efile Public Visual Render
Submission Date - 2017-11-13
TIN: 03-0364509
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
Richard E and Deborah L Tarrant
Foundation Inc
Number and street (or P.O. box number if mail is not delivered to street address)
PO Box 521
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Winooski
,
VT
05404
A Employer identification number
03-0364509
B
Telephone number (see instructions)
(802) 857-0495
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)
$
7,218,931
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
4
Dividends and interest from securities
...
186,022
149,051
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
356,816
b
Gross sales price for all assets on line 6a
367,648
7
Capital gain net income (from Part IV, line 2)
...
356,816
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)
.......
-6,676
-6,676
0
12
Total.
Add lines 1 through 11
........
536,162
499,191
0
13
Compensation of officers, directors, trustees, etc.
127,528
0
0
127,528
14
Other employee salaries and wages
......
15
Pension plans, employee benefits
.......
16a
Legal fees (attach schedule)
.........
118
0
0
118
b
Accounting fees (attach schedule)
.......
4,000
0
0
4,000
c
Other professional fees (attach schedule)
....
1,278
0
0
1,278
17
Interest
...............
18
Taxes (attach schedule) (see instructions)
...
21,365
3,045
0
9,098
19
Depreciation (attach schedule) and depletion
...
1,597
0
0
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
22
Printing and publications
..........
23
Other expenses (attach schedule)
.......
95,397
83,293
0
12,104
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
251,283
86,338
0
154,126
25
Contributions, gifts, grants paid
.......
2,156,042
2,156,042
26
Total expenses and disbursements.
Add lines 24 and 25
2,407,325
86,338
0
2,310,168
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-1,871,163
b
Net investment income
(if negative, enter -0-)
412,853
c
Adjusted net income
(if negative, enter -0-)
...
0
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X
Form
990-PF
(2016)
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
Cashnon-interest-bearing
.............
219,682
100,300
100,300
2
Savings and temporary cash investments
.........
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
..........
10a
InvestmentsU.S. and state government obligations (attach schedule)
b
Investmentscorporate stock (attach schedule)
.......
c
Investmentscorporate bonds (attach schedule)
.......
11
Investmentsland, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investmentsmortgage loans
.............
13
Investmentsother (attach schedule)
..........
8,243,732
6,493,304
7,114,639
14
Land, buildings, and equipment: basis
17,894
Less: accumulated depreciation (attach schedule)
13,902
5,589
3,992
3,992
15
Other assets (describe
)
16
Total assets
(to be completed by all filerssee the
instructions. Also, see page 1, item I)
8,469,003
6,597,596
7,218,931
17
Accounts payable and accrued expenses
..........
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
)
23
Total liabilities
(add lines 17 through 22)
.........
0
0
Foundations that follow SFAS 117, check here
and complete lines 24 through 26 and lines 30 and 31.
24
Unrestricted
..................
25
Temporarily restricted
...............
26
Permanently restricted
...............
Foundations that do not follow SFAS 117, check here
and complete lines 27 through 31.
27
Capital stock, trust principal, or current funds
........
0
0
28
Paid-in or capital surplus, or land, bldg., and equipment fund
0
0
29
Retained earnings, accumulated income, endowment, or other funds
8,469,003
6,597,596
30
Total net assets or fund balances
(see instructions)
.....
8,469,003
6,597,596
31
Total liabilities and net assets/fund balances
(see instructions)
.
8,469,003
6,597,596
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of yearPart II, column (a), line 30 (must agree with end-of-year figure reported on prior years return)
...............
1
8,469,003
2
Enter amount from Part I, line 27a
.....................
2
-1,871,163
3
Other increases not included in line 2 (itemize)
3
0
4
Add lines 1, 2, and 3
..........................
4
6,597,840
5
Decreases not included in line 2 (itemize)
5
244
6
Total net assets or fund balances at end of year (line 4 minus line 5)Part II, column (b), line 30
.
6
6,597,596
Form
990-PF
(2016)
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
PPurchase
DDonation
(c)
Date acquired
(mo., day, yr.)
(d)
Date sold
(mo., day, yr.)
1 a
Chrispus Holding III, LLC Short Term Capital Loss
P
b
Chrispus Holding III, LLC Long Term Capital Gain
P
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
10,832
-10,832
b
367,648
367,648
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
-10,832
b
367,648
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
356,816
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
2,111,496
10,077,205
0.209532
2014
1,646,923
11,894,567
0.138460
2013
1,556,614
12,150,861
0.128107
2012
1,308,760
11,785,847
0.111045
2011
1,219,043
12,009,605
0.101506
2
Total
of line 1, column (d)
.....................
2
0.688650
3
Average distribution ratio for the 5-year base perioddivide 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
0.137730
4
Enter the net value of noncharitable-use assets for 2016 from Part X, line 5
......
4
8,175,009
5
Multiply line 4 by line 3
......................
5
1,125,944
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
4,129
7
Add lines 5 and 6
........................
7
1,130,073
8
Enter qualifying distributions from Part XII, line 4
,.............
8
2,310,168
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)
Form 990-PF (2016)
Page
4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948see 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 necessarysee instructions)
b
Domestic foundations that meet the section 4940(e) requirements in Part V, check
1
4,129
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
4,129
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
4,129
6
Credits/Payments:
a
2016 estimated tax payments and 2015 overpayment credited to 2016
6a
8,800
b
Exempt foreign organizationstax withheld at source
......
6b
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
7,000
d
Backup withholding erroneously withheld
...........
6d
7
Total credits and payments. Add lines 6a through 6d
..............
7
15,800
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
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
11,671
11
Enter the amount of line 10 to be:
Credited to 2017 estimated tax
4,160
Refunded
11
7,511
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)
VT
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
No
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)
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
N/A
14
The books are in care of
Ron Roberts
Telephone no.
(603) 471-9909
Located at
360 RT 101 Suite 13C
Bedford
NH
ZIP+4
03110
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
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 years undistributed income? (If applying section 4942(a)(2)
to
all
years listed, answer "No" and attach statementsee 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
Yes
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)
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 53.49455(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)
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
Richard E Tarrant
Director
1.00
0
0
0
PO Box 521
Winooski
,
VT
05404
Deborah L Tarrant
Director
1.00
0
0
0
PO Box 521
Winooski
,
VT
05404
Ronald L Roberts
Director
1.00
0
0
0
PO Box 521
Winooski
,
VT
05404
Kevin S Veller
Director
1.00
0
0
0
PO Box 521
Winooski
,
VT
05404
Frank Cioffi
Director
1.00
0
0
0
PO Box 521
Winooski
,
VT
05404
Lauren A Curry
Executive Director
40.00
120,748
6,780
0
PO Box 521
Winooski
,
VT
05404
2
Compensation of five highest-paid employees (other than those included on line 1see 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
NONE
Total
number of others receiving over $50,000 for professional services
.............
0
Part IX-A
Summary of Direct Charitable Activities
List the foundations 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
2
All other program-related investments. See instructions.
3
Total.
Add lines 1 through 3
.........................
0
Form
990-PF
(2016)
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
8,009,377
b
Average of monthly cash balances
.......................
1b
290,125
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
8,299,502
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
8,299,502
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
124,493
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
8,175,009
6
Minimum investment return.
Enter 5% of line 5
..................
6
408,750
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
408,750
2a
Tax on investment income for 2016 from Part VI, line 5
......
2a
4,129
b
Income tax for 2016. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
4,129
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
404,621
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
404,621
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
404,621
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
2,310,168
b
Program-related investmentstotal from Part IX-B
..................
1b
0
2
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
purposes
...............................
2
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
2,310,168
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
4,129
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
2,306,039
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)
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
404,621
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
......
647,079
b
From 2012
......
733,762
c
From 2013
......
973,583
d
From 2014
......
1,068,887
e
From 2015
......
1,625,200
f
Total
of lines 3a through e
........
5,048,511
4
Qualifying distributions for 2016 from Part
XII, line 4:
$
2,310,168
a
Applied to 2015, but not more than line 2a
0
b
Applied to undistributed income of prior years
(Election requiredsee instructions)
.....
0
c
Treated as distributions out of corpus (Election
requiredsee instructions)
........
0
d
Applied to 2016 distributable amount
.....
404,621
e
Remaining amount distributed out of corpus
1,905,547
5
Excess distributions carryover applied to 2016.
0
0
(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
6,954,058
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 amountsee
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)
...
647,079
9
Excess distributions carryover to 2017.
Subtract lines 7 and 8 from line 6a
......
6,306,979
10
Analysis of line 9:
a
Excess from 2012
....
733,762
b
Excess from 2013
....
973,583
c
Excess from 2014
....
1,068,887
d
Excess from 2015
....
1,625,200
e
Excess from 2016
....
1,905,547
Form
990-PF
(2016)
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 testenter:
(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 testenter:
(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 yearsee 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).)
Richard E Tarrant
Deborah L Tarrant
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:
Lauren Curry
PO Box 521
Winooski
,
VT
05404
(802) 857-0495
b
The form in which applications should be submitted and information and materials they should include:
No specific form is required.
c
Any submission deadlines:
Applications are accepted at any time.
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
Qualified organizations must provide valuable community service and demonstrate they meet fundamental needs not easily met elsewhere, and demonstrate professional and efficient management. The Foundation shall look favorably upon qualified organizations which are educational in nature, or which serve the needy, including the poor and disenfranchised. No qualified organization may be a proponent of free choice as it relates to abortion. No organization which adopts or supports a socialist political platform or "progressive" socialist type agenda shall be an eligible qualified organization.
Form
990-PF
(2016)
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
Alice Lloyd College
100 Purpose Road
Pippa Passes
,
KY
41844
No Relationship
PC
Laptops for Low-Income Students
3,392
AWARE
PO Box 307
Hartwick
,
VT
05843
No Relationship
PC
Economic Empowerment Program
5,000
Bella Voce
14 Aspen Drive
Essex Junction
,
VT
05452
No Relationship
PC
Annual Fund
250
Boca Raton Hospital Foundation
745 Meadows Road
Boca Raton
,
FL
33486
No Relationship
PC
Annual Ball Sponsorship
25,000
Boys & Girls Club Of Brattleboro
17 Flat St
Brattleboro
,
VT
05301
No Relationship
PC
General Operating Support & Tech Updgrades
30,000
Boys & Girls Club Of Burlington
62 Oak Street
Burlington
,
VT
05401
No Relationship
PC
General Operating Support
20,000
Boys & Girls Club Of Rutland County
PO 636
Rutland
,
VT
05702
No Relationship
PC
General Operating Support
15,000
Catholic Hospice
14875 77th Ave Suite 100
Miami Lakes
,
FL
33014
No Relationship
PC
In Memory of Jean Mayer
500
College of St Joseph in Vermont
71 Clement Road
Rutland
,
VT
05701
No Relationship
PC
STEPS Program
20,000
Community Capital of Vermont
PO Box 342
Barre
,
VT
05641
No Relationship
PC
General Operating Support
8,000
COTS
PO Box 1616
Burlington
,
VT
05402
No Relationship
PC
General Operating Support
50,000
COVER Home Repair
158 South Main St
White River Junction
,
VT
05001
No Relationship
PC
Aging in Place Program
8,100
Ethan Allen Institute
PO Box 543
Montpelier
,
VT
05601
No Relationship
PC
Common Sense Radio
2,000
First Baptist Church of Bristol
c/o 2012 Carlstrom Road
Bristol
,
VT
05443
No Relationship
PC
Accessibility Improvements
8,000
Friends Of The Burnham Library
62 Main St
South Bridgewater
,
CT
06752
No Relationship
PC
Annual Appeal
250
Friends of VT Guardians ad Litem
PO Box 24
White River Junction
,
VT
05001
No Relationship
PC
Communication & Recruitment
2,500
Generator
250 Main Street
Burlington
,
VT
05401
No Relationship
PC
Relocation Support
10,000
Green Mountain Habitat For Humanity
300 Cornerstone Drive Suite 335
Williston
,
VT
05495
No Relationship
PC
General Operating Support
10,000
Groundworks Collaborative
PO Box 175
Brattleboro
,
VT
05302
No Relationship
PC
General Operating Support
15,000
Home Share Now
105 North Main Street Suite 103
Barre
,
VT
05641
No Relationship
PC
General Operating Support & Website Project
9,000
Humane Society of Broward County
2070 Griffin Road
Fort Lauderdale
,
FL
33312
No Relationship
PC
General Operating Support
10,000
June Buchanan School
100 Purpose Road
Pippa Passes
,
KY
41844
No Relationship
PC
AMLE Conference Team
4,800
Junior League of Boca Raton
261 NW 13th St
Boca Raton
,
FL
33432
No Relationship
PC
Women's Volunteer of the Year Program
3,000
King Street Center
87 King St
Burlington
,
VT
05401
No Relationship
PC
Teen Futures Program
10,000
Lucy's House-Prevention of Homeless Pets
21 Foster Road
Essex Junciton
,
VT
05452
No Relationship
PC
Program Support
10,000
MiddSummer Program
PO Box 984
Middlebury
,
VT
05753
No Relationship
PC
Program Support
1,000
Montpelier Senior Activity Center
58 Barre Street
Montpelier
,
VT
05602
No Relationship
PC
General Operating Support
15,000
NE Focal Point CASA Inc
227 NW 2nd Street
Deerfield Beach
,
FL
33441
No Relationship
PC
Fashion Show Sponsorship
1,000
New England First Amendment Coalition
111 Milk Street
Westborough
,
MA
01581
No Relationship
PC
Honoring Mike Donoghue
1,000
North Country Hospital
189 Prouty Drive
Newport
,
VT
05855
No Relationship
PC
Patient Care Initiative/Seniors
2,500
Pierce Hall community Center
PO Box 36
Rochester
,
VT
05767
No Relationship
PC
Restoration Project (Kitchen)
2,500
Roman Catholic Diocese of Burlington
55 Joy Drive
South Burlington
,
VT
05403
No Relationship
PC
Bishop's Fund
5,000
Rutland Recreation and Parks Department
16 North Street Extension
Rutland
,
VT
05701
No Relationship
GOV
Godnick Adult Center
5,000
Samaritan House Inc
20 Kingmand Streeet Suite 1
St Albans
,
VT
05478
No Relationship
PC
Homelessness Prevention Program
10,000
Sisters Of Providence
1808 Lind Ave
Renton
,
VT
98057
No Relationship
PC
Family Assistance Fund/Sr. Pat McKittrick
2,500
Sisters Of Providence
1808 Lind Ave
Renton
,
VT
98057
No Relationship
PC
Family Assistance Fund/Sr. Pat McKittrick
2,500
Solaris
14 Aspen Drive
Essex Junciton
,
VT
05452
No Relationship
PC
Annual Fund
250
South Burlington Community Justice Center
19 Gregory Street
South Burlington
,
VT
05403
No Relationship
PC
Writing Inside VT
5,000
South Hero Library Foundation
75 South Street
South Hero
,
VT
05486
No Relationship
PC
Capital Campaign
10,000
St Benedict's Preparatory School
520 ML King Blvd
Newark
,
NJ
07102
No Relationship
PC
Annual Fund
10,000
St Michael's College
One Winooski Park Box 256
Colchester
,
VT
05439
No Relationship
PC
Annual Fund
20,000
Stable Connections
PO Box 102
Guildhall
,
VT
05905
No Relationship
PC
Program Support
6,000
Turning Point Center Of Chittenden County
191 Bank Street-Suite 200
Burlington
,
VT
05401
No Relationship
PC
General Operating Support
15,000
Tutorial Center Inc
208 Pleasant St
Bennington
,
VT
05201
No Relationship
PC
Seedlings Afterschool Program
7,500
United Way of Lamoille County
20 Morrisville Plaza Suite B
Morrisville
,
VT
05661
No Relationship
PC
Individual/Family Assistance Program
12,000
University of Vermont Foundation
411 Main Street
Burlington
,
VT
05401
No Relationship
PC
Tarrant Inst. for Innovative Education/ Hamill Professorship/ Gilligan and Brennan Arenas
1,580,000
University of Vermont Medical Center
111 Colchester Ave
Burlington
,
VT
05401
No Relationship
PC
Impatient Facility
100,000
Vermont Food Bank
33 Parker Road
Barre
,
VT
05641
No Relationship
PC
Community Kitchen Academy
20,000
Vermont Superintendents Association
2 Prospect Street STE 2
Montpelier
,
VT
05602
No Relationship
PC
Conference Sponsorship
1,500
Vermont Works for Women
32 Malletts Bay Avenue
Winooski
,
VT
05404
No Relationship
PC
Step in to Work
10,000
Volunteers in Action
Mt Ascutney Hospital and Heath
Center PO Box 707
Windsor
,
VT
05089
No Relationship
PC
General Operating Support
10,000
VT School Board Association
2 Prospect Street
Montpelier
,
VT
05602
No Relationship
PC
Annual Conference Sponsorship
1,500
Veterans Place
220 Vine Street
Northfield
,
VT
05663
No Relationship
PC
General Operating Support
12,000
Zack's Place
PO Box 634
Woodstock
,
VT
05091
No Relationship
PC
General Operating Support
7,500
Total
.................................
3a
2,156,042
b
Approved for future payment
Total
.................................
3b
0
Form
990-PF
(2016)
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
...........
4
Dividends and interest from securities
....
14
186,022
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
356,816
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
11
Other revenue:
a
Income/Loss from Passthrough Entity
14
-45,228
b
1231 Gain/Loss from Passthrough
18
38,552
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
0
536,162
0
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
536,162
(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 foundations exempt purposes (other than by providing funds for such purposes). (See
instructions.)
Form
990-PF
(2016)
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.
2017-11-13
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
Barbara J McGuan CPA
Preparer's Signature
Date
2017-11-05
Check if self-
employed
PTIN
P00219457
Firm's name
Berry Dunn McNeil & Parker LLC
Firm's EIN
01-0523282
Firm's address
PO Box 1100
Portland
,
ME
041041100
Phone no.
(207) 775-2387
Form
990-PF
(2016)
Additional Data
Software ID:
Software Version:
Form 990PF - Special Condition Description:
Special Condition Description