Form990-PF
Click to see attachment

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
ABRAHAM BURTMAN CHARITY TRUST
 
Number and street (or P.O. box number if mail is not delivered to street address)255 WASHINGTON STREET
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
DOVER, NH03820
A Employer identification number

02-6004364
B Telephone number (see instructions)

(603) 742-2332
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$1,408,982
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 Check bullet.............
3 Interest on savings and temporary cash investments 1,638 1,638 1,638
4 Dividends and interest from securities... 29,451 29,451 29,451
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 20,719
b Gross sales price for all assets on line 6a 467,957
7 Capital gain net income (from Part IV, line 2)... 20,719
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)....... 1,875   1,875
12 Total. Add lines 1 through 11........ 53,683 51,808 32,964
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 10,500 10,500 10,500 10,500
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... 5,211 5,211 5,211 5,211
b Accounting fees (attach schedule)....... 800 800 800 800
c Other professional fees (attach schedule).... 11,516 11,516 11,516 11,516
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 211 211 211 211
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 375 375 375 375
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 28,613 28,613 28,613 28,613
25 Contributions, gifts, grants paid....... 83,000 83,000
26 Total expenses and disbursements. Add lines 24 and 25 111,613 28,613 28,613 111,613
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -57,930
b Net investment income (if negative, enter -0-) 23,195
c Adjusted net income (if negative, enter -0-)... 4,351
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............. 38,079 27,557 27,557
2 Savings and temporary cash investments.........      
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)....... 225,294 Click to see attachment218,964 602,308
c Investments—corporate bonds (attach schedule)....... 95,000 Click to see attachment95,000 103,670
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 635,859 Click to see attachment595,641 675,447
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 994,232 937,162 1,408,982
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
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........ 994,232 937,162
27 Paid-in or capital surplus, or land, bldg., and equipment fund    
28 Retained earnings, accumulated income, endowment, or other funds    
29 Total net assets or fund balances (see instructions)..... 994,232 937,162
30 Total liabilities and net assets/fund balances (see instructions). 994,232 937,162
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
994,232
2
Enter amount from Part I, line 27a .....................
2
-57,930
3
Other increases not included in line 2 (itemize) bulletClick to see attachment
3
860
4
Add lines 1, 2, and 3 ..........................
4
937,162
5
Decreases not included in line 2 (itemize) bullet
5
 
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
937,162
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 MERRILL LYNCH P    
b MERRILL LYNCH P    
c MERRILL LYNCH P    
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 79,572   84,196 -4,624
b 321,141   325,283 -4,142
c 60,963   37,759 23,204
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       -4,624
b       -4,142
c       23,204
d
e
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 20,719
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................................ 1 322
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  
3 Add lines 1 and 2........................... 3 322
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- ..... 5 322
6 Credits/Payments:
a 2020 estimated tax payments and 2019 overpayment credited to 2020 6a 329
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.............. 7 329
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.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 7
11 Enter the amount of line 10 to be: Credited to 2021 estimated taxBullet7 RefundedBullet 11  
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$   (2) On foundation managers.bullet$  
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$  
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)
    bullet
    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 ofbulletBURNS LAW FIRM Telephone no.bullet (603) 742-2332

    Located atbullet255 WASHINGTON STREETDOVERNH ZIP+4bullet03820
    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
     
    No
    .........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
    RICHARD THAYER TRUSTEE
    5.00
    3,500 0 0
    PO BOX 608
    DOVER,NH03820
    STEPHANIE SHAINES TRUSTEE
    5.00
    3,500 0 0
    PO BOX 608
    DOVER,NH03820
    PAUL R COX TRUSTEE
    5.00
    3,500 0 0
    PO BOX 608
    DOVER,NH03820
    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  
    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.............bullet  
    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 SEE ATTACHED LIST OF SCHOLARSHIPS AND GRANTS AWARDED 83,000
    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 N/A  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet  
    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
    0
    b
    Average of monthly cash balances.......................
    1b
    0
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    0
    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
     
    3
    Subtract line 2 from line 1d.........................
    3
    0
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    0
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    0
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    0
    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
     
    2a
    Tax on investment income for 2020 from Part VI, line 5......
    2a
    322
    b
    Income tax for 2020. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    322
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
     
    4
    Recoveries of amounts treated as qualifying distributions................
    4
     
    5
    Add lines 3 and 4............................
    5
     
    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
    0
    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
    111,613
    b
    Program-related investments—total from Part IX-B..................
    1b
     
    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
    111,613
    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
     
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    111,613
    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 0
    2 Undistributed income, if any, as of the end of 2020:
    a Enter amount for 2019 only.......  
    b Total for prior years:20, 20, 20  
    3 Excess distributions carryover, if any, to 2020:
    a From 2015...... 98,886
    b From 2016...... 102,104
    c From 2017...... 103,188
    d From 2018...... 98,325
    e From 2019...... 114,576
    fTotal of lines 3a through e........ 517,079
    4Qualifying distributions for 2020 from Part
    XII, line 4: bullet$ 111,613
    a Applied to 2019, 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 2020 distributable amount.....  
    e Remaining amount distributed out of corpus 111,613
    5 Excess distributions carryover applied to 2020.    
    (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 5 628,692
    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 2019. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
     
    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) .......
     
    8 Excess distributions carryover from 2015 not
    applied on line 5 or line 7 (see instructions) ...
    98,886
    9Excess distributions carryover to 2021.
    Subtract lines 7 and 8 from line 6a ......
    529,806
    10 Analysis of line 9:
    a Excess from 2016.... 102,104
    b Excess from 2017.... 103,188
    c Excess from 2018.... 98,325
    d Excess from 2019.... 114,576
    e Excess from 2020.... 111,613
    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:
    PAUL R COX ESQ
    PO BOX 608
    DOVER,NH038210608
    (603) 742-2332
    bThe form in which applications should be submitted and information and materials they should include:
    SEE ATTACHED SAMPLE
    cAny submission deadlines:
    MAY 10 FOR SCHOLARSHIPS; SEPTEMBER 15 FOR GRANTS
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    NONE
    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
    BADIBANGA THETHE
    4 CHURCH ST
    KINGSTON,NH03848
        FOR PHILANTHROPIC ASSISTANCE 1,000
    BLAKE KATHERINE
    218 OLD TURNPIKE RD
    NORTHWOOD,NH03261
        FOR PHILANTHROPIC ASSISTANCE 1,000
    BROWN ALANA
    8 PATRICIA DRIVE
    HUDSON,NH03051
        FOR PHILANTHROPIC ASSISTANCE 1,000
    BROWN CODY
    8 PATRICIA DRIVE
    HUDSON,NH03051
        FOR PHILANTHROPIC ASSISTANCE 1,000
    BURKE JACKSON
    32 WHIPPOORWILL RIDGE
    FARMINGTON,NH03835
        FOR PHILANTHROPIC ASSISTANCE 1,000
    CANNON AUDREY
    36 SAMUEL HANSON AVE
    DOVER,NH03820
        FOR PHILANTHROPIC ASSISTANCE 1,000
    COOK SEBASTIAN
    8 BENJAMIN WAY
    DOVER,NH03820
        FOR PHILANTHROPIC ASSISTANCE 1,000
    DUDLEY JENNI
    121 GLEN HILL RD
    DOVER,NH03820
        FOR PHILANTHROPIC ASSISTANCE 1,000
    FAIR QUINN
    168 RYDER CORNER
    SUNAPEE,NH03782
        FOR PHILANTHROPIC ASSISTANCE 1,000
    FEDERICO WILLEM
    56 WATERHOUSE RD
    BARRINGTON,NH03825
        FOR PHILANTHROPIC ASSISTANCE 1,000
    HODSON KIRA
    PO BOX 138
    MILTON,NH03851
        FOR PHILANTHROPIC ASSISTANCE 1,000
    JEWELL DANIELLE
    612 SIXTH ST
    DOVER,NH03820
        FOR PHILANTHROPIC ASSISTANCE 1,000
    JORDAN MADISON
    11 OAKLANDS RD
    EXETER,NH03833
        FOR PHILANTHROPIC ASSISTANCE 1,000
    KRISHNAN KULIN
    61 WEST HIGH ST
    SOMERSWORTH,NH03878
        FOR PHILANTHROPIC ASSISTANCE 1,000
    MALLETT MIKAYLA
    20 CHRISSY CIRCLE
    BARRINGTON,NH03825
        FOR PHILANTHROPIC ASSISTANCE 1,000
    MARTINEAU KATIE
    125 SPRING ST
    FARMINGTON,NH03835
        FOR PHILANTHROPIC ASSISTANCE 1,000
    MAU KYLE
    8 MAPLEWOOD AVE
    DOVER,NH03820
        FOR PHILANTHROPIC ASSISTANCE 1,000
    MEEKER BRYNNA
    99 LAKE SHORE DR
    NORTHWOOD,NH03261
        FOR PHILANTHROPIC ASSISTANCE 1,000
    MEEKER ETHAN
    99 LAKE SHORE DR
    NORTHWOOD,NH03261
        FOR PHILANTHROPIC ASSISTANCE 1,000
    MESSENGER KATHERINE
    795 1ST CROWN POINT RD
    STRAFFORD,NH03884
        FOR PHILANTHROPIC ASSISTANCE 1,000
    MYERS OLIVIA
    24 LAYNE DR
    LEE,NH03861
        FOR PHILANTHROPIC ASSISTANCE 1,000
    NELSON-MAROIS ZACHARY
    18 OVERLOOK DR
    DOVER,NH03820
        FOR PHILANTHROPIC ASSISTANCE 1,000
    NELSON-MAROIS KYLIE
    18 OVERLOOK DR
    DOVER,NH03820
        FOR PHILANTHROPIC ASSISTANCE 1,000
    OAKES MAKAILA
    287 RIVER RD
    PIERMONT,NH03719
        FOR PHILANTHROPIC ASSISTANCE 1,000
    OROH ANGELINA
    8 RUEL ST
    SOMERSWORTH,NH03878
        FOR PHILANTHROPIC ASSISTANCE 1,000
    PHAN AUSTIN
    7 SANDERLING WAY
    PORTSMOUTH,NH03801
        FOR PHILANTHROPIC ASSISTANCE 1,000
    PINE KELSEY
    10 LORRAINES LANE
    STRAFFORD,NH03884
        FOR PHILANTHROPIC ASSISTANCE 1,000
    PINE ZACHARY
    10 LORRAINES LANE
    STRAFFORD,NH03884
        FOR PHILANTHROPIC ASSISTANCE 1,000
    ROGERS RYLEE
    243 GULF ROAD
    NORTHWOOD,NH03261
        FOR PHILANTHROPIC ASSISTANCE 1,000
    SAVAGE EMMA CATHERINE
    10 VINE ST
    PORTSMOUTH,NH03801
        FOR PHILANTHROPIC ASSISTANCE 1,000
    SCHAFER CHEYENNE
    20 FOREST ST
    CONCORD,NH03301
        FOR PHILANTHROPIC ASSISTANCE 1,000
    SMITH-DAVENPORT ISABELLA
    103 RIDGE RD
    FARMINGTON,NH03835
        FOR PHILANTHROPIC ASSISTANCE 1,000
    STEVENS HAILEY
    24 CHURCH ST
    SANBORNVILLE,NH03872
        FOR PHILANTHROPIC ASSISTANCE 1,000
    SUWU JASON
    8 RUEL ST
    SOMERSWORTH,NH03878
        FOR PHILANTHROPIC ASSISTANCE 1,000
    VACCARO EMILY
    4 CHURCH ST
    KINGSTON,NH03848
        FOR PHILANTHROPIC ASSISTANCE 1,000
    VIEL JESSICA
    73 NUTES RD
    MILTON,NH03851
        FOR PHILANTHROPIC ASSISTANCE 1,000
    VINCENT HANNAH
    24 RIVERVIEW RD
    DURHAM,NH03824
        FOR PHILANTHROPIC ASSISTANCE 1,000
    WONDAL MARCELLA
    44 OAK ST
    GONIC,NH03839
        FOR PHILANTHROPIC ASSISTANCE 1,000
    AMY'S RETREAT
    PO BOX 2234
    DOVER,NH03820
        FOR PHILANTHROPIC ASSISTANCE 250
    ASSOCIATION FOR ROLLINSFORD CULTURE
    47 WATER ST
    ROLLINSFORD,NH03869
        FOR PHILANTHROPIC ASSISTANCE 100
    AVIS GOODWIN - SOS RECOVERY COMMUNI
    311 ROUTE 108
    SOMERSWORTH,NH03878
        FOR PHILANTHROPIC ASSISTANCE 500
    BRAIN INJURY ASSOCIATION OF NH
    52 PLEASUANT ST
    CONCORD,NH03301
        FOR PHILANTHROPIC ASSISTANCE 500
    CASA
    PO BOX 1337
    MANCHESTER,NH03102
        FOR PHILANTHROPIC ASSISTANCE 250
    CATHOLIC STUDENT CENTER - UNH
    6 MADBURY RD
    DURHAM,NH03824
        FOR PHILANTHROPIC ASSISTANCE 750
    COCHECO VALLEY HUMANE SOCIETY
    221 COUNTY FARM RD
    DOVER,NH03820
        FOR PHILANTHROPIC ASSISTANCE 200
    COMMUNITY FOOD PANTRY
    176 W HIGH ST
    SOMERSWORTH,NH03878
        FOR PHILANTHROPIC ASSISTANCE 500
    COMMUNITY PARTNERS
    113 CROSBY RD
    DOVER,NH03820
        FOR PHILANTHROPIC ASSISTANCE 300
    CROSSROADS HOUSE - PORTSMOUTH
    600 LAFAYETTE RD
    PORTSMOUTH,NH03801
        FOR PHILANTHROPIC ASSISTANCE 400
    DAVID'S HOUSE
    461 MT SUPPORT RD
    LEBANON,NH03766
        FOR PHILANTHROPIC ASSISTANCE 200
    DOVER ADULT LEARNING CENTER
    61 LOCUST ST
    DOVER,NH03820
        FOR PHILANTHROPIC ASSISTANCE 250
    DOVER CHILDREN'S CENTER
    43 BACK RIVE RD
    DOVER,NH03820
        FOR PHILANTHROPIC ASSISTANCE 300
    DOVER CHILDREN'S HOME
    207 LOCUST ST
    DOVER,NH03820
        FOR PHILANTHROPIC ASSISTANCE 1,000
    DOVER FRIENDLY SOUP KITCHEN
    5 HALE ST
    DOVER,NH03820
        FOR PHILANTHROPIC ASSISTANCE 650
    DOVER POLICE DEPT - CHRISTMAN BASKE
    46 LOCUST ST
    DOVER,NH03820
        FOR PHILANTHROPIC ASSISTANCE 250
    DOVER RIVERWALK TRUST
    255 WASHINGTON ST
    DOVER,NH03820
        FOR PHILANTHROPIC ASSISTANCE 750
    DOVER TRIANGLE CLUB
    120 BROADWAY
    DOVER,NH03820
        FOR PHILANTHROPIC ASSISTANCE 400
    END 68 HOURS OF HUNGER
    512 PISCASSIC ST
    NEWMARKET,NH03857
        FOR PHILANTHROPIC ASSISTANCE 500
    END 68 HOURS OF HUNGER
    512 PISCASSIC ST
    NEWMARKET,NH03857
        FOR PHILANTHROPIC ASSISTANCE 500
    FAMILIES FIRST
    100 CAMPUS DR SUITE 12
    PORTSMOUTH,NH03801
        FOR PHILANTHROPIC ASSISTANCE 750
    FAMILIES FIRST
    100 CAMPUS DR SUITE 12
    PORTSMOUTH,NH03801
        FOR PHILANTHROPIC ASSISTANCE 500
    FARMINGTON 500 BOYS & GIRLS CLUB
    PO BOX 404
    FARMINGTON,NH03835
        FOR PHILANTHROPIC ASSISTANCE 2,000
    FARMINGTON HIGH SCHOOL ALUMNI FUND
    PO BOX 288
    FARMINGTON,NH03835
        FOR PHILANTHROPIC ASSISTANCE 1,000
    FARMINGTON HIGH SCHOOL SCHOLARSHIP
    396 SOUTH MAIN ST
    WOLFEBORO,NH03894
        FOR PHILANTHROPIC ASSISTANCE 2,000
    GATHER
    210 WEST RD 3
    PORTSMOUTH,NH03801
        FOR PHILANTHROPIC ASSISTANCE 500
    GOODWIN PUBLIC LIBRARY
    422 MAIN ST
    FARMINGTON,NH03835
        FOR PHILANTHROPIC ASSISTANCE 1,000
    HABITAT FOR HUMANITY
    1 MIDDLE ST SUITE 200
    PORTSMOUTH,NH03801
        FOR PHILANTHROPIC ASSISTANCE 200
    HAVEN
    150 WAKEFIELD ST
    ROCHESTER,NH03867
        FOR PHILANTHROPIC ASSISTANCE 800
    HAVEN
    150 WAKEFIELD ST
    ROCHESTER,NH03867
        FOR PHILANTHROPIC ASSISTANCE 500
    HOPE ON HAVEN HILL
    361 NH 108
    SOMERSWORTH,NH03878
        FOR PHILANTHROPIC ASSISTANCE 500
    INTERFAITH FOOD PANTRY
    17 SOUTH MAIN ST
    FARMINGTON,NH03835
        FOR PHILANTHROPIC ASSISTANCE 1,500
    KREMPELS CENTER
    100 CAMPUS DR SUITE 24
    PORTSMOUTH,NH03801
        FOR PHILANTHROPIC ASSISTANCE 100
    LIVE & LET LIVE FARM
    20 PARADICE LN
    CHICHESTER,NH03258
        FOR PHILANTHROPIC ASSISTANCE 500
    LYDIA'S HOUSE OF HOPE
    21 GRAND ST
    SOMERSWORTH,NH03878
        FOR PHILANTHROPIC ASSISTANCE 600
    LYDIA'S HOUSE OF HOPE
    21 GRAND ST
    SOMERSWORTH,NH03878
        FOR PHILANTHROPIC ASSISTANCE 100
    MAYHEW PROJECT
    PO BOX 120
    BRISTOL,NH03222
        FOR PHILANTHROPIC ASSISTANCE 200
    MY FRIEND'S PLACE
    368 WASHINGTON ST
    DOVER,NH03820
        FOR PHILANTHROPIC ASSISTANCE 400
    NANCY MAE SHAINES MEMORIAL LIBRARY
    200 STATE ST
    PORTSMOUTH,NH03801
        FOR PHILANTHROPIC ASSISTANCE 650
    NEW DURHAM FOOD PANTRY
    PO BOX 207
    NEW DURHAM,NH03855
        FOR PHILANTHROPIC ASSISTANCE 1,500
    NEW DURHAM HIGH SCHOOL SCHOLARSHIP
    PO BOX 207
    NEW DURHAM,NH03855
        FOR PHILANTHROPIC ASSISTANCE 2,000
    NH HARM REDUCTION COALITION
    PO BOX 1632
    DOVER,NH03820
        FOR PHILANTHROPIC ASSISTANCE 1,000
    NH PBS RADIO
    2 PILLSBURY ST 6TH FLOO
    CONCORD,NH03301
        FOR PHILANTHROPIC ASSISTANCE 100
    NH PBS TV & RADIO
    268 MAST RD
    DURHAM,NH03824
        FOR PHILANTHROPIC ASSISTANCE 100
    NH PEACE ACTION
    4 PARK ST 304
    CONCORD,NH03301
        FOR PHILANTHROPIC ASSISTANCE 100
    NUTE HIGH SCHOOL SCHOLARSHIP FUND
    22 ELM ST
    MILTON,NH03851
        FOR PHILANTHROPIC ASSISTANCE 2,000
    OUR DAILY BREAD - PARISH OF THE ASS
    150 CENTRAL AVE
    DOVER,NH03820
        FOR PHILANTHROPIC ASSISTANCE 350
    PLANNED PARENTHOOD OF NH
    108 HIGH ST
    EXETER,NH03833
        FOR PHILANTHROPIC ASSISTANCE 200
    ROCHESTER CHILD CARE CENTER
    95 CHARLES ST
    ROCHESTER,NH03867
        FOR PHILANTHROPIC ASSISTANCE 200
    ROCKINGHAM COUNTY COMMUNITY ACTION
    40 PINE ST
    MANCHESTER,NH03103
        FOR PHILANTHROPIC ASSISTANCE 500
    SALVATION ARMY SOUP KITCHEN
    28 SIGNAL ST
    ROCHESTER,NH03867
        FOR PHILANTHROPIC ASSISTANCE 500
    SASS
    20 INTERNATIONAL DR SUI
    PORTSMOUTH,NH03801
        FOR PHILANTHROPIC ASSISTANCE 500
    SEACOAST COMMUNITY SCHOOL
    100 CAMPUS DR UNIT 20
    PORTSMOUTH,NH03801
        FOR PHILANTHROPIC ASSISTANCE 500
    SEACOAST EDUCATION - SEED
    63 LOCUST ST
    DOVER,NH03820
        FOR PHILANTHROPIC ASSISTANCE 600
    SEACOAST INTERFAITH HOSPITALITY NET
    PO BOX 233
    STRATHAM,NH03855
        FOR PHILANTHROPIC ASSISTANCE 500
    SEEDS OF FAITH
    21 GRAND ST
    SOMERSWORTH,NH03878
        FOR PHILANTHROPIC ASSISTANCE 500
    SOCIETY FOR PROTECTION OF NH FOREST
    54 PORTSMOUTH ST
    CONCORD,NH03301
        FOR PHILANTHROPIC ASSISTANCE 200
    SOMERSWORTH HISTORICAL MUSEUM
    157 MAIN ST
    SOMERSWORTH,NH03878
        FOR PHILANTHROPIC ASSISTANCE 100
    SOMERSWORTH YOUTH CONNECTION
    7 MEMORIAL DR
    SOMERSWORTH,NH03878
        FOR PHILANTHROPIC ASSISTANCE 300
    SOUTHEAST LAND TRUST
    12 CENTER ST
    EXETER,NH03833
        FOR PHILANTHROPIC ASSISTANCE 1,000
    SOUTHEAST LAND TRUST
    12 CENTER ST
    EXETER,NH03833
        FOR PHILANTHROPIC ASSISTANCE 1,000
    SOUTHERN NH SERVICES
    40 PINE ST
    MANCHESTER,NH03103
        FOR PHILANTHROPIC ASSISTANCE 750
    SPECIAL OLYMPICS - SEACOAST AREA
    650 ELM ST
    MANCHESTER,NH03101
        FOR PHILANTHROPIC ASSISTANCE 400
    SURFRIDER NH
    PO BOX 73550
    SAN CLEMENTE,CA92673
        FOR PHILANTHROPIC ASSISTANCE 250
    THE CHASE HOME
    698 MIDDLE ST
    PORTSMOUTH,NH03801
        FOR PHILANTHROPIC ASSISTANCE 1,000
    THE JAMES FOLEY LEGACY FOUNDATION
    PO BOX 1678
    ROCHESTER,NH03866
        FOR PHILANTHROPIC ASSISTANCE 100
    THE KINGSWOOD YOUTH CENTER
    565 CENTER ST
    WOLFEBORO,NH03894
        FOR PHILANTHROPIC ASSISTANCE 1,000
    THE SALVATION ARMY
    28 SIGNAL ST
    ROCHESTER,NH03867
        FOR PHILANTHROPIC ASSISTANCE 100
    TOYS FOR TOTS - DOVER FIRE DEPARTME
    9 BROADWAY
    DOVER,NH03820
        FOR PHILANTHROPIC ASSISTANCE 300
    TRIANGLE CLUB
    120 BROADWAY
    DOVER,NH03820
        FOR PHILANTHROPIC ASSISTANCE 500
    UNH EQUESTRIAN
    288 MAST RD
    NEW DURHAM,NH03824
        FOR PHILANTHROPIC ASSISTANCE 1,500
    UNH MOCK TRIAL PROGRAM
    73 MAIN ST
    DURHAM,NH03824
        FOR PHILANTHROPIC ASSISTANCE 500
    UNITED STATES PONY CLUB - SQUAMSCOT
    51 SAPPHIRE ST
    PORTSMOUTH,NH03801
        FOR PHILANTHROPIC ASSISTANCE 1,000
    VETERANS COUNT
    555 AUBURNS ST
    MANCHESTER,NH03103
        FOR PHILANTHROPIC ASSISTANCE 500
    VICTIM'S INC
    PO BOX 455
    ROCHESTER,NH03866
        FOR PHILANTHROPIC ASSISTANCE 250
    ZEBRA CROSSINGS
    61 LOCUST ST
    DOVER,NH03820
        FOR PHILANTHROPIC ASSISTANCE 750
    Total .................................bullet 3a 83,000
    bApproved for future payment
    Total .................................bullet 3b  
    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 ...........
            1,638
    4 Dividends and interest from securities....         29,451
    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 ............
            20,719
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aOTHER INVESTMENT INCOME
            1,875
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e)..     53,683
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    53,683
    (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.)
    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

    TY 2020 AccountingFeesSchedule
    Name:
    ABRAHAM BURTMAN CHARITY TRUST
    EIN:
    02-6004364
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 800 800 800 800

    TY 2020 InvestmentsCorpBondsSchedule
    Name:
    ABRAHAM BURTMAN CHARITY TRUST
    EIN:
    02-6004364
    Name of Bond End of Year Book Value End of Year Fair Market Value
    FIXED INCOME 95,000 103,670

    TY 2020 InvestmentsCorpStockSchedule
    Name:
    ABRAHAM BURTMAN CHARITY TRUST
    EIN:
    02-6004364
    Name of Stock End of Year Book Value End of Year Fair Market Value
    EQUITIES 218,964 602,308

    TY 2020 InvestmentsOtherSchedule2
    Name:
    ABRAHAM BURTMAN CHARITY TRUST
    EIN:
    02-6004364
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    MUTUAL FUNDS AT COST 595,641 675,447

    TY 2020 LegalFeesSchedule
    Name:
    ABRAHAM BURTMAN CHARITY TRUST
    EIN:
    02-6004364
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 5,211 5,211 5,211 5,211


    TY 2020 OtherExpensesSchedule
    Name:
    ABRAHAM BURTMAN CHARITY TRUST
    EIN:
    02-6004364
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    EXPENSES        
    BONDING 300 300 300 300
    FILING FEES 75 75 75 75


    TY 2020 OtherIncomeSchedule2
    Name:
    ABRAHAM BURTMAN CHARITY TRUST
    EIN:
    02-6004364
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    OTHER INVESTMENT INCOME 1,875   1,875


    TY 2020 OtherIncreasesSchedule
    Name:
    ABRAHAM BURTMAN CHARITY TRUST
    EIN:
    02-6004364
    Description Amount
    NONDIVIDEND DISTRIBUTIONS 860


    TY 2020 OtherProfessionalFeesSchedule
    Name:
    ABRAHAM BURTMAN CHARITY TRUST
    EIN:
    02-6004364
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT FEES 11,516 11,516 11,516 11,516


    TY 2020 TaxesSchedule
    Name:
    ABRAHAM BURTMAN CHARITY TRUST
    EIN:
    02-6004364
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 211 211 211 211