efile Public Visual Render
ObjectId: 201701289349100030 - Submission: 2017-05-08
TIN: 31-1698286
Form
990-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.
Information about Form 990-PF and its instructions is at
www.irs.gov/form990pf
.
OMB No. 1545-0052
20
16
Open to Public Inspection
For calendar year 2016, or tax year beginning
01-01-2016
, and ending
12-31-2016
Name of foundation
THE BEVERIDGE FAMILY FOUNDATION INC
Number and street (or P.O. box number if mail is not delivered to street address)
3 UPLAND LANE
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
WEST NEWBURY
,
MA
01985
A Employer identification number
31-1698286
B
Telephone number (see instructions)
(800) 229-9667
C
If exemption application is pending, check here
G
Check all that apply:
Initial return
Initial return of a former public charity
Final return
Amended return
Address change
Name change
D 1.
Foreign organizations, check here .............
2.
Foreign organizations meeting the 85%
test, check here and attach computation ...
E
If private foundation status was terminated
under section 507(b)(1)(A), check here .......
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 .......
I
Fair market value of all assets at end
of year
(from Part II, col. (c),
line 16)
$
53,185,674
J
Accounting method:
Cash
Accrual
Other (specify)
(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)
1
Contributions, gifts, grants, etc., received (attach schedule)
2
Check
Sch. B
.............
3
Interest on savings and temporary cash investments
8
8
4
Dividends and interest from securities
...
1,422,668
1,422,668
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
898,141
b
Gross sales price for all assets on line 6a
27,767,871
7
Capital gain net income (from Part IV, line 2)
...
898,141
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
........
2,320,817
2,320,817
13
Compensation of officers, directors, trustees, etc.
172,000
35,776
136,224
14
Other employee salaries and wages
......
15
Pension plans, employee benefits
.......
43,127
8,970
34,157
16a
Legal fees (attach schedule)
.........
16,748
8,374
8,293
b
Accounting fees (attach schedule)
.......
55,016
27,508
27,954
c
Other professional fees (attach schedule)
....
381,576
369,428
12,248
17
Interest
...............
18
Taxes (attach schedule) (see instructions)
...
75,106
38,765
0
19
Depreciation (attach schedule) and depletion
...
430
0
20
Occupancy
..............
16,800
3,494
13,306
21
Travel, conferences, and meetings
.......
46,734
9,720
37,014
22
Printing and publications
..........
551
115
436
23
Other expenses (attach schedule)
.......
37,346
5,601
29,333
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
845,434
507,751
298,965
25
Contributions, gifts, grants paid
.......
2,094,599
2,094,599
26
Total expenses and disbursements.
Add lines 24 and 25
2,940,033
507,751
2,393,564
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-619,216
b
Net investment income
(if negative, enter -0-)
1,813,066
c
Adjusted net income
(if negative, enter -0-)
...
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X
Form
990-PF
(2016)
Page 2
Form 990-PF (2016)
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
1
Cash—non-interest-bearing
.............
27,333
4,465
4,465
2
Savings and temporary cash investments
.........
1,576,935
1,766,782
1,766,782
3
Accounts receivable
Less: allowance for doubtful accounts
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
..........
1,280
2,706
2,706
10a
Investments—U.S. and state government obligations (attach schedule)
4,310,390
3,786,235
3,786,235
b
Investments—corporate stock (attach schedule)
.......
27,600,040
27,949,500
27,949,500
c
Investments—corporate bonds (attach schedule)
.......
8,420,582
8,778,761
8,778,761
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
10,860,537
10,740,862
10,740,862
14
Land, buildings, and equipment: basis
10,984
Less: accumulated depreciation (attach schedule)
5,915
640
5,069
5,069
15
Other assets (describe
)
97,438
151,294
151,294
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
52,895,175
53,185,674
53,185,674
17
Accounts payable and accrued expenses
..........
32,699
31,249
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
)
4,000
24,841
23
Total liabilities
(add lines 17 through 22)
.........
36,699
56,090
Foundations that follow SFAS 117, check here
and complete lines 24 through 26 and lines 30 and 31.
24
Unrestricted
..................
37,858,476
38,129,584
25
Temporarily restricted
...............
26
Permanently restricted
...............
15,000,000
15,000,000
Foundations that do not follow SFAS 117, check here
and complete lines 27 through 31.
27
Capital stock, trust principal, or current funds
........
28
Paid-in or capital surplus, or land, bldg., and equipment fund
29
Retained earnings, accumulated income, endowment, or other funds
30
Total net assets or fund balances
(see instructions)
.....
52,858,476
53,129,584
31
Total liabilities and net assets/fund balances
(see instructions)
.
52,895,175
53,185,674
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 30 (must agree with end-of-year figure reported on prior year’s return)
...............
1
52,858,476
2
Enter amount from Part I, line 27a
.....................
2
-619,216
3
Other increases not included in line 2 (itemize)
3
899,324
4
Add lines 1, 2, and 3
..........................
4
53,138,584
5
Decreases not included in line 2 (itemize)
5
9,000
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30
.
6
53,129,584
Form
990-PF
(2016)
Page 3
Form 990-PF (2016)
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 PUBLICLY TRADED SECURITIES
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
27,767,871
26,869,730
898,141
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
898,141
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
898,141
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
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)
If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
Yes
No
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1
Enter the appropriate amount in each column for each year; see instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in)
(b)
Adjusted qualifying distributions
(c)
Net value of noncharitable-use assets
(d)
Distribution ratio
(col. (b) divided by col. (c))
2015
3,233,724
55,399,271
0.058371
2014
2,788,698
57,245,843
0.048714
2013
2,474,182
53,653,790
0.046114
2012
1,988,268
49,793,996
0.039930
2011
2,297,903
49,989,663
0.045968
2
Total
of line 1, column (d)
.....................
2
0.239097
3
Average distribution ratio for the 5-year base period—divide the total on line 2 by 5, or by the number of years the foundation has been in existence if less than 5 years
......
3
0.047819
4
Enter the net value of noncharitable-use assets for 2016 from Part X, line 5
......
4
52,108,978
5
Multiply line 4 by line 3
......................
5
2,491,799
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
18,131
7
Add lines 5 and 6
........................
7
2,509,930
8
Enter qualifying distributions from Part XII, line 4
,.............
8
2,433,423
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See the Part VI instructions.
Form
990-PF
(2016)
Page 4
Form 990-PF (2016)
Page
4
Part VI
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:
(attach copy of letter if necessary–see instructions)
b
Domestic foundations that meet the section 4940(e) requirements in Part V, check
1
36,261
here
and enter 1% of Part I, line 27b
...................
c
All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% 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
36,261
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
36,261
6
Credits/Payments:
a
2016 estimated tax payments and 2015 overpayment credited to 2016
6a
24,420
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
24,420
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
9
Tax due.
If the total of lines 5 and 8 is more than line 7, enter
amount owed
.......
9
11,841
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 2017 estimated tax
Refunded
11
Part VII-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 Instructions
for 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.
$
0
(2)
On foundation managers.
$
0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
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 XV.
.................................
7
Yes
8a
Enter the states to which the foundation reports or with which it is registered (see instructions)
MA
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 2016 or the taxable year beginning in 2016 (see instructions for Part XIV)?
If "Yes," complete Part XIV
.............................
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
(2016)
Page 5
Form 990-PF (2016)
Page
5
Part VII-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 address
WWW.BEVERIDGE.ORG
14
The books are in care of
GMA FOUNDATIONS
Telephone no.
(617) 426-7080
Located at
2 LIBERTY SQUARE STE 500
BOSTON
MA
ZIP+4
02109
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of
Form 1041
—Check here
.........
and enter the amount of tax-exempt interest received or accrued during the year
........
15
16
At any time during calendar year 2016, did the foundation have an interest in or a signature or other authority over
Yes
No
a bank, securities, or other financial account in a foreign country?
16
No
See instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). If "Yes", enter the name of the foreign country
Part VII-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?
Yes
No
(2)
Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?
......................
Yes
No
(3)
Furnish goods, services, or facilities to (or accept them from) a disqualified person?
Yes
No
(4)
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
Yes
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)?
...............
Yes
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.)
.......
Yes
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
No
Organizations relying on a current notice regarding disaster assistance check here
........
c
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 2016?
.............
1c
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 2016, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2016?
.............
Yes
No
If "Yes," list the years
20
,
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.
20
,
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?
......................
Yes
No
b
If "Yes," did it have excess business holdings in 2016 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 2016.)
..................
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 2016?
4b
No
Form
990-PF
(2016)
Page 6
Form 990-PF (2016)
Page
6
Part VII-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:
(1)
Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
Yes
No
(2)
Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive?
.............
Yes
No
(3)
Provide a grant to an individual for travel, study, or other similar purposes?
Yes
No
(4)
Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? (see instructions)
................
Yes
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?
.....
Yes
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
Organizations relying on a current notice regarding disaster assistance check here
.........
c
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?
..........
Yes
No
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?
.....................
Yes
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?
Yes
No
b
If yes, did the foundation receive any proceeds or have any net income attributable to the transaction?
....
7b
Form
990-PF
(2016)
Page 7
Form 990-PF (2016)
Page
7
Part VIII
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
WARD S CASWELL
PRESIDENT/DIRECTOR
40.00
172,000
32,810
0
3 UPLAND LANE
WEST NEWBURY
,
MA
01985
PHILIP CASWELL
V.P./DIRECTOR
0.50
0
0
0
3902 N LONGVIEW DR
JUPITER
,
FL
33477
RUTH S DUPONT
TREASURER/DIRECTOR
0.50
0
0
0
409 GOLF COURSE COURT
ARNOLD
,
MD
21012
LEAH BEVERIDGE RICHARDSON
CLERK/DIRECTOR
0.50
0
0
0
24 KNAPP STREET
SOMERVILLE
,
MA
02143
ALFRED L GRIGGS
ASST. CLERK/DIRECTOR
0.50
0
0
0
9 BARRETT PLACE
NORTHAMPTON
,
MA
01060
CHRISTA PALMER BIGUE
DIRECTOR
0.50
0
0
0
507 AVENUE CABRILLO
HALF MOON BAY
,
CA
94019
CAROL A LEARY PHD
DIRECTOR
0.50
0
0
0
588 LONGMEADOW STREET
LONGMEADOW
,
MA
01106
PETER WESTON
DIRECTOR
0.50
0
0
0
44 BUTTERNUT ROAD
WESTFIELD
,
MA
01085
JABEZ PALMER
DIRECTOR
0.50
0
0
0
311 29TH AVENUE EAST
SEATTLE
,
WA
98112
ELIZABETH L KIRKPATRICK
DIRECTOR
0.50
0
0
0
3622 E BRIARWOOD AVE
CENTENNIAL
,
CO
80122
JOSEPH BEVERIDGE PALMER
DIRECTOR
0.50
0
0
0
192 MIDDLE ROAD PO BOX 187
CENTER SANDWICH
,
NH
03227
FREDERICK WILLIAM STECHER
DIRECTOR
0.50
0
0
0
3539 GUNDRY AVENUE
LONG BEACH
,
CA
90807
JONATHAN CASWELL
DIRECTOR
0.50
0
0
0
5622 EAST WEAVER CIRCLE
CENTENNIAL
,
CO
80111
ALEXANDER CASWELL
DIRECTOR
0.50
0
0
0
615 REEDS BRIDGE ROAD
CONWAY
,
MA
01341
IAN CAMPBELL PALMER
DIRECTOR (RESIGNED 4/27/16)
0.50
0
0
0
302 MAPLE LANE
SEVERNA PARK
,
MD
21146
JILLIAN L HICKERSON
DIRECTOR (RESIGNED 4/27/16)
0.50
0
0
0
629 SOUTH NEVADA STREET
OCEANSIDE
,
CA
92054
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
...................
0
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
BRANDES INVESTMENT PARTNERS
INVESTMENT MANAGEMENT
85,971
11988 EL CAMINO REAL 600
SAN DIEGO
,
CA
92130
NFJ INVESTMENT GROUP LLC
INVESTMENT MANAGEMENT
62,994
1633 BROADWAY
NEW YORK
,
NY
10019
Total
number of others receiving over $50,000 for professional services
.............
0
Part IX-A
Summary of Direct Charitable Activities
List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc.
Expenses
1
2
3
4
Part IX-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
INVESTMENT IN WELLSPRING INVESMENT FUND, INC., A 501(C)(3) ORGANIZATION, TO SUPPORT WELLSPRING HARVEST COOPERATIVE, A COMMERCIAL HYDROPONIC GREENHOUSE IN SPRINGFIELD, MASSACHUSETTS. THE INVESTMENT IS IN THE FORM OF A PROMISSORY NOTE WITH AN INTEREST RATE OF 3% PER ANNUM, WHICH IS DUE WITHIN 90 DAYS OF DEMAND BY THE HOLDER.
35,000
2
All other program-related investments. See instructions.
3
Total.
Add lines 1 through 3
.........................
35,000
Form
990-PF
(2016)
Page 8
Form 990-PF (2016)
Page
8
Part X
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
51,456,224
b
Average of monthly cash balances
.......................
1b
1,446,292
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
52,902,516
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
52,902,516
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
793,538
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
52,108,978
6
Minimum investment return.
Enter 5% of line 5
..................
6
2,605,449
Part XI
Distributable Amount
(see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here
and do not complete this part.)
1
Minimum investment return from Part X, line 6
....................
1
2,605,449
2a
Tax on investment income for 2016 from Part VI, line 5
......
2a
36,261
b
Income tax for 2016. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
36,261
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
2,569,188
4
Recoveries of amounts treated as qualifying distributions
................
4
5,000
5
Add lines 3 and 4
............................
5
2,574,188
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 XIII, line 1
...
7
2,574,188
Part XII
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
2,393,564
b
Program-related investments—total from Part IX-B
..................
1b
35,000
2
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
purposes
...............................
2
4,859
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 V, line 8, and Part XIII, line 4
4
2,433,423
5
Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
income. Enter 1% of Part I, line 27b (see instructions)
.................
5
0
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
2,433,423
Note:
The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
the section 4940(e) reduction of tax in those years.
Form
990-PF
(2016)
Page 9
Form 990-PF (2016)
Page
9
Part XIII
Undistributed Income
(see instructions)
(a)
Corpus
(b)
Years prior to 2015
(c)
2015
(d)
2016
1
Distributable amount for 2016 from Part XI, line 7
2,574,188
2
Undistributed income, if any, as of the end of 2016:
a
Enter amount for 2015 only
.......
0
b
Total for prior years:
20
,
20
,
20
0
3
Excess distributions carryover, if any, to 2016:
a
From 2011
......
b
From 2012
......
c
From 2013
......
d
From 2014
......
11,207
e
From 2015
......
531,610
f
Total
of lines 3a through e
........
542,817
4
Qualifying distributions for 2016 from Part
XII, line 4:
$
2,433,423
a
Applied to 2015, 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 2016 distributable amount
.....
2,433,423
e
Remaining amount distributed out of corpus
0
5
Excess distributions carryover applied to 2016.
140,765
140,765
(If an amount appears in column (d), the
same amount must be shown in column (a).)
6
Enter the net total of each column as
indicated below:
a
Corpus. Add lines 3f, 4c, and 4e. Subtract line 5
402,052
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 2015. Subtract line
4a from line 2a. Taxable amount—see
instructions
.............
0
f
Undistributed income for 2016. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2017
..........
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 2011 not
applied on line 5 or line 7 (see instructions)
...
0
9
Excess distributions carryover to 2017.
Subtract lines 7 and 8 from line 6a
......
402,052
10
Analysis of line 9:
a
Excess from 2012
....
b
Excess from 2013
....
c
Excess from 2014
....
d
Excess from 2015
....
402,052
e
Excess from 2016
....
Form
990-PF
(2016)
Page 10
Form 990-PF (2016)
Page
10
Part XIV
Private Operating Foundations
(see instructions and Part VII-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 2016, enter the date of the ruling
.......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(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)
2016
(b)
2015
(c)
2014
(d)
2013
b
85% of line 2a
.........
c
Qualifying distributions from Part XII,
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 X, 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 XV
Supplementary Information (Complete this part only if the organization had $5,000 or more in
assets at any time during the year—see instructions.)
1
Information Regarding Foundation Managers:
a
List 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).)
b
List 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.
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
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. (see instructions) to individuals or organizations under
other conditions, complete items 2a, b, c, and d.
a
The name, address, and telephone number or e-mail address of the person to whom applications should be addressed:
WARD CASWELL
3 UPLAND LANE
WEST NEWBURY
,
MA
01985
(800) 229-9667
WARD@CASWELL.ORG
b
The form in which applications should be submitted and information and materials they should include:
APPLICANTS SHOULD SUBMIT THE PROPOSAL ABSTRACT PROVIDED BY THE FOUNDATION ALONG WITH THE FOLLOWING REQUIRED DOCUMENTS: 1)COPY OF IRS LETTER CLASSIFYING THE APPLICANT AS EXEMPT UNDER CODE SECTIONS 509(A) & 501(C)(3);2)COPY OF 990 FOR THE MOST RECENT TWO YEARS;3)THREE CONSTRUCTION BIDS, IF CONSTRUCTION PROJECT;4)NAMES AND AFFILIATIONS OF THE BOARD MEMBERS;5)IF HOSPITAL OR OTHER HEALTH-RELATED FACILITY, A COPY OF THE DETERMINATION OF NEED (DON) OR A CERTIFICATE OF NEED (CON); 6)MOST RECENT AUDITED FINANCIAL STATEMENTS, IF APPLICABLE;7)NAME AND QUALIFICATIONS OF THE PERSON RESPONSIBLE FOR ADMINISTERING THE GRANT;8)DETAILED BUDGET OF THE PROJECT;9)LIST OF OTHER SOURCES OF FUNDING FOR THIS PROJECT;10)A STATEMENT THAT THE GRANT REQUEST IS EXECUTED BY A PERSON AUTHORIZED TO SUBMIT ON BEHALF OF THE REQUESTING ORGANIZATION;11)TABLE OF ORGANIZATION;12)IF A UNIT OF GOVERNMENT, EVIDENCE OF THE RELATIONSHIP.
c
Any submission deadlines:
DUE DATE FOR RECEIPT OF COMPLETE PROPOSALS IS 5:00 PM ON FEBRUARY 1 AND AUGUST 1 OF EACH YEAR.
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
REJECTED PROGRAM ACTIVITES: INTERNATIONAL AFFAIRS;MEMBER BENEFIT. REJECTED TYPES OF SUPPORT: AWARDS/PRIZES/COMPETITIONS;COLLECTIONS MGMT; COMMISSIONING NEW WORKS; CONFERENCES/SEMINARS; CURRICULUM DEVELOPMENT;DEBT REDUCTION;EMPLOYEE MATCHING GIFTS;EMPLOYEE-BASED SCHOLARSHIPS;ENDOWMENT FUNDS;FACULTY/STAFF DEVELOPMENT;FELLOWSHIPS;FILM/VIDEO/RADIO PRODUCTION;FOUNDATION ADMINISTERED PROGRAMS;GENERAL/OPERATING SUPPORT;GRANTS/SCHOLARSHIPS TO INDIVIDUALS;INCOME DEVELOPMENT;INTERNSHIP FUNDS;MANAGEMENT DEVELOPMENT;PERFORMANCE/PRODUCTION COSTS;PROFESSORSHIPS;PROGRAM-RELATED INVESTMENT/LOANS;STUDENT AID. MAXIMUM GRANT AMOUNT REQUESTED SHOULD NOT EXCEED 25% OF THE TOTAL CONTRIBUTIONS FOR THE MOST RECENTLY ENDED FISCAL YEAR, OR 20% OF THE PROJECT BUDGET. APPROVED AREAS OF GIVING INCLUDE: HAMPDEN & HAMPSHIRE COUNTIES, MA.
Form
990-PF
(2016)
Page 11
Form 990-PF (2016)
Page
11
Part XV
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)
a
Paid during the year
ACTION CENTERED TUTORING SERVICES INC
37 CHESTNUT ST
SPRINGFIELD
,
MA
01103
N/A
PC
PROGRAM SUPPORT
10,000
ALBERT & AMELIA FERST OPERATING FOUNDATION
21 S BROAD ST
WESTFIELD
,
MA
01085
N/A
PC
PROGRAM SUPPORT
10,000
AMATEUR ATHLETIC UNION OF THE UNITED STATES INC
31968 PEPPER TREE ST
WINCHESTER
,
CA
92596
N/A
PC
PROGRAM SUPPORT
2,500
AMERICAN RED CROSS OF WESTERN MASS
150 BROOKDALE ST
SPRINGFIELD
,
MA
01104
N/A
PC
PROGRAM SUPPORT
5,000
APPALACHIAN MOUNTAIN CLUB
5 JOY ST
BOSTON
,
MA
02108
N/A
PC
PROGRAM SUPPORT
7,260
ARGENZIANO SCHOOL PTA
290 WASHINGTON STREET
SOMERVILLE
,
MA
02143
N/A
PC
PROGRAM SUPPORT
5,000
BABY BASICS INC
47 BEAUFORT AVE
NEEDHAM
,
MA
02492
N/A
PC
PROGRAM SUPPORT
5,000
BAY PATH UNIVERSITY
588 LONGMEADOW ST
LONGMEADOW
,
MA
01106
N/A
PC
PROGRAM SUPPORT
10,000
BERKSHIRE HILLS MUSIC ACADEMY INC
48 WOODBRIDGE ST
SOUTH HADLEY
,
MA
01075
N/A
PC
PROGRAM SUPPORT
40,000
BIG BROTHERSBIG SISTERS OF HAMPDEN COUNTY
83 MAPLE STREET SUITE 201
SPRINGFIELD
,
MA
01105
N/A
PC
PROGRAM SUPPORT
1,000
BIRTHDAY WISHES INC
PO BOX 590645
NEWTON CENTRE
,
MA
02459
N/A
PC
PROGRAM SUPPORT
7,500
BLUES TO GREEN INC
18 TUCKER ROAD
HUNTINGTON
,
MA
01050
N/A
PC
PROGRAM SUPPORT
10,000
BOY SCOUTS OF AMERICA
1 ARCH ROAD SUITE 5
WESTFIELD
,
MA
01085
N/A
PC
PROGRAM SUPPORT
1,800
BRIMFIELD ELEMENTARY SCHOOL PTO
28 WALES ROAD
BRIMFIELD
,
MA
01010
N/A
PC
PROGRAM SUPPORT
1,674
CARING HEALTH CENTER INC
1049 MAIN STREET
SPRINGFIELD
,
MA
01103
N/A
PC
PROGRAM SUPPORT
2,500
CARLSBAD HIGH SCHOOL TELEVISION BOOSTER CLUB
3557 LANCER WAY
CARLSBAD
,
CA
92008
N/A
PC
PROGRAM SUPPORT
2,500
CENTER FOR HUMAN DEVELOPMENT INC
332 BIRNIE AVE
SPRINGFIELD
,
MA
01107
N/A
PC
PROGRAM SUPPORT
15,000
CENTER FOR NEW AMERICANS INC
42 GOTHIC STREET
NORTHAMPTON
,
MA
01060
N/A
PC
PROGRAM SUPPORT
17,500
CHOATE ROSEMARY HALL FOUNDATION INCORPORATED
333 CHRISTIAN ST
WALLINGFORD
,
CT
06492
N/A
PC
PROGRAM SUPPORT
5,000
COMMUNITY EDUCATION PROJECT INC
317 MAIN ST
HOLYOKE
,
MA
01040
N/A
PC
PROGRAM SUPPORT
30,000
COMMUNITY FOUNDATION OF WESTERN MASSACHUSETTS
1500 MAIN STREET
SPRINGFIELD
,
MA
01115
N/A
PC
PROGRAM SUPPORT
56,000
COMMUNITY INVOLVED IN SUSTAINING AGRICULTURE INC
1 SUGARLOAF ST 2ND FLR
SOUTH DEERFIELD
,
MA
01373
N/A
PC
PROGRAM SUPPORT
5,000
COMMUNITY UNITED WAY OF PIONEER VALLEY INC
1441 MAIN STREET SUITE 147
SPRINGFIELD
,
MA
01103
N/A
PC
PROGRAM SUPPORT
25,000
CONCORD HOSPITAL TRUST
250 PLEASANT ST
CONCORD
,
NH
03301
N/A
PC
PROGRAM SUPPORT
5,000
CONNECTICUT RIVER WATERSHED COUNCIL INC
15 BANK ROW
GREENFIELD
,
MA
01301
N/A
PC
PROGRAM SUPPORT
10,000
DELORES PROJECT
POBOX 1406
DENVER
,
CO
80201
N/A
PC
PROGRAM SUPPORT
3,250
DOUBLE EDGE THEATRE PRODUCTIONS INCORPORATED
948 CONWAY RD
ASHFIELD
,
MA
01330
N/A
PC
PROGRAM SUPPORT
5,000
DRAMA STUDIO INC
PO BOX 80892
SPRINGFIELD
,
MA
01138
N/A
PC
PROGRAM SUPPORT
15,000
ENVIRONMENT MASSACHUSETTS RESEARCH & POLICY CENTER
294 WASHINGTON STREET SUITE 500
BOSTON
,
MA
02108
N/A
PC
PROGRAM SUPPORT
5,000
ENVIRONMENTAL LEARNING FOR KIDS
6060 BROADWAY
DENVER
,
CO
80216
N/A
PC
PROGRAM SUPPORT
3,250
EPISCOPAL CHURCH OF THE GOOD SHEPHERD OF TEQUESTA INC
400 SEABROOK RD
TEQUESTA
,
FL
33469
N/A
PC
PROGRAM SUPPORT
5,000
FIDELCO GUIDE DOG FOUNDATION INC
103 VISION WAY
BLOOMFIELD
,
CT
06002
N/A
PC
PROGRAM SUPPORT
5,000
FIRST UNIVERALIST CHURCH OF DENVER
4101 E HAMPDEN AVE
DENVER
,
CO
80218
N/A
PC
PROGRAM SUPPORT
13,500
FLORENCE CRITTENTON SERVICES OF COLORADO
96 SOUTH ZUNI ST
DENVER
,
CO
80223
N/A
PC
PROGRAM SUPPORT
10,000
FOUNDATION CENTER
32 OLD SLIP
NEW YORK
,
NY
10005
N/A
PC
PROGRAM SUPPORT
5,000
FRIENDS OF BAYSTATE ACADEMY CHARTER PUBLIC SCHOOL
2001 ROOSEVELT AVE
SPRINGFIELD
,
MA
01104
N/A
PC
PROGRAM SUPPORT
20,000
FRIENDS OF THE HOLYOKE CREATIVE ARTS CENTER INC
PO BOX 4998
HOLYOKE
,
MA
01041
N/A
PC
PROGRAM SUPPORT
14,000
GIRLS INCORPORATED OF HOLYOKE
6 OPEN SQUARE WAY
HOLYOKE
,
MA
01041
N/A
PC
PROGRAM SUPPORT
42,500
GORDON SCHOOL
45 MAXFIELD AVE
EAST PROVIDENCE
,
RI
02914
N/A
PC
PROGRAM SUPPORT
5,000
GRANBY PARENT TEACHER ORGANIZATION
14 WEST STREET
GRANBY
,
MA
01033
N/A
PC
PROGRAM SUPPORT
5,000
GREATER NEW LIFE CHRISTIAN CENTER
1323 WORCESTER ST
INDIAN ORCHARD
,
MA
01151
N/A
PC
PROGRAM SUPPORT
5,000
GREATER SPRINGFIELD HABITAT FOR HUMANITY INC
268 COLD SPRING AVENUE
W SPRINGFIELD
,
MA
01089
N/A
PC
PROGRAM SUPPORT
25,000
GREATER SPRINGFIELD SENIOR SERVICES INC
66 INDUSTRY AVE STE 9
SPRINGFIELD
,
MA
01104
N/A
PC
PROGRAM SUPPORT
5,000
GROUNDWORK SOMERVILLE INC
24 PARK ST 7
SOMERVILLE
,
MA
02143
N/A
PC
PROGRAM SUPPORT
3,000
HAP INC
322 MAIN ST STE 1
SPRINGFIELD
,
MA
01105
N/A
PC
PROGRAM SUPPORT
15,000
HARMONY HOUSE INC
PO BOX 6135
HOLYOKE
,
MA
01041
N/A
PC
PROGRAM SUPPORT
5,000
HILLTOWN LAND TRUST INC
332 BULLIT ROAD
ASHFIELD
,
MA
01330
N/A
PC
PROGRAM SUPPORT
4,000
HOLYOKE COMMUNITY COLLEGE FOUNDATION INC
303 HOMESTEAD AVENUE
HOLYOKE
,
MA
01040
N/A
PC
PROGRAM SUPPORT
30,000
HOLYOKE YOUNG MENS CHRISTIAN ASSOCIATION INC
171 PINE ST
HOLYOKE
,
MA
01040
N/A
PC
PROGRAM SUPPORT
20,000
HOPE AND COMFORT INC
PO BOX 241
NEWTON UPPER FALLS
,
MA
02464
N/A
PC
PROGRAM SUPPORT
3,000
HUMAN DEVELOPMENT CORPORATION
664 E CENTRAL AVE
EDGEWATER
,
MD
21037
N/A
PC
PROGRAM SUPPORT
10,000
INFINITE LEARNING
214 MAIN ST
EL SEGUNDO
,
CA
90245
N/A
PC
PROGRAM SUPPORT
5,000
INSIGHT PRODUCTIONS INC
PO BOX 96
MARLBORO
,
VT
05344
N/A
PC
PROGRAM SUPPORT
5,000
JEANNE GEIGER CRISIS CENTER INC
2 HARRIS STREET
NEWBURYPORT
,
MA
01950
N/A
PC
PROGRAM SUPPORT
5,000
JUPITER MEDICAL CENTER FOUNDATION INC
1210 S OLD DIXIE HWY
JUPITER
,
FL
33458
N/A
PC
PROGRAM SUPPORT
5,000
LEADERSHIP PIONEER VALLEY
1 FEDERAL ST BLDG 1
SPRINGFIELD
,
MA
01105
N/A
PC
PROGRAM SUPPORT
16,000
LINK TO LIBRARIES INC
35 BLUEGRASS DR
E LONGMEADOW
,
MA
01028
N/A
PC
PROGRAM SUPPORT
12,500
LOWELLS MARITIME FOUNDATION
459 MAIN ST
AMESBURY
,
MA
01913
N/A
PC
PROGRAM SUPPORT
10,000
MAGNOLIA ELEMENTARY PTA
1905 MAGNOLIA AVE
CARLSBAD
,
CA
92008
N/A
PC
PROGRAM SUPPORT
5,000
MARY HITCHCOCK MEMORIAL HOSPITAL
1 MEDICAL CENTER DRIVE
LEBANON
,
NH
03756
N/A
PC
PROGRAM SUPPORT
5,000
MASS MENTORING PARTNERSHIP INC
75 KNEELAND STREET 11TH FLOOR
BOSTON
,
MA
02111
N/A
PC
PROGRAM SUPPORT
12,500
MASSACHUSETTS 4-H FOUNDATION INC
1671 WORCESTER ROAD SUITE 403
FRAMINGHAM
,
MA
01701
N/A
PC
PROGRAM SUPPORT
10,000
MASSACHUSETTS FOUNDATION FOR THE HUMANITIES
66 BRIDGE STREET
NORTHAMPTON
,
MA
01060
N/A
PC
PROGRAM SUPPORT
12,500
MAY INSTITUTE INC
41 PACELLA PARK DR
RANDOLPH
,
MA
02368
N/A
PC
PROGRAM SUPPORT
15,000
MITS INC
1354 HANCOCK ST SUITE 302
QUINCY
,
MA
02169
N/A
PC
PROGRAM SUPPORT
8,800
MOUNT WASHINGTON VALLEY CHORAL SOCIETY
PO BOX 5002 PMB 207
NORTH CONWAY
,
NH
03860
N/A
PC
PROGRAM SUPPORT
5,000
NEW ENGLAND PUBLIC RADIO FOUNDATION INC
1525 MAIN STREET
SPRINGFIELD
,
MA
01103
N/A
PC
PROGRAM SUPPORT
30,000
NEWBURYPORT PARKS CONSERVANCY
PO BOX 1211
NEWBURYPORT
,
MA
01950
N/A
POF
PROGRAM SUPPORT
2,000
NUTSHELL PLAYHOUSE INC
76 BRUNELL AVE
LENOX
,
MA
01240
N/A
PC
PROGRAM SUPPORT
500
OPEN PANTRY COMMUNITY SERVICE INC
287 STATE ST PO BOX 5127
SPRINGFIELD
,
MA
01101
N/A
PC
PROGRAM SUPPORT
25,000
PARTNERS FOR A HEALTHIER COMMUNITY INC
PO BOX 4895
SPRINGFIELD
,
MA
01101
N/A
PC
PROGRAM SUPPORT
25,000
PENINSULA ASSOCIATION FOR RETARDED CHILDREN & ADULTS
1216 KENILWORTH
HILLSBOROUGH
,
CA
94010
N/A
PC
PROGRAM SUPPORT
5,000
PIONEER VALLEY MILITARY & TRANSPORTATION MUSEUM
PO BOX 1332
WESTFIELD
,
MA
01086
N/A
PC
PROGRAM SUPPORT
5,000
PIONEER VALLEY REGIONAL VENTURES CENTER INC
60 CONGRESS STREET FLOOR 1
SPRINGFIELD
,
MA
01104
N/A
PC
PROGRAM SUPPORT
5,000
PIONEER VALLEY RIVERFRONT CLUB INC
PO BOX 3123
SPRINGFIELD
,
MA
01101
N/A
PC
PROGRAM SUPPORT
30,000
PIONEER VALLEY SYMPHONY INC
91 MAIN ST
GREENFIELD
,
MA
01301
N/A
PC
PROGRAM SUPPORT
3,000
PRESS PASS TV INC
7 SOLAR CIRCLE
HAYDENVILLE
,
MA
01039
N/A
PC
PROGRAM SUPPORT
8,000
PROVIDENCE BEHAVIORAL HEALTH HOSPITAL
MERCY MEDICAL CENTER271 CAREW ST
SPRINGFIELD
,
MA
01102
N/A
PC
PROGRAM SUPPORT
25,000
PTA CALIFORNIA CONGRESS OF PARENTS TEACHERS & STUDENTS INC
C/O VALLEY MIDDLE SCHOOL1645
MAGNOLIA AVE
CARLSBAD
,
CA
92008
N/A
PC
PROGRAM SUPPORT
5,000
READER TO READER INC
38 WOODSIDE AVE
AMHERST
,
MA
01002
N/A
PC
PROGRAM SUPPORT
22,500
REGIONAL EMPLOYMENT BOARD OF HAMPDEN COUNTY INC
1441 MAIN ST
SPRINGFIELD
,
MA
01103
N/A
PC
PROGRAM SUPPORT
35,000
REVITALIZE COMMUNITY DEVELOPMENT CORPORATION
1145 MAIN STREET
SPRINGFIELD
,
MA
01103
N/A
PC
PROGRAM SUPPORT
12,500
RIVER VALLEY COUNSELING CENTER INC
319 BEECH ST
HOLYOKE
,
MA
01040
N/A
PC
PROGRAM SUPPORT
5,000
ROBERT F KENNEDY CHILDRENS ACTION CORPS
11 BEACON ST SUITE 820
BOSTON
,
MA
02108
N/A
PC
PROGRAM SUPPORT
15,000
RONALD MCDONALD HOUSE OF SPRINGFIELD MASS INC
34 CHAPIN TER
SPRINGFIELD
,
MA
01107
N/A
PC
PROGRAM SUPPORT
15,000
SANDWICH COMMUNITY SCHOOL INC
1164 BUNKER HILL ROAD
SOUTH TAMWORTH
,
NH
03883
N/A
PC
PROGRAM SUPPORT
5,000
SEVENARS CONCERTS INC
80 EAST END AVENUE 3G
NEW YORK
,
NY
10028
N/A
PC
PROGRAM SUPPORT
5,000
SHAKA FRANKLIN FOUNDATION FOR YOUTH
8101 E DARTMOUTH AVE 11
DENVER
,
CO
80231
N/A
PC
PROGRAM SUPPORT
5,000
SOUTH END COMMUNITY CENTER INC
PO BOX 30192
SPRINGFIELD
,
MA
80231
N/A
PC
PROGRAM SUPPORT
40,000
SPECIAL OLYMPICS MASSACHUSETTS INC
512 FOREST ST
MARLBORO
,
MA
01752
N/A
PC
PROGRAM SUPPORT
20,000
SPRINGFIELD BOYS CLUB
481 CAREW ST
SPRINGFIELD
,
MA
01104
N/A
PC
PROGRAM SUPPORT
1,000
SPRINGFIELD MUSEUMS CORPORATION
21 EDWARDS STREET
SPRINGFIELD
,
MA
01103
N/A
PC
PROGRAM SUPPORT
40,000
SPRINGFIELD PUBLIC FORUM INC
PO BOX 5374
SPRINGFIELD
,
MA
01101
N/A
PC
PROGRAM SUPPORT
7,500
SPRINGFIELD SYMPHONY ORCHESTRA
1441 MAIN STSUITE 120
SPRINGFIELD
,
MA
01103
N/A
PC
PROGRAM SUPPORT
5,000
ST MATTHEWS CATHOLIC SCHOOL
910 S EL CAMINO REAL
SAN MATEO
,
CA
94402
N/A
PC
PROGRAM SUPPORT
5,000
STAND FOR CHILDREN LEADERSHIP CENTER
38 CHAUNCY ST SUITE 700
BOSTON
,
MA
02110
N/A
PC
PROGRAM SUPPORT
12,000
STANLEY PARK OF WESTFIELD INC
400 WESTERN AVE
WESTFIELD
,
MA
01085
N/A
POF
PROGRAM SUPPORT
712,065
TAPESTRY HEALTH SYSTEMS INC
PO BOX 96291200 N PLEASANT ST
NORTH AMHERST
,
MA
01059
N/A
PC
PROGRAM SUPPORT
5,000
TECH FOUNDRY INC
1391 MAIN STREET 9TH FLOOR
SPRINGFIELD
,
MA
01103
N/A
PC
PROGRAM SUPPORT
30,000
THE BUSCH WILDLIFE SANCTUARY INC
2500 JUPITER PARK DR
JUPITER
,
FL
33458
N/A
PC
PROGRAM SUPPORT
5,000
THE NORTHAMPTON ACADEMY OF MUSIC INC
274 MAIN ST
NORTHAMPTON
,
MA
01060
N/A
PC
PROGRAM SUPPORT
2,500
THE SCHOOLHOUSE LEARNING CENTER INC
8 CATKIN DRIVE
SOUTH BURLINGTON
,
VT
05403
N/A
PC
PROGRAM SUPPORT
10,000
THIRD SECTOR NEW ENGLAND INC
89 SOUTH ST STE 700
BOSTON
,
MA
02111
N/A
PC
PROGRAM SUPPORT
25,000
TREEHOUSE FOUNDATION INC
1 TREEHOUSE CIRCLE
EASTHAMPTON
,
MA
01027
N/A
PC
PROGRAM SUPPORT
5,000
TRUSTEES OF WESTMINSTER SCHOOL INC
995 HOPMEADOW STREET
SIMSBURY
,
CT
06070
N/A
PC
PROGRAM SUPPORT
5,000
U S S MASSACHUSETTS MEMORIAL COMMITTEE INC
5 BATTLESHIP COVE
FALL RIVER
,
MA
02721
N/A
PC
PROGRAM SUPPORT
5,000
VALLEY EYE RADIO
44 HAMPDEN STREET
SPRINGFIELD
,
MA
01103
N/A
PC
PROGRAM SUPPORT
5,000
VOLUNTEERS IN PUBLIC SCHOOL OF WESTFIELD INC
59 COURT STREET
WESTFIELD
,
MA
01085
N/A
PC
PROGRAM SUPPORT
5,000
WELLSPRING COOPERATIVE CORPORATION
143 MAIN STREET
SPRINGFIELD
,
MA
01105
N/A
PC
PROGRAM SUPPORT
25,000
WESTERN NEW ENGLAND UNIVERSITY
1215 WILBRAHAM RD
SPRINGFIELD
,
MA
01119
N/A
PC
PROGRAM SUPPORT
25,000
WESTFIELD ATHENAEUM
6 ELM ST
WESTFIELD
,
MA
01085
N/A
PC
PROGRAM SUPPORT
40,000
WESTFIELD ON WEEKENDS INC
59 COURT STREET
WESTFIELD
,
MA
01085
N/A
PC
PROGRAM SUPPORT
5,000
WGBH EDUCATIONAL FOUNDATION FBO WGBYTV CHANNEL 57
44 HAMPDEN ST
SPRINGFIELD
,
MA
01103
N/A
PC
PROGRAM SUPPORT
12,000
WOMENS FUND OF WESTERN MASSACHUSETTS
116 PLEASANT STE 3314
EASTHAMPTON
,
MA
01027
N/A
PC
PROGRAM SUPPORT
25,000
YMCA OF GREATER SPRINGFIELD
275 CHESTNUT ST
SPRINGFIELD
,
MA
01104
N/A
PC
PROGRAM SUPPORT
25,000
Total
.................................
3a
2,094,599
b
Approved for future payment
Total
.................................
3b
0
Form
990-PF
(2016)
Page 12
Form 990-PF (2016)
Page
12
Part XVI-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.)
1
Program service revenue:
(a)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
a
b
c
d
e
f
g
Fees and contracts from government agencies
2
Membership dues and assessments
....
3
Interest on savings and temporary cash investments
...........
14
8
4
Dividends and interest from securities
....
14
1,422,668
5
Net rental income or (loss) from real estate:
a
Debt-financed property
......
b
Not 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
898,141
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
2,320,817
0
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
2,320,817
(See worksheet in line 13 instructions to verify calculations.)
Part XVI-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 XVI-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
(2016)
Page 13
Form 990-PF (2016)
Page
13
Part XVII
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) of the Code (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) of the Code (other than section 501(c)(3)) or in section 527?
...........
Yes
No
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.
2017-05-04
May the IRS discuss this return
with the preparer shown below
(see instr.)?
Yes
No
Signature of officer or trustee
Date
Title
Paid Preparer Use Only
Print/Type preparer's name
ALFONSO PERILLO
Preparer's Signature
Date
2017-05-04
Check if self-
employed
PTIN
P00950491
Firm's name
EDELSTEIN AND COMPANY LLP
Firm's EIN
04-2442519
Firm's address
160 FEDERAL STREET 9TH FLOOR
BOSTON
,
MA
02110
Phone no.
(617) 227-6161
Form
990-PF
(2016)
Additional Data
Software ID:
Software Version:
Form 990PF - Special Condition Description:
Special Condition Description