-
TIN:
Form
990-PF
Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
Do not enter social security numbers on this form as it may be made public.
Go to
www.irs.gov/Form990PF
for instructions and the latest information.
OMB No. 1545-0052
20
19
Open to Public Inspection
For calendar year 2019, or tax year beginning
01-01-2019
, and ending
12-31-2019
Name of foundation
CAPE COD FIVE CENTS SAVINGS BANK
CHARITABLE FOUNDATION TRUST
Number and street (or P.O. box number if mail is not delivered to street address)
PO BOX 10
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
ORLEANS
,
MA
026530010
A Employer identification number
04-3423249
B
Telephone number (see instructions)
(508) 240-0555
C
If exemption application is pending, check here
G
Check all that apply:
Initial return
Initial return of a former public charity
Final return
Amended return
Address change
Name change
D 1.
Foreign organizations, check here.............
2
. Foreign organizations meeting the 85%
test, check here and attach computation ...
E
If private foundation status was terminated
under section 507(b)(1)(A), check here .......
H
Check type of organization:
Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust
Other taxable private foundation
F
If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here .......
I
Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)
$
15,151,020
J
Accounting method:
Cash
Accrual
Other (specify)
(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)
1
Contributions, gifts, grants, etc., received (attach schedule)
20,000
2
Check
.............
3
Interest on savings and temporary cash investments
14,975
14,975
4
Dividends and interest from securities
...
306,024
306,024
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
577,571
b
Gross sales price for all assets on line 6a
5,354,164
7
Capital gain net income (from Part IV, line 2)
...
577,571
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)
.......
50,000
0
12
Total.
Add lines 1 through 11
........
968,570
898,570
13
Compensation of officers, directors, trustees, etc.
0
0
0
14
Other employee salaries and wages
......
15
Pension plans, employee benefits
.......
16a
Legal fees (attach schedule)
.........
b
Accounting fees (attach schedule)
.......
16,221
8,111
8,110
c
Other professional fees (attach schedule)
....
62,392
62,392
0
17
Interest
...............
18
Taxes (attach schedule) (see instructions)
...
16,638
0
0
19
Depreciation (attach schedule) and depletion
...
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
22
Printing and publications
..........
23
Other expenses (attach schedule)
.......
122
0
122
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
95,373
70,503
8,232
25
Contributions, gifts, grants paid
.......
790,289
790,289
26
Total expenses and disbursements.
Add lines 24 and 25
885,662
70,503
798,521
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
82,908
b
Net investment income
(if negative, enter -0-)
828,067
c
Adjusted net income
(if negative, enter -0-)
...
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X
Form
990-PF
(2019)
Form 990-PF (2019)
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
1
Cash—non-interest-bearing
.............
15,980
85,794
85,794
2
Savings and temporary cash investments
.........
862,086
657,461
657,461
3
Accounts receivable
Less: allowance for doubtful accounts
4
Pledges receivable
Less: allowance for doubtful accounts
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)
Less: allowance for doubtful accounts
8
Inventories for sale or use
..............
9
Prepaid expenses and deferred charges
..........
10a
Investments—U.S. and state government obligations (attach schedule)
2,221,505
1,252,734
1,252,734
b
Investments—corporate stock (attach schedule)
.......
5,262,382
5,664,300
5,664,300
c
Investments—corporate bonds (attach schedule)
.......
733,567
1,253,223
1,253,223
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
4,265,280
6,164,602
6,164,602
14
Land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
15
Other assets (describe
)
57,322
72,906
72,906
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
13,418,122
15,151,020
15,151,020
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
)
44,151
55,243
23
Total liabilities
(add lines 17 through 22)
.........
44,151
55,243
Foundations that follow FASB ASC 958, check here
and complete lines 24, 25, 29 and 30.
24
Net assets without donor restrictions
...........
13,373,971
15,095,777
25
Net assets with donor restrictions
............
Foundations that do not follow FASB ASC 958, check here
and complete lines 26 through 30.
26
Capital stock, trust principal, or current funds
........
27
Paid-in or capital surplus, or land, bldg., and equipment fund
28
Retained earnings, accumulated income, endowment, or other funds
29
Total net assets or fund balances
(see instructions)
.....
13,373,971
15,095,777
30
Total liabilities and net assets/fund balances
(see instructions)
.
13,418,122
15,151,020
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 29 (must agree with end-of-year figure reported on prior year’s return)
...............
1
13,373,971
2
Enter amount from Part I, line 27a
.....................
2
82,908
3
Other increases not included in line 2 (itemize)
3
1,654,402
4
Add lines 1, 2, and 3
..........................
4
15,111,281
5
Decreases not included in line 2 (itemize)
5
15,504
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
15,095,777
Form
990-PF
(2019)
Form 990-PF (2019)
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
PUBLICLY TRADED SECURITIES
P
b
c
d
e
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a
5,354,164
4,776,593
577,571
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69
(l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-)
or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69
(j)
Adjusted basis
as of 12/31/69
(k)
Excess of col. (i)
over col. (j), if any
a
577,571
b
c
d
e
2
Capital gain net income or (net capital loss)
If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
2
577,571
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
...................
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?
Yes
No
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))
2018
712,428
14,349,717
0.049648
2017
764,782
13,894,438
0.055042
2016
665,948
12,927,274
0.051515
2015
722,560
13,375,272
0.054022
2014
704,074
13,578,024
0.051854
2
Total
of line 1, column (d)
.....................
2
0.262081
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
0.052416
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
14,129,858
5
Multiply line 4 by line 3
......................
5
740,631
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
8,281
7
Add lines 5 and 6
........................
7
748,912
8
Enter qualifying distributions from Part XII, line 4
,.............
8
798,521
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
(2019)
Form 990-PF (2019)
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
and enter “N/A" on line 1.
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
8,281
here
and enter 1% of Part I, line 27b
...................
c
All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2
Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
2
0
3
Add lines 1 and 2
...........................
3
8,281
4
Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
4
0
5
Tax based on investment income.
Subtract line 4 from line 3. If zero or less, enter -0-
.....
5
8,281
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
13,600
b
Exempt foreign organizations—tax withheld at source
......
6b
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
1,000
d
Backup withholding erroneously withheld
...........
6d
0
7
Total credits and payments. Add lines 6a through 6d
..............
7
14,600
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
.......
9
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
6,319
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
6,319
Refunded
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.
$
0
(2)
On foundation managers.
$
0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
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)
MA
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 2019 or the taxable year beginning in 2019? 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
(2019)
Form 990-PF (2019)
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 address
WWW.CAPECODFIVE.COM
14
The books are in care of
MATTHEW BURKE
Telephone no.
(508) 247-1813
Located at
19 WEST ROAD
ORLEANS
MA
ZIP+4
02653
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of
Form 1041
—check here
.........
and enter the amount of tax-exempt interest received or accrued during the year
........
15
16
At any time during calendar year 2019, did the foundation have an interest in or a signature or other authority over
Yes
No
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
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?
Yes
No
(2)
Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?
......................
Yes
No
(3)
Furnish goods, services, or facilities to (or accept them from) a disqualified person?
Yes
No
(4)
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
Yes
No
(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)?
...............
Yes
No
(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.)
.......
Yes
No
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
Organizations relying on a current notice regarding disaster assistance check here
........
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 2019?
.............
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 2019, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2019?
.............
Yes
No
If "Yes," list the years
20
,
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.
20
,
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?
......................
Yes
No
b
If "Yes," did it have excess business holdings in 2019 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 2019.)
..................
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 2019?
4b
No
Form
990-PF
(2019)
Form 990-PF (2019)
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))?
Yes
No
(2)
Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive?
.............
Yes
No
(3)
Provide a grant to an individual for travel, study, or other similar purposes?
Yes
No
(4)
Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? See instructions
................
Yes
No
(5)
Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals?
.....
Yes
No
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
Organizations relying on a current notice regarding disaster assistance check here
.........
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?
..........
Yes
No
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?
.....................
Yes
No
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?
Yes
No
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?
.................
Yes
No
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
1
List all officers, directors, trustees, foundation managers and their compensation. See instructions
(a)
Name and address
(b)
Title, and average
hours per week
devoted to position
(c)
Compensation
(If not paid, enter
-0-)
(d)
Contributions to employee benefit plans and deferred compensation
(e)
Expense account,
other allowances
DOROTHY A SAVARESE
CHAIRMAN
1.00
0
0
0
19 WEST ROAD
ORLEANS
,
MA
02653
MATTHEW S BURKE
TREASURER
1.00
0
0
0
19 WEST ROAD
ORLEANS
,
MA
02653
JOEL J BRICKMAN
SECRETARY
1.00
0
0
0
19 WEST ROAD
ORLEANS
,
MA
02653
ROBERT A TALERMAN
VICE CHAIRMAN
1.00
0
0
0
19 WEST ROAD
ORLEANS
,
MA
02653
KRISTEN M FORESTA
ASSISTANT TREASURER
1.00
0
0
0
19 WEST ROAD
ORLEANS
,
MA
02653
STEPHANIE DENNEHY
EXECUTIVE COMMITTEE
1.00
0
0
0
19 WEST ROAD
ORLEANS
,
MA
02653
JACK DAWLEY
EXECUTIVE COMMITTEE
1.00
0
0
0
19 WEST ROAD
ORLEANS
,
MA
02653
RICHARD F DELANEY
EXECUTIVE COMMITTEE
1.00
0
0
0
19 WEST ROAD
ORLEANS
,
MA
02653
THOMAS M EVANS
EXECUTIVE COMMITTEE
1.00
0
0
0
19 WEST ROAD
ORLEANS
,
MA
02653
KAREN L GARDNER
EXECUTIVE COMMITTEE
1.00
0
0
0
19 WEST ROAD
ORLEANS
,
MA
02653
ELIZABETH P GRADY
EXECUTIVE COMMITTEE
1.00
0
0
0
19 WEST ROAD
ORLEANS
,
MA
02653
JULIE RICHMOND
EXECUTIVE COMMITTEE
1.00
0
0
0
19 WEST ROAD
ORLEANS
,
MA
02653
WILLIAM P HOURIHAN JR
EXECUTIVE COMMITTEE
1.00
0
0
0
19 WEST ROAD
ORLEANS
,
MA
02653
CHESTER N LAY
EXECUTIVE COMMITTEE
1.00
0
0
0
19 WEST ROAD
ORLEANS
,
MA
02653
NANCY S LOWERY
EXECUTIVE COMMITTEE
1.00
0
0
0
19 WEST ROAD
ORLEANS
,
MA
02653
ANGELIQUE K VIAMARI
EXECUTIVE COMMITTEE
1.00
0
0
0
19 WEST ROAD
ORLEANS
,
MA
02653
LAURA E NEWSTEAD
EXECUTIVE COMMITTEE
1.00
0
0
0
19 WEST ROAD
ORLEANS
,
MA
02653
CAMERON SANTOS
EXECUTIVE COMMITTEE
1.00
0
0
0
19 WEST ROAD
ORLEANS
,
MA
02653
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
...................
0
Form
990-PF
(2019)
Form 990-PF (2019)
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
CAPE COD FIVE CENTS SAVINGS BANK
INVESTMENT MANAGEMENT
62,392
PO BOX 10
ORLEANS
,
MA
026530010
MARCUM LLP
ACCOUNTING
16,221
53 STATE STREET 17TH FLOOR
BOSTON
,
MA
02109
Total
number of others receiving over $50,000 for professional services
.............
0
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
0
Total.
Add lines 1 through 3
.........................
0
Form
990-PF
(2019)
Form 990-PF (2019)
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
14,184,605
b
Average of monthly cash balances
.......................
1b
88,887
c
Fair market value of all other assets (see instructions)
................
1c
71,542
d
Total
(add lines 1a, b, and c)
.........................
1d
14,345,034
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
14,345,034
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
215,176
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
14,129,858
6
Minimum investment return.
Enter 5% of line 5
..................
6
706,493
Part XI
Distributable Amount
(see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here
and do not complete this part.)
1
Minimum investment return from Part X, line 6
....................
1
706,493
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
8,281
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
8,281
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
698,212
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
698,212
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
698,212
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
798,521
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
798,521
5
Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
income. Enter 1% of Part I, line 27b. See instructions
.................
5
8,281
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
790,240
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
(2019)
Form 990-PF (2019)
Page
9
Part XIII
Undistributed Income
(see instructions)
(a)
Corpus
(b)
Years prior to 2018
(c)
2018
(d)
2019
1
Distributable amount for 2019 from Part XI, line 7
698,212
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
0
b
Total for prior years:
20
,
20
,
20
0
3
Excess distributions carryover, if any, to 2019:
a
From 2014
......
34,283
b
From 2015
......
70,676
c
From 2016
......
34,640
d
From 2017
......
112,156
e
From 2018
......
8,222
f
Total
of lines 3a through e
........
259,977
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
798,521
a
Applied to 2018, 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 2019 distributable amount
.....
698,212
e
Remaining amount distributed out of corpus
100,309
5
Excess distributions carryover applied to 2019.
0
0
(If an amount appears in column (d), the
same amount must be shown in column (a).)
6
Enter the net total of each column as
indicated below:
a
Corpus. Add lines 3f, 4c, and 4e. Subtract line 5
360,286
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 2018. Subtract line
4a from line 2a. Taxable amount—see
instructions
.............
0
f
Undistributed income for 2019. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2020
..........
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 2014 not
applied on line 5 or line 7 (see instructions)
...
34,283
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
326,003
10
Analysis of line 9:
a
Excess from 2015
....
70,676
b
Excess from 2016
....
34,640
c
Excess from 2017
....
112,156
d
Excess from 2018
....
8,222
e
Excess from 2019
....
100,309
Form
990-PF
(2019)
Form 990-PF (2019)
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 2019, enter the date of the ruling
.......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(j)(5)
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)
2019
(b)
2018
(c)
2017
(d)
2016
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.)
1
Information Regarding Foundation Managers:
a
List 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).)
b
List 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.
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions
a
The name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
THE CAPE COD FIVE CENTS SAVINGS BAN
PO BOX 10
ORLEANS
,
MA
02653
(508) 240-0555
b
The form in which applications should be submitted and information and materials they should include:
CAPE COD FIVE AND ITS NAMESAKE FOUNDATION HAVE AN ONLINE APPLICATION PROCESS WHICH CAN BE FOUND AT: HTTP://CAPECODFIVE.EGRANT.NET. THIS PROCESS ALLOWS APPLICANTS TO SUBMIT A ROBUST APPLICATION,INCLUDING PICTURES AND VIDEO CONTENT, TO TELL THEIR STORY BEYOND THE WORDS ON THE PAGE."
c
Any submission deadlines:
NONE
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
MUST BE OVER $250, MUST BE PUBLICLY SUPPORTED TYPE ENTITY
Form
990-PF
(2019)
Form 990-PF (2019)
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)
a
Paid during the year
A SAFE PLACE
5B WINDY WAY
NANTUCKET
,
MA
02554
PUBLIC CHARITY
DONATION
1,000
ALYCHIAH DIAS
351 PLEASANT LAKE AVENUE
HARWICH
,
MA
02645
NONE
INDIVIDUAL
DONATION
1,000
AMAZING GRACE OF CAPE COD INC
PO BOX 636
CENTERVILLE
,
MA
02632
PUBLIC CHARITY
DONATION
3,350
ARIEL LEMIEUX
7 VIKING DRIVE
WAREHAM
,
MA
02571
NONE
INDIVIDUAL
DONATION
1,000
ARTSFALMOUTH
PO BOX 136
FALMOUTH
,
MA
02541
PUBLIC CHARITY
DONATION
1,000
BARNSTABLE COMMUNITY INNOVATION SCHOOL
165 BEARSES WAY
HYANNIS
,
MA
02601
PUBLIC CHARITY
DONATION
888
BARNSTABLE HIGH SCHOOL
744 W MAIN STREET
HYANNIS
,
MA
02601
PUBLIC CHARITY
DONATION
750
BARNSTABLE INTERMEDIATE SCHOOL
895 FALMOUTH RD
HYANNIS
,
MA
02601
PUBLIC CHARITY
DONATION
1,379
BARNSTABLE NEIGHBOR 2 NEIGHBOR INC
PO BOX 32
BARNSTABLE
,
MA
02630
PUBLIC CHARITY
DONATION
1,500
BARNSTABLE UNITED ELEMENTARY SCHOOL
730 OSTERVILLE WEST BARNSTABLE RD
MARSTON MILLS
,
MA
02648
PUBLIC CHARITY
DONATION
490
BETH ISRAEL DEACONESS HOSPITAL PLYMOUTH INC
275 SANDWICH ST
PLYMOUTH
,
MA
02360
PUBLIC CHARITY
DONATION
5,000
BIG BROTHERS BIG SISTERS OF CAPE COD
684 MAIN STREET SUITE 3
HYANNIS
,
MA
02601
PUBLIC CHARITY
DONATION
1,000
BOURNE SCHOOL DISTRICT
36 SANDWICH RD
BOURNE
,
MA
02532
PUBLIC CHARITY
DONATION
2,788
BOYS & GIRLS CLUB OF CAPE COD INC
PO BOX 895
MASHPEE
,
MA
02649
PUBLIC CHARITY
DONATION
4,000
BOYS & GIRLS CLUB OF GREATER NEW BEDFORD
WAREHAM UNIT PO BOX 1455
WAREHAM
,
MA
02571
PUBLIC CHARITY
DONATION
1,000
BUZZARDS BAY AREA HABITAT FOR HUMANITY
8 COUNTY ROAD SUITE 2
MATTAPOISETT
,
MA
02739
PUBLIC CHARITY
DONATION
2,000
BUZZARDS BAY COALITION INC
114 FRONT STREET
NEW BEDFORD
,
MA
02740
PUBLIC CHARITY
DONATION
2,500
CAHOON MUSEUM OF AMERICAN ART INC
4676 FALMOUTH ROAD PO BOX 1853
COTUIT
,
MA
02635
PUBLIC CHARITY
DONATION
2,000
CALEIGH HEITMAN
490 LONG POND ROAD
PLYMOUTH
,
MA
02360
NONE
INDIVIDUAL
DONATION
1,000
CALMER CHOICE INC
23 WHITES PATH G2
SOUTH YARMOUTH
,
MA
02664
PUBLIC CHARITY
DONATION
5,000
CAPE & ISLANDS VETERANS OUTREACH CENTER
569 MAIN STREET SUITE 6
HYANNIS
,
MA
02601
PUBLIC CHARITY
DONATION
5,000
CAPE COD BLUE ECONOMY FOUNDATION INC
5 PATTI PAGE WAY
CENTERVILLE
,
MA
02632
PUBLIC CHARITY
DONATION
4,000
CAPE COD CENTER FOR ENVIRONMENT & SUSTAINABLE
35 PROVIDENCE ROAD
PROVINCETOWN
,
MA
02657
PUBLIC CHARITY
DONATION
1,500
CAPE COD CHALLENGER CLUB
418 BUMPUS RIVER ROAD
OSTERVILLE
,
MA
02655
PUBLIC CHARITY
DONATION
2,000
CAPE COD CHILD DEVELOPMENT
83 PEARL STREET
HYANNIS
,
MA
02601
PUBLIC CHARITY
DONATION
2,500
CAPE COD COLLABORATIVE
418 BUMPUS RIVER ROAD
OSTERVILLE
,
MA
02655
PUBLIC CHARITY
DONATION
944
CAPE COD COMMERCIAL FISHERMEN'S ALLIANCE INC
1566 MAIN STREET
CHATHAM
,
MA
02633
PUBLIC CHARITY
DONATION
5,490
CAPE COD FOUNDATION INC
261 WHITES PATH UNIT 2
SOUTH YARMOUTH
,
MA
02644
PUBLIC CHARITY
DONATION
10,000
CAPE COD HEALTHCARE FOUNDATION
PO BOX 370
HYANNIS
,
MA
02601
PUBLIC CHARITY
DONATION
36,500
CAPE COD LIGHTHOUSE CHARTER SCHOOL
195 ROUTE 137
HARWICH
,
MA
02645
PUBLIC CHARITY
DONATION
1,500
CAPE COD POTTERS INC
JUDITH BARTHA TREASURER PO BOX 1257
SOUTH DENNIS
,
MA
02660
PUBLIC CHARITY
DONATION
2,200
CAPE COD PRIDE INC
PO BOX 246
MASHPEE
,
MA
02649
PUBLIC CHARITY
DONATION
2,000
CAPE COD REGIONAL TECHNICAL HIGH SCHOOL
351 PLEASANT LAKE AVENUE
HARWICH
,
MA
02645
PUBLIC CHARITY
DONATION
500
CAPE COD REPERTORY THEATRE COMPANY INC
3299 MAIN ST PO BOX 1305
BREWSTER
,
MA
02631
PUBLIC CHARITY
DONATION
2,500
CAPE COD SCORE
270 COMMUNICATIONS WAY SUITE 5A
HYANNIS
,
MA
02601
PUBLIC CHARITY
DONATION
2,500
CAPE COD TIMES NEEDY FUND INC
PO BOX 804
HYANNIS
,
MA
02601
PUBLIC CHARITY
DONATION
25,000
CAPE KID MEALS
280B ROUTE 130 SUITE 2 159
FORESTDALE
,
MA
02644
PUBLIC CHARITY
DONATION
3,000
CAPE MEDIATION
PO BOX 193
ORLEANS
,
MA
02653
PUBLIC CHARITY
DONATION
650
CCCC EDUCATIONAL FOUNDATION
2240 IYANNOUGH ROAD
WEST BARNSTABLE
,
MA
02668
PUBLIC CHARITY
DONATION
53,750
CENTER FOR COASTAL STUDIES PROVINCETOWN
5 HOLWAY AVE PO BOX 1036
PROVINCETOWN
,
MA
02657
PUBLIC CHARITY
DONATION
10,000
CHAMP HOMES
82 SCHOOL STREET
HYANNIS
,
MA
02601
PUBLIC CHARITY
DONATION
5,000
CHATHAM HISTORICAL SOCIETY
347 STAGE HARBOR ROAD
CHATHAM
,
MA
02633
PUBLIC CHARITY
DONATION
1,000
CHEVAR SHAKESPEARE
75 OAK STREET
HARWICH
,
MA
02645
NONE
INDIVIDUAL
DONATION
1,000
CHILMARK TOWN AFFAIRS COUNCIL
415 G STREET SE 195 MIDDLE RD
WASHINGTON
,
MA
20003
PUBLIC CHARITY
DONATION
2,500
COMMUNITY CONNECTIONS INC
261 WHITES PATH UNIT 1
SOUTH YARMOUTH
,
MA
02664
PUBLIC CHARITY
DONATION
4,000
COMMUNITY DEVELOPMENT PARTNERSHIP
3 MAIN STREET MERCANTILE UNIT 7
EASTHAM
,
MA
02642
PUBLIC CHARITY
DONATION
10,000
COMMUNITY FOUNDATION FOR NANTUCKET
PO BOX 204
NANTUCKET
,
MA
02554
PUBLIC CHARITY
DONATION
1,000
COMMUNITY HEALTH CENTER OF CAPE COD INC
107 COMMERCIAL ST
MASHPEE
,
MA
02649
PUBLIC CHARITY
DONATION
2,500
COMPACT OF CAPE COD CONSERVATION TRUSTS INC
PO BOX 443
BARNSTABLE
,
MA
02630
PUBLIC CHARITY
DONATION
7,500
CONNOR BORSARI
41 OBERY ST
PLYMOUTH
,
MA
02360
NONE
INDIVIDUAL
DONATION
1,000
DELANEY GOSSE
220 SANDWICH ROAD
BOURNE
,
MA
02532
NONE
INDIVIDUAL
DONATION
1,000
DENNIS CONSERVATION TRUST
PO BOX 67
EAST DENNIS
,
MA
02641
PUBLIC CHARITY
DONATION
4,000
DENNIS-YARMOUTH REGIONAL SCHOOL DISTRICT
296 STATION AVE
SOUTH YARMOUTH
,
MA
02664
PUBLIC CHARITY
DONATION
4,480
DOROTHY TOMKINS
427 MAIN ST
HYANNIS
,
MA
02601
NONE
INDIVIDUAL
DONATION
1,000
EASTHAM COMMITTEE ON EARLY CHILDHOOD
PO BOX 1518
NORTH EASTHAM
,
MA
02651
PUBLIC CHARITY
DONATION
1,000
EASTHAM ELEMENTARY SCHOOL
200 SCHOOLHOUSE RD
EASTHAM
,
MA
02642
PUBLIC CHARITY
DONATION
500
EDDY ELEMENTARY SCHOOL
2298 MAIN STREET
BREWSTER
,
MA
02631
PUBLIC CHARITY
DONATION
918
EGAN MARITIME INSTITUTE
3 FREEDOM SQUARE
NANTUCKET
,
MA
02554
PUBLIC CHARITY
DONATION
3,000
EMILY KRISTYNA HAMBLIN
75 WATERHOUSE RD
BOURNE
,
MA
02532
NONE
INDIVIDUAL
DONATION
1,000
EZRA H BAKER INNOVATION SCHOOL
810 MA-28
WEST DENNITS
,
MA
02670
PUBLIC CHARITY
DONATION
500
FAIRWINDS-NANTUCKET'S COUNSELING CENTER
20 VESPER LANE
NANTUCKET
,
MA
02554
PUBLIC CHARITY
DONATION
7,000
FALMOUTH ENTERPRISE
50 DEPOT AVENUE
FALMOUTH
,
MA
02540
PUBLIC CHARITY
DONATION
2,000
FALMOUTH HISTORICAL SOCIETY
PO BOX 174
FALMOUTH
,
MA
02541
PUBLIC CHARITY
DONATION
5,000
FALMOUTH HOUSING CORP
704 MAIN ST SUITE D
FALMOUTH
,
MA
02540
PUBLIC CHARITY
DONATION
2,500
FALMOUTH HOUSING TRUST INC
200 MAIN ST STE 212 PO BOX 465
FALMOUTH
,
MA
02541
PUBLIC CHARITY
DONATION
5,000
FALMOUTH SERVICE CENTER INC
PO BOX 208
FALMOUTH
,
MA
02541
PUBLIC CHARITY
DONATION
15,000
FAMILY EQUALITY COUNCIL
27 ALPINE STREET 11
MALDEN
,
MA
02148
PUBLIC CHARITY
DONATION
2,500
FINE ARTS WORK CENTER IN PROVINCETOWN INC
24 PEARL ST
PROVINCETOWN
,
MA
02657
PUBLIC CHARITY
DONATION
2,000
FIRST NIGHT CHATHAM INC
PO BOX 80
CHATHAM
,
MA
02633
PUBLIC CHARITY
DONATION
2,000
FORESTDALE PUBLIC SCHOOLS
151 MA-130
FORESTDALE
,
MA
02644
PUBLIC CHARITY
DONATION
425
FRIENDS OF BASS RIVER FUND
C/O THE CAPE COD FOUNATION 20 NORTH
MAIN ST
SOUTH YARMOUTH
,
MA
02664
PUBLIC CHARITY
DONATION
3,000
FRIENDS OF BOURNE COUNCIL ON AGING INC
PO BOX 144
BUZZARDS BAY
,
MA
02532
PUBLIC CHARITY
DONATION
2,500
FRIENDS OF MVYRADIO INC
PO BOX 1148
VINEYARD HAVEN
,
MA
02568
PUBLIC CHARITY
DONATION
2,000
FRIENDS OF PRISONERS INC
84 BEARSES WAY
HYANNIS
,
MA
02601
PUBLIC CHARITY
DONATION
2,500
GENERAL COUNCIL OF THE ASSEMBLIES OF GOD
PO BOX 567
DENNISPORT
,
MA
02639
PUBLIC CHARITY
DONATION
3,000
GLEASON FAMILY YMCASOUTHCOAST YMCA INC
33 CHARGE POND ROAD PO BOX 466
WAREHAM
,
MA
02571
PUBLIC CHARITY
DONATION
1,000
GREGGORY PINA-LOMASNEY
874 GIFFORD ST
EAST FALMOUTH
,
MA
02536
NONE
INDIVIDUAL
DONATION
1,000
HABITAT FOR HUMANITY NANTUCKET INC
PO BOX 1022
NANTUCKET
,
MA
02554
PUBLIC CHARITY
DONATION
2,500
HABITAT FOR HUMANITY OF GREATER PLYMOUTH INC
72 NORTH MAIN STREET PO BOX 346
CARVER
,
MA
02330
PUBLIC CHARITY
DONATION
2,500
HARWICH ECUMENICAL COUNCIL FOR THE HOMELESS
PO BOX 638
WEST HARWICH
,
MA
02671
PUBLIC CHARITY
DONATION
3,500
HERITAGE PLANTATION OF SANDWICH INC
67 GROVE STREET
SANDWICH
,
MA
02563
PUBLIC CHARITY
DONATION
10,000
HEROES IN TRANSITION
22 BATES ROAD STE 135
MASHPEE
,
MA
02649
PUBLIC CHARITY
DONATION
2,500
HISTORICAL SOCIETY OF OLD YARMOUTH
229 OLD KINGS HIGHWAY PO BOX 11
YARMOUTH PORT
,
MA
02675
PUBLIC CHARITY
DONATION
1,000
HOMELESS PREVENTION COUNCIL
PO BOX 828
ORLEANS
,
MA
02653
PUBLIC CHARITY
DONATION
10,000
HOUSING ASSISTANCE CORPORATION
460 WEST MAIN STREET
HYANNIS
,
MA
02601
PUBLIC CHARITY
DONATION
70,000
HYANNIS ATHLETIC ASSOCIATION
PO BOX 852
HYANNIS
,
MA
02601
PUBLIC CHARITY
DONATION
5,000
HYANNIS SUPPORTING OUR YOUTH
PO BOX 1521
HYANNIS
,
MA
02601
PUBLIC CHARITY
DONATION
2,000
HYANNIS WEST ELEMENTARY SCHOOL
549 W MAIN STREET
HYANNIS
,
MA
02601
PUBLIC CHARITY
DONATION
500
ISLAND ELDERLY HOUSING INC
60B VILLAGE ROAD
VINEYARD HAVEN
,
MA
025684052
PUBLIC CHARITY
DONATION
1,000
ISLAND FOOD PANTRY OF MARTHA'S VINEYARD INC
UNITED METHODIST CHURCH OF MARTHAS
VINEYARD PO BOX 1874
VINEYARD HAVEN
,
MA
02568
PUBLIC CHARITY
DONATION
7,500
ISLAND HOUSING TRUST CORPORATION
PO BOX 779
WEST TISBURY
,
MA
02575
PUBLIC CHARITY
DONATION
10,000
JADEN GOLDSTEIN
210 STATION AVE
SOUTH YARMOUTH
,
MA
02664
NONE
INDIVIDUAL
DONATION
1,000
JOHN F KENNEDY HYANNIS MUSEUM FOUNDATION
397 MAIN STREET
HYANNIS
,
MA
02601
PUBLIC CHARITY
DONATION
8,333
KATHERINE LAWRENCE
365 QUAKER MEETING HOUSE ROAD
EAST SANDWICH
,
MA
02563
NONE
INDIVIDUAL
DONATION
1,000
KAYLA JORGENSEN
744 W MAIN STREET
HYANNIS
,
MA
02601
NONE
INDIVIDUAL
DONATION
1,000
KENNETH C COOMBS SCHOOL
152 OLD BARNSTABLE ROAD
MASHPEE
,
MA
02649
PUBLIC CHARITY
DONATION
500
LINDA LORING NATURE FOUNDATION
110 EEL POINT ROAD
NANTUCKET
,
MA
02554
PUBLIC CHARITY
DONATION
1,450
LOWER CAPE OUTREACH COUNCIL INC
PO BOX 665
ORLEANS
,
MA
02653
PUBLIC CHARITY
DONATION
15,000
LYME AWARENESS OF CAPE COD
17D TRINITY PLACE
MASHPEE
,
MA
02649
PUBLIC CHARITY
DONATION
2,500
MALKIA BLAKE
10 SURFSIDE RD
NANTUCKET
,
MA
02554
NONE
INDIVIDUAL
DONATION
1,000
MARTHA'S VINEYARD COMMUNITY SERVICES INC
111 EDGARTOWN ROAD
VINEYARD HAVEN
,
MA
02568
PUBLIC CHARITY
DONATION
12,500
MARTHA'S VINEYARD FIGURE SKATING CLUB
PO BOX 1542
VINEYARD HAVEN
,
MA
02568
PUBLIC CHARITY
DONATION
2,500
MARTHA'S VINEYARD MUSEUM INC
PO BOX 1310
EDGARTOWN
,
MA
02539
PUBLIC CHARITY
DONATION
8,333
MARTHA'S VINEYARD NONPROFIT COLLABORATIVE INC
PO BOX 1018
WEST TISBURY
,
MA
02575
PUBLIC CHARITY
DONATION
2,500
MARTHA'S VINEYARD PUBLIC CHARTER SCHOOL
PO BOX 1150
WEST TISBURY
,
MA
02575
PUBLIC CHARITY
DONATION
1,182
MARTHA'S VINEYARD REGIONAL HIGH SCHOOL
100 EDGARTOWN VINEYARD HAVEN RD
OAK BLUFFS
,
MA
02557
PUBLIC CHARITY
DONATION
4,119
MASHPEE PUBLIC SCHOOLS
500 OLD BARNSTABLE RD
MASHPEE
,
MA
02649
PUBLIC CHARITY
DONATION
2,693
MASHPEE SCHOLARSHIP FOUNDATION TRUST
PO BOX 1284
MASHPEE
,
MA
02649
PUBLIC CHARITY
DONATION
1,000
MASS APPEAL INC
2393 COVE CORNER PO BOX 1694
WELLFLEET
,
MA
02667
PUBLIC CHARITY
DONATION
1,500
MASSACHUSETTS AIR & SPACE MUSEUM INC
200 HANSCOM DRIVE 314
BEDFORD
,
MA
01730
PUBLIC CHARITY
DONATION
900
MATTACHEESE MIDDLE SCHOOL
400 HIGGINS CROWELL RD
WEST YARMOUTH
,
MA
02673
PUBLIC CHARITY
DONATION
1,433
MEETING HOUSE CHAMBER MUSIC FESTIVAL INC
172 TOWER HILL CIRCLE
BREWSTER
,
MA
02631
PUBLIC CHARITY
DONATION
1,400
MONOMOY COMMUNITY SERVICES INC
166 DEPOT ROAD
CHATHAM
,
MA
02633
PUBLIC CHARITY
DONATION
1,500
MONOMOY REGIONAL SCHOOL DISTRICT
75 OAK STREET
HARWICH
,
MA
02645
PUBLIC CHARITY
DONATION
1,944
MORSE POND MIDDLE SCHOOL
323 JONES RD
FALMOUTH
,
MA
02540
PUBLIC CHARITY
DONATION
500
NAMI CAPE COD
5 MARK LANE
HYANNIS
,
MA
02601
PUBLIC CHARITY
DONATION
5,000
NANTUCKET ARTS COUNCIL INC
PO BOX 2176
NANTUCKET
,
MA
02584
PUBLIC CHARITY
DONATION
1,500
NANTUCKET ATHENEUM
ONE INDIA STREET PO BOX 808
NANTUCKET
,
MA
02554
PUBLIC CHARITY
DONATION
2,500
NANTUCKET BOYS & GIRLS CLUB INC
61 SPARKS AVENUE PO BOX 269
NANTUCKET
,
MA
02554
PUBLIC CHARITY
DONATION
2,000
NANTUCKET COMMUNITY SAILING
PO BOX 2424
NANTUCKET
,
MA
02584
PUBLIC CHARITY
DONATION
2,500
NANTUCKET COTTAGE HOSPITAL INC
57 PROSPECT STREET
NANTUCKET
,
MA
02554
PUBLIC CHARITY
DONATION
20,000
NANTUCKET ELEMENTARY SCHOOL
30 SURFSIDE ROAD
NANTUCKET
,
MA
02554
PUBLIC CHARITY
DONATION
500
NANTUCKET FILM FOUNDATION INC
228 PARK AVE 93799
NEW YORK
,
NY
10003
PUBLIC CHARITY
DONATION
1,000
NANTUCKET HIGH SCHOOL
10 SURFSIDE RD
NANTUCKET
,
MA
02554
PUBLIC CHARITY
DONATION
400
NANTUCKET HISTORICAL ASSOCIATION
PO BOX 1016
NANTUCKET
,
MA
02554
PUBLIC CHARITY
DONATION
2,500
NANTUCKET INTERFAITH COUNCIL
PO BOX 2597
NANTUCKET
,
MA
02584
PUBLIC CHARITY
DONATION
7,500
NATHAN BALK-KING
105 WEST MAIN ST
HYANNIS
,
MA
02601
NONE
INDIVIDUAL
DONATION
1,000
NATHAN TRIPANIER
135 MARION ROAD
MATTAPOISETT
,
MA
02739
NONE
INDIVIDUAL
DONATION
1,000
NATHANIEL H WIXON SCHOOL
901 MA-134
SOUTH DENNIS
,
MA
02660
PUBLIC CHARITY
DONATION
1,000
NAUSET REGIONAL SCHOOL DISTRICT
PO BOX 5046
NORTH EASTHAM
,
MA
02651
PUBLIC CHARITY
DONATION
1,420
NEIGHBORHOOD FALMOUTH INC
20 ACADEMY LANE UNIT 3 PO BOX 435
FALMOUTH
,
MA
02541
PUBLIC CHARITY
DONATION
2,750
NEW ENGLAND LIFE FLIGHT INC
D/B/A BOSTON MEDFLIGHT 150 HANSCOM
DRIVE
BEDFORD
,
MA
01730
PUBLIC CHARITY
DONATION
5,000
NHA PROPERTIES INC
HOUSING NANTUCKET PO BOX 3149
NANTUCKET
,
MA
02584
PUBLIC CHARITY
DONATION
10,000
OCEAN PROTECTION ADVOCACY KIDS INC
2109 ROUTE 28
HARWICH
,
MA
02645
PUBLIC CHARITY
DONATION
2,000
OLD ROCHESTER REGIONAL SCHOOL DISTRICT
135 MARION ROAD
MATTAPOISETT
,
MA
02739
PUBLIC CHARITY
DONATION
1,330
ORLEANS CONSERVATION TRUST
PO BOX 1078
EAST ORLEANS
,
MA
02643
PUBLIC CHARITY
DONATION
10,000
OUT TO SEE FOUNDATION
19 FOLGER AVE
NANTUCKET
,
MA
02554
PUBLIC CHARITY
DONATION
1,000
OUTER CAPE CHORALE INC
PO BOX 474
SOUTH WELLFLEET
,
MA
02663
PUBLIC CHARITY
DONATION
2,000
OUTER CAPE HEALTH SERVICES INC
PO BOX 598 710 RTE 28
HARWICH PORT
,
MA
02646
PUBLIC CHARITY
DONATION
20,000
OUTERMOST PERFORMING ARTS CENTER INC
2357 STATE HIGHWAY ROUTE 6 PO BOX
797
WELLFLEET
,
MA
02667
PUBLIC CHARITY
DONATION
2,000
OVARIAN CANCER 101 INC
55 THANKFUL LANE
COTUIT
,
MA
02635
PUBLIC CHARITY
DONATION
2,340
PALLIATIVE & SUPPORTIVE CARE OF NANTUCKET
57 PROSPECT STREET
NANTUCKET
,
MA
02554
PUBLIC CHARITY
DONATION
7,500
PAUSE A WHILE INC
26 GIDDIAH HILL RD PO BOX 554
ORLEANS
,
MA
02653
PUBLIC CHARITY
DONATION
2,500
PAYOMET PERFORMING ARTS CENTER
PO BOX 1202
TRURO
,
MA
02666
PUBLIC CHARITY
DONATION
5,000
PC CONNECTION SALES CORP
PO BOX 536472
PITTSBURGH
,
PA
152535906
PUBLIC CHARITY
DONATION
1,111
PLEASANT BAY COMMUNITY BOATING
PO BOX 21
NORTH CHATHAM
,
MA
02650
PUBLIC CHARITY
DONATION
2,500
PLYMOUTH AREA COALITION FOR THE HOMELESS
149 BISHOPS HIGHWAY
KINGSTON
,
MA
02364
PUBLIC CHARITY
DONATION
2,500
PLYMOUTH NORTH HIGH SCHOOL
41 OBERY ST
PLYMOUTH
,
MA
02360
PUBLIC CHARITY
DONATION
500
PLYMOUTH ROTARY CHARITABLE FUND INC
PO BOX 927
PLYMOUTH
,
MA
02362
PUBLIC CHARITY
DONATION
500
PLYMOUTH SOUTH MIDDLE SCHOOL
488 LONG POND ROAD
PLYMOUTH
,
MA
02360
PUBLIC CHARITY
DONATION
500
PROTESTANT EPICOPAL CHURCH IN THE USA
CHURCH OF THE HOLY SPIRIT 204
MONUMENT ROAD
ORLEANS
,
MA
02653
PUBLIC CHARITY
DONATION
2,500
PROVINCETOWN JAZZ FESTIVAL INC
36 FREEDOM TRAIL
ORLEANS
,
MA
02653
PUBLIC CHARITY
DONATION
1,500
PROVINCETOWN SCHOOL DISTRICT
12 WINSLOW STREET
PROVINCETOWN
,
MA
02657
PUBLIC CHARITY
DONATION
500
PROVINCETOWN TENNESSEE WILLIAMS THEATER FESTIVAL
41 CONWELL ST PO BOX 1721
PROVINCETOWN
,
MA
02657
PUBLIC CHARITY
DONATION
2,500
ROBERT F KENNEDY CHILDREN'S ACTION CORPS
137 RUN POND ROAD
SOUTH YARMOUTH
,
MA
02664
PUBLIC CHARITY
DONATION
1,500
SANDWICH FOOD PANTRY INC
PO BOX 1824
SANDWICH
,
MA
02563
PUBLIC CHARITY
DONATION
3,000
SANDWICH HIGH SCHOOL ATHLETICS BOOSTERS
PO BOX 645
SANDWICH
,
MA
02563
PUBLIC CHARITY
DONATION
3,000
SANDWICH SCHOOL DISTRICT
33 WATER STREET
SANDWICH
,
MA
02563
PUBLIC CHARITY
DONATION
1,507
SHARING KINDNESS INC
PO BOX 1082
ORLEANS
,
MA
02653
PUBLIC CHARITY
DONATION
1,000
SHEA'S YOUTH BASKETBALL ASSOCIATION INC
141 BASSETT LANE
HYANNIS
,
MA
02601
PUBLIC CHARITY
DONATION
5,000
SIGHT LOSS SERVICES INC
PO BOX 214
SOUTH DENNIS
,
MA
02660
PUBLIC CHARITY
DONATION
5,000
SMALL FRIENDS ON NANTUCKET
PO BOX 2826
NANTUCKET
,
MA
02584
PUBLIC CHARITY
DONATION
3,000
SPECIAL OLYMPICS MACAPE COD SDG
512 FOREST STREET
MARLBOROUGH
,
MA
01752
PUBLIC CHARITY
DONATION
500
STONY BROOK ELEMENTARY SCHOOL
384 UNDERPASS RD
BREWSTER
,
MA
02631
PUBLIC CHARITY
DONATION
1,200
SUSTAINABLE CAPE
PO BOX 1004
TRURO
,
MA
02666
PUBLIC CHARITY
DONATION
12,500
SUSTAINABLE NANTUCKET
PO BOX 1244
NANTUCKET
,
MA
02554
PUBLIC CHARITY
DONATION
1,500
SWIM ACROSS AMERICA
50 N LIBERTY ST PO BOX 3271
NANTUCKET
,
MA
02554
PUBLIC CHARITY
DONATION
3,500
TALES OF CAPE COD INC
PO BOX 41
BARNSTABLE
,
MA
02630
PUBLIC CHARITY
DONATION
2,200
TESFAHUN KERSE-MCMILLIN
100 CABLE ROAD
EASTHAM
,
MA
02642
NONE
INDIVIDUAL
DONATION
1,000
THE BREWSTER HISTORICAL SOCIETY INC
739 LOWER RD PO BOX 1146
BREWSTER
,
MA
02631
PUBLIC CHARITY
DONATION
1,200
THE CAPE COD CHORALE INC
PO BOX 751
SANDWICH
,
MA
02563
PUBLIC CHARITY
DONATION
3,000
THE FAMILY PANTRY OF CAPE COD CORP
133 QUEEN ANNE ROAD
HARWICH
,
MA
02645
PUBLIC CHARITY
DONATION
20,000
THE FAMILY PANTRY-DAMIEN'S PLACE CORP
PO BOX 111
FAIRHAVEN
,
MA
02719
PUBLIC CHARITY
DONATION
10,000
THE FORSYTH INSTITUTE
245 FIRST STREET
CAMBRIDGE
,
MA
02142
PUBLIC CHARITY
DONATION
5,000
THE SOUTH SHORE COMMUNITY ACTION COUNCIL INC
265 SO MEADOW ROAD
PLYMOUTH
,
MA
02360
PUBLIC CHARITY
DONATION
7,500
THEATRE WORKSHOP OF NANTUCKET
58C MAIN ST
NANTUCKET
,
MA
02554
PUBLIC CHARITY
DONATION
1,500
TRURO CENTER FOR THE ARTS AT CASTLE HILL INC
10 MEETINGHOUSE ROAD PO BOX 756
TRURO
,
MA
02666
PUBLIC CHARITY
DONATION
2,500
WAREHAM PUBLIC SCHOOLS
63 MINOT AVENUE
WAREHAM
,
MA
02571
PUBLIC CHARITY
DONATION
2,542
WELLFLEET ALZHEIMER'S ASSOC SERVING LOWER CAPE IN
PO BOX 1000
WELLFLEET
,
MA
02667
PUBLIC CHARITY
DONATION
1,000
WELLFLEET ELEMENTARY SCHOOL
100 LAWRENCE RD
WELLFLEET
,
MA
02667
PUBLIC CHARITY
DONATION
500
WELLFLEET PRESERVATION HALL INC
PO BOX 3024
WELLFLEET
,
MA
02667
PUBLIC CHARITY
DONATION
5,000
WGBH CORPORATE BROADCASTING
3 WATER STREET PO BOX 82
WOODS HOLE
,
MA
02543
PUBLIC CHARITY
DONATION
6,500
WILD CARE CAPE COD
10 SMITH LANE
EASTHAM
,
MA
02642
PUBLIC CHARITY
DONATION
1,000
WOODS HOLE FILM FESTIVAL INC
87 WATER ST PO BOX 624
WOODS HOLE
,
MA
02543
PUBLIC CHARITY
DONATION
2,000
YARMOUTH FOOD PANTRY INC
PO BOX 982
WEST YARMOUTH
,
MA
02673
PUBLIC CHARITY
DONATION
2,500
YMCA CAPE COD INC
2245 IYANNOUGH ROAD
WEST BARNSTABLE
,
MA
02668
PUBLIC CHARITY
DONATION
10,000
Total
.................................
3a
790,289
b
Approved for future payment
Total
.................................
3b
0
Form
990-PF
(2019)
Form 990-PF (2019)
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.)
1
Program service revenue:
(a)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
a
b
c
d
e
f
g
Fees and contracts from government agencies
2
Membership dues and assessments
....
3
Interest on savings and temporary cash
investments
...........
14
14,975
4
Dividends and interest from securities
....
14
306,024
5
Net rental income or (loss) from real estate:
a
Debt-financed property
......
b
Not 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
............
14
577,571
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
11
Other revenue:
a
COMMUNITY TAX CREDIT
50,000
b
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
0
898,570
50,000
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
948,570
(See worksheet in line 13 instructions to verify calculations.)
Part XVI-B
Relationship of Activities to the Accomplishment of Exempt Purposes
Line No.
Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
instructions.)
11
STATE TAX CREDIT RECIEVED - COMMUNITY INVESTMENT CREDIT MASSACHUSETTS
Form
990-PF
(2019)
Form 990-PF (2019)
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?
...........
Yes
No
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.
May the IRS discuss this return
with the preparer shown below
(see instr.)
Yes
No
Signature of officer or trustee
Date
Title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's Signature
Date
Check if self-
employed
PTIN
Firm's name
Firm's EIN
Firm's address
Phone no.
Form
990-PF
(2019)
Additional Data
Software ID:
Software Version:
Form 990PF - Special Condition Description:
Special Condition Description