BERRY FAMILY FOUNDATION: Form 990PF, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- BERRY FAMILY FOUNDATION (EIN 77-0523640)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-07-13
- IRS object ID
- 202001959349101580
- Schema version
- 2019v5.1
- 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
- Form 990-PF
- Accounting Fees Schedule
- Investments Other Schedule2
- Other Expenses Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-07-13T14:29:22-05:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 941239084 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ATHERTON & ASSOCIATES LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 4339 | AddressLine1Txt |
| City | MODESTO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 953524339 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 770523640 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BERRY FAMILY FOUNDATION | BusinessNameLine1Txt |
| Business Name Line2 | C/O ANN PHILLIPS | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BERR | BusinessNameControlTxt |
| Phone | 5596366498 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1749 S AUGUSTA CT | AddressLine1Txt |
| City | VISALIA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93277 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANN BERRY PHILLIPS | PersonNm |
| Person Title | SECRETARY | PersonTitleTxt |
| Phone | 5596366498 | PhoneNum |
| Signature | 2020-07-01 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JACQUELYN HOWELL | PreparerPersonNm |
| PTIN | P01327223 | PTIN |
| Phone | 2095774800 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 40.78.20.117 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-07-01 | IPDt |
| IP Tm | 13:27:13 | IPTm |
| IP Timezone | PD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | AA4754A7C66D45AA15D6CE8B9DF6349192B50C3A | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 419D865F74232CCBCCAD33BAEF513083C78AEE62 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-04-22 16:20:28Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $2,445,995 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Interest On Sav Rev And Expnss | $43 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $43 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $24,876 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $24,876 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $114,750 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $195,043 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $114,750 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $139,669 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $139,669 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $0 | CompOfcrDirTrstDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $1,990 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $0 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $0 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $14,113 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $14,113 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $0 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $304 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $304 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $35 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $35 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $0 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $16,442 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $14,452 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $123,215 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $123,215 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $139,657 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $14,452 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $123,215 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $12 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $125,217 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $15,944 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $78,118 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $78,118 | SavAndTempCashInvstEOYFMVAmt |
| Other Investments BOY | $1,276,902 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $1,214,740 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $2,367,877 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $1,292,846 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,292,858 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $2,445,995 | TotalAssetsEOYFMVAmt |
| Accounts Payable BOY | $35 | AccountsPayableBOYAmt |
| Accounts Payable EOY | $35 | AccountsPayableEOYAmt |
| Total Liabilities BOY | $35 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $35 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Capital Stock BOY | $938,319 | CapitalStockBOYAmt |
| Capital Stock EOY | $938,319 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | $354,492 | RetainedEarningBOYAmt |
| Retained Earning EOY | $354,504 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $1,292,811 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $1,292,823 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $1,292,846 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $1,292,858 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $1,292,811 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $12 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $1,292,823 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $1,292,823 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (7 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|---|---|
| GOTHAM ENHANCED RETURN | P | 2018-12-13 | 2019-07-02 | $2,000 | $1,854 | $146 | $146 |
| SPECTRUM BRANDS HLDG | P | 2019-10-11 | 2019-10-11 | $4 | $4 | $0 | $0 |
| GENERAL AMERICAN INVESTO | P | 2008-12-01 | 2019-12-19 | $62,933 | $26,714 | $36,219 | $36,219 |
| MCDERMOTT INTL INC | P | 2014-11-04 | 2019-09-26 | $536 | $15,912 | -$15,376 | -$15,376 |
| MICROSOFT CORP | P | 2010-09-10 | 2019-07-10 | $90,931 | $14,315 | $76,616 | $76,616 |
| SOURCE CAPITAL CF | P | 2010-01-21 | 2019-12-19 | $19,300 | $21,494 | -$2,194 | -$2,194 |
| CAPITAL GAINS DIVIDENDS | P | $19,339 | $19,339 | $19,339 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $114,750 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $115,930 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $2,512,039 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.046150 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $125,929 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $2,496,940 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.050433 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $112,415 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $2,269,025 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.049543 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $122,462 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $2,347,033 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.052177 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $106,500 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $2,499,234 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.042613 | DistributionYr5Rt |
| Total Distribution | 0.240916 | TotalDistributionRt |
| Average Distribution | 0.048183 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $2,348,379 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $113,152 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $1,252 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $114,404 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $123,215 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Domestic Org Meeting Sect4940e | Yes (X) | DomesticOrgMeetingSect4940eInd |
| Investment Income Excise Tax | $1,252 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $1,252 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $1,252 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $1,789 | EstimatedPlusOvpmtIncmTxAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $1,789 | TotalPaymentsAndCreditsAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Es Penalty | $0 | EsPenaltyAmt |
| Overpayment | $537 | OverpaymentAmt |
| Applied To ES Tax | $537 | AppliedToESTaxAmt |
| Refund | $0 | RefundAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | 0 | LegislativePoliticalActyInd |
| More Than100 Spent | 0 | MoreThan100SpentInd |
| Form1120 POL Filed | 0 | Form1120POLFiledInd |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Tax Reimbursed | $0 | TaxReimbursedAmt |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (1) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | CA | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (1) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | 0 | PrivateOperatingFoundationInd |
| New Substantial Contributors | 0 | NewSubstantialContributorsInd |
| Own Controlled Entity | 0 | OwnControlledEntityInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (1) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
| Individual With Books | ANN BERRY PHILLIPS | IndividualWithBooksNm |
| Phone | 2095774800 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 4339 | AddressLine1Txt |
| City | MODESTO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95352 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | 0 | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | 0 | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | 0 | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | 0 | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | 0 | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActsInd |
| Undistributed Income PY | Yes (1) | UndistributedIncomePYInd |
| Undistributed Income PY1 | 2018 | UndistributedIncomePY1Yr |
| Undistr Incm Sect4942a2 Not App | Yes (1) | UndistrIncmSect4942a2NotAppInd |
| Business Holdings | 0 | BusinessHoldingsInd |
| Jeopardy Investments | 0 | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | 0 | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | 0 | InfluenceLegislationInd |
| Influence Election | 0 | InfluenceElectionInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Noncharitable Purpose | 0 | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| SCOTT W BERRY | ||||||||
| PO BOX 4339 | MODESTO | CA | 95352 | PRESIDENT, CFO, & DIRECTOR | 1.00 | $0 | $0 | $0 |
| SUSAN B BERRY | ||||||||
| PO BOX 4339 | MODESTO | CA | 95352 | VICE-PRESIDENT & DIRECTOR | 1.00 | $0 | $0 | $0 |
| ANN BERRY PHILLIPS | ||||||||
| PO BOX 4339 | MODESTO | CA | 95352 | SECRETARY & DIRECTOR | 1.00 | $0 | $0 | $0 |
| DAVID A BERRY | ||||||||
| PO BOX 4339 | MODESTO | CA | 95352 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Other Employee Paid Over50k | 0 | OtherEmployeePaidOver50kCnt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $2,366,736 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $17,405 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $2,384,141 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $2,384,141 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $35,762 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $2,348,379 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $117,419 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $117,419 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $1,252 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $1,252 | TotalTaxAmt |
| Distributable Before Adj | $116,167 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $116,167 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $116,167 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $123,215 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $123,215 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $1,252 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $121,963 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $116,167 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $124,152 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Total Excess Distribution Cyov | $0 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $123,215 | QualifyingDistributionsAmt |
| Applied To Year1 | $123,215 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $0 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $0 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $937 | Taxable2Amt |
| Undistributed Income CY | $116,167 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $0 | ExcessDistriCyovToNextYrAmt |
Supplementary Information SupplementaryInformationGrp
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | ANN BERRY PHILLIPS | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 4339 | AddressLine1Txt |
| City | MODESTO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95352 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 2095774800 | RecipientPhoneNum |
| Form And Info And Materials | UNSOLICITED REQUESTS FROM TAX-EXEMPT CHARITABLE ORGANIZATIONS SHOULD CLEARLY IDENTIFY HOW THE FUNDS WILL BE SPENT, THE NUMBER OF INDIVIDUALS EXPECTED TO BE SERVED IN THE LOCAL REGION INCLUDING MODESTO, CALIFORNIA, AND A PROGRAM BUDGET FOR THE NEXT CALENDAR YEAR. THE CHARITABLE ORGANIZATION SHOULD ALSO ATTACH A COPY OF ITS IRS DETERMINATION LETTER EVIDENCING ITS TAX-EXEMPT STATUS UNDER INTERNAL REVENUE CODE SECTION 501(C)(3), A COPY OF ITS FORM 990 FILED WITH THE INTERNAL REVENUE SERVICE FOR THE PRIOR YEAR, A COPY OF ITS ANNUAL FINANCIAL STATEMENTS FOR THE MOST RECENT THREE PRIOR YEARS, AND A COPY OF ITS BUDGET FOR THE CURRENT YEAR AS WELL AS THE FOLLOWING YEAR. | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | REQUESTS MUST BE SUBMITTED NO LATER THAN SEPTEMBER 30 FOR THE FOLLOWING CALENDAR YEAR. | SubmissionDeadlinesTxt |
| Restrictions On Awards | REQUESTS WILL BE CONSIDERED ONLY IF FROM CHARITABLE ORGANIZATIONS TAX-EXEMPT UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND SERVICING THE LOCAL REGION INCLUDING MODESTO, CALIFORNIA. | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (17 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| BOYS AND GIRLS CLUBS OF STANISLAUS COUNTY INC | |||||||
| PO BOX 3349 | MODESTO | CA | 95353 | NONE | PUBLIC CHARITY | SUPPORT OF CHILDREN IN THE COMMUNITY | $10,000 |
| AMAZING SURF ADVENTURES | |||||||
| PO BOX 1581 | SAN LUIS OBISPO | CA | 93406 | NONE | PUBLIC CHARITY | SUPPORT OF DISABLED VETERANS | $5,000 |
| BETHLEHEM CENTER | |||||||
| 1638 N DINUBA BLVD | VISALIA | CA | 93291 | NONE | RELIGIOUS ORGANIZATI | FOOD AND CLOTHING FOR THE POOR | $5,000 |
| BOYS AND GIRLS CLUBS OF SANTA CRUZ COUNTY | |||||||
| 543 CENTER STREET | SANTA CRUZ | CA | 95060 | NONE | PUBLIC CHARITY | SUPPORT OF CHILDREN IN THE COMMUNITY | $10,000 |
| CAL POLY H CACCIA STUDENT TECH FUND | |||||||
| 1 GRAND AVE | SAN LUIS OBISPO | CA | 93407 | NONE | PUBLIC CHARITY | SUPPORT OF MECHANICAL ENGINEERING EDUCATION | $5,000 |
| CENTRAL CATHOLIC HIGH SCHOOL | |||||||
| 200 S CARPENTER RD | MODESTO | CA | 95351 | NONE | RELIGIOUS ORGANIZATI | SUPPORT OF CATHOLIC EDUCATION | $10,000 |
| COMMUNITY BRIDGES | |||||||
| 1777-A CAPITOLA ROAD | SANTA CRUZ | CA | 95062 | NONE | PUBLIC CHARITY | FOOD FOR THE POOR | $10,000 |
| GOOD SHEPHERD CATHOLIC SCHOOL | |||||||
| 2727 MATTISON LANE | SANTA CRUZ | CA | 95065 | NONE | RELIGIOUS ORGANIZATI | SUPPORT OF CATHOLIC EDUCATION | $18,215 |
| GREY BEARS | |||||||
| 2710 CHANTICLEER AVE | SANTA CRUZ | CA | 95065 | NONE | PUBLIC CHARITY | FOOD FOR THE POOR | $5,000 |
| NO KID HUNGRY | |||||||
| 1030 15TH STREET NW SUITE 1100 W | WASHINGTON | DC | 20005 | NONE | PUBLIC CHARITY | FOOD FOR CHILDREN | $5,000 |
| SECOND HARVEST FOOD BANK | |||||||
| 800 OHLONE PARKWAY | WATSONVILLE | CA | 95076 | NONE | PUBLIC CHARITY | FOOD FOR THE POOR | $5,000 |
| SISTERS OF THE CROSS OF THE SACRED HEART OF JESUS | |||||||
| 1320 MAZE BLVD | MODESTO | CA | 95351 | NONE | RELIGIOUS ORGANIZATI | SUPPORT OF CATHOLIC MINISTRIES | $5,000 |
| ST FRANCIS CATHOLIC KITCHEN | |||||||
| 205 MORA STREET | SANTA CRUZ | CA | 95060 | NONE | RELIGIOUS ORGANIZATI | FOOD FOR THE HUNGRY | $10,000 |
| ST VINCENT DE PAUL MINISTRY | |||||||
| 709 J STREET | MODESTO | CA | 95354 | NONE | RELIGIOUS ORGANIZATI | FOOD AND CLOTHING FOR THE POOR | $5,000 |
| THE CATHOLIC SCHOOL OF VISALIA GEORGE MCCANN MEMORIAL CAMPUS | |||||||
| 200 E RACE AVE | VISALIA | CA | 93291 | NONE | RELIGIOUS ORGANIZATI | SUPPORT OF CATHOLIC EDUCATION | $5,000 |
| THE SALVATION ARMY | |||||||
| 1501 W MAIN STREET | VISALIA | CA | 93291 | NONE | PUBLIC CHARITY | FOOD AND CLOTHING FOR THE POOR | $5,000 |
| UNITED SAMARITANS FOUNDATION | |||||||
| 220 SOUTH BROADWAY | TURLOCK | CA | 95380 | NONE | PUBLIC CHARITY | FOOD FOR THE POOR | $5,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $123,215 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $43 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $24,876 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $114,750 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $139,669 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $139,669 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | 0 | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | 0 | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | 0 | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | 0 | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | 0 | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | 0 | RelationshipsNonchrtblEOInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING | CategoryTxt |
| Amt | $1,990 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (3 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| EQUITIES | FMV | $960,249 | $2,133,301 |
| MUTUAL AND BOND FUNDS | FMV | $215,061 | $214,657 |
| OTHER ASSETS | FMV | $39,430 | $19,919 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | FILING FEES | Desc |
| Revenue And Expenses Per Books | $35 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $35 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | INVESTMENT FEES | CategoryTxt |
| Amt | $14,113 | Amt |
| Net Investment Income | $14,113 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | FOREIGN TAXES | CategoryTxt |
| Amt | $304 | Amt |
| Net Investment Income | $304 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
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