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. 1545-0047
2021
Open to Public Inspection
For calendar year 2021, or tax year beginning 01-01-2021 , and ending 12-31-2021
Name of foundation
Fieldstone Foundation Inc
 
Number and street (or P.O. box number if mail is not delivered to street address)172 Harvard Road
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Stow, MA01775
A Employer identification number

22-3111728
B Telephone number (see instructions)

(978) 835-0258
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$3,942,444
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      
4 Dividends and interest from securities... 81,924 81,924  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 261,334
b Gross sales price for all assets on line 6a 670,853
7 Capital gain net income (from Part IV, line 2)... 261,334
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)....... -3,361 -3,361  
12 Total. Add lines 1 through 11........ 339,897 339,897  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 20,000 0   20,000
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... 21,322 21,322   0
17 Interest............... 561 561   0
18 Taxes (attach schedule) (see instructions)... 7,968 1,388   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 194 41   153
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 50,045 23,312   20,153
25 Contributions, gifts, grants paid....... 143,850 143,850
26 Total expenses and disbursements. Add lines 24 and 25 193,895 23,312   164,003
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 146,002
b Net investment income (if negative, enter -0-) 316,585
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2021)
Form 990-PF (2021)
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............. 41,795 6,295 6,295
2 Savings and temporary cash investments......... 63,300 259,406 259,406
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) 0 Click to see attachment108,786 116,635
b Investments—corporate stock (attach schedule)....... 982,260 Click to see attachment961,210 1,931,903
c Investments—corporate bonds (attach schedule)....... 832,475 Click to see attachment734,695 705,987
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 732,031 Click to see attachment726,125 908,982
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet) Click to see attachment11,890 Click to see attachment13,236 Click to see attachment13,236
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 2,663,751 2,809,753 3,942,444
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........ 2,663,751 2,809,753
27 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
28 Retained earnings, accumulated income, endowment, or other funds 0 0
29 Total net assets or fund balances (see instructions)..... 2,663,751 2,809,753
30 Total liabilities and net assets/fund balances (see instructions). 2,663,751 2,809,753
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
2,663,751
2
Enter amount from Part I, line 27a .....................
2
146,002
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
2,809,753
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
2,809,753
Form 990-PF (2021)
Form 990-PF (2021)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)
(b)
How acquired
P—Purchase
D—Donation
(c)
Date acquired
(mo., day, yr.)
(d)
Date sold
(mo., day, yr.)
1 a Publicly Traded Securities P    
b Pass through Capital Gains P    
c Capital Gains Dividends 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 628,489   409,519 218,970
b 11,211     11,211
c 31,153     31,153
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       218,970
b       11,211
c       31,153
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 2 261,334
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  
Form 990-PF (2021)
Form 990-PF (2021)
Page 4
Part V
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 All other domestic foundations enter 1.39% (0.0139) of line 27b. Exempt foreign organizations enter 4% (0.04) 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 4,401
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 4,401
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 3,450
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 5,500
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 8,950
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 0
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 4,549
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet4,549 RefundedBullet 11 0
Part VI-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 XIV..................................
    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 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.
    If "Yes," complete Part XIII .............................
    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 (2021)
    Form 990-PF (2021)
    Page 5
    Part VI-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 ofbulletT Nathanael Shepard Telephone no.bullet (978) 835-0258

    Located atbullet172 Harvard RoadStowMA ZIP+4bullet01775
    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 2021, 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 VI-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? ...........
    1a(1)
     
    No
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person? ..............................
    1a(2)
     
    No
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........
    1a(3)
     
    No
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............
    1a(4)
    Yes
     
    (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)? ......................
    1a(5)
     
    No
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.) ...............
    1a(6)
     
    No
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........
    1b
     
    No
    c
    ........bullet
    d
    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 2021? .............
    1d
     
    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 2021, did the foundation have any undistributed income (lines 6d
    and 6e, Part XII) for tax year(s) beginning before 2021?....................
    2a
     
    No
    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? ..............................
    3a
     
    No
    b
    If "Yes," did it have excess business holdings in 2021 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 2021.) .....................
    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 2021? ..
    4b
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 6
    Part VI-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))? ..........
    5a(1)
     
    No
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive? ....................
    5a(2)
     
    No
    (3) Provide a grant to an individual for travel, study, or other similar purposes? .............
    5a(3)
     
    No
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? See instructions ........................
    5a(4)
     
    No
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals? .............
    5a(5)
     
    No
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........
    5b
     
     
    c
    .........bullet
    d
    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? .................
    5d
     
     
    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? .............................
    6a
     
    No
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    7a
     
    No
    b
    If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....
    7b
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .........................
    8
     
    No
    Part VII
    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
    Katharine S Furney Secretary
    1.00
    0 0 0
    172 Harvard Road
    Stow,MA01775
    Ruth H Shepherd President
    1.00
    0 0 0
    172 Harvard Road
    Stow,MA01775
    Elizabeth R Beneche Director
    1.00
    0 0 0
    172 Harvard Road
    Stow,MA01775
    T Nathanael Shepherd Treasurer
    8.00
    20,000 0 0
    172 Harvard Road
    Stow,MA01775
    Nancy Shepherd Vice President
    1.00
    0 0 0
    172 Harvard Road
    Stow,MA01775
    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 (2021)
    Form 990-PF (2021)
    Page 7
    Part VII
    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 VIII-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 NA 0
    2  
    3  
    4  
    Part VIII-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 (2021)
    Form 990-PF (2021)
    Page 8
    Part IX
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    3,665,214
    b
    Average of monthly cash balances.......................
    1b
    99,636
    c
    Fair market value of all other assets (see instructions)................
    1c
    13,236
    d
    Total (add lines 1a, b, and c).........................
    1d
    3,778,086
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    3,778,086
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    56,671
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    3,721,415
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    186,071
    Part X
    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 IX, line 6..................
    1
    186,071
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    4,401
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    4,401
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    181,670
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    181,670
    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 XII, line 1 ...
    7
    181,670
    Part XI
    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
     
    b
    Program-related investments—total from Part VIII-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 XII, line 4.
    4
     
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 9
    Part XII
    Undistributed Income (see instructions)
    (a)
    Corpus
    (b)
    Years prior to 2020
    (c)
    2020
    (d)
    2021
    1 Distributable amount for 2021 from Part X, line 7 181,670
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2021:
    a From 2016...... 34,535
    b From 2017...... 33,142
    c From 2018...... 39,085
    d From 2019...... 8,276
    e From 2020...... 43,671
    f Total of lines 3a through e ........ 158,709
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 164,003
    a Applied to 2020, 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 2021 distributable amount..... 164,003
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2021. 17,667 17,667
    (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 5 141,042
    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 2021. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2022 ..........
    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 2016 not
    applied on line 5 or line 7 (see instructions) ...
    16,868
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......
    124,174
    10 Analysis of line 9:
    a Excess from 2017.... 33,142
    b Excess from 2018.... 39,085
    c Excess from 2019.... 8,276
    d Excess from 2020.... 43,671
    e Excess from 2021....  
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-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 2021, 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) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    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 IX, 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 XIV
    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:
    Nate Shepherd
    172 Harvard Road
    stow,MA01775
    (978) 835-0258
    tns@tsgequity.com
    bThe form in which applications should be submitted and information and materials they should include:
    Letter-purpose of the grant requested and internal revenue service exemption
    cAny submission deadlines:
    NA
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    NA
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 11
    Part XIV
    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
    Apple Hill Center for Chamber Music
    PO Box 217
    Sullivan,NH03445
      PC Operations budget assistance 50
    Audubon - Wachusett Meadows
    113 Goodnow Road
    Princeton,MA01541
      PC Operations budget assistance 2,500
    Audobon Vermont
    255 Sherman Hollow Road
    Huntington,VT05462
      PC Operations budget assistance 2,500
    Bethany House of Prayer
    181 Appleton Street
    Arlington,MA02476
      PC Operations budget assistance 200
    Boston Building Resources Reuse Center
    100 Terrace St
    Boston,MA02120
      PC Operations budget assistance 4,000
    Boys & Girls Metro West
    169 Pleasant Street
    Marlborough,MA01752
      PC Operations budget assistance 4,000
    Career Collaborative
    174 Portland St Suite 200
    Boston,MA02114
      PC Operations budget assistance 4,000
    Center for Faith Art and Justice
    633 Centre St
    Jamaica Plain,MA02130
      PC Operations budget assistance 5,000
    Chemo Noir
    PO box 551486
    Jackdonville,FL32255
      PC Operations budget assistance 1,000
    Christian Appalachian Project
    485 Ponderosa Drive
    Paintsville,KY41240
      PC Operations budget assistance 200
    City Blossoms
    516 Kennedy St NW
    Washington,DC20011
      PC Operations budget assistance 6,000
    Coastguard
    65 Water St Ste B
    Newburyport,MA01950
      PC Operations budget assistance 1,000
    Committee on Temporary Shelter
    PO Box 1616
    Burlington,VT05402
      PC Operations budget assistance 6,000
    Community of Hope
    109 Arlington Ave
    Dracut,MA01826
      PC Operations budget assistance 500
    Creature Conserve Inc
    12 Rosedale Ave
    Barrington,RI02806
      PC Operations budget assistance 5,000
    Dorchester Bay
    594 Columbia Rd
    Dorchester,MA02125
      PC Operations budget assistance 800
    Epiphany School
    154 Centre Street
    Dorchester,MA02124
      PC Operations budget assistance 100
    Episcopal Diocese of Mass - Annual Fund
    138 Tremont Street
    Boston,MA02111
      PC Operations budget assistance 200
    Episcopal Divinity School Union
    99 Brattle Street
    Cambridge,MA02138
      PC Operations budget assistance 200
    Episcopal Relief & Development
    815 Second Ave
    New York,NY10017
      PC Operations budget assistance 200
    Enviromental Defense Fund
    257 Park Ave South
    New York,NY10010
      PC Operations budget assistance 150
    Friends of Children - Boston
    184 Dudley Street Suite 100
    Boston,MA02119
      PC Operations budget assistance 5,000
    GBH
    1 Guest Street
    Boston,MA02135
      PC Operations budget assistance 150
    Ginny's Helping Hand Inc
    52 Mechanic Street
    Leominster,MA01453
      PC Operations budget assistance 2,500
    Habitat for Humanity - NCentral
    138 Great Road
    Acton,MA01720
      PC Operations budget assistance 3,000
    Heifer Project International
    1 World Ave
    Little Rock,AR72202
      PC Operations budget assistance 100
    Historic Shepherdstown Commission
    129 E German St
    Shepherdstown,WV25443
      PC Operations budget assistance 100
    HOPE International
    227 Granite Run Drive
    Lancaster,PA17601
      PC Operations budget assistance 2,250
    John W Graham Emergency Shelter
    69 N Main St
    Vergennes,VT05491
      PC Operations budget assistance 1,250
    John Graham Housing and Service
    69 N Main St
    Vergennes,VT05491
      PC Operations budget assistance 500
    Kestrel Land Trust
    284 N Pleasant
    Amherst,MA01002
      PC Operations budget assistance 4,000
    Kids Gardening Org Inc
    132 Intervale Road
    Burlington,VT05401
      PC Operations budget assistance 3,000
    Land Trust Alliance - Terry Grady
    1250 H Street NW Suite 600
    Washington,DC20005
      PC Operations budget assistance 3,000
    Life Together
    138 Tremont Street
    Boston,MA02111
      PC Operations budget assistance 5,000
    Lincoln Historical Society
    Box 6084
    Lincoln Center,MA01773
      PC Operations budget assistance 50
    Middlebury College
    14 Old Chapel Rd
    Middlebury,VT05753
      PC Operations budget assistance 500
    Nashua River Watershed Association
    592 Main Street
    Groton,MA01450
      PC Operations budget assistance 3,500
    Nature Connection
    PO Box 155
    Concord,MA01742
      PC Operations budget assistance 200
    Newburyport Education Foundation
    70 Low Street
    Newburyport,MA01950
      PC Operations budget assistance 1,000
    New Vue Communities
    470 Main St
    Fitchburg,MA01420
      PC Operations budget assistance 3,500
    Northeast Kingdom Community Action
    70 Main St
    Newport,VT05855
      PC Operations budget assistance 1,000
    OARS Inc
    23 Bradford Street
    Concord,MA01742
      PC Operations budget assistance 150
    Pine St Inn
    444 Harrison Ave
    Boston,MA02118
      PC Operations budget assistance 150
    Randall Library Friends Association
    19 Crescent Street
    Stow,MA01775
      PC Operations budget assistance 50
    Rogerson Communinities (MtPleasant Home)
    1 Florance St
    Roslindale,MA02131
      PC Operations budget assistance 4,000
    Rosie's Place
    889 Harrison Avenue
    Boston,MA02118
      PC Operations budget assistance 200
    Shepherd Higher Ed Consortium on Poverty
    204 W Washington Street
    Lexington,VA24450
      PC Operations budget assistance 700
    SSJE
    980 Memorial Dr
    Cambridge,MA02138
      PC Operations budget assistance 150
    St Stephen's Youth Program
    419 Shawmut Ave
    Boston,MA02118
      PC Operations budget assistance 150
    Stow Community Chest
    PO Box 392
    Stow,MA01775
      PC Operations budget assistance 50
    Stow Conservation Trust
    Box 397
    Stow,MA01775
      PC Operations budget assistance 300
    The Lincoln Library
    222 W River Rd
    Lincoln,VT05443
      PC Operations budget assistance 50
    The Lionheart Foundation
    PO Box 327
    Dedham,MA02027
      PC Operations budget assistance 150
    The Madeira Fund
    8328 Georgetown Pike
    Mclean,VA22102
      PC Operations budget assistance 200
    The Middlebury Area Land Trust (MALT)
    63 Maple St Ste 3B
    Middlebury,VT05753
      PC Operations budget assistance 500
    The Potomac Fund
    1301 Potomac School Road
    McLean,VA22101
      PC Operations budget assistance 200
    The Stow Food Pantry
    509 Great Rd
    Stow,MA01775
      PC Operations budget assistance 50
    The Trustees of Reservations
    572 Essex Street
    Beverly,MA01915
      PC Operations budget assistance 150
    Trinity Chapel
    188 Center Rd
    Shirley,MA01464
      PC Operations budget assistance 29,550
    Trust for Public Lands Vermont
    3 Shipman PL
    Montpelier,VT05602
      PC Operations budget assistance 4,000
    United Way
    701 N Fairfax St
    Alexandria,VA22314
      PC Operations budget assistance 2,500
    United Way of Addison County
    48 Court St
    Middlebury,VT05753
      PC Operations budget assistance 2,500
    University of the Cumberlands
    6178 College Station Drive
    Williamsburg,KY40769
      PC Operations budget assistance 5,000
    UVM Foundation
    411 Main Street
    Burlington,VT05401
      PC Operations budget assistance 1,700
    Vermont Community Garden Network
    1 Mill St Suite 200
    Burlington,VT05401
      PC Operations budget assistance 3,000
    Vermont Folklife Center
    88 Main St
    Middlebury,VT05753
      PC Operations budget assistance 2,500
    Vermont Land Trust
    8 Bailey Ave
    Montpelier,VT05602
      PC Operations budget assistance 150
    Washington & Lee University
    204 W Washington St
    Lexington,VA24450
      PC Operations budget assistance 700
    WBUR
    890 Commonwealth Ave
    Boston,MA02215
      PC Operations budget assistance 150
    WomanSafe
    PO Box 67
    Middlebury,VT05753
      PC Operations budget assistance 1,500
    Women for Women International
    Global Support Center PO Box 9224
    Central Islip,NY11722
      PC Operations budget assistance 200
    Total .................................bullet 3a 143,850
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-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 ...........
             
    4 Dividends and interest from securities ....          
    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 ............
        18 261,334  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aOther K-1 Income
        01 -3,361  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e) .. 0 339,897 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    339,897
    (See worksheet in line 13 instructions to verify calculations.)
    Part XV-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 XV-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 (2021)
    Form 990-PF (2021)
    Page 13
    Part XVI
    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 (2021)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    Fieldstone Foundation Inc
    EIN:
    22-3111728
    Name of Bond End of Year Book Value End of Year Fair Market Value
    Uniform MBS Pool #AL7570 64,796 46,352
    FEDL NATL MTG ASSN POOL 57,228 45,314
    CVS Health corp Note Call Make Whole 25,203 25,280
    Exxon Mobil Corp Note Call Make Whole 25,125 25,493
    Citigroup Inc Note 25,916 25,846
    Morgan Stanley MTN 26,093 26,035
    Goldman Sachs Group Inc MTN 25,851 26,509
    General Mtrs Finl Co Inc Note 26,456 26,310
    Conagra Brands Inc Note Call Make Whole 26,940 26,607
    Amazon Com Inc Note Call Make Whole 20,827 21,452
    Bank of Montreal Ser F MTN 25,885 25,380
    Welltower Inc Note Call Make Whole 27,204 26,935
    American Intl Group Inc Note 27,057 26,762
    Capital One Finl Corp Note 25,158 27,193
    Annheuser-Busch COS LLC / Annheu Ser C 27,328 26,854
    Valero Energy Corp Note Call Make Whole 25,665 26,685
    BK of America Corp MTN 28,380 27,602
    Wells Fargo and Co. Note 26,853 26,280
    Arch Capital Finance LLC Note 51,607 54,892
    Verizon Communications Inc 34,576 33,347
    Lowes Cos Inc Note Call Make Whole 27,312 26,690
    Digital Rlty TR LP Note Call Make Whole 27,563 27,109
    Anthem Inc Note Call Make Whole 27,414 27,445
    JP Morgan Chase and Co. Note 28,258 27,615

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    Fieldstone Foundation Inc
    EIN:
    22-3111728
    Name of Stock End of Year Book Value End of Year Fair Market Value
    IShares MSCI EAFE ETF 159,880 218,730
    IShares S and P Midcap 400 Index Fund 49,398 110,401
    IShares Russell 2000 Value EFT 46,211 45,664
    IShares Russell 2000 ETF 35,499 78,970
    Vangaurd Intl Equity Index FDS FTSE 43,462 85,734
    iShares TR PFD and ICM SEC 89,958 95,026
    Accenture PLC 26,238 55,964
    Medtronic PLC 34,870 43,966
    Abbott Laboratories 29,446 56,296
    Abbvie Inc Com USD.01 20,052 34,527
    Air Products and Chemicals Inc. 22,514 41,075
    Alphabet Inc Cap Stk CL C 13,865 130,212
    Alphabet Inc Cap Stk CL A 3,081 28,970
    Apple Inc Com USD0.00001 14,013 156,262
    Bank of New York Mellon Corp Com 18,650 26,136
    CDW Corp Com USD0.01 23,826 25,598
    Cisco Systems Inc 15,063 20,912
    Ebay Inc. Com 12,681 13,965
    Home Depot Inc 23,575 74,702
    Huntington Ingalls Industries Inc 10,108 9,337
    IDEX Corp Com USD0.01 28,249 28,358
    International Bus Mach Corp Com 17,427 20,049
    JP Morgan Chase and Co. 11,557 49,089
    Johnson and Johnson Com USD 1.00 18,567 21,384
    L3Harris Technologies Inc Com 15,677 17,059
    Marsh & McLennan Companies Inc Com 16,618 17,382
    Merck and Co. Inc Com 13,806 28,740
    Microsoft Corp 11,251 129,483
    Mondelez Int Inc Com NPV 10,547 11,936
    Nextera Energy Inc Com USD0.01 22,473 45,746
    Pepsico Inc 15,582 19,977
    Pool Corp Com 15,006 36,790
    Primerica Inc Com USD0.01 17,637 18,392
    Procter and Gamble Co Com 20,084 33,534
    Union Pac Corp Com 4,279 45,347
    Visa Inc 9,693 30,339
    Equinix Inc Com 10,044 12,688
    American Tower Corp New Com 10,323 13,163

    TY 2021 InvestmentsGovtObligationsSch
    Name:
    Fieldstone Foundation Inc
    EIN:
    22-3111728
    US Government Securities - End of Year Book Value:

    108,786
    US Government Securities - End of Year Fair Market Value:

    116,635
    State & Local Government Securities - End of Year Book Value:


    0
    State & Local Government Securities - End of Year Fair Market Value:


    0


    TY 2021 InvestmentsOtherSchedule2
    Name:
    Fieldstone Foundation Inc
    EIN:
    22-3111728
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    Kettle Hill Partners, LP AT COST 205,984 205,984
    Ashmore Emerging Markets Equity CL I FMV 83,615 133,072
    DFA Global Real Estate Sec Portolio FMV 40,000 48,948
    Gateway Fund Class Y FMV 57,000 74,662
    WCM Focused Intl Growth Fund Instl FMV 78,166 140,586
    MFS International Instrinsic Value CL I FMV 100,000 135,764
    Versus Capital Real Assets CL I FMV 50,021 57,136
    Mainstay MacKay High Yield Corp BD CL I FMV 68,838 71,715
    Miller Convertible Bond Class I FMV 42,501 41,115

    TY 2021 OtherAssetsSchedule
    Name:
    Fieldstone Foundation Inc
    EIN:
    22-3111728
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    Other Asset 11,890 13,236 13,236


    TY 2021 OtherExpensesSchedule
    Name:
    Fieldstone Foundation Inc
    EIN:
    22-3111728
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Office Expense 153 0   153
    K-1 Other Expenses 2% Limitation 41 41   0


    TY 2021 OtherIncomeSchedule2
    Name:
    Fieldstone Foundation Inc
    EIN:
    22-3111728
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    Other K-1 Income -3,361 -3,361 -3,361


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    Fieldstone Foundation Inc
    EIN:
    22-3111728
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Investment Expense 21,322 21,322   0


    TY 2021 TaxesSchedule
    Name:
    Fieldstone Foundation Inc
    EIN:
    22-3111728
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    Foreign Taxes 1,388 1,388   0
    Federal Excise Txaes 6,580 0   0