FURP.ORG / PUBLIC DATA EXPLORER

WALDEN W SHAW FOUNDATION: Form 990PF, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
WALDEN W SHAW FOUNDATION (EIN 36-6162196)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-11
IRS object ID
201811319349101056
Schema version
2016v3.1
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)
Return2018-05-11T09:34:13-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FRIEDMAN & HUEY ASSOC LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11313 WEST 175TH STREETAddressLine1Txt
CityHOMEWOODCityNm
State AbbreviationILStateAbbreviationCd
ZIP60430ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN366162196EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE WALDEN W AND JEAN YOUNG SHAW FOUNDATIONBusinessNameLine1Txt
Business Name Line2C/O SUZANNE SAXMAN SEYFARTH SHAW LLPBusinessNameLine2Txt
FieldValueIRS element (for citing)
In Care Of% SUZANNE L SAXMANInCareOfNm
Business Name ControlWALDBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1233 SOUTH WACKER DRIVE Suite 8000AddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP606066448ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDONALD CAREY ILERPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone3124605630PhoneNum
Signature2018-05-10SignatureDt
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$7,406,492FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$0ContriRcvdRevAndExpnssAmt
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$341InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$341InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$187,948DividendsRevAndExpnssAmt
Dividends Net Invst Incm$187,948DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$368,266NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$1,949,169GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$368,266CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$49OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$49OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$556,604TotalRevAndExpnssAmt
Total Net Invst Incm$556,604TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$25,200CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$12,600CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$12,600CompOfcrDirTrstDsbrsChrtblAmt
Legal Fees Rev And Expnss$3,649LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$0LegalFeesNetInvstIncmAmt
Legal Fees Adj Net Incm$0LegalFeesAdjNetIncmAmt
Legal Fees Dsbrs Chrtbl$3,649LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$51,259AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$51,259AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$63,329OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$63,329OtherProfFeesNetInvstIncmAmt
Taxes Rev And Expnss$7,000TaxesRevAndExpnssAmt
Trav Conf Meeting Rev And Expnss$7,711TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Dsbrs Chrtbl$7,711TravConfMeetingDsbrsChrtblAmt
Other Expenses Rev And Expnss$4,970OtherExpensesRevAndExpnssAmt
Other Expenses Dsbrs Chrtbl$4,970OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$163,118TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$75,929TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$80,189TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$424,744ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$424,744ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$587,862TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$75,929TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$504,933TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$31,258ExcessRevenueOverExpensesAmt
Net Investment Income$480,675NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$49,630CashBOYAmt
Cash EOY$286,768CashEOYAmt
Cash EOYFMV$286,768CashEOYFMVAmt
Corporate Stock BOY$2,100,927CorporateStockBOYAmt
Corporate Stock EOY$2,578,225CorporateStockEOYAmt
Corporate Stock EOYFMV$2,578,225CorporateStockEOYFMVAmt
Corporate Bonds BOY$2,633,986CorporateBondsBOYAmt
Corporate Bonds EOY$1,957,649CorporateBondsEOYAmt
Corporate Bonds EOYFMV$1,957,649CorporateBondsEOYFMVAmt
Other Investments BOY$2,560,295OtherInvestmentsBOYAmt
Other Investments EOY$2,583,850OtherInvestmentsEOYAmt
Other Investments EOYFMV$2,583,850OtherInvestmentsEOYFMVAmt
Total Assets BOY$7,344,838TotalAssetsBOYAmt
Total Assets EOY$7,406,492TotalAssetsEOYAmt
Total Assets EOYFMV$7,406,492TotalAssetsEOYFMVAmt
Other Liabilities BOY$0OtherLiabilitiesBOYAmt
Other Liabilities EOY$1,352OtherLiabilitiesEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,352TotalLiabilitiesEOYAmt
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind
Unrestricted BOY$7,344,838UnrestrictedBOYAmt
Unrestricted EOY$7,405,140UnrestrictedEOYAmt
Tot Net Ast Or Fund Balances BOY$7,344,838TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$7,405,140TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$7,344,838TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$7,406,492TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$7,344,838TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$31,258ExcessRevenueOverExpensesAmt
Other Increases$91,560OtherIncreasesAmt
Subtotal$7,405,140SubtotalAmt
Tot Net Ast Or Fund Balances EOY$7,405,140TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (4 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
PUBLICLY TRADED SECURITIES - ACCT. 23-09779P$55,948$54,522$1,426$1,426
PUBLICLY TRADED SECURITIES - ACCT. 23-09779P$1,641,751$1,274,746$367,005$367,005
PUBLICLY TRADED SECURITIES - ACCT. 43-98260P$249,327$251,636-$2,309-$2,309
CAPITAL GAIN DIVIDENDSP$2,144
FieldValueIRS element (for citing)
Capital Gain Net Income$368,266CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$483,591AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$7,394,442NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.065399DistributionYr1Rt
Adjusted Qlfy Distri Yr2$561,673AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$8,209,325NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.068419DistributionYr2Rt
Adjusted Qlfy Distri Yr3$546,838AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$8,333,674NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.065618DistributionYr3Rt
Adjusted Qlfy Distri Yr4$558,578AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$8,310,046NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.067217DistributionYr4Rt
Adjusted Qlfy Distri Yr5$578,804AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$8,361,663NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.069221DistributionYr5Rt
Total Distribution0.335874TotalDistributionRt
Average Distribution0.067175AverageDistributionRt
Net Vl Noncharitable Assets$7,329,370NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$492,350AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$4,807NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$497,157AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$504,933QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$4,807InvestmentIncomeExciseTaxAmt
Subtotal$4,807SubtotalAmt
Tax Based On Investment Income$4,807TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$5,772EstimatedPlusOvpmtIncmTxAmt
Applied To Es Tax$7,000AppliedToEsTaxAmt
Total Payments And Credits$12,772TotalPaymentsAndCreditsAmt
Overpayment$7,965OverpaymentAmt
Applied To ES Tax$7,965AppliedToESTaxAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Form1120 POL FiledfalseForm1120POLFiledInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Changes To Articles Or BylawsfalseChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (true)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (true)AtLeast5000InAssetsInd
Org Report Or Register StateILOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (true)Form990PFFiledWithAttyGenInd
Private Operating FoundationfalsePrivateOperatingFoundationInd
New Substantial ContributorsfalseNewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1SUZANNE L SAXMANBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3124605646PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1233 SOUTH WACKER DRIVE SUITE 8000AddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP606066448ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts QuestionfalseForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified PrsnfalseSaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified PrsnfalseBrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified PrsnfalseFurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnYes (true)PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Acts Fail To Qlfy As ExceptionsfalseActsFailToQlfyAsExceptionsInd
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
Undistributed Income PYfalseUndistributedIncomePYInd
Business HoldingsfalseBusinessHoldingsInd
Jeopardy InvestmentsfalseJeopardyInvestmentsInd
Uncorrected PY Jeopardy InvstfalseUncorrectedPYJeopardyInvstInd
Influence LegislationfalseInfluenceLegislationInd
Influence ElectionfalseInfluenceElectionInd
Grants To IndividualsfalseGrantsToIndividualsInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
Relying Current Ntc Dsstr Asst1Yes (X)RelyingCurrentNtcDsstrAsst1Ind
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Proceeds Or Net IncomefalseProceedsOrNetIncomeInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
DONALD CAREY ILER
1107 BUENA VISTA APT 5SAN CLEMENTECA92672EXEC. DIRECTOR/PRES, VARIOUS0$25,200$0$0
ROBERT GORDON ILER
2527 NW EDENBOWER BLVD APT 74ROSEBURGOR97471DIRECTOR, VARIOUS0$0$0$0
WALTER ROTH
131 SOUTH DEARBORN ST STE 2400CHICAGOIL60603SECR/TREAS, VARIOUS0$0$0$0
N CAREY ILER JR
1641 BAYSIDE DRIVECORONA DEL MARCA92625DIRECTOR, VARIOUS0$0$0$0
ROBERT GORDON ILER JR
45 OLD FARMS ROADWEST SIMSBURYCT06092VICE PRESIDENT, VARIOUS0$0$0$0
SHARON JEAN KIRBY
PO BOX 2429IDYLLWILDCA92549DIRECTOR, VARIOUS0$0$0$0
CHERYL KENNEDY
2730 JEFFERSON STREET 26CARLSBADCA92008DIRECTOR, VARIOUS0$0$0$0

Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdService TypeServiceTypeTxtCompensationCompensationAmt
THE NORTHERN TRUST COMPANY
50 SOUTH LASALLE STREETCHICAGOIL60603BANK FEES$63,329
FRIEDMAN & HUEY ASSOCIATES LLP
1313 W 175TH STREETHOMEWOODIL60430ACCOUNTING$51,259

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1NOT APPLICABLEDescription1Txt
FieldValueIRS element (for citing)
Sum Of Program Related InvstSumOfProgramRelatedInvstGrp

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$7,287,460AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$153,525AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$7,440,985TotalFMVOfUnusedAssetsAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$7,440,985AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$111,615CashDeemedCharitableAmt
Net Vl Noncharitable Assets$7,329,370NetVlNoncharitableAssetsAmt
Minimum Investment Return$366,469MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$366,469MinimumInvestmentReturnAmt
Tax Based On Investment Income$4,807TaxBasedOnInvestmentIncomeAmt
Total Tax$4,807TotalTaxAmt
Distributable Before Adj$361,662DistributableBeforeAdjAmt
Distributable Before Ded$361,662DistributableBeforeDedAmt
Distributable As Adjusted$361,662DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$504,933ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$504,933QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$4,807PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$500,126AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$361,662DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Prior Year12014PriorYear1Yr
Prior Year22013PriorYear2Yr
Prior Year32012PriorYear3Yr
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$164,174ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$150,895ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$136,103ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$156,700ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$121,355ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$729,227TotalExcessDistributionCyovAmt
Qualifying Distributions$504,933QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Current Year$361,662AppliedToCurrentYearAmt
Remaining Distri From Corpus$143,271RemainingDistriFromCorpusAmt
Total Corpus$872,498TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Excess Distri Cyov From Yr5$164,174ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$708,324ExcessDistriCyovToNextYrAmt
Excess From Year4$150,895ExcessFromYear4Amt
Excess From Year3$136,103ExcessFromYear3Amt
Excess From Year2$156,700ExcessFromYear2Amt
Excess From Year1$121,355ExcessFromYear1Amt
Excess From Current Year$143,271ExcessFromCurrentYearAmt
FieldValueIRS element (for citing)
Private Operating FoundationsPrivateOperatingFoundationsGrp

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerNONEContributingManagerNm
Shareholder ManagerNONEShareholderManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (8 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ERIKSON INSTITUTE
451 N LASALLE STREETCHICAGOIL60654NONEPCGENERAL FUNDS$40,000
PEDIATRIC CANCER RESEARCH FOUNDATION OF ORANGE CTY
9272 JERONIMO ROAD SUITE 107AIRVINECA92618NONEPCGENERAL FUNDS$40,000
MERCY FOUNDATION INC
2700 NW STEWART PARKWAYROSENBURGOR97470NONEPCEQUIPMENT PURCHASE$90,000
BURN INSTITUTE
8825 AERO DRIVE SUITE 200SAN DIEGOCA92123NONEPCGENERAL FUNDS$39,200
CHOC FOUNDATION
455 S MAIN STREETORANGECA928683874NONEPCGENERAL FUNDS$121,800
UNIVERSITY OF ILLINOIS FOUNDATION
1305 WEST GREEN STREETURBANAIL618012962NONEPCGENERAL FUNDS$30,000
CONNECTICUT CHILDREN'S MEDICAL CENTER
282 WASHINGTON STREETHARTFORDCT06106NONEPCGENERAL FUNDS$37,134
THE SHEA CENTER
26284 OSO ROADSAN JUAN CAPISTRANOCA92675NONEPCGENERAL FUNDS$26,610
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$424,744TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

FieldValueIRS element (for citing)
Fees Contracts From Govt AgFeesContractsFromGovtAgGrp
Membership Dues And AssmntMembershipDuesAndAssmntGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$341ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$187,948ExclusionAmt
FieldValueIRS element (for citing)
Net Rntl Incm Re Debt Fincd PropNetRntlIncmReDebtFincdPropGrp
Net Rntl Incm Re Not Debt Fincd PropNetRntlIncmReNotDebtFincdProp
Net Rental Income Personal PropNetRentalIncomePersonalPropGrp
Other Investment Incm Part VIIOtherInvestmentIncmPartVIIGrp

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$368,266ExclusionAmt
FieldValueIRS element (for citing)
Net Income Loss From Special EvtNetIncomeLossFromSpecialEvtGrp
Gross Profit Loss Sls Of InvntryGrossProfitLossSlsOfInvntryGrp

Other Revenue Described OtherRevenueDescribedGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Exclusion14ExclusionCd
Exclusion$49ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$556,604ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$556,604TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EOfalseTrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EOfalseTrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EOfalsePurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth AssetsfalseRentalOfFacilitiesOthAssetsInd
Reimbursement ArrangementsfalseReimbursementArrangementsInd
Loans Or Loan GuaranteesfalseLoansOrLoanGuaranteesInd
Performance Of Services EtcfalsePerformanceOfServicesEtcInd
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtcInd
Relationships Nonchrtbl EOfalseRelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryFRIEDMAN & HUEY ASSOCIATES LLPCategoryTxt
Amt$51,259Amt
Disbursements Charitable Prps$51,259DisbursementsCharitablePrpsAmt

Depreciation Schedule DepreciationSchedule

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp

FieldValueIRS element (for citing)
BondSEE STATEMENT ATTACHEDBondNm
EOY Book Value$1,957,649EOYBookValueAmt
EOYFMV$1,957,649EOYFMVAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (2 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
SEE STATEMENT ATTACHED 09779$2,087,655$2,087,655
SEE STATEMENT ATTACHED 98260$490,570$490,570

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp

FieldValueIRS element (for citing)
Category Or ItemSEE STATEMENT ATTACHEDCategoryOrItemTxt
Book Value$2,583,850BookValueAmt
EOYFMV$2,583,850EOYFMVAmt

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategorySEAFARTH SHAW LLPCategoryTxt
Legal Fees$3,649LegalFeesAmt
Disbursements Charitable Prps$3,649DisbursementsCharitablePrpsAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (3 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
ILLINOIS FILING FEE$15$15
INSURANCE$4,835$4,835
MISCELLANEOUS EXPENSE$120$120

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Revenue And Expenses Per Books$49RevenueAndExpensesPerBooksAmt
Net Investment Income$49NetInvestmentIncomeAmt

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescUNREALIZED GAIN ON ASSETSDesc
Amt$91,560Amt

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail

FieldValueIRS element (for citing)
DescDUE TO BROKERDesc
BOY Book Value$0BOYBookValueAmt
EOY Book Value$1,352EOYBookValueAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryNORTHERN TRUST COMPANYCategoryTxt
Amt$63,329Amt
Net Investment Income$63,329NetInvestmentIncomeAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryEXCISE TAX PAIDCategoryTxt
Amt$7,000Amt