Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
0 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 87,500 | 137,126 | 0 | 85,050 | 55,786 | 365,462 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | 0 | |||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | 0 | |||||
| 4 | Total. Add lines 1 through 3 | 87,500 | 137,126 | 0 | 85,050 | 55,786 | 365,462 |
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) .. | 0 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 365,462 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 87,500 | 137,126 | 0 | 85,050 | 55,786 | 365,462 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 314 | 1,866 | 2,594 | 1,080 | 1,500 | 7,354 |
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | 0 | |||||
| 11 | Total support. Add lines 7 through 10 | 372,816 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | 0 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2022 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2022 |
(iii) Distributable Amount for 2022 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2022 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI).
See instructions. |
||||
| 3 Excess distributions carryover, if any, to 2022: | ||||
| a From 2017....... | ||||
| b From 2018....... | ||||
| c From 2019....... | ||||
| d From 2020....... | ||||
| e From 2021....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2022 distributable amount | ||||
|
i
Carryover from 2017 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2022 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2022 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2022, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
6
Remaining underdistributions for 2022. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
7 Excess distributions carryover to 2023. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a Excess from 2018..... | ||||
| b Excess from 2019..... | ||||
| c Excess from 2020..... | ||||
| d Excess from 2021..... | ||||
| e Excess from 2022..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|
| Software ID: | 22015534 |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Pt III, Line 31 | Grants to Various Charities as listed on Pt1 Line 10. |
| Form 990EZ, Part I, Line 10 | Educational; Grant; LEAP for Education: 35 Congress St, Salem, MA, 01970; None, 750. |
| Form 990EZ, Part I, Line 10 | Grant; Grant; Salem State University Foundation: 352 Lafayette St, Salem, MA, 01970; None, 6000. |
| Form 990EZ, Part I, Line 10 | Grant; Grant; Massachusetts Coalition for the Homeless: 73 Buffum St, Lynn, MA, 01902; None, 720. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; Inspire Arts & Music: P.O. Box 51391, Boston , MA , 02205; None, 1000. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; Lynn Vocational Technical Institute: 80 Neptune Blvd, Lynn, MA, 01902; None, 200. |
| Form 990EZ, Part I, Line 10 | Sponsoship; Grant; North Shore Concert Band: P.O. Box 4292, Peabody, MA, 01960; None, 250. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; Revere Youth Baseball: 585 Revere Beach Blvd, Revere , MA, 02151; None, 500. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; Knights Of Pythias: 251 Maple St, Lynn, MA, 01904; None, 125. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; ROOT: 35 Congress St, Salem , MA , 01970; None, 1000. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; Greater Lynn Senior Citizens: 8 Silsbee St, Lynn, MA, 01901; None, 250. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; JDRF New England Chapter: 60 Walnut St Suite #101B, Wellesley Hills, MA, 02481; None, 250. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; Lynn Special Games: 100 Bennett St, Lynn, MA, 01905; None, 250. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; Lincoln Thompson School PTO: 115 Gardiner St, Lynn, MA , 01905; None, 700. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; City of Salem: 93 Washington St, Salem, MA, 01970; None, 100. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; Lynn Museum Lynn Arts: 590 Washington St , Lynn, MA, 01901; None, 500. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; MSPCA: 350 S. Huntington Ave, Boston, MA, 02130; None, 100. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; Cooperative Credit Union Association: 845 Donald Lynch Blvd, Marlborough, MA, 01752; None, 2775. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; Salem Parks & Recreation: 401 Bridge St, Salem, MA, 01970; None, 1000. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; Bishop Fenwick High School: 99 Margin St , Peabody, MA, 01960; None, 250. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; Masschusetts Down Syndrom Congress: 20 Burlington Mall Rd, Burlington, MA, 01803; None, 100. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; Camp Rotary: 372 Ipswich Rd, Boxford, MA, 01921; None, 250. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; Salesian Boys & Girls Club Of East Boston: 150 Byron St, East Boston, MA, 02128; None, 950. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; Merrimack Valley Charities Fund: 500 Merrimack St, Lawrence, MA, 01843; None, 500. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; My Brothers Table: 98 Willow St, Lynn, MA, 01901; None, 1000. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; Neurofibromatosis Northeast: 9 Bedford St, Burlington, MA, 01803; None, 400. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; East Boston Central Catholic School: 69 London St, East Boston, MA, 02128; None, 100. |
| Form 990EZ, Part I, Line 10 | Scholarship; Grant; Brady Odonnell: , , , ; , 1000. |
| Form 990EZ, Part I, Line 10 | Scholarship; Grant; Amanda Tucker: , , , ; , 1000. |
| Form 990EZ, Part I, Line 10 | Scholarship; Grant; Emma Langlois: , , , ; , 1000. |
| Form 990EZ, Part I, Line 10 | Scholarship; Grant; Alexander Amaral: , , , ; , 1000. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; Campfire North Shore: 2 Cain Rd, Salem, MA, 01970; None, 650. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; City of Lynn: 3 City Hall Square, Lynn, MA, 01901; None, 500. |
| Form 990EZ, Part I, Line 10 | Donation; Grant; St. Jean's Credit Union: 370 Highland Ave, Salem , MA, 01970; Donor, 300. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; Lhand Scholarship Fund: 10 Church St, Lynn, MA, 01902; None, 1200. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; America's Credit Union Museum: 420 Notre Dame Ave, Manchester, NH, 03102; None, 2500. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; The National Credit Union Foundation: 5710 Mineral Point Road, Madison, WI, 53705; None, 500. |
| Form 990EZ, Part I, Line 10 | Sponsor; Grant; Anna Jaques Community Health Foundation: 25 Highland Ave, Newburyport, MA, 01950; None, 2500. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; Our Neighbors Table: P.O. Box 592, Amesbury, MA, 01913; None, 500. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; North Shore Education Consortium: 112 Sohier Road, Beverly, MA, 01915; None, 250. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; Greater Lynn Chamber of Commerce: 583 Chestnyt Sy, Lynn, MA, 01904; None, 175. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; Cu Kids @ Heart: 35 Corporate Drive, Burlington, MA, 01803; None, 3500. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; EDIC of Lynn: 3 City Hall Square, Lynn , MA, 01901; None, 500. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; Lynn Police Relief Association: 300 Washington St, Lynn, MA, 01902; None, 250. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; Lynn Firefighters Local 739: P.O. Box 586, Lynn, MA, 01903; None, 100. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; IAPOA: 23 York Terrace, Lynn, MA, 01904; None, 500. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; Boston Cardiac Foundation: 50 Tremont St, Melrose, MA, 02176; None, 300. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; The Real Program: 17 Atlantic St, Lynn , MA, 01902; None, 500. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; Boston Crusaders Drum & Bugle Corps: 47 Fairmount Ave, Boston, MA, 02136; None, 500. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; Asthma Allergy Foundation: 25 Braintree Hill Office Pk Suite 200, Braintree , MA, 02184; None, 250. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; Wyoma Lions Club: P.O. Box 8211, Lynn , MA , 01904; None, 100. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; Everett Revere Youth Hockey: P.O. Box 444, Revere, MA, 02151; None, 500. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; Bridgewell: 10 Dearborn Road , Peabody, MA, 01960; None, 250. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; MSA Hospice: 166 Stoneridge Drive #100, Columbia, SC, 29210; None, 100. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; The Neighborhood Developers: 4 Gerrish Ave, Chelsea, MA, 02150; None, 400. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; Timmys Angels: 14 Preston St, Salem, MA, 01970; None, 250. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; Greater Lynn Youth Football : 2 Dearborn Ave, Lynn , MA , 01905; None, 200. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; Mass Badge: 400 Revere Beach Parkway, Revere, MA, 02151; None, 300. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; Community Service Of Newburyport: P.O. Box 843, Newburyport, MA, 01950; None, 100. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; Peabody Youth Football: 40 Main St, Peabody , MA, 01960; None, 150. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; Turning Point: 5 Perry Way, Newburyport, MA, 01950; None, 100. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; Lucy's Love Bus: P.O. Box 464, Amesbury, MA, 01913; None, 200. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; Lynn Community Health Center: 269 Union St, Lynn, MA, 01901; None, 250. |
| Form 990EZ, Part I, Line 10 | Sponsorship; Grant; Salem High School: 77 Willson St, Salem , MA, 01970; None, 250. |
| Form 990EZ, Part I, Line 16 | Massachusetts Attorney General Filing Fee 109. |
| Software ID: | 22015534 |
| Software Version: |