TY 2021 Form 990PF

- TIN:

Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation

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

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

Go to www.irs.gov/Form990PF for instructions and the latest information.

OMB No. 1545-0047

2021

Open to Public Inspection

For calendar year 2021, or tax year beginning 04-01-2021 , and ending 03-31-2022

Name of foundation
DAVENPORT MEMORIAL FOUNDATION

Number and street (or P.O. box number if mail is not delivered to street address)70 SALEM STREET
Room/suite

City or town, state or province, country, and ZIP or foreign postal code
MALDEN, MA02148

A Employer identification number

04-2104142

B Telephone number (see instructions)

(781) 324-0150

C If exemption application is pending, check here bullet

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

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

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

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

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

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

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

$19,472,198J Accounting method: Cash Accrual
Other (specify)
(Part I, column (d) must be on cash basis.)

	Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).)	(a) Revenue and expenses per books		(b) Net investment income	(c) Adjusted net income	(d) Disbursements for charitable purposes (cash basis only)


1	Contributions, gifts, grants, etc., received (attach schedule)
2	Check .............
3	Interest on savings and temporary cash investments
4	Dividends and interest from securities...	425,810		425,810	425,810
5a	Gross rents............	23,870			23,870
b	Net rental income or (loss) 1,679
6a	Net gain or (loss) from sale of assets not on line 10		1,571,243
b	Gross sales price for all assets on line 6a 6,565,030
7	Capital gain net income (from Part IV, line 2)...			1,571,243
8	Net short-term capital gain.........				0
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).......		58,800	0	58,800
12	Total. Add lines 1 through 11........	2,079,723		1,997,053	508,480
13	Compensation of officers, directors, trustees, etc.	0		0	0	0
14	Other employee salaries and wages......	419,685		0	50,875	392,541
15	Pension plans, employee benefits.......	5,554		0	0	5,554
16a	Legal fees (attach schedule).........		15,000	0	0	15,000
b	Accounting fees (attach schedule).......		53,975	0	0	53,975
c	Other professional fees (attach schedule)....		76,431	71,806	71,806	4,625
17	Interest...............	81		0	0	0
18	Taxes (attach schedule) (see instructions)...		50,213	15,117	15,117	35,096
19	Depreciation (attach schedule) and depletion...		61,854	2,579	0
20	Occupancy..............	67,627		0	0	67,627
21	Travel, conferences, and meetings.......
22	Printing and publications..........
23	Other expenses (attach schedule).......		529,529	4,495	4,495	525,034
24	Total operating and administrative expenses.
	Add lines 13 through 23..........	1,279,949		93,997	142,293	1,099,452
25	Contributions, gifts, grants paid.......	0				0
26	Total expenses and disbursements. Add lines 24 and 25	1,279,949		93,997	142,293	1,099,452
27	Subtract line 26 from line 12:
a	Excess of revenue over expenses and disbursements	799,774
b	Net investment income (if negative, enter -0-)			1,903,056
c	Adjusted net income (if negative, enter -0-)...				366,187

For Paperwork Reduction Act Notice, see instructions.

Cat. No. 11289X Form 990-PF (2021)

Form 990-PF (2021)

Page 2

Part II		Balance Sheets	Beginning of year	End of year
Part II		Balance Sheets	(a) Book Value	(b) Book Value	(c) Fair Market Value
	1	Cash—non-interest-bearing.............	100,998	127,616	127,616
	2	Savings and temporary cash investments.........
	3	Accounts receivable 2,200
		Less: allowance for doubtful accounts	4,900	2,200	2,200
	4	Pledges receivable
		Less: allowance for doubtful accounts
	5	Grants receivable.................
	6	Receivables due from officers, directors, trustees, and other
		disqualified persons (attach schedule) (see instructions).....
	7	Other notes and loans receivable (attach schedule)
		Less: allowance for doubtful accounts
	8	Inventories for sale or use..............
	9	Prepaid expenses and deferred charges..........
	10a	Investments—U.S. and state government obligations (attach schedule)	10,202	501,679	501,679
	b	Investments—corporate stock (attach schedule).......	15,112,387	14,525,535	14,525,535
	c	Investments—corporate bonds (attach schedule).......	3,213,317	3,178,682	3,178,682
	11	Investments—land, buildings, and equipment: basis 77,357
		Less: accumulated depreciation (attach schedule) 52,265	27,671	25,092	25,092
	12	Investments—mortgage loans.............
	13	Investments—other (attach schedule)..........
	14	Land, buildings, and equipment: basis 2,519,933
		Less: accumulated depreciation (attach schedule) 1,420,509	1,153,885	1,099,424	1,099,424
	15	Other assets (describe )	12,094	11,970	11,970
	16	Total assets (to be completed by all filers—see the
		instructions. Also, see page 1, item I)	19,635,454	19,472,198	19,472,198
	17	Accounts payable and accrued expenses..........	20,890	19,265
	18	Grants payable.................
	19	Deferred revenue.................	4,900	4,900
	20	Loans from officers, directors, trustees, and other disqualified persons
	21	Mortgages and other notes payable (attach schedule)......
	22	Other liabilities (describe )
	23	Total liabilities (add lines 17 through 22).........	25,790	24,165
		Foundations that follow FASB ASC 958, check here
		and complete lines 24, 25, 29 and 30.
	24	Net assets without donor restrictions...........	19,609,664	19,448,033
	25	Net assets with donor restrictions............
		Foundations that do not follow FASB ASC 958, check here
		and complete lines 26 through 30.
	26	Capital stock, trust principal, or current funds........
	27	Paid-in or capital surplus, or land, bldg., and equipment fund
	28	Retained earnings, accumulated income, endowment, or other funds
	29	Total net assets or fund balances (see instructions).....	19,609,664	19,448,033
	30	Total liabilities and net assets/fund balances (see instructions).	19,635,454	19,472,198

Part III

Analysis of Changes in Net Assets or Fund Balances

Total net assets or fund balances at beginning of year—Part II, column (a), line 29 (must agree with end-of-year figure reported on prior year’s return) ...............

19,609,664

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

799,774

Other increases not included in line 2 (itemize) bullet

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

20,409,438

Decreases not included in line 2 (itemize) bullet

961,405

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

19,448,033

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.)		(c) Date acquired (mo., day, yr.)	(d) Date sold (mo., day, yr.)
1 a	PUBLICLY TRADED SECURITIES	2020-07-01	2021-07-01
b
c
d
e

(e) Gross sales price		(g) Cost or other basis plus expense of sale	(h) Gain or (loss) (e) plus (f) minus (g)
a	6,565,030	4,993,787	1,571,243
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			1,571,243
b
c
d
e

2	Capital gain net income or (net capital loss)	If gain, also enter in Part I, line 7 If (loss), enter -0- in Part I, line 7	2	1,571,243
3	Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
	If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0- in Part I, line 8 ...................		3	0

Form 990-PF (2021)

Page 4

Part V

Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)

1a	Exempt operating foundations described in section 4940(d)(2), check here and enter “N/A" on line 1.
	Date of ruling or determination letter: 1986-03-18(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
3	Add lines 1 and 2...........................	3
4	Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)	4
5	Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- .....	5	0
6	Credits/Payments:

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

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

Part VI-A

Statements Regarding Activities

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

Yes

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

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

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

If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials

published or distributed by the foundation in connection with the activities.

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

Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:

(1) On the foundation. bullet

$ 0(2) On foundation managers. bullet

$ 0

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

on foundation managers. bullet

$ 0

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

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

Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles

of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....

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

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

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

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

Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:

By language in the governing instrument, or

By state legislation that effectively amends the governing instrument so that no mandatory directions

that conflict with the state law remain in the governing instrument?................

Yes

Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),

and Part XIV..................................

Yes

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

If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney

General (or designate) of each state as required by General Instruction G? If "No," attach explanation .

Yes

Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)

or 4942(j)(5) for calendar year 2021 or the taxable year beginning in 2021? See the instructions for Part XIII.

If "Yes," complete Part XIII .............................

Yes

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

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

Form 990-PF (2021)

Page 5

Part VI-A

Statements Regarding Activities (continued)

At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the

meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions .............

Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had

advisory privileges? If "Yes," attach statement. See instructions.................

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

Website address bullet

WWW.DAVENPORTHOME.ORG

The books are in care of bullet

CHENRY KEZER Telephone no. bullet

(781) 324-0150

Located at bullet

70 SALEM STREETMALDENMA ZIP+4 bullet

02148

Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here ......... bullet

and enter the amount of tax-exempt interest received or accrued during the year ........ bullet

16 At any time during calendar year 2021, did the foundation have an interest in or a signature or other authority over YesNo

a bank, securities, or other financial account in a foreign country? .................

16 No

See the instructions for exceptions and filing requirements for FinCEN Form 114. If "Yes", enter the name of the foreign
country bullet

Part VI-B

Statements Regarding Activities for Which Form 4720 May Be Required

File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.

Yes

During the year did the foundation (either directly or indirectly):

(1) Engage in the sale or exchange, or leasing of property with a disqualified person? ...........

1a(1)

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

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

1a(2)

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

1a(3)

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

1a(4)

Yes

(5) Transfer any income or assets to a disqualified person (or make any of either available

for the benefit or use of a disqualified person)? ......................

1a(5)

(6) Agree to pay money or property to a government official? (Exception. Check "No"

if the foundation agreed to make a grant to or to employ the official for a period

after termination of government service, if terminating within 90 days.) ...............

1a(6)

If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations

section 53.4941(d)-3 or in a current notice regarding disaster assistance? See instructions ..........

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

Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,

that were not corrected before the first day of the tax year beginning in 2021? .............

Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private

operating foundation defined in section 4942(j)(3) or 4942(j)(5)):

At the end of tax year 2021, did the foundation have any undistributed income (lines 6d

and 6e, Part XII) for tax year(s) beginning before 2021?....................

If "Yes," list the years bullet

20, 20, 20, 20

Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)

(relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)

to all years listed, answer "No" and attach statement—see instructions.) ..............

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

20, 20, 20, 20

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

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

If "Yes," did it have excess business holdings in 2021 as a result of (1) any purchase by the foundation

or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved

by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)

the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine

if the foundation had excess business holdings in 2021.) .....................

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

Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its

charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2021? ..

Form 990-PF (2021)

Page 6

Part VI-B

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

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

Yes

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

5a(1)

(2) Influence the outcome of any specific public election (see section 4955); or to carry

on, directly or indirectly, any voter registration drive? ....................

5a(2)

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

5a(3)

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

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

5a(4)

(5) Provide for any purpose other than religious, charitable, scientific, literary, or

educational purposes, or for the prevention of cruelty to children or animals? .............

5a(5)

If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in

Regulations section 53.4945 or in a current notice regarding disaster assistance? See instructions ........

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

If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the

tax because it maintained expenditure responsibility for the grant? .................

If "Yes," attach the statement required by Regulations section 53.4945–5(d).

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

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

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

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

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

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

Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or

excess parachute payment during the year? .........................

Part VII

Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors

1 List all officers, directors, trustees, foundation managers and their compensation. See instructions

(a) Name and address	(b) Title, and average hours per week devoted to position	(c) Compensation (If not paid, enter -0-)	(d) Contributions to employee benefit plans and deferred compensation	(e) Expense account, other allowances
C HENRY KEZER	PRESIDENT & TRUSTEE 0.25	0	0	0
70 SALEM STREET MALDEN,MA02148	PRESIDENT & TRUSTEE 0.25	0	0	0
FRANCIS K BROWN II	TREASURER & TRUSTEE 0.25	0	0	0
70 SALEM STREET MALDEN,MA02148	TREASURER & TRUSTEE 0.25	0	0	0
JAYNE E BROWN	CLERK & TRUSTEE 0.25	0	0	0
70 SALEM STREET MALDEN,MA02148	CLERK & TRUSTEE 0.25	0	0	0
REV PAUL MCPHEETERS	TRUSTEE 0.25	0	0	0
70 SALEM STREET MALDEN,MA02148	TRUSTEE 0.25	0	0	0
STEVEN GRAFFAM	TRUSTEE 0.25	0	0	0
70 SALEM STREET MALDEN,MA02148	TRUSTEE 0.25	0	0	0
ELAINE RITTERSHAUS	TRUSTEE 0.25	0	0	0
70 SALEM STREET MALDEN,MA02148	TRUSTEE 0.25	0	0	0
PRISCILLA D BURNS	TRUSTEE 0.25	0	0	0
70 SALEM STREET MALDEN,MA02148	TRUSTEE 0.25	0	0	0
LINDA L PATRIE	TRUSTEE 0.25	0	0	0
70 SALEM STREET MALDEN,MA02148	TRUSTEE 0.25	0	0	0
MILDRED COLLINS	TRUSTEE 0.25	0	0	0
70 SALEM STREET MALDEN,MA02148	TRUSTEE 0.25	0	0	0
ERIC W MACCUISH	TRUSTEE 0.25	0	0	0
70 SALEM STREET MALDEN,MA02148	TRUSTEE 0.25	0	0	0
ANNALIESE RNEFF	TRUSTEE 0.25	0	0	0
70 SALEM STREET MALDEN,MA02148	TRUSTEE 0.25	0	0	0
REV DANIEL KO	TRUSTEE 0.25	0	0	0
70 SALEM STREET MALDEN,MA02148	TRUSTEE 0.25	0	0	0
DORA ST MARTIN	TRUSTEE 0.25	0	0	0
70 SALEM STREET MALDEN,MA02148	TRUSTEE 0.25	0	0	0
FRANK MOLIS	TRUSTEE 0.25	0	0	0
70 SALEM STREET MALDEN,MA02148	TRUSTEE 0.25	0	0	0

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
RACHEL BURKE	ADMINISTRATOR 40.00	82,835	0	0
70 SALEM STREET MALDEN,MA02148	ADMINISTRATOR 40.00	82,835	0	0
SUSAN ENGSTROM	NURSE 40.00	51,485	0	0
70 SALEM STREET MALDEN,MA02148	NURSE 40.00	51,485	0	0
KATHLEEN RODGERS	NURSE 40.00	41,127	0	0
70 SALEM STREET MALDEN,MA02148	NURSE 40.00	41,127	0	0
FRANCIS RIGGIN	NURSE 40.00	35,435	0	0
70 SALEM STREET MALDEN,MA02148	NURSE 40.00	35,435	0	0
LOIS SHANO	NURSE 40.00	34,175	0	0
70 SALEM STREET MALDEN,MA02148	NURSE 40.00	34,175	0	0
Total number of other employees paid over $50,000...................				0

Form 990-PF (2021)

Page 7

Part VII

Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors (continued)

3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
(a) Name and address of each person paid more than $50,000	(b) Type of service	(c) Compensation
GLENDALE SENIOR DINING	FOOD SERVICE	256,907
201 WASHINGTON STREET BOSTON,MA02108	FOOD SERVICE	256,907
EASTERN INVESTMENTS ADVISORS	INVESTMENT ADVICE	71,608
605 BROADWAY ROUTE 1 SAUGUS,MA01906	INVESTMENT ADVICE	71,608
4M BUILDING SOLUTIONS	HOUSEKEEPING	53,672
2827 CLARK AVENUE ST LOUIS,MO63103	HOUSEKEEPING	53,672
WITHUM	ACCOUNTING	38,975
500 UNICORN PARK WOBURN,MA01801	ACCOUNTING	38,975
PRO EMS SOLUTIONS	TESTING	31,494
31 SMITH PLACE CAMBRIDGE,MA02138	TESTING	31,494

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

Part VIII-A

Summary of Direct Charitable Activities

List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc.	Expenses
1	SINCE 1946, THE DAVENPORT MEMORIAL FOUNDATION HAS OPERATED AND MAINTAINED A PERPETUAL HOME FOR THE CARE, SUPPORT, AND MAINTENANCE OF COUPLES AND SINGLES, AT LEAST 65 YEARS OF	1,099,452
2	AGE, CITIZENS OF THE UNITED STATES, AND OF PROTESTANT RELIGIOUS AFFILIATION, AS ITS PRINCIPAL FUNCTIONAL PURPOSE. THE FACILITY, LOCATED AT 70 SALEM STREET, MALDEN	0
3	MASSACHUSETTS, IS CURRENTLY LICENSED FOR 18 LEVEL IV (SELF CARE) RESIDENTIAL BEDS. DURING THE FISCAL YEAR ENDING MARCH 31, 2022, THE AVERAGE RESIDENT OCCUPANCY WAS 10.	0
4

Part VIII-B

Summary of Program-Related Investments (see instructions)

Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2.	Amount
1


2


All other program-related investments. See instructions.
3

Total. Add lines 1 through 3......................... bullet

Form 990-PF (2021)

Page 8

Part IX

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

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

purposes:

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

18,807,171

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

344,353

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

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

19,151,524

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

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

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

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

19,151,524

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

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

287,273

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

18,864,251

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

943,213

Part X

Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here right arrow

and do not complete this part.)

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

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

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

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

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

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

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

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

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

Part XI

Qualifying Distributions (see instructions)

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

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

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

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

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

Amounts set aside for specific charitable projects that satisfy the:

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

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

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

Form 990-PF (2021)

Page 9

Part XII

Undistributed Income (see instructions)

	(a) Corpus	(b) Years prior to 2020	(c) 2020	(d) 2021
1 Distributable amount for 2021 from Part X, line 7
2 Undistributed income, if any, as of the end of 2021:
a Enter amount for 2020 only.......
b Total for prior years:20, 20, 20
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 ........
4Qualifying distributions for 2021 from Part
XI, line 4: $ 1,099,452
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.....				0
e Remaining amount distributed out of corpus	1,099,452
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	1,099,452
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) .......	1,099,452
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)

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

1986-03-18

b Check box to indicate whether the organization is a private operating foundation described in section 4942(j)(3) or4942(j)(5)

2a Enter the lesser of the adjusted net income from Part I or the minimum investment return from Part X for each year listed ..........	Tax year	Prior 3 years			(e) Total
	(a) 2021	(b) 2020	(c) 2019	(d) 2018	(e) Total
	366,187	328,418	788,619	767,586	2,250,810
b 85% (0.85) of line 2a .........	311,259	279,155	670,326	652,448	1,913,189
c Qualifying distributions from Part XI, line 4 for each year listed .....	1,099,452	1,318,992	1,168,210	1,046,291	4,632,945
d Amounts included in line 2c not used directly for active conduct of exempt activities ..........	0	0	0	0	0
e Qualifying distributions made directly for active conduct of exempt activities. Subtract line 2d from line 2c ....	1,099,452	1,318,992	1,168,210	1,046,291	4,632,945
3 Complete 3a, b, or c for the alternative test relied upon:
a “Assets" alternative test—enter:
(1) Value of all assets ......					0
(2) Value of assets qualifying under section 4942(j)(3)(B)(i)					0
b “Endowment" alternative test— enter 2/3 of minimum investment return shown in Part IX, line 6 for each year listed ..	628,809	561,789	525,746	511,724	2,228,068
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) ....					0
(2) Support from general public and 5 or more exempt organizations as provided in section 4942(j)(3)(B)(iii)....					0
(3) Largest amount of support from an exempt organization					0
(4) Gross investment income					0

Part XIV

Supplementary Information (Complete this part only if the foundation had $5,000 or more in
assets at any time during the year—see instructions.)

1Information Regarding Foundation Managers:

aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)

bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.

2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:

Check here bullet

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

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

C HENRY KEZER
70 SALEM STREET
MALDEN,MA02148
(781) 324-0150

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

NO SET FORM OF APPLICATONS. INFORMATION TO BE INCLUDED: 1. APPLICANT IS AN ORGANIZATON WHICH PROVIDES SERVICES OR ASSISTS MALDEN RESIDENTS. 2. APPLICANT IS ON THE INTERNAL REVENUE SERVICE LIST OF EXEMPT CHARITIES. 3. APPLICANT SHOULD DESCRIBE THE SERVICES WHICH IT PROVIDES FOR THE CITY OF MALDEN AND ITS RESIDENTS.

cAny submission deadlines:

MARCH 1ST

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

1. GEOGRAPHIC AREA: MALDEN MASSACHUSETTS 2. TYPE OF INSTITUTIONS: NON-RELIGIOUS ORGANIZATIONS 3. 68.75% OF CONTRIBUTIONS ARE DESIGNATED BY THE GOVERNING INSTRUMENTS.

Form 990-PF (2021)

Page 11

Part XIV

Supplementary Information (continued)

3 Grants and Contributions Paid During the Year or Approved for Future Payment
Recipient	If recipient is an individual, show any relationship to any foundation manager or substantial contributor	Foundation status of recipient	Purpose of grant or contribution	Amount
Name and address (home or business)		Foundation status of recipient	Purpose of grant or contribution	Amount
aPaid during the year

Total ................................. 3a				0

bApproved for future payment

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

Form 990-PF (2021)

Page 12

Part XV-A

Analysis of Income-Producing Activities

Enter gross amounts unless otherwise indicated.	Unrelated business income		Excluded by section 512, 513, or 514		(e) Related or exempt function income (See instructions.)
1Program service revenue:	(a) Business code	(b) Amount	(c) Exclusion code	(d) Amount	(e) Related or exempt function income (See instructions.)
a
b
c
d
e
f
gFees and contracts from government agencies
2 Membership dues and assessments ....
3 Interest on savings and temporary cash investments ...........
4 Dividends and interest from securities ....
5 Net rental income or (loss) from real estate:
aDebt-financed property......
bNot debt-financed property.....			16	1,679
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	1,571,243
9 Net income or (loss) from special events:
10 Gross profit or (loss) from sales of inventory
11 Other revenue: aRESIDENT FEES					58,800
b
c
d
e
12 Subtotal. Add columns (b), (d), and (e) ..		0		1,998,732	58,800

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

2,057,532

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

Part XV-B

Relationship of Activities to the Accomplishment of Exempt Purposes

Line No.	Explain below how each activity for which income is reported in column (e) of Part XV-A contributed importantly to the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See instructions.)
11A	FEES COLLECTED FROM THE RESIDENTS OF THE DAVENPORT MEMORIAL FOUNDATION IN CONNECTION WITH THEIR RESIDENCY TO ASSIST WITH THE COSTS OF OPERATING THE HOME, THE FOUNDATIONS'S PRINCIPAL EXEMPT PURPOSE

Form 990-PF (2021)

Page 13

Part XVI

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

Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?

Yes

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

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

1a(1)

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

1a(2)

Other transactions:

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

1b(1)

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

1b(2)

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

1b(3)

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

1b(4)

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

1b(5)

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

1b(6)

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

If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.

(a) Line No.	(b) Amount involved	(c) Name of noncharitable exempt organization	(d) Description of transfers, transactions, and sharing arrangements

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

If "Yes," complete the following schedule.

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

Sign Here

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

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

Form 990-PF (2021)

Additional Data

Software ID:
Software Version:

Form 990PF - Special Condition Description:

Special Condition Description

- TIN:

TY 2021 AccountingFeesSchedule

Name:

DAVENPORT MEMORIAL FOUNDATION

EIN:

04-2104142

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
ACCOUNTING FEES	53,975	0	0	53,975

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

TY 2021 DepreciationSchedule

Name:

DAVENPORT MEMORIAL FOUNDATION

EIN:

04-2104142

Description of Property	Date Acquired	Cost or Other Basis	Prior Years' Depreciation	Computation Method	Rate / Life (# of years)	Current Year's Depreciation Expense	Net Investment Income	Adjusted Net Income	Cost of Goods Sold Not Included
22 SPRAUGE STREET	2001-07-01	77,357	49,686	SL	30.000000000000	2,579	2,579	2,579

- TIN:

TY 2021 InvestmentsCorpBondsSchedule

Name:

DAVENPORT MEMORIAL FOUNDATION

EIN:

04-2104142

Name of Bond	End of Year Book Value	End of Year Fair Market Value
75000 ASTRAZENECA PLC ADR 3.375% 11/16/2025	76,184	76,184
200000 AUTOZONE INC 3.75% 06/01/2027	204,706	204,706
125,000 CARDINAL HEALTH, INC. 3.2% 03/15/2023	125,874	125,874
75000 WALT DISNEY PRODUCTIONS 2.2% 01/13/2028	71,369	71,369
100,000 DUKE ENERGY 3.75% 04/15/2024	101,553	101,553
150,000 GOLDMAN SACHS GROUP 3.2% 2/23/2023	151,365	151,365
100000 HP INC 3% 06/17/2027	97,436	97,436
100000 HARTFORD FINANCIAL SERVICES 2.8% 8/19/2029	95,128	95,128
100000 KEYCORP 4.15% 10/29/2025	103,023	103,023
150000 MARRIOTT INTERNATIONAL INC 3.125% 06/15/2026	148,409	148,409
100000 MCDONALDS CORP MTN 2.125% 3/01/2030	90,993	90,993
125000 MORGAN STANLEY 3.75% 02/25/2023	126,974	126,974
100000 NORFOLK SOUTHERN CORP. 3.85% 01/15/2024	101,647	101,647
100,000 NORTHROP GRUMMAN 3.2% 2/1/2027	100,600	100,600
125000 PARKER HANNIFIN 2.7% 06/14/2024	124,109	124,109
125000 T D AMERITRADE 2.75% 10/01/2029	119,346	119,346
100000 THOMPSON 3.85% 09/29/2024	101,557	101,557
100000 TIFFANY & CO 3.8% 10/01/2024	102,339	102,339
100000 UNION PACIFIC CORP 3.75% 07/15/2025	102,540	102,540
100000 V F CORP INC 2.4% 04/23/2025	97,896	97,896
150000 VERIZON COMMUNICATIONS INC 2.1% 3/22/2028	140,064	140,064
8356.207 SHRS SHENKMAN SHORT DURATIN HIGH INCOME FUND	82,476	82,476
26752.985 SHRS COLUMBIA CORPORATE INCOME FUND	261,912	261,912
13039.783 SHRS PRINCIPAL PREFERRED SECURITES FUND	126,616	126,616
4863 SHRS SPDR PORTFOLIO INTTERM CORP BD EFT	159,924	159,924
3662 SHRS SPDR BLACKSTONE SENIOR LOAN ETF	164,642	164,642

- TIN:

TY 2021 InvestmentsCorpStockSchedule

Name:

DAVENPORT MEMORIAL FOUNDATION

EIN:

04-2104142

Name of Stock	End of Year Book Value	End of Year Fair Market Value
190 SHRS ALPHABET INC CL A	528,457	528,457
1313 SHRS FACEBOOK META PLATFORMS INC	291,959	291,959
141 SHRS AMAZON.COM,INC	459,653	459,653
631 SHRS BURLINGTON STORES, INC	114,949	114,949
1067 SHRS DARDEN RESTAURANTS INC	141,858	141,858
419 SHRS HOME DEPOT INC	125,419	125,419
1057 SHRS MARIOTT INTERNATIONAL INC CL	185,768	185,768
117 SHRS TESLA INC	126,079	126,079
274 SHRS ULTA BEAUTY INC	109,112	109,112
879 SHRS PEPSICO INC	147,127	147,127
1590 SHRS SYSCO CORP	129,824	129,824
1979 SHRS WALMART INC	294,713	294,713
3049 SHRS CONOCOPHILLIPS	304,900	304,900
245 SHRS BLACKROCK INC	187,222	187,222
1406 SHRS CAPITAL ONE FINANCIAL CORP	184,594	184,594
1460 SHRS INTERCONTEXCHANGE GROUP INC	192,895	192,895
2335 SHRS J P MORGAN CHASE & CO	318,307	318,307
1211 SHRS PNC BANK CORP	223,369	223,369
1167 SHRS ABBOTT LABORATORIES INC	138,126	138,126
677 SHRS DANAHER CORP	198,584	198,584
558 SHRS INSULET CORPORATION	148,646	148,646
931 SHRS IQVIA HOLDINGS INC	215,257	215,257
826 SHRS JOHNSON & JOHNSON	146,392	146,392
563 SHRS STRYKER CORP	150,518	150,518
336 SHRS THERMO FISHER SCIENTIFIC INC	198,458	198,458
572 SHRS UNITEDHEALTH GROUP INC	291,703	291,703
499 SHRS HONEYWELL INT'L INC	97,095	97,095
452 SHRS NORTHROP GRUMMAN	202,143	202,143
1432 SHRS OSHKOSH CORP	144,131	144,131
2277 RAYTHEON TECHNOLOGIES CORP	225,582	225,582
1152 SHRS EATON CORP PLC	174,828	174,828
271 SHRS ADOBE INC	123,473	123,473
1503 SHRS ADVANCED MICRO DEVICES INC	164,338	164,338
766 SHRS ANALOG DEVICES	126,528	126,528
3415 SHRS APPLE INC	596,293	596,293
1239 SHRS APPLIED MATERIALS	163,300	163,300
493 SHRS BROADCOM INC	310,432	310,432
1018 SHRS GLOBALPAYMENTS INC	139,303	139,303
1358 SHRS MARVELL TECHNOLOGY INC	97,382	97,382
2411 SHRS MICROSOFT	743,335	743,335
649 SHRS MOTOROLA SOLUTIONS INC	157,188	157,188
496 SHRS PAYPAL HLDGS INC	57,362	57,362
202 SHRS SERVICENOW	112,492	112,492
987 SHRS VISA INC	218,887	218,887
471 SHRS AIR PRODUCTS & CHEMICALS	117,708	117,708
1412 SHRS EASTMAN CHEMICALS CO	158,229	158,229
1043 SHRS CROWN CASTLE INTL CORP	192,538	192,538
1492 SHRS AMEREN CORP	139,890	139,890
2347 SHRS AMERICAN ELEC POWER CO	234,160	234,160
9603.295 SHRS BLACKROCK EMERGING MKTS INSTL	249,686	249,686
9519.407 SHRS COLUMBIA ACORN EUROPEAN FUND	252,455	252,455
2722.252 SHRS CONESTOGA SMALL CAP FUND	200,412	200,412
5881 SHRS I SHARES MSCI EMERGING MKT INDEX	265,527	265,527
5631 SHRS I SHARES RUSSELL MID CAP INDEX TRUST	439,443	439,443
2194 SHRS I SHARES RUSSELL 1000 VALUE INDEX FUND	364,160	364,160
4572 SHRS I SHARES CORE DIVIDEND GROWTH	244,191	244,191
24888 SHRS SPDR MSCI ACWI EX-US ETF	684,918	684,918
2184 SHRS SPDR HEALTH CARE SELECT SPDR ETF	299,186	299,186
891 SHRS SPDR TECHNOLOGY IDX	141,606	141,606
11490 SHRS VANGUARD TAX MANAGED INTER FUND	551,865	551,865
27000 SHRS EASTERN BANK	581,580	581,580

- TIN:

TY 2021 InvestmentsGovtObligationsSch

Name:

DAVENPORT MEMORIAL FOUNDATION

EIN:

04-2104142

US Government Securities - End of Year Book Value:

501,679

US Government Securities - End of Year Fair Market Value:

501,679

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

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

- TIN:

TY 2021 InvestmentsLandSchedule2

Name:

DAVENPORT MEMORIAL FOUNDATION

EIN:

04-2104142

Category/ Item	Cost/Other Basis	Accumulated Depreciation	Book Value	End of Year Fair Market Value
22 SPRAUGE STREET	77,357	52,265	25,092	25,092

- TIN:

TY 2021 LegalFeesSchedule

Name:

DAVENPORT MEMORIAL FOUNDATION

EIN:

04-2104142

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
LEGAL FEES	15,000	0	0	15,000

- TIN:

TY 2021 OtherAssetsSchedule

Name:

DAVENPORT MEMORIAL FOUNDATION

EIN:

04-2104142

Description	Beginning of Year - Book Value	End of Year - Book Value	End of Year - Fair Market Value
PREPAID INSURANCE	2,522	2,239	2,239
PREPAID EXPENSES	9,572	9,731	9,731

- TIN:

TY 2021 OtherDecreasesSchedule

Name:

DAVENPORT MEMORIAL FOUNDATION

EIN:

04-2104142

Description	Amount
UNREALIZED LOSS ON INVESTMENTS	961,405

- TIN:

TY 2021 OtherExpensesSchedule

Name:

DAVENPORT MEMORIAL FOUNDATION

EIN:

04-2104142

Description	Revenue and Expenses per Books	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
INSURANCE	69,561	0	0	69,561
LANDSCAPING & GARDENING	36,060	0	0	36,060
TELEPHONE	2,633	0	0	2,633
PROVISIONS & SUPPLIES	258,619	0	0	258,619
REPAIRS AND MAINTENANCE	30,717	0	0	30,717
MISCELLANEOUS	6,453	0	0	6,453
HOUSEHOLD SUPPLIES	4,150	0	0	4,150
FLOWERS AND DECORATIONS	3,409	0	0	3,409
OFFICE SUPPLIES	7,285	0	0	7,285
MAINTENANCE - OTHER	15,727	4,495	4,495	11,232
RUBBISH REMOVAL	4,841	0	0	4,841
RESIDENT ACTIVITIES	317	0	0	317
OUTSOURCED HOUSEKEEPING	53,672	0	0	53,672
CONSULTANTS	22,515	0	0	22,515
DUES AND SUBSCRIPTIONS	13,570	0	0	13,570

- TIN:

TY 2021 OtherIncomeSchedule2

Name:

DAVENPORT MEMORIAL FOUNDATION

EIN:

04-2104142

Description	Revenue And Expenses Per Books	Net Investment Income	Adjusted Net Income
RESIDENT FEES	58,800		58,800

- TIN:

TY 2021 OtherProfessionalFeesSchedule

Name:

DAVENPORT MEMORIAL FOUNDATION

EIN:

04-2104142

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
INVESTMENT AGENT FEE	71,806	71,806	71,806	0
PAYROLL PROCESSING FEE	4,625	0	0	4,625

- TIN:

TY 2021 TaxesSchedule

Name:

DAVENPORT MEMORIAL FOUNDATION

EIN:

04-2104142

Category	Amount	Net Investment Income	Adjusted Net Income	Disbursements for Charitable Purposes
PAYROLL TAXES	34,436	0	0	34,436
REAL ESTATE TAXES	15,117	15,117	15,117	0
OTHER TAXES	660	0	0	660