David N Clark Cotr Uw 14 1074095010 Fbo Griffin Hospital in Providence, Rhode Island (RI)
Table of contents:
- Overview
- Detailed Reports
- Analysis of Revenue and Expenses
- Balance Sheets
- Capital Gains and Losses for Tax on Investment Income
- Excise Tax Based on Investment Income
- Statements Regarding Activities
- Statements Regarding Activities for Which Form 4720 May Be Required
- Minimum Investment Return
- Distributable Amount
- Undistributed Income
- Private Operating Foundations
- Other organizations in Rhode Island
| David N Clark Cotr Uw 14 1074095010 Fbo Griffin Hospital | |
| Employer Identification Number (EIN) | 066031502 |
| Name of Organization | David N Clark Cotr Uw 14 1074095010 Fbo Griffin Hospital |
| In Care of Name | Fleet National Bank |
| Address | PO BOX 1802, Providence, RI 02901-1802 |
| Subsection | 4947(a)(1) - Private Foundation (Form 990PF Filer) |
| Foundation | All organizations except 501(c)(3) |
| Exempt Organization Status | Trust described in section 4947(a)(2) of the IR Code |
| Tax Period | 12/2014 |
| Assets | $500,000 to $999,999 |
| Income | $100,000 to $499,999 |
| Filing Requirement | 990 - Not required to file (all other) |
| Asset Amount | $599,592 |
| Amount of Income | $411,008 |
| Form 990 Revenue Amount | $36,910 |
Non-representatives - add comments:
Expenses for 2012
Assets for 2012
| Analysis of Revenue and Expenses (for 2012) | ||||
| Revenue and expenses per books | Net investment income | Adjusted net income | Disbursements for charitable purposes (cash basis only) | |
|---|---|---|---|---|
| Total revenue | $-20,729 | $14,186 | $0 | |
| Contributions, gifts, grants, etc., received | $0 | |||
| Interest on savings and temporary cash investments | $0 | |||
| Dividends and interest from securities | $14,186 | |||
| Gross rents | $0 | |||
| Gross profit from sales of goods | $0 | |||
| Other income | $0 | |||
| Total expenses and disbursements | $38,930 | $10,158 | $0 | $28,721 |
| Compensation of officers, directors, trustees, etc. | $16,611 | |||
| Total operating and administrative expenses | $17,798 | $10,158 | $7,589 | |
| Contributions, gifts, grants paid | $21,132 | |||
| Excess of revenue over expenses and disbursements | $-59,659 | |||
| Net investment income | $4,028 | |||
| Adjusted net income | $0 | |||
| Balance Sheets (for 2012) | ||
| Book Value | Fair Market Value | |
|---|---|---|
| Total assets | $583,471 | $585,706 |
| Cash - non-interest-bearing | $0 | |
| Investments-U.S. and state government obligations | $0 | |
| Investments-corporate stock | $574,012 | |
| Investments-corporate bonds | $0 | |
| Investments-mortgage loans | $0 | |
| Investments-other | $0 | |
| Other | $9,459 | |
| Total liabilities | $0 | |
| Total liabilities and net assets/fund balances | $583,471 | |
| Capital Gains and Losses for Tax on Investment Income (for 2012) | |
| Capital gain net income | $0 |
| Net capital loss | $-34,915 |
| Excise Tax Based on Investment Income (for 2012) | |
| Domestic foundations that meet the section 4940(e) requirements (for Reduced Tax on Net Investment Income) | No |
| Tax based on investment income | $40 |
| Total credits and payments | $284 |
| 2012 estimated tax payments and 2011 overpayment credited to 2012 | $284 |
| Exempt foreign organizations-tax withheld at source | $0 |
| Tax paid with application for extension of time to file (Form 8868) | $0 |
| Backup withholding erroneously withheld | $0 |
| Any penalty for underpayment of estimated tax | $0 |
| Tax due | $0 |
| Overpayment | $244 |
| Amount to be credited to 2013 estimated tax | $40 |
| Statements Regarding Activities (for 2012) | |
| During the tax year, did the foundation attempt to influence any national, state, or local legislation or did it participate or intervene in any political campaign? | No |
| Was there a liquidation, termination, dissolution, or substantial contraction during the year? | No |
| 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 2012 or the taxable year beginning in 2012? | No |
| Statements Regarding Activities for Which Form 4720 May Be Required (for 2012) | |
| During the year did the foundation (either directly or indirectly): | |
| Engage in the sale or exchange, or leasing of property with a disqualified person? | No |
| Borrow money from, lend money to, or otherwise extend credit to (or accept it from) a disqualified person? | No |
| Furnish goods, services, or facilities to (or accept them from) a disqualified person? | No |
| Pay compensation to, or pay or reimburse the expenses of, a disqualified person? | Yes |
| Transfer any income or assets to a disqualified person (or make any of either available for the benefit or use of a disqualified person)? | No |
| Agree to pay money or property to a government official? | No |
| At the end of tax year 2012, did the foundation have any undistributed income for tax year(s) beginning before 2012? | No |
| Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at any time during the year? | No |
| Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes? | No |
| During the year did the foundation pay or incur any amount to: | |
| Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))? | No |
| Influence the outcome of any specific public election (see section 4955); or to carry on, directly or indirectly, any voter registration drive? | No |
| Provide a grant to an individual for travel, study, or other similar purposes? | No |
| Provide a grant to an organization other than a charitable, etc., organization described in section 509(a)(1), (2), or (3), or section 4940(d)(2)? | No |
| Provide for any purpose other than religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals? | No |
| Minimum Investment Return (for 2012) | |
| Fair market value of assets not used (or held for use) directly in carrying out charitable, etc., purposes | $576,277 |
| Net value of noncharitable-use assets | $567,640 |
| Minimum investment return | $28,382 |
| Distributable Amount (for 2012) | |
| Distributable amount | $28,342 |
| Undistributed Income (for 2012) | |
| Distributable amount for 2012 | $28,342 |
| Undistributed income for 2012. This amount must be distributed in 2013 | $1,539 |
| Private Operating Foundations (for 2012) | |||||
| 2012 | 2011 | 2010 | 2009 | Total | |
|---|---|---|---|---|---|
| The lesser of the adjusted net income or the minimum investment return | $0 | $0 | $0 | $0 | $0 |
| Qualifying distributions made directly for active conduct of exempt activities | $0 | $0 | $0 | $0 | $0 |
| Value of all assets | $0 | $0 | $0 | $0 | $0 |
| Value of assets qualifying under section 4942(j)(3)(B)(i) | $0 | $0 | $0 | $0 | $0 |
| 2/3 of minimum investment return | $0 | $0 | $0 | $0 | $0 |
| Total support other than gross investment income (interest, dividends, rents, payments on securities loans (section 512(a)(5)), or royalties) | $0 | $0 | $0 | $0 | $0 |
| Support from general public and 5 or more exempt organizations as provided in section 4942(j)(3)(B)(iii) | $0 | $0 | $0 | $0 | $0 |
| Gross investment income | $0 | $0 | $0 | $0 | $0 |
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| Other organizations in Rhode Island | |||||
| Id | Name | Address | State | Established | Total Income |
|---|---|---|---|---|---|
| 1 | Darthea Morrow Trust Shawmut Bank Of Cape Cod Tr | PO BOX 1802, Providence, RI 02901-1802 | RI | 1988-03 | $254,315 |
| 2 | Dash Foundation Inc | 6 Lincoln Dr, Johnston, RI 02919-2860 | RI | 2008-07 | $4,831 |
| 3 | Daughters Of American Revolution | PO BOX 1802, Providence, RI 02901-1802 | RI | 1900-12 | $139,492 |
| 4 | David & Betsey Kilmartin Charitable Foundation Inc | 247 Farnum Rd, Glocester, RI 02814-1558 | RI | 1986-08 | $85,997 |
| 5 | David & Roberta Olsen Family Foundation, Olsen David A Ttee | PO BOX 1802, Providence, RI 02901-1802 | RI | 1997-07 | $2,211,502 |
| 6 | David A Muir Tr Uw Dod 11-88 Fbo Town Of Clinton | PO BOX 1802, Providence, RI 02901-1802 | RI | 1995-02 | $193,113 |
| 7 | David Crary Jr Est Tr Uw | PO BOX 1802, Providence, RI 02901-1802 | RI | 1970-12 | $6,319,461 |
| 8 | David Dudley Fields Est Trust Nect | PO BOX 1802, Providence, RI 02901-1802 | RI | 1970-12 | $1 |
| 9 | David E Bryant Trust Uw Para 28, Norstar Trust Company Ttee | PO BOX 1802, Providence, RI 02901-1802 | RI | 1989-07 | $252,981 |
| 10 | David M Caldwell Tr Uw | PO BOX 1802, Providence, RI 02901-1802 | RI | 1972-08 | $24,039 |
| 11 | David N Clark Cotr Uw 14 1074095010 Fbo Griffin Hospital | PO BOX 1802, Providence, RI 02901-1802 | RI | $411,008 | |
| 12 | David S Lynch Fund, Bankboston N A | PO BOX 1802, Providence, RI 02901-1802 | RI | $190,787 | |
| 13 | David Soltz Trust Uw | PO BOX 1802, Providence, RI 02901-1802 | RI | 1979-02 | $67,315 |
| 14 | David T Langrock Foundation | PO BOX 1802, Providence, RI 02901-1802 | RI | 1973-03 | $103,414 |
| 15 | David Toothaker Family Trust | PO BOX 1802, Providence, RI 02901-1802 | RI | 2002-07 | $192,929 |
| 16 | Davisville Free Library Association | 481 Davisville Rd, N Kingstown, RI 02852-1778 | RI | 1968-09 | $83,154 |
| 17 | Dawley Herbert F Tua Fbo United Con 323-1273804010 | PO BOX 1802, Providence, RI 02901-1802 | RI | $204,934 | |
| 18 | Day One | 100 Medway St, Providence, RI 02906-4402 | RI | 1979-12 | $2,044,521 |
| 19 | De Ramel Foundation, Guillaume De Ramel Ttee | C/O M Orefice 1445 Wampanoag Trail, Riverside, RI 02915 | RI | 2009-02 | $3,847,311 |
| 20 | Deangelis Manor Ii C/O Nhp | 845 Wakefield Street, West Warwick, RI 02893-1448 | RI | 1981-02 | $945,834 |
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