| Grantee's Name | Grantee's Address | Grant Date | Grant Amount | Grant Purpose | Amount Expended By Grantee | Any Diversion By Grantee? | Dates of Reports By Grantee | Date of Verification | Results of Verification |
|---|---|---|---|---|---|---|---|---|---|
|
CAMP KILLOOLEET |
KILLOOLEET ROAD HANCOCK,VT05748 |
2021-07-15 | 145,000 | SCHOLARSHIP FOR CAMPERS' SUMMER CAMP TUITION. | 145,000 | NONE | NOVEMBER 14, 2021 | 2021-11-14 | NOVEMBER 14, 2021 - ORGANIZATION RECEIVED REPORT ON THE NUMBER OF CAMPERS AND RESULTS OF THE USE OF THE FUNDS THE SCHOLARSHIP WAS USED TO COVER FOR SUMMER CAMP TUITION. THERE WAS NO DIVERSION FROM THE INTENDED USE OF THE FUNDS. |
| Identifier | Return Reference | Explanation |
|---|---|---|
| ADJ. TO EXCESS DISTRIBUTION CARRYOVERS | FORM 990-PF, PART XIII, LINE 3A-E | THE TAXPAYER IS ADJUSTING THEIR EXCESS DISTRIBUTION CARRYOVER AMOUNTS AS A RESULT OF INCORRECTLY CALCULATING THEIR DISTRIBUTABLE AMOUNT AND CHARITABLE DISTRIBUTIONS FOR YEARS PRIOR TO TAX YEAR ENDED DECEMBER 31, 2021. THE ORIGINAL CARRYOVER AMOUNTS AND AS ADJUSTED AMOUNTS ARE AS FOLLOWS: ORIGINAL AS ADJUSTEDLINE 3A (2016): $ 77,826 $ 0LINE 3B (2017): $ 1,400 $ 0LINE 3C (2018): $ 1,545 $ 0LINE 3D (2019): $ 1,699 $ 31,130LINE 3E (2020): $ 1,855 $ 0TAXPAYER DOES NOT BELIEVE THAT ANY ADDITIONAL EXCISE TAXES RESULT FROM THE ADJUSTMENTS TO THE DISTRIBUTABLE AMOUNT AND CHARITABLE DISTRIBUTIONS FILED PURSUANT TO IRC SECTION 4942. |
| Name of Bond | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| COLUMBIA MANAGEMENT INVESTMENT | 245,029 | 245,029 |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| COLUMBIA MANAGEMENT INVESTMENT | 1,211,066 | 1,211,066 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| POST OFFICE BOX | 70 | 0 | 0 | 0 |
| INSURANCE | 1,108 | 0 | 0 | 0 |
| Description | Amount |
|---|---|
| INVESTMENTS UNREALIZED GAINS | 81,765 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| TAXES | 795 | 0 | 0 | 0 |