2016-06-14T09:21:56-05:00 2016-01-31 410746749 CLIFTONLARSONALLEN LLP 1301 W 22ND ST STE 1100 OAK BROOK IL 60523 990PF 2015-02-01 363496530 UBBEN FOUNDATION UBBE 8478357401 9 BRIAR LANE GLENCOE IL 60022 TIMOTHY H UBBEN PRESIDENT 8478357401 2016-06-13 1 ROBERT G GIBSON P01333099 6305738600 2015 2016-09-27 15:27:22Z X 11313491 X X 122752 217768 2112018 2446051 2112018 -189116 2234770 2140670 0 0 0 7120 3560 3560 3395 3395 0 45264 10906 175 8088 8088 0 63867 25949 3735 10119700 10119700 10183567 25949 10123435 -7948797 2114721 3974161 213222 213222 9776350 5588492 11100269 13750511 5801714 11313491 0 0 X 0 0 2472280 2472280 11278231 3329434 13750511 5801714 13750511 5801714 13750511 -7948797 0 5801714 0 5801714 ST CAP GAIN: K-1 VALUEACT CAPITAL PARTNERS, L.P. 2015-01-01 2016-01-31 134235 -134235 -134235 LT CAP GAIN: K-1 VALUEACT CAPITAL PARTNERS, L.P. 2015-01-01 2016-01-31 2420735 2420735 2420735 LT CAP GAIN: K-1 VALUEACT CAPITAL PARTNERS, L.P. - JANUARY 2015 2015-01-01 2016-01-31 199798 -199798 -199798 LT CAP GAIN: K-1 VALUEACT CAPITAL PARTNERS, L.P. - JANUARY 2016 2015-01-01 2016-01-31 25316 25316 25316 CAPITAL GAINS INCLUDED ON 990T P 0 0 2112018 0 13843619 23044435 0.600736 12866613 21201053 0.606886 1310455 16670198 0.078611 561500 11984391 0.046853 1585467 9968005 0.159056 1.492142 0.298428 14700218 4386957 21147 4408104 10123435 X 21147 0 21147 0 21147 9500 9500 X 226 11873 0 0 0 0 0 0 0 0 1 1 0 1 1 IL 1 0 0 0 0 1 N/A TIMOTHY H UBBEN 8478357401 9 BRIAR LANE GLENCOE IL 60022 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 TIMOTHY H UBBEN 9 BRIAR LANE GLENCOE IL 60022 PRESIDENT 0.00 0 0 0 SHARON W UBBEN 9 BRIAR LANE GLENCOE IL 60022 VICE PRESIDENT 0.00 0 0 0 PAMELA WISINSKI 35 SCOFIELD FARM DARIEN CT 06820 SECRETARY 0.00 0 0 0 JEFFREY W UBBEN 3355 PACIFIC SAN FRANCISCO CA 94118 TREASURER 0.00 0 0 0 NONE 0 NONE 0 0 0 595386 14328693 14924079 0 0 14924079 223861 14700218 735011 735011 21147 14658 35805 699206 0 699206 0 699206 10123435 0 10123435 21147 10102288 699206 0 0 1090611 46817 510953 11843608 12777447 26269436 10123435 0 0 0 699206 9424229 0 0 35693665 0 0 0 0 0 0 1090611 34603054 46817 510953 11843608 12777447 9424229 TIMOTHY H UBBEN JEFFREY W UBBEN X 826 VALENCIA 826 VALENCIA STREET SAN FRANCISCO CA 94110 N/A PUBLIC CHARITY GENERAL SUPPORT 25000 ACCESS INSTITUTE FOR PSYCHOLOGICAL SERVICES 110 GOUGH ST SAN FRANCISCO CA 94102 N/A PUBLIC CHARITY GENERAL SUPPORT 20000 BAY AREA COUNCIL FOUNDATION 353 SACRAMENTO STREET 10TH FLOOR SAN FRANCISCO CA 94111 N/A PUBLIC CHARITY GENERAL SUPPORT 25000 BOYS & GIRLS CLUB OF SAN FRANCISCO 55 HAWTHORNE ST SUITE 600 SAN FRANCISCO CA 94105 N/A PUBLIC CHARITY GENERAL SUPPORT 200000 BREAD AND ROSES COMMUNITY FUND 1315 WALNUT STREET SUITE 1300 PHILADELPHIA PA 19107 N/A PUBLIC CHARITY GENERAL SUPPORT 10000 DREW SCHOOL 2901 CALIFORNIA STREET SAN FRANCISCO CA 94115 N/A PUBLIC CHARITY EDUCATIONAL 500000 GIFT OF ADOPTION FUND 2001 WAUKEGAN ROAD 5TH FLOOR TECHNY IL 60082 N/A PUBLIC CHARITY GENERAL SUPPORT 2500 KELLOGG SCHOOL OF MANAGEMENT - NORTHWESTERN UNIVERSITY 2169 CAMPUS DRIVE EVANSTON IL 60208 N/A PUBLIC CHARITY EDUCATION 2000000 MARIN ACADEMY 1600 MISSION AVE SAN RAFAEL CA 94901 N/A PUBLIC CHARITY EDUCATIONAL 2200 MUTTVILLE PO BOX 410207 SAN FRANCISCO CA 94141 N/A PUBLIC CHARITY GENERAL SUPPORT 157000 PEPPERDINE UNIVERSITY 24255 PACIFIC COAST HIGHWAY MALIBU CA 90263 N/A PUBLIC CHARITY EDUCATIONAL 25000 POSSE FOUNDATION 111 WEST JACKSON BLVD SUITE 1900 CHICAGO IL 60604 N/A PUBLIC CHARITY EDUCATIONAL 6600000 RADFORD FAMILY LIFE COMMUNITY CENTER INCORPORATED 206 RUSSELL AVENUE RADFORD VA 24141 N/A PUBLIC CHARITY GENERAL SUPPORT 100000 RIGHT TO PLAY 49 WEST 27TH STREET NEW YORK NY 10001 N/A PUBLIC CHARITY GENERAL SUPPORT 33000 SAN FRANCISCO BOTANICAL GARDEN 1199 9TH AVENUE SAN FRANCISCO CA 94122 N/A PUBLIC CHARITY GENERAL SUPPORT 5000 SAN FRANCISCO RBI 38 KEYES AVENUE SUITE 200 SAN FRANCISCO CA 94129 N/A PUBLIC CHARITY GENERAL SUPPORT 35000 SONOMA VALLEY VINTERS AND GROWERS FOUNDATION 783 BROADWAY SONOMA CA 95476 N/A PUBLIC CHARITY GENERAL SUPPORT 100000 SUMMER SEARCH 500 SANSOME ST SAN FRANCISCO CA 94111 N/A PUBLIC CHARITY GENERAL SUPPORT 5000 THE CATHOLIC SCHOOLS FOUNDATION INC 67 BATTERYMARCH STREET BOSTON MA 02110 N/A PUBLIC CHARITY EDUCATIONAL 100000 TRAILS FOREVER BUILDING 201 FORT MASON SAN FRANCISCO CA 94123 N/A PUBLIC CHARITY GENERAL SUPPORT 25000 UNIVERSITY OF CALIFORNA BERKELEY FOUNDATION 2080 ADDISON ST SUITE 4200 BERKELEY CA 94720 N/A PUBLIC CHARITY EDUCATIONAL 150000 10119700 0 14 122752 18 2112018 0 2234770 0 2234770 0 0 0 0 0 0 0 0 0 0 ACCOUNTING/LEGAL FEES 7120 3560 3560 VALUEACT CAPITAL PARTNERS, LP AT COST 5588492 11100269 PORTFOLIO DEDUCTIONS FROM K-1 VALUEACT CAPITAL PARTNERS 8088 8088 0 FOREIGN TAXES - FROM K-1 VALUEACT CAPITAL PARTNERS 10906 10906 0 IL CHARITY BUREAU FUND 15 0 15 BANK FEES 150 0 150 IL SECRETARY OF STATE 10 0 10 IL DEPARTMENT OF REVENUE 6800 0 0 INTERNAL REVENUE SERVICE 27383 0 0