     		  PUBLIC CHARITY DONATION 2,500
    WELLFLEET HARBOR ACTORS THEATRE INC
    PO BOX 797
    WELLFLEET,MA02667     		  PUBLIC CHARITY DONATION 1,000
    WE CAN CORPORATION
    783 ROUTE 28
    HARWICHPORT,MA02646     		  PUBLIC CHARITY DONATION 7,500
    WELLFLEET CONSERVATION TRUST
    PO BOX 84
    WELLFLEET,MA02667     		  PUBLIC CHARITY DONATION 5,105
    WELLFLEET ELEMENTARY SCHOOL
    100 LAWRENCE ROAD
    WELLFLEET,MA02667     		  PUBLIC CHARITY DONATION 250
    WOODS HOLE FILM FESTIVAL INC
    PO BOX 624
    WOODS HOLE,MA02543     		  PUBLIC CHARITY DONATION 1,000
    BARNSTABLE WEST BARNSTABLE ELEMENTARY
    2463 MAIN ST
    WEST BARNSTABLE,MA02668     		  PUBLIC CHARITY DONATION 200
    ISLAND HOUSING TRUST CORPORATION
    PO BOX 779
    WEST TISBURY,MA02575     		  PUBLIC CHARITY DONATION 5,000
    INDEPENDENCE HOUSE
    160 BASSETT LANE
    HYANNIS,MA02601     		  PUBLIC CHARITY DONATION 2,500
    NANTUCKET HISTORICAL ASSOCIATION
    PO BOX 1016
    NANTUCKET,MA02554     		  PUBLIC CHARITY DONATION 2,500
    COMMUNITY FOUNDATION FOR NANTUCKET
    PO BOX 204
    NANTUCKET,MA02554     		  PUBLIC CHARITY DONATION 5,250
    LOWER CAPE COD COMMUNITY DEVELOPMENT CORPORATION
    3 MAIN STREET MERCANTILE UNIT 7
    EASTHAM,MA02642     		  PUBLIC CHARITY DONATION 7,500
    SUSTAINABLE CAPE
    PO BOX 1004
    TRURO,MA02666     		  PUBLIC CHARITY DONATION 7,500
    HOPEHEALTH INC
    765 ATTUCKS LANE
    HYANNIS,MA02601     		  PUBLIC CHARITY DONATION 2,800
    MARTHA'S VINEYARD REGIONAL HIGH SCHOOL
    100 EDGARTOWN- VINEYARD HAVEN ROAD
    OAK BLUFFS,MA02557     		  PUBLIC CHARITY DONATION 4,896
    BARNSTABLE COUNTY RESOURCE DEVELOPMENT OFFICE
    PO BOX 427
    BARNSTABLE,MA02630     		  PUBLIC CHARITY DONATION 1,500
    MONOMOY REGIONAL SCHOOL DISTRICT
    425 CROWELL ROAD
    CHATHAM,MA02655     		  PUBLIC CHARITY DONATION 2,426
    FAMILY & CHILDREN'S SERVICE OF NANTUCKET COUNTY IN
    20 VESPER LANE L-1
    NANTUCKET,MA02554     		  PUBLIC CHARITY DONATION 5,000
    ASSOCIATION TO PRESERVE CAPE COD
    PO BOX 398
    BARNSTABLE,MA02630     		  PUBLIC CHARITY DONATION 2,500
    TRAYSER MUSEUM GROUP
    PO BOX 161
    BARNSTABLE,MA02630     		  PUBLIC CHARITY DONATION 565
    SUSTAINABLE NANTUCKET
    PO BOX 1244
    NANTUCKET,MA02554     		  PUBLIC CHARITY DONATION 1,500
    PALLIATIVE & SUPPORTIVE CARE OF NANTUCKET
    57 PROSPECT STREET
    NANTUCKET,MA02554     		  PUBLIC CHARITY DONATION 3,750
    NANTUCKET CONSERVATIONS FOUNDATION INC
    PO BOX 13
    NANTUCKET,MA02554     		  PUBLIC CHARITY DONATION 1,000
    NANTUCKET COMMUNITY MUSIC CENTER
    PO BOX 1352
    NANTUCKET,MA02554     		  PUBLIC CHARITY DONATION 500
    SWIM ACROSS AMERICA
    14 BLUEBIRD LANE
    NANTUCKET,MA02554     		  PUBLIC CHARITY DONATION 2,500
    THE FAMILY PANTRY- DAMIEN'S PLACE
    3065 CRANBERRY HIGHWAY
    EAST WAREHAM,MA02538     		  PUBLIC CHARITY DONATION 2,500
    JUNIOR ACHIEVEMENT OF NORTHERN NEW ENGLA
    400 FIFTH AVENUE SUITE 300
    WALTHAM,MA02451     		  PUBLIC CHARITY DONATION 1,500
    WAREHAM MIDDLE SCHOOL
    4 VIKING DR
    WAREHAM,MA02571     		  PUBLIC CHARITY DONATION 1,000
    SMALL FRIENDS ON NANTUCKET
    19 NOBADEER FARM ROAD
    NANTUCKET,MA02554     		  PUBLIC CHARITY DONATION 4,000
    NANTUCKET BOYS & GIRLS CLUB INC
    61 SPARKS AVENUE
    NANTUCKET,MA02554     		  PUBLIC CHARITY DONATION 20,000
    ACCESS NANTUCKET
    35 OLD SOUTH ROAD
    NANTUCKET,MA02554     		  PUBLIC CHARITY DONATION 1,000
    BOURNE FRIENDS FOOD PANTRY
    PO BOX 144
    BUZZARDS BAY,MA02532     		  PUBLIC CHARITY DONATION 2,500
    MARTHA'S VINEYARD BOYS & GIRLS CLUB
    PO BOX 654
    EDGARTOWN,MA02539     		  PUBLIC CHARITY DONATION 2,000
    PEREGRINE THEATRE ENSEMBLE
    PO BOX 533
    PROVINCETOWN,MA02657     		  PUBLIC CHARITY DONATION 1,250
    THE CHATHAM ORPHEUM THEATER
    PO BOX 17
    CHATHAM,MA02633     		  PUBLIC CHARITY DONATION 500
    MASONIC ANGEL FOUNDATION INC
    PO BOX 1389
    ORLEANS,MA02653     		  PUBLIC CHARITY DONATION 1,700
    NANTUCKET FILM FESTIVAL
    160-161 SEA STREET
    NANTUCKET,MA02554     		  PUBLIC CHARITY DONATION 2,000
    A SAFE PLACE
    5B WINDY WAY
    NANTUCKET,MA02554     		  PUBLIC CHARITY DONATION 3,000
    CAMP LIGHTBULB
    PO BOX 1477
    PROVINCETOWN,MA02657     		  PUBLIC CHARITY DONATION 1,000
    YARMOUTH ROTARY FOUNDATION
    PO BOX 448
    SOUTH YARMOUTH,MA02664     		  PUBLIC CHARITY DONATION 18,000
    EGAN MARITIME INSTITUTE
    5 BAYBERRY COURT
    NANTUCKET,MA02554     		  PUBLIC CHARITY DONATION 1,000
    FALMOUTH HISTORICAL SOCIETY
    PO BOX 174
    FALMOUTH,MA02541     		  PUBLIC CHARITY DONATION 500
    THE CAPE COD FOUNDATION
    259 WILLOW STREET
    YARMOUTHPORT,MA02675     		  PUBLIC CHARITY DONATION 5,000
    BARNSTABLE UNITED ELEMENTARY SCHOOL
    165 BEARSES WAY
    MARSTONS MILLS,MA02648     		  PUBLIC CHARITY DONATION 500
    MATTAPOISETT PUBLIC SCHOOLS
    26 RANDALL RD
    MATTAPOISETT,MA02739     		  PUBLIC CHARITY DONATION 2,200
    NANTUCKET PUBLIC SCHOOLS
    32 FIRST WAY
    NANTUCKET,MA02554     		  PUBLIC CHARITY DONATION 900
    WAREHAM PUBLIC SCHOOLS
    48 MARION ROAD
    WAREHAM,MA02571     		  PUBLIC CHARITY DONATION 4,335
    THE ARC OF CAPE COD INC
    PO BOX 428
    HYANNIS,MA02601     		  PUBLIC CHARITY DONATION 7,750
    CCCC EDUCATIONAL FOUNDATION
    2240 IYANNOUGH ROAD
    WEST BARNSTABLE,MA02668     		  PUBLIC CHARITY DONATION 55,000
    GLEASON FAMILY YMCA
    33 CHARGE POND RD
    WAREHAM,MA02571     		  PUBLIC CHARITY DONATION 1,000
    VINEGRASS CORPORATION
    PO BOX 23
    YARMOUTH PORT,MA02675     		  PUBLIC CHARITY DONATION 2,500
    ADULT AND COMMUNITY EDUCATION OF MARTHA'S VINEYARD
    35 GREENWOOD AVE
    VINEYARD HAVEN,MA02568     		  PUBLIC CHARITY DONATION 2,500
    CAPE COD COLLABORATIVE ARTS NETWORK
    PO BOX 462
    SANDWICH,MA02563     		  PUBLIC CHARITY DONATION 1,000
    CAPE COD CENTER FOR WOMEN
    PO BOX 141
    NORTH FALMOUTH,MA02556     		  PUBLIC CHARITY DONATION 7,500
    THE ARTS FOUNDATION OF CAPE COD
    3 PATTI PAGE WAY
    CENTERVILLE,MA02632     		  PUBLIC CHARITY DONATION 3,000
    COTUIT LIBRARY
    PO BOX 648
    COTUIT,MA02635     		  PUBLIC CHARITY DONATION 500
    CENTERVILLE HISTORICAL MUSEUM
    513 MAIN STREET
    CENTERVILLE,MA02632     		  PUBLIC CHARITY DONATION 610
    BARNSTABLE HISTORICAL SOCIETY
    3087 MAIN STREET
    BARNSTABLE,MA02630     		  PUBLIC CHARITY DONATION 500
    FOUNDATION FOR INTERNATIONAL JUSTICE INC
    1170 MAIN STREET SUITE 9A
    WEST BARNSTABLE,MA02668     		  PUBLIC CHARITY DONATION 1,000
    MARTHA'S VINEYARD MEDIATION PROGRAM
    155 STATE ROAD
    VINEYARD HAVEN,MA02568     		  PUBLIC CHARITY DONATION 1,000
    SOUTH COASTAL COUNTIES LEGAL SERVICES
    460 WEST MAIN STREET
    HYANNIS,MA02601     		  PUBLIC CHARITY DONATION 2,000
    PROVINCETOWN CENTER FOR COASTAL STUDIES
    115 BRADFORD STREET
    PROVINCETWON,MA02657     		  PUBLIC CHARITY DONATION 5,000
    EASTHAM CONSERVATION FOUNDATION
    PO BOX 183
    EASTHAM,MA02642     		  PUBLIC CHARITY DONATION 5,000
    AMERICORPS CAPE COD
    3195 MAIN STREET
    BARNSTABLE,MA02630     		  PUBLIC CHARITY DONATION 800
    NEIGHBORHOOD FALMOUTH
    PO BOX 435
    FALMOUTH,MA02540     		  PUBLIC CHARITY DONATION 1,000
    ISLAND GROWN SCHOOLS
    PO BOX 622
    VINEYARD HAVEN,MA02568     		  PUBLIC CHARITY DONATION 2,500
    MVRHS MINNESINGERS PARENT GROUP
    PO BOX 2747
    VINEYARD HAVEN,MA02568     		  PUBLIC CHARITY DONATION 500
    CAPE COD CARES FOR THE TROOPS
    1831 LONG POND ROAD
    BREWSTER,MA02631     		  PUBLIC CHARITY DONATION 1,000
    CHATHAM WORLD WAR II MEMORIAL FUND
    PO BOX 889
    WEST CHATHAM,MA02669     		  PUBLIC CHARITY DONATION 1,000
    AQUINNAH CULTURAL CENTER
    10 BLACK BROOK RD
    AQUINNAH,MA02535     		  PUBLIC CHARITY DONATION 1,800
    FALMOUTH HOUSING TRUST INC
    200 MAIN ST STE 212
    FALMOUTH,MA02540     		  PUBLIC CHARITY DONATION 2,500
    MARION ART CENTER
    PO BOX 602
    MARION,MA02738     		  PUBLIC CHARITY DONATION 1,000
    OASAP
    PO BOX 2063
    ORLEANS,MA02653     		  PUBLIC CHARITY DONATION 1,800
    HEROES IN TRANSITION
    22 BATES ROAD STE 135
    MASHPEE,MA02649     		  PUBLIC CHARITY DONATION 2,500
    SANDWICH LEGACY FOUNDATION
    128 ROUTE 6A
    SANDWICH,MA02563     		  PUBLIC CHARITY DONATION 2,500
    GOSNOLD ON CAPE COD
    200 TER HEUN DRIVE
    FALMOUTH,MA02540     		  PUBLIC CHARITY DONATION 10,000
    CAPE COD COUNCIL OF CHURCHES
    PO BOX 758
    HYANNIS,MA02601     		  PUBLIC CHARITY DONATION 7,500
    AMERICAN PARKINSON DISEASE ASSOCIATION
    135 PARKINSON AVE
    STATEN ISLAND,NY10305     		  PUBLIC CHARITY DONATION 1,500
    WILD CARE
    10 SMITH LANE
    EASTHAM,MA02642     		  PUBLIC CHARITY DONATION 5,000
    OVARIAN CANCER 101 INC
    55 THANKFUL LANE
    COTUIT,MA02635     		  PUBLIC CHARITY DONATION 1,650
    ALZHEIMERS FAMILY CAREGIVERS SUPPORT CENTER INC
    2095 MAIN ST
    BREWSTER,MA02631     		  PUBLIC CHARITY DONATION 5,000
    WAREHAM LAND TRUST INC
    219 MAIN ST SUITE E
    WAREHAM,MA02571     		  PUBLIC CHARITY DONATION 1,850
    PILGRIM MONUMENT & PROVINCETOWN MUSEUM
    PO BOX 1125
    PROVINCETOWN,MA026571125     		  PUBLIC CHARITY DONATION 750
    PROVINCETOWN TENNESSEE WILLIAMS THEATER FESTIVAL
    41 CONWELL ST
    PROVINCETOWN,MA02657     		  PUBLIC CHARITY DONATION 750
    THE MARSTONS MILLS HISTORICAL SOCIETY INCORPORATED
    380 WHEELER ROAD
    MARSTONS MILLS,MA026481110     		  PUBLIC CHARITY DONATION 500
    LIVING LOCAL HARVEST FESTIVAL
    35 PAN HANDLE RD
    WEST TISBURY,MA02757     		  PUBLIC CHARITY DONATION 3,000
    MARTHA'S VINEYARD ASSOCATION OF EMTS
    PO BOX 229
    VINEYARD HAVEN,MA02568     		  PUBLIC CHARITY DONATION 1,500
    FRIENDS OR RELATIVES WITH AUTISM & RELATED DISABILITIES
    PO BOX 1174
    SOUTH DENNIS,MA02660     		  PUBLIC CHARITY DONATION 3,500
    DENNIS CONSERVATION TRUST
    PO BOX 67
    EAST DENNIS,MA02641     		  PUBLIC CHARITY DONATION 5,000
    RISING TIDE THERAPEUTIC EQUESTRIAN CENTER INC
    PO BOX 44
    WEST TISBURY,MA02575     		  PUBLIC CHARITY DONATION 2,000
    THEATRE WORKSHOP OF NANTUCKET
    58C MAIN ST
    NANTUCKET,MA02554     		  PUBLIC CHARITY DONATION 2,500
    GREATER PLYMOUTH PERFORMING ARTS CENTER INC
    110 FAIRVIEW LANE
    PLYMOUTH,MA02360     		  PUBLIC CHARITY DONATION 5,000
    MOBILE LOAVES & FISHES RHODE ISLAND
    49 MIDDLE HIGHWAY
    BARRINGTON,RI02806     		  PUBLIC CHARITY DONATION 400
    SANDWICH HIGH SCHOOL ATHLETICS BOOSTERS
    PO BOX 645
    SANDWICH,MA02563     		  PUBLIC CHARITY DONATION 1,000
    ALS FAMILY CHARITABLE FOUNDATION
    PO BOX 229
    BUZZARDS BAY,MA02532     		  PUBLIC CHARITY DONATION 300
    NORTH FALMOUTH ELEMENTARY SCHOOL
    62 OLD MAIN ROAD
    NORTH FALMOUTH,MA02556     		  PUBLIC CHARITY DONATION 500
    NANTUCKET COTTAGE HOSPITAL FOUNDATION
    57 PROSPECT STREET
    NANTUCKET,MA02554     		  PUBLIC CHARITY DONATION 20,000
    MASSACHUSETTS CULTURAL COUNCIL
    10 ST JAMES AVENUE
    BOSTON,MA021163803     		  PUBLIC CHARITY DONATION 8,000
    CAPE COD MUSEUM OF NATURAL HISTORY INC
    869 ROUTE 6A
    BREWSTER,MA02631     		  PUBLIC CHARITY DONATION 5,000
    ISLAND COMMUNITY CHORUS INC
    PO BOX 4157
    VINEYARD HAVEN,MA02568     		  PUBLIC CHARITY DONATION 1,000
    EDLER SERVICES OF CAPE COD AND THE ISLANDS INC
    68 ROUTE 134
    SOUTH DENNIS,MA02630     		  PUBLIC CHARITY DONATION 2,200
    SANDWICH ARTS ALLIANCE INC
    3 FACTORY STREET
    SANDWICH,MA02563     		  PUBLIC CHARITY DONATION 2,000
    STURGIS LIBRARY
    3090 MAIN STREET
    BARNSTABLE,MA02630     		  PUBLIC CHARITY DONATION 2,500
    WING FAMILY OF AMERICA INC
    69 SPRING HILL ROAD
    EAST SANDWICH,MA02537     		  PUBLIC CHARITY DONATION 1,500
    CAPE COD MAKERS
    181 WHITE MOSS DRIVE
    MARSTONS MILLS,MA02648     		  PUBLIC CHARITY DONATION 1,000
    CAPE COD COMMERCIAL FISHERMEN'S ALLIANCE INC
    1566 MAIN STREET
    CHATHAM,MA02633     		  PUBLIC CHARITY DONATION 7,500
    CAPE COD MUSEUM OF ART
    60 HOPE LANE
    DENNIS,MA02638     		  PUBLIC CHARITY DONATION 10,200
    JR TECH
    PO BOX 593
    OSTERVILLE,MA02655     		  PUBLIC CHARITY DONATION 2,200
    THE KATIE JOHNSON FELLOWSHIP
    13 WHEROWHERO LANE
    NANTUCKET,MA02554     		  PUBLIC CHARITY DONATION 2,000
    Total .................................bullet 3a 725,000
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 12
    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....          
    3
    Interest on savings and temporary cash investments ...........     		    14 493  
    4 Dividends and interest from securities....     14 264,249  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6
    Net rental income or (loss) from personal property     		         
    7 Other investment income.....     42 16,250  
    8
    Gain or (loss) from sales of assets other than inventory ............     		    14 648,611  
    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).. 0 929,603 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13929,603
    (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 STATE TAX CREDIT RECIEVED - COMMUNITY INVESTMENT CREDIT MASSACHUSETTS
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 13
    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 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    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) 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 name SmallBullet
    		 Firm's EIN SmallBullet
    Firm's address SmallBullet


    		 Phone no.
    Form 990-PF (2015)
    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.
    Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
    OMB No. 1545-0047
    2015
    Name of the organization
    CAPE COD FIVE CENTS SAVINGS BANK
    CHARITABLE FOUNDATION TRUST
    Employer identification number

    04-3423249
    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 its Form 990PF, Part I, line 2, 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) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2
    Name of organization
    CAPE COD FIVE CENTS SAVINGS BANK
    CHARITABLE FOUNDATION TRUST         		Employer identification number
    04-3423249
    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
    CAPE COD FIVE CENTS SAVINGS BANK
     

       
    19 WEST ROAD
     
    ORLEANS, MA02653

    		$ 20,000


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

       
     
     

    		$  


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

       
     
     

    		$  


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

       
     
     

    		$  


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

       
     
     

    		$  


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

       
     
     

    		$  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Page 3
    Name of organization
    CAPE COD FIVE CENTS SAVINGS BANK
    CHARITABLE FOUNDATION TRUST         		Employer identification number

    04-3423249
    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
     
    		$    
    (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) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Page 4
    Name of organization
    CAPE COD FIVE CENTS SAVINGS BANK
    CHARITABLE FOUNDATION TRUST         		Employer identification number

    04-3423249
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. 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) (2015)

    Additional Data


    Software ID:  
    Software Version:  

    TY 2015 AccountingFeesSchedule
    Name:
    CAPE COD FIVE CENTS SAVINGS BANK
     
    CHARITABLE FOUNDATION TRUST
    EIN:
    04-3423249
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    AUDITING AND EXAMINATIONS 12,000 6,000   6,000

    TY 2015 AllOthProgRltdInvestmentsSch
    Name:
    CAPE COD FIVE CENTS SAVINGS BANK
     
    CHARITABLE FOUNDATION TRUST
    EIN:
    04-3423249
    Category Amount
    N/A 0

    TY 2015 InvestmentsCorpBondsSchedule
    Name:
    CAPE COD FIVE CENTS SAVINGS BANK
     
    CHARITABLE FOUNDATION TRUST
    EIN:
    04-3423249
    Name of Bond End of Year Book Value End of Year Fair Market Value
    CORPORATE BONDS 1,328,633 1,328,633

    TY 2015 InvestmentsCorpStockSchedule
    Name:
    CAPE COD FIVE CENTS SAVINGS BANK
     
    CHARITABLE FOUNDATION TRUST
    EIN:
    04-3423249
    Name of Stock End of Year Book Value End of Year Fair Market Value
    CORPORATE STOCK 6,721,708 6,721,708

    TY 2015 InvestmentsGovtObligationsSch
    Name:
    CAPE COD FIVE CENTS SAVINGS BANK
     
    CHARITABLE FOUNDATION TRUST
    EIN:
    04-3423249
    US Government Securities - End of Year Book Value:

    651,506
    US Government Securities - End of Year Fair Market Value:

    651,506
    State & Local Government Securities - End of Year Book Value:


    0
    State & Local Government Securities - End of Year Fair Market Value:


    0


    TY 2015 InvestmentsOtherSchedule2
    Name:
    CAPE COD FIVE CENTS SAVINGS BANK
     
    CHARITABLE FOUNDATION TRUST
    EIN:
    04-3423249
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    MUTUAL FUNDS FMV 2,280,700 2,280,700
    CERTIFICATES OF DEPOSIT AT COST 1,401,628 1,401,628

    TY 2015 OtherAssetsSchedule
    Name:
    CAPE COD FIVE CENTS SAVINGS BANK
     
    CHARITABLE FOUNDATION TRUST
    EIN:
    04-3423249
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    ACCRUED INTEREST RECEIVABLE 24,233 24,306 24,306
    OTHER RECEIVABLES 12,500 23,750 23,750


    TY 2015 OtherDecreasesSchedule
    Name:
    CAPE COD FIVE CENTS SAVINGS BANK
     
    CHARITABLE FOUNDATION TRUST
    EIN:
    04-3423249
    Description Amount
    CURRENT YEAR CHANGE IN UNREALIZED GAIN ON SECURITIES 936,168
    COST BASIS VARIANCE IN REALIZED GAIN 2,477


    TY 2015 OtherExpensesSchedule
    Name:
    CAPE COD FIVE CENTS SAVINGS BANK
     
    CHARITABLE FOUNDATION TRUST
    EIN:
    04-3423249
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ADVERTISING 4,964 0   0
    MISCELLANEOUS 171 47   0


    TY 2015 OtherIncomeSchedule2
    Name:
    CAPE COD FIVE CENTS SAVINGS BANK
     
    CHARITABLE FOUNDATION TRUST
    EIN:
    04-3423249
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    COMMUNITY TAX CREDIT 16,250 16,250  


    TY 2015 OtherIncreasesSchedule
    Name:
    CAPE COD FIVE CENTS SAVINGS BANK
     
    CHARITABLE FOUNDATION TRUST
    EIN:
    04-3423249
    Description Amount
    DEFERRED FEDERAL EXCISE TAX 18,723


    TY 2015 OtherLiabilitiesSchedule
    Name:
    CAPE COD FIVE CENTS SAVINGS BANK
     
    CHARITABLE FOUNDATION TRUST
    EIN:
    04-3423249
    Description Beginning of Year - Book Value End of Year - Book Value
    ACCRUED EXPENSES 13,900 16,645
    DEFERRED TAXES 66,794 48,070


    TY 2015 OtherProfessionalFeesSchedule
    Name:
    CAPE COD FIVE CENTS SAVINGS BANK
     
    CHARITABLE FOUNDATION TRUST
    EIN:
    04-3423249
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT ADVISORY FEES 61,303 61,303   0


    TY 2015 TaxesSchedule
    Name:
    CAPE COD FIVE CENTS SAVINGS BANK
     
    CHARITABLE FOUNDATION TRUST
    EIN:
    04-3423249
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FEDERAL TAXES 11,200 0   0
    FOREIGN TAXES 1,956 1,956   0