19 FOR LIFE FOUNDATION: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
19 FOR LIFE FOUNDATION (EIN 26-1613428)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-11
IRS object ID
202223159349303127
Schema version
2021v4.2
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)
Return2022-11-11T11:24:37-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN770051130PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ABBOTT STRINGHAM & LYNCHBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11901 S BASCOM AVE STE 105AddressLine1Txt
CityCAMPBELLCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95008ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN261613428EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line119 FOR LIFE FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name Control19FOBusinessNameControlTxt
Phone4084801096PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 18832AddressLine1Txt
CitySAN JOSECityNm
State AbbreviationCAStateAbbreviationCd
ZIP95158ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDUSTIN WARFORDPersonNm
Person TitleTREASURERPersonTitleTxt
Phone4084801096PhoneNum
Signature2022-11-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDUSTINPersonFirstNm
Person LastWARFORDPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSHEBA B DALANEYPreparerPersonNm
PTINP00351252PTIN
Phone4083778700PhoneNum
Preparation2022-11-10PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDUSTIN WARFORDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 18832AddressLine1Txt
CitySAN JOSECityNm
State AbbreviationCAStateAbbreviationCd
ZIP95158ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$222,127GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressNINETEENFORLIFE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2007FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO ESTABLISH A LASTING LEGACY IN THE MEMORY OF DJ FRANDSEN THROUGH THE COLLECTION AND DISTRIBUTION OF FUNDS SUPPORTING EDUCATIONAL, ATHLETIC, AND HEALTH CARE INSTITUTIONS IN THE GREATER BAY AREA.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers11TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$78,416PYContributionsGrantsAmt
CY Contributions Grants$79,379CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$18,011PYInvestmentIncomeAmt
CY Investment Income$44,540CYInvestmentIncomeAmt
PY Other Revenue-$7,851PYOtherRevenueAmt
CY Other Revenue$11,000CYOtherRevenueAmt
PY Total Revenue$88,576PYTotalRevenueAmt
CY Total Revenue$134,919CYTotalRevenueAmt
PY Grants And Similar Paid$23,998PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$46,867CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,811PYOtherExpensesAmt
CY Other Expenses$9,209CYOtherExpensesAmt
PY Total Expenses$28,809PYTotalExpensesAmt
CY Total Expenses$56,076CYTotalExpensesAmt
PY Revenues Less Expenses$59,767PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$78,843CYRevenuesLessExpensesAmt
Total Assets BOY$502,815TotalAssetsBOYAmt
Total Assets EOY$586,482TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,825TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$502,815NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$581,657NetAssetsOrFundBalancesEOYAmt
MissionTO ESTABLISH A LASTING LEGACY IN THE MEMORY OF DJ FRANDSEN THROUGH THE COLLECTION AND DISTRIBUTION OF FUNDS SUPPORTING EDUCATIONAL, ATHLETIC, AND HEALTH CARE INSTITUTIONS IN THE GREATER BAY AREA.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$46,867ExpenseAmt
Grant$46,867GrantAmt
DescTO PROVIDE FINANCIAL SUPPORT TO THOSE WHO HAVE OVERCOME SIGNIFICANT ADVERSITY, MUCH OF WHICH IS CANCER RELATED.Desc
Total Program Service Expenses$46,867TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy0ConflictOfInterestPolicyInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDUSTIN WARFORDPersonNm
Phone4084801096PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11552 HUSTED AVEAddressLine1Txt
CitySAN JOSECityNm
State AbbreviationCAStateAbbreviationCd
ZIP95125ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
DAVE FRANDSEN
SECRETARY2.00Yes (X)Yes (X)$0$0$0
TRACIE FRANDSEN
PRESIDENT2.00Yes (X)Yes (X)$0$0$0
KEVIN FRANDSEN
BOARD MEMBER1.00Yes (X)$0$0$0
AMANDA FRANDSEN
BOARD MEMBER1.00Yes (X)$0$0$0
JOHN CALLAN
BOARD MEMBER1.00Yes (X)$0$0$0
ERIN ARMSTRONG
BOARD MEMBER1.00Yes (X)$0$0$0
PAUL BERTOLDO
BOARD MEMBER1.00Yes (X)$0$0$0
DUSTIN WARFORD
TREASURER1.00Yes (X)Yes (X)$0$0$0
MAX LE
BOARD MEMBER1.00Yes (X)$0$0$0
AUSTIN CHANGRAS
BOARD MEMBER1.00Yes (X)$0$0$0
TIM WATSON
BOARD MEMBER1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$39,463FundraisingAmt
All Other Contributions$39,916AllOtherContributionsAmt
Total Contributions$79,379TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$29,823TotalRevenueColumnAmt
Exclusion$29,823ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$96,471SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$81,754SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$14,717SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,717TotalRevenueColumnAmt
Exclusion$14,717ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$16,454FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$39,463ContriRptFundraisingEventAmt
Fundraising Direct Expenses$5,454FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,000TotalRevenueColumnAmt
Exclusion$11,000ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$134,919TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$55,540ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$29,167TotalAmt
Program Services$29,167ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$17,700TotalAmt
Program Services$17,700ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,575TotalAmt
Management And General$1,575ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$3,359TotalAmt
Management And General$3,359ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,510TotalAmt
Management And General$2,510ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$425TotalAmt
Management And General$425ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmt
MERCHANT FEES$807$807
MEALS$284$284
MISCELLANEOUS$224$224
TAXES AND LICENSES$25$25

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$56,076TotalAmt
Program Services$46,867ProgramServicesAmt
Management And General$9,209ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$276,222BOYAmt
EOY$168,723EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$281EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$226,593BOYAmt
EOY$417,478EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$502,815BOYAmt
EOY$586,482EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$4,825EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$4,825EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$502,815BOYAmt
EOY$581,657EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$502,815BOYAmt
EOY$581,657EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$502,815BOYAmt
EOY$586,482EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$78,843ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$1OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$103,921CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$125,613CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$123,879CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$78,416CurrentTaxYearMinus1YearAmt
Current Tax Year$69,879CurrentTaxYearAmt
Total$501,708TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$103,921CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$125,613CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$123,879CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$78,416CurrentTaxYearMinus1YearAmt
Current Tax Year$69,879CurrentTaxYearAmt
Total$501,708TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$501,708PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$615CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,080CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,175CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,568CurrentTaxYearMinus1YearAmt
Current Tax Year$29,823CurrentTaxYearAmt
Total$49,261TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$615CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,080CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,175CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,568CurrentTaxYearMinus1YearAmt
Current Tax Year$29,823CurrentTaxYearAmt
Total$49,261TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$104,536CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$127,693CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$132,054CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$86,984CurrentTaxYearMinus1YearAmt
Current Tax Year$99,702CurrentTaxYearAmt
Total$550,969TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.91060PublicSupportCY509Pct
Public Support PY5090.83390PublicSupportPY509Pct
Investment Income CY0.08940InvestmentIncomeCYPct
Investment Income PY0.03450InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
MARKETABLE SECURITIES UBS-5594$287,885C
MARKETABLE SECURITIES UBS-5595$129,593C
FieldValueIRS element (for citing)
Total Book Value Securities$417,478TotalBookValueSecuritiesAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1WINE TASTINGEvent1Nm
Gross Receipts Event1$11,310GrossReceiptsEvent1Amt
Charitable Contri Event1$1,200CharitableContriEvent1Amt
Gross Revenue Event1$10,110GrossRevenueEvent1Amt
Non Cash Prizes Event1$1,241NonCashPrizesEvent1Amt
Food And Beverage Event1$728FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$638OtherDirectExpensesEvent1Amt
Event2CHILI DRIVEEvent2Nm
Gross Receipts Event2$16,712GrossReceiptsEvent2Amt
Charitable Contri Event2$10,368CharitableContriEvent2Amt
Gross Revenue Event2$6,344GrossRevenueEvent2Amt
Food And Beverage Event2$2,846FoodAndBeverageEvent2Amt
Gross Receipts Total$28,022GrossReceiptsTotalAmt
Charitable Contributions Tot$11,568CharitableContributionsTotAmt
Gross Revenue Total Events$16,454GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$1,241NonCashPrizesTotalEventsAmt
Food And Beverage Total Events$3,574FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$638OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$5,453DirectExpenseSummaryEventsAmt
Net Income Summary$11,001NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
BELLARMINE COLLEGE PREP
960 W HEDDING STSAN JOSECA95126941160938501(C)(3)$10,000$0PROGRAM SUPPORT
LUCILLE PACKARD CHILDREN'S HOSPITAL
725 WELCH RDPALO ALTOCA94304770003859501(C)(3)$8,000$0PROGRAM SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org4Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeCOLLEGE SCHOLARSHIPSGrantTypeTxt
Recipient9RecipientCnt
Cash Grant$17,700CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationDONATIONS/GRANTS ARE DESCRIBED AND VOTED UPON AT BOARD MEETINGS BY THE BOARD.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2BOARD MEMBER RELATED: DAVE FRANDSEN AND TRACIE FRANDSEN ARE HUSBAND AND WIFE. KEVIN FRANDSEN IS SON OF DAVE AND TRACIE FRANDSEN, AND AMANDA FRANDSEN IS MARRIED TO KEVIN.
FORM 990, PART VI, SECTION B, LINE 11BPRIOR TO FILING, 19 FOR LIFE FOUNDATION WILL GET A SIGN-OFF FROM THE TREASURER. THE BOARD WILL RECEIVE A FULL COPY OF THE 990 AFTER IT IS FILED.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND THE FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:ROUNDING -1.

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