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
THE COUCH FAMILY FOUNDATION
C/O MOTT PHILANTHROPIC
Number and street (or P.O. box number if mail is not delivered to street address)800 BOYLSTON STREET NO 1560
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
BOSTON, MA02199
A Employer identification number

10-0000573
B Telephone number (see instructions)

(603) 643-3441
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$111,674,428
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) 1,155,790
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 1,134,861 1,134,861  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 7,147,179
b Gross sales price for all assets on line 6a 25,674,409
7 Capital gain net income (from Part IV, line 2)... 9,284,401
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)....... 18,477 18,477  
12 Total. Add lines 1 through 11........ 9,456,307 10,437,739  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 44,298 0   44,298
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... 15,300 0   0
c Other professional fees (attach schedule).... 1,043,457 1,043,457   0
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 155,723 50,723   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 664,985 0   659,857
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 1,923,763 1,094,180   704,155
25 Contributions, gifts, grants paid....... 3,654,489 3,654,489
26 Total expenses and disbursements. Add lines 24 and 25 5,578,252 1,094,180   4,358,644
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 3,878,055
b Net investment income (if negative, enter -0-) 9,343,559
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............. 449,642 404,953 404,593
2 Savings and temporary cash investments.........      
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 56,339,181 Click to see attachment66,272,595 99,584,583
c Investments—corporate bonds (attach schedule)....... 18,206,919 Click to see attachment7,833,970 8,988,780
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 830,812 Click to see attachment2,707,119 2,696,472
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 75,826,554 77,218,637 111,674,428
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable.................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet)    
23 Total liabilities (add lines 17 through 22)......... 0 0
Net Assets or Fund Balances Foundations that follow FASB ASC 958, check here bullet
and complete lines 24, 25, 29 and 30.
24 Net assets without donor restrictions...........    
25 Net assets with donor restrictions............    
Foundations that do not follow FASB ASC 958, check here bullet
and complete lines 26 through 30.
26 Capital stock, trust principal, or current funds........ 0 0
27 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
28 Retained earnings, accumulated income, endowment, or other funds 75,826,554 77,218,637
29 Total net assets or fund balances (see instructions)..... 75,826,554 77,218,637
30 Total liabilities and net assets/fund balances (see instructions). 75,826,554 77,218,637
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
75,826,554
2
Enter amount from Part I, line 27a .....................
2
3,878,055
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
79,704,609
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
2,485,972
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
77,218,637
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 BROWN BROTHERS 0719 P    
b BROWN BROTHERS 0719 P    
c DISPOSITION OF INTEREST IN PORT CAPITAL SMALL C P    
d ALTAROCK PARTNERS SERIES P    
e ALTAROCK PARTNERS SERIES P    
CLARKSTON CAPITAL PARTNERS SMALL-MID CAP SERIES P    
SELECT EQUITY SERIES P    
SELECT EQUITY SERIES P    
1818 PARTNERS, LP C/O BBH & CO P    
1818 PARTNERS, LP C/O BBH & CO P    
GQG PARTNERS EMERGING MARKETS EQUITY SERIES P    
GQG PARTNERS EMERGING MARKETS EQUITY SERIES P    
BARES MID-LARGE CAP SERIES P    
PORT CAPITAL SMALL CAP SERIES P    
PORT CAPITAL SMALL CAP SERIES P    
VALLEY FORGE LARGE CAP EQUITY SERIES P    
AROHI EMERGING ASIA SERIES P    
AROHI EMERGING ASIA SERIES P    
CEDAR ROCK PARTNERS P    
CEDAR ROCK PARTNERS P    
DISTRIBUTION FROM OAKTREE OPPS SUB TRUST P    
DISTRIBUTION FROM SANDTON CREDIT SOLUTIONS IV SUB TRUST P    
DISTRIBUTION FROM CAPITAL PARTNERS V-1 P    
DISTRIBUTION FROM BBH CAPITAL PARTNERS VI-2 (CAYMAN) P    
CAPITAL GAINS DIVIDENDS P    
(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 7,513,375   7,436,026 77,349
b 10,352,197   6,288,411 4,063,786
c 1,627,509   1,627,449 60
d 136,175     136,175
e 417,862     417,862
88,707     88,707
249,411     249,411
855,335     855,335
109,661     109,661
452,774     452,774
    120,131 -120,131
563,738     563,738
1,510,976     1,510,976
138,572     138,572
356,701     356,701
11,535     11,535
    193 -193
    1,220 -1,220
1,431     1,431
307,626     307,626
116,634   116,634 0
369,918   369,918 0
214,854   214,854 0
215,172   215,172 0
64,246     64,246
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       77,349
b       4,063,786
c       60
d       136,175
e       417,862
      88,707
      249,411
      855,335
      109,661
      452,774
      -120,131
      563,738
      1,510,976
      138,572
      356,701
      11,535
      -193
      -1,220
      1,431
      307,626
      0
      0
      0
      0
      64,246
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 9,284,401
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........................... 3 129,875
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- ..... 5 129,875
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 125,181
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 100,000
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 225,181
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. Click to see attachment 8 64
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 95,242
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet95,242 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)
    bulletNH
    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
     
    No
    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. Click to see attachment...............................
    10
    Yes
     
    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 ofbulletANDERSEN TAX LLC Telephone no.bullet (617) 292-8400

    Located atbullet125 HIGH STREET 16TH FLOORBOSTONMA ZIP+4bullet02110
    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)
     
    No
    (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
     
     
    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
    RICHARD W COUCH TRUSTEE
    1.00
    0 0 0
    23 BERRILL FARMS LANE
    HANOVER,NH03755
    BARBARA J COUCH TRUSTEE
    1.00
    0 0 0
    23 BERRILL FARMS LANE
    HANOVER,NH03755
    BROOKE FREELAND MANAGER
    15.00
    0 0 0
    2716 HARRIS BLVD
    AUSTIN,TX78703
    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  
    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
    113,767,320
    b
    Average of monthly cash balances.......................
    1b
    792,452
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    114,559,772
    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
    114,559,772
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    1,718,397
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    112,841,375
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    5,642,069
    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
    5,642,069
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    129,875
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    129,875
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    5,512,194
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    5,512,194
    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
    5,512,194
    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 5,512,194
    2 Undistributed income, if any, as of the end of 2021:
    a Enter amount for 2020 only....... 2,669,866
    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......  
    e From 2020......  
    f Total of lines 3a through e ........ 0
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 4,358,644
    a Applied to 2020, but not more than line 2a 2,669,866
    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..... 1,688,778
    e Remaining amount distributed out of corpus 0
    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 0
    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 ..........
    3,823,416
    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 ......
    0
    10 Analysis of line 9:
    a Excess from 2017....  
    b Excess from 2018....  
    c Excess from 2019....  
    d Excess from 2020....  
    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).)
    RICHARD W COUCH
    BARBARA J COUCH
    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 email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    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
    ACE MV
    100 EDGARTOWN VINEYARD HAVEN RD
    OAK BLUFFS,MA02557
      PUBLIC GENERAL SUPPORT 20,000
    ACLU OF NH
    18 LOW AVE UNIT 12
    CONCORD,NH03301
      PUBLIC GENERAL SUPPORT 20,000
    AGING IN HARTLAND
    PO BOX 23
    HARTLAND,VT05048
      PUBLIC GENERAL SUPPORT 5,500
    AMERICAN PRECISION MUSUEM
    196 MAIN ST PO BOX 679
    WINDSOR,VT05089
      PUBLIC GENERAL SUPPORT 10,000
    AMERICAN RED CROSS OF NH & VT
    32 N PROSPECT ST
    BURLINGTON,VT05401
      PUBLIC GENERAL SUPPORT 7,500
    AVA GALLERY AND ART CENTER
    11 BANK STREET
    LEBANON,NH03766
      PUBLIC GENERAL SUPPORT 2,500
    AVA GALLERY AND ART CENTER
    11 BANK STREET
    LEBANON,NH03766
      PUBLIC GENERAL SUPPORT 16,000
    BARNARTS CENTER FOR THE ARTS
    PO BOX 41
    BARNARD,VT05031
      PUBLIC GENERAL SUPPORT 5,000
    BIG BROTHER BIG SISTER CC & ISLANDS
    684 MAIN ST
    HYANNIS,MA02601
      PUBLIC GENERAL SUPPORT 15,000
    BREAKTHROUGH CENTRAL TEXAS
    1050 E 11TH ST
    AUSTIN,TX78702
      PUBLIC GENERAL SUPPORT 5,000
    BUILDING BRIGHT FUTURES STATE COUNCIL
    600 BLAIR PARK SUITE 160
    WILLISTON,VT05495
      PUBLIC GENERAL SUPPORT 10,000
    CAMP JABERWOCKEY
    200 GREENWOOD AVE
    VINEYARD HAVEN,MA02568
      PUBLIC GENERAL SUPPORT 10,000
    CARING COMMUNITY PRESCHOOL
    449 ROUTE 244
    THETFORD,VT05058
      PUBLIC GENERAL SUPPORT 25,000
    CARSEY SCHOOL OF PUBLIC POLICY AT UNH
    73 MAIN STREET
    DURHAM,NH03824
      PUBLIC GENERAL SUPPORT 63,120
    CARTER COMMUNITY BUILDING ASSOCIATION
    1 TAYLOR ST
    LEBANON,NH03766
      PUBLIC GENERAL SUPPORT 22,000
    CASA OF NH
    138 COOLIDGE AVE
    MANCHESTER,NH03102
      PUBLIC GENERAL SUPPORT 25,000
    CASA OF NH
    138 COOLIDGE AVE
    MANCHESTER,NH03102
      PUBLIC GENERAL SUPPORT 10,000
    CEDAR CIRCLE FARM AND EDUCATION CENTER
    225 PAVILLION RD
    EAST THETFORD,VT05043
      PUBLIC GENERAL SUPPORT 5,000
    CENTRAL VT ADULT BASIC EDUCATION
    46 WASHINGTON STREET SUITE 100
    BARRE,VT05641
      PUBLIC GENERAL SUPPORT 5,000
    CHANGING PERSPECTIVES
    PO BOX 694
    BRADFORD,VT05033
      PUBLIC GENERAL SUPPORT 10,000
    CHILD CARE CENTER IN NORWICH
    PO BOX 69
    NORWICH,VT05055
      PUBLIC GENERAL SUPPORT 25,000
    CHILDREN'S CENTER OF THE UPPER VALLEY
    178 MECHANIC ST
    LEBANON,NH03766
      PUBLIC GENERAL SUPPORT 40,000
    CHILDREN'S LITERACY FOUNDATION
    1536 LOOMIS HILL RD
    WATERBURY CENTER,VT05677
      PUBLIC GENERAL SUPPORT 20,000
    CINAMMON STREET CHILDREN'S CTR
    362 SUNAPEE ST
    SUNAPEE,NH03782
      PUBLIC GENERAL SUPPORT 10,000
    CITIZENS COUNT
    1 LIBERTY LANE EAST SUITE 100
    HAMPTON,NH03842
      PUBLIC GENERAL SUPPORT 15,000
    CITY CENTER BALLET
    PO BOX 66
    LEBANON,NH03766
      PUBLIC GENERAL SUPPORT 1,050
    CITY YEAR NEW HAMPSHIRE
    101 MANCHESTER ST
    MANCHESTER,NH03101
      PUBLIC GENERAL SUPPORT 20,000
    CLAREMONT OPERA HOUSE
    58 OPERA HOUSE SQUARE
    CLAREMONT,NH03743
      PUBLIC GENERAL SUPPORT 15,000
    COLGATE UNIVERSITY
    13 OAK DRIVE
    HAMILTON,NY13346
      PUBLIC GENERAL SUPPORT 10,000
    COVER HOME REPAIR
    158 SOUTH MAIN STREET
    WHITE RIVER JUNCTION,VT05001
      PUBLIC GENERAL SUPPORT 10,000
    DARTMOUTH CENTER FOR SOCIAL IMPACT
    6066 DEVELOPMENT OFFICE
    HANOVER,NH03755
      PUBLIC GENERAL SUPPORT 10,000
    DARTMOUTH COLLEGE - THAYER SCHOOL OF ENGINEERING
    15 THAYER DR
    HANOVER,NH03755
      PUBLIC GENERAL SUPPORT 35,000
    DARTMOUTH COLLEGE FUND - CLASS OF 64
    6066 DEVELOPMENT OFFICE
    HANOVER,NH03755
      PUBLIC GENERAL SUPPORT 25,000
    DARTMOUTH HITCHCOCK
    ONE MEDICAL CENTER DRIVE HB 7070
    LEBANON,NH03756
      PUBLIC GENERAL SUPPORT 112,781
    DARTMOUTH HITCHCOCK MEMORIAL HOSPITAL
    100 HITCHCOCK WAY
    MANCHESTER,NH03104
      PUBLIC GENERAL SUPPORT 35,000
    DHMC BOYLE COMMUNITY PEDIATRICS
    ONE MEDICAL CENTER DRIVE
    LEBANON,NH03756
      PUBLIC GENERAL SUPPORT 25,000
    DUPAGE CHILDREN'S MUSEUM
    301 N WASHINGTON ST
    NAPERVILLE,IL60540
      PUBLIC GENERAL SUPPORT 2,500
    ENFIELD SHAKER MUSEUM
    447 NH-4A
    ENFIELD,NH03748
      PUBLIC GENERAL SUPPORT 10,000
    FDN FOR UNDERWAY EXPERIENTIAL LEARNING
    PO BOX 1233
    VINEYARD HAVEN,MA02568
      PUBLIC GENERAL SUPPORT 10,000
    FINDING OUR STRIDE
    256 TUCKER HILL ROAD
    NORWICH,VT05055
      PUBLIC GENERAL SUPPORT 5,000
    FORD SAYER MEMORIAL SKI COUNCIL
    PO BOX 471
    HANOVER,NH03755
      PUBLIC GENERAL SUPPORT 5,000
    FRIENDS OF NORRIS COTTON CANCER CENTER
    1 ROPE FERRY ROAD
    HANOVER,NH03755
      PUBLIC GENERAL SUPPORT 5,000
    FRIENDS OF NORRIS COTTON CANCER CENTER
    1 ROPE FERRY ROAD
    HANOVER,NH03755
      PUBLIC GENERAL SUPPORT 10,000
    FRIENDS OF THE MASCOMA FOUNDATION
    9 ON THE COMMON WAY UNIT 5
    CANAAN,NH03741
      PUBLIC GENERAL SUPPORT 10,000
    FUTURE IN SIGHT
    25 WALKER ST
    CONCORD,NH03301
      PUBLIC GENERAL SUPPORT 10,000
    GARDEN GATE CHILD DEVELOPMENT
    119 W SPRING ST
    VINEYARD HAVEN,MA02568
      PUBLIC GENERAL SUPPORT 8,525
    GENERATION SERVE
    PO BOX 30575
    AUSTIN,TX78755
      PUBLIC GENERAL SUPPORT 5,000
    GIFT OF ADOPTION FUND
    1200 SHERMER RD SUITE 111
    NORTHBROOK,IL60062
      PUBLIC GENERAL SUPPORT 1,000
    GIFT OF ADOPTION FUND
    1200 SHERMER RD SUITE 111
    NORTHBROOK,IL60062
      PUBLIC GENERAL SUPPORT 2,500
    GLOBAL CAMPUSES FOUNDATION
    PO BOX 732
    WILLISTON,VT05495
      PUBLIC GENERAL SUPPORT 7,500
    GOOD BEGINNINGS OF THE UPPER VALLEY
    PO BOX 5054
    WEST LEBANON,NH03784
      PUBLIC GENERAL SUPPORT 6,000
    GOOD NEIGHBOR HEALTH CLINIC
    70 NORTH MAIN STREET
    WHITE RIVER JUNCTION,VT05001
      PUBLIC GENERAL SUPPORT 20,000
    GRAFTON COUNTY SENIOR CITIZENS COUNCIL
    10 CAMBELL STREET
    LEBANON,NH03766
      PUBLIC GENERAL SUPPORT 20,000
    GRANITE UNITED WAY
    22 CONCORD ST 2
    MANCHESTER,NH03101
      PUBLIC GENERAL SUPPORT 20,000
    GREEN MOUNTAIN CHILDREN'S CENTER
    92 FARMVU DR
    WHITE RIVER JUNCTION,VT05001
      PUBLIC GENERAL SUPPORT 9,000
    HAMPSHIRE COOPERATIVE NURSERY SCHOOL
    104 LYME RD
    HANOVER,NH03755
      PUBLIC GENERAL SUPPORT 20,000
    HEADREST
    14 CHURCH STREET
    LEBANON,NH03766
      PUBLIC GENERAL SUPPORT 20,000
    HEALTH CARE AND REHAB SERVICE OF SOUTHERN VT
    51 FAIRVIEW ST
    BRATTLEBORO,VT05301
      PUBLIC GENERAL SUPPORT 157,080
    HEALTH STRATEGIES OF NEW HAMPSHIRE
    ONE PILLSBURY STREET SUITE 301
    CONCORD,NH03301
      PUBLIC GENERAL SUPPORT 5,000
    INCLUSIVE ARTS VT
    21 CARMICHAEL ST 206
    ESSEX JUNCTION,VT05452
      PUBLIC GENERAL SUPPORT 5,000
    ISLAND CHILDRENS SCHOOL
    5 HALCYON WAY
    WEST TISBURY,MA02575
      PUBLIC GENERAL SUPPORT 20,680
    ISLAND GROWN INITIATIVE
    PO BOX 622
    VINEYARD HAVEN,MA02569
      PUBLIC GENERAL SUPPORT 27,000
    JAG PRODUCTIONS
    PO BOX 354
    WHITE RIVER JUNCTRION,VT05001
      PUBLIC GENERAL SUPPORT 50,000
    KISHKA GALLERY AND LIBRARY
    83 GATES STREET
    WHITE RIVER JUNCTION,VT05001
      PUBLIC GENERAL SUPPORT 2,500
    LEBANON OPERA HOUSE
    51 N PARK ST
    LEBANON,NH03766
      PUBLIC GENERAL SUPPORT 15,000
    LEBANON OUTING CLUB
    60 SPRING ST
    LEBANON,NH03766
      PUBLIC GENERAL SUPPORT 5,000
    LEDYARD CHARTER SCHOOL
    39 HANOVER ST
    LEBANON,NH03766
      PUBLIC GENERAL SUPPORT 25,000
    LET'S GROW KIDS
    19 MARBLE AVENUE SUITE 4
    BURLINGTON,VT05401
      PUBLIC GENERAL SUPPORT 25,000
    LISTEN COMMUNITY SERVICES
    60 HANOVER ST
    LEBANON,NH03766
      PUBLIC GENERAL SUPPORT 25,000
    LYME NURSERY SCHOOL
    155 DARTMOUTH COLLEGE HWY
    LYME,NH03768
      PUBLIC GENERAL SUPPORT 10,000
    MACDOWELL
    100 HIGH ST
    PETERBOROUGH,NH03458
      PUBLIC GENERAL SUPPORT 14,000
    MAGIC MOUNTAIN CHILDREN'S CENTER
    114 N WINDSOR ST
    ROYALTON,VT05068
      PUBLIC GENERAL SUPPORT 25,000
    MARIPOSA MUSEUM
    26 MAIN ST
    PETERBOROUGH,NH03458
      PUBLIC GENERAL SUPPORT 10,000
    MARTHA'S VINEYARD BOYS AND GIRLS CLUB
    PO BOX 654
    EDGARTOWN,MA02539
      PUBLIC GENERAL SUPPORT 20,000
    MARTHA'S VINEYARD COMMUNITY SERVICES
    111 EDGARTOWN RD
    OAK BLUFFS,MA02557
      PUBLIC GENERAL SUPPORT 10,000
    MARTHA'S VINEYARD HOSPITAL
    PO BOX 1477
    OAK BLUFFS,MA02557
      PUBLIC GENERAL SUPPORT 35,000
    MASSACHUSETTS AUDUBON SOCIETY
    208 SOUTH GREAT ROAD
    LINCOLN,MA01773
      PUBLIC GENERAL SUPPORT 5,000
    MASSACHUSETTS AUDUBON SOCIETY
    208 SOUTH GREAT ROAD
    LINCOLN,MA01773
      PUBLIC GENERAL SUPPORT 10,000
    MOM'S RISING EDUCATION FUND
    12011 BEL-RED ROAD
    BELLEVUE,WA98005
      PUBLIC GENERAL SUPPORT 100,000
    MONTSHIRE MUSEUM OF SCIENCE
    1 MONTSHIRE RD
    NORWICH,VT05055
      PUBLIC GENERAL SUPPORT 5,000
    MONTSHIRE MUSEUM OF SCIENCE
    1 MONTSHIRE RD
    NORWICH,VT05055
      PUBLIC GENERAL SUPPORT 13,000
    MOONRISE THERAPEUTICS
    PO BOX 90
    TAFTSVILLE,VT05073
      PUBLIC GENERAL SUPPORT 10,000
    MOUNTAIN COMMUNITIES SUPPORTING EDUCATION
    91 VT RTE 11
    LONDONDERRY,VT05155
      PUBLIC GENERAL SUPPORT 42,790
    MOUNTAIN VALLEY TREATMENT CENTER
    703 RIVER ROAD
    PLAINFIELD,NH03781
      PUBLIC GENERAL SUPPORT 30,000
    MT ASCUTNEY HOSPITAL AND HEALTH CENTER
    289 COUNTY RD
    WINDSOR,VT05089
      PUBLIC GENERAL SUPPORT 67,165
    MV SHARKS BASEBALL FOUNDATION
    100 EDGARTOWN VINEYARD HAVEN RD
    OAK BLUFFS,MA02557
      PUBLIC GENERAL SUPPORT 5,000
    MV YOUTH
    PO BOX 65
    CHILMARK,MA02535
      PUBLIC GENERAL SUPPORT 1,795
    MV YOUTH
    PO BOX 65
    CHILMARK,MA02535
      PUBLIC GENERAL SUPPORT 100,000
    NEW HAMPSHIRE CENTER FOR NONPROFITS
    194 PLEASANT ST SUITE 14
    CONCORD,NH03301
      PUBLIC GENERAL SUPPORT 20,000
    NEW HAMPSHIRE CHARITABLE FOUNDATION
    37 PLEASANT STREET
    CONCORD,NH03301
      PUBLIC GENERAL SUPPORT 165,372
    NEW HAMPSHIRE CHILDREN'S TRUST
    10 FERRY ST 307
    CONCORD,NH03301
      PUBLIC GENERAL SUPPORT 10,000
    NEW HAMPSHIRE PUBLIC RADIO
    2 PILLSBURY STREET 6TH FLOOR
    CONCORD,NH03301
      PUBLIC GENERAL SUPPORT 10,000
    NEW HEIGHTS YOUTH
    2472 BROADWAY PMB 112
    NEW YORK,NY10025
      PUBLIC GENERAL SUPPORT 15,000
    NEW HEIGHTS YOUTH
    2472 BROADWAY PMB 112
    NEW YORK,NY10025
      PUBLIC GENERAL SUPPORT 15,000
    NH BUSINESS COMMITTEE FOR THE ARTS
    155 DOW STREET SUITE 402
    MANCHESTER,NH03101
      PUBLIC GENERAL SUPPORT 1,500
    NH HUMANITIES
    117 PLEASANT ST
    CONCORD,NH03301
      PUBLIC GENERAL SUPPORT 10,000
    NH PUBLIC BROADCASTING SYSTEM
    268 MAST RD
    DURHAM,NH03824
      PUBLIC GENERAL SUPPORT 10,000
    NHBCA
    155 DOW STREET SUITE 402
    MANCHESTER,NH03101
      PUBLIC GENERAL SUPPORT 1,500
    NORTHERN STAGE
    74 GATES ST
    WHITE RIVER JUNCTION,VT05001
      PUBLIC GENERAL SUPPORT 10,000
    OPERA NORTH
    20 WEST PARK STREET
    LEBANON,NH03766
      PUBLIC GENERAL SUPPORT 10,000
    ORANGE COUNTY PARENT CHILD CENTER
    693 VT-110
    TUNBRIDGE,VT05077
      PUBLIC GENERAL SUPPORT 50,000
    PHILANTHROPY MASSACHUSETTS
    133 FEDERAL ST 802
    BOSTON,MA02110
      PUBLIC GENERAL SUPPORT 5,000
    PLANNED PARENTHOOD OF NORTHERN NEW ENGLAND
    136 PLEASENT ST
    CLAREMONT,NH03743
      PUBLIC GENERAL SUPPORT 30,000
    PLANNED PARENTHOOD OF NORTHERN NEW ENGLAND
    136 PLEASENT ST
    CLAREMONT,NH03743
      PUBLIC GENERAL SUPPORT 80,000
    POSITIVE TRACKS
    35 MAIN ST
    HANOVER,NH03755
      PUBLIC GENERAL SUPPORT 25,000
    REACH OUT AND READ
    89 SOUTH ST SUITE 201
    BOSTON,MA02111
      PUBLIC GENERAL SUPPORT 15,000
    REVELS NORTH
    PO BOX 415
    HANOVER,NH03755
      PUBLIC GENERAL SUPPORT 4,500
    ROOM TO GROW
    7 W 30TH ST
    NEW YORK,NY10001
      PUBLIC GENERAL SUPPORT 10,000
    ROOM TO GROW
    7 W 30TH ST
    NEW YORK,NY10001
      PUBLIC GENERAL SUPPORT 10,000
    ROOM TO GROW
    7 W 30TH ST
    NEW YORK,NY10001
      PUBLIC GENERAL SUPPORT 10,000
    SAFEART
    PO BOX 156 292 VT-110
    CHELSEA,VT05038
      PUBLIC GENERAL SUPPORT 10,000
    SAU 70
    41 LEBANON STREET SUITE 2
    HANOVER,NH03755
      PUBLIC GENERAL SUPPORT 5,000
    SAVE THE CHILDREN
    501 KINGS HIGHWAY EAST SUITE 400
    FAIRFIELD,CT06825
      PUBLIC GENERAL SUPPORT 50,000
    SECOND GROWTH
    PO BOX 5227
    WEST LEBANON,NH03784
      PUBLIC GENERAL SUPPORT 10,000
    SOCIETY FOR THE PROTECTION OF NH FORESTS
    54 PORTSMOUTH ST
    CONCORD,NH03301
      PUBLIC GENERAL SUPPORT 5,000
    SPECIAL NEEDS SUPPORT CENTER
    129 S MAIN ST SUITE 103
    WHITE RIVER JUNCTION,VT05001
      PUBLIC GENERAL SUPPORT 10,000
    SPRINGFIELD AREA PARENT CHILD CENTER
    6 MAIN ST
    NORTH SPRINGFIELD,VT05150
      PUBLIC GENERAL SUPPORT 60,000
    SUSTAINABLE WOODSTOCK
    30 PLEASANT ST
    WOODSTOCK,VT05091
      PUBLIC GENERAL SUPPORT 10,000
    TEXAS EQUAL ACCESS FUND
    PO BOX 227336
    DALLAS,TX75222
      PUBLIC GENERAL SUPPORT 5,000
    THE BRADFORD TEEN CENTER
    PO BOX 247
    BRADFORD,VT05033
      PUBLIC GENERAL SUPPORT 10,000
    THE FAMILY PLACE
    319 US-5
    NORWICH,VT05055
      PUBLIC GENERAL SUPPORT 108,000
    THE GOVERNOR'S INSTITUTE OF VT
    20 WEST CANAL ST SUITE C5
    WINOOSKI,VT05404
      PUBLIC GENERAL SUPPORT 4,000
    THE MAYHEW PROGRAM
    PO BOX 120
    BRISTOL,NH03222
      PUBLIC GENERAL SUPPORT 7,500
    THE MORTON ARBORETUM
    4100 IL-53
    LISLE,IL60532
      PUBLIC GENERAL SUPPORT 5,000
    THE SCOTLAND HOUSE
    8828 WOODSTOCK RD
    WHITE RIVER JUNCTION,VT05001
      PUBLIC GENERAL SUPPORT 7,000
    TLC FAMILY RESOURCE CENTER
    62 PLEASANT ST
    CLAREMONT,NH03743
      PUBLIC GENERAL SUPPORT 77,231
    TODDLERS MORNING OUT
    166 PALMER COURT
    WHITE RIVER JUNCTION,VT05001
      PUBLIC GENERAL SUPPORT 50,000
    TODDLERS MORNING OUT
    166 PALMER COURT
    WHITE RIVER JUNCTION,VT05001
      PUBLIC GENERAL SUPPORT 25,000
    TWIN PINES HOUSING TRUST
    226 HOLIDAY DR 20
    WHITE RIVER JUNCTION,VT05001
      PUBLIC GENERAL SUPPORT 25,000
    UNIVERSITY OF TEXAS AT AUSTIN - LITERACY FIRST
    3925 WEST BRAKER LANE SUITE 3801
    AUSTIN,TX78759
      PUBLIC GENERAL SUPPORT 5,000
    UPPER VALLEY HAVEN
    713 HARTFORD AVE
    WHITE RIVER JUNCTION,VT05001
      PUBLIC GENERAL SUPPORT 50,000
    UPPER VALLEY LAND TRUST
    19 BUCK RD
    HANOVER,NH03755
      PUBLIC GENERAL SUPPORT 15,000
    UPPER VALLEY SNOW SPORTS FOUNDATION
    160 WHALEBACK MOUNTAIN RD
    ENFIELD,NH03748
      PUBLIC GENERAL SUPPORT 25,000
    UPPER VALLEY TRAILS ALLIANCE
    326 MAIN ST
    NORWICH,VT05055
      PUBLIC GENERAL SUPPORT 15,000
    UPPER VALLEY WALDORF SCHOOL
    80 BLUFF RD
    QUECHEE,VT05059
      PUBLIC GENERAL SUPPORT 15,000
    VERMONT PBS
    10 EAST ALLEN STSUITE 202
    WINOOSKI,VT05404
      PUBLIC GENERAL SUPPORT 10,000
    VETERANS LEGAL SERVICES
    PO BOX 8457
    BOSTON,MA02114
      PUBLIC GENERAL SUPPORT 7,500
    VINEYARD MONTESSORI SCHOOL
    286 MAIN ST
    VINEYARD HAVEN,MA02568
      PUBLIC GENERAL SUPPORT 21,500
    VINS
    149 NATURES WY
    QUECHEE,VT05059
      PUBLIC GENERAL SUPPORT 25,000
    VISITING NURSES AND HOSPICE OF NH AND VT
    88 PROSPECT ST
    WHITE RIVER JUNCTION,VT05001
      PUBLIC GENERAL SUPPORT 5,000
    VITAL COMMUNITIES
    195 N MAIN ST
    WHITE RIVER JUNCTION,VT05001
      PUBLIC GENERAL SUPPORT 15,000
    VITAL COMMUNITIES
    195 N MAIN ST
    WHITE RIVER JUNCTION,VT05001
      PUBLIC GENERAL SUPPORT 51,000
    VT EARLY CHILDHOOD ADVOCACY ALLIANCE
    PO BOX 827
    MONTPELIER,VT05601
      PUBLIC GENERAL SUPPORT 10,000
    WCBH
    85 MECHANIC STREET
    LEBANON,NH03766
      PUBLIC GENERAL SUPPORT 2,500
    WEST CENTRAL BEHAVIORAL HEALTH
    85 MECHANIC STREET
    LEBANON,NH03766
      PUBLIC GENERAL SUPPORT 25,000
    WEST CENTRAL BEHAVIORAL HEALTH
    85 MECHANIC STREET
    LEBANON,NH03766
      PUBLIC GENERAL SUPPORT 100,000
    WEST CLAREMONT CENTER FOR MUSIC AND ARTS
    133 OLD CHURCH ROAD
    CLAREMONT,NH03743
      PUBLIC GENERAL SUPPORT 15,000
    WHITE RIVER PARTNERSHIPS
    4266 VT-14
    SOUTH ROYALTON,VT05068
      PUBLIC GENERAL SUPPORT 2,500
    WILLING HANDS ENTERPRISES
    198 CHURCH ST
    NORWICH,VT05055
      PUBLIC GENERAL SUPPORT 15,000
    WINDSOR COUNTY PARTNERS
    PO BOX 101
    WINDSOR,VT05089
      PUBLIC GENERAL SUPPORT 5,000
    WINDSOR EARLY CHILDHOOD CENTER
    20 BRIDGE STREET
    WINDSOR,VT05089
      PUBLIC GENERAL SUPPORT 20,000
    WINDSOR PUBLIC LIBRARY
    43 STATE STREET
    WINDSOR,VT05089
      PUBLIC GENERAL SUPPORT 10,000
    WISE
    38 BANK ST
    LEBANON,NH03766
      PUBLIC GENERAL SUPPORT 10,000
    ZACK'S PLACE ENRICHMENT CENTER
    73 CENTRAL ST
    WOODSTOCK,VT05091
      PUBLIC GENERAL SUPPORT 10,000
    ART BUS
    67 MAIN STREET
    RANDOLPH,VT05060
      PUBLIC GENERAL SUPPORT 5,000
    EARLY CARE AND EDUCATION ASSOCIATION
    800 BOYLSTON STREET NO 1560
    BOSTON,MA02199
      PUBLIC GENERAL SUPPORT 25,000
    EARLY CARE AND EDUCATION ASSOCIATION
    800 BOYLSTON STREET NO 1560
    BOSTON,MA02199
      PUBLIC GENERAL SUPPORT 291,400
    LOVING MOMS TOGETHER
    800 BOYLSTON STREET NO 1560
    BOSTON,MA02199
      PUBLIC GENERAL SUPPORT 4,000
    CLAREMONT LEARNING PARTNERSHIP
    169 MAIN STREET
    CLAREMONT,NH03743
      PUBLIC GENERAL SUPPORT 59,000
    Total .................................bullet 3a 3,654,489
    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 ............
            7,147,179
    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 0 8,300,517
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    8,300,517
    (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.)
    1 N/A
    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
    Schedule B
    (Form 990)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors

    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
    OMB No. 1545-0047
    2021
    Name of the organization
    THE COUCH FAMILY FOUNDATION
    C/O MOTT PHILANTHROPIC
    Employer identification number

    10-0000573
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ






    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
    or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990) (2021)
    Schedule B (Form 990) (2021) Page 2
    Name of organization
    THE COUCH FAMILY FOUNDATION
    C/O MOTT PHILANTHROPIC
    Employer identification number
    10-0000573
    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
    RICHARD COUCH
     
    23 BERRILL FARMS LANE
     
    HANOVER, NH03755

    $ 1,155,790


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

    $  


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

    $  


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

    $  


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

    $  


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

    $  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990) (2021)
    Schedule B (Form 990) (2021)
    Page 3
    Name of organization
    THE COUCH FAMILY FOUNDATION
    C/O MOTT PHILANTHROPIC
    Employer identification number

    10-0000573
    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
    390 SHARES OF ALPHABET INC $ 1,155,790 2021-12-08
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (a)
    No. from Part I
    (b)
    Description of noncash property given
    (c)
    FMV (or estimate)
    (See instructions)
    (d)
    Date received
     
    $    
    (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 COUCH FAMILY FOUNDATION
    C/O MOTT PHILANTHROPIC
    Employer identification number

    10-0000573
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No. from Part I
    (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990) (2021)
    Additional Data


    Software ID:  
    Software Version:  

    TY 2021 AccountingFeesSchedule
    Name:
    THE COUCH FAMILY FOUNDATION
     
    C/O MOTT PHILANTHROPIC
    EIN:
    10-0000573
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 15,300 0   0

    TY 2021 InvestmentsCorpBondsSchedule
    Name:
    THE COUCH FAMILY FOUNDATION
     
    C/O MOTT PHILANTHROPIC
    EIN:
    10-0000573
    Name of Bond End of Year Book Value End of Year Fair Market Value
    FIXED INCOME SECURITIES 7,833,970 8,988,780

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    THE COUCH FAMILY FOUNDATION
     
    C/O MOTT PHILANTHROPIC
    EIN:
    10-0000573
    Name of Stock End of Year Book Value End of Year Fair Market Value
    EQUITIES 66,272,595 99,584,583

    TY 2021 InvestmentsOtherSchedule2
    Name:
    THE COUCH FAMILY FOUNDATION
     
    C/O MOTT PHILANTHROPIC
    EIN:
    10-0000573
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    BBH REAL ASSETS AT COST 2,707,119 2,696,472

    TY 2021 OtherDecreasesSchedule
    Name:
    THE COUCH FAMILY FOUNDATION
     
    C/O MOTT PHILANTHROPIC
    EIN:
    10-0000573
    Description Amount
    BBH ADJUSTMENT TO QRP COST BASIS IN STMTS 2,485,972


    TY 2021 OtherExpensesSchedule
    Name:
    THE COUCH FAMILY FOUNDATION
     
    C/O MOTT PHILANTHROPIC
    EIN:
    10-0000573
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    OTHER GENERAL AND ADMIN COSTS 664,985 0   659,857


    TY 2021 OtherIncomeSchedule2
    Name:
    THE COUCH FAMILY FOUNDATION
     
    C/O MOTT PHILANTHROPIC
    EIN:
    10-0000573
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    FROM K-1: ALTAROCK PARTNERS 6 6 6
    FROM K-1: SELECT EQUITY SERIES -621 -621 -621
    FROM K-1: 1818 PARTNERS -2 -2 -2
    FROM K-1: GQG PARTNERS EMERGING MARKETS 22,580 22,580 22,580
    FROM K-1: CEDAR ROCK PARTNERS -3,308 -3,308 -3,308
    FROM K-1: AROHI EMERGING -178 -178 -178


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    THE COUCH FAMILY FOUNDATION
     
    C/O MOTT PHILANTHROPIC
    EIN:
    10-0000573
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT FEES 369,174 369,174   0
    FROM K-1S: PORTFOLIO EXPENSES 674,254 674,254   0
    FROM K-1S: INVESTMENT INTEREST EXPENSE 29 29   0


    TY 2021 SubstantialContributorsSch
    Name:
    THE COUCH FAMILY FOUNDATION
     
    C/O MOTT PHILANTHROPIC
    EIN:
    10-0000573
    Name Address
    RICHARD W COUCH 23 BERRILL FARMS LANE
    HANOVER,NH03755
    BARBARA J COUCH 23 BERRILL FARMS LANE
    HANOVER,NH03755


    TY 2021 TaxesSchedule
    Name:
    THE COUCH FAMILY FOUNDATION
     
    C/O MOTT PHILANTHROPIC
    EIN:
    10-0000573
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 50,723 50,723   0
    FEDERAL ESTIMATES 15,000 0   0
    FEDERAL EXTENSION 90,000 0   0