2023-11-15T20:26:27-06:00 2022-12-31 Foundation Source 3333 New Hyde Park Rd Ste 406 New Hyde Park NY 11042 990PF 2022-01-01 824686711 Mauna Foundation % Foundation Source MAUN 8008391754 Foundation Source 501 Silverside Rd Wilmington DE 198091377 brie ROMINES Dir, Pres, Sec,Treas 8008391754 2023-11-13 true brie ROMINES 999009999 Jeffrey D Haskell P01345770 8008391754 2022 2023-04-26 12:10:37Z X 23720488 X 150 X 11503 11503 314903 314903 257381 20594066 256158 20895 19666 604832 602230 60000 60000 4835 4835 16768 0 0 16768 129677 118273 11404 8910 520 0 93127 9586 79296 313317 127859 0 172823 447500 447500 760817 127859 0 620323 -155985 474371 5775824 1912967 1912967 12569 11500 12569 12569 9768925 9791007 11691916 5109871 6672705 1900000 850000 819780 2360573 3325996 3901460 610000 610000 610000 610000 22349813 21590328 23720488 0 0 X 21739813 21590328 21739813 21590328 21739813 21590328 21739813 -155985 6500 21590328 21590328 Publicly-traded Securities 20543615 20300276 243339 243339 Passthrough K1 Capital Gain/(Loss) 15983 ESCROW - NEW MEXICO TITLE P 2021-05-18 2022-02-09 11500 11500 SKYBRIDGEMAG - SKYBRIDGE MULTI-ADSR HF SERIES G P 2020-03-31 2022-11-01 38951 42115 -3164 -3164 256158 6594 6594 6594 7700 0 7700 X 0 1106 1106 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 false false false false false false false false false false false false false false false Brie Romines Foundation Source 501 Silverside Rd Wilmington DE 198091377 Dir, Pres, Sec, Treas 2.0 60000 0 0 Morgan Stanley 444 SOUTH FLOWER ST 34TH FL LOS ANGELES CA 90071 Investment Mgmt 124594 Foundation Source 55 Walls Drive 3rd Fl Fairfield CT 06824 Administrative 66804 16622316 3914461 3867069 24403846 0 24403846 366058 24037788 1201889 1201889 6594 6594 1195295 6500 1201795 1201795 620323 0 610000 0 0 1230323 1201795 1206224 2020 2019 2018 1230323 1206224 24099 0 0 1177696 0 0 NONE X A NEW WAY OF LIFE REENTRY PROJECT 9512 S CENTRAL AVE LOS ANGELES CA 90002 N/A PC General & Unrestricted 10000 ALEXANDRIA HOUSE 426 S ALEXANDRIA AVE LOS ANGELES CA 90020 N/A PC General & Unrestricted 10000 AMERICAN SOCIETY FOR THE PREVENTION OF CRUELTY TO 520 8TH AVE 7TH FL NEW YORK NY 10018 N/A PC General & Unrestricted 10000 BARN SANCTUARY 20179 MCKERNAN RD CHELSEA MI 48118 N/A PC General & Unrestricted 7500 CENTER FOR CARBON REMOVAL 650 MASSACHUSETTS AVE NW STE 600 WASHINGTON DC 20001 N/A PC General & Unrestricted 25000 CLEAN AIR TASK FORCE INC 114 STATE ST 6TH FL BOSTON MA 02109 N/A PC General & Unrestricted 25000 DAVE THOMAS FOUNDATION FOR ADOPTION 4900 TUTTLE CROSSING BLVD DUBLIN OH 43016 N/A PC General & Unrestricted 50000 DEITY ANIMAL RESCUE AND FOUNDATION 17955 SEABREEZE DR PACIFIC PLSDS CA 90272 N/A PC General & Unrestricted 2500 FAITH MISSION INC 1105 SCHROCK RD STE 100 COLUMBUS OH 43229 N/A PC General & Unrestricted 5000 FREEDOM TAILS OHIO 6676 FEDER RD GALLOWAY OH 43119 N/A PC General & Unrestricted 5000 GIFT OF ADOPTION FUND INC 1200 SHERMER RD STE 111 NORTHBROOK IL 60062 N/A PC General & Unrestricted 10000 GOLDIES YOUTH SPORTS 510 MONTANA AVE SANTA MONICA CA 90403 N/A PC General & Unrestricted 10000 GRID ALTERNATIVES 1171 OCEAN AVE SUITE 200 OAKLAND CA 94608 N/A PC General & Unrestricted 17000 HEALTHY WORTHINGTON RESOURCE CENTER & FOOD PANTRY 6700 HUNTLEY RD STE A COLUMBUS OH 43229 N/A PC General & Unrestricted 5000 HELPUSADOPT ORG INC PO BOX 787 NEW YORK NY 10150 N/A PC General & Unrestricted 25000 HUMANE SOCIETY OF MADISON COUNTY 2020 PLAIN CITY GEORGESVILLE RD NE W JEFFERSON OH 43162 N/A PC General & Unrestricted 5000 IMMACULATE HEART HIGH SCHOOL 5515 FRANKLIN AVE HOLLYWOOD CA 90028 N/A PC General & Unrestricted 10000 L Sauber 12626 Sunset Blvd Los Angeles CA 90049 NONE I Hardship Assistance Grant 6000 LA SALLE HIGH SCHOOL OF PASADENA INC 3880 E SIERRA MADRE BLVD PASADENA CA 91107 N/A PC General & Unrestricted 10000 LIBERTY HILL FOUNDATION 1001 WILSHIRE BLVD PMB 2170 LOS ANGELES CA 90017 N/A PC General & Unrestricted 10000 MARLEYS MUTTS DOG RESCUE 1121 W VALLEY BLVD STE I 140 TEHACHAPI CA 93561 N/A PC General & Unrestricted 10000 MARTHAS VINEYARD CEREBRAL PALSY CAMP INC PO BOX 1357 VINEYARD HVN MA 02568 N/A PC General & Unrestricted 6000 MEDECINS SANS FRONTIERES USA INC - DOCTORS WITHOUT PO BOX 5030 HAGERSTOWN MD 21741 N/A PC General & Unrestricted 100000 OHIO WILDLIFE CENTER 6131 COOK RD POWELL OH 43065 N/A PC General & Unrestricted 5000 OHIOHEALTH CORPORATION 3430 OHIO HEALTH PKWY COLUMBUS OH 43202 N/A PC General & Unrestricted 10000 PEANUT BUTTER SUNDAYS 3756 W AVE 40 SUITE K 172 LOS ANGELES CA 90065 N/A PC General & Unrestricted 8500 PHYSICIANS FOR HUMAN RIGHTS INC 256 38TH ST 9TH FL NEW YORK NY 10018 N/A PC General & Unrestricted 10000 TAOS SPORTS ASSOCIATES INCORPORATED PO BOX 3011 TAOS NM 87571 N/A PC General & Unrestricted 10000 UNIFIED EVERYTHING PROJECT 5232 BALTIMORE ST LOS ANGELES CA 90042 N/A PC General & Unrestricted 10000 WESTRIDGE SCHOOL FOR GIRLS 324 MADELINE DR PASADENA CA 91105 N/A PC General & Unrestricted 10000 WORLD WILDLIFE FUND INC 1250 24TH ST NW WASHINGTON DC 20037 N/A PC General & Unrestricted 10000 447500 14 11503 14 314903 525990 1224 18 256157 K-1 Inc/Loss 525990 1129 14 18239 Federal Tax Refund 01 100 FOREIGN TAX REFUND 01 1427 2353 602329 604682 false false false false false false false false false false LAND - 812 CORDOVA 610000 L 0 Part I, line 6a Part I, Line 6a RECONCILIATION OF NET GAIN/(LOSS) FROM SALES OF ASSETS NOT INCLUDED IN PART IV TOTAL INCLUDED IN PART IV: (DETAILS BELOW) NET GAIN/(LOSS): $256,158 TOTAL NOT INCLUDED IN PART IV: PASSTHROUGH K-1 CAPITAL GAIN/(LOSS) - UBI NET GAIN/(LOSS): $1,224 TOTAL PART I, LINE 6A: $257,381 DETAILS OF ASSETS INCLUDED IN PART IV: PUBLICLY-TRADED SECURITIES GROSS SALES PRICE: $20,594,066 BOOK BASIS: $20,300,276 NET GAIN/(LOSS): $243,339 PASSTHROUGH K-1 CAPITAL GAIN/(LOSS) - NON UBI NET GAIN/(LOSS): $15,983 SALES OF OTHER ITEMIZED ASSETS GROSS SALES PRICE: $50,451 BOOK BASIS: $53,615 NET GAIN/(LOSS): -$3,164 Form 926, Part III Form 926, Part III STATEMENT FILED PURSUANT TO TREAS. REG. SECTION 1.6038B-1(C) AND TEMP. REG. SECTION 1.6038B-1T(C) REG. 1.6038B-1(C)(6) NOT APPLICABLE TEMP. REG. 1.6038B-1T(C): 1) TRANSFEROR: SEE FORM 926, PART I 2(A) TRANSFEREE: SEE FORM 926, PART II 2(B) DESCRIPTION OF TRANSACTION: CAPITAL CONTRIBUTION 3) CONSIDERATION RECEIVED: OWNERSHIP INTEREST IN TRANSFEREE REPORTED ON FORM 926, PART II 4) PROPERTY TRANSFERRED: SEE FORM 926, PART III 5) N/A TEMP. REG. 1.6038B-1T(D) NOT APPLICABLE Form 926 FORMS 926/8621 Forms 926 / 8621 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. Schedule K-3s Schedule K-3s One or more partnerships have provided a schedule K-3 for the tax year in which they have checked one or more of the boxes in part I but not provided sufficient back-up information to allow the foundation to verify why such boxes were checked or the extent to which the checking of such boxes affects any item on this return. The foundation has prepared this return to the best of its ability and without any foreign filings for such partnerships based on the information provided to it by these partnerships 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. BARCLAYS BANK PLC SER A - 0.00 50000 46215 CITIGROUP GLOBAL MKTS SER N - 50000 45495 GOLDMAN SACHS BK - 0.350% - 05 250000 246375 GS FIN CORP SER F - 0.000% - 0 100000 91507 ISRAEL DISC BK NEW YORK N Y - 250000 246513 JP MORGAN CHASE - 6.150% - 04/ 50000 48460 MORGAN STANLEY CONTINGENT CALL 100000 95215 ABBVIE INC 155449 270697 AIR PRODS & CHEM INC 200831 253390 ALPHABET INC CL A 166728 199400 AMERICAN EXPRESS CO 183318 262256 AMGEN INC 150123 178333 APPLE INC 101660 192816 BERKSHIRE HATHAWAY INC. CLASS 199855 221790 CISCO SYSTEMS INC 170545 188130 DANAHER CORP 112874 113069 DEERE CO 200452 276550 HOME DEPOT INC 225565 314597 INVESCO QQQ TRUST 148852 188260 ISHARES S&P SMALLCAP 600 VALUE 174319 257220 JOHNSON & JOHNSON 175544 217280 MASTERCARD INC 160200 189165 MICROSOFT CORP 226016 337667 NEXTERA ENERGY, INC 135160 186010 NVIDIA CORP 37085 35512 PARKER HANNIFIN CP 49962 53544 PFIZER INC 138147 200143 PROCTER GAMBLE CO 160244 195361 QUALCOMM INC 84062 92789 ROCKWELL AUTOMATION INC 250222 323765 SPDR GOLD SHARES 155693 180667 STARBUCKS CORP COM 168710 195126 TAIWAN SEMICONDUCTOR MFG CO LT 60053 84025 TRAVELERS COMPANIES INC 200291 219176 UNITED PARCEL SERVICE 62906 118907 UNITEDHEALTH GROUP INC 199693 359462 VISA INC 246882 261985 WAL-MART STORES INC 261862 294923 WASTE MANAGEMENT INC 146568 210690 9768925 9791007 BLACKSTONE REAL ESTATE INV TRU 500000 700552 CLIMATE IMPACT SOL OFF M C S 214073 324372 JONES LANG LASALLE INCOME PROP 999999 1196835 NEW YORK LIFE - MVA FIXED ANNU 509908 469862 OAK STREET REAL ESTATE CAP NET 236281 262418 OAK STREET REAL ESTATE CAPITAL 311085 374943 PE PREMIER OAKTREE OPPS XI OFF 249798 297205 PETERSHILL IV OFFSHORE SCSP FD 96967 113952 SKYBRIDGE MULTI-ADSR HF SERIES 207885 161321 LAND - 812 CORDOVA 610000 610000 610000 General Consultations 16768 16768 Administrative Fees 66804 66804 K-1 Exp OAK STREET REAL ESTATE 1598 1598 K-1 Exp OAK STREET REAL ESTATE 3468 3468 K-1 Exp PETERSHILL IV OFFSHORE 8765 4520 Miscellaneous 10413 10413 Property insurance 1954 1954 State or Local Filing Fees 125 125 K-1 Inc/Loss OAK STREET REAL ESTATE CAP NET LEASE 2276 2276 K-1 Inc/Loss OAK STREET REAL ESTATE CAPITAL FUND 4970 4970 K-1 Inc/Loss PETERSHILL IV OFFSHORE SCSP FD 2214 1085 Annuity Income 9908 9908 Federal Tax Refund 100 FOREIGN TAX REFUND 1427 1427 RETURNED GRANT 6500 Investment Management Services 118273 118273 Professional Services 11404 11404 990-PF Estimated Tax for 2022 7700 990-PF Excise Tax for 2021 190 990-PF Extension for 2021 500 Property Taxes 520 520