LEWIS FAMILY FOUNDATION: Form 990PF, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- LEWIS FAMILY FOUNDATION (EIN 68-0593113)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-10-31
- IRS object ID
- 201803049349100325
- Schema version
- 2017v2.3
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-10-31T16:24:26-05:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 352476821 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LEWIS FAMILY OFFICE | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5240 S POLARIS AVENUE | AddressLine1Txt |
| City | LAS VEGAS | CityNm |
| State Abbreviation | NV | StateAbbreviationCd |
| ZIP | 89118 | 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 | 680593113 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LEWIS FAMILY FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LEWI | BusinessNameControlTxt |
| Phone | 9099850971 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1156 N MOUNTAIN AVENUE | AddressLine1Txt |
| City | UPLAND | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91786 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RICHARD A LEWIS | PersonNm |
| Person Title | TRUSTEE | PersonTitleTxt |
| Phone | 9099850971 | PhoneNum |
| Signature | 2018-10-31 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| PTIN | P01707424 | PTIN |
| Phone | 7022627338 | PhoneNum |
| Preparation | 2018-10-23 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 173.51.177.194 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-10-31 | IPDt |
| IP Tm | 13:03:15 | IPTm |
| IP Timezone | PD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 27470A29841CAC77589E014D20A3C243EEBC2B10 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | ED2D76EC96834FE59FF3F0C43B7C0E140C30C313 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2018-06-14 16:35:46Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $42,210 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Interest On Sav Rev And Expnss | $395 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $395 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $26 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $26 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $3 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $60,042 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $3 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $424 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $424 | 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 |
| Other Prof Fees Rev And Expnss | $1,000 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $424 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $576 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $11 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $1 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $10 | TaxesDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $41 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $41 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $0 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $1,052 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $466 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $586 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $2,500 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $2,500 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $3,552 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $466 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $3,086 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$3,128 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $3,729 | CashBOYAmt |
| Cash EOY | $3,720 | CashEOYAmt |
| Cash EOYFMV | $3,720 | CashEOYFMVAmt |
| Sav And Temp Cash Invst BOY | $41,609 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $38,490 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $38,490 | SavAndTempCashInvstEOYFMVAmt |
| Total Assets BOY | $45,338 | TotalAssetsBOYAmt |
| Total Assets EOY | $42,210 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $42,210 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Capital Stock BOY | $0 | CapitalStockBOYAmt |
| Capital Stock EOY | $0 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | $45,338 | RetainedEarningBOYAmt |
| Retained Earning EOY | $42,210 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $45,338 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $42,210 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $45,338 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $42,210 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $45,338 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$3,128 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $42,210 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $42,210 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (59 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|---|---|
| ACE INA HOLDING 5.700% 2/15/17 | P | 2016-03-11 | 2017-02-15 | $1,000 | $1,000 | $0 | $0 |
| AIR PRODUCTS & CHEMI 1.200% 10/15/17 | P | 2016-10-27 | 2017-10-15 | $1,000 | $1,000 | $0 | $0 |
| ALTERA CORP 1.750% 5/15/17 | P | 2017-01-10 | 2017-05-15 | $1,000 | $1,000 | $0 | $0 |
| AMERICAN EXPRESS CRE 2.375% 3/24/17 | P | 2016-07-07 | 2017-03-24 | $1,000 | $1,000 | $0 | $0 |
| AMERICAN EXPRESS CRE 2.375% 3/24/17 | P | 2016-11-30 | 2017-03-24 | $1,000 | $1,000 | $0 | $0 |
| AMERICAN HONDA FINAN 1.550% 12/11/17 | P | 2017-05-08 | 2017-12-11 | $1,000 | $1,000 | $0 | $0 |
| AMERICAN HONDA FINAN 0.950% 5/05/17 | P | 2016-07-18 | 2017-05-05 | $1,000 | $1,000 | $0 | $0 |
| AMERISOURCEBERGEN CO 1.150% 5/15/17 | P | 2017-01-17 | 2017-05-15 | $1,000 | $1,000 | $0 | $0 |
| AMGEN INC 1.250% 5/22/17 | P | 2017-02-23 | 2017-05-22 | $1,000 | $1,000 | $0 | $0 |
| ANHEUSER-BUSCH INBEV 1.375% 7/15/17 | P | 2017-03-16 | 2017-07-15 | $1,000 | $1,000 | $0 | $0 |
| APPLE INC 1.050% 5/05/17 | P | 2017-01-10 | 2017-05-05 | $1,000 | $1,000 | $0 | $0 |
| AUST & NZ BANKING GR 1.250% 1/10/17 | P | 2016-06-09 | 2017-01-10 | $1,000 | $1,000 | $0 | $0 |
| BB&T CORPORATION 2.150% 3/22/17 | P | 2016-11-02 | 2017-02-22 | $1,000 | $1,000 | $0 | $0 |
| BP CAPITAL MARKETS 1.846% 5/05/17 | P | 2017-01-12 | 2017-05-05 | $1,000 | $1,000 | $0 | $0 |
| BPCE SA 1.625% 2/10/17 | P | 2016-11-30 | 2017-02-10 | $1,000 | $1,000 | $0 | $0 |
| BANK OF AMERICA NA 1.250% 2/14/17 | P | 2016-07-29 | 2017-02-14 | $1,000 | $1,000 | $0 | $0 |
| VR BANK OF MONTREAL 0.923% 7/14/17 | P | 2016-08-16 | 2017-07-14 | $1,000 | $1,000 | $0 | $0 |
| BANK OF NOVA SCOTIA 2.550% 1/12/17 | P | 2016-11-29 | 2017-01-12 | $1,000 | $1,000 | $0 | $0 |
| BLACKROCK INC 6.250% 9/15/17 | P | 2017-02-23 | 2017-04-19 | $1,020 | $1,021 | -$1 | -$1 |
| BUNGE LIMITED FINANC 3.200% 6/15/17 | P | 2016-06-29 | 2017-06-15 | $1,000 | $1,000 | $0 | $0 |
| BURLINGTON NORTH SAN 5.650% 5/01/17 | P | 2017-01-10 | 2017-05-01 | $1,000 | $1,000 | $0 | $0 |
| CATERPILLAR FINANCIA 1.750% 3/24/17 | P | 2017-01-03 | 2017-03-24 | $1,000 | $1,000 | $0 | $0 |
| CINTAS CORPORATION 6.125% 12/01/17 | P | 2017-03-16 | 2017-12-01 | $1,000 | $1,000 | $0 | $0 |
| CISCO SYSTEMS INC 3.150% 3/14/17 | P | 2016-03-22 | 2017-03-14 | $1,000 | $1,000 | $0 | $0 |
| CITIGROUP INC 6.125% 11/21/17 | P | 2017-01-10 | 2017-11-21 | $2,000 | $2,000 | $0 | $0 |
| CLOROX 5.950% 10/15/17 | P | 2017-01-05 | 2017-10-15 | $1,000 | $1,000 | $0 | $0 |
| COMMONWEALTH BK AUST 1.125% 3/13/17 | P | 2016-11-30 | 2017-03-13 | $1,000 | $1,000 | $0 | $0 |
| CONOCOPHILLIPS COMPA 1.050% 12/15/17 | P | 2017-10-06 | 2017-12-15 | $1,000 | $1,000 | $0 | $0 |
| DIAGEO CAPITAL PLC 5.750% 10/23/17 | P | 2017-06-21 | 2017-10-23 | $1,000 | $1,000 | $0 | $0 |
| DIAGEO CAPITAL PLC 1.500% 5/11/17 | P | 2016-11-30 | 2017-05-11 | $1,000 | $1,000 | $0 | $0 |
| DIRECTV HOLDINGS/FIN 2.400% 3/15/17 | P | 2016-11-29 | 2017-03-15 | $1,000 | $1,000 | $0 | $0 |
| EATON VANCE CORP 6.500% 10/02/17 | P | 2017-03-08 | 2017-05-06 | $1,022 | $1,020 | $2 | $2 |
| ESTEE LAUDER CO INC 5.550% 5/15/17 | P | 2016-09-06 | 2017-05-15 | $1,000 | $1,000 | $0 | $0 |
| VR EXXON MOBIL COR 0.274% 3/15/17 | P | 2016-12-12 | 2017-03-15 | $1,000 | $1,000 | $0 | $0 |
| GENERAL DYNAMICS COR 1.000% 11/15/17 | P | 2017-01-30 | 2017-11-15 | $1,000 | $999 | $1 | $1 |
| GLAXOSMITHKLINE CAPI 1.500% 5/08/17 | P | 2016-12-01 | 2017-05-08 | $1,000 | $1,000 | $0 | $0 |
| HSBC USA INC 1.300% 6/23/17 | P | 2016-08-12 | 2017-06-23 | $1,000 | $1,000 | $0 | $0 |
| IBM CORPORATION 5.700% 9/14/17 | P | 2017-01-05 | 2017-09-14 | $1,000 | $1,000 | $0 | $0 |
| NATIONAL RURAL UTIL 1.100% 1/27/17 | P | 2016-07-18 | 2017-01-27 | $1,000 | $1,000 | $0 | $0 |
| ORACLE CORP 1.200% 10/15/17 | P | 2017-06-26 | 2017-10-15 | $1,000 | $1,000 | $0 | $0 |
| PHILIP MORRIS INTL 1.250% 11/09/17 | P | 2017-02-23 | 2017-11-09 | $1,000 | $1,000 | $0 | $0 |
| PRAXAIR INC 1.050% 11/07/17 | P | 2017-02-14 | 2017-11-07 | $1,000 | $1,000 | $0 | $0 |
| VR ROYAL BANK OF 0.879% 2/03/17 | P | 2016-12-12 | 2017-02-03 | $1,000 | $1,000 | $0 | $0 |
| SOUTHWEST AIRLINES 5.125% 3/01/17 | P | 2016-11-30 | 2017-03-01 | $1,000 | $1,000 | $0 | $0 |
| SUMITOMO MITSUI BANK 1.300% 1/10/17 | P | 2016-11-30 | 2017-01-10 | $1,000 | $1,000 | $0 | $0 |
| TOTAL CAPITAL INTL 1.500% 2/17/17 | P | 2016-07-26 | 2017-02-17 | $1,000 | $1,000 | $0 | $0 |
| TOTAL CAPITAL INTL 1.500% 2/17/17 | P | 2016-12-07 | 2017-02-17 | $1,000 | $1,000 | $0 | $0 |
| TOYOTA MOTOR CREDIT 1.750% 5/22/17 | P | 2017-01-17 | 2017-05-22 | $1,000 | $1,000 | $0 | $0 |
| UBS AG STAMFORD CT 1.375% 6/01/17 | P | 2017-03-16 | 2017-06-01 | $1,000 | $1,000 | $0 | $0 |
| UNION BANK NA 2.125% 6/16/17 | P | 2016-07-18 | 2017-06-16 | $1,000 | $1,000 | $0 | $0 |
| UNION ELECTRIC CO 6.400% 6/15/17 | P | 2016-06-29 | 2017-06-15 | $1,000 | $1,000 | $0 | $0 |
| U S TREASURY NOTES 4.625% 2/15/17 | P | 2016-05-24 | 2017-02-15 | $1,000 | $1,000 | $0 | $0 |
| US TREASURY NOTE 0.750% 11/30/17 | P | 2017-04-10 | 2017-11-30 | $1,000 | $999 | $1 | $1 |
| US TREASURY NOTE 1.875% 9/30/17 | P | 2017-04-10 | 2017-09-30 | $1,000 | $1,000 | $0 | $0 |
| US TREASURY NOTE 0.875% 7/15/17 | P | 2017-04-10 | 2017-07-15 | $1,000 | $1,000 | $0 | $0 |
| VODAFONE GROUP PLC 5.625% 2/27/17 | P | 2016-11-29 | 2017-02-27 | $1,000 | $1,000 | $0 | $0 |
| WAL MART STORES INC 5.375% 4/05/17 | P | 2016-06-10 | 2017-04-05 | $1,000 | $1,000 | $0 | $0 |
| WESTPAC BANKING CORP 1.500% 12/01/17 | P | 2017-02-23 | 2017-12-01 | $1,000 | $1,000 | $0 | $0 |
| LOWE'S COMPANIES INC 1.625% 4/15/17 | P | 2016-04-14 | 2017-04-15 | $1,000 | $1,000 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $3 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $3,183 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $47,338 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.067240 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $3,010 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $50,794 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.059259 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $3,010 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $52,949 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.056847 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $10 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $53,613 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.000187 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $25 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $54,026 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.000463 | DistributionYr5Rt |
| Total Distribution | 0.183996 | TotalDistributionRt |
| Average Distribution | 0.036799 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $44,209 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $1,627 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $0 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $1,627 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $3,086 | 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 | $0 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $0 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $0 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $0 | EstimatedPlusOvpmtIncmTxAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $0 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Tax Due | $0 | TaxDueAmt |
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 | 0 | UnrelatedBusIncmOverLimitInd |
| 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 | 0 | 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 | LEWIS FAMILY OFFICE | IndividualWithBooksNm |
| Phone | 7022627338 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5240 S POLARIS AVENUE | AddressLine1Txt |
| City | LAS VEGAS | CityNm |
| State Abbreviation | NV | StateAbbreviationCd |
| ZIP | 89118 | 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 | 0 | 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 |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActsInd |
| Undistributed Income PY | 0 | UndistributedIncomePYInd |
| Business Holdings | 0 | BusinessHoldingsInd |
| 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 (4 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 |
|---|---|---|---|---|---|---|---|---|
| RICHARD A LEWIS | ||||||||
| 1156 N MOUNTAIN AVENUE | UPLAND | CA | 91786 | TRUSTEE | 0.00 | $0 | $0 | $0 |
| ROBERT E LEWIS | ||||||||
| 5240 S POLARIS AVENUE | LAS VEGAS | NV | 89118 | TRUSTEE | 0.00 | $0 | $0 | $0 |
| ROGER G LEWIS | ||||||||
| 1156 N MOUNTAIN AVENUE | UPLAND | CA | 91786 | TRUSTEE | 0.00 | $0 | $0 | $0 |
| RANDALL W LEWIS | ||||||||
| 1156 N MOUNTAIN AVENUE | UPLAND | CA | 91786 | TRUSTEE | 0.50 | $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 | $41,529 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $3,353 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $44,882 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $44,882 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $673 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $44,209 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $2,210 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $2,210 | MinimumInvestmentReturnAmt |
| Total Tax | $0 | TotalTaxAmt |
| Distributable Before Adj | $2,210 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $2,210 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $2,210 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $3,086 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $3,086 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $3,086 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $2,210 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr3 | $363 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $470 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $816 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $1,649 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $3,086 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $2,210 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $876 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $2,525 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $2,525 | ExcessDistriCyovToNextYrAmt |
| Excess From Year3 | $363 | ExcessFromYear3Amt |
| Excess From Year2 | $470 | ExcessFromYear2Amt |
| Excess From Year1 | $816 | ExcessFromYear1Amt |
| Excess From Current Year | $876 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAN ANTONIO HOSPITAL FOUNDATION | BusinessNameLine1Txt |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 999 SAN BERNARDINO ROAD | AddressLine1Txt |
| City | UPLAND | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91786 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Foundation Status | PC | RecipientFoundationStatusTxt |
| Grant Or Contribution Purpose | TO PROMOTE HEALTHIER COMMUNITIES ACROSS THE INLAND EMPIRE. | GrantOrContributionPurposeTxt |
| Amt | $2,500 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $2,500 | 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 | $395 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $26 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $3 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $424 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $424 | 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 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | AGENCY FEES | Desc |
| Revenue And Expenses Per Books | $41 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $41 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | PROFESSIONAL FEES | CategoryTxt |
| Amt | $1,000 | Amt |
| Net Investment Income | $424 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $576 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| STATE FILING FEE | $10 | $0 | $10 |
| FOREIGN TAXES PAID | $1 | $1 | $0 |
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