BETA

MOURIER FAMILY FOUNDATION: Form 990PF, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
MOURIER FAMILY FOUNDATION (EIN 68-0463710)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-10-16
IRS object ID
202322899349101812
Schema version
2022v5.0
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)
Return2023-10-16T21:21:30-05:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN135565207PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 CAPITOL MALL SUITE 2100AddressLine1Txt
CitySACRAMENTOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95814ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN680463710EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MOURIER FAMILY FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMOURBusinessNameControlTxt
Phone9169692842PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11430 BLUE OAKS BLVD STE 190AddressLine1Txt
CityROSEVILLECityNm
State AbbreviationCAStateAbbreviationCd
ZIP95747ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonROD YAMANAKAPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone9169692842PhoneNum
Signature2023-10-16SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstRODPersonFirstNm
Person LastYAMANAKAPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARC HOLLISPreparerPersonNm
PTINP00231474PTIN
Phone9164484700PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$32,592,805FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$4,192,000ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$540,582InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$540,582InterestOnSavNetInvstIncmAmt
Cap Gain Net Incm Net Invst Incm$91,400CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$4,732,582TotalRevAndExpnssAmt
Total Net Invst Incm$631,982TotalNetInvstIncmAmt
Total Adj Net Incm$0TotalAdjNetIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Adj Net Incm$0CompOfcrDirTrstAdjNetIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Legal Fees Rev And Expnss$20,808LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$0LegalFeesNetInvstIncmAmt
Legal Fees Adj Net Incm$0LegalFeesAdjNetIncmAmt
Legal Fees Dsbrs Chrtbl$20,808LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$20,459AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$12,299AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$8,160AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$14,213OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$14,213OtherProfFeesNetInvstIncmAmt
Other Prof Fees Adj Net Incm$0OtherProfFeesAdjNetIncmAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$8,601TaxesRevAndExpnssAmt
Taxes Net Invst Incm$8,601TaxesNetInvstIncmAmt
Taxes Adj Net Incm$0TaxesAdjNetIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$200OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$0OtherExpensesNetInvstIncmAmt
Other Expenses Adj Net Incm$0OtherExpensesAdjNetIncmAmt
Other Expenses Dsbrs Chrtbl$200OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$64,281TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$35,113TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$29,168TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$1,060,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$1,512,620ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$1,124,281TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$35,113TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$1,541,788TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$3,608,301ExcessRevenueOverExpensesAmt
Net Investment Income$596,869NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$98,232CashBOYAmt
Cash EOY$144,131CashEOYAmt
Cash EOYFMV$144,131CashEOYFMVAmt
Sav And Temp Cash Invst BOY$29,630,790SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$31,294,504SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$31,294,504SavAndTempCashInvstEOYFMVAmt
Other Assets BOY$1,740,840OtherAssetsBOYAmt
Other Assets EOY$1,154,170OtherAssetsEOYAmt
Other Assets EOYFMV$1,154,170OtherAssetsEOYFMVAmt
Total Assets BOY$31,469,862TotalAssetsBOYAmt
Total Assets EOY$32,592,805TotalAssetsEOYAmt
Total Assets EOYFMV$32,592,805TotalAssetsEOYFMVAmt
Grants Payable BOY$452,620GrantsPayableBOYAmt
Other Liabilities BOY$2,944OtherLiabilitiesBOYAmt
Other Liabilities EOY$1,585OtherLiabilitiesEOYAmt
Total Liabilities BOY$455,564TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,585TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$31,014,298NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY$32,591,220NoDonorRstrNetAssestsEOYAmt
Tot Net Ast Or Fund Balances BOY$31,014,298TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$32,591,220TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$31,469,862TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$32,592,805TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$31,014,298TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$3,608,301ExcessRevenueOverExpensesAmt
Other Increases$91,400OtherIncreasesAmt
Subtotal$34,713,999SubtotalAmt
Other Decreases$2,122,779OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$32,591,220TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

FieldValueIRS element (for citing)
Capital Gain Net Income$91,400CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$8,296InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$8,296SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$8,296TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$7,200EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$1,600ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$8,800TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Overpayment$504OverpaymentAmt
Applied To ES Tax$504AppliedToESTaxAmt
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 ContributorsYes (1)NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksROD YAMANAKAIndividualWithBooksNm
Phone9169692842PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line11430 BLUE OAKS BLVDAddressLine1Txt
CityROSEVILLECityNm
State AbbreviationCAStateAbbreviationCd
ZIP95747ZIPCd
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 (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
JOHN MOURIER III
1430 BLUE OAKS BLVD STE 190ROSEVILLECA95747PRESIDENT2.00$0$0$0
LAURA MOURIER
1430 BLUE OAKS BLVD STE 190ROSEVILLECA95747SECRETARY2.00$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$16,535,589AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$13,293,248AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$1,154,170FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$30,983,007TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$30,983,007AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$464,745CashDeemedCharitableAmt
Net Vl Noncharitable Assets$30,518,262NetVlNoncharitableAssetsAmt
Minimum Investment Return$1,525,913MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$1,525,913MinimumInvestmentReturnAmt
Tax Based On Investment Income$8,296TaxBasedOnInvestmentIncomeAmt
Total Tax$8,296TotalTaxAmt
Distributable Before Adj$1,517,617DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$1,517,617DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$1,517,617DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$1,541,788ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$1,541,788QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$1,517,617DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr3$639,179ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr1$610,001ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$1,249,180TotalExcessDistributionCyovAmt
Qualifying Distributions$1,541,788QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$1,517,617AppliedToCurrentYearAmt
Remaining Distri From Corpus$24,171RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$1,273,351TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$1,273,351ExcessDistriCyovToNextYrAmt
Excess From Year3$639,179ExcessFromYear3Amt
Excess From Year1$610,001ExcessFromYear1Amt
Excess From Current Year$24,171ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

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

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (18 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ACRES OF HOPE
PO BOX 238AUBURNCA95604NONENONPROFIT BENEFIT COGENERAL FUND CONTRIBUTION$30,000
AGAPE INTERNATIONAL MISSIONS
151 N SUNRISE AVE 1006ROSEVILLECA95661NONENONPROFIT BENEFIT COGENERAL FUND CONTRIBUTION$150,000
ALASK CONFERENCE OF THE EVANGELICAL COVENANT CHURCH
PO BOX 200446ANCHORAGEAK99520NONENONPROFIT BENEFIT COGENERAL FUND CONTRIBUTION$20,000
BOYS AND GIRLS CLUB OF PLACER COUNTY
679 LINCOLN WAYAUBURNCA95603NONEYOUTH DEVELOPMENTGENERAL FUND CONTRIBUTION$502,620
CHARA INC
PO BOX 652CONCORDNC28026NONERELIGIOUS YOUTH DEVEGENERAL FUND CONTRIBUTION$100,000
CHILD ADVOCATES OF PLACER COUNTY
3715 ATHERTON ROAD 1ROCKLINCA95765NONEYOUTH DEVELOPMENTGENERAL FUND CONTRIBUTION$100,000
CHRISTIAN VETERINARY MISSION
19303 FREMONT AVE NSEATTLEWA98133NONENONPROFIT BENEFIT COGENERAL FUND CONTRIBUTION$25,000
COLLEGE GOLF FELLOWSHIP
5098 FOOTHILLS BLVD 3-138ROSEVILLECA95747NONENONPROFIT BENEFIT COGENERAL FUND CONTRIBUTION$50,000
COMPASSION PLANET
5465 PACIFIC STREETROCKLINCA95677NONENONPROFIT BENEFIT COGENERAL FUND CONTRIBUTION$100,000
ENGINEERING MINISTRIES INTERNATIONAL
130 EAST KIOWA STREET 200COLORADO SPRINGSCO80903NONENONPROFIT BENEFIT COGENERAL FUND CONTRIBUTION$100,000
GIDEON INTERNATIONAL
PO BOX 140800NASHVILLETN37214NONENONPROFIT BENEFIT COGENERAL FUND CONTRIBUTION$5,000
HARVEST COMMUNITY CHURCH
1376 BLUE OAK BLVDROSEVILLECA95678NONENONPROFIT BENEFIT COGENERAL FUND CONTRIBUTION$60,000
HARVEST KUMULANI CHAPEL
PO BOX 10368LAHAINAHI96761NONECHURCHGENERAL FUND CONTRIBUTION$40,000
MISSION AVIATION FELLOWSHIP
PO BOX 47NAMPAID83653NONENONPROFIT BENEFIT COGENERAL FUND CONTRIBUTION$50,000
PLACER COMMUNITY FOUNDATION
PO BOX 9207AUBURNCA95604NONENONPROFIT BENEFIT COGENERAL FUND CONTRIBUTION$20,000
PLACER COUNTY LAW ENFORCEMENT CHAPLAINCY
PO BOX 1111NEWCASTLECA95658NONENONPROFIT BENEFIT COGENERAL FUND CONTRIBUTION$20,000
SACRAMENTO VALLEY TEEN CHALLENGE
PO BOX 24309SAN JOSECA951544309NONENONPROFIT BENEFIT COGENERAL FUND CONTRIBUTION$100,000
YOUNG LIFE
PO BOX 520COLORADO SPRINGAMCO80901NONEYOUTH DEVELOPMENTGENERAL FUND CONTRIBUTION$40,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$1,512,620TotalGrantOrContriPdDurYrAmt

Grant Or Contri Apprv For Fut GrantOrContriApprvForFutGrp

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1BOYS AND GIRLS CLUB OF PLACER COUNTYBusinessNameLine1Txt

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1679 LINCOLN WAYAddressLine1Txt
CityAUBURNCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95603ZIPCd
FieldValueIRS element (for citing)
Recipient RelationshipNONERecipientRelationshipTxt
Recipient Foundation StatusYOUTH DEVELOPMENTRecipientFoundationStatusTxt
Grant Or Contribution PurposeGENERAL FUND CONTRIBUTIONGrantOrContributionPurposeTxt
Amt$452,620Amt
FieldValueIRS element (for citing)
Total Grant Or Contri Apprv Fut$452,620TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$540,582ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$540,582ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$540,582TotalIncomeProducingActyAmt

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

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
General RuleYes (X)GeneralRuleInd

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
Contributor1ContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1JOHN L & LAURA A MOURIERBusinessNameLine1Txt

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line13050 ASPEN DRIVEAddressLine1Txt
CityPENRYNCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95663ZIPCd
FieldValueIRS element (for citing)
Total Contributions$4,192,000TotalContributionsAmt
Person ContributionYes (X)PersonContributionInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$20,459Amt
Net Investment Income$12,299NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$8,160DisbursementsCharitablePrpsAmt

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryLEGAL FEESCategoryTxt
Legal Fees$20,808LegalFeesAmt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$20,808DisbursementsCharitablePrpsAmt

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp (4 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
ACCRUED INTEREST$32$11,644$11,644
NOTE ISSUANCE COSTS$20,808$4,671$4,671
NOTE RECEIVABLE$1,720,000$0$0
PROGRAM RELATED INVESTMENT$1,137,855$1,137,855

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescUNREALIZED LOSSDesc
Amt$2,122,779Amt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

FieldValueIRS element (for citing)
DescFILING FEESDesc
Revenue And Expenses Per Books$200RevenueAndExpensesPerBooksAmt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$200DisbursementsCharitablePrpsAmt

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescREALIZED GAINDesc
Amt$91,400Amt

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail

FieldValueIRS element (for citing)
DescEXCISE TAX PAYABLEDesc
BOY Book Value$2,944BOYBookValueAmt
EOY Book Value$1,585EOYBookValueAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryDUE DILIGENCECategoryTxt
Amt$14,213Amt
Net Investment Income$14,213NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Substantial Contributors Sch SubstantialContributorsSch

Substantial Contributor Detail SubstantialContributorDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JOHN L & LAURA A MOURIERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13050 ASPEN DRIVEAddressLine1Txt
CityPENRYNCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95663ZIPCd

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryEXCISE TAXESCategoryTxt
Amt$8,601Amt
Net Investment Income$8,601NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

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