FURP.ORG / PUBLIC DATA EXPLORER

SAMUELSON CHARITABLE FOUNDATION INC: Form 990PF, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
SAMUELSON CHARITABLE FOUNDATION INC (EIN 95-4594473)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-10-01
IRS object ID
201932749349100513
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 ReturnHeader

FieldValueIRS element (for citing)
Return2019-10-01T20:45:48-05:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN201484966PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1SKINNER FOUCH & OLSON LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line19846 RESEARCH DRIVEAddressLine1Txt
CityIRVINECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92618ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN954594473EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SAMUELSON CHARITABLE FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSAMUBusinessNameControlTxt
Phone8185000155PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15000 EDENHURST AVENUEAddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90039ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonREID G SAMUELSONPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone8185000155PhoneNum
Signature2019-10-01SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLISA ANNANPreparerPersonNm
PTINP00543409PTIN
Phone9492601430PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address98.189.206.5IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-10-01IPDt
IP Tm18:45:10IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id685283F5497220892A29DBF989752F5EE4FAD205AtSubmissionCreationDeviceId
At Submission Filing Device Id7FE0F879F6A559157992512B9273CA630B4F5374AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-01-14 16:20:31ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$1,991,695FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$385,000ContriRcvdRevAndExpnssAmt
Dividends Rev And Expnss$19,485DividendsRevAndExpnssAmt
Dividends Net Invst Incm$19,485DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$236,237NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$1,346,605GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$236,237CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$7,895OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$7,895OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$648,617TotalRevAndExpnssAmt
Total Net Invst Incm$263,617TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$5,973AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$2,373AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$3,600AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$4,829OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$4,829OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$85TaxesRevAndExpnssAmt
Taxes Net Invst Incm$0TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$85TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$90OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$50OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$21OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$10,977TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$7,252TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$3,706TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$54,700ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$54,700ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$65,677TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$7,252TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$58,406TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$582,940ExcessRevenueOverExpensesAmt
Net Investment Income$256,365NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Other Investments BOY$1,080,052OtherInvestmentsBOYAmt
Other Investments EOY$1,676,450OtherInvestmentsEOYAmt
Other Investments EOYFMV$1,948,063OtherInvestmentsEOYFMVAmt
Other Assets BOY$57,090OtherAssetsBOYAmt
Other Assets EOY$43,632OtherAssetsEOYAmt
Other Assets EOYFMV$43,632OtherAssetsEOYFMVAmt
Total Assets BOY$1,137,142TotalAssetsBOYAmt
Total Assets EOY$1,720,082TotalAssetsEOYAmt
Total Assets EOYFMV$1,991,695TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$0CapitalStockBOYAmt
Capital Stock EOY$0CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$1,137,142RetainedEarningBOYAmt
Retained Earning EOY$1,720,082RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$1,137,142TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$1,720,082TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$1,137,142TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$1,720,082TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$1,137,142TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$582,940ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$1,720,082SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$1,720,082TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (5 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtAcquiredAcquiredDtSoldSoldDt
HIGHLAND INVESTMENT TRUSTP$18,057$7,073$10,984$10,984
D.A. DAVIDSONP$881,000$880,516$484$484
D.A. DAVIDSONP$283,708$101,835$181,873$181,873
CVR REFINING LP UNITS DISPOSALP$149,939$120,944$28,995$28,9952013-02-062018-05-23
CAPITAL GAINS DIVIDENDSP$13,901$13,901$13,901
FieldValueIRS element (for citing)
Capital Gain Net Income$236,237CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$47,110AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$972,562NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.048439DistributionYr1Rt
Adjusted Qlfy Distri Yr2$70,306AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$872,617NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.080569DistributionYr2Rt
Adjusted Qlfy Distri Yr3$198,448AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$992,661NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.199915DistributionYr3Rt
Adjusted Qlfy Distri Yr4$93,606AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$1,033,284NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.090591DistributionYr4Rt
Adjusted Qlfy Distri Yr5$49,744AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$38,887NetVlNoncharitableAssetsYr5Amt
Distribution Yr51.279194DistributionYr5Rt
Total Distribution1.698708TotalDistributionRt
Average Distribution0.339742AverageDistributionRt
Net Vl Noncharitable Assets$1,716,239NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$583,078AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$2,564NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$585,642AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$58,406QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$5,127InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$5,127SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$5,127TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$0EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$0TotalPaymentsAndCreditsAmt
Es Penalty$210EsPenaltyAmt
Tax Due$5,337TaxDueAmt

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 LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
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 ContributorsYes (1)NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksREID G SAMUELSONIndividualWithBooksNm
Phone8185000155PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line15000 EDENHURST AVENUEAddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90039ZIPCd
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 Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
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 (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
JACK D SAMUELSON
5000 EDENHURST AVENUELOS ANGELESCA90039CHIEF EXECUTIVE OFFICER0.00$0$0$0
REID G SAMUELSON
5000 EDENHURST AVENUELOS ANGELESCA90039CHIEF FINANCIAL OFFICER0.00$0$0$0
DORIS C SAMUELSON
5000 EDENHURST AVENUELOS ANGELESCA90039SECRETARY0.00$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

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$1,742,375AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$0AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$1,742,375TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$1,742,375AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$26,136CashDeemedCharitableAmt
Net Vl Noncharitable Assets$1,716,239NetVlNoncharitableAssetsAmt
Minimum Investment Return$85,812MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$85,812MinimumInvestmentReturnAmt
Tax Based On Investment Income$5,127TaxBasedOnInvestmentIncomeAmt
Income Tax$1,076IncomeTaxAmt
Total Tax$6,203TotalTaxAmt
Distributable Before Adj$79,609DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$79,609DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$79,609DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$58,406ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$58,406QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$58,406AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$79,609DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr4$40,895ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$149,189ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$26,892ExcessDistributionCyovYr2Amt
Total Excess Distribution Cyov$216,976TotalExcessDistributionCyovAmt
Qualifying Distributions$58,406QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$58,406AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$21,203ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$21,203ExcessDistributionCyovAppCYAmt
Total Corpus$195,773TotalCorpusAmt
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$195,773ExcessDistriCyovToNextYrAmt
Excess From Year4$19,692ExcessFromYear4Amt
Excess From Year3$149,189ExcessFromYear3Amt
Excess From Year2$26,892ExcessFromYear2Amt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerJACK D SAMUELSONContributingManagerNm
Contributing ManagerREID G SAMUELSONContributingManagerNm
Contributing ManagerDORIS C SAMUELSONContributingManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (18 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
CHRIST LUTHERAN CHURCH
25816 TOURNAMENT ROADSANTA CLARITACA91355NONEPCGENERAL PROGRAM SUPPORT$3,000
CONNECT2MINISTRIES
2635 BRINDLE COURTSIMI VALLEYCA93063NONEPCGENERAL PROGRAM SUPPORT$1,500
LA CANADA PRESBYTERIAN CHURCH
626 FOOTHILL BLVDLA CANADACA91011NONEPCGENERAL PROGRAM SUPPORT$3,000
NEW HOPE LUTHERAN CHURCH
29295 AGOURA ROADAGOURA HILLSCA91301NONEPCGENERAL PROGRAM SUPPORT$3,000
ROSE DRIVE FRIENDS CHURCH
4221 ROSE DRIVEYORBA LINDACA92886NONEPCGENERAL PROGRAM SUPPORT$3,000
SAN DIEGUITO UNITED METHODIST CHURCH
170 CALLE MAGDALENAENCINITASCA92024NONEPCGENERAL PROGRAM SUPPORT$1,500
THE MOVEMENT CHURCH
1609 CAPALINA ROADSAN MARCOSCA92069NONEPCGENERAL PROGRAM SUPPORT$1,500
DOOR OF HOPE
PO BOX 90455PASADENACA91109NONEPCGENERAL PROGRAM SUPPORT$25,000
CRU CAMPUS CRUSADE
PO BOX 62822ORLANDOFL32862NONEPCGENERAL PROGRAM SUPPORT$700
GIVE2ASIA
600 CALIFORNIA STREET 11TH FLOORSAN FRANCISCOCA94108NONEPCGENERAL PROGRAM SUPPORT$500
FIRST BAPTIST CHURCH LA CRESCENTA
4111 LA CRESCENTA AVENUELA CRESCENTACA91214NONEPCGENERAL PROGRAM SUPPORT$6,000
HOLLYWOOD CHURCH OF CHRIST
600 N ROSSMORE AVENUELA CRESCENTACA91214NONEPCGENERAL PROGRAM SUPPORT$3,000
BOYS & GIRLS CLUB OF GREATER SAN DIEGO
PO BOX 178569SAN DIEGOCA92177NONEPCGENERAL PROGRAM SUPPORT$100
FACING ADDICTION WITH NCADD INC
217 BROADWAY SUITE 714NEW YORKNY10007NONEPCGENERAL PROGRAM SUPPORT$50
PAT TILLMAN FOUNDATION
400 E TYLER MALLTEMPEAZ85281NONEPCGENERAL PROGRAM SUPPORT$1,000
ST MARY'S FOOD BANK
2831 N 31ST AVENUEPHOENIXAZ85009NONEPCGENERAL PROGRAM SUPPORT$800
THE WEST POINT HISTORICAL SOCIETY
PO BOX 1556WEST POINTVA23181NONEPCGENERAL PROGRAM SUPPORT$50
BEACON HOUSING INC
5000 EDENHURST AVENUELOS ANGELESCA90039NONEPCGENERAL PROGRAM SUPPORT$1,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$54,700TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$19,485ExclusionAmt

Other Investment Incm Part VII OtherInvestmentIncmPartVIIGrp

FieldValueIRS element (for citing)
Business523000BusinessCd
Unrelated Business Taxbl Incm$6,123UnrelatedBusinessTaxblIncmAmt
Exclusion14ExclusionCd
Exclusion$1,772ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$236,237ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$6,123UnrelatedBusinessTaxblIncmAmt
Exclusion$257,494ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$263,617TotalIncomeProducingActyAmt

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 (3 entries)

ContributorContributorNumAddress Line1ContributorUSAddress/AddressLine1TxtCityContributorUSAddress/CityNmState AbbreviationContributorUSAddress/StateAbbreviationCdZIPContributorUSAddress/ZIPCdTotal ContributionsTotalContributionsAmtPerson ContributionPersonContributionInd
REID G SAMUELSON
15000 EDENHURST AVENUELOS ANGELESCA90039$100,000Yes (X)
SAMUELSON PROPERTIES LP
25000 EDENHURST AVENUELOS ANGELESCA90039$250,000Yes (X)
HIGHLAND CAPITAL LP
35000 EDENHURST AVENUELOS ANGELESCA90039$35,000Yes (X)

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTINGCategoryTxt
Amt$5,973Amt
Net Investment Income$2,373NetInvestmentIncomeAmt
Disbursements Charitable Prps$3,600DisbursementsCharitablePrpsAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (2 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
CASH EQUIVALENTSFMV$1,071,178$1,108,634
HIGHLAND INVESTMENT TRUSTFMV$605,272$839,429

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp

FieldValueIRS element (for citing)
DescRECEIVABLE FROM H. JAMES SCHAFERDesc
BOY Book Value$57,090BOYBookValueAmt
EOY Book Value$43,632EOYBookValueAmt
EOYFMV$43,632EOYFMVAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (4 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
DONATION PASSED THROUGH FROM HIGHLAND INVESTMENT TRUST$2$0$0
BANK CHARGES$50$50$0
EXPENSES PASSED THRU FROM HIGHLAND INVESTMENT TRUST$17$0$0
FILING FEES$21$0$21

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmt
H JAMES SCHAFER NOTE RECEIVABLE$1,772$1,772$1,772
UBTI PASSED THRU FROM HIGHLAND INVESTMENT TRUST$6,123$6,123$6,123

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryFROM HIGHLAND INVESTMENT TRUSTCategoryTxt
Amt$4,829Amt
Net Investment Income$4,829NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Substantial Contributors Sch SubstantialContributorsSch

Substantial Contributor Detail SubstantialContributorDetail

FieldValueIRS element (for citing)
PersonHIGHLAND CAPITAL LPPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15000 EDENHURST AVENUEAddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90039ZIPCd

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryCALIFORNIA TAXCategoryTxt
Amt$85Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$85DisbursementsCharitablePrpsAmt