THE BLACK DOG PRIVATE FOUNDATION INC: Form 990PF, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- THE BLACK DOG PRIVATE FOUNDATION INC (EIN 20-1266221)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-05-30
- IRS object ID
- 201211519349100701
- Schema version
- 2011v1.2
- 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
- General Explanation Attachment
- Investments Corp Stock Schedule
- Other Expenses Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-05-30T09:34:14-00:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | 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 | 55 Walls Drive | AddressLine1 |
| City | Fairfield | City |
| State | CT | State |
| ZIP Code | 06824 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnType |
| Tax Period Begin Date | 2011-01-01 | 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 | 2012-05-30 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Jeffrey D Haskell | Name |
| Phone | 8008391754 | Phone |
| Date Prepared | 2012-05-30 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | 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 | 1138956 | FMVAssetsEOY |
| Method Of Accounting Cash | X | MethodOfAccountingCash |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Received Rev And Expnss | 9818 | ContriReceivedRevAndExpnss |
| Interest On Savings Rev And Expnss | 52 | InterestOnSavingsRevAndExpnss |
| Interest On Savings Net Invst Incm | 52 | InterestOnSavingsNetInvstIncm |
| Dividends Rev And Expnss | 10748 | DividendsRevAndExpnss |
| Dividends Net Invst Incm | 10748 | DividendsNetInvstIncm |
| Net Gain Sale Assets Rev And Expnss | 80459 | NetGainSaleAssetsRevAndExpnss |
| Gross Sales Price | 517120 | GrossSalesPrice |
| Capital Gain Net Incm Net Invst Incm | 171747 | CapitalGainNetIncmNetInvstIncm |
| Total Revenue And Expenses | 101077 | TotalRevenueAndExpenses |
| Total Net Investment Income | 182547 | TotalNetInvestmentIncome |
| Other Prof Fees Rev And Expnss | 1822 | OtherProfFeesRevAndExpnss |
| Other Prof Fees Net Invst Incm | 1822 | OtherProfFeesNetInvstIncm |
| Taxes Rev And Expnss | 2385 | TaxesRevAndExpnss |
| Other Expenses Rev And Expnss | 9962 | OtherExpensesRevAndExpnss |
| Other Expenses Dsbrs Chrtbl Prps | 9962 | OtherExpensesDsbrsChrtblPrps |
| Tot Opr Expenses Rev And Expnss | 14169 | TotOprExpensesRevAndExpnss |
| Tot Opr Expenses Net Invst Incm | 1822 | TotOprExpensesNetInvstIncm |
| Tot Opr Expenses Dsbrs Chrtbl Prps | 9962 | TotOprExpensesDsbrsChrtblPrps |
| Contri Gifts Paid Rev And Expnss | 221750 | ContriGiftsPaidRevAndExpnss |
| Contri Gifts Paid Dsbrs Chrtbl Prps | 221750 | ContriGiftsPaidDsbrsChrtblPrps |
| Total Expenses Rev And Expnss | 235919 | TotalExpensesRevAndExpnss |
| Total Expenses Net Invst Incm | 1822 | TotalExpensesNetInvstIncm |
| Total Expenses Dsbrs Chrtbl Prps | 231712 | TotalExpensesDsbrsChrtblPrps |
| Excess Of Revenue Over Expenses | -134842 | ExcessOfRevenueOverExpenses |
| Net Investment Income | 180725 | NetInvestmentIncome |
Balance Sheets BalanceSheets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Savings And Temp Cash Invst BOY | 312756 | SavingsAndTempCashInvstBOY |
| Savings And Temp Cash Invst EOY | 416870 | SavingsAndTempCashInvstEOY |
| Savings And Temp Cash Invst EOYFMV | 416870 | SavingsAndTempCashInvstEOYFMV |
| Investments Corp Stock BOY | 997734 | InvestmentsCorpStockBOY |
| Investments Corp Stock EOY | 758778 | InvestmentsCorpStockEOY |
| Investments Corp Stock EOYFMV | 722086 | InvestmentsCorpStockEOYFMV |
| Total Assets BOY | 1310490 | TotalAssetsBOY |
| Total Assets EOY | 1175648 | TotalAssetsEOY |
| Total Assets EOYFMV | 1138956 | TotalAssetsEOYFMV |
| Total Liabilities EOY | 0 | TotalLiabilitiesEOY |
| Org That Do Not Follow SFAS117 | X | OrgThatDoNotFollowSFAS117 |
| Retained Earnings BOY | 1310490 | RetainedEarningsBOY |
| Retained Earnings EOY | 1175648 | RetainedEarningsEOY |
| Total Net Assets BOY | 1310490 | TotalNetAssetsBOY |
| Total Net Assets EOY | 1175648 | TotalNetAssetsEOY |
| Total Liabilities Net Assets BOY | 1310490 | TotalLiabilitiesNetAssetsBOY |
| Total Liabilities Net Assets EOY | 1175648 | TotalLiabilitiesNetAssetsEOY |
Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Net Assets Fund Balances BOY | 1310490 | TotalNetAssetsFundBalancesBOY |
| Excess Of Revenue Over Expenses | -134842 | ExcessOfRevenueOverExpenses |
| Subtotal | 1175648 | Subtotal |
| Total Net Assets Fund Balances EOY | 1175648 | 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 | 517120 | GrossSalesPrice |
| Cost Or Other Basis | 345373 | CostOrOtherBasis |
| Gain Or Loss | 171747 | GainOrLoss |
| Gains Minus Excess Or Losses | 171747 | GainsMinusExcessOrLosses |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | 171747 | CapitalGainNetIncome |
Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable For4942 Tax | false | LiableFor4942Tax |
| Qualifying Distributions Year1 | 342124 | QualifyingDistributionsYear1 |
| Noncharitable Assets Year1 | 1038849 | NoncharitableAssetsYear1 |
| Distribution Ratio Year1 | 000.329330 | DistributionRatioYear1 |
| Qualifying Distributions Year2 | 177416 | QualifyingDistributionsYear2 |
| Noncharitable Assets Year2 | 1031959 | NoncharitableAssetsYear2 |
| Distribution Ratio Year2 | 000.171922 | DistributionRatioYear2 |
| Qualifying Distributions Year3 | 276288 | QualifyingDistributionsYear3 |
| Noncharitable Assets Year3 | 1024723 | NoncharitableAssetsYear3 |
| Distribution Ratio Year3 | 000.269622 | DistributionRatioYear3 |
| Qualifying Distributions Year4 | 130267 | QualifyingDistributionsYear4 |
| Noncharitable Assets Year4 | 889070 | NoncharitableAssetsYear4 |
| Distribution Ratio Year4 | 000.146521 | DistributionRatioYear4 |
| Qualifying Distributions Year5 | 165220 | QualifyingDistributionsYear5 |
| Noncharitable Assets Year5 | 664450 | NoncharitableAssetsYear5 |
| Distribution Ratio Year5 | 000.248657 | DistributionRatioYear5 |
| Total Distribution Ratio | 001.166052 | TotalDistributionRatio |
| Average Distribution Ratio | 000.233210 | AverageDistributionRatio |
| Net Noncharitable Assets | 1233128 | NetNoncharitableAssets |
| Adjusted Noncharitable Assets | 287578 | AdjustedNoncharitableAssets |
| One Percent Net Investment Income | 1807 | OnePercentNetInvestmentIncome |
| Adj Nonchrtbl Assets And One | 289385 | AdjNonchrtblAssetsAndOnePct |
| Qualifying Distributions | 231712 | QualifyingDistributions |
Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | 3615 | InvestmentIncomeExciseTax |
| Subtotal | 3615 | Subtotal |
| Tax Based On Investment Income | 3615 | TaxBasedOnInvestmentIncome |
| Est Tax Payments And Overpayment | 1331 | EstTaxPaymentsAndOverpayment |
| Tax Paid With Extension | 2284 | TaxPaidWithExtension |
| Total Credits And Payments | 3615 | TotalCreditsAndPayments |
| Tax Paid Original Return | 3615 | TaxPaidOriginalReturn |
| Form2220 Attached | X | Form2220Attached |
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 | false | 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 |
| Proceeds Or Net Income | true | ProceedsOrNetIncome |
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 | Vice President / Director | 001.00 | 0 |
| David L Mahoney | ||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 19809 | President / Director / Secretary | 001.00 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Highest Paid Empl NONE | NONE | CompOfHighestPaidEmplNONE |
Minimum Investment Return MinimumInvestmentReturn
| Field | Value | IRS element (for citing) |
|---|---|---|
| Avg Monthly FMV Of Securities | 887008 | AvgMonthlyFMVOfSecurities |
| Avg Monthly Cash Balances | 364899 | AvgMonthlyCashBalances |
| FMV All Other Noncharitable Assets | 0 | FMVAllOtherNoncharitableAssets |
| Total FMV Of Unused Assets | 1251907 | TotalFMVOfUnusedAssets |
| Adj Total FMV Of Unused Assets | 1251907 | AdjTotalFMVOfUnusedAssets |
| Cash Deemed Charitable | 18779 | CashDeemedCharitable |
| Net Noncharitable Assets | 1233128 | NetNoncharitableAssets |
| Minimum Investment Return | 61656 | MinimumInvestmentReturn |
Distributable DistributableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | 61656 | MinimumInvestmentReturn |
| Tax Based On Investment Income | 3615 | TaxBasedOnInvestmentIncome |
| Total Tax | 3615 | TotalTax |
| Distributable Amount Before Adj | 58041 | DistributableAmountBeforeAdj |
| Distributable Amount Before Ded | 58041 | DistributableAmountBeforeDed |
| Distributable Amount As Adjusted | 58041 | DistributableAmountAsAdjusted |
Qualifying Distributions QualifyingDistributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | 231712 | ExpensesAndContributions |
| Qualifying Distributions | 231712 | QualifyingDistributions |
| Adj Qualifying Distributions | 231712 | AdjQualifyingDistributions |
Undistributed Income UndistributedIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable Amount As Adjusted | 58041 | DistributableAmountAsAdjusted |
| Excess Distri Carryover Year5 | 118405 | ExcessDistriCarryoverYear5 |
| Excess Distri Carryover Year4 | 92925 | ExcessDistriCarryoverYear4 |
| Excess Distri Carryover Year3 | 236126 | ExcessDistriCarryoverYear3 |
| Excess Distri Carryover Year2 | 126030 | ExcessDistriCarryoverYear2 |
| Excess Distri Carryover Year1 | 292696 | ExcessDistriCarryoverYear1 |
| Total Excess Distri Carryover | 866182 | TotalExcessDistriCarryover |
| Qualifying Distributions | 231712 | QualifyingDistributions |
| Applied To Current Year | 58041 | AppliedToCurrentYear |
| Remaining Distri From Corpus | 173671 | RemainingDistriFromCorpus |
| Total Corpus | 1039853 | TotalCorpus |
| Undistributed Income CY | 0 | UndistributedIncomeCY |
| Excess Distri Cyov From Year5 | 118405 | ExcessDistriCyovFromYear5 |
| Excess Distri Cyov To Next Year | 921448 | ExcessDistriCyovToNextYear |
| Excess From Year4 | 92925 | ExcessFromYear4 |
| Excess From Year3 | 236126 | ExcessFromYear3 |
| Excess From Year2 | 126030 | ExcessFromYear2 |
| Excess From Year1 | 292696 | ExcessFromYear1 |
| Excess From Current Year | 173671 | 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 (33 entries)
| Address Line1RecipientUSAddress/AddressLine1 | CityRecipientUSAddress/City | StateRecipientUSAddress/State | ZIP CodeRecipientUSAddress/ZIPCode | Recipient RelationshipRecipientRelationship | Recipient Foundation StatusRecipientFoundationStatus | Purpose Of Grant Or ContributionPurposeOfGrantOrContribution | AmountAmount |
|---|---|---|---|---|---|---|---|
| AIM HIGH FOR HIGH SCHOOL | |||||||
| 2030 HARRISON ST 3RD FL | SAN FRANCISCO | CA | 94110 | N/A | 509(a)(1) | General Unrestricted | $1,000 |
| AMERICAN PRAIRIE FOUNDATION | |||||||
| PO BOX 908 | BOZEMAN | MT | 59771 | N/A | 509(a)(1) | General Unrestricted | $250 |
| BARTH SYNDROME FOUNDATION INC | |||||||
| PO BOX 618 | LARCHMONT | NY | 10538 | N/A | 509(a)(1) | General Unrestricted | $250 |
| BOSTON COLLEGE TRUSTEES | |||||||
| 140 COMMONWEALTH AVE | CHESTNUT HILL | MA | 02467 | N/A | 509(a)(1) | Mahoney Family Scholarship | $10,000 |
| CALIFORNIA COLLEGE OF THE ARTS | |||||||
| 5212 BROADWAY | OAKLAND | CA | 94618 | N/A | 509(a)(1) | Visiting Artists in Photography Program | $5,000 |
| CATHOLIC CHAR CYO OF THE ARCHDIOCE | |||||||
| 2255 HAYES ST 4TH FL | SAN FRANCISCO | CA | 94117 | N/A | 509(a)(1) | General Unrestricted | $500 |
| COMMON SENSE MEDIA | |||||||
| 650 TOWNSEND ST STE 435 | SAN FRANCISCO | CA | 94103 | N/A | 509(a)(1) | General Unrestricted | $250 |
| COMMUNITY FOUNDATION SONOMA COUNTY | |||||||
| 250 D ST STE 205 | SANTA ROSA | CA | 95404 | N/A | 509(a)(1) | Artist Awards Endowment Fund | $500 |
| DREW SCHOOL | |||||||
| 2901 CALIFORNIA ST | SAN FRANCISCO | CA | 94115 | N/A | 509(a)(1) | Drew 2010-11 Annual Fund | $10,000 |
| DREW SCHOOL | |||||||
| 2901 CALIFORNIA ST | SAN FRANCISCO | CA | 94115 | N/A | 509(a)(1) | New Roots Capital Campaign | $25,000 |
| ENVIRONMENTAL DEFENSE FUND INC | |||||||
| 1875 CONNECTICUT AVE NW STE 600 | WASHINGTON | DC | 20009 | N/A | 509(a)(1) | Farm and Food Policy Initiative | $10,000 |
| GALAPAGOS CONSERVANCY INC | |||||||
| 11150 FAIRFAX BLVD STE 408 | FAIRFAX | VA | 22030 | N/A | 509(a)(1) | General Unrestricted | $250 |
| GEYSERVILLE VOLUNTEER FIREFIGHTERS | |||||||
| PO BOX 1042 | GEYSERVILLE | CA | 95441 | N/A | 509(a)(1) | General Unrestricted | $1,000 |
| GOLDEN GATE NATIONAL PARKS CONSERVA | |||||||
| BLDG 201 FORT MASON | SAN FRANCISCO | CA | 94123 | N/A | 509(a)(2) | William Kent Society Fund | $1,000 |
| HEALTHCARE FOUNDATION NORTHERN SONO | |||||||
| PO BOX 1025 | HEALDSBURG | CA | 95448 | N/A | 509(a)(1) | General Unrestricted | $1,000 |
| INTERNATIONAL MEDICAL CORPS | |||||||
| 1919 SANTA MONICA BLVD STE 400 | SANTA MONICA | CA | 90404 | N/A | 509(a)(1) | General Unrestricted | $1,000 |
| KQED INC | |||||||
| 2601 MARIPOSA ST | SAN FRANCISCO | CA | 94110 | N/A | 509(a)(1) | General Unrestricted | $25,000 |
| LIVE OAK A LEARNING CENTER FOR CHIL | |||||||
| 1555 MARIPOSA ST | SAN FRANCISCO | CA | 94107 | N/A | 509(a)(1) | 2010-11 Annual Fund | $15,000 |
| MARINE MAMMAL CENTER | |||||||
| 2000 BUNKER RD FORT CRONKHITE | SAUSALITO | CA | 94965 | N/A | 509(a)(1) | General Unrestricted | $1,000 |
| MEALS ON WHEELS OF SAN FRANCISCO IN | |||||||
| 1375 FAIRFAX AVE | SAN FRANCISCO | CA | 94124 | N/A | 509(a)(1) | General Unrestricted | $500 |
| MERCY CORPS | |||||||
| 45 SW ANKENY ST | PORTLAND | OR | 97204 | N/A | 509(a)(1) | Horn of Africa Hunger Crisis Fund | $1,000 |
| MERCY CORPS | |||||||
| 45 SW ANKENY ST | PORTLAND | OR | 97204 | N/A | 509(a)(1) | Japan Tsunami Fund | $1,000 |
| MERCY CORPS | |||||||
| 45 SW ANKENY ST | PORTLAND | OR | 97204 | N/A | 509(a)(1) | Board Matching Grant | $50,000 |
| OUTWARD BOUND INC | |||||||
| 910 JACKSON ST | GOLDEN | CO | 80401 | N/A | 509(a)(1) | Outward Bound Bay Area | $20,000 |
| OXBOW SCHOOL | |||||||
| 530 3RD ST | NAPA | CA | 94559 | N/A | 509(a)(1) | Oxbow School Scholarship Fund | $500 |
| PRINCETON UNIVERSITY - ANNUAL GIVIN | |||||||
| GIFT RECORDS BOX 5357 | PRINCETON | NJ | 08543 | N/A | 509(a)(1) | Annual Giving Class of 1975 | $500 |
| PROJECT OPEN HAND | |||||||
| 730 POLK ST 3RD FL | SAN FRANCISCO | CA | 94109 | N/A | 509(a)(1) | General Unrestricted | $250 |
| SAN FRANCISCO CHILD ABUSE PREVENTIO | |||||||
| 1757 WALLER ST | SAN FRANCISCO | CA | 94117 | N/A | 509(a)(1) | General Unrestricted | $1,000 |
| SAN FRANCISCO FOOD BANK | |||||||
| 900 PENNSYLVANIA AVE | SAN FRANCISCO | CA | 94107 | N/A | 509(a)(1) | General Unrestricted | $500 |
| SAN FRANCISCO MUSEUM OF MODERN ART | |||||||
| 151 3RD ST | SAN FRANCISCO | CA | 94103 | N/A | 509(a)(1) | General Unrestricted | $25,000 |
| SCRIPPS COLLEGE | |||||||
| 1030 COLUMBIA AVE | CLAREMONT | CA | 91711 | N/A | 509(a)(1) | Djuna Lahar Memorial Fund | $1,000 |
| TEACH FOR AMERICA BAY AREA | |||||||
| 101 MONTGOMERY ST 5TH FL | SAN FRANCISCO | CA | 94105 | N/A | 509(a)(1) | Sponsor a Teacher Program | $10,000 |
| UNIVERSITY OF COLORADO FOUNDATION | |||||||
| 4740 WALNUT ST | BOULDER | CO | 80301 | N/A | 509(a)(1) | School of Arts and Sciences | $2,500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Grant Or Contri Paid During Year | 221750 | 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 | $52 | ExclusionAmount |
Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 14 | ExclusionCode |
| Exclusion | $10,748 | ExclusionAmount |
Gain Sales Assets Oth Than Invntry GainSalesAssetsOthThanInvntry
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 18 | ExclusionCode |
| Exclusion | $80,459 | ExclusionAmount |
Subtotals Part XVIA SubtotalsPartXVIA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $91,259 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Part XVIA | 91259 | 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 | 0001 | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mahoney David | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 121 Jordan Ave | AddressLine1 |
| City | San Francisco | City |
| State | CA | State |
| ZIP Code | 94118 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | 9818 | AggregateContributions |
| Noncash Contribution Type | X | NoncashContributionType |
Noncash Property NoncashProperty (2 entries)
| Contributor Number From Part IContributorNumberFromPartI | Noncash Property DescriptionNoncashPropertyDescription | Fair Market ValueFairMarketValue | Date ReceivedDateReceived |
|---|---|---|---|
| 0001 | ANCESTRY.COM INC | 5428 | 2011-07-07 |
| 0001 | ANCESTRY.COM INC | 4390 | 2011-01-06 |
General Explanation Attachment GeneralExplanationAttachment
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corp Stock InvestmentsCorpStock (18 entries)
| Name Of StockNameOfStock | EOY Book ValueEOYBookValue | EOYFMVEOYFMV |
|---|---|---|
| 130 shares of ANCESTRY.COM INC ACOM | 5428 | 2985 |
| 150 shares of BERKSHIRE HATHAWAY INC. CLASS B BRK-B | 12602 | 11445 |
| 277 shares of COHEN STEERS INSTITUTIONAL REALTY SHS INC CSRIX | 10500 | 10931 |
| 75000 shares of CORCEPT THERAPEUTICS INC. CORT | 315375 | 256500 |
| 4732 shares of DFA EMERGING MARKETS CORE EQ PRTFL MUTUAL FUND DFCEX | 70725 | 81580 |
| 1294 shares of DFA INTERNATIONAL SMALL CAP VALUE PORTFOLIO DISVX | 29332 | 17578 |
| 1275 shares of DFA INTERNATIONAL SMALL CO PORTFOLIO DFISX | 25328 | 17642 |
| 2430 shares of DFA INTERNATIONAL VALUE PORTFOLIO DFIVX | 35000 | 35815 |
| 3015 shares of DFA U.S. LARGE CAP VALUE PORTFOLIO DFLVX | 55000 | 57709 |
| 532 shares of DFA U.S. MICRO CAP PORTFOLIO DFSCX | 6405 | 7039 |
| 958 shares of DFA U.S. SMALL CAP PORTFOLIO DFSTX | 18725 | 19663 |
| 1603 shares of DFA U.S. SMALL CAP VALUE PORTFOLIO DFSVX | 41173 | 37136 |
| 474 shares of GOLDMAN SACHS PREASSIGNED 38144L852 GSC | 20801 | 23168 |
| 81 shares of ISHARES SP 500 INDEX FD IVV | 9741 | 10203 |
| 315 shares of SPDR DJ WILSHIRE INT RWX | 10921 | 10026 |
| 568 shares of SPDR SP 500 ETF TRUST SPY | 53059 | 71284 |
| 995 shares of VANGUARD FTSE ALL-WORLD EX-US ETF VEU | 26663 | 39452 |
| 455 shares of VANGUARD TOTAL INTERNATIONAL STOCK INDEX SIGNAL VTSGX | 12000 | 11930 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | Revenue And Expenses Per BooksRevenueAndExpensesPerBooks | Disbursements Charitable PrpsDisbursementsCharitablePrps |
|---|---|---|
| Administrative Fees | 9937 | 9937 |
| 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 | $1,822 | Amount |
| Net Investment Income | 1822 | NetInvestmentIncome |
Taxes Schedule TaxesSchedule
Taxes Taxes (2 entries)
| CategoryCategory | AmountAmount | Net Investment IncomeNetInvestmentIncome | Adjusted Net IncomeAdjustedNetIncome | Disbursements Charitable PrpsDisbursementsCharitablePrps |
|---|---|---|---|---|
| Estimated Tax for 2011 | $1,300 | 0 | 0 | 0 |
| IRS Excise Tax Payment with 1st ext 990PF | $1,085 | 0 | 0 | 0 |
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