LILLYS GIFT FOUNDATION: Form 990PF, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
LILLYS GIFT FOUNDATION (EIN 68-0445376)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-05-14
IRS object ID
201531349349101123
Schema version
2014v5.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2015-05-14T10:27:00-05:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN262426369PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PAVLIK & CHITWOOD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 626AddressLine1Txt
CityYREKACityNm
State AbbreviationCAStateAbbreviationCd
ZIP96097ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN680445376EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LILLY'S GIFT FOUNDATION LOIS G ERICSON PRESIDENTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLILLBusinessNameControlTxt
Phone5303984373PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18519 SHADY DELL ROADAddressLine1Txt
CityMACDOELCityNm
State AbbreviationCAStateAbbreviationCd
ZIP96058ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLOIS G ERICSONPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone5303984373PhoneNum
Signature2015-05-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL S PAVLIKPreparerPersonNm
PTINP00230100PTIN
Phone5308422796PhoneNum
Preparation2015-05-06PreparationDt
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$11,623,961FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$1,360,000ContriRcvdRevAndExpnssAmt
Dividends Rev And Expnss$281,955DividendsRevAndExpnssAmt
Dividends Net Invst Incm$281,955DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$209,053NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$3,360,450GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$209,053CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$10OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$10OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$1,851,018TotalRevAndExpnssAmt
Total Net Invst Incm$491,018TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Legal Fees Rev And Expnss$2,005LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$2,005LegalFeesNetInvstIncmAmt
Legal Fees Dsbrs Chrtbl$0LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$5,515AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$5,515AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$0AccountingFeesChrtblPrpsAmt
Taxes Rev And Expnss$16,295TaxesRevAndExpnssAmt
Taxes Net Invst Incm$3,846TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$62,429OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$62,429OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$0OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$86,244TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$73,795TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$900,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$900,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$986,244TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$73,795TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$900,000TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$864,774ExcessRevenueOverExpensesAmt
Net Investment Income$417,223NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$1,000CashBOYAmt
Cash EOY$490CashEOYAmt
Cash EOYFMV$490CashEOYFMVAmt
Sav And Temp Cash Invst BOY$258,504SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$533,058SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$533,058SavAndTempCashInvstEOYFMVAmt
Corporate Stock BOY$3,455,017CorporateStockBOYAmt
Corporate Stock EOY$3,037,899CorporateStockEOYAmt
Corporate Stock EOYFMV$3,712,299CorporateStockEOYFMVAmt
Corporate Bonds BOY$6,002,632CorporateBondsBOYAmt
Corporate Bonds EOY$6,974,691CorporateBondsEOYAmt
Corporate Bonds EOYFMV$7,051,797CorporateBondsEOYFMVAmt
Other Investments BOY$344,290OtherInvestmentsBOYAmt
Other Investments EOY$380,079OtherInvestmentsEOYAmt
Other Investments EOYFMV$326,317OtherInvestmentsEOYFMVAmt
Total Assets BOY$10,061,443TotalAssetsBOYAmt
Total Assets EOY$10,926,217TotalAssetsEOYAmt
Total Assets EOYFMV$11,623,961TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$0CapitalStockBOYAmt
Capital Stock EOY$0CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$10,061,443RetainedEarningBOYAmt
Retained Earning EOY$10,926,217RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$10,061,443TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$10,926,217TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$10,061,443TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$10,926,217TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$10,061,443TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$864,774ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$10,926,217SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$10,926,217TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (3 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
VARIOUS SALES NORTHERN TRUST ACCT #23-60636P2013-12-312014-07-01$503,488$530,829-$27,341-$27,341
VARIOUS SALES NORTHERN TRUST ACCT #23-60636P2012-12-312014-07-01$2,740,858$2,620,568$120,290$120,290
CAPITAL GAINS DIVIDENDSP$116,104$116,104$116,104
FieldValueIRS element (for citing)
Capital Gain Net Income$209,053CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$1,109,591AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$10,708,528NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.103618DistributionYr1Rt
Adjusted Qlfy Distri Yr2$605,623AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$9,640,834NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.062819DistributionYr2Rt
Adjusted Qlfy Distri Yr3$360,000AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$8,285,267NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.043451DistributionYr3Rt
Adjusted Qlfy Distri Yr4$290,000AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$7,034,790NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.041224DistributionYr4Rt
Adjusted Qlfy Distri Yr5$278,134AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$5,616,346NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.049522DistributionYr5Rt
Total Distribution0.300634TotalDistributionRt
Average Distribution0.060127AverageDistributionRt
Net Vl Noncharitable Assets$11,340,648NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$681,879AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$4,172NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$686,051AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$900,000QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$4,172InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$4,172SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$4,172TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$8,440EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$8,440TotalPaymentsAndCreditsAmt
Overpayment$4,268OverpaymentAmt
Applied To ES Tax$4,268AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateCAOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial ContributorsYes (1)NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksLOIS G ERICSONIndividualWithBooksNm
Phone5303984373PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line18519 SHADY DELL ROADAddressLine1Txt
CityMACDOELCityNm
State AbbreviationCAStateAbbreviationCd
ZIP96058ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
LOIS G ERICSON
8519 SHADY DELL ROADMACDOELCA96058PRESIDENT/DIRECTOR1.00$0$0$0
CONSTANCE D SHEPHERD
2325 TYLER STREETEUGENEOR97405DIRECTOR0.00$0$0$0
STEVEN L ERICSON
7001 EAST BUTTE VALLEY ROADDORRISCA96023DIRECTOR0.00$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

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$11,295,983AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$217,365AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$11,513,348TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$11,513,348AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$172,700CashDeemedCharitableAmt
Net Vl Noncharitable Assets$11,340,648NetVlNoncharitableAssetsAmt
Minimum Investment Return$567,032MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$567,032MinimumInvestmentReturnAmt
Tax Based On Investment Income$4,172TaxBasedOnInvestmentIncomeAmt
Total Tax$4,172TotalTaxAmt
Distributable Before Adj$562,860DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$562,860DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$562,860DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$900,000ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$900,000QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$4,172PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$895,828AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$562,860DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr1$572,041ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$572,041TotalExcessDistributionCyovAmt
Qualifying Distributions$900,000QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$562,860AppliedToCurrentYearAmt
Remaining Distri From Corpus$337,140RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$909,181TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$909,181ExcessDistriCyovToNextYrAmt
Excess From Year1$572,041ExcessFromYear1Amt
Excess From Current Year$337,140ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonLILLY'S GIFT FOUNDATIONRecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line18519 SHADY DELL ROADAddressLine1Txt
CityMACDOELCityNm
State AbbreviationCAStateAbbreviationCd
ZIP96058ZIPCd
FieldValueIRS element (for citing)
Recipient Phone5303984373RecipientPhoneNum
Form And Info And MaterialsPOTENTIAL RECIPIENTS ARE TO SUBMIT A WRITTEN LETTER EXPLAINING NEED.FormAndInfoAndMaterialsTxt
Submission DeadlinesNO SUBMISSION DEADLINESSubmissionDeadlinesTxt
Restrictions On AwardsNO RESTRICTIONS OR LIMITATIONS ON AWARDS.RestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (44 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
10TH DISTRICT AGRICULTURAL ASSN FRIENDS OF THE FAIR
1712 FAIRLANE ROADYREKACA96097NONEPUBLIC CHARITYFOR SUPPORT OF FAIRS. FUNDS NOT TO BE USED FOR ADMINISTRATIVE EXPENSES.$250,000
ALSA - ORANGE COUNTY
2230 WEST CHAPMAN SUITE 123ORANGECA92868NONEPUBLIC CHARITYFOR ANY EXPENDITURE RELATED TO CHARITABLE PURPOSE$5,000
ASANTE FOUNDATION
2600 SISKIYOU BLVD SUITE 100MEDFORDOR97504NONEPUBLIC CHARITYPROVIDE FUNDS FOR COMMUNITY HEALTH CARE.$5,000
ASHER STUDENT FOUNDATION
1408 BARRY AVENUE SUITE 205LOS ANGELESCA90025NONEPUBLIC CHARITYFOR ANY STUDENT RELATED COSTS$3,000
BOY'S REPUBLIC
1907 BOYS REPUBLIC DRIVECHINO HILLSCA91709NONEPUBLIC CHARITYPROVIDE FUNDS FOR THE DELLA ROBBIA WREATH PROGRAM WHICH SUPPORTS AT RISK YOUTH$5,000
BUTTE VALLEY AMBULANCE SERVICE INC
PO BOX 9DORRISCA96023NONEPUBLIC CHARITYTO PROVIDE SERVICE TO INDIVIDUALS WHO CAN NOT PAY$1,000
BUTTE VALLEY FIRE PROTECTION DISTRICT
PO BOX 103MACDOELCA96058NONEPUBLIC CHARITYTO PURCHASE NEW EQUIPMENT$10,000
CA CHAPTER OF ROCKY MOUNTAIN ELK FOUNDATION
PO BOX 8249MISSOULAMT59807NONEPUBLIC CHARITYWILDLIFE ENHANCEMENT$10,000
DORRIS VOLUNTEER FIRE DEPARTMENT
PO BOX 768DORRISCA96023NONEPUBLIC CHARITYFOR ANY EXPENDITURE RELATED TO CHARITABLE PURPOSE$10,000
EASTER SEALS BAY AREA
391 TAYLOR BLVDPLEASANT HILLCA94523NONEPUBLIC CHARITYFOR THE SUMMER CAMP PROGRAM AT EAGLE LAKE OR GRIZZ.$8,000
FRIENDS OF BOW ISLE
16880 SE 56TH PLACEBELLEVUEWA98006NONEPUBLIC CHARITYFOR OPERATION OF THE CAMP$4,000
FRIENDS OF THE NRA
9233 OLD FORT ROADKLAMATH FALLSOR97601NONEPUBLIC CHARITYFOR ANY EXPENDITURE RELATED TO EXEMPT FUNCTION$10,000
GUIDING EYES FOR THE BLIND
611 GRANITE SPRINGS RDYORKTOWN HEIGHTSNY10598NONEPUBLIC CHARITYSUPPORT FOR THE BLIND$7,500
HEALTHY SMILES-KIDS OF ORANGE COUNT
10602 CHAPMAN AVENUE SUITE 200GARDEN GROVECA92840NONEPUBLIC CHARITYPROVIDE FUNDS FOR PROMOTING ORAL HEALTH FOR THE KIDS OF ORANGE COUNTY$10,000
HOSANNA CHRISTIAN SCHOOL
5000 HOSANNA WAYKLAMATH FALLSOR97603NONEPUBLIC CHARITYPROGRAM ASSISTANCE TO CHRISTIAN SCHOOL$5,000
KLAMATH CRISIS CENTER
PO BOX 1358KLAMATH FALLSOR97601NONEPUBLIC CHARITYASSISTANCE FOR VICTIMS OF SEXUAL AND DOMESTIC VIOLEN$5,000
KLAMATH FALLS GOSPEL MISSION
823 WALNUT AVEKLAMATH FALLSOR97601NONEPUBLIC CHARITYASSISTANCE FOR EMERGENCY FOOD, CLOTHING AND SHELTER$6,000
KLAMATH HOSPICE INC
4745 S 6TH STREETKLAMATH FALLSOR97601NONEPUBLIC CHARITYFOR CLIENT CARE OR CAMP EVERGREEN$6,000
KLAMATH HUMANE SOCIETY
PO BOX 482KLAMATH FALLSOR97601NONEPUBLIC CHARITYBUILDING FUND$6,000
KLAMATH LAKE COUNTIES FOOD BANK
3231 MAY WOOD DRIVEKLAMATH FALLSOR97601NONEPUBLIC CHARITYFOR EMERGENCY FOOD ASSISTANCE ONLY$20,000
KLAMATH-LAKE CARES
2220 ELDORADO BLVDKLAMATH FALLSOR97601NONEPUBLIC CHARITYFOR SUPPORT OF CHILD ABUSE PROGRAM$45,000
MADRONE HOSPICE INC
255 COLLIER WAYYREKACA96097NONEPUBLIC CHARITYFOR CLIENT CARE$15,000
MARCH OF DIMES
2222 MARTIN SUITE 155IRVINECA92612NONEPUBLIC CHARITYFOR ANY EXPENDITURE RELATED TO CHARITABLE PURPOSE$20,000
MERCY HOME FOR BOYS & GIRLS
1140 W JACKSON BOULEVARDCHICAGOIL60607NONEPUBLIC CHARITYFOR FOOD, CLOTHING AND SHELTER FOR THOSE ASSISTED$2,000
MILLER CHILDREN'S HOSPITAL
2801 ATLANTIC AVENUELONG BEACHCA908011428NONEPUBLIC CHARITYPROVIDE FUNDS TO ASSIST IN PEDIATRIC CARE FOR CHILDREN AND YOUNG ADULTS$7,000
MT SHASTA RACE ASSOCIATION
PO BOX 759MT SHASTACA96067NONEPUBLIC CHARITYFOR GENERAL SUPPORT OF THE SKI TEAM$15,000
THE MUSTARD SEED RANCH
1421 EDINGER SUITE BTUSTINCA92780NONEPUBLIC CHARITYFOR THE MUSTARD SEED RANCH PROGRAM$7,000
PERFORMING ANIMAL WELFARE SOCIETY (PAWS)
PO BOX 849GALTCA95632NONEPUBLIC CHARITYPROVIDE FUNDS TO ASSIST IN PROTECTING PERFORMING ANIMALS$15,000
RED BUCKET EQUINE RESCUE
18381 GOLDEN WEST STHUNTINGTON BEACHCA92648NONEPUBLIC CHARITYPROVIDE FUNDS TO SAVE AND REHABILITATE ABANDONED AND UNWANTED HORSES.$10,000
RESCUE RANCH INC
PO BOX 1192YREKACA96097NONEPUBLIC CHARITYPROVIDE FUNDS FOR DOG RESCUE AND REHABILITATION$5,000
ROCKY MOUNTAIN CHILDRENS HEALTH FOUNDATION
2055 HIGH STREET SUITE 240DENVERCO80205NONEPUBLIC CHARITYSUPPORT TO PEDIATRIC PATIENTS AND THEIR FAMILIES$2,500
RONALD MCDONALD HOUSES OF ORANGE COUNTY
383 SOUTH BATAVIA STORANGECA92868NONEPUBLIC CHARITYASSIST IN HOUSING FOR SERIOUSLY ILL CHILDREN AND THEIR FAMILIES$4,000
RONALD MCDONALD HOUSES OF PORTLAND OR
2620 N COMMERCIAL AVENUEPORTLANDOR97227NONEPUBLIC CHARITYASSIST IN PROVIDING HOUSING FOR SERIOUSLY ILL CHILDREN$2,000
SEARCH DOG FOUNDATION
501 E OJAI AVEOJAICA93023NONEPUBLIC CHARITYPROVIDE FUNDS TO RECRUIT RESCUED DOGS FOR USE BY FIRST RESPONDERS/$15,000
SMART-START MAKING A READER TODAY
219 NW 12TH AVE STE 203PORTLANDOR97209NONEPUBLIC CHARITYPROVIDE FUNDS FOR READING PROGRAMS$20,000
STABLE HANDS
PO BOX 1852YREKACA96097NONEPUBLIC CHARITYPROVIDE FUNDS FOR THERAPEUTIC HORSEBACK RIDING. FUNDS TO BE USED FOR AREA IMPROVEMENTS AND PURCHASE OF HORSE TRAILER.$20,000
THE ACADEMY OF SISTERS
62895 HAMBY ROADBENDOR97701NONEPUBLIC CHARITYFOR SUPPORT OF AN AT RISK BOARDING SCHOOL FOR GIRLS. FUNDS NOT TO BE USED FOR ADMINISTATIVE EXPENSES.$15,000
THE GIDEONS INTERNATIONAL
3863 HOOKER RDROSEBURGOR97470NONEPUBLIC CHARITYPROVIDE FUNDS FOR BIBLE DISTRIBUTION$2,000
THE SMILE TRAIN
245 FIFTH AVENUE SUITE 2201NEW YORKNY10016NONEPUBLIC CHARITYPROVIDE FUNDS TO TREAT CHILDREN WITH CLEFT PALATES.$10,000
TULELAKE-BUTTE VALLEY FAIR FRIENDS INC
PO BOX 866TULELAKECA96134NONEPUBLIC CHARITYFOR SUPPORT OF FAIRS. FUNDS NOT TO BE USED FOR ADMINISTRATIVE EXPENSES.$250,000
TWELVEACRES INC
595 MILLICH DRIVE SUITE 104CAMPBELLCA95008NONEPUBLIC CHARITYPROVIDE FUNDS TO ASSIST DEVELOPMENTALLY DISABLED ADULT.$5,000
ORANGE COUNTY RESCUE MISSION
ONE HOPE DRIVEYREKACA96097NONEPUBLIC CHARITYPROVIDE FUNDS TO SUPPORT THE MISSION OF THE RESCUE MISSION$15,000
SKY LAKES CANCER CENTER
2865 DAGGETT AVENUEKLAMATH FALLSOR97601NONEPUBLIC CHARITYPROVIDE FUNDS FOR THE MAMMOGRAPHIC FUND$2,000
STEVENS JOHNSON SYNDROME FOUNDATION
PO BOX 350333WESTMINSTERCO800350333NONEPUBLIC CHARITYPROVIDE FUNDS FOR RESEARCH$10,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$900,000TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$281,955ExclusionAmt

Other Investment Incm Part VII OtherInvestmentIncmPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$10ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$209,053ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$491,018ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$491,018TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

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 PersonGRISWOLD INDUSTRIESContributorPersonNm

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line11701 PLACENTIA AVENUEAddressLine1Txt
CityCOSTA MESACityNm
State AbbreviationCAStateAbbreviationCd
ZIP92627ZIPCd
FieldValueIRS element (for citing)
Total Contributions$1,360,000TotalContributionsAmt
Person ContributionYes (X)PersonContributionInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTINGCategoryTxt
Amt$5,515Amt
Net Investment Income$5,515NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp

FieldValueIRS element (for citing)
BondCORPORATE BONDSBondNm
EOY Book Value$6,974,691EOYBookValueAmt
EOYFMV$7,051,797EOYFMVAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockCOMMON STOCKStockNm
EOY Book Value$3,037,899EOYBookValueAmt
EOYFMV$3,712,299EOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp

FieldValueIRS element (for citing)
Category Or ItemCOMMODITIESCategoryOrItemTxt
Listed At Cost Or FMVAT COSTListedAtCostOrFMVCd
Book Value$380,079BookValueAmt
EOYFMV$326,317EOYFMVAmt

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryLEGALCategoryTxt
Legal Fees$2,005LegalFeesAmt
Net Investment Income$2,005NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (2 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
INVESTMENT FEES$62,249$62,249$0
FILING FEES$180$180$0

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescCLASS ACTION SETTLEMENTDesc
Revenue And Expenses Per Books$10RevenueAndExpensesPerBooksAmt
Net Investment Income$10NetInvestmentIncomeAmt
Adjusted Net Income$10AdjustedNetIncomeAmt

Substantial Contributors Sch SubstantialContributorsSch

Substantial Contributor Detail SubstantialContributorDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GRISWOLD INDUSTRIESBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11701 PLACENTIA AVENUEAddressLine1Txt
CityCOSTA MESACityNm
State AbbreviationCAStateAbbreviationCd
ZIP92627ZIPCd

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
EXCISE TAX - 2014 ESTIMATES PAID AND 2013 BALANCE DUE$12,449$0$0
FOREIGN TAX PAID$3,846$3,846$0

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.