2025-07-21T11:22:57-05:00 2024-12-31 410746749 CLIFTONLARSONALLEN LLP 4 BATTERYMARCH PARK SUITE 100 QUINCY MA 02169 990 2024-01-01 046045460 TRUSTEES UW HANNAH BG SHAW SHAW 5089471184 299 WAREHAM STREET MIDDLEBORO MA 02346 DAVID WYLIE TRUSTEE 5089471184 2025-07-18 1 0 KATARZYNA O PADZIK P02268641 7819821001 2025-07-18 2024 2025-03-06 01:10:19Z DAVID WYLIE 299 WAREHAM STREET MIDDLEBORO MA 02346 18926394 0 X N/A X 1938 MA THE TRUST EXISTS FOR THE BENEFIT OF A RELATED NON-PROFIT NURSING HOME, HANNAH BG SHAW HOME, INC. 3 3 0 3 0 0 0 0 0 0 490058 8920415 0 0 490058 8920415 911423 881894 0 0 6250 11250 0 0 0 166553 184889 1084226 1078033 -594168 7842382 18797972 20464181 189875 168888 18608097 20295293 THE TRUST EXISTS FOR THE BENEFIT OF A RELATED NON-PROFIT NURSING HOME, HANNAH BG SHAW HOME, INC., WHICH IS DEDICATED TO PROVIDING THE HIGHEST QUALITY SKILLED NURSING, REHABILITATIVE, MEMORY CARE, AND RESIDENTIAL CARE. 0 0 881894 881894 0 THE TRUST EXISTS FOR THE BENEFIT OF A RELATED NON-PROFIT NURSING HOME, THE HANNAH BG SHAW HOME, INC, WHICH IS DEDICATED TO PROVIDING THE HIGHEST QUALITY SKILLED NURSING, REHABILITATIVE, MEMORY CARE, AND RESIDENTIAL CARE. 881894 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 3 3 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 1 0 0 0 MA X KRISTINE DONNELLY 5089470332 299 WAREHAM STREET MIDDLEBORO MA 02346 DAVID WYLIE TRUSTEE 1.00 3.00 X 3750 11500 0 DEBRA BLAIS TRUSTEE 1.00 1.00 X 3750 2500 0 TIMOTHY COE TRUSTEE (AS OF MARCH 2024) 1.00 1.00 X 3750 8500 0 11250 22500 0 0 0 0 0 0 915253 915253 18011141 10005979 8005162 8005162 8005162 8920415 0 0 8920415 881894 881894 11250 11250 42336 42336 131106 131106 TAXES 11447 11447 1078033 881894 196139 0 148208 16797 321542 571302 9549 2917 18318673 19873165 18797972 20464181 9674 7500 180201 161388 189875 168888 X 0 18608097 20295293 18608097 20295293 18797972 20464181 7842382 -6158611 3425 0 X 0 1 X 1 0 X X 1 THE HANNAH BG SHAW HOME FOR THE AGED INC 042135768 10 1 881894 0 1 881894 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 X 1 0 PART IV, SECTION E, LINE 2A: THE CONTRIBUTION SUPPORT WILL BE USED TO FURTHER THE EXEMPT PURPOSE OF OPERATING LONG-TERM CARE AND SUPPORTED LIVING FACILITIES OF THE SUPPORTED ORGANIZATION, THE HANNAH BG SHAW HOME, INC. (EIN: 04-2135768). 18608097 2630698 943504 20295291 17320538 2256547 968988 18608097 20317202 -2689335 307329 17320538 17044098 3551607 278503 20317202 15505977 1836890 298769 17044098 0.04750 0.95250 0 0 0 DUE TO AFFILIATE 161388 161388 X PART V, LINE 4: IN ACCORDANCE WITH THE DONOR REQUIREMENTS, THE ENDOWMENT FUNDS ARE HELD IN PERPETUITY UNTIL APPROPRIATED FOR EXPENDITURE TO BE USED FOR GENERAL PURPOSES OF THE SUPPORTED ORGANIZATION, THE HANNAH BG SHAW HOME, INC. PART X, LINE 2: THE CONSOLIDATED FINANCIAL STATEMENTS DO NOT INCLUDE A PROVISION FOR INCOME TAXES BECAUSE THE ORGANIZATIONS HAVE BEEN GRANTED EXEMPT STATUS RELATIVE TO FEDERAL AND STATE CORPORATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND APPLICABLE STATE CODES. THE ORGANIZATIONS FOLLOW THE POLICY FOR UNCERTAINTY IN INCOME TAXES TO BE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE POLICY PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PRINCIPLES FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. NO UNCERTAIN INCOME TAX POSITIONS WERE IDENTIFIED FOR THE YEARS ENDED DECEMBER 31, 2024 AND 2023. 1 THE HANNAH BG SHAW HOME INC 229 WAREHAM STREET MIDDLEBORO MA 02346 042135768 501(C)(3) 881894 0 N/A N/A GENERAL SUPPORT 1 PART I, LINE 2: THE ORGANIZATION PROVIDES AN ANNUAL GRANT AS GENERAL SUPPORT TO ITS SOLE SUPPORTED ORGANIZATION, HANNAH BG SHAW HOME, INC. THE USE OF GRANT FUNDS IS MONITORED BY THE TRUSTEES WHO ARE ON THE BOARD OF DIRECTORS FOR BOTH ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 8B THE ORGANIZATION DOES NOT HAVE ANY COMMITTEES THAT HAVE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED BY TAX ADVISORS OF A NATIONAL ACCOUNTING FIRM WITH INFORMATION PROVIDED BY MANAGEMENT. THE BOARD IS RESPONSIBLE AND REVIEWS THE 990 FOR COMPLETENESS AND ACCURACY. THE COMPLETE FORM 990 IS PROVIDED TO THE BOARD PRIOR TO ITS FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S POLICY IS THAT NO INDIVIDUAL ON THE BOARD OF DIRECTORS SHOULD HAVE ANY UNDISCLOSED CONFLICT OF INTEREST WITH THE ORGANIZATION. ACTIVE MONITORING THROUGHOUT THE YEAR IS CONDUCTED BY THE EXECUTIVE DIRECTOR, WHO REPORTS WHEN ANY CONFLICT OF INTEREST IS IDENTIFIED FOR PROPER RESOLUTION BY THE EXECUTIVE DIRECTOR OR BOARD OF DIRECTORS. MONITORING IS ALSO DONE VIA YEARLY ATTESTATION BY ALL BOARD MEMBERS AND CONFLICTS WOULD BE DEALT WITH AT THAT LEVEL. THE BOARD OF DIRECTORS' CLERK WILL COLLECT ALL ATTESTATIONS AND REVIEW. IF A BOARD MEMBER HAS A CONFLICT OF INTEREST, THAT INDIVIDUAL MUST ABSTAIN FROM VOTING ON ANY MATTERS RELATED TO THAT CONFLICT. IN ANY MATTER THAT WOULD RESULT IN A CONFLICT OF INTEREST, SUCH INDIVIDUALS ARE NOT PERMITTED TO PARTICIPATE IN THE DECISION MAKING PROCESS. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE HANNAH BG SHAW HOME INC 299 WAREHAM STREET MIDDLEBORO MA 02346 042135768 NURSING FACILITY MA 501(C)(3) LINE 10 N/A 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0