2023-11-15T23:08:22-06:00 2022-12-31 Foundation Source 3333 New Hyde Park Rd Ste 406 New Hyde Park NY 11042 990PF 2022-01-01 050544633 The Michael and Karen Stone Family Foundation Inc % Foundation Source MICH 8008391754 Foundation Source 501 Silverside Rd Wilmington DE 198091377 Michael Stone President 8008391754 2023-11-13 true Michael Stone 999009999 Jeffrey D Haskell P01345770 8008391754 2022 2023-04-26 12:10:37Z X 55615966 X 0 X 94967 94967 18607 18607 872178 4256427 872178 4804490 4783642 5790242 5769394 0 28638 28638 113182 2196 2196 284826 199002 43677 428842 227640 45873 2492633 2491633 2921475 227640 2537506 2868767 5541754 14479098 6502783 6502783 10022 957330 250020 957330 835367 4978139 4999282 3595581 5294 4950 31827340 40588282 43273584 50162061 53031828 55615966 0 0 X 50162061 53031828 50162061 53031828 50162061 53031828 50162061 2868767 1000 53031828 53031828 Publicly-traded Securities 4091723 3590286 501437 501437 Passthrough K1 Capital Gain/(Loss) 292013 KAYNELP - KAYNE ANDERSON REAL ESTATE DEBT, L.P P 2016-07-22 2022-12-21 74146 75399 -1253 -1253 LAUNCHTIME - LAUNCHTIME III LLC P 2015-11-09 2022-09-23 551 555 -4 -4 SUJA LIFE LLC - HOLDBACK P 2021-08-22 2022-01-25 10022 10022 TPGGROWTH - TPG GROWTH SPECTRE CO-INVEST, LP P 2016-04-11 2022-12-31 0 0 0 REO HOMES 3 LLC - DISTRIBUTION IN EXCESS OF BASIS P 2012-09-11 2022-12-31 79985 79985 79985 872178 77030 77030 77030 85000 0 7800 92800 X 95 15675 15675 false false false false false true true false true true CA DE true false false false false true Foundation Source 8008391754 501 Silverside Road Suite 123 Wilmington DE 198091377 false false false false true false false 0 false false false false false false false false true false true false false false false false Karen M Stone Foundation Source 501 Silverside Rd Wilmington DE 198091377 Dir 1.0 0 0 0 Michael R Stone Foundation Source 501 Silverside Rd Wilmington DE 198091377 Pres, Dir, Sec 1.0 0 0 0 3805561 8050964 43767100 55623625 0 55623625 834354 54789271 2739464 2739464 77030 3539 80569 2658895 2658895 2658895 2537506 0 0 0 0 2537506 2658895 2415729 2020 2019 2018 2537506 2415729 121777 0 0 2537118 0 0 Michael R Stone KAREN M STONE X AMERICAN FRIENDS OF MACMILLAN CANCER SUPPORT 1720 N ST NW WASHINGTON DC 20036 N/A NC General & unrestricted 1000 BIG BROTHERS BIG SISTERS OF SAN DIEGO COUNTY INC 4305 UNIVERSITY AVE STE 590 SAN DIEGO CA 92105 N/A PC General & Unrestricted 39800 BISHOPS SCHOOL 7607 LA JOLLA BLVD LA JOLLA CA 92037 N/A PC General & Unrestricted 25000 CAMP SOUTHERN GROUND INC 100 SOUTHERN GROUND PKWY FAYETTEVILLE GA 30215 N/A PC General & Unrestricted 25000 CHORDOMA FOUNDATION PO BOX 2127 DURHAM NC 27702 N/A PC General & Unrestricted 500 CLIMATE VAULT INC 2045 W GRAND AVE STE B PMB 24543 CHICAGO IL 60612 N/A PC General & Unrestricted 10000 CUREBOUND INC 9191 TOWNE CENTRE DR STE 310 SAN DIEGO CA 92122 N/A PC General & Unrestricted 2500 DAKSHANA FOUNDATION 1220 ROOSEVELT STE 200 IRVINE CA 92620 N/A PC General & Unrestricted 50000 DELTA GAMMA FOUNDATION 3250 RIVERSIDE DR COLUMBUS OH 43221 N/A PC Scholarships benefiting Alpha Nu Delta Gamma collegians at USC 5000 DUKE UNIVERSITY PO BOX 90581 DURHAM NC 27708 N/A PC Duke Libraries Annual Fund 20000 DUKE UNIVERSITY PO BOX 90581 DURHAM NC 27708 N/A PC Climate Literacy Gift Fund #391000152 125000 DUKE UNIVERSITY PO BOX 90581 DURHAM NC 27708 N/A PC Stone-Ubben Professorship Fund #6117414 583333 DUKE UNIVERSITY PO BOX 90581 DURHAM NC 27708 N/A PC President's Priorities Fund #3970011 250000 DUKE UNIVERSITY PO BOX 90581 DURHAM NC 27708 N/A PC Duke Nicholas School of the Environment (NSOE) Annual Fund 25000 DUKE UNIVERSITY PO BOX 90581 DURHAM NC 27708 N/A PC Duke Lemur Center 25000 DUKE UNIVERSITY PO BOX 90581 DURHAM NC 27708 N/A PC Fuqua School of Business 2500 DUKE UNIVERSITY PO BOX 90581 DURHAM NC 27708 N/A PC Stone Family Scholarship Fund #6187107 25000 DUKE UNIVERSITY PO BOX 90581 DURHAM NC 27708 N/A PC Fuqua School of Business Annual Fund #1131006 20000 DUKE UNIVERSITY PO BOX 90581 DURHAM NC 27708 N/A PC General & Unrestricted 1000 FRED HUTCHINSON CANCER RESEARCH CENTER 1100 FAIRVIEW AVE N PO BOX 19024 SEATTLE WA 98109 N/A PC General & Unrestricted 1000 GIVING CIRCLE FOUNDATION 6835 LA JOLLA SCENIC DR S LA JOLLA CA 92037 N/A PC General & Unrestricted 5000 GOT QUESTIONS MINISTRIES 6050 STETSON HILLS BLVD 254 COLORADO SPRINGS CO 80923 N/A PC General & Unrestricted 7500 HARVARD BUSINESS SCHOOL PO BOX 412275 BOSTON MA 02241 N/A PC 35th Reunion Gift - Designation TBD - HBS Holding Fund Acct# 430-360043 250000 HISTIOCYTOSIS ASSOCIATION INC 332 N BROADWAY PITMAN NJ 08071 N/A PC General & Unrestricted 5000 INDIANA UNIVERSITY OF PENNSYLVANIA 1090 S DRIVE CLARK HALL LOBBY INDIANA PA 15705 N/A GOV General & Unrestricted 50000 JUVENILE DIABETES RESEARCH FOUNDATION 5677 OBERLIN DR STE 110 SAN DIEGO CA 92121 N/A PC General & Unrestricted 7500 LAKE CHAMPLAIN COMMITTEE INC 208 FLYNN AVENUE BUILDING 3 STE F BURLINGTON VT 05401 N/A PC General & Unrestricted 1000 LIBRARY OF CONGRESS 101 INDEPENDENCE AVE SE WASHINGTON DC 20540 N/A GOV James Madison Council 25000 LIBRARY OF CONGRESS 101 INDEPENDENCE AVE SE WASHINGTON DC 20540 N/A GOV General & Unrestricted 1000 LIFE SCIENCE CARES INC PO BOX 425486 CAMBRIDGE MA 02142 N/A PC General & Unrestricted 2000 NATIONAL MULTIPLE SCLEROSIS SOCIETY 733 THIRD AVE NEW YORK NY 10017 N/A PC General & Unrestricted 500 NEUROLAB 360 2146 ENCINITAS BLVD STE 110 ENCINITAS CA 92024 N/A PC General & Unrestricted 13500 NORWALK STAMFORD GRASSROOTS TENNIS & EDUCATION INC 11 INGALLS AVE NORWALK CT 06854 N/A PC General & Unrestricted 10000 OPEN ARMS HOME FOR CHILDREN INC PO BOX 2198 LITCHFIELD PK AZ 85340 N/A PC General & Unrestricted 2500 PROJECT CONCERN INTERNATIONAL 5151 MURPHY CANYON RD STE 320 SAN DIEGO CA 92123 N/A PC Ukraine humanitarian response fund 10000 RADY CHILDRENS HOSPITAL - SAN DIEGO 3020 CHILDRENS WAY MSC 5005 SAN DIEGO CA 92123 N/A PC To be used at the discretion of the CEO Patrick Frias, MD 250000 RADY CHILDRENS HOSPITAL - SAN DIEGO 3020 CHILDRENS WAY MSC 5005 SAN DIEGO CA 92123 N/A PC General & Unrestricted 25000 RADY CHILDRENS HOSPITAL FOUNDATION- SAN DIEGO 3020 CHILDRENS WAY MC 5005 SAN DIEGO CA 92123 N/A PC General & Unrestricted 10000 READING PARTNERS 638 3RD ST OAKLAND CA 94607 N/A PC General & Unrestricted 250 REGENTS OF THE UNIVERSITY OF MICHIGAN 3003 S STATE ST STE 8000 ANN ARBOR MI 48109 N/A PC General & Unrestricted 50000 SAN DIEGO MUSEUM OF ART PO BOX 122107 SAN DIEGO CA 92112 N/A PC General & Unrestricted 250 SHELBURNE CRAFT SCHOOL INC PO BOX 52 SHELBURNE VT 05482 N/A PC General & Unrestricted 500 SHELBURNE FARMS 1611 HARBOR RD SHELBURNE VT 05482 N/A PC General & Unrestricted 46000 SHELBURNE MUSEUM INCORPORATED PO BOX 10 SHELBURNE VT 05482 N/A PC General & Unrestricted 10000 SKIDMORE COLLEGE 815 N BROADWAY SARATOGA SPGS NY 12866 N/A PC General & Unrestricted 10000 STANFORD UNIVERSITY - HOOVER INSTITUTION 434 GALVEZ MALL STANFORD CA 94305 N/A PC Hoover Council Leadership Circle 25000 THE GILLISPIE SCHOOL 7380 GIRARD AVE LA JOLLA CA 92037 N/A PC ONEGillispie Annual Giving 2500 THE GILLISPIE SCHOOL 7380 GIRARD AVE LA JOLLA CA 92037 N/A PC General & Unrestricted 7500 UC SAN DIEGO FOUNDATION 9500 GILMAN DR MAIL CODE 0853 LA JOLLA CA 92093 N/A PC To support Scripps Institution of Oceanography and to be used at the discretion of the SIO Director (Fund E1654). 75000 UNIVERSITY OF NOTRE DAME OFC OF RESEARCH NOTRE DAME IN 46556 N/A PC Daniel Rahill Family Scholarship Fund 2500 UNIVERSITY OF SOUTHERN CALIFORNIA 1150 S OLIVE ST 25TH FL LOS ANGELES CA 90015 N/A PC USC Annenberg Student Success Fund Support Another Organization via Selected Charity 2500 VOICES FOR CHILDREN 2851 MEADOW LARK DR SAN DIEGO CA 92123 N/A PC General & Unrestricted 48500 WILDERNESS SAFARIS WILDLIFE TRUST 373 RIVONIA BLVD RIVONIA JOHANNESBURG SF N/A PC General & Unrestricted 300000 2492633 14 94967 14 18607 14 4499082 525990 1 18 872177 K-1 Inc/Loss 525990 20779 14 284629 20780 5769462 5790242 false false false false false false false false false false Form 8865 Form 8865 The Foundation has prepared this form to the best of its ability based on the limited information provided to it by the investment on which the Foundation is reporting and on the basis of having received no information to the contrary. Any missing or incomplete information is due to the Foundation's inability to obtain such information and is not a willful attempt to withhold such information. PARTS I AND XIV PARTS I AND XIV TOTAL Part I, Line 25, Column (a) and Part XIV, Line 3a: $2,492,633 Less grant distributed in error-not treated as qualifying distribution: $1,000 TOTAL Part I, Line 25, Column (d): $2,491,633 ALLOGENE THERAPEUTICS INC 5294 4950 4978139 4999282 BETA TECHNOLOGIES 365000 365000 FS BOULDERING LLC 6520929 7044781 GLOBAL SAFE WATER SRVCS PTE.LT 262901 125000 MIT PRIVATE EQUITY FUND IV, LP 18718 14651 MULLIGAN FUNDING LLC 26435960 26226091 PROSPECTOR SPONSOR LLC 600000 143479 REO HOMES 3, LLC 1906600 TARRANT UPGRADE, LP 653179 651569 THE RISE FUND (A), L.P 1453110 2290270 THE RISE FUND AIRSTREAM AIV LL 119204 256149 THE RISE FUND AIV II LP 1234835 1829092 THE RISE FUND CARTHAGE AIV II 94885 93596 THE RISE FUND DE AIV II, LP 83230 411148 THE RISE FUND WILD AIV I LP 107582 127260 THE RISE FUND WILD AIV II LP 107582 127287 TOP EQUITY II-A, L.P 22184 25000 TPG CLO ADVISERS EQUITY II LP 2508983 1636611 Administrative Fees 43652 43652 Bank Charges 636 636 K-1 Exp FS BOULDERING LLC 118066 78835 K-1 Exp KAYNE ANDERSON REAL ES 11455 11455 K-1 Exp LAUNCHTIME III LLC 674 674 K-1 Exp MIT PRIVATE EQUITY FUN 394 359 K-1 Exp TARRANT UPGRADE, LP 796 796 K-1 Exp THE RISE FUND (A), L.P 80998 80151 K-1 Exp THE RISE FUND AIRSTREA 150 150 K-1 Exp THE RISE FUND AIV II L 11221 9374 K-1 Exp THE RISE FUND CARTHAGE 186 186 K-1 Exp THE RISE FUND DE AIV I 801 614 K-1 Exp TOP EQUITY II-A, L.P 538 538 K-1 Exp TPG CLO ADVISERS EQUIT 15234 15234 State or Local Filing Fees 25 25 K-1 Inc/Loss FS BOULDERING LLC -89738 -89738 K-1 Inc/Loss KAYNE ANDERSON REAL ESTATE DEBT, L.P 56980 56980 K-1 Inc/Loss MIT PRIVATE EQUITY FUND IV, LP 664 860 K-1 Inc/Loss REO HOMES 3, LLC 12415 K-1 Inc/Loss TARRANT UPGRADE, LP 10 10 K-1 Inc/Loss THE RISE FUND (A), L.P 1408 1388 K-1 Inc/Loss THE RISE FUND AIV II LP 25323 25315 K-1 Inc/Loss THE RISE FUND CARTHAGE AIV II LP 5 5 K-1 Inc/Loss THE RISE FUND DE AIV II, LP 8752 202 K-1 Inc/Loss TOP EQUITY II-A, L.P 605 554 K-1 Inc/Loss TPG CLO ADVISERS EQUITY II LP 288984 288984 Interest Income from Notes 4447082 4447082 Loan Fees 52000 52000 RTN OF GRANT FUNDS DISTRIB IN ERROR 1000 CONVERTIBLE NOTE - DRONESEED CO - 6 NONE 250000 250000 2022-11 2023-05 CONVERTIBLE DEBT 600. CONVERTIBLE DEBT INVESTMENT CASH & NOTE 0 CASH & NOTE 0 CASH & NOTE 0 250000 NOTE - ME TO WE SOCIAL ENTERPRISES INC NONE 2250000 250020 2015-12 2025-12 SEMI-ANNUAL INTEREST/PRINCIPAL 8TH-10TH YR 225. SECURITY INTEREST IN PERSONAL AND REAL PROPERTY INVESTMENT CASH & NOTE 0 CASH & NOTE 0 CASH & NOTE 0 2250000 DANIEL CROUCH NONE 457310 457310 2022-10 2023-01 PRINCIPAL AND INTEREST DUE AT MATURITY 640. SECURITY INTEREST IN PERSONAL AND REAL PROPERTY INVESTMENT CASH & NOTE 0 CASH & NOTE 0 CASH & NOTE 0 457309 Investment Management Services 28638 28638 990-PF Estimated Tax for 2022 85000 990-PF Excise Tax for 2021 9782 990-PF Extension for 2021 18400