ARLENE AND MICHAEL ROSEN FOUNDATION: Form 990PF, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- ARLENE AND MICHAEL ROSEN FOUNDATION (EIN 47-3040686)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-08-28
- IRS object ID
- 201742409349100704
- 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
- Accounting Fees Schedule
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Legal Fees Schedule
- Other Expenses Schedule
- Other Liabilities Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-08-28T12:01:22-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 951777440 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GREEN HASSON & JANKS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10990 WILSHIRE BLVD 16TH FLOOR | AddressLine1Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 900243929 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 473040686 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARLENE AND MICHAEL ROSEN FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ARLE | BusinessNameControlTxt |
| Phone | 8668885157 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 241617 | AddressLine1Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90024 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WILLIAM KROGER | PersonNm |
| Person Title | TRUSTEE | PersonTitleTxt |
| Phone | 8668885157 | PhoneNum |
| Signature | 2017-08-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LIZBETH G NEVAREZ | PreparerPersonNm |
| PTIN | P01399868 | PTIN |
| Phone | 3108731600 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 38.186.35.254 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-08-09 | IPDt |
| IP Tm | 16:26:21 | IPTm |
| IP Timezone | PD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | F9C10BE61D25E315D3C70BCF97B7FFDFBFC33783 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 3C6A5E9D2A0B15A313A03AF7D2C9ECC073AB8663 | 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) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $5,359,767 | 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 | $464 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $464 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $113,390 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $113,390 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $94,111 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $2,758,275 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $94,111 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $207,965 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $207,965 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $65,403 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $65,403 | CompOfcrDirTrstDsbrsChrtblAmt |
| Legal Fees Rev And Expnss | $15,534 | LegalFeesRevAndExpnssAmt |
| Legal Fees Net Invst Incm | $0 | LegalFeesNetInvstIncmAmt |
| Legal Fees Dsbrs Chrtbl | $15,534 | LegalFeesDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $10,112 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $5,056 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $5,056 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $45,845 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $38,773 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $7,072 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $15,408 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $0 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Trav Conf Meeting Rev And Expnss | $9,545 | TravConfMeetingRevAndExpnssAmt |
| Trav Conf Meeting Net Invst Incm | $0 | TravConfMeetingNetInvstIncmAmt |
| Trav Conf Meeting Dsbrs Chrtbl | $9,545 | TravConfMeetingDsbrsChrtblAmt |
| Printing And Pub Rev And Expnss | $722 | PrintingAndPubRevAndExpnssAmt |
| Printing And Pub Net Invst Incm | $0 | PrintingAndPubNetInvstIncmAmt |
| Printing And Pub Dsbrs Chrtbl | $722 | PrintingAndPubDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $4,971 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $0 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $4,971 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $167,540 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $43,829 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $108,303 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $335,000 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $335,000 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $502,540 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $43,829 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $443,303 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$294,575 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $164,136 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $468,539 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $386,529 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $386,529 | SavAndTempCashInvstEOYFMVAmt |
| Corporate Stock BOY | $2,814,615 | CorporateStockBOYAmt |
| Corporate Stock EOY | $2,406,890 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $2,903,769 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $1,863,524 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $2,059,183 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $2,069,469 | CorporateBondsEOYFMVAmt |
| Total Assets BOY | $5,146,678 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,852,602 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $5,359,767 | TotalAssetsEOYFMVAmt |
| Other Liabilities BOY | $0 | OtherLiabilitiesBOYAmt |
| Other Liabilities EOY | $499 | OtherLiabilitiesEOYAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $499 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Capital Stock BOY | $5,146,678 | CapitalStockBOYAmt |
| Capital Stock EOY | $5,146,678 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | $0 | RetainedEarningBOYAmt |
| Retained Earning EOY | -$294,575 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $5,146,678 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $4,852,103 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $5,146,678 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $4,852,602 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $5,146,678 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$294,575 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $4,852,103 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $4,852,103 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (2 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|
| PUBLICLY TRADED SECURITIES | P | $2,749,629 | $2,664,164 | $85,465 | $85,465 |
| CAPITAL GAINS DIVIDENDS | P | $8,646 | $8,646 | $8,646 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $94,111 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | 0 | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $21,209 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $1,709,483 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.012407 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $236,598 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $5,422,420 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.043633 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $268,005 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $4,879,762 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.054922 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $269,892 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $4,297,671 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.062800 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $180,335 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $4,164,562 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.043302 | DistributionYr5Rt |
| Total Distribution | 0.217064 | TotalDistributionRt |
| Average Distribution | 0.043413 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $5,419,925 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $235,295 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $1,641 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $236,936 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $443,303 | 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 | $1,641 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $1,641 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $1,641 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $12,370 | EstimatedPlusOvpmtIncmTxAmt |
| Total Payments And Credits | $12,370 | TotalPaymentsAndCreditsAmt |
| Overpayment | $10,729 | OverpaymentAmt |
| Applied To ES Tax | $10,729 | AppliedToESTaxAmt |
| Refund | $0 | 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 | 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 | AMROSENFOUNDATION.ORG | WebsiteAddressTxt |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARMEN SUAREZ | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8668885157 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 241617 | AddressLine1Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90024 | 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 |
|---|---|---|---|---|---|---|---|---|
| TOBI TRAVIS | ||||||||
| PO BOX 241617 | LOS ANGELES | CA | 90024 | TRUSTEE | 1.00 | $0 | $0 | $0 |
| MELANIE BAKER | ||||||||
| PO BOX 241617 | LOS ANGELES | CA | 90024 | TRUSTEE | 1.00 | $0 | $0 | $0 |
| WILLIAM KROGER | ||||||||
| PO BOX 241617 | LOS ANGELES | CA | 90024 | TRUSTEE | 1.00 | $0 | $0 | $0 |
| CARMEN SUAREZ | ||||||||
| PO BOX 241617 | LOS ANGELES | CA | 90024 | EXECUTIVE DIRECTOR | 20.00 | $65,403 | $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 | $5,095,218 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $407,244 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $5,502,462 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $5,502,462 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $82,537 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $5,419,925 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $270,996 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $270,996 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $1,641 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $1,641 | TotalTaxAmt |
| Distributable Before Adj | $269,355 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $269,355 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $269,355 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $443,303 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $443,303 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $1,641 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $441,662 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $269,355 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $61,372 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Total Excess Distribution Cyov | $0 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $443,303 | QualifyingDistributionsAmt |
| Applied To Year1 | $61,372 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $269,355 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $112,576 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $112,576 | 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 | $112,576 | ExcessDistriCyovToNextYrAmt |
| Excess From Current Year | $112,576 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (7 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|
| CARON FOUNDATION | ||||||
| PO BOX 150 | WERNERSVILLE | PA | 19565 | PC | GENERAL OPERATING | $30,000 |
| CHANDLER LODGE FOUNDATION | ||||||
| 11455 CHANDLER BLVD | LOS ANGELES | CA | 91601 | PC | GENERAL OPERATING | $50,000 |
| PROJECT TURNABOUT | ||||||
| 660 18 STREET PO BOX 116 | GRANITE FALLS | MN | 56241 | PC | GENERAL OPERATING | $25,000 |
| SEMPER FI FUND | ||||||
| 825 COLLEGE BLVD SUITE 102 PMB 609 | OCEANSIDE | CA | 92057 | PC | GENERAL OPERATING | $50,000 |
| SHELTER TO SOLDIER | ||||||
| 2665 FOURTH AVENUE | SAN DIEGO | CA | 92103 | PC | GENERAL OPERATING | $60,000 |
| SOCIAL MODEL RECOVERY | ||||||
| 223 E ROWLAND STREET | COVINA | CA | 91723 | PC | GENERAL OPERATING | $100,000 |
| RANCH RECOVERY CENTERS | ||||||
| 7885 ANNANDALE AVENUE | DESERT HOT SPRINGS | CA | 92240 | PC | GENERAL OPERATING | $20,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $335,000 | 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 | $464 | ExclusionAmt |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $113,390 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $94,111 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $207,965 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $207,965 | 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 |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING FEES | CategoryTxt |
| Amt | $10,112 | Amt |
| Net Investment Income | $5,056 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $5,056 | DisbursementsCharitablePrpsAmt |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp (9 entries)
| BondBondNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| 16348.60 DODGE & COX INCOME FD | $225,000 | $222,177 |
| 31477.00 PIMCO FD PAC INV MGMT SERIES | $260,000 | $277,312 |
| 1400.00 ISHARES BARCLAYS TIPS BOND FUND | $150,947 | $158,438 |
| 15384.62 VANGUARD INTM TRM INV G-ADM | $150,000 | $148,308 |
| 9723.86 JPM STRAT INC OPP FD - SEL | $99,068 | $112,700 |
| 16350.21 JPM UNCONSTRAINED DEBT FD - SELECT | $155,000 | $160,396 |
| 10256.21 DOUBLELINE TOTL RET BND - I | $114,168 | $108,921 |
| 61109.96 WELLS FARGO CORE BOND FUND - CLASS | $795,000 | $775,485 |
| 7357.86 MFS EMERGING MKTS DEBT FD - I | $110,000 | $105,732 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (10 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| 7849.887 JPM US LARGE CAP CORE PLUS FD | $145,144 | $220,739 |
| 9297.970 PRIME CAP ODYSSEY STOCK FD | $140,771 | $240,631 |
| 4530.000 SPDR S&P 500 ETF TRUST | $763,194 | $1,012,591 |
| 28000.000 BLACKROCK FDS | $280,000 | $291,760 |
| 15923.567 AMG MANAGERS PICTET INTERNATIONAL | $150,000 | $147,611 |
| 21222.411 BLACKROCK INTERNATL INDEX-K | $250,000 | $246,392 |
| 2994.339 DODGE & COX INTL STOCK FD | $135,943 | $114,084 |
| 6872.826 MFS INTL VALUE - I | $176,838 | $251,133 |
| 10128.209 BROWN ADV JAPAN ALPHA OPP-IS | $105,000 | $98,041 |
| 14999.289 JPM GLBL RES ENH INDEX FD - SEL | $260,000 | $280,787 |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | LEGAL FEES | CategoryTxt |
| Legal Fees | $15,534 | LegalFeesAmt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $15,534 | DisbursementsCharitablePrpsAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (7 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| INSURANCE | $3,384 | $0 | $3,384 |
| POSTAGE & MAILING SERVICES | $404 | $0 | $404 |
| SOFTWARE | $551 | $0 | $551 |
| SUPPLIES | $239 | $0 | $239 |
| VIRTUAL OFFICE | $270 | $0 | $270 |
| WEBSITE | $81 | $0 | $81 |
| BANK FEES | $42 | $0 | $42 |
Other Liabilities Schedule OtherLiabilitiesSchedule
Other Liabilities Detail OtherLiabilitiesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CHASE INK | Desc |
| BOY Book Value | $0 | BOYBookValueAmt |
| EOY Book Value | $499 | EOYBookValueAmt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| OUTSIDE CONTRACT SERVICES | $7,072 | $0 | $7,072 |
| MANAGEMENT FEES | $38,773 | $38,773 | $0 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| FTB TAXES | $145 | $0 | $0 |
| IRS TAXES | $15,263 | $0 | $0 |
Comments