2005 (amended) Carl & Ruth Shapiro Family Foundation 990 (excludes Madoff Investments)
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oMa N
Return of Private Foundation
Form 990-PF
or Section 4947(a)(1) Nonexempt Charitable Tnist Treated as a Private Foundation
Department or the Treasury
Internal Revenue service
5.0052
2005
Note : Theorganization may be able to use a copy of this return to sad* stafe reporting requirements. , and ending For calendar year 2005 , or tax year beginning n L^-
..I...
1^1
I.. A:+^...^.,..,
GL..,I ...^.....
V
A.-..... 1...1-.....
V
Name of organization
Use the IRS label. Otherwise , CARL
print or type.
& RUTH SHAPIRO FAMILY FOUNDATION
HH- -....,..
04-6135027 B Telephone number 617-778-7999
Roarntsulte
Number and street (or P.O. box number it mall Is not delivered to street adds s)
75 PARK PLAZA
See Specific City or town, state, and ZIP code Instructions. 02116 B OSTON , MA H Check type of organization: ® Section 501 (c)(3) exempt private foundation Other taxable private foundation Section 4947(a)(1) nonexempt charitable trust
C It exemption application Is pending, check here
D 1. Foreign organizations, check here .eling Ihe0 2. Fehedraelgn org the 8596 test here end attach ion3 meeting . .. .... - -E If p rivate found a ti on statu s was terminat e d
[] Accrual I Fair market value of all assets at end of year J Accounting method: ® Cash 0 Other (specify) (from Part 11, col. (c), line 16) 51 2 7 0 5 6 5 . (Part 1, column (d) must be on cash basis.) NO. $ and Expenses Part I Analysisorof Revenue ( a) Revenue and (b ) Net Investment o lumns (b) (4 and (d) may not ne e foul amounts In co expenses per books Income cewsuily equal the amounts In column (ak)
1 Contributions , gifts, grants, etc., received ,-. ,--.Lredr
II thetuendatseIs colrequired toattach s[h.a
3 's;,inv
"s and.. temporary ................................
2
AA.1. ...... .J.........
A Employer identification number
under section 507 (b)(1)(A), check here ... F If the foundation Is in a 60-month termination under section 507 (b )( 1 B check hero... (a) Adjusted net Income
14 , 077 , 399 .
^^n^ taste purposes
(cash basis only)
N/A
496 , 140 . 673 , 731.
4 Dividends and interest from securities ,,,,,,,,,,,,,,,
r
for
496 , 140. 673 . 731.
5a Gross rents b Net rental lnceme or puss)
C L
611 Net gain or (loss) from sate of assets not on line 10 Grow assets an
b
'n^,ac e ....
. •.. _..
13
,
958.
24,719, 883.
Capital gain not time (hare Pmt IV , line 2) 8 Net short-term capital gain .... .................... 9 Income modifications ..................................
13 , 958.
7
Gross sales law robins 108 and allowances ........... b Lear. Cost of goads sold ...
c Gross profit or (loss) .. _,.•.,....., •-, ................. 11 Other income ...................... ................... 12 Total. Add lilies 1 throw h 11 ........ ...... ,.
13 Compensation of officers. directors, trustees , etc..... .... 14 Other employee salaries and wages . •••, •„••„••„ 16
Pension plans, employee benefits ............. „ •
16a Legal fees ... . • ,,,,,,,,,,,,,,,,,,,••.,•.,,•-..••...,,_,•,
15 ,
261 , 228. 61 624. 30 826.
468. 6 983.
11 000. 9 , 429.
18 Taxes ........................... . . . ..................
55
Depreciation and depletion
• . . . .. . - --- - - - - -- - -------
61 30 17 3
0. 0. 0. 3 492. 11 ' 000.
17
b Accounting fees ................... ................... c Other professional fees ... .. . . .. . . .. ,,,• . ••,••,••„••• 17 Interest ................................................... 19
1 , 183 , 829.
05 . I VIL
624. 826. 468. 491. 0.
0.
9 , 429.
0.
9 380.
0.
37 , 200.
0.
37 200.
3 , 577.
0.
3 577.
CO 23 Other expenses ......... ........ . . .. . .. ..... ....... .19 , 206.
0.
18 956 .
20 Occupancy ....... . . ..... .. .. . . .. . ..... ... .. . .... . ...... a 21 Travel, conferences, and meetings ,••.,••••,•••••••, g 22 Printing and publications .. .. ... ....... ... • . , . • _. ••
24 Total operating and administrative expenses . Add lines 13 through 23 a 25 Contributions, gifts, grants paid 26 Total expenses and disbursements. Add lines 24 and 25 27 Subtract line 26 from line 12:
5 3 13 4 . 14 10 0 .
14 4
67 234.
14 49
191 9 51 6 514 10 0 . .
G®I
706 051. -
a Excess or revenue over expenses and disbursements
It Net Investment income (it negative,
enter -o.) . .......
c Adjusted net Income (it negative, enter -o-)........ LHA 823501 01-05-08
1 , 16 9 337.
.
For Privacy Act and Paperwork Reduction Act Notice, see the instructions.
N/A
Form 990-PF (2005)
C- DDl1_6C /')nn
Part II 1 2 3 4 5 6
%
/T T T] T
Balance Sheets
I
T]TTTV
U)
8
Less: allowance for doubtful accounts ^ Inventories for sale or use
y
9 Prepaid expenses and deferred charges
u)
investments - land, buildings , and equipment basis
^
Less accumulated depreciation
^
8
Investments - mortgage loans Investments - other Land, buildings, and equipment: basis ^
95 , 606.
Less accumulated depreciation
94 , 982.
STMT
Other assets (describe ^
16 17 18 19
Total assets to be com p leted by all filers Accounts payable and accrued expenses Grants payable Deferred revenue
20
Loans from officers , directors, trustees , and other disqualified persons
23
(a) Book Value
n A
(b) Book Value
364. 22 , 135 , 304.
STMT
15
!g 21 J 22
Lm/1TT%TT17km r^,KT
C1
'] C /1'S
7
D..,... n
End of year v v r ' (c) Fair Market Value
1 , 130. 31 , 480 , 136. .
1 , 130. 31 , 480 , 136.
^
10a Investments - U.S and state government obligations b Investments - corporate stock c Investments - corporate bonds
12 13 14
f
Beginning of year
Cash - non-interest-bearing Savings and temporary cash investments Accounts receivable ^ Less: allowance for doubtful accounts ^ Pledges receivable ^ Less. allowance for doubtful accounts ^ Grants receivable Receivables due from officers, directors, trustees, and other disqualified persons Other notes and loans receivable
11
LmAILTT
Attached schedules and amounts In the description column should be for end-ol-year amounts only
7
a
C' VT TI TD?.
11 , 800.
11 , 800.
11 800.
20 , 851 , 188.
20 , 000 , 000.
19 , 776 , 875.
1 , 040.
624.
624.
42 , 999 , 696.
51 , 493 , 690.
51 , 270 , 565.
978.
978.
978.
978.
Mortgages and other notes payable
Other liabilities (describe ^
STATEMENT
Total liabilities ( add lines 17 throw h 22 ) Organizations that follow SFAS 117, check here and complete lines 24 through 26 and lines 30 and 31.
10)
^
24 Unrestricted 25 m 26 C 11
Temporarily restricted Permanently restricted
y 27 N 28 < 29
Capital stock, trust principal, or current funds
Organizations that do not follow SFAS 117 , check here and complete lines 27 through 31.
^
45 , 897 , 580.
Paid-in or capital surplus, or land, bldg., and equipment fund
Retained earnings, accumulated income, endowment, or other funds
Z 30 Total net assets or fund balances 31
S AME NDED
Total liabilities and net assets/fund balances
Part III
45 , 897 , 580.
0.
0.
-2 , 898 , 862. 42 , 998 , 718.
5 , 595 , 132. 51 , 492 , 712.
42 , 999 , 696.
51 , 493 , 690.
Analysis of Changes in Net Assets or Fund Balances
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) 2 Enter amount from Part I, line 27a 3 Other increases not included in line 2 (itemize) ^ 4 Add lines 1, 2, and 3 5 Decreases not included in line 2 (itemize) ^ 6 Total net assets or fund balances at end of year (line 4 minus line 5) - Part II, column V. line 30 1
141
51.492.712. 51,4y6,/1L. Form 990-PF (2005)
523511 01-05-06
14310513 805532 6135027X
2 2005.09001 CARL & RUTH SHAPIRO FAMILY
61350202
Form 990-PF (2005) CARL & RUTH S HAP IRO FAMILY FOUNDATION Part IV Capital Gains and Losses for Tax on Investment Income (b How acgwred o - Purchase D - Donation
(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.)
la 20 , 000 SHS METLIFE CL B 6.5% PRFRD b 20 , 000 SHS METLIFE CL B 6.5% PRFRD c US T-BILL 7 / 7 / 05 10 , 000 , 000
(e) Gross sales price
a b c d e
(f) Depreciation allowed (or allowable)
09 / 12 / 05 09 / 28 / 05 07 / 07 / 05 09 / 29 / 05 11 / 18 / 08
(h) Gain or (loss) (e) plus (f) minus (g)
500 000. 500 000.
9 , 896 , 136. 9 , 844 , 289. 3 , 965 , 500.
9 , 896 , 136. 9 , 844 , 289. 3 , 965 , 500.
9 979. 3 , 979. 0. 0. 0.
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (j) Adjusted basis as of 12/31/69
(d) Date sold (mo., day, yr.)
06 / 16 / 05 06 / 16 / 05 02 / 17 / 05 03 / 28 / 05 08 / 22 / 05
(g) Cost or other basis plus expense of sale
509 979. 503 979.
(i) F.M.V as of 12/31/69
Date acquired ^mo., day, yr.)
P P P P P
d US T-BILL 9 / 29 / 05 10 , 000 , 000 e FHLB 11 / 18 / 05 4 , 000 , 000
Page 3
04-6135027
(I) Gains (Col. (h) gain minus col. (k), but not less than -0-) or Losses (from col. (h))
(k) Excess of col. (i) over col. (I), if any
a
9 , 979.
b C
3 , 979. 0.
d
0.
e
0. If gain, also enter in Part I, line 7 If (loss), enter -0- in Part I, line 7 1
2 Capital gain net income or ( net capital loss).
13 , 958.
2
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). It (loss), enter -0- in Part I, line 8
3
N/A
Part V I 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.)
AS AMENDED
If section 4940(d)(2) applies, leave this part blank. Was the organization liable for the section 4942 tax on the distributable amount of any year in the base period? If "Yes, the organization does not quality 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. Base periiod years Calendar year ( or tax year be g innin g in )
Adjusted qualify(bi ng distributions
2004 2003 2002 2001 2000
3 6 7 7 8
, , , , ,
345 809 700 929 268
, , , , ,
224. 240. 592. 251. 194.
0 Yes ® No
Distribution ratio ( col. (b) divided by col. (c))
(c) Net value of noncharitable-use assets
155 148 139 133 131
208 563 233 023 336
719. 393. 371. 383. 054.
.021553 .045834 .055307 . 059608 .062954
2 Total of line 1, column (d) 3 Average distribution ratio for the 5-year base period - divide the total on line 2 by 5, or by the number of yea rs the foundation has been in existence if less than 5 years
2
. 245256
3
.
4 Enter the net value of noncharitable - use assets for 2005 fro m Part X, line 5
4
40
,
940 , 785.
5
2
,
008 , 186.
5
Multiply line 4 by line 3
049051
6 Enter 1 % of net investment income ( 1% of Part I, line 27b)
6
7 Add lines 5 and 6
7
2
,
019 , 879.
8 Enter qualifying distributions from Part XII, line 4
8
6
,
706 , 051.
11 , 693.
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 (2005)
523521 /01-05-06
14310513 805532 6135027X
3 2005.09001 CARL & RUTH SHAPIRO FAMILY
61350202
Form 990-PF ( 2005 ) CARL & RUTH SHAPIRO FAMILY FOUNDATION Page 4 04 - 61 35027 Part VI Excise Tax Based on Investment Income (Section 4940(a), 4940 (b), 4940(e), or 4948 - see instructions) la Exempt operating foundations described in section 4940(d)(2), check here ^ 0 and enter 'N/A' on line 1. Date of ruling letter: ( attach copy of ruling letter if necessary - see instructions) b Domestic organizations that meet the section 4940(e) requirements in Part V, check here ^ ® and enter 1% of Part I, line 27b c All other domestic organizations 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-) 3 Add lines 1 and 2 4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 5 Tax based on investment income Subtract line 4 from line 3. If zero or less, enter -06 Credits/Payments: a 2005 estimated tax payments and 2004 overpayment credited to 2005 b Exempt foreign organizations - tax withheld at source
1
11 , 693.
2
0. 11 , 693. 0. 11 , 693.
3 4 5
6a 6b
95 , 543.
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 8 Enter any penalty for underpayment of estimated tax. Check here 0 if Form 2220 is attached 9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed 10 Overpayment If line 7 is more than the total of lines 5 and 8, enter the amount overpaid 11 Enter the amount of line 10 to be: Credited to 2006 estimated tax Poo, Statements Regarding Activities Part VII- A
95 , 543.
^
7 8 9
^ 0 . Refunded Ili,
10 11
83 , 850. 83 , 850.
la During the tax year, did the organization attempt to influence any national, state, or local legislation or did it participate or intervene in any political campaign? b Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see instructions for definition)? 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 organization in connection with the activities. Did the organization file Form 1120 -POL for this year? Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year: (1) On the organization. ^ $ 0 . (2) On organization managers. ^ $ 0. Enter the reimbursement (if any) paid by the organization during the year for political expenditure tax imposed on organization managers. ^ $ 0. Has the organization engaged in any activities that have not previously been reported to the IRS? If 'Yes, " attach a detailed description of the activities. 3 Has the organization 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 4a Did the organization have unrelated business gross income of $1,000 or more during the year? b If 'Yes; has it filed a tax return on Form 990-T for this year? 5 Was there a liquidation, termination, dissolution, or substantial contraction during the year? 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? 7 Did the organization have at least $5,000 in assets at any time during the year? If "Yes,' complete Part II, col (c), and Part XV 8a Enter the states to which the foundation reports or with which it is registered (see instructions) ^
AS AMENDED N/A
b If the answer is 'Yes' to line 7, has the organization 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 9 Is the organization claiming status as a private operating foundation within the meaning of section 4942(j)(3) or 4942(I)(5) for calendar year 2005 or the taxable year beginning in 2005 (see instructions for Part XIV)? If "Yes,' complete Part XIV 10 Did any persons become substantial contributors during the tax year? lf "Yes," attach a schedule listing their names and addresses 11 Did the organization comply with the public inspection requirements for its annual returns and exemption application? Web site address ^
No X
4a
X
X
X X 11
X
N/A
12 The books are in care of ^ WELLESLEY CAPITAL MANAGEMENT, INC. Telephone no. ^ 7 81- 2 3 5 - 610 7 Located at ^ ONE WASHINGTON ST. SUITE 202, WELLESLEY , MA. ZIP+4 ^0 2 481 13
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
^0 ^1
13 I
01-05 oe
14310513 805532 6135027X
N/A
Form 990-PF (2005)
4 2005.09001 CARL & RUTH SHAPIRO FAMILY
61350202
Form 990-PF (2005) CARL & RUTH S HAP IRO FAMILY FOUNDATION 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. la During the year did the organization (either directly or indirectly): (1) Engage in the sale or exchange, or leasing of property with a disqualified person'? (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from) a disqualified persons (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person'? (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person'? (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)?
P age 5
04-6135027 Yes
No
E:1 Yes ® No Yes ® No Yes ® No Yes ® No
0 Yes ® No (6) Agree to pay money or property to a government official? ( Exception . Check 'No' if the organization 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 la(1)-(6), did any of the acts fail to quality under the exceptions described in Regulations section 53.4941 ( d)-3 or in a current notice regarding disaster assistance ( see page 20 of the instructions) N/A Organizations relying on a current notice regarding disaster assistance check here ^ c Did the organization engage in a prior year in any of the acts described in la, other than excepted acts, that were not corrected before the first day of the tax year beginning in 20057 Taxes on failure to distribute income (section 4942) ( does not apply for years the organization was a private operating foundation defined in section 4942 ( l)(3) or 4942 ( l)(5)): a At the end of tax year 2005, did the organization have any undistributed income ( lines 6d and 6e, Part XIII ) for tax year(s) beginning before 20059 Yes ® No If 'Yes, list the years ^ b Are there any years listed in 2a for which the organization 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.) p` S qA ER f'11l/^ I^ /1 c If the provisions of section 4942 ( a)(2) are being applied to any of the years listed in 2a, list the years here .
3a Did the organization hold more than a 2% direct or indirect interest in any business enterprise at any time during the year? Yes ® No b It 'Yes; did it have excess business holdings in 2005 as a result of (1) any purchase by the organization 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, N/A Form 4720, to determine if the organization had excess business holdings in 2005) 4a Did the organization invest during the year any amount in a manner that would jeopardize its charitable purposes? b Did the organization 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 2005? 5a During the year did the organization pay or incur any amount to: 0 Yes ® No (1) Carry on propaganda , or otherwise attempt to influence legislation ( section 4945 (e))' (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 L Yes ® No (3) Provide a grant to an individual for travel, study, or other similar purposes ' (4) 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)? Yes ® No (5) Provide for any purpose other than religious , charitable , scientific, literary, or educational purposes, or for = Yes ® No the prevention of cruelty to children or animals? b If any answer is 'Yes' to 5a( 1)-(5), did any of the transactions fail to quality under the exceptions described in Regulations section 53.4945 or in a current notice regarding disaster assistance ( see instructions )' N/A Organizations relying on a current notice regarding disaster assistance check here ^ LI c If the answer is 'Yes' to question 5a(4), does the organization claim exemption from the tax because it maintained expenditure responsibility for the grant? N/A 0 Yes 0 No If "Yes, " attach the statement required by Regulations section 53 .4945-5(d) 6a Did the organization , during the year, receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? b Did the organization , during the year, pay premiums , directly or indirectly, on a personal benefit contract? If you answered " Yes" to 6b, also file Form 8870
3b 4a
X
4b
X
5b
0 Yes ® No 6b
X
Form 990-PF (2005) 523541 01-05-08
14310513 805532 6135027X
5 2005.09001 CARL & RUTH SHAPIRO FAMILY
61350202
CARL & RUTH SHAPIRO FAMILY FOUNDATION 04-6135027 Information About Officers, Directors , Trustees , Foundation Managers, Highly Part VIII 0 Paid Employees , and Contractors 1 List all officers , directors , trustees, foundation managers and their compensation. (b) Title, and average hours per week devoted (a) Name and address to position
SEE STATEMENT 11
w
Comoensation or rive nianest-tiara emorovees rotner man tnose included on Imp Tn_ It nnne
(a) Name and address of each employee paid more than $50,000
(bl Title and average hours per week devoted to p osition
Page 6
(c) Compensation ( If not paid, enter - 0 -)
emd)Conireneft stoos and deferred compensation
(e) Expense account, other allowances
61 , 624.
14 , 804.
0.
enter °N0NF°
(c) Compensation
IId) Contributions to e p and ete ret plans compensation
(e) Expense account, other allowances
NONE
Total number of other employees paid over $50,000 3 Five highest - paid independent contractors for professional services. If none, enter " NONE." (a) Name and address of each person paid more than $50,000
* (b) Type of service
0 (c) Compensation
NONE
AR AMFNDFD
Total number of others receiving over $50,000 for professional services
^
0
ran IR -A L 011.11 rnrnary ut urreci \.naruldlle facinrrl7es
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
Form 990-PF (2005)
01-05-06
14310513 805532 6135027X
6 2005.09001 CARL & RUTH SHAPIRO FAMILY
61350202
Form 990-PF (2005)
CARL & RUTH SHAPIRO FAMILY FOUNDATION
04-6135027
Page 7
Part IX- B Summary of Program - Related Investments Describe the two largest program - related investments made by the foundation during the tax year on lines 1 and 2. 1 N/A
Amount
2
All other program- related investments. See instructions. 3
Total. Add lines 1 through 3 Part X 1 a b c d
Minimum Investment Return (All domestic foundations must complete this part Foreign foundations, see instructions.)
Fair market value of assets not used (or held for use) directly in carrying out charitable, etc., purposes: Average monthly fair market value of securities Average of monthly cash balances Fair market value of all other assets
1 2a b c 3 4 5 6 7
Total (add lines 1a, b, and c)
25 , 062 , 418.
lb
16 , 501 , 831.
ld
2
0 .
3 4
41 , 564 , 249 . 623 , 464 40 , 940 , 785
1 2a 2b
Distributable amount before adjustments. Subtract line 2c from line 1 AS Recoveries of amounts treated as qualifying distributions Add lines 3 and 4 Deduction from distributable amount (see instructions) Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1
41 , 564 , 249 .
0.
5 6 Distributable Amount (see instructions) (Section 4942(j)(3) and (1)(5) private operating foundations and certain foreign organizations check here ^ = and do not complete this part.)
Minimum investment return from Part X, line 6 Tax on investment income for 2005 from Part VI, line 5 Income tax for 2005. (This does not include the tax from Part VI.) Add lines 2a and 2b
Part XII
la 1c
e Reduction claimed for blockage or other factors reported on lines la and 1c (attach detailed explanation) le 2 Acquisition indebtedness applicable to line 1 assets 3 Subtract line 2 from line l d 4 Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see instructions) Net value of noncharitable - use assets Subtract line 4 from line 3. Enter here and on Part V, line 4 5 6 Minimum investment return . Enter 5% of line 5 PartXI
0
1
2
047 , 039
2
, 047 , 039.
11 , 693.
2c
A
M END E D
3
11 , 693 . 2 , 035 , 346
4 5 6 7
0. 2
, 035 , 346 . 0 .
2
035
346 .
Qualifying Distributions (see instructions)
Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes: a Expenses, contributions, gifts, etc. - total from Part I, column (d), line 26 b Program-related investments - total from Part IX-B 2 Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc., purposes 3 Amounts set aside for specific charitable projects that satisfy the: a Suitability test (prior IRS approval required) b Cash distribution test (attach the required schedule) 4 Qualifying distributions Add lines la through 3b. Enter here and on Part V, line 8, and Part XIII, line 4 5 Organizations that qualify under section 4940(e) for the reduced rate of tax on net investment income. Enter 1% of Part I, line 27b 1
6
la 1b
6 , 706 , 051. 0.
2 3a 3b 4
6
, 706 ,
051.
5 11 , 693. Adjusted qualifying distributions Subtract line 5 from line 4 6 6 , 694 , 358. 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 (2005)
523561 01-05-0e
14310513 805532 6135027X
7 2005.09001 CARL & RUTH SHAPIRO FAMILY
61350202
Form 990-PF (2005)
Part XIII
CARL & RUTH SHAP I RO FAMILY FOUNDATION
04-6135027
Page 8
Undistributed Income (see instructions) (a) Corpus
1
Distributable amount for 2005 from Part XI, line?
2
Undistributed income , if any, as of the end of 2004
(b) Years prior to 2004
(c) 2004
(d) 2005
2 , 035 , 346.
a Enter amount for 2004 only b Total for prior years:
0.
0. 3 Excess distributions ca rryover, if any, to 2005:
a From 2000 b From 2001 cFrom2002
1 , 793 , 675. 1 , 514 , 910. 1 , 054 , 439.
d From 2003 e From 2004 f Total of lines 3a throug h e 4 Qualifying distributions for 2005 from
Part Xll,line
6 , 706 , 051.
a Applied to 2004, but not more than line 2a b Applied to undistributed income of prior years (Election required - see instructions) c Treated as distributions out of corpus (Election required - see instructions) d Applied to 2005 distributable amount e Remaining amount distributed out of corpus 5
4 , 363 , 024.
Excess distributions carryover applied to 2005
0. 0. 0.
2 , 035 , 346. 4 , 670 , 705. 0.
0.
Qf 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 at , 4c, and 4e Subtract line 5
9 , 033 , 729.
b Prior years' undistributed income. Subtract line 4b from line 2b 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
0. i^l
assessed
0
d Subtract line 6c from line 6b. Taxable
amount - see instructions
0
e Undistributed income for 2004. Subtract line 4a from line 2a. Taxable amount - see instr. f Undistributed income for 2005. Subtract lines 4d and 5 from line 1 This amount must be distributed in 2006 7 Amounts treated as distributions out of corpus to satisfy requirements imposed by section 170(b)(1)(E) or 4942(g)(3) 8 Excess distributions carryover from 2000 not applied on line 5 or line 7 9 Excess distributions carryover to 2006. Subtract lines 7 and 8 from line 6a 10 Analysis of line 9:
a Excess from 2001
1 514 910 .
b Excess from 2002 c Excess from 2003 d Excess from 2004
1 , 054 , 439.
e Excess from 2005
4 , 6 7 0 , 705. 1
0
0
0
1 793 675 7 , 240 , 054.
Form 990-PF (2005) 523571 01-us-os
14310513 805532 6135027X
8 2005.09001 CARL & RUTH SHAPIRO FAMILY
61350202
Form990-PF 2005 CARL & RUTH SHAPIRO FAMILY FOUNDATION Part XIV Private Operating Foundations (see instructions and Part V II-A, question 9) 1 a If the foundation has received a ruling or determination letter that it is a private operating foundation, and the ruling is effective for 2005, enter the date of the ruling b Check box to indicate whether the organization is a p rivate opera tm foundation describe Tax year 2 a Enter the lesser of the adjusted net (a) 2005 (b) 2004 income from Part I or the minimum investment return from Part X for each year listed b 85% of line 2a c Qualifying distributions from Part XI I, 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
04-6135027
Page9
N/A
1110. t or Prior 3 yeas (c) 2003
0 4942(j)(5)
d) 2002
( e) Total
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)
AS AMEN ED
(2) Support from general public and 5 or more exempt organizations as provided in section 4942(I)(3)(B)(11i) (3) Largest amount of support from an exempt organization
Supplementary Information (Complete this part only if the organ at any time during the year-see page 26 of the instructions.) 1
n had $5,000 or more in assets
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).)
SEE STATEMENT 12 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.
NONE 2 Information Regarding Contribution , Grant, Gift, Loan , Scholarship , etc., Programs: Check here ^ ® if the organization only makes contributions to preselected charitable organizations and does not accept unsolicited requests for funds. If the organization 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 of the person to whom applications should be addressed:
b The form in which applications should be submitted and information and materials they should include: c Any submission deadlines: d Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other factors:
523581/01-05-06
14310513 805532 6135027X
Form 990-PF (2005)
9 2005.09001 CARL & RUTH SHAPIRO FAMILY
61350202
Form 990-4 (2005)
ION
04-6135027
Page 10
Information 3
Grants and Contributions Paid During the Year or Approved for Future Payment If recipient is an individual, Recipient Foundation show any relationship to status of any foundation manager Name and address (home or business) recipient or substantial contributor
Purpose of grant or contribution
Amount
a Paid dunng the year
SEE ATTACHED STATEMENT
6,514,100.
AS AM ENDED
Total
^ 3a 6 514 100 .
b Approved for future payment
NONE
Total
^ 3b
523601 /01-05-06
14310513 805532 6135027X
0.
Form 990-PF (2005)
10 2005.09001 CARL & RUTH SHAPIRO FAMILY
61350202
Form 990-PF (2005)
Part XVI-A
CARL & RUTH S HAP IRO FAMILY FOUNDATION
04-6135027
Page 11
Analysis of Income -Producing Activities
Enter gross amounts unless otherwise indicated . 1 Program service revenue:
Unrelat ed business income (a) Business code
Exclu ded by section 512 . 513. or 514
(b) Amount
ELL 51O" code
(e) Related or exempt function income
(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 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
14
496 , 140.
14
673 , 731.
18
13 , 958.
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.
1 , 183 , 829.
13 Total. Add line 12, columns (b), (d), and (e) (See worksheet in line 13 instructions to verify calculations.)
Part XVI- B
13
1 , 18 3
0. , 829 .
Relationship of Activities to the Accomplishment of Exempt Purposes
14310513 805532 6135027X
11 2005.09001 CARL & RUTH SHAPIRO FAMILY
61350202
Form 990-PF (2005) 04-6135027 CARL & RUTH SHAPIRO FAMILY FOUNDATION Part XVII Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations 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? a Transfers from the reporting organization to a nonchardable exempt organization of. (1) Cash (2) Other assets b Other transactions: (1) Sales of assets to a noncharitable exempt organization (2) Purchases of assets from a noncharitable exempt organization (3) Rental of facilities, equipment, or other assets
Pa a 12
Yes No
la ( l ) 1a 2
X X
-
lb ( l ) lb (2 ) lb ( 3 ) (4) Reimbursement arrangements _ lb ( 4 ) (5) Loans or loan guarantees lb (5 ) (6) Performance of services or membership or fundraising solicitations lb ( 6 ) Sharing of facilities, equipment, mailing lists, other assets, or paid employees 1c 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 organization. If the organization received less than fair market value in any tra nsaction or sharing arrangement, show in
2a Is the organ ization 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? 0 Yes b If'Yes .' comDlete the followino schedule. (c) Description of relationship (b) Type of organization (a) Name of organization
N/A
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 or fiduciary) is based on all information of which preparer has any knowledge
Signature of officer or trustee Preparers
signature LO N Rrm•sname(oryours
a:) nsen-employed), address, and ZIP code
523621 01-05-08
S
AND
SHULMAN,
PC
11 CAMBRIDGE STREET 01803-4 ' BURLINGTON , MA
0 No
Schedule B
Schedule of Contributors
(Form 990, 990-EZ, or 990-PF ) Department of the Treasury
OMB No 1545-0047
Supplementary Information for
2005
line 1 of Form 990, 990 - EZ, and 990 - PF (see instructions)
Internal Revenue Service
Name of organization
L Employer identification number
rART.
1G
RTTTN
gTAPTPn
FAMTT.Y
nd_91'ASf177
170TTATnATTf1M
Organization type (check one)Filers of:
Section:
Form 990 or 990-EZ
0 501(c)(
) (enter number) organization
4947( a)(1) nonexempt chartable trust not treated as a private foundation 0 527 political organization Form 990- PF
® 501 (c)(3) exempt private foundation 0 4947(a)(1) nonexempt chartable trust treated as a private foundation
AS AMENDED
Q 501(c)(3) taxable private foundation
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 Rule15E] For organizations filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or property) from any one contributor (Complete Parts I and II ) Special RulesFor a section 501(c)(3) organization filing Form 990 , or Form 990- EZ, that met the 33 1 /3% support test under Regulations sections 1 509(a)-3/1 170A-9(e) and received from any one contributor , during the year , a contribution of the greater of $5,000 or 2% of the amount on line 1 of these forms (Complete Parts I and II.) For a section 501(c)(7),(8), or ( 10) organization filing Form 990 , or Form 990 - EZ, that received from any one contributor , during the year, aggregate contributions or bequests of more than $ 1,000 for use exclusively for religious, charitable, scientific , literary , or educational purposes , or the prevention of cruelty to children or animals . (Complete Parts I, II, and III ) For a section 501 (c)(7), (8), or (10) organization filing Form 990, or Form 990-EZ, that received from any one contributor, during the year, some contributions for use exclusively for religious, charitable, etc , purposes, but these contributions did not aggregate to more than $1,000 (If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, chartable, etc , purpose. Do not complete any of the Parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc , contributions of $5,000 or more during the year.) 1111. $ Caution : Organizations that are not covered by the General Rule and/or the Special Rules do not file Schedule B (Form 990, 990-EZ, or 990-PF), but they must check the box in the heading of their Form 990, Form 990-EZ, or on line 2 of their Form 990-PF, to certify that they do not meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990-PF) LHA For Paperwork Reduction Act Notice , see the Instructions for Form 990 , Form 990-EZ, and Form 990-PF.
Schedule B (Form 990 , 990-EZ , or 990-PF) (2005)
523451 02-01-08
14310513 805532 6135027X
13 2005.09001 CARL & RUTH SHAPIRO FAMILY
61350202
Sch e d ule B (Form 990, 990-E Z, or
P a ge
Name of organization
j
of
j o f P art I
Employer identification number
-6135027 Part I
Contributors (See Specific Instructions)
(a) No.
1
(b) Name , address, and ZIP + 4
Person
C/O ONE WASHINGTON STREET,
Payroll Noncash
(a) No.
STE.
202
$
3,104,073.
MA 02481 (b) Name, address, and ZIP + 4
(c) Aggregate contributions
SHAPIRO FAMILY FIVE YEAR CHARITABLE LEAD TRUST
WELLESLEY,
MA
STE.
202
$
6,700,998.
02481 (c) Aggregate contributions
SHAPIRO FAMILY TEN YEAR CHARITABLE LEAD STRUST C/O ONE WASHINGTON STREET, WELLESLEY,
(a) No.
(d) Type of contribution
Person
Eil
Payroll Noncash
0
(Complete Part II if there is a noncash contribution)
(b) Name , address, and ZIP + 4
(a) No.
0 0
(Complete Part II if there is a noncash contribution)
C/O ONE WASHINGTON STREET,
3
(d) Type of contribution
SHAPIRO FAMILY FIFTEEN YEAR CHARITABLE LEAD TRUST
WELLESLEY,
2
(c) Aggregate contributions
STE.
202
$
4,272,328.
(d) Type of contribution
Person
I-XI
Payroll Noncash
0 0
(Complete Part 11 6 there is a noncash contribution.;
MA 02481 (c) Aggregate contributions
(b) Name, address, and ZIP + 4
AS AMENDED-
(d) Type of contribution Person Payroll Noncash
$
0 Q
(Complete Part II if there is a noncash contnbutlon
(a) No.
(c) Aggregate contributions
(b) Name , address, and ZIP + 4
(d) Type of contribution Person Payroll Noncash
$
(Complete Part II if there is a noncash contribution)
(a) No.
(c) Aggregate contributions
(b) Name , address, and ZIP + 4
$
(d) Type of contribution Person Payroll Noncash
0 Q
(Complete Part II if there is a noncash contribution
523452 02-01-0e
14310513 805532 6135027X
scneaule ti (rorm ayu , uvu-tL , or aau -pt) fzuuo)
14 2005.09001 CARL & RUTH SHAPIRO FAMILY
61350202
2005 DEPRECIATION AND AMORTIZATION REPORT
990-PF
FORM 990-PF PAGE 1 Asset No
Description
Date Acquired
Method
Life
Line
No
Unadjusted Cost Or Basis
Bus % Excl
Reduction In Basis
Basis For Depreciation
Accumulated Depreciation
Current Sec 179
Amount Of Depreciation
1 FURNITURE AND FIXTURE 12 15 02 200D 5.00 17
8,228.
8,228.
0.
2 FFICE EQUIPMENT
11 18 02 200D 5.00 17
1,290.
1,290.
0.
3 FURNITURE AND FIXTURE 12 15 02 200D 5.00 17
13,944.
13,944.
0.
12 15 02 200D 5.00 17
4,882.
1,841.
5 FFICE RENOVATION
01 12 03 2001 5.00 17
31,637.
31,637.
0.
6 FFICE EQUIPMENT
01 14 03 200D 5.00 17
6,036.
6,036.
0.
7 FURNITURE AND FIXTURE 04 17 03 2001 5.00 17
9,000.
9,000.
0.
8 FURNITURE AND FIXTURE 02 04 03 2001 5.00 17
7,445.
7,445.
0.
9 URNITURE AND FIXTURE 08 04 03 2001 5.00
17
7,464.
7,464.
0.
10 FURNITURE AND FIXTURE 06 18 0 2001 5.00 17
5,680.
5,680.
0.
95,606.
92,565.
URNITURE AND FIXTURE
* TOTAL 990-PF PG 1 EPR
3,041.
3,041.
2,001.
2,001.
416.
0.
416.
Cf)
m
528102
01-06-06
(D) - Asset disposed
15
* ITC, Section 179, Salvage, Bonus, Commercial Revitalization Deduction, GO Zone
CARL &. RUTH SHAPIRO FAMILY FOUNDATION
FORM 990 - PF
04-6135027
INTEREST ON SAVINGS AND TEMPORARY CASH INVESTMENTS
SOURCE
STATEMENT
1
AMOUNT
BANK - INTEREST ON SAVINGS BANK - TEMPORARY CASH INVESTMENT BANK - TEMPORARY CASH INVESTMENT TOTAL TO FORM 990 - PF,
FORM 990-PF
PART I ,
2,102. 491,459. 2,579.
LINE
3 ,
COLUMN A
496,140.
DIVIDENDS AND INTEREST FROM SECURITIES
SOURCE
CAPITAL GAINS DIVIDENDS
GROSS AMOUNT
BANK - GOVT BONDS & T-BILLS
STATEMENT
2
COLUMN (A) AMOUNT
639,075.
0.
639,075.
BANK - MMKT ACCTS
18,587.
0.
18,587.
BANK - PREFERRED STOCK
16,069.
0.
16,069.
673,731.
0.
673,731.
TOTAL TO FM 990-PF,
PART I,
LEGAL FEES
FORM 990-PF
(A) EXPENSES PER BOOKS
DESCRIPTION
LEGAL FEES TO FM 990-PF,
LN 4
PG 1, LN 16A
FORM 990-PF
(B) NET INVESTMENT INCOME
(C) ADJUSTED NET INCOME
PG 1, LN 16B
(D) CHARITABLE PURPOSES
3,492.
3,491.
6,983.
3,492.
3,491.
(A) EXPENSES PER BOOKS
ACCOUNTING FEES
3
6,983.
ACCOUNTING FEES
DESCRIPTION
TO FORM 990-PF,
STATEMENT
(B) NET INVESTMENT INCOME
STATEMENT
(C) ADJUSTED NET INCOME
4
(D) CHARITABLE PURPOSES
11,000.
11,000.
0.
11,000.
11,000.
0.
AS AME NDED
14310513
805532
6135027X
16 STATEMENT(S) 1, 2, 3, 4 2005.09001 CARL & RUTH SHAPIRO FAMILY 61350202
04-6135027
CARL &.RUTH SHAPIRO FAMILY FOUNDATION
(A) EXPENSES PER BOOKS
DESCRIPTION PROFESSIONAL CONSULTANTS WEBSITE DEVELOPMENT TO-FORM 990-PF,
PG 1,
LN 16C
(C) ADJUSTED NET INCOME
ANNUAL FRANCHISE TAX PAYROLL TAXES FEDERAL INCOME TAX STATE UNEMPLOYMENT TAXES PG 1,
LN 18
8,229. 1,200.
9,429.
0.
9,429.
STATEMENT
(B) NET INVESTMENT INCOME
(C) ADJUSTED NET INCOME
ANNUAL FEES TELEPHONE/INTERNET BUSINESS INSURANCE MISCELLANEOUS EXPENSES COMPUTER SOFTWARE CHARGES OFFICE SUPPLIES CORPORATE SERVICES OFFICE MAINTENANCE PAYROLL SERVICE FEE POSTAGE WORKERS' COMP. INSURANCE EQUIPMENT REPAIRS AND MAINTENANCE PG 1,
LN 23
6
(D) CHARITABLE PURPOSES
25. 7,431. 46,000. 1,949.
0. 0. 0. 0.
0. 7,431.
55,405.
0.
9,380.
(A) EXPENSES PER BOOKS
DESCRIPTION
(D) CHARITABLE PURPOSES
0. 0.
0. 1,949.
STATEMENT
OTHER EXPENSES
FORM 990-PF
5
8,229. 1,200.
(A) EXPENSES PER BOOKS
DESCRIPTION
TO FORM 990-PF,
(B) NET INVESTMENT INCOME
TAXES
FORM 990-PF
TO FORM 990-PF,
STATEMENT
OTHER PROFESSIONAL FEES
FORM 990-PF
(B) NET INVESTMENT INCOME
(C) ADJUSTED NET INCOME
7
(D) CHARITABLE PURPOSES
250. 2,699. 3,578. 4,466. 1,280. 2,391. 299. 60. 814. 440. 320.
0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0.
0. 2,699. 3,578. 4,466. 1,280. 2,391. 299. 60. 814. 440. 320.
2,609.
0.
2,609.
19,206.
0.
18,956.
AS AMENDED 14310513
805532
6135027X
STATEMENT(S) 5, 6, 7 17 61350202 2005.09001 CARL & RUTH SHAPIRO FAMILY
04-6135027
CARL &.RUTH SHAPIRO FAMILY FOUNDATION
FORM 990-PF
U.S.
AND STATE/CITY GOVERNMENT OBLIGATIONS
U.S. GOV'T
DESCRIPTION FEDERAL HOME LOAN BANK NOTES TOTAL U.S.
OTHER GOV'T
X
GOVERNMENT OBLIGATIONS
BOOK VALUE
STATEMENT
8
FAIR MARKET VALUE
20,000,000.
19,776,875.
20,000,000.
19,776,875.
20,000,000.
19,776,875.
TOTAL STATE AND MUNICIPAL GOVERNMENT OBLIGATIONS TOTAL TO FORM 990-PF,
FORM 990-PF
PART II,
LINE 10A
DEPRECIATION OF ASSETS NOT HELD FOR INVESTMENT
COST OR OTHER BASIS
DESCRIPTION FURNITURE AND FIXTURES OFFICE EQUIPMENT FURNITURE AND FIXTURES FURNITURE AND FIXTURES OFFICE RENOVATION OFFICE EQUIPMENT FURNITURE AND FIXTURES FURNITURE AND FIXTURES FURNITURE AND FIXTURES FURNITURE AND FIXTURES TOTAL TO FM 990-PF,
PART II,
LN 14
9
BOOK VALUE
8,228. 1,290. 13,944. 4,882. 31,637. 6,036. 9,000. 7,445. 7,464. 5,680.
8,228. 1,290. 13,944. 4,258. 31,637.
0. 0. 0. 624. 0.
6,036.
0.
9,000. 7,445. 7,464. 5,680.
0. 0. 0. 0.
95,606.
94,982.
624.
OTHER LIABILITIES
FORM 990-PF
ACCUMULATED DEPRECIATION
STATEMENT
STATEMENT
10
AMOUNT
DESCRIPTION
978.
PAYROLL TAXES - WITHHELD TOTAL TO FORM 990-PF,
PART II,
LINE 22,
978.
COLUMN B
AS AMENDED
14310513
805532
6135027X
STATEMENT(S) 8, 9, 10 18 61350202 2005.09001 CARL & RUTH SHAPIRO FAMILY
CARL &. RUTH SHAPIRO FAMILY FOUNDATION
FORM 990-PF
04-6135027
PART VIII - LIST OF OFFICERS, DIRECTORS TRUSTEES AND FOUNDATION MANAGERS
TITLE AND AVRG HRS/WK
NAME AND ADDRESS
STATEMENT
EMPLOYEE BEN PLAN EXPENSE CONTRIB ACCOUNT
COMPENSATION
CARL SHAPIRO 2 N. BREAKERS ROW PALM BEACH, FL 33480
CHAIRMAN 20.00
RUTH SHAPIRO 2 N. BREAKERS ROW PALM BEACH, FL 33480
SECRETARY & TREA S. 4.00
RHONDA ZINNER C/O 399 BOYLSTON STREET
PRESIDENT 20.00
11
0.
0.
0.
0.
0.
0.
0.
0.
TRUSTEE 4.00
0.
0.
0.
TRUSTEE 4.00
0.
0.
0.
61,624.
14,804.
0.
61,624.
14,804.
0.
& TRSTE 0.
BOSTON, MA 02116 ELLEN JAFFE C/O 399 BOYLSTON STREET
BOSTON, MA 02116 LINDA WAINTRUP C/O 399 BOYLSTON STREET
BOSTON, MA 02116 JEAN S.
PROGRAM DIRECTOR
WHITNEY
32.00
112 WOODRIDGE ROAD WAYLAND,
MA 01778
TOTALS INCLUDED ON 990-PF,
PAGE 6,
PART VIII
PART XV - LINE 1A LIST OF FOUNDATION MANAGERS
FORM 990-PF
STATEMENT
12
NAME OF MANAGER CARL SHAPIRO RUTH SHAPIRO
AS AMENDED
14310513
805532
6135027X
STATEMENT(S) 11, 12 19 61350202 2005.09001 CARL & RUTH SHAPIRO FAMILY
Return of Private Foundation
Form 990-PF
or Section 4947(a)(1) Nonexempt Charitable Tnist Treated as a Private Foundation
Department or the Treasury
Internal Revenue service
5.0052
2005
Note : Theorganization may be able to use a copy of this return to sad* stafe reporting requirements. , and ending For calendar year 2005 , or tax year beginning n L^-
..I...
1^1
I.. A:+^...^.,..,
GL..,I ...^.....
V
A.-..... 1...1-.....
V
Name of organization
Use the IRS label. Otherwise , CARL
print or type.
& RUTH SHAPIRO FAMILY FOUNDATION
HH- -....,..
04-6135027 B Telephone number 617-778-7999
Roarntsulte
Number and street (or P.O. box number it mall Is not delivered to street adds s)
75 PARK PLAZA
See Specific City or town, state, and ZIP code Instructions. 02116 B OSTON , MA H Check type of organization: ® Section 501 (c)(3) exempt private foundation Other taxable private foundation Section 4947(a)(1) nonexempt charitable trust
C It exemption application Is pending, check here
D 1. Foreign organizations, check here .eling Ihe0 2. Fehedraelgn org the 8596 test here end attach ion3 meeting . .. .... - -E If p rivate found a ti on statu s was terminat e d
[] Accrual I Fair market value of all assets at end of year J Accounting method: ® Cash 0 Other (specify) (from Part 11, col. (c), line 16) 51 2 7 0 5 6 5 . (Part 1, column (d) must be on cash basis.) NO. $ and Expenses Part I Analysisorof Revenue ( a) Revenue and (b ) Net Investment o lumns (b) (4 and (d) may not ne e foul amounts In co expenses per books Income cewsuily equal the amounts In column (ak)
1 Contributions , gifts, grants, etc., received ,-. ,--.Lredr
II thetuendatseIs colrequired toattach s[h.a
3 's;,inv
"s and.. temporary ................................
2
AA.1. ...... .J.........
A Employer identification number
under section 507 (b)(1)(A), check here ... F If the foundation Is in a 60-month termination under section 507 (b )( 1 B check hero... (a) Adjusted net Income
14 , 077 , 399 .
^^n^ taste purposes
(cash basis only)
N/A
496 , 140 . 673 , 731.
4 Dividends and interest from securities ,,,,,,,,,,,,,,,
r
for
496 , 140. 673 . 731.
5a Gross rents b Net rental lnceme or puss)
C L
611 Net gain or (loss) from sate of assets not on line 10 Grow assets an
b
'n^,ac e ....
. •.. _..
13
,
958.
24,719, 883.
Capital gain not time (hare Pmt IV , line 2) 8 Net short-term capital gain .... .................... 9 Income modifications ..................................
13 , 958.
7
Gross sales law robins 108 and allowances ........... b Lear. Cost of goads sold ...
c Gross profit or (loss) .. _,.•.,....., •-, ................. 11 Other income ...................... ................... 12 Total. Add lilies 1 throw h 11 ........ ...... ,.
13 Compensation of officers. directors, trustees , etc..... .... 14 Other employee salaries and wages . •••, •„••„••„ 16
Pension plans, employee benefits ............. „ •
16a Legal fees ... . • ,,,,,,,,,,,,,,,,,,,••.,•.,,•-..••...,,_,•,
15 ,
261 , 228. 61 624. 30 826.
468. 6 983.
11 000. 9 , 429.
18 Taxes ........................... . . . ..................
55
Depreciation and depletion
• . . . .. . - --- - - - - -- - -------
61 30 17 3
0. 0. 0. 3 492. 11 ' 000.
17
b Accounting fees ................... ................... c Other professional fees ... .. . . .. . . .. ,,,• . ••,••,••„••• 17 Interest ................................................... 19
1 , 183 , 829.
05 . I VIL
624. 826. 468. 491. 0.
0.
9 , 429.
0.
9 380.
0.
37 , 200.
0.
37 200.
3 , 577.
0.
3 577.
CO 23 Other expenses ......... ........ . . .. . .. ..... ....... .19 , 206.
0.
18 956 .
20 Occupancy ....... . . ..... .. .. . . .. . ..... ... .. . .... . ...... a 21 Travel, conferences, and meetings ,••.,••••,•••••••, g 22 Printing and publications .. .. ... ....... ... • . , . • _. ••
24 Total operating and administrative expenses . Add lines 13 through 23 a 25 Contributions, gifts, grants paid 26 Total expenses and disbursements. Add lines 24 and 25 27 Subtract line 26 from line 12:
5 3 13 4 . 14 10 0 .
14 4
67 234.
14 49
191 9 51 6 514 10 0 . .
G®I
706 051. -
a Excess or revenue over expenses and disbursements
It Net Investment income (it negative,
enter -o.) . .......
c Adjusted net Income (it negative, enter -o-)........ LHA 823501 01-05-08
1 , 16 9 337.
.
For Privacy Act and Paperwork Reduction Act Notice, see the instructions.
N/A
Form 990-PF (2005)
C- DDl1_6C /')nn
Part II 1 2 3 4 5 6
%
/T T T] T
Balance Sheets
I
T]TTTV
U)
8
Less: allowance for doubtful accounts ^ Inventories for sale or use
y
9 Prepaid expenses and deferred charges
u)
investments - land, buildings , and equipment basis
^
Less accumulated depreciation
^
8
Investments - mortgage loans Investments - other Land, buildings, and equipment: basis ^
95 , 606.
Less accumulated depreciation
94 , 982.
STMT
Other assets (describe ^
16 17 18 19
Total assets to be com p leted by all filers Accounts payable and accrued expenses Grants payable Deferred revenue
20
Loans from officers , directors, trustees , and other disqualified persons
23
(a) Book Value
n A
(b) Book Value
364. 22 , 135 , 304.
STMT
15
!g 21 J 22
Lm/1TT%TT17km r^,KT
C1
'] C /1'S
7
D..,... n
End of year v v r ' (c) Fair Market Value
1 , 130. 31 , 480 , 136. .
1 , 130. 31 , 480 , 136.
^
10a Investments - U.S and state government obligations b Investments - corporate stock c Investments - corporate bonds
12 13 14
f
Beginning of year
Cash - non-interest-bearing Savings and temporary cash investments Accounts receivable ^ Less: allowance for doubtful accounts ^ Pledges receivable ^ Less. allowance for doubtful accounts ^ Grants receivable Receivables due from officers, directors, trustees, and other disqualified persons Other notes and loans receivable
11
LmAILTT
Attached schedules and amounts In the description column should be for end-ol-year amounts only
7
a
C' VT TI TD?.
11 , 800.
11 , 800.
11 800.
20 , 851 , 188.
20 , 000 , 000.
19 , 776 , 875.
1 , 040.
624.
624.
42 , 999 , 696.
51 , 493 , 690.
51 , 270 , 565.
978.
978.
978.
978.
Mortgages and other notes payable
Other liabilities (describe ^
STATEMENT
Total liabilities ( add lines 17 throw h 22 ) Organizations that follow SFAS 117, check here and complete lines 24 through 26 and lines 30 and 31.
10)
^
24 Unrestricted 25 m 26 C 11
Temporarily restricted Permanently restricted
y 27 N 28 < 29
Capital stock, trust principal, or current funds
Organizations that do not follow SFAS 117 , check here and complete lines 27 through 31.
^
45 , 897 , 580.
Paid-in or capital surplus, or land, bldg., and equipment fund
Retained earnings, accumulated income, endowment, or other funds
Z 30 Total net assets or fund balances 31
S AME NDED
Total liabilities and net assets/fund balances
Part III
45 , 897 , 580.
0.
0.
-2 , 898 , 862. 42 , 998 , 718.
5 , 595 , 132. 51 , 492 , 712.
42 , 999 , 696.
51 , 493 , 690.
Analysis of Changes in Net Assets or Fund Balances
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) 2 Enter amount from Part I, line 27a 3 Other increases not included in line 2 (itemize) ^ 4 Add lines 1, 2, and 3 5 Decreases not included in line 2 (itemize) ^ 6 Total net assets or fund balances at end of year (line 4 minus line 5) - Part II, column V. line 30 1
141
51.492.712. 51,4y6,/1L. Form 990-PF (2005)
523511 01-05-06
14310513 805532 6135027X
2 2005.09001 CARL & RUTH SHAPIRO FAMILY
61350202
Form 990-PF (2005) CARL & RUTH S HAP IRO FAMILY FOUNDATION Part IV Capital Gains and Losses for Tax on Investment Income (b How acgwred o - Purchase D - Donation
(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.)
la 20 , 000 SHS METLIFE CL B 6.5% PRFRD b 20 , 000 SHS METLIFE CL B 6.5% PRFRD c US T-BILL 7 / 7 / 05 10 , 000 , 000
(e) Gross sales price
a b c d e
(f) Depreciation allowed (or allowable)
09 / 12 / 05 09 / 28 / 05 07 / 07 / 05 09 / 29 / 05 11 / 18 / 08
(h) Gain or (loss) (e) plus (f) minus (g)
500 000. 500 000.
9 , 896 , 136. 9 , 844 , 289. 3 , 965 , 500.
9 , 896 , 136. 9 , 844 , 289. 3 , 965 , 500.
9 979. 3 , 979. 0. 0. 0.
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (j) Adjusted basis as of 12/31/69
(d) Date sold (mo., day, yr.)
06 / 16 / 05 06 / 16 / 05 02 / 17 / 05 03 / 28 / 05 08 / 22 / 05
(g) Cost or other basis plus expense of sale
509 979. 503 979.
(i) F.M.V as of 12/31/69
Date acquired ^mo., day, yr.)
P P P P P
d US T-BILL 9 / 29 / 05 10 , 000 , 000 e FHLB 11 / 18 / 05 4 , 000 , 000
Page 3
04-6135027
(I) Gains (Col. (h) gain minus col. (k), but not less than -0-) or Losses (from col. (h))
(k) Excess of col. (i) over col. (I), if any
a
9 , 979.
b C
3 , 979. 0.
d
0.
e
0. If gain, also enter in Part I, line 7 If (loss), enter -0- in Part I, line 7 1
2 Capital gain net income or ( net capital loss).
13 , 958.
2
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). It (loss), enter -0- in Part I, line 8
3
N/A
Part V I 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.)
AS AMENDED
If section 4940(d)(2) applies, leave this part blank. Was the organization liable for the section 4942 tax on the distributable amount of any year in the base period? If "Yes, the organization does not quality 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. Base periiod years Calendar year ( or tax year be g innin g in )
Adjusted qualify(bi ng distributions
2004 2003 2002 2001 2000
3 6 7 7 8
, , , , ,
345 809 700 929 268
, , , , ,
224. 240. 592. 251. 194.
0 Yes ® No
Distribution ratio ( col. (b) divided by col. (c))
(c) Net value of noncharitable-use assets
155 148 139 133 131
208 563 233 023 336
719. 393. 371. 383. 054.
.021553 .045834 .055307 . 059608 .062954
2 Total of line 1, column (d) 3 Average distribution ratio for the 5-year base period - divide the total on line 2 by 5, or by the number of yea rs the foundation has been in existence if less than 5 years
2
. 245256
3
.
4 Enter the net value of noncharitable - use assets for 2005 fro m Part X, line 5
4
40
,
940 , 785.
5
2
,
008 , 186.
5
Multiply line 4 by line 3
049051
6 Enter 1 % of net investment income ( 1% of Part I, line 27b)
6
7 Add lines 5 and 6
7
2
,
019 , 879.
8 Enter qualifying distributions from Part XII, line 4
8
6
,
706 , 051.
11 , 693.
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 (2005)
523521 /01-05-06
14310513 805532 6135027X
3 2005.09001 CARL & RUTH SHAPIRO FAMILY
61350202
Form 990-PF ( 2005 ) CARL & RUTH SHAPIRO FAMILY FOUNDATION Page 4 04 - 61 35027 Part VI Excise Tax Based on Investment Income (Section 4940(a), 4940 (b), 4940(e), or 4948 - see instructions) la Exempt operating foundations described in section 4940(d)(2), check here ^ 0 and enter 'N/A' on line 1. Date of ruling letter: ( attach copy of ruling letter if necessary - see instructions) b Domestic organizations that meet the section 4940(e) requirements in Part V, check here ^ ® and enter 1% of Part I, line 27b c All other domestic organizations 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-) 3 Add lines 1 and 2 4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 5 Tax based on investment income Subtract line 4 from line 3. If zero or less, enter -06 Credits/Payments: a 2005 estimated tax payments and 2004 overpayment credited to 2005 b Exempt foreign organizations - tax withheld at source
1
11 , 693.
2
0. 11 , 693. 0. 11 , 693.
3 4 5
6a 6b
95 , 543.
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 8 Enter any penalty for underpayment of estimated tax. Check here 0 if Form 2220 is attached 9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed 10 Overpayment If line 7 is more than the total of lines 5 and 8, enter the amount overpaid 11 Enter the amount of line 10 to be: Credited to 2006 estimated tax Poo, Statements Regarding Activities Part VII- A
95 , 543.
^
7 8 9
^ 0 . Refunded Ili,
10 11
83 , 850. 83 , 850.
la During the tax year, did the organization attempt to influence any national, state, or local legislation or did it participate or intervene in any political campaign? b Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see instructions for definition)? 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 organization in connection with the activities. Did the organization file Form 1120 -POL for this year? Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year: (1) On the organization. ^ $ 0 . (2) On organization managers. ^ $ 0. Enter the reimbursement (if any) paid by the organization during the year for political expenditure tax imposed on organization managers. ^ $ 0. Has the organization engaged in any activities that have not previously been reported to the IRS? If 'Yes, " attach a detailed description of the activities. 3 Has the organization 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 4a Did the organization have unrelated business gross income of $1,000 or more during the year? b If 'Yes; has it filed a tax return on Form 990-T for this year? 5 Was there a liquidation, termination, dissolution, or substantial contraction during the year? 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? 7 Did the organization have at least $5,000 in assets at any time during the year? If "Yes,' complete Part II, col (c), and Part XV 8a Enter the states to which the foundation reports or with which it is registered (see instructions) ^
AS AMENDED N/A
b If the answer is 'Yes' to line 7, has the organization 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 9 Is the organization claiming status as a private operating foundation within the meaning of section 4942(j)(3) or 4942(I)(5) for calendar year 2005 or the taxable year beginning in 2005 (see instructions for Part XIV)? If "Yes,' complete Part XIV 10 Did any persons become substantial contributors during the tax year? lf "Yes," attach a schedule listing their names and addresses 11 Did the organization comply with the public inspection requirements for its annual returns and exemption application? Web site address ^
No X
4a
X
X
X X 11
X
N/A
12 The books are in care of ^ WELLESLEY CAPITAL MANAGEMENT, INC. Telephone no. ^ 7 81- 2 3 5 - 610 7 Located at ^ ONE WASHINGTON ST. SUITE 202, WELLESLEY , MA. ZIP+4 ^0 2 481 13
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
^0 ^1
13 I
01-05 oe
14310513 805532 6135027X
N/A
Form 990-PF (2005)
4 2005.09001 CARL & RUTH SHAPIRO FAMILY
61350202
Form 990-PF (2005) CARL & RUTH S HAP IRO FAMILY FOUNDATION 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. la During the year did the organization (either directly or indirectly): (1) Engage in the sale or exchange, or leasing of property with a disqualified person'? (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from) a disqualified persons (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person'? (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person'? (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)?
P age 5
04-6135027 Yes
No
E:1 Yes ® No Yes ® No Yes ® No Yes ® No
0 Yes ® No (6) Agree to pay money or property to a government official? ( Exception . Check 'No' if the organization 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 la(1)-(6), did any of the acts fail to quality under the exceptions described in Regulations section 53.4941 ( d)-3 or in a current notice regarding disaster assistance ( see page 20 of the instructions) N/A Organizations relying on a current notice regarding disaster assistance check here ^ c Did the organization engage in a prior year in any of the acts described in la, other than excepted acts, that were not corrected before the first day of the tax year beginning in 20057 Taxes on failure to distribute income (section 4942) ( does not apply for years the organization was a private operating foundation defined in section 4942 ( l)(3) or 4942 ( l)(5)): a At the end of tax year 2005, did the organization have any undistributed income ( lines 6d and 6e, Part XIII ) for tax year(s) beginning before 20059 Yes ® No If 'Yes, list the years ^ b Are there any years listed in 2a for which the organization 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.) p` S qA ER f'11l/^ I^ /1 c If the provisions of section 4942 ( a)(2) are being applied to any of the years listed in 2a, list the years here .
3a Did the organization hold more than a 2% direct or indirect interest in any business enterprise at any time during the year? Yes ® No b It 'Yes; did it have excess business holdings in 2005 as a result of (1) any purchase by the organization 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, N/A Form 4720, to determine if the organization had excess business holdings in 2005) 4a Did the organization invest during the year any amount in a manner that would jeopardize its charitable purposes? b Did the organization 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 2005? 5a During the year did the organization pay or incur any amount to: 0 Yes ® No (1) Carry on propaganda , or otherwise attempt to influence legislation ( section 4945 (e))' (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 L Yes ® No (3) Provide a grant to an individual for travel, study, or other similar purposes ' (4) 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)? Yes ® No (5) Provide for any purpose other than religious , charitable , scientific, literary, or educational purposes, or for = Yes ® No the prevention of cruelty to children or animals? b If any answer is 'Yes' to 5a( 1)-(5), did any of the transactions fail to quality under the exceptions described in Regulations section 53.4945 or in a current notice regarding disaster assistance ( see instructions )' N/A Organizations relying on a current notice regarding disaster assistance check here ^ LI c If the answer is 'Yes' to question 5a(4), does the organization claim exemption from the tax because it maintained expenditure responsibility for the grant? N/A 0 Yes 0 No If "Yes, " attach the statement required by Regulations section 53 .4945-5(d) 6a Did the organization , during the year, receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? b Did the organization , during the year, pay premiums , directly or indirectly, on a personal benefit contract? If you answered " Yes" to 6b, also file Form 8870
3b 4a
X
4b
X
5b
0 Yes ® No 6b
X
Form 990-PF (2005) 523541 01-05-08
14310513 805532 6135027X
5 2005.09001 CARL & RUTH SHAPIRO FAMILY
61350202
CARL & RUTH SHAPIRO FAMILY FOUNDATION 04-6135027 Information About Officers, Directors , Trustees , Foundation Managers, Highly Part VIII 0 Paid Employees , and Contractors 1 List all officers , directors , trustees, foundation managers and their compensation. (b) Title, and average hours per week devoted (a) Name and address to position
SEE STATEMENT 11
w
Comoensation or rive nianest-tiara emorovees rotner man tnose included on Imp Tn_ It nnne
(a) Name and address of each employee paid more than $50,000
(bl Title and average hours per week devoted to p osition
Page 6
(c) Compensation ( If not paid, enter - 0 -)
emd)Conireneft stoos and deferred compensation
(e) Expense account, other allowances
61 , 624.
14 , 804.
0.
enter °N0NF°
(c) Compensation
IId) Contributions to e p and ete ret plans compensation
(e) Expense account, other allowances
NONE
Total number of other employees paid over $50,000 3 Five highest - paid independent contractors for professional services. If none, enter " NONE." (a) Name and address of each person paid more than $50,000
* (b) Type of service
0 (c) Compensation
NONE
AR AMFNDFD
Total number of others receiving over $50,000 for professional services
^
0
ran IR -A L 011.11 rnrnary ut urreci \.naruldlle facinrrl7es
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
Form 990-PF (2005)
01-05-06
14310513 805532 6135027X
6 2005.09001 CARL & RUTH SHAPIRO FAMILY
61350202
Form 990-PF (2005)
CARL & RUTH SHAPIRO FAMILY FOUNDATION
04-6135027
Page 7
Part IX- B Summary of Program - Related Investments Describe the two largest program - related investments made by the foundation during the tax year on lines 1 and 2. 1 N/A
Amount
2
All other program- related investments. See instructions. 3
Total. Add lines 1 through 3 Part X 1 a b c d
Minimum Investment Return (All domestic foundations must complete this part Foreign foundations, see instructions.)
Fair market value of assets not used (or held for use) directly in carrying out charitable, etc., purposes: Average monthly fair market value of securities Average of monthly cash balances Fair market value of all other assets
1 2a b c 3 4 5 6 7
Total (add lines 1a, b, and c)
25 , 062 , 418.
lb
16 , 501 , 831.
ld
2
0 .
3 4
41 , 564 , 249 . 623 , 464 40 , 940 , 785
1 2a 2b
Distributable amount before adjustments. Subtract line 2c from line 1 AS Recoveries of amounts treated as qualifying distributions Add lines 3 and 4 Deduction from distributable amount (see instructions) Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1
41 , 564 , 249 .
0.
5 6 Distributable Amount (see instructions) (Section 4942(j)(3) and (1)(5) private operating foundations and certain foreign organizations check here ^ = and do not complete this part.)
Minimum investment return from Part X, line 6 Tax on investment income for 2005 from Part VI, line 5 Income tax for 2005. (This does not include the tax from Part VI.) Add lines 2a and 2b
Part XII
la 1c
e Reduction claimed for blockage or other factors reported on lines la and 1c (attach detailed explanation) le 2 Acquisition indebtedness applicable to line 1 assets 3 Subtract line 2 from line l d 4 Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see instructions) Net value of noncharitable - use assets Subtract line 4 from line 3. Enter here and on Part V, line 4 5 6 Minimum investment return . Enter 5% of line 5 PartXI
0
1
2
047 , 039
2
, 047 , 039.
11 , 693.
2c
A
M END E D
3
11 , 693 . 2 , 035 , 346
4 5 6 7
0. 2
, 035 , 346 . 0 .
2
035
346 .
Qualifying Distributions (see instructions)
Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes: a Expenses, contributions, gifts, etc. - total from Part I, column (d), line 26 b Program-related investments - total from Part IX-B 2 Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc., purposes 3 Amounts set aside for specific charitable projects that satisfy the: a Suitability test (prior IRS approval required) b Cash distribution test (attach the required schedule) 4 Qualifying distributions Add lines la through 3b. Enter here and on Part V, line 8, and Part XIII, line 4 5 Organizations that qualify under section 4940(e) for the reduced rate of tax on net investment income. Enter 1% of Part I, line 27b 1
6
la 1b
6 , 706 , 051. 0.
2 3a 3b 4
6
, 706 ,
051.
5 11 , 693. Adjusted qualifying distributions Subtract line 5 from line 4 6 6 , 694 , 358. 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 (2005)
523561 01-05-0e
14310513 805532 6135027X
7 2005.09001 CARL & RUTH SHAPIRO FAMILY
61350202
Form 990-PF (2005)
Part XIII
CARL & RUTH SHAP I RO FAMILY FOUNDATION
04-6135027
Page 8
Undistributed Income (see instructions) (a) Corpus
1
Distributable amount for 2005 from Part XI, line?
2
Undistributed income , if any, as of the end of 2004
(b) Years prior to 2004
(c) 2004
(d) 2005
2 , 035 , 346.
a Enter amount for 2004 only b Total for prior years:
0.
0. 3 Excess distributions ca rryover, if any, to 2005:
a From 2000 b From 2001 cFrom2002
1 , 793 , 675. 1 , 514 , 910. 1 , 054 , 439.
d From 2003 e From 2004 f Total of lines 3a throug h e 4 Qualifying distributions for 2005 from
Part Xll,line
6 , 706 , 051.
a Applied to 2004, but not more than line 2a b Applied to undistributed income of prior years (Election required - see instructions) c Treated as distributions out of corpus (Election required - see instructions) d Applied to 2005 distributable amount e Remaining amount distributed out of corpus 5
4 , 363 , 024.
Excess distributions carryover applied to 2005
0. 0. 0.
2 , 035 , 346. 4 , 670 , 705. 0.
0.
Qf 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 at , 4c, and 4e Subtract line 5
9 , 033 , 729.
b Prior years' undistributed income. Subtract line 4b from line 2b 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
0. i^l
assessed
0
d Subtract line 6c from line 6b. Taxable
amount - see instructions
0
e Undistributed income for 2004. Subtract line 4a from line 2a. Taxable amount - see instr. f Undistributed income for 2005. Subtract lines 4d and 5 from line 1 This amount must be distributed in 2006 7 Amounts treated as distributions out of corpus to satisfy requirements imposed by section 170(b)(1)(E) or 4942(g)(3) 8 Excess distributions carryover from 2000 not applied on line 5 or line 7 9 Excess distributions carryover to 2006. Subtract lines 7 and 8 from line 6a 10 Analysis of line 9:
a Excess from 2001
1 514 910 .
b Excess from 2002 c Excess from 2003 d Excess from 2004
1 , 054 , 439.
e Excess from 2005
4 , 6 7 0 , 705. 1
0
0
0
1 793 675 7 , 240 , 054.
Form 990-PF (2005) 523571 01-us-os
14310513 805532 6135027X
8 2005.09001 CARL & RUTH SHAPIRO FAMILY
61350202
Form990-PF 2005 CARL & RUTH SHAPIRO FAMILY FOUNDATION Part XIV Private Operating Foundations (see instructions and Part V II-A, question 9) 1 a If the foundation has received a ruling or determination letter that it is a private operating foundation, and the ruling is effective for 2005, enter the date of the ruling b Check box to indicate whether the organization is a p rivate opera tm foundation describe Tax year 2 a Enter the lesser of the adjusted net (a) 2005 (b) 2004 income from Part I or the minimum investment return from Part X for each year listed b 85% of line 2a c Qualifying distributions from Part XI I, 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
04-6135027
Page9
N/A
1110. t or Prior 3 yeas (c) 2003
0 4942(j)(5)
d) 2002
( e) Total
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)
AS AMEN ED
(2) Support from general public and 5 or more exempt organizations as provided in section 4942(I)(3)(B)(11i) (3) Largest amount of support from an exempt organization
Supplementary Information (Complete this part only if the organ at any time during the year-see page 26 of the instructions.) 1
n had $5,000 or more in assets
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).)
SEE STATEMENT 12 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.
NONE 2 Information Regarding Contribution , Grant, Gift, Loan , Scholarship , etc., Programs: Check here ^ ® if the organization only makes contributions to preselected charitable organizations and does not accept unsolicited requests for funds. If the organization 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 of the person to whom applications should be addressed:
b The form in which applications should be submitted and information and materials they should include: c Any submission deadlines: d Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other factors:
523581/01-05-06
14310513 805532 6135027X
Form 990-PF (2005)
9 2005.09001 CARL & RUTH SHAPIRO FAMILY
61350202
Form 990-4 (2005)
ION
04-6135027
Page 10
Information 3
Grants and Contributions Paid During the Year or Approved for Future Payment If recipient is an individual, Recipient Foundation show any relationship to status of any foundation manager Name and address (home or business) recipient or substantial contributor
Purpose of grant or contribution
Amount
a Paid dunng the year
SEE ATTACHED STATEMENT
6,514,100.
AS AM ENDED
Total
^ 3a 6 514 100 .
b Approved for future payment
NONE
Total
^ 3b
523601 /01-05-06
14310513 805532 6135027X
0.
Form 990-PF (2005)
10 2005.09001 CARL & RUTH SHAPIRO FAMILY
61350202
Form 990-PF (2005)
Part XVI-A
CARL & RUTH S HAP IRO FAMILY FOUNDATION
04-6135027
Page 11
Analysis of Income -Producing Activities
Enter gross amounts unless otherwise indicated . 1 Program service revenue:
Unrelat ed business income (a) Business code
Exclu ded by section 512 . 513. or 514
(b) Amount
ELL 51O" code
(e) Related or exempt function income
(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 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
14
496 , 140.
14
673 , 731.
18
13 , 958.
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.
1 , 183 , 829.
13 Total. Add line 12, columns (b), (d), and (e) (See worksheet in line 13 instructions to verify calculations.)
Part XVI- B
13
1 , 18 3
0. , 829 .
Relationship of Activities to the Accomplishment of Exempt Purposes
14310513 805532 6135027X
11 2005.09001 CARL & RUTH SHAPIRO FAMILY
61350202
Form 990-PF (2005) 04-6135027 CARL & RUTH SHAPIRO FAMILY FOUNDATION Part XVII Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations 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? a Transfers from the reporting organization to a nonchardable exempt organization of. (1) Cash (2) Other assets b Other transactions: (1) Sales of assets to a noncharitable exempt organization (2) Purchases of assets from a noncharitable exempt organization (3) Rental of facilities, equipment, or other assets
Pa a 12
Yes No
la ( l ) 1a 2
X X
-
lb ( l ) lb (2 ) lb ( 3 ) (4) Reimbursement arrangements _ lb ( 4 ) (5) Loans or loan guarantees lb (5 ) (6) Performance of services or membership or fundraising solicitations lb ( 6 ) Sharing of facilities, equipment, mailing lists, other assets, or paid employees 1c 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 organization. If the organization received less than fair market value in any tra nsaction or sharing arrangement, show in
2a Is the organ ization 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? 0 Yes b If'Yes .' comDlete the followino schedule. (c) Description of relationship (b) Type of organization (a) Name of organization
N/A
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 or fiduciary) is based on all information of which preparer has any knowledge
Signature of officer or trustee Preparers
signature LO N Rrm•sname(oryours
a:) nsen-employed), address, and ZIP code
523621 01-05-08
S
AND
SHULMAN,
PC
11 CAMBRIDGE STREET 01803-4 ' BURLINGTON , MA
0 No
Schedule B
Schedule of Contributors
(Form 990, 990-EZ, or 990-PF ) Department of the Treasury
OMB No 1545-0047
Supplementary Information for
2005
line 1 of Form 990, 990 - EZ, and 990 - PF (see instructions)
Internal Revenue Service
Name of organization
L Employer identification number
rART.
1G
RTTTN
gTAPTPn
FAMTT.Y
nd_91'ASf177
170TTATnATTf1M
Organization type (check one)Filers of:
Section:
Form 990 or 990-EZ
0 501(c)(
) (enter number) organization
4947( a)(1) nonexempt chartable trust not treated as a private foundation 0 527 political organization Form 990- PF
® 501 (c)(3) exempt private foundation 0 4947(a)(1) nonexempt chartable trust treated as a private foundation
AS AMENDED
Q 501(c)(3) taxable private foundation
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 Rule15E] For organizations filing Form 990, 990-EZ, or 990-PF that received, during the year, $5,000 or more (in money or property) from any one contributor (Complete Parts I and II ) Special RulesFor a section 501(c)(3) organization filing Form 990 , or Form 990- EZ, that met the 33 1 /3% support test under Regulations sections 1 509(a)-3/1 170A-9(e) and received from any one contributor , during the year , a contribution of the greater of $5,000 or 2% of the amount on line 1 of these forms (Complete Parts I and II.) For a section 501(c)(7),(8), or ( 10) organization filing Form 990 , or Form 990 - EZ, that received from any one contributor , during the year, aggregate contributions or bequests of more than $ 1,000 for use exclusively for religious, charitable, scientific , literary , or educational purposes , or the prevention of cruelty to children or animals . (Complete Parts I, II, and III ) For a section 501 (c)(7), (8), or (10) organization filing Form 990, or Form 990-EZ, that received from any one contributor, during the year, some contributions for use exclusively for religious, charitable, etc , purposes, but these contributions did not aggregate to more than $1,000 (If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, chartable, etc , purpose. Do not complete any of the Parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc , contributions of $5,000 or more during the year.) 1111. $ Caution : Organizations that are not covered by the General Rule and/or the Special Rules do not file Schedule B (Form 990, 990-EZ, or 990-PF), but they must check the box in the heading of their Form 990, Form 990-EZ, or on line 2 of their Form 990-PF, to certify that they do not meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990-PF) LHA For Paperwork Reduction Act Notice , see the Instructions for Form 990 , Form 990-EZ, and Form 990-PF.
Schedule B (Form 990 , 990-EZ , or 990-PF) (2005)
523451 02-01-08
14310513 805532 6135027X
13 2005.09001 CARL & RUTH SHAPIRO FAMILY
61350202
Sch e d ule B (Form 990, 990-E Z, or
P a ge
Name of organization
j
of
j o f P art I
Employer identification number
-6135027 Part I
Contributors (See Specific Instructions)
(a) No.
1
(b) Name , address, and ZIP + 4
Person
C/O ONE WASHINGTON STREET,
Payroll Noncash
(a) No.
STE.
202
$
3,104,073.
MA 02481 (b) Name, address, and ZIP + 4
(c) Aggregate contributions
SHAPIRO FAMILY FIVE YEAR CHARITABLE LEAD TRUST
WELLESLEY,
MA
STE.
202
$
6,700,998.
02481 (c) Aggregate contributions
SHAPIRO FAMILY TEN YEAR CHARITABLE LEAD STRUST C/O ONE WASHINGTON STREET, WELLESLEY,
(a) No.
(d) Type of contribution
Person
Eil
Payroll Noncash
0
(Complete Part II if there is a noncash contribution)
(b) Name , address, and ZIP + 4
(a) No.
0 0
(Complete Part II if there is a noncash contribution)
C/O ONE WASHINGTON STREET,
3
(d) Type of contribution
SHAPIRO FAMILY FIFTEEN YEAR CHARITABLE LEAD TRUST
WELLESLEY,
2
(c) Aggregate contributions
STE.
202
$
4,272,328.
(d) Type of contribution
Person
I-XI
Payroll Noncash
0 0
(Complete Part 11 6 there is a noncash contribution.;
MA 02481 (c) Aggregate contributions
(b) Name, address, and ZIP + 4
AS AMENDED-
(d) Type of contribution Person Payroll Noncash
$
0 Q
(Complete Part II if there is a noncash contnbutlon
(a) No.
(c) Aggregate contributions
(b) Name , address, and ZIP + 4
(d) Type of contribution Person Payroll Noncash
$
(Complete Part II if there is a noncash contribution)
(a) No.
(c) Aggregate contributions
(b) Name , address, and ZIP + 4
$
(d) Type of contribution Person Payroll Noncash
0 Q
(Complete Part II if there is a noncash contribution
523452 02-01-0e
14310513 805532 6135027X
scneaule ti (rorm ayu , uvu-tL , or aau -pt) fzuuo)
14 2005.09001 CARL & RUTH SHAPIRO FAMILY
61350202
2005 DEPRECIATION AND AMORTIZATION REPORT
990-PF
FORM 990-PF PAGE 1 Asset No
Description
Date Acquired
Method
Life
Line
No
Unadjusted Cost Or Basis
Bus % Excl
Reduction In Basis
Basis For Depreciation
Accumulated Depreciation
Current Sec 179
Amount Of Depreciation
1 FURNITURE AND FIXTURE 12 15 02 200D 5.00 17
8,228.
8,228.
0.
2 FFICE EQUIPMENT
11 18 02 200D 5.00 17
1,290.
1,290.
0.
3 FURNITURE AND FIXTURE 12 15 02 200D 5.00 17
13,944.
13,944.
0.
12 15 02 200D 5.00 17
4,882.
1,841.
5 FFICE RENOVATION
01 12 03 2001 5.00 17
31,637.
31,637.
0.
6 FFICE EQUIPMENT
01 14 03 200D 5.00 17
6,036.
6,036.
0.
7 FURNITURE AND FIXTURE 04 17 03 2001 5.00 17
9,000.
9,000.
0.
8 FURNITURE AND FIXTURE 02 04 03 2001 5.00 17
7,445.
7,445.
0.
9 URNITURE AND FIXTURE 08 04 03 2001 5.00
17
7,464.
7,464.
0.
10 FURNITURE AND FIXTURE 06 18 0 2001 5.00 17
5,680.
5,680.
0.
95,606.
92,565.
URNITURE AND FIXTURE
* TOTAL 990-PF PG 1 EPR
3,041.
3,041.
2,001.
2,001.
416.
0.
416.
Cf)
m
528102
01-06-06
(D) - Asset disposed
15
* ITC, Section 179, Salvage, Bonus, Commercial Revitalization Deduction, GO Zone
CARL &. RUTH SHAPIRO FAMILY FOUNDATION
FORM 990 - PF
04-6135027
INTEREST ON SAVINGS AND TEMPORARY CASH INVESTMENTS
SOURCE
STATEMENT
1
AMOUNT
BANK - INTEREST ON SAVINGS BANK - TEMPORARY CASH INVESTMENT BANK - TEMPORARY CASH INVESTMENT TOTAL TO FORM 990 - PF,
FORM 990-PF
PART I ,
2,102. 491,459. 2,579.
LINE
3 ,
COLUMN A
496,140.
DIVIDENDS AND INTEREST FROM SECURITIES
SOURCE
CAPITAL GAINS DIVIDENDS
GROSS AMOUNT
BANK - GOVT BONDS & T-BILLS
STATEMENT
2
COLUMN (A) AMOUNT
639,075.
0.
639,075.
BANK - MMKT ACCTS
18,587.
0.
18,587.
BANK - PREFERRED STOCK
16,069.
0.
16,069.
673,731.
0.
673,731.
TOTAL TO FM 990-PF,
PART I,
LEGAL FEES
FORM 990-PF
(A) EXPENSES PER BOOKS
DESCRIPTION
LEGAL FEES TO FM 990-PF,
LN 4
PG 1, LN 16A
FORM 990-PF
(B) NET INVESTMENT INCOME
(C) ADJUSTED NET INCOME
PG 1, LN 16B
(D) CHARITABLE PURPOSES
3,492.
3,491.
6,983.
3,492.
3,491.
(A) EXPENSES PER BOOKS
ACCOUNTING FEES
3
6,983.
ACCOUNTING FEES
DESCRIPTION
TO FORM 990-PF,
STATEMENT
(B) NET INVESTMENT INCOME
STATEMENT
(C) ADJUSTED NET INCOME
4
(D) CHARITABLE PURPOSES
11,000.
11,000.
0.
11,000.
11,000.
0.
AS AME NDED
14310513
805532
6135027X
16 STATEMENT(S) 1, 2, 3, 4 2005.09001 CARL & RUTH SHAPIRO FAMILY 61350202
04-6135027
CARL &.RUTH SHAPIRO FAMILY FOUNDATION
(A) EXPENSES PER BOOKS
DESCRIPTION PROFESSIONAL CONSULTANTS WEBSITE DEVELOPMENT TO-FORM 990-PF,
PG 1,
LN 16C
(C) ADJUSTED NET INCOME
ANNUAL FRANCHISE TAX PAYROLL TAXES FEDERAL INCOME TAX STATE UNEMPLOYMENT TAXES PG 1,
LN 18
8,229. 1,200.
9,429.
0.
9,429.
STATEMENT
(B) NET INVESTMENT INCOME
(C) ADJUSTED NET INCOME
ANNUAL FEES TELEPHONE/INTERNET BUSINESS INSURANCE MISCELLANEOUS EXPENSES COMPUTER SOFTWARE CHARGES OFFICE SUPPLIES CORPORATE SERVICES OFFICE MAINTENANCE PAYROLL SERVICE FEE POSTAGE WORKERS' COMP. INSURANCE EQUIPMENT REPAIRS AND MAINTENANCE PG 1,
LN 23
6
(D) CHARITABLE PURPOSES
25. 7,431. 46,000. 1,949.
0. 0. 0. 0.
0. 7,431.
55,405.
0.
9,380.
(A) EXPENSES PER BOOKS
DESCRIPTION
(D) CHARITABLE PURPOSES
0. 0.
0. 1,949.
STATEMENT
OTHER EXPENSES
FORM 990-PF
5
8,229. 1,200.
(A) EXPENSES PER BOOKS
DESCRIPTION
TO FORM 990-PF,
(B) NET INVESTMENT INCOME
TAXES
FORM 990-PF
TO FORM 990-PF,
STATEMENT
OTHER PROFESSIONAL FEES
FORM 990-PF
(B) NET INVESTMENT INCOME
(C) ADJUSTED NET INCOME
7
(D) CHARITABLE PURPOSES
250. 2,699. 3,578. 4,466. 1,280. 2,391. 299. 60. 814. 440. 320.
0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0.
0. 2,699. 3,578. 4,466. 1,280. 2,391. 299. 60. 814. 440. 320.
2,609.
0.
2,609.
19,206.
0.
18,956.
AS AMENDED 14310513
805532
6135027X
STATEMENT(S) 5, 6, 7 17 61350202 2005.09001 CARL & RUTH SHAPIRO FAMILY
04-6135027
CARL &.RUTH SHAPIRO FAMILY FOUNDATION
FORM 990-PF
U.S.
AND STATE/CITY GOVERNMENT OBLIGATIONS
U.S. GOV'T
DESCRIPTION FEDERAL HOME LOAN BANK NOTES TOTAL U.S.
OTHER GOV'T
X
GOVERNMENT OBLIGATIONS
BOOK VALUE
STATEMENT
8
FAIR MARKET VALUE
20,000,000.
19,776,875.
20,000,000.
19,776,875.
20,000,000.
19,776,875.
TOTAL STATE AND MUNICIPAL GOVERNMENT OBLIGATIONS TOTAL TO FORM 990-PF,
FORM 990-PF
PART II,
LINE 10A
DEPRECIATION OF ASSETS NOT HELD FOR INVESTMENT
COST OR OTHER BASIS
DESCRIPTION FURNITURE AND FIXTURES OFFICE EQUIPMENT FURNITURE AND FIXTURES FURNITURE AND FIXTURES OFFICE RENOVATION OFFICE EQUIPMENT FURNITURE AND FIXTURES FURNITURE AND FIXTURES FURNITURE AND FIXTURES FURNITURE AND FIXTURES TOTAL TO FM 990-PF,
PART II,
LN 14
9
BOOK VALUE
8,228. 1,290. 13,944. 4,882. 31,637. 6,036. 9,000. 7,445. 7,464. 5,680.
8,228. 1,290. 13,944. 4,258. 31,637.
0. 0. 0. 624. 0.
6,036.
0.
9,000. 7,445. 7,464. 5,680.
0. 0. 0. 0.
95,606.
94,982.
624.
OTHER LIABILITIES
FORM 990-PF
ACCUMULATED DEPRECIATION
STATEMENT
STATEMENT
10
AMOUNT
DESCRIPTION
978.
PAYROLL TAXES - WITHHELD TOTAL TO FORM 990-PF,
PART II,
LINE 22,
978.
COLUMN B
AS AMENDED
14310513
805532
6135027X
STATEMENT(S) 8, 9, 10 18 61350202 2005.09001 CARL & RUTH SHAPIRO FAMILY
CARL &. RUTH SHAPIRO FAMILY FOUNDATION
FORM 990-PF
04-6135027
PART VIII - LIST OF OFFICERS, DIRECTORS TRUSTEES AND FOUNDATION MANAGERS
TITLE AND AVRG HRS/WK
NAME AND ADDRESS
STATEMENT
EMPLOYEE BEN PLAN EXPENSE CONTRIB ACCOUNT
COMPENSATION
CARL SHAPIRO 2 N. BREAKERS ROW PALM BEACH, FL 33480
CHAIRMAN 20.00
RUTH SHAPIRO 2 N. BREAKERS ROW PALM BEACH, FL 33480
SECRETARY & TREA S. 4.00
RHONDA ZINNER C/O 399 BOYLSTON STREET
PRESIDENT 20.00
11
0.
0.
0.
0.
0.
0.
0.
0.
TRUSTEE 4.00
0.
0.
0.
TRUSTEE 4.00
0.
0.
0.
61,624.
14,804.
0.
61,624.
14,804.
0.
& TRSTE 0.
BOSTON, MA 02116 ELLEN JAFFE C/O 399 BOYLSTON STREET
BOSTON, MA 02116 LINDA WAINTRUP C/O 399 BOYLSTON STREET
BOSTON, MA 02116 JEAN S.
PROGRAM DIRECTOR
WHITNEY
32.00
112 WOODRIDGE ROAD WAYLAND,
MA 01778
TOTALS INCLUDED ON 990-PF,
PAGE 6,
PART VIII
PART XV - LINE 1A LIST OF FOUNDATION MANAGERS
FORM 990-PF
STATEMENT
12
NAME OF MANAGER CARL SHAPIRO RUTH SHAPIRO
AS AMENDED
14310513
805532
6135027X
STATEMENT(S) 11, 12 19 61350202 2005.09001 CARL & RUTH SHAPIRO FAMILY
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