44
F .990-PF DepaCment of the Treasury Intel Rinnerue Service For galendar year 200' G Check all that aooN Return of Private Foundation or Section 4947(a)(1) Nonexempt Charitable Trust Treated as a Private Foundation OMB No 15,1500 2001 Initial return Use thelRS label . THE ROBERT 6 M Otherwise, Number and street (or pant or type See Specific 77 HARTFORD RO Instructions Qty or town, stale, and SIMSHURY CT 0 I Check type of organ¢aGOn X number I( mall is not ddrvGfld to street address) I RooMsulte I 8 Telephone number (cce page 10 of the instructions) :1P code G If aumpuan a0plica7an b pending check here LJ D t Fanqn xpan2 .em. me cvn .n ~ IJ '076 7 FaiilqnoTan¢aeonsm ..mpm . Section 501(c 3 exempt private foundation esst..«,.~k~.~ .,na+m .n . a rat Other taxable rrvate foundahan method X Cash Accrual E °o""+' " ro-~a .vo-ridAccounting under Section 'A7(O)(7gA)Check here M. El QOther (SPeaty) _-_ p It m- foundation is In a E0 .monnt~m~lnaeon 'art 1 column (d) must tie on cash 6as~s ) . n a .r ..mn m7(ex,Me) NK. n .~. I Fair market value of all assets at end of year (from Part ll, cot (c), line b (Net rental insane u (I=) 6a Net gain or(Ioss) from sale olassets nolmline l0 -105, 802 0 d b Grass cats pose for all s asses mline 6a 3,749,819 ' 7 Capital gam net income (from Part IV, line 2) " -' z, 8 Net short-term capital pain , , m - 9 Income modifications " " ~ ` - - - : - 10a Grow sales less returns' and allowances b Less Cost d pmt sdd , - _ - c Gross profit or (loss) (attach schedule) . , , 11 Other income (attach schedule) _ 1 3 Compensation of officers directors wstm ac NON d 16 Other employee salaries and wags 22 , 146 c 15 Pension plans, employee benefits d K 16a Legal fees (attach schedule) b Accounting tees (attach zchedule)STMT 3 6 , 000 d c Other professional fees (attach scIS9M 4 38 600 A 17 Interest , , c 78 Taxes(attachscneeule)(a . .page t4 mi6A4icade .) 8 , 449 79 Depreciation (attach schedule) and depletion 800 20 Occupancy , , c 21 Travel conferences, and meetings 1 , 899 A co 22 Punting and publicaUons , 2 , S21 c 27 Other expenses (attach schedule) STMT 45 3 , 731 `m 24 Total operating and administrative expenses a O .odd lines 13 through 23 , 84 , 146 25 Contributions, gifts, grants paid 764 , 377 26 ra.i .. iun .melswn .m .mznadlines 2ama25 848 , 523 27 Subtract line 26 from line 12 - , , a Eac... ar .v.nuov .rii .Pnses+roadtunem .nu -780 , 111 b Net investment income (t( negative, enter -0-) c Ad j usted pat income if n eg ative, enter -0- .' JSA iE14 is ] 000 For Paperwork Reduction Act Notice, sea the instru ctions ernnnr o0 7F n i onus An An nn vni_v o, .»o Form 990 PF j2ooi) 07 01 , 2001, and ending 06 /3 0 2002 Final return Amended return Address change Name chance JA Employer identification number ]Analysis of Revenue and Expenses (a) Revenue and (d) Disbursements (The total of amounts m columns (6), (c), end (b) Net investment (c) Adjusted net for charitable (d) may not necessarily equal the amounts in expenses per income income purposes column a) (see page 10 of the instructions books cash basis on 1 Convieuem~~ 9_b grand, arc nnpwpmcnxneauN) ~' Check " ~f the foundation s not required to el[ah Sch B 2 Distributions from splRyntercsttrusts ,,'' ~ - -- - 3 Intasa onsawrgsawtemporary cash irnestmuns " 260 260 STMT 1 4 Dividends and interest from securrtia 173,954 173 , 954 -' ~ STMT, 2 O cli 5 a Gross rents

F.990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/061/... · F.990-PF DepaCment of the Treasury Intel Rinnerue Service For galendar year 200' G Check

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Page 1: F.990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/061/... · F.990-PF DepaCment of the Treasury Intel Rinnerue Service For galendar year 200' G Check

F.990-PF DepaCment of the Treasury Intel Rinnerue Service

For galendar year 200' G Check all that aooN

Return of Private Foundation or Section 4947(a)(1) Nonexempt Charitable Trust

Treated as a Private Foundation

OMB No 15,1500

2001 Initial return

Use thelRS label. THE ROBERT 6 M

Otherwise, Number and street (or pant

or type See Specific 77 HARTFORD RO

Instructions Qty or town, stale, and

SIMSHURY CT 0 I Check type

of organ¢aGOn X

number I( mall is not ddrvGfld to street address) I RooMsulte I 8 Telephone number (cce page 10 of the instructions)

:1P code G If aumpuan a0plica7an b pending check here LJ

D t Fanqn xpan2.em. me

cvn.n ~ IJ '076 7 FaiilqnoTan¢aeonsm ..mpm.

Section 501(c 3 exempt private foundation esst..«,.~k~.~.,na+m .n . a

rat Other taxable rrvate foundahan method X Cash Accrual E °o""+' " ro-~a

.vo-ridAccounting under Section 'A7(O)(7gA)Check here M. El

QOther (SPeaty) _-_ p It m-

foundation is In a E0.monnt~m~lnaeon 'art 1 column (d) must tie on cash 6as~s ) . n a .r ..mn m7(ex,Me) NK. n .~.

I Fair market value of all assets at end of year (from Part ll, cot (c), line

b (Net rental insane u (I=)

6a Net gain or(Ioss) from sale olassets nolmline l0 -105, 802 0 d b Grass cats pose for all s

asses mline 6a 3,749,819 '

7 Capital gam net income (from Part IV, line 2) " -' z,

8 Net short-term capital pain , , m - 9 Income modifications " " ~ ̀ - - - : -

10a Grow sales less returns' and allowances

b Less Cost d pmt sdd , - _ -

c Gross profit or (loss) (attach schedule) . , ,

11 Other income (attach schedule) _

1 3 Compensation of officers directors wstm ac NON

d 16 Other employee salaries and wags 22 , 146

c 15 Pension plans, employee benefits d K 16a Legal fees (attach schedule)

b Accounting tees (attach zchedule)STMT 3 6 , 000 d

c Other professional fees (attach scIS9M 4 38 600 A

17 Interest , ,

c 78 Taxes(attachscneeule)(a ..page t4 mi6A4icade.) 8 , 449

79 Depreciation (attach schedule) and depletion 800 20 Occupancy , ,

c 21 Travel conferences, and meetings 1 , 899 A co 22 Punting and publicaUons , 2 , S21 c

27 Other expenses (attach schedule) STMT 45 3 , 731

`m 24 Total operating and administrative expenses a O .odd lines 13 through 23 , 84 , 146

25 Contributions, gifts, grants paid 764 , 377

26 ra.i .. iun .melswn.m.mznadlines 2ama25 848 , 523

27 Subtract line 26 from line 12 -�, ,

a Eac... ar.v.nuov.rii .Pnses+roadtunem.nu -780 , 111

b Net investment income (t( negative, enter -0-) c Ad justed pat income if n eg ative, enter -0- .'

JSA iE14 is ] 000 For Paperwork Reduction Act Notice, sea the instructions

ernnnr o0 7F n � i� onus An An nn vni_v

o, .»o

Form 990 PF j2ooi)

07

01

, 2001, and ending 06 /3 0 2002 Final return Amended return Address change Name chance

JA Employer identification number

]Analysis of Revenue and Expenses (a) Revenue and (d) Disbursements

(The total of amounts m columns (6), (c), end (b) Net investment (c) Adjusted net for charitable (d) may not necessarily equal the amounts in expenses per income income purposes column a) (see page 10 of the instructions books cash basis on

1 Convieuem~~ 9_b grand, arc nnpwpmcnxneauN) ~'

Check " ~f the foundation s not required to el[ah Sch B

2 Distributions from splRyntercsttrusts ,,'' ~ - -- -

3 Intasa onsawrgsawtemporary cash irnestmuns " 260 260 STMT 1 4 Dividends and interest from securrtia 173,954 173 , 954 -' ~ STMT, 2 O

cli 5 a Gross rents

Page 2: F.990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/061/... · F.990-PF DepaCment of the Treasury Intel Rinnerue Service For galendar year 200' G Check

Y

-, _

r -sr-,ti`` 's`

Organizations that follow SFAS 777, check here "U and complete lines 24 through 26 and lines 30 and 31

24 Unrestricted

25 Temporarily restricted

26 Permanently restricted

Organizations that do not follow SFAS 117, check here and complete lines 27 through 71 11- Xa

27 Capital stock, trust principal, or current funds

I B Paid-in a capnb wrplirs, a WM ddg and equipment fund

29 Retained earnings accumulated mcanS mdowmert, v other lunds 30 Total net assets w fund balances (see page 17 of the

instructions) , ,

31 Total liabilities and net assetsllund balances (see page 17 0(

Form 990-P F (2001 )

IE1470]000

Attached xheEUla and anourrts m the ~ffa lance Sheets Escriptioncolumn shaAG.bebr

1 Cash -nonantnal-0eanng , ,

2 Sarongs and temporary cash investments

3 Accounts receivable 1

less allowance for doubtful accounts

4 Pledges receivable Less allowance for doubtful accounts

5 Grants receivable

fi Recervables due from officers . directors, trustees, and other disqualified persons (attach schedule) (sea page 15 of the instructions)

7 Other notes and loans receivable (attach schedule) ~

Less allowance for doubtful accounts

8 Inventana for sale or use

9 Prepaid expenses and deferred charges

10a investments U S aid slmegwenmw obligaVas (31achzcheEUe) b Investments - corporate stock (attach schedule) STMT c Investments - corporate bonds (attach schedule) $ yIIT 8

11 Imavnarts land builOnga, 1 and equipment basis ___________________ Lgs accumulated depreciation 1 (attach Schedule) ___________________

12 Investments " mortgage loans

13 Investments - other (attach schedule) t a tans oUlairgs aid ,

equipment basis ___________________ Las aavnilaled aeprecimwi 1 (attach schedule) ____________________

15 Other assets (descnbe 111i'

-

__________________--)

16 Total assets (to be completed by all filers - see page 16 of

7 7 Accounts payable and accrued expenses

18 Grants payable

19 Deterred revenue

30 Limns horn officers directors trustees, and anc awwalinea paw, .

21 Mortgages and other notes payable (attach schedule)

22 Other liabilities (describe ll~

Beginn!ingof year End I year "(a) Book Value (b) Book Value ~c) Fair Market Value

53 512 26,691 26,69 2,940 656 832 .030 832,030

NONE 1,454,370 1,447,728 1,936,226 1,837,262 1,882 .228

13

[ZM 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 years return)

z Enter amount from Part I, line 27a a Other increases not included inline 2(item¢e) " ____________________________ a Add lines 1, 2, and 3 , 5 Decreases not included in line 2 (itemize)

Page 3: F.990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/061/... · F.990-PF DepaCment of the Treasury Intel Rinnerue Service For galendar year 200' G Check

(a) List and describe the kind(s) of property sold (e g , real estate, 2-story buck warehouse, or common stock, 200 shs MLC Co )

iEE PART IV SCHEDULE

(e) Gross sales price (f) Depredation allowed (g) Cost or other basis (or allowable) plus expense a( sale

)m lete onl y for assets showing din in column h and owned b the foundation on 1

() F M V as of 12/31/69 U1 Adjusted basis (k) Excess of cot (Q as of 12/31169 over cot 0) if any

(I) Gains (Col (h) gain minus cot (k), but not less than -0.) or

Losses (from cot (h))

c

8 Enter qualifying distributions from Part XII, tine 4 . . 1 8 1 806, 299 . If line B is equal to or greater lean line 7, chak the bat in Part VI lire 7b and compl9e that part usrtg a 1% tax roe See Ne Pat VI tnstrucUms m page 18

J5~ +e+4w 3aoo Form 990-P F (2001)

- '7

b c

3

A ;r;~ I cq . (c) Date (d) Dale sold

I~ ~ daY. Yr ) (mo , day, Yr )

(h) Gan or (loss) (e) plus (f) menus (g)

If gain, also enter in Part I, line 7 2 Capital gain net income or (net capital loss) { If (loss), enter-0- in part I, line 2 3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6)

If gain, also enter in Part 1 . line 8, column (c) (see pages 13 and 17 of the instructons) enter -0- in Part 1, line 8 1 3r J

0 Wloss)'dua lif icalt ion Under Section 4940(e) for Reduced Tax on Net Investment Income (For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income )

If section 4940(d)(2) applies, leave this part blank

Was the organization liable for the section 4942 tax on we disVibutable amount of any year in the base penod? a Yes x No If "Yes," the organization does not qualify under section 4940(e) Do no t complete this part

Enter the appropriate amount in each column for each year, see page 18 of the instructions before malking any entries

Base penoU yeas Calendar y. I (b) (c) Dill ratio (n ca y~ be~nrvng m) AOJusiM qudRying GlslnbUian Net value W rmcnartablo-ine assets (cd (b) divided W ca

2000 334 .902 5 .208 .061 0 06431

1998 I 203,129 I 5 .391 .645 I 0 03767477273

2 Total of line 1, column (d) . . ~ 2 7 Average distribution ratio for the 5-year base period-divide the total an line 2 by 5, or by

the number of years the foundation has been m existence d less than 5 years

4 Enter the net value of nancharitable-use assets far 2001 from Part X, line 5 1 4

S Multiply line 4 by line 3 1 5 1 178,723

6 Enter 1 % of net investment income (1% of Part I, tine 27b) . . 1 6 I 1,32 5

7 Add lines 5 and 6 I 7 I 180 , 048

Page 4: F.990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/061/... · F.990-PF DepaCment of the Treasury Intel Rinnerue Service For galendar year 200' G Check

4940(e), or 4948 - see Pace 18 of the xcise Tax Based on 1 a Exempt operating foundations described in section 4940(d)(2), check here I,. u and enter 'N/A' an line 1

Date of ruling IeHm _ _ _ _ _ _ _ _ _ (attach copy of ruling letter if necessary - see instructions)

b Domestic or anizalions that meet the section 4940(e) requirements in Pail V, check

here " and enter 7 X of Part I, line 27b

c All other domestic organizations enter 2% of line 27h Exempt foreign organizations enter 4% o! Part I, line 12, cot (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 49d7(a)(7) trusts and taxable foundations only Others enter -0-)

5 Tai based on investment income Subtract line 4 from line 3 If zero or less, enter -0-

6 Credits/Payments a 2001 estimated tax payments and 2000 overpayment credited to 2001 6a 2 . 000 b Exempt foreign organizations - tax withheld at source 66 NONE c Tax paid with application (or extension of time to file (Forth 9868) 6 c NONE 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 a if Forth 2220 is attached

9 Tax due II the total of lines 5 and 8 is more than line 7, enter amount owed 7 0 Overpayment I( line 7 is more than the total of lines 5 and 8, enter the amount overpaid ll~

1 325

"..y y^'

7 , 2 . 000 8

9

10 675 11

1 a During the tax year, did the organization attempt to influence any national, state, or local legislation or did Yes No it participate or intervene In any political campaign? _ 1 a X

b Did it spend more than $700 Outing the year (either directly or indirectly) for political purposes (see pope 19 of the instructions for definition)? 1 b X

1I the answer is 'Yes' to 1 e or ib attach a detailed description o/ the activities and copies al any materials

published or distributed by the organization in connection with the activities c Did the organization file Form 11Y0 " POL for this yea(! 1 c X d Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year

(1) On the organization 1 $ (2) On organization managers t $ e Enter the reimbursement (if any) paid 6y the organization during the year for political expenditure tax imposed

on organization managers No. $ - -,

2 Has the organization engaged in any activities that have not previously been reported to the IRS 2 +X

If 'Yes," attach a detailed description of the activities

3 Has the organization made any changes, hat previously reported to the IRS, in as governing instrument, articles - _

of incorporation, or bylaws, or other similar insWmmts7 If 'Yes,' attach a conformed copy of the changes 3 X

4 a Did the organization have unrelated business grow income of $1,000 or more during the yeah 4a X

b If "Yes ." has it filed a tax return on Form 990-T for this year? db N ~ A

5 Was there a liquidation, termination, dissolution, or substantial contraction during the year? 5 X

11 'Yes ' attach the statement required by General Instruction T

fi Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied nlhv - ;

BY language in the governing instriwitentor . ~+=---By slate legislation that effectively amends the governing instrument u the no mandatory directions that conflict with the state taw remain in the pouching Instrument? , 6 ,X

7 Did the organization have at least $5,000 in ousts at any time dunng the year? If 'Yes.' complete Part ll, cot (c), end Part XV 7 X

8 a Enter the states to which the foundation reports or with which It is registered (see gape 19 of the

instructions) ii, CONNECTICUT____________________________________________ _________________ - t :J b II the answer is 'Yes' to line 7, has the organization furnished a copy of Forth 990-PF to the Attorney _ -

General (or designate) of each state as required by General Instruction G? If 'No,' attach explanation 8 b X 1

9 Is the organization claiming status as a private operating foundation within the meaning of section 49A20)(3)

or 49420(5) for calendar year 2001 or the taxable year beginning in 2001 (see instructions for Part XIV on ft

page 25)71l'Yes"complefePart XIV 9 X 7 0 Did any persons become substantial contnbutors dunng the tax yeah 11'Yes,' attach a schedule listing then names and addresses 10 X 7 7 Did the organization comply with the public inspection requirements for its annual returns and exemption application? ~ 11 ~ X~

Web site address ll~ 12 The books are in care of b.- ROBERT E PATRICELLI ___________________--- Telephone no "___________________

Located at ~7 7_f{ARTFORD ROAD-. _SIMSBCTRY.,_CTZIP-4 06076 13 Section 4947(a)(1) nonexempt charitable trusts filing Form 990.PF In lieu of Form 1041 -Check has "~

and enter the amount of tax-exempt interest received or accrued during the year ~ I 13 I

JyA Forth 990-PF (2001) tE14a04 000

ernnr,.. noun 11 111 /,nn, no no An irn, v

Page 5: F.990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/061/... · F.990-PF DepaCment of the Treasury Intel Rinnerue Service For galendar year 200' G Check

JSA IE74504 000

Form 990-pF (2001) 06-1487230 Page 5 Statements Regarding Activities for Which Form 4720 Ma Be Required

File Form 47]0 if any item is checked in the "Yes' column, unless an exception applies Yes No 1 a During the year did the organization (other directly or indirectly) _-

(1) Engage m the sale or exchange, or leasing of property with a disqualified person? 0 Y°° Fx~ No

(2) Borrow money from. lend money to, or otherwise extend credit to (or accept it from) a disqualified person? A Yes A% No

(3) Furnish goods, services, or facilities to (or accept them from) a disqualified person? Yes

X

(4) Pay compensation to, or pay or ramburse the expenses o(, a disqualified person') Yes X No - - - ,

(5) Transfer any income or assets to a disqualified person (or make any of either available

for the benefit or use of a disqualified person)? ElVes M 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 ) 1:1 lea MNo

b I( any answer is 'Yes" to 1a(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 19 0l the instructions)? ~ 1 b N

Organizations relying on a current notice regarding disaster assistance check here ~ I-J

c Did the organization engage in a poor year in any of the acts described in 1a other than excepted acts,

that were not corrected before the first day of the tax year beginning in 20017 1 c X

2 Taxes on failure to distribute income (section 4942) (does not apply for years the organization was a private

operating foundation defined in se~non 4942Q)(3) or 4942Q)(5))

a At the end al tax year 2001, did the organization have any undistnbuted income (linen lid ~.'

and lie, Part XIII) for tax year(s) beginning before 20017 . El Yes X No

If 'Yes: list NeYears " , _ ________ .________ .________ h 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 years undistributed incomes (If applying section 4942(a)(2)

to all years listed, answer "No" and attach statement - see page 19 0l the instructions ) c II the provisions of section 4942(a)(2) are bang applied to any of the years listed in 2a, list the years here

" __________ . _________ . ________ . ________ - .k; 3 a Did the organization hold more than a 2% direct or indirect interest in any business °

enterprise at any time during the year? , ~ Yes ~X No , .~

b If "Yes,' did it have excess business holdings in 2001 as a result of (t) any purchase by the organization ' or disqualified persons after May 26, 1969, (7) the lapse of the 5-year period (or longs period approved -, ~.; by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest, or (7) ,

the lapse of tie 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720 to determine

if the organization lied excess business holdings in 2001 ) . 3 b N

4 a Did the organization invest during the year any amount in a manner that would jeopardize its charitable purposes') 4a X

b Did the organization make any investment in a poor year (hut otter December 37, 1969) that could jeopardize it charitable - ."

purpose that had not been removed from jeopardy before the first day of the tax year beginning in 20017 4b X

5 a During the year did the organization pay or incur any amount to (1) Carry on propaganda, or otherwise attempt to influence legislabon (section 4945(e))? O Yes EO No

(2) Influence the outcome of any specific public election (see section 4955), or to carry

on, directly or indirectly . any vote registration drive? 8 Yea BX No

(3) Provide a grant to an individual for travel, study, or other sirtniar purposes van X No

(4) Provide a grant to an organization other than a charitable, elc , organization described

in section 509(a)(1), (2), or (3), or section 4940(d)(2)7 _ 0 Yes ~X No

(5) Provide for any purpose other than religious, charitable, scientific, literary, or ''-

educational purposes, or for the prevention of cruelty to children or animals? ~ Vas OX No

b If any answer is 'Yes" to 5a(1)-(5), did any of the transactions fad to qualify under the exceptions described in

Regulations section 53 4945 or in a current notice regarding disaster assistance (see page 20 of the instructians)7 . 56 N

Organizations relying on a current notice regarding disaster assistance check lice

c If the answer is "Yes" to question Sa(4), does the organ¢ation clam exemption from the

lax because R maintained expenditure responsibility for the gront9 NBA E]Yes ~ No

I! "Yes 'attach the statement reqwrod by Regulations section 53 49455/dJ fi a Did the organization, during the year, reserve any funds, directly or indirectly, to pay

premmms on a personal benefit contract? , 1-1 Yea aX No

6 Did the organization, during the year, pay premiums, dvectly or indirectly . on a personal benefit contracY7 6 b X 1I you answered 'Yes'to 66, also rile Farm 8870 I -: ~ .

Form 990-PF (2001)

Page 6: F.990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/061/... · F.990-PF DepaCment of the Treasury Intel Rinnerue Service For galendar year 200' G Check

Summary of Direct Charitable Activities

fist the foundation s far largest direct charitable acimbg during the tax year Include rderall stEistital mfum0lon such a4 the number al organizations And oilier benef iciaries seve0 conferences cornaied research popes produced, etc

1 NONE

----------------------------------------------------------------------------

2

----------------------------------------------------------------------------

7

----------------------------------------------------------------------------

4

----------------------------------------------------------------------------

Form 990-PF (2001)

,e14so a 000 oTnnrtr 9o'7n 11 /1 t /7nM no no en vM _9 7 (1

Form 990.PF(2007) 06-1487230 Page 6 Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees, and Contractors

1 List all officers, directors, trustees, foundation managers and their compensation ( see page 20 of the Instructions ) (e) Title and average ICICOmparsativi (EjGOnbI0u0onab

(a) NaneanE address hours pu weel (If not paid, enter ~moier"" b~nsRO..n

. (a) Expense account

dNOIPd IDPO61IlO11 dl anE C~fart .E wmpmntbn other dIIQVdlY4

-----------------------------------

----------------------------------

----------------------------------

_____________________________________y I

2 Compensation of flue highest-paid employees (other than those Included on line 1 - see page 21 of the Instructions) Ii none, enter "NONE "

(b) Title and average Ial cona"'veona m (a) Name and address of each emplqee pad more than $50 000 hours pa week (c) Compensation ~moioye . b.neR plan . (e) Expe^se account

Oe+oled to poaitwn ana aefemee como~~++~~ other allowances

NONE

----------------------------------- ------------------------------------ ------------------------------------- -------------------------------------

3 Five highest-paid Independent contractors for professional services - (see page 21 of the Instructions) H none, enter "NONE"

(a1 Name and address of each person paid more than 550.000 1b1 Tvoe of srmce tee [ NONE

------------------------------------------

--------------------------------------------

--------------------------------------------

------------------------------------------

Page 7: F.990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/061/... · F.990-PF DepaCment of the Treasury Intel Rinnerue Service For galendar year 200' G Check

Amount

mmurients see page

NONE ------------------

'Ti:" Minimum Investment Return (All domestic foundations must complete this part Foreign see page 22 of the instructions )

Fair market value of assets not used (or held for use) directly in carrying gut charitable, etc , purposes

a Average monthly fair market value of securities b Average of monthly cash balances c Fair market value of all other assets (see page 22 of the instructions) d Total (add lines 1 a, b, and c) e Reduction claimed far blockage or other factors reported on lines to and

1c (attach detailed explanation) ~ 1e I Acquisition indebtedness applicable to line 1 assets Subtract line 2 from line 1 d Cash deemed held for charitable activities Enter 1 1/2°h of line 3 (for greater amount, see page 23 of the instructions) Net value of noncharltable-use assets Subtract line 4 from line 3 Enter here and on Part V, line 4 Minimum Investment return Enter 5°h of line 5

11 1a 1b 1c 1d

J i) private s this pai

1 5

~2 c

3

)LIE

4c

5

Distnbutable Amount (see page 23 of the instructions) (Section 4942 foundations and certain foreign organizations check here li~ n and do

1 Minimum investment return from Part X, line 6 2 a Tax on investment income for 2001 from Part VI, line 5 b Income tax for 2001 (This does not include the tax from Part VI ) c Add lines 2a and 2b

J Distributable amount before adjustments Subtract line 2c from line 1 4 a Recoveries of amounts treated as qualifying distributions b Income distributions from section 4947(a)(2) trusts c Add lines 4a and 4b

5 Add lines 3 and 4c 6 Deduction from disVibutable amount (see page 23 of the instructions) 7 Distrlbutable amount as adjusted Subtract line 6 from line 5 Enter h

4a

309 and on Part XIII . line 1

OrIM Qualifying Distributions (see page 23 of the instructions) Amounts paid (including administrative expenges) to accomplish charitable, etc , purposes

a Expenses, contributions, gifts, etc - total from Part I, column (d), line 26 1 a 806 , 299 b Program-related investments - Total from Part IX-B 7 b NONE

Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc , purposes 2 NONE Amounts set aside for specific charitable projects that satisfy the

a Suitability test (prior IRS approval required) ']a NONE b Cash distribution test (attach the required schedule) 7 b NONE

Qualifying distributions Add lines 1 a through 3b Enter here and on Part V, line 8 and Part All . line 4 4 806 , 299 Organizations that qualify under section 4940(e) for the reduced rate of tax on net investment income Enter 1 % of Part I, line 27b (see page 24 of the instructions) 5 1 , 325 Adjusted qualifying distributions Subtract line 5 from line 4 6 804 , 974 Note The amount online 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation

qualifies for the section 4940(e) reduction o) tax in those years

2

S

4 5

6

JSA I E1470 A ON

Form 990.PF (2001)

1 NONE

---------------------------------------------------------------------------

2

---------------------------------------------------------------------------

---------------------------------------------------------------

lines t through 3

t

2 3 4

2a

Page 8: F.990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/061/... · F.990-PF DepaCment of the Treasury Intel Rinnerue Service For galendar year 200' G Check

iU 1E1480 4 000

06-1987230 Form 990.FF (2001) Page

Undistributed Income (see page 24 of the instructions)

(a) (b) (c) (d) 1 Dislributa6le amount for 2001 from Part XI, Corpus Years prior l0 2000 2000 2001

line 7 `~ ' - - - -' -' ' - - 223 , 309 2 Undistributed income f any a of tlrc end of 2000 ~ .-' - "r a Enter amount for 2000 only - '- - " -- NONE ' ' - - - -

6 7otaliw pnayas 1999 + - -' ' - ~- NONE

3 Excess distributions carryover, d any to 2001 - - -`

a From 1996 b From 7997 NO ' ''FL' . . ' '%+ c From 1998 -_-A From 1999 12 829 r r' e From 2000

f Total of lines 3a through a 89 , 226 ' - - -

d Qualifying distributions for 2001 from Part

Xll,line a " 806,299 a Applied to 2000, but not more than hoe 2a ' r - - ~ NONE

b Applied to undistributed income of prior years , (Electimrepwred see page Z4dlhemstnMims) ~ - NONE

c Treated as distributions out of corpus (Election " ` ' _ f f ~ ~' f required " see page 24 of the instructions) NONE

d Applied to 2001 distnbutable amount 223 , 309

~ _ e Remaining amount distributed out of corpus 582 , 990 5 Excess dintnbuhons carryover applied l0 2001 NO - * NONE

(U en amount appears m column (d), the same amount must be shown m column (a)) 4- + - ~'ti

6 Enter the net total of each column as Indicated below ~ '

a Corpus Add lines 3f, 4c, and 4e Subtract line 5 672 216

b Prior years' undlstnbuted income Subtract line 4b from line 2b ~ rv =' " NONE

c Enter the amount of poor years' undistnbuted income for which a notice of deficiency has been Issued or on which the section 4942(a)

r tax has been previously assessed ~ ' NONE

d Subtract line 6c from line 6b Taxable amount " see page 25 al the instructions - NONE " '

e Undistributed income for 2000 Subtract line 1'L~ r'}` 4a lion line 2a Taxable anwrt - cm age ' -- t - - 25 0l the instructions NONE

1 Undistributed income for 2001 Subtract ~ - - . -- - - . ' - -- " lines 4d and 5 from line 1 This amount must ~ ,` +'L be distributed in 2002 NONE

7 Amounts treated as distributions out of corpus to satisfy requirements imposed by section 170(b)(1)(E)ar4942(9)(3)(sapage . - -<v

N 25 of the instructions) NO ' ' -- 8 Excess distributions carryovc from 1996 . . _, -

not applied on line 5 or line 7 (see page 25 of the mstrucGans) NONE

9 Excess distributions carryover to 2002 , _-

Subtract lines 7 and 8 from line 6a 672,216

10 Analysis of line 9 a Excess from 1997 NO

' 6 Excess from 1998 NO

c Excess from 1999 12,1329

d Excess from 2000 76 397 ~Y'~[

Excess from 2001 582 990 -,e, -Form 990-PF (zoo,)

Page 9: F.990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/061/... · F.990-PF DepaCment of the Treasury Intel Rinnerue Service For galendar year 200' G Check

2a Enter the lessB, of the adjusted net income from part I a the minimum investment return from Part x for won year listed

b 85% of brcla

C Ouallfyinp CbMOUlbna Irtlm Par Bit in . 4 for aeon year listed

d Ahn.uhU a. chided In In- 2c hot U Bad directly for active conduct o! ....pt acevrtYa

OvaIIlym9abbiEUtnnamade alncGr for acbrat conduct Of ....Pt icu,no. sub"" l in . 2d from a.. 21

3 Complete 32 e Or crormO .Ibm aVn bat nIIM upon

i '"fa" tY .1tomarfire toot enter

(1) V71Y " OIiIIiWb

(2) Value of assets qualifying

YOER " ILdbO

.s .2lll(axelln b 'Enaowm.nraium~unun-

Enter 7q of minimum mvuOn.N return mown In Girt 1 line 6 for each year led"

C "SUOCaKaMmaYwtest m",

(7) Total ~uv7ortomrtNon p,e.a Inr~fbnBnt Income (InbnqEMESnGt ends Oarm.nb en rcurb" loan . lBecdbn 571(a%3)) or rayalno)

(2) support ". go .* .] , .bill one 5 or mode exempt .1g . .U .d .n . Be rchilmed an section .9 .20K3xaxo)

(7) Lar9 ..tamount olauppart from an ...Pt organization

Any restrictions or limitations on awards, such as by geographical areas, charitable fields, lands of institutions, or other factors GRANTS ARE LIMITED TO ORGANIZATIONS DESCRIBED IN SECTION 501(C) (3) OF

I E74907000 Form 990-PF (2001) 1 7

Form 99aPF

a If the foundation has received a ruling or determination letter that it is a private operating

foundation, and the ruling is effective for 20Q1, enter the dale of the ruling

b Check box to indicate whether the organization is a private operating foundation described in section

~/ Supplementary Information (Complete this part only If the organization had $5,000 or more In assets at any time during the year - see page 26 of the Instructions )

Information Regarding Foundation Managers* a List any managers of the foundation who have contributed more than 2% of the total contributions necerved by the foundation

before the close of any tax year (hut only if they have contributed more than $5,000) (See section 507(d)(2)

ROBERT E PATRICELLI

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°6 or greater intere,st

NONE

Z Information Re ardlng Contribution, Grant Gift Loan, Scholarship, etc ., Programs Check hoe 1 if the wpanization only make cmtn6WOns to psdected chariimleagan¢aliortt and does not accept unsolicited requests for loom

If the organization makes sills atoms, etc (see Ogle 26 of the instructions) to individuals a alounzabms under other coMNOns, complete dertu 2A b, c, and d

a The name, address, and telephone number of the person to whom applications should be addressed

ROBERT E PATRICELLI . 77 HARTFORD ROAD . SIMSHURY, CT 06076

b The farm in which applications should be submitted and Information and materials they should include

NONE

c Any submission deadlines

NONE

Page 10: F.990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/061/... · F.990-PF DepaCment of the Treasury Intel Rinnerue Service For galendar year 200' G Check

Y

Form 990.PF 2001) Supplementary Informal

3 Grants and Contributions Paid C

Recipient

Name and address (home or business)

a Peed dunng the year STATEMENT 10

the Year or App roved for If raCipirnt is an uHrvlbial Fou~trAiat show arty rdalimsAp to

stat~a N a~!. bundanm rtwtyc ., .. . ...., . . . ., . ~ recipient

Purpose M pram v

contnbu4vi

" 3

Form 990-PF (sooi) JSA

tEU9f 1a00

Total b Approved for future payment

Amount

764 .377

Page 11: F.990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/061/... · F.990-PF DepaCment of the Treasury Intel Rinnerue Service For galendar year 200' G Check

JSA 1 E 1492 4 000

O~,

06-1987230 Form 990.PF (2001) Page 7 1

Analysis of Income-Producing Activities

Enter gross amounts unless otherwise indicated Unrelated business income Excluded b section 512 513, or 514 (°) Related or exempt

Business (b) Fuck' inn (d) iRw~tlo ̂ .fliRme

1 Program service revenue code Amount code Amount the instructions a

b

c

d

a

f

g Fees and contracts from government agencies 2 Membership dues and assessments

J interest on sanrgs and temporary rah imatmerrcs 14 260

4 Dividends and interest from securities 14 3.73 , 954

5 Net rental income or (loss) from real estate - ' - ~ "- -

a Debt-tenanted progeny

b Not debt-financed property 6 Net rental income u (ices) Nam persoreJ property 7 Other investment income

8 Gain a (loss) from sale of assets dne than inventory 18 -105 , 802 9 Net income or (loss) from special events

10 Gross profit or (loss) from sales of inventory 17 Other revenue a

b

c

d e

12 Subtotal Add columns (b), (d), and (e) 68,412

17 Total Add line 12, columns (b), (d), and (e) _ 113 68 , 412

SK worksheet in line 13 instructions on page 261o veri fy calculations

Relationshi p of Activities to the Accom plishment of Exem pt Purposes Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to

Line No the accomplishment of the organizations exempt purposes (other than by providing funds for such purposes) (See V ~ page 27 of the instructions )

Form 990-PF (ZOOt)

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Farm996PF 200106-1487230 Page 12 Information Regarding Transfers To and Transactions and Relationships With Nonchantable 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 nonchantable exempt organization of

(1) cash

(2) Other assets

6 Other Trzinsactions

(t) Sales of assets to a nonchantable exempt organization ,

(Z) Purchases of assets from a nonchantable csempt organ¢abon

(3) Rental of facilities, equipment, or other assns (4) Reimbursement arrangements

(5) Loans or loan guarantees

(6) Performance of services or membership or fundraising solicitations

c Sharing of facilities, equipment, mailing lists other assets, or paid employees

d II the answer to any of the above is 'Yes,' complete [he follovnng schedule Column (b) should always show the tar marled value of the goods, other assets, or services given by the reporting arpan¢ation I! the organization received less than fair

market value in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services

1

2 a Is the organization directly or indirectly affiliated with, or related to, one or more tax-exempt organ¢ahons

described in section 507(c) of the Code (other than section 501(c)(3)) or in section 5277 , ~ Yes ~X No

1E14977000

Under penalties olpa I declare that 1130e ewnined this return, irclud true cured, ap plate Dclarali ylooreparer (otrc than teqpa;e a

u 1 Signature of office v trust d S c i PreparUs a 9 0 y q a o signature 1 1 V

a a j Firm's name (or yours ' PRICE ATER}{O ECO if self-employed), address, 100 PEARL STREET and ZIP code .._______ .._

Page 13: F.990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/061/... · F.990-PF DepaCment of the Treasury Intel Rinnerue Service For galendar year 200' G Check

Form 8621 Return by a Shareholder of a Passive Foreign OMB NO 1545 1002 (RevDecember 2000) Investment Company or Qualified Electing Fund o~eunem d w Tnu~ Attachment Ifflerrw a~ seMU 1 See separate instructions Sequence No 69 Name of shareholder Identifying number (see page 2 of instructions)

THE ROBERT b MARGARET PATRICELLI FAMILY FOUNDATION 06-1487230 Number west and room or suite no (It a PO Do; see page 2 0l instructions ) snanroia.. =,.a, calendar year zo « omsr is. Yver

77 HARTFORD ROAD ew~+~+~0 07 01 m 01 m,aa,a,.y 06/30 m 0 City a town elate and ZIP code or country

Trust I I Estate Check type of shareholder fling the return U Individual

Name of passne foreign investment company (PFIQ or qualified Partnership

Address (Enter number street city or town, and country ) ru y.v a company a new a~y.a za QL n ouw DEUTSCHE HORGAN GRENFELL LTD, PO BOX 1984, ELIZABETHAN SQ It "+re "rbe0iminp 20-ena GEORGETOWN, GRAND CAYMAN, CAYMAN ISLANDS 20

Part I Elections (See instructions ) A F&] Election To Treat the aFIC as a DEF I, a shareholdef of a PFIC, elect to treat the PFIC as a QEF Complete boas 1a through 2c of PaR II B 0 Deemed Sale Election I, a shareholder on the first day of a PFIC's first tax year as a QEF, elect to recognize gain on the deemed

sale of my interest in the PFIC Enter gam or loss on fine 10f of Part IV C ~ Deemed Dividend Election I, a shareholder on the first day of a PFIC's first tax year as a QEF that is a controlled foreign

corporation (CFC), elect to treat an amount equal to my share of the post-1986 earnings and profits of the CFC as an excess distribution Enter this amount on line 10e

O ~ Election To Extend Time For Payment of Tax I, a shareholder of a QEF, elect to extend the time for payment of tax on the undistributed earnings and profits of the QEF until this election is terminated Complete lines 3a through 4c of Part // to calculate the fax that may 6e deterred Note 11 any portion of line 7a or line 2a of Part// is mcludi6le under section 557 or 951, you may not make this election Also, see sections 1294(c) and 1294(n and the related regulations for events that terminate this election

E ~ Election To Recognize Gam on Deemed Sale of PFIC I, a shareholder of a former PFIC, sled to treat a5 an excess distribution the gain recognized on the defined sale a( my interest in the PFIC, or, d I qualify, my share of the PFIC's post-1986 earnings and profits deemed distributed . on the last day of its last tax yeti as a PFIC under section 1297(6) Enter gain on line 1010! PaR IV

F Q Election To Mark-to-Market PFIC Stock I, a shareholder of a PFIC, elect to mark-to-market the PFIC stock that is marketable within the meaning of section 1296(e) Complete Part 111

Part II Income From a Qualified Electing Fund (QEF) All QEF shareholders complete lines 1 a through 2c If you are making Election D, also complete lines 3a through 4c (Sea page 5 Of instructions )

7 .170

3a Add lines 1c and 2c

d Add lines 3b and 3c e Subtract line 3d from line 3a, and enter the difference (if zero or less, enter amount in brackets)

Important 11 line 3e is greater than zero, and no portion of line is or 2a is mcludible m income under section 551 or 951, you may make Election D with respect to the amount on line 3e

4a Enter the total tax for the tax year (See instructions ) 4a b Enter the total tax for the tax year determined without regard to the

amount entered on line 3e 4b c Subtract line 4b from line 4a This is the deferred tax, the time for payment of which is

extended by making Election D See instructions For Paperwork Reduction An Notice, see page 7 of separate instructions an SW FEW9MF 1

Forth 8621 (Rev 12-2000)

1a Enter your pro rata share of the ordinary earnings of the QEF 7a 37,1 b Enter the portion of line 1a that is included in income under section

551 or 951 or that may be excluded under section 1293(8) I to c Subtract line 1b from line to Enter this amount on your tax return as dividend income

2a Enter your pro rata share of the total net capital gain of the QEF 2a N( b Enter the portion of line 2a that is included in income under section

551 or 951 or that may be excluded under section 1293(8) 2b c Subtract line 2b from line 2a This amount is a net long-term capital gain Enter this amount in

Part II of the Schedule D used for your income tax return (See instructions )

b Enter the total amount of cash and the fair market value of other property distributed or deemed distributed to you during the tax year of the QEF (See instructions )

c Enter the portion of line 3a not already included in line 3b that is attributable to shares in the QEF that you disposed of, pledged, or otherwise transferred during the tax year

Page 14: F.990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/061/... · F.990-PF DepaCment of the Treasury Intel Rinnerue Service For galendar year 200' G Check

Form 8621 (Rev 92-2000)

Part !II Gain or (Loss) From Mark-to-Market Election (See page 5 of instructions )

5 Enter the (air market value of your PFIC stock at the end of the tax year 5 6 Enter your adjusted basis in the stock at the end of the tax year 6 7 Excess Subtract line 6 from line 5 If a gain, stop here Include this amount as ordinary income

on your tax return If a loss, go to line 8 7 8 Enter any unreversed inclusions (as defined in section 1296(d)) See instructions 8 9 Enter the smaller of line 7 or line 8 Include this amount as an ordinary loss on your tax return 9 Part IV Distributions and Disposition of Stock in a Section 1291 Fund (See page 6 of instructions )

Complete a separate Part IV (or each excess distribution

10a Enter your total distributions from the PFIC during the current tax year If the holding period of the PFIC stock began m the current tax year, this amount is dividend income to the extent there are accumulated earnings and profits .10a

b Enter the total distributions (reduced by the portions of such distributions that were excess distributions but not included in income under section 1291(a)(1)(8)) made by the company for each of the 3 years preceding the current tax year (or if shorter, the portion of the shareholder's holding period before the current tax year) 10h

c Divide line lob by 3 (See instructions if the number of preceding tax years is less than 3 ) 10c d Multiply line tOC by 125% Enter the lesser of line 70a or line 10d as a dividend on your income tax return 10d e Subtract line tOd from line 10a This amount, if more than zero, is the total excess distribution If

zero or less and you did not dispose of stock during the tax year, do not complete the rest of Part IV See instructions if you received more than one distribution during the current lax year 10e

f Enter gain or loss from the disposition of stock of a section 1291 fund or former section 1291 fund It a gain, complete line 11 If a loss, show it in brackets and do not complete line 11 10f

17a Attach a statement for each distribution and disposition Show your holding period (or each share of stock or block of shares held Allocate the excess distribution to each day in your holding period Add all amounts that are allocated to days in each tax year

b Enter the total of the amounts determined in line 11a that are allocable to the current tax year and tax years before the foreign corporation became a PFIC (pre-PFIC tax years) Enter these amounts on your income tax return as other income 11h

c Enter the aggregate increases in tax (before credits) for each tax year in your holding period (other than the current tax year and pre-PFIC years) (See instructions ) 11c

d Foreign tax credit (See instructions ) 11 d e Subtract line 11d from line 11c Enter this amount on your income tax return as "additional tax'

11e (See instructions ) f Determine interest on each net increase in tax determined on line tte using the rates and

methods of section 6621 Enter the aggregate amount of interest here (See instructions ) 11 f

Status of Prior Year Section 1294 Elections and Termination of Section 1294 Elections Complete a separate column for each outstanding election Complete lines 9 and 10 only if there is a partial termination of the section 1294 election

Part V

Form 8621 (Rev 12-2000) STF FE069WF 2

1 Tax year of outstanding election

2 Undistributed earnings to which the election relates

3 Deferred tax 4 Interest accrued on deferred

tax (line 3) as of the filing date

5 Event terminating election 6 Earnings distributed or

deemed distributed during the tax year

7 Deferred tax due with this return

8 Accrued interest due with this return

9 Deterred tax outstanding after partial termination of election

10 Interest accrued after partial

Page 15: F.990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/061/... · F.990-PF DepaCment of the Treasury Intel Rinnerue Service For galendar year 200' G Check

FEDERAL FOOTNOTES

FORM 8621 - ADDITIONAL INFORMATION NORSE CBO, LTD 07/01/98 BALANCE

07/22/98 PURCHASED 06/30/99 BALANCE 06/30/00 BALANCE 06/30/01 BALANCE 06/30/02 BALANCE

NONE 1,000,000 1,000,000 1,000,000 1,000,000 1,000,000

FoRm frb2/ STATEMENT 1

THE ROBERT b MARGARET PATRICELLI FAMILY FDN 06-1487230

Page 16: F.990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/061/... · F.990-PF DepaCment of the Treasury Intel Rinnerue Service For galendar year 200' G Check

FORM 990-PF - PART IV CAPITAL GAINS AND LOSSES FOR TAX ON INVESTMENT INCOME

Date Date sold Kind of Property Description acquired

Gross sale Depreciation Cost or FMV Add basis cess o Gain price less allowed/ other as of as of FMV over or

er enses 1 sale w ad basis ss

210 SHS 14MAT 07/12/2001 05/07/2002 PROPERTY TYPE SECURITIES

4,689 4,831 -142

175 SHS INTEL CORD 07/12/2001 05/07/2002 PROPERTY TYPE SECURITIES

4,638 5,108 -550

400 SHS INTEL CORD 09/26/2001 05/07/2002 PROPERTY TYPE SECURITIES

10,602 8,504 2,098

275 SHS WORLDCOM INC 07/12/2001 03/27/2002 PROPERTY TYPE SECURITIES

1,690 3,900 -2,210

1300 SHS WORLDCOM INC 09/26/2001 03/27/2002 PROPERTY TYPE SECURITIES

7,989 18,603 -10,614

225 SHS WORLDCOM INC 11/06/2001 03/27/2002 PROPERTY TYPE SECURITIES

1,383 2,981 -1,598

400 SHS WORLDC014 INC 11/21/2001 03/27/2002 PROPERTY TYPE SECURITIES

2,458 5,752 -3,294

500 SHS HORLDCOM INC 02/21/2002 03/27/2002

PROPERTY TYPE SECURITIES 3,073 3,460 . -387

300 SHS WORLDCOM INC 02/21/2002 03/27/2002

PROPERTY TYPE SECURITIES

1,844 2,076 -232

500 SHS WOFtLDCOM INC 03/12/2002 03/27/2002 PROPERTY TYPE SECURITIES

3,073 3,840 -767

500 SHS WORLDCOM INC 03/12/2002 03/27/2002 PROPERTY TYPE SECURITIES

3,073 3,840 -767

E77]07000 n.~nr~r . ne~^In ~ ~ /11 /nnnn nC " nO . An trn~ '1 17

Page 17: F.990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/061/... · F.990-PF DepaCment of the Treasury Intel Rinnerue Service For galendar year 200' G Check

FORM 990-PF - PART IV CAPITAL GAINS AND LOSSES FOR TAX ON INVESTMENT INCOME

Kind of Property Description Date Date sold acquired

Grass sale Depreciation Cost or FMV Add basis Excess of Gain price less allowed! other as of as of FMV over or

ex penses of sale a llowable ad basis floss)

SEE STATEMENT I PW HA1222950 VAR VAR PROPERTY TYPE SECURITIES

,300,000 1,300,000 NONE

SEE STATEMENT II PW HA1222850 VAR VAR

PROPERTY TYPE SECURITIES 31,744 27,991 3,753

SEE STATEMENT III FLEET INV VAR VAR PROPERTY TYPE SECURITIES

,711,165 1,802,549 -91,384

SEE STATEMENT III FLEET INV VAR VAR PROPERTY TYPE SECURITIES

662,398 662,106 292

TOTAL GAIN (LOSS) -105,802

/301p00 QTnnTT(` 9q'7(1 ii /11/?nn? na-no an -

JSA 161

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PAR- 1~ STMT- -r

2001 Yea, End Summary Account Number HA 12228 50 Pago Z of 2 UBS PaineWebber'" p Your Finenclel Advisor Business Services Account BSA° THOMAS D LIPS/MARK ROUSSEAU 860 278 510d800-213-8982

EZDCa0117B1 XiJ6

2001 Realized gains and losses EsbIUY02001 pare aM bcss Ar "rbacbu xiM Wad, dabs Mwyh 17lJ7.01 have been nonpwab0 nb 11u rYbrtwN This nMnfi4m Can b used !or y"r-rM Au plvvNrp s07Ygws but shouki wt be used for *V purposes am mar nora . awnp.r we wh a+* MYIiisrM ha kvma Wln MPOmD You' Gi nNn TM ddssf aeNM bf a IFHJbfed Mf b fJ1tY~Y pltibal~s (Nf-h. (rsbuf w flF0 Mmu~btp meOnC) unYis you speMBd wiiCi blrocbe.~YOUOYcrdWwanlrlawrsu purtYrwwVSPari]r1 M asWrsk(')ndciNa i manu~ldwg~ n nbmu9mwapawsnqoene0 nqchroddmplhcurerNmml~ CansAUVns maYnotbeadjusbdMaO uaortaldrrgea CwfGU7MWea~rMPnMMRNpdYCpponmuvqlaenn~elrebsvraQ~sbdiibnalcaYYbresbrwYC~rnorYi6ondOnMp7rnuni Elblurenlr'UrJOSyMd's~clmonrolbeda~9ilp0u fhori-Mm w bnp-brm ds b mu`rg nbmulan w M GrodcY s nn br wh[i~ a aanMU talcvYdon b nolOrorWd

OYrnMy/ Purchase snip sma, Punctual, Not SicunMOb.xrplon MOW Face vYFY WY WY MbIrY umurN Lass Gnn mrvb55

Short-term capital gains and losses PILGRIM PRIME RATE TRUST FIFO 2000 0701 17/2M'01 t F+0,00000 $ SEA

60,001) 00 MAUCTPFD21009L FIFO 1000 07/1901 12/24q1 25,00000 25,00000

FIFO 1000 07A401 11/OYUt 100,00000 100,ODD00 FIFO 4000 07AaU1 1000501:11 100,00000 100,00000

PILGRIM PRIME RATE TRUST FIFO 8000 07/11N1 Oflt2601 2W.000 00 200,OOOpp SER W AUCT PFD 2 150 % PILGRIM PRIME RATE TRUST FIFO 1 000 OBI2M01 t0Y0GM1 25,00000 25,OOOOD SER F AUCT PFD 1 YDO % FIFO 12 000 07/1391 0631p1 300,00000 300,00000 NELNETSTUDElRLNCORP FIFO 500,000000 Ov"1 082701 500,00000 500,ODD 00 28DAV MC2001A-2 MS lRI 2 110 080136 DTD 080101 Total f 1,300,000 00 f 1]0000000 f O00

uaS Pw 2001 Year End Summary/ HA 1272950

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3001 Year End Summary Account Number HA 12228 50 Page Z of 2 UBS PaineWebber ~omouoiw.Nqm.nrvi~m Your Financial Adviser Investment Account

THOMAS D LIPS/MARK ROUSSEAU 880 278 510dB00243-8382

so25377 0000W 001 Realized gains and lasses OmaieC 10V 1 qm rM buea br Y~nycams wAh bd NYt nmto iaaroi new cwi ̀mpor+~.e~m no aramwx The namuem nn w used rory..r.oo uxpwwq maple., an rraAc nor o . era a nrgpuMos,s M mq nd Oe a mmpisb ~C f7Ny aNy m y~araMW Mns iN1n PMmGY~ d+nNn The oldest alcupy W Is Ypuaafed AM b c9biiY pahsoWm7 (Mlan. Fslaul "FIFO "aroinbp method) urYSSa you WaGfed whch ibntwYlunYMP&COdl~mir(mwrsuOirdVSSaVSPOrWr) MasbrW(')hdcnbeamnirldwp.nnAwm&EmaeOosiEMWw'NGaMUaalCOVipNCUnrNmmlr fi,hsMSVSmaYmfOes4AdbEA7raY Iplal Nwnqss Cad been, for Yruempl and MIT eIpbY cwpon minkivl rcv" si has been MQhsYd SubralYmIy Ax sbnaIM nnwhriCm d hvdprrnYma Esblu"s n rie 'lhicYnrIfeC' eeclm on ro! 0~ dassllfe0 u

PART g STMT a

EZIXAI177I X F36

OusnYy/ Plxdraae San $ab PWUwts Nor scunh dvolon AbYroO Fact a1a date bb &npuM amwnl Lass Gam gaN0ims

horblerm capital gains and long . OORS ADOLPH CO CL B FIFO BD 000 09Md01 11/owl i 4,54309 $ 3,97385 S 56984

FIFO 100000 10N1A1 11/050401 5,10528 4,51800 58928 FIFO 283000 0012db1 11I07101 11,40911 12836% 1E8316 FIFO 7E 000 Oa2E/01 111/0"1 4,02405 348270 54196

EPSICOINC FIFO 75000 07/12M1 11iVd01 3,800 412 3,3E250 21812 Dial f 37.743 E6 f 27,99100 { 3,75266 t 3,75266

001 Realized capital gain/loss summary

X85 Pw 2001 Year End Summary/ HA 1222850

Page 20: F.990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/061/... · F.990-PF DepaCment of the Treasury Intel Rinnerue Service For galendar year 200' G Check

PnRr iv srnl r -7ZT FLEET l or S

GAIN/LOSS PROFILE REPORT DATE PREPARED 10/15/02 TO 429 FLEET INVESTMENT SERVICES COVERING PERIOD 7/01/01 THROUGH 6/30/02

------------------GAIN/L0S9 SCHEDULE ------------------

TAX ID ACC TYP CPCTY CDE ACCTMP MM MGR ACCOUNT NUMBER, NAME d i b N Y k 0006270710 pATRIC2LLI ROBERT 6 MARGARET PAM PD 04-9305183 00 68 21 273 270

DATE OATS NET PURCHASE GAIN DATE SHARES/PAR DESCRIPTION ACQUIRED 90LD/ACD PROCEEDS COST (L059)

7/07/01 7766 14000 FIDELITY INSTITUTIONAL FUND M59 VARIOUS 9/04/O1 7366 14 7366 14 0 00 9/06/01 87905 50000 FIDELITY INSTITUTIONAL POND 659 7/06/01 9/06/01 87905 50 87905 50 0 00 9/19/01 4281 79000 FIDELITY INSTITUTIONAL FUND q59 VARIOUS 9/19/01 4281 79 9281 79 0 00

10/01/01 37987 00000 FIDELITY INSTITUTIONAL FUND //59 VARIOUS 10/01/01 37987 00 37987 00 0 00 10/31/01 35080 00000 FIDELITY INSTITUTIONAL POND 659 7/06/01 10/31/01 35080 00 35080 Go 0 00 11/14/01 39753 00000 FIDELITY INSTITUTIONAL POND q59 7/06/01 11/11/01 79753 00 79753 00 0 00 12/04/01 300 00000 EHRON CORP CON 7/13/01 11/79/01 98 99 14760 00 -1661 01 12/01/01 100 00000 PNRON CORP CON 8/71/01 11/29/01 33 00 3502 00 -3469 00 12/19/01 6137 43000 FIDELITY INSTITUTIONAL FUND p59 VARIOUS 14/19/01 6132 43 6132 43 0 00 17/31/01 8710 09000 FIDELITY INSTITUTIONAL FUND y59 VARIOUS 12/31/01 870 09 870 09 0 00 1/08/02 400 00000 INGERSOLL RAND CO CON 8/23/01 1/04/02 16724 00 16376 00 348 00 1/72/02 48863 00000 FIDELITY INSTITUTIONAL FUND a59 7/06/01 1/22/02 06863 00 48863 00 0 00 2/07/01 100 00000 6LAN PLC ADR 8/31/01 2/0/02 1157 97 5241 00 -7785 03 2/08/02 700 00000 AMOEN INC 7/13/01 2/05/02 11107 82 11254 00 153 82 2/08/02 100 00000 EIJV7 PLC ADR 8/31/01 2/05/02 1263 98 523 00 -3979 02 7/07/03 19161 03000 FIDELITY INSTITUTIONAL BOND y59 7/06/01 2/07/02 49164 03 19164 03 0 00 3/05/03 97917 97000 FIDELITY INSTITUTIONAL POND q59 7/06/01 3/05/02 97917 97 97917 97 0 00 3/05/04 1522 97000 FIDELITY INSTITUTIONAL FUND y59 VARIOUS 3/05/02 1522 92 1547 97 0 00 3/12/02 400 00000 QWPST COMMUNICATIONS IN1'L CON 7/13/01 3/07/02 1905 97 5940 00 -4011 03 3/12/07 44970 07000 FIDELITY INSTITUTIONAL PUNS /{59 7/06/01 3/12/07 49970 03 41970 03 0 00 3/19/02 6085 91000 FIDELITY INSTITUTIONAL FUND 059 VARIOUS 3/19/02 6085 91 6085 91 0 00 3/21/02 75058 00000 FIDELITY INSTITUTIONAL FUND p59 7/06/01 3/21/02 75050 00 25050 00 0 00 4/01/02 50000 00000 FIDELITY INSTITUTIONAL FUND q59 7/06/01 4/01/02 50000 00 50000 00 0 00 4/01/02 71335 1000 FIDELITY INSTITUTIONAL POND q59 VARIOUS 4/01/02 31335 14 31335 39 0 00 4/25/02 50000 00000 FIDELITY INSTITUTIONAL FUND /59 7/06/01 4/25/02 50000 00 50000 00 0 00 5/01/02 500 00000 INTERPUBLIC ORP OP COMPANIES INC CON 8/23/01 4/26/02 16574 19 13805 00 2769 99 5/01/02 100 00000 KRAFT FOODS INC CON 1/16/02 4/26/02 4048 07 7423 00 625 87 5/01/02 150 00000 PROCTER 4 GAMBLE CO CON 7/17/01 9/26/02 13571 59 10247 00 7329 59 5/01/07 200 00000 QWBST COMMUNICATIONS INTL CON 7/13/01 4/26/02 1153 96 5970 00 -766 01 5/01/07 200 00000 QWEST COMMUNICATIONS INTL CON 8/31/01 4/26/07 1153 96 4268 00 -7116 04 5/01/02 100 00000 QWE9T COMMUNICATIONS INTL CON 10/26/01 9/26/02 576 99 1770 00 -1193 01 5/01/03 100 00000 SMITH INTERNATIONAL INC 2/04/02 4/26/02 7071 78 5399 00 1672 78 6/17/02 200 00000 ABBOTT LABS CON 3/18/02 6/07/02 9033 72 10620 00 -1596 28 6/13/07 150 00000 AMER INTERNATIONAL GROUP INC CON 7/13/01 6/07/07 9718 20 14697 00 -2971 80 6/12/02 300 00000 AMERICAN EXPRESS OD CON 7/13/01 6/09/02 11711 64 11763 00 -51 36 6/12/02 300 00000 ANALOG DEVICES INC CON 7/13/01 6/07/02 10214 69 13149 00 -2971 71 6/12/02 100 00000 ANALOG DEVICES INC CON 1/16/02 6/07/02 3404 90 9241 00 -839 30 6/17/02 100 00000 ANALOG DBVICES+INC CON 2/04/02 6/07/02 310 89 9267 00 -862 11 6/12/02 300 00000 AUTOMATIC DATA PROCESSING INC 7/13/01 6/07/02 15769 54 16056 00 -786 46 6/17/02 50 00000 AUTOMATIC DATA PROCESSING INC 10/26/01 6/07/02 2544 92 2586 00 -41 08

Page 21: F.990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/061/... · F.990-PF DepaCment of the Treasury Intel Rinnerue Service For galendar year 200' G Check

FLEET 7 0 f 5

GAIN/LOSS PROFILE REPORT DATE PREPARED 10/15/02 ID 429 FLEET INVESTMENT SERVICES COVERING PERIOD 7/01/01 THROUGH 6/30/02

------------------GAIN/IO9S SCHEDULE ------------------

TA]( ID ACC TYP CPC17 m8 ACCITlT ADM NOR ACCOUNT NUMBER, NAME q g q q y p 0006270310 PA7RICHLLI ROBERT 6 MARGARET PAM FD OI-9305183 80 68 21 273 270

DATE DATE NET PURCHASE GAIN DATE SHARES/PAR DESCRIPTION ACQUIRE SOLD/RCD PROCEEDS COST (LOSS) ---- ---------- ----------- -------- -------- -------- -------- ------

6/12/0] 400 00000 BAKER HUGHES INC CON 7/13/01 6/07/02 1151 57 12817 00 1339 57 6/12/02 100 00000 BAKER HUGHES INC CON 1/16/02 6/07/07 3537 89 3187 00 350 89 6/17/07 300 00000 BANK NEW YORK INC 8/31/01 6/07/02 10121 69 11925 00 -1800 31 6/12/02 200 00000 BAXTER INTERNATIONAL CON 1/16/02 6/07/07 10039 69 10517 00 -472 31 6/12/02 300 00000 BRISTOL MYEt9 SQUIBB CO 11/08/01 6/07/03 8108 75 16916 00 -8307 25 6/12/02 100 00000 BRISTOL MYHR9 SQUIBB CO 2/01/02 6/07/02 270 92 4375 00 -1672 08 6/12/01 600 00000 CI9C0 9Y9 INC CON 7/13/01 6/07/02 9974 31 11279 00 -1799 69 6/12/02 300 00000 CITIGROUP INC CON 7/13/01 6/07/02 12281 62 14718 00 -2163 30 6/17/07 100 00000 COMCA9T CORP CL A SPECIAL 8/31/01 6/07/07 10144 09 14568 00 -427 91 6/12/02 500 00000 CONOCO INC CON 8/77/01 6/07/07 13709 60 15150 00 -1990 40 6/17/07 100 00000 CONOCD INC CON 10/26/01 6/07/02 261 97 2715 00 -73 08 6/12/0 300 00000 CVS CORP CON 7/13/01 6/07/07 9770 70 11853 00 -2082 30 6/17/01 100 00000 CVS CORP CON 10/26/01 6/07/07 3256 90 7241 00 15 90 6/12/02 400 00000 DELL COMPUTER CORP CON 7/13/01 6/07/02 10488 08 11268 00 -779 92 6/12/01 400 00000 DON CHEMICAL CO CON 8/27/01 6/07/02 17013 60 13844 00 -800 40 6/14/07 400 00000 EXXON MOBIL CORP CON 7/13/01 6/07/02 15719 52 17266 00 -1546 98 6/12/02 50 00000 EXXON MOBIL CORP CON 8/31/01 6/07/02 1969 94 2033 00 -68 06 6/17/07 300 00000 GENERAL ELECTRIC CO CON 7/13/01 6/07/02 8963 72 14091 00 -5127 28 6/12/02 300 00000 HOME DEPOT INC CON 7/13/01 6/07/02 11591 65 1724 00 -3132 75 6/12/02 400 00000 INGERSOLL-RAND CO CL A CON 1/02/02 6/07/02 19607 40 16724 00 7883 90 6/12/07 350 00000 INTEL CORP CON 7/13/01 6/07/02 7707 61 10500 00 -2796 39 612/02 3 00000 J M SMUCI(Sit CO CON! 7/13/01 6/07/02 107 90 80 19 23 21 6/12/02 250 00000 KRAFT FOODS INC CON 1/16/07 6/07/02 10927 18 8557 50 1869 68 6/12/02 200 00000 LILLY ELI 6 CO CON 7/19/01 6/07/02 12241 67 15558 00 -7316 37 6/17/02 400 00000 MCDONALDS CORP CON 7/13/01 6/07/02 11915 63 11060 00 055 63 6/1207 250 00000 MEDTRONIC INC CON 7/1301 6/0702 11361 65 11557 50 -192 85 6/17/07 200 00000 MICROSOFT CORP CON 7/25/01 6/07/02 10325 88 13370 00 -3044 12 6/12/07 500 00000 NOICIA CORP A[7R SERIES A 7/13/01 6/07/02 6069 81 9295 00 -3215 19 6/12/02 300 00000 NOI(IA CORP ADR SERIES A 8/23/01 6/07/02 3641 09 5331 00 -1689 11 6/12/02 250 00000 P6PSICU INC CON 8/31/01 6/07/04 12797 11 11810 00 987 11 6/12/07 50 00000 PeP9IC0 INC CON 10/26/01 6/07/02 7559 42 725 50 133 92 6/12/03 300 00000 PFIZER INC CON 7/13/01 6/07/02 10316 68 11718 00 -1401 32 6/12/02 350 00000 PHMMACIA CORP CON 3/07/02 6/07/02 13593 58 14500 50 -906 92 6/12/02 100 00000 PROCTER 6 GAMBLE CO CON 7/13/01 6/07/02 8908 73 6774 51 2134 19 6/11/02 600 00000 SAAR L66 CORP CON 8/23/01 6/07/02 12341 62 13188 00 -846 38 6/12/02 700 00000 9BC COMMUNICATIONS INC CON 7/13/01 6/07/02 9881 70 12585 00 -2703 30 6/12/02 150 00000 SBC COMMUNICATIONS INC CON 8/31/01 6/07/04 1940 85 6178 50 -1237 65 6/12/02 100 00000 SBC COMMUNICATIONS INC CON 1/26/04 6/07/02 3297 90 3312 00 81 90 6/12/02 200 00000 SI29EL SYSTEMS INC CON 7/19/01 6/07/02 3588 D9 7090 00 -3501 91 6/12/07 300 00000 9IBBEL SYSTEMS INC CON 8/23/01 6/07/02 5782 13 6777 00 -1394 B7

PART- IV STMT

Page 22: F.990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/061/... · F.990-PF DepaCment of the Treasury Intel Rinnerue Service For galendar year 200' G Check

FLEET 3 of 5

GAIN/L099 PROFILE REPORT DATE PREPARED 30/15/OZ ID /29 FLEET INVESTMENT SERVICES COVERING PERIOD 7/01/01 THROUGH 6/]0/04

------------------ GAIN/LOSS SCHEDULE ------------------

TAX ID ACC TYP CPCT7 CDB AC(TNT AI7M MGR ACCOUNT NUMBER, NAME q q y p p k 0006170310 PATRICHLLI ROBERT 4 MARGARET PAM PD 04-9305183 80 68 31 273 470

DATE DATE NET PURCHASE GAIN DATE SHARES/PAR DESCRIPTION ACQUIRED 60LD/Rm PROCEEDS COST (LJDSS) ---- ---------- ----------- -------- -------- -------- -------- ------

6/14/04 100 00000 SMITH INTERNATIONAL INC 2/04/02 6/07/07 6962 79 5399 00 1563 79 6/12/02 400 00000 TARGET CORP COM 7/19/01 6/07/02 15739 53 19601 00 635 53 6/12/02 200 00000 UNITS TECHNOLOGIES CORP CON 10/26/01 6/07/02 13645 58 11324 00 2301 58 6/14/02 600 00000 US BANCORP DHL COM 8/23/01 6/07/02 13771 58 15036 00 -1302 43 6/12/02 100 00000 U3 BANCORP DEL COM 10/26/01 6/07/02 2288 93 1861 00 424 93 6/12/02 250 00000 VHRIZON COMMUNICATIONS COM 2/04/07 6/07/02 10359 68 11442 50 -1082 82 6/12/01 300 00000 VODAFYINE GROUP PLC ADR NEW 7/13/01 6/07/02 1278 87 6615 00 -2376 17 6/17/02 250 00000 WELLS PAR00 fi CO NEW COM 7/19/01 6/07/02 12469 62 11780 00 689 62 6/11/02 500000 00000 FIDELITY INSTITUTIONAL FUND p59 7/06/01 6/11/0 500000 00 500000 00 0 00 6/19/07 5923 96000 FIDELITY INSTITUTIONAL FUND d59 VARIOUS 6/19/07 5923 96 5923 96 0 00

l,7/l,/65 {/ ~8o1,5Ya 6y -91383 23

CAPITAL GAIN DISTRIBUTIONS 0 00 NISC ST CAIN/LOSS 0 00 ST CAPITAL LOSS CARRYOVER 0 00

------------ ------------

NBT ST GAIN/LOSS -91783 23

7/16/01 1131 08000 FNLMC GOLD #E00535 6 00t 2/01/13 7/13/98 7/15/01 1434 88 1114 4e 20 90 7/10/01 319959 00000 FIDELITY INSTITUTIONAL POND q59 1/14/98 7/18/01 39959 00 319959 00 0 00 7/21/01 59751 00000 FIDELITY INSTITUTIONAL FUND 059 1/14/98 7/24/01 59751 00 59751 00 0 00 7/35/01 139 73000 FNMA POOL q169556 7 001 12/01/10 2/11/98 7/25/01 139 72 1426 10 -31 78 7/30/01 17370 00000 FIDELITY INSTITUTIONAL FUND q59 1/14/98 7/30/01 13370 00 13370 00 0 00 B/15/01 1119 13000 FNI24C COLD #E00535 6 001 3/01/13 2/13/98 8/15/01 1119 13 1107 22 15 91 8/27/01 647 43000 FNMA POOL q369556 7 00f 12/01/10 2/11/98 8/25/01 647 07 662 00 -14 57 8/28/01 108242 00000 FIDELITY INSTITUTIONAL FUND //59 VARIOUS 8/28/01 10822 00 108247 00 0 00 9/17/01 1282 77000 FNIMC GOLD dE00535 6 00R 2/01/13 2/13/98 9/15/01 1282 72 1264 18 18 21 9/25/01 802 69000 FNMA POOL p369556 7 00t 12/01/10 2/11/98 9/75/01 802 69 820 75 -18 06 10/15/01 880 71000 FNLMC SOLD q600535 6 OOt 2/01/13 2/13/98 10/15/01 880 31 867 79 72 52 10/25/01 7151 25000 FNMA POOL p369556 7 00t 12/01/10 2/11/98 10/25/01 2151 25 2199 65 -48 40 11/15/01 1713 41000 FHIlAC GOLD q200535 6 00t 7/01/17 2/13/98 31/15/01 1713 21 1688 85 29 36 11/76/01 600 9000 FNMA POOL p369556 7 00t 12/01/10 2/11/98 11/2S/01 600 99 614 46 -13 52 12/11/01 1682 72000 FHLMC GOLD q200535 6 OOF 2/01/33 2/13/98 12/15/01 1682 72 1658 79 23 93 12/2701 1615 98000 F[i14A POOL 6369556 7 00t 12/01/10 7/1198 12/2501 1615 98 1652 31 -36 36 1/15/02 2047 71000 FHI14C GOLD qB00535 6 00f 2/01/13 2/13/98 1/15/02 2017 71 2018 59 29 12 1/25/07 1898 88000 FNMA POOL q369556 7 00t 12/01/10 2/11/98 1/25/02 1898 88 1941 60 -92 72 2/01/07 100000 00000 FED FARM CR BI(S 6 62511 2/01/02 2/25/00 2/01/02 100000 00 99617 00 383 00 2/15/02 1430 77000 FHL14C COLD #E00535 6 OOt 2/01/13 2/13/98 7/15/02 1930 77 1910 07 20 31 2/25/02 1109 07000 FNMA POOL p769556 7 00t 12/01/10 2/11/98 2/25/02 1109 07 1139 02 -24 95

Pn Rr i v STMT 72

Page 23: F.990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/061/... · F.990-PF DepaCment of the Treasury Intel Rinnerue Service For galendar year 200' G Check

LZ 9i E2 KIT Si OdiS LO/SS/E 86/ET/L Ei/SO/Z 100 9 SE5008p MOD JN'IHd 00056 06ii

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Page 24: F.990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/061/... · F.990-PF DepaCment of the Treasury Intel Rinnerue Service For galendar year 200' G Check

CAIN/409S PROFILE REPORT ID 429 FLEET INVESTMENT SERVICES COVERING PERIOD 7/01/01 THROUGH 6/30/02

------------------GAIN/L099 SCHEDULE ------------------

DATE PREPARED 10/15/02

TAY ID ACC TYP CPCfY CDB ACCI'NT AbM MGR b " r p M d

04-9305187 80 68 21 273 270

DATE DATE NET PURCHASE GAIN ACQUIRED 90LD/RCD PROCEEDS COST (L099) -------- -------- -------- -------- ------ ------

ACCOUNT NUMBER, NAME 0006]70310 PA7'RICHLLI ROBERT & MARGARET FAN FD

SHARRS/PAR DESCRIPTION ---------- -----------

DATE

3/75/07 t/15/OZ //75/02 5/15/OZ 5/28/04 6/17/02 6/75/02

1687 66000 PH14A POOL 0369556 7 00t 12/01/10 2/11/98 3/25/04 1687 66 1725 63 -37 97 1703 7000 FHLMC COLD #H00535 6 00t 2/41/13 2/13/98 4/15/02 1703 74 1679 52 29 22 1197 18000 FNMA POOL p769556 7 00t 12/01/10 2/11/98 4/25/04 1197 1B 1224 12 -26 94 912 43000 PNLMC GOLD yE00535 6 .00t 2/01/13 2/13/90 5/15/02 912 43 899 46 12 97 149 82000 FNMA POOL p369556 7 00f 12/01/10 1/11/98 5/25/02 449 82 959 94 -10 12 1700 55000 FHLMC GOLD qE00535 6 00t 2/01/13 2/13/90 6/15/0 1200 55 1183 48 17 07 971 63000 FNMA POOL 4369556 7 00Y 12/01/10 2/11/98 6/75/02 971 63 993 49 -21 06

- 662,397,87 46,;-,/04 Y,~ 291 4s

MET LT VAIN/L099

pAR'r iv ST MT

FLEET 5 oc 5

CAPITAL CAIN DISTRIBUTIONS MISC LT GAIN/LOSS LT GPITAL LOSS CARRYOVER

0 00 0 00 0 00

------------------------

]91 OS

Page 25: F.990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/061/... · F.990-PF DepaCment of the Treasury Intel Rinnerue Service For galendar year 200' G Check

06-1487230

FORM 990PF, PART I - INTEREST ON TEMPORARY CASH INVESTMENTS

FLEET CHECKING ACCT

9LQOUC 2870 11/11/2002 09 :09 :40 VO1-7 19 STATEMENT 1

THE ROBERT S MARGARET PATRICELLI FAMILY FDN

DESCRIPTION

TOTAL

REVENUE AND NET

EXPENSES INVESTMENT PER BOOKS INCOME --------- ------

260 . 260 .

------------ ------------260 . 260 .

Page 26: F.990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/061/... · F.990-PF DepaCment of the Treasury Intel Rinnerue Service For galendar year 200' G Check

FORM 990PF, PART I - DIVIDENDS AND INTEREST FROM SECURITIES

1,672 . 109,196 . 37,170 . 15,498 . 10,418 .

------------173,954 . TOTAL

20 STATEMENT 2 9LQOUC 2870 11/11/2002 09 .09 :40 VO1-7

THE ROBERT 6 MARGARET PATRICELLI FAMILY FDN

DESCRIPTION

DH ALEX BROWN (COHEN KLINGENSTEIN) FLEET NORSE CBO PAINEWEBBER HA1222950 PAINEWEBHER HA1222850 PMP

REVENUE AND

EXPENSES PER BOOKS

06-1487230

NET INVESTMENT

INCOME

1,672 . 109,196 . 37,170 . 15,498 . 10,418 .

------------173,954 .

Page 27: F.990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/061/... · F.990-PF DepaCment of the Treasury Intel Rinnerue Service For galendar year 200' G Check

REVENUE AND

EXPENSES PER BOOKS

6 _---_=000_ ------ - - ----

6,000 .

CHARITABLE PURPOSES I

------3=000 I

3,000 . NONE

21 STATEMENT 3 9LQOUC 2870 11/11/2002 09 .09 :40 VO1-7

THE ROBERT b MARGARET PATRICELLI FAMILY FDN

FORM 990PF, PART I - ACCOUNTING FEES

DESCRIPTION

PRICEWATERHOUSECOOPERS

TOTALS

06-1487230

NET INVESTMENT

INCOME

3=000 .

3,000 .

ADJUSTED NET INCOME

Page 28: F.990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/061/... · F.990-PF DepaCment of the Treasury Intel Rinnerue Service For galendar year 200' G Check

9LQOUC 2870 11/11/2002 .09 :09 :40 V01-7 22 STATEMENT 4

THE ROBERT S MARGARET PATRICELLI FAMILY FDN 06-1487230

FORM 990PF, PART I - OTHER PROFESSIONAL FEES

REVENUE AND NET

EXPENSES INVESTMENT DESCRIPTION PER BOOKS INCOME ----------- --------- ------

FLEET INVESTMENT FEES 22,424 . 22,424 . PAINEWEBBER PMP FEES 11,147 . 11,147 . COHEN IQ,INGENSTEIN FEES 5,029 . 5,029 .

------------ ------------ TOTALS 38,600 . 38,600 .

Page 29: F.990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/061/... · F.990-PF DepaCment of the Treasury Intel Rinnerue Service For galendar year 200' G Check

9LQOUC 2870 11/11/2002 09 :09 :40 V01-7 23 STATEMENT 5

THE ROBERT 6 MARGARET PATRICELLI FAMILY FDN 06-1487230

FORM 990PF, PART I - TAXES

REVENUE AND NET

EXPENSES INVESTMENT CHARITABLE DESCRIPTION PER BOOKS INCOME PURPOSES ----------- --------- ------ --------

PAYROLL TAXES 8,358 . 8,358 . FOREIGN TAXES 91 . 91 .

------------ ------------ ------------ TOTALS 8,449 . 91 . 8,358 .

Page 30: F.990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/061/... · F.990-PF DepaCment of the Treasury Intel Rinnerue Service For galendar year 200' G Check

9LQOUC 2870 11/11/2002 09 :09 :40 V01-7 24 STATEMENT 6

THE ROBERT S MARGARET PATRICELLI FAMILY FDN 06-1487230

FORM 990PF, PART I - OTHER EXPENSES

REVENUE AND

EXPENSES CHARITABLE DESCRIPTION PER BOOKS PURPOSES ----------- --------- --------

SECRETARY OF STATE 25 . 25 .

OFFICE TELEPHONE 1,082 . 1,082 .

PAYROLL PROCESSING 591 . 591 .

CT COUNCIL FOR PHILANTHROPY 1,500 . 1,500 .

MISCELLANEOUS 533 . ------------ ------------

TOTALS 3,731 . 3,198 .

Page 31: F.990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/061/... · F.990-PF DepaCment of the Treasury Intel Rinnerue Service For galendar year 200' G Check

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Page 32: F.990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/061/... · F.990-PF DepaCment of the Treasury Intel Rinnerue Service For galendar year 200' G Check

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Page 33: F.990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/061/... · F.990-PF DepaCment of the Treasury Intel Rinnerue Service For galendar year 200' G Check

933ISrIUL GMV 'S'dOI03'dIG 'SHaOI3aO aO ISIq - IIIA 1-dVd 'dcT066 WHOa

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Page 34: F.990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/061/... · F.990-PF DepaCment of the Treasury Intel Rinnerue Service For galendar year 200' G Check

814102 RMPF;: P7Y 2002

s7mr /0 ~3

Con4ri'bc4+, o nS 7/'1101 Through 6130102

Date Num Description Memo Category Cir Amount

Arts 10115JOl 531 Wadsworth Anthenuem Annual Membership Arts .50000 11/19101 644 Aid To Artsans for Jeremis Arts -1,00000 12r3 1101 661 Bushnell annual fund Aits -5,00000 12/31/01 663 Greater Hartford Arts Council Annual fund Arts -250000 12f31101 666 Artists Collectrve annual Aits -50000 12131/01 667 Hartford Symphony Annual Arts -25000 12(31/01 670 Concora annual Arts -10000 12131101 671 Hartford Stage Company annual fund Arts -25000 1129/02 682 Dance Connecticut grant for Bushnell party Arts -70000 3/15102 693 WorK Inc Ted Hers" dance Arts -1 50000 4/10102 697 Dance Connecticut conversion of loan to grant Arts -3800000 4123/02 1018 Mark Twain House membership Arts -50000

TOTAL Arts -50,80000

Comm. Development snaloi 620 Now London Historical Society honor of Swestands Comm Development -25000 9127/01 822 Simsbury Volunteer Fire Dept Comm Development -2500 12t31 101 664 Simsbury Htstoncal Society Comm Development .5000 1251/01 665 Rrverfront Recapture Annual fund Comm Development -25000 12131/01 669 Scranton Library annual Comm Development -10000 12131/01 673 All Aboard annual Comm Development 25000 12/31/01 677 Simsbury Maim Street Partner Annual Comm Development -10000 2/25/02 691 CPTV-Digrtal Challenge per Carl Chadbum Comm Development -2,50000 5/3/02 1023 Madison Foundation AnnualFund Comm Development -10000 6f23/02 1033 WFCR Public Radio annual Comm Development -15000

TOTAL Comm. Development J.T75 00

E&S Ed 11111/01 640 Simsbury ABC annual fund E&S Ed -200 Oa 12/31/01 678 Science Center Of CT AnnualFund E&S Ed -25000 6112102 1031 Loomis Chaffee Annual Fund annual E&S Ed -5,00000

TOTAL US Ed -5,45000

Environment 7/9/01 616 Save The Redwoods League Janet Sutsman Environment -5000 11/19101 648 Save The Redwoods League Concannon Environment -5000 1214/01 649 Save The Redwoods League Bemis Fox Environment -5000 12/13/01 653 Save The Redwoods League Buttaro EmAronment -5000 12131101 668 Farmington River Watershed annual Environment -10000 2/6102 683 Save The Redwoods League Bromage and Bishop Environment -10000 2ti 1/02 6a4 Save The Redwoods League Page father Environment -5000 3120102 1003 Save The Redwoods League Weintraub Environment .10000 3rMO2 1004 Save The Redwoods League Jan Owens sister Environment .5000

TOTAL Environment -60000

H Ed 7/9/01 610 GoucherCollege annual fund HEd -25000 9/27JOI 623 Wesleyan Unrvemty FDAC H Ed -50000 1Z13i/01 679 Harvard Law School Rund Annual H Ed -25000 3/17102 1001 Wesleyan Unfverj4 WAF annual fund H Ed -25,00000 4110/02 1011 Hartford Seminary Annu3IFund K Ed -35000

TOTAL H Ed .26,35000

Page 35: F.990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/061/... · F.990-PF DepaCment of the Treasury Intel Rinnerue Service For galendar year 200' G Check

RMPF; FY 2002 214102

STMT tO 2/3

Cori~ri b0ions 711101 Through U30102

Date Num Description Memo Category CIr Amount

Harftrd Grant 7/8/01 615 Planned Patenthood Of CT 1 st of 3 year pledge Hartford Grant -33,333 33 11/1/01 635 SAND STRIVE Hartford Grant -10,00000 11/3/01 636 Saturday Academy At Trinity Folly Farm trip Hartford Grant -2 15000 1114101 637 Gathering Place staff for community develop Hartford Grant -5,00000 11/12101 641 Farmington Vafley Arts Center Asylum Hin program Hartford Grant -5,00000 11113/01 642 Channel Three Country Camp Hartford Grant -500000 11/19/01 645 Sakaton Army youth camp Hartford Grant -22500 12/16/01 655 Hartford Neighborhood Centers Frog Hollow program Hartford Grant -500000 12M 6/01 656 Operation Fuel, Inc fuel assistance Hartford Grant -1,00000 12/16101 857 Sports Sciences Academy charterschool Hartford Grant -500000 2112102 686 Learning Corridor play at Gr Htfd Acad of Arts Hartford Grant -5.00000 4aM2 1008 Boys & Girls Clubs Of Hartford Nykesha Salisit Camp Hartford Grant -250000 4002 1007 Open Hearth Aamociaton homeownership program Hartford Grant -7,50000 4002 1008 Hartford Acton Plan On Infant Breaking the Cycle Hartford Grant -500000 4/4102 1009 Holcombe Farms Arts Center Summer program for city kids Hartford Grant -500000 411 a/02 1013 SAND John Wilson event Hartford Grant -3,00000 4/23/02 1019 Bushned year 3 of pledge Hartford Grant -3000000 4125/02 1020 University Of Hartford Magnet School library Hartford Grant -50000 617M2 1030 Hartford Public Library family literacy Hartford Grant -5,00000 6/24/02 1035 Southend Community Services Echoes from the Street Hartford Grant -50000 6126102 1036 Millrace Bookshop books for schools Hartford Grant .14400

TOTAL Hartford Grant -71-3 5.852 33

Health Care 9/27101 624 Michigan Lupu3 Foundation Robbie Romeo Health Care -5000 9/27/01 625 American Cancer Society Annual fund Health Care -10000 9129M 1 628 Institute Of Medicine Annual Fund Health Care -10000 1011/01 629 American Stroke Assockirtion sponsor Teresa Wade Health Care -25000 10/15101 633 National MS Society Tom Johnson honoree Health Care -1,00000 12/16/01 658 Natchaug Hos" Carla Squartifto Health Care -25000 12[31/01 672 Hartford Hospital annual fund Health Care -50000 12131/01 674 Natchaug Hospital Cana-dupficatel Health Care -25000 12f31/01 676 Robert Packard Foundation F per Anne Martin Health Care -200000 2/11/02 887 Women's Health Research At dmaem of research results Health Care .1 00000 2/17J02 688 Haitian Health Foundation village agents t-ng and comp Health Care -10,00000 2/13/02 685 Women's Sports Foundation gift health risks Health Care -50000 3/15/02 596 National Resolve per Vicki Baldwin Health Care -25000 U23/02 1015 CT Children's Mt&cai Center Annual Fund Health Care -50000 4123/02 1017 Yale Cancer Center Benefit performance Health Care -1 00000 4/26102 1021 Harlan Health Foundation memory of Susan W Health Care -50000

5f27/02 1037 Avon Breast Cancer 3-Day W Carol Futter Health Care -10000 TOTAL Health Care .18,35000

Public Policy 10/3/01 630 Twenty First Century Initiative John Gardner film Public Policy .1,00000

12131/01 675 White House Fellows Founda Annual fund Public Policy . 10000

VV02 1025 Center For Practical Health R per Norbert Public Policy -50000

TOTAL Public Policy -1,60000

Page 36: F.990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/061/... · F.990-PF DepaCment of the Treasury Intel Rinnerue Service For galendar year 200' G Check

RMPFF: F1 2002

To 4ci / Con~ri blj~' on S 74V 377 .33

s-rmr io 31.

C o n4 r ; b ui 'o ns 7/l/01 Through 6/30/02

Date Num Descnpbom Memo Category

Religion 11/11/01 639 East Granby Congregatonal 2001 pledge Religion 3f31102 1005 East Granby Congregatonat I st half of 2002 pledge Religion

TOTAL Religion

Social Service 9/27/01 626 Specai Olympics Of Greater Folly Farm chairty show Social Service 9128/01 627 September 11 Fund Social Service 11/18101 643 Foodshare Thanksgiving Soaal Service 11 f29101 648 Loaves & Fishes Xmas donation for staff Social Service 12/5/01 650 Loaves & Fishes Xmas donation for staff Social Sermce 12/13/01 654 Next Door Schaffer Xmas donaton Social Service 12/17/01 659 NEADS assistance dogs, per Barney Social Service 12r31101 682 Urban League Of GH annual fund Social Service 3/1 SM2 695 Farmington Valley YMCA annual Social Service 3/15/02 698 United Way of The Capitol Area Annual fund Social SO(VIC8 3117102 1 002 Aurora Women And Glft Fou central CT grant wnners social Service 4/23102 1016 Boy scouts of America per Grant Kurtz Social Service 412SM2 1= NCCJ per Brevveter Perlans Socal Service 5t3102 1024 Homo For UrMo Wanderers per Richard DoNeulWe Social Service

TOTAL Social Service

01-/` WeSjeyon Univers,

a/4102

Clf Amount

-2,00000

-3,75000

-1,00000 .1 00000 -10000 -55000 -10000 -25000 -5000

-50000 -40000

-10.00000 -1 .00000 -1 00000 -1,80000 -10000

=17,850.00

500~ 0,10,

Page 37: F.990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/061/... · F.990-PF DepaCment of the Treasury Intel Rinnerue Service For galendar year 200' G Check

Investment Officer Paula 0 Healey As Of Date Jun 30. 2002

HOLDINGS REPORT

Market CUSIP Units Asset Name Price Value Total Cost Pct Yield Rating

1395 4,185 5091 1309 B*

2614 10,456 9,756 3270 a+

iB 27 6395 10 Bi 1 2000 044 A 5470 10940 10993 3421 . B+

0 I'leeir lnvpstmentAdvisors S T-10-r // 1/3 PAGE I

PATRICELLI ROBERT & MARGARET FAM FD 0006270310

Equities Common Stock

Consumer Staples 50075N104 15000 KRAFT FOODS INC COM

713448108 15000 PEPSICO INC COM 742718109 5000 PROCTER & GAMBLE CO COM

Consumer Staples Sub-Total Health Cara

002824100 20000 ABBOTT LABS COM 071813109 20000 BAXTER INTERNATIONAL COM

585055106 25000 MeDTRONIC INC COM 7V0111103 20000 PFIZER INC COM 71713UI02 15000 PHARMACIA CORP COM

Health Care Sub-Total Consumer Discretionary

437076102 20000 HOME DEPOT INC COM

580135101 30DOO MCDONALDS CORP COM 87612EI08 20000 TARGET CORP COM

Consumer Discretionary Sub-Total Information Technology

1727SR102 3DOOO CISCOSYSINCCOM 247025109 40000 DELL COMPUTER CORP COM

45811401100 35000 INTEL CORP COM

594918104 20000 MICROSOFT CORP COM

4095 6.143 5.135 3444 147 - 4820 7230 7.324 4053 1 24 A 8930 4,465 3387 2503 184 A

17838 15,845 786

3765 7530 10,796 1894 250 A

4445 11,690 It aw 2236 131 B

4285 10,713 11,371 2695 058 A-

3500 7 .000 7.812 1761 149 A+

3745 5.618 6354 14 13 1 44 B

39,760 47.341 1750

3673 7 346 9,264 31 26 0 54 At

2845 8.535 8,295 3632 0 79 A*

38 10 7.620 7 .658 3242 063 A 23,501 25217 1035

Page 38: F.990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/061/... · F.990-PF DepaCment of the Treasury Intel Rinnerue Service For galendar year 200' G Check

IOLDINGS REPORT

Market CUSIP Units Asset Name Price yaluft Total Cost Pet Yield Rating

Information Technology Sub-Total 31,976 36 651 1408

Telecommunications 92343VIO4 25000 VERIZON COMMUNICATIONS COM 4015 10,038 10.997 7862 384 B+

92857WI00 200 00 VODAFONE GROUP PLC ADR NEW 1365 2,730 4 410 21 38 1 58

Telecommunications Sub-Total 12.768 15.407 562

Industrials 053015103 15000 AUTOMATIC DATA PROCESSING INC 4355 6,533 8.406 2266 106 A+

369604103 30000 GENERAL ELECTRIC CO COM 2905 8,715 12.919 3023 248 A+

913017109 20000 UNITED TECHNOLOGIES CORP COM 8790 13,580 12,660 4711 1 44 A .

Industrials Sub-Total 28,828 33,985 1269

Energy 208251504 40000 CONOCO INC COM IREORG* 2780 11 .120 10,873 3948 273 -

30231GIO2 25000 EXXON MOBIL CORP COM 4092 10230 10398 3632 2 25 A-

832110100 10000 SMITH INTERNATIONAL INC 88 19 6819 5399 24 21 - B

Energy Sub-Tolal 28 169 26.66a 1240

Financials

026874107 15000 AMER INTERNATIONAL GROUP INC COM 6823 10.235 12.368 23 13 028 A+

064057102 20000 BANK NEW YORK INC 3375 6750 8300 1525 225 A

172967101 20000 CITIGROUP INC COM 3875 7.750 9.816 1751 186 A

90297a3O4 30000 US BANCORP DEL COM, 2335 7.005 6,533 1583 334 -

949746101 25000 WELLS FARGO & CO NEW COM 5006 12.515 11211 2828 224 A

Financials Sub-Total 44,255 48,228 1949

PAGE 2 S7MT // 26

PATRICELLI ROBERT & MARGARET FAM FD 0006270310

Common Stock Sub-Total

Equities Sub-Total

Fixed Income Taxable Bonds

US Agency Guaranteed 3133M2K30 100.00000 FEI)HOMELNBKS 5 81% 1/21105

I-) Fleet In vestment Advisors

227,083 249,341 10000

227.083 249.341 10 14

10575 105,750 100,280 5137 549

Page 39: F.990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/061/... · F.990-PF DepaCment of the Treasury Intel Rinnerue Service For galendar year 200' G Check

IOLDINGS REPORT

Market CUSIP Units Asset Name Price Value Total Cost Pct Yield Rating

31359MLSO 100.00000 FNMADE13 5 375% A 1115111 10009 WO 094 97 .9ia 4863 537 AAA

US Agency Guaranteed Sub-Total 205844 198,198 1673

Mortgage Backed Securities 31294JSY5 48 477 13 FHLMC GOLD OE00535 6 00% 2/Di/13 10335 50099 47 788 5700 581 -

31376YQH2 3578191 FNMAPOOL#369556 7 00% 12101/10 10564 37 .801 36.587 4300 663 -

Mortgage Backed Securities Sub-Total 87.900 84.375 7 14 Corporate Bonds

345397RS4 100.00000 FORD MTR CR CORP 6 55% 0110102 10052 103.5% 102 .287 1073 B 52 BBB+

4592GOA04 10000000 IBM CORP 645% 8/0W7 10650 106.496 102.791 11 37 606 A+ 58013MDEi 100,00000 MCDONALDS CORP MTN 595% l/i5108 10595 105.952 99,924 11 31 562 A+ 637432CAI 100.00000 NATL RURAL UTILITIES 6 20% 2/01108 10312 103,115 99.780 1101 601 A+ 669383CQ2 100.00000 NORWEST FINL INC 6 00% 2/01/04 10403 104032 100323 11 11 577 A+ 71345LEA2 10000000 PEPSiC0 INC 575% 11()2/0~ 101 73 101,732 99532 1086 565 A

724479AC4 100.00000 PITNEY BOWES INC 5 95% 2/01105 10542 105.422 98818 1126 564 AA 881685BJ9 10000000 TEXACO CAPITAL 5 50% 1115109 10197 W1.967 95.446 1089 539 AA

92977 WO 10000000 WACHOVIA CORP 6 625% 11/15106 10739 107,392 103928 1147 617 A

Corporate Bonds Sub-Total 936,624 902,829 7613

1.230 .368 1 .185402 5492

PAGE 3

PATRICELLI ROBERT & MARGARET FAM FD 0006270310

Taxable Bonds Sub-Total

Fixed Income Sub-Total

0 Fleet Investment Advisors

1,230.368 1,185402 10000

STfOT // -3/3

Page 40: F.990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/061/... · F.990-PF DepaCment of the Treasury Intel Rinnerue Service For galendar year 200' G Check

H

PP=280,16 X130

5025377- 000009

Equities

STMT 17-

Juno 20D2 Account Number HA 12229 50 Your Financial Advisor THOMAS D LIPS/MARK ROUSSEAU 860 278 SIOOIBOO-243 9302

Asset portfolio

UBS PaineWebber' Business Services Account BSA'

Est annual Pads Shares Lkwaafized Tafalshares DowiVion Prks Current Yasuo kl~vnfi date Purchased Purchasepric, Cost basis Gakvlosj

3 EATON VANCE SENIOR INCOME 25,000000 75.000 OD 07110/01 3000 25 ODO 000 75.000 TRUST SER A ITUE) AUCT PFO 1950%

3 ING PRIME RATE TRUST SER M 25.000000 75.0D0 00 07/18MI 3000 25.000 ODO 76000 AUCT PFD 1 900 %

3 ING PRIME RATE TRUST SER TH 25,0D0 DOO 75.00000 036121102 3000 25,000000 75,000 AUCT PFD 1 780 % Total 111 225.00000 225 .000

Juno 021 HA 12229 50

Page 41: F.990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/061/... · F.990-PF DepaCment of the Treasury Intel Rinnerue Service For galendar year 200' G Check

UBS PaineWebber' Investment Account

Account Number HA 12228 50 Your Financial Advisor THOMAS 0 LIPSIMARK ROUSSEAU 860 278 510011100 243 9362

H

PPC102B0,t0-X1W

5025377 000=

Equities

5 T-M 7- /3 Ay

June 20D2 Pornfolh, Adanagitmang ProgrAm

Asset portfolio

Common stock Est Annual Trade Shares UnreaNzad

Twat shares DawQ01w Price Current Vake, WaNne date Purchased Putchaseprice Costbasis Gamooss 1000 ADVO INC 38070 38,07000 07/12/01 150000 34670 5200 510

09126101 500000 34894 17447 1 .580 1112MI 350000 39350 13772 -447

800 ALCOAINC 33 150 19,89000 360 05/2a/02 6OG 000 35408 21 245 1 .355 2000 AMER MANAGEMENT SYS INC 19110 3822000 07112JO 1 225000 22930 5 159 B59

I(VO4101 1.075000 12050 12953 7,59D 10123101 300000 12890 3867 1066 1 W&O 1 400000 13950 6580 2.064

1 240 APPLIED MATERIALS INC 19020 23.58480 07/12MI 40000 23005 920 -159 0912=1 1 200000 14015 17098 4 926

400 CARDINAL HEALTH INC 61 410 2456400 40 0611w02 400 000 62576 25030 460

June 02/ HA 12228 50

Page 42: F.990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/061/... · F.990-PF DepaCment of the Treasury Intel Rinnerue Service For galendar year 200' G Check

UBS PaineWebber' Investment Account

June 2002 Account Number HA 12228 50 PaniOno marwounent pmorarn Your Financial Advisor

THOMAS D LIPSIMARK ROUSSEAU 860 278-5100(800 243 9362

H

June 021 HA 12228 50

5 T/",r /3 1/t,

PPCta2W4l X138 5a25377 000004

Common stock - continued Esl anrlual Pads Shares Unrealized

Taal shares Description Pace Current Value k1co,no d3h, purchased Purchase Pfke Costhasli Ganloss

400 CATERPILLAR INC 40960 19,68OW 560 05t2VO2 40DODO 53611 21,444 1 .864 2.000 CELL GENESYS INC 13489 26.07800 07/12/01 225000 17940 4036 -1 .000

10/04/01 1,275 GOO 17740 22.618 5419 11/21/01 50,0000 18 140 9070 2.325

1 .700 CISCO SYS INC 13950 2371500 Owaffil 1.700 OW 12340 20.078 2.737 675 CITIGROUP INC 3B 750 22281 25 414 07/12M 1 75000 48530 3639 -732

MWO1 SOD DUO 311 050 19.475 -100 1.250 CV5 CORP 30 800 38.25000 288 Ogt24101 50000 32000 1600 70

09126101 am 000 31530 18918 558 IOr3LVO1 350000 23510 a 228 2492 01/16/02 250000 28293 7.073 677

1.200 DEVON ENERGY CORP NEW 40280 59.13800 240 07/12/01 75000 50220 3768 -70 0912MI 600000 32800 19880 9888 II/t"I 226000 33070 7.440 3848 11/21/01 300000 35800 10740 4,044

400 EL PASO CORP 20610 8 244 O-D 348 08/i&D2 400000 22314 8.925 681

$00 EMERSON ELECTRIC CO 53510 28 755 OD 775 O9f2dfOI 400000 470SO 18820 2.5114 1004/01 100000 47750 4 775 578

1000 FLEETBOSTON FINANCIAL CORP 32350 32,35000 1.400 07/12)01 100000 37260 3726 -491 101000i SOD Ow 38550 18,276 -2100 11/21/01 400000 36760 14704 -1 7d4

600 FREDDIE MAC 61200 36.72000 S28 07/12101 75000 B7 920 5094 -SG4 OwwOI 3DO OOkD 63030 18900 649 1 V21101 225000 67450 IS 176 -1406

700 GENL ELECTRIC CO 290SO 2033500 504 06118102 700000 30928 21,649 -1 314 625 INGERSOLL RAND CO CL A 45660 28.53750 425 12/31/01 500000 41 810 20906 1.025

12/3MI 125000 43760 5.470 237 600 INTEL CORP 18270 9.13500 40 09126101 500000 21260 10030 -1 .495 400 ]SHARES NASDAQ BIOTECHNOLOGY 51000 20 400 OD 02119102 250 ODO 75 150 18,787 a 037

INDEXFUNO OW12/02 150000 78450 11,767 -4,117 1000 J P MORGAN CHASE & CO 33920 33.92000 1,360 07/12101 100 ODO 42820 4.282 -890

09,`28/01 600000 32 2110 19,356 096 0311?JOZ 300000 36080 10824 648

Page 43: F.990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/061/... · F.990-PF DepaCment of the Treasury Intel Rinnerue Service For galendar year 200' G Check

UBS PaineWebbei' Investment Account

June 2002 Accouni Number HA 12228 SO Pordollo Mmosmant Program Your Financial Advisor

THOMAS 0 LIPSIMARK ROUSSEAU 860 278 510011100 243 9382

H

June 02/ HA 1222a So

5TA1T /-3 31~

PPCLo2w421Xl36 W25377 WOODS

Common stock - continued Ell annual T;ada Ships, Unrealized

Total shares Description Price cumpril Value kico,na d4fe purchasad P.,champrice co~;fbasls Gakvbss

500 JOHNSON I JOHNSON COM 62280 26.130 Do 410 07/12tO 1 100000 52960 5298 70 10104101 400000 55000 22 DOD -1 .025

900 JONES APPAREL GROUP INC 37500 33.76000 09/26/01 DOD 000 24920 22428 11,322 1 475 LATTICE SEMICONDUCTOR CORP 8740 12,89150 07112/01 275000 24330 6.690 -4 .268

09126101 1 20D 000 A 5 6 to 111 732 6.244 1,000 MARATHON OIL CORP 27 120 27,12000 020 0711?JOI 150000 28010 4.201 -133

01IN6101 700000 25 In() 17 .670 1414 11/0"I ISOO00 26800 4,020 48

800 MERCK A CO 50640 40,51200 1 .120 OWN= 400000 63 140 25,258 .5 .000 11/21/01 200 ODD 64 140 12 .828 .2 .700 OW21102 200 000 67910 11,582 -1454

1 .200 NEWELL RUBBERMAID INC 35060 4207200 1,000 O9f2fi/Ol 1200000 21380 25.632 18440 1600 NOKIA CORP SPONS ADR FINLAND 14480 23,16800 322 owliffil 1 .400000 16280 22 .792 2 .520

ADR 10/04/01 200 ODD 16450 3290 -394 625 PFIZER INC 3S ODD 21 87500 325 07/12/01 125000 37750 4.718 -343

ogn"l Soo DOD 37550 18 .775 1 .275 400 PROCTER & GAM13LE 00 89300 35,72000 608 07/12/01 50000 68M 3 4011 A 059

10104/01 350000 72 SID 25,378 5 877 700 ROYAL DUTCH PETROLEUM CO NEW 55270 38,88900 875 07112JOI 50000 55930 2,798 -32

0 56 GUILDER SHS AOR o7nmi 25000 57 100 1427 -45 09126101 400000 46900 18760 3348 11119101 225000 47760 10748 1.689

8 SMUCKER J M GO NEW 34 130 27304 5 07112/01 1 ODD 25340 26 9 ICV04101 7000 26962 188 so

70D ST PAUL COMPANIES 38920 27,244 OD 012 02/01/02 440 ODD 45 335 19947 2822 03/12/02 260000 46950 12207 2 0117

300 UNIVERSAL HEALTH SVCS 49000 14.70000 04/18/02 30D 000 45220 13568 1,132 INC CL 8

900 VERIZON COMMUNICATIONS 40 150 36,13500 1,386 07/12/01 50000 55 460 2 774 -766 OW26101 350 DOD 54 100 18935 4.882 11/06101 100000 49980 4098 983 11121/01 400000 49650 19860 3800

Page 44: F.990-PF Return of Private Foundation990s.foundationcenter.org/990pf_pdf_archive/061/... · F.990-PF DepaCment of the Treasury Intel Rinnerue Service For galendar year 200' G Check

UBS PaineWebber Investment Account

June 2002 Account Number HA 12228 50 pww"D Unsqon~ P,.g.m Your Financial Advisor

THOMAS 0 LIPS/MARK ROUSSEAU 860 278 SIC&BOD 243 9382

S TM Ir 1 .5 yk~l

PPCL020043 X135

025377 000" Common stock - continued

Est ar~jd Race Shaw Unwaland TDIal shams nescroman Price Cuffwtvaw kl~fi date Pwcha~ad P=hasa p" Cost basIs Gahloss

1,00 WALT DISNEY CO (HOLDING CO) Aft OW 26,46000 294 07)12/Dl 150000 26990 4048 .1 .213 DISNEY COM la'04/01 850000 19980 16,983 '918

I I/woll 400000 111470 7388 172 1.00.D WEBSTER FINCL CORP 30240 38,24000 760 09/17t0I 41 001) 29400 1 205 362

WATERBURY CONN OW26M 1 600000 30020 18,372 4,572 11/19101 350000 31640 11 .358 2370

Totid 995,64509 16.127 980.029 15,619

June 021 HA 12228 50

K