SERVICE STATION FOUNDATION: Form 990PF, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
SERVICE STATION FOUNDATION (EIN 52-2281012)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-15
IRS object ID
201843199349104514
Schema version
2017v2.3
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)
Return2018-11-15T17:44:42-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN953882176PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1GORDON FISHBURN & MAJOR LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line111812 SAN VICENTE BLVD SUITE 200AddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90049ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN522281012EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE CHERNIN FAMILY FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCHERBusinessNameControlTxt
Phone3108260909PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line111812 SAN VICENTE BL NO 200AddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90049ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMEGAN CHERNINPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone3108260909PhoneNum
Signature2018-11-07SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonERIC MAJORPreparerPersonNm
PTINP00977724PTIN
Phone3108260909PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address65.208.174.82IPv4AddressTxt
FieldValueIRS element (for citing)
IP2018-11-07IPDt
IP Tm08:52:03IPTm
IP TimezonePSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id4FF6BD194F4923A9EE15BD6FB4832F65CED1FD71AtSubmissionCreationDeviceId
At Submission Filing Device Id4FF6BD194F4923A9EE15BD6FB4832F65CED1FD71AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$338,120FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$712,085ContriRcvdRevAndExpnssAmt
Dividends Rev And Expnss$115DividendsRevAndExpnssAmt
Net Gain Sale Ast Rev And Expnss$154,997NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$706,495GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$154,997CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$867,197TotalRevAndExpnssAmt
Total Net Invst Incm$154,997TotalNetInvstIncmAmt
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$8,105AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$4,052AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$0AccountingFeesChrtblPrpsAmt
Taxes Rev And Expnss$2,000TaxesRevAndExpnssAmt
Taxes Net Invst Incm$0TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$2,080OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$1,995OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$0OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$12,185TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$6,047TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$828,623ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$828,623ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$840,808TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$6,047TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$828,623TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$26,389ExcessRevenueOverExpensesAmt
Net Investment Income$148,950NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$472,313SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$338,120SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$338,120SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl BOY$4AcctRcvblBOYAmt
Total Assets BOY$472,317TotalAssetsBOYAmt
Total Assets EOY$338,120TotalAssetsEOYAmt
Total Assets EOYFMV$338,120TotalAssetsEOYFMVAmt
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$472,317RetainedEarningBOYAmt
Retained Earning EOY$338,120RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$472,317TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$338,120TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$472,317TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$338,120TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$472,317TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$26,389ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$498,706SubtotalAmt
Other Decreases$160,586OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$338,120TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (9 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtAcquiredAcquiredDt
2425 SHARES- ONEOK INCP2017-10-16$135,890$96,083$39,807$39,807
1400 SHARES- ALLIANCE HOLDINGSP2017-10-16$39,417$25,403$14,014$14,0142016-05-09
1600 SHARES- ANTERO MIDSTREAMP2017-10-16$48,144$38,403$9,741$9,7412016-05-09
1550 SHARES- CEDAR FAIRP2017-10-16$98,237$50,427$47,810$47,810
5825 SHARES- ENERGY TRANSFERP2017-10-16$102,926$73,510$29,416$29,416
2200 SHARES- ENTERPRISE PRODUCTSP2017-10-16$57,702$56,037$1,665$1,665
1400 SHARES- EQT GP HOLDINGSP2017-10-16$41,551$35,393$6,158$6,1582016-05-09
550 SHARES- EQT MIDSTREAMP2017-10-16$40,982$36,173$4,809$4,809
3600 SHARES- WESTERN GASP2017-10-16$141,646$140,069$1,577$1,577
FieldValueIRS element (for citing)
Capital Gain Net Income$154,997CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$715,250AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$372,619NetVlNoncharitableAssetsYr1Amt
Distribution Yr11.919521DistributionYr1Rt
Adjusted Qlfy Distri Yr2$520,250AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$339,653NetVlNoncharitableAssetsYr2Amt
Distribution Yr21.531710DistributionYr2Rt
Adjusted Qlfy Distri Yr3$545,600AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$360,015NetVlNoncharitableAssetsYr3Amt
Distribution Yr31.515492DistributionYr3Rt
Adjusted Qlfy Distri Yr4$381,825AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$429,634NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.888722DistributionYr4Rt
Adjusted Qlfy Distri Yr5$1,070,403AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$244,277NetVlNoncharitableAssetsYr5Amt
Distribution Yr54.381923DistributionYr5Rt
Total Distribution10.237368TotalDistributionRt
Average Distribution2.047474AverageDistributionRt
Net Vl Noncharitable Assets$333,966NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$683,787AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$1,490NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$685,277AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$828,623QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$1,490InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$1,490SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$1,490TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$4,211EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$2,200ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$6,411TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Overpayment$4,921OverpaymentAmt
Applied To ES Tax$4,921AppliedToESTaxAmt
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
Org Report Or Register StateDEOrgReportOrRegisterStateCd
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 BooksBRENTWOOD MANAGEMENT GROUPIndividualWithBooksNm
Phone3108260909PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line111812 SAN VICENTE BLVD 200AddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90049ZIPCd
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

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
PETER CHERNIN
11812 SAN VICENTE BLVD SUITE 200LOS ANGELESCA90049SECRETARY/CFO0.50$0$0$0
MEGAN CHERNIN
11812 SAN VICENTE BLVD SUITE 200LOS ANGELESCA90049PRESIDENT2.00$0$0$0
JOHN CHERNIN
11812 SAN VICENTE BLVD SUITE 200LOS ANGELESCA90049DIRECTOR0.25$0$0$0
DAVID CHERNIN
11812 SAN VICENTE BLVD SUITE 200LOS ANGELESCA90049DIRECTOR0.25$0$0$0
MARGARET CHERNIN
11812 SAN VICENTE BLVD SUITE 200LOS ANGELESCA90049DIRECTOR0.25$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)
Description1N/ADescription1Txt
Expenses1$0Expenses1Amt

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$0AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$339,052AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$339,052TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$339,052AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$5,086CashDeemedCharitableAmt
Net Vl Noncharitable Assets$333,966NetVlNoncharitableAssetsAmt
Minimum Investment Return$16,698MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$16,698MinimumInvestmentReturnAmt
Tax Based On Investment Income$1,490TaxBasedOnInvestmentIncomeAmt
Total Tax$1,490TotalTaxAmt
Distributable Before Adj$15,208DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$15,208DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$15,208DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$828,623ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$828,623QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$1,490PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$827,133AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$15,208DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$1,062,443ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$362,859ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$535,466ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$508,003ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$702,387ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$3,171,158TotalExcessDistributionCyovAmt
Qualifying Distributions$828,623QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$15,208AppliedToCurrentYearAmt
Remaining Distri From Corpus$813,415RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$3,984,573TotalCorpusAmt
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$1,062,443ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$2,922,130ExcessDistriCyovToNextYrAmt
Excess From Year4$362,859ExcessFromYear4Amt
Excess From Year3$535,466ExcessFromYear3Amt
Excess From Year2$508,003ExcessFromYear2Amt
Excess From Year1$702,387ExcessFromYear1Amt
Excess From Current Year$813,415ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerPETER CHERNINContributingManagerNm
Contributing ManagerMEGAN CHERNINContributingManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (11 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
MALARIA NO MORE
423 PARK AVENUE SOUTH 4TH FLNEW YORKNY10016NONEPUBLIC CHARITYFOR CHARITABLE PURPOSES$250,000
THE GABRIELLA FOUNDATION
639 S COMMONWEALTH AVE SUITE B100LOS ANGELESCA90005NONEPUBLIC CHARITYFOR CHARITABLE PURPOSES$2,500
NEW ROADS SCHOOL
3131 OLYMPIC BLVDSANTA MONICACA90404NONEPUBLIC CHARITYFOR CHARITABLE PURPOSES$25,000
LAS PROMISE
202 W 1ST STREET SUITE 160LOS ANGELESCA90012NONEPUBLIC CHARITYFOR CHARITABLE PURPOSES$365,000
PMCJIMMY FUND
77 4TH AVENUENEEDHAMMA02494NONEPUBLIC CHARITYFOR CHARITABLE PURPOSES$500
MV YOUTH INC
PO BOX 65CHILMARKMA02535NONEPUBLIC CHARITYFOR CHARITABLE PURPOSES$26,623
MARTHA'S VINEYARD HOSPITAL INC
1 HOSPITAL ROADOAK BLUFFSMA02557NONEPUBLIC CHARITYFOR CHARITABLE PURPOSES$2,500
MV CONSERVATION SOCIETY
POST OFFICE BOX 2189VINEYARD HAVENMA02568NONEPUBLIC CHARITYFOR CHARITABLE PURPOSES$1,000
SHEILA KAR HEALTH FOUNDATION
150 N ROBERTSON BLVD SUITE 115BEVERLY HILLSCA90211NONEPUBLIC CHARITYFOR CHARITABLE PURPOSES$500
THE GETTY TRUST
1200 GETTY CENTER DRIVELOS ANGELESCA90049NONEPUBLIC CHARITYFOR CHARITABLE PURPOSES$150,000
THE WILEY CENTER
5761 BUCKINGHAM PARKWAYCULVER CITYCA90230NONEPUBLIC CHARITYFOR CHARITABLE PURPOSES$5,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$828,623TotalGrantOrContriPdDurYrAmt
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$115ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$154,997ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$155,112ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$155,112TotalIncomeProducingActyAmt

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

FieldValueIRS element (for citing)
Contributor1ContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1PETER AND MEGAN CHERNINBusinessNameLine1Txt

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line111812 SAN VICENTE BLVD SUITE 200AddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90049ZIPCd
FieldValueIRS element (for citing)
Total Contributions$712,085TotalContributionsAmt
Noncash ContributionYes (X)NoncashContributionInd

Non Cash Property Contribution NonCashPropertyContributionGrp

FieldValueIRS element (for citing)
Contributor1ContributorNum
Noncash PropertyVARIOUS SECURITIESNoncashPropertyDesc
Fair Market Value$712,085FairMarketValueAmt
Received2017-10-10ReceivedDt

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$8,105Amt
Net Investment Income$4,052NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescDIFFERENCE BETWEEN BOOK VALUE AND MARKET VALUE OF SECURITIES RECEIVEDDesc
Amt$160,586Amt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FILING FEES$85$0$0
INVESTMENT FEES$1,995$1,995$0

Substantial Contributors Sch SubstantialContributorsSch

Substantial Contributor Detail SubstantialContributorDetail

FieldValueIRS element (for citing)
PersonPETER MEGAN CHERNINPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12327 LA MESA DRIVEAddressLine1Txt
CitySANTA MONICACityNm
State AbbreviationCAStateAbbreviationCd
ZIP90402ZIPCd

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryFEDERAL EXCISE TAXCategoryTxt
Amt$2,000Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

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