MOZAIK PHILANTHROPY INC: Form 990PF, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
MOZAIK PHILANTHROPY INC (EIN 20-8104037)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-14
IRS object ID
202423199349106852
Schema version
2023v5.1
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)
Return2024-11-14T22:03:53-06:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Foundation SourceBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13333 New Hyde Park Rd Ste 406AddressLine1Txt
CityNew Hyde ParkCityNm
State AbbreviationNYStateAbbreviationCd
ZIP11042ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN208104037EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Mozaik Philanthropy IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% Foundation SourceInCareOfNm
Business Name ControlNEDABusinessNameControlTxt
Phone8008391754PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1Foundation Source 501 Silverside RdAddressLine1Txt
CityWilmingtonCityNm
State AbbreviationDEStateAbbreviationCd
ZIP198091377ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
Persondaria mashoufPersonNm
Person TitletreasurerPersonTitleTxt
Phone8008391754PhoneNum
Signature2024-11-10SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (true)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJeffrey D HaskellPreparerPersonNm
PTINP01345770PTIN
Phone8008391754PhoneNum
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$8,429,582FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$0ContriRcvdRevAndExpnssAmt
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$2,211InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$2,211InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$69,484DividendsRevAndExpnssAmt
Dividends Net Invst Incm$69,484DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss-$118,571NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$1,566,037GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$0CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$316,880OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$289,119OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$270,004TotalRevAndExpnssAmt
Total Net Invst Incm$360,814TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$50,000CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$50,000CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Rev And Expnss$170,000OthEmplSlrsWgsRevAndExpnssAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$170,000OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Rev And Expnss$19,299PensionEmplBnftRevAndExpnssAmt
Pension Empl Bnft Dsbrs Chrtbl$19,299PensionEmplBnftDsbrsChrtblAmt
Other Prof Fees Rev And Expnss$39,689OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$3,290OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$36,399OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$3,569TaxesRevAndExpnssAmt
Printing And Pub Rev And Expnss$121PrintingAndPubRevAndExpnssAmt
Printing And Pub Dsbrs Chrtbl$121PrintingAndPubDsbrsChrtblAmt
Other Expenses Rev And Expnss$133,310OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$72,654OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$59,102OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$415,988TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$75,944TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$334,921TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$228,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$228,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$643,988TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$75,944TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$562,921TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$373,984ExcessRevenueOverExpensesAmt
Net Investment Income$284,870NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$66,769SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$53,638SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$53,638SavAndTempCashInvstEOYFMVAmt
US Government Obligations BOY$1,388,187USGovernmentObligationsBOYAmt
US Government Obligations EOY$561,359USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$544,755USGovtObligationsEOYFMVAmt
Corporate Stock BOY$659,505CorporateStockBOYAmt
Corporate Stock EOY$579,130CorporateStockEOYAmt
Corporate Stock EOYFMV$499,460CorporateStockEOYFMVAmt
Corporate Bonds BOY$923,191CorporateBondsBOYAmt
Corporate Bonds EOY$559,142CorporateBondsEOYAmt
Corporate Bonds EOYFMV$484,732CorporateBondsEOYFMVAmt
Other Investments BOY$5,116,550OtherInvestmentsBOYAmt
Other Investments EOY$6,026,949OtherInvestmentsEOYAmt
Other Investments EOYFMV$6,846,997OtherInvestmentsEOYFMVAmt
Total Assets BOY$8,154,202TotalAssetsBOYAmt
Total Assets EOY$7,780,218TotalAssetsEOYAmt
Total Assets EOYFMV$8,429,582TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Retained Earning BOY$8,154,202RetainedEarningBOYAmt
Retained Earning EOY$7,780,218RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$8,154,202TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$7,780,218TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$8,154,202TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$7,780,218TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$8,154,202TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$373,984ExcessRevenueOverExpensesAmt
Subtotal$7,780,218SubtotalAmt
Tot Net Ast Or Fund Balances EOY$7,780,218TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (2 entries)

PropertyPropertyDescGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
Publicly-traded Securities$1,566,037$1,701,484-$135,447-$135,447
Passthrough K1 Capital Gain/(Loss)$15,881
FieldValueIRS element (for citing)
Capital Gain Net Income-$119,566CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$3,960InvestmentIncomeExciseTaxAmt
Subtotal$3,960SubtotalAmt
Tax Based On Investment Income$3,960TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$5,700EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Total Payments And Credits$5,700TotalPaymentsAndCreditsAmt
Form2220 AttachedYes (X)Form2220AttachedInd
Es Penalty$0EsPenaltyAmt
Overpayment$1,740OverpaymentAmt
Applied To ES Tax$1,740AppliedToESTaxAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Form1120 POL FiledfalseForm1120POLFiledInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Changes To Articles Or BylawsfalseChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (true)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (true)AtLeast5000InAssetsInd
Org Report Or Register StateCAOrgReportOrRegisterStateCd
Org Report Or Register StateDEOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (true)Form990PFFiledWithAttyGenInd
Private Operating FoundationfalsePrivateOperatingFoundationInd
New Substantial ContributorsfalseNewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1Foundation SourceBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8008391754PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line155 WALLS DRIVE FL 3AddressLine1Txt
CityFairfieldCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06824ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts QuestionfalseForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified PrsnfalseSaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified PrsnfalseBrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified PrsnfalseFurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnYes (true)PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Acts Fail To Qlfy As ExceptionsfalseActsFailToQlfyAsExceptionsInd
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
Undistributed Income PYfalseUndistributedIncomePYInd
Business HoldingsfalseBusinessHoldingsInd
Jeopardy InvestmentsfalseJeopardyInvestmentsInd
Uncorrected PY Jeopardy InvstfalseUncorrectedPYJeopardyInvstInd
Influence LegislationfalseInfluenceLegislationInd
Influence ElectionfalseInfluenceElectionInd
Grants To IndividualsfalseGrantsToIndividualsInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
Daria Mashouf
Foundation Source 501 Silverside RdWilmingtonDE198091377Treas3.0$50,000$0$0
Neda Nobari
Foundation Source 501 Silverside RdWilmingtonDE198091377Pres, Dir, Sec15.0$0$0$0

Compensation Highest Paid Empl CompensationHighestPaidEmplGrp

FieldValueIRS element (for citing)
PersonMs Keely H BadgerPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line16550 SMOKE TREE AVEAddressLine1Txt
CityOAK PARKCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91377ZIPCd
FieldValueIRS element (for citing)
TitleExecutive DirectorTitleTxt
Average Hrs Per Wk Devoted To Pos40.0AverageHrsPerWkDevotedToPosRt
Compensation$170,000CompensationAmt
FieldValueIRS element (for citing)
Summary Of Direct Chrtbl ActySummaryOfDirectChrtblActyGrp
Sum Of Program Related InvstSumOfProgramRelatedInvstGrp

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$1,879,691AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$141,022AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$6,846,997FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$8,867,710TotalFMVOfUnusedAssetsAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$8,867,710AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$133,016CashDeemedCharitableAmt
Net Vl Noncharitable Assets$8,734,694NetVlNoncharitableAssetsAmt
Minimum Investment Return$436,735MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$436,735MinimumInvestmentReturnAmt
Tax Based On Investment Income$3,960TaxBasedOnInvestmentIncomeAmt
Income Tax$683IncomeTaxAmt
Total Tax$4,643TotalTaxAmt
Distributable Before Adj$432,092DistributableBeforeAdjAmt
Distributable Before Ded$432,092DistributableBeforeDedAmt
Distributable As Adjusted$432,092DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$562,921ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$562,921QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$432,092DistributableAsAdjustedAmt
Excess Distribution Cyov Yr4$414,209ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$149,131ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$65,135ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$152,516ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$780,991TotalExcessDistributionCyovAmt
Qualifying Distributions$562,921QualifyingDistributionsAmt
Applied To Current Year$432,092AppliedToCurrentYearAmt
Remaining Distri From Corpus$130,829RemainingDistriFromCorpusAmt
Total Corpus$911,820TotalCorpusAmt
Undistributed Income CY$0UndistributedIncomeCYAmt
Excess Distri Cyov To Next Yr$911,820ExcessDistriCyovToNextYrAmt
Excess From Year4$414,209ExcessFromYear4Amt
Excess From Year3$149,131ExcessFromYear3Amt
Excess From Year2$65,135ExcessFromYear2Amt
Excess From Year1$152,516ExcessFromYear1Amt
Excess From Current Year$130,829ExcessFromCurrentYearAmt
FieldValueIRS element (for citing)
Private Operating FoundationsPrivateOperatingFoundationsGrp

Supplementary Information SupplementaryInformationGrp

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

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (85 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line1RecipientForeignAddress/AddressLine1TxtProvince Or StateRecipientForeignAddress/ProvinceOrStateNmCountryRecipientForeignAddress/CountryCdForeign PostalRecipientForeignAddress/ForeignPostalCdCityRecipientForeignAddress/CityNm
CINEMA WITHOUT BORDERS FOUNDATION
734 N KENWOOD STBURBANKCA91505N/APCGeneral & Unrestricted$20,000
DIASPORA ARTS CONNECTION INC
55 GOLF CLUB ROAD STE 126PLEASANT HILLCA94523N/APCGeneral & Unrestricted$5,000
IRANIAN AMERICAN WOMEN FOUNDATION
19200 VON KARMAN AVE STE 365IRVINECA92612N/APCGeneral & Unrestricted$15,000
IRANIAN AMERICAN WOMEN FOUNDATION
19200 VON KARMAN AVE STE 365IRVINECA92612N/APCGeneral & Unrestricted$5,000
SIMA STUDIOS
551 NORWICH DRWEST HOLLYWOODCA90048N/APCGeneral & Unrestricted$80,000
M Abbasi
265 Chynoweth AveSan JoseCA95136NONEIArtist Relief Award$1,000
M Afkhami
445 Santa Ana AvenueNewport BeachCA92663NONEIArtist Relief Award$1,000
N Asadi
394 Fair Oaks StreetSan FranciscoCA94110NONEIArtist Relief Award$1,000
A Asaf
16115 N Meadowdale RdEdmondsWA98026NONEIArtist Relief Award$1,000
S Babaei
NONEIArtist Relief Award$1,000Via Gian Carlo Passeroni 2MILANOIT20135
G Bahiraie
NONEIArtist Relief Award$2,00020 Rue LT Colonel GirardLYONFR69007
S Balaghi
464 Mills Way Apt DGoletaCA93117NONEIArtist Relief Award$1,000
M Barua
2341 Portland St Apt 207Los AngelesCA90007NONEIArtist Relief Award$2,000
S Bathaei
15445 Moorpark StSherman OaksCA91403NONEIArtist Relief Award$2,000
W Brooklyn
118 Valley Forge CircleElyriaOH44035NONEIArtist Relief Award$2,000
A Caballero
2111 S Flagler DriveWest Palm BeachFL33401NONEIArtist Relief Award$2,000
A Castillo
1959 SacramentoWestonFL33326NONEIArtist Relief Award$5,000
M Contreras
2515 N Orchard AveTucsonAZ85712NONEIArtist Relief Award$1,000
G Costantini
NONEIArtist Relief Award$1,000Via SantAgata n13RAVENNAIT48121
M DANESH
NONEIArtist Relief Award$1,000417 Le stift 1 b Quai St ThomasStrasbourgFR67000
S DERAKHSHAN
NONEIArtist Relief Award$1,0007B RUE COLIN - 4 TGVILLEURBANNEFR69100
S Edalatnia
NONEIArtist Relief Award$1,000Sonninstrasse 12HamburgGM20097
S Eivazi
79 Alm Bluffs DrChicoCA95928NONEIArtist Relief Award$1,000
F Eloy-Defauw
NONEIArtist Relief Award$1,0002 ruelle des CarmliteCapinghemFR59160
M Farahzadi
774 Terrace 49Los AngelesCA90042NONEIArtist Relief Award$2,000
A Farokhi
NONEIArtist Relief Award$1,000Oranienstrae 125berlinGM10969
T Farsi
3015 Charnelton StEugeneOR97405NONEIArtist Relief Award$1,000
M Ghaffari
2920 76th Ave SE Unit 111Mercer IslandWA98040NONEIArtist Relief Award$1,000
S Hedayati
1725 Seascape BlvdAptosCA95003NONEIArtist Relief Award$1,000
T Hemami
5911 California StSan FranciscoCA94121NONEIArtist Relief Award$1,000
D Hou
4941 Persimmon LaneIrvineCA92612NONEIArtist Relief Award$1,000
S Hozmahi
602 Mason street Apt 202San FranciscoCA94108NONEIArtist Relief Award$1,000
N Javadi
529 Napoleon StreetSouth BendIN46601NONEIArtist Relief Award$1,000
N Jeddi
NONEIArtist Relief Award$1,000Leberstrasse 62 /42WienAU1110
O Kalejaye
1313 E Burnside StreetPortlandOR97214NONEIArtist Relief Award$2,000
S Kalhori
9100 Independence PKWYPlanoTX75025NONEIArtist Relief Award$1,000
P Karim
2822 Acton StBerkeleyCA94702NONEIArtist Relief Award$1,000
P Karimi
NONEIArtist Relief Award$1,000Plock 83HeidelbergGM69117
P Khesal
PO Box 630428HoustonTX77263NONEIArtist Relief Award$1,000
P Kloss
NONEIArtist Relief Award$1,000Florastr 10DsseldorfGM40217
F Kohan
2741 Rustic LaneGlendaleCA91208NONEIArtist Relief Award$1,000
G Kolahchi
40 Jarvie DriveHamiltonNJ08690NONEIArtist Relief Award$1,000
N Masoumi
1125 NW 12th Ave 506PortlandOR97209NONEIArtist Relief Award$1,000
R Miller
2401 Lake PlaceMinneapolisMN55405NONEIArtist Relief Award$1,000
A Mireshghi
1005 Stanford StSanta MonicaCA90403NONEIArtist Relief Award$1,000
G Mirzaei
304 S JeffersonStillwaterOK74074NONEIArtist Relief Award$1,000
F Molavi
125 Concord TrceAlpharettaGA30005NONEIArtist Relief Award$2,000
T Motakef
2010 Cumberland PKWYAlgonquinIL60102NONEIArtist Relief Award$1,000
M Murals
3216 Apache AveSan DiegoCA92117NONEIArtist Relief Award$1,000
S Nazarian
150 RiverwayBostonMA02215NONEIArtist Relief Award$1,000
F Nazarpour
2071 NE 50th WayHillsboroOR97124NONEIArtist Relief Award$1,000
N Nesvaderani
590 Keelson CircleRedwood CityCA94065NONEIArtist Relief Award$1,000
P NiKKhesal
8401 Westheimer Rd Suit 290HOUSTONTX77063NONEIArtist Relief Award$1,000
H O'Reilly
50 Puu Anoano St Apt 2302LahainaHI96761NONEIArtist Relief Award$2,000
T Partovirad
NONEIArtist Relief Award$1,000Sailerwhr 6PassauGM94032
P Pourmovahed
617 Timothy Lane Apt 201RochesterMI48307NONEIArtist Relief Award$1,000
S Rudig
315 Franklin StreetWashingtonDC20002NONEIArtist Relief Award$2,000
S Schoonover
PO Box 7396DuluthMN55807NONEIArtist Relief Award$2,000
A Shladovsky
3645 10th AvenueLos AngelesCA90018NONEIArtist Relief Award$1,000
B Sobhani
2250 Patterson StEugeneOR97405NONEIArtist Relief Award$1,000
N Sorkhabi
22 Alhambra CtNovatoCA94949NONEIArtist Relief Award$1,000
S Stein
51 West 81st StreetNew YorkNY10024NONEIArtist Relief Award$2,000
E Sziksz
2703 Seaspray StSarasotaFL34231NONEIArtist Relief Award$1,000
F Tajaddod
633 Maxwelton CourtLexingtonKY40508NONEIArtist Relief Award$1,000
L Thomas
PO Box 537SultanWA98294NONEIArtist Relief Award$2,000
B Valian
26645 Altamont RdLos Altos HillsCA94022NONEIArtist Relief Award$2,000
L Wei
2241 Virginia AveSanta MonicaCA90404NONEIArtist Relief Award$2,000
V Wenwieser
NONEIArtist Relief Award$2,00013 bld Princesse CharlotteMN98000
F Zabetian
2570 Walnut BlvdWalnut CreekCA94596NONEIArtist Relief Award$2,000
V Zamani
101 Roxanne CourtWalnut CreekCA94597NONEIArtist Relief Award$1,000
S Adiban
NoneIArtist Relief Award$1,0003601-85 Wood StreetOntarioCAm4y 0e8Toronto
B Lahooty
noneIArtist Relief Award$1,0001006 Jalna BlvdOntarioCAN6E 2R4London
A Ahmadi
noneIArtist Relief Award$1,000102-150 Rue Saint-NorbertQUEBECCAH2X 1G6MONTREAL
M Asilahijani
noneIArtist Relief Award$1,000153 Lafayette BlvdONTARIOCAL1P1S7WHITBY
S Dadras
NONEIArtist Relief Award$1,000Strabe 3 number 05-08viennaAUdonau
F Fatemijahromi
NONEIArtist Relief Award$1,000Unit 101 224 North Garden DrivebcCAv5l 3e7vancouver
S Jalali
NONEIArtist Relief Award$1,000405-1675 Lions Gate LnbcCAV7P 0E3NORTH VANCOUVER
S Jarrett
NONEIArtist Relief Award$1,00024 Surlingham Lane Rockland St MaryNorfolkUKNR14 7HHNorwich
A Moghadam
NONEIArtist Relief Award$1,0001313 - 55 Gerrard St WestOntarioCAM5G0B9Toronto
N MOSTAFAEE
NONEIArtist Relief Award$1,0007030 Woodbine AveOntarioCAL3R 6G2Markham
K Nalchi
NONEIArtist Relief Award$1,0002007-3080 Lincoln AveBritish ColumbiaCAV3B0L9COQUITLAM
N Porsandekhial
NONEIArtist Relief Award$1,000311 6th Avenue North 403SaskatoonCAS7K 7A9Saskatchewan
M Saidi
NONEIArtist Relief Award$1,000433 Rue St ThomasQuebecCAJ4R1Y3SaintLambert
A Seaman
NONEIArtist Relief Award$2,000CITYFIELD FARMENGLANDUKSG16 6DDHENLOW
S Shoghi
NONEIArtist Relief Award$2,000450 LakefrontOntarioCAM4E1A8Toronto
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$228,000TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

FieldValueIRS element (for citing)
Fees Contracts From Govt AgFeesContractsFromGovtAgGrp
Membership Dues And AssmntMembershipDuesAndAssmntGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$2,211ExclusionAmt

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$69,484ExclusionAmt
FieldValueIRS element (for citing)
Net Rntl Incm Re Debt Fincd PropNetRntlIncmReDebtFincdPropGrp
Net Rntl Incm Re Not Debt Fincd PropNetRntlIncmReNotDebtFincdProp
Net Rental Income Personal PropNetRentalIncomePersonalPropGrp
Other Investment IncomeOtherInvestmentIncomeGrp

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Business525990BusinessCd
Unrelated Business Taxbl Incm$995UnrelatedBusinessTaxblIncmAmt
Exclusion18ExclusionCd
Exclusion-$119,566ExclusionAmt
FieldValueIRS element (for citing)
Net Income Loss From Special EvtNetIncomeLossFromSpecialEvtGrp
Gross Profit Loss Sls Of InvntryGrossProfitLossSlsOfInvntryGrp

Other Revenue Described OtherRevenueDescribedGrp (3 entries)

DescDescBusinessBusinessCdUnrelated Business Taxbl IncmUnrelatedBusinessTaxblIncmAmtExclusionExclusionCdExclusionExclusionAmt
K-1 Inc/Loss525990$22,06614$21,953
Federal Tax Refund01$1,096
INCOME FROM PFIC01$271,765

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$23,061UnrelatedBusinessTaxblIncmAmt
Exclusion$246,943ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$270,004TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EOfalseTrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EOfalseTrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EOfalsePurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth AssetsfalseRentalOfFacilitiesOthAssetsInd
Reimbursement ArrangementsfalseReimbursementArrangementsInd
Loans Or Loan GuaranteesfalseLoansOrLoanGuaranteesInd
Performance Of Services EtcfalsePerformanceOfServicesEtcInd
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtcInd
Relationships Nonchrtbl EOfalseRelationshipsNonchrtblEOInd

Depreciation Schedule DepreciationSchedule

General Explanation Attachment GeneralExplanationAttachment

General Explanation GeneralExplanationGrp

FieldValueIRS element (for citing)
IdentifierPART I LINE 6AIdentifierTxt
Form And Line ReferencePART I LINE 6AFormAndLineReferenceDesc
Medium ExplanationRECONCILIATION OF NET GAIN/(LOSS) FROM SALES OF ASSETS NOT INCLUDED IN PART IV TOTAL INCLUDED IN PART IV: (DETAILS BELOW) NET GAIN/(LOSS): $(119,566) TOTAL NOT INCLUDED IN PART IV: PASSTHROUGH K-1 CAPITAL GAIN/(LOSS) - UBI NET GAIN/(LOSS): $995 TOTAL PART I, LINE 6A: $(118,571) DETAILS OF ASSETS INCLUDED IN PART IV: PUBLICLY-TRAIDED SECURITIES GROSS SALES PRICE: $1,566,037 BOOK BASIS: $1,701,484 NET GAIN/(LOSS): $(135,447) PASSTHROUGH K-1 CAPITAL GAIN/(LOSS) - NON UBI NET GAIN/(LOSS): $15,881MediumExplanationTxt

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp (10 entries)

BondBondNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
AT&T INC - 4.300% - 02/15/2030$71,830$58,844
BK OF AMERICA CORP SER - 3.593$60,748$52,206
CITIGROUP INC BND - 3.300% - 0$50,507$48,836
COCA COLA CO NOTE CALL - 1.375$46,936$41,281
CVS CAREMARK CORP NOTE - 4.300$46,220$39,368
DUKE ENERGY CORP - 3.400% - 06$56,815$47,030
GOLDMAN SACHS GROUP - 4.250% -$58,137$53,992
JEFFERIES GROUP LLC - 4.850% -$64,705$54,774
ORACLE CORP NOTE CALL MAKE WHO$51,639$44,353
UNITEDHEALTH GROUP INC - 3.850$51,605$44,048

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (4 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
CNI FIXED INCOME OPP FD CL N$514,846$432,479
FEDERATED INSTI HIGH YIELD BD$20,438$20,935
ISHARES 0 5 YEAR HIGH YIELD CO$21,869$22,757
PIMCO INCOME FUND$21,977$23,289

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Obligations Book Vl EOY$561,359USGovtObligationsBookVlEOYAmt
US Govt Obligations EOYFMV$544,755USGovtObligationsEOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (8 entries)

Category Or ItemCategoryOrItemTxtBook ValueBookValueAmtEOYFMVEOYFMVAmt
CAM CAPITAL 374 LLC$772,062$1,017,877
CAM MANAGEMENT 418 LLC$282,638$503,949
CAM MANAGEMENT 421 LLC$254,438$493,675
GOLUB CAPITAL PARTNERS INTE 14$2,160,000$1,680,000
GOLUB CAPITAL PARTNERS INTE 10$202,948$416,335
HERSHISER INCOME FUND II, LP$44,629$106,820
ICG CREDIT OPPORTUNITIES FUND$1,783,601$1,728,703
KAISER INDUSTRIAL LLC$526,633$899,638

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (9 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmtNet Investment IncomeNetInvestmentIncomeAmt
Administrative Fees$33,678$33,678
Digital Subscriptions$2,384$2,384
Indemnification Insurance$1,131$1,131
K-1 Exp CAM MANAGEMENT 421 LLC$149$149
K-1 Exp HERSHISER INCOME FUND$575$575
K-1 Exp ICG CREDIT OPPORTUNITI$73,484$71,930
Postage/Delivery Service$6,603$6,603
Social Media/Advertising Expen$15,206$15,206
State or Local Filing Fees$100$100

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail (8 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmt
K-1 Inc/Loss CAM CAPITAL 374 LLC$18,732$18,732
K-1 Inc/Loss CAM MANAGEMENT 418 LLC-$32,544-$32,544
K-1 Inc/Loss CAM MANAGEMENT 421 LLC-$74,857-$82,180
K-1 Inc/Loss HERSHISER INCOME FUND II, LP$3,140$3,140
K-1 Inc/Loss ICG CREDIT OPPORTUNITIES FUND II LP$119,419$107,855
K-1 Inc/Loss KAISER INDUSTRIAL LLC$10,129$2,351
Federal Tax Refund$1,096
income from pfic$271,765$271,765

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
Investment Management Services$3,290$3,290
Website Development$36,399$36,399

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (4 entries)

CategoryCategoryTxtAmtAmt
990-PF Estimated Tax for 2023$3,000
990-T Income Tax for 2022$160
990-T EXTENSION FOR 2022$400
IRS Miscellaneous Fee Expense$9

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