Civic Intelligence

Tb12 Foundation Inc.

990 • Fiscal year 2017 • EIN 47-3420747

Jan 01, 2017 to Dec 31, 2017 • Filed on Oct 24, 2018

240 Patriot PlaceFoxboro, MA 02035

(508) 543-4900

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

73rd percentile

0.06x

Higher debt load relative to assets than 73% of similar nonprofits.

2017 filings • 501(c)3 • <$500k nonprofits • Source year 2017

Liabilities / Revenue

83rd percentile

0.11x

Higher debt load relative to revenue than 83% of similar nonprofits.

2017 filings • 501(c)3 • <$500k nonprofits • Source year 2017

Net Margin

12th percentile

-30%

Higher net margin than 12% of similar nonprofits.

2017 filings • 501(c)3 • <$500k nonprofits • Source year 2017

Top Officer Pay

99th percentile

$212,705

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 86.2% of source-year revenue.

2017 filings • 501(c)3 • <$500k nonprofits • Source year 2017

Asset Growth

26th percentile

-13%

Faster asset growth than 26% of similar nonprofits.

2017 filings • 501(c)3 • <$500k nonprofits • Annualized from 2016 to 2017

Revenue Growth

17th percentile

-29%

Faster revenue growth than 17% of similar nonprofits.

2017 filings • 501(c)3 • <$500k nonprofits • Annualized from 2016 to 2017

Assets

Down

$487,600

Down $71,039 (-13%) from 2016

Net Assets

Down

$460,130

Down $74,013 (-14%) from 2016

Liabilities

Up

$27,470

Up $2,974 (+12%) from 2016

Revenue

Down

$246,893

Down $101,268 (-29%) from 2016

Expenses

Up

$320,906

Up $207,120 (+182%) from 2016

Net Income

Down

-$74,013

Down $308,388 (-132%) from 2016

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$1.5M$1.0M$500K$0-$500KAssets 2015: $299,768Liabilities 2015: $0Net Assets 2015: $299,7682015Assets 2016: $558,639Liabilities 2016: $24,496Net Assets 2016: $534,1432016Assets 2017: $487,600Liabilities 2017: $27,470Net Assets 2017: $460,1302017Assets 2018: $184,243Liabilities 2018: $27,923Net Assets 2018: $156,3202018Assets 2019: $59,107Liabilities 2019: $117,014Net Assets 2019: -$57,9072019Assets 2020: $330,051Liabilities 2020: $195,130Net Assets 2020: $134,9212020Assets 2021: $846,113Liabilities 2021: $19,316Net Assets 2021: $826,7972021Assets 2022: $1,274,476Liabilities 2022: $61,824Net Assets 2022: $1,212,6522022Assets 2023: $1,078,440Liabilities 2023: $26,344Net Assets 2023: $1,052,0962023Assets 2024: $804,581Liabilities 2024: $16,169Net Assets 2024: $788,4122024

Highlighted filing

2017

Assets$487,600
Liabilities$27,470
Net Assets$460,130

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$1.5M$1.0M$500K$0-$500KRevenue 2015: $300,783Expenses 2015: $1,015Net Income 2015: $299,7682015Revenue 2016: $348,161Expenses 2016: $113,786Net Income 2016: $234,3752016Revenue 2017: $246,893Expenses 2017: $320,906Net Income 2017: -$74,0132017Revenue 2018: $95,629Expenses 2018: $399,439Net Income 2018: -$303,8102018Revenue 2019: $382,292Expenses 2019: $596,519Net Income 2019: -$214,2272019Revenue 2020: $676,324Expenses 2020: $483,496Net Income 2020: $192,8282020Revenue 2021: $1,000,714Expenses 2021: $308,859Net Income 2021: $691,8552021Revenue 2022: $810,704Expenses 2022: $424,849Net Income 2022: $385,8552022Revenue 2023: $289,546Expenses 2023: $450,102Net Income 2023: -$160,5562023Revenue 2024: $20,220Expenses 2024: $283,904Net Income 2024: -$263,6842024

Highlighted filing

2017

Revenue$246,893
Expenses$320,906
Net Income-$74,013
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Oct 24, 2018
Return Version
2017v2.3
Gross Receipts
$246,893
Mission and Program Overview

Mission

Our mission is to educate and inspire athletes to excel in both sports and life. We provide access to athletic, rehabilitation, and nutrition resources that empowers those at-risk due to economic or health-related obstacles, to reach their performance and life goals. Through our services, we aim to educate and help athletes improve longevity, prevent injury and stay on the field, court, track or course doing what they love better - and for longer.

To enhance the health, well-being and athletic potential of promising young american amateur athletes by providing access to the "tb12 method" of athletic training.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$337,693$417,445▲ $79,752
Prepaid Expenses and Deferred Charges$1,285$53,505▲ $52,220
Receivable From Disqualified Prsn$20,617$0▼ $20,617
Accounts Receivable-$8,747-
Pledges and Grants Receivable$199,044$7,903▼ $191,141
Total Assets$558,639$487,600▼ $71,039
Liabilities
Accounts Payable and Accrued Expenses$24,496$27,470▲ $2,974
Total Liabilities$24,496$27,470▲ $2,974
Net Assets / Fund Balance
Unrestricted Net Assets$534,143$460,130▼ $74,013
Total Net Assets Fund Balance$534,143$460,130▼ $74,013
Total Liabilities and Net Assets / Fund Balance$558,639$487,600▼ $71,039
Compensation and Service Providers

Board Members and Trustees

NameTitle
Thomas Ep Brady JrPresident/ Director
Kenneth HarveyDirector
Shannon ZolloDirector
Jeffrey SuretteTreasurer/ Clerk

Highest Paid Contractors

ContractorServicesLocationCompensation
Tb12 LLCSports Therapy240 PATRIOT PLACE, Foxboro, MA 02035$285,469
Revenue and Support

Revenue Composition

Contributions and Grants
$246,893
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
All Other Contributions
$246,893
Change in Net Assets
$-74,013
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$317,619
Salaries, Compensation, and Employee Benefits$3,287
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Legal-$12,838-$12,838
Fees for Services Accounting-$11,622-$11,622
Insurance-$5,219-$5,219
Other Salaries and Wages-$3,000-$3,000
Other Expenses$500$1,971-$2,471
Payroll Taxes-$287-$287
Total Functional Expenses$285,969$34,937$0$320,906
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Jeffrey SuretteBoard Treasurer/clerkBoard Treasurer/clerk, Jeffrey Surette, Is Employed as the Senior Vice President of Tb12 Llc, Which Is the Sole Member of the Corporation.No-
Thomas E P Brady JrBoard PresidentBoard President, Thomas E. P. Brady, Jr. Is Majority Owner of Tb12 Llc, Which Is the Sole Member of the Corporation.No-

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons$20,617$0▼ $20,617
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
Yes
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11B

The form 990 is prepared by the external auditors and reviewed by management. Once all are satisfied with the form, it is finalized and a copy is sent to all board members. At the subsequent board meeting, the members are asked if they have any questions or comments and a general review of the form is conducted by management. Revisions, corrections, etc. Are made as necessary. Subsequent to this meeting, the form is submitted to the irs. The foundation filed its first tax return in 2015.

Form 990, Part VI, Section B, Line 12C

Each year the organization's conflict of interest policy is provided to all officers, directors and key employees. These people are asked to review the policy and sign a statement indicating that they understand the policy and have reported all potential conflicts during the past year in accordance with the policy and will report all potential conflicts during the coming year. All potential conflicts are evaluated by the board to determine if a conflict actually exists. In those instances where the potential transaction is a conflict, the board examines the transaction and a vote is taken (with those involved recusing themselves) as to whether the organization will enter into the transaction.

Form 990, Part VI, Section C, Line 19

The organization makes its governing documents (articles of incorporation and by-laws), its conflict of interest policy and financial statements available upon request. The organization will mail copies upon request or provide copies to those who come to the adminstrative offices during normal business hours. The organization charges for the copies in accordance with irs regulations.

Form 990, Part VII, Section A

Jeffrey surette does not receive compensation from the tb12 foundation, inc. He receives compensation from the related organization, tb12 llc. Information for the related organization is found on schedule r, part iii.

Filing and Contact Details

Filer

Filer Name
Tb12 Foundation Inc
EIN
47-3420747
Phone
5085434900
Address
240 PATRIOT PLACE, FOXBORO, MA 02035

Signing Officer

Name
Jeffrey Surette
Title
Treasurer/clerk
Phone
5085434900
Signed
2018-10-24
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jeffrey Surette
Formed
2015
Legal Domicile
Ma
Voting Board Members
3
Independent Board Members
2
Employees
1
Volunteers
0

Preparer

Firm
Kahn Litwin Renza & Co Ltd
Address
951 NORTH MAIN STREET, PROVIDENCE, RI 02904
Preparer
Patrick J Martin
Phone
4012742001
Supplemental Narrative

Financial Statement Notes

PART X, LINE 2:

The foundation is exempt from income taxes as a public charity under section 501(c)(3) of the internal revenue code. Management believes that the foundation operates in a manner consistent with its tax-exempt status at both the state and federal levels. The foundation is required to annually file form 990 - return of organization exempt from income tax, reporting various information that the irs uses to monitor the activities of tax-exempt entities. These tax returns are subject to review by the taxing authorities, generally for a period of three years after they are filed.

Raw XML Appendix384 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0THE FOUNDATION IS EXEMPT FROM INCOME TAXES AS A PUBLIC CHARITY UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. MANAGEMENT BELIEVES THAT THE FOUNDATION OPERATES IN A MANNER CONSISTENT WITH ITS TAX-EXEMPT STATUS AT BOTH THE STATE AND FEDERAL LEVELS. THE FOUNDATION IS REQUIRED TO ANNUALLY FILE FORM 990 - RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, REPORTING VARIOUS INFORMATION THAT THE IRS USES TO MONITOR THE ACTIVITIES OF TAX-EXEMPT ENTITIES. THESE TAX RETURNS ARE SUBJECT TO REVIEW BY THE TAXING AUTHORITIES, GENERALLY FOR A PERIOD OF THREE YEARS AFTER THEY ARE FILED.
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt00
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0TREASURER/ CLERK
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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0212705
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd00
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/NameOfInterested/PersonNm0THOMAS E P BRADY JR
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/NameOfInterested/PersonNm1JEFFREY SURETTE
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/RelationshipDescriptionTxt0BOARD PRESIDENT
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/RelationshipDescriptionTxt1BOARD TREASURER/CLERK
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/SharingOfRevenuesInd00
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/SharingOfRevenuesInd10
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionDesc0BOARD PRESIDENT, THOMAS E. P. BRADY, JR. IS MAJORITY OWNER OF TB12 LLC, WHICH IS THE SOLE MEMBER OF THE CORPORATION.
IRS990ScheduleL/BusTrInvolveInterestedPrsnGrp/TransactionDesc1BOARD TREASURER/CLERK, JEFFREY SURETTE, IS EMPLOYED AS THE SENIOR VICE PRESIDENT OF TB12 LLC, WHICH IS THE SOLE MEMBER OF THE CORPORATION.
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE FORM 990 IS PREPARED BY THE EXTERNAL AUDITORS AND REVIEWED BY MANAGEMENT. ONCE ALL ARE SATISFIED WITH THE FORM, IT IS FINALIZED AND A COPY IS SENT TO ALL BOARD MEMBERS. AT THE SUBSEQUENT BOARD MEETING, THE MEMBERS ARE ASKED IF THEY HAVE ANY QUESTIONS OR COMMENTS AND A GENERAL REVIEW OF THE FORM IS CONDUCTED BY MANAGEMENT. REVISIONS, CORRECTIONS, ETC. ARE MADE AS NECESSARY. SUBSEQUENT TO THIS MEETING, THE FORM IS SUBMITTED TO THE IRS. THE FOUNDATION FILED ITS FIRST TAX RETURN IN 2015.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1EACH YEAR THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS PROVIDED TO ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES. THESE PEOPLE ARE ASKED TO REVIEW THE POLICY AND SIGN A STATEMENT INDICATING THAT THEY UNDERSTAND THE POLICY AND HAVE REPORTED ALL POTENTIAL CONFLICTS DURING THE PAST YEAR IN ACCORDANCE WITH THE POLICY AND WILL REPORT ALL POTENTIAL CONFLICTS DURING THE COMING YEAR. ALL POTENTIAL CONFLICTS ARE EVALUATED BY THE BOARD TO DETERMINE IF A CONFLICT ACTUALLY EXISTS. IN THOSE INSTANCES WHERE THE POTENTIAL TRANSACTION IS A CONFLICT, THE BOARD EXAMINES THE TRANSACTION AND A VOTE IS TAKEN (WITH THOSE INVOLVED RECUSING THEMSELVES) AS TO WHETHER THE ORGANIZATION WILL ENTER INTO THE TRANSACTION.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS (ARTICLES OF INCORPORATION AND BY-LAWS), ITS CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. THE ORGANIZATION WILL MAIL COPIES UPON REQUEST OR PROVIDE COPIES TO THOSE WHO COME TO THE ADMINSTRATIVE OFFICES DURING NORMAL BUSINESS HOURS. THE ORGANIZATION CHARGES FOR THE COPIES IN ACCORDANCE WITH IRS REGULATIONS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3JEFFREY SURETTE DOES NOT RECEIVE COMPENSATION FROM THE TB12 FOUNDATION, INC. HE RECEIVES COMPENSATION FROM THE RELATED ORGANIZATION, TB12 LLC. INFORMATION FOR THE RELATED ORGANIZATION IS FOUND ON SCHEDULE R, PART III.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION C, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VII, SECTION A
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd01
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/DisproportionateAllocationsInd00
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/EIN0364764853
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/GeneralOrManagingPartnerInd00
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/LegalDomicileStateCd0DE
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/PrimaryActivitiesTxt0SPORTS PHYSICAL THERAPY
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/RelatedOrganizationName/BusinessNameLine1Txt0TB12 LLC
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/USAddress/AddressLine1Txt0240 PATRIOT PLACE
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/USAddress/CityNm0FOXBORO
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/USAddress/StateAbbreviationCd0MA
IRS990ScheduleR/IdRelatedOrgTxblPartnershipGrp/USAddress/ZIPCd002035
IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd00
IRS990ScheduleR/PaidEmployeesSharingInd00
IRS990ScheduleR/PerformOfServicesByOtherOrgInd01
IRS990ScheduleR/PerformOfServicesForOthOrgInd00
IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd00
IRS990ScheduleR/ReimbursementPaidByOtherOrgInd00
IRS990ScheduleR/ReimbursementPaidToOtherOrgInd00
IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd00
IRS990ScheduleR/RentalOfFcltsFromOthOrgInd00
IRS990ScheduleR/SharingOfFacilitiesInd00
IRS990ScheduleR/TransferFromOtherOrgInd00
IRS990ScheduleR/TransferToOtherOrgInd00
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0MA
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt0558639
IRS990/TotalAssetsEOYAmt0487600
IRS990/TotalAssetsGrp/BOYAmt0558639
IRS990/TotalAssetsGrp/EOYAmt0487600
IRS990/TotalCompGreaterThan150KInd01
IRS990/TotalContributionsAmt0246893
IRS990/TotalEmployeeCnt01
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt034937
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0285969
IRS990/TotalFunctionalExpensesGrp/TotalAmt0320906
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt024496
IRS990/TotalLiabilitiesEOYAmt027470
IRS990/TotalLiabilitiesGrp/BOYAmt024496
IRS990/TotalLiabilitiesGrp/EOYAmt027470
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0534143
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0460130
IRS990/TotalOtherCompensationAmt06455
IRS990/TotalProgramServiceExpensesAmt0285969
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0246893
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0558639
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0487600
IRS990/TotReportableCompRltdOrgAmt0206250
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UnrestrictedNetAssetsGrp/BOYAmt0534143
IRS990/UnrestrictedNetAssetsGrp/EOYAmt0460130
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0240 PATRIOT PLACE
IRS990/USAddress/CityNm0FOXBORO
IRS990/USAddress/StateAbbreviationCd0MA
IRS990/USAddress/ZIPCd002035
IRS990/VotingMembersGoverningBodyCnt03
IRS990/VotingMembersIndependentCnt02
IRS990/WebsiteAddressTxt0N/A
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02018-06-14 16:35:46Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0JEFFREY SURETTE
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0TREASURER/CLERK
ReturnHeader/BusinessOfficerGrp/PhoneNum05085434900
ReturnHeader/BusinessOfficerGrp/SignatureDt02018-10-24
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0TB12 FOUNDATION INC
ReturnHeader/Filer/BusinessNameControlTxt0TB12
ReturnHeader/Filer/EIN0473420747
ReturnHeader/Filer/PhoneNum05085434900
ReturnHeader/Filer/USAddress/AddressLine1Txt0240 PATRIOT PLACE
ReturnHeader/Filer/USAddress/CityNm0FOXBORO
ReturnHeader/Filer/USAddress/StateAbbreviationCd0MA
ReturnHeader/Filer/USAddress/ZIPCd002035
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId0E9C924457B5D275461852EC86B70A375E5271692
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId08121CA463AABFA4EFE5158FD2073B628CA1C8F6D
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt071.117.160.66
ReturnHeader/FilingSecurityInformation/IPDt02018-10-24
ReturnHeader/FilingSecurityInformation/IPTimezoneCd0ED
ReturnHeader/FilingSecurityInformation/IPTm012:53:47
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0050409384
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0KAHN LITWIN RENZA & CO LTD
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0951 NORTH MAIN STREET
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0PROVIDENCE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0RI
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd002904
ReturnHeader/PreparerPersonGrp/PhoneNum04012742001
ReturnHeader/PreparerPersonGrp/PreparationDt02018-10-24
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0PATRICK J MARTIN
ReturnHeader/ReturnTs02018-10-26T14:23:43-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02017-01-01
ReturnHeader/TaxPeriodEndDt02017-12-31
ReturnHeader/TaxYr02017

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