JAMES AND DEBORAH KLEIN FAMILY FOUNDATION: Form 990PF, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
JAMES AND DEBORAH KLEIN FAMILY FOUNDATION (EIN 82-2984375)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-05-06
IRS object ID
202421279349103307
Schema version
2023v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-05-06T18:11:34-05:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN953288054PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1WRIGHT FORD YOUNG & COBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line116140 SAND CANYON AVENUEAddressLine1Txt
CityIRVINECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92618ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN822984375EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JAMES AND DEBORAH KLEIN FAMILYBusinessNameLine1Txt
Business Name Line2FOUNDATIONBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlJAMEBusinessNameControlTxt
Phone7142435411PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11210 N JEFFERSON ST STE LAddressLine1Txt
CityANAHEIMCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92807ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSCOT KLEINPersonNm
Person TitleDIRECTORPersonTitleTxt
Phone7142435411PhoneNum
Signature2024-05-06SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstSCOTPersonFirstNm
Person LastKLEINPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRYAN WORKING CPAPreparerPersonNm
PTINP00892285PTIN
Phone9499102727PhoneNum
Preparation2024-05-06PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$4,321,119FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$26,858InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$26,858InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$85,812DividendsRevAndExpnssAmt
Dividends Net Invst Incm$44,313DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss-$35,243NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$581,212GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$0CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$101OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$0OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$77,528TotalRevAndExpnssAmt
Total Net Invst Incm$71,171TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$20,760CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$20,760CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$7,405AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$3,703AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$3,703AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$37,924OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$37,924OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$5,165TaxesRevAndExpnssAmt
Taxes Net Invst Incm$1,610TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$1,070OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$790OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$280OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$72,324TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$64,787TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$3,983TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$122,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$122,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$194,324TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$64,787TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$125,983TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$116,796ExcessRevenueOverExpensesAmt
Net Investment Income$6,384NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$623,144CashBOYAmt
Cash EOY$63,771CashEOYAmt
Cash EOYFMV$63,771CashEOYFMVAmt
Corporate Stock BOY$947,264CorporateStockBOYAmt
Corporate Stock EOY$1,201,181CorporateStockEOYAmt
Corporate Stock EOYFMV$2,204,742CorporateStockEOYFMVAmt
Corporate Bonds BOY$94,810CorporateBondsBOYAmt
Corporate Bonds EOY$68,681CorporateBondsEOYAmt
Corporate Bonds EOYFMV$69,245CorporateBondsEOYFMVAmt
Other Investments BOY$1,521,497OtherInvestmentsBOYAmt
Other Investments EOY$1,742,535OtherInvestmentsEOYAmt
Other Investments EOYFMV$1,983,361OtherInvestmentsEOYFMVAmt
Total Assets BOY$3,186,715TotalAssetsBOYAmt
Total Assets EOY$3,076,168TotalAssetsEOYAmt
Total Assets EOYFMV$4,321,119TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$0CapitalStockBOYAmt
Capital Stock EOY$0CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$3,186,715RetainedEarningBOYAmt
Retained Earning EOY$3,076,168RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$3,186,715TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$3,076,168TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$3,186,715TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$3,076,168TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$3,186,715TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$116,796ExcessRevenueOverExpensesAmt
Other Increases$6,249OtherIncreasesAmt
Subtotal$3,076,168SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$3,076,168TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (3 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
LPL FINANCIAL - 9517P2023-01-012023-12-31$251,754$251,817-$63-$63
LPL FINANCIAL - 9517P2022-01-012023-12-31$322,734$364,638-$41,904-$41,904
CAPITAL GAINS DIVIDENDSP$6,724$6,724$6,724
FieldValueIRS element (for citing)
Capital Gain Net Income-$35,243CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$89InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$89SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$89TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$3,760EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$3,760TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Overpayment$3,671OverpaymentAmt
Applied To ES Tax$3,671AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateCAOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksSCOT KLEINIndividualWithBooksNm
Phone7142435411PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line11210 N JEFFERSON ST STE LAddressLine1Txt
CityANAHEIMCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92807ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
SCOT KLEIN
1210 N JEFFERSON ST STE LANAHEIMCA92807DIRECTOR10.00$20,760$0$0
NICOLE FRASZ
1210 N JEFFERSON ST STE LANAHEIMCA92807DIRECTOR0.00$0$0$0
DEBORAH E KLEIN
1210 N JEFFERSON ST STE LANAHEIMCA92807DIRECTOR0.00$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$3,821,364AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$100,286AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$3,921,650TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$3,921,650AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$58,825CashDeemedCharitableAmt
Net Vl Noncharitable Assets$3,862,825NetVlNoncharitableAssetsAmt
Minimum Investment Return$193,141MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$193,141MinimumInvestmentReturnAmt
Tax Based On Investment Income$89TaxBasedOnInvestmentIncomeAmt
Total Tax$89TotalTaxAmt
Distributable Before Adj$193,052DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$193,052DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$193,052DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$125,983ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$125,983QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$193,052DistributableAsAdjustedAmt
Undistributed Income PY$121,958UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$125,983QualifyingDistributionsAmt
Applied To Year1$121,958AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$4,025AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$0TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$189,027UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (15 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
AMERICAN RADIO RELAY LEAGUE
225 MAIN STREETNEWINGTONCT061111400N/A501C3EDUCATION AND TECHNOLOGY PROGRAM FUND$2,000
ASSISTANCE LEAGUE OF NORTH COAST
1816 OCEANSIDE BLVD SUITE FOCEANSIDECA92054N/A501C3OPERATION SCHOOL BELL$2,500
BOYS & GIRLS CLUB OF SAN MARCOS
1 POSITIVE PLSAN MARCOSCA920692875N/A501C3GENERAL FUND$7,500
CHOC CHILDREN'S FOUNDATION
1201 W LA VETA AVEORANGECA92868N/A501C3PICU$5,000
COLE VALLEY CHRISTIAN SCHOOLS INC
200 E CARLTON AVEMERIDIANID83642N/A501C3TECHNOLOGY & ATHLETICS EQUIPMENT$34,000
CONCORDIA UNIVERSITY IRVINE
1530 CONCORDIA WESTIRVINECA92612N/A501C3VISION 2025$15,000
OCAAC DBA MY DAY COUNTS
225 W CARL KARCHER WAYANAHEIMCA92801N/A501C3HEALTH AND WELLNESS INITIATIVE$5,000
ROLLIN' FROM THE HEART
2063 SHADOW GROVE WAYENCINITASCA92024N/A501C3SHOES, FOOD, AFTER-SCHOOL PROGRAMS$7,500
RUNWAY FOR RECOVERY
29 WATER ST 216NEWBURYPORTMA01950N/A501C3THE RUNWAY SHOW, SOUTHERN CALIFORNIA$10,000
ST JOHN'S LUTHERAN CHURCH
154 S SHAFFER STORANGECA92866N/A501C3LEARN GRANT$22,000
HERITAGE PALMS VETERANS ASSOCIATION
10420 WASHINGTON PALM WAYFORT MEYERSFL33966N/A501C3IN MEMORY OF JACK SWEENEY$1,000
GIRL SCOUTS OF ORANGE COUNTY
9500 TOLEDO WAY 100IRVINECA92618N/A501C3TROOP 3223 (ST., JOHN'S)$2,000
ORANGE COUNTY BOY SCOUTS OF AMERICA
2 IRVINE PARK RDORANGECA92869N/A501C3FRIENDS OF SCOUTING CANYONS DISTRICT$1,000
YOUNG LIFE
PO BOX 2606EAGLEID83616N/A501C3NORTH WEST ADA CAMP SCHOLARSHIPS$5,000
STANDUP FOR KIDS
200 NELSON FERRY RD SUITE BDECATURGA30030N/A501C3SAN DIEGO$2,500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$122,000TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$26,858ExclusionAmt

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$85,812ExclusionAmt

Other Investment Income OtherInvestmentIncomeGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion-$35,243ExclusionAmt

Other Revenue Described OtherRevenueDescribedGrp

FieldValueIRS element (for citing)
Desc2021 CA FORM 109 REFUNDDesc
Exclusion01ExclusionCd
Related Or Exempt Function Incm$101RelatedOrExemptFunctionIncmAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$77,427ExclusionAmt
Related Or Exempt Function Incm$101RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$77,528TotalIncomeProducingActyAmt

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

FieldValueIRS element (for citing)
Line Number11ALineNumberTxt
Relationship Statement2021 CA FORM 109 REFUNDRelationshipStatementTxt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$7,405Amt
Net Investment Income$3,703NetInvestmentIncomeAmt
Disbursements Charitable Prps$3,703DisbursementsCharitablePrpsAmt

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp

FieldValueIRS element (for citing)
BondCORPORATE BONDS - LPL FINANCIAL #9517BondNm
EOY Book Value$68,681EOYBookValueAmt
EOYFMV$69,245EOYFMVAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockCORPORATE STOCKS - LPL FINANCIAL #9517StockNm
EOY Book Value$1,201,181EOYBookValueAmt
EOYFMV$2,204,742EOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (6 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
OTHER INVESTMENTS - LPL FINANCIAL #9517AT COST$1,357,161$1,631,956
HEALTHCARE TRUST INCAT COST$88,353$89,972
HINES GLOBAL INCOME TRUST INC CL TAT COST$92,300$96,941
HINES REALTY INCOME FUND LLC CL AAT COST$89,033$63,400
SILA REALTY TRUST INC CL AAT COST$82,763$81,300
TRILINC GLOBAL IMPACT FUND LLC CL IAT COST$32,925$19,792

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (4 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
BUSINESS REGISTRATION FEES$35$0$35
POSTAGE, MAILING SERVICE$172$0$172
OPERATIONS - OTHER$73$0$73
PAYROLL PROCESSING FEES$790$790$0

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
Desc2021 CA FORM 109 REFUNDDesc
Revenue And Expenses Per Books$101RevenueAndExpensesPerBooksAmt
Adjusted Net Income$101AdjustedNetIncomeAmt

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescPRIOR YEAR ADJUSTMENTDesc
Amt$6,249Amt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryINVESTMENT FEESCategoryTxt
Amt$37,924Amt
Net Investment Income$37,924NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (4 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FEDERAL EXCISE TAX$3,455$0$0
CA TAX$100$0$0
FOREIGN TAX$22$22$0
PAYROLL TAX$1,588$1,588$0

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