TY 2021 Form 990PF

- TIN:

Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation

or Section 4947(a)(1) Trust Treated as Private Foundation

Do not enter social security numbers on this form as it may be made public.
bullet

Go 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
THE RAY AND ELACLAIRE GOSSELIN
CHARITABLE TRUST C/O DEBRA SILBERSTEIN

Number and street (or P.O. box number if mail is not delivered to street address)69 PARK STREET
Room/suite

City or town, state or province, country, and ZIP or foreign postal code
ANDOVER, MA01810

A Employer identification number

27-6647873

B Telephone number (see instructions)

(978) 474-4700

C If exemption application is pending, check here bullet

G Check all that apply: Initial returnInitial return of a former public charity
Final returnAmended return
Address change Name change

D 1. Foreign organizations, check here............. bullet

2. Foreign organizations meeting the 85%
test, check here and attach computation ... bullet

E If private foundation status was terminated
under section 507(b)(1)(A), check here ....... bullet

H Check type of organization: Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust Other taxable private foundation

F If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here ....... bullet

I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16) bullet

$7,529,637J Accounting method: Cash Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)

	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	(d) Disbursements for charitable purposes (cash basis only)


1	Contributions, gifts, grants, etc., received (attach schedule)	273,472
2	Check .............
3	Interest on savings and temporary cash investments
4	Dividends and interest from securities...	182,171		182,171
5a	Gross rents............
b	Net rental income or (loss)
6a	Net gain or (loss) from sale of assets not on line 10		570,110
b	Gross sales price for all assets on line 6a 5,021,207
7	Capital gain net income (from Part IV, line 2)...			570,110
8	Net short-term capital gain.........
9	Income modifications...........
10a	Gross sales less returns and allowances
b	Less: Cost of goods sold....
c	Gross profit or (loss) (attach schedule).....
11	Other income (attach schedule).......
12	Total. Add lines 1 through 11........	1,025,753		752,281
13	Compensation of officers, directors, trustees, etc.	65,588		0	43,725
14	Other employee salaries and wages......
15	Pension plans, employee benefits.......
16a	Legal fees (attach schedule).........		21,377	0	12,826
b	Accounting fees (attach schedule).......		5,350	0	0
c	Other professional fees (attach schedule)....		78,856	78,601	255
17	Interest...............
18	Taxes (attach schedule) (see instructions)...		5,303	2,433	0
19	Depreciation (attach schedule) and depletion...
20	Occupancy..............
21	Travel, conferences, and meetings.......
22	Printing and publications..........
23	Other expenses (attach schedule).......		28,192	27,277	0
24	Total operating and administrative expenses.
	Add lines 13 through 23..........	204,666		108,311	56,806
25	Contributions, gifts, grants paid.......	472,284			472,284
26	Total expenses and disbursements. Add lines 24 and 25	676,950		108,311	529,090
27	Subtract line 26 from line 12:
a	Excess of revenue over expenses and disbursements	348,803
b	Net investment income (if negative, enter -0-)			643,970
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	Beginning of year	End of year
Part II		Balance Sheets	(a) Book Value	(b) Book Value	(c) Fair Market Value
	1	Cash—non-interest-bearing.............	186,692	321,921	321,921
	2	Savings and temporary cash investments.........
	3	Accounts receivable
		Less: allowance for doubtful accounts
	4	Pledges receivable
		Less: allowance for doubtful accounts
	5	Grants receivable.................
	6	Receivables due from officers, directors, trustees, and other
		disqualified persons (attach schedule) (see instructions).....
	7	Other notes and loans receivable (attach schedule)
		Less: allowance for doubtful accounts
	8	Inventories for sale or use..............
	9	Prepaid expenses and deferred charges..........
	10a	Investments—U.S. and state government obligations (attach schedule)	1,514,683	396,447	390,539
	b	Investments—corporate stock (attach schedule).......	1,848,955	1,653,811	2,817,934
	c	Investments—corporate bonds (attach schedule).......	202,963	1,461,443	1,421,021
	11	Investments—land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	12	Investments—mortgage loans.............
	13	Investments—other (attach schedule)..........	2,000,359	2,269,457	2,578,222
	14	Land, buildings, and equipment: basis
		Less: accumulated depreciation (attach schedule)
	15	Other assets (describe )
	16	Total assets (to be completed by all filers—see the
		instructions. Also, see page 1, item I)	5,753,652	6,103,079	7,529,637
	17	Accounts payable and accrued expenses..........
	18	Grants payable.................
	19	Deferred revenue.................
	20	Loans from officers, directors, trustees, and other disqualified persons
	21	Mortgages and other notes payable (attach schedule)......
	22	Other liabilities (describe )
	23	Total liabilities (add lines 17 through 22).........	0	0
		Foundations that follow FASB ASC 958, check here
		and complete lines 24, 25, 29 and 30.
	24	Net assets without donor restrictions...........
	25	Net assets with donor restrictions............
		Foundations that do not follow FASB ASC 958, check here
		and complete lines 26 through 30.
	26	Capital stock, trust principal, or current funds........	0	0
	27	Paid-in or capital surplus, or land, bldg., and equipment fund	0	0
	28	Retained earnings, accumulated income, endowment, or other funds	5,753,652	6,103,079
	29	Total net assets or fund balances (see instructions).....	5,753,652	6,103,079
	30	Total liabilities and net assets/fund balances (see instructions).	5,753,652	6,103,079

Part III

Analysis of Changes in Net Assets or Fund Balances

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) ...............

5,753,652

Enter amount from Part I, line 27a .....................

348,803

Other increases not included in line 2 (itemize) bullet

624

Add lines 1, 2, and 3 ..........................

6,103,079

Decreases not included in line 2 (itemize) bullet

Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .

6,103,079

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	CHARLES SCHWAB-ST CAPITAL GAINS	P	2021-01-01	2021-12-31
b	CHARLES SCHWAB-LT CAPITAL GAINS	P	2020-01-01	2021-12-31
c	Capital Gains Dividends	P
d
e

(e) Gross sales price		(g) Cost or other basis plus expense of sale	(h) Gain or (loss) (e) plus (f) minus (g)
a	2,336,415	2,277,602	58,813
b	2,645,583	2,173,495	472,088
c	39,209		39,209
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			58,813
b			472,088
c			39,209
d
e

2	Capital gain net income or (net capital loss)	If gain, also enter in Part I, line 7 If (loss), enter -0- in Part I, line 7	2	570,110
3	Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
	If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0- in Part I, line 8 ...................		3

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 and enter “N/A" on line 1.
	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	8,951
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	8,951
6	Credits/Payments:

a	2021 estimated tax payments and 2020 overpayment credited to 2021	6a	2,891
b	Exempt foreign organizations—tax withheld at source......	6b	0
c	Tax paid with application for extension of time to file (Form 8868)...	6c	15,800
d	Backup withholding erroneously withheld ...........	6d	0

7	Total credits and payments. Add lines 6a through 6d..............		7	18,691
8	Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached.		8	15
9	Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......		9
10	Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...		10	9,725
11	Enter the amount of line 10 to be: Credited to 2022 estimated tax9,725	Refunded	11	0

Part VI-A

Statements Regarding Activities

During the tax year, did the foundation attempt to influence any national, state, or local legislation or did

Yes

it participate or intervene in any political campaign? ....................

Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions

for the definition.................................

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.

Did the foundation file Form 1120-POL for this year?.....................

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

Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed

on foundation managers. bullet

$ 0

Has the foundation engaged in any activities that have not previously been reported to the IRS?.......

If "Yes," attach a detailed description of the activities.

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....

Did the foundation have unrelated business gross income of $1,000 or more during the year?.........

If "Yes," has it filed a tax return on Form 990-T for this year?...................

Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........

If "Yes," attach the statement required by General Instruction T.

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?................

Yes

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..................................

Yes

Enter the states to which the foundation reports or with which it is registered (see instructions)

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 .

Yes

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 .............................

Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names

and addresses. ...............................

Form 990-PF (2021)

Page 5

Part VI-A

Statements Regarding Activities (continued)

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 .............

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.................

Did the foundation comply with the public inspection requirements for its annual returns and exemption application?

Yes

Website address bullet

N/A

The books are in care of bullet

DEBRA SILBERSTEIN Telephone no. bullet

(978) 474-4700

Located at bullet

69 PARK STREETANDOVERMA ZIP+4 bullet

01810

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

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

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)

(2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)

a disqualified person? ..............................

1a(2)

(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? ...........

1a(3)

(4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person? ............

1a(4)

(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)

(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)

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 ..........

Organizations relying on a current notice regarding disaster assistance check here........ bullet

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? .............

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)):

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?....................

If "Yes," list the years bullet

20, 20, 20, 20

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.) ..............

If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.

20, 20, 20, 20

Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at

any time during the year? ..............................

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.) .....................

Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?

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? ..

Form 990-PF (2021)

Page 6

Part VI-B

Statements Regarding Activities for Which Form 4720 May Be Required (continued)

During the year did the foundation pay or incur any amount to:

Yes

(1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? ..........

5a(1)

(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)

(3) Provide a grant to an individual for travel, study, or other similar purposes? .............

5a(3)

(4) Provide a grant to an organization other than a charitable, etc., organization described

in section 4945(d)(4)(A)? See instructions ........................

5a(4)

(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)

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 ........

Organizations relying on a current notice regarding disaster assistance check here ......... bullet

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).

Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on

a personal benefit contract? .............................

Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ....

If "Yes" to 6b, file Form 8870.

At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?

If "Yes", did the foundation receive any proceeds or have any net income attributable to the transaction? .....

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 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-)
DEBRA RAHMIN SILBERSTEIN	TRUSTEE 1.00	0
69 PARK STREET ANDOVER,MA01810	TRUSTEE 1.00	0
ROBERT B MURPHY JR	TRUSTEE 10.00	21,862
8 UTICA STREET WOBURN,MA01801	TRUSTEE 10.00	21,862
GRACE CHARLAND	TRUSTEE 10.00	21,863
172 JIM GRANT ROAD LEBANON,ME04027	TRUSTEE 10.00	21,863
BRIAN CHARLAND	TRUSTEE 10.00	21,863
172 JIM GRANT ROAD LEBANON,ME04027	TRUSTEE 10.00	21,863

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...................				0

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
LITTLE HOUSE CAPITAL	INVESTMENT MANAGEMENT SERVICES	78,577
301 EDGEWATER PLACE SUITE 100 WAKEFIELD,MA01880	INVESTMENT MANAGEMENT SERVICES	78,577

Total number of others receiving over $50,000 for professional services............. bullet

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


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......................... bullet

Form 990-PF (2021)

Page 8

Part IX

Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)

Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,

purposes:

Average monthly fair market value of securities...................

7,009,331

Average of monthly cash balances.......................

249,671

Fair market value of all other assets (see instructions)................

Total (add lines 1a, b, and c).........................

7,259,002

Reduction claimed for blockage or other factors reported on lines 1a and

1c (attach detailed explanation) .............

Acquisition indebtedness applicable to line 1 assets..................

Subtract line 2 from line 1d.........................

7,259,002

Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see

instructions) .............................

108,885

Net value of noncharitable-use assets. Subtract line 4 from line 3. .......

7,150,117

Minimum investment return. Enter 5% (0.05) of line 5................

357,506

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.)

Minimum investment return from Part IX, line 6..................

357,506

Tax on investment income for 2021 from Part V, line 5.......

8,951

Income tax for 2021. (This does not include the tax from Part V.) ...

Add lines 2a and 2b............................

8,951

Distributable amount before adjustments. Subtract line 2c from line 1............

348,555

Recoveries of amounts treated as qualifying distributions................

Add lines 3 and 4............................

348,555

Deduction from distributable amount (see instructions).................

Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XII, line 1 ...

348,555

Part XI

Qualifying Distributions (see instructions)

Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:

Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........

Program-related investments—total from Part VIII-B..................

Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,

purposes...............................

Amounts set aside for specific charitable projects that satisfy the:

Suitability test (prior IRS approval required)....................

Cash distribution test (attach the required schedule) .................

Qualifying distributions. Add lines 1a through 3b. Enter here and on Part XII, line 4.

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					348,555
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......
b From 2017......
c From 2018......
d From 2019......	19,360
e From 2020......	58,323
f Total of lines 3a through e ........		77,683
4Qualifying distributions for 2021 from Part
XI, line 4: $ 529,090
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.....					348,555
e Remaining amount distributed out of corpus		180,535
5 Excess distributions carryover applied to 2021.		0			0
(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		258,218
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) ...		0
9 Excess distributions carryover to 2022. Subtract lines 7 and 8 from line 6a ......		258,218
10 Analysis of line 9:
a Excess from 2017....
b Excess from 2018....
c Excess from 2019....	19,360
d Excess from 2020....	58,323
e Excess from 2021....	180,535

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 4942(j)(3) or4942(j)(5)

2a Enter the lesser of the adjusted net income from Part I or the minimum investment return from Part X for each year listed ..........	Tax year	Prior 3 years			(e) Total
	(a) 2021	(b) 2020	(c) 2019	(d) 2018	(e) Total

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

if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions

aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:

ATTY DEBRA SILBERSTEIN
69 PARK STREET
ANDOVER,MA01810
(978) 474-4700
DSILBERSTEIN@BURNSLEV.COM

bThe form in which applications should be submitted and information and materials they should include:

THEY SHOULD BE SUBMITTED IN WRITING TO THE ATTENTION OF ATTORNEY DEBRA RAHMIN SILBERSTEIN, BURNS & LEVINSON LLP, 69 PARK STREET, ANDOVER, MA 01810

cAny submission deadlines:

NONE

dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:

NONE

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)		Foundation status of recipient	Purpose of grant or contribution	Amount
aPaid during the year
SOUTH SHORE INITIATIVE CORP 75 FINNELL DRIVE WEYMOUTH,MA02188		501(c)(3)	GENERAL CHARITABLE PURPOSES	1,500
FERNCROFT JUNIOR SCHOLARSHIP 10 VILLAGE ROAD MIDDLETON,MA01996		501(c)(3)	JUNIOR GOLF PROGRAMALS RESEARCH	30,000
PAN MASS CHALLENGE 77 4TH AVENUE NEEDHAM,MA02494		501(c)(3)	GENERAL CHARITABLE PURPOSES	12,000
THE MEGAN HOUSE FOUNDATION 100 MERRIMACK ST STE 301D LOWELL,MA01854		501(c)(3)	GENERAL CHARITABLE PURPOSES	3,000
NEVER WALK ALONE INC 69 MEADOW POND ROAD SOUTH BERWICK,ME03908		501(c)(3)	GENERAL CHARITABLE PURPOSES	10,000
NORTH SHORE CHAMBER OF COMMERCE 5 CHERRY HILL DR STE 100 DANVERS,MA01923		501(c)(3)	GENERAL CHARITABLE PURPOSES	4,000
MCLEAN HOSPITAL 115 MILL STREET BELMONT,MA02478		501(c)(3)	GENERAL CHARITABLE PURPOSES	50,000
WOBURN FIRE DEPARTMENT 124 MAIN STREET WOBURN,MA01801		501(c)(3)	GENERAL CHARITABLE PURPOSES	2,000
MGH PROSTATE RESEARCH 55 FRUIT STREET BOSTON,MA02114		501(c)(3)	PROSTATE RESEARCH	20,000
LAWRENCE GENERAL HOSPITAL 1 GENERAL STREET LAWRENCE,MA01841		501(c)(3)	CATH LAB	100,000
JUSTIN'S VOICE PO BOX 561 ABBOTT STREET WOBURN,MA01801		501(c)(3)	GENERAL CHARITABLE PURPOSES	15,000
YMCA OF THE NORTHSHORE 110 COUNTY ROAD IPSWICH,MA01930		501(c)(3)	GENERAL CHARITABLE PURPOSESYMC	20,000
GREATER LOWELL HEALTH ALLIANCE 1 HOSPITAL DRIVE STE 2 LOWELL,MA01852		501(c)(3)	PATIENT ASSISTANCE PROGRAMS	10,000
EAST LEBANON FIRE DEPARTMENT 2 UPPER CROSS ROAD LEBANON,ME04027		501(c)(3)	GENERAL CHARITABLE PURPOSES	84,784
STRONGWATER FARM THERAPEUTIC EQUESTRIAN CENTER 500 LIVINGSTON STREET TEWKSBURY,MA01876		501(c)(3)	MENTAL HEALTH	30,000
ANTI DEFAMATION LEAGUE 40 COURT STREET STE 12 BOSTON,MA02108		501(c)(3)	PROSTATE RESEARCH	50,000
JAMES L MCKEOWN BOYS & GIRLS CLUB 1 CHARLES GARDNER LANE WOBURN,MA01801		501(c)(3)	GENERAL CHARITABLE PURPOSES	30,000
Total ................................. 3a				472,284

bApproved for future payment

Total ................................. 3b				0

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	(e) Related or exempt function income (See instructions.)
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	39,209	530,901
9 Net income or (loss) from special events:
10 Gross profit or (loss) from sales of inventory
11 Other revenue: a
b
c
d
e
12 Subtotal. Add columns (b), (d), and (e) ..		0		221,380	530,901

13Total. Add line 12, columns (b), (d), and (e)..................

752,281

(See worksheet in line 13 instructions to verify calculations.)

Part XV-B

Relationship of Activities to the Accomplishment of Exempt Purposes

Line No.	Explain below how each activity for which income is reported in column (e) of Part XV-A contributed importantly to the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See instructions.)
8	REALIZED CAP GAINS FROM THE ENDOWNMENT FUND USED FOR PROVIDING GRANTS

Form 990-PF (2021)

Page 13

Part XVI

Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations

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

Transfers from the reporting foundation to a noncharitable exempt organization of:

(1) Cash...................................

1a(1)

(2) Other assets.................................

1a(2)

Other transactions:

(1) Sales of assets to a noncharitable exempt organization....................

1b(1)

(2) Purchases of assets from a noncharitable exempt organization..................

1b(2)

(3) Rental of facilities, equipment, or other assets.......................

1b(3)

(4) Reimbursement arrangements...........................

1b(4)

(5) Loans or loan guarantees.............................

1b(5)

(6) Performance of services or membership or fundraising solicitations................

1b(6)

Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............

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

Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........Yes No

If "Yes," complete the following schedule.

(a) Name of organization	(b) Type of organization	(c) Description of relationship

Sign Here

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
				May the IRS discuss this return with the preparer shown below? See instructions. Yes No
	Signature of officer or trustee	Date	Title

Paid Preparer Use Only	Print/Type preparer's name	Preparer's Signature	Date	Check if self- employed	PTIN
	Firm's name				Firm's EIN
	Firm's address				Phone no.

Form 990-PF (2021)

Additional Data

Software ID:
Software Version:

Form 990PF - Special Condition Description:

Special Condition Description

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2021

Name of the organization

THE RAY AND ELACLAIRE GOSSELIN
CHARITABLE TRUST C/O DEBRA SILBERSTEIN

Employer identification number

27-6647873

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (2021)

Schedule B (Form 990) (2021) Page 2

Name of organization THE RAY AND ELACLAIRE GOSSELIN CHARITABLE TRUST C/O DEBRA SILBERSTEIN

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
1	EVA HIBBARD TRUST 100 TRADECENTER SUITE G-700 WOBURN, MA01801	$ 273,472	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2021)

Schedule B (Form 990) (2021)

Page 3

Name of organization THE RAY AND ELACLAIRE GOSSELIN CHARITABLE TRUST C/O DEBRA SILBERSTEIN		Employer identification number 27-6647873

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
1	VARIOUS SECURITIES-DETAILS AVAILABLE UPON REQUEST	$ 137,573	2021-12-30
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2021)

Schedule B (Form 990) (2021)

Page 4


Name of organization THE RAY AND ELACLAIRE GOSSELIN CHARITABLE TRUST C/O DEBRA SILBERSTEIN			Employer identification number 27-6647873
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (2021)

Additional Data

Software ID:
Software Version:

- TIN:

TY 2021 AccountingFeesSchedule

Name:

THE RAY AND ELACLAIRE GOSSELIN

CHARITABLE TRUST C/O DEBRA SILBERSTEIN

EIN:

27-6647873

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
CARL B. BINDMAN, CPA, PC	5,350	0		0

- TIN:

TY 2021 InvestmentsCorpBondsSchedule

Name:

THE RAY AND ELACLAIRE GOSSELIN

CHARITABLE TRUST C/O DEBRA SILBERSTEIN

EIN:

27-6647873

Name of Bond	End of Year Book Value	End of Year Fair Market Value
MARSH & MCLENNAN	65,218	68,852
SOUTHERN POWER 4.15%	83,668	81,433
PFIZER 2.625%	59,852	57,468
THE BOEING CO 4.875%	72,596	71,131
BANK OF AMERICA 3.875%	78,744	75,842
GENERAL ELECTRIC 4.5%	73,642	69,446
ANHEUSER-BUSCH 3.65%	89,215	86,158
AIR LEASE CORP 3.75%	93,066	90,547
FORTIS INC 3.055%	92,607	88,466
VALERO ENERGY 4.375%	96,145	93,691
AMERICAN TOWER 3.125%	87,916	83,751
DARDEN RESTAURANTS 3.85%	92,576	91,982
MARTIN MARIETTA 3.5%	84,536	80,637
VERIZON COMMUNICATION 4.329%	81,854	79,359
TOTALENERGIES 3.883%	16,948	16,744
REINSURANCE GROUP 3.9%	33,717	32,999
DOW CHEMICAL CO 7.375%	41,451	40,326
STIFEL FINL CORP 4%	39,055	38,471
BUNGE LIMITED 2.75%	40,527	40,492
NTNL RURAL UTILI 1.65%	89,557	84,974
AT&T INC 2.25%	48,553	48,252

- TIN:

TY 2021 InvestmentsCorpStockSchedule

Name:

THE RAY AND ELACLAIRE GOSSELIN

CHARITABLE TRUST C/O DEBRA SILBERSTEIN

EIN:

27-6647873

Name of Stock	End of Year Book Value	End of Year Fair Market Value
ALPHABET INC	57,172	101,396
BERKSHIRE HATHAWAY	21,577	61,893
JOHNSON & JOHNSON	35,553	71,507
MICROSOFT CORP	40,050	221,635
WASTE MANAGEMENT INC	2,976	13,185
APPLE	55,026	257,121
AMAZON	20,985	80,024
AMGEN	41,704	49,875
AT&T	2,568	1,875
AMER ELECTRIC PWR CO	26,419	33,898
META PLATFORMS	41,625	76,015
GOLDMAN SACHS GROUP	37,721	68,094
JP MORGAN CHASE	52,866	76,483
KLA TENCOR CORP	17,469	68,818
NIKE INC	20,524	36,334
THERMO FISHER SCNTFC	15,177	39,367
UNITED PARCEL SRVC	18,557	37,081
UNITEDHEALTH GROUP	30,536	67,287
VERIZON COMMUNICATION	54,254	55,130
WALMART STORES	43,350	71,043
WALT DISNEY CO	3,637	4,802
BANK OF AMERICA CORP	48,488	69,093
BLACKSTONE GROUP INC	21,485	49,556
BRISTOL-MYERS SQUIBB	38,546	40,777
CVS HEALTH CORP	36,224	58,595
HOME DEPOT INC	19,990	48,556
HONEYWELL INTL INC	28,717	36,906
NASDAQ INC	12,783	22,471
PEPSICO INC	15,238	19,629
PROCTER & GAMBLE	27,262	41,059
QUALCOMM INC	5,881	12,069
RAYTHEON TECHNOLOGIES CO	31,912	44,493
TAIWAN SEMICONDUCTR	22,491	32,123
TEXAS INSTRUMENTS	31,378	48,437
CONOCOPHILLIPS	34,661	54,279
TESLA INC	25,435	34,874
ABBVIE INC	6,950	8,936
ACCENTURE PLC	28,539	41,040
AES CORP	12,279	11,640
AIRBNB INC	29,088	30,468
AMERICAN EXPRESS CO	40,307	45,317
AUTO DATA PROCESSING	7,215	9,617
BECTON DICKINSON & CO	17,631	17,101
BOSTON SCIENTIFIC CO	16,007	18,012
BROADCOM INC	10,427	14,639
CHEVRON CORP	4,486	4,225
CISCO SYSTEMS INC	3,035	3,929
CONSTELLATION BRAND	32,935	36,893
DEERE & CO	10,911	10,630
DEUTSCHE POST AG	8,923	10,701
DOW INC	16,236	14,861
EXXON MOBIL CORP	16,713	17,745
FIRST REPUBLIC BANK	12,172	15,075
FORD MOTOR	7,770	8,163
GILEAD SCIENCES INC	11,078	12,126
HORMEL FOODS CORP	7,639	7,858
KNIGHT SWIFT TRANSPORTATION	26,222	30,592
LOCKHEED MARTIN CORP	12,511	12,439
MCDONALDS CORP	14,042	17,961
MEDTRONIC PLC	14,480	13,449
MERCK & CO	17,009	17,627
NORFOLK SOUTHERN	12,499	14,290
NVIDIA CORP	15,705	34,999
ORACLE CORP	19,938	21,977
PPG INDUSTRIES	21,974	25,866
ROCHE HLDGS AG	8,521	9,097
STARBUCKS CORP	31,897	33,921
SWISSCOM	16,298	15,403
TARGET CORP	6,085	6,943
TE CONNECTIVITY LTD	17,857	20,490
TEXTRON INC	16,114	23,392
THE COCA COLA CO	15,267	18,000
THE MOSAIC CO	7,858	10,176
VERISK ANALYTICS	17,662	19,671
ZEBRA TECHNOLOGIES	18,172	17,856
ZOETIS INC	3,122	9,029

- TIN:

TY 2021 InvestmentsGovtObligationsSch

Name:

THE RAY AND ELACLAIRE GOSSELIN

CHARITABLE TRUST C/O DEBRA SILBERSTEIN

EIN:

27-6647873

US Government Securities - End of Year Book Value:

US Government Securities - End of Year Fair Market Value:

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

396,447

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

390,539

- TIN:

TY 2021 InvestmentsOtherSchedule2

Name:

THE RAY AND ELACLAIRE GOSSELIN

CHARITABLE TRUST C/O DEBRA SILBERSTEIN

EIN:

27-6647873

Category/ Item	Listed at Cost or FMV	Book Value	End of Year Fair Market Value
VANGUARD INTERMEDIATE	AT COST	8,166	9,183
DFA INTL HIGH RELATV	AT COST	139,716	172,082
FIDELITY INTL CAPITAL	AT COST	167,971	257,770
ISHARES CORE MSCI	AT COST	197,051	217,172
ISHARES CORE MSCI EAFE	AT COST	174,832	209,365
ISHARES RUSSEL MID CAP	AT COST	1,847	3,226
NICHOLAS PARTNERS SMALL CAP GR	AT COST	61,301	74,159
EQUINIX INC REIT	AT COST	20,364	24,529
FIRST TRUST LONG SHORT	AT COST	123,362	132,668
INVESCO S&P 500	AT COST	181,476	198,940
IQ HEDGE MULTI-STATEGY	AT COST	67,989	67,840
ISHARES JP MRGN EM LCL	AT COST	129,068	112,993
ISHARES MBS ETF	AT COST	62,453	61,128
ISHARES PREFERRED INCOME	AT COST	122,455	127,871
ISHARES RUSSELL 2500	AT COST	107,598	114,041
ISHARES 1-3 YEAR TREASURY	AT COST	92,652	91,784
ISHARES 3-7 YEAR TREASURY	AT COST	93,635	91,356
ISHARES BLMBRG RL SEL CMDT	AT COST	113,699	115,734
SPDR SHORT TERM	AT COST	123,873	122,177
VANGUARE RUSSELL 2000	AT COST	1,967	3,413
DFA EMERGING MARKETS	AT COST	19,112	21,684
FIDELITY ADVISOR FOCUSED	AT COST	240,695	321,390
PUBLIC STORAGE	AT COST	18,175	27,717

- TIN:

TY 2021 LegalFeesSchedule

Name:

THE RAY AND ELACLAIRE GOSSELIN

CHARITABLE TRUST C/O DEBRA SILBERSTEIN

EIN:

27-6647873

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
BURNS & LEVINSON LLP	21,377	0		12,826

- TIN:

TY 2021 OtherExpensesSchedule

Name:

THE RAY AND ELACLAIRE GOSSELIN

CHARITABLE TRUST C/O DEBRA SILBERSTEIN

EIN:

27-6647873

Description	Revenue and Expenses per Books	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
BOND AMORTIZATION	27,277	27,277		0
MISCELLANEOUS EXPENSES	915	0		0

- TIN:

TY 2021 OtherIncreasesSchedule

Name:

THE RAY AND ELACLAIRE GOSSELIN

CHARITABLE TRUST C/O DEBRA SILBERSTEIN

EIN:

27-6647873

Description	Amount
NONDIVIDEND DISTRIBUTIONS	624

- TIN:

TY 2021 OtherProfessionalFeesSchedule

Name:

THE RAY AND ELACLAIRE GOSSELIN

CHARITABLE TRUST C/O DEBRA SILBERSTEIN

EIN:

27-6647873

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
INVESTMENT FEES AND EXPENSES	78,856	78,601		255

- TIN:

TY 2021 TaxesSchedule

Name:

THE RAY AND ELACLAIRE GOSSELIN

CHARITABLE TRUST C/O DEBRA SILBERSTEIN

EIN:

27-6647873

Category	Amount	Net Investment Income
FOREIGN TAXES PAID	2,433	2,433
MASS ANNUAL REPORT	70	0
FEDERAL TAX	2,800	0