Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2016
Name of the organization
BRISTOL COUNTY SAVINGS CHARITABLE
FOUNDATION INC
Employer identification number

04-3332966
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ






Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.
Note.Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2016)
Page 2
Schedule B (Form 990, 990-EZ, or 990-PF) (2016) Page 2
Name of organization
BRISTOL COUNTY SAVINGS CHARITABLE
FOUNDATION INC
Employer identification number
04-3332966
Part I
Contributors (See instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
1
BRISTOL COUNTY SAVINGS BANK
 

   
35 BROADWAY
 
TAUNTON, MA02780

$ 64,275


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
2
BRISTOL COUNTY SAVINGS BANK
 

   
35 BROADWAY
 
TAUNTON, MA02780

$ 235,900


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
3
BRISTOL COUNTY SAVINGS BANK
 

   
35 BROADWAY
 
TAUNTON, MA02780

$ 206,700


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
4
BRISTOL COUNTY SAVINGS BANK
 

   
35 BROADWAY
 
TAUNTON, MA02780

$ 138,850


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
5
BRISTOL COUNTY SAVINGS BANK
 

   
35 BROADWAY
 
TAUNTON, MA02780

$ 609,967


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
6
BRISTOL COUNTY SAVINGS BANK
 

   
35 BROADWAY
 
TAUNTON, MA02780

$ 209,220


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2016)
Name of organization
BRISTOL COUNTY SAVINGS CHARITABLE
FOUNDATION INC
Employer identification number
04-3332966
Part I
Contributors (See instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
7
BRISTOL COUNTY SAVINGS BANK
 

   
35 BROADWAY
 
TAUNTON, MA02780

$ 105,345


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
8
BRISTOL COUNTY SAVINGS BANK
 

   
35 BROADWAY
 
TAUNTON, MA02780

$ 251,640


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
9
BRISTOL COUNTY SAVINGS BANK
 

   
35 BROADWAY
 
TAUNTON, MA02780

$ 115,335


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
10
BRISTOL COUNTY SAVINGS BANK
 

   
35 BROADWAY
 
TAUNTON, MA02780

$ 323,280


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
11
BRISTOL COUNTY SAVINGS BANK
 

   
35 BROADWAY
 
TAUNTON, MA02780

$ 350,560


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
12
BRISTOL COUNTY SAVINGS BANK
 

   
35 BROADWAY
 
TAUNTON, MA02780

$ 326,640


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2016)
Name of organization
BRISTOL COUNTY SAVINGS CHARITABLE
FOUNDATION INC
Employer identification number
04-3332966
Part I
Contributors (See instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
13
BRISTOL COUNTY SAVINGS BANK
 

   
35 BROADWAY
 
TAUNTON, MA02780

$ 410,800


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
14
BRISTOL COUNTY SAVINGS BANK
 

   
35 BROADWAY
 
TAUNTON, MA02780

$ 395,250


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
15
BRISTOL COUNTY SAVINGS BANK
 

   
35 BROADWAY
 
TAUNTON, MA02780

$ 209,750


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
16
BRISTOL COUNTY SAVINGS BANK
 

   
35 BROADWAY
 
TAUNTON, MA02780

$ 327,216


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2016)
Page 3
Schedule B (Form 990, 990-EZ, or 990-PF) (2016)
Page 3
Name of organization
BRISTOL COUNTY SAVINGS CHARITABLE
FOUNDATION INC
Employer identification number

04-3332966
Part II
Noncash Property (See instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
1
STOCK - 1,500 SHARES HORACE MANN EDUCATORS CORP - CUSIP - XXX-XX-XXXX $ 64,275 2016-12-16
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
2
STOCK - 7,000 SHARES DOUGLAS DYNAMICS - CUSIP - 25960R105D $ 235,900 2016-12-16
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
3
STOCK - 3,000 SHARES MARSH & MCLENNAN - CUSIP - 571748102B $ 206,700 2016-12-16
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
4
STOCK- 1,000 SHARES LANCASTER COLONY - CUSIP - 513847103A $ 138,850 2016-12-16
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
5
STOCK - 8,300 SHARES TEXAS INSTRUMENTS - CUSIP - 882508104B $ 609,967 2016-12-16
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
6
STOCK - 1,500 SHARES AMERIPRISE FINANCIAL - CUSIP - 03076C106 $ 209,220 2017-08-24
Schedule B (Form 990, 990-EZ, or 990-PF) (2016)
Name of organization
BRISTOL COUNTY SAVINGS CHARITABLE
FOUNDATION INC
Employer identification number

04-3332966
Part II
Noncash Property (See instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
7
STOCK - 1,500 SHARES MINE SAFETY APPLIANCES - CUSIP - XXX-XX-XXXX $ 105,345 2017-08-24
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
8
STOCK - 7,200 SHARES DOUGLAS DYNAMICS - CUSIP - 25960R105D $ 251,640 2017-08-24
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
9
STOCK - 3,300 SHARES DOUGLAS DYNAMICS - CUSIP - 25960R105E $ 115,335 2017-08-24
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
10
STOCK - 4,000 SHARESTEXAS INSTRUMENTS - CUSIP - 882508104A $ 323,280 2017-08-24
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
11
STOCK - 4,000 SHARES AMERICAN WATER WORKS CO - CUSIP - 030420103C $ 350,560 2017-10-30
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
12
STOCK - 4,000 SHARES MARSH & MCLENNAN - CUSIP - XXX-XX-XXXX $ 326,640 2017-10-30
Schedule B (Form 990, 990-EZ, or 990-PF) (2016)
Name of organization
BRISTOL COUNTY SAVINGS CHARITABLE
FOUNDATION INC
Employer identification number

04-3332966
Part II
Noncash Property (See instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
13
STOCK - 5,000 SHARES MINE SAFETY APPLIANCES - CUSIP - XXX-XX-XXXX $ 410,800 2017-10-30
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
14
STOCK - 5,000 SHARES MICROSOFT - CUSIP - 594918104H $ 395,250 2017-10-30
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
15
STOCK - 5,000 SHARES DOUGLAS DYNAMICS - CUSIP - 25960R105F $ 209,750 2017-10-30
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
16
STOCK - 3,400 SHARESTEXAS INSTRUMENTS - CUSIP - 882508104A $ 327,216 2017-10-30
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2016)
Page 4
Schedule B (Form 990, 990-EZ, or 990-PF) (2016)
Page 4
Name of organization
BRISTOL COUNTY SAVINGS CHARITABLE
FOUNDATION INC
Employer identification number

04-3332966
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2016)

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