H5 FOUNDATION: Form 990PF, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
H5 FOUNDATION (EIN 46-1638726)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-05-15
IRS object ID
201601369349100900
Schema version
2015v2.1
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)
Return2016-05-15T09:23:11-07:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HSJ & Associates PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line18435 W 80TH AVEAddressLine1Txt
CityARVADACityNm
State AbbreviationCOStateAbbreviationCd
ZIP80005ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN461638726EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1H5 FoundationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlH5FOBusinessNameControlTxt
Phone3035498989PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line110320 N Chatfield DrAddressLine1Txt
CityLittletonCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80125ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVID HABERPersonNm
Person TitleDIRECTORPersonTitleTxt
Phone3035498989PhoneNum
Signature2016-05-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKAREN E SONNIER CPAPreparerPersonNm
Phone3034219379PhoneNum
Preparation2016-05-15PreparationDt
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$1,283,881FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$250,000ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$496InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$496InterestOnSavNetInvstIncmAmt
Cap Gain Net Incm Net Invst Incm$0CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$2,451OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$2,386OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$252,947TotalRevAndExpnssAmt
Total Net Invst Incm$2,882TotalNetInvstIncmAmt
Accounting Fees Rev And Expnss$630AccountingFeesRevAndExpnssAmt
Accounting Fees Chrtbl Prps$630AccountingFeesChrtblPrpsAmt
Taxes Rev And Expnss$6,420TaxesRevAndExpnssAmt
Taxes Net Invst Incm$456TaxesNetInvstIncmAmt
Other Expenses Rev And Expnss$911OtherExpensesRevAndExpnssAmt
Other Expenses Dsbrs Chrtbl$911OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$7,961TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$456TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$1,541TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$27,869ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$27,869ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$35,830TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$456TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$29,410TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$217,117ExcessRevenueOverExpensesAmt
Net Investment Income$2,426NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$869,341CashBOYAmt
Cash EOY$285,213CashEOYAmt
Cash EOYFMV$285,213CashEOYFMVAmt
Other Nts And Loans Rcvbl BOY$197,065OtherNtsAndLoansRcvblBOYAmt
Other Nts And Loans Rcvbl EOY$197,065OtherNtsAndLoansRcvblEOYAmt
Other Nts And Loans Rcvbl EOYFMV$197,065OtherNtsAndLoansRcvblEOYFMVAmt
Other Investments EOY$801,603OtherInvestmentsEOYAmt
Other Investments EOYFMV$801,603OtherInvestmentsEOYFMVAmt
Total Assets BOY$1,066,406TotalAssetsBOYAmt
Total Assets EOY$1,283,881TotalAssetsEOYAmt
Total Assets EOYFMV$1,283,881TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Retained Earning BOY$1,066,406RetainedEarningBOYAmt
Retained Earning EOY$1,283,881RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$1,066,406TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$1,283,881TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$1,066,406TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$1,283,881TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$1,066,406TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$217,117ExcessRevenueOverExpensesAmt
Other Increases$358OtherIncreasesAmt
Subtotal$1,283,881SubtotalAmt
Tot Net Ast Or Fund Balances EOY$1,283,881TotNetAstOrFundBalancesEOYAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Adjusted Qlfy Distri Yr1$27,216AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$770,407NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.035327DistributionYr1Rt
Adjusted Qlfy Distri Yr2$15,600AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$427,377NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.036502DistributionYr2Rt
Total Distribution0.071829TotalDistributionRt
Average Distribution0.035915AverageDistributionRt
Net Vl Noncharitable Assets$1,082,737NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$38,886AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$24NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$38,910AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$29,410QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$49InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$49SubtotalAmt
Tax Based On Investment Income$49TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$1,200EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$1,200TotalPaymentsAndCreditsAmt
Original Return Overpayment-$1,200OriginalReturnOverpaymentAmt
Overpayment$1,151OverpaymentAmt
Applied To ES Tax$151AppliedToESTaxAmt
Refund$1,000RefundAmt

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
Org Report Or Register StateCOOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (true)Form990PFFiledWithAttyGenInd
Private Operating FoundationfalsePrivateOperatingFoundationInd
New Substantial ContributorsYes (true)NewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksDAVE HABERIndividualWithBooksNm
Phone3035498989PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line110320 N Chatfield DrAddressLine1Txt
CityLittletonCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80125ZIPCd
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 (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
DAVID D HABER
10320 N Chatfield DrLIttletonCO80125Director1.00$0$0$0
LAURA T HABER
10320 N Chatfield DrLittletonCO80125Director2.00$0$0$0
DANIELLE M HABER
10320 N Chatfield DrLittletonCO80125Director0.25$0$0$0
KARA L HABER
10320 N Chatfield DrLittletonCO80125Director1.00$0$0$0
KEVIN J HABER
10320 N Chatfield DrLittletonCO80125Director0.25$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$189,291AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$909,934FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$1,099,225TotalFMVOfUnusedAssetsAmt
Adjusted Total FMV Of Unused Ast$1,099,225AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$16,488CashDeemedCharitableAmt
Net Vl Noncharitable Assets$1,082,737NetVlNoncharitableAssetsAmt
Minimum Investment Return$54,137MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$54,137MinimumInvestmentReturnAmt
Tax Based On Investment Income$49TaxBasedOnInvestmentIncomeAmt
Total Tax$49TotalTaxAmt
Distributable Before Adj$54,088DistributableBeforeAdjAmt
Distributable Before Ded$54,088DistributableBeforeDedAmt
Distributable As Adjusted$54,088DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$29,410ExpensesAndContributionsAmt
Qualifying Distributions$29,410QualifyingDistributionsAmt
Adjusted Qualifying Distri$29,410AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$54,088DistributableAsAdjustedAmt
Undistributed Income PY$7,332UndistributedIncomePYAmt
Qualifying Distributions$29,410QualifyingDistributionsAmt
Applied To Year1$7,332AppliedToYear1Amt
Applied To Current Year$22,078AppliedToCurrentYearAmt
Undistributed Income CY$32,010UndistributedIncomeCYAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerDAVID D HABERContributingManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (34 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
National Sports Center for the Disabled
33 Parsenn Rd PO Box 1290Winter ParkCO80482PCCharitable$1,500
Habitat for Humanity-Grand County
PO Box 969 US Bank Bldg 51 E AgateGranbyCO80446PCCharitable$500
Denver Rescue Mission
PO Box 5206DenverCO80217PCCharitable$150
Cross Catholic Outreach
2700 N Military Trail 240 PO Box 27Boca RatonFL33427PCCharitable$500
St Jude Children's Research Hospital
501 St Jude PlaceMemphisTN38105PCCharitable$500
Wounded Warrior Project
4899 Belfort Rd Suite 300JacksonvilleFL32256PCCharitable$500
American Cancer Society
2120 First Avenue NorthSeattleWA98109PCCharitable$50
Salvation Army
1370 Pennsylvania StDenverCO80203PCCharitable$100
American Heart Assoc
PO Box 78851PhoenixAZ85062PCCharitable$50
St Mark Catholic Church
9905 Foothills Canyon BlvdHighlands RanchCO80129PCReligious$4,400
St Francis Center
1835 S Hope StLos AngelesCA90015PCCharitable$1,000
Gateway Battered Women's Services
PO Box 914AuroraCO80040PCCharitable$500
Families of Character
4643 S Ulster St Suite 1040DenverCO80237PCCharitable$5,000
American Red Cross
444 Sherman StDenverCO80203PCCharitable$200
Children's Hospital Colorado Foundation
PO Box 5585DenverCO80217PFCharitable$0
Diosese of CS Return Golds Gifts
228 N Cascade AveColo SpringsCO80903PCReligious$0
Leukemia & Lymphoma Society
1311 Mamaroneck Ave 310white PlainsNY10605PCCharitable$419
St Anne
360 HancockGrand LakeCO80447PCReligious$1,000
Forest Park Conf & Retreat Center
3158 SE 10th StTopekaKS66607PCCharitable$250
Evergreen Christian Outreach
PO Box 1515EvergreenCO80437PCCharitable$0
Seeds of Hope
1300 S Steele StDenverCO80210PCCharitable$1,500
Grand Foundation
PO Box 1342Winter ParkCO80482PFCharitable$250
Samaritan House
2301 Lawrence StDenverCO80205PCCharitable$2,500
Womens Residential Energency Shelter
2301 Lawrence StDenverCO80205PCCharitable$0
Alpine Autism
2760 Fieldstone RdColo SpgsCO80919PCCharitable$0
Project CURE
10377 E Geddes AveCentennialCO80112PCCharitable$1,000
Adopt a Village Intl
PO Bix 26599Colo SpgsCO80936PCCharitable$1,000
Womens Bean Project
3201 Curtis StDenverCO80205PCCharitable$1,000
My Friends Place
PO Box 3867HollywoodCA90078PCCharitable$1,000
Alternatives Pregnancy Center
1440 Blake St 200DenverCO80202PCCharitable$1,000
Attention Homes
1443 Spruce StBoulderCO80302PCCharitable$0
Boys Hope Girls Hope of Colorado
7060 E Hampden Ave 203DenverCO80224PCCharitable$1,000
Denver Urban Scholars
3532 Franklin St TDenverCO80205PCCharitable$500
Bridge Project
PO Box 910585DenverCO80291PCEducational$500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$27,869TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$496ExclusionAmt

Other Revenue Described OtherRevenueDescribedGrp

FieldValueIRS element (for citing)
DescRoyaltiesDesc
Exclusion15ExclusionCd
Exclusion$2,386ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$2,882ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$2,882TotalIncomeProducingActyAmt

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

FieldValueIRS element (for citing)
Contributor1ContributorNum
Contributor PersonDAVID D AND LAURA HABERContributorPersonNm

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line110320 W Chatfield DrAddressLine1Txt
CityLittletonCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80125ZIPCd
FieldValueIRS element (for citing)
Total Contributions$250,000TotalContributionsAmt
Person ContributionYes (X)PersonContributionInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryHartfield, Sonnier & Johnson, PC Tax PreparationCategoryTxt
Amt$630Amt
Disbursements Charitable Prps$630DisbursementsCharitablePrpsAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp

FieldValueIRS element (for citing)
Category Or ItemJM InvestmentCategoryOrItemTxt
Book Value$801,603BookValueAmt
EOYFMV$801,603EOYFMVAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (3 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
Bank Charges$30$30
Recording Fee$31$31
User Fee$850$850

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmt
Royalties$2,386$2,386
Other Income$65

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescPercentage Depletion AllowedDesc
Amt$358Amt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (5 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmt
Investment Tax$5,955
Production Tax$19$19
State Tax$79$79
Penalty$9
Percentage Depletion$358$358

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