DAVID S ASCHER MD CHARITABLE FOUNDATION: Form 990PF, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
DAVID S ASCHER MD CHARITABLE FOUNDATION (EIN 33-0243114)
Tax period
2021-12-01 to 2022-11-30
Filed
2023-05-08
IRS object ID
202341289349103829
Schema version
2021v4.1
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)
Return2023-05-08T14:33:45-07:00ReturnTs
Tax Period End2022-11-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN352495028PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Johnson Tax & ConsultingBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1300 Spectrum Center Dr Ste 400AddressLine1Txt
CityIrvineCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92618ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2021-12-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN330243114EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1David S Ascher MD CharitableBusinessNameLine1Txt
Business Name Line2FoundationBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlDAVIBusinessNameControlTxt
Phone9492755086PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1309 Emerald Bay DriveAddressLine1Txt
CityLaguna BeachCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92651ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRenetta CayaPersonNm
Person TitleCEO/DIRECTORPersonTitleTxt
Signature2023-05-08SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstRenettaPersonFirstNm
Person LastCayaPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLisa JohnsonPreparerPersonNm
PTINP00167963PTIN
Phone9494246242PhoneNum
Self EmployedYes (X)SelfEmployedInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$366,805FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$600ContriRcvdRevAndExpnssAmt
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$43InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$43InterestOnSavNetInvstIncmAmt
Interest On Savings Adj Net Incm$43InterestOnSavingsAdjNetIncmAmt
Dividends Rev And Expnss$30,039DividendsRevAndExpnssAmt
Dividends Net Invst Incm$30,039DividendsNetInvstIncmAmt
Dividends Adj Net Incm$30,039DividendsAdjNetIncmAmt
Net Gain Sale Ast Rev And Expnss-$14,794NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$114,277GrossSalesPriceAmt
Total Rev And Expnss$15,888TotalRevAndExpnssAmt
Total Net Invst Incm$30,082TotalNetInvstIncmAmt
Total Adj Net Incm$30,082TotalAdjNetIncmAmt
Accounting Fees Rev And Expnss$3,125AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$3,125AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$3,125AccountingFeesAdjNetIncmAmt
Taxes Rev And Expnss$2,020TaxesRevAndExpnssAmt
Taxes Net Invst Incm$2,020TaxesNetInvstIncmAmt
Taxes Adj Net Incm$2,020TaxesAdjNetIncmAmt
Other Expenses Rev And Expnss$4,764OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$4,764OtherExpensesNetInvstIncmAmt
Other Expenses Adj Net Incm$4,764OtherExpensesAdjNetIncmAmt
Tot Opr Expenses Rev And Expnss$9,909TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$9,909TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$9,909TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$135,299ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$135,299ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$145,208TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$9,909TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$9,909TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$135,299TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$129,320ExcessRevenueOverExpensesAmt
Net Investment Income$20,173NetInvestmentIncomeAmt
Adjusted Net Income$20,173AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$2,046CashBOYAmt
Cash EOY$546CashEOYAmt
Cash EOYFMV$546CashEOYFMVAmt
Sav And Temp Cash Invst BOY$82,107SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$6,821SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$6,821SavAndTempCashInvstEOYFMVAmt
Corporate Stock BOY$193,703CorporateStockBOYAmt
Corporate Stock EOY$252,475CorporateStockEOYAmt
Corporate Stock EOYFMV$282,730CorporateStockEOYFMVAmt
Other Investments BOY$182,206OtherInvestmentsBOYAmt
Other Investments EOY$70,900OtherInvestmentsEOYAmt
Other Investments EOYFMV$76,708OtherInvestmentsEOYFMVAmt
Total Assets BOY$460,062TotalAssetsBOYAmt
Total Assets EOY$330,742TotalAssetsEOYAmt
Total Assets EOYFMV$366,805TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Retained Earning BOY$460,062RetainedEarningBOYAmt
Retained Earning EOY$330,742RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$460,062TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$330,742TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$460,062TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$330,742TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$460,062TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$129,320ExcessRevenueOverExpensesAmt
Subtotal$330,742SubtotalAmt
Tot Net Ast Or Fund Balances EOY$330,742TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (9 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
744.9710 BLACKROCK HEALTH SCIENCEP2021-05-112022-06-03$52,871$60,000-$7,129-$7,129
BLACKROCK HEALTH SCIENCEP2021-07-162022-06-03$57$66-$9-$9
BLACKROCK HEALTH SCIENCEP2021-07-162022-06-03$1,328$1,524-$196-$196
BLACKROCK HEALTH SCIENCEP2021-07-162022-06-03$403$462-$59-$59
BLACKROCK HEALTH SCIENCEP2021-12-082022-06-03$54$57-$3-$3
BLACKROCK HEALTH SCIENCEP2021-12-082022-06-03$2,733$2,913-$180-$180
BLACKROCK HEALTH SCIENCEP2021-12-082022-06-03$396$422-$26-$26
BLACKROCK MULTI ASSETP2021-01-012022-10-28$44,435$52,453-$8,018-$8,018
EATON VANCE RCHRD BRSTNP2014-08-142022-10-28$12,000$11,174$826$826
FieldValueIRS element (for citing)
Capital Gain Net Income-$14,794CapitalGainNetIncomeAmt
Net Short Term Capital Gain Loss-$473NetShortTermCapitalGainLossAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$280InvestmentIncomeExciseTaxAmt
Subtotal$280SubtotalAmt
Tax Based On Investment Income$280TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$837EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$837TotalPaymentsAndCreditsAmt
Overpayment$557OverpaymentAmt
Applied To ES Tax$557AppliedToESTaxAmt

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 LimitfalseUnrelatedBusIncmOverLimitInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Section508e Rqr SatisfiedfalseSection508eRqrSatisfiedInd
At Least5000 In AssetsYes (true)AtLeast5000InAssetsInd
Org Report Or Register StateCAOrgReportOrRegisterStateCd
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
Website AddressN/AWebsiteAddressTxt

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1Renetta CayaBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9492755086PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1309 Emerald Bay DriveAddressLine1Txt
CityLaguna BeachCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92651ZIPCd
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 PrsnfalsePayCompDisqualifiedPrsnInd
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 PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
Renetta Caya
309 Emerald Bay DriveLaguna BeachCA92651CEO/DIRECTOR0.00$0
VIVIANN TABB
309 EMERALD BAY DRIVELAGUNA BEACHCA92651TREASURER/DIREC0.00$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$0AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$0AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$0TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Adjusted Total FMV Of Unused Ast$0AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$0CashDeemedCharitableAmt
Net Vl Noncharitable Assets$0NetVlNoncharitableAssetsAmt
Minimum Investment Return$0MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Tax Based On Investment Income$280TaxBasedOnInvestmentIncomeAmt
Total Tax$280TotalTaxAmt
Distributable Before Adj$280DistributableBeforeAdjAmt
Distributable Before Ded$280DistributableBeforeDedAmt
Distributable As Adjusted$0DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$135,299ExpensesAndContributionsAmt
Qualifying Distributions$135,299QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$0DistributableAsAdjustedAmt
Excess Distribution Cyov Yr5$178,464ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$140,988ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$208,710ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$150,108ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$110,843ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$789,113TotalExcessDistributionCyovAmt
Qualifying Distributions$135,299QualifyingDistributionsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Remaining Distri From Corpus$135,299RemainingDistriFromCorpusAmt
Total Corpus$924,412TotalCorpusAmt
Undistributed Income CY$0UndistributedIncomeCYAmt
Excess Distri Cyov From Yr5$178,464ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$745,948ExcessDistriCyovToNextYrAmt
Excess From Year4$140,988ExcessFromYear4Amt
Excess From Year3$208,710ExcessFromYear3Amt
Excess From Year2$150,108ExcessFromYear2Amt
Excess From Year1$110,843ExcessFromYear1Amt
Excess From Current Year$135,299ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

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

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (9 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
OCEANA
1025 CONNECTICUT AVE NW SUITE 200WASHINGTONDC20036NONEPCHEALTH, EDUCATION, OR WELFARE$10,263
CASA
1505 EAST 17TH STREET SUITE 214SANTA ANACA92705NONEPCHEALTH, EDUCATION, OR WELFARE$16,873
VALLEY HIGH SCHOOL
1801 S GREENVILLE STSANTA ANACA92704NONEPCHEALTH, EDUCATION, OR WELFARE$1,500
THE CHILDREN'S SCHOOL
3400 MICHAELSON DR SUITE 200IRVINECA92612NONEPCHEALTH, EDUCATION, OR WELFARE$21,500
AOCDS OC DEPUTY SHERIFFS
1600 N MAIN STSANTA ANACA92701NONEPCHEALTH, EDUCATION, OR WELFARE$2,000
AMERICAN UNIVERSITY OF ARMENIA
1001 MARINA VILLAGE PARKWAY 402ALAMEDACA94501NONEPCHEALTH, EDUCATION, OR WELFARE$5,000
TUFTS UNIVERSITY
419 Boston AveMedfordMA02155NONEPCHEALTH, EDUCATIONS, OR WELLNESS$63,247
EB LOVE TRIBE PROJECT
PO BOX 607CORONA DEL MARCA92625NONEPCHEALTH, EDUCATION, OR WELLNESS$14,654
KHERUT
1112 N BROOKHURST ST UNIT 6ANAHEIMCA92801NONEPCHEALTH, EDUCATION, OR WELFARE$262
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$135,299TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$43ExclusionAmt

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$30,039ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Related Or Exempt Function Incm-$14,794RelatedOrExemptFunctionIncmAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$30,082ExclusionAmt
Related Or Exempt Function Incm-$14,794RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$15,288TotalIncomeProducingActyAmt

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

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTINGCategoryTxt
Amt$3,125Amt
Net Investment Income$3,125NetInvestmentIncomeAmt
Adjusted Net Income$3,125AdjustedNetIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

FieldValueIRS element (for citing)
DescINVESTMENT FEESDesc
Revenue And Expenses Per Books$4,764RevenueAndExpensesPerBooksAmt
Net Investment Income$4,764NetInvestmentIncomeAmt
Adjusted Net Income$4,764AdjustedNetIncomeAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmt
FEDERAL TAXES$1,970$1,970$1,970
STATE TAXES$50$50$50

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