| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| TAX ADVISORY & PREPARATION | 6,800 | 3,400 | 3,400 |
| Grantee's Name | Grantee's Address | Grant Date | Grant Amount | Grant Purpose | Amount Expended By Grantee | Any Diversion By Grantee? | Dates of Reports By Grantee | Date of Verification | Results of Verification |
|---|---|---|---|---|---|---|---|---|---|
|
CHARLES IRWIN TRAVELLI FUND |
8 CEDAR STREET WOBURN,MA01801 |
2022-12-30 | 820,582 | SEE GENERAL EXPLANATION STATEMENT FOR FORM 990-PF, PART VI-B, LINE 5(A)4 | 820,582 |
| Identifier | Return Reference | Explanation |
|---|---|---|
| STATEMENT FOR FORM 990-PF, PART VI-B, LINE 5(A)4 | THE TRUST U/IND 3/1/52 EMMA R. TRAVELLI (THE TRUST) IS A PRIVATE FOUNDATION WHICH DISTRIBUTES ITS ENTIRE NET INCOME (AS REQUIRED BY THE WILL WHICH CREATED THE TRUST) TO THE CHARLES IRWIN TRAVELLI FUND (CITF), A CHARITABLE CORPORATION, WHICH IS ALSO A PRIVATE FOUNDATION. UNDER THE PROVISIONS OF THE I.R.C. SECTION 4945(H), THE TRUST IS RESPONSIBLE "TO EXERT ALL REASONABLE EFFORTS AND TO ESTABLISH ADEQUATE PROCEDURES - (1) TO SEE THAT THE GRANT IS SPENT SOLELY FOR THE PURPOSE FOR WHICH MADE, (2) TO OBTAIN FULL AND COMPLETE REPORTS FROM THE GRANTEE ON HOW THE FUNDS ARE SPENT, AND (3) TO MAKE FULL AND DETAILED REPORTS WITH RESPECT TO SUCH EXPENDITURES TO THE SECRETARY."SUMNER R. ANDREWS, JR, A TRUSTEE OF THE TRUST, IS ALSO TREASURER OF THE CITF AND AS SUCH, IS RESPONSIBLE FOR EXPENDITURE OF CITF FUNDS AND FOR THE PREPARATION AND FILING OF CITF'S FINANCIAL STATEMENTS AND IRS FORM 990-PF. THE CITF HAS A NOVEMBER 30 FISCAL YEAR AND ITS TAXPAYER IDENTIFICATION NUMBER IS 04-2260155. THE EXPENDITURES FOR CITF'S TAXABLE YEARS ENDED NOVEMBER 30, 2022 AND NOVEMBER 30, 2023 AS REPORTED ON ITS FORMS 990-PF FILED WITH THE INTERNAL REVENUE SERVICE (WHICH WERE PREPARED BY THE SAID TRUSTEE - OFFICER) ARE HEREBY INCORPORATED BY REFERENCE, (REGS. 53.4945-5(D)(1) - LAST SENTENCE).SUMNER R. ANDREWS, JR. IN HIS DUAL CAPACITY AS TRUSTEE OF THE TRUST AND AS TREASURER OF CITF, EXERCISES "EXPENDITURE RESPONSIBILITY" UNDER SECTION 4945(H) ON BEHALF OF THE TRUST (GRANTOR) WHILE FUNCTIONING AS THE PRINCIPAL OFFICER OF CITF (GRANTEE). |
| Name of Stock | End of Year Book Value | End of Year Fair Market Value |
|---|---|---|
| COMMON STOCK | 5,311,861 | 12,644,129 |
| Category/ Item | Listed at Cost or FMV | Book Value | End of Year Fair Market Value |
|---|---|---|---|
| FIXED INCOME | AT COST | 3,446,814 | 3,278,069 |
| MUTUAL FUNDS | AT COST | 595,754 | 579,932 |
| ALTERNATIVE ASSETS | AT COST | 749,649 | 619,743 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| LEGAL FEES | 5,582 | 2,791 | 2,791 |
| Description | Amount |
|---|---|
| COST BASIS ADJUSTMENT | 11,605 |
| Description | Revenue and Expenses per Books | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| MA FORM PC FILING FEE | 125 | 0 | 125 | |
| DTC FEES | 47 | 47 | 0 | |
| MISC FEE | 21 | 21 | 0 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| CUSTODIAN FEES | 3,000 | 1,500 | 1,500 | |
| BOOKKEEPING | 3,544 | 1,772 | 1,772 | |
| SECURITY TRANSFER FEE | 2,475 | 2,475 | 0 | |
| 0 | 0 | 0 |
| Category | Amount | Net Investment Income | Adjusted Net Income | Disbursements for Charitable Purposes |
|---|---|---|---|---|
| ESTIMATED EXCISE TAX PAYMENTS | 538 | 0 | 0 | |
| FOREIGN TAX | 6,455 | 6,455 | 0 |