SMITH FAMILY FOUNDATION INC: Form 990PF, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
SMITH FAMILY FOUNDATION INC (EIN 35-2015637)
Tax period
2016-04-01 to 2017-03-31
Filed
2017-08-07
IRS object ID
201742199349100064
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 ReturnHeader

FieldValueIRS element (for citing)
Return2017-08-07T12:34:55-05:00ReturnTs
Tax Period End2017-03-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN611210177PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Mather & Co CPAs LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line19100 Shelbyville Road Suite 200AddressLine1Txt
CityLouisvilleCityNm
State AbbreviationKYStateAbbreviationCd
ZIP40222ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2016-04-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN352015637EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1the smith family foundation incBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSMITBusinessNameControlTxt
Phone3178435678PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line111711 north meridian street No 600AddressLine1Txt
CitycarmelCityNm
State AbbreviationINStateAbbreviationCd
ZIP460324534ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
Personjeffrey h thomassonPersonNm
Person Titledirector, secretary & treasurerPersonTitleTxt
Phone3178055044PhoneNum
Signature2017-07-25SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPatricia D Wicke CPAPreparerPersonNm
PTINP01060441PTIN
Phone5024290800PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address207.250.53.138IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-07-25IPDt
IP Tm10:39:37IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id155355A93F95B5B92A41E531600B2B84E67AC139AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$19,007,747FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$1,876,150ContriRcvdRevAndExpnssAmt
Dividends Rev And Expnss$48,087DividendsRevAndExpnssAmt
Dividends Net Invst Incm$48,087DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$9,501NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$1,635,190GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$9,501CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$1,933,738TotalRevAndExpnssAmt
Total Net Invst Incm$57,588TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$3,180AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$3,180AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$0AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$21,829OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$21,829OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Other Expenses Rev And Expnss$29OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$0OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$0OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$25,038TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$25,009TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$831,089ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$831,089ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$856,127TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$25,009TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$831,089TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$1,077,611ExcessRevenueOverExpensesAmt
Net Investment Income$32,579NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$27,787CashBOYAmt
Cash EOY$464,466CashEOYAmt
Cash EOYFMV$464,466CashEOYFMVAmt
Other Investments BOY$12,134,059OtherInvestmentsBOYAmt
Other Investments EOY$12,774,991OtherInvestmentsEOYAmt
Other Investments EOYFMV$18,543,281OtherInvestmentsEOYFMVAmt
Total Assets BOY$12,161,846TotalAssetsBOYAmt
Total Assets EOY$13,239,457TotalAssetsEOYAmt
Total Assets EOYFMV$19,007,747TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$0CapitalStockBOYAmt
Capital Stock EOY$0CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$12,161,846RetainedEarningBOYAmt
Retained Earning EOY$13,239,457RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$12,161,846TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$13,239,457TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$12,161,846TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$13,239,457TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$12,161,846TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$1,077,611ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$13,239,457SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$13,239,457TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (17 entries)

PropertyPropertyDescAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtHow AcquiredHowAcquiredCd
FIDELITY-1402.715 SHS AQR MANAGED FUTURES2015-11-302016-08-17$14,420$15,500-$1,080-$1,080
FIDELITY-969.34 SHS IVA WORLDWIDE FUND L I2016-08-17$16,789$16,485$304$304
FIDELITY-1576.547 SHS HUBER CAPITAL SMALL CAP VALUE FD2015-11-302016-04-08$20,385$24,200-$3,815-$3,815
FIDELITY-1068.099 SHS RS GLOBAL NATURAL RESOURCES FUND2015-06-232016-04-25$22,174$27,824-$5,650-$5,650
FIDELITY-558.970 SHS VICTORY GLOBAL NATURAL RESOURCES2015-11-302016-08-17$12,823$9,603$3,220$3,220
FIDELITY-2091.616 SHS WILLIAM BLAIR MACRO ALLOCATION FUND2015-11-302016-08-17$24,200$24,744-$544-$544
FIDELITY- 349.669 SHS AMERICAN EUROPACIFIC GROWTH FUND2016-08-17$16,515$14,757$1,758$1,758
FIDELITY- 426.078 SHS AQR MANAGED FUTURES FUND CL2015-06-232016-08-17$4,380$4,644-$264-$264
FIDELITY-2064.271 SHS CAMBIAR SMALL CAP FUND2016-06-29$32,863$44,000-$11,137-$11,137
FIDELITY- 778.218 SHS HUBER CAPITAL SMALL CAP VALUE FD2016-04-08$10,062$12,810-$2,748-$2,748
FIDELITY- 5836.05 SHS IVA WORLDWIDE FUND CL2016-08-17$101,080$103,348-$2,268-$2,268
FIDELITY- 676.00 SHS JPMORGAN CHASE & CO ALERIAN MLP INDEX2016-08-17$21,681$28,493-$6,812-$6,812
FIDELITY-1112.186 SHS JP MORGAN INFLATION MANAGED BOND SELECT2016-08-17$11,500$11,405$95$95
FIDELITY-218.028 SJS RS GLOBAL NATURAL RESOURCES FUND CL2013-01-032016-04-25$4,526$8,228-$3,702-$3,702
FIDELITY-2073.986 SHS VICTORY GLOBAL NATURAL RESOURCES2016-08-17$47,577$53,808-$6,231-$6,231
FIDELITY-2000 SHS INTUITIVE SURGICAL INC2016-05-17$1,254,455$1,225,840$28,615$28,615
Capital Gains Dividends$19,760$19,760$19,760P
FieldValueIRS element (for citing)
Capital Gain Net Income$9,501CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$566,031AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$11,369,408NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.049785DistributionYr1Rt
Adjusted Qlfy Distri Yr2$427,911AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$6,928,020NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.061765DistributionYr2Rt
Adjusted Qlfy Distri Yr3$253,808AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$5,918,714NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.042882DistributionYr3Rt
Adjusted Qlfy Distri Yr4$154,922AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$4,211,116NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.036789DistributionYr4Rt
Adjusted Qlfy Distri Yr5$60,000AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$1,408,332NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.042604DistributionYr5Rt
Total Distribution0.233825TotalDistributionRt
Average Distribution0.046765AverageDistributionRt
Net Vl Noncharitable Assets$16,968,007NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$793,509AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$326NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$793,835AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$831,089QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$326InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$326SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$326TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$1,120EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$1,120TotalPaymentsAndCreditsAmt
Overpayment$794OverpaymentAmt
Applied To ES Tax$794AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateINOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial ContributorsYes (1)NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With Bookspatricia d wickeIndividualWithBooksNm
Phone5024290800PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line19100 shelbyville rd suite 200AddressLine1Txt
CitylouisvilleCityNm
State AbbreviationKYStateAbbreviationCd
ZIP40222ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd

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
lonnie m smith
14363 CHESTER AVENUESARATOGACA950705624director/president2.00$0$0$0
cheryl d smith
14363 CHESTER AVENUESARATOGACA950705624director/vice-president2.00$0$0$0
jeffrey h thomasson
po box 80238indianapolisIN462800238director/secretary & treas2.00$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

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$16,252,291AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$974,112AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$17,226,403TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$17,226,403AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$258,396CashDeemedCharitableAmt
Net Vl Noncharitable Assets$16,968,007NetVlNoncharitableAssetsAmt
Minimum Investment Return$848,400MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$848,400MinimumInvestmentReturnAmt
Tax Based On Investment Income$326TaxBasedOnInvestmentIncomeAmt
Total Tax$326TotalTaxAmt
Distributable Before Adj$848,074DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$848,074DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$848,074DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$831,089ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$831,089QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$326PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$830,763AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$848,074DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr2$30,299ExcessDistributionCyovYr2Amt
Total Excess Distribution Cyov$30,299TotalExcessDistributionCyovAmt
Qualifying Distributions$831,089QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$831,089AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$16,985ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$16,985ExcessDistributionCyovAppCYAmt
Total Corpus$13,314TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$13,314ExcessDistriCyovToNextYrAmt
Excess From Year2$13,314ExcessFromYear2Amt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing Managerlonnie m smithContributingManagerNm
Contributing Managercheryl d smithContributingManagerNm

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient Personjeffrey h thomasson cfp co the trusRecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1po box 80238AddressLine1Txt
CityindianapolisCityNm
State AbbreviationINStateAbbreviationCd
ZIP462800238ZIPCd
FieldValueIRS element (for citing)
Recipient Phone3178055000RecipientPhoneNum
Form And Info And Materialsin writingFormAndInfoAndMaterialsTxt
Submission DeadlinesnoneSubmissionDeadlinesTxt
Restrictions On AwardsnoneRestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (42 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ALS THERAPY DEVELOPMENT INSTITUTE
300 TECHNOLOGY SQUARE SUITE 400CAMBRIDGEMA02139UnrelatedPUBLIC CHARITYGENERAL SUPPORT OF CHARITY$30,000
CHARITY WATER
40 WORTH STREET SUITE 330NEW YORKNY10013UnrelatedPUBLIC CHARITYGENERAL SUPPORT OF CHARITY$10,000
CHOICE HUMANITARIAN FOUNDATION
7879 SOUTH 1530 WEST SUITE 200WEST JORDANUT84088UnrelatedPUBLIC CHARITYGENERAL SUPPORT OF CHARITY$4,000
CURE ALZHEIMER'S FUND
34 WASHINGTON STREET SUITE 200WELLESLEY HILLSMA02481UnrelatedPUBLIC CHARITYGENERAL SUPPORT OF CHARITY$25,000
DONORSCHOOSEORG
134 WEST 37TH STREET-11FLNEW YORKNY10018UnrelatedPUBLIC CHARITYGENERAL SUPPORT OF CHARITY$5,089
EASTSIDE BABY CORNER
1510 NW MAPLE PO BOX 712ISSAQUAHWA98027UnrelatedPUBLIC CHARITYGENERAL SUPPORT OF CHARITY$2,500
EMBRACE GLOBAL
201 SPEAR STREET STE 1100SAN FRANCISCOCA94105UnrelatedPUBLIC CHARITYGENERAL SUPPORT OF CHARITY$20,000
FISHER CENTER FOR ALZHEIMER'S RESEARCH FOUNDATION
110 EAST 42ND STREET 16TH FLOORNEW YORKNY10017UnrelatedPUBLIC CHARITYGENERAL SUPPORT OF CHARITY$25,000
FRESH LIFELINES FOR YOUTHSOBRATO CENTER FOR NONPROFITS
568 VALLEY WAYMILPITASCA95035UnrelatedPUBLIC CHARITYGENERAL SUPPORT OF CHARITY$4,000
HOSPICE OF THE VALLEY
4850 UNION AVENUESAN JOSECA95124UnrelatedPUBLIC CHARITYGENERAL SUPPORT OF CHARITY$5,000
KHAN ACADEMY
PO BOX 1630MOUNTAIN VIEWCA94042UNrelatedPUBLIC CHARITYGENERAL SUPPORT OF CHARITY$200,000
LDS PHILANTHROPIES
940 SWKTPROVOUT84602UnrelatedPUBLIC CHARITYGENERAL SUPPORT OF HUMANITARIAN FUND AND FAMILY SEARCH$110,000
LOUISE VAN METER ELEMENTARY SCHOOLVAN METER HOME & SCHOOL CLUB
16445 LOS GATOS BLVDLOS GATOSCA95032UnrelatedPUBLIC CHARITYGENERAL SUPPORT OF CHARITY$3,000
MARY'S PLACE
1830 9TH AVENUESEATTLEWA98101UnrelatedPUBLIC CHARITYGENERAL SUPPORT OF CHARITY$2,500
MONTEREY BAY AQUARIUM
886 CANNERY ROWMONTEREYCA93940UnrelatedPUBLIC CHARITYGENERAL SUPPORT OF CHARITY$25,000
NATIONAL PARK FOUNDATION
1201 EYE STREET NW SUITE 550BWASHINGTON DCDC20005UnrelatedPUBLIC CHARITYGENERAL SUPPORT OF CHARITY$1,000
OPERATION SMILE
3641 FACULTY BLVDNORFOLKVA23509UnrelatedPUBLIC CHARITYGENERAL SUPPORT OF CHARITY$10,000
OPERATION UNDERGROUND RAILROAD
700 N VALLEY STREET STE BANAHEIMCA92801UnrelatedPUBLIC CHARITYGENERAL SUPPORT OF CHARITY$4,000
SANTO MARIA URBAN MINISTRY
778 S ALMADEN AVESAN JOSECA95110UnrelatedPUBLIC CHARITYGENERAL SUPPORT OF CHARITY$10,000
SAVE THE CHILDREN
500 KINGS HIGHWAY EAST SUITE 400FAIRFIELDCT06825UnrelatedPUBLIC CHARITYGENERAL SUPPORT OF CHARITY$20,000
SECOND HARVEST FOOD BANK
PO BOX 1240SAN JOSECA951081240UnrelatedPUBLIC CHARITYGENERAL SUPPORT OF CHARITY$10,000
SECOND WIND FUND INC
13701 W JEWELL AVE 251LAKEWOODCO80228UnrelatedPUBLIC CHARITYGENERAL SUPPORT OF CHARITY$2,500
SPD FOUNDATION
S QUEBEC STREET SUITE 135GREENWOOD VILLAGECO80111UnrelatedPUBLIC CHARITYGENERAL SUPPORT OF CHARITY$2,000
ST JUDE CHILDRENS RESEARCH HOSPITAL
501 ST JUDE PLACEMEMPHISTN38105UnrelatedPUBLIC CHARITYGENERAL SUPPORT OF CHARITY$10,000
STUDENTS RISING ABOVE
PO BOX 29174SAN FRANCISCOCA94129UnrelatedPUBLIC CHARITYGENERAL SUPPORT OF CHARITY$10,000
THE BREAST CANCER RESEARCH FOUNDATION
60 EAST 56TH STREET 8TH FLOORNEW YORKNY10022UnrelatedPUBLIC CHARITYGENERAL SUPPORT OF CHARITY$25,000
THE LEUKEMIA & LYMPHOMA SOCIETY
3 INTERNATIONAL DRIVE SUITE 200RYE BRIIJNY10573UnrelatedPUBLIC CHARITYGENERAL SUPPORT OF CHARITY$2,500
THE TECH MUSEUM OF INNOVATION
201 SOUTH MARKET STREETSAN JOSECA95113UnrelatedPUBLIC CHARITYGENERAL SUPPORT OF CHARITY$25,000
UNIVERSITY OF UTAH COLLEGE OF NURSING
10 SOUTH 2000 EASTSALT LAKE CITYUT841125880UnrelatedPUBLIC UNIVERSITYGENERAL SCHOLARSHIP FUND$10,000
UTAH STATE UNIVERSITY
4100 OLD MAIN HILLLOGANUT843221400UnrelatedPUBLIC UNIVERSITYGENERAL SCHOLARSHIP FUND$30,000
WARREN VILLAGE
1323 GILPIN STREETDENVERCO802182552UnrelatedPUBLIC CHARITYGENERAL SUPPORT OF CHARITY$5,000
BOYS TOWN
PO BOX 8000BOYS TOWNNE68010UnrelatedPUBLIC CHARITYGENERAL SUPPORT OF CHARITY$25,000
CATHOLIC RELIEF SERVICES
228 WEST LEXINGTON STREETBALTIMOREMD21201UnrelatedPUBLIC CHARITYGENERAL SUPPORT OF CHARITY$25,000
EQUAL JUSTICE INITIATIVE
122 COMMERCE STREETMONTGOMERYAL36104UnrelatedPUBLIC CHARITYGENERAL SUPPORT OF CHARITY$35,000
GLOBAL GIVING
110 VERMONT AVENUE NW SUITE 550WASHINGTON DCDC20005UnrelatedPUBLIC CHARITYGENERAL SUPPORT OF CHARITY$3,000
HUMANITARIAN CORPS
PO BOX 1543MERIDIANID83680UnrelatedPUBLIC CHARITYGENERAL SUPPORT OF CHARITY$2,500
INTERNATIONAL RESCUE COMMITTEE
PO BOX 6068ALBERT LEAMN560079847UnrelatedPUBLIC CHARITYGENERAL SUPPORT OF CHARITY$30,000
KRYSTA'S KARING ANGELS
20503 SHADOW GRANGE COURTCYPRESSTX77433UnrelatedPUBLIC CHARITYGENERAL SUPPORT OF CHARITY$2,500
LUTHERAN FAMILY SERVICES
1600 N DOWNING STREET SUITE 600DENVERCO80218UnrelatedPUBLIC CHARITYSUPPORT OF REFUGEE & ASYLEE PROGRAMS$2,500
PEACE HOUSE
1960 SIDEWINDER DRIVE SUITE 208PARK CITYUT84060UnrelatedPUBLIC CHARITYGENERAL SUPPORT OF CHARITY$50,000
THE EHE FOUNDATION
16105 OLMSTEAD LNWOODBRIDGEVA22191UnrelatedPUBLIC CHARITYGENERAL SUPPORT OF CHARITY$2,500
BRENT & CHERI ANDRUS CHARITABLE TRUST
15 SANDSTONE COVEPARK CITYUT84060UnrelatedNON PROFIT FOUNDATIOSUPPORT TO PROVIDE WHEELCHAIRS TO CHILDREN$5,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$831,089TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$48,087ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$19,760ExclusionAmt
Related Or Exempt Function Incm-$10,259RelatedOrExemptFunctionIncmAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$67,847ExclusionAmt
Related Or Exempt Function Incm-$10,259RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$57,588TotalIncomeProducingActyAmt

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp (2 entries)

Line NumberLineNumberTxtRelationship StatementRelationshipStatementTxt
8the sales proceeds of securities producing the capital gain/loss were utilized to fund the charitable contributions reported in this return.
4the gross dividend income is utilized to fund the charitable contributions reported in this return.

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

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 Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1lonnie m smith and CHERYL D SMITHBusinessNameLine1Txt

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line114363 CHESTER AVENUEAddressLine1Txt
CitySARATOGACityNm
State AbbreviationCAStateAbbreviationCd
ZIP950705624ZIPCd
FieldValueIRS element (for citing)
Total Contributions$1,876,150TotalContributionsAmt
Noncash ContributionYes (X)NoncashContributionInd

Non Cash Property Contribution NonCashPropertyContributionGrp (2 entries)

ContributorContributorNumNoncash PropertyNoncashPropertyDescFair Market ValueFairMarketValueAmtReceivedReceivedDt
12000 SHS INTUITIVE SURGICAL INC$1,225,8402016-04-05
11000 SHS INTUITIVE SURGICAL INC$650,3102016-11-29

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
Categorytax return preparation feesCategoryTxt
Amt$3,180Amt
Net Investment Income$3,180NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp

FieldValueIRS element (for citing)
Category Or Itemsecurities held by fidelity investmentsCategoryOrItemTxt
Listed At Cost Or FMVAT COSTListedAtCostOrFMVCd
Book Value$12,774,991BookValueAmt
EOYFMV$18,543,281EOYFMVAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

FieldValueIRS element (for citing)
DescANNUAL STATE LICENSEDesc
Revenue And Expenses Per Books$29RevenueAndExpensesPerBooksAmt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
Categoryinvestment advisor feesCategoryTxt
Amt$21,829Amt
Net Investment Income$21,829NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Substantial Contributors Sch SubstantialContributorsSch

Substantial Contributor Detail SubstantialContributorDetail (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCd
lonnie m smith
14363 chester avenuesaratogaCA950705624
cheryl d smith
14363 chester avenuesaratogaCA950705624

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