2018-08-15T12:47:38-05:00 2017-12-31 331197384 ANDERSEN TAX LLC 100 FIRST STREET STE 1600 SAN FRANCISCO CA 94105 990PF 2017-01-01 471609591 PANTAS AND TING SUTARDJA FOUNDATION PANT 18690 BLYTHSWOOD DR LOS GATOS CA 95030 TING CHUK DIRECTOR 2018-08-14 1 RAYMOND L THORNSON P01254947 4157642700 2017 2022-09-23 18:48:47Z X 49784708 X X 41955 41955 323525 323525 871547 12060204 4135530 2071 0 1239098 4501010 0 0 0 131855 127605 4250 160 80 80 72 36 36 132087 127721 4366 2182966 2182966 2315053 127721 2187332 -1075955 4373289 5311719 2041851 2041851 41990506 47518750 47742857 35763 0 0 47337988 49560601 49784708 34585 0 34585 X 47337988 49526016 47337988 49526016 47337988 49560601 47337988 -1075955 3263983 49526016 0 49526016 7,700 MARVELL TECHNOLOGY GROUP LTD 1995-01-01 2017-02-23 125026 1 125025 125025 135,522 MARVELL TECHNOLOGY GROUP LTD 1995-01-01 2017-02-27 2166529 11 2166518 2166518 8,500 MARVELL TECHNOLOGY GROUP LTD 1995-01-01 2017-02-28 136242 1 136241 136241 24,000 MARVELL TECHNOLOGY GROUP LTD 1995-01-01 2017-03-02 383512 2 383510 383510 24,278 MARVELL TECHNOLOGY GROUP LTD 1995-01-01 2017-03-03 391268 2 391266 391266 JPMORGAN CHASE & CO. LINKED TO BASKET OF INDICES UPSIDE LEVERED CAPPED W BUF 2015-12-01 2017-06-06 1389493 1250000 139493 139493 WELLS FARGO & COMPANY LINKED TO S&P 500 INDEX UPSIDE LEVERED CAPPED W BUFFER 2015-12-01 2017-06-06 1408750 1250000 158750 158750 BNP PARIBAS LINKED TO S&P 500 INDEX UPSIDE LEVERED CAPPED W BUFFER STRUCTURE 2015-12-01 2017-09-07 1446875 1250000 196875 196875 UBS AG LINKED TO BASKET OF INDICES UPSIDE LEVERED CAPPED W BUFFER STRUCTURED 2015-12-01 2017-09-07 1330027 1250000 80027 80027 CREDIT SUISSE AG LINKED TO S&P 500 INDEX UPSIDE LEVERED CAPPED W BUFFER STRU 2015-12-01 2017-12-06 1494688 1250000 244688 244688 UBS AG LINKED TO BASKET OF INDICES UPSIDE LEVERED CAPPED W BUFFER STRUCTURED 2015-12-01 2017-12-06 1398836 1250000 148836 148836 CALL/IBB @ 310 EXP 06/16/2017 (5RY0L0 2017-05-08 2017-06-14 6240 390 5850 5850 CALL/IBB @ 310 EXP 06/23/2017 (ACPS8R) 2017-05-16 2017-06-22 80996 -80996 -80996 CALL/IBB @ 305 EXP 06/30/2017 (AD0IHZ) 2017-05-23 2017-06-30 29649 -29649 -29649 CALL/IBB @ 300 EXP 07/07/2017 (ADOYCV) 2017-05-31 2017-07-05 106756 -106756 -106756 CALL/IBB @ 307.5 EXP 07/14/2017 (AD9WS0) 2017-06-06 2017-07-14 59577 -59577 -59577 CALL/IBB @ 310 EXP 07/21/2017 (AD47RP) 2017-06-14 2017-07-19 64584 -64584 -64584 CALL/IBB @ 330 EXP 07/28/2017 (ADCPMU) 2017-06-22 2017-07-28 40233 468 39765 39765 CALL/IBB @ 320 EXP 08/04/2017 (ADRJKE) 2017-06-30 2017-08-04 31043 468 30575 30575 CALL/IBB @ 325 EXP 08/11/2017 (ADT9SK) 2017-07-05 2017-08-10 35239 156 35083 35083 CALL/IBB @ 330 EXP 08/18/2017 (ADPTN6) 2017-07-14 2017-08-15 24547 228 24319 24319 CALL/IBB @ 327.5 EXP 08/25/2017 (AEAO5B) 2017-07-19 2017-08-25 36503 282 36221 36221 CALL/IBB @ 335 EXP 09/01/2017 (AE2KPK) 2017-07-28 2017-08-30 20709 858 19851 19851 CALL/IBB @ 330 EXP 09/08/2017 (AEDKRH) 2017-08-04 2017-09-08 15912 -15912 -15912 CALL/IBB @ 330 EXP 09/15/2017 (0IARH3) 2017-08-10 2017-09-15 2730 -2730 -2730 CALL/IBB @ 335 EXP 09/22/2017 (AE6BIX) 2017-08-30 2017-09-22 17394 234 17160 17160 CALL/IBB @ 330 EXP 09/29/2017 (AEDD6Y) 2017-08-15 2017-09-29 12312 -12312 -12312 CALL/IBB @ 332.5 EXP 10/06/2017 (AENHLS 2017-08-25 2017-10-06 44479 -44479 -44479 CALL/IBB @ 342.5 EXP 10/13/2017 (AF5SJQ) 2017-09-08 2017-10-13 34556 390 34166 34166 CALL/IBB @ 345 EXP 10/20/2017 (AEF5WF) 2017-09-15 2017-10-18 14664 234 14430 14430 CALL/IBB @ 345 EXP 10/27/2017 (AF9MNK) 2017-09-22 2017-10-25 11778 468 11310 11310 CALL/IBB @ 347.5 EXP 11/03/2017 (AF1UKA) 2017-09-29 2017-10-31 15580 456 15124 15124 CALL/IBB @ 355 EXP 11/10/2017 (AF35PA) 2017-10-06 2017-11-06 16224 468 15756 15756 CALL/IBB @ 355 EXP 11/17/2017 (AEZSCR) 2017-10-13 2017-11-15 9672 156 9516 9516 CALL/IBB @ 357.5 EXP 11/24/2017 (AF8KL2) 2017-10-18 2017-11-22 8424 156 8268 8268 CALL/IBB @ 340 EXP 12/01/2017 (AFFV9L) 2017-10-25 2017-11-28 13416 156 13260 13260 CALL/IBB @ 112.5 EXP 12/08/2017 (AGNSZI) 2017-10-31 2017-12-07 8588 456 8132 8132 CALL/IBB @ 111.67 EXP 12/15/2017 (AGNSYU) 2017-11-06 2017-12-12 16068 468 15600 15600 CALL/IBB @ 107.5 EXP 12/22/2017 (AGNSW3) 2017-11-15 2017-12-22 16380 468 15912 15912 CALL/IBB @ 108.33 EXP 12/29/2017 (AGNSWV) 2017-11-22 2017-12-29 11700 702 10998 10998 4135530 0 1200347 43929621 0.027324 24020 44133871 0.000544 0 49066 0.000000 0.027868 0.009289 48586616 451321 43733 495054 2187332 X 43733 0 43733 0 43733 5000 45000 0 50000 X 0 6267 6267 0 0 0 0 0 0 0 0 0 0 0 1 1 CA 1 0 0 0 0 1 N/A TING CHUK 4157642773 18690 BLYTHSWOOD DR LOS GATOS CA 95030 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PANTAS SUTARDJA 18690 BLYTHSWOOD DR LOS GATOS CA 95030 DIRECTOR 1.00 0 0 0 TING CHUK 18690 BLYTHSWOOD DR LOS GATOS CA 95030 DIRECTOR 1.00 0 0 0 NONE 0 NONE 0 0 44101089 5225425 0 49326514 0 0 49326514 739898 48586616 2429331 2429331 43733 43733 2385598 0 2385598 0 2385598 2187332 0 2187332 43733 2143599 2385598 2182966 0 0 2187332 2182966 0 0 4366 0 0 0 0 0 0 0 0 2381232 0 0 0 X LUCILE PACKARD FOUNDATION 400 HAMILTON AVE 340 PALO ALTO CA 94301 PUBLIC CHARITY CONTRIBUTION TO LUCILE PACKARD FOUNDATION FOR ASSISTANCE TO CHILDREN WITH SPECIAL HEALTH CARE NEEDS. 407000 UC BERKELEY PO BOX 774 BERKELEY CA 94701 PUBLIC CHARITY CONTRIBUTION TO UC BERKELEY GENERAL FUND FOR EDUCATION PURPOSES. 1504900 THE PANTAS AND TING SUTARDJA CHARITABLE FUND 18690 BLYTHSWOOD DRIVE LOS GATOS CA 95030 DONOR ADVISED FUND CONTRIBUTION TO THE PANTAS AND TING SUTARDJA CHARITABLE FUND FOR CHARITABLE PURPOSES. 271066 2182966 0 14 41955 14 323525 14 2071 18 871547 0 1239098 0 1239098 3 EARNINGS FROM INVESTMENTS ARE USED TO SUPPORT THE GOALS OF THE FOUNDATION 0 0 0 0 0 0 0 0 0 0 OTHER INVESTMENTS AT COST 47064413 47265455 INVESTMENT IN VINTAGE VII AT COST 454337 477402 INTEREST & DIVIDEND RECEIVABLE 35763 NON DIVIDEND DISTRIBUTION 2071 0 2071 BOOK-TAX DIFFERNCE FOR CAPITAL GAIN 3263983 TAX PREPARATION 8500 4250 4250 MANAGEMENT FEES 123355 123355 0 DELAWARE TAXES 25 13 13 CA TAXES 135 67 67