2019-11-05T11:50:01-06:00 2018-12-31 201484966 SKINNER FOUCH & OLSON LLP 9846 RESEARCH DRIVE IRVINE CA 92618 990 2018-01-01 916468179 SAMUELSON FOUNDATION SAMU 8185000155 5000 EDENHURST AVENUE LOS ANGELES CA 90039 REID G SAMUELSON TRUSTEE 8185000155 2019-11-05 1 LISA ANNAN P00543409 9492601430 98.189.206.5 2019-11-05 09:40:50 PS P 685283F5497220892A29DBF989752F5EE4FAD205 EF5D6D13A89657C261BE9743C7C09CD8DB521810 2018 2020-03-31 21:24:44Z REID G SAMUELSON 5000 EDENHURST AVENUE LOS ANGELES CA 90039 3250531 0 X N/A X FOUNDATION 2000 CA TO PERFORM ACTS OF KINDNESS AND LOVE TO THOSE IN NEED BY PROVIDING FOOD, HABITAT, HEALTH AND EDUCATION IN AN ENVIRONMENT OF SOCIAL & ECONOMIC FREEDOM. 5 3 0 0 3028 2028 0 200000 0 0 31223 68388 -7958 3028 23265 271416 27500 322996 0 0 0 0 0 0 0 109331 128728 136831 451724 -113566 -180308 5262753 5082445 1575689 1575689 3687064 3506756 TO PEFORM ACTS OF KINDNESS AND LOVE TO THOSE IN NEED BY PROVIDING FOOD, HABITAT, HEALTH AND EDUCATION IN AN ENVIRONMENT OF SOCIAL & ECONOMIC FREEDOM. 0 0 37500 37500 LA CANADA PRESBYTERIAN CHURCH IS A 501(C)(3) ORGANIZATION WHICH TEACHES PEOPLE TO FOLLOW JESUS CHRIST AND BECOME INVOLVED IN THE CHRISTIAN COMMUNITY. DURING 2018, $37,500.00 CASH WAS DONATED TO ASSIST THE CHURCH WITH THEIR MISSION. 275000 275000 MOUNT HERMON, A 501(C)(3) ORGANIZATION, OPERATES CHRISTIAN WILDERNESS CAMPS. EACH YEAR HUNDREDS OF YOUTH AND ADULTS ATTEND THE CAMP AND THERE LEARN ABOUT GOD AND HIS LOVE FOR THEM, AND SHOWS THEM HOW TO LEAD A CHRIST-CENTERED LIFE AS WELL AS HOW TO POSITIVELY AFFECT OTHERS TO DO THE SAME. DURING 2018, $275,000.00 CASH WAS DONATED TO ASSIST THEM WITH THEIR MISSION. 10496 10496 BEACON HOUSING INC, A 501(C)(3) ORGANIZATION, PROVIDES ENCOURAGEMENT AND ASSISTANCE TO LOW INCOME AND UNEMPLOYED INDIVIDUALS AND FAMILIES AND AIDS THEM IN RETURNING TO ECONOMIC AND EMOTIONAL BALANCE AND PRODUCTIVITY. DURING 2018, $10,496.00 CASH WAS DONATED TO ASSIST THEM WITH THEIR MISSION. 322996 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 X 5 3 1 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 CA X REID G SAMUELSON 8185000155 5000 EDENHURST AVENUE LOS ANGELES CA 90039 X JACK D SAMUELSON TRUSTEE 0.50 X 0 0 0 REID G SAMUELSON TRUSTEE 0.50 X 0 0 0 FRED SCHNEIDER TRUSTEE 0.00 X 0 0 0 DORIS YOUNG COATES TRUSTEE 0.00 X 0 0 0 H JAMES SCHAFER TRUSTEE 0.00 X 0 0 0 0 0 0 0 0 0 0 0 200000 200000 56168 56168 2991335 2979115 12220 12220 12220 UBTI PASSED THRU FROM CVR REFININ 523000 3028 3028 3028 271416 0 3028 68388 322996 322996 9775 9775 12535 12535 106359 106359 BANK CHARGE 49 49 PASSED THROUGH FROM CVR 10 10 451724 322996 128728 0 3210978 3095083 1987362 1987362 64413 0 5262753 5082445 1575689 1575689 1575689 1575689 X 0 0 0 0 3687064 3506756 3687064 3506756 5262753 5082445 -180308 0 X 0 0 0 X X 2 LA CANADA PRESBYTERIAN CHURCH 951765156 1 1 37500 0 MOUNT HERMON ASSOCIATION INC 946000955 1 1 275000 0 2 312500 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 23265 59196 23265 59196 0 0 106359 106359 30472 22369 -113566 -69532 2185403 0 1049473 0 2259000 0 5493876 0 0 1575689 0 3918187 0 58773 0 3859414 0 135079 0 0 0 135079 0 -113566 -96531 135079 135079 0 135079 322996 0 22359 0 0 0 345355 312500 135079 100.000000000000 135079 10496 0 0 31027 178892 30458 240377 10496 135079 0 94802 345355 0 345355 0 0 440157 0 0 64344 30458 345355 PART IV, SECTION D, QUESTION 2 TRUSTEE REID SAMUELSON IS AN ELDER OF LA CANADA PRESBYTERIAN CHURCH AND A TRUSTEE OF OCCIDENTAL COLLEGE; AND JACK SAMUELSON IS AN ELDER OF LA CANADA PRESBYTERIAN CHURCH, A TRUSTEE EMERITUS OF OCCIDENTAL COLLEGE AND A TRUSTEE OF FULLER SEMINARY, WHICH ARE EACH SUPPORTED ORGANIZATIONS. IN ADDITION, REID SAMUELSON AND JACK SAMUELSON MAINTAIN A CLOSE AND CONTINUOUS WORKING RELATIONSHIP WITH AMOS HIMMILSTEIN, THE CFO OF OCCIDENTAL COLLEGE, GARETH ICENOGLE, THE PASTOR OF LA CANADA PRESBYTERIAN CHURCH AND BOB HILLER, THE CHAIRMAN OF THE BUILDING AND GROUND COMMITTEE OF LA CANADA PRESBYTERIAN CHURCH, AND WITH TODD DERRICK, INVESTMENT MANAGER AT THE FULLER SEMINARY FOUNDATION. PART IV, SECTION D, QUESTION 3 THE POLICIES OF THE INVESTMENT COMMITTEES AT THE SUPPORTED ORGANIZATIONS, IN PARTICULAR OCCIDENTAL COLLEGE AND FULLER SEMINARY, HAD SIGNIFICANT INFLUENCE ON THE SAMUELSON FOUNDATION'S INVESTMENT POLICIES. THIS CAME THROUGH QUARTERLY MEETINGS AT BOTH INSTITUTIONS' INVESTMENT COMMITTEES AS WELL AS FACE-TO-FACE OR TELEPHONIC MEETINGS BETWEEN FOUNDATION TRUSTEES AND TODD DERRICK, INVESTMENT MANAGER AT THE FULLER SEMINARY FOUNDATION AND AMOS HIMMILSTEIN, CFO OF OCCIDENTAL COLLEGE. REID SAMUELSON OR JACK SAMUELSON DISCUSSED WITH THEM AT THOSE TIMES THE PROJECT BUDGETS FOR CAPITAL PROJECTS AT OCCIDENTAL COLLEGE, FULLER SEMINARY AND LA CANADA PRESBYTERIAN CHURCH AND WAYS IN WHICH THE SAMUELSON FOUNDATION WILL USE ITS INCOME AND INVEST ITS ASSETS. PART V, SECTION E REASONABLE CAUSE EXCEPTION REQUEST THE ORGANIZATION DID NOT MEET THE SECTION D DISTRIBUTION REQUIREMENT DURING 2017. DURING PREPARATION OF THE 2017 TAX RETURNS THE UNDERDISTRIBUTION ISSUE WAS BROUGHT TO THE ATTENTION OF THE TRUSTEES WHO TOOK IMMEDIATE STEPS TO CORRECT. AS OF THE FILING OF THE 2017 TAX RETURNS, THE $10,496 UNDERDISTRIBUTION FOR 2017 (AMOUNT REQUIRED TO BRING PART V, SECTION D, LINE 10 TO 33.3%) HAD BEEN DISTRIBUTED TO SUPPORTED ORGANIZATIONS. THE FAILURE TO MEET THE 2017 DISTRIBUTION REQUIREMENT WAS DUE TO A CLERICAL ERROR, WAS NOT DUE TO WILLFUL NEGLECT, AND WAS CORRECTED IMMEDIATELY AFTER THE ERROR WAS DISCOVERED. DUE TO THE REASONS EXPLAINED ABOVE THE ORGANIZATION IS REQUESTING RELIEF UNDER THE REASONABLE CAUSE EXCEPTION. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 SAMUELSON BROTHERS, INC. 1987362 C 1987362 0 LA CANADA PRESBYTERIAN CHURCH 626 FOOTHILL BLVD LA CANADA CA 91011 951765156 501(C)(3) 37500 LA CANADA PRESBYTERIAN CHURCH IS A 501(C)(3) ORGANIZATION WHICH TEACHES PEOPLE TO FOLLOW JESUS CHRIST AND BECOME INVOLVED IN THE CHRISTIAN COMMUNITY. DURING 2018, $37,500.00 CASH WAS DONATED TO ASSIST THE CHURCH WITH THEIR MISSION. MOUNT HERMON ASSOCIATION INC 30 CONFERENCE DRIVE FELTON CA 95018 946000955 501(C)(3) 275000 MOUNT HERMON, A 501(C)(3) ORGANIZATION, OPERATES CHRISTIAN WILDERNESS CAMPS. EACH YEAR HUNDREDS OF YOUTH AND ADULTS ATTEND THE CAMP AND THERE LEARN ABOUT GOD AND HIS LOVE FOR THEM, AND SHOWS THEM HOW TO LEAD A CHRIST-CENTERED LIFE AS WELL AS HOW TO POSITIVELY AFFECT OTHERS TO DO THE SAME. DURING 2018, $275,000.00 CASH WAS DONATED TO ASSIST THEM WITH THEIR MISSION. 2 FORM 990, PART VI, SECTION A, LINE 2 JACK SAMUELSON AND REID SAMUELSON - FAMILY RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11B ONE OF THE TRUSTEES WHO IS MOST INTIMATELY ACQUAINTED WITH THE ACTIVITIES OF THE FOUNDATION REVIEWED THE RETURN AND COMPARED IT TO THE FOUNDATION'S FINANCIAL STATEMENTS. FORM 990 IS AVAILABLE TO ALL MEMBERS OF THE GOVERNING BODY AND THEY WILL IMMEDIATELY BE PROVIDED AN ELECTRONIC COPY OF FORM 990 UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 PARTIES INTERESTED IN THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS MAY OBTAIN THAT INFORMATION BY VISITING OR REQUESTING THAT INFORMATION FROM SAMUELSON FOUNDATION, 5000 EDENHURST AVENUE, LOS ANGELES, CA 90039, TELEPHONE IS 818-500-0155. REASONABLE COPYING COSTS WILL APPLY FOR COPIES OF DOCUMENTS. FORM 990, PART VII CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC JACK D. SAMUELSON - 5000 EDENHURST AVENUE, LOS ANGELES, CA 90039. REID G. SAMUELSON - 5000 EDENHURST AVENUE, LOS ANGELES, CA 90039. FRED SCHNEIDER - 5225 LA CANADA BLVD, LA CANADA, CA 91011. DORIS YOUNG COATES - 5416 CASTLE KNOLL DRIVE, LA CANADA, CA 91011. H JAMES SCHAFER - 5000 EDENHURST AVENUE, LOS ANGELES, CA 90039.