CABIN ROAD FOUNDATION 04042011: Form 990PF, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- CABIN ROAD FOUNDATION 04042011 (EIN 30-6284988)
- Tax period
- 2016-12-01 to 2017-11-30
- Filed
- 2018-02-26
- IRS object ID
- 201800579349100315
- Schema version
- 2016v3.0
- 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
- General Explanation Attachment
- Other Assets Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Professional Fees Schedule
- Substantial Contributors Sch
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-02-26T16:06:05-06:00 | ReturnTs |
| Tax Period End | 2017-11-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 342017646 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Gagnon Group LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | P O Box 730 | AddressLine1Txt |
| City | Point Pleasant | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 087420730 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2016-12-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 306284988 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Cabin Road Foundation | BusinessNameLine1Txt |
| Business Name Line2 | dated April 4 2011 | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CABI | BusinessNameControlTxt |
| Phone | 7322951000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | c/o The Gagnon Group LLC PO Box 730 | AddressLine1Txt |
| City | Point Pleasant | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 087420730 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Anne Grousbeck Matta | PersonNm |
| Person Title | Trustee | PersonTitleTxt |
| Phone | 7322951000 | PhoneNum |
| Signature | 2018-02-20 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Mary C Buletza | PreparerPersonNm |
| PTIN | P00546079 | PTIN |
| Phone | 7322951000 | PhoneNum |
| Preparation | 2018-02-20 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 74.92.82.177 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-02-20 | IPDt |
| IP Tm | 15:06:35 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | A8FDB4E3648B73969F6FBBCD2EB6CB90C5F78914 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | C5A66001887D083DF0C2E6BB4E4EA40E935B327E | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $223,324,654 | 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 | $141,750,000 | ContriRcvdRevAndExpnssAmt |
| Interest On Sav Rev And Expnss | $19,652 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $19,652 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $344,425 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $325,581 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $1,924,703 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $1,924,703 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $1,461,711 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $246,136 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $201,661 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | $144,284,916 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $2,008,605 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $0 | CompOfcrDirTrstDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $36,700 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $15,850 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $5,000 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $7,500 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $0 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $7,500 | OtherProfFeesDsbrsChrtblAmt |
| Interest Rev And Expnss | $25,828 | InterestRevAndExpnssAmt |
| Interest Net Invst Incm | $22,787 | InterestNetInvstIncmAmt |
| Interest Dsbrs Chrtbl | $0 | InterestDsbrsChrtblAmt |
| Taxes Rev And Expnss | $135,180 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $27,569 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $543,879 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $479,326 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $150 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $749,087 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $545,532 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $12,650 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $2,365,115 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $2,365,115 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $3,114,202 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $545,532 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $2,377,765 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $141,170,714 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $1,463,073 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $1,606,118 | CashBOYAmt |
| Cash EOY | $964,867 | CashEOYAmt |
| Cash EOYFMV | $964,867 | CashEOYFMVAmt |
| Other Assets BOY | $39,634,162 | OtherAssetsBOYAmt |
| Other Assets EOY | $181,446,127 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $222,359,787 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $41,240,280 | TotalAssetsBOYAmt |
| Total Assets EOY | $182,410,994 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $223,324,654 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Capital Stock BOY | $41,240,280 | CapitalStockBOYAmt |
| Capital Stock EOY | $182,410,994 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | $0 | RetainedEarningBOYAmt |
| Retained Earning EOY | $0 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $41,240,280 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $182,410,994 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $41,240,280 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $182,410,994 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $41,240,280 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $141,170,714 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $182,410,994 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $182,410,994 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (6 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt | Cost Or Other BasisCostOrOtherBasisAmt |
|---|---|---|---|---|---|---|---|
| K-1 STCG | P | 2016-12-01 | 2017-11-30 | $810,112 | $810,112 | $810,112 | |
| K-1 LTCG | P | 2016-11-30 | 2017-11-30 | $310,017 | $310,017 | $310,017 | |
| K-1 Sec 1231 | P | 2016-11-30 | 2017-11-30 | $341,582 | $341,582 | $341,582 | |
| K-1 STCG UBI | P | 2016-12-01 | 2017-11-30 | $48 | $0 | $0 | $48 |
| K-1 LTCG UBI | P | 2016-11-30 | 2017-11-30 | $4,656 | $0 | $0 | $4,656 |
| K-1 Sec 1231 UBI | P | 2016-11-30 | 2017-11-30 | $458,288 | $0 | $0 | $458,288 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $1,461,711 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $1,752,270 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $42,782,532 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.040958 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $1,552,188 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $42,584,891 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.036449 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $3,251,386 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $43,345,279 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.075011 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $2,319,008 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $41,299,884 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.056150 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $0 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $9,850,000 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.000000 | DistributionYr5Rt |
| Total Distribution | 0.208568 | TotalDistributionRt |
| Average Distribution | 0.041714 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $201,760,442 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $8,416,235 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $14,631 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $8,430,866 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $2,377,765 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $29,261 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $29,261 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $29,261 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $67,000 | EstimatedPlusOvpmtIncmTxAmt |
| Total Payments And Credits | $67,000 | TotalPaymentsAndCreditsAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Overpayment | $37,739 | OverpaymentAmt |
| Applied To ES Tax | $37,500 | AppliedToESTaxAmt |
| Refund | $239 | RefundAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | 0 | LegislativePoliticalActyInd |
| More Than100 Spent | 0 | MoreThan100SpentInd |
| Form1120 POL Filed | 0 | Form1120POLFiledInd |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Tax Reimbursed | $0 | TaxReimbursedAmt |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (1) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | CA | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (1) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | 0 | PrivateOperatingFoundationInd |
| New Substantial Contributors | Yes (1) | NewSubstantialContributorsInd |
| Own Controlled Entity | 0 | OwnControlledEntityInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (1) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
| Individual With Books | Anne Grousbeck Matta | IndividualWithBooksNm |
| Phone | 6504544731 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2995 Woodside Road Suite 400 | AddressLine1Txt |
| City | Woodside | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94062 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | 0 | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | 0 | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | Yes (1) | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | 0 | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | 0 | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Acts Fail To Qlfy As Exceptions | Yes (1) | ActsFailToQlfyAsExceptionsInd |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActsInd |
| Undistributed Income PY | 0 | UndistributedIncomePYInd |
| Business Holdings | Yes (1) | BusinessHoldingsInd |
| Excess Business Holdings | 0 | ExcessBusinessHoldingsInd |
| Jeopardy Investments | 0 | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | 0 | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | 0 | InfluenceLegislationInd |
| Influence Election | 0 | InfluenceElectionInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Noncharitable Purpose | 0 | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (2 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 |
|---|---|---|---|---|---|---|---|---|
| Anne Grousbeck Matta | ||||||||
| 2995 Woodside Road Suite 400 | Woodside | CA | 94062 | Trustee | 1.00 | $0 | $0 | $0 |
| Horacio Matta Velasco | ||||||||
| 2995 Woodside Road Suite 400 | Woodside | CA | 94062 | Trustee | 1.00 | $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 |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $202,837,165 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $1,995,771 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $204,832,936 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $204,832,936 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $3,072,494 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $201,760,442 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $10,088,022 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $10,088,022 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $29,261 | TaxBasedOnInvestmentIncomeAmt |
| Income Tax | $31,529 | IncomeTaxAmt |
| Total Tax | $60,790 | TotalTaxAmt |
| Distributable Before Adj | $10,027,232 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $10,027,232 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $10,027,232 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $2,377,765 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $2,377,765 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $2,377,765 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $10,027,232 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr4 | $279,442 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $1,144,322 | ExcessDistributionCyovYr3Amt |
| Total Excess Distribution Cyov | $1,423,764 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $2,377,765 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $2,377,765 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $1,423,764 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $1,423,764 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $0 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $6,225,703 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $0 | ExcessDistriCyovToNextYrAmt |
Supplementary Information SupplementaryInformationGrp
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | Anne G Matta Trustee | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2995 Woodside Road Suite 400 | AddressLine1Txt |
| City | Woodside | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94602 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 6504544731 | RecipientPhoneNum |
| Recipient Email Address | osobuccochile@gmail.com | RecipientEmailAddressTxt |
| Form And Info And Materials | No formal procedures have been established at this time | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | No deadlines have been established at this time | SubmissionDeadlinesTxt |
| Restrictions On Awards | Grants are limited to IRC Section 501(c)(3) defined purposes and charities. | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (9 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| Alive & Free | |||||||
| 1060 Tennessee Street | San Francisco | CA | 94107 | N/A | Public charities | General | $250,000 |
| California Family Foundation | |||||||
| 3201 Ash Street | Palo Alto | CA | 94306 | N/A | Public charities | General | $40,000 |
| East Valley Family YMCA | |||||||
| 1975 S White Road | San Jose | CA | 95148 | N/A | Public charities | General | $75,000 |
| Eastside College Preparatory School Inc | |||||||
| 1041 Myrtle Street | East Palo Alto | CA | 94303 | N/A | Public charities | General | $150,000 |
| K-1 Allocation | |||||||
| 655 Knight Way | Stanford | CA | 943057216 | N/A | Public charities | General | $115 |
| Lewis and John Platt EPA Family YMCA | |||||||
| 550 Bell Street | East Palo Alto | CA | 94303 | N/A | Public charities | General | $50,000 |
| Menlo School College Opportunity | |||||||
| 50 Valparaiso | Atherton | CA | 94027 | N/A | Public charities | General | $475,000 |
| Redwood City Police Department | |||||||
| 1301 Maple Street | Redwood City | CA | 94063 | N/A | Public charities | General | $100,000 |
| Stanford University Office of Development | |||||||
| 655 Knight Way | Stanford | CA | 943057216 | N/A | Public charities | General | $1,225,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $2,365,115 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $19,652 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business | 900099 | BusinessCd |
| Unrelated Business Taxbl Incm | $18,844 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | 14 | ExclusionCd |
| Exclusion | $325,581 | ExclusionAmt |
Other Investment Incm Part VII OtherInvestmentIncmPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business | 900099 | BusinessCd |
| Unrelated Business Taxbl Incm | $27,351 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | 14 | ExclusionCd |
| Exclusion | $218,785 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business | 900099 | BusinessCd |
| Unrelated Business Taxbl Incm | $462,992 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | 14 | ExclusionCd |
| Exclusion | $1,461,711 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $509,187 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $2,025,729 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $2,534,916 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | 0 | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | 0 | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | 0 | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | 0 | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | 0 | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | 0 | 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 | Mr H Irving Grousbeck | ContributorPersonNm |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 655 Knight Way | AddressLine1Txt |
| City | Stanford | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94305 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | $141,750,000 | TotalContributionsAmt |
| Noncash Contribution | Yes (X) | NoncashContributionInd |
Non Cash Property Contribution NonCashPropertyContributionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | 1 | ContributorNum |
| Noncash Property | 9,000,000 shares of NEW Asurion Corporation common stock. | NoncashPropertyDesc |
| Fair Market Value | $141,750,000 | FairMarketValueAmt |
| Received | 2016-12-19 | ReceivedDt |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | Accounting and tax fees | CategoryTxt |
| Amt | $36,700 | Amt |
| Net Investment Income | $15,850 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $5,000 | DisbursementsCharitablePrpsAmt |
General Explanation Attachment GeneralExplanationAttachment
General Explanation GeneralExplanationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Form 8886 | FormAndLineReferenceDesc |
| Medium Explanation | TWO FORMS 8886 REPORTABLE TRANSACTION DISCLOSURESTATEMENTS WERE FILED FOR CURRENT YEAR LOSS TRANSACTIONSGREATER THAN $2 MILLION DOLLARS EACH AND TRANSACTIONSWITH CUMULATIVE LOSSES GREATER THAN $4 MILLIONEACH AS REQUIRED BY REG. SEC. 1.6011-4. THE PARTNER'SSHARE OF EACH TRANSACTION LOSS WAS LESS THAN $2MILLION FOR THE CURRENT YEAR, AND LESS THAN $4 MILLIONCUMULATIVELY UNLESS OTHERWISE NOTED. THIS IS BELOWTHE MINIMUM THRESHOLD FOR FILING OF FORM 8886 BY THE PARTNER. | MediumExplanationTxt |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp (2 entries)
| DescDesc | BOY Book ValueBOYBookValueAmt | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| Investment in diversified investment partnerships | $39,634,162 | $39,696,127 | $43,529,787 |
| Investment in private company common stock | $0 | $141,750,000 | $178,830,000 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (6 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| California filing fees | $150 | $0 | $150 |
| K-1 allocation non-ded exp | $382 | $0 | $0 |
| K-1 allocation deductions - portfolio (2% floor) | $132,982 | $132,982 | $0 |
| K-1 allocation deductions - portfolio (other) | $6,500 | $1,500 | $0 |
| K-1 allocation K-1s Pship Ordinary Income | $344,844 | $344,844 | $0 |
| UBI allocation K-1s Pship Net Rental RE loss UBI | $59,021 | $0 | $0 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail (11 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt |
|---|---|---|---|
| K-1 Pship Portfolio income | $5,369 | $5,369 | $5,369 |
| K-1 Pship Portfolio income-UBI | -$236 | $0 | -$236 |
| K-1 Pship Sec 1256 Contracts & Straddles | $248,789 | $248,789 | $248,789 |
| K-1 Pship Sec 1256 Contracts & Straddles-UBI | $0 | $0 | $0 |
| K-1 Pship Other income | $0 | $0 | $0 |
| K-1 Pship Ordinary income | -$15 | -$15 | -$15 |
| K-1 Pship Ordinary income-UBI | $27,587 | $0 | $27,587 |
| K-1 Pship Net Rental RE income | -$52,482 | -$52,482 | -$52,482 |
| K-1 Pship Net Rental RE income-UBI | $0 | $0 | $0 |
| K-1 Pship Other Income-state refunds | $5,390 | $0 | $5,390 |
| Other Income-state refunds | $11,734 | $0 | $11,734 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | Auditing fees | CategoryTxt |
| Amt | $7,500 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $7,500 | DisbursementsCharitablePrpsAmt |
Substantial Contributors Sch SubstantialContributorsSch
Substantial Contributor Detail SubstantialContributorDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Mr H Irving Grousbeck | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 655 Knight Way | AddressLine1Txt |
| City | Stanford | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94305 | ZIPCd |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (4 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| Federal 990 PF tax payments | $60,000 | $0 | $0 |
| Federal 990 T tax payments | $15,000 | $0 | $0 |
| Foreign tax withheld | $48,497 | $27,569 | $0 |
| State tax expense | $11,683 | $0 | $0 |
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