HIS FOUNDATION: Form 990PF, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
HIS FOUNDATION (EIN 91-6512367)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-02-07
IRS object ID
201700389349100610
Schema version
2015v3.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2017-02-07T16:37:36-08:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FIDELITY ACCOUNTING TAX SVCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12519 15th Ave SAddressLine1Txt
CitySeattleCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98144ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2015-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN916512367EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HIS FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHISFBusinessNameControlTxt
Phone2062321980PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12737 78TH AVE SEAddressLine1Txt
CityMERCER ISLANDCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98040ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJAMES CASSANPersonNm
Person TitleTRUSTEEPersonTitleTxt
Phone2062321980PhoneNum
Signature2016-11-10SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDIANA LONGPreparerPersonNm
Phone2068608552PhoneNum
Preparation2017-02-07PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$1,035,456FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$449,500ContriRcvdRevAndExpnssAmt
Dividends Rev And Expnss$520DividendsRevAndExpnssAmt
Dividends Net Invst Incm$520DividendsNetInvstIncmAmt
Cap Gain Net Incm Net Invst Incm$0CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$450,020TotalRevAndExpnssAmt
Total Net Invst Incm$520TotalNetInvstIncmAmt
Accounting Fees Rev And Expnss$600AccountingFeesRevAndExpnssAmt
Other Expenses Rev And Expnss$161OtherExpensesRevAndExpnssAmt
Tot Opr Expenses Rev And Expnss$761TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$0TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$153,310ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$153,310ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$154,071TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$0TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$153,310TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$295,949ExcessRevenueOverExpensesAmt
Net Investment Income$520NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$739,254CashBOYAmt
Cash EOY$1,035,195CashEOYAmt
Cash EOYFMV$1,035,195CashEOYFMVAmt
Other Assets BOY$266OtherAssetsBOYAmt
Other Assets EOY$261OtherAssetsEOYAmt
Other Assets EOYFMV$261OtherAssetsEOYFMVAmt
Total Assets BOY$739,520TotalAssetsBOYAmt
Total Assets EOY$1,035,456TotalAssetsEOYAmt
Total Assets EOYFMV$1,035,456TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind
Unrestricted BOY$739,520UnrestrictedBOYAmt
Unrestricted EOY$1,035,456UnrestrictedEOYAmt
Tot Net Ast Or Fund Balances BOY$739,520TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$1,035,456TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$739,520TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$1,035,456TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$739,520TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$295,949ExcessRevenueOverExpensesAmt
Subtotal$1,035,469SubtotalAmt
Other Decreases$13OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$1,035,456TotNetAstOrFundBalancesEOYAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$183,069AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$658,316NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.278087DistributionYr1Rt
Adjusted Qlfy Distri Yr2$189,249AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$554,529NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.341279DistributionYr2Rt
Adjusted Qlfy Distri Yr3$189,257AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$554,529NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.341293DistributionYr3Rt
Adjusted Qlfy Distri Yr4$165,120AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$739,043NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.223424DistributionYr4Rt
Adjusted Qlfy Distri Yr5$139,993AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$909,142NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.153984DistributionYr5Rt
Total Distribution1.338067TotalDistributionRt
Average Distribution0.267613AverageDistributionRt
Net Vl Noncharitable Assets$873,912NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$233,870AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$5NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$233,875AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$153,310QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$10InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$10SubtotalAmt
Tax Based On Investment Income$10TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$261EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$261TotalPaymentsAndCreditsAmt
Original Return Overpayment-$261OriginalReturnOverpaymentAmt
Overpayment$251OverpaymentAmt
Applied To ES Tax$251AppliedToESTaxAmt

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
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
Individual With BooksTUCK HOOIndividualWithBooksNm
Phone2062321980PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line12737 78TH AVE SE STE 201AddressLine1Txt
CityMERCER ISLANDCityNm
State AbbreviationWAStateAbbreviationCd
ZIP980402843ZIPCd
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 PrsnfalsePayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
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 (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
JAMES T CASSAN
2737 78TH AVE SE STE 201MERCER ISLANDWA98040TRUSTEE10.00$0$0$0
DORIS O CASSAN
2737 78TH AVE SE STE 201MERCER ISLANDWA98040TRUSTEE10.00$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$0AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$887,220AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$887,220TotalFMVOfUnusedAssetsAmt
Adjusted Total FMV Of Unused Ast$887,220AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$13,308CashDeemedCharitableAmt
Net Vl Noncharitable Assets$873,912NetVlNoncharitableAssetsAmt
Minimum Investment Return$43,696MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$43,696MinimumInvestmentReturnAmt
Tax Based On Investment Income$10TaxBasedOnInvestmentIncomeAmt
Total Tax$10TotalTaxAmt
Distributable Before Adj$43,686DistributableBeforeAdjAmt
Distributable Before Ded$43,686DistributableBeforeDedAmt
Distributable As Adjusted$43,686DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$153,310ExpensesAndContributionsAmt
Qualifying Distributions$153,310QualifyingDistributionsAmt
Adjusted Qualifying Distri$153,310AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$43,686DistributableAsAdjustedAmt
Excess Distribution Cyov Yr5$94,574ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$128,186ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$114,856ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$161,539ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$150,163ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$649,318TotalExcessDistributionCyovAmt
Qualifying Distributions$153,310QualifyingDistributionsAmt
Remaining Distri From Corpus$153,310RemainingDistriFromCorpusAmt
Total Corpus$802,628TotalCorpusAmt
Undistributed Income CY$43,686UndistributedIncomeCYAmt
Excess Distri Cyov From Yr5$94,574ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$708,054ExcessDistriCyovToNextYrAmt
Excess From Year4$128,186ExcessFromYear4Amt
Excess From Year3$114,856ExcessFromYear3Amt
Excess From Year2$161,539ExcessFromYear2Amt
Excess From Year1$150,163ExcessFromYear1Amt
Excess From Current Year$153,310ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (18 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
BIOLA UNIVERSITY
13800 BIOLA AVELA MIRADACA96639PFSCHOLARSHIP$17,614
PEPPERDINE UNIVERSITY
24255 PACIFIC COAST HIGHWAYMALIBUCA90263PFSCHOLARSHIP$2,500
GONZAGA UNIVERSITY
POBOX 3463SPOKANEWA99220PFSCHOLARSHIP$17,905
UC REGENTS
U OF CALIFORNIA 1156 HIGH STREETSANTA CRUZCA95064PFSCHOLARSHIP$52,091
INTERNATIONAL STUDENTS INC
PO BOX CCOLORADO SPRINGSCO809012901PFCHARITY$3,000
FREE WHEELCHAIR MISSION
POBOX 52001 DEPT 921PHOENIXAZ85072PFCHARITY CONTRIBUTION$10,000
HEALING THE CULTURE
PO BOX 517MONROEWA98272PFCHARITY CONTRIBUTION$10,000
CHRIST THE CORNERSTONE CHURCH
10608 NE 125TH PLKIRKLANDWA98034PFCHARITY CONTRIBUTION$5,000
URBAN IMPACT
7728 RAINIER AVE SSEATTLEWA98118PFCHARITY CONTRIBUTION$5,200
THE SALVATION ARMY
111 QUEEN ANNE AVENUE NOSEATTLEWA98109PFCHARITY CONTRIBUTION$5,000
NICOLAS FUND FOR EDUCATION
9311 SE 36TH ST SUITE 202MERCER ISLANDWA98040PFCHARITY CONTRIBUTION$7,500
THE URBAN ALTERNATIVE
PO BOX 4000DALLASTX75208PFCHARITY CONTRIBUTION$2,000
HOPE UNLIMITED
PO BOX 416STANWOODWA98292PFCHARITY CONTRIBUTION$500
LEGACY INSTITUTE
PO BOX 82746KENMOREWA98028PFCHARITY CONTRIBUTION$2,500
HEART OF HOPE
POBOX 2001VANCOUVERWA98668PFCHARITY CONTRIBUTION$2,500
EASTERN NEW MEXICO UNIVERSITY
1500 SOUTH AVENUE KPORTALESNM88130PFSCHOLARSHIP$5,000
UNION GOSPEL MISSION
PO BOX 202SEATTLEWA98111PFCHARITY CONTRIBUTION$2,500
OPERATION NIGHT WATCH
302 14TH AVE SSEATTLEWA98144PFCHARITY CONTRIBUTION$2,500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$153,310TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$520ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$520ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$520TotalIncomeProducingActyAmt

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 (5 entries)

ContributorContributorNumAddress Line1ContributorUSAddress/AddressLine1TxtCityContributorUSAddress/CityNmState AbbreviationContributorUSAddress/StateAbbreviationCdZIPContributorUSAddress/ZIPCdTotal ContributionsTotalContributionsAmtPerson ContributionPersonContributionInd
CASSAN ENTERPRISES INC
12737 78TH AVE SE STE 201MERCER ISLANDWA98040$400,000Yes (X)
DOLLAR PARK N FLY INC
22737 78TH AVE SE STE 201MERCER ISLANDWA98040$15,000Yes (X)
TODD INVESTMENT COMPANY
32737 78TH AVE SE STE 201MERCER ISLANDWA98040$15,000Yes (X)
DOLLAR DEVELOPMENT CO
42737 78TH AVE SE STE 201MERCER ISLANDWA98040$10,000Yes (X)
DOLLAR LEASING INC
52737 78TH AVE SE STE 201MERCER ISLANDWA98040$9,500Yes (X)

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescPRIOR YEAR ADJUSTMENTDesc
Amt$13Amt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt
DUES AND SUBSCRIPTIONS$70
OFFICE SUPPLIES$91

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