2017-05-15T19:04:07-05:00 2016-12-31 952642922 CRISELL & ASSOCIATES CPA'S 2199 E WILLOW ST SIGNAL HILL CA 90755 990PF 2016-01-01 050544710 PATRICK AND ROBIN VAN DAELE FAMILY FOUNDATION PATR 9517740000 4210 RIVERWALK PARKWAY NO 270 RIVERSIDE CA 92505 PATRICK VAN DAELE MANAGER 9517740000 2017-05-15 1 ANDREW J BARBER P00192799 5625950501 2017-05-15 96.229.173.181 2017-05-15 16:10:33 PD P F8D5E2CEF6FD3FF255F3DC8E5FAF010EE2161439 DF6DFC65CA40E39A00642490ABED58015A5C674C 2016 2021-01-29 14:40:06Z X 2770612 X X 73580 73453 26856 59427 27045 214 0 100650 100498 0 0 0 510 500 0 32073 27278 0 32583 27778 0 90388 90388 122971 27778 90388 -22321 72720 47061 31187 31187 100 100 2626948 2739325 2739325 2674009 2770612 2770612 0 0 X 0 0 0 0 2674009 2770612 2674009 2770612 2674009 2770612 2674009 -22321 300099 2951787 181175 2770612 CAPITAL GAINS DIVIDENDS P 27045 27045 27045 27045 0 275356 2768719 0.099452 120798 3093144 0.039053 134360 3005321 0.044707 117778 2937333 0.040097 144705 2917954 0.049591 0.272900 0.054580 2703499 147557 727 148284 90388 1454 0 1454 0 1454 1160 1160 X 294 0 0 0 0 0 0 0 0 0 0 1 1 CA 1 0 0 0 0 1 NOT APPLICABLE PATRICK J VAN DAELE 9517740000 4210 RIVERWALK PARKWAY SUITE 270 RIVERSIDE CA 92505 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PATRICK VAN DAELE 4210 RIVERWALK PARKWAY SUITE 270 RIVERSIDE CA 92505 FOUNDATION MANAGER 2.00 0 0 0 ROBIN VAN DAELE 2596 RAEBURN DRIVE RIVERSIDE CA 92506 SECRETARY 1.00 0 0 0 NONE 0 NONE 0 0 2712760 31909 0 2744669 0 0 2744669 41170 2703499 135175 135175 1454 1454 133721 0 133721 0 133721 90388 0 90388 0 90388 133721 0 0 1648 103977 139172 244797 90388 0 0 0 90388 0 43333 43333 201464 0 0 0 0 0 0 0 201464 62292 139172 PATRICK VAN DAELE ROBIN VAN DAELE X RIVERSIDE LIFE SERVICES 3727 MCCRAY RIVERSIDE CA 92506 NONE OTHER PUBLIC CHARITY GENERAL SUPPORT 48406 RIVERSIDE LIFE SERVICES 3727 MCCRAY RIVERSIDE CA 92506 NONE OTHER PUBLIC CHARITY GENERAL SUPPORT 6894 USC UNIVERSITY PARK LOS ANGELES CA 900898003 NONE OTHER PUBLIC CHARITY GENERAL SUPPORT 30000 USC UNIVERSITY PARK LOS ANGELES CA 900898003 NONE OTHER PUBLIC CHARITY GENERAL SUPPORT 1920 USC UNIVERSITY PARK LOS ANGELES CA 900898003 NONE OTHER PUBLIC CHARITY GENERAL SUPPORT 900 USC UNIVERSITY PARK LOS ANGELES CA 900898003 NONE OTHER PUBLIC CHARITY GENERAL SUPPORT 1518 WARRIOR FUNDATION 1223 1/2 28TH STREET APT A SAN DEIGO CA 92102 NONE OTHER PUBLIC CHARITY GENERAL SUPPORT 500 NEWPORT HARBOR HIGHSCHOOL 600 IRVINE AVE NEWPORT BEACH CA 92663 NONE OTHER PUBLIC CHARITY GENERAL SUPPORT 250 90388 0 14 73580 18 26856 IRS REFUND 214 01 214 100436 0 100650 0 0 0 0 0 0 0 0 0 0 TWC FDS INC TOTAL RETURN 2010-09 PURCHASED 2016-11 24000 23836 0 164 FIRST EAGEL FUNDS SOGEN OVERSEAS FUND CL 2014-09 PURCHASED 6328 6550 0 -222 PRUDENTIAL INVT PORT FROWTH FUND CLASS Z 2014-09 PURCHASED 2016-01 2054 2185 0 -131 WELLS FARGO PRIVATE BANKING PORTFOLIO #9369 FMV 1843018 1843018 WELLS FARGO PRIVATE BANKING PORTFOLIO #0938 FMV 896307 896307 ACCUMULATED UNREALIZED GAIN/LOSS 181175 INVESTMENT ADVISOR FEES 27278 27278 0 ACCOUNTING FEE 4795 0 0 IRS REFUND 214 214 ADJUST UNREALIZED GAIN/LOSS TO ACTUAL 300099 CALIFORNIA FRANCHISE TAX 10 0 0 FOREIGN TAXES 500 500 0