-
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
06-01-2019
, and ending
05-31-2020
Name of foundation
PAUL G ARPIN CHARITABLE TRUST 000531
Number and street (or P.O. box number if mail is not delivered to street address)
ESSEX SAVINGS BANK 176 WESTBROOK R
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
ESSEX
,
CT
06426
A Employer identification number
61-6426610
B
Telephone number (see instructions)
(860) 767-4414
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)
$
3,675,839
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)
1,122
2
Check
.............
3
Interest on savings and temporary cash investments
4
Dividends and interest from securities
...
86,266
72,920
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
-13,070
b
Gross sales price for all assets on line 6a
692,598
7
Capital gain net income (from Part IV, line 2)
...
0
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
........
74,318
72,920
13
Compensation of officers, directors, trustees, etc.
24,426
18,320
6,107
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)
.......
1,420
1,065
0
355
c
Other professional fees (attach schedule)
....
26,634
26,634
0
17
Interest
...............
0
18
Taxes (attach schedule) (see instructions)
...
17,931
17,404
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)
.......
1,490
1,440
50
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
71,901
64,863
0
6,512
25
Contributions, gifts, grants paid
.......
177,850
177,850
26
Total expenses and disbursements.
Add lines 24 and 25
249,751
64,863
0
184,362
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-175,433
b
Net investment income
(if negative, enter -0-)
8,057
c
Adjusted net income
(if negative, enter -0-)
...
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
.............
1
1
2
Savings and temporary cash investments
.........
3
Accounts receivable
Less: allowance for doubtful accounts
0
0
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
0
8
Inventories for sale or use
..............
9
Prepaid expenses and deferred charges
..........
10a
Investments—U.S. and state government obligations (attach schedule)
b
Investments—corporate stock (attach schedule)
.......
c
Investments—corporate bonds (attach schedule)
.......
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
3,397,148
3,217,947
3,675,838
14
Land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
15
Other assets (describe
)
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
3,397,148
3,217,948
3,675,839
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
)
23
Total liabilities
(add lines 17 through 22)
.........
0
Foundations that follow FASB ASC 958, check here
and complete lines 24, 25, 29 and 30.
24
Net assets without donor restrictions
...........
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
........
3,397,148
3,217,948
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)
.....
3,397,148
3,217,948
30
Total liabilities and net assets/fund balances
(see instructions)
.
3,397,148
3,217,948
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
3,397,148
2
Enter amount from Part I, line 27a
.....................
2
-175,433
3
Other increases not included in line 2 (itemize)
3
61
4
Add lines 1, 2, and 3
..........................
4
3,221,776
5
Decreases not included in line 2 (itemize)
5
3,828
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
3,217,948
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
23.847 AT&T INC COM
2017-05-08
2019-06-03
b
41.153 AT&T INC COM
2017-06-09
2019-06-03
c
17. QUALCOMM INC COM
2019-04-17
2019-06-03
d
58. AT&T INC COM
2017-06-09
2019-06-04
e
16. AT&T INC COM
2018-09-05
2019-06-04
10.0437 CORTEVA INC COM
2017-05-08
2019-06-07
14.9565 CORTEVA INC COM
2017-06-09
2019-06-07
9.3332 CORTEVA INC COM
2017-09-13
2019-06-07
4.6666 CORTEVA INC COM
2017-11-17
2019-06-07
4. CORTEVA INC COM
2017-11-20
2019-06-07
33. BANK NEW YORK MELLON CORP COM
2017-05-08
2019-06-18
3. BANK NEW YORK MELLON CORP COM
2017-06-09
2019-06-18
10.0437 DUPONT DE NEMOURS INC (NEW)
2017-05-08
2019-06-18
13.9563 DUPONT DE NEMOURS INC (NEW)
2017-06-09
2019-06-18
53. BANK NEW YORK MELLON CORP COM
2017-06-09
2019-06-19
1.0002 DUPONT DE NEMOURS INC (NEW)
2017-06-09
2019-06-19
9.3332 DUPONT DE NEMOURS INC (NEW)
2017-09-13
2019-06-19
4.6666 DUPONT DE NEMOURS INC (NEW)
2017-11-17
2019-06-19
4. DUPONT DE NEMOURS INC (NEW)
2017-11-20
2019-06-19
55. BANK NEW YORK MELLON CORP COM
2017-06-09
2019-06-20
47. SCHLUMBERGER LTD
2017-05-08
2019-07-23
6. SCHLUMBERGER LTD
2017-05-25
2019-07-23
85. SCHLUMBERGER LTD
2017-06-09
2019-07-23
15. SYSCO CORP COM
2017-05-08
2019-07-31
10. SYSCO CORP COM
2017-06-09
2019-07-31
145. ANADARKO PETROLEUM CORP
2017-05-08
2019-08-09
.543 OCCIDENTAL PETE CORP COM
2019-08-09
2019-08-09
25000. ATLANTIC CITY N J BRD ED TAXABLE 6.8% DUE 08/15/2028
2014-10-20
2019-08-16
25000. CAPITAL ONE BK USA NATL ASSN 2.1% DUE 08/26/2019
2015-08-18
2019-08-26
10. AMERICAN TOWER CORP NEW COM
2017-05-08
2019-09-06
50000. FHLMC MTN 2.40 DUE 12/28/22
2017-11-30
2019-09-30
2976.19 AQUILA THREE PEAKS HIGH INCOME FUND CL Y
2018-03-02
2019-10-01
.625 CERENCE INC COM
2017-05-08
2019-10-01
50. HEALTHCARE TR AMER INC CL A NEW
2017-05-08
2019-10-11
13. HEALTHCARE TR AMER INC CL A NEW
2017-05-12
2019-10-11
27. AMC NETWORKS INC CL
2017-05-08
2019-10-31
48. AUTODESK INC COM
2017-05-08
2019-10-31
31. BIOGEN INC COM
2017-05-08
2019-10-31
5. BIOGEN INC COM
2018-05-04
2019-10-31
20. BROADCOM INC
2017-05-08
2019-10-31
3. BROADCOM INC
2019-05-22
2019-10-31
6. BROADCOM INC
2019-06-14
2019-10-31
20.625 CERENCE INC COM
2017-05-08
2019-10-31
14.375 CERENCE INC COM
2018-05-14
2019-10-31
35. CITRIX SYS INC COM
2017-05-08
2019-10-31
271. COMCAST CORP NEW CL A
2017-05-08
2019-10-31
68. CREE INC COM
2017-05-08
2019-10-31
113. DISCOVERY COMMUNICATNS NEW COM SER A
2017-05-08
2019-10-31
88. DOLBY LABORATORIES INC COM
2017-05-08
2019-10-31
42. FIREEYE INC COM
2019-05-29
2019-10-31
48. FIREEYE INC COM
2019-07-31
2019-10-31
62. FIREEYE INC COM
2019-08-14
2019-10-31
117. FLUOR CORP. (NEW)
2017-05-08
2019-10-31
10. GCT LIBERTY INC COM CLASS A
2017-05-08
2019-10-31
68. IMMUNOGEN INC COM
2017-10-12
2019-10-31
64. IONIS PHARMACEUTICALS INC COM
2017-05-08
2019-10-31
12. IONIS PHARMACEUTICALS INC COM
2019-05-08
2019-10-31
3. LIBERTY BROADBAND CORP COM SER A
2017-05-08
2019-10-31
5. LIBERTY BROADBAND CORP COM SER C
2017-05-08
2019-10-31
20. LIBERTY MEDIA CORP DEL COM A SIRIUSXM
2017-05-08
2019-10-31
40. LIBERTY MEDIA CORP DEL COM C SIRIUSXM
2017-05-08
2019-10-31
7. LIBERTY MEDIA CORP DEL COM SER C FRMLA
2017-05-03
2019-10-31
5. LIBERTY MEDIA CORP DEL COM SER A FRMLA
2017-05-08
2019-10-31
65. LIONS GATE ENTERTAINMENT CORP CL B
2017-05-08
2019-10-31
7. LOGMEIN INC COM
2017-05-08
2019-10-31
89. NATIONAL OILWELL VARCO INC COM
2017-05-08
2019-10-31
88. NOW, INC.
2017-05-08
2019-10-31
170. NUANCE COMMUNICATIONS INC COM
2017-05-08
2019-10-31
115. NUANCE COMMUNICATIONS INC COM
2018-05-14
2019-10-31
87. NUCOR CORP COM
2017-05-08
2019-10-31
42. OCCIDENTAL PETE CORP COM
2019-08-09
2019-10-31
142. QURATE RETAIL INC QVC GR SER A
2017-05-08
2019-10-31
285. TWITTER INC COM
2017-05-08
2019-10-31
40. UNITEDHEALTH GROUP INC
2017-05-08
2019-10-31
32. VERTEX PHARMACEUTICALS INC COM
2017-05-08
2019-10-31
34. WESTERN DIGITAL CORP COM
2017-05-08
2019-10-31
34. WESTERN DIGITAL CORP COM
2018-08-15
2019-10-31
34. ALLERGAN PLC SHS
2017-05-08
2019-10-31
21. ALLERGAN PLC SHS
2018-02-14
2019-10-31
127. JOHNSON CTLS INTL PLC SHS
2017-05-08
2019-10-31
27. MEDTRONIC PLC
2017-05-08
2019-10-31
142. SEAGATE TECHNOLOGY PLC SHS
2017-05-08
2019-10-31
1. SEAGATE TECHNOLOGY PLC SHS
2018-09-12
2019-10-31
35. PENTAIR PLC
2017-05-08
2019-10-31
80. TE CONNECTIVITY LTD REG SHS
2017-05-08
2019-10-31
9. 3M COMPANY COM
2019-10-31
2019-12-04
7. HOME DEPOT COM
2017-05-08
2019-12-13
7. HOME DEPOT COM
2017-05-08
2019-12-16
42. LKQ CORP COM
2019-10-31
2019-12-16
625. FORD MTR CO DEL COM PAR $0.01
2013-08-27
2019-12-18
60. FORD MTR CO DEL COM PAR $0.01
2013-10-03
2019-12-18
40. FORD MTR CO DEL COM PAR $0.01
2013-10-10
2019-12-18
25. FORD MTR CO DEL COM PAR $0.01
2013-10-15
2019-12-18
50. FORD MTR CO DEL COM PAR $0.01
2013-10-25
2019-12-18
150. FORD MTR CO DEL COM PAR $0.01
2013-11-05
2019-12-18
50. FORD MTR CO DEL COM PAR $0.01
2013-11-18
2019-12-18
200. FORD MTR CO DEL COM PAR $0.01
2013-12-20
2019-12-18
100. FORD MTR CO DEL COM PAR $0.01
2013-12-26
2019-12-18
50. FORD MTR CO DEL COM PAR $0.01
2014-01-17
2019-12-18
200. WALGREENS BOOTS ALLIANCE INC COM
2015-01-16
2019-12-18
51. CORE LABORATORIES N V COM
2011-12-21
2019-12-18
12. CORE LABORATORIES N V COM
2012-01-06
2019-12-18
4. CORE LABORATORIES N V COM
2012-02-06
2019-12-18
30. CORE LABORATORIES N V COM
2012-10-05
2019-12-18
13. CORE LABORATORIES N V COM
2013-08-09
2019-12-18
7. CORE LABORATORIES N V COM
2013-08-14
2019-12-18
10. CORE LABORATORIES N V COM
2013-10-03
2019-12-18
8. CORE LABORATORIES N V COM
2013-11-18
2019-12-18
5. CORE LABORATORIES N V COM
2014-01-17
2019-12-18
5. AMAZON COM INC COM
2014-02-12
2019-12-19
3081.703 CALVERT SHORT DURATION INCOME FUND CL I
2017-09-22
2019-12-19
300. ISHARES INC CORE MSCI EMKT
2015-11-10
2019-12-19
20. LAUDER ESTEE COS INC CL A
2013-08-09
2019-12-19
15. LAUDER ESTEE COS INC CL A
2013-08-14
2019-12-19
15. LAUDER ESTEE COS INC CL A
2013-10-03
2019-12-19
25. LAUDER ESTEE COS INC CL A
2013-10-25
2019-12-19
15. LAUDER ESTEE COS INC CL A
2013-11-18
2019-12-19
10. LAUDER ESTEE COS INC CL A
2014-01-17
2019-12-19
25000. GOLDMAN SACHS BK USANY CD 2.20% DUE 01/14/2020
2015-01-09
2020-01-14
717. BANK OF AMERICA CORP COM
2015-07-30
2020-03-13
500. PATTERN ENERGY GROUP INC CL A
2019-02-06
2020-03-16
250. PATTERN ENERGY GROUP INC CL A
2019-02-26
2020-03-16
11. 3M COMPANY COM
2017-05-08
2020-03-20
3. 3M COMPANY COM
2017-06-09
2020-03-20
25. SYSCO CORP COM
2017-06-09
2020-03-24
3. TELADOC HEALTH INC COM
2019-10-31
2020-03-25
27. SYSCO CORP COM
2017-06-09
2020-03-27
19. SYSCO CORP COM
2017-06-09
2020-03-30
13. ACUITY BRANDS INC COM
2019-10-31
2020-04-01
79. EVOLENT HEALTH INC CL A
2019-10-31
2020-04-01
1509.054 PAX SMALL CAP FUND INSTITUTIONAL CLASS
2017-04-28
2020-04-01
267.867 VIRTUS INSIGHT TR VIRTUS EMRG FD I
2011-07-01
2020-04-01
275.88 VIRTUS INSIGHT TR VIRTUS EMRG FD I
2011-07-08
2020-04-01
162.135 VIRTUS INSIGHT TR VIRTUS EMRG FD I
2011-08-10
2020-04-01
30. MICROSOFT COM
2017-05-08
2020-04-02
24. VISA INC COM CL A
2017-05-08
2020-04-02
2. VISA INC COM CL A
2017-05-25
2020-04-02
26. DISNEY WALT CO COM
2017-05-08
2020-04-07
12. HOME DEPOT COM
2017-05-08
2020-04-08
135. BANK OF AMERICA CORP COM
2015-07-30
2020-04-09
7. PNC FINL SVCS GROUP INC COM
2018-05-07
2020-04-09
17. US BANCORP DEL COM NEW
2017-07-24
2020-04-09
4. DISNEY WALT CO COM
2017-05-08
2020-04-14
5. DISNEY WALT CO COM
2017-06-09
2020-04-14
1. BANK OF AMERICA CORP COM
2015-07-30
2020-04-15
30. BANK OF AMERICA CORP COM
2015-10-30
2020-04-15
157. COVANTA HOLDING CORP
2017-05-08
2020-04-15
234. COVANTA HOLDING CORP
2017-06-09
2020-04-15
8. PNC FINL SVCS GROUP INC COM
2018-05-07
2020-04-15
9. US BANCORP DEL COM NEW
2017-07-24
2020-04-15
42. V F CORP COM
2017-05-08
2020-04-16
63. V F CORP COM
2017-06-09
2020-04-16
42. CISCO
2018-12-06
2020-04-17
99. BROOKFIELD RENEWABLE ENRGY P PARTNERSHIP UNIT
2017-05-08
2020-04-20
141. BROOKFIELD RENEWABLE ENRGY P PARTNERSHIP UNIT
2017-06-09
2020-04-20
12. UNITED PARCEL SERVICE CL B COM
2017-05-08
2020-04-29
2. CISCO
2018-12-06
2020-05-01
23. CISCO
2018-12-11
2020-05-01
4792.332 DOMINI IMPACT INTL EQUITY FD INSTL CLASS
2017-04-07
2020-05-04
1733.488 PAX SMALL CAP FUND INSTITUTIONAL CLASS
2017-04-28
2020-05-04
3257.329 PAX SMALL CAP FUND INSTITUTIONAL CLASS
2017-06-28
2020-05-04
25000. RHODE ISLAND ST HEALTH & EDL 4.0% DUE 05/15/2020 - EXEMPT
2010-06-12
2020-05-15
. K-1 WESTERLY PARTNERS
2020-05-31
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
734
767
-33
b
1,266
1,328
-62
c
1,140
1,361
-221
d
1,807
1,908
-101
e
492
511
-19
270
322
-52
402
483
-81
251
319
-68
125
166
-41
107
145
-38
1,450
1,559
-109
132
141
-9
753
917
-164
1,046
1,296
-250
2,278
2,489
-211
73
94
-21
684
919
-235
342
478
-136
293
408
-115
2,341
2,583
-242
1,851
3,348
-1,497
236
429
-193
3,348
5,868
-2,520
1,032
791
241
688
594
94
10,525
7,499
3,026
26
25
1
25,000
25,000
25,000
25,000
2,346
1,318
1,028
50,000
49,963
37
25,000
25,000
9
10
-1
1,479
1,468
11
385
379
6
1,147
1,518
-371
7,031
4,478
2,553
9,266
8,400
866
1,495
1,360
135
5,810
4,513
1,297
872
812
60
1,743
1,585
158
325
372
-47
226
216
10
3,796
3,034
762
11,989
10,509
1,480
3,235
1,499
1,736
3,017
2,993
24
5,678
4,499
1,179
661
609
52
755
712
43
975
821
154
1,989
6,026
-4,037
692
522
170
166
465
-299
3,604
3,011
593
676
800
-124
351
260
91
585
440
145
881
747
134
1,772
1,484
288
292
234
58
198
162
36
480
1,495
-1,015
466
787
-321
1,994
2,994
-1,000
928
1,524
-596
2,740
2,618
122
1,854
1,315
539
4,652
5,273
-621
1,703
1,945
-242
1,336
2,999
-1,663
8,407
5,246
3,161
10,061
6,914
3,147
6,361
3,789
2,572
1,826
2,992
-1,166
1,826
2,129
-303
5,978
8,321
-2,343
3,692
3,423
269
5,474
5,232
242
2,933
2,274
659
8,136
6,028
2,108
57
49
8
1,440
1,516
-76
7,130
6,014
1,116
1,511
1,489
22
1,480
1,085
395
1,510
1,085
425
1,504
1,427
77
5,969
9,961
-3,992
573
1,022
-449
382
678
-296
239
426
-187
478
883
-405
1,432
2,548
-1,116
478
851
-373
1,910
3,084
-1,174
955
1,535
-580
477
827
-350
11,466
15,185
-3,719
2,335
5,916
-3,581
549
1,321
-772
183
469
-286
1,373
3,101
-1,728
595
1,943
-1,348
320
1,049
-729
458
1,725
-1,267
366
1,498
-1,132
229
955
-726
8,947
1,751
7,196
50,047
50,000
47
15,969
12,477
3,492
4,097
1,333
2,764
3,073
982
2,091
3,073
1,044
2,029
5,121
1,787
3,334
3,073
1,092
1,981
2,048
727
1,321
25,000
25,000
16,348
13,020
3,328
13,375
10,495
2,880
6,688
5,213
1,475
1,402
2,163
-761
382
618
-236
971
1,385
-414
440
231
209
1,376
1,496
-120
895
1,053
-158
1,085
1,631
-546
385
601
-216
15,000
23,270
-8,270
2,277
2,590
-313
2,345
2,665
-320
1,378
1,409
-31
4,629
2,068
2,561
3,786
2,211
1,575
316
186
130
2,717
2,914
-197
2,300
1,860
440
3,304
2,452
852
722
1,007
-285
636
894
-258
419
448
-29
524
526
-2
22
18
4
662
510
152
1,134
2,252
-1,118
1,690
3,427
-1,737
731
1,151
-420
296
473
-177
2,263
2,114
149
3,394
3,209
185
1,769
2,019
-250
4,470
2,987
1,483
6,366
4,459
1,907
1,149
1,282
-133
83
96
-13
953
1,096
-143
30,000
38,339
-8,339
19,450
26,730
-7,280
36,547
50,000
-13,453
25,000
25,000
1,668
1,668
2,419
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
-33
b
-62
c
-221
d
-101
e
-19
-52
-81
-68
-41
-38
-109
-9
-164
-250
-211
-21
-235
-136
-115
-242
-1,497
-193
-2,520
241
94
3,026
1
1,028
37
-1
11
6
-371
2,553
866
135
1,297
60
158
-47
10
762
1,480
1,736
24
1,179
52
43
154
-4,037
170
-299
593
-124
91
145
134
288
58
36
-1,015
-321
-1,000
-596
122
539
-621
-242
-1,663
3,161
3,147
2,572
-1,166
-303
-2,343
269
242
659
2,108
8
-76
1,116
22
395
425
77
-3,992
-449
-296
-187
-405
-1,116
-373
-1,174
-580
-350
-3,719
-3,581
-772
-286
-1,728
-1,348
-729
-1,267
-1,132
-726
7,196
47
3,492
2,764
2,091
2,029
3,334
1,981
1,321
3,328
2,880
1,475
-761
-236
-414
209
-120
-158
-546
-216
-8,270
-313
-320
-31
2,561
1,575
130
-197
440
852
-285
-258
-29
-2
4
152
-1,118
-1,737
-420
-177
149
185
-250
1,483
1,907
-133
-13
-143
-8,339
-7,280
-13,453
1,668
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
-13,070
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
199,119
3,772,586
0.052781
2017
202,171
3,962,125
0.051026
2016
187,689
3,194,573
0.058752
2015
188,358
2,217,442
0.084944
2014
163,457
2,304,226
0.070938
2
Total
of line 1, column (d)
.....................
2
0.318441
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
0.063688
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
3,706,240
5
Multiply line 4 by line 3
......................
5
236,043
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
81
7
Add lines 5 and 6
........................
7
236,124
8
Enter qualifying distributions from Part XII, line 4
,.............
8
184,362
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
161
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
161
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
161
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
264
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
264
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
103
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
103
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.
$
(2)
On foundation managers.
$
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
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)
RI
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
14
The books are in care of
ESSEX SAVINGS BANK
Telephone no.
(860) 767-4414
Located at
176 WESTBROOK ROAD STE 1
ESSEX
CT
ZIP+4
06426
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
PATRICIA M ARPIN-HADJEBI
TRUSTEE
1
0
671 RABBIT ROAD
SANIBEL
,
FL
33957
PETER J ARPIN
TRUSTEE
1
0
360 CLAYPOOL DRIVE
WARWICK
,
RI
02889
ESSEX SAVINGS BANK
TRUSTEE
1
24,426
176 WESTBROOK ROAD STE 1
ESSEX
,
CT
06426
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
NONE
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
Total.
Add lines 1 through 3
.........................
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
3,762,680
b
Average of monthly cash balances
.......................
1b
0
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
3,762,680
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
3,762,680
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
56,440
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
3,706,240
6
Minimum investment return.
Enter 5% of line 5
..................
6
185,312
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
185,312
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
161
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
161
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
185,151
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
185,151
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
185,151
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
184,362
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
184,362
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
184,362
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
185,151
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
......
0
b
From 2015
......
44,251
c
From 2016
......
40,522
d
From 2017
......
6,040
e
From 2018
......
10,753
f
Total
of lines 3a through e
........
101,566
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
184,362
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
.....
184,362
e
Remaining amount distributed out of corpus
0
5
Excess distributions carryover applied to 2019.
789
789
(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
100,777
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)
...
0
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
100,777
10
Analysis of line 9:
a
Excess from 2015
....
43,462
b
Excess from 2016
....
40,522
c
Excess from 2017
....
6,040
d
Excess from 2018
....
10,753
e
Excess from 2019
....
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.
NA
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:
NANCY VENDETTI CO ESSEX SAVINGS BA
176 WESTBROOK ROAD STE 1
ESSEX
,
CT
06426
(860) 767-4414
b
The form in which applications should be submitted and information and materials they should include:
LETTER OF REQUEST
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:
NONE
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
PROVIDENCE ANIMAL RESCUE LEAGUE
34 ELBOW ST
PROVIDENCE
,
RI
02903
NONE
PC
PROGRAM SERVICES
500
EAST GREENWICH ANIMAL
PROTECTION LEAGUE
44 WORTHINGTON ROAD
CRANSTON
,
RI
02920
NONE
PC
PROGRAM SERVICES
500
HORSE PLAY
PO BOX 660
EXETER
,
RI
028221004
NONE
PC
PROGRAM SERVICES
2,000
CASTLETOWN RANCH HORSE RESCUE INC
28581 OLD RANCH DRIVE
VALLEY CENTER
,
CA
92082
NONE
PC
PROGRAM SERVICES
2,000
ENVIRONMENTAL DEFENSE FUND
257 PARK AVENUE SOUTH
NEW YORK
,
NY
10010
NONE
PC
PROGRAM SERVICES
1,000
ASPCA
520 EIGHTH AVENUE 7TH FL
NEW YORK
,
NY
10018
NONE
PC
PROGRAM SERVICES
2,000
FOOD BANK OF NEW YORK CITY
39 BROADWAY
NEW YORK
,
NY
10006
NONE
PC
PROGRAM SERVICES
4,500
RAINFOREST ALLIANCE
125 BROAD STREET 9TH FLOOR
NEW YORK
,
NY
10004
NONE
PC
PROGRAM SERVICES
1,000
MASBIA SOUP KITCHEN
PO BOX 191181
BROOKLYN
,
NY
11219
NONE
PC
PROGRAM SERVICES
3,000
GLOBAL INSTITUTE FOR TRANSFORMATION
392 CRYSTAL LAKE RD
TOLLAND
,
CT
06084
NONE
PC
PROGRAM SERVICES
500
BEST FRIENDS ANIMAL SOCIETY
5001 ANGEL CANYON ROAD
KANAB
,
UT
84741
NONE
PC
PROGRAM SERVICES
1,000
KNIGHTS OF COLUMBUS
1 COLUMBUS PLAZA
NEW HAVEN
,
CT
06510
NONE
PC
PROGRAM SERVICES
6,000
OCEAN CONSERVANCY INC
1300 19TH ST NW 8TH FLOOR
WASHINGTON
,
DC
20036
NONE
PC
PROGRAM SERVICES
1,000
CROW
3883 SANIBEL CAPTIVA RD
SANIBEL ISLAND
,
FL
33957
NONE
PC
PROGRAM SERVICES
1,000
BACK 2 BACK MINISTRIES
PO BOX 70
MASON
,
OH
45040
NONE
PC
PROGRAM SERVICES
5,500
FOOD & WATER WATCH
1616 P ST NW STE 300
WASHINGTON
,
DC
20036
NONE
PC
PROGRAM SERVICES
2,000
FRIENDS HORSE RESCUE & SANCTUARY
1840 NE 65 COURT
FORT LAUDERDALE
,
FL
33308
NONE
PC
PROGRAM SERVICES
2,000
HOPE HOSPICE
9470 HEALTHPARK CIRCLE
FT MYERS
,
FL
33908
NONE
PC
PROGRAM SERVICES
11,570
HUMANE SOCIETY OF THE UNITED STATES
1255 23RD STREET NW STE 450
WASHINGTON
,
DC
20037
NONE
PC
PROGRAM SERVICES
2,000
INTERNATIONAL GUIDING EYES INC
12445 GLENOAKS BLVD
SYLMAR
,
CA
91342
NONE
PC
PROGRAM SERVICES
500
INT'L FUND FOR ANIMAL WELFARE INC
290 SUMMER STREET
YARMOUTH PORT
,
MA
02675
NONE
PC
PROGRAM SERVICES
2,000
MASSACHUSETTS GENERAL HOSPITAL
55 FRUIT STREET
BOSTON
,
MA
02114
NONE
PC
PROGRAM SERVICES
11,570
UNBOUND
1 ELMWOOD AVE
KANSAS CITY
,
KS
66103
NONE
EXEMPT
PROGRAM SERVICES
6,000
MEALS ON WHEELS OF RI INC
70 BATH STREET
PROVIDENCE
,
RI
02908
NONE
PC
PROGRAM SERVICES
11,570
NATIONAL AUDUBON SOCIETY INC
225 VARICK STREET 7TH FL
NEW YORK
,
NY
10014
NONE
PC
PROGRAM SERVICES
1,000
NATIONAL WILDLIFE FEDERATION
1100 WILDLIFE CENTER DRIVE
RESTON
,
VA
20190
NONE
PC
PROGRAM SERVICES
1,000
NEW ENGLAND INSTITUTE OF TECHNOLOGY
1 NEW ENGLAND TECH BLVD
EAST GREENWICH
,
RI
02818
NONE
PC
PROGRAM SERVICES
5,000
NORTHEAST ANIMAL SHELTER INC
347 HIGHLAND AVE
SALEM
,
MA
01970
NONE
PC
PROGRAM SERVICES
500
SATO PROJECT
130 WATER STREET
BROOKYLN
,
NY
11201
NONE
PC
PROGRAM SERVICES
500
HALO RESCUE
12 VIA AGRADAR
SAN CLEMENTE
,
CA
92673
NONE
PC
PROGRAM SERVICES
500
RAISING HAITI FOUNDATION
PO BOX 21624
WASHINGTON DC
,
VA
20009
NONE
PC
PROGRAM SERVICES
6,000
BOYS TOWN
14100 CRAWFORD STREET
BOYS TOWN
,
NE
68010
NONE
PC
PROGRAM SERVICES
4,000
FARM SANCTURAY
PO BOX 150
WATKINS GLEN
,
NY
14891
NONE
PC
PROGRAM SERVICES
1,000
ALLEY CAT ALLIES
7920 NORFOLK AVE SUITE 600
BETHESDA
,
MD
20814
NONE
PC
PROGRAM SERVICES
500
DEFENDERS OF WILDLIFE
1130 17TH ST NW
WASHINGTON
,
DC
20036
NONE
PC
PROGRAM SERVICES
1,000
RHODE ISLAND COMMUNITY FOOD BANK
200 NIANTIC AVE
PROVIDENCE
,
RI
02907
NONE
PC
PROGRAM SERVICES
16,570
GULF COAST HUMANE SOCIETY
2010 ARCADIS STREET
FT MYERS
,
FL
33916
NONE
PC
PROGRAM SERVICES
1,000
SANIBEL CAPTIVA CONSERVATION
PO BOX 839
SANIBEL
,
FL
33957
NONE
PC
PROGRAM SERVICES
1,000
DING DARLING WILDLIFE SOCIETY INC
1 WILDLIFE DR
SANIBEL
,
FL
33957
NONE
PC
PROGRAM SERVICES
2,000
IMMOKALEE NONPROFIT HOUSING
2449 SANDERS PINE CIRCLE
IMMOKALEE
,
FL
34142
NONE
PC
PROGRAM SERVICES
500
MISSIONARIES FOR THE POOR
PO BOX 29893
ATLANTA
,
GA
30359
NONE
PC
PROGRAM SERVICES
6,000
SAVE THE MANATEE CLUB
500 N MAITLAND AVENUE ROOM 210
MAITLAND
,
FL
32751
NONE
PC
PROGRAM SERVICES
2,000
CONSERVATION FLORIDA
408 W UNIVERSITY AVE SUITE 402
GAINESVILLE
,
FL
32601
NONE
PC
PROGRAM SERVICES
500
ANIMAL REFUGE CENTER
PO BOX 400
VINE GROVE
,
KY
40175
NONE
PC
PROGRAM SERVICES
1,000
CAPSTONE MINISTRIES INC
401 SW 15TH DR
BOCA RATON
,
FL
33432
NONE
PC
PROGRAM SERVICES
6,000
CROSS CATHOLIC OUTREACH
2700 N MILITARY TRL 240
BOCA RATON
,
FL
33427
NONE
PC
PROGRAM SERVICES
1,000
THE KENT CENTER
50 CEDAR AVE
EAST GREENWICH
,
RI
02818
NONE
PC
PROGRAM SERVICES
11,570
WORLD WILDLIFE FUND INC
1250 24TH ST NW
WASHINGTON
,
DC
20037
NONE
PC
PROGRAM SERVICES
1,000
BE THE CHANGE SUNDAY MEAL
10 BROOKSIDE AVE
WEST WARWICK
,
RI
028935019
NONE
PC
PROGRAM SERVICES
6,000
FAITH IN DEEDS
PO BOX 908
ADA
,
MI
49301
NONE
PC
PROGRAM SERVICES
6,000
THE VILLAGE LINK
4125 WOODSIDE ROAD
WOODSIDE
,
CA
94062
NONE
PC
GENERAL SUPPORT
6,000
ALZHEIMERS FOUNDATION OF AMERICA INC
322 EIGHTH STREET 7TH FLOOR
NEW YORK
,
NY
10001
NONE
PC
PROGRAM SERVICES
2,000
EARTH JUSTICE
50 CALIFORNIA STREET ST 500
SAN FRANCISCO
,
CA
94111
NONE
PC
PROGRAM SERVICES
2,000
SIERRA CLUB
2101 WEBSTER ST SUITE 1300
OAKLAND
,
CA
94612
NONE
PC
PROGRAM SERVICES
2,000
DIRECT RELIEF
6100 WALLACE BECKNELL ROAD
SANTA BARBARA
,
CA
93117
NONE
PC
PROGRAM SERVICES
2,000
Total
.................................
3a
177,850
b
Approved for future payment
Total
.................................
3b
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
...........
4
Dividends and interest from securities
....
14
86,266
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
............
18
-13,070
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)
..
73,196
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
73,196
(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.)
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