THE BLACK DOG PRIVATE FOUNDATION INC: Form 990PF, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- THE BLACK DOG PRIVATE FOUNDATION INC (EIN 20-1266221)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-05-09
- IRS object ID
- 201311299349101966
- Schema version
- 2012v2.2
- 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
- Form 990-PF
- Schedule B
- Gain Loss Sale Other Assets Sch
- General Explanation Attachment
- Investments Corp Stock Schedule
- Liquidation Explanation Stmt
- Other Expenses Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-09T04:39:04-00:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Foundation Source | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | One Hollow Lane Suite 212 | AddressLine1 |
| City | Lake Success | City |
| State | NY | State |
| ZIP Code | 11042 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201266221 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Black Dog Private Foundation Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | BLAC | NameControl |
| Phone | 8008391754 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | Foundation Source 501 Silverside Rd | AddressLine1 |
| City | Wilmington | City |
| State | DE | State |
| ZIP Code | 198091377 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | David L Mahoney | Name |
| Title | President | Title |
| Date Signed | 2013-05-09 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Jeffrey D Haskell | Name |
| Phone | 8008391754 | Phone |
| Date Prepared | 2013-05-09 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exempt PF | X | ExemptPF |
| FMV Assets EOY | 1406708 | FMVAssetsEOY |
| Method Of Accounting Cash | X | MethodOfAccountingCash |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Received Rev And Expnss | 624297 | ContriReceivedRevAndExpnss |
| Interest On Savings Rev And Expnss | 35 | InterestOnSavingsRevAndExpnss |
| Interest On Savings Net Invst Incm | 35 | InterestOnSavingsNetInvstIncm |
| Dividends Rev And Expnss | 10544 | DividendsRevAndExpnss |
| Dividends Net Invst Incm | 10544 | DividendsNetInvstIncm |
| Net Gain Sale Assets Rev And Expnss | 15933 | NetGainSaleAssetsRevAndExpnss |
| Gross Sales Price | 645658 | GrossSalesPrice |
| Capital Gain Net Incm Net Invst Incm | 415661 | CapitalGainNetIncmNetInvstIncm |
| Total Revenue And Expenses | 650809 | TotalRevenueAndExpenses |
| Total Net Investment Income | 426240 | TotalNetInvestmentIncome |
| Other Prof Fees Rev And Expnss | 1491 | OtherProfFeesRevAndExpnss |
| Other Prof Fees Net Invst Incm | 1491 | OtherProfFeesNetInvstIncm |
| Taxes Rev And Expnss | 5084 | TaxesRevAndExpnss |
| Other Expenses Rev And Expnss | 9240 | OtherExpensesRevAndExpnss |
| Other Expenses Dsbrs Chrtbl Prps | 9240 | OtherExpensesDsbrsChrtblPrps |
| Tot Opr Expenses Rev And Expnss | 15815 | TotOprExpensesRevAndExpnss |
| Tot Opr Expenses Net Invst Incm | 1491 | TotOprExpensesNetInvstIncm |
| Tot Opr Expenses Dsbrs Chrtbl Prps | 9240 | TotOprExpensesDsbrsChrtblPrps |
| Contri Gifts Paid Rev And Expnss | 291000 | ContriGiftsPaidRevAndExpnss |
| Contri Gifts Paid Dsbrs Chrtbl Prps | 291000 | ContriGiftsPaidDsbrsChrtblPrps |
| Total Expenses Rev And Expnss | 306815 | TotalExpensesRevAndExpnss |
| Total Expenses Net Invst Incm | 1491 | TotalExpensesNetInvstIncm |
| Total Expenses Dsbrs Chrtbl Prps | 300240 | TotalExpensesDsbrsChrtblPrps |
| Excess Of Revenue Over Expenses | 343994 | ExcessOfRevenueOverExpenses |
| Net Investment Income | 424749 | NetInvestmentIncome |
Balance Sheets BalanceSheets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Savings And Temp Cash Invst BOY | 416870 | SavingsAndTempCashInvstBOY |
| Savings And Temp Cash Invst EOY | 458394 | SavingsAndTempCashInvstEOY |
| Savings And Temp Cash Invst EOYFMV | 458394 | SavingsAndTempCashInvstEOYFMV |
| Investments Corp Stock BOY | 758778 | InvestmentsCorpStockBOY |
| Investments Corp Stock EOY | 1061248 | InvestmentsCorpStockEOY |
| Investments Corp Stock EOYFMV | 948314 | InvestmentsCorpStockEOYFMV |
| Total Assets BOY | 1175648 | TotalAssetsBOY |
| Total Assets EOY | 1519642 | TotalAssetsEOY |
| Total Assets EOYFMV | 1406708 | TotalAssetsEOYFMV |
| Total Liabilities EOY | 0 | TotalLiabilitiesEOY |
| Org That Do Not Follow SFAS117 | X | OrgThatDoNotFollowSFAS117 |
| Retained Earnings BOY | 1175648 | RetainedEarningsBOY |
| Retained Earnings EOY | 1519642 | RetainedEarningsEOY |
| Total Net Assets BOY | 1175648 | TotalNetAssetsBOY |
| Total Net Assets EOY | 1519642 | TotalNetAssetsEOY |
| Total Liabilities Net Assets BOY | 1175648 | TotalLiabilitiesNetAssetsBOY |
| Total Liabilities Net Assets EOY | 1519642 | TotalLiabilitiesNetAssetsEOY |
Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Net Assets Fund Balances BOY | 1175648 | TotalNetAssetsFundBalancesBOY |
| Excess Of Revenue Over Expenses | 343994 | ExcessOfRevenueOverExpenses |
| Subtotal | 1519642 | Subtotal |
| Total Net Assets Fund Balances EOY | 1519642 | TotalNetAssetsFundBalancesEOY |
Capital Gains And Losses CapitalGainsAndLosses
Capital Gains And Losses Info CapitalGainsAndLossesInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Asset | Publicly-traded Securities | DescriptionOfAsset |
| Gross Sales Price | 645658 | GrossSalesPrice |
| Cost Or Other Basis | 629725 | CostOrOtherBasis |
| Gain Or Loss | 415661 | GainOrLoss |
| Gains Minus Excess Or Losses | 415661 | GainsMinusExcessOrLosses |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | 415661 | CapitalGainNetIncome |
Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable For4942 Tax | false | LiableFor4942Tax |
| Qualifying Distributions Year1 | 231712 | QualifyingDistributionsYear1 |
| Noncharitable Assets Year1 | 1233128 | NoncharitableAssetsYear1 |
| Distribution Ratio Year1 | 000.187906 | DistributionRatioYear1 |
| Qualifying Distributions Year2 | 342124 | QualifyingDistributionsYear2 |
| Noncharitable Assets Year2 | 1038849 | NoncharitableAssetsYear2 |
| Distribution Ratio Year2 | 000.329330 | DistributionRatioYear2 |
| Qualifying Distributions Year3 | 177416 | QualifyingDistributionsYear3 |
| Noncharitable Assets Year3 | 1031959 | NoncharitableAssetsYear3 |
| Distribution Ratio Year3 | 000.171922 | DistributionRatioYear3 |
| Qualifying Distributions Year4 | 276288 | QualifyingDistributionsYear4 |
| Noncharitable Assets Year4 | 1024723 | NoncharitableAssetsYear4 |
| Distribution Ratio Year4 | 000.269622 | DistributionRatioYear4 |
| Qualifying Distributions Year5 | 130267 | QualifyingDistributionsYear5 |
| Noncharitable Assets Year5 | 889070 | NoncharitableAssetsYear5 |
| Distribution Ratio Year5 | 000.146521 | DistributionRatioYear5 |
| Total Distribution Ratio | 001.105301 | TotalDistributionRatio |
| Average Distribution Ratio | 000.221060 | AverageDistributionRatio |
| Net Noncharitable Assets | 1051338 | NetNoncharitableAssets |
| Adjusted Noncharitable Assets | 232409 | AdjustedNoncharitableAssets |
| One Percent Net Investment Income | 4247 | OnePercentNetInvestmentIncome |
| Adj Nonchrtbl Assets And One | 236656 | AdjNonchrtblAssetsAndOnePct |
| Qualifying Distributions | 300240 | QualifyingDistributions |
Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm
| Field | Value | IRS element (for citing) |
|---|---|---|
| Domestic Org Meeting Sect4940e | X | DomesticOrgMeetingSect4940e |
| Investment Income Excise Tax | 4247 | InvestmentIncomeExciseTax |
| Subtotal | 4247 | Subtotal |
| Tax Based On Investment Income | 4247 | TaxBasedOnInvestmentIncome |
| Est Tax Payments And Overpayment | 2800 | EstTaxPaymentsAndOverpayment |
| Total Credits And Payments | 2800 | TotalCreditsAndPayments |
| Tax Paid Original Return | 2800 | TaxPaidOriginalReturn |
| Form2220 Attached | X | Form2220Attached |
| Tax Due | 1447 | TaxDue |
Statements Regarding Activities StatementsRegardingActivities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Activities | false | LegislativePoliticalActivities |
| More Than100 Spent | false | MoreThan100Spent |
| Form1120 POL Filed | false | Form1120POLFiled |
| Activities Not Prev Reported | false | ActivitiesNotPrevReported |
| Changes To Articles Or Bylaws | false | ChangesToArticlesOrBylaws |
| Unrelated Bus Income Over1000 | false | UnrelatedBusIncomeOver1000 |
| Termination Etc | true | TerminationEtc |
| Requirements Of Sect508e | true | RequirementsOfSect508e |
| At Least5000 In Assets | true | AtLeast5000InAssets |
| Form990 PF Filed With AG | true | Form990PFFiledWithAG |
| Private Operating Foundation | false | PrivateOperatingFoundation |
| New Substantial Contributors | false | NewSubstantialContributors |
| Interest In Controlled Entity | false | InterestInControlledEntity |
| Applicable Insurance Contract | false | ApplicableInsuranceContract |
| Comply With Public Inspection Rqr | true | ComplyWithPublicInspectionRqr |
Books In Care Of Business Name BooksInCareOfBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Foundation Source | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Books In Care Of Phone Number | 8008391754 | BooksInCareOfPhoneNumber |
Books In Care Of US Address BooksInCareOfUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 Silverside Road Suite 123 | AddressLine1 |
| City | Wilmington | City |
| State | DE | State |
| ZIP Code | 198091377 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Bank | false | ForeignBank |
Statements Regarding Acty4720 StatementsRegardingActy4720
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exchange With Dsqfly Person | false | SaleOrExchangeWithDsqflyPerson |
| Borrow Or Lend With Dsqfly Person | false | BorrowOrLendWithDsqflyPerson |
| Furnished Goods With Dsqfly Person | false | FurnishedGoodsWithDsqflyPerson |
| Pay Compensation To Dsqfly Person | false | PayCompensationToDsqflyPerson |
| Transfer Assets To Dsqfly Person | false | TransferAssetsToDsqflyPerson |
| Payment To Government Offical | false | PaymentToGovernmentOffical |
| Uncorrected Prior Acts | false | UncorrectedPriorActs |
| Undistributed Income Prior Years | false | UndistributedIncomePriorYears |
| Business Holdings | false | BusinessHoldings |
| Jeopardy Investments | false | JeopardyInvestments |
| Uncorrected Jeopardy Investments | false | UncorrectedJeopardyInvestments |
| Influence Legislation | false | InfluenceLegislation |
| Influence Election | false | InfluenceElection |
| Grants To Individuals | false | GrantsToIndividuals |
| Grants To Organizations | false | GrantsToOrganizations |
| Noncharitable Purpose | false | NoncharitablePurpose |
| Pay Premiums Prsnl Bnft Contract | false | PayPremiumsPrsnlBnftContract |
| Prohibited Tax Shelter Transactn | false | ProhibitedTaxShelterTransactn |
Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo
Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation |
|---|---|---|---|---|---|---|
| Winnifred Ellis | ||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 19809 | VP / Dir | 001.00 | 0 |
| David L Mahoney | ||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 19809 | Pres / Dir / Sec | 001.00 | 0 |
Minimum Investment Return MinimumInvestmentReturn
| Field | Value | IRS element (for citing) |
|---|---|---|
| Avg Monthly FMV Of Securities | 785531 | AvgMonthlyFMVOfSecurities |
| Avg Monthly Cash Balances | 281817 | AvgMonthlyCashBalances |
| FMV All Other Noncharitable Assets | 0 | FMVAllOtherNoncharitableAssets |
| Total FMV Of Unused Assets | 1067348 | TotalFMVOfUnusedAssets |
| Adj Total FMV Of Unused Assets | 1067348 | AdjTotalFMVOfUnusedAssets |
| Cash Deemed Charitable | 16010 | CashDeemedCharitable |
| Net Noncharitable Assets | 1051338 | NetNoncharitableAssets |
| Minimum Investment Return | 52567 | MinimumInvestmentReturn |
Distributable DistributableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | 52567 | MinimumInvestmentReturn |
| Tax Based On Investment Income | 4247 | TaxBasedOnInvestmentIncome |
| Total Tax | 4247 | TotalTax |
| Distributable Amount Before Adj | 48320 | DistributableAmountBeforeAdj |
| Distributable Amount Before Ded | 48320 | DistributableAmountBeforeDed |
| Distributable Amount As Adjusted | 48320 | DistributableAmountAsAdjusted |
Qualifying Distributions QualifyingDistributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | 300240 | ExpensesAndContributions |
| Qualifying Distributions | 300240 | QualifyingDistributions |
| One Pct Sect4940e Org Net Invst Incm | 4247 | OnePctSect4940eOrgNetInvstIncm |
| Adj Qualifying Distributions | 295993 | AdjQualifyingDistributions |
Undistributed Income UndistributedIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable Amount As Adjusted | 48320 | DistributableAmountAsAdjusted |
| Excess Distri Carryover Year5 | 92925 | ExcessDistriCarryoverYear5 |
| Excess Distri Carryover Year4 | 236126 | ExcessDistriCarryoverYear4 |
| Excess Distri Carryover Year3 | 126030 | ExcessDistriCarryoverYear3 |
| Excess Distri Carryover Year2 | 292696 | ExcessDistriCarryoverYear2 |
| Excess Distri Carryover Year1 | 173671 | ExcessDistriCarryoverYear1 |
| Total Excess Distri Carryover | 921448 | TotalExcessDistriCarryover |
| Qualifying Distributions | 300240 | QualifyingDistributions |
| Applied To Current Year | 48320 | AppliedToCurrentYear |
| Remaining Distri From Corpus | 251920 | RemainingDistriFromCorpus |
| Total Corpus | 1173368 | TotalCorpus |
| Undistributed Income CY | 0 | UndistributedIncomeCY |
| Excess Distri Cyov From Year5 | 92925 | ExcessDistriCyovFromYear5 |
| Excess Distri Cyov To Next Year | 1080443 | ExcessDistriCyovToNextYear |
| Excess From Year4 | 236126 | ExcessFromYear4 |
| Excess From Year3 | 126030 | ExcessFromYear3 |
| Excess From Year2 | 292696 | ExcessFromYear2 |
| Excess From Year1 | 173671 | ExcessFromYear1 |
| Excess From Current Year | 251920 | ExcessFromCurrentYear |
Supplementary Information SupplementaryInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | David L Mahoney | ContributingManager |
| Contributing Manager | Winnifred Ellis | ContributingManager |
| Only Contributes To Preselected | X | OnlyContributesToPreselected |
Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (16 entries)
| Address Line1RecipientUSAddress/AddressLine1 | CityRecipientUSAddress/City | StateRecipientUSAddress/State | ZIP CodeRecipientUSAddress/ZIPCode | Recipient RelationshipRecipientRelationship | Recipient Foundation StatusRecipientFoundationStatus | Purpose Of Grant Or ContributionPurposeOfGrantOrContribution | AmountAmount |
|---|---|---|---|---|---|---|---|
| BOSTON COLLEGE TRUSTEES | |||||||
| 140 COMMONWEALTH AVE | CHESTNUT HILL | MA | 02467 | N/A | 509a1 | Mahoney Family Scholarship Fund | $10,000 |
| DREW SCHOOL | |||||||
| 2901 CALIFORNIA ST | SAN FRANCISCO | CA | 94115 | N/A | 509a1 | Drew Annual Fund | $12,000 |
| DREW SCHOOL | |||||||
| 2901 CALIFORNIA ST | SAN FRANCISCO | CA | 94115 | N/A | 509a1 | New Roots Capital Campaign | $20,000 |
| KQED INC | |||||||
| 2601 MARIPOSA ST | SAN FRANCISCO | CA | 94110 | N/A | 509a1 | General Unrestricted | $25,000 |
| LIVE OAK A LEARNING CENTER FOR CHILDREN | |||||||
| 1555 MARIPOSA ST | SAN FRANCISCO | CA | 94107 | N/A | 509a1 | 40th Anniversary Campaign | $100,000 |
| MA MUSEUM OF CONTEMPORARY ART FDN | |||||||
| 1040 MASS MOCA WAY | NORTH ADAMS | MA | 01247 | N/A | 509a1 | General Unrestricted | $1,000 |
| MERCY CORPS | |||||||
| 45 SW ANKENY ST | PORTLAND | OR | 97204 | N/A | 509a1 | Board Matching Grant Fund | $30,000 |
| NARAL PRO-CHOICE AMERICA FOUNDATION | |||||||
| 111 PINE ST | SAN FRANCISCO | CA | 94111 | N/A | 509a1 | General Unrestricted | $5,000 |
| OUTWARD BOUND INC | |||||||
| 21 OLD MAIN ST | FISHKILL | NY | 12524 | N/A | 509a1 | Outward Bound Bay Area Program | $30,000 |
| PLANNED PARENTHOOD SHASTA PACIFIC | |||||||
| 2185 PACHECO ST | CONCORD | CA | 94520 | N/A | 509a2 | General Unrestricted | $2,500 |
| SAN FRANCISCO MUSEUM OF MODERN ART | |||||||
| 151 3RD ST | SAN FRANCISCO | CA | 94103 | N/A | 509a1 | 2012-13 Photo Accessions Committee Fund | $7,500 |
| SAN FRANCISCO MUSEUM OF MODERN ART | |||||||
| 151 3RD ST | SAN FRANCISCO | CA | 94103 | N/A | 509a1 | FY12 Trustee Unrestricted Support and FY12 Photo Accessions | $32,500 |
| TEACH FOR AMERICA BAY AREA | |||||||
| 101 MONTGOMERY ST 5TH FL | SAN FRANCISCO | CA | 94105 | N/A | 509a1 | Sponsor A Teacher Campaign | $10,000 |
| UNIVERSITY OF COLORADO FOUNDATION | |||||||
| 4740 WALNUT ST | BOULDER | CO | 80301 | N/A | 509a1 | College of Arts and Sciences Fund | $2,000 |
| UNIVERSITY OF COLORADO FOUNDATION | |||||||
| 4740 WALNUT ST | BOULDER | CO | 80301 | N/A | 509a1 | College of Arts and Sciences, Deans Annual Fund | $2,500 |
| YOUNG MENS CHRISTIAN ASSOCIATION OF SAN FRANCISCO | |||||||
| 50 CALIFORNIA ST STE 650 | SAN FRANCISCO | CA | 94111 | N/A | 509a2 | General Unrestricted | $1,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Grant Or Contri Paid During Year | 291000 | TotGrantOrContriPaidDuringYear |
Analysis Income Producing Acty AnalysisIncomeProducingActy
Int On Savings And Temp Cash Invst IntOnSavingsAndTempCashInvst
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 14 | ExclusionCode |
| Exclusion | $35 | ExclusionAmount |
Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 14 | ExclusionCode |
| Exclusion | $10,544 | ExclusionAmount |
Gain Sales Assets Oth Than Invntry GainSalesAssetsOthThanInvntry
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 18 | ExclusionCode |
| Exclusion | $15,933 | ExclusionAmount |
Subtotals Part XVIA SubtotalsPartXVIA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $26,512 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Part XVIA | 26512 | TotalPartXVIA |
Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Noncharitable EO | false | TrnsfrOfCashToNoncharitableEO |
| Trnsfr Oth Assets Noncharitable EO | false | TrnsfrOthAssetsNoncharitableEO |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssets |
| Purchase Assets Noncharitable EO | false | PurchaseAssetsNoncharitableEO |
| Rental Of Facilities Etc | false | RentalOfFacilitiesEtc |
| Reimbursement Arrangements | false | ReimbursementArrangements |
| Loans Or Loan Guarantees | false | LoansOrLoanGuarantees |
| Performance Of Services Etc | false | PerformanceOfServicesEtc |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtc |
| Relationships Noncharitable E Os | false | RelationshipsNoncharitableEOs |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | X | Organization501c3ExemptPF |
| General Rule | X | GeneralRule |
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | 1 | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | David L Mahoney & Winnifred C Ellis 1998 Family TR | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | David L Mahoney 121 Jordan Ave | AddressLine1 |
| City | San Francisco | City |
| State | CA | State |
| ZIP Code | 94118 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | 624297 | AggregateContributions |
| Noncash Contribution Type | X | NoncashContributionType |
Noncash Property NoncashProperty (12 entries)
| Contributor Number From Part IContributorNumberFromPartI | Noncash Property DescriptionNoncashPropertyDescription | Fair Market ValueFairMarketValue | Date ReceivedDateReceived |
|---|---|---|---|
| 0 | DFA TAX MANAGED U.S. SMALL CAP PORTFOLIO DFTSX, 8298 sh. | 212512 | 2012-12-24 |
| 0 | T. ROWE PRICE EMERGING MARKETS STOCK FUND PRMSX, 5930.791 sh. | 197792 | 2012-12-24 |
| 0 | JDS UNIPHASE CORP JDSU, 822 sh. | 10481 | 2012-12-12 |
| 0 | MERCK CO INC. MRK, 753 sh. | 34077 | 2012-12-12 |
| 0 | SHORETEL, INC. SHOR, 350 sh. | 1605 | 2012-12-12 |
| 0 | TIME WARNER CABLE INC TWC, 13 sh. | 1226 | 2012-12-12 |
| 0 | TIME WARNER INC. TWX, 54 sh. | 2567 | 2012-12-12 |
| 0 | ANCESTRY.COM INC ACOM, 303 sh. | 9628 | 2012-12-03 |
| 0 | PANDORA MEDIA INC. P, 740 sh. | 7944 | 2012-09-27 |
| 0 | EQUINIX, INC. EQIX, 48 sh. | 9458 | 2012-09-05 |
| 0 | EQUINIX, INC. EQIX, 58 sh. | 9383 | 2012-07-23 |
| 0 | AMYLIN PHARMACEUTICALS INC AMLN, 5000 sh. | 127625 | 2012-05-03 |
Gain Loss Sale Other Assets Sch GainLossSaleOtherAssetsSch
Gain Loss Sale Other Asset GainLossSaleOtherAsset
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Publicly-traded Securities | Name |
| Gross Sales Price | 645658 | GrossSalesPrice |
| Basis | 629725 | Basis |
| Total Net | 15933 | TotalNet |
General Explanation Attachment GeneralExplanationAttachment
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corp Stock InvestmentsCorpStock (17 entries)
| Name Of StockNameOfStock | EOY Book ValueEOYBookValue | EOYFMVEOYFMV |
|---|---|---|
| 397 shares of BERKSHIRE HATHAWAY INC. CLASS B | 34615 | 35611 |
| 491 shares of COHEN STEERS INSTITUTIONAL REALTY SHS INC | 19500 | 20668 |
| 75000 shares of CORCEPT THERAPEUTICS INC. | 315376 | 107250 |
| 7460 shares of DFA EMERGING MARKETS CORE EQ PRTFL MUTUAL FUND | 125725 | 152182 |
| 2173 shares of DFA INTERNATIONAL SMALL CAP VALUE PORTFOLIO | 43332 | 34726 |
| 2157 shares of DFA INTERNATIONAL SMALL CO PORTFOLIO | 39328 | 34357 |
| 3816 shares of DFA INTERNATIONAL VALUE PORTFOLIO | 58000 | 63341 |
| 3015 shares of DFA U.S. LARGE CAP VALUE PORTFOLIO | 55000 | 69045 |
| 1157 shares of DFA U.S. MICRO CAP PORTFOLIO | 15405 | 16897 |
| 1495 shares of DFA U.S. SMALL CAP PORTFOLIO | 30725 | 33880 |
| 2378 shares of DFA U.S. SMALL CAP VALUE PORTFOLIO | 61173 | 62324 |
| 868 shares of GOLDMAN SACHS PREASSIGNED | 39734 | 41638 |
| 546 shares of ISHARES SP 500 INDEX FD | 75718 | 78154 |
| 509 shares of SPDR DJ WILSHIRE INT | 18895 | 21047 |
| 568 shares of SPDR SP 500 ETF TRUST | 53059 | 80889 |
| 995 shares of VANGUARD FTSE ALL-WORLD EX-US ETF | 26663 | 45521 |
| 1690 shares of VANGUARD TOTAL INTERNATIONAL STOCK INDEX SIGNAL | 49000 | 50784 |
Liquidation Explanation Stmt LiquidationExplanationStmt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Statement | 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 1.6043-3a1 and the Form 990-PF instructions During the taxable year ending December 31, 2012, The Black Dog Private Foundation Inc. the Foundation made distributions from assets from sources other than current income. Collectively, the distributions in excess of current income totaled 291,000. This amount represents over 25 of the Foundations net assets of 1,138,956 as measured by fair market value at the beginning of the Foundations taxable year ending December 31, 2012. 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. | Statement |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | Revenue And Expenses Per BooksRevenueAndExpensesPerBooks | Disbursements Charitable PrpsDisbursementsCharitablePrps |
|---|---|---|
| Administrative Fees | 9215 | 9215 |
| State or Local Filing Fees | 25 | 25 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees OtherProfessionalFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | Investment Management Services | Category |
| Amount | $1,491 | Amount |
| Net Investment Income | 1491 | NetInvestmentIncome |
Taxes Schedule TaxesSchedule
Taxes Taxes (2 entries)
| CategoryCategory | AmountAmount |
|---|---|
| Estimated Tax for 2012 | $2,800 |
| IRS Excise Tax Payment with 1st ext 990-PF | $2,284 |
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