H5 FOUNDATION: Form 990PF, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- H5 FOUNDATION (EIN 46-1638726)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-06-10
- IRS object ID
- 201901619349100505
- Schema version
- 2018v3.1
- 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
- Schedule B
- Accounting Fees Schedule
- Investments Other Schedule2
- Other Income Schedule2
- Other Increases Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-06-10T10:16:53-07:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HSJ & Associates PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8435 W 80TH AVE | AddressLine1Txt |
| City | ARVADA | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80005 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 461638726 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | H5 Foundation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | H5FO | BusinessNameControlTxt |
| Phone | 3035498989 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10320 N Chatfield Dr | AddressLine1Txt |
| City | Littleton | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80125 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | David Haber | PersonNm |
| Person Title | Director | PersonTitleTxt |
| Phone | 3035498989 | PhoneNum |
| Signature | 2019-05-24 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Karen E Sonnier CPA | PreparerPersonNm |
| PTIN | P00124993 | PTIN |
| Phone | 3034219379 | PhoneNum |
| Preparation | 2019-06-10 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 96.87.36.145 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-06-10 | IPDt |
| IP Tm | 10:16:43 | IPTm |
| IP Timezone | PD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 14201B00A267916B32F4B2AFD3E04736C1D9F66B | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 14201B00A267916B32F4B2AFD3E04736C1D9F66B | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $1,570,387 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $200,000 | ContriRcvdRevAndExpnssAmt |
| Interest On Sav Rev And Expnss | $57 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $57 | InterestOnSavNetInvstIncmAmt |
| Cap Gain Net Incm Net Invst Incm | $0 | CapGainNetIncmNetInvstIncmAmt |
| Gross Profit Rev And Expnss | $0 | GrossProfitRevAndExpnssAmt |
| Other Income Rev And Expnss | $3,361 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $2,969 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | $203,418 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $3,026 | TotalNetInvstIncmAmt |
| Legal Fees Rev And Expnss | $0 | LegalFeesRevAndExpnssAmt |
| Accounting Fees Rev And Expnss | $414 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Chrtbl Prps | $414 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $0 | OtherProfFeesRevAndExpnssAmt |
| Taxes Rev And Expnss | $1,723 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $331 | TaxesNetInvstIncmAmt |
| Deprec And Dpltn Rev And Expnss | $0 | DeprecAndDpltnRevAndExpnssAmt |
| Other Expenses Rev And Expnss | $0 | OtherExpensesRevAndExpnssAmt |
| Tot Opr Expenses Rev And Expnss | $2,137 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $331 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $414 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $82,500 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $82,500 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $84,637 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $331 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $82,914 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $118,781 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $2,695 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $187,531 | CashBOYAmt |
| Cash EOY | $20,748 | CashEOYAmt |
| Cash EOYFMV | $20,748 | CashEOYFMVAmt |
| Rcvbl From Officers EOY | $0 | RcvblFromOfficersEOYAmt |
| Other Nts And Loans Rcvbl EOY | $0 | OtherNtsAndLoansRcvblEOYAmt |
| Land Bldg Investments EOY | $0 | LandBldgInvestmentsEOYAmt |
| Other Investments BOY | $1,263,910 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $1,549,639 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $1,549,639 | OtherInvestmentsEOYFMVAmt |
| Land EOY | $0 | LandEOYAmt |
| Other Assets BOY | $0 | OtherAssetsBOYAmt |
| Other Assets EOY | $0 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $0 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $1,451,441 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,570,387 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $1,570,387 | TotalAssetsEOYFMVAmt |
| Loans From Officers EOY | $0 | LoansFromOfficersEOYAmt |
| Mortgages And Notes Payable EOY | $0 | MortgagesAndNotesPayableEOYAmt |
| Other Liabilities BOY | $0 | OtherLiabilitiesBOYAmt |
| Other Liabilities EOY | $0 | OtherLiabilitiesEOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Retained Earning BOY | $1,451,441 | RetainedEarningBOYAmt |
| Retained Earning EOY | $1,570,387 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $1,451,441 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $1,570,387 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $1,451,441 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $1,570,387 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $1,451,441 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $118,781 | ExcessRevenueOverExpensesAmt |
| Other Increases | $165 | OtherIncreasesAmt |
| Subtotal | $1,570,387 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $1,570,387 | TotNetAstOrFundBalancesEOYAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | false | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $58,334 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $1,624,450 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.035910 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $32,995 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $1,212,109 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.027221 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $29,410 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $1,082,737 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.027163 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $27,216 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $770,407 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.035327 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $15,600 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $427,377 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.036502 | DistributionYr5Rt |
| Total Distribution | 0.162123 | TotalDistributionRt |
| Average Distribution | 0.032425 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $1,476,960 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $47,890 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $27 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $47,917 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $82,914 | 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 | $27 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $27 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $27 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $1,392 | EstimatedPlusOvpmtIncmTxAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Total Payments And Credits | $1,392 | TotalPaymentsAndCreditsAmt |
| Original Return Overpayment | -$1,392 | OriginalReturnOverpaymentAmt |
| Overpayment | $1,365 | OverpaymentAmt |
| Applied To ES Tax | $0 | AppliedToESTaxAmt |
| Refund | $1,365 | RefundAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | false | LegislativePoliticalActyInd |
| More Than100 Spent | false | MoreThan100SpentInd |
| Form1120 POL Filed | false | Form1120POLFiledInd |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | false | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (true) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Org Report Or Register State | CO | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (true) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | false | PrivateOperatingFoundationInd |
| New Substantial Contributors | Yes (true) | NewSubstantialContributorsInd |
| Own Controlled Entity | false | OwnControlledEntityInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (true) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
| Individual With Books | Dave Haber | IndividualWithBooksNm |
| Phone | 3035498989 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10320 N Chatfield Dr | AddressLine1Txt |
| City | Littleton | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80125 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | false | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | false | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | false | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | false | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | false | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | false | UncorrectedPriorActsInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| Business Holdings | false | BusinessHoldingsInd |
| Jeopardy Investments | false | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | false | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | false | InfluenceLegislationInd |
| Influence Election | false | InfluenceElectionInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Noncharitable Purpose | false | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (5 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 |
|---|---|---|---|---|---|---|---|---|
| David D Haber | ||||||||
| 10320 N Chatfield Dr | LIttleton | CO | 80125 | Director | 2.00 | $0 | $0 | $0 |
| Laura T Haber | ||||||||
| 10320 N Chatfield Dr | Littleton | CO | 80125 | Director | 2.00 | $0 | $0 | $0 |
| Danielle M Haber | ||||||||
| 10320 N Chatfield Dr | Littleton | CO | 80125 | Director | 0.25 | $0 | $0 | $0 |
| Kara L Haber | ||||||||
| 10320 N Chatfield Dr | Littleton | CO | 80125 | Director | 1.00 | $0 | $0 | $0 |
| Kevin J Haber | ||||||||
| 10320 N Chatfield Dr | Littleton | CO | 80125 | Director | 0.25 | $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 |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $0 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $92,677 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $1,406,775 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $1,499,452 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Adjusted Total FMV Of Unused Ast | $1,499,452 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $22,492 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $1,476,960 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $73,848 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $73,848 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $27 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $27 | TotalTaxAmt |
| Distributable Before Adj | $73,821 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $73,821 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $73,821 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $82,914 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $82,914 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $27 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $82,887 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $73,821 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $79,594 | UndistributedIncomePYAmt |
| Excess Distribution Cyov Yr5 | $0 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $0 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $0 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $0 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $0 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $0 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $82,914 | QualifyingDistributionsAmt |
| Applied To Year1 | $79,594 | AppliedToYear1Amt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $3,320 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Total Corpus | $0 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $70,501 | UndistributedIncomeCYAmt |
| Excess Distri Cyov From Yr5 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $0 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $0 | ExcessFromYear4Amt |
| Excess From Year3 | $0 | ExcessFromYear3Amt |
| Excess From Year2 | $0 | ExcessFromYear2Amt |
| Excess From Year1 | $0 | ExcessFromYear1Amt |
| Excess From Current Year | $0 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | David D Haber | ContributingManagerNm |
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (47 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|
| National Sports Center for the Disabled | ||||||
| 33 Parsenn Rd PO Box 1290 | Winter Park | CO | 80482 | PC | Charitable | $4,000 |
| Habitat for Humanity-Grand County | ||||||
| PO Box 969 US Bank Bldg 51 E Agate | Granby | CO | 80446 | PC | Charitable | $1,500 |
| Denver Rescue Mission | ||||||
| PO Box 5206 | Denver | CO | 80217 | PC | Charitable | $250 |
| Cross Catholic Outreach | ||||||
| PO Box 97168 | Washington | DC | 20077 | PC | Charitable | $500 |
| St Jude Children's Research Hospital | ||||||
| 501 St Jude Place | Memphis | TN | 38105 | PC | Charitable | $1,000 |
| Wounded Warrior Project | ||||||
| 4899 Belfort Rd Suite 300 | Jacksonville | FL | 32256 | PC | Charitable | $1,500 |
| American Cancer Society | ||||||
| 2120 First Avenue North | Seattle | WA | 98109 | PC | Charitable | $100 |
| Salvation Army | ||||||
| 1370 Pennsylvania St | Denver | CO | 80203 | PC | Charitable | $250 |
| American Heart Assoc | ||||||
| PO Box 78851 | Phoenix | AZ | 85062 | PC | Charitable | $100 |
| St Mark Catholic Church | ||||||
| 9905 Foothills Canyon Blvd | Highlands Ranch | CO | 80129 | PC | Religious | $4,800 |
| St Francis Center | ||||||
| 1835 S Hope St | Los Angeles | CA | 90015 | PC | Charitable | $1,000 |
| Gateway Battered Women's Services | ||||||
| PO Box 914 | Aurora | CO | 80040 | PC | Charitable | $500 |
| Families of Character | ||||||
| 4643 S Ulster St Suite 1040 | Denver | CO | 80237 | PC | Charitable | $8,000 |
| American Red Cross | ||||||
| 444 Sherman St | Denver | CO | 80203 | PC | Charitable | $500 |
| American Diabetes | ||||||
| 2460 W 26th Ave 500C | Denver | CO | 80211 | PC | Charitable | $300 |
| St Anne | ||||||
| PO Box 2029 | Granby | CO | 80446 | PC | Religious | $2,500 |
| Forest Park Conf & Retreat Center | ||||||
| 3158 SE 10th St | Topeka | KS | 66607 | PC | Charitable | $1,000 |
| MD Anderson | ||||||
| PO Box 4464 Houston | Houston | TX | 77210 | PC | Charitable | $1,000 |
| Seeds of Hope | ||||||
| 3801 E Florida Ave | Denver | CO | 80210 | PC | Charitable | $3,000 |
| Alzheimer | ||||||
| 225 N Michigan Ave FL 17 | Chicago | IL | 60601 | PC | Charitable | $250 |
| Susan G Komen | ||||||
| 50 S Steele St Suite 100 | Denver | CO | 80209 | PC | Charitable | $1,000 |
| Livestrong | ||||||
| PO Box 97279 | Washington | DC | 20077 | PC | Charitable | $250 |
| Project CURE | ||||||
| 10377 E Geddes Ave | Centennial | CO | 80112 | PC | Charitable | $1,000 |
| Adopt a Village Intl | ||||||
| PO Bix 26599 | Colo Spgs | CO | 80936 | PC | Charitable | $500 |
| Womens Bean Project | ||||||
| 3201 Curtis St | Denver | CO | 80205 | PC | Charitable | $1,000 |
| Alternatives Pregnancy Center | ||||||
| 1440 Blake St 200 | Denver | CO | 80202 | PC | Charitable | $1,000 |
| CO Coalition of Homeless | ||||||
| PO Box 1560 Denver | Denver | CO | 80201 | PC | Charitable | $250 |
| Boys Hope Girls Hope of Colorado | ||||||
| 7060 E Hampden Ave 203 | Denver | CO | 80224 | PC | Charitable | $1,000 |
| Denver Urban Scholars | ||||||
| 3532 Franklin St T | Denver | CO | 80205 | PC | Charitable | $500 |
| Bridge Project | ||||||
| 2148 S High St 248 | Denver | CO | 80208 | PC | Educational | $500 |
| CO USC & Real Madrid Foundation | ||||||
| 2090 S Galapago St | Denver | CO | 80223 | PC | Charitable | $30,000 |
| Barbells for Boobs | ||||||
| 1006 E Chestnut Ave | Santa Ana | CA | 92701 | PC | Charitable | $250 |
| Dirt Coffee | ||||||
| 5767 S Rapp St | Littleton | CO | 80120 | PC | Charitable | $500 |
| Shiloh House | ||||||
| 6588 W Ottawa Ave | Littleton | CO | 80128 | PC | Charitable | $500 |
| Shriners | ||||||
| PO Box 1525 | Ranson | WV | 25438 | PC | Charitable | $500 |
| Fisher House | ||||||
| 1954 Quentin St | Aurora | CO | 80048 | PC | Charitable | $1,500 |
| Family Tree - House of Hope | ||||||
| 3301 S Grant St A | Englewood | CO | 80113 | PC | Charitable | $1,000 |
| Denver Hospice | ||||||
| 501 S Cherry St 700 | Denver | CO | 80246 | PC | Charitable | $500 |
| NMSS (Will Bike Ride) | ||||||
| PO Box 4594 | New York | NY | 10163 | PC | Charitable | $250 |
| Teach Beyond | ||||||
| PO Box 610 | Downers Grove | IL | 60515 | pc | Charitable | $500 |
| Church of the Good Shepard | ||||||
| 4947 NE Chouteau Dr | Kansas City | MO | 64119 | PC | Charitable | $500 |
| Cancer Climber Assn | ||||||
| 7055 S Costilla St | Littleton | CO | 80120 | PC | Charitable | $200 |
| Malibu Presbyterian Church | ||||||
| 3324 Malibu Canyon Rd | Malibu | CA | 90265 | PC | Charitable | $1,000 |
| Samaritan House | ||||||
| 2301 Lawrence St | Denver | CO | 80205 | PC | Charitable | $3,500 |
| Diosese of CS Return Gods Gifts | ||||||
| 228 N Cascade Ave | Colo Springs | CO | 80903 | PC | Charitable | $250 |
| Catholic Charities | ||||||
| 228 N Cascade Ave | Colo Springs | CO | 80903 | PC | Charitable | $1,500 |
| Denver Share | ||||||
| 4625 W Warren Ave | Denver | CO | 80219 | PC | Charitable | $1,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $82,500 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $57 | ExclusionAmt |
Other Investment Incm Part VII OtherInvestmentIncmPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $1,872 | ExclusionAmt |
Other Revenue Described OtherRevenueDescribedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Royalties | Desc |
| Exclusion | 15 | ExclusionCd |
| Exclusion | $1,097 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $3,026 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $3,026 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | false | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | false | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | false | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | false | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | false | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | false | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | false | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | false | RelationshipsNonchrtblEOInd |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| General Rule | Yes (X) | GeneralRuleInd |
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | 1 | ContributorNum |
| Contributor Person | Dave and Laura Haber | ContributorPersonNm |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10320 N Chatfield Dr | AddressLine1Txt |
| City | Littleton | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80125 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | $200,000 | TotalContributionsAmt |
| Person Contribution | Yes (X) | PersonContributionInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | HSJ & Assoicates PC Tax Preparation | CategoryTxt |
| Amt | $414 | Amt |
| Disbursements Charitable Prps | $414 | DisbursementsCharitablePrpsAmt |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (3 entries)
| Category Or ItemCategoryOrItemTxt | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| JM Investment | $261,000 | $261,000 |
| Vectra SP 4, LLC | $991,574 | $991,574 |
| KMR Loan | $297,065 | $297,065 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail (3 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| Royalties | $1,097 | $1,097 |
| Other Income | $1,872 | $1,872 |
| Tax Refund | $392 |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Percentage Depletion Allowed | Desc |
| Amt | $165 | Amt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (5 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| Investment Tax | $1,392 | |
| Production Tax | $67 | $67 |
| State Tax | $45 | $45 |
| Percentage Depletion | $165 | $165 |
| Partnership Loss | $54 | $54 |
Comments