UBBEN FOUNDATION: Form 990PF, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
UBBEN FOUNDATION (EIN 36-3496530)
Tax period
2012-02-01 to 2013-01-31
Filed
2013-06-17
IRS object ID
201311689349100106
Schema version
2012v2.1
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)
Timestamp2013-06-17T11:10:02-05:00Timestamp
Tax Period End Date2013-01-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN410746749EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11301 W 22ND ST STE 1100AddressLine1
CityOAK BROOKCity
StateILState
ZIP Code60523ZIPCode
FieldValueIRS element (for citing)
Return Type990PFReturnType
Tax Period Begin Date2012-02-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN363496530EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1UBBEN FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlUBBENameControl
Phone8478357401Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line19 BRIAR LANEAddressLine1
CityGLENCOECity
StateILState
ZIP Code60022ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTIMOTHY H UBBENName
TitlePRESIDENTTitle
Phone8478357401Phone
Date Signed2013-06-11DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCATHERINE M KANEName
PTINP00404366PTIN
Phone6305738600Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-12-30 17:16:21ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Exempt PFXExemptPF
FMV Assets EOY20610945FMVAssetsEOY
Method Of Accounting CashXMethodOfAccountingCash

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Received Rev And Expnss1500000ContriReceivedRevAndExpnss
Dividends Rev And Expnss191476DividendsRevAndExpnss
Dividends Net Invst Incm191476DividendsNetInvstIncm
Net Gain Sale Assets Rev And Expnss1537656NetGainSaleAssetsRevAndExpnss
Gross Sales Price1552889GrossSalesPrice
Capital Gain Net Incm Net Invst Incm1537656CapitalGainNetIncmNetInvstIncm
Total Revenue And Expenses3229132TotalRevenueAndExpenses
Total Net Investment Income1729132TotalNetInvestmentIncome
Comp Ofcr Dir Trst Rev And Expnss0CompOfcrDirTrstRevAndExpnss
Comp Ofcr Dir Trst Net Invst Incm0CompOfcrDirTrstNetInvstIncm
Comp Ofcr Dir Trst Dsbrs Chrtbl Prps0CompOfcrDirTrstDsbrsChrtblPrps
Accounting Fees Rev And Expnss3440AccountingFeesRevAndExpnss
Accounting Fees Net Invst Incm1720AccountingFeesNetInvstIncm
Accounting Fees Dsbrs Chrtbl Prps1720AccountingFeesDsbrsChrtblPrps
Interest Rev And Expnss71InterestRevAndExpnss
Interest Net Invst Incm71InterestNetInvstIncm
Interest Dsbrs Chrtbl Prps0InterestDsbrsChrtblPrps
Taxes Rev And Expnss152814TaxesRevAndExpnss
Taxes Net Invst Incm5389TaxesNetInvstIncm
Taxes Dsbrs Chrtbl Prps35TaxesDsbrsChrtblPrps
Other Expenses Rev And Expnss21547OtherExpensesRevAndExpnss
Other Expenses Net Invst Incm21547OtherExpensesNetInvstIncm
Other Expenses Dsbrs Chrtbl Prps0OtherExpensesDsbrsChrtblPrps
Tot Opr Expenses Rev And Expnss177872TotOprExpensesRevAndExpnss
Tot Opr Expenses Net Invst Incm28727TotOprExpensesNetInvstIncm
Tot Opr Expenses Dsbrs Chrtbl Prps1755TotOprExpensesDsbrsChrtblPrps
Contri Gifts Paid Rev And Expnss1308700ContriGiftsPaidRevAndExpnss
Contri Gifts Paid Dsbrs Chrtbl Prps1308700ContriGiftsPaidDsbrsChrtblPrps
Total Expenses Rev And Expnss1486572TotalExpensesRevAndExpnss
Total Expenses Net Invst Incm28727TotalExpensesNetInvstIncm
Total Expenses Dsbrs Chrtbl Prps1310455TotalExpensesDsbrsChrtblPrps
Excess Of Revenue Over Expenses1742560ExcessOfRevenueOverExpenses
Net Investment Income1700405NetInvestmentIncome

Balance Sheets BalanceSheets

FieldValueIRS element (for citing)
Cash BOY2CashBOY
Savings And Temp Cash Invst BOY997338SavingsAndTempCashInvstBOY
Savings And Temp Cash Invst EOY1070526SavingsAndTempCashInvstEOY
Savings And Temp Cash Invst EOYFMV1070526SavingsAndTempCashInvstEOYFMV
Investments Corp Stock BOY634590InvestmentsCorpStockBOY
Investments Corp Stock EOY634590InvestmentsCorpStockEOY
Investments Corp Stock EOYFMV1412284InvestmentsCorpStockEOYFMV
Investments Other BOY11447995InvestmentsOtherBOY
Investments Other EOY13118888InvestmentsOtherEOY
Investments Other EOYFMV18128135InvestmentsOtherEOYFMV
Total Assets BOY13079925TotalAssetsBOY
Total Assets EOY14824004TotalAssetsEOY
Total Assets EOYFMV20610945TotalAssetsEOYFMV
Total Liabilities BOY0TotalLiabilitiesBOY
Total Liabilities EOY0TotalLiabilitiesEOY
Org That Do Not Follow SFAS117XOrgThatDoNotFollowSFAS117
Capital Stock BOY0CapitalStockBOY
Capital Stock EOY0CapitalStockEOY
Paid In Or Capital Surplus BOY2472280PaidInOrCapitalSurplusBOY
Paid In Or Capital Surplus EOY2472280PaidInOrCapitalSurplusEOY
Retained Earnings BOY10607645RetainedEarningsBOY
Retained Earnings EOY12351724RetainedEarningsEOY
Total Net Assets BOY13079925TotalNetAssetsBOY
Total Net Assets EOY14824004TotalNetAssetsEOY
Total Liabilities Net Assets BOY13079925TotalLiabilitiesNetAssetsBOY
Total Liabilities Net Assets EOY14824004TotalLiabilitiesNetAssetsEOY

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

FieldValueIRS element (for citing)
Total Net Assets Fund Balances BOY13079925TotalNetAssetsFundBalancesBOY
Excess Of Revenue Over Expenses1742560ExcessOfRevenueOverExpenses
Other Increases1519OtherIncreases
Subtotal14824004Subtotal
Other Decreases0OtherDecreases
Total Net Assets Fund Balances EOY14824004TotalNetAssetsFundBalancesEOY

Capital Gains And Losses CapitalGainsAndLosses

Capital Gains And Losses Info CapitalGainsAndLossesInfo (3 entries)

Description Of AssetDescriptionOfAssetDate AcquiredDateAcquiredDate SoldDateSoldGross Sales PriceGrossSalesPriceCost Or Other BasisCostOrOtherBasisGain Or LossGainOrLossGains Minus Excess Or LossesGainsMinusExcessOrLosses
1,031 SHS MORGAN STANLEY EMERGING MARKETS FD1991-11-212012-07-111535215233119119
ST CAP GAIN: K-1 VALUEACT CAPITAL PARTNERS2012-02-012013-01-31164171164171164171
LT CAP GAIN: K-1 VALUEACT CAPITAL PARTNERS2012-01-012013-01-31137336613733661373366
FieldValueIRS element (for citing)
Capital Gain Net Income1537656CapitalGainNetIncome

Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax

FieldValueIRS element (for citing)
Liable For4942 Tax0LiableFor4942Tax
Qualifying Distributions Year1561500QualifyingDistributionsYear1
Noncharitable Assets Year111984391NoncharitableAssetsYear1
Distribution Ratio Year10.046853DistributionRatioYear1
Qualifying Distributions Year21585467QualifyingDistributionsYear2
Noncharitable Assets Year29968005NoncharitableAssetsYear2
Distribution Ratio Year20.159056DistributionRatioYear2
Qualifying Distributions Year32016858QualifyingDistributionsYear3
Noncharitable Assets Year311079480NoncharitableAssetsYear3
Distribution Ratio Year30.182035DistributionRatioYear3
Qualifying Distributions Year42606893QualifyingDistributionsYear4
Noncharitable Assets Year413018991NoncharitableAssetsYear4
Distribution Ratio Year40.200238DistributionRatioYear4
Qualifying Distributions Year54489529QualifyingDistributionsYear5
Noncharitable Assets Year514971451NoncharitableAssetsYear5
Distribution Ratio Year50.299873DistributionRatioYear5
Total Distribution Ratio0.888055TotalDistributionRatio
Average Distribution Ratio0.177611AverageDistributionRatio
Net Noncharitable Assets16670198NetNoncharitableAssets
Adjusted Noncharitable Assets2960811AdjustedNoncharitableAssets
One Percent Net Investment Income17004OnePercentNetInvestmentIncome
Adj Nonchrtbl Assets And One2977815AdjNonchrtblAssetsAndOnePct
Qualifying Distributions1310455QualifyingDistributions

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

FieldValueIRS element (for citing)
Investment Income Excise Tax34008InvestmentIncomeExciseTax
Tax Under Section5110TaxUnderSection511
Subtotal34008Subtotal
Subtitle A Tax0SubtitleATax
Tax Based On Investment Income34008TaxBasedOnInvestmentIncome
Est Tax Payments And Overpayment84560EstTaxPaymentsAndOverpayment
Total Credits And Payments84560TotalCreditsAndPayments
Overpayment50552Overpayment
Amount Credited To Next Year50552AmountCreditedToNextYear
Amount To Be Refunded0AmountToBeRefunded

Statements Regarding Activities StatementsRegardingActivities

FieldValueIRS element (for citing)
Legislative Political Activities0LegislativePoliticalActivities
More Than100 Spent0MoreThan100Spent
Form1120 POL Filed0Form1120POLFiled
Sect4955 Tax On Organization0Sect4955TaxOnOrganization
Sect4955 Tax On Managers0Sect4955TaxOnManagers
Reimbursement Of Tax0ReimbursementOfTax
Activities Not Prev Reported0ActivitiesNotPrevReported
Changes To Articles Or Bylaws0ChangesToArticlesOrBylaws
Unrelated Bus Income Over10000UnrelatedBusIncomeOver1000
Termination Etc0TerminationEtc
Requirements Of Sect508e1RequirementsOfSect508e
At Least5000 In Assets1AtLeast5000InAssets
States Filed WithILStatesFiledWith
Form990 PF Filed With AG1Form990PFFiledWithAG
Private Operating Foundation0PrivateOperatingFoundation
New Substantial Contributors0NewSubstantialContributors
Interest In Controlled Entity0InterestInControlledEntity
Applicable Insurance Contract0ApplicableInsuranceContract
Comply With Public Inspection Rqr1ComplyWithPublicInspectionRqr
Website AddressN/AWebsiteAddress
Books In Care Of Person NameTIMOTHY H UBBENBooksInCareOfPersonName
Books In Care Of Phone Number8478357401BooksInCareOfPhoneNumber

Books In Care Of US Address BooksInCareOfUSAddress

FieldValueIRS element (for citing)
Address Line19 BRIAR LANEAddressLine1
CityGLENCOECity
StateILState
ZIP Code60022ZIPCode
FieldValueIRS element (for citing)
Foreign Bank0ForeignBank

Statements Regarding Acty4720 StatementsRegardingActy4720

FieldValueIRS element (for citing)
Sale Or Exchange With Dsqfly Person0SaleOrExchangeWithDsqflyPerson
Borrow Or Lend With Dsqfly Person0BorrowOrLendWithDsqflyPerson
Furnished Goods With Dsqfly Person0FurnishedGoodsWithDsqflyPerson
Pay Compensation To Dsqfly Person0PayCompensationToDsqflyPerson
Transfer Assets To Dsqfly Person0TransferAssetsToDsqflyPerson
Payment To Government Offical0PaymentToGovernmentOffical
Uncorrected Prior Acts0UncorrectedPriorActs
Undistributed Income Prior Years0UndistributedIncomePriorYears
Business Holdings0BusinessHoldings
Jeopardy Investments0JeopardyInvestments
Uncorrected Jeopardy Investments0UncorrectedJeopardyInvestments
Influence Legislation0InfluenceLegislation
Influence Election0InfluenceElection
Grants To Individuals0GrantsToIndividuals
Grants To Organizations0GrantsToOrganizations
Noncharitable Purpose0NoncharitablePurpose
Rcv Funds To Pay Prsnl Bnft Contract0RcvFundsToPayPrsnlBnftContract
Pay Premiums Prsnl Bnft Contract0PayPremiumsPrsnlBnftContract
Prohibited Tax Shelter Transactn0ProhibitedTaxShelterTransactn

Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo

Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (4 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeTitleTitleAvg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPositionCompensationCompensationContri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtcExpense Account Other AllowancesExpenseAccountOtherAllowances
TIMOTHY H UBBEN
9 BRIAR LANEGLENCOEIL60022PRESIDENT0.00000
SHARON W UBBEN
9 BRIAR LANEGLENCOEIL60022VICE PRESIDENT0.00000
PAMELA WISINSKI
35 SCOFIELD FARMDARIENCT06820SECRETARY0.00000
JEFFREY W UBBEN
2500 DIVISADEROSAN FRANCISCOCA94115TREASURER0.00000
FieldValueIRS element (for citing)
Comp Of Highest Paid Empl NONENONECompOfHighestPaidEmplNONE
Tot Number Of Oth Empl Paid Over50k0TotNumberOfOthEmplPaidOver50k
Comp Of Hghst Paid Cntrct NONENONECompOfHghstPaidCntrctNONE
Tot Number Of Cntrct Paid Over50k0TotNumberOfCntrctPaidOver50k

Sum Of Program Related Investments SumOfProgramRelatedInvestments

FieldValueIRS element (for citing)
Total0Total

Minimum Investment Return MinimumInvestmentReturn

FieldValueIRS element (for citing)
Avg Monthly FMV Of Securities1376413AvgMonthlyFMVOfSecurities
Avg Monthly Cash Balances822593AvgMonthlyCashBalances
FMV All Other Noncharitable Assets14725053FMVAllOtherNoncharitableAssets
Total FMV Of Unused Assets16924059TotalFMVOfUnusedAssets
Reduction Claimed0ReductionClaimed
Acquisition Indebtedness0AcquisitionIndebtedness
Adj Total FMV Of Unused Assets16924059AdjTotalFMVOfUnusedAssets
Cash Deemed Charitable253861CashDeemedCharitable
Net Noncharitable Assets16670198NetNoncharitableAssets
Minimum Investment Return833510MinimumInvestmentReturn

Distributable DistributableAmount

FieldValueIRS element (for citing)
Minimum Investment Return833510MinimumInvestmentReturn
Tax Based On Investment Income34008TaxBasedOnInvestmentIncome
Total Tax34008TotalTax
Distributable Amount Before Adj799502DistributableAmountBeforeAdj
Recoveries Qlfy Distributions0RecoveriesQlfyDistributions
Distributable Amount Before Ded799502DistributableAmountBeforeDed
Deduction Fr Distributable$0DeductionFrDistributableAmount
Distributable Amount As Adjusted799502DistributableAmountAsAdjusted

Qualifying Distributions QualifyingDistributions

FieldValueIRS element (for citing)
Expenses And Contributions1310455ExpensesAndContributions
Program Related Investments Total0ProgramRelatedInvestmentsTotal
Qualifying Distributions1310455QualifyingDistributions
One Pct Sect4940e Org Net Invst Incm0OnePctSect4940eOrgNetInvstIncm
Adj Qualifying Distributions1310455AdjQualifyingDistributions

Undistributed Income UndistributedIncome

FieldValueIRS element (for citing)
Distributable Amount As Adjusted799502DistributableAmountAsAdjusted
Undistributed Income Prior Year0UndistributedIncomePriorYear
Total For Prior Years0TotalForPriorYears
Excess Distri Carryover Year53901798ExcessDistriCarryoverYear5
Excess Distri Carryover Year41956157ExcessDistriCarryoverYear4
Excess Distri Carryover Year31464168ExcessDistriCarryoverYear3
Excess Distri Carryover Year21090611ExcessDistriCarryoverYear2
Excess Distri Carryover Year146817ExcessDistriCarryoverYear1
Total Excess Distri Carryover8459551TotalExcessDistriCarryover
Qualifying Distributions1310455QualifyingDistributions
Applied To Year10AppliedToYear1
Applied To Prior Years0AppliedToPriorYears
Treated As Distri From Corpus0TreatedAsDistriFromCorpus
Applied To Current Year799502AppliedToCurrentYear
Remaining Distri From Corpus510953RemainingDistriFromCorpus
Excess Distri Cyov App CY Corpus0ExcessDistriCyovAppCYCorpus
Excess Distri Cyov Applied CY0ExcessDistriCyovAppliedCY
Total Corpus8970504TotalCorpus
Prior Year Undistributed Income0PriorYearUndistributedIncome
Prior Year Deficiency Or Tax0PriorYearDeficiencyOrTax
Taxable Amount10TaxableAmount1
Taxable Amount20TaxableAmount2
Undistributed Income CY0UndistributedIncomeCY
Distri From Corpus170b1 E Or4942g30DistriFromCorpus170b1EOr4942g3
Excess Distri Cyov From Year53901798ExcessDistriCyovFromYear5
Excess Distri Cyov To Next Year5068706ExcessDistriCyovToNextYear
Excess From Year41956157ExcessFromYear4
Excess From Year31464168ExcessFromYear3
Excess From Year21090611ExcessFromYear2
Excess From Year146817ExcessFromYear1
Excess From Current Year510953ExcessFromCurrentYear

Supplementary Information SupplementaryInformation

FieldValueIRS element (for citing)
Contributing ManagerTIMOTHY H UBBENContributingManager
Contributing ManagerJEFFREY W UBBENContributingManager
Only Contributes To PreselectedXOnlyContributesToPreselected

Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (22 entries)

Address Line1RecipientUSAddress/AddressLine1CityRecipientUSAddress/CityStateRecipientUSAddress/StateZIP CodeRecipientUSAddress/ZIPCodeRecipient RelationshipRecipientRelationshipRecipient Foundation StatusRecipientFoundationStatusPurpose Of Grant Or ContributionPurposeOfGrantOrContributionAmountAmount
ACCESS INSTITUTE
110 GOUGH STSAN FRANCISCOCA94102N/APUBLIC CHARITYGENERAL SUPPORT$2,500
AIM HIGH
2030 HARRISON ST 3RD FLOORSAN FRANCISCOCA94110N/APUBLIC CHARITYEDUCATIONAL$2,500
AMERICAN CONSERVATORY THEATER
415 GEARY STSAN FRANCISCOCA94102N/APUBLIC CHARITYGENERAL SUPPORT$89,000
BARD COLLEGE
PO BOX 5000ANNANSALEONHUDSONNY12504N/APUBLIC CHARITYEDUCATIONAL$125,000
BOYS & GIRLS CLUB OF COLLIER COUNTY
7500 DAVIS BLVDNAPLESFL34104N/APUBLIC CHARITYGENERAL SUPPORT$10,000
BOYS & GIRLS CLUB OF SAN FRANCISCO
55 HAWTHORNE ST SUITE 600SAN FRANCISCOCA94105N/APUBLIC CHARITYGENERAL SUPPORT$2,500
CALIFORNIA ACADEMY OF SCIENCES
55 MUSIC CONCOURSE DRSAN FRANCISCOCA94118N/APUBLIC CHARITYGENERAL SUPPORT$5,000
GOLDEN GATE NATIONAL PARK CONSERVANCY
BUILDING 201 FORT MASONSAN FRANCISCOCA94123N/APUBLIC CHARITYGENERAL SUPPORT$17,000
MACULAR DEGENERATION RESEARCH
22512 GATEWAY CENTER DRCLARKSBURGMD20871N/APUBLIC CHARITYRESEARCH$1,200
MARIN ACADEMY
1600 MISSION AVESAN RAFAELCA94901N/APUBLIC CHARITYEDUCATIONAL$275,500
NATIONAL ACADEMY FOUNDATION
218 WEST 40TH ST 5TH FLOORNEW YORKNY10018N/APUBLIC CHARITYEDUCATIONAL$30,000
NORTH BEACH CITIZENS
720 COLUMBUS AVESAN FRANCISCOCA94133N/APUBLIC CHARITYGENERAL SUPPORT$5,000
PEPPERDINE UNIVERSITY
24255 PACIFIC COAST HIGHWAYMALIBUCA90263N/APUBLIC CHARITYEDUCATIONAL$25,000
POSSE FOUNDATION
111 WEST JACKSON BLVD SUITE 1900CHICAGOIL60604N/APUBLIC CHARITYEDUCATIONAL$10,000
SAN FRANCISCO DAY SCHOOL
350 MASONIC AVESAN FRANCISCOCA94118N/APUBLIC CHARITYEDUCATIONAL$540,000
SAN FRANCISCO DEPUTY SHERIFFS' FOUNDATION
460 BRANNAN ST SUITE 77650SAN FRANCISCOCA94107N/APUBLIC CHARITYGENERAL SUPPORT$1,000
SAN FRANCISCO SCHOOL ALLIANCE
114 SANSOME ST SUITE 800SAN FRANCISCOCA94104N/APUBLIC CHARITYEDUCATIONAL$5,000
SPONSORS FOR EDUCATIONAL OPPORTUNITY
2030 HARRISON ST 3RD FLOORSAN FRANCISCOCA94110N/APUBLIC CHARITYEDUCATIONAL$5,000
SUMMER SEARCH
500 SANSOME STSAN FRANCISCOCA94111N/APUBLIC CHARITYGENERAL SUPPORT$5,000
TIPPING POINT
2200 MONTGOMERY ST SUITE 850SAN FRANCISCOCA94104N/APUBLIC CHARITYGENERAL SUPPORT$2,500
TRAILS FOREVER
BUILDING 201 FORT MASONSAN FRANCISCOCA94123N/APUBLIC CHARITYGENERAL SUPPORT$50,000
UNIVERSITY OF CALIFORNA BERKELEY FOUNDATION
2080 ADDISON ST SUITE 4200BERKELEYCA94720N/APUBLIC CHARITYEDUCATIONAL$100,000
FieldValueIRS element (for citing)
Tot Grant Or Contri Paid During Year1308700TotGrantOrContriPaidDuringYear
Tot Grant Or Contri Approved Future0TotGrantOrContriApprovedFuture

Analysis Income Producing Acty AnalysisIncomeProducingActy

Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII

FieldValueIRS element (for citing)
Exclusion Code14ExclusionCode
Exclusion$191,476ExclusionAmount

Gain Sales Assets Oth Than Invntry GainSalesAssetsOthThanInvntry

FieldValueIRS element (for citing)
Exclusion Code18ExclusionCode
Exclusion$1,537,656ExclusionAmount

Subtotals Part XVIA SubtotalsPartXVIA

FieldValueIRS element (for citing)
Unrelated Business Income$0UnrelatedBusinessIncomeAmount
Exclusion$1,729,132ExclusionAmount
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Part XVIA1729132TotalPartXVIA

Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO

FieldValueIRS element (for citing)
Trnsfr Of Cash To Noncharitable EO0TrnsfrOfCashToNoncharitableEO
Trnsfr Oth Assets Noncharitable EO0TrnsfrOthAssetsNoncharitableEO
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssets
Purchase Assets Noncharitable EO0PurchaseAssetsNoncharitableEO
Rental Of Facilities Etc0RentalOfFacilitiesEtc
Reimbursement Arrangements0ReimbursementArrangements
Loans Or Loan Guarantees0LoansOrLoanGuarantees
Performance Of Services Etc0PerformanceOfServicesEtc
Sharing Of Facilities Etc0SharingOfFacilitiesEtc
Relationships Noncharitable E Os0RelationshipsNoncharitableEOs

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFXOrganization501c3ExemptPF
General RuleXGeneralRule

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor Number1ContributorNumber
Contributor Name IndividualJEFFREY W UBBENContributorNameIndividual

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line12500 DIVISADEROAddressLine1
CitySAN FRANCISCOCity
StateCAState
ZIP Code94115ZIPCode
FieldValueIRS element (for citing)
Aggregate Contributions1500000AggregateContributions
Person Contribution TypeXPersonContributionType

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees AccountingFees

FieldValueIRS element (for citing)
CategoryACCOUNTING/LEGAL FEESCategory
Amount$3,440Amount
Net Investment Income1720NetInvestmentIncome
Disbursements Charitable Prps1720DisbursementsCharitablePrps

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corp Stock InvestmentsCorpStock (4 entries)

Name Of StockNameOfStockEOY Book ValueEOYBookValueEOYFMVEOYFMV
FEDERAL HOME LOAN MTGE CO29055884
TALISMAN ENERGY INC169745319260
SHIRE PHARMACEUTICAL CORP226976843780
MARSH & MCLENNAN COS.208814248360

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOther (2 entries)

Category Or ItemCategoryOrItemListed At Cost Or FMVListedAtCostOrFMVBook ValueBookValueEOYFMVEOYFMV
MORGAN STANLEY EMERGING MARKETS FDAT COST5395156840
VALUEACT CAPITAL PARTNERS, LPAT COST1306493718071295

Other Expenses Schedule OtherExpensesSchedule

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionPORTFOLIO DEDUCTIONS FROM K-1 VALUEACT CAPITAL PARTNERSDescription
Revenue And Expenses Per Books21547RevenueAndExpensesPerBooks
Net Investment Income21547NetInvestmentIncome
Disbursements Charitable Prps0DisbursementsCharitablePrps

Other Increases Schedule OtherIncreasesSchedule

Other Increases OtherIncreases

FieldValueIRS element (for citing)
DescriptionPRIOR PERIOD ADJUSTMENTDescription
Amount$1,519Amount

Taxes Schedule TaxesSchedule

Taxes Taxes (4 entries)

CategoryCategoryAmountAmountNet Investment IncomeNetInvestmentIncomeDisbursements Charitable PrpsDisbursementsCharitablePrps
FOREIGN TAXES$5,38953890
SECRETARY OF STATE$20020
IL CHARITY BUREAU FUND$15015
FEDERAL TAXES$147,39000

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