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 04-01-2021 , and ending 03-31-2022
Name of foundation
SOUTH SHORE BANK CHARITABLE
FOUNDATION INC
Number and street (or P.O. box number if mail is not delivered to street address)1530 MAIN STREET
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
SOUTH WEYMOUTH, MA02190
A Employer identification number

04-3356807
B Telephone number (see instructions)

(781) 682-3715
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ...
bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$3,180,952
J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books
(b) Net investment
income
(c) Adjusted net
income
(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule) 2,000
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 192,840 192,840  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 111,096
b Gross sales price for all assets on line 6a 461,739
7 Capital gain net income (from Part IV, line 2)... 111,096
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........ 305,936 303,936  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule).......        
c Other professional fees (attach schedule).... 1,500 0   0
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 6,671 0   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings.......        
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 30,705 30,705   0
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 38,876 30,705   0
25 Contributions, gifts, grants paid....... 375,900 375,900
26 Total expenses and disbursements. Add lines 24 and 25 414,776 30,705   375,900
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -108,840
b Net investment income (if negative, enter -0-) 273,231
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............. 105,921 119,593 119,593
2 Savings and temporary cash investments......... 61,048    
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)....... 3,294,782 Click to see attachment3,061,359 3,061,359
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule)..........      
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) 3,461,751 3,180,952 3,180,952
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 3,461,751 3,180,952
29 Total net assets or fund balances (see instructions)..... 3,461,751 3,180,952
30 Total liabilities and net assets/fund balances (see instructions). 3,461,751 3,180,952
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
3,461,751
2
Enter amount from Part I, line 27a .....................
2
-108,840
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
3,352,911
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
171,959
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29 .
6
3,180,952
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 SALE OF INVESTMENTS P    
b
c
d
e
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a 461,739   350,643 111,096
b
c
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       111,096
b
c
d
e
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
Bracket 2 111,096
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 3,798
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 3,798
6 Credits/Payments:
a 2021 estimated tax payments and 2020 overpayment credited to 2021 6a 3,280
b Exempt foreign organizations—tax withheld at source...... 6b 0
c Tax paid with application for extension of time to file (Form 8868)... 6c 1,500
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 4,780
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. 8 20
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 10 962
11 Enter the amount of line 10 to be: Credited to 2022 estimated taxBullet962 RefundedBullet 11 0
Part VI-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? ....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes? See the instructions
for the definition.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?.........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
  • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XIV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletMA
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.
    If "Yes," complete Part XIII .............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. ...............................
    10
     
    No
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 5
    Part VI-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement. See instructions.................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletDANIEL BRENNAN Telephone no.bullet (781) 682-3715

    Located atbullet1530 MAIN STREETSOUTH WEYMOUTHMA ZIP+4bullet02190
    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
    ARTHUR H SHARP DIRECTOR
    1.00
    0 0 0
    1530 MAIN STREET
    SOUTH WEYMOUTH,MA02190
    PAMELA O'LEARY VP/DIRECTOR
    1.00
    0 0 0
    1530 MAIN STREET
    SOUTH WEYMOUTH,MA02190
    JAMES M DUNPHY PRESIDENT/DIRECTOR
    1.00
    0 0 0
    1530 MAIN STREET
    SOUTH WEYMOUTH,MA02190
    MARGARET K SPAGONE DIRECTOR
    1.00
    0 0 0
    1530 MAIN STREET
    SOUTH WEYMOUTH,MA02190
    DANIEL W BRENNAN TREASURER & CLERK
    1.00
    0 0 0
    1530 MAIN STREET
    SOUTH WEYMOUTH,MA02190
    JOSEPH C SULLIVAN DIRECTOR
    1.00
    0 0 0
    1530 MAIN STREET
    SOUTH WEYMOUTH,MA02190
    MARISA O'DWYER DIRECTOR
    1.00
    0 0 0
    1530 MAIN STREET
    SOUTH WEYMOUTH,MA02190
    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 NONE 0
    2  
    3  
    4  
    Part VIII-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1 NONE 0
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 8
    Part IX
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations, see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    3,227,212
    b
    Average of monthly cash balances.......................
    1b
    194,450
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    3,421,662
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    3,421,662
    4
    Cash deemed held for charitable activities. Enter 1.5% (0.015) of line 3 (for greater amount, see
    instructions) .............................
    4
    51,325
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. .......
    5
    3,370,337
    6
    Minimum investment return. Enter 5% (0.05) of line 5................
    6
    168,517
    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
    168,517
    2a
    Tax on investment income for 2021 from Part V, line 5.......
    2a
    3,798
    b
    Income tax for 2021. (This does not include the tax from Part V.) ...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    3,798
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    164,719
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    164,719
    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
    164,719
    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 7 164,719
    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...... 10,325
    b From 2017......  
    c From 2018...... 26,851
    d From 2019...... 91,465
    e From 2020...... 56,377
    f Total of lines 3a through e ........ 185,018
    4Qualifying distributions for 2021 from Part
    XI, line 4: bullet$ 375,900
    a Applied to 2020, but not more than line 2a 0
    b Applied to undistributed income of prior years
    (Election required—see instructions).....
    0
    c Treated as distributions out of corpus (Election
    required—see instructions)........
    0
    d Applied to 2021 distributable amount..... 164,719
    e Remaining amount distributed out of corpus 211,181
    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 5 396,199
    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) ...
    10,325
    9 Excess distributions carryover to 2022.
    Subtract lines 7 and 8 from line 6a ......
    385,874
    10 Analysis of line 9:
    a Excess from 2017....  
    b Excess from 2018.... 26,851
    c Excess from 2019.... 91,465
    d Excess from 2020.... 56,377
    e Excess from 2021.... 211,181
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 10
    Part XIII
    Private Operating Foundations (see instructions and Part VI-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2021, enter the date of the ruling ....... bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........
    Tax year Prior 3 years (e) Total
    (a) 2021 (b) 2020 (c) 2019 (d) 2018
             
    b 85% (0.85) of line 2a .........          
    c Qualifying distributions from Part XI,
    line 4 for each year listed .....
             
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........
             
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....
             
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)
             
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part IX, line 6 for each year listed ..
             
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....
             
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....
             
    (3) Largest amount of support
    from an exempt organization
             
    (4) Gross investment income          
    Part XIV
    Supplementary Information (Complete this part only if the foundation had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
    JAMES M DUNPHY PRESIDENT
    1530 MAIN STREET
    SOUTH WEYMOUTH,MA02190
    (781) 682-3715
    bThe form in which applications should be submitted and information and materials they should include:
    APPLICATIONS AVAILABLE AT ABOVE ADDRESS
    cAny submission deadlines:
    SEE APPLICATIONS FOR VARIOUS DEADLINES
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    AWARDS ARE TO BE GRANTED WITHIN SOUTHEASTERN MASSACHUSETTS, UNLESS AN EXCEPTION IS MADE BY THE BOARD OF DIRECTOR'S TO BENEFIT COMMUNITY, CHARITABLE, EDUCATIONAL, AND OTHER BENEVOLENT PURPOSES.
    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
    BRAINTREE HISTORICAL SOCIETY
    31 TENNEY RD
    BRAINTREE,MA02184
    NOT RELATED PC EXEMPT PURPOSE 500
    CARDINAL CUSHING CENTER
    405 WASHINGTON ST
    HANOVER,MA02339
    NOT RELATED PC EXEMPT PURPOSE 10,000
    CARDINAL CUSHING CENTER
    405 WASHINGTON ST
    HANOVER,MA02339
    NOT RELATED PC EXEMPT PURPOSE 5,000
    EAST BRAINTREE LITTLE LEAGUE
    PO BOX 850736
    BRAINTREE,MA02185
    NOT RELATED PC EXEMPT PURPOSE 400
    ELLIE FUND
    200 RESERVOIR ST
    NEEDHAM,MA02494
    NOT RELATED PC EXEMPT PURPOSE 1,000
    JETT FOUNDATION
    36 CORDAGE PARK CIRCLE STE 328
    PLYMOUTH,MA02360
    NOT RELATED PC EXEMPT PURPOSE 500
    LAURIE MELCHIONDA FOUNDATION
    60 QUEQUECHAN CIR
    RAYNHAM,MA02767
    NOT RELATED PC EXEMPT PURPOSE 250
    MANET
    110 SQUANTUM ST
    NORTH QUINCY,MA02171
    NOT RELATED PC EXEMPT PURPOSE 2,500
    MASSASOIT COMMUNITY COLLEGE
    ONE MASSASOIT BLVD
    BROCKTON,MA02302
    NOT RELATED PC EXEMPT PURPOSE 780
    ROCHESTER AREA COMMUNITY FOUNDATION
    500 EAST AVENUE
    ROCHESTER,NY14607
    NOT RELATED PC EXEMPT PURPOSE 100
    SOUTH SHORE CHILDREN'S MUSEUM
    377 CROSS STREET
    HANSON,MA02341
    NOT RELATED PC EXEMPT PURPOSE 500
    SOUTH SHORE STARS
    200 MIDDLE STREET
    WEYMOUTH,MA02189
    NOT RELATED PC EXEMPT PURPOSE 500
    THE BRAINTREE ROTARY FOUNDATION
    PO BOX 850082
    BRAINTREE,MA02185
    NOT RELATED PC EXEMPT PURPOSE 1,000
    UNITED WAY OF GREATER PLYMOUTH COUNTY
    934 WEST CHESTNUT ST
    BROCKTON,MA02301
    NOT RELATED PC EXEMPT PURPOSE 6,269
    UNITED WAY OF MASSACHUSETTS BAY
    51 SLEEPER ST
    BOSTON,MA022101208
    NOT RELATED PC EXEMPT PURPOSE 6,269
    BETH ISRAEL DEACONESS MILTON
    199 REEDSDALE ROAD
    MILTON,MA02186
    NOT RELATED PC EXEMPT PURPOSE 2,500
    BRAINTREE ROTARY CLUB
    PO BOX 850082
    BRAINTREE,MA02184
    NOT RELATED PC EXEMPT PURPOSE 750
    FORBES HOUSE MUSEUM
    215 ADAMS ST
    MILTON,MA02186
    NOT RELATED PC EXEMPT PURPOSE 240
    KIWANIS CLUB
    PO BOX 261
    EAST BRIDGEWATER,MA02333
    NOT RELATED PC EXEMPT PURPOSE 917
    MADDIE'S WISH
    5 HEATHER LN
    HINGHAM,MA02043
    NOT RELATED PC EXEMPT PURPOSE 2,500
    MARIA DROSTE COUNSELING SERVICES
    1354 HANCOCK ST
    QUINCY,MA02169
    NOT RELATED PC EXEMPT PURPOSE 1,000
    MASSACHUSETTS FALLEN HEROES
    88 BLACK FALCON AVE SUITE 202
    BOSTON,MA02210
    NOT RELATED PC EXEMPT PURPOSE 5,000
    MASSASOIT COMMUNITY COLLEGE
    ONE MASSASOIT BLVD
    BROCKTON,MA02302
    NOT RELATED PC EXEMPT PURPOSE 1,500
    QHS PAC
    100 CODDINGTON ST
    QUINCY,MA02169
    NOT RELATED PC EXEMPT PURPOSE 250
    ROAD TO RESPONSIBILITY
    1831 OCEAN ST
    MARSHFIELD,MA02050
    NOT RELATED PC EXEMPT PURPOSE 2,500
    RODMAN RIDE FOR KIDS
    175 DERBY STREET SUITE 33
    HINGHAM,MA02043
    NOT RELATED PC EXEMPT PURPOSE 1,500
    ROTARY CLUB OF QUINCY
    27 GLENDALE RD
    QUINCY,MA02169
    NOT RELATED PC EXEMPT PURPOSE 1,000
    SOUTH SHORE HEALTH SYSTEM FOUNDATION
    55 FOGG ROAD
    WEYMOUTH,MA02190
    NOT RELATED PC EXEMPT PURPOSE 25,000
    THE MAKAYLA FUND INC
    8 KIPLING ROAD
    SOUTH WEYMOUTH,MA02090
    NOT RELATED PC EXEMPT PURPOSE 250
    WELLSPRING
    814 NANTASKET AVE
    HULL,MA02045
    NOT RELATED PC EXEMPT PURPOSE 4,000
    FONTBONNE ACADEMY
    930 BROOK RD
    MILTON,MA02186
    NOT RELATED PC EXEMPT PURPOSE 1,000
    QUINCY PRIDE
    PO BOX 224
    N QUINCY,MA02171
    NOT RELATED PC EXEMPT PURPOSE 1,000
    VETRN
    9 DANFORTH LN
    NORTON,MA02766
    NOT RELATED PC EXEMPT PURPOSE 10,000
    FRIENDSHIP HOME
    458 MAIN STRNPO BOX 916
    NORWELL,MA02061
    NOT RELATED PC EXEMPT PURPOSE 20,000
    SOUTH SHORE PEER RECOVERY
    51 COLE PKWY
    SCITUATE,MA02066
    NOT RELATED PC EXEMPT PURPOSE 20,000
    AAPI HERITAGE MONTH
    ONE ASHBURTON PL 12TH FLOOR
    BOSTON,MA02108
    NOT RELATED PC EXEMPT PURPOSE 1,000
    MARY E BAKER MEMORIAL SCHOLARSHIP
    1 MASSASOIT BLVD
    BROCKTON,MA02302
    NOT RELATED PC EXEMPT PURPOSE 1,000
    NEIGHBORWORKS
    422 WASHINGTON ST
    QUINCY,MA02169
    NOT RELATED PC EXEMPT PURPOSE 2,500
    RECOVERED SOULS
    100 DIXWELL AVE
    QUINCY,MA02169
    NOT RELATED PC EXEMPT PURPOSE 3,500
    THE ARC OF THE SOUTH SHORE
    20 POND PARK RD
    HINGHAM,MA02043
    NOT RELATED PC EXEMPT PURPOSE 3,000
    THE QUINCY FOUNDATION
    1 MERRYMOUNT PARKWAY
    QUINCY,MA02170
    NOT RELATED PC EXEMPT PURPOSE 5,000
    VIETNAM VETERANS SCHOLARSHIP FUND
    1752 WASHINGTON STREET
    BRAINTREE,MA02184
    NOT RELATED PC EXEMPT PURPOSE 500
    BRAINTREE AFTER SCHOOL ENRICHMENT
    426 POND STREET
    BRAINTREE,MA02184
    NOT RELATED PC EXEMPT PURPOSE 1,500
    BRAINTREE'S 4TH OF JULY
    PO BOX 850263
    BRAINTREE,MA02185
    NOT RELATED PC EXEMPT PURPOSE 2,500
    HINGHAM HISTORICAL SOCIETY
    34 MAIN STREET
    HINGHAM,MA02043
    NOT RELATED PC EXEMPT PURPOSE 500
    INTERFAITH SOCIAL SERVICES
    105 ADAMS ST
    QUINCY,MA02169
    NOT RELATED PC EXEMPT PURPOSE 1,000
    NVNA AND HOSPICE
    120 LONGWATER DR
    NORWELL,MA02061
    NOT RELATED PC EXEMPT PURPOSE 5,000
    HINGHAM MARITIME CENTER
    PO BOX 492
    HINGHAM,MA02043
    NOT RELATED PC EXEMPT PURPOSE 2,500
    SOUTH SHORE RUGBY FOOTBALL CLUB
    526 EAST 5TH STREET
    SOUTH BOSTON,MA02127
    NOT RELATED PC EXEMPT PURPOSE 2,000
    THOMAS W HAMILTON PRIMARY SCHOOL
    400 UNION ST
    SOUTH WEYMOUTH,MA02190
    NOT RELATED PC EXEMPT PURPOSE -150
    FRIENDS OF THE CASSIN YOUNG
    PO BOX 134
    WOBURN,MA01801
    NOT RELATED PC EXEMPT PURPOSE 500
    NEW ENGLAND VILLAGE FAMILY ASSOCIATION
    664 SCHOOL STREET
    PEMBROKE,MA02359
    NOT RELATED PC EXEMPT PURPOSE 2,600
    QUINCY SCHOOL COMMUNITY PARTNERSHIP
    34 CODDINGTON STREET
    QUINCY,MA02169
    NOT RELATED PC EXEMPT PURPOSE 3,000
    THE JESSICA C THURSTON MEMORIAL FUND
    54 FOREST TRAIL
    EAST BRIDGEWATER,MA02333
    NOT RELATED PC EXEMPT PURPOSE 250
    WEYMOUTH FOOD PANTRY
    PO BOX 890009
    WEYMOUTH,MA02189
    NOT RELATED PC EXEMPT PURPOSE 500
    PAN MASS CHALLENGE
    77 FOURTH AVE
    NEEDHAM,MA02494
    NOT RELATED PC EXEMPT PURPOSE 5,000
    WORK INC
    25 BEACH STREET
    DORCHESTER,MA02122
    NOT RELATED PC EXEMPT PURPOSE 2,500
    FRIENDSHIP HOME
    458 MAIN STRNPO BOX 916
    NORWELL,MA02061
    NOT RELATED PC EXEMPT PURPOSE 2,000
    KERI FOR KIDS
    16 MARCIA ROAD
    BRAINTREE,MA02184
    NOT RELATED PC EXEMPT PURPOSE 125
    PEMBROKE YOUTH FOOTBALL
    30 ACORN LN
    PEMBROKE,MA02359
    NOT RELATED PC EXEMPT PURPOSE 250
    DOVE
    PO BOX 690267
    QUINCY,MA02269
    NOT RELATED PC EXEMPT PURPOSE 3,000
    ADAM G SALHANEY FOUNDATION
    18 CARA DRIVE
    WEYMOUTH,MA02188
    NOT RELATED PC EXEMPT PURPOSE 2,500
    AMERICANISM COMMITTEE
    1197 WASHINGTON ST
    EAST WEYMOUTH,MA02189
    NOT RELATED PC EXEMPT PURPOSE 750
    ARCHBISHOP WILLIAMS HIGH SCHOOL
    40 INDEPENDENCE AVE
    BRAINTREE,MA02184
    NOT RELATED PC EXEMPT PURPOSE 1,000
    BRAINTREE HISTORICAL SOCIETY
    31 TENNEY RD
    BRAINTREE,MA02184
    NOT RELATED PC EXEMPT PURPOSE 150
    NELSON CHIN MEMORIAL FUND
    36 ACADEMY STREET
    BRAINTREE,MA02184
    NOT RELATED PC EXEMPT PURPOSE 1,000
    PROM ANGELS FOUNDATION
    1034 EAST WASHINGTON STREET
    HANSON,MA02341
    NOT RELATED PC EXEMPT PURPOSE 300
    THE SUN WILL RISE FOUNDATION
    541 WASHINGTON STREET
    BRAINTREE,MA02184
    NOT RELATED PC EXEMPT PURPOSE 500
    CME
    PO BOX 417
    NORTH EASTON,MA02356
    NOT RELATED PC EXEMPT PURPOSE 250
    FRIENDS OF THE NORWELL COUNCIL OF AGING
    PO BOX 699
    NORWELL,MA02061
    NOT RELATED PC EXEMPT PURPOSE 250
    SCHOOL ON WHEELS OF MASSACHUSETTS
    100 LAUREL STREET SUITE 121
    EAST BRIDGEWATER,MA02333
    NOT RELATED PC EXEMPT PURPOSE 1,000
    NEIGHBORWORKS HOUSING SOLUTIONS
    422 WASHINGTON STREET
    QUINCY,MA02169
    NOT RELATED PC EXEMPT PURPOSE 2,500
    NEW ENGLAND WILDLIFE CENTERS
    500 COLUMBIAN ST
    WEYMOUTH,MA02190
    NOT RELATED PC EXEMPT PURPOSE 1,000
    SCITUATE HIGH SCHOOL
    606 CHIEF JUSTICE CUSHING HWY
    SCITUATE,MA02066
    NOT RELATED PC EXEMPT PURPOSE 500
    CELL PHONES FOR SOLDIERS
    243 WINTER ST
    NORWELL,MA02061
    NOT RELATED PC EXEMPT PURPOSE 10,000
    ALL SOULS CHURCH OF BRAINTREE
    PO BOX 850219
    BRAINTREE,MA02185
    NOT RELATED PC EXEMPT PURPOSE 150
    SOUTH SHORE CHILDREN'S MUSEUM
    377 CROSS STREET
    HANSON,MA02341
    NOT RELATED PC EXEMPT PURPOSE 1,000
    KIWANIS CLUB OF EAST BRIDGEWATER
    PO BOX 261
    EAST BRIDGEWATER,MA02333
    NOT RELATED PC EXEMPT PURPOSE 500
    WEYMOUTH COMMUNITY GARDEN
    75 MIDDLE STREET
    WEYMOUTH,MA02189
    NOT RELATED PC EXEMPT PURPOSE 5,000
    THE OUTREACH PROGRAM
    68 INGHAM WAY
    PEMBROKE,MA02359
    NOT RELATED PC EXEMPT PURPOSE 500
    TOWN OF WEYMOUTH
    75 MIDDLE STREET
    WEYMOUTH,MA02189
    NOT RELATED PC EXEMPT PURPOSE 1,000
    CRADLES TO CRAYONS
    281 NEWTONVILLE AVE
    NEWTONVILLE,MA02460
    NOT RELATED PC EXEMPT PURPOSE 2,500
    JOYAL CAPITAL MANAGEMENT FOUNDATION INC
    30 BRAINTREE HILL OFFICE PARK
    BRAINTREE,MA02184
    NOT RELATED PC EXEMPT PURPOSE 500
    MBA CHARITABLE FOUNDATION INC
    ONE WASHINGTON MALL 8TH FL
    BOSTON,MA02108
    NOT RELATED PC EXEMPT PURPOSE 1,500
    WEYMOUTH 400
    PO BOX 890146
    EAST WEYMOUTH,MA02189
    NOT RELATED PC EXEMPT PURPOSE 30,000
    THE MARGE CRISPIN CENTER
    46 LINCOLN ST
    BRAINTREE,MA02184
    NOT RELATED PC EXEMPT PURPOSE 1,000
    ATLANTIC SYMPHONY ORCHESTRA
    PO BOX 259
    HINGHAM,MA02043
    NOT RELATED PC EXEMPT PURPOSE 12,000
    PLYMOUTH CENTER FOR THE ARTS
    11 NORTH STREET
    PLYMOUTH,MA02360
    NOT RELATED PC EXEMPT PURPOSE 500
    PLYMOUTH PHILARMONIC ORCHESTRA
    PO BOX 3175RN32 COURT ST SUIT
    PLYMOUTH,MA02360
    NOT RELATED PC EXEMPT PURPOSE 2,500
    NEIGHBORWORKS HOUSING SOLUTIONS
    422 WASHINGTON STREET
    QUINCY,MA02169
    NOT RELATED PC EXEMPT PURPOSE 1,500
    ASIAN AMERICAN SERVICE ASSOCIATION INC
    550 HANCOCK STREET
    QUINCY,MA02170
    NOT RELATED PC EXEMPT PURPOSE 1,500
    DOVE
    PO BOX 690267
    QUINCY,MA02269
    NOT RELATED PC EXEMPT PURPOSE 3,000
    WELLSPRING MULTI-SERVICE
    814 NANTASKET AVE
    HULL,MA02045
    NOT RELATED PC EXEMPT PURPOSE 4,000
    BRAINTREE AMERICAN LITTLE LEAGUE
    PO BOX 850011
    BRAINTREE,MA02185
    NOT RELATED PC EXEMPT PURPOSE 300
    ABINGTON CELEBRATES FLAG DAYFOUNDERS DAY
    500 GLINIEWICZ WAY
    ABINGTON,MA02351
    NOT RELATED PC EXEMPT PURPOSE 1,000
    OLD COLONY YMCA
    320 MAIN STREET
    BROCKTON,MA02301
    NOT RELATED PC EXEMPT PURPOSE 1,500
    INTERFAITH SOCIAL SERVICES
    105 ADAMS ST
    QUINCY,MA02169
    NOT RELATED PC EXEMPT PURPOSE 1,000
    SOUTH SHORE HABITAT FOR HUMANITY
    20 MATHEWSON DRIVE
    WEYMOUTH,MA02189
    NOT RELATED PC EXEMPT PURPOSE 1,500
    THE ARC OF GREATER BROCKTON
    1250 W CHESTNUT ST
    BROCKTON,MA02301
    NOT RELATED PC EXEMPT PURPOSE 2,500
    NEW ENGLAND CENTER & HOME FOR VETERANS
    17 COURT ST
    BOSTON,MA02108
    NOT RELATED PC EXEMPT PURPOSE 2,000
    SOUTH SHORE HEALTH SYSTEM FOUNDATION
    55 FOGG ROAD
    WEYMOUTH,MA02190
    NOT RELATED PC EXEMPT PURPOSE 25,000
    THE COMPANY THEATRE
    30 ACCORD PARK DR
    NORWELL,MA02061
    NOT RELATED PC EXEMPT PURPOSE 10,000
    WEYMOUTH GARDEN
    75 MIDDLE STREET
    WEYMOUTH,MA02189
    NOT RELATED PC EXEMPT PURPOSE 5,000
    WELLSPRING
    814 NANTASKET AVE
    HULL,MA02045
    NOT RELATED PC EXEMPT PURPOSE 5,000
    JETT FOUNDATION INC
    36 CORDAGE PARK CIRCLE
    PLYMOUTH,MA02360
    NOT RELATED PC EXEMPT PURPOSE 5,000
    FRIENDSHIP HOME
    458 MAIN ST PO BOX 916
    NORWELL,MA02061
    NOT RELATED PC EXEMPT PURPOSE 5,000
    MAASBESA
    160 COMMONWEALTH AVENUE UNIT 419
    BOSTON,MA02116
    NOT RELATED PC EXEMPT PURPOSE 1,000
    OLD COLONY YMCA
    320 MAIN STREET
    BROCKTON,MA02301
    NOT RELATED PC EXEMPT PURPOSE 1,000
    SOUTH SHORE YMCA
    79 CODDINGTON STREET
    QUINCY,MA02169
    NOT RELATED PC EXEMPT PURPOSE 17,500
    GBREB FOUNDATION
    3 CENTER PLAZA MEZZANINE
    BOSTON,MA02108
    NOT RELATED PC EXEMPT PURPOSE 3,000
    MANET COMMUNITY HEALTH CENTER
    110 W SQUANTUM ST
    NORTH QUINCY,MA02171
    NOT RELATED PC EXEMPT PURPOSE 2,500
    PEMBROKE PUBLIC LIBRARY FOUNDATION INC
    142 CENTER ST
    PEMBROKE,MA02359
    NOT RELATED PC EXEMPT PURPOSE 2,500
    CARDINAL CUSHING CENTERS
    405 WASHINGTON ST
    HANOVER,MA02339
    NOT RELATED PC EXEMPT PURPOSE 5,000
    FRIENDS OF SOUTH SHORE COUNTRY CLUB
    274 SOUTH ST
    HINGHAM,MA02043
    NOT RELATED PC EXEMPT PURPOSE 200
    QUINCY PRIDE
    12 FERRIER ST
    QUINCY,MA02169
    NOT RELATED PC EXEMPT PURPOSE 500
    Total .................................bullet 3a 375,900
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 12
    Part XV-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code
    (b)
    Amount
    (c)
    Exclusion code
    (d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments ....          
    3 Interest on savings and temporary cash
    investments ...........
             
    4 Dividends and interest from securities ....          
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6 Net rental income or (loss) from personal property          
    7 Other investment income .....          
    8 Gain or (loss) from sales of assets other than
    inventory ............
        18 111,096  
    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) .. 0 303,927 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    303,927
    (See worksheet in line 13 instructions to verify calculations.)
    Part XV-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow
    Explain below how each activity for which income is reported in column (e) of Part XV-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2021)
    Form 990-PF (2021)
    Page 13
    Part XVI
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.
    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) (other than section 501(c)(3)) or in section 527? ...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below?
    See instructions.
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    Firm's EIN SmallBullet
    Firm's address SmallBullet


    Phone no.
    Form 990-PF (2021)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description

    TY 2021 InvestmentsCorpStockSchedule
    Name:
    SOUTH SHORE BANK CHARITABLE
     
    FOUNDATION INC
    EIN:
    04-3356807
    Name of Stock End of Year Book Value End of Year Fair Market Value
    SECURITIES 3,061,359 3,061,359

    TY 2021 OtherDecreasesSchedule
    Name:
    SOUTH SHORE BANK CHARITABLE
     
    FOUNDATION INC
    EIN:
    04-3356807
    Description Amount
    CHANGE IN UNREALIZED LOSSES 171,959


    TY 2021 OtherExpensesSchedule
    Name:
    SOUTH SHORE BANK CHARITABLE
     
    FOUNDATION INC
    EIN:
    04-3356807
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    CUSTODIAN FEE 30,705 30,705   0


    TY 2021 OtherProfessionalFeesSchedule
    Name:
    SOUTH SHORE BANK CHARITABLE
     
    FOUNDATION INC
    EIN:
    04-3356807
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    TAX PREPARATION FEES 1,500 0   0


    TY 2021 TaxesSchedule
    Name:
    SOUTH SHORE BANK CHARITABLE
     
    FOUNDATION INC
    EIN:
    04-3356807
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FEDERAL & STATE 6,671 0   0