2016-04-21T14:03:57-05:00 2015-12-31 Foundation Source One Hollow Ln Ste 212 Lake Success NY 11042 990PF 2015-01-01 201266221 The Black Dog Private Foundation Inc % Foundation Source BLAC 8008391754 Foundation Source 501 Silverside Rd Wilmington DE 198091377 DAVID L MAHONEY president 8008391754 2016-04-11 true Jeffrey D Haskell P01345770 8008391754 2015 2016-09-27 15:27:22Z X 2190306 X 1312933 153 153 28439 28439 15607 2062412 619815 1357132 648407 0 38067 3067 35000 4394 12167 12167 54628 3067 47167 521775 521775 576403 3067 568942 780729 645340 385095 897978 897978 1003873 1271719 1292328 1388968 2169697 2190306 0 X 1388968 2169697 1388968 2169697 1388968 2169697 1388968 780729 2169697 2169697 Publicly-traded Securities 2062412 1442597 619815 619815 619815 false 454061 1423069 0.319072 393092 1318549 0.298125 295993 1051338 0.281539 231712 1233128 0.187906 342124 1038849 0.32933 1.415972 0.283194 1995410 565088 6453 571541 568942 12907 12907 12907 3900 3900 X 9007 false false false false false false true true true DE true false false false false true Foundation Source 8008391754 501 Silverside Road Suite 123 Wilmington DE 198091377 false false false false false false false false false false false false false false false false false false false false Winnifred Ellis Foundation Source 501 Silverside Rd Wilmington DE 198091377 VP / Dir 1.0 0 0 0 David L Mahoney Foundation Source 501 Silverside Rd Wilmington DE 198091377 Pres / Dir / Sec 1.0 0 0 0 1410873 614924 0 2025797 0 2025797 30387 1995410 99771 99771 12907 12907 86864 86864 86864 568942 0 0 0 0 568942 568942 86864 2013 2012 2011 292696 173671 251920 332593 390696 1441576 568942 86864 482078 1923654 0 292696 1630958 173671 251920 332593 390696 482078 David L Mahoney Winnifred Ellis X AIM HIGH FOR HIGH SCHOOL 2030 HARRISON ST 3RD FL SAN FRANCISCO CA 94110 N/A PC General & Unrestricted 1000 AMERICAN PRAIRIE FOUNDATION PO BOX 908 BOZEMAN MT 59771 N/A PC General & Unrestricted 1000 BOSTON COLLEGE TRUSTEES 140 COMMONWEALTH AVE CHESTNUT HILL MA 02467 N/A PC Mahoney Family Scholarship Fund 10000 CALIFORNIA ACADEMY OF SCIENCES 55 MUSIC CONCOURSE DR GOLDEN GA SAN FRANCISCO CA 94118 N/A PC Big Bang Gala Fund-a-Need Program 2500 CALIFORNIA COLLEGE OF THE ARTS 5212 BROADWAY OAKLAND CA 94618 N/A PC 2014/15 Larry Sultan Visiting Artist Program Fund 5000 CALIFORNIA COLLEGE OF THE ARTS 5212 BROADWAY OAKLAND CA 94618 N/A PC 2015/16 Larry Sultan Visiting Artist Program FUND 5000 CATHOLIC CHARITIES CYO OF THE ARCHDIOCESE OF SAN F 180 HOWARD ST STE 100 SAN FRANCISCO CA 94105 N/A PC General & Unrestricted 500 COMMON SENSE MEDIA 650 TOWNSEND ST STE 435 SAN FRANCISCO CA 94103 N/A PC General & Unrestricted 250 DREW SCHOOL 2901 CALIFORNIA ST SAN FRANCISCO CA 94115 N/A PC Jowell Scholarship Fund 5000 DREW SCHOOL 2901 CALIFORNIA ST SAN FRANCISCO CA 94115 N/A PC Debt Pay Off Campaign 25000 FAMILY DOG & PUPPY RESCUE 3841 18TH ST SAN FRANCISCO CA 94114 N/A PC Cancerversary Fund 2500 GEYSERVILLE VOLUNTEER FIREFIGHTERS ASSOCIATION INC PO BOX 1042 GEYSERVILLE CA 95441 N/A PC General & Unrestricted 1000 HEALTHCARE FOUNDATION NORTHERN SONOMA COUNTY PO BOX 1025 HEALDSBURG CA 95448 N/A PC Wine Country Cares Fund 1000 KQED INC 2601 MARIPOSA ST SAN FRANCISCO CA 94110 N/A PC General & Unrestricted 25000 KQED INC 2601 MARIPOSA ST SAN FRANCISCO CA 94110 N/A PC Arts Content Center of KQED Campaign 21 Fund 50000 MARIN AGRICULTURAL LAND TRUST PO BOX 809 PT REYES STA CA 94956 N/A PC General & Unrestricted 500 MEALS ON WHEELS OF SAN FRANCISCO INC 1375 FAIRFAX AVE SAN FRANCISCO CA 94124 N/A PC General & Unrestricted 250 MERCY CORPS 45 SW ANKENY ST PORTLAND OR 97204 N/A PC Board Annual Matching Fund 35000 MERCY CORPS 45 SW ANKENY ST PORTLAND OR 97204 N/A PC CEO's Social Innovation Fund 25000 MERCY CORPS 45 SW ANKENY ST PORTLAND OR 97204 N/A PC Nepal Relief Fund 2500 NARAL PRO-CHOICE CALIFORNIA FOUNDATION Power of C 111 PINE ST SAN FRANCISCO CA 94111 N/A PC Charitable Event 5000 OUTWARD BOUND CALIFORNIA 1539 PERSHING DR SAN FRANCISCO CA 94129 N/A PC Annual Fund 30000 OUTWARD BOUND CALIFORNIA 1539 PERSHING DR SAN FRANCISCO CA 94129 N/A PC Impact Campaign Phase Zero Initiative 50000 OXBOW SCHOOL 530 3RD ST NAPA CA 94559 N/A PC Annual Fund 5000 PARENTS EDUCATION NETWORK 6050 GEARY BLVD STE 101A SAN FRANCISCO CA 94121 N/A PC General & Unrestricted 300 PRINCETON UNIVERSITY - ANNUAL GIVING GIFT RECORDS BOX 5357 PRINCETON NJ 08543 N/A PC 40th Reunion challenge match for Annual Giving FunD 10000 RAPHAEL HOUSE OF SAN FRANCISCO INC 1065 SUTTER ST SAN FRANCISCO CA 94109 N/A PC General & Unrestricted 1000 SAN FRANCISCO CHILD ABUSE PREVENTION CENTER 1757 WALLER ST SAN FRANCISCO CA 94117 N/A PC 100 Percent Campaign Fund 25000 SAN FRANCISCO CHILD ABUSE PREVENTION CENTER 1757 WALLER ST SAN FRANCISCO CA 94117 N/A PC Fund a Need Project 1000 SAN FRANCISCO FOOD BANK 900 PENNSYLVANIA AVE SAN FRANCISCO CA 94107 N/A PC General & Unrestricted 500 SAN FRANCISCO MUSEUM OF MODERN ART 172 MINNA ST SAN FRANCISCO CA 94105 N/A PC Black Dog Private Foundation Photographic Exhibition Fund 100000 SAN FRANCISCO MUSEUM OF MODERN ART 172 MINNA ST SAN FRANCISCO CA 94105 N/A PC Trustee Unrestricted Fund 25000 SAN FRANCISCO MUSEUM OF MODERN ART 172 MINNA ST SAN FRANCISCO CA 94105 N/A PC Photography Accessions Fund 7500 SAN FRANCISCO MUSEUM OF MODERN ART 172 MINNA ST SAN FRANCISCO CA 94105 N/A PC Photography Accessions Fund 7500 SAN FRANCISCO MUSEUM OF MODERN ART 172 MINNA ST SAN FRANCISCO CA 94105 N/A PC Modern Ball Program 5000 SAN FRANCISCO VILLAGE 3575 GEARY BLVD SAN FRANCISCO CA 94118 N/A PC General & Unrestricted 500 SUMMER SEARCH 500 SANSOME ST SAN FRANCISCO CA 94111 N/A PC General & Unrestricted 2500 TEACH FOR AMERICA INC - BAY AREA 22 4TH ST 7TH FL SAN FRANCISCO CA 94103 N/A PC Teacher Sponsorship Program 10000 TRUSTEES OF MOUNT HOLYOKE COLLEGE 50 COLLEGE ST SOUTH HADLEY MA 01075 N/A PC Annual Fund 15000 TRUSTEES OF MOUNT HOLYOKE COLLEGE 50 COLLEGE ST SOUTH HADLEY MA 01075 N/A PC Annual Fund 10000 TRUSTEES OF MOUNT HOLYOKE COLLEGE 50 COLLEGE ST SOUTH HADLEY MA 01075 N/A PC Mount Holyoke College Art Museum Friends of Art Program 1500 UNIVERSITY OF ARIZONA FOUNDATION 1111 N CHERRY AVE TUCSON AZ 85721 N/A PC Center for Creative Photography Tom Barrow Print Purchase project 4975 UNIVERSITY OF CALIFORNIA SAN FRANCISCO FOUNDATION PO BOX 45339 San Francisco CA 94145 N/A PC for the Program Development at the UCSF Helen Diller Family Comprehensive Cancer center, for pancreatic cancer research 5000 UNIVERSITY OF COLORADO FOUNDATION 1800 N GRANT ST STE 725 DENVER CO 80203 N/A PC College of Arts and Sciences Fund 1500 521775 14 153 14 28439 18 15607 44199 44199 false false false false false false false false false false X X 1 D L Mahoney W C Ellis 1998 Fami dl mahoney 121 jordan ave San Francisco CA 94118 1312933 X X 1 ACELRX PHARMACEUTICALS INC ACRX, 499 sh. 2013 2015-12-17 1 CONCERT PHARMACEUTICALS INC CNCE, 300 sh. 6393 2015-09-24 1 CONCERT PHARMACEUTICALS INC CNCE, 300 sh. 5556 2015-09-22 1 ISHARES RUSSELL 2000 IWM, 720 sh. 89158 2015-05-27 1 ISHARES RUSSELL 2000 IWM, 3194 sh. 393756 2015-05-26 1 SPDR S&P 500 ETF TRUST SPY, 1252 sh. 264867 2015-05-26 1 TETRAPHASE PHARMACEUTICALS INC TTPH, 300 sh. 12990 2015-05-22 1 PANDORA MEDIA INC P, 2466 sh. 44980 2015-05-07 1 DFA TAX MANAGED U.S. SMALL CAP PORTFOLI DFTSX, 2599.428 sh. 100728 2015-04-28 COHEN & STEERS INSTITUTIONAL R 29500 32026 CORCEPT THERAPEUTICS INC 105125 124500 DFA EMERGING MARKETS CORE EQ P 116176 105152 DFA INTERNATIONAL CORE EQUITY 123000 120715 DFA INTERNATIONAL SMALL CAP VA 24828 26408 DFA INTERNATIONAL VALUE PORTFO 39983 41116 DFA U.S. LARGE CAP VALUE PORTF 6331 10697 DFA U.S. SMALL CAP VALUE PORTF 8291 9789 DOUBLELINE TOTAL RETURN BOND 41594 40891 ETRACS ALERIAN MLP INDEX ETN 60019 63023 FIDELITY FLOATING RATE HIGH IN 14000 12985 HARBOR CAPITAL APPRECIATION FU 45000 42709 HARBOR FDS INTL FD 27000 25080 ISHARES MSCI EMERGING MARKETS 34966 34013 ISHARES MSCI GRW IDX 46935 46058 ISHARES RUSSELL 2000 14860 13514 JPMORGAN HIGH YIELD BOND FUND 32000 28311 METROPOLITAN WEST RETURN BOND 87004 84903 NATIXIS FDS TR I LS CORPLS BD 41594 38964 SPDR DJ WILSHIRE INT 30880 30787 SPDR S&P 500 ETF TRUST 240970 243828 VANGUARD FTSE ALL-WORLD EX-US 26663 43193 VANGUARD INFLATION-PROTECTED S 25000 24218 VANGUARD TOTAL BOND MARKET IND 50000 49448 This statement is submitted to report the distribution of certain assets during the above referenced year. The distributions resulted in a substantial contraction of assets. The following information is submitted in accordance with Treasury Regulation Section 1.6043-3(a)(1) and the Form 990-PF instructions: During the taxable year ending December 31, 2015, the Foundation made distributions from assets from sources other than current income. Collectively, the distributions in excess of current income totaled $521,775. This amount represents over 25% of the Foundation's net assets of $1,389,677 (as measured by fair market value) at the beginning of the Foundation's taxable year ending December 31, 2015. Although the Foundation technically experienced a substantial contraction, it will continue in existence and has no plans for dissolution. The Foundation made distributions of cash to the grantees listed in the attachment to Part XV, Line 3a; each such grant was made solely for the charitable purpose specified therein. Administrative Fees 12142 12142 State or Local Filing Fees 25 25 Investment Management Services 3067 3067 Philanthropic Consulting Srvcs 35000 35000 990-PF Estimated Tax for 2015 3900 990-PF Excise Tax for 2014 494