-
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
BILEZIKIAN FAMILY FOUNDATION INC
Number and street (or P.O. box number if mail is not delivered to street address)
231 WILLOW STREET
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
YARMOUTHPORT
,
MA
026751744
A Employer identification number
04-3504021
B
Telephone number (see instructions)
(508) 375-0005
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)
$
22,744,001
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)
2
Check
.............
3
Interest on savings and temporary cash investments
3,125
3,125
4
Dividends and interest from securities
...
600,099
600,099
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
236,363
b
Gross sales price for all assets on line 6a
3,987,223
7
Capital gain net income (from Part IV, line 2)
...
236,363
8
Net short-term capital gain
.........
9
Income modifications
...........
10a
Gross sales less returns and allowances
b
Less: Cost of goods sold
....
c
Gross profit or (loss) (attach schedule)
.....
11
Other income (attach schedule)
.......
12
Total.
Add lines 1 through 11
........
839,587
839,587
13
Compensation of officers, directors, trustees, etc.
95,000
0
95,000
14
Other employee salaries and wages
......
15
Pension plans, employee benefits
.......
16a
Legal fees (attach schedule)
.........
600
0
600
b
Accounting fees (attach schedule)
.......
c
Other professional fees (attach schedule)
....
116,614
116,614
0
17
Interest
...............
18
Taxes (attach schedule) (see instructions)
...
24,651
0
0
19
Depreciation (attach schedule) and depletion
...
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
22
Printing and publications
..........
23
Other expenses (attach schedule)
.......
9,647
0
0
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
246,512
116,614
95,600
25
Contributions, gifts, grants paid
.......
893,364
893,364
26
Total expenses and disbursements.
Add lines 24 and 25
1,139,876
116,614
988,964
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-300,289
b
Net investment income
(if negative, enter -0-)
722,973
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
.............
2
Savings and temporary cash investments
.........
55,369
355,988
355,988
3
Accounts receivable
2,428
Less: allowance for doubtful accounts
2,257
2,428
2,428
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)
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)
..........
19,039,836
18,473,905
22,385,585
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)
19,097,462
18,832,321
22,744,001
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
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
........
17,432,038
17,432,038
27
Paid-in or capital surplus, or land, bldg., and equipment fund
0
0
28
Retained earnings, accumulated income, endowment, or other funds
1,665,424
1,400,283
29
Total net assets or fund balances
(see instructions)
.....
19,097,462
18,832,321
30
Total liabilities and net assets/fund balances
(see instructions)
.
19,097,462
18,832,321
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
19,097,462
2
Enter amount from Part I, line 27a
.....................
2
-300,289
3
Other increases not included in line 2 (itemize)
3
35,148
4
Add lines 1, 2, and 3
..........................
4
18,832,321
5
Decreases not included in line 2 (itemize)
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
18,832,321
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
BROOKFIELD INFRASTRUCTURE LP
P
2018-03-07
2019-02-07
b
BROOKFIELD INFRASTRUCTURE LP
P
2018-03-07
2019-02-07
c
BROOKFIELD INFRASTRUCTURE LP
P
2018-03-07
2019-02-07
d
NEUBERGER BERMAN STRAT INCM
P
2019-02-07
e
VANGUARD FTSE DEVELOPED MARKETS ETF
P
2019-02-07
VANGUARD GLOBAL EX US REAL ESTATE ETF
P
2019-02-07
VANGUARD GLOBAL EX US REAL ESTATE ETF
P
2018-07-05
2019-02-07
VANGUARD GLOBAL EX US REAL ESTATE ETF
P
2018-07-05
2019-02-07
VANGUARD GLOBAL EX US REAL ESTATE ETF
P
2018-07-05
2019-02-07
VANGUARD TOTAL STOCK MARKET ETF
P
2019-02-07
VANGUARD TOTAL STOCK MARKET ETF
P
2018-12-31
2019-02-07
BROOKFIELD INFRASTRUCTURE LP
P
2017-09-15
2019-02-07
NEUBERGER BERMAN STRAT INCM
P
2019-02-07
VANGUARD FTSE DEVELOPED MARKETS ETF
P
2019-02-07
VANGUARD GLOBAL EX US REAL ESTATE ETF
P
2017-12-26
2019-02-07
VANGUARD REAL ESTATE ETF ETF
P
2019-06-28
2019-02-07
VANGUARD TOTAL STOCK MARKET ETF
P
2019-02-07
VANGUARD 500 INDEX FD ADMIRAL SHS
P
2019-02-07
VANGUARD TOTAL BOND MARKET ETF
P
2019-03-29
NEUBERGER BERMAN STRAT INCM
P
2014-01-15
2019-03-29
SPDR S&P 500 ETF
P
2019-03-29
VANGUARD TOTAL BOND MARKET ETF
P
2019-03-29
FLEXSHARES UPSTREAM NATURAL IDX
P
2018-10-01
2019-06-26
VANGUARD GLOBAL EX US REAL ESTATE ETF
P
2019-03-29
2019-06-26
VANGUARD GLOBAL EX US REAL ESTATE ETF
P
2019-03-29
2019-06-29
BROOKFIELD INFRASTRUCTURE LP
P
2019-06-26
BROOKFIELD RENEWABLE LP
P
2018-03-29
2019-06-26
BROOKFIELD RENEWABLE LP
P
2018-03-29
2019-06-26
BROOKFIELD RENEWABLE LP
P
2018-03-29
2019-06-26
FLEXSHARES UPSTREAM NATURAL IDX
P
2019-06-26
VANGUARD GLOBAL EX US REAL ESTATE ETF
P
2019-06-26
VANGUARD GLOBAL EX US REAL ESTATE ETF
P
2014-04-14
2019-08-19
ISHARES CORE S&P SMALL CAP ETF
P
2018-10-03
2019-09-25
VANGUARD TOTAL BOND MARKET ETF
P
2019-08-30
2019-09-25
VANGUARD 500 INDEX FD ADMIRAL SHS
P
2019-09-25
2019-09-25
BROOKFIELD INFRASTRUCTURE LP
P
2019-09-25
BROOKFIELD INFRASTRUCTURE LP
P
2017-05-19
2019-09-25
BROOKFIELD INFRASTRUCTURE LP
P
2017-05-19
2019-09-25
BROOKFIELD INFRASTRUCTURE LP
P
2017-05-19
2019-09-25
BROOKFIELD INFRASTRUCTURE LP
P
2017-05-19
2019-09-25
BROOKFIELD RENEWABLE LP
P
2018-03-29
2019-09-25
BROOKFIELD RENEWABLE LP
P
2018-03-29
2019-09-25
BROOKFIELD RENEWABLE LP
P
2018-03-29
2019-09-25
BROOKFIELD RENEWABLE LP
P
2018-03-29
2019-09-25
BROOKFIELD RENEWABLE LP
P
2018-03-29
2019-09-25
BROOKFIELD RENEWABLE LP
P
2018-03-29
2019-09-25
ISHARES CORE S&P SMALL CAP ETF
P
2019-09-25
VANGUARD TOTAL BOND MARKET ETF
P
2019-09-25
VANGUARD 500 INDEX FD ADMIRAL SHS
P
2019-09-25
BROOKFIELD INFRASTRUCTURE LP
P
2018-06-11
2019-12-20
BROOKFIELD INFRASTRUCTURE LP
P
2018-06-11
2019-12-20
BROOKFIELD INFRASTRUCTURE LP
P
2018-06-11
2019-12-20
BROOKFIELD INFRASTRUCTURE LP
P
2018-06-11
2019-12-20
BROOKFIELD INFRASTRUCTURE LP
P
2018-06-11
2019-12-20
BROOKFIELD INFRASTRUCTURE LP
P
2018-06-11
2019-12-20
BROOKFIELD RENEWABLE LP
P
2019-12-20
BROOKFIELD RENEWABLE LP
P
2019-12-20
BROOKFIELD RENEWABLE LP
P
2018-03-28
2019-12-20
BROOKFIELD RENEWABLE LP
P
2018-03-28
2019-12-20
BROOKFIELD RENEWABLE LP
P
2018-03-28
2019-12-20
BROOKFIELD RENEWABLE LP
P
2018-03-28
2019-12-20
BROOKFIELD RENEWABLE LP
P
2018-03-28
2019-12-20
BROOKFIELD RENEWABLE LP
P
2018-03-28
2019-12-20
BROOKFIELD RENEWABLE LP
P
2018-03-28
2019-12-20
BROOKFIELD RENEWABLE LP
P
2018-03-28
2019-12-20
BROOKFIELD RENEWABLE LP
P
2018-03-28
2019-12-20
BROOKFIELD RENEWABLE LP
P
2018-03-28
2019-12-20
BROOKFIELD RENEWABLE LP
P
2018-03-28
2019-12-20
BROOKFIELD RENEWABLE LP
P
2018-03-29
2019-12-20
BROOKFIELD RENEWABLE LP
P
2018-04-02
2019-12-20
BROOKFIELD RENEWABLE LP
P
2018-04-02
2019-12-20
BROOKFIELD RENEWABLE LP
P
2018-04-02
2019-12-20
BROOKFIELD RENEWABLE LP
P
2018-04-02
2019-12-20
VANGUARD FTSE DEVELOPED MARKETS ETF
P
2017-09-15
2019-12-20
VANGUARD FTSE DEVELOPED MARKETS ETF
P
2019-12-20
VANGUARD 500 INDEX FD ADMIRAL SHS
P
2019-12-20
CAPITAL GAINS DIVIDENDS
P
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a
3,500
3,692
-192
b
3,889
4,102
-213
c
7,778
8,203
-425
d
82,112
82,862
-750
e
144,247
154,213
-9,966
5,671
5,842
-171
567
580
-13
1,134
1,161
-27
1,143
1,170
-27
1,851
1,834
17
16
14
2
29,869
32,072
-2,203
917,863
952,438
-34,575
35,781
40,185
-4,404
16,433
17,313
-880
94,991
94,724
267
97,561
86,314
11,247
334,975
234,598
100,377
689,982
678,306
11,676
79,975
82,002
-2,027
34,752
30,791
3,961
60,050
60,773
-723
8,130
8,381
-251
35,338
35,716
-378
48,708
49,238
-530
100,120
94,273
5,847
1,027
932
95
3,422
3,106
316
25,570
23,203
2,367
81,761
81,113
648
60,782
57,235
3,547
249,957
238,420
11,537
2,701
2,920
-219
9,087
9,091
-4
18,721
18,725
-4
62,530
50,797
11,733
2,164
1,772
392
3,944
3,230
714
5,675
4,647
1,028
5,675
4,647
1,028
3,461
2,747
714
3,889
3,087
802
3,889
3,087
802
3,889
3,087
802
3,889
3,087
802
11,087
8,797
2,290
42,269
37,360
4,909
95,888
93,922
1,966
101,254
74,129
27,125
1,273
987
286
4,898
3,796
1,102
4,898
3,796
1,102
4,899
3,796
1,103
4,899
3,796
1,103
9,061
7,022
2,039
4,595
3,059
1,536
4,595
3,063
1,532
2,297
1,531
766
4,595
3,063
1,532
4,595
3,063
1,532
4,595
3,063
1,532
4,594
3,063
1,531
4,594
3,063
1,531
4,595
3,063
1,532
4,595
3,063
1,532
4,595
3,063
1,532
9,190
6,126
3,064
9,190
6,126
3,064
4,594
3,074
1,520
92
61
31
4,595
3,058
1,537
4,595
3,058
1,537
4,595
3,058
1,537
89,965
87,920
2,045
54,993
55,830
-837
54,975
37,261
17,714
33,299
33,299
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
-192
b
-213
c
-425
d
-750
e
-9,966
-171
-13
-27
-27
17
2
-2,203
-34,575
-4,404
-880
267
11,247
100,377
11,676
-2,027
3,961
-723
-251
-378
-530
5,847
95
316
2,367
648
3,547
11,537
-219
-4
-4
11,733
392
714
1,028
1,028
714
802
802
802
802
2,290
4,909
1,966
27,125
286
1,102
1,102
1,103
1,103
2,039
1,536
1,532
766
1,532
1,532
1,532
1,531
1,531
1,532
1,532
1,532
3,064
3,064
1,520
31
1,537
1,537
1,537
2,045
-837
17,714
33,299
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
236,363
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
1,036,553
18,962,915
0.054662
2017
1,124,680
21,388,718
0.052583
2016
891,008
19,695,314
0.045240
2015
891,581
19,602,535
0.045483
2014
952,082
19,674,081
0.048393
2
Total
of line 1, column (d)
.....................
2
0.246361
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
0.049272
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
21,454,539
5
Multiply line 4 by line 3
......................
5
1,057,108
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
7,230
7
Add lines 5 and 6
........................
7
1,064,338
8
Enter qualifying distributions from Part XII, line 4
,.............
8
988,964
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
14,459
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
14,459
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
14,459
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
7,100
b
Exempt foreign organizations—tax withheld at source
......
6b
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
10,000
d
Backup withholding erroneously withheld
...........
6d
0
7
Total credits and payments. Add lines 6a through 6d
..............
7
17,100
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
94
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
2,547
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
2,547
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
N/A
14
The books are in care of
LAKE STREET ADVISORS LLC
Telephone no.
(603) 610-4122
Located at
25 CHESTNUT STREET
PORTSMOUTH
NH
ZIP+4
03801
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
DOREEN BILEZIKIAN
PRESIDENT/DIRECTOR
1.00
0
0
0
231 WILLOW STREET
YARMOUTHPORT
,
MA
02675
HENRY L MURPHY
CLERK/DIRECTOR
1.00
0
0
0
231 WILLOW STREET
YARMOUTHPORT
,
MA
02675
JEFFREY D BILEZIKIAN
TREASURER/DIRECTOR
20.00
95,000
0
0
231 WILLOW STREET
YARMOUTHPORT
,
MA
02675
GREGORY C BILEZIKIAN
VP/DIRECTOR
1.00
0
0
0
231 WILLOW STREET
YARMOUTHPORT
,
MA
02675
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
LAKE STREET ADVISORS
INVESTMENT MANAGEMENT
116,614
25 CHESTNUT STREET
PORTSMOUTH
,
NH
03801
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
.........................
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
21,228,087
b
Average of monthly cash balances
.......................
1b
428,171
c
Fair market value of all other assets (see instructions)
................
1c
125,000
d
Total
(add lines 1a, b, and c)
.........................
1d
21,781,258
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
21,781,258
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
326,719
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
21,454,539
6
Minimum investment return.
Enter 5% of line 5
..................
6
1,072,727
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
1,072,727
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
14,459
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
14,459
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
1,058,268
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
1,058,268
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
1,058,268
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
988,964
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
988,964
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
988,964
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
1,058,268
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
......
b
From 2015
......
c
From 2016
......
d
From 2017
......
15,030
e
From 2018
......
110,353
f
Total
of lines 3a through e
........
125,383
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
988,964
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
.....
988,964
e
Remaining amount distributed out of corpus
0
5
Excess distributions carryover applied to 2019.
69,304
69,304
(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
56,079
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
......
56,079
10
Analysis of line 9:
a
Excess from 2015
....
b
Excess from 2016
....
c
Excess from 2017
....
d
Excess from 2018
....
56,079
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.
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 email address of the person to whom applications should be addressed:
b
The form in which applications should be submitted and information and materials they should include:
c
Any submission deadlines:
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
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
AMERICAN NATIONAL RED CROSS OF CAPE COD AND ISLANDS
286 SOUTH STREET
HYANNIS
,
MA
02601
NONE
PUBLIC CHARITY
SUPPORT FOR CAPE COD CHAPTER OF THE RED CROSS
2,500
ARMENIAN MEMORIAL CHURCH
32 BIGELOW AVENUE
WATERTOWN
,
MA
02472
NONE
PUBLIC CHARITY
SUPPORT OF CHURCH CULTURAL AND RELIGIOUS ACTIVITIES
5,000
ARMENIAN MISSIONARY ASSOCIATION OF AMERICA
31 W CENTURY ROAD
PARAMUS
,
NJ
07652
NONE
PUBLIC CHARITY
SUPPORT FOR ORGANIZATION
50,000
ARMENIAN TREE PROJECT
400 WEST CUMMINGS PARK STE 3900
WOBURN
,
MA
01801
NONE
PUBLIC CHARITY
SUPPORT FOR REFORESTATION AND ENVIRONMENTAL EFFORTS IN ARMENIA
26,000
ARMENIAN TREE PROJECT
400 WEST CUMMINGS PARK STE 3900
WOBURN
,
MA
01801
NONE
PUBLIC CHARITY
SUPPORT FOR THE COLD ROOM PROJECT
40,000
ARTS FOUNDATION OF CAPE COD
396 MAIN STREET
HYANNIS
,
MA
02601
NONE
PUBLIC CHARITY
SUPPORT FOR THE ARTS ON CAPE COD
16,500
BAND PARENTS CLUB OF DENNIS YARMOUTH SCHOOL DISTRICT
210 STATION AVENUE
SOUTH YARMOUTH
,
MA
02664
NONE
PUBLIC CHARITY
SUPPORT FOR THE BAND BOOSTERS
5,500
BARNSTABLE HIGH SCHOOL TEAM BOOSTERS
744 WEST MAIN STREET
HYANNIS
,
MA
02601
NONE
PUBLIC CHARITY
SUPPORT FOR THE SCHOOL'S ATHELETIC PROGRAMS
46,656
BIG BROTHER BIG SISTER OF CAPE COD
1934 FALMOUTH ROAD
CENTERVILLE
,
MA
02632
NONE
PUBLIC CHARITY
SUPPORT PROGRAMS OF BIG BROTHER BIG SISTER
200
BOSTON MEDICAL CENTER
840 HARRISON AVENUE
BOSTON
,
MA
02118
NONE
PUBLIC CHARITY
SUPPORT FOR SERVICES OF MEDICAL CENTER
10,000
BOY SCOUTS OF CAPE COD AND ISLANDS
247 WILLOW STREET
YARMOUTH
,
MA
02675
NONE
PUBLIC CHARITY
SUPPORT BOY SCOUTS OF CAPE COD AND ISLANDS COUNCIL
7,500
BOYS AND GIRLS CLUB OF CAPE COD
31 FRANK E HICKS DRIVE
MASHPEE
,
MA
02649
NONE
PUBLIC CHARITY
SUPPORT ORGANIZATIONS EFFORTS TO PROVIDE A SAFE PLACE TO INSPIRE AND ENABLE YOUNG PEOPLE TO REALIZE THEIR FULL POTENTIAL
10,000
BUZZARDS BAY COALITION
114 FRONT STREET
NEW BEDFORD
,
MA
02740
NONE
PUBLIC CHARITY
SUPPORT FOR ACADEMY'S LEARNING PROGRAMS
10,000
CAHOON MUSEUM OF AMERICAN ART
4676 FALMOUTH ROAD
COTUIT
,
MA
02635
NONE
PUBLIC CHARITY
PROMOTE EFFORTS TO USE AMERICAN ART TO EXPAND KNOWLWDGE AND EXPAND THE SPIRIT
10,000
CALMER CHOICE
23 WHITES PATH
SOUTH YARMOUTH
,
MA
02664
NONE
PUBLIC CHARITY
SUPPORT SECULAR MINDFULNESS TO PROMOTE POSITIVE CHANGE IN SCHOOL CLIMATES
20,000
CAPE ARTS & ENTERTAINMENT INC
1060 FALMOUTH RD SUITE A
HYANNIS
,
MA
02601
NONE
PUBLIC CHARITY
SUPPORT FOR THE ORGANIZATIONS EFFORTS TOWARDS ARTS AND ENTERTANIMENT ON CAPE COD
25,000
CAPE COD CHILD DEVELOPMENT
83 PEARL STREET
HYANNIS
,
MA
02601
NONE
PUBLIC CHARITY
SUPPORT FOR ORGANIZATIONS PROGRAMS FOR NUTURING CHILDREN TO REACH THEIR FULL POTENTIAL
2,500
CAPE COD CHILDREN'S PLACE INC
10 BALLWIC ROAD
NORTH EASTHAM
,
MA
02651
NONE
PUBLIC CHARITY
SUPPORT FOR CHILD AND FAMILY PROGRAMS EDUCATIONAL AND ADVOCACY PROGRAMS
15,000
CAPE COD COMMERCIAL HOOK FISHERMAN ASSOC
1566 MAIN STREET
CHATHAM
,
MA
02633
NONE
PUBLIC CHARITY
SUPPORT FOR THE OUTREACH PROJECT
8,500
CAPE COD COUNCIL OF CHURCHES
320 MAIN STREET
HYANNIS
,
MA
02601
NONE
PUBLIC CHARITY
SUPPORT ORGANIZATION'S EFFORTS TO PROVIDE SUPPORT TO LOW-INCOME INDIVIDUALS AND FAMILIES
20,000
CAPE COD FOUNDATION
259 WILLOW STREET 5
YARMOUTHPORT
,
MA
02675
NONE
PUBLIC CHARITY
SUPPORT FOR ORGANIZATIONS ACTIVITIES AND INP PROGRAM
22,500
CAPE COD HEALTH CARE FOUNDATION
32 MAIN STREET
HYANNIS
,
MA
02601
NONE
PUBLIC CHARITY
SUPPORT FOR PROVIDING SUPPORT TO HEALTHCARE ORGANIZATIONS ON CAPE COD
250
CAPE COD THEATER COMPANY
105 DIVISION STREET
WEST HARWICH
,
MA
02671
NONE
PUBLIC CHARITY
SUPPORT FOR PRESERVATION OF LIVE THEATER PRODUCTIONS
22,523
CAPE COD TIMES NEEDY FUND
PO BOX 36
HYANNIS
,
MA
02601
NONE
PUBLIC CHARITY
SUPPORT FOR THE ORGANIZATION'S EFFORTS TO PROVIDE RESOURCES FOR NEEDY CAPE COD RESIDNETS
2,500
CENTERVILLE HISTORICAL SOCIETY
513 MAIN STREET
CENTERVILLE
,
MA
02632
NONE
PUBLIC CHARITY
SUPPORT FOR THE ORGANIZATION'SHISTORICAL WORK
9,568
CHARLES RIVER CONSERVANCY INC
43 THORNDIKE STREET
CAMBRIDGE
,
MA
02141
NONE
PUBLIC CHARITY
SUPPORT FOR THE PRESERVATION AND ACCESS TO THE CHARLES RIVER
10,000
CHARLES RIVER WATERSHED ASSOCIATION
190 PARK ROAD
WESTON
,
MA
02493
NONE
PUBLIC CHARITY
SUPPORT FOR RESTORATION AND PRESERVATION OF THE CHARLES RIVER AND ITS WATERSHED THROUGH SCIENCE AND ADVOCACY
20,000
CHILDREN'S HOSPITAL BOSTON
300 LONGWOOD AVENUE
BOSTON
,
MA
02115
NONE
PUBLIC CHARITY
SUPPORT FOR ACTIVITIES AT CHILDREN'S HOSPITAL
5,000
CHILDREN'S HOSPITAL BOSTON
300 LONGWOOD AVENUE
BOSTON
,
MA
02115
NONE
PUBLIC CHARITY
SUPPORT FOR THE CAROLINE BASS FUND
2,500
CLEVELAND CLINIC INDIAN RIVER HOSPITAL FOUNDATION
1000 36TH STREET
VERO BEACH
,
FL
32960
NONE
PUBLIC CHARITY
SUPPORT FOR THE HOSPITAL'S HEALTHCARE PROGRAMS
250
COMMUNITY HEALTH CENTER OF CAPE COD
107 COMMERCIAL STREET
MASHPEE
,
MA
02649
NONE
PUBLIC CHARITY
SUPPORT FOR ORGANIZATIONS COMMUNITY BASED MEDICAL SERVICES
6,000
CYSTIC FIBROSIS FOUNDATION
220 NORTH MAIN STREET
NATICK
,
MA
01760
NONE
PUBLIC CHARITY
SUPPORT FOR RESEARCH BY THE CYSTIC FIBROSIS FOUNDATION
15,000
FALMOUTH ART GUILD
137 GIFFORD STREET
FALMOUTH
,
MA
02540
NONE
PUBLIC CHARITY
SUPPORT FOR PLACE TO CREATE ART AND DEVELOP ART SKILLS
1,312
FALMOUTH CHAMBER PLAYERS ORCHESTRA
21 MARSHVIEW LANE
MARSTONS MILLS
,
MA
02648
NONE
PUBLIC CHARITY
SUPPORT ONGOING EFFORTS TO PROVIDE CULTURALLY ENRICHING MUSICAL EXPERIENCES FOR ALL AUDIENCES
10,000
FINE ARTS WORK CENTER OF PROVINCETOWN
24 PEARL STREET
PROVINCETOWN
,
MA
02657
NONE
PUBLIC CHARITY
SUPPORT FOR GROWTH AND DEVELOPMENT OF EMERGING VISUAL ARTISTS AND WRITERS
10,000
GREATER BOSTON FOOD BANK
70 SOUTH BAY AVE
BOSTON
,
MA
02118
NONE
PUBLIC CHARITY
SUPPORT EFFORTS TO PROVIDE FOOD FOR THOSE IN NEED
10,000
HAITI 180
1160 INNESWOOD DRIVE
GALLATIN
,
TX
37066
NONE
PUBLIC CHARITY
SUPPORT FOR ORGANIZATIONS EFFORTS FOR THE CHILDREN OF HAITI
500
HELPING OUR WOMEN INC
34 CONWELL STREET
PROVINCETOWN
,
MA
02657
NONE
PUBLIC CHARITY
SUPPORT FOR ORGANIZATION HELPING WOMEN OF LOWER AND OUTER CAPE COD
7,500
HIBISCUS CHILDREN'S CENTER
PO BOX 1406
JENSEN BEACH
,
FL
34958
NONE
PUBLIC CHARITY
SUPPORT FOR THE CENTER'S EFFORTS IN HELPING ABUSED, ABANDONED AND NEGLECTED CHILDREN
250
HOMELESS PREVENTION COUNCIL OF LOWER CAPE COD
14 OLD TOTE ROAD
ORLEANS
,
MA
02653
NONE
PUBLIC CHARITY
SUPPORT FOR ORGANIZATIONS EFFORTS TO IMPROVE THE LIVES OF HOMELESS INDIVIDUALS ON LOWER CAPE COD
20,000
INDIAN RIVER HABITAT FOR HUMANITY
4568 US HWY 1 N
VERO BEACH
,
FL
32967
NONE
PUBLIC CHARITY
SUPPORT FOR PROVIDING HOUSING FOR THOSE IN NEEDSUPPORT EFFORTS TO HELP CHILDREN ACHEIVE INDEPENDENCE AND SUCCESS FROM SEEMINGLY INSURMOUNTABLE DIFFICULTIES
200
KATELYNN'S CLOSET INC
45 COMMERCIAL STREET
SOUTH YARMOUTH
,
MA
02664
NONE
PUBLIC CHARITY
SUPPORT FOR PROVIDING CLOTHING TO NEEDY CHILDREN
20,000
LANDMARK SCHOOL
429 HALE STREET
PRIDES CROSSING
,
MA
01965
NONE
PUBLIC CHARITY
SUPPORT FOR PROGRAMS AIDING CHILDREN WITH LEARNING DISABILITIES
19,850
LOWER CAPE OUTREACH COUNCIL
19 BREWSTER CROSS ROAD
ORLEANS
,
MA
02653
NONE
PUBLIC CHARITY
SUPPORT EFFORTS TO PROVIDE SHORT-TERM EMERGENCY ASSISTANCE TO FAMILIES AND INDIVIDUALS
2,500
MASSACHUSETTS GENERAL HOSPITAL
125 NASHUA ST SUITE 540
BOSTON
,
MA
02114
NONE
PUBLIC CHARITY
SUPPORT FOR HOSPITAL'S MEDICAL SERVICES
200
MASSACHUSETTS MARITIME ACADEMY
101 ACADEMY DRIVE
BUZZARDS BAY
,
MA
02532
NONE
PUBLIC CHARITY
SUPPORT ACADEMY'S EDUCATIONAL EFFORTS
10,000
NAVITY PREPARATORY SCHOOL NEW BEDFORD INC
66 SPRING STREET
NEW BEDFORD
,
MA
02740
NONE
PUBLIC CHARITY
SUPPORT EDUCATIONAL PROGRAMS FOR LOW-INCOME MIDDLESCHOOL BOYS IN THE NEW BEDFORD AREA
5,000
NORTH & SOUTH RIVERS WATERSHED ASSOCIATION
214 SOUTH STREET
NORWELL
,
MA
02061
NONE
PUBLIC CHARITY
SUPPORT FOR PRESERVATION AND CONSERVATION OF THE RIVER'S WATERSHED AREAS
15,000
OUR LADY OF GUADALUPE MISSION
16650 US-301
WIMAUMA
,
FL
33598
NONE
PUBLIC CHARITY
SUPPORT THE CHURCH'S RELIGIOUS AND CHARITABLE PROGRAMS
250
OUR LADY OF VICTORY CHURCH
230 SOUTH MAIN STREET
CENTERVILLE
,
MA
02632
NONE
PUBLIC CHARITY
SUPPORT THE CHURCH'S RELIGIOUS AND CHARITABLE PROGRAMS
600
OUTER CAPE HEALTH SERVICES
PO BOX 598
HARWICH PORT
,
MA
02646
NONE
PUBLIC CHARITY
SUPPORT FOR THE ORGANIZATION'S COMMUNITY HEALTHCARE PROGRAMSSUPPORT THE ORGANIZATION'S COMMUNITY HEALH CARE PROGRAMS
5,000
PERKINS SCHOOL FOR THE BLIND
175 NORTH BEACON STREET
WATERTOWN
,
MA
02472
NONE
PUBLIC CHARITY
SUPPORT EDUCATIONAL PROGRAMS FOR INDIVIDUALS WITH VISUAL IMPAIRMENTS
74,989
PROJECT SAVE ARMENIAN PHOTOGRAPH ARCHIVES INC
65 MAIN STREET
WATERTOWN
,
MA
02472
NONE
PUBLIC CHARITY
SUPPORT FOR THE ORGANIZATIONS EFFORTS TO PRESERVE ARMENIAN PHOTOGRAPHS
5,000
PUPPET SHOWPLACE THEATER
32 STATION AVENUE
BROOKLINE
,
MA
02445
NONE
PUBLIC CHARITY
SUPPORT FOR ORGANIZATION'S PUPPETRY ARTS PROGRAMS
5,000
SPAULDING REHABILITATION HOSPITAL
300 1ST AVENUE
CHARLESTOWN
,
MA
02129
NONE
PUBLIC CHARITY
SUPPORT FOR THE HOSPITAL'S REHABILITATION EFFORTS
20,000
ST SEBASTIANS CATHOLIC CHURCH
13071 US 1
SEBASTIAN
,
FL
32958
NONE
PUBLIC CHARITY
SUPPORT FOR THE CHURCH'S RELIGIOUS ENDEAVORS
200
ST STEPHEN'S ELEMENTARY SCHOOL
47 NICHOLS AVENUE
WATERTOWN
,
MA
02472
NONE
PUBLIC CHARITY
SUPPORT FOR THE SCHOOL'S EDUCATIONAL PROGRAMS FOR ARMENIAN CHILDREN
66,666
ST VINCENT DEPAUL FOOD CENTER
5480 85TH STREET
VERO BEACH
,
FL
32967
NONE
PUBLIC CHARITY
SUPPORT FOR THE FOOD FOR THE NEEDY PROGRAMS
200
THE BASEBALL INC
150 SHIRLEY STREET
ROXBURY
,
MA
02119
NONE
PUBLIC CHARITY
SUPPORT FOR ORGANIZATION'S EFFORTS TO PROMOTE URBAN YOUTH TO THEIR FULLEST POTENTIAL
20,000
TRURO CENTER FOR THE ARTS
10 MEETINGHOUSE ROAD
TRURO
,
MA
02666
NONE
PUBLIC CHARITY
SUPPORT FOR INCLUSIVE AND SUPPORTIVE ART COMMUNITY FOR ARTISTS OF ALL LEVELS OF ABILITY
20,000
UNITED WAY OF CAPE COD & ISLANDS
749 MAIN STREET
HYANNIS
,
MA
02601
NONE
PUBLIC CHARITY
SUPPORT LOCAL CHAPTER OF THE UNITED WAY
31,200
UNITED WAY OF GREATER NEW BEDFORD INC
105 WILLIAM STREET
NEW BEDFORD
,
MA
02740
NONE
PUBLIC CHARITY
SUPPORT LOCAL CHAPTER OF THE UNITED WAY
5,000
WATERTOWN BOYS AND GIRLS CLUB
25 WHITES AVENUE
WATERTOWN
,
MA
02472
NONE
PUBLIC CHARITY
SUPPORT FOR ORGANIZATION TO INSPIRE AND ENABLE YOUNG BOYS AND GIRLS
50,000
WE CAN
783 RTE 28
HARWICHPORT
,
MA
02646
NONE
PUBLIC CHARITY
SUPPORT ORGANIZATION'S PROGRAMS FOR EMPOWERING WOMEN UNDERGOING CHALLENGING LIFE TRANSITIONS
10,000
Total
.................................
3a
893,364
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
3,125
4
Dividends and interest from securities
....
14
600,099
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
236,363
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
11
Other revenue:
a
b
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
0
839,587
0
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
839,587
(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