FRANK R HOWARD FOUNDATION: Form 990PF, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
FRANK R HOWARD FOUNDATION (EIN 94-1196197)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-14
IRS object ID
202103189349100175
Schema version
2020v4.1
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)
Return2021-11-14T18:00:23-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN390859910PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BAKER TILLY US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line150 FREMONT STREET SUITE 4000AddressLine1Txt
CitySAN FRANCISCOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94105ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN941196197EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FRANK R HOWARD FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFRANBusinessNameControlTxt
Phone7074592777PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1THREE MARCELA DRIVE SUITE AAddressLine1Txt
CityWILLITSCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95490ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonARNIE MELLOPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone7074592777PhoneNum
Signature2021-11-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstARNIEPersonFirstNm
Person LastMELLOPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOUA LOPreparerPersonNm
PTINP01225144PTIN
Phone4157812500PhoneNum
Preparation2021-11-11PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$16,377,877FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$75,241ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$2,335InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$2,335InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$63,735DividendsRevAndExpnssAmt
Dividends Net Invst Incm$63,735DividendsNetInvstIncmAmt
Gross Rents Rev And Expnss$842,347GrossRentsRevAndExpnssAmt
Gross Rents Net Invst Incm$842,347GrossRentsNetInvstIncmAmt
Net Rental Income Or Loss$842,347NetRentalIncomeOrLossAmt
Net Gain Sale Ast Rev And Expnss$22,423NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$35,000GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$22,423CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$921,591OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$866,591OtherIncomeNetInvstIncmAmt
Other Income Adj Net Incm$55,000OtherIncomeAdjNetIncmAmt
Total Rev And Expnss$1,927,672TotalRevAndExpnssAmt
Total Net Invst Incm$1,797,431TotalNetInvstIncmAmt
Total Adj Net Incm$55,000TotalAdjNetIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$101,180CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$25,295CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Adj Net Incm$0CompOfcrDirTrstAdjNetIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$75,885CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Rev And Expnss$195,302OthEmplSlrsWgsRevAndExpnssAmt
Oth Empl Slrs Wgs Net Invst Incm$0OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Adj Net Incm$26,193OthEmplSlrsWgsAdjNetIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$154,815OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Rev And Expnss$33,659PensionEmplBnftRevAndExpnssAmt
Pension Empl Bnft Net Invst Incm$1,202PensionEmplBnftNetInvstIncmAmt
Pension Empl Bnft Adj Net Incm$0PensionEmplBnftAdjNetIncmAmt
Pension Empl Bnft Dsbrs Chrtbl$32,457PensionEmplBnftDsbrsChrtblAmt
Legal Fees Rev And Expnss$6,928LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$1,732LegalFeesNetInvstIncmAmt
Legal Fees Adj Net Incm$0LegalFeesAdjNetIncmAmt
Legal Fees Dsbrs Chrtbl$5,196LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$23,155AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$5,789AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$17,366AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$6,328OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$1,582OtherProfFeesNetInvstIncmAmt
Other Prof Fees Adj Net Incm$0OtherProfFeesAdjNetIncmAmt
Other Prof Fees Dsbrs Chrtbl$4,746OtherProfFeesDsbrsChrtblAmt
Interest Rev And Expnss$149,085InterestRevAndExpnssAmt
Interest Net Invst Incm$134,478InterestNetInvstIncmAmt
Interest Adj Net Incm$0InterestAdjNetIncmAmt
Interest Dsbrs Chrtbl$13,389InterestDsbrsChrtblAmt
Taxes Rev And Expnss$176,697TaxesRevAndExpnssAmt
Taxes Net Invst Incm$171,550TaxesNetInvstIncmAmt
Taxes Adj Net Incm$198TaxesAdjNetIncmAmt
Taxes Dsbrs Chrtbl$4,949TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$243,282DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$243,282DeprecAndDpltnNetInvstIncmAmt
Deprec And Dpltn Adj Net Incm$0DeprecAndDpltnAdjNetIncmAmt
Occupancy Rev And Expnss$6,769OccupancyRevAndExpnssAmt
Occupancy Net Invst Incm$1,692OccupancyNetInvstIncmAmt
Occupancy Adj Net Incm$0OccupancyAdjNetIncmAmt
Occupancy Dsbrs Chrtbl$5,077OccupancyDsbrsChrtblAmt
Other Expenses Rev And Expnss$135,039OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$79,372OtherExpensesNetInvstIncmAmt
Other Expenses Adj Net Incm$28,609OtherExpensesAdjNetIncmAmt
Other Expenses Dsbrs Chrtbl$22,681OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$1,077,424TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$665,974TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$55,000TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$336,561TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$213,457ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$213,457ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$1,290,881TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$665,974TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$55,000TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$550,018TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$636,791ExcessRevenueOverExpensesAmt
Net Investment Income$1,131,457NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$3,681,764SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$3,875,439SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$3,875,439SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl$942,079AcctRcvblAmt
Acct Rcvbl BOY$543,839AcctRcvblBOYAmt
Acct Rcvbl EOY$942,079AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$942,079AcctRcvblEOYFMVAmt
Prepaid Expenses BOY$30,042PrepaidExpensesBOYAmt
Prepaid Expenses EOY$41,695PrepaidExpensesEOYAmt
Prepaid Expenses EOYFMV$41,695PrepaidExpensesEOYFMVAmt
Other Investments BOY$1,992,086OtherInvestmentsBOYAmt
Other Investments EOY$2,382,325OtherInvestmentsEOYAmt
Other Investments EOYFMV$2,382,325OtherInvestmentsEOYFMVAmt
Land Bldg Equip Cost Or Other Bss$11,705,645LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,858,428LandBldgEquipAccumDeprecAmt
Land BOY$8,952,647LandBOYAmt
Land EOY$8,847,217LandEOYAmt
Land EOYFMV$8,847,217LandEOYFMVAmt
Other Assets BOY$296,828OtherAssetsBOYAmt
Other Assets EOY$289,122OtherAssetsEOYAmt
Other Assets EOYFMV$289,122OtherAssetsEOYFMVAmt
Total Assets BOY$15,497,206TotalAssetsBOYAmt
Total Assets EOY$16,377,877TotalAssetsEOYAmt
Total Assets EOYFMV$16,377,877TotalAssetsEOYFMVAmt
Accounts Payable BOY$53,862AccountsPayableBOYAmt
Accounts Payable EOY$64,437AccountsPayableEOYAmt
Deferred Revenue EOY$70,195DeferredRevenueEOYAmt
Mortgages And Notes Payable BOY$4,975,882MortgagesAndNotesPayableBOYAmt
Mortgages And Notes Payable EOY$4,812,404MortgagesAndNotesPayableEOYAmt
Total Liabilities BOY$5,029,744TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,947,036TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$10,439,570NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY$11,402,949NoDonorRstrNetAssestsEOYAmt
Donor Rstr Net Assets BOY$27,892DonorRstrNetAssetsBOYAmt
Donor Rstr Net Assets EOY$27,892DonorRstrNetAssetsEOYAmt
Tot Net Ast Or Fund Balances BOY$10,467,462TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$11,430,841TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$15,497,206TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$16,377,877TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$10,467,462TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$636,791ExcessRevenueOverExpensesAmt
Other Increases$326,588OtherIncreasesAmt
Subtotal$11,430,841SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$11,430,841TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp

FieldValueIRS element (for citing)
PropertyORDINARY GAIN ON SALEPropertyDesc
How AcquiredPHowAcquiredCd
Acquired2002-01-01AcquiredDt
Sold2020-08-28SoldDt
Gross Sales Price$35,000GrossSalesPriceAmt
Cost Or Other Basis$12,577CostOrOtherBasisAmt
Gain Or Loss$22,423GainOrLossAmt
Gains Minus Excess Or Losses$22,423GainsMinusExcessOrLossesAmt
FieldValueIRS element (for citing)
Capital Gain Net Income$22,423CapitalGainNetIncomeAmt
Net Short Term Capital Gain Loss$0NetShortTermCapitalGainLossAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$15,727InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$15,727SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$15,727TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$18,000EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$3,000ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$21,000TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Overpayment$5,273OverpaymentAmt
Applied To ES Tax$5,273AppliedToESTaxAmt
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 Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressWWW.HOWARDFOUNDATION.ORGWebsiteAddressTxt
Individual With BooksARNIE MELLOIndividualWithBooksNm
Phone7074592777PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1THREE MARCELA DRIVE SUITE AAddressLine1Txt
CityWILLITSCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95490ZIPCd
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 PrsnYes (1)PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Acts Fail To Qlfy As Exceptions0ActsFailToQlfyAsExceptionsInd
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 (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
ARNIE MELLO
THREE MARCELA DR STE AWILLITSCA95490EXECUTIVE DIRECTOR40.00$101,180$0$0
MARGIE HANDLEY
THREE MARCELA DR STE AWILLITSCA95490PRESIDENT16.00$0$0$0
WILLIAM BOWEN MD
THREE MARCELA DR STE AWILLITSCA95490VICE PRESIDENT2.00$0$0$0
JANN LAMPRICH
THREE MARCELA DR STE AWILLITSCA95490SECRETARY6.00$0$0$0
TOM HERMAN
THREE MARCELA DR STE AWILLITSCA95490DIRECTOR2.00$0$0$0
RICHARD WILLOUGHBY
THREE MARCELA DR STE AWILLITSCA95490DIRECTOR2.00$0$0$0
TEDD DAWSON MD
THREE MARCELA DR STE AWILLITSCA95490DIRECTOR2.00$0$0$0
TONY MADRIGAL
THREE MARCELA DR STE AWILLITSCA95490DIRECTOR2.00$0$0$0
TERRY HANSEN
THREE MARCELA DR STE AWILLITSCA95490DIRECTOR2.00$0$0$0
COLONEL MIKE HOWARD
THREE MARCELA DR STE AWILLITSCA95490DIRECTOR2.00$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

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1COMMONWEALTH GARDEN IS A PROGRAM OF THE FRANK R HOWARD FOUNDATION THAT PROVIDES FRESH, ORGANIC PRODUCE PRIMARILY FOR THE PATIENTS AND EMPLOYEES OF HOWARD MEMORIAL HOSPITAL.Description1Txt
Expenses1$83,609Expenses1Amt
Description2AVENUES TO WELLNESS IS A PROGRAM OF THE FRANK R HOWARD FOUNDATION, WHICH PROVIDES HEALTH AND WELLNESS EDUCATION TO THE PUBLIC, FREE OF CHARGE.Description2Txt
Expenses2$6,153Expenses2Amt

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$1,939,308AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$3,873,084AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$12,456,846FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$18,269,238TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$4,341,198AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$13,928,040AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$208,921CashDeemedCharitableAmt
Net Vl Noncharitable Assets$13,719,119NetVlNoncharitableAssetsAmt
Minimum Investment Return$685,956MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$685,956MinimumInvestmentReturnAmt
Tax Based On Investment Income$15,727TaxBasedOnInvestmentIncomeAmt
Total Tax$15,727TotalTaxAmt
Distributable Before Adj$670,229DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$670,229DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$670,229DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$550,018ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$550,018QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$550,018AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$670,229DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr4$3,618,268ExcessDistributionCyovYr4Amt
Total Excess Distribution Cyov$3,618,268TotalExcessDistributionCyovAmt
Qualifying Distributions$550,018QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$550,018AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$120,211ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$120,211ExcessDistributionCyovAppCYAmt
Total Corpus$3,498,057TotalCorpusAmt
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$3,498,057ExcessDistriCyovToNextYrAmt
Excess From Year4$3,498,057ExcessFromYear4Amt

Supplementary Information SupplementaryInformationGrp

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

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (12 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ADVENTIST HEALTH
2100 DOUGLAS BOULEVARDROSEVILLECA95661N/APCCOVID - 19 RESPONSE$78,151
CANCER RESOURCE CENTER OF MENDOCINO COUNTY
510 CYPRESS STREET B-200FORT BRAGGCA95437N/APCGENERAL SUPPORT$500
HOWARD COMMUNITY HEALTHCARE FOUNDATION
THREE MARCELA DRIVE SUITE AWILLITSCA95490N/APCHCHF SUPPORT$25,549
HOWARD HOSPITAL INC
THREE MARCELA DRIVE SUITE AWILLITSCA95490N/APCHHI SUPPORT$500
LITTLE LAKE FIRE PROTECTION DISTRICT
1575 BAECHTEL ROADWILLITSCA95490N/AGOVGENERAL SUPPORT$2,933
MENDOCINO COLLEGE
1000 HENSLEY CREEK ROAD RM 5110UKIAHCA95482N/APCNURSING PROGRAM$30,000
THE ENDOWMENT FOR WILLITS SENIORS INC
3 MARCELA DRIVE SUITE AWILLITSCA95490N/APCGENERAL SUPPORT$1,929
WILLITS COMMUNITY AT LARGE
3 MARCELA DRIVE SUITE AWILLITSCA95490N/AICOVID - 19 RESPONSE - 10,000 MASKS PROJECT$65,970
WILLITS KIDS CLUB INC
PO BOX 1845WILLITSCA95490N/APCSPRING, SUMMER, FALL, WINTER 2020$300
WILLITS ROTARY CLUB
PO BOX 787WILLITSCA95490N/APCVIRTUAL CLAWS FOR A CAUSE, FOOD BANK$3,500
WILLITS SENIOR CENTER
1501 BAECHTEL ROADWILLITSCA95490N/APCOJC MEDICAL EQUIPMENT LOAN PROGRAM$3,625
WILLITS SOBER GRAD
PO BOX 2277CASPARCA95490N/APCSOBER GRAD 2020$500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$213,457TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Program Service Rev Part VII ProgramServiceRevPartVIIGrp

FieldValueIRS element (for citing)
DescCOMMONWEALTH GARDENDesc
Related Or Exempt Function Incm$55,000RelatedOrExemptFunctionIncmAmt

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$2,335ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$63,735ExclusionAmt

Net Rntl Incm Re Debt Fincd Prop NetRntlIncmReDebtFincdPropGrp

FieldValueIRS element (for citing)
Exclusion16ExclusionCd
Exclusion$386,347ExclusionAmt

Net Rntl Incm Re Not Debt Fincd Prop NetRntlIncmReNotDebtFincdProp

FieldValueIRS element (for citing)
Exclusion16ExclusionCd
Exclusion$456,000ExclusionAmt

Other Investment Incm Part VII OtherInvestmentIncmPartVIIGrp

FieldValueIRS element (for citing)
Exclusion15ExclusionCd
Exclusion$866,591ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$22,423ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$1,797,431ExclusionAmt
Related Or Exempt Function Incm$55,000RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$1,852,431TotalIncomeProducingActyAmt

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

FieldValueIRS element (for citing)
Line Number1ALineNumberTxt
Relationship StatementSUSTAINABLE GARDEN THAT WILL PROVIDE ORGANIC FOOD AND PLACE FOR REJUVENATION, WHILE PROMOTING EDUCATIONAL OUTREACH AND COMMUNITY HEALTH AWARENESS WITHIN A HOSPITAL SETTING.RelationshipStatementTxt

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 (2 entries)

ContributorContributorNumAddress Line1ContributorUSAddress/AddressLine1TxtCityContributorUSAddress/CityNmState AbbreviationContributorUSAddress/StateAbbreviationCdZIPContributorUSAddress/ZIPCdTotal ContributionsTotalContributionsAmtPerson ContributionPersonContributionInd
THE COMMUNITY FOUNDATION OF MENDOCINO
1204 SOUTH OAK STREETUKIAHCA95482$39,076Yes (X)
MARTHA DAVIS WAGNER
2JAMES L LARSEN TRUSTEE 920 GLASS BEFORT BRAGGCA95437$29,462Yes (X)

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$23,155Amt
Net Investment Income$5,789NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$17,366DisbursementsCharitablePrpsAmt

Depreciation Schedule DepreciationSchedule

Depreciation Property DepreciationPropertyGrp (78 entries)

PropertyPropertyDescAcquiredAcquiredDtCost Or Other BasisCostOrOtherBasisAmtComputation MethodComputationMethodTxtCurrent Year ExpenseCurrentYearExpenseAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtPrior Year DepreciationPriorYearDepreciationAmtLifeLifeRtRtRt
HUMMEL LAND2006-02-26$120,000L$0$0$0
OLD HOSPITAL - LAND1927-01-01$15,626L$0$0$0
LAND SURVEYING2001-03-30$6,500L$0$0$0
RAMP SIDEWALK, ETC1970-05-01$5,506SL$0$0$0$5,50610.000000000000
SPRINKER SYSTEM1975-08-01$6,720SL$0$0$0$6,72010.000000000000
SOUTH DECK1981-10-01$1,652SL$0$0$0$1,65220.000000000000
COMMONWEALTH GARDEN LAND2014-04-01$155,511L$0$0$0
COMMONWEALTH GARDEN LI2014-04-01$121,143SL$8,076$0$8,076$42,39915.000000000000
WEA LAND2004-03-16$400,000L$0$0$0
WEA RAILROAD LAND2010-12-31$12,117L$0$0$0
HAZEL STREET PROPERTY2002-01-01$12,577L$0$0$0
MADRONE STREET LOT2003-07-01$103,390L$0$0$0
PARKING LOT PAVEMENT - EAST CAMPUS2015-06-11$8,500SL$567$0$567$2,36115.000000000000
CW GARDEN WELL2015-10-26$7,701SL$513$0$513$1,71115.000000000000
PARCEL 3 - MOB (2.89 AC)2003-03-26$83,692L$0$0$0
PARCEL 1 - AUD/DORM (8.04 AC)2003-03-26$232,831L$0$0$0
PARCEL 4 - H&W (3.08 AC)2003-03-26$89,194L$0$0$0
PARCEL 2 - HMH (7.10 AC)2003-03-26$205,610L$0$0$0
PARCEL 4 - H&W FEASIBILITY STUDY2010-11-05$10,150L$0$0$0
PARCEL 2 - HMH LAND IMPROVEMENTS2010-12-31$764,857L$0$0$0
PARCEL 2 - HMH RAILROAD CROSSING2013-02-05$12,330L$0$0$0
HMH SEABISCUIT STATUE2017-03-14$146,000NC$0$0$00.000000000000
COMMONWEALTH GARDEN LI-20X30 METAL BLDG2018-09-06$5,026SL$251$0$251$33520.000000000000
CW GARDEN ADA COMPLIANT WALKWAY2018-03-21$3,200SL$213$0$213$37315.000000000000
CW GARDEN ADA COMPLIANT WALKWAY2018-06-01$3,000SL$200$0$200$31715.000000000000
PARKING PAVING2019-06-18$6,500SL$433$0$433$21715.000000000000
BUILDING#1 HOSPITAL1928-05-01$37,125SL$0$0$0$37,12540.000000000000
IMPROVEMENT - AIR CONDITIONING1938-04-01$5,632SL$0$0$0$5,63240.000000000000
IMPROVEMENT - INSULLATION1948-01-01$2,070SL$0$0$0$2,07025.000000000000
REMODEL - RADIOLOGY1948-01-01$55,923SL$0$0$0$55,92340.000000000000
REMODEL - BASEMENT1949-02-01$1,964SL$0$0$0$1,96425.000000000000
REMODEL - LINE & PERSONNEL1949-10-01$750SL$0$0$0$75040.000000000000
REMODEL - RADIOLOGY1955-10-01$69,084SL$0$0$0$69,08440.000000000000
REMODEL - PHYSICAL THERAPY1955-11-01$724SL$0$0$0$72440.000000000000
NEW WING - WASHROOM1959-06-01$7,542SL$0$0$0$7,54240.000000000000
REMODEL - RADIOLOGY OFFICE1960-02-01$9,945SL$0$0$0$9,94540.000000000000
NEW WING - NURSING1970-05-01$228,934SL$0$0$0$228,93440.000000000000
NEW WING - SURGERY & LAB1980-08-01$152,841SL$0$0$0$152,84125.000000000000
REMODEL - ICU1981-09-01$63,350SL$0$0$0$63,35020.000000000000
REMODEL - XRAY1982-04-01$25,551SL$0$0$0$25,55120.000000000000
NEW WING - MEDICAL RECORDS & CONFERENCE ROOM1983-04-01$93,251SL$0$0$0$93,25120.000000000000
REMODEL - FRONT OFFICE1984-05-01$9,149SL$0$0$0$9,14920.000000000000
REMODEL - EMERGENCY1985-04-01$17,342SL$0$0$0$17,34220.000000000000
IMPROVEMENT - REPAINT EXTERIOR1985-08-01$3,825SL$0$0$0$3,8255.000000000000
REMODEL - OLD EMERGENCY EXIT1986-04-01$10,303SL$258$0$258$8,69440.000000000000
REMODEL - CHAPEL1986-07-01$2,106SL$53$0$53$1,76440.000000000000
SMALLEY CENTER1977-11-01$78,560SL$0$0$0$78,56025.000000000000
REMODEL SMALLEY CENTER1985-11-01$1,827SL$46$0$46$1,56140.000000000000
HOSPITAL ASBESTOS ABATEMENT2000-10-01$383,155SL$9,579$0$9,579$184,39440.000000000000
HUMMEL BUILDING2006-02-26$178,000SL$7,120$0$7,120$103,24025.000000000000
WEA BUILDING2004-03-16$405,668SL$10,142$0$10,142$288,91140.000000000000
WEA BUILDING REMODEL2004-03-16$128,105SL$6,405$0$6,405$101,41620.000000000000
WEA PARKING DEVELOPMENT2005-01-18$11,610SL$298$0$298$4,46639.000000000000
WEA ENGINEERING2005-06-15$8,663SL$433$0$433$3,87220.000000000000
WEA BUILDING ADDITIONS2006-11-01$168,012SL$8,401$0$8,401$110,49120.000000000000
WEA REMODEL2007-07-01$318,133SL$15,907$0$15,907$198,99320.000000000000
NEW HOSPITAL MOB2016-05-31$6,349,091SL$158,727$0$158,727$635,06240.000000000000
AIR CONDITIONER1974-04-01$2,339SL$0$0$0$2,33910.000000000000
BOILER COV TO GAS1973-05-01$2,074SL$0$0$0$2,07415.000000000000
CABINETS (SURGERY)1980-08-01$3,950SL$0$0$0$3,95025.000000000000
LIGHT, EXAM ROOM1985-01-01$1,097SL$0$0$0$1,09710.000000000000
LIGHT, EXAM ROOM1985-01-01$1,097SL$0$0$0$1,09710.000000000000
ROUND TREE GLASS - FOR DESKS2005-10-31$353SL$0$0$0$3535.000000000000
MENDO LAKE OFFICE - DESKS & FILE CABINETS2005-11-07$2,646SL$0$0$0$2,6465.000000000000
SOLAR PANEL2008-04-22$3,937SL$197$0$197$2,29620.000000000000
DELL COMPUTER2012-08-22$1,667SL$0$0$0$1,6675.000000000000
COPIER2012-11-21$3,927SL$0$0$0$3,9275.000000000000
DELL COMPUTER2015-10-30$1,641SL$328$0$328$1,0945.000000000000
DELL COMPUTER XPS2015-12-02$3,332SL$666$0$666$2,1115.000000000000
TELECOM PANASONIC PHONE SYSTEM2016-02-17$5,308SL$1,062$0$1,062$4,0705.000000000000
LAPTOP2016-03-21$2,198SL$440$0$440$1,6495.000000000000
NETWORK2016-04-27$1,273SL$255$0$255$9345.000000000000
DODGE TRUCK FOR GARDEN2015-10-01$3,950SL$790$0$790$2,7655.000000000000
99 GMC 150C2017-12-31$2,500SL$500$0$500$1,0005.000000000000
18 KUBOTA TRACTOR2018-02-21$32,294SL$6,459$0$6,459$11,8415.000000000000
HONDA 3000 GENERATOR2019-06-28$2,167SL$433$0$433$2175.000000000000
HUMMEL BUILDING REMODEL2020-06-30$217,517SL$4,532$0$4,53220.000000000000
CIP HMH OLD HOSPITAL2019-12-31$55,387SL$0$0$00.000000000000

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (6 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
CAPITAL APPREC. FUND CLASS AFMV$403,285$403,285
GLOBAL FUND CLASS AFMV$597,035$597,035
MAIN STREET FUND CLASS AFMV$410,868$410,868
MAIN ST. OPTY FUND CLASS AFMV$369,767$369,767
GLOBAL ALLOCATION (QUEST)FMV$223,482$223,482
STRATEGIC INCOME FUND CLASS AFMV$377,888$377,888

Land Etc Schedule2 LandEtcSchedule2

Land Etc LandEtcGrp (6 entries)

Category Or ItemCategoryOrItemTxtCost Or Other BasisCostOrOtherBasisAmtAccumulated DepreciationAccumulatedDepreciationAmtBook ValueBookValueAmtEOYFMVEOYFMVAmt
BUILDINGS$9,045,752$2,728,327$6,317,425$212,985
FURNITURE & FIXTURES$10,557$10,557$0
LAND$2,526,756$71,844$2,454,912
MACHINERY & OTHER EQUIPMENT$26,282$23,695$2,587
TRANSPORTATION EQUIPMENT$40,911$24,005$16,906
OTHER$55,387$0$55,387

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryLEGAL FEESCategoryTxt
Legal Fees$6,928LegalFeesAmt
Net Investment Income$1,732NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$5,196DisbursementsCharitablePrpsAmt

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp (2 entries)

DescDescBOY Book ValueBOYBookValueAmtEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
NET DEBT ISSUANCE COSTS$161,828$154,122$154,122
PROGRAM-RELATED INVESTMENTS$135,000$135,000$135,000

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (17 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
ADVERTISING AND PROMOTION$343$0$0$343
AMORTIZATION-MOB SQUARE FOOTAGE$7,706$7,706$0$0
ATW EXPENSES$4,204$0$0$4,188
BANK FEE$110$28$0$82
COMMONWEALTH GARDEN EXPENSES$28,609$0$28,609$0
DUES AND SUBSCRIPTIONS$228$57$0$171
EQUIPMENT LEASE$1,137$284$0$853
FEES$1,370$343$0$1,027
FUNDRAISING EXPENSES$1,259$0$0$1,259
HOSPITAL BUILDING EXPENSES$48,348$48,348$0$0
HUMMEL ESTATE EXPENSES-ATW PROGRAM$1,950$0$0$1,480
INSURANCE$30,253$20,224$0$6,138
MISCELLANEOUS EXPENSES$1,484$371$0$1,113
OFFICE SUPPLIES$7,147$1,787$0$5,360
POSTAGE & DELIVERY$254$64$0$190
BOARD EXPENSES$187$47$0$140
OUTSIDE SERVICES$450$113$0$337

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmt
ROYALTY INCOME$866,591$866,591$0
COMMONWEALTH GARDEN$55,000$55,000

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescUNREALIZED GAINDesc
Amt$326,588Amt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryAPPRAISAL FEESCategoryTxt
Amt$6,328Amt
Net Investment Income$1,582NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$4,746DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
PROPERTY TAX$147,909$142,762$198$4,949
TAXES & LICENSES$28,788$28,788$0$0

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