Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0052
2020
Open to Public Inspection
For calendar year 2020, or tax year beginning 01-01-2020 , and ending 12-31-2020
Name of foundation
SALEM FIVE CHARITABLE FOUNDATION INC
 
Number and street (or P.O. box number if mail is not delivered to street address)210 ESSEX STREET
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
SALEM, MA01970
A Employer identification number

04-3342405
B Telephone number (see instructions)

(978) 745-5555
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ...
bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$14,768,135
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule) 2,013,082
2 Check bullet.............
3 Interest on savings and temporary cash investments 1,192 1,192  
4 Dividends and interest from securities... 187,920 187,920  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 56,238
b Gross sales price for all assets on line 6a 2,806,290
7 Capital gain net income (from Part IV, line 2)... 1,303,128
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)....... 709 0  
12 Total. Add lines 1 through 11........ 2,259,141 1,492,240  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 3,800 0   3,800
c Other professional fees (attach schedule).... 45,727 45,727   0
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 17,000 0   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 500 0   500
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 67,027 45,727   4,300
25 Contributions, gifts, grants paid....... 371,495 371,495
26 Total expenses and disbursements. Add lines 24 and 25 438,522 45,727   375,795
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 1,820,619
b Net investment income (if negative, enter -0-) 1,446,513
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2020)
Form 990-PF (2020)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing............. 75,330 83,265 83,265
2 Savings and temporary cash investments......... 405,792 883,780 883,780
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
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)....... 8,850,062 Click to see attachment10,187,489 13,790,388
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet) Click to see attachment13,433 Click to see attachment10,702 Click to see attachment10,702
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 9,344,617 11,165,236 14,768,135
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 0 0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
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 bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........ 0 0
27 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
28 Retained earnings, accumulated income, endowment, or other funds 9,344,617 11,165,236
29 Total net assets or fund balances (see instructions)..... 9,344,617 11,165,236
30 Total liabilities and net assets/fund balances (see instructions). 9,344,617 11,165,236
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
9,344,617
2
Enter amount from Part I, line 27a .....................
2
1,820,619
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
11,165,236
5
Decreases not included in line 2 (itemize) bullet
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
11,165,236
Form 990-PF (2020)
Form 990-PF (2020)
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 CARRIER GLOBAL CORP P 2020-04-03 2020-04-23
b BOOKING HLDGS INC COM P 2018-02-27 2020-05-08
c BOOKING HLDGS INC COM P 2018-02-27 2020-05-08
d BOOKING HLDGS INC COM P 2018-02-27 2020-05-08
e BOOKING HLDGS INC COM P 2019-11-04 2020-05-08
BOOKING HLDGS INC COM P 2019-11-04 2020-05-13
APPLE P 2018-12-20 2020-06-05
APPLE P 2018-12-20 2020-09-17
APPLE P 2019-10-28 2020-09-17
APPLE D 2020-12-04 2020-12-10
INTEL CORP P 2019-06-03 2020-10-21
INTEL CORP P 2019-06-03 2020-10-21
INTEL CORP P 2019-06-03 2020-10-21
DEERE D 2020-12-04 2020-12-06
DEERE D 2020-12-04 2020-12-08
DEERE D 2020-12-04 2020-12-08
DEERE P 2011-08-26 2020-12-10
EPAM SYSTEMS INC D 2020-12-04 2020-12-10
EXP WORLD HOLDINGS D 2020-12-04 2020-12-10
HOME DEPOT P 2015-06-26 2020-12-10
HOME DEPOT P 2015-06-26 2020-12-10
HOME DEPOT P 2014-02-27 2020-12-10
NOKIA P 2019-03-07 2020-12-10
NOKIA P 2019-03-07 2020-12-10
NOKIA P 2019-03-07 2020-12-10
OCCIDENTAL PETROLEUM P 2016-03-30 2020-12-10
OCCIDENTAL PETROLEUM P 2016-09-06 2020-12-10
OCCIDENTAL PETROLEUM P 2016-09-06 2020-12-10
OCCIDENTAL PETROLEUM P 2016-10-26 2020-12-10
OCCIDENTAL PETROLEUM P 2017-07-31 2020-12-10
OCCIDENTAL PETROLEUM P 2017-12-26 2020-12-10
OCCIDENTAL PETROLEUM P 2020-08-03 2020-12-10
OILIES BARGAIN OUTLET D 2020-12-04 2020-12-10
OILIES BARGAIN OUTLET D 2020-12-04 2020-12-10
SALESFORCE P 2013-04-17 2020-12-10
SCHLUMBERGER LTD P 2006-06-19 2020-12-10
SCHLUMBERGER LTD P 2012-12-24 2020-12-10
SCHLUMBERGER LTD P 2014-01-30 2020-12-10
SCHLUMBERGER LTD P 2008-12-22 2020-12-10
SCHLUMBERGER LTD P 2016-10-26 2020-12-10
SCHLUMBERGER LTD P 2015-12-17 2020-12-10
SCHLUMBERGER LTD P 2016-01-29 2020-12-10
SCHLUMBERGER LTD P 2017-07-31 2020-12-10
SCHLUMBERGER LTD P 2017-12-26 2020-12-10
UBIQUITI INC D 2020-12-04 2020-12-10
EATON CORP PLACE D 2020-12-04 2020-12-10
EATON CORP PLACE D 2020-12-04 2020-12-10
HELEN OF TROY D 2020-12-04 2020-12-10
PAYPAL HOLDINGS D 2020-03-25 2020-12-08
IAA INC. D 2019-06-28 2020-12-08
IAA INC. D 2020-04-09 2020-12-08
(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 18,150   20,145 -1,995
b 16,364   6,745 9,619
c 34,092   17,532 16,560
d 75,003   95,132 -20,129
e 12,270   18,413 -6,143
1,410   2,046 -636
81,026   41,162 39,864
97,389   34,082 63,307
90,798   14,604 76,194
68,653   24,107 44,546
11,082   8,934 2,148
16,623   13,398 3,225
55,409   44,649 10,760
154,906   52,713 102,193
215,091   78,456 136,635
634,862   177,230 457,632
37,715   10,641 27,074
95,718   49,270 46,448
119,420   32,709 86,711
32,654   14,148 18,506
18,286   7,924 10,362
27,430   11,884 15,546
58,753   86,695 -27,942
11,751   17,335 -5,584
15,527   22,905 -7,378
4,960   19,995 -15,035
3,815   15,382 -11,567
6,104   24,607 -18,503
3,434   13,257 -9,823
3,815   12,271 -8,456
10,491   39,553 -29,062
1,450     1,450
53,250   33,507 19,743
57,352   28,989 28,363
34,214   6,325 27,889
4,607   11,224 -6,617
2,119   6,577 -4,458
5,759   19,835 -14,076
2,303   4,249 -1,946
4,607   16,236 -11,629
5,528   16,746 -11,218
1,912   5,444 -3,532
2,303   6,740 -4,437
8,062   22,904 -14,842
91,081   43,275 47,806
144,635   78,472 66,163
28,809   19,306 9,503
140,488   64,385 76,103
67,459   27,111 40,348
86,960   49,695 37,265
30,391   14,218 16,173
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       -1,995
b       9,619
c       16,560
d       -20,129
e       -6,143
      -636
      39,864
      63,307
      76,194
      44,546
      2,148
      3,225
      10,760
      102,193
      136,635
      457,632
      27,074
      46,448
      86,711
      18,506
      10,362
      15,546
      -27,942
      -5,584
      -7,378
      -15,035
      -11,567
      -18,503
      -9,823
      -8,456
      -29,062
      1,450
      19,743
      28,363
      27,889
      -6,617
      -4,458
      -14,076
      -1,946
      -11,629
      -11,218
      -3,532
      -4,437
      -14,842
      47,806
      66,163
      9,503
      76,103
      40,348
      37,265
      16,173
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
Bracket 2 1,303,128
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ...................
Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
SECTION 4940(e) REPEALED ON DECEMBER 20, 2019 - DO NOT COMPLETE
1 Reserved
(a)
Reserved
(b)
Reserved
(c)
Reserved
(d)
Reserved
2
Reserved...........................
2
3
Reserved...........................
3
4
Reserved...........................
4
5
Reserved...........................
5
6
Reserved...........................
6
7
Reserved...........................
7
8
Reserved,..........................
8
Form 990-PF (2020)
Form 990-PF (2020)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket for line 1a
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b Reserved................................ 1 20,107
c All other domestic foundations enter 1.39% 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 20,107
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 20,107
6 Credits/Payments:
a 2020 estimated tax payments and 2019 overpayment credited to 2020 6a 23,006
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 23,006
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. Click to see attachment 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 2,899
11 Enter the amount of line 10 to be: Credited to 2021 estimated taxBullet2,899 RefundedBullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 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)
    bulletMA
    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 2020 or the taxable year beginning in 2020? 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 (2020)
    Form 990-PF (2020)
    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 addressbulletN/A
    14
    The books are in care ofbulletWILLIAM SMITH Telephone no.bullet (978) 720-5308

    Located atbullet210 ESSEX STREETSALEMMA ZIP+4bullet01970
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2020, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country? .................
    16   No
    See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
    country bullet
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ........
    1b
     
     
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2020?.............
    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 2020, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2020?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2020 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 2020.)..................
    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 2020?
    4b
     
    No
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (continued)
    5a
    During the year did the foundation pay or incur any amount to:
    Yes
    No
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .................
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation. See instructions
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation
    (If not paid, enter
    -0-)
    (d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    WILLIAM H MITCHELSON DIRECTOR/CHAIRMAN OF BOARD
    1.00
    0 0 0
    210 ESSEX STREET
    SALEM,MA01970
    PING YIN CHAI PRESIDENT
    1.00
    0 0 0
    210 ESSEX STREET
    SALEM,MA01970
    DONALD A SADOSKI DMD DIRECTOR
    1.00
    0 0 0
    210 ESSEX STREET
    SALEM,MA01970
    BRIAN W SHAUGHNESSY CLERK/TREASURER
    1.00
    0 0 0
    210 ESSEX STREET
    SALEM,MA01970
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position
    (c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation
    (e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1  
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2020)
    Form 990-PF (2020)
    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
    11,358,166
    b
    Average of monthly cash balances.......................
    1b
    95,074
    c
    Fair market value of all other assets (see instructions)................
    1c
    12,068
    d
    Total (add lines 1a, b, and c).........................
    1d
    11,465,308
    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
    11,465,308
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    171,980
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    11,293,328
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    564,666
    Part XI
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    564,666
    2a
    Tax on investment income for 2020 from Part VI, line 5......
    2a
    20,107
    b
    Income tax for 2020. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    20,107
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    544,559
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    544,559
    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
    544,559
    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
    375,795
    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
    375,795
    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
    375,795
    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 (2020)
    Form 990-PF (2020)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus
    (b)
    Years prior to 2019
    (c)
    2019
    (d)
    2020
    1 Distributable amount for 2020 from Part XI, line 7 544,559
    2 Undistributed income, if any, as of the end of 2020:
    a Enter amount for 2019 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2020:
    a From 2015...... 381,817
    b From 2016...... 343,070
    c From 2017...... 376,536
    d From 2018...... 156,512
    e From 2019...... 83,276
    fTotal of lines 3a through e........ 1,341,211
    4Qualifying distributions for 2020 from Part
    XII, line 4: bullet$ 375,795
    a Applied to 2019, 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 2020 distributable amount..... 375,795
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2020. 168,764 168,764
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 1,172,447
    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 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2020. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2021 ..........
    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 2015 not
    applied on line 5 or line 7 (see instructions) ...
    213,053
    9Excess distributions carryover to 2021.
    Subtract lines 7 and 8 from line 6a ......
    959,394
    10 Analysis of line 9:
    a Excess from 2016.... 343,070
    b Excess from 2017.... 376,536
    c Excess from 2018.... 156,512
    d Excess from 2019.... 83,276
    e Excess from 2020....  
    Form 990-PF (2020)
    Form 990-PF (2020)
    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 2020, enter the date of the ruling....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2020 (b) 2019 (c) 2018 (d) 2017
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...
             
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    BRIAN W SHAUGHNESSY
    210 ESSEX STREET
    SALEM,MA01970
    (978) 745-5555
    bThe form in which applications should be submitted and information and materials they should include:
    APPLICATIONS AVAILABLE AT ABOVE ADDRESS
    cAny submission deadlines:
    SEE APPLICATIONS FOR VARIOUS DEADLINES
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    GRANTS WILL BE GIVEN TO SOCIAL SERVICE AGENCIES, CULTURAL, EDUCATIONAL, ART, COMMUNITY ECEONOMIC DEVELOPMENT AND OTHER PROGRAMS THAT IMPACT THE NEEDS OF THE SALEM FIVE COMMUNITIES.
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    Foundation
    status of
    recipient
    Purpose of grant or
    contribution
    Amount
    Name and address (home or business)
    aPaid during the year
    ACT LAWRENCE INC
    530 BROADWAY SUITE 302
    LAWRENCE,MA01841
    NOT RELATED   EXEMPT PURPOSES 1,000
    ALICE PETINGE MEMORIAL FUND
    11 DOGWOOD LANE
    MEDWAY,MA02053
    NOT RELATED   EXEMPT PURPOSES 150
    ALZHEIMERS DISEASE AND RELATED DISORDERS ASSOCIATION
    225 NORTH MICHIGAN AVE FLOOR 17
    CHICAGO,IL60601
    NOT RELATED   EXEMPT PURPOSES 500
    AMERICAN NATIONAL RED CROSS
    431 18TH ST NW
    WASHINGTON,DC20006
    NOT RELATED   EXEMPT PURPOSES 800
    AMIRAH INC
    10 TOWER OFFICE PARK STE 413
    WOBURN,MA01801
    NOT RELATED   EXEMPT PURPOSES 450
    ANCHOR FOOD PANTRY
    19 ESSEX AVE
    SWAMPSCOTT,MA01907
    NOT RELATED   EXEMPT PURPOSES 2,500
    ANGEL FLIGHT NEW ENGLAND
    492 SUTTON ST
    NORTH ANDOVER,MA01845
    NOT RELATED   EXEMPT PURPOSES 1,750
    ASIAN COMMUNITY DEVELOPMENT
    38 OAK ST
    BOSTON,MA02111
    NOT RELATED   EXEMPT PURPOSES 500
    AUSTIN PREPARATORY SCHOOL
    101 WILLOW ST
    READING,MA01867
    NOT RELATED   EXEMPT PURPOSES 5,000
    BE LIKE BRIT FOUNDATION INC
    66 PULLMAN ST
    WORCESTER,MA01606
    NOT RELATED   EXEMPT PURPOSES 3,500
    BEVERLY FEMALE CHARITABLE SOCIETY
    5 WHITMAN PLACE
    BEVERLY,MA01915
    NOT RELATED   EXEMPT PURPOSES 1,000
    BEVERLY LITTLE LEAGUE INC
    PO BOX 222
    BEVERLY,MA01915
    NOT RELATED   EXEMPT PURPOSES 500
    BEVERLY ROTARY CLUB FOUNDATION
    PO BOX 201
    BEVERLY,MA01915
    NOT RELATED   EXEMPT PURPOSES 700
    BEVERLY SCHOOL FOR THE DEAF
    6 ECHO AVE
    BEVERLY,MA01915
    NOT RELATED   EXEMPT PURPOSES 500
    BEYOND WALLS INC
    81 MOUNT VERNON ST
    LYNN,MA01902
    NOT RELATED   EXEMPT PURPOSES 1,000
    BILLERCIA COMMUNITY PANTRY INC
    70 CONCORD RD
    BILLERICA,MA01821
    NOT RELATED   EXEMPT PURPOSES 1,000
    BILLERICA PUBLIC LIBRARY FOUNDATION INC
    15 CONCORD RD
    BILLERICA,MA01821
    NOT RELATED   EXEMPT PURPOSES 500
    BILLERICA ROTARY CHARITABLE
    164 CONCORD RD
    BILLERICA,MA01821
    NOT RELATED   EXEMPT PURPOSES 300
    BISHOP FENWICK HIGH SCHOOL INC
    99 MARGIN ST
    PEABODY,MA01960
    NOT RELATED   EXEMPT PURPOSES 900
    BISHOP FENWICK HIGH SCHOOL INC
    99 MARGIN ST
    PEABODY,MA01960
    NOT RELATED   EXEMPT PURPOSES 1,000
    BLUES FOR VETERANS ASSOCIATION
    PO BOX 507
    WOBURN,MA01801
    NOT RELATED   EXEMPT PURPOSES 200
    BOSTON BRUINS FOUNDATION
    100 LEGENDS WAY
    BOSTON,MA02114
    NOT RELATED   EXEMPT PURPOSES 1,000
    BOSTON CHINATOWN NEIGHBORHOOD CENTER INC
    885 WASHINGTON ST
    BOSTON,MA02111
    NOT RELATED   EXEMPT PURPOSES 1,000
    BOSTON NORTH CANCER ASSOCIATION
    PO BOX 3153
    PEABODY,MA01960
    NOT RELATED   EXEMPT PURPOSES 500
    BOYS & GIRLS CLUB OF LYNN
    25 NORTH COMMON ST
    LYNN,MA01902
    NOT RELATED   EXEMPT PURPOSES 500
    BOYS & GIRLS CLUB OF LYNN
    25 NORTH COMMON ST
    LYNN,MA01902
    NOT RELATED   EXEMPT PURPOSES 5,000
    BOYS AND GIRLS CLUB OF STONEHAM
    15 DALE CT
    STONEHAM,MA02180
    NOT RELATED   EXEMPT PURPOSES 2,500
    BOYS AND GIRLS CLUB OF STONEHAM
    15 DALE CT
    STONEHAM,MA02180
    NOT RELATED   EXEMPT PURPOSES 5,000
    BREAD & ROSE HOUSING
    15 UNION ST STE 401
    LAWRENCE,MA01840
    NOT RELATED   EXEMPT PURPOSES 1,000
    BREAD & ROSE HOUSING
    15 UNION ST STE 401
    LAWRENCE,MA01840
    NOT RELATED   EXEMPT PURPOSES 2,500
    BREAD AND ROSES INC
    58 NEWBURY ST
    LAWRENCE,MA01840
    NOT RELATED   EXEMPT PURPOSES 2,500
    BREAD OF LIFE
    54 EASTERN AVENUE REAR
    MALDEN,MA02148
    NOT RELATED   EXEMPT PURPOSES 250
    BRIDGEWELL
    471 BROADWAY
    LYNNFIELD,MA01940
    NOT RELATED   EXEMPT PURPOSES 1,300
    BROCKTON AREA MULTI SERVICES INC
    10 CHRISTYS DR
    BROCKTON,MA02301
    NOT RELATED   EXEMPT PURPOSES 2,600
    BUILDING A BETTER BEVERLY
    191 CABOT ST
    BEVERLY,MA01915
    NOT RELATED   EXEMPT PURPOSES 500
    BURLINGTON EDUCATION FOUNDATION
    PO BOX 756
    BURLINGTON,MA01803
    NOT RELATED   EXEMPT PURPOSES 500
    CARE DIMENSIONS
    75 SYLVAN ST STE B-102
    DANVERS,MA01923
    NOT RELATED   EXEMPT PURPOSES 1,000
    CATHOLIC CHARITIES NORTH
    70 LAWRENCE ST
    LOWELL,MA01852
    NOT RELATED   EXEMPT PURPOSES 3,000
    CENTER FOR HOPE & HEALING
    21 GEORGE ST 4TH FLOOR
    LOWELL,MA01852
    NOT RELATED   EXEMPT PURPOSES 1,000
    CENTRALVILLE BASEBALL LEAGUE
    152 FOX ST
    LOWELL,MA01850
    NOT RELATED   EXEMPT PURPOSES 150
    CITIZENS INN INC
    81 MAIN ST
    PEABODY,MA01960
    NOT RELATED   EXEMPT PURPOSES 5,000
    COMMUNITY GIVING TREE
    572B MAIN ST
    BOXFORD,MA01921
    NOT RELATED   EXEMPT PURPOSES 500
    CONCORD-CARLISLE COMMUNITY CHEST
    19 MAIN ST STE 2
    CONCORD,MA01742
    NOT RELATED   EXEMPT PURPOSES 500
    COP AMPUTEE ASSOCIATION INC
    54 LARCH LANE
    WENHAM,MA01984
    NOT RELATED   EXEMPT PURPOSES 500
    COVENANT CHRISTIAN ACADEMY
    83 PINE ST
    PEABODY,MA01860
    NOT RELATED   EXEMPT PURPOSES 300
    CRADLES TO CRAYONS
    281 NEWTONVILLE AVE
    NEWTON,MA02460
    NOT RELATED   EXEMPT PURPOSES 1,000
    DANA FARBER CANCER INSTITUTE
    450 BROOKLINE AVE
    BOSTON,MA02445
    NOT RELATED   EXEMPT PURPOSES 300
    DANVERS COMMUNITY COUNCIL INC
    PO BOX 2076
    DANVERS,MA01923
    NOT RELATED   EXEMPT PURPOSES 2,500
    DANVERS YMCA
    34 PICKERING ST
    DANVERS,MA01923
    NOT RELATED   EXEMPT PURPOSES 800
    DANVERS YMCA
    34 PICKERING ST
    DANVERS,MA01923
    NOT RELATED   EXEMPT PURPOSES 500
    DIGNITY MATTERS INC
    PO BOX 72
    WAYLAND,MA01778
    NOT RELATED   EXEMPT PURPOSES 500
    DISABILITY RESOURCE CENTER INC
    27 CONGRESS ST 107
    SALEM,MA01970
    NOT RELATED   EXEMPT PURPOSES 500
    ELIOT COMMUNITY HUMAN SERVICES
    125 HARTWELL AVE
    LEXINGTON,MA02421
    NOT RELATED   EXEMPT PURPOSES 2,500
    EMERSON UMBRELLA INC
    40 STOW ST
    CONCORD,MA01742
    NOT RELATED   EXEMPT PURPOSES 5,000
    ENGLISH AT LARGE
    800 W CUMMINGS PARK STE 5550
    WOBURN,MA01801
    NOT RELATED   EXEMPT PURPOSES 250
    ESSEX COUNTY COMMUNITY FOUNDATION
    175 ANDOVER ST
    DANVERS,MA01923
    NOT RELATED   EXEMPT PURPOSES 500
    ESSEX COUNTY TRAIL ASSOCIATION
    PO BOX 358
    HAMILTON,MA01936
    NOT RELATED   EXEMPT PURPOSES 2,200
    ESSEX NATION HERITAGE COMMISSION
    221 ESSEX ST
    SALEM,MA01970
    NOT RELATED   EXEMPT PURPOSES 5,000
    ESSEX NORTH SHORE AGRICULTURAL TECHNICAL FOUNDATION
    PO BOX 305
    BEVERLY,MA01915
    NOT RELATED   EXEMPT PURPOSES 1,500
    ESSEX NORTH SHORE PTO
    565 MAPLE ST
    HATHORNE,MA01937
    NOT RELATED   EXEMPT PURPOSES 300
    EXPRESS YOURSELF INC
    100 CUMMINGS CENTER STE 165E
    BEVERLY,MA01915
    NOT RELATED   EXEMPT PURPOSES 500
    FAMILY & CHILDRENS SERVICES OF GREATER LYNN
    111 NORTH COMMON ST
    LYNN,MA01901
    NOT RELATED   EXEMPT PURPOSES 500
    FAMILY COOPERATIVE PRESCHOOL
    48 CAROLINE WAY
    NORTH ANDOVER,MA01845
    NOT RELATED   EXEMPT PURPOSES 200
    FAMILY SERVICE OF THE MERRIMACK VALLEY INC
    430 NORTH CANAL ST
    LAWRENCE,MA01840
    NOT RELATED   EXEMPT PURPOSES 1,000
    FAMILY SERVICE OF THE MERRIMACK VALLEY INC
    430 NORTH CANAL ST
    LAWRENCE,MA01840
    NOT RELATED   EXEMPT PURPOSES 250
    FIDELITY HOUSE CRC
    22 PARKRIDGE RD
    HAVERHILL,MA01830
    NOT RELATED   EXEMPT PURPOSES 900
    FIRST R FOUNDATION
    74 LANGSFORD ST
    GLOUCESTER,MA01930
    NOT RELATED PC EXEMPT PURPOSES 250
    FOUND IN TRANSLATION
    1532B DORCHESTER AVE
    DORCHESTER,MA02122
    NOT RELATED   EXEMPT PURPOSES 1,000
    FRANKLIN SCHOOL PARENT TEACHER ORGANIZATION INC
    2 CYPRESS TER
    NORTH ANDOVER,MA01845
    NOT RELATED   EXEMPT PURPOSES 100
    FRIENDS OF BILLERICA COUNCIL ON AGING INC
    25 CONCORD RD
    BILLERICA,MA01821
    NOT RELATED   EXEMPT PURPOSES 200
    FRIENDS OF BILLERICA COUNCIL ON AGING INC
    25 CONCORD RD
    BILLERICA,MA01821
    NOT RELATED   EXEMPT PURPOSES 500
    FRIENDS OF BUKER ELEMENTARY SCHOOL INC
    ONE SCHOOL ST
    WENHAM,MA01984
    NOT RELATED   EXEMPT PURPOSES 500
    FRIENDS OF LINCOLN SUDBURY HOCKEY
    PO BOX 72
    SUDBURY,MA01776
    NOT RELATED   EXEMPT PURPOSES 200
    FRIENDS OF NORTHSHORE EDUCATION
    112 SOHIER RD
    BEVERLY,MA01915
    NOT RELATED   EXEMPT PURPOSES 1,000
    FRIENDS OF READING PUBLIC LIBRARY INC
    64 MIDDLESEX AVE
    READING,MA01867
    NOT RELATED   EXEMPT PURPOSES 250
    FRIENDS OF THE TEWKSBURY LIBRARY PUBLIC LIBRARY
    300 CHANDLER ST
    TEWKSBURY,MA01876
    NOT RELATED   EXEMPT PURPOSES 350
    FRIENDS OF WOBURN TRAVEL BASKETBALL
    11 BRENTWOOD RD
    WOBURN,MA01801
    NOT RELATED   EXEMPT PURPOSES 300
    GARDEN CLUB FEDERATION OF MASS
    PO BOX 2035
    SOUTH HAMILTON,MA01982
    NOT RELATED   EXEMPT PURPOSES 250
    GENERATIONS INC
    25 KINGSTON ST 4TH FL
    BOSTON,MA02111
    NOT RELATED   EXEMPT PURPOSES 2,500
    GEORGETOWN BASEBALL
    PO BOX 67
    GEORGETOWN,MA01833
    NOT RELATED   EXEMPT PURPOSES 550
    GIFTS THAT MATTER INC
    32 GREAT POND DR
    BOXFORD,MA01921
    NOT RELATED   EXEMPT PURPOSES 500
    GIRLS INC OF LYNN
    50 HIGH ST
    LYNN,MA01902
    NOT RELATED   EXEMPT PURPOSES 2,500
    GLOUCESTER FUND
    45 MIDDLE ST
    GLOUCESTER,MA01930
    NOT RELATED   EXEMPT PURPOSES 500
    GOOD FRIDAY WALK INC
    PO BOX 646
    BEVERLY,MA01915
    NOT RELATED   EXEMPT PURPOSES 500
    GREATER BEVERLY CHAMBER OF COMMERCE
    100 CUMMINGS CENTER 107K
    BEVERLY,MA01915
    NOT RELATED   EXEMPT PURPOSES 800
    GREATER BEVERLY CHAMBER OF COMMERCE
    100 CUMMINGS CENTER 107K
    BEVERLY,MA01915
    NOT RELATED   EXEMPT PURPOSES 500
    GREATER LOWELL CHILDREN'S FUND
    2 OMNI WAY 2ND FLOOR
    CHELMSFORD,MA01824
    NOT RELATED   EXEMPT PURPOSES 500
    GREATER LOWELL COMMUNITY FOUNDATION
    100 MERRIMACK ST
    LOWELL,MA01852
    NOT RELATED   EXEMPT PURPOSES 2,500
    GREATER LOWELL FAMILY YMCA
    35 YMCA DR
    LOWELL,MA01852
    NOT RELATED   EXEMPT PURPOSES 500
    HABITAT FOR HUMANITY INTERNATIONAL
    60 ISLAND ST
    LAWRENCE,MA01840
    NOT RELATED   EXEMPT PURPOSES 600
    HABITAT FOR HUMANITY NORTH SHORE
    14 PARK ST
    DANVERS,MA01923
    NOT RELATED   EXEMPT PURPOSES 1,000
    HABITAT FOR HUMANITY OF GREATER LOWELL
    68 TADMUCK RD UNIT 1
    LOWELL,MA01886
    NOT RELATED   EXEMPT PURPOSES 250
    HAMILTON-WENHAM LITTLE LEAGUE
    PO BOX 2305
    HAMILTON,MA01982
    NOT RELATED   EXEMPT PURPOSES 1,000
    HARBORLIGHT COMMUNITY PARTNERS
    PO BOX 507
    BEVERLY,MA01915
    NOT RELATED   EXEMPT PURPOSES 1,000
    HAVERHILL FIRE FIGHTING MUSEUM
    75 KENOZA AVE
    HAVERHILL,MA01830
    NOT RELATED   EXEMPT PURPOSES 300
    HEALING ABUSE WORKING FOR CHANGE
    27 CONGRESS ST
    SALEM,MA01970
    NOT RELATED   EXEMPT PURPOSES 3,500
    HEALTHY KIDS RUNNING SERIES
    381 BRINTON LAKE RD STE 1
    THORNTON,PA19373
    NOT RELATED   EXEMPT PURPOSES 250
    HEALTHY STUDENTS HEALTHY SAUGUS
    50 ESSEX ST
    SAUGUS,MA01906
    NOT RELATED   EXEMPT PURPOSES 1,000
    HERO'S CUP HOCKEY INC
    2 SPRING LN
    MARLBORO,MA01752
    NOT RELATED   EXEMPT PURPOSES 2,500
    HISTORIC SALEM INC
    PO BOX 865
    SALEM,MA01970
    NOT RELATED   EXEMPT PURPOSES 500
    HOMESTART INC
    105 CHAUNCY ST SUITE 502
    BOSTON,MA02111
    NOT RELATED   EXEMPT PURPOSES 1,000
    HOUSE OF HOPE INC
    812 MERRIMACK ST
    LOWELL,MA01854
    NOT RELATED   EXEMPT PURPOSES 2,500
    HOUSING FAMILIES INC
    919 EASTERN AVE
    MALDEN,MA02148
    NOT RELATED   EXEMPT PURPOSES 500
    INTO ACTION RECOVERY INC
    20 FOX RUN
    TEWKSBURY,MA01876
    NOT RELATED   EXEMPT PURPOSES 600
    JAMES L MCKEOWN BOYS AND GIRLS CLUB OF WOBURN
    CHARLES GARDNER LANE
    WOBURN,MA01801
    NOT RELATED   EXEMPT PURPOSES 1,000
    JAMES L MCKEOWN BOYS AND GIRLS CLUB OF WOBURN
    CHARLES GARDNER LANE
    WOBURN,MA01801
    NOT RELATED   EXEMPT PURPOSES 2,000
    KIPP MASSACHUSETTS
    90 HIGH ROCK ST
    LYNN,MA01902
    NOT RELATED   EXEMPT PURPOSES 250
    L ARCHE BOSTON NORTH INC
    PO BOX 1177
    HAVERHILL,MA01831
    NOT RELATED   EXEMPT PURPOSES 1,000
    LA VIDA INC
    120 MUNROE ST
    LYNN,MA01901
    NOT RELATED   EXEMPT PURPOSES 3,000
    LAHEY CLINIC FOUNDATION
    41 MALL RD
    BURLINGTON,MA01805
    NOT RELATED   EXEMPT PURPOSES 1,750
    LAURIE CONDON HODGES MEMORIAL SCHOLARSHIP INC
    11 LONDONDERRY LN
    GEORGETOWN,MA01833
    NOT RELATED   EXEMPT PURPOSES 1,000
    LAWRENCE BOYS & GIRLS CLUB
    136 WATER ST
    LAWRENCE,MA01841
    NOT RELATED   EXEMPT PURPOSES 700
    LAZARUS HOUSE INC
    412 HAMPSHIRE ST
    LAWRENCE,MA01841
    NOT RELATED   EXEMPT PURPOSES 1,500
    LEAGUE OF WOMEN VOTERS OF MASSACHUSETTS
    133 PORTLAND ST
    BOSTON,MA02114
    NOT RELATED   EXEMPT PURPOSES 1,000
    LEAP FOR EDUCATION
    209 ESSEX ST
    SALEM,MA01970
    NOT RELATED   EXEMPT PURPOSES 2,300
    LEXINGTON EDUCATION FOUNDATION
    594 MARRETT RD SUITE 7
    LEXINGTON,MA02421
    NOT RELATED   EXEMPT PURPOSES 500
    LIFEBRIDGE OF SALEM
    56 MARGIN ST
    SALEM,MA01970
    NOT RELATED   EXEMPT PURPOSES 1,000
    LIFTING SPIRITS MINIATURE THERAPY HORSES INC
    23 PLEASANT ST
    ANDOVER,MA01810
    NOT RELATED   EXEMPT PURPOSES 300
    LITTLE LEAGUE BASEBALL
    PO BOX 8200
    LYNN,MA01904
    NOT RELATED   EXEMPT PURPOSES 250
    LONGWOOD CARE
    21 RAILROAD AVE
    SWAMPSCOTT,MA01907
    NOT RELATED   EXEMPT PURPOSES 1,000
    LOWELL CATHOLIC HIGH SCHOOL
    530 STEVENS ST
    LOWELL,MA01851
    NOT RELATED   EXEMPT PURPOSES 2,200
    LOWELL CATHOLIC HIGH SCHOOL
    530 STEVENS ST
    LOWELL,MA01851
    NOT RELATED   EXEMPT PURPOSES 440
    LOWELL GENERAL HOSPITAL
    295 VARNUM AVE
    LOWELL,MA01854
    NOT RELATED   EXEMPT PURPOSES 1,500
    LUCYS LOVE BUS CHARITABLE TRUST
    21 WATER ST STE 302
    AMESBURY,MA01913
    NOT RELATED   EXEMPT PURPOSES 1,000
    LYNN ECONOMIC OPPORTUNITY INC
    156 BROAD ST
    LYNN,MA01901
    NOT RELATED   EXEMPT PURPOSES 3,000
    LYNN JUNETEENTH COMMITTEE
    99 EUTAW AVE
    LYNN,MA01902
    NOT RELATED   EXEMPT PURPOSES 300
    LYSOA INC
    312A UNION ST
    LYNN,MA01901
    NOT RELATED   EXEMPT PURPOSES 300
    MARBLEHEAD ARTS ASSOCIATION
    8 HOOPER ST
    MARBLEHEAD,MA01945
    NOT RELATED   EXEMPT PURPOSES 500
    MARBLEHEAD COMMUNITY ACCESS AND MEDIA INC
    217 PLEASANT ST
    MARBLEHEAD,MA01945
    NOT RELATED   EXEMPT PURPOSES 5,000
    MASSACHUSETTS AUDOBON SOCIETY
    208 SOUTH GREAT RD
    LINCOLN,MA01773
    NOT RELATED   EXEMPT PURPOSES 300
    MASSACHUSETTS BANKERS ASSOCIATION
    ONE WASHINGTON MALL 8TH FLOOR
    BOSTON,MA02108
    NOT RELATED   EXEMPT PURPOSES 3,000
    MASSACHUSETTS COALITION FOR THE HOMELESS
    73 BUFFUM ST
    LYNN,MA01902
    NOT RELATED   EXEMPT PURPOSES 1,000
    MAYA CHILDCARE INC
    44 OAKWOOD AVE
    FALMOUTH,MA02540
    NOT RELATED   EXEMPT PURPOSES 500
    MERRIMACK VALLEY FOOD BANK INC
    PO BOX 8638
    LOWELL,MA01853
    NOT RELATED   EXEMPT PURPOSES 1,000
    MERRIMACK VALLEY HOUSING PARTNER
    PO BOX 1042
    LOWELL,MA01853
    NOT RELATED   EXEMPT PURPOSES 2,000
    MERRIMACK VALLEY IMMIGRANT AND EDUCATION CENTER INC
    439 SOUTH UNION ST
    LAWRENCE,MA01843
    NOT RELATED   EXEMPT PURPOSES 500
    MERRY MIXERS
    11 WESTON RD
    MARBLEHEAD,MA01945
    NOT RELATED   EXEMPT PURPOSES 500
    METRO NORTH HOUSING CORP
    54 EASTERN AVE
    MALDEN,MA02148
    NOT RELATED   EXEMPT PURPOSES 500
    MIDDLESEX COMMUNITY COLLEGE FOUNDATION
    33 KEARNEY SQ
    LOWELL,MA01853
    NOT RELATED   EXEMPT PURPOSES 1,000
    MISSION OF DEEDS INC
    6 CHAPIN AVE
    READING,MA01867
    NOT RELATED   EXEMPT PURPOSES 3,000
    MISSIONSAFE A NEW BEGINNING
    18 JOHN ELIOT SQ
    ROXBURY,MA02120
    NOT RELATED   EXEMPT PURPOSES 3,000
    MONTROSE FOUNDATION INC
    29 NORTH ST
    MEDFIELD,MA02052
    NOT RELATED   EXEMPT PURPOSES 1,800
    MULTIPLE SCLEROSIS COMMUNITY FOUNDATION INC
    6 MARTINACK AVE
    PEABODY,MA01960
    NOT RELATED   EXEMPT PURPOSES 500
    MY BROTHER'S TABLE
    98 WILLOW ST
    LYNN,MA01901
    NOT RELATED   EXEMPT PURPOSES 3,000
    NASHOBA LEARNING GROUP INC
    10 OAK PARK DR
    BEDFORD,MA01730
    NOT RELATED   EXEMPT PURPOSES 500
    NATIONAL INVENTORS HALL OF FAME
    3701 HIGHLAND PARK NW
    NORTH CANTON,OH44720
    NOT RELATED   EXEMPT PURPOSES 1,500
    NATIVITY BOSTON
    39 LAMARTINE ST
    JAMAICA PLAIN,MA02130
    NOT RELATED   EXEMPT PURPOSES 500
    NCECP
    PO BOX 80255
    STONEHAM,MA02180
    NOT RELATED   EXEMPT PURPOSES 1,000
    NEIGHBORS IN NEED
    PO BOX 447
    LAWRENCE,MA01842
    NOT RELATED   EXEMPT PURPOSES 500
    NORTH ANDOVER EARLY CHILDHOOD CENTER
    115 PHILLIPS BROOK RD
    NORTH ANDOVER,MA01845
    NOT RELATED   EXEMPT PURPOSES 50
    NORTH SHORE COMMUNITY ACTION PROGRAMS INC
    119 REAR FOSTER ST BUILDING 13
    PEABODY,MA01960
    NOT RELATED   EXEMPT PURPOSES 2,500
    NORTH SHORE COMMUNITY COLLEGE FOUNDATION INC
    ONE FERNCROFT RD
    DANVERS,MA01923
    NOT RELATED   EXEMPT PURPOSES 750
    NORTH SHORE COMMUNITY COLLEGE FOUNDATION INC
    ONE FERNCROFT RD
    DANVERS,MA01923
    NOT RELATED   EXEMPT PURPOSES 2,500
    NORTH SHORE COMMUNITY DEVELOPMENT COALITION
    102 LAFAYETTE ST
    SALEM,MA01970
    NOT RELATED   EXEMPT PURPOSES 2,500
    NORTH SHORE CONCERT BAND
    PO BOX 4292
    PEABODY,MA01960
    NOT RELATED   EXEMPT PURPOSES 600
    NORTH SHORE MOVING MARKET
    13A FRANKLIN ST
    SALEM,MA01970
    NOT RELATED   EXEMPT PURPOSES 2,500
    NORTHEAST ANIMAL SHELTER
    347 HIGHLAND AVE
    SALEM,MA01970
    NOT RELATED   EXEMPT PURPOSES 500
    NORTHERN ESSEX COMMUNITY COLLEGE
    45 FRANKLIN ST
    LAWRENCE,MA01840
    NOT RELATED   EXEMPT PURPOSES 500
    NUPATH INC
    147 NEW BOSTON ST
    WOBURN,MA01801
    NOT RELATED   EXEMPT PURPOSES 500
    OPEN DOOR CAPE ANN FOOD PANTRY
    28 EMERSON AVE
    GLOUCESTER,MA01930
    NOT RELATED   EXEMPT PURPOSES 3,000
    PARENTS FOR MUSIC EXCELLENCE INC
    17 CONANT ST
    DANVERS,MA01923
    NOT RELATED   EXEMPT PURPOSES 250
    PARTNERS HEALTHCARE SYSTEM
    399 REVOLUTION DR STE 645
    SOMERVILLE,MA02145
    NOT RELATED   EXEMPT PURPOSES 5,000
    PATHWAYS ADULT EDUCATION AND TRAINING INC
    330 LYNNWAY STE 302
    LYNN,MA01901
    NOT RELATED   EXEMPT PURPOSES 500
    PAUL CENTER FOR LEARNING AND RECREATION
    39 CONCORD RD
    CHELMSFORD,MA01824
    NOT RELATED   EXEMPT PURPOSES 300
    PEABODY ESSEX MUSEUM
    161 ESSEX ST
    SALEM,MA01970
    NOT RELATED   EXEMPT PURPOSES 15,000
    PEABODY LITTLE LEAGUE INC
    PO BOX 683
    PEABODY,MA01960
    NOT RELATED   EXEMPT PURPOSES 500
    PLYMOUTH TASKFORCE FOR THE HOMELESS INC
    PO BOX 3896
    PLYMOUTH,MA02361
    NOT RELATED   EXEMPT PURPOSES 2,500
    PROJECT BREAD
    145 BORDER ST
    EAST BOSTON,MA02128
    NOT RELATED   EXEMPT PURPOSES 2,000
    PROJECT HOME AGAIN
    PO BOX 1236
    ANDOVER,MA01810
    NOT RELATED   EXEMPT PURPOSES 1,000
    PROJECT HOPE
    550 DUDLEY ST
    ROXBURY,MA02119
    NOT RELATED   EXEMPT PURPOSES 500
    RAW ART WORKS
    37 CENTRAL ST
    LYNN,MA01901
    NOT RELATED   EXEMPT PURPOSES 1,175
    REACH FOR THE TOP THERAPY SERVICES
    61 LOCUST ST
    DOVER,NH03820
    NOT RELATED   EXEMPT PURPOSES 200
    READING CLERGY ASSOCIATION
    300 HAVERHILL ST
    READING,MA01867
    NOT RELATED   EXEMPT PURPOSES 2,500
    READING SCHOLARSHIP FOUNDATION INC
    PO BOX 492
    READING,MA01887
    NOT RELATED   EXEMPT PURPOSES 250
    ROAD RUNNER CLUB OF AMERICA
    PO BOX 213
    ANDOVER,MA01810
    NOT RELATED   EXEMPT PURPOSES 1,000
    ROOT NS INC
    35 CONGRESS ST STE 2350
    SALEM,MA01970
    NOT RELATED   EXEMPT PURPOSES 5,000
    ROSIES PLACE
    889 HARRISON AVE
    BOSTON,MA02118
    NOT RELATED   EXEMPT PURPOSES 1,000
    RUTHS HOUSE
    111 LAFAYETTE SQUARE
    HAVERHILL,MA01832
    NOT RELATED   EXEMPT PURPOSES 1,000
    RUTHS WAY
    23 SWAN AVE
    EAST BOSTON,MA02128
    NOT RELATED   EXEMPT PURPOSES 500
    RYAL SIDE CIVIC ASSOCIATION
    7 ELEANOR AVE
    BEVERLY,MA01915
    NOT RELATED   EXEMPT PURPOSES 1,000
    SAILING HEALS INC
    5 WINCHESTER ST
    BRADFORD,MA01835
    NOT RELATED   EXEMPT PURPOSES 1,000
    SAILING HEALS INC
    5 WINCHESTER ST
    BRADFORD,MA01835
    NOT RELATED   EXEMPT PURPOSES 1,000
    SALEM COMMUNITY ARTS CENTER
    ONE EAST INDIA SQUARE
    SALEM,MA01970
    NOT RELATED   EXEMPT PURPOSES 1,000
    SALEM MAIN STREET
    265 ESSEX ST STE 3400
    SALEM,MA01970
    NOT RELATED   EXEMPT PURPOSES 1,500
    SALEM PANTRY
    PO BOX 295
    SALEM,MA01970
    NOT RELATED   EXEMPT PURPOSES 2,000
    SALEM PANTRY
    PO BOX 295
    SALEM,MA01970
    NOT RELATED   EXEMPT PURPOSES 5,000
    SALEM PHILHARMONIC ORCHESTRA INC
    6 SUTTON AVE
    SALEM,MA01970
    NOT RELATED   EXEMPT PURPOSES 1,000
    SALEM SOUND COASTWATCH
    12 FEDERAL ST
    SALEM,MA01970
    NOT RELATED   EXEMPT PURPOSES 1,500
    SALEM STATE UNIVERSITY
    352 LAFAYETTE ST
    SALEM,MA01970
    NOT RELATED   EXEMPT PURPOSES 1,000
    SALEM YOUTH FOOTBALL AND CHEERING INC
    PO BOX 268
    SALEM,MA01970
    NOT RELATED   EXEMPT PURPOSES 250
    SALVATION ARMY
    440 WEST NYACK RD
    WEST NYACK,NY10994
    NOT RELATED   EXEMPT PURPOSES 2,000
    SAMANTHA'S HARVEST
    PO BOX 425
    READING,MA01867
    NOT RELATED   EXEMPT PURPOSES 500
    SCHOLARSHIP AMERICA INC
    365 BOSTON RD
    BILLERICA,MA01821
    NOT RELATED   EXEMPT PURPOSES 1,000
    SMILE MASS
    66 DUDLEY RD
    SUDBURY,MA01776
    NOT RELATED   EXEMPT PURPOSES 500
    SMILE MASS
    66 DUDLEY RD
    SUDBURY,MA01776
    NOT RELATED   EXEMPT PURPOSES 1,000
    SOCIETY FOR THE DEVELOPMENT OF ARTS
    1 MARKET SQ
    NEWBURYPORT,MA01950
    NOT RELATED   EXEMPT PURPOSES 500
    SPECIAL NEEDS ARTS PROGRAMS
    PO BOX 598
    LEXINGTON,MA02420
    NOT RELATED   EXEMPT PURPOSES 1,000
    SPUR INC
    PO BOX 1274
    MARBLEHEAD,MA01945
    NOT RELATED   EXEMPT PURPOSES 500
    ST JOHNS PREPARATORY SCHOOL
    72 SPRING ST
    DANVERS,MA01923
    NOT RELATED   EXEMPT PURPOSES 10,000
    ST MARY OF THE ANNUNCIATION SCHOOL
    14 OTIS ST
    DANVERS,MA01923
    NOT RELATED   EXEMPT PURPOSES 500
    ST FRANCIS HOUSE
    39 BOYLSTON ST
    BOSTON,MA02116
    NOT RELATED   EXEMPT PURPOSES 1,200
    STEPHEN PHILLIPS MEMORIAL SCHOLARSHIP FUND INC
    230 CONGRESS ST FLOOR 12
    BOSTON,MA02110
    NOT RELATED   EXEMPT PURPOSES 9,000
    STONEHAM BUSINESS & COMMUNITY EDUCATIONAL FOUNDATION
    17 LAWNDALE RD
    STONEHAM,MA02180
    NOT RELATED   EXEMPT PURPOSES 500
    STONEHAM HISTORICAL SOCIETY
    36 WILLIAM ST
    STONEHAM,MA02108
    NOT RELATED   EXEMPT PURPOSES 300
    STONEHAM THEATRE CORP
    395 MAIN ST
    STONEHAM,MA02180
    NOT RELATED   EXEMPT PURPOSES 25,000
    SUDBURY CO-OPERATIVE PRE SCHOOL
    26 CONCORD RD
    SUDBURY,MA01776
    NOT RELATED   EXEMPT PURPOSES 300
    SUDBURY EDUCATION RESOURCE FUND
    21 PHILEMON WHALE LN
    SUDBURY,MA01776
    NOT RELATED   EXEMPT PURPOSES 500
    TAILORED FOR SUCCESS INC
    PO BOX 527
    MALDEN,MA02148
    NOT RELATED   EXEMPT PURPOSES 500
    TEWKSBURY HABITAT BUILD
    PO BOX 454
    TEWKSBURY,MA01876
    NOT RELATED   EXEMPT PURPOSES 1,000
    TEWKSBURY HABITAT BUILD
    PO BOX 454
    TEWKSBURY,MA01876
    NOT RELATED   EXEMPT PURPOSES 2,500
    THE CABOT PERFORMING ARTS CENTER
    286 CABOT ST
    BEVERLY,MA01915
    NOT RELATED   EXEMPT PURPOSES 2,500
    THE CABOT PERFORMING ARTS CENTER
    286 CABOT ST
    BEVERLY,MA01915
    NOT RELATED   EXEMPT PURPOSES 5,000
    THE CALEB GROUP INC
    491 HUMPHREY ST
    SWAMPSCOTT,MA01907
    NOT RELATED   EXEMPT PURPOSES 500
    THE COMMUNITY HOUSE
    284 BAY RD
    SOUTH HAMILTON,MA01982
    NOT RELATED   EXEMPT PURPOSES 5,000
    THE DAVID K JOHNSON FOUNDATION
    PO BOX 617
    READING,MA01867
    NOT RELATED   EXEMPT PURPOSES 3,000
    THE FOOD PROJECT INC
    10 LEWIS ST
    LINCOLN,MA01773
    NOT RELATED   EXEMPT PURPOSES 900
    THE HAVEN PROJECT INC
    57 MUNROE ST
    LYNN,MA01901
    NOT RELATED   EXEMPT PURPOSES 500
    THE HOUSE OF THE SEVEN GABLES
    115 DERBY ST
    SALEM,MA01970
    NOT RELATED   EXEMPT PURPOSES 4,880
    THE JOHN ESTRELLA FOUNDATION FOR CANCER RESEARCH
    3 SEWARD AVE
    BEVERLY,MA01915
    NOT RELATED   EXEMPT PURPOSES 300
    THE PAN MASS CHALLENGE
    77 4TH AVENUE
    NEEDHAM HEIGHTS,MA02494
    NOT RELATED   EXEMPT PURPOSES 250
    THE RED SOX FOUNDATION
    4 YAWKEY WAY
    BOSTON,MA02215
    NOT RELATED   EXEMPT PURPOSES 350
    THE SAINTS ACADEMY
    111 NEW BALCH ST
    BEVERLY,MA01915
    NOT RELATED   EXEMPT PURPOSES 2,200
    THE SALEM ATHENAEUM
    337 ESSEX ST
    SALEM,MA01970
    NOT RELATED   EXEMPT PURPOSES 5,000
    THE SALEM PARTNERSHIP INC
    265 ESSEX ST STE 304
    SALEM,MA01970
    NOT RELATED   EXEMPT PURPOSES 7,500
    THE WAKEFIELD INDEPENDENCE DAY COMMITTEE
    PO BOX 1746
    WAKEFIELD,MA01880
    NOT RELATED   EXEMPT PURPOSES 1,500
    THE WISH PROJECT
    1A FOUNDRY ST
    LOWELL,MA01852
    NOT RELATED   EXEMPT PURPOSES 500
    THINK OF MICHAEL FOUNDATION
    18 PARTRIDGE LN
    LYNNFIELD,MA01940
    NOT RELATED   EXEMPT PURPOSES 1,075
    TIMMYS ANGELS
    8747 S CICERO AVE
    HOMETOWN,IL60456
    NOT RELATED   EXEMPT PURPOSES 500
    UNITED WAY OF MASSACHUSETTS
    100 CUMMINGS CTR STE 231C 341D
    BEVERLY,MA01915
    NOT RELATED   EXEMPT PURPOSES 2,000
    VNA CARE NETWORK INC
    199 ROSEWOOD DR STE 180
    DANVERS,MA01923
    NOT RELATED   EXEMPT PURPOSES 900
    VNA HOSPICE CARE INC
    100 TRADE CENTER G-500
    WOBURN,MA01801
    NOT RELATED   EXEMPT PURPOSES 500
    WALKER INC
    1968 CENTRAL AVE
    NEEDHAM,MA02492
    NOT RELATED   EXEMPT PURPOSES 500
    WATERVILLE VALLEY ADAPTIVE PROGRAM
    PO BOX 505
    WATERVILLE VALLEY,NH03215
    NOT RELATED   EXEMPT PURPOSES 2,000
    WE'RE ONE WILMINGTON
    314 MAIN ST STE 105
    WILMINGTON,MA01887
    NOT RELATED   EXEMPT PURPOSES 500
    WILMINGTON YOUTH SOCCER ASSOCIATION
    PO BOX 107
    WILMINGTON,MA01887
    NOT RELATED   EXEMPT PURPOSES 250
    WINDRUSH FARM THERAPEUTIC EQUITATION
    479 LACY ST
    NORTH ANDOVER,MA01845
    NOT RELATED   EXEMPT PURPOSES 500
    WOBURN COMMUNITY EDUCATION FOUNDATION INC
    PO BOX 581
    WOBURN,MA01801
    NOT RELATED   EXEMPT PURPOSES 625
    WOBURN COUNCIL OF SOCIAL CONCERN INC
    2 MERRIMAC ST
    WOBURN,MA01801
    NOT RELATED   EXEMPT PURPOSES 1,000
    WOBURN DOLLARS FOR SCHOLARS
    PO BOX 202
    WOBURN,MA01801
    NOT RELATED   EXEMPT PURPOSES 500
    WOBURN HOST LIONS CHARITIES
    PO BOX 81
    WOBURN,MA01801
    NOT RELATED   EXEMPT PURPOSES 100
    WOBURN PUBLIC LIBRARY
    45 PLEASANT ST
    WOBURN,MA01801
    NOT RELATED   EXEMPT PURPOSES 1,000
    WOBURN PUBLIC LIBRARY
    45 PLEASANT ST
    WOBURN,MA01801
    NOT RELATED   EXEMPT PURPOSES 800
    YAWKEY BASEBALL LEAGUE
    31 ELY RD
    DORCHESTER,MA02124
    NOT RELATED   EXEMPT PURPOSES 250
    YMCA OF METRO NORTH
    2 CENTENNIAL DR STE 4A
    PEABODY,MA01960
    NOT RELATED   EXEMPT PURPOSES 1,000
    YMCA OF METRO NORTH
    2 CENTENNIAL DR STE 4A
    PEABODY,MA01960
    NOT RELATED   EXEMPT PURPOSES 1,000
    YMCA OF THE NORTH SHORE
    ONE SEWALL ST
    SALEM,MA01970
    NOT RELATED   EXEMPT PURPOSES 800
    YMCA OF THE NORTH SHORE
    ONE SEWALL ST
    SALEM,MA01970
    NOT RELATED   EXEMPT PURPOSES 5,000
    YWCA NORTHEASTERN MASSACHUSETTS
    140 CLARENDON ST
    BOSTON,MA02116
    NOT RELATED   EXEMPT PURPOSES 600
    YWCA NORTHEASTERN MASSACHUSETTS
    140 CLARENDON ST
    BOSTON,MA02116
    NOT RELATED   EXEMPT PURPOSES 750
    LUK INC
    545 WESTMINSTER ST
    FITCHBURG,MA01420
    NOT RELATED   EXEMPT PURPOSES -250
    SUPPORT OUR SENIORS
    4770 WHITE PLAINS RD
    BRONX,NY10470
    NOT RELATED   EXEMPT PURPOSES -300
    PENTUCKET PLAYERS
    56 COPLEY DR
    METHUEN,MA01844
    NOT RELATED   EXEMPT PURPOSES -250
    FRIENDS OF THE CENTER
    400 WASHINGTON AVE
    MONTGOMERY,AL36104
    NOT RELATED   EXEMPT PURPOSES -175
    POP WARNER LITTLE LEAGUE
    PO BOX 307
    LANGHORNE,PA19047
    NOT RELATED   EXEMPT PURPOSES -100
    WOENS LUNCH PLACE
    67 NEWBURY ST
    BOSTON,MA02116
    NOT RELATED   EXEMPT PURPOSES -500
    NAHANT LITTLE LEAGUE
    PO BOX 161
    NAHNT,MA01908
    NOT RELATED   EXEMPT PURPOSES -275
    Total .................................bullet 3a 371,495
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3 Interest on savings and temporary cash
    investments ...........
        14 1,192  
    4 Dividends and interest from securities....     14 187,920  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income.....          
    8 Gain or (loss) from sales of assets other than
    inventory ............
        18 56,238  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aFEDERAL TAX REFUND
            709
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 245,350 709
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    246,059
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    11A FEDERAL TAX REFUND
    Form 990-PF (2020)
    Form 990-PF (2020)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below?
    See instructions.
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    Firm's EIN SmallBullet
    Firm's address SmallBullet


    Phone no.
    Form 990-PF (2020)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990, 990-EZ,
    or 990-PF)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors

    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
    OMB No. 1545-0047
    2020
    Name of the organization
    SALEM FIVE CHARITABLE FOUNDATION INC
     
    Employer identification number

    04-3342405
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ






    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
    or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020) Page 2
    Name of organization
    SALEM FIVE CHARITABLE FOUNDATION INC
     
    Employer identification number
    04-3342405
    Part I
    Contributors
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    1
    SALEM FIVE CENTS SAVINGS BANK
     
    210 ESSEX STREET
     
    SALEM, MA01970

    $ 154,568


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    2
    SALEM FIVE CENTS SAVINGS BANK
     
    211 ESSEX STREET
     
    SALEM, MA01971

    $ 214,621


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    3
    SALEM FIVE CENTS SAVINGS BANK
     
    212 ESSEX STREET
     
    SALEM, MA01972

    $ 633,475


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    4
    SALEM FIVE CENTS SAVINGS BANK
     
    213 ESSEX STREET
     
    SALEM, MA01973

    $ 91,083


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    5
    SALEM FIVE CENTS SAVINGS BANK
     
    214 ESSEX STREET
     
    SALEM, MA01974

    $ 67,459


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    6
    SALEM FIVE CENTS SAVINGS BANK
     
    215 ESSEX STREET
     
    SALEM, MA01975

    $ 53,251


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Name of organization
    SALEM FIVE CHARITABLE FOUNDATION INC
     
    Employer identification number
    04-3342405
    Part I
    Contributors
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    7
    SALEM FIVE CENTS SAVINGS BANK
     
    216 ESSEX STREET
     
    SALEM, MA01976

    $ 57,353


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    8
    SALEM FIVE CENTS SAVINGS BANK
     
    217 ESSEX STREET
     
    SALEM, MA01977

    $ 86,960


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    9
    SALEM FIVE CENTS SAVINGS BANK
     
    218 ESSEX STREET
     
    SALEM, MA01978

    $ 30,391


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    10
    SALEM FIVE CENTS SAVINGS BANK
     
    219 ESSEX STREET
     
    SALEM, MA01979

    $ 119,404


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    11
    SALEM FIVE CENTS SAVINGS BANK
     
    220 ESSEX STREET
     
    SALEM, MA01980

    $ 95,717


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    12
    SALEM FIVE CENTS SAVINGS BANK
     
    221 ESSEX STREET
     
    SALEM, MA01981

    $ 94,863


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Name of organization
    SALEM FIVE CHARITABLE FOUNDATION INC
     
    Employer identification number
    04-3342405
    Part I
    Contributors
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    13
    SALEM FIVE CENTS SAVINGS BANK
     
    222 ESSEX STREET
     
    SALEM, MA01982

    $ 140,491


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    14
    SALEM FIVE CENTS SAVINGS BANK
     
    223 ESSEX STREET
     
    SALEM, MA01983

    $ 144,636


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    15
    SALEM FIVE CENTS SAVINGS BANK
     
    224 ESSEX STREET
     
    SALEM, MA01984

    $ 28,810


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
     
     
     
     

    $  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Page 3
    Name of organization
    SALEM FIVE CHARITABLE FOUNDATION INC
     
    Employer identification number

    04-3342405
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
    1
    610 SHARES OF DEERE $ 154,568 2020-12-08
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
    2
    847 SHARES OF DEERE $ 214,621 2020-12-08
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
    3
    2500 SHARES OF DEERE $ 633,475 2020-12-08
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
    4
    340 SHARES OF UBIQUITI $ 91,083 2020-12-08
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
    5
    310 SHARES OF PAY PAL HOLDINGS $ 67,459 2020-12-08
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
    6
    675 SHARES OF OLLIES BARGAIN OUTLETS $ 53,251 2020-12-08
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Name of organization
    SALEM FIVE CHARITABLE FOUNDATION INC
     
    Employer identification number

    04-3342405
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
    7
    727 SHARES OF OLLIES BARGAIN OUTLETS $ 57,353 2020-12-08
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
    8
    1445 SHARES OF IAA INC $ 86,960 2020-12-08
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
    9
    505 SHARES OF IAA INC $ 30,391 2020-12-08
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
    10
    2030 SHARES OF EXP WORLD HOLDINGS INC $ 119,404 2020-12-08
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
    11
    290 SHARES OF EPAM SYSTEMS $ 95,717 2020-12-08
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
    12
    760 SHARES OF APPLE $ 94,863 2020-12-08
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Name of organization
    SALEM FIVE CHARITABLE FOUNDATION INC
     
    Employer identification number

    04-3342405
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
    13
    650 SHARES OF HELEN OF TROY LTD $ 140,491 2020-12-08
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
    14
    1230 SHARES OF EATON CORP $ 144,636 2020-12-08
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
    15
    245 SHARES OF EATON CORP $ 28,810 2020-12-08
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Page 4
    Name of organization
    SALEM FIVE CHARITABLE FOUNDATION INC
     
    Employer identification number

    04-3342405
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
    Additional Data


    Software ID:  
    Software Version:  

    TY 2020 AccountingFeesSchedule
    Name:
    SALEM FIVE CHARITABLE FOUNDATION INC
    EIN:
    04-3342405
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    WOLF & COMPANY, P.C. 3,800 0   3,800

    TY 2020 InvestmentsCorpStockSchedule
    Name:
    SALEM FIVE CHARITABLE FOUNDATION INC
    EIN:
    04-3342405
    Name of Stock End of Year Book Value End of Year Fair Market Value
    CORPORATE/MUNICIPAL BONDS 1,899,187 1,988,217
    EQUITY 8,288,302 11,802,171

    TY 2020 OtherAssetsSchedule
    Name:
    SALEM FIVE CHARITABLE FOUNDATION INC
    EIN:
    04-3342405
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    OTHER ASSETS 13,433 10,702 10,702


    TY 2020 OtherExpensesSchedule
    Name:
    SALEM FIVE CHARITABLE FOUNDATION INC
    EIN:
    04-3342405
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    MA FILING FEE 500 0   500


    TY 2020 OtherIncomeSchedule2
    Name:
    SALEM FIVE CHARITABLE FOUNDATION INC
    EIN:
    04-3342405
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    FEDERAL TAX REFUND 709   709


    TY 2020 OtherProfessionalFeesSchedule
    Name:
    SALEM FIVE CHARITABLE FOUNDATION INC
    EIN:
    04-3342405
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ADVISOR FEE 45,727 45,727   0


    TY 2020 TaxesSchedule
    Name:
    SALEM FIVE CHARITABLE FOUNDATION INC
    EIN:
    04-3342405
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    2020 ESTIMATED FEDERAL TAXES 17,000 0   0