BETA

GUILLERMO J VALENZUELA FOUNDATION: Form 990PF, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
GUILLERMO J VALENZUELA FOUNDATION (EIN 47-4990743)
Tax period
2016-08-01 to 2017-07-31
Filed
2018-06-13
IRS object ID
201841649349100619
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)
Return2018-06-13T17:47:04-05:00ReturnTs
Tax Period End2017-07-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HOLTHOUSE CARLIN & VAN TRIGT LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13011 TOWNSGATE ROAD SUITE 400AddressLine1Txt
CityWESTLAKE VILLAGECityNm
State AbbreviationCAStateAbbreviationCd
ZIP91361ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2016-08-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN474990743EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GUILLERMO J VALENZUELA FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% BETHANY GOLDBERGInCareOfNm
Business Name ControlGUILBusinessNameControlTxt
Phone9095803470PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1595 N ARROWHEAD AVEAddressLine1Txt
CitySAN BERNARDINOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP924011201ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGUILLERMO J VALENZUELA MDPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone9095803470PhoneNum
Signature2018-06-11SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonStephanie WilkinsonPreparerPersonNm
PTINP01231617PTIN
Phone8053748555PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$4,812,060FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$3,000,000ContriRcvdRevAndExpnssAmt
Dividends Rev And Expnss$36,393DividendsRevAndExpnssAmt
Dividends Net Invst Incm$36,393DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$18,971NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$872,169GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$14,943CapGainNetIncmNetInvstIncmAmt
Other Income Net Invst Incm$237OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$3,055,364TotalRevAndExpnssAmt
Total Net Invst Incm$51,573TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Oth Empl Slrs Wgs Rev And Expnss$22,880OthEmplSlrsWgsRevAndExpnssAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$22,880OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Rev And Expnss$2,269PensionEmplBnftRevAndExpnssAmt
Pension Empl Bnft Dsbrs Chrtbl$2,269PensionEmplBnftDsbrsChrtblAmt
Legal Fees Rev And Expnss$55,084LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$0LegalFeesNetInvstIncmAmt
Legal Fees Adj Net Incm$0LegalFeesAdjNetIncmAmt
Legal Fees Dsbrs Chrtbl$55,084LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$20,529AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$10,265AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$10,264AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$57,104OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$21,104OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$36,000OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$3,992TaxesRevAndExpnssAmt
Taxes Dsbrs Chrtbl$2,792TaxesDsbrsChrtblAmt
Trav Conf Meeting Rev And Expnss$800TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Dsbrs Chrtbl$800TravConfMeetingDsbrsChrtblAmt
Other Expenses Rev And Expnss$16,172OtherExpensesRevAndExpnssAmt
Other Expenses Dsbrs Chrtbl$16,172OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$178,830TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$31,369TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$146,261TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$200,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$200,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$378,830TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$31,369TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$346,261TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$2,676,534ExcessRevenueOverExpensesAmt
Net Investment Income$20,204NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$1,997,826CashBOYAmt
Cash EOY$640,099CashEOYAmt
Cash EOYFMV$640,099CashEOYFMVAmt
Sav And Temp Cash Invst EOY$274,722SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$274,722SavAndTempCashInvstEOYFMVAmt
Corporate Stock BOY$0CorporateStockBOYAmt
Corporate Stock EOY$371,878CorporateStockEOYAmt
Corporate Stock EOYFMV$371,878CorporateStockEOYFMVAmt
Corporate Bonds BOY$0CorporateBondsBOYAmt
Corporate Bonds EOY$1,343,093CorporateBondsEOYAmt
Corporate Bonds EOYFMV$1,343,093CorporateBondsEOYFMVAmt
Other Investments BOY$0OtherInvestmentsBOYAmt
Other Investments EOY$2,182,268OtherInvestmentsEOYAmt
Other Investments EOYFMV$2,182,268OtherInvestmentsEOYFMVAmt
Total Assets BOY$1,997,826TotalAssetsBOYAmt
Total Assets EOY$4,812,060TotalAssetsEOYAmt
Total Assets EOYFMV$4,812,060TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind
Unrestricted BOY$1,997,826UnrestrictedBOYAmt
Unrestricted EOY$4,812,060UnrestrictedEOYAmt
Tot Net Ast Or Fund Balances BOY$1,997,826TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$4,812,060TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$1,997,826TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$4,812,060TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$1,997,826TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$2,676,534ExcessRevenueOverExpensesAmt
Other Increases$137,700OtherIncreasesAmt
Subtotal$4,812,060SubtotalAmt
Tot Net Ast Or Fund Balances EOY$4,812,060TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (2 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
PUBLICLY TRADED SECURITIESP$872,124$857,226$14,898$14,898
CAPITAL GAIN DIVIDENDSP$45
FieldValueIRS element (for citing)
Capital Gain Net Income$14,943CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$72,174AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$1,263,243NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.057134DistributionYr1Rt
Total Distribution0.057134TotalDistributionRt
Average Distribution0.057134AverageDistributionRt
Net Vl Noncharitable Assets$4,022,347NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$229,813AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$202NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$230,015AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$346,261QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$202InvestmentIncomeExciseTaxAmt
Subtotal$202SubtotalAmt
Tax Based On Investment Income$202TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$1,200EstimatedPlusOvpmtIncmTxAmt
Applied To Es Tax$1,500AppliedToEsTaxAmt
Total Payments And Credits$2,700TotalPaymentsAndCreditsAmt
Overpayment$2,498OverpaymentAmt
Applied To ES Tax$2,498AppliedToESTaxAmt

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 StateCAOrgReportOrRegisterStateCd
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 Line1BETHANY GOLDBERGBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5202624122PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1595 N ARROWHEAD AVEAddressLine1Txt
CitySAN BERNARDINOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP924011201ZIPCd
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
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd

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
GUILLERMO J VALENZUELA M D
595 N ARROWHEAD AVESAN BERNARDINOCA924011201DIRECTOR, PRESIDENT5.0$0$0$0
DALE CONRAD
595 N ARROWHEAD AVESAN BERNARDINOCA924011201DIRECTOR, SECRETARY, TREASURER3.0$0$0$0
SHIRLEY WONG M D
595 N ARROWHEAD AVESAN BERNARDINOCA924011201DIRECTOR, VICE PRESIDENT1.0$0$0$0
FieldValueIRS element (for citing)
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt

Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LAW OFFICES OF STEVEN RUBINBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11912 BROADWAY SUITE 105AddressLine1Txt
CitySANTA MONICACityNm
State AbbreviationCAStateAbbreviationCd
ZIP90404ZIPCd
FieldValueIRS element (for citing)
Service TypeLEGAL SERVICESServiceTypeTxt
Compensation$51,824CompensationAmt
FieldValueIRS element (for citing)
Contractor Paid Over50k0ContractorPaidOver50kCnt
FieldValueIRS element (for citing)
Summary Of Direct Chrtbl ActySummaryOfDirectChrtblActyGrp
Sum Of Program Related InvstSumOfProgramRelatedInvstGrp

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$2,202,534AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$1,881,067AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$4,083,601TotalFMVOfUnusedAssetsAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$4,083,601AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$61,254CashDeemedCharitableAmt
Net Vl Noncharitable Assets$4,022,347NetVlNoncharitableAssetsAmt
Minimum Investment Return$201,117MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$201,117MinimumInvestmentReturnAmt
Tax Based On Investment Income$202TaxBasedOnInvestmentIncomeAmt
Total Tax$202TotalTaxAmt
Distributable Before Adj$200,915DistributableBeforeAdjAmt
Distributable Before Ded$200,915DistributableBeforeDedAmt
Distributable As Adjusted$200,915DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$346,261ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$346,261QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$202PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$346,059AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$200,915DistributableAsAdjustedAmt
Prior Year12014PriorYear1Yr
Prior Year22013PriorYear2Yr
Prior Year32012PriorYear3Yr
Qualifying Distributions$346,261QualifyingDistributionsAmt
Applied To Current Year$200,915AppliedToCurrentYearAmt
Remaining Distri From Corpus$145,346RemainingDistriFromCorpusAmt
Total Corpus$145,346TotalCorpusAmt
Undistributed Income CY$0UndistributedIncomeCYAmt
Excess Distri Cyov To Next Yr$145,346ExcessDistriCyovToNextYrAmt
Excess From Current Year$145,346ExcessFromCurrentYearAmt
FieldValueIRS element (for citing)
Private Operating FoundationsPrivateOperatingFoundationsGrp

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerGUILLERMO J VALENZUELA MDContributingManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (10 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
CATHOLIC CHARITIES SAN BERNARDINO AND RIVERSIDE
1450 NORTH D STREETSAN BERNARDINOCA92405NONEPCCASEWORKER SALARY.$20,000
COACHELLA VALLEY VOLUNTEERS IN MEDICINE
PO BOX 10090INDIOCA92202NONEPCWomens Wellness Programs - To pay for testing and diagnostics for women receiving GYN care.$15,000
COMPASSPOINT
500 12TH STREET NO 320OAKLANDCA94607NONEPCNext Generation Leaders of Color Inland Region.$20,000
EL SOL NEIGHBORHOOD EDUCATIONAL CENTER
766 N WATERMAN AVENUESAN BERNARDINOCA92410NONEPCDepression screening and treatment for women 65 and older.$25,000
INLAND BEHAVIORAL & HEALTH SERVICES INC
1963 NORTH E STREETSAN BERNARDINOCA92401NONEPCUltrasound machine for prenatal patients.$20,000
PLANNED PARENTHOOD OF THE PACIFIC SOUTHWEST
49-111 HWY 111 UNIT 6BCOACHELLACA92236NONEPCPROMOTORAS PROGRAM.$20,000
REACH OUT
1126 WEST FOOTHILL BLVD SUITE 250UPLANDCA91786NONEPCINLAND HEALTH PROFESSIONALS COALITION.$25,000
SOUTHERN CALIFORNIA PUBLIC RADIO
474 SOUTH RAYMOND AVENUEPASADENACA91105NONEPCHEALTH CARE NEWS DESK.$15,000
TIME FOR CHANGE FOUNDATION
PO BOX 25040SAN BERNARDINOCA92404NONEPCHousing and Supportive Services AND Homeless Prevention Assistance.$20,000
KVCR EDUCATIONAL FOUNDATION INC
701 S MOUNT VERNON AVESAN BERNARDINOCA92410NONEPCPBS KIDS' DAY - KVCR/PBS KIDS CAMP EVENT, KVCR VETERAN'S INITIATIVE - IN HER BOOTS EVENT, AND KVCR AUTISM INITIATIVE - PRODUCTION UNDERWRITING FUN & SIMPLE COOKING WITH CHASE.$20,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$200,000TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

FieldValueIRS element (for citing)
Fees Contracts From Govt AgFeesContractsFromGovtAgGrp
Membership Dues And AssmntMembershipDuesAndAssmntGrp
Int On Sav And Temp Cash InvstIntOnSavAndTempCashInvstGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$36,393ExclusionAmt
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$18,971ExclusionAmt
FieldValueIRS element (for citing)
Net Income Loss From Special EvtNetIncomeLossFromSpecialEvtGrp
Gross Profit Loss Sls Of InvntryGrossProfitLossSlsOfInvntryGrp

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$55,364ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$55,364TotalIncomeProducingActyAmt

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

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 PersonGUILLERMO J VALENZUELA MDContributorPersonNm

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1762AddressLine1Txt
CityCOLTONCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92324ZIPCd
FieldValueIRS element (for citing)
Total Contributions$3,000,000TotalContributionsAmt
Person ContributionYes (X)PersonContributionInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$20,529Amt
Net Investment Income$10,265NetInvestmentIncomeAmt
Disbursements Charitable Prps$10,264DisbursementsCharitablePrpsAmt

Depreciation Schedule DepreciationSchedule

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp

FieldValueIRS element (for citing)
BondLIDO - SEE STATEMENT ATTACHEDBondNm
EOY Book Value$1,343,093EOYBookValueAmt
EOYFMV$1,343,093EOYFMVAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (5 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
3,480.426 SHS DREYFUS DYNAMIC$57,218$57,218
2,474.809 SHS FPA CRESCENT FUN$85,084$85,084
2,730.395 SHS GATEWAY FUND CLA$88,656$88,656
4,361.487 SHS LEUTHOLD CORE IN$87,099$87,099
2,855.238 SHS JP MORGAN OPPORT$53,821$53,821

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (6 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
LIDO - SEE STATEMENT ATTACHEDAT COST$1,066,913$1,066,913
ANCHOR FUND LLC CLASS DAT COST$250,000$250,000
S&R INCOME FUND I LPAT COST$252,500$252,500
MAPLETON CAPITAL INVESTORS LLCAT COST$105,396$105,396
ROSEN HEDGED INDEX FUND LPAT COST$307,459$307,459
WESTRIDGE LENDING FUND LLCAT COST$200,000$200,000

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryLEGAL FEESCategoryTxt
Legal Fees$55,084LegalFeesAmt
Disbursements Charitable Prps$55,084DisbursementsCharitablePrpsAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (9 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
PAYROLL ADMIN FEE$601$601
OFFICE EXPENSE$714$714
INSURANCE EXPENSE$5,593$5,593
BANK CHARGES$55$55
POSTAGE AND MAILING$126$126
TELEPHONE$3,753$3,753
MEALS AND ENTERTAINMENT$30$30
DUES AND SUBSCRIPTIONS$300$300
ADV. & COMMUNITY OUTREACH$5,000$5,000

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescPARTNERSHIP INCOMEDesc
Net Investment Income$237NetInvestmentIncomeAmt

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescUNREALIZED GAIN ON INVESTMENTSDesc
Amt$137,700Amt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
INVESTMENT FEES$21,104$21,104
CONSULTING$36,000$36,000

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (3 entries)

CategoryCategoryTxtAmtAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FEDERAL EXCISE TAX$1,200
STATE FILING FEES$160$160
PAYROLL TAXES$2,632$2,632

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