SEIBERLICH FAMILY FOUNDATION: Form 990PF, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
SEIBERLICH FAMILY FOUNDATION (EIN 86-0820737)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-04-10
IRS object ID
201311019349100151
Schema version
2012v2.0
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)
Timestamp2013-04-10T19:24:12-07:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1H & S ACCOUNTING LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line110225 W THUNDERBIRD BLVDAddressLine1
CitySUN CITYCity
StateAZState
ZIP Code853516103ZIPCode
FieldValueIRS element (for citing)
Return Type990PFReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN860820737EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1SEIBERLICH FAMILY FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSEIBNameControl
Phone6235466375Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line121612 YELLOWSTONE COURT NAddressLine1
CitySUN CITY WESTCity
StateAZState
ZIP Code85375ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJAMES L SEIBERLICHName
TitleTrusteeTitle
Date Signed2013-04-10DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJanis W Ryan CPAName
PTINP01012101PTIN
Phone6239339363Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Exempt PFXExemptPF
FMV Assets EOY771250FMVAssetsEOY
Method Of Accounting CashXMethodOfAccountingCash

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Not Required To Attach Schedule BXNotRequiredToAttachScheduleB
Interest On Savings Rev And Expnss13367InterestOnSavingsRevAndExpnss
Interest On Savings Net Invst Incm13367InterestOnSavingsNetInvstIncm
Interest On Savings Adj Net Incm13367InterestOnSavingsAdjNetIncm
Dividends Rev And Expnss6415DividendsRevAndExpnss
Dividends Net Invst Incm6415DividendsNetInvstIncm
Dividends Adj Net Incm6415DividendsAdjNetIncm
Net Gain Sale Assets Rev And Expnss15179NetGainSaleAssetsRevAndExpnss
Gross Sales Price57188GrossSalesPrice
Capital Gain Net Incm Net Invst Incm15179CapitalGainNetIncmNetInvstIncm
Total Revenue And Expenses34961TotalRevenueAndExpenses
Total Net Investment Income34961TotalNetInvestmentIncome
Total Adjusted Net Income19782TotalAdjustedNetIncome
Accounting Fees Rev And Expnss850AccountingFeesRevAndExpnss
Other Prof Fees Rev And Expnss265OtherProfFeesRevAndExpnss
Tot Opr Expenses Rev And Expnss1115TotOprExpensesRevAndExpnss
Tot Opr Expenses Net Invst Incm0TotOprExpensesNetInvstIncm
Tot Opr Expenses Dsbrs Chrtbl Prps0TotOprExpensesDsbrsChrtblPrps
Contri Gifts Paid Rev And Expnss65000ContriGiftsPaidRevAndExpnss
Contri Gifts Paid Dsbrs Chrtbl Prps65000ContriGiftsPaidDsbrsChrtblPrps
Total Expenses Rev And Expnss66115TotalExpensesRevAndExpnss
Total Expenses Net Invst Incm0TotalExpensesNetInvstIncm
Total Expenses Dsbrs Chrtbl Prps65000TotalExpensesDsbrsChrtblPrps
Excess Of Revenue Over Expenses-31154ExcessOfRevenueOverExpenses
Net Investment Income34961NetInvestmentIncome
Adjusted Net Income19782AdjustedNetIncome

Balance Sheets BalanceSheets

FieldValueIRS element (for citing)
Savings And Temp Cash Invst BOY131478SavingsAndTempCashInvstBOY
Savings And Temp Cash Invst EOY142519SavingsAndTempCashInvstEOY
Savings And Temp Cash Invst EOYFMV142519SavingsAndTempCashInvstEOYFMV
Investments Govt Oblig BOY131634InvestmentsGovtObligBOY
Investments Govt Oblig EOY89624InvestmentsGovtObligEOY
Investments Govt Oblig EOYFMV92765InvestmentsGovtObligEOYFMV
Investments Corp Stock BOY103550InvestmentsCorpStockBOY
Investments Corp Stock EOY103550InvestmentsCorpStockEOY
Investments Corp Stock EOYFMV484392InvestmentsCorpStockEOYFMV
Investments Corp Bonds BOY54351InvestmentsCorpBondsBOY
Investments Corp Bonds EOY54351InvestmentsCorpBondsEOY
Investments Corp Bonds EOYFMV51574InvestmentsCorpBondsEOYFMV
Total Assets BOY421013TotalAssetsBOY
Total Assets EOY390044TotalAssetsEOY
Total Assets EOYFMV771250TotalAssetsEOYFMV
Total Liabilities EOY0TotalLiabilitiesEOY
Org That Do Not Follow SFAS117XOrgThatDoNotFollowSFAS117
Retained Earnings BOY421013RetainedEarningsBOY
Retained Earnings EOY390044RetainedEarningsEOY
Total Net Assets BOY421013TotalNetAssetsBOY
Total Net Assets EOY390044TotalNetAssetsEOY
Total Liabilities Net Assets BOY421013TotalLiabilitiesNetAssetsBOY
Total Liabilities Net Assets EOY390044TotalLiabilitiesNetAssetsEOY

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

FieldValueIRS element (for citing)
Total Net Assets Fund Balances BOY421013TotalNetAssetsFundBalancesBOY
Excess Of Revenue Over Expenses-31154ExcessOfRevenueOverExpenses
Other Increases185OtherIncreases
Subtotal390044Subtotal
Total Net Assets Fund Balances EOY390044TotalNetAssetsFundBalancesEOY

Capital Gains And Losses CapitalGainsAndLosses

FieldValueIRS element (for citing)
Capital Gain Net Income15179CapitalGainNetIncome

Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax

FieldValueIRS element (for citing)
Liable For4942 TaxfalseLiableFor4942Tax
Qualifying Distributions Year1109798QualifyingDistributionsYear1
Noncharitable Assets Year1777167NoncharitableAssetsYear1
Distribution Ratio Year10.14128DistributionRatioYear1
Qualifying Distributions Year225000QualifyingDistributionsYear2
Noncharitable Assets Year2744415NoncharitableAssetsYear2
Distribution Ratio Year20.03358DistributionRatioYear2
Qualifying Distributions Year335000QualifyingDistributionsYear3
Noncharitable Assets Year3680350NoncharitableAssetsYear3
Distribution Ratio Year30.05144DistributionRatioYear3
Qualifying Distributions Year425000QualifyingDistributionsYear4
Noncharitable Assets Year4740157NoncharitableAssetsYear4
Distribution Ratio Year40.03378DistributionRatioYear4
Qualifying Distributions Year520000QualifyingDistributionsYear5
Noncharitable Assets Year5808077NoncharitableAssetsYear5
Distribution Ratio Year50.02475DistributionRatioYear5
Total Distribution Ratio0.28483TotalDistributionRatio
Average Distribution Ratio0.05697AverageDistributionRatio
Net Noncharitable Assets748596NetNoncharitableAssets
Adjusted Noncharitable Assets42645AdjustedNoncharitableAssets
One Percent Net Investment Income350OnePercentNetInvestmentIncome
Adj Nonchrtbl Assets And One42995AdjNonchrtblAssetsAndOnePct
Qualifying Distributions65000QualifyingDistributions

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eXDomesticOrgMeetingSect4940e
Investment Income Excise Tax350InvestmentIncomeExciseTax
Subtotal350Subtotal
Tax Based On Investment Income350TaxBasedOnInvestmentIncome
Tax Due350TaxDue

Statements Regarding Activities StatementsRegardingActivities

FieldValueIRS element (for citing)
Legislative Political ActivitiesfalseLegislativePoliticalActivities
More Than100 SpentfalseMoreThan100Spent
Form1120 POL FiledfalseForm1120POLFiled
Activities Not Prev ReportedfalseActivitiesNotPrevReported
Changes To Articles Or BylawsfalseChangesToArticlesOrBylaws
Unrelated Bus Income Over1000falseUnrelatedBusIncomeOver1000
Form990 T FiledfalseForm990TFiled
Termination EtcfalseTerminationEtc
Requirements Of Sect508etrueRequirementsOfSect508e
At Least5000 In AssetstrueAtLeast5000InAssets
States Filed WithMNStatesFiledWith
Form990 PF Filed With AGtrueForm990PFFiledWithAG
Private Operating FoundationfalsePrivateOperatingFoundation
New Substantial ContributorsfalseNewSubstantialContributors
Interest In Controlled EntityfalseInterestInControlledEntity
Applicable Insurance ContractfalseApplicableInsuranceContract
Comply With Public Inspection RqrtrueComplyWithPublicInspectionRqr
Website AddressN/AWebsiteAddress

Books In Care Of Business Name BooksInCareOfBusinessName

FieldValueIRS element (for citing)
Business Name Line1JAMES L SEIBERLICHBusinessNameLine1
FieldValueIRS element (for citing)
Books In Care Of Phone Number6235466375BooksInCareOfPhoneNumber

Books In Care Of US Address BooksInCareOfUSAddress

FieldValueIRS element (for citing)
Address Line121612 YELLOWSTONE COURTAddressLine1
CitySUN CITY WESTCity
StateAZState
ZIP Code85375ZIPCode
FieldValueIRS element (for citing)
Foreign BankfalseForeignBank

Statements Regarding Acty4720 StatementsRegardingActy4720

FieldValueIRS element (for citing)
Sale Or Exchange With Dsqfly PersonfalseSaleOrExchangeWithDsqflyPerson
Borrow Or Lend With Dsqfly PersonfalseBorrowOrLendWithDsqflyPerson
Furnished Goods With Dsqfly PersonfalseFurnishedGoodsWithDsqflyPerson
Pay Compensation To Dsqfly PersonfalsePayCompensationToDsqflyPerson
Transfer Assets To Dsqfly PersonfalseTransferAssetsToDsqflyPerson
Payment To Government OfficalfalsePaymentToGovernmentOffical
Acts Fail To Qualify As ExceptionsfalseActsFailToQualifyAsExceptions
Uncorrected Prior ActsfalseUncorrectedPriorActs
Undistributed Income Prior YearsfalseUndistributedIncomePriorYears
Undistr Income4942a2 Not AppliedfalseUndistrIncome4942a2NotApplied
Business HoldingsfalseBusinessHoldings
Excess Business HoldingsfalseExcessBusinessHoldings
Jeopardy InvestmentsfalseJeopardyInvestments
Uncorrected Jeopardy InvestmentsfalseUncorrectedJeopardyInvestments
Influence LegislationfalseInfluenceLegislation
Influence ElectionfalseInfluenceElection
Grants To IndividualsfalseGrantsToIndividuals
Grants To OrganizationsfalseGrantsToOrganizations
Noncharitable PurposefalseNoncharitablePurpose
Tr Fail To Qualify As ExceptionsfalseTrFailToQualifyAsExceptions
Maint Expend ResponsibilityfalseMaintExpendResponsibility
Rcv Funds To Pay Prsnl Bnft ContractfalseRcvFundsToPayPrsnlBnftContract
Pay Premiums Prsnl Bnft ContractfalsePayPremiumsPrsnlBnftContract
Prohibited Tax Shelter TransactnfalseProhibitedTaxShelterTransactn
Proceeds Or Net IncomefalseProceedsOrNetIncome

Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo

Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (5 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeTitleTitleAvg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPositionCompensationCompensation
ANGELA SEIBERLICH
160 WEDGEWOODMAHTOMEDIMN55115Trustee0.000
TOBY SEIBERLICH
13503 W MEDLOCK DRLITCHFIELD PARKAZ85340Trustee0.000
LIZABETH L ERICKSON
11900 102ND STREET NORTHSTILLWATERMN55082Trustee0.000
ANNELLA SEIBERLICH
21612 YELLOWSTONE COURTSUN CITY WESTAZ85375Trustee0.000
JAMES L SEIBERLICH
21612 YELLOWSTONE COURTSUN CITY WESTAZ85375Trustee0.000
FieldValueIRS element (for citing)
Comp Of Highest Paid Empl NONENONECompOfHighestPaidEmplNONE
Comp Of Hghst Paid Cntrct NONENONECompOfHghstPaidCntrctNONE

Minimum Investment Return MinimumInvestmentReturn

FieldValueIRS element (for citing)
Avg Monthly FMV Of Securities618634AvgMonthlyFMVOfSecurities
Avg Monthly Cash Balances141362AvgMonthlyCashBalances
FMV All Other Noncharitable Assets0FMVAllOtherNoncharitableAssets
Total FMV Of Unused Assets759996TotalFMVOfUnusedAssets
Reduction Claimed0ReductionClaimed
Adj Total FMV Of Unused Assets759996AdjTotalFMVOfUnusedAssets
Cash Deemed Charitable11400CashDeemedCharitable
Net Noncharitable Assets748596NetNoncharitableAssets
Minimum Investment Return37430MinimumInvestmentReturn

Distributable DistributableAmount

FieldValueIRS element (for citing)
Minimum Investment Return37430MinimumInvestmentReturn
Tax Based On Investment Income350TaxBasedOnInvestmentIncome
Total Tax350TotalTax
Distributable Amount Before Adj37080DistributableAmountBeforeAdj
Distributable Amount Before Ded37080DistributableAmountBeforeDed
Distributable Amount As Adjusted37080DistributableAmountAsAdjusted

Qualifying Distributions QualifyingDistributions

FieldValueIRS element (for citing)
Expenses And Contributions65000ExpensesAndContributions
Qualifying Distributions65000QualifyingDistributions
One Pct Sect4940e Org Net Invst Incm350OnePctSect4940eOrgNetInvstIncm
Adj Qualifying Distributions64650AdjQualifyingDistributions

Undistributed Income UndistributedIncome

FieldValueIRS element (for citing)
Distributable Amount As Adjusted37080DistributableAmountAsAdjusted
Excess Distri Carryover Year31486ExcessDistriCarryoverYear3
Excess Distri Carryover Year171344ExcessDistriCarryoverYear1
Total Excess Distri Carryover72830TotalExcessDistriCarryover
Qualifying Distributions65000QualifyingDistributions
Treated As Distri From Corpus0TreatedAsDistriFromCorpus
Applied To Current Year37080AppliedToCurrentYear
Remaining Distri From Corpus27920RemainingDistriFromCorpus
Total Corpus100750TotalCorpus
Undistributed Income CY0UndistributedIncomeCY
Excess Distri Cyov To Next Year100750ExcessDistriCyovToNextYear
Excess From Year31486ExcessFromYear3
Excess From Year171344ExcessFromYear1
Excess From Current Year27920ExcessFromCurrentYear

Supplementary Information SupplementaryInformation

FieldValueIRS element (for citing)
Only Contributes To PreselectedXOnlyContributesToPreselected

Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (4 entries)

Address Line1RecipientUSAddress/AddressLine1CityRecipientUSAddress/CityStateRecipientUSAddress/StateZIP CodeRecipientUSAddress/ZIPCodeRecipient RelationshipRecipientRelationshipRecipient Foundation StatusRecipientFoundationStatusPurpose Of Grant Or ContributionPurposeOfGrantOrContributionAmountAmount
NEW LIFE CENTER
PO BOX 5005GOODYEARAZ85338NONEGOODFOR CHARITABLE PURPOSES$10,000
PARKINSON WELLNESS RECOVERY
3849 EAST BROADWAY BOULEVARD 163TUCSONAZ85716NONEGOODFOR CHARIBLE PURPOSES$10,000
MUHAMMED ALI PARKINSON'S CLINIC
350 WEST THOMAS ROADPHOENIXAZ85103NONEGOODFOR CHARITABLE PURPOSES$30,000
ST MARYS OF THE ANGELS
1915 PENROD LNPINETOPAZ85935NONEGOODFOR CHARITABLE PURPOSES.$15,000
FieldValueIRS element (for citing)
Tot Grant Or Contri Paid During Year65000TotGrantOrContriPaidDuringYear

Analysis Income Producing Acty AnalysisIncomeProducingActy

Int On Savings And Temp Cash Invst IntOnSavingsAndTempCashInvst

FieldValueIRS element (for citing)
Related Or Exempt Function Income13367RelatedOrExemptFunctionIncome

Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII

FieldValueIRS element (for citing)
Related Or Exempt Function Income6415RelatedOrExemptFunctionIncome

Gain Sales Assets Oth Than Invntry GainSalesAssetsOthThanInvntry

FieldValueIRS element (for citing)
Related Or Exempt Function Income15179RelatedOrExemptFunctionIncome

Subtotals Part XVIA SubtotalsPartXVIA

FieldValueIRS element (for citing)
Related Or Exempt Function Income34961RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Part XVIA34961TotalPartXVIA

Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO

FieldValueIRS element (for citing)
Trnsfr Of Cash To Noncharitable EOfalseTrnsfrOfCashToNoncharitableEO
Trnsfr Oth Assets Noncharitable EOfalseTrnsfrOthAssetsNoncharitableEO
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssets
Purchase Assets Noncharitable EOfalsePurchaseAssetsNoncharitableEO
Rental Of Facilities EtcfalseRentalOfFacilitiesEtc
Reimbursement ArrangementsfalseReimbursementArrangements
Loans Or Loan GuaranteesfalseLoansOrLoanGuarantees
Performance Of Services EtcfalsePerformanceOfServicesEtc
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtc
Relationships Noncharitable E OsfalseRelationshipsNoncharitableEOs

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees AccountingFees

FieldValueIRS element (for citing)
Amount$850Amount
Net Investment Income0NetInvestmentIncome
Adjusted Net Income0AdjustedNetIncome
Disbursements Charitable Prps0DisbursementsCharitablePrps

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corp Bonds InvestmentsCorpBonds

FieldValueIRS element (for citing)
Name Of BondAETNA INC 6.75% 09/15/2013NameOfBond
EOY Book Value54351EOYBookValue
EOYFMV51574EOYFMV

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corp Stock InvestmentsCorpStock (3 entries)

Name Of StockNameOfStockEOY Book ValueEOYBookValueEOYFMVEOYFMV
MORGAN STANLEY 08-31-152502525142
WELLS FARGO 7.875% PREFERRED2502525330
8000 SHS UNITED HEALTHCARE53500433920

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
State Local Securities EOY Book Val89624StateLocalSecuritiesEOYBookVal
State Local Securities EOYFMV92765StateLocalSecuritiesEOYFMV

Other Increases Schedule OtherIncreasesSchedule

Other Increases OtherIncreases

FieldValueIRS element (for citing)
DescriptionINCOME TAX REFUNDDescription
Amount$185Amount

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees OtherProfessionalFees

FieldValueIRS element (for citing)
CategorySCHWAB FEECategory
Amount$265Amount
Net Investment Income0NetInvestmentIncome
Adjusted Net Income0AdjustedNetIncome
Disbursements Charitable Prps0DisbursementsCharitablePrps

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