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.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0052
2018
Open to Public Inspection
For calendar year 2018, or tax year beginning 01-01-2018 , and ending 12-31-2018
Name of foundation
THE RAY AND ELACLAIRE GOSSELIN
CHARITABLE TRUST C/O DEBRA SILBERSTEIN
Number and street (or P.O. box number if mail is not delivered to street address)69 PARK STREET
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
ANDOVER, MA01810
A Employer identification number

27-6647873
B Telephone number (see instructions)

(978) 474-4700
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ... 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$6,279,131J 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) 175,407
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 178,291 178,291  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 1,522,207
b Gross sales price for all assets on line 6a 7,530,649
7 Capital gain net income (from Part IV, line 2)... 1,522,207
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).......      
12 Total. Add lines 1 through 11........ 1,875,905 1,700,498  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 61,860 0   41,240
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... Click to see attachment 18,932 0   11,359
b Accounting fees (attach schedule)....... Click to see attachment 7,225 0   7,225
c Other professional fees (attach schedule).... Click to see attachment 78,896 78,693   203
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 6,398 2,703   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 14,963 14,963   0
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 188,274 96,359   60,027
25 Contributions, gifts, grants paid....... 308,200 308,200
26 Total expenses and disbursements. Add lines 24 and 25 496,474 96,359   368,227
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 1,379,431
b Net investment income (if negative, enter -0-) 1,604,139
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2018)
Form 990-PF (2018)
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............. 386,699 649,501 649,501
2 Savings and temporary cash investments.........      
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) 1,061,801 Click to see attachment1,651,631 1,638,890
b Investments—corporate stock (attach schedule)....... 2,876,340 Click to see attachment1,842,268 2,037,511
c Investments—corporate bonds (attach schedule)....... 549,569 Click to see attachment184,154 180,085
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 0 Click to see attachment1,926,286 1,773,144
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 4,874,409 6,253,840 6,279,131
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 0 0
Net Assets or Fund Balances Foundations that follow SFAS 117, check here bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted..................    
25 Temporarily restricted...............    
26 Permanently restricted...............    
Foundations that do not follow SFAS 117, check here bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........ 0 0
28 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
29 Retained earnings, accumulated income, endowment, or other funds 4,874,409 6,253,840
30 Total net assets or fund balances (see instructions)..... 4,874,409 6,253,840
31 Total liabilities and net assets/fund balances (see instructions). 4,874,409 6,253,840
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree with end-of-year figure reported on prior year’s return) ...............
1
4,874,409
2
Enter amount from Part I, line 27a .....................
2
1,379,431
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
6,253,840
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
6,253,840
Form 990-PF (2018)
Form 990-PF (2018)
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 ATLANTA GA DTWN 6.875% P 2016-04-05 2018-02-01
b AT&T INC P 2017-12-20 2018-04-06
c ELI LILLY & CO P 2017-12-20 2018-04-06
d KIMBERLY CLARK CORP P 2017-12-20 2018-04-06
e KRAFT HEINZ COMPANY P 2018-02-07 2018-04-06
MERCK & CO P 2017-12-20 2018-04-06
PROCTER & GAMBLE P 2017-12-20 2018-04-06
AMAZON P 2017-03-30 2018-04-06
ANHEUSER BUSCH INBEV P 2017-12-01 2018-04-06
APPLE P 2016-12-23 2019-04-06
AUTO DATA PROCESSING P 2013-03-20 2018-04-06
BECTON DICKINSON P 2013-03-20 2018-04-06
BERKSHIRE HATHAWAY P 2013-03-20 2018-04-06
CHARLES SCHWAB CORP P 2013-03-20 2018-04-06
CHARTER COMMUNICATION P 2015-12-18 2018-04-06
COLGATE PALMOLIVE CO P 2013-03-20 2018-04-06
DANAHER CORP P 2016-12-23 2018-04-06
FAIRFAX FINANCIAL P 2013-03-20 2018-04-06
FORTIVE CORPORATION P 2013-03-20 2018-04-06
GENERAL MOTORS P 2011-09-20 2018-04-06
IBM CORP P 2013-03-20 2013-04-06
JOHNSON & JOHNSON P 2013-03-20 2018-04-06
KONINKLIJKE VOPAK P 2013-11-27 2018-04-06
LOCKHEED MARTIN P 2013-03-20 2018-04-06
MASTERCARD P 2013-03-20 2018-04-06
MCDONALDS P 2013-03-20 2018-04-06
MICROSOFT CORP P 2013-03-20 2018-04-06
MONSANTO CO P 2013-03-20 2018-04-06
MOODYS CORP P 2015-05-29 2018-04-06
NESTLE P 2013-03-20 2018-04-06
NOVARTIS P 2013-03-20 2018-04-06
OMNICOM GROUP P 2013-03-20 2018-04-06
PFIZER INC P 2013-03-20 2018-04-06
PHILLIPS 66 P 2013-03-20 2018-04-06
PROCTER & GAMBLE P 2013-03-20 2018-04-06
RAYTHEON COMPANY P 2013-03-20 2018-04-06
REPUBLIC SERVICES P 2013-03-20 2018-04-06
ROCHE HLDG P 2013-03-20 2018-04-06
SCHLUMBERGER LTD P 2013-05-22 2018-04-06
STARBUCKS CORP P 2016-06-02 2018-04-06
VISA INC P 2013-03-20 2018-04-06
WASTE MANAGMENT INC P 2013-03-20 2018-04-06
WELLS FARGO BANK P 2013-03-20 2018-04-06
CITIGROUP 6.125% P 2015-03-10 2018-05-15
APPLE 2.4% P 2015-11-17 2018-05-17
XEROX CORP 3.5% P 2015-09-23 2018-05-17
VIACOM 2.75% P 2015-07-08 2018-05-18
ALPHABET INC P 2015-01-16 2018-06-07
ALIGN TECHNOLOGY INC P 2018-04-06 2018-09-19
BB&T CORP P 2018-04-06 2018-09-19
BB&T CORP P 2018-04-06 2018-09-19
BB&T CORP P 2018-04-06 2018-09-19
BB&T CORP P 2018-04-06 2018-09-19
BB&T CORP P 2018-04-06 2018-09-19
BB&T CORP P 2018-04-06 2018-09-19
BB&T CORP P 2018-04-06 2018-09-19
CAC INC P 2018-04-06 2018-09-19
CHENIERE ENGERGY INC P 2018-04-06 2018-09-19
CISCO ENERGY INC P 2018-04-06 2018-09-19
CISCO ENERGY INC P 2018-04-06 2018-09-19
CISCO ENERGY INC P 2018-04-06 2018-09-19
CISCO ENERGY INC P 2018-04-06 2018-09-19
EQUINIX INC P 2018-04-06 2018-09-19
INTEL INC P 2018-04-06 2018-09-19
ISH SHORT TERM CORPORATE BOND P 2018-08-18 2018-09-19
ISHARES CORE S&P SMALL CAP ETF P 2018-04-06 2018-09-19
ISHARES MSCI EAFE ETF P 2018-04-06 2018-09-19
ISHARES SELECT DIVIDEND ETF P 2018-04-06 2018-09-19
ISHARES 20 PLS YEAR TREASURY BOND P 2018-04-06 2018-09-19
KLA TENCOR COPR P 2018-04-06 2018-09-19
LVMH MOET HENNESSY LOU FSPONSORED P 2018-04-16 2018-09-19
MICRON TECHNOLOGY P 2018-04-16 2018-09-19
PGIM SHORT DURATION P 2018-04-06 2018-09-19
SCHWAB EMERGING MARKETS EQUITY ETF P 2018-04-06 2018-09-19
SPDR EURO STOXX 50 ETF P 2018-04-16 2018-09-19
UNITED PARCEL SRVC P 2018-04-06 2018-09-19
UNITED PARCEL SRVC P 2018-04-06 2018-09-19
VANGUARD INTERMEDIATE TERM COR ETF P 2018-04-06 2018-09-19
VANGUARD MORTGAGE BACKEDSEC ETF P 2018-04-06 2018-09-19
VERIZON COMMUNICATION P 2018-04-06 2018-09-19
ISHARES MSCI EAFE ETF P 2018-04-06 2018-10-25
ALIGN TECHNOLOGY INC P 2018-04-06 2018-10-26
VANGUARD FTSE EMERGING MARKETS ETF P 2018-09-19 2018-10-30
HOME DEPOT INC P 2018-04-06 2018-11-13
DFA INTL SUSTAINABILITY CORE 1 PORT INSTL P 2018-09-19 2018-12-28
DFA SELECTIVELY HEDGED GLBL EQTY PORT INST P 2018-09-19 2018-12-28
DOCUSIGN P 2018-09-19 2018-12-28
INTERNATIONAL PAPER P 2018-02-17 2018-12-28
MOHAWK INDUSTRIES P 2018-09-19 2018-12-28
NEKTAR THERAPEUTICS P 2018-09-19 2018-12-28
SELECT STR FINANCIAL P 2018-09-19 2018-12-28
SPDR S&P TELECOM ETF P 2018-09-19 2018-12-28
STANLEY BLACK & DECK P 2018-09-19 2018-12-28
CHARLES SCHWAB CORP P 2013-03-20 2018-09-19
LOCKHEED MARTIN P 2013-03-20 2018-09-19
BLACKROCK INC P 2018-04-06 2018-12-28
CAC INC P 2018-04-06 2018-12-28
BLACKROCK INC P 2013-03-20 2018-12-28
ADVANCED MICRO DEVICES P 2018-09-19 2018-12-28
Capital Gains Dividends P    
(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 5,000   5,436 -436
b 12,877   13,785 -908
c 31,211   34,371 -3,160
d 11,041   12,050 -1,009
e 19,162   23,125 -3,963
16,667   17,170 -503
8,225   9,524 -1,299
241,343   146,021 95,322
110,073   99,672 10,401
118,396   80,189 38,207
86,392   41,691 44,701
221,168   93,521 127,647
244,327   125,424 118,903
217,481   74,835 142,646
285,573   179,828 105,745
94,369   74,559 19,810
162,922   118,852 44,070
82,871   61,320 21,551
13,446   5,103 8,343
94,977   56,961 38,016
28,619   40,216 -11,597
31,640   19,292 12,348
121,865   138,920 -17,055
114,851   31,110 83,741
523,964   154,958 369,006
16,659   10,072 6,587
44,000   13,516 30,484
17,660   15,369 2,291
118,684   79,316 39,368
126,824   115,944 10,880
21,991   19,270 2,721
29,124   23,628 5,496
48,584   38,399 10,185
132,006   89,364 42,642
25,623   25,125 498
33,063   8,677 24,386
56,928   27,191 29,737
26,374   27,058 -684
47,527   56,157 -8,630
101,017   96,106 4,911
84,417   27,790 56,627
176,849   78,128 98,721
59,587   42,558 17,029
100,000   100,000 0
47,765   48,850 -1,085
198,931   201,201 -2,270
98,966   100,457 -1,491
140,051   63,126 76,925
24,617   16,216 8,401
3,002   3,078 -76
5,088   5,216 -128
5,088   5,216 -128
5,088   5,216 -128
5,089   5,216 -127
5,089   5,216 -127
20,355   20,864 -509
16,946   13,606 3,340
14,029   11,606 2,423
4,733   4,281 452
3,691   3,238 453
4,732   4,151 581
4,732   4,151 581
58,221   53,821 4,400
48,769   53,358 -4,589
23,604   23,666 -62
318,439   279,325 39,114
94,926   98,363 -3,437
170,051   159,589 10,462
21,946   22,685 -739
9,240   9,664 -424
47,032   45,203 1,829
27,484   30,599 -3,115
22,682   22,752 -70
327,279   366,017 -38,738
296,115   321,929 -25,814
7,460   6,684 776
8,288   7,426 862
18,835   19,101 -266
19,167   19,429 -262
16,754   14,936 1,818
195,035   221,104 -26,069
16,548   18,750 -2,202
96,856   107,637 -10,781
39,014   39,892 -878
160,910   190,772 -29,862
126,074   152,602 -26,528
27,408   34,975 -7,567
26,748   37,274 -10,526
24,229   38,851 -14,622
20,595   34,654 -14,059
179,081   210,783 -31,702
111,125   136,400 -25,275
33,204   42,049 -8,845
40,127   13,790 26,337
35,508   9,565 25,943
9,297   12,764 -3,467
25,219   27,057 -1,838
26,728   17,761 8,967
19,886   34,709 -14,823
7,396     7,396
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       -436
b       -908
c       -3,160
d       -1,009
e       -3,963
      -503
      -1,299
      95,322
      10,401
      38,207
      44,701
      127,647
      118,903
      142,646
      105,745
      19,810
      44,070
      21,551
      8,343
      38,016
      -11,597
      12,348
      -17,055
      83,741
      369,006
      6,587
      30,484
      2,291
      39,368
      10,880
      2,721
      5,496
      10,185
      42,642
      498
      24,386
      29,737
      -684
      -8,630
      4,911
      56,627
      98,721
      17,029
      0
      -1,085
      -2,270
      -1,491
      76,925
      8,401
      -76
      -128
      -128
      -128
      -127
      -127
      -509
      3,340
      2,423
      452
      453
      581
      581
      4,400
      -4,589
      -62
      39,114
      -3,437
      10,462
      -739
      -424
      1,829
      -3,115
      -70
      -38,738
      -25,814
      776
      862
      -266
      -262
      1,818
      -26,069
      -2,202
      -10,781
      -878
      -29,862
      -26,528
      -7,567
      -10,526
      -14,622
      -14,059
      -31,702
      -25,275
      -8,845
      26,337
      25,943
      -3,467
      -1,838
      8,967
      -14,823
      7,396
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 1,522,207
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))
2017 337,352 6,445,009 0.052343
2016 210,561 5,907,299 0.035644
2015 3,963 2,095,084 0.001892
2014 0 22,237 0.000000
2013 0 0 0.000000
2
Total of line 1, column (d) .....................
2
0.089879
3
Average distribution ratio for the 5-year base period—divide the total on line 2 by 5.0, or by the number of years the foundation has been in existence if less than 5 years ......
3
0.017976
4
Enter the net value of noncharitable-use assets for 2018 from Part X, line 5......
4
6,745,367
5
Multiply line 4 by line 3......................
5
121,255
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
16,041
7
Add lines 5 and 6........................
7
137,296
8
Enter qualifying distributions from Part XII, line 4,.............
8
368,227
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 (2018)
Form 990-PF (2018)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket includes lines 1a and 1b
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b Domestic foundations that meet the section 4940(e) requirements in Part V, check 1 16,041
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 16,041
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 16,041
6 Credits/Payments:
a 2018 estimated tax payments and 2017 overpayment credited to 2018 6a 2,266
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c 19,200
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 21,466
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 5,425
11 Enter the amount of line 10 to be: Credited to 2019 estimated taxBullet5,425 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 2018 or the taxable year beginning in 2018? See the 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 (2018)
    Form 990-PF (2018)
    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 addressbulletN/A
    14
    The books are in care ofbulletROBERT B MURPHY JR Telephone no.bullet (617) 545-5604

    Located atbullet6 PARK STREETTOPSFIELDMA ZIP+4bullet01983
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2018, 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 the instructions for exceptions and filing requirements for FinCEN Form 114. 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
     
     
    ........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 2018?.............
    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 2018, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2018?.............
    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 2018 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 2018.)..................
    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 2018?
    4b
     
    No
    Form 990-PF (2018)
    Form 990-PF (2018)
    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:
    Yes
    No
    (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
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .................
    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
    DEBRA RAHMIN SILBERSTEIN TRUSTEE
    1.00     		0 0 0
    69 PARK STREET
    ANDOVER,MA01810
    ROBERT B MURPHY JR TRUSTEE
    10.00     		20,620 0 0
    16 MARTIN STREET
    ESSEX,MA01929
    GRACE CHARLAND TRUSTEE
    10.00     		20,620 0 0
    1 RAINIER COURT
    MERRIMACK,NH03054
    BRIAN CHARLAND TRUSTEE
    10.00     		20,620 0 0
    1 RAINIER COURT
    MERRIMACK,NH03054
    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
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    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
    LITTLE HOUSE CAPITAL INVESTMENT MANAGEMENT SERVICES 69,852
    6 PARK STREET
    TOPSFIELD,MA01983
    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  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2018)
    Form 990-PF (2018)
    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
    6,542,956
    b
    Average of monthly cash balances.......................
    1b
    305,132
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    6,848,088
    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
    6,848,088
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    102,721
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    6,745,367
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    337,268
    Part XI
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    337,268
    2a
    Tax on investment income for 2018 from Part VI, line 5......
    2a
    16,041
    b
    Income tax for 2018. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    16,041
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    321,227
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    321,227
    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
    321,227
    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
    368,227
    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
    368,227
    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
    16,041
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    352,186
    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 (2018)
    Form 990-PF (2018)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2017     		(c)
    2017     		(d)
    2018
    1 Distributable amount for 2018 from Part XI, line 7 321,227
    2 Undistributed income, if any, as of the end of 2018:
    a Enter amount for 2017 only....... 165,971
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2018:
    a From 2013......  
    b From 2014......  
    c From 2015......  
    d From 2016......  
    e From 2017......  
    fTotal of lines 3a through e........ 0
    4Qualifying distributions for 2018 from Part
    XII, line 4: bullet$ 368,227
    a Applied to 2017, but not more than line 2a 165,971
    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 2018 distributable amount..... 202,256
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2018. 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 0
    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 2017. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2018. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2019 ..........     		118,971
    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
    8 Excess distributions carryover from 2013 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9Excess distributions carryover to 2019.
    Subtract lines 7 and 8 from line 6a ......     		0
    10 Analysis of line 9:
    a Excess from 2014....  
    b Excess from 2015....  
    c Excess from 2016....  
    d Excess from 2017....  
    e Excess from 2018....  
    Form 990-PF (2018)
    Form 990-PF (2018)
    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 2018, 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) 2018 (b) 2017 (c) 2016 (d) 2015
             
    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 foundation 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:
    ATTY DEBRA SILBERSTEIN
    69 PARK STREET
    ANDOVER,MA01810
    (978) 474-4700
    DSILBERSTEIN@BURNSLEV.COM
    bThe form in which applications should be submitted and information and materials they should include:
    THEY SHOULD BE SUBMITTED IN WRITING TO THE ATTENTION OF ATTORNEY DEBRA RAHMIN SILBERSTEIN, BURNS & LEVINSON LLP, 69 PARK STREET, ANDOVER, MA 01810
    cAny submission deadlines:
    NONE
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    NONE
    Form 990-PF (2018)
    Form 990-PF (2018)
    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
    ST JUDE CHILDREN'S RESEARCH HOSPITAL
    262 DANNY THOMAS PLACE
    MEMPHIS,TN38105     		  501(c)(3) GENERAL CHARITABLE PURPOSES 10,000
    BAYSTATE CHARITABLE FOUNDATION
    200 CLARENDON STREET 19TH FLOOR
    BOSTON,MA02116     		  501(c)(3) GENERAL CHARITABLE PURPOSES 25,000
    JAMES L MCKEON BOYS & GIRLS CLUB OF WOBURN
    40 HUDSON STREET
    WOBURN,MA01801     		  501(c)(3) GENERAL CHARITABLE PURPOSES 25,000
    JUSTINS VOICE
    PO BOX 561 ABBOTT STREET
    WOBURN,MA01801     		  501(c)(3) GENERAL CHARITABLE PURPOSES 20,000
    LAWRENCE GENERAL HOSPITAL
    1 GENERAL STREET
    LAWRENCE,MA01841     		  501(c)(3) PATIENT ASSISTANCE PROGRAMS 10,000
    MCLEAN HOSPITAL
    115 MILL STREET
    BELMONT,MA02478     		  501(c)(3) GENERAL CHARITABLE PURPOSES 25,000
    POWER OF FLOWERS
    PO BOX 294
    TEWKSBURY,MA01876     		  501(c)(3) GENERAL CHARITABLE PURPOSES 15,000
    STRONGWATER FARM THERAPEUTIC EQUESTRIAN CENTER
    500 LIVINGSTON STREET
    TEWKSBURY,MA01876     		  501(c)(3) INDOOR ARENA 125,000
    SUSAN G KOMEN 3-DAY
    PO BOX 660843
    DALLAS,TX72566     		  501(c)(3) BREAST CANCER RESEARCH 3,200
    THE MEGAN HOUSE FOUNDATION
    32 BERRY ROAD
    LOWELL,MA01854     		  501(c)(3) GENERAL CHARITABLE PURPOSES 10,000
    TOWN OF BILLERICA
    365 BOSTON ROAD
    BILLERICA,MA01821     		  501(c)(3) GENERAL CHARITABLE PURPOSES 20,000
    LEBANON FIRE AND EMS
    12 PARK STREET
    LEBANON,NH03766     		  501(c)(3) POLICE PROGRAMS 10,000
    GREATER LOWELL HEALTH ALLIANCE
    1 HOSPITAL DRIVE STE 2
    LOWELL,MA01852     		  501(c)(3) GENERAL CHARITABLE PURPOSES 10,000
    Total .................................bullet 3a 308,200
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2018)
    Form 990-PF (2018)
    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 ...........     		         
    4 Dividends and interest from securities....     14 178,291  
    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.....          
    8 Gain or (loss) from sales of assets other than
    inventory ............     		    18 7,396 1,514,811
    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).. 0 185,687 1,514,811
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    1,700,498
    (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.)
    8 REALIZED CAP GAINS FROM THE ENDOWNMENT FUND USED FOR PROVIDING GRANTS
    Form 990-PF (2018)
    Form 990-PF (2018)
    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) (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) (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 (2018)
    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 Go to www.irs.gov/Form990 for the latest information.
    OMB No. 1545-0047
    2018
    Name of the organization
    THE RAY AND ELACLAIRE GOSSELIN
    CHARITABLE TRUST C/O DEBRA SILBERSTEIN
    Employer identification number

    27-6647873
    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 isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2018)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2
    Name of organization
    THE RAY AND ELACLAIRE GOSSELIN
    CHARITABLE TRUST C/O DEBRA SILBERSTEIN         		Employer identification number
    27-6647873
    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
    BEATRICE COSTA TRUST
     
    C/O ROBERT B MURPHY JR TRUSTEE 301
     
    WAKEFIELD, MA01880

    		$ 175,407


    (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) (2018)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Page 3
    Name of organization
    THE RAY AND ELACLAIRE GOSSELIN
    CHARITABLE TRUST C/O DEBRA SILBERSTEIN         		Employer identification number

    27-6647873
    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) (2018)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Page 4
    Name of organization
    THE RAY AND ELACLAIRE GOSSELIN
    CHARITABLE TRUST C/O DEBRA SILBERSTEIN         		Employer identification number

    27-6647873
    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) (2018)

    Additional Data


    Software ID:  
    Software Version:  

    TY 2018 AccountingFeesSchedule
    Name:
    THE RAY AND ELACLAIRE GOSSELIN
     
    CHARITABLE TRUST C/O DEBRA SILBERSTEIN
    EIN:
    27-6647873
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    CARL B. BINDMAN, CPA, PC 7,225 0   7,225

    TY 2018 InvestmentsCorpBondsSchedule
    Name:
    THE RAY AND ELACLAIRE GOSSELIN
     
    CHARITABLE TRUST C/O DEBRA SILBERSTEIN
    EIN:
    27-6647873
    Name of Bond End of Year Book Value End of Year Fair Market Value
    MARSH & MCLENNAN 65,385 63,281
    CORNING INC 30,929 30,108
    THE GOLDMAN SACHS 2.3% 9,953 9,907
    KEYCORP 5.1% 26,261 25,888
    CNA FINL CORP 7.5% 51,626 50,901

    TY 2018 InvestmentsCorpStockSchedule
    Name:
    THE RAY AND ELACLAIRE GOSSELIN
     
    CHARITABLE TRUST C/O DEBRA SILBERSTEIN
    EIN:
    27-6647873
    Name of Stock End of Year Book Value End of Year Fair Market Value
    ALPHABET INC 37,876 77,671
    BERKSHIRE HATHAWAY 62,524 80,243
    JOHNSON & JOHNSON 42,192 60,524
    MCDONALDS CORP 24,785 44,570
    MICROSOFT CORP 25,743 82,576
    VISA INC 13,380 44,596
    WASTE MANAGEMENT INC 17,931 42,359
    WELLS FARGO & CO 43,271 49,029
    APPLE 73,507 84,233
    AMAZON 51,787 67,589
    AMGEN 41,464 45,755
    CHEVRON CORPORATION 59,114 53,416
    AT&T 35,070 29,834
    AMER ELECTRIC PWR CO 39,385 42,452
    BOEING CO 45,931 44,505
    CATERPILLAR INC 39,181 34,182
    CHENIERE ENERGY INC 19,177 20,539
    CISCO SYSTEMS INC 34,993 36,527
    CONSTELLATION BRAND 44,266 32,968
    FACEBOOK INC 51,916 42,604
    GOLDMAN SACHS GROUP 45,194 32,408
    JP MORGAN CHASE 71,234 61,598
    KLA TENCOR CORP 34,575 28,816
    MEDTRONIC PLC 39,791 45,480
    NIKE INC 43,413 46,708
    PGIM SHORT DURATION HIGH 86,863 79,939
    ROYAL DUTCH SHELL 53,319 47,892
    COCA-COLA CO 43,390 46,214
    THERMO FISHER SCNTFC 45,202 48,115
    UNITED PARCEL SRVC 37,237 34,233
    UNITEDHEALTH GROUP 51,274 56,052
    VERIZON COMMUNICATION 29,872 34,856
    WALMART STORES 52,343 54,493
    WALT DISNEY CO 55,664 59,540
    3M CO 34,705 30,296
    BROADCOM 44,798 44,798
    GENUINE PARTS 53,973 53,973
    ORACLE CORP 45,091 45,091
    PUBLIC STORAGE 63,220 63,220
    SALESFORCE COM 44,929 44,929
    ZOETIS INC 62,688 62,688

    TY 2018 InvestmentsGovtObligationsSch
    Name:
    THE RAY AND ELACLAIRE GOSSELIN
     
    CHARITABLE TRUST C/O DEBRA SILBERSTEIN
    EIN:
    27-6647873
    US Government Securities - End of Year Book Value:

    0
    US Government Securities - End of Year Fair Market Value:

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


    1,651,631
    State & Local Government Securities - End of Year Fair Market Value:


    1,638,890


    TY 2018 InvestmentsOtherSchedule2
    Name:
    THE RAY AND ELACLAIRE GOSSELIN
     
    CHARITABLE TRUST C/O DEBRA SILBERSTEIN
    EIN:
    27-6647873
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    ISHARES CORE S&P MID CAP AT COST 302,481 267,024
    ISHARES SHORT TERM AT COST 58,435 58,147
    ISHARES 20 PLS YEAR AT COST 59,467 59,904
    VANGUARD INTERMEDIATE AT COST 117,986 115,673
    VANGUARD MID CAP GROWTH AT COST 298,109 276,604
    VANGUARD MORTGAGE BACKED AT COST 117,532 117,449
    DFA SLCTIVELY HEDGE AT COST 132,000 128,823
    DFA EMERGING MKRTS PORT AT COST 254,025 235,752
    DFA INTL HIGH AT COST 190,453 164,462
    DFA US SMALL CPA PORT AT COST 212,283 162,570
    FIDELITY INTL CAPITAL AT COST 72,000 72,432
    AMERN TOWER CORP REIT AT COST 39,448 42,237
    SPDR S&P 500 ETF AT COST 72,067 72,067

    TY 2018 LegalFeesSchedule
    Name:
    THE RAY AND ELACLAIRE GOSSELIN
     
    CHARITABLE TRUST C/O DEBRA SILBERSTEIN
    EIN:
    27-6647873
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    BURNS & LEVINSON LLP 18,932 0   11,359


    TY 2018 OtherExpensesSchedule
    Name:
    THE RAY AND ELACLAIRE GOSSELIN
     
    CHARITABLE TRUST C/O DEBRA SILBERSTEIN
    EIN:
    27-6647873
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    BOND AMORTIZATION 14,963 14,963   0


    TY 2018 OtherProfessionalFeesSchedule
    Name:
    THE RAY AND ELACLAIRE GOSSELIN
     
    CHARITABLE TRUST C/O DEBRA SILBERSTEIN
    EIN:
    27-6647873
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT FEES AND EXPENSES 78,896 78,693   203


    TY 2018 TaxesSchedule
    Name:
    THE RAY AND ELACLAIRE GOSSELIN
     
    CHARITABLE TRUST C/O DEBRA SILBERSTEIN
    EIN:
    27-6647873
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES PAID 2,703 2,703   0
    MASS ANNUAL REPORT 195 0   0
    FEDERAL TAX 3,500 0   0