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
TRUST UW BENJAMIN COUCH XXX-XX-XXXX
 
Number and street (or P.O. box number if mail is not delivered to street address)PO BOX 477
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
CONCORD, NH033020477
A Employer identification number

02-6004808
B Telephone number (see instructions)

(877) 773-1229
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$2,337,278
J 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)  
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 57,821 57,821  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 137,136
b Gross sales price for all assets on line 6a 970,898
7 Capital gain net income (from Part IV, line 2)... 137,136
8 Net short-term capital gain......... 0
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........ 194,957 194,957  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 35,190 35,190    
14 Other employee salaries and wages......   0 0 0
15 Pension plans, employee benefits.......   0 0  
16a Legal fees (attach schedule).........       0
b Accounting fees (attach schedule)....... 850 850 0 0
c Other professional fees (attach schedule)....       0
17 Interest...............       0
18 Taxes (attach schedule) (see instructions)... 2,522 975   0
19 Depreciation (attach schedule) and depletion... 0 0  
20 Occupancy..............        
21 Travel, conferences, and meetings.......   0 0  
22 Printing and publications..........   0 0  
23 Other expenses (attach schedule)....... 296 296    
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 38,858 37,311 0 0
25 Contributions, gifts, grants paid....... 111,751 111,751
26 Total expenses and disbursements. Add lines 24 and 25 150,609 37,311 0 111,751
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 44,348
b Net investment income (if negative, enter -0-) 157,646
c Adjusted net income (if negative, enter -0-)... 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.............      
2 Savings and temporary cash investments......... 58,935 137,212 137,212
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet     0 0
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 bullet0      
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule) 610,416 Click to see attachment664,313 661,294
b Investments—corporate stock (attach schedule)....... 1,088,690 Click to see attachment1,014,581 1,045,410
c Investments—corporate bonds (attach schedule)....... 519,406 Click to see attachment505,646 493,362
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........     0
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) 2,277,447 2,321,752 2,337,278
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
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........ 2,277,447 2,321,752
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)..... 2,277,447 2,321,752
31 Total liabilities and net assets/fund balances (see instructions). 2,277,447 2,321,752
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
2,277,447
2
Enter amount from Part I, line 27a .....................
2
44,348
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
2,321,795
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
43
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
2,321,752
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 100. EVERSOURCE ENERGY   2013-12-05 2018-01-04
b 220. PPL CORP COM   2016-12-14 2018-01-04
c 100. EVERSOURCE ENERGY   2013-12-05 2018-01-05
d 5000. U S TREASURY NOTES 1.125% 08/31/2021 DTD 08/31/2016   2016-09-15 2018-01-19
e 45000. U S TREASURY BOND 2.750% 02/28/2018 DTD 02/28/11   2017-05-05 2018-01-19
5000. U S TREAS. BONDS 1.75% 05/15/2022 DTD 05/15/2012   2012-06-26 2018-01-19
10000. US TREASURY NOTES 2.25% 02/15/2027 DTD 02/15/2017   2017-07-20 2018-01-19
60. F5 NETWORKS INC COM   2015-12-02 2018-01-26
10. F5 NETWORKS INC COM   2017-06-21 2018-01-26
20. PVH CORP COM   2015-04-15 2018-01-26
140. PROCTER & GAMBLE CO   2016-08-11 2018-01-26
50. AMERIPRISE FINANCIAL INC   2013-12-05 2018-01-29
50. F5 NETWORKS INC COM   2016-01-19 2018-01-29
60. PVH CORP COM   2016-12-14 2018-01-29
60. PROCTER & GAMBLE CO   2016-12-14 2018-01-29
10. APPLE COMPUTER, INC   2017-06-23 2018-02-05
70. APPLE COMPUTER, INC   2016-12-19 2018-02-05
90. ABBVIE INC   2013-12-05 2018-03-20
7000. GE CAP INTL FNDG 3.373% 11/15/2025 DTD 05/15/2016   2015-10-30 2018-03-22
10000. U S TREASURY NOTE 3.125% 05/15/2019 DTD 05/15/09   2015-01-26 2018-03-22
5000. U S TREASURY NOTE 3.125% 05/15/2019 DTD 05/15/09   2017-07-20 2018-03-22
120. ABBVIE INC   2013-12-05 2018-04-04
40. ABBVIE INC   2013-12-05 2018-04-05
30. PTC INC.   2018-02-09 2018-04-05
10. ALPHABET INC CL-C   2018-01-26 2018-04-26
20. SIGNATURE BANK   2017-10-23 2018-04-27
60. MOLSON COORS BREWING CO CL B   2017-08-24 2018-05-03
180. NIELSEN HOLDINGS PLC EUR   2017-02-15 2018-05-03
50. NIELSEN HOLDINGS PLC EUR   2017-06-21 2018-05-03
80. MOLSON COORS BREWING CO CL B   2017-08-24 2018-05-04
70. MOLSON COORS BREWING CO CL B   2017-10-09 2018-05-07
30. AMERICAN INTL GROUP INC COM NEW   2013-12-05 2018-05-09
10. AMERIPRISE FINANCIAL INC   2013-12-05 2018-05-09
30. ANADARKO PETROLEUM   2015-03-18 2018-05-09
30. APPLE COMPUTER, INC   2013-06-27 2018-05-09
90. APPLIED MATERIALS   2013-12-05 2018-05-09
10. BANK AMER CORP COM   2017-06-21 2018-05-09
280. BANK AMER CORP COM   2017-04-05 2018-05-09
10. BLACKROCK INC CL A   2013-12-05 2018-05-09
10. BOEING CO   2013-05-20 2018-05-09
10. BROADCOM INC   2018-02-12 2018-05-09
10. CARMAX INC   2018-03-20 2018-05-09
10. CENTENE CORP   2017-12-19 2018-05-09
150. CITIZENS FINANCIAL GROUP INC   2017-04-05 2018-05-09
50. COCA COLA CO   2016-05-18 2018-05-09
440. COMCAST CORP CL A   2016-10-14 2018-05-09
10. COSTCO WHSL CORP NEW   2018-01-29 2018-05-09
30. DANAHER CORP   2011-04-25 2018-05-09
80. DISCOVER FINANCIAL SERVICES INC COM   2016-12-09 2018-05-09
20. DOLLAR GENERAL CORP   2017-02-15 2018-05-09
20. DOWDUPONT INC   2017-12-14 2018-05-09
10. DOWDUPONT INC   2017-12-14 2018-05-09
20. EASTMAN CHEMICAL CO.   2018-01-29 2018-05-09
10. ECOLAB INC COM   2017-02-14 2018-05-09
110. FIRST DATA CORP - CLASS A   2015-10-16 2018-05-09
20. FORTUNE BRANDS HOME & SEC IN COM   2017-08-21 2018-05-09
10. HOME DEPOT INC   2017-07-19 2018-05-09
10. JACOBS ENGR GROUP INC DEL   2018-02-12 2018-05-09
10. METLIFE INC   2017-04-07 2018-05-09
50. MICROSOFT CORPORATION   2006-10-09 2018-05-09
30. MICROSOFT CORPORATION   2017-06-23 2018-05-09
60. MORGAN STANLEY GROUP INC. DEAN   2017-03-30 2018-05-09
10. NORFOLK SOUTHERN CORP COMMON   2017-08-08 2018-05-09
40. OCCIDENTAL PETROLEUM CO   2013-12-05 2018-05-09
30. PTC INC.   2018-02-09 2018-05-09
50. PFIZER   2018-01-26 2018-05-09
20. STARBUCKS CORP   2017-11-10 2018-05-09
20. TJX COMPANIES INC.   2013-02-04 2018-05-09
10. TIME WARNER INC   2017-11-16 2018-05-09
30. UNITEDHEALTH GROUP INC COM   2013-12-05 2018-05-09
20. UNIVERSAL HLTH SVCS INC CL B   2016-06-24 2018-05-09
40. VISA INC. - CL A   2013-12-05 2018-05-09
40. WEC ENERGY GROUP INC   2013-12-05 2018-05-09
10. WHIRLPOOL CORP COM   2017-08-08 2018-05-09
10. ALLERGAN PLC   2015-08-18 2018-05-09
30. INGERSOLL-RAND PLC SHS   2015-08-05 2018-05-09
20. JOHNSON CONTROLS INTERNATIONAL   2017-07-19 2018-05-09
40. JOHNSON CONTROLS INTERNATIONAL   2017-02-10 2018-05-09
160. MARVELL TECHNOLOGY GROUP LTD ORD   2017-10-11 2018-05-09
10. CHUBB LTD   2016-02-09 2018-05-09
219.932 INVESCO INTL GROWTH-Y   2017-06-23 2018-05-10
217.415 HARBOR INTERNATIONAL FUND   2010-11-24 2018-05-10
35.941 EPOCH US SMALL MID CAP EQUITY FD #37   2017-06-23 2018-05-10
461.918 EPOCH US SMALL MID CAP EQUITY FD #37   2015-01-26 2018-05-10
25000. ONTARIO PROVINCE OF 1.65% 09/27/2019 DTD 09/27/2012   2013-06-20 2018-05-15
5000. US TREASURY NOTE 2.25 08/15/2027 DTD 08/15/2017   2017-11-08 2018-05-15
30000. U S TREASURY NOTE 3.125% 05/15/2019 DTD 05/15/09   2017-07-20 2018-05-15
5000. US TREASURY BOND 2.5% 05/15/2024 DTD 05/15/2014   2014-09-15 2018-05-15
5000. US TREASURY BOND 2.5% 05/15/2024 DTD 05/15/2014   2014-09-15 2018-05-15
94.124 INVESCO INTL GROWTH-Y   2017-06-23 2018-05-16
10. AMERICAN INTL GROUP INC COM NEW   2013-12-05 2018-05-16
10. ANADARKO PETROLEUM   2015-03-18 2018-05-16
10. APPLE COMPUTER, INC   2013-06-27 2018-05-16
20. APPLIED MATERIALS   2013-12-05 2018-05-16
30. BANK AMER CORP COM   2017-06-21 2018-05-16
20. BANK OF THE OZARKS   2018-05-09 2018-05-16
20. CAPITAL ONE FINANCIAL CORP   2018-04-04 2018-05-16
10. CARMAX INC   2018-03-20 2018-05-16
10. CENTENE CORP   2017-12-19 2018-05-16
10. CITIZENS FINANCIAL GROUP INC   2015-04-10 2018-05-16
10. COCA COLA CO   2016-07-29 2018-05-16
10. COSTCO WHSL CORP NEW   2018-01-29 2018-05-16
10. DANAHER CORP   2011-04-25 2018-05-16
10. DISCOVER FINANCIAL SERVICES INC COM   2016-12-09 2018-05-16
10. DOLLAR GENERAL CORP   2017-01-13 2018-05-16
10. DOWDUPONT INC   2017-12-14 2018-05-16
20. FIRST DATA CORP - CLASS A   2015-10-16 2018-05-16
10. FORTUNE BRANDS HOME & SEC IN COM   2017-08-21 2018-05-16
34.716 HARBOR INTERNATIONAL FUND   2010-11-24 2018-05-16
10. HOME DEPOT INC   2014-06-18 2018-05-16
10. JACOBS ENGR GROUP INC DEL   2018-02-12 2018-05-16
10. METLIFE INC   2017-04-07 2018-05-16
20. MICROSOFT CORPORATION   2006-10-09 2018-05-16
10. MORGAN STANLEY GROUP INC. DEAN   2017-03-30 2018-05-16
10. OCCIDENTAL PETROLEUM CO   2013-12-05 2018-05-16
10. PFIZER   2018-01-26 2018-05-16
23.061 ROWE T PRICE INTL EMRG MKT STK I   2018-05-10 2018-05-16
10. STARBUCKS CORP   2017-11-10 2018-05-16
308.1 TDAM 5 TO 10 YEAR CORP BD PORTFOLIO   2016-08-10 2018-05-16
519.033 TDAM 1 TO 5 CORP BD PORTFOLIO   2016-08-10 2018-05-16
391.869 EPOCH US SMALL MID CAP EQUITY FD #37   2015-01-26 2018-05-16
10. TJX COMPANIES INC.   2013-02-04 2018-05-16
5000. US TREASURY NOTE 2.25% 11/15/2024 DTD 11/17/2014   2015-04-02 2018-05-16
5000. U S TREASURY NOTE 3.125% 05/15/2019 DTD 05/15/09   2017-07-20 2018-05-16
5000. U S TREASURY BOND 2.625% 08/15/2020 DTD 08/15/10   2015-08-21 2018-05-16
5000. US TREASURY BOND 2.5% 08/15/2023 DTD 08/15/2013   2017-04-05 2018-05-16
31.818 VANGUARD SHORT-TERM FED-ADM #549   2015-04-13 2018-05-16
149.182 VANGUARD SHORT-TERM FED-ADM #549   2015-04-13 2018-05-16
10. VISA INC. - CL A   2013-12-05 2018-05-16
10. INGERSOLL-RAND PLC SHS   2013-12-05 2018-05-16
20. JOHNSON CONTROLS INTERNATIONAL   2017-01-13 2018-05-16
30. MARVELL TECHNOLOGY GROUP LTD ORD   2017-10-11 2018-05-16
10. WILLIS TOWERS WATSON   2018-04-13 2018-05-16
20. ULTA SALON COSMETICS & FRAGRANCE I   2018-04-03 2018-05-17
40. CITIZENS FINANCIAL GROUP INC   2015-03-30 2018-05-18
290. FIRST DATA CORP - CLASS A   2016-12-14 2018-05-18
40. PTC INC.   2017-10-30 2018-05-18
40. CITIZENS FINANCIAL GROUP INC   2015-03-30 2018-05-21
240. FIRST DATA CORP - CLASS A   2016-02-18 2018-05-21
15000. U S TREASURY BOND 2.625% 08/15/2020 DTD 08/15/10   2017-04-05 2018-05-24
90. TIME WARNER INC   2017-11-16 2018-06-14
10. BLACKROCK INC CL A   2013-12-05 2018-07-06
10. BLACKROCK INC CL A   2013-12-05 2018-07-10
60. VISA INC. - CL A   2013-12-05 2018-07-25
30. WHIRLPOOL CORP COM   2017-08-10 2018-07-25
30. VISA INC. - CL A   2013-12-05 2018-07-26
20. WHIRLPOOL CORP COM   2017-08-09 2018-07-26
40. MOHAWK INDS INC   2018-04-30 2018-07-27
50. DISCOVER FINANCIAL SERVICES INC COM   2016-12-09 2018-08-01
1398.094 ROWE T PRICE INTL EMRG MKT STK I   2018-05-10 2018-08-01
5000. U S TREASURY NOTE 3.125% 05/15/2019 DTD 05/15/09   2018-08-01 2018-08-28
20000. U S TREASURY NOTE 3.125% 05/15/2019 DTD 05/15/09   2017-07-20 2018-08-28
5000. U S TREASURY NOTE 3.125% 05/15/2019 DTD 05/15/09   2017-07-20 2018-08-28
30. MICROSOFT CORPORATION   2018-08-01 2018-09-19
40. MICROSOFT CORPORATION   2006-10-09 2018-09-19
10. UNITEDHEALTH GROUP INC COM   2018-08-01 2018-09-19
10. UNITEDHEALTH GROUP INC COM   2013-12-05 2018-09-19
30. UNIVERSAL HLTH SVCS INC CL B   2016-06-24 2018-09-20
1270.113 HARBOR INTERNATIONAL FUND   2016-02-10 2018-10-01
56.291 HARBOR INTERNATIONAL FUND   2018-08-01 2018-10-01
10. HOME DEPOT INC   2018-08-01 2018-10-19
20. HOME DEPOT INC   2014-06-18 2018-10-19
20. HOME DEPOT INC   2014-06-18 2018-10-22
1457.918 TDAM 5 TO 10 YEAR CORP BD PORTFOLIO   2016-08-10 2018-10-30
2192.224 TDAM 1 TO 5 CORP BD PORTFOLIO   2016-08-10 2018-10-30
15000. US TREAS NOTE 2% 08/15/2025 DTD 08/17/2015   2018-08-28 2018-10-30
45000. U S TREASURY NOTE 3.125% 05/15/2019 DTD 05/15/09   2010-06-14 2018-10-30
190. JOHNSON CONTROLS INTERNATIONAL   2017-01-13 2018-10-31
30. JOHNSON CONTROLS INTERNATIONAL   2018-08-01 2018-11-02
220. JOHNSON CONTROLS INTERNATIONAL   2017-08-24 2018-11-02
470. HANESBRANDS INC COM   2018-08-01 2018-11-07
90. STARBUCKS CORP   2017-11-10 2018-11-13
30. ECOLAB INC COM   2017-02-14 2018-11-27
30. ECOLAB INC COM   2017-02-14 2018-11-28
10000. US TREASURY NOTE 1% 11/15/2019 DTD 11/15/2016   2016-12-15 2018-12-12
CAPITAL GAIN 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 6,171   4,094 2,077
b 6,760   7,403 -643
c 6,178   4,094 2,084
d 4,800   4,987 -187
e 45,062   45,074 -12
4,878   5,035 -157
9,695   9,991 -296
8,276   6,285 1,991
1,379   1,289 90
3,073   2,183 890
12,246   12,158 88
8,875   5,304 3,571
6,949   4,781 2,168
9,317   6,273 3,044
5,219   5,163 56
1,585   1,464 121
11,094   6,939 4,155
10,198   4,478 5,720
6,660   7,000 -340
10,107   10,258 -151
5,054   5,101 -47
11,138   5,970 5,168
3,688   1,990 1,698
2,361   2,024 337
10,445   11,722 -1,277
2,609   2,677 -68
3,567   5,387 -1,820
5,420   8,235 -2,815
1,505   1,861 -356
4,834   7,182 -2,348
4,157   6,133 -1,976
1,577   1,454 123
1,340   1,061 279
2,030   2,433 -403
5,610   1,692 3,918
4,847   1,507 3,340
307   232 75
8,583   6,615 1,968
5,305   2,948 2,357
3,443   990 2,453
2,379   2,446 -67
642   620 22
1,125   1,010 115
6,313   4,294 2,019
2,087   2,222 -135
13,520   12,876 644
1,958   1,990 -32
2,994   1,203 1,791
5,928   5,819 109
1,867   1,506 361
1,318   1,408 -90
659   704 -45
2,151   2,032 119
1,467   1,227 240
2,142   1,762 380
1,104   1,257 -153
1,859   1,533 326
628   636 -8
467   472 -5
4,832   1,387 3,445
2,899   2,130 769
3,245   2,620 625
1,510   1,174 336
3,294   3,630 -336
2,616   2,024 592
1,757   1,952 -195
1,142   1,141 1
1,674   909 765
921   883 38
6,864   2,192 4,672
2,340   2,724 -384
5,214   2,025 3,189
2,453   1,658 795
1,548   1,786 -238
1,464   3,399 -1,935
2,655   1,718 937
725   882 -157
1,450   1,800 -350
3,400   2,968 432
1,346   1,104 242
7,896   7,634 262
14,991   12,710 2,281
478   467 11
6,144   5,224 920
24,653   24,962 -309
4,664   4,967 -303
30,227   30,530 -303
4,865   4,976 -111
4,865   4,976 -111
3,346   3,267 79
535   485 50
703   811 -108
1,881   564 1,317
1,107   335 772
933   695 238
980   970 10
1,916   1,927 -11
662   620 42
1,130   1,010 120
426   251 175
416   436 -20
1,981   1,990 -9
1,008   401 607
773   727 46
960   732 228
678   704 -26
392   320 72
564   629 -65
2,391   2,030 361
1,865   800 1,065
636   636  
480   472 8
1,938   555 1,383
549   437 112
841   908 -67
357   390 -33
1,036   1,047 -11
571   570 1
3,004   3,304 -300
5,102   5,299 -197
5,239   4,432 807
855   455 400
4,770   5,106 -336
5,038   5,088 -50
4,997   5,127 -130
4,891   5,107 -216
333   344 -11
1,563   1,611 -48
1,309   506 803
885   558 327
727   874 -147
654   557 97
1,537   1,497 40
5,158   3,982 1,176
1,664   974 690
5,538   4,008 1,530
3,368   2,646 722
1,673   974 699
4,614   2,737 1,877
15,022   15,366 -344
8,898   7,950 948
4,929   2,948 1,981
5,038   2,948 2,090
8,500   3,038 5,462
3,709   5,336 -1,627
4,271   1,519 2,752
2,534   3,495 -961
7,316   8,717 -1,401
3,570   3,637 -67
60,174   63,473 -3,299
5,027   5,026 1
20,107   20,252 -145
5,027   5,063 -36
3,350   3,179 171
4,467   1,110 3,357
2,651   2,537 114
2,651   731 1,920
3,802   4,085 -283
81,363   72,654 8,709
3,606   3,790 -184
1,797   1,962 -165
3,593   1,599 1,994
3,581   1,599 1,982
14,244   15,611 -1,367
21,615   22,337 -722
14,047   14,201 -154
45,148   44,926 222
6,097   8,306 -2,209
979   1,135 -156
7,180   9,225 -2,045
7,916   8,553 -637
6,054   5,134 920
4,612   3,682 930
4,660   2,182 2,478
9,836   9,836  
      44,269
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       2,077
b       -643
c       2,084
d       -187
e       -12
      -157
      -296
      1,991
      90
      890
      88
      3,571
      2,168
      3,044
      56
      121
      4,155
      5,720
      -340
      -151
      -47
      5,168
      1,698
      337
      -1,277
      -68
      -1,820
      -2,815
      -356
      -2,348
      -1,976
      123
      279
      -403
      3,918
      3,340
      75
      1,968
      2,357
      2,453
      -67
      22
      115
      2,019
      -135
      644
      -32
      1,791
      109
      361
      -90
      -45
      119
      240
      380
      -153
      326
      -8
      -5
      3,445
      769
      625
      336
      -336
      592
      -195
      1
      765
      38
      4,672
      -384
      3,189
      795
      -238
      -1,935
      937
      -157
      -350
      432
      242
      262
      2,281
      11
      920
      -309
      -303
      -303
      -111
      -111
      79
      50
      -108
      1,317
      772
      238
      10
      -11
      42
      120
      175
      -20
      -9
      607
      46
      228
      -26
      72
      -65
      361
      1,065
       
      8
      1,383
      112
      -67
      -33
      -11
      1
      -300
      -197
      807
      400
      -336
      -50
      -130
      -216
      -11
      -48
      803
      327
      -147
      97
      40
      1,176
      690
      1,530
      722
      699
      1,877
      -344
      948
      1,981
      2,090
      5,462
      -1,627
      2,752
      -961
      -1,401
      -67
      -3,299
      1
      -145
      -36
      171
      3,357
      114
      1,920
      -283
      8,709
      -184
      -165
      1,994
      1,982
      -1,367
      -722
      -154
      222
      -2,209
      -156
      -2,045
      -637
      920
      930
      2,478
       
       
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 2 137,136
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 126,793 2,546,487 0.049791
2016 126,958 2,475,430 0.051287
2015 130,926 2,609,025 0.050182
2014 128,044 2,646,430 0.048384
2013 124,507 2,563,828 0.048563
2
Total of line 1, column (d) .....................
2
0.248207
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
0.049641
4
Enter the net value of noncharitable-use assets for 2018 from Part X, line 5......
4
2,493,728
5
Multiply line 4 by line 3......................
5
123,791
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
1,576
7
Add lines 5 and 6........................
7
125,367
8
Enter qualifying distributions from Part XII, line 4,.............
8
111,751
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 3,153
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 3,153
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 3,153
6 Credits/Payments:
a 2018 estimated tax payments and 2017 overpayment credited to 2018 6a 884
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 884
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 2,269
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2019 estimated taxBullet0 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$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
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)
    bulletNH
    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 addressbullet  
    14
    The books are in care ofbulletTD Bank NA Telephone no.bullet (877) 773-1229

    Located atbullet143 NORTH MAIN STREETCONCORDNH ZIP+4bullet03302
    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
     
    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 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
    TD Bank NA Trustee
    1
    35,190    
    143 North Main Street
    Concord,NH033020477
    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
    NONE
    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.........................bullet  
    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
    2,423,544
    b
    Average of monthly cash balances.......................
    1b
    108,160
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    2,531,704
    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
    2,531,704
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    37,976
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    2,493,728
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    124,686
    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
    124,686
    2a
    Tax on investment income for 2018 from Part VI, line 5......
    2a
    3,153
    b
    Income tax for 2018. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    3,153
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    121,533
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    121,533
    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
    121,533
    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
    111,751
    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
    0
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
    0
    b
    Cash distribution test (attach the required schedule) .................
    3b
    0
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    111,751
    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
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    111,751
    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 7 121,533
    2 Undistributed income, if any, as of the end of 2018:
    a Enter amount for 2017 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2018:
    a From 2013...... 4,155
    b From 2014...... 0
    c From 2015...... 2,614
    d From 2016...... 3,622
    e From 2017...... 1,235
    fTotal of lines 3a through e........ 11,626
    4Qualifying distributions for 2018 from Part
    XII, line 4: bullet$ 111,751
    a Applied to 2017, 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 2018 distributable amount..... 111,751
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2018. 9,782 9,782
    (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 1,844
    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 ..........
    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
    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 ......
    1,844
    10 Analysis of line 9:
    a Excess from 2014.... 0
    b Excess from 2015.... 0
    c Excess from 2016.... 609
    d Excess from 2017.... 1,235
    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).)
    NONE
    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.
    NONE
    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:
    WENDY BROWN
    C/O TD BANK NA
    PO BOX CONCORD,NH033020477
    (877) 773-1229
    bThe form in which applications should be submitted and information and materials they should include:
    LETTER SPECIFYING THE AMOUNT REQUESTED AND WHAT THE FUNDS WILL BE USED FOR
    cAny submission deadlines:
    NONE
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    QUALIFIED CHARITABLE ORGANIZATIONS LOCATED IN CONCORD, NEW HAMPSHIRE
    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
    CONCORD REG VISITING NURSE ASSN
    ATTN VIOLET ROUNDS
    DIRECTOR OF FINANCE
    CONCORD,NH033013502
    NONE 501(C)(3) SUPPORT VARIOUS ACTIVITIES 29,012
    CONCORD BOYS & GIRLS CLUB
    ATTN CHRISTOPHER EMOND
    55 BRADLEY STREET
    CONCORD,NH03301
    NONE 501(C)(3) PURCHASE FIRST AID TRAINING 1,200
    RIVERBEND COMMUNITY MENTAL HEALTH
    KAREN M JANTZEN
    PO BOX 2032
    CONCORD,NH033022032
    NONE 501(C)(3) SUPPORT CHOICES ADOLESCENT 5,000
    COMMUNITY ACTION PROGRAM
    BELKNAP & MERRIMACK COUNTIES INC
    2 INDUSTRIAL PARK DRIVE
    CONCORD,NH033021016
    NONE 501(C)(3) ASSIST WITH HOMELESSNESS & 3,500
    FRIENDS PROGRAM
    202 N STATE STREET
    CONCORD,NH03301
    NONE 501(C)(3) SUPPORT THE RSVP PROGRAM 1,000
    CRISIS CENTER OF CENTRAL NH
    KAREN MCNAMARA DEVELOPMENT DIRECTOR
    PO BOX 1344
    CONCORD,NH03302
    NONE 501(C)(3) PROVIDE SUPPORTIVE PROGRAMS 2,500
    NH AUDUBON
    DOUGLAS A BECHTEL PRESIDENT
    84 SILK FARM ROAD
    CONCORD,NH03301
    NONE 501(C)(3) SUPPORT POLLINATOR 2,500
    CONCORD HOSPITAL
    RICHARD FORD
    250 PLEASANT STREET
    CONCORD,NH03301
    NONE 501(C)(3) SUPPORT VARIOUS ACTIVITIES 58,024
    NATIONAL ALLIANCE ON MENTAL ILLNESS
    85 NORTH STATE STREET
    CONCORD,NH03301
    NONE 501(C)(3) FOR RENOVATIONS AT NAMI'S 5,000
    NORTHERN FOREST CENTER
    CARRIE FRENCH
    18 NORTH MAIN ST SUITE 204
    CONCORD,NH03301
    NONE 501(C)(3) PURCHASE 2 ART PROJECTORS 1,100
    CONCORD HOSPITAL TRUST
    ATTN DEANNE PELLETIER
    250 PLEASANT STREET
    CONCORD,NH03301
    NONE 501(C)(3) SUPPORT STOP THE BLEED 2,500
    CATHOLIC CHARITIES NEW HAMPSHIRE
    ATTN THOMAS BLONSKI
    215 MYRTLE STREET
    MANCHESTER,NH031050686
    NONE 501(C)(3) FOR TRANSLATION OF PROGRAM 415
    Total .................................bullet 3a 111,751
    bApproved for future payment
    Total .................................bullet 3b  
    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 57,821  
    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 ............
        18 137,136  
    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)..   194,957  
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    194,957
    (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.)
    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

    TY 2018 AccountingFeesSchedule
    Name:
    TRUST UW BENJAMIN COUCH XXX-XX-XXXX
    EIN:
    02-6004808
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEE (NON-ALLOC 850 850    

    TY 2018 InvestmentsCorpBondsSchedule
    Name:
    TRUST UW BENJAMIN COUCH XXX-XX-XXXX
    EIN:
    02-6004808
    Name of Bond End of Year Book Value End of Year Fair Market Value
    17748.583 TDAM 5 TO 10 YEAR CO 182,241 175,001
    21508.787 TDAM 1 TO 5 CORP BD 215,789 212,937
    9992.814 VANGUARD SHORT-TERM F 107,616 105,424

    TY 2018 InvestmentsCorpStockSchedule
    Name:
    TRUST UW BENJAMIN COUCH XXX-XX-XXXX
    EIN:
    02-6004808
    Name of Stock End of Year Book Value End of Year Fair Market Value
    110 CARMAX INC 7,410 6,900
    160 DOLLAR GENERAL CORP 11,814 17,293
    50 HOME DEPOT INC 3,998 8,591
    270 MGM RESORTS INTERNATIONAL 8,619 6,550
    120 STARBUCKS CORP 6,796 7,728
    280 TJX COMPANIES INC 6,874 12,527
    140 CVS HEALTH CORPORATION USD 10,343 9,173
    270 COCA COLA CO 11,391 12,785
    80 COSTCO WHSL CORP NEW 16,097 16,297
    250 ANADARKO PETROLEUM 18,233 10,960
    270 OCCIDENTAL PETROLEUM CO 22,269 16,573
    20 EVEREST REINSURANCE GROUP L 4,516 4,355
    60 WILLIS TOWERS WATSON 8,018 9,112
    50 CHUBB LTD 5,521 6,459
    270 AMERICAN INTL GROUP INC CO 12,837 10,641
    70 AMERIPRISE FINANCIAL INC 7,544 7,306
    610 AXA EQUITABLE HOLDINGS INC 13,140 10,144
    830 BANK AMER CORP 19,531 20,451
    300 BANK OZK 14,183 6,849
    130 CAPITAL ONE FINANCIAL CORP 12,244 9,827
    330 CITIZENS FINANCIAL GROUP I 10,119 9,811
    110 DISCOVER FINANCIAL SERVICE 6,967 6,488
    320 METLIFE INC 15,018 13,139
    390 MORGAN STANLEY 16,771 15,464
    130 VISA INC - CL A 7,456 17,152
    90 ALLERGAN PLC 24,272 12,029
    400 BOSTON SCIENTIFIC 13,268 14,136
    150 CENTENE CORP 15,063 17,295
    420 PFIZER 15,324 18,333
    100 UNITEDHEALTH GROUP INC 7,307 24,912
    110 UNIVERSAL HLTH SVCS INC CL 13,206 12,822
    170 INGERSOLL-RAND PLC SHS 9,842 15,509
    110 AMETEK AEROSPACE PRODUCTS 8,339 7,447
    60 BOEING CO 5,941 19,350
    160 DANAHER CORP SHS BEN INT 7,026 16,499
    160 FORTUNE BRANDS HOME & SEC 9,923 6,078
    130 JACOBS ENGR GROUP INC DEL 8,188 7,600
    70 MARTIN MARIETTA MATLS INC C 13,116 12,031
    70 NORFOLK SOUTHERN CORP 7,354 10,468
    90 UNITED TECHNOLOGIES 11,644 9,583
    130 UNIVERSAL DISPLAY CORP COM 21,326 12,164
    90 XPO LOGISTICS INC 8,967 5,134
    860 MARVELL TECHNOLOGY GROUP L 14,804 13,923
    20 ALPHABET INC CL-C 10,751 20,712
    250 APPLE COMPUTER INC 16,983 39,435
    450 APPLIED MATERIALS 8,460 14,733
    50 BROADCOM INC 11,782 12,714
    400 MICROSOFT CORPORATION 10,163 40,628
    180 PTC INC 12,435 14,922
    50 LINDE PLC 8,163 7,802
    267 DOWDUPONT INC 13,139 14,279
    130 EASTMAN CHEMICAL CO 11,943 9,504
    200 WEC ENERGY GROUP INC 8,529 13,852
    5465.889 INVESCO INTL GROWTH-Y 159,136 153,154
    3245.360 OAKMARK INTERNATIONAL 84,412 66,335
    15087.621 EPOCH US SMALL MID C 166,066 129,452

    TY 2018 InvestmentsGovtObligationsSch
    Name:
    TRUST UW BENJAMIN COUCH XXX-XX-XXXX
    EIN:
    02-6004808
    US Government Securities - End of Year Book Value:

    664,313
    US Government Securities - End of Year Fair Market Value:

    661,294
    State & Local Government Securities - End of Year Book Value:


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


     


    TY 2018 OtherDecreasesSchedule
    Name:
    TRUST UW BENJAMIN COUCH XXX-XX-XXXX
    EIN:
    02-6004808
    Description Amount
    ROUNDING & WASH SALE ADJUSTMENT 43


    TY 2018 OtherExpensesSchedule
    Name:
    TRUST UW BENJAMIN COUCH XXX-XX-XXXX
    EIN:
    02-6004808
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER NON-ALLOCABLE EXPENSE - 148 148   0
    OTHER NON-ALLOCABLE EXPENSE - 148 148   0


    TY 2018 TaxesSchedule
    Name:
    TRUST UW BENJAMIN COUCH XXX-XX-XXXX
    EIN:
    02-6004808
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 223 223   0
    FEDERAL TAX PAYMENT - PRIOR YE 663 0   0
    FEDERAL ESTIMATES - PRINCIPAL 884 0   0
    FOREIGN TAXES ON QUALIFIED FOR 752 752   0