2016-11-14T17:17:15-06:00 2015-12-31 271155496 ROBERT LEE & ASSOCIATES LLP 999 W Taylor Street Suite A San Jose CA 95126 990PF 2015-01-01 943345967 Bella Vista Foundation BELL 4155616540 1660 Bush Street No 300 San Francisco CA 94109 Jean K Casey Treasurer 4155616540 2016-11-14 1 Robert A Lee P00156212 4088556770 2015 2017-02-10 21:41:12Z X 53669201 X X 592 1822 330886 514213 145314 2541720 2541720 -286323 476792 2771432 0 0 0 10714 6427 3214 431261 99906 294538 53938 0 0 4727 473 2836 4075 124 350 504715 106930 300938 2250836 2251836 2755551 106930 2552774 -2278759 2664502 5843686 3752896 3752896 50785 500 500 7441278 6842577 6842577 6666734 9160866 9160866 34420404 32882362 32882362 3000000 1030000 1030000 57422887 53669201 53669201 5000 4000 172000 172052 177000 176052 X 57245887 53493149 57245887 53493149 57422887 53669201 57245887 -2278759 19000 54986128 1492979 53493149 HCP PRIVATE EQUITY FUND LP P 2013-12-31 2015-12-31 46439 46439 46439 HCP PRIVATE EQUITY FUND II LP P 2013-12-31 2015-12-31 54749 54749 54749 GENERATION IM GLOBAL EQUITY FUND LLC P 2013-12-31 2015-12-31 1002528 1002528 1002528 WGI EMERGING MARKETS FUND LLC P 2013-12-31 2015-12-31 72567 72567 72567 sri ten reit P 2013-12-31 2015-12-31 81473 81473 81473 valueact capital international ii lp P 2013-12-31 2015-12-31 425914 425914 425914 hcp special opportnities fund offshore, lp P 2013-12-31 2015-12-31 87547 87547 87547 hcp absolute return fund, lp P 2013-12-31 2015-12-31 365521 365521 365521 hcp private equity fund iii lp P 2013-12-31 2015-12-31 126775 126775 126775 hcp private equity fund iv lp P 2013-12-31 2015-12-31 100144 100144 100144 hcp private equity fund v lp P 2013-12-31 2015-12-31 32749 32749 32749 Capital Gains Dividends P 145314 145314 145314 2541720 0 2545026 46018245 0.055305 2417013 52671606 0.045888 2550117 48203827 0.052903 2488683 48212511 0.051619 2366383 47969571 0.049331 0.255046 0.051009 59191184 3019283 26645 3045928 2552774 53290 0 53290 0 53290 34418 34418 180 19052 0 0 0 0 0 0 0 0 0 0 1 1 CA 1 0 0 0 0 1 www.bellavistafoundation.org PACIFIC FOUNDATION SERVICES LLC 4155616540 1660 BUSH STREET SUITE 300 SAN FRANCISCO CA 94109 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Robert Kirkwood 1660 Bush Street Suite 300 San Francisco CA 94109 Chairman 1.00 0 0 0 Jeanie Casey 1660 Bush Street Suite 300 san Francisco CA 94109 Treasurer 1.00 0 0 0 John Kirkwood 1660 Bush Street Suite 300 san Francisco CA 94109 Secretary 1.00 0 0 0 Susan Koe 1660 Bush Street Suite 300 san Francisco CA 94109 Vice Chairman 1.00 0 0 0 katherine casey joiner 1660 Bush Street Suite 300 san Francisco CA 94109 associate trustee 1.00 0 0 0 NONE 0 pacific foundation services llc 1660 Bush Street Suite 300 San Francisco CA 94109 management services 368172 hall capital llc one maritime plaza fifth floor san Francisco CA 94111 investment fees 63089 0 0 53998259 6094314 0 60092573 0 0 60092573 901389 59191184 2959559 2959559 53290 53290 2906269 0 2906269 0 2906269 2552774 0 2552774 0 2552774 2906269 0 0 10814 111779 182004 338959 643556 2552774 0 0 0 2552774 0 353495 353495 290061 0 0 0 0 0 0 0 290061 290061 Mary gregory senior program officer 1660 bush street suite 300 san francisco CA 94109 4155616540 For guidelines and more info about this foundation, see www.bellavistafoundation.org For guidelines and more info about this foundation, see www.bellavistafoundation.org FOR GUIDELINES AND MORE INFO ABOUT THIS FOUNDATION, SEE WWW.BELLAVISTAFOUNDATION.ORG APPLE FamilyWorks 4 Joseph Ct San Rafael CA 94903 501 (c)(3) charity For psycho-educational support groups for Spanish speaking pregnant and new mothers in Novato and Sa 30000 American River Conservancy PO Box 562 Coloma CA 95613 501 (c)(3) charity For the planning and permitting of restoration on 3,055 acres of riparian and forest habitat at the 50000 American Rivers Inc 120 Union St Nevada City CA 95959 501 (c)(3) charity To accelerate meadow restoration by building knowledge and capacity of restoration practitioners and 30000 Blossom Birth Services 299 S California Avenue Ste 120 Palo Alto CA 94306 501 (c)(3) charity Mindfulness Based Mom Baby Yoga In Spanish 12500 Board of Trustees of the Leland Stanford Junior University Research Management Group 3172 Porter Drive Palo Alto CA 94304 501 (c)(3) charity Increasing School Readiness: Building the Foundation to Empower Parents 15000 California Pacific Medical Center Foundation 2015 Steiner Street San Francisco CA 94115 501 (c)(3) charity Joint Venture Health: The Development of a Prenatal-Pediatric-Parent Partnership Model to Improve Pa 35000 California Trout 360 Pine St 4th Floor San Francisco CA 94104 501 (c)(3) charity For building collaboration to recover listed salmonids in the Scott and Shasta Rivers and increasing 85000 Canal Alliance 91 Larkspur Street San Rafael CA 94901 501 (c)(3) charity To support Latina mothers in the Canal District through birth coaches (Compaeras), a support group, 35000 Cascade Pacific RC&D (Upper South Fork John Day River Watershed Council) PO Box 522 Mount Vernon OR 97865 501 (c)(3) charity For installation of a Dug Well in order to abandon livestock use of a creek in the Upper South Fork 13362 Catholic Charities of Santa Clara County 645 Wool Creek Drive San Jose CA 95112 501 (c)(3) charity For the Baby Steps program, providing home visits and support groups to very low-income pregnant/par 36500 Catholic Charities of Santa Clara c/o Catholic Charities of Santa Clara County 2625 Zanker Road San Jose CA 95134 501 (c)(3) charity For New Beginnings, a program for children ages 0-3 and their caregivers that provide cognitive and 58500 Central Oregon Forest Stewardship Foundation 334 NE Hawthorne Ave Bend OR 97701 501 (c)(3) charity To increase the pace and scale of forest restoration across the Collaborative Forest Landscape Resto 30000 Child Care Coordinating Council of San Mateo Inc 330 Twin Dolphin Drive Suite 119 Redwood City CA 94065 501 (c)(3) charity To develop a framework supporting license-exempt, informal childcare providers and the families they 15000 Compass Family Services 49 Powell Street 3rd Floor San Francisco CA 94102 501 (c)(3) charity For Compass Family Services Family Resource Center providing specialized services for homeless and 20000 Continuing Development Incorporated dba Choices for Children 111 North Market Suite 700 San Jose CA 95113 501 (c)(3) charity For a neighborhood-based series of Play & Learn workshops to create community and guide parents/care 27500 Cora Community Overcoming Relationship Abuse 2211 Palm Ave San Mateo CA 94402 501 (c)(3) charity To provide bilingual, trauma-informed support groups and supportive parenting services for victims o 32500 CorStone 250 Camino Alto Suite 100A Mill Valley CA 94941 501 (c)(3) charity For the Marin City Parenting Academy, a 16-week class/peer support group for parents of children pre 45000 Deschutes River Conservancy 700 NW Hill Street Bend OR 97701 501 (c)(3) charity For continued support of the Upper Deschutes Streamflow Initiative, a long-term water management pla 75000 Family Service Agency of Marin a division of Buckelew Programs 555 Northgate Drive San Rafael CA 94903 501 (c)(3) charity For Healthy Families Marin, a program integrating home-visiting services and a support group, with m 45000 Foundation Center 312 Sutter Street Suite 606 San Francisco CA 94108 501 (c)(3) charity For annual operating support for this national organization providing a bridge between grantseekers 4000 Good Samaritan Family Resource Center of San Francisco 1294 Potrero Avenue San Francisco CA 94110 501 (c)(3) charity For culturally appropriate support groups, parenting classes, workshops, and case management that he 50000 Hamilton Family Shelter 1525 Waller St San Francisco CA 94117 501 (c)(3) charity For Early Childhood Mental Health Consultation, parenting workshops, and education for homeless fami 10000 Homeless Prenatal Program Inc 2500 18th Street San Francisco CA 94110 501 (c)(3) charity For the Wellness Center to provide case management, prenatal and parenting classes, support groups, 50000 Homeless Prenatal Program Inc 2500 18th Street San Francisco CA 94110 501 (c)(3) charity For the Oasis Sister Circle, a pilot workshop series to help African American women prevent and cope 7500 Learning and Loving Education Center 16890 Church Street 16 Morgan Hill CA 95037 501 (c)(3) charity Support services to immigrant mothers of young children in Morgan Hill where there are few services 15000 Marin Advocates for Children 30 North San Pedro Road 275 San Rafael CA 94903 501 (c)(3) charity To hire a consultant to conduct a staff training for professionals from throughout the county on moo 1000 Nature Conservancy Inc 821 SE 14th Avenue Portland OR 97214 501 (c)(3) charity For continued support to coordinate a long-term water management plan that will restore streamflow i 69620 North Fork John Day Watershed Council PO Box 444 Long Creek OR 97856 501 (c)(3) charity To conduct a Lower Middle Fork John Day River Assessment. 68000 Northern California Grantmakers 625 Market Street 15th Floor San Francisco CA 94105 501 (c)(3) charity Grant and Dues 2000 Odd Fellow-Rebekah Childrens Home of California (Rebekah Children's Service 290 IOOF Ave Gilroy CA 95020 501 (c)(3) charity For the Healthy Families program, building healthy attachment and relationships with their children 40000 Oregon Wild 5825 North Greeley Portland OR 97217 501 (c)(3) charity For continued support of collaborative forest restoration programming in the Upper Deschutes and Joh 35000 OSU Foundation (Oregon State University - Cascades) 2600 College Way Bend OR 97701 501 (c)(3) charity To implement and monitor beaver dam analogs in two Upper Deschutes watershed streams. 35000 Pacific Forest Trust 1001-A OReilly Avenue San Francisco CA 94129 501 (c)(3) charity To advance forest conservation and restoration in the McCloud and Mid-Klamath/Shasta/Scott River wat 50000 Parent Services Project Inc 79 Belvedere ST Suite 101 San Rafael CA 94901 501 (c)(3) charity To offer learning play groups to families of young children, and provide trainings to home child car 45000 Portola Family Connection Center Inc 2565 San Bruno Ave San Francisco CA 94134 501 (c)(3) charity To provide parent-child drop-in groups, support groups, parenting classes, case management, and ther 30000 Puente de la Costa Sur PO Box 554 Pescadero CA 94060 501 (c)(3) charity To support the Madres Project which addresses maternal depression in Latina women through education, 45000 Rape Trauma Services 1860 El Camino Real Suite 406 Burlingame CA 94010 501 (c)(3) charity For services provided to teen parents at Redwood High School in Redwood City. 15000 San Francisco Child Abuse Prevention Center 1757 Waller Street San Francisco CA 94117 501 (c)(3) charity To support the SafeStart Program, a citywide collaborative led by the San Francisco Child Abuse Prev 50000 San Jose Grail Family Services 2003 E San Antonio St San Jose CA 95116 501 (c)(3) charity For the Birth and Beyond Family Empowerment Program, providing early literacy training, and parentin 40000 Save Auburn Ravine Salmon and Steelhead PO Box 4269 Auburn CA 95604 501 (c)(3) charity To develop a watershed plan for Auburn Ravine to inform and prioritize restoration needs for salmon 25000 Scott River Water Trust PO BOX 591 ETNA CA 96027 501 (c)(3) charity To support the Scott River Water Leasing Program for the 2016 irrigation season. 29400 Scott River Watershed Council PO Box 355 Etna CA 96027 501 (c)(3) charity To support the Scott River Watershed Stewardship process. 35000 Sierra Streams Institute 431 Uren St Suite C Nevada City CA 95959 501 (c)(3) charity To complete planning and permitting to restore hydrologic function to a meadow upstream from the spa 44145 Somos Mayfair Inc 370-B S King Rd San Jose CA 95116 501 (c)(3) charity To ensure school readiness in the catchment area of two elementary schools in East San Jose, with em 60000 StarVista 610 Elm St 212 San Carlos CA 94070 501 (c)(3) charity For the work of StarVista's Early Childhood Mental Health consultants in Santa Clara County in child 50000 StarVista 610 Elm St 212 San Carlos CA 94070 501 (c)(3) charity For StarVistas Early Childhood Services Team with Early Childhood Mental Health Consultation. 80000 Sunday Friends Foundation PO Box 24887 San Jose CA 95154 501 (c)(3) charity To support this program helping families learn about parenting, volunteering, communicating, working 35000 Sustainable Northwest 813 SW Alder Street Suite 500 Portland OR 97205 501 (c)(3) charity To advance collaborative forest restoration on national forests in the Blue Mountains and neighborin 50000 The Freshwater Trust 65 SW Yamhill Street Suite 200 Portland OR 97204 501 (c)(3) charity To work with local partners to restore on a basin-scale and advance new and ongoing habitat and stre 150000 The Sierra Fund 206 Sacramento St Suite 101 Nevada City CA 95959 501 (c)(3) charity For coordination of expert advice to provide California State Parks with information needed to imple 45000 The Trust for Public Land 101 Montgomery Street Suite 900 San Francisco CA 94104 501 (c)(3) charity For continued support of the Sierra Checkerboard Initiative. 150000 Truckee River Watershed Council PO Box 8568 Truckee CA 96162 501 (c)(3) charity For implementation design of Lower Perazzo Meadows restoration. 45000 UC Merced Foundation 520 N Lake Rd Merced CA 95343 501 (c)(3) charity For hydrologic field measurements at the Sierra Nevada Research Institute in areas that have been re 20309 University of California San Francisco (UCSF Infant Parent Program) SFGH/Department of Psychiatry 1001Potrero Ave Building 5 Suite 7E San Francisco CA 94110 501 (c)(3) charity To support mental health consultation for the Beyond Centering Families Project, mental health consu 50000 Wu Yee Children's Services 827 Broadway Street San Francisco CA 94133 501 (c)(3) charity To support the Joy Lok Family Resource Centers playgroups, support groups, parenting education clas 30000 2251836 0 14 592 14 330886 18 18 145314 0 476792 0 476792 0 0 0 0 0 0 0 0 0 0 accounting 10714 6427 3214 Pursuant to IRC Sec. 4942(H)(2) and Reg. 53.4942(A)-3(D)(2), The Georgiana G Stevens Foundation hereby elects to treat current year qualifying distributions in excess of the immediately preceding tax year?s undistributed income and the amount needed to satisfy the current year distribution requirements as being made out of corpus. bonds 9160866 9160866 STOCKS 6842577 6842577 OTHER INVESTMENTS FMV 32882362 32882362 unsettled stock asset 3000000 1030000 1030000 unrealized gain on investments 1478103 prior period adjustment 14876 insurance 3371 0 0 dues and subscriptions 500 100 350 bank fees 24 24 0 MISCELLANEOUS 180 0 0 CHANGE IN DEFERRED TAXES 19000 deferred tax liability 172000 153000 CURRENT EXCISE TAX PAYABLE 0 19052 investment management fees 63089 63089 0 foundation management fees 368172 36817 294538 excise tax 53290 0 0 franchise tax board 648 0 0