-
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
People's United Community Foundation of
Eastern Massachusetts Inc
% Foundation Source
Number and street (or P.O. box number if mail is not delivered to street address)
Foundation Source 501 Silverside Rd
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Wilmington
,
DE
198091377
A Employer identification number
26-0814452
B
Telephone number (see instructions)
(800) 839-1754
C
If exemption application is pending, check here
G
Check all that apply:
Initial return
Initial return of a former public charity
Final return
Amended return
Address change
Name change
D 1.
Foreign organizations, check here.............
2
. Foreign organizations meeting the 85%
test, check here and attach computation ...
E
If private foundation status was terminated
under section 507(b)(1)(A), check here .......
H
Check type of organization:
Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust
Other taxable private foundation
F
If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here .......
I
Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)
$
15,498,046
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)
47,919
2
Check
.............
3
Interest on savings and temporary cash investments
4,532
4,532
4
Dividends and interest from securities
...
547,896
547,896
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
169,531
b
Gross sales price for all assets on line 6a
1,490,182
7
Capital gain net income (from Part IV, line 2)
...
169,531
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
........
769,878
721,959
13
Compensation of officers, directors, trustees, etc.
0
14
Other employee salaries and wages
......
38,335
2,977
35,358
15
Pension plans, employee benefits
.......
9,584
744
8,840
16a
Legal fees (attach schedule)
.........
b
Accounting fees (attach schedule)
.......
c
Other professional fees (attach schedule)
....
17
Interest
...............
18
Taxes (attach schedule) (see instructions)
...
9,200
19
Depreciation (attach schedule) and depletion
...
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
22
Printing and publications
..........
23
Other expenses (attach schedule)
.......
31,500
31,500
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
88,619
3,721
75,698
25
Contributions, gifts, grants paid
.......
879,875
879,875
26
Total expenses and disbursements.
Add lines 24 and 25
968,494
3,721
955,573
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-198,616
b
Net investment income
(if negative, enter -0-)
718,238
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
.........
237,533
97,358
97,358
3
Accounts receivable
Less: allowance for doubtful accounts
4
Pledges receivable
Less: allowance for doubtful accounts
5
Grants receivable
.................
6
Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions)
.....
7
Other notes and loans receivable (attach schedule)
Less: allowance for doubtful accounts
8
Inventories for sale or use
..............
9
Prepaid expenses and deferred charges
..........
10a
Investments—U.S. and state government obligations (attach schedule)
487,712
575,481
585,034
b
Investments—corporate stock (attach schedule)
.......
7,259,824
7,004,181
14,224,447
c
Investments—corporate bonds (attach schedule)
.......
464,347
573,780
591,207
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
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)
8,449,416
8,250,800
15,498,046
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
........
27
Paid-in or capital surplus, or land, bldg., and equipment fund
28
Retained earnings, accumulated income, endowment, or other funds
8,449,416
8,250,800
29
Total net assets or fund balances
(see instructions)
.....
8,449,416
8,250,800
30
Total liabilities and net assets/fund balances
(see instructions)
.
8,449,416
8,250,800
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
8,449,416
2
Enter amount from Part I, line 27a
.....................
2
-198,616
3
Other increases not included in line 2 (itemize)
3
4
Add lines 1, 2, and 3
..........................
4
8,250,800
5
Decreases not included in line 2 (itemize)
5
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
8,250,800
Form
990-PF
(2019)
Form 990-PF (2019)
Page
3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a)
List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)
(b)
How acquired
P—Purchase
D—Donation
(c)
Date acquired
(mo., day, yr.)
(d)
Date sold
(mo., day, yr.)
1 a
Publicly-traded Securities
b
c
d
e
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a
1,490,182
1,320,651
169,531
b
c
d
e
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69
(l)
Gains (Col. (h) gain minus
col. (k), but not less than -0-)
or
Losses (from col.(h))
(i)
F.M.V. as of 12/31/69
(j)
Adjusted basis
as of 12/31/69
(k)
Excess of col. (i)
over col. (j), if any
a
169,531
b
c
d
e
2
Capital gain net income or (net capital loss)
If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
2
169,531
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
924,297
15,955,558
0.057929
2017
761,500
16,144,051
0.047169
2016
721,555
14,507,907
0.049735
2015
739,760
14,317,259
0.051669
2014
710,954
13,595,005
0.052295
2
Total
of line 1, column (d)
.....................
2
0.258797
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
0.051759
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
14,856,116
5
Multiply line 4 by line 3
......................
5
768,938
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
7,182
7
Add lines 5 and 6
........................
7
776,120
8
Enter qualifying distributions from Part XII, line 4
,.............
8
955,573
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
7,182
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
3
Add lines 1 and 2
...........................
3
7,182
4
Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
4
5
Tax based on investment income.
Subtract line 4 from line 3. If zero or less, enter -0-
.....
5
7,182
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
18,561
b
Exempt foreign organizations—tax withheld at source
......
6b
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
d
Backup withholding erroneously withheld
...........
6d
7
Total credits and payments. Add lines 6a through 6d
..............
7
18,561
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
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
11,379
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
7,200
Refunded
11
4,179
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)
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
14
The books are in care of
Foundation Source
Telephone no.
(800) 839-1754
Located at
501 Silverside Road Suite 123
Wilmington
DE
ZIP+4
198091377
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
Kevin T Bottomley
Pres, Dir, Chair
1.0
0
0
0
Foundation Source 501 Silverside Rd
Wilmington
,
DE
198091377
Diane C Brinkley
Dir
1.0
0
0
0
Foundation Source 501 Silverside Rd
Wilmington
,
DE
198091377
John T Dawley
Dir
1.0
0
0
0
Foundation Source 501 Silverside Rd
Wilmington
,
DE
198091377
John Doucette
Dir
1.0
0
0
0
Foundation Source 501 Silverside Rd
Wilmington
,
DE
198091377
Bruce Figueroa
Dir
1.0
0
0
0
Foundation Source 501 Silverside Rd
Wilmington
,
DE
198091377
Thomas Ford
Clerk, Dir, Sec
1.0
0
0
0
Foundation Source 501 Silverside Rd
Wilmington
,
DE
198091377
Jack Good III
Dir
1.0
0
0
0
Foundation Source 501 Silverside Rd
Wilmington
,
DE
198091377
Anna Maria Greener
Dir, Treas
1.0
0
0
0
Foundation Source 501 Silverside Rd
Wilmington
,
DE
198091377
Matt Hegarty
Dir
1.0
0
0
0
Foundation Source 501 Silverside Rd
Wilmington
,
DE
198091377
Eleanor M Hersey
Dir
1.0
0
0
0
Foundation Source 501 Silverside Rd
Wilmington
,
DE
198091377
J Michael O'Brien
Dir
1.0
0
0
0
Foundation Source 501 Silverside Rd
Wilmington
,
DE
198091377
Diane T Stringer
Dir
1.0
0
0
0
Foundation Source 501 Silverside Rd
Wilmington
,
DE
198091377
Patrick Sullivan
Dir, Treas*
1.0
0
0
0
Foundation Source 501 Silverside Rd
Wilmington
,
DE
198091377
Joseph Wadlinger
Dir
1.0
0
0
0
Foundation Source 501 Silverside Rd
Wilmington
,
DE
198091377
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
Total
number of other employees paid over $50,000
...................
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
Total
number of others receiving over $50,000 for professional services
.............
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
14,820,080
b
Average of monthly cash balances
.......................
1b
262,271
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
15,082,351
e
Reduction claimed for blockage or other factors reported on lines 1a and
1c (attach detailed explanation)
.............
1e
2
Acquisition indebtedness applicable to line 1 assets
..................
2
0
3
Subtract line 2 from line 1d
.........................
3
15,082,351
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
226,235
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
14,856,116
6
Minimum investment return.
Enter 5% of line 5
..................
6
742,806
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
742,806
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
7,182
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
7,182
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
735,624
4
Recoveries of amounts treated as qualifying distributions
................
4
5
Add lines 3 and 4
............................
5
735,624
6
Deduction from distributable amount (see instructions)
.................
6
7
Distributable amount
as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1
...
7
735,624
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
955,573
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
955,573
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
7,182
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
948,391
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
735,624
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
b
Total for prior years:
2017
,
2016
,
2015
3
Excess distributions carryover, if any, to 2019:
a
From 2014
......
43,368
b
From 2015
......
46,883
c
From 2016
......
23,584
d
From 2017
......
e
From 2018
......
149,997
f
Total
of lines 3a through e
........
263,832
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
955,573
a
Applied to 2018, but not more than line 2a
b
Applied to undistributed income of prior years
(Election required—see instructions)
.....
c
Treated as distributions out of corpus (Election
required—see instructions)
........
d
Applied to 2019 distributable amount
.....
735,624
e
Remaining amount distributed out of corpus
219,949
5
Excess distributions carryover applied to 2019.
(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
483,781
b
Prior years’ undistributed income. Subtract
line 4b from line 2b
..........
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
......
d
Subtract line 6c from line 6b. Taxable amount
—see instructions
...........
e
Undistributed income for 2018. Subtract line
4a from line 2a. Taxable amount—see
instructions
.............
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)
.......
8
Excess distributions carryover from 2014 not
applied on line 5 or line 7 (see instructions)
...
43,368
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
440,413
10
Analysis of line 9:
a
Excess from 2015
....
46,883
b
Excess from 2016
....
23,584
c
Excess from 2017
....
d
Excess from 2018
....
149,997
e
Excess from 2019
....
219,949
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).)
NONE
b
List any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions
a
The name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
GRANT APPLICATIONS TO R SKERRY
ONE CONANT STREET
DANVERS
,
MA
01923
(978) 739-0211
b
The form in which applications should be submitted and information and materials they should include:
GRANT APPLICATIONS TO R. SKERRY HTTPS://WWW.PEOPLES.COM/ABOUT-US/COMMUNITY/CHARITABLE-GIVING
c
Any submission deadlines:
GRANT APPLICATIONS TO R. SKERRY HTTPS://WWW.PEOPLES.COM/ABOUT-US/COMMUNITY/CHARITABLE-GIVING
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
GRANT APPLICATIONS TO R. SKERRY HTTPS://WWW.PEOPLES.COM/ABOUT-US/COMMUNITY/CHARITABLE-GIVING
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
ACTION FOR BOSTON COMMUNITY DEVELOPMENT
178 TREMONT ST
BOSTON
,
MA
02111
N/A
PC
WorkSMART program
10,000
ALLSTON BRIGHTON COMM DEV CORP
18R SHEPARD ST UNIT 100
BRIGHTON
,
MA
02135
N/A
PC
Homeownership and Counseling Programs
5,000
ASIAN COMMUNITY DEVELOPMENT CORP
38 OAK ST
BOSTON
,
MA
02111
N/A
PC
Bilingual First-Time Homebuyer Education and Counseling fund
3,500
BEACON COMMUNITIES CHARITABLE FUND INC
2 CENTER PLZ STE 700
BOSTON
,
MA
02108
N/A
PC
General support
2,500
BEVERLY BOOTSTRAPS COMMUNITY SERVICES INC
35 PARK ST
BEVERLY
,
MA
01915
N/A
PC
Case Management program
10,000
BEVERLY CHILDRENS LEARNING CENTERS INC
600 CUMMINGS CTR STE 171X
BEVERLY
,
MA
01915
N/A
PC
STEM Program for Preschool Children
10,000
BEVERLY SCHOOL FOR THE DEAF
6 ECHO AVE
BEVERLY
,
MA
01915
N/A
PC
The Importance of Lift Systems for Student and Teacher Safety program
6,635
BIRTHDAY WISHES INC
24 SUPERIOR DR
NATICK
,
MA
01760
N/A
PC
Boston and North of Boston Birthday Party Programs
5,000
BISHOP FENWICK HIGH SCHOOL INC
99 MARGIN ST
PEABODY
,
MA
01960
N/A
PC
Sponsor a Student project
7,500
BOSTON RESCUE MISSION INC
PO BOX 120069
BOSTON
,
MA
02112
N/A
PC
Safe Haven project
5,000
BOSTON SENIOR HOME CARE INC
89 S ST STE 501
BOSTON
,
MA
02111
N/A
PC
Collaboration and Engagement in Supportive Housing
5,000
BOSTON TRINITY ACADEMY INC
17 HALE ST
HYDE PARK
,
MA
02136
N/A
PC
Boston Trinity Academy Scholarship Fund
5,000
BOYS AND GIRLS CLUB OF GREATER SALEM INC
GREATER SALEM 13 HAWTHORNE BOULEVAR
SALEM
,
MA
01970
N/A
PC
Van Transportation
10,000
BOYS AND GIRLS CLUBS OF BOSTON INC
200 HIGH ST LBBY 3
BOSTON
,
MA
02110
N/A
PC
Education Program
10,000
BREAKTHROUGH GREATER BOSTON INC
PO BOX 381486
CAMBRIDGE
,
MA
02238
N/A
PC
Expanding Breakthrough's Reach and Impact in Boston
3,500
BUILDING A BETTER BEVERLY INC
191 CABOT ST
BEVERLY
,
MA
01915
N/A
PC
Summer Literacy Program
20,000
BUSINESSES UNITED IN INVESTING LENDING AND DEVELOP
745 ATLANTIC AVE 8TH FL
BOSTON
,
MA
02111
N/A
PC
Youth Entrepreneurship Program
10,000
CARE DIMENSIONS INC
75 SYLVAN ST B-102
DANVERS
,
MA
01923
N/A
PC
Care Dimensions Hospice Tele-Care: Tele-Support for Home Hospice Patients and Caregivers
25,000
CARITAS COMMUNITIES INC
25 BRAINTREE HILL OFC PARK STE
BRAINTREE
,
MA
02184
N/A
PC
Eastern Avenue, Chelsea: Bathroom Renovations Project
10,000
CATHOLIC CHARITABLE BUREAU OF THE ARCHDIOCESE OF B
275 W BROADWAY
SOUTH BOSTON
,
MA
02127
N/A
PC
Salem ESOL program
2,500
CHANGE IS SIMPLE INCORPORATED
8 ENON ST
BEVERLY
,
MA
01915
N/A
PC
Sustainability & Climate Innovation Learning Lab (SCiLL)
5,000
CHELSEA COLLABORATIVE INC
318 BROADWAY
CHELSEA
,
MA
02150
N/A
PC
Year-Round Youth Employment Initiative
5,000
CITIZENS INN INC
81 MAIN ST
PEABODY
,
MA
01960
N/A
PC
Haven from Hunger Renovation
10,000
CITY MISSION INC
14 BEACON ST STE 203
BOSTON
,
MA
02108
N/A
PC
Homelessness Prevention Program, A Lift Up
5,000
COMMUNITY GIVING TREE INC
PO BOX 508
WEST BOXFORD
,
MA
01885
N/A
PC
general Support
3,500
COMMUNITY YOUNG MENS CHRISTIAN ASSOC OF DANVERS MA
34 PICKERING ST
DANVERS
,
MA
01923
N/A
PC
Health and Wellness Center
12,500
EDUCATION NOW 20 INC
35 VILLAGE RD
MIDDLETON
,
MA
01949
N/A
PC
Tiny tiny house now project
5,000
ENDICOTT COLLEGE
376 HALE ST
BEVERLY
,
MA
01915
N/A
PC
Raymond J. Bourque Ice Arena Project
20,000
ENDICOTT COLLEGE
376 HALE ST
BEVERLY
,
MA
01915
N/A
PC
Emergency Scholarship fund
5,000
ENGLISH AT LARGE INC
800 W CUMMINGS PARK STE 5550
WOBURN
,
MA
01801
N/A
PC
Individual and Small Group English Language Instruction
2,500
ENGLISH FOR NEW BOSTONIANS INC
105 CHAUNCY ST 4TH FL
BOSTON
,
MA
02111
N/A
PC
English for Immigrant Entrepreneurs program
2,500
EPIPHANY SCHOOL INC
154 CENTRE ST
DORCHESTER
,
MA
02124
N/A
PC
Epiphany School's Graduate Support Program
5,000
ESSEX COUNTY COMMUNITY FOUNDATION INCORPORATED
175 ANDOVER ST STE 101
DANVERS
,
MA
01923
N/A
PC
Impact Essex County (IEC) Social Change initiative
25,000
FAMILYAID BOSTON INC
3815 WASHINGTON ST
BOSTON
,
MA
02130
N/A
PC
Permanent Housing Program
5,000
FENWAY COMMUNITY DEVELOPMENT CORP
70 BURBANK ST
BOSTON
,
MA
02115
N/A
PC
Community Impact Program
10,000
FENWAY COMMUNITY HEALTH CENTER INC
1340 BOYLSTON ST
BOSTON
,
MA
02215
N/A
PC
Access to Medical and Behavioral Health Care for Underserved Youth
5,000
FOOD PROJECT INC
10 LEWIS ST
LINCOLN
,
MA
01773
N/A
PC
Greater Boston Seed Crew and Dirt Crew project: Cultivating Land, Leaders, and Communities
2,500
FOR KIDS ONLY AFTERSCHOOL INCORPORATED
194 ESSEX ST
SALEM
,
MA
01970
N/A
PC
Count Me In! Afterschool Inclusion Project
2,500
FRIENDS OF NORTHSHORE EDUCATION CONSORTIUM INC
112 SOHIER RD
BEVERLY
,
MA
01915
N/A
SO I
Campaign for Classroom Technology
10,000
HABITAT FOR HUMANITY INTERNATIONAL INC
60 ISLAND ST STE 2 E
LAWRENCE
,
MA
01840
N/A
PC
Affordable Housing in Andover
10,000
HARBORLIGHT COMMUNITY PARTNERS
PO BOX 507
BEVERLY
,
MA
01915
N/A
PC
Renovations at River Street, Beverly and The Sewell Building, Marblehead
10,000
HAVEN PROJECT INC
57 MUNROE ST
LYNN
,
MA
01901
N/A
PC
Drop-in Center Expansion
3,500
HEALING ABUSE WORKING FOR CHANGE INC
27 CONGRESS ST
SALEM
,
MA
01970
N/A
PC
Shelter Based Children's Services: Creative Coping Group
5,000
HEALTH CARE WITHOUT WALLS INC
148 LINDEN ST STE 208
WELLESLEY
,
MA
02482
N/A
PC
Bridges to Moms
5,000
HORIZONS FOR HOMELESS CHILDREN INC
1705 COLUMBUS AVE
ROXBURY
,
MA
02119
N/A
PC
Early Education program for Young Homeless Children
5,000
HOUSING FAMILIES INC
919 EASTERN AVE
MALDEN
,
MA
02148
N/A
PC
GREAT Youth and Families Program (GFYP)
5,000
HUNTINGTON THEATRE COMPANY INC
264 HUNTINGTON AVE
BOSTON
,
MA
02115
N/A
PC
Huntington Education and Community Programs
10,000
IMMIGRANT LEARNING CENTER INC
442 MAIN ST
MALDEN
,
MA
02148
N/A
PC
The ILC's Youth Board
2,700
JEANNE GEIGER CRISIS CENTER INC
2 HARRIS ST
NEWBURYPORT
,
MA
01950
N/A
PC
Community-based Services, including advocacy and support, therapeutic services, legal services, and youth empowerment programs
10,000
JUSTICE RESOURCE INSTITUTE INC
160 GOULD ST STE 300
NEEDHAM
,
MA
02494
N/A
PC
Holiday donation Fund
5,000
LAZARUS HOUSE INCORPORATED
PO BOX 408
LAWRENCE
,
MA
01842
N/A
PC
Opening Doors out of Poverty through Education program and Work Preparation
7,500
LEAP FOR EDUCATION INC
35 CONGRESS ST STE 102
SALEM
,
MA
01970
N/A
PC
College and Career Success program
2,500
LOCAL INITIATIVES SUPPORT CORPORATION
95 BERKELEY ST STE 301
BOSTON
,
MA
02116
N/A
PC
Affordable Housing and Neighborhood Revitalization
7,500
MASSACHUSETTS COALITION FOR THE HOMELESS INC
73 BUFFUM ST
LYNN
,
MA
01902
N/A
PC
A Bed for Every Child Initiative
10,000
MASSACHUSETTS RESTAURANT ASSOCIATION EDUCATIONAL F
160 E MAIN ST STE 2
WESTBOROUGH
,
MA
01581
N/A
PC
MRA Scholarship fund
5,000
MERRIMACK COLLEGE
315 TPKE ST
NORTH ANDOVER
,
MA
01845
N/A
PC
Transforming Access to Higher Education: The Establishment of the Pioneer Scholarship fund
10,000
MINDS MATTER OF BOSTON INC
PO BOX 51066
BOSTON
,
MA
02205
N/A
PC
Prep Program
2,500
MISSION OF DEEDS INC
6 CHAPIN AVE
READING
,
MA
01867
N/A
PC
Cribs & Beds Project
10,000
MORGAN MEMORIAL GOODWILL INDUSTRIES INC
1010 HARRISON AVE
BOSTON
,
MA
02119
N/A
PC
Goodwill...LOTS More to Accomplish! Capital Campaign
25,000
MOTHER CAROLINE ACADEMY AND EDUCATION CENTER
515 BLUE HILL AVE
DORCHESTER
,
MA
02121
N/A
PC
General & Unrestricted
2,500
MYSTIC VALLEY ELDER SERVICES INC
300 COMMERCIAL ST STE 19
MALDEN
,
MA
02148
N/A
PC
MVES Money Management Program
5,000
NATIONAL BRAILLE PRESS INC
88 SAINT STEPHEN ST
BOSTON
,
MA
02115
N/A
PC
ReadBooks! project
10,000
NEW ENGLAND AQUARIUM CORPORATION
CENTRAL WHARF
BOSTON
,
MA
02110
N/A
PC
New England Aquarium Teacher Resource Center and Free to Learn Program
20,000
NEW ENGLAND CENTER FOR ARTS & TECHNOLOGY INC
23 BRADSTON ST
BOSTON
,
MA
02118
N/A
PC
Culinary Arts Job Training Program
2,500
NORTH SHORE COMMUNITY ACTION PROGRAMS INC
119 REAR FOSTER ST
PEABODY
,
MA
01960
N/A
PC
ESOL for Career Pathways project
5,000
NORTH SHORE COMMUNITY DEVELOPMENT COALITION INC
96 LAFAYETTE ST
SALEM
,
MA
01970
N/A
PC
Small Business Engagement project in Peabody and Salem
5,000
NORTHEAST HOSPITAL CORPORATION
85 HERRICK ST
BEVERLY
,
MA
01915
N/A
PC
Connecting Young Moms (CYM) program
10,000
PEER HEALTH EXCHANGE INC
70 GOLD ST
SAN FRANCISCO
,
CA
94133
N/A
PC
Empowering Young People to Make Healthy Decisions project
5,000
PINE STREET INN INC
444 HARRISON AVE
BOSTON
,
MA
02118
N/A
PC
Major Exterior Renovations at 33 Bradlee Street: A Building Ending Homelessness in Boston
10,000
PLUMMER YOUTH PROMISE INC
37 WINTER ISLAND RD
SALEM
,
MA
01970
N/A
PC
OnPoint Program
7,500
PROJECT BREAD - THE WALK FOR HUNGER INC
145 BORDER ST
EAST BOSTON
,
MA
02128
N/A
PC
2019 Summer Meals Program
3,500
RAR-MA INC
3 SCHOOL ST NO 3
BOSTON
,
MA
02108
N/A
PC
Raising A Reader Metro Boston project
3,500
ROOM TO GROW NATIONAL INC
142 BERKELEY ST
BOSTON
,
MA
02116
N/A
PC
Room to Grow Clinical Program
3,500
ROOT NS INC
35 CONGRESS ST STE 2350
SALEM
,
MA
01970
N/A
PC
Salem Meet and Eat Dinners
7,500
SALEM MISSION INC
PO BOX 810
SALEM
,
MA
01970
N/A
PC
Lifebridge North Shore Community Meals Program
5,000
SENIORCARE INC
49 BLACKBURN CENTER
GLOUCESTER
,
MA
01930
N/A
PC
Salad Bar for Beverly Senior Congregate Meal project
2,500
SILVER LINING MENTORING INC
727 ATLANTIC AVE 3RD FL
BOSTON
,
MA
02111
N/A
PC
Integrated Service Model for youth in foster care
5,000
ST JOHN'S PREPARATORY SCHOOL
72 SPRING ST
DANVERS
,
MA
01923
N/A
PC
Scholarship fund and Student Achievement fund
20,000
ST JOHN'S PREPARATORY SCHOOL
72 SPRING ST
DANVERS
,
MA
01923
N/A
PC
"Making a Prep Education Accessible" program for Tuition Assistance
20,000
STRONGWATER FARM THERAPEUTIC EQUESTRIAN CENTER INC
500 LIVINGSTON ST
TEWKSBURY
,
MA
01876
N/A
PC
Expanding Capacity to Serve Youth and Young Adults
2,500
SUMMER SEARCH BOSTON
3840 WASHINGTON ST STE 2
JAMAICA PLAIN
,
MA
02130
N/A
PC
Summer Search Boston Chelsea High School and Malden High School Programming
10,000
TAILORED FOR SUCCESS
PO BOX 527
MALDEN
,
MA
02148
N/A
PC
Confidence for the Future - A Women's Empowerment Conference
5,000
TEACH FOR AMERICA - BOSTON
60 CANAL ST 5TH FL
BOSTON
,
MA
02114
N/A
PC
Collaborating to Expand Educational Excellence and Talent to High Needs Students at Chelsea High
5,000
THE COMMUNITY HOUSE INC
284 BAY RD
SOUTH HAMILTON
,
MA
01982
N/A
PC
The Kids Community @ 284
5,000
THE HOME FOR LITTLE WANDERERS INC
10 GUEST ST STE 3
BOSTON
,
MA
02135
N/A
PC
In home therapy for children and youth in need of mental and behavioral health intervention
10,000
THE MALDEN YOUNG MENS CHRISTIAN ASSOCIATION
99 DARTMOUTH ST
MALDEN
,
MA
02148
N/A
PC
Music Studio Clubhouse and Mobile Studio
10,000
THE MAY INSTITUTE INC
41 PACELLA PARK DR
RANDOLPH
,
MA
02368
N/A
PC
Technology in Education initiative at the May Center School for Autism and Developmental Disabilities in Wilmington
5,040
THE NEIGHBORHOOD DEVELOPERS INC
4 GERRISH AVE
CHELSEA
,
MA
02150
N/A
PC
CONNECT's One-on-One Financial Coaching Program
5,000
THE OPEN DOOR CAPE ANN FOOD PANTRY INC
28 EMERSON AVE
GLOUCESTER
,
MA
01930
N/A
PC
Good Nutrition for All Ages in Greater Ipswich
7,500
THEATER OFFENSIVE INC
565 BOYLSTON ST
BOSTON
,
MA
02116
N/A
PC
True Colors: OUT Youth Theater project
2,500
TOWN OF DANVERS
1 SYLVAN ST
DANVERS
,
MA
01923
N/A
GOV
Danvers High School Athletic Complex
25,000
TRIANGLE INC
420 PEARL ST
MALDEN
,
MA
02148
N/A
PC
EPIC Service Warriors program
10,000
VICTORY PROGRAMS INC
965 MASSACHUSETTS AVE
BOSTON
,
MA
02118
N/A
PC
Family Financial Empowerment Services
10,000
VIETNAM VETERANS WORKSHOP INC
17 COURT ST
BOSTON
,
MA
02108
N/A
PC
Veterans Training School and Employment Services Program
3,500
WELLSPRING HOUSE INC
302 ESSEX AVE
GLOUCESTER
,
MA
01930
N/A
PC
The MediClerk Training Program
7,500
WENHAM HISTORICAL ASSOCIATION & MUSEUM INC
132 MAIN ST
WENHAM
,
MA
01984
N/A
PC
Patton Family Archives
10,000
WINDRUSH FARM THERAPEUTIC EQUITATION INC
479 LACY ST
NORTH ANDOVER
,
MA
01845
N/A
PC
Therapeutic Riding and Horse Related Activities for Children and Adults with Special Needs
2,500
WOMENS LUNCH PLACE INC
PO BOX 170900
BOSTON
,
MA
02117
N/A
PC
Healthy Meals Program
5,000
WRITEBOSTON INC
2300 WASHINGTON ST FL 6
BOSTON
,
MA
02119
N/A
PC
Teens in Print Summer Journalism Institute: providing summer literacy and job training for low-income students
5,000
YMCA OF THE NORTH SHORE INC
245 CABOT ST
BEVERLY
,
MA
01915
N/A
PC
Growing the Greater Beverly Ymca campaign to better serve the entire community
37,500
YMCA OF THE NORTH SHORE INC
245 CABOT ST
BEVERLY
,
MA
01915
N/A
PC
Financial Assistance, Summer Learning Loss Prevention program, and the Annual Gala of the North Shore
25,000
YOUNG MENS CHRISTIAN ASSOCIATION OF METRO NORTH IN
2 CENTENNIAL DR STE 4A
PEABODY
,
MA
01960
N/A
PC
New Lynn YMCA Project
50,000
DANVERS HIGH SCHOOL
64 CABOT ROAD
DANVERS
,
MA
01923
n/a
PC
SCHOLARSHIP FUND
10,000
Total
.................................
3a
879,875
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
...........
14
4,532
4
Dividends and interest from securities
....
14
547,896
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
169,531
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)
..
721,959
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
721,959
(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