H5 FOUNDATION: Form 990PF, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- H5 FOUNDATION (EIN 46-1638726)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-05-14
- IRS object ID
- 201801349349104505
- Schema version
- 2017v2.2
- 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
- Legal Fees Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Increases Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-05-14T17:10:29-07:00 | ReturnTs |
| Tax Period End | 2017-12-31 | 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 | 2017-01-01 | 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 | 2018-05-10 | 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 | 2018-05-14 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $1,451,441 | 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 | $65,000 | ContriRcvdRevAndExpnssAmt |
| Interest On Sav Rev And Expnss | $195 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $195 | InterestOnSavNetInvstIncmAmt |
| Cap Gain Net Incm Net Invst Incm | $0 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $86,663 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $85,663 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | $151,858 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $85,858 | TotalNetInvstIncmAmt |
| Legal Fees Rev And Expnss | $851 | LegalFeesRevAndExpnssAmt |
| Legal Fees Net Invst Incm | $851 | LegalFeesNetInvstIncmAmt |
| Accounting Fees Rev And Expnss | $580 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Chrtbl Prps | $580 | AccountingFeesChrtblPrpsAmt |
| Taxes Rev And Expnss | $2,736 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $414 | TaxesNetInvstIncmAmt |
| Other Expenses Rev And Expnss | $0 | OtherExpensesRevAndExpnssAmt |
| Tot Opr Expenses Rev And Expnss | $4,167 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $1,265 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $580 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $58,600 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $58,600 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $62,767 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $1,265 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $59,180 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $89,091 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $84,593 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $376,267 | CashBOYAmt |
| Cash EOY | $187,531 | CashEOYAmt |
| Cash EOYFMV | $187,531 | CashEOYFMVAmt |
| Other Nts And Loans Rcvbl BOY | $197,065 | OtherNtsAndLoansRcvblBOYAmt |
| Other Nts And Loans Rcvbl EOY | $197,065 | OtherNtsAndLoansRcvblEOYAmt |
| Other Nts And Loans Rcvbl EOYFMV | $197,065 | OtherNtsAndLoansRcvblEOYFMVAmt |
| Other Investments BOY | $788,838 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $1,066,845 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $1,066,845 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $1,362,170 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,451,441 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $1,451,441 | TotalAssetsEOYFMVAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Retained Earning BOY | $1,362,170 | RetainedEarningBOYAmt |
| Retained Earning EOY | $1,451,441 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $1,362,170 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $1,451,441 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $1,362,170 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $1,451,441 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $1,362,170 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $89,091 | ExcessRevenueOverExpensesAmt |
| Other Increases | $180 | OtherIncreasesAmt |
| Subtotal | $1,451,441 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $1,451,441 | TotNetAstOrFundBalancesEOYAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | false | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $32,995 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $1,212,109 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.027221 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $29,410 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $1,082,737 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.027163 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $27,216 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $770,407 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.035327 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $15,600 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $427,377 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.036502 | DistributionYr4Rt |
| Total Distribution | 0.126213 | TotalDistributionRt |
| Average Distribution | 0.031553 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $1,624,450 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $51,256 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $846 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $52,102 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $59,180 | 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 | $846 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $846 | SubtotalAmt |
| Tax Based On Investment Income | $846 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $1,250 | EstimatedPlusOvpmtIncmTxAmt |
| Total Payments And Credits | $1,250 | TotalPaymentsAndCreditsAmt |
| Original Return Overpayment | -$1,250 | OriginalReturnOverpaymentAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Es Penalty | $12 | EsPenaltyAmt |
| Overpayment | $392 | OverpaymentAmt |
| Applied To ES Tax | $392 | AppliedToESTaxAmt |
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 | 1.00 | $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 | $385,278 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $1,263,910 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $1,649,188 | TotalFMVOfUnusedAssetsAmt |
| Adjusted Total FMV Of Unused Ast | $1,649,188 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $24,738 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $1,624,450 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $81,223 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $81,223 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $846 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $846 | TotalTaxAmt |
| Distributable Before Adj | $80,377 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $80,377 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $80,377 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $59,180 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $59,180 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $846 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $58,334 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $80,377 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $58,397 | UndistributedIncomePYAmt |
| Qualifying Distributions | $59,180 | QualifyingDistributionsAmt |
| Applied To Year1 | $58,397 | AppliedToYear1Amt |
| Applied To Current Year | $783 | AppliedToCurrentYearAmt |
| Undistributed Income CY | $79,594 | UndistributedIncomeCYAmt |
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 (45 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 | $3,500 |
| Habitat for Humanity-Grand County | ||||||
| PO Box 969 US Bank Bldg 51 E Agate | Granby | CO | 80446 | PC | Charitable | $1,000 |
| Denver Rescue Mission | ||||||
| PO Box 5206 | Denver | CO | 80217 | PC | Charitable | $250 |
| Cross Catholic Outreach | ||||||
| 2700 N Military Trail 240 PO Box 27 | Boca Raton | FL | 33427 | 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 | $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 |
| Children's Hospital Colorado | ||||||
| 13123 E 16th Ave | Aurora | CO | 80045 | PF | Charitable | $200 |
| Archdiosese of Denver | ||||||
| PO Box 100728 | Denver | CO | 80250 | PC | Religious | $2,500 |
| American Diabetes | ||||||
| 1Tour De Cure via Janet Jaderborg | Denver | CO | 00000 | PC | Charitable | $300 |
| St Anne | ||||||
| PO Box 2029 | Granby | CO | 80446 | PC | Religious | $1,500 |
| 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 | $500 |
| Seeds of Hope | ||||||
| 1300 S Steele St | Denver | CO | 80210 | PC | Charitable | $1,500 |
| Grand Foundation | ||||||
| PO Box 1342 | Winter Park | CO | 80482 | PF | Charitable | $250 |
| Alzheimer | ||||||
| 225 N Michigan Ave FL 17 | Chicago | IL | 60601 | PC | Charitable | $250 |
| 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 |
| My Friends Place | ||||||
| PO Box 3867 | Hollywood | CA | 90078 | 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 | ||||||
| PO Box 910585 | Denver | CO | 80291 | PC | Educational | $500 |
| Avon Cancer Walk | ||||||
| 601 Midland Ave | Rye | NY | 10580 | PC | Charitable | $250 |
| CO USC & Real Madrid Foundation | ||||||
| 2090 S Galapago St | Denver | CO | 80223 | PC | Charitable | $15,000 |
| Ashland Community Fund (Fire) | ||||||
| PO Box 276 | Ashland | KS | 67831 | PC | Charitable | $1,000 |
| Barbells for Boobs | ||||||
| 1006 E Chestnut Ave | Santa Ana | CA | 92701 | PC | Charitable | $250 |
| Ashland City Library | ||||||
| Ashland | Ashland | KS | 67831 | PC | Charitable | $100 |
| 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 | $1,000 |
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $58,600 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $195 | ExclusionAmt |
Other Investment Incm Part VII OtherInvestmentIncmPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $84,460 | ExclusionAmt |
Other Revenue Described OtherRevenueDescribedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Royalties | Desc |
| Exclusion | 15 | ExclusionCd |
| Exclusion | $1,203 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $85,858 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $85,858 | 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 | DAVID D AND LAURA HABER | ContributorPersonNm |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10320 W Chatfield Dr | AddressLine1Txt |
| City | Littleton | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80125 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | $65,000 | 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 | $580 | Amt |
| Disbursements Charitable Prps | $580 | DisbursementsCharitablePrpsAmt |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (2 entries)
| Category Or ItemCategoryOrItemTxt | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| JM Investment | $198,235 | $198,235 |
| Vectra SP 4, LLC | $868,610 | $868,610 |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | Plexus Capital LLC Legal | CategoryTxt |
| Legal Fees | $851 | LegalFeesAmt |
| Net Investment Income | $851 | NetInvestmentIncomeAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Bank Charges | Desc |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail (3 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| Royalties | $1,203 | $1,203 |
| Other Income | $84,460 | $84,460 |
| Tax Refund | $1,000 |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Percentage Depletion Allowed | Desc |
| Amt | $180 | Amt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (5 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| Investment Tax | $2,322 | |
| Production Tax | $35 | $35 |
| State Tax | $60 | $60 |
| Percentage Depletion | $180 | $180 |
| Partnership Loss | $139 | $139 |
Comments