OVERSTREET FAMILY FOUNDATION: Form 990PF, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- OVERSTREET FAMILY FOUNDATION (EIN 20-8762405)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-10-19
- IRS object ID
- 201242949349100204
- 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
- Investments Other Schedule2
- Other Expenses Schedule
- Other Notes Loans Rcvbl Long Sch
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-10-19T14:06:22-00:00 | 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 | 208762405 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Overstreet Family Foundation | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | OVER | 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 | Brian Overstreet | Name |
| Title | President | Title |
| Date Signed | 2012-10-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Jeffrey D Haskell | Name |
| Phone | 8008391754 | Phone |
| Date Prepared | 2012-10-15 | 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 | 303019 | FMVAssetsEOY |
| Method Of Accounting Cash | X | MethodOfAccountingCash |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Received Rev And Expnss | 81400 | ContriReceivedRevAndExpnss |
| Interest On Savings Rev And Expnss | 4 | InterestOnSavingsRevAndExpnss |
| Interest On Savings Net Invst Incm | 4 | InterestOnSavingsNetInvstIncm |
| Dividends Rev And Expnss | 52405 | DividendsRevAndExpnss |
| Dividends Net Invst Incm | 52405 | DividendsNetInvstIncm |
| Capital Gain Net Incm Net Invst Incm | 0 | CapitalGainNetIncmNetInvstIncm |
| Total Revenue And Expenses | 133809 | TotalRevenueAndExpenses |
| Total Net Investment Income | 52409 | TotalNetInvestmentIncome |
| Taxes Rev And Expnss | 1600 | TaxesRevAndExpnss |
| Other Expenses Rev And Expnss | 8135 | OtherExpensesRevAndExpnss |
| Other Expenses Net Invst Incm | 463 | OtherExpensesNetInvstIncm |
| Other Expenses Dsbrs Chrtbl Prps | 7672 | OtherExpensesDsbrsChrtblPrps |
| Tot Opr Expenses Rev And Expnss | 9735 | TotOprExpensesRevAndExpnss |
| Tot Opr Expenses Net Invst Incm | 463 | TotOprExpensesNetInvstIncm |
| Tot Opr Expenses Dsbrs Chrtbl Prps | 7672 | TotOprExpensesDsbrsChrtblPrps |
| Contri Gifts Paid Rev And Expnss | 27440 | ContriGiftsPaidRevAndExpnss |
| Contri Gifts Paid Dsbrs Chrtbl Prps | 27440 | ContriGiftsPaidDsbrsChrtblPrps |
| Total Expenses Rev And Expnss | 37175 | TotalExpensesRevAndExpnss |
| Total Expenses Net Invst Incm | 463 | TotalExpensesNetInvstIncm |
| Total Expenses Dsbrs Chrtbl Prps | 35112 | TotalExpensesDsbrsChrtblPrps |
| Excess Of Revenue Over Expenses | 96634 | ExcessOfRevenueOverExpenses |
| Net Investment Income | 51946 | NetInvestmentIncome |
Balance Sheets BalanceSheets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Savings And Temp Cash Invst BOY | 35 | SavingsAndTempCashInvstBOY |
| Savings And Temp Cash Invst EOY | 369 | SavingsAndTempCashInvstEOY |
| Savings And Temp Cash Invst EOYFMV | 369 | SavingsAndTempCashInvstEOYFMV |
| Other Notes And Loans Receivable | 189800 | OtherNotesAndLoansReceivable |
| Other Notes And Loans Rcvbl BOY | 93500 | OtherNotesAndLoansRcvblBOY |
| Other Notes And Loans Rcvbl EOY | 189800 | OtherNotesAndLoansRcvblEOY |
| Other Notes And Loans Rcvbl EOYFMV | 189800 | OtherNotesAndLoansRcvblEOYFMV |
| Investments Corp Stock BOY | 444400 | InvestmentsCorpStockBOY |
| Investments Corp Stock EOY | 444400 | InvestmentsCorpStockEOY |
| Investments Corp Stock EOYFMV | 110600 | InvestmentsCorpStockEOYFMV |
| Investments Other BOY | 40000 | InvestmentsOtherBOY |
| Investments Other EOY | 40000 | InvestmentsOtherEOY |
| Investments Other EOYFMV | 2250 | InvestmentsOtherEOYFMV |
| Total Assets BOY | 577935 | TotalAssetsBOY |
| Total Assets EOY | 674569 | TotalAssetsEOY |
| Total Assets EOYFMV | 303019 | TotalAssetsEOYFMV |
| Total Liabilities EOY | 0 | TotalLiabilitiesEOY |
| Org That Do Not Follow SFAS117 | X | OrgThatDoNotFollowSFAS117 |
| Retained Earnings BOY | 577935 | RetainedEarningsBOY |
| Retained Earnings EOY | 674569 | RetainedEarningsEOY |
| Total Net Assets BOY | 577935 | TotalNetAssetsBOY |
| Total Net Assets EOY | 674569 | TotalNetAssetsEOY |
| Total Liabilities Net Assets BOY | 577935 | TotalLiabilitiesNetAssetsBOY |
| Total Liabilities Net Assets EOY | 674569 | TotalLiabilitiesNetAssetsEOY |
Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Net Assets Fund Balances BOY | 577935 | TotalNetAssetsFundBalancesBOY |
| Excess Of Revenue Over Expenses | 96634 | ExcessOfRevenueOverExpenses |
| Subtotal | 674569 | Subtotal |
| Total Net Assets Fund Balances EOY | 674569 | TotalNetAssetsFundBalancesEOY |
Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable For4942 Tax | false | LiableFor4942Tax |
| Qualifying Distributions Year1 | 50779 | QualifyingDistributionsYear1 |
| Noncharitable Assets Year1 | 473092 | NoncharitableAssetsYear1 |
| Distribution Ratio Year1 | 000.107334 | DistributionRatioYear1 |
| Qualifying Distributions Year2 | 50359 | QualifyingDistributionsYear2 |
| Noncharitable Assets Year2 | 396428 | NoncharitableAssetsYear2 |
| Distribution Ratio Year2 | 000.127032 | DistributionRatioYear2 |
| Qualifying Distributions Year3 | 51227 | QualifyingDistributionsYear3 |
| Noncharitable Assets Year3 | 369188 | NoncharitableAssetsYear3 |
| Distribution Ratio Year3 | 000.138756 | DistributionRatioYear3 |
| Qualifying Distributions Year4 | 36439 | QualifyingDistributionsYear4 |
| Noncharitable Assets Year4 | 293381 | NoncharitableAssetsYear4 |
| Distribution Ratio Year4 | 000.124204 | DistributionRatioYear4 |
| Total Distribution Ratio | 000.497326 | TotalDistributionRatio |
| Average Distribution Ratio | 000.124332 | AverageDistributionRatio |
| Net Noncharitable Assets | 573266 | NetNoncharitableAssets |
| Adjusted Noncharitable Assets | 71275 | AdjustedNoncharitableAssets |
| One Percent Net Investment Income | 519 | OnePercentNetInvestmentIncome |
| Adj Nonchrtbl Assets And One | 71794 | AdjNonchrtblAssetsAndOnePct |
| Qualifying Distributions | 35112 | QualifyingDistributions |
Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | 1039 | InvestmentIncomeExciseTax |
| Subtotal | 1039 | Subtotal |
| Tax Based On Investment Income | 1039 | TaxBasedOnInvestmentIncome |
| Est Tax Payments And Overpayment | 2349 | EstTaxPaymentsAndOverpayment |
| Total Credits And Payments | 2349 | TotalCreditsAndPayments |
| Tax Paid Original Return | 2349 | TaxPaidOriginalReturn |
| Form2220 Attached | X | Form2220Attached |
| Overpayment | 1310 | Overpayment |
| Amount Credited To Next Year | 1310 | AmountCreditedToNextYear |
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 | true | BusinessHoldings |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| 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 |
|---|---|---|---|---|---|---|
| Brian Overstreet | ||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 19809 | President / Director / Secretary | 001.00 | 0 |
| Kerith L Overstreet | ||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 19809 | Vice President / Director | 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 | 467746 | AvgMonthlyFMVOfSecurities |
| Avg Monthly Cash Balances | 1719 | AvgMonthlyCashBalances |
| FMV All Other Noncharitable Assets | 112531 | FMVAllOtherNoncharitableAssets |
| Total FMV Of Unused Assets | 581996 | TotalFMVOfUnusedAssets |
| Adj Total FMV Of Unused Assets | 581996 | AdjTotalFMVOfUnusedAssets |
| Cash Deemed Charitable | 8730 | CashDeemedCharitable |
| Net Noncharitable Assets | 573266 | NetNoncharitableAssets |
| Minimum Investment Return | 28663 | MinimumInvestmentReturn |
Distributable DistributableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | 28663 | MinimumInvestmentReturn |
| Tax Based On Investment Income | 1039 | TaxBasedOnInvestmentIncome |
| Total Tax | 1039 | TotalTax |
| Distributable Amount Before Adj | 27624 | DistributableAmountBeforeAdj |
| Distributable Amount Before Ded | 27624 | DistributableAmountBeforeDed |
| Distributable Amount As Adjusted | 27624 | DistributableAmountAsAdjusted |
Qualifying Distributions QualifyingDistributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | 35112 | ExpensesAndContributions |
| Qualifying Distributions | 35112 | QualifyingDistributions |
| Adj Qualifying Distributions | 35112 | AdjQualifyingDistributions |
Undistributed Income UndistributedIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable Amount As Adjusted | 27624 | DistributableAmountAsAdjusted |
| Excess Distri Carryover Year4 | 26083 | ExcessDistriCarryoverYear4 |
| Excess Distri Carryover Year3 | 34614 | ExcessDistriCarryoverYear3 |
| Excess Distri Carryover Year2 | 32037 | ExcessDistriCarryoverYear2 |
| Excess Distri Carryover Year1 | 28753 | ExcessDistriCarryoverYear1 |
| Total Excess Distri Carryover | 121487 | TotalExcessDistriCarryover |
| Qualifying Distributions | 35112 | QualifyingDistributions |
| Applied To Current Year | 27624 | AppliedToCurrentYear |
| Remaining Distri From Corpus | 7488 | RemainingDistriFromCorpus |
| Total Corpus | 128975 | TotalCorpus |
| Undistributed Income CY | 0 | UndistributedIncomeCY |
| Excess Distri Cyov To Next Year | 128975 | ExcessDistriCyovToNextYear |
| Excess From Year4 | 26083 | ExcessFromYear4 |
| Excess From Year3 | 34614 | ExcessFromYear3 |
| Excess From Year2 | 32037 | ExcessFromYear2 |
| Excess From Year1 | 28753 | ExcessFromYear1 |
| Excess From Current Year | 7488 | ExcessFromCurrentYear |
Supplementary Information SupplementaryInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | NONE | ContributingManager |
| Only Contributes To Preselected | X | OnlyContributesToPreselected |
Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (15 entries)
| Address Line1RecipientUSAddress/AddressLine1 | CityRecipientUSAddress/City | StateRecipientUSAddress/State | ZIP CodeRecipientUSAddress/ZIPCode | Recipient RelationshipRecipientRelationship | Recipient Foundation StatusRecipientFoundationStatus | Purpose Of Grant Or ContributionPurposeOfGrantOrContribution | AmountAmount |
|---|---|---|---|---|---|---|---|
| ANTARCTIC AND SOUTHERN OCEAN COALIT | |||||||
| 1630 CONNECTICUT AVE NW | WASHINIGTON | DC | 20009 | N/A | 509(a)(1) | General Unrestricted | $250 |
| CHILDRENS MUSEUM OF SONOMA COUNTY | |||||||
| PO BOX 12323 | SANTA ROSA | CA | 95406 | N/A | 509(a)(1) | General Unrestricted | $1,500 |
| HEALDSBURG PERFORMING ARTS THEATER | |||||||
| PO BOX 870 | HEALDSBURG | CA | 95448 | N/A | 509(a)(1) | General Unrestricted | $1,650 |
| MUSCULAR DYSTROPHY ASSOCIATION | |||||||
| 3300 E SUNRISE DR | TUCSON | AZ | 85718 | N/A | 509(a)(1) | General Unrestricted | $250 |
| NATIONAL DOWN SYNDROME SOCIETY | |||||||
| 666 BROADWAY FL 8 | NEW YORK | NY | 10012 | N/A | 509(a)(1) | General Unrestricted | $250 |
| SAN DIEGO OPERA ASSOCIATION | |||||||
| 1200 3RD AVE FL 18 | SAN DIEGO | CA | 92101 | N/A | 509(a)(2) | General Unrestricted | $380 |
| SAN DIEGO OPERA ASSOCIATION | |||||||
| 1200 3RD AVE FL 18 | SAN DIEGO | CA | 92101 | N/A | 509(a)(2) | Bravissimo Program | $3,750 |
| SAN DIEGO OPERA ASSOCIATION | |||||||
| 1200 3RD AVE FL 18 | SAN DIEGO | CA | 92101 | N/A | 509(a)(2) | Bravissimo Medal Program | $3,750 |
| SANTA ROSA JEWISH COMMUNITY CENTER | |||||||
| 235 MONTGOMERY ST | SAN FRANCISCO | CA | 94104 | N/A | 509(a)(1) | General Unrestricted | $2,000 |
| SONOMA COUNTRY DAY SCHOOL | |||||||
| 4400 DAY SCHOOL PL | SANTA ROSA | CA | 95403 | N/A | 509(a)(1) | General Unrestricted | $1,150 |
| THE GILLISPIE SCHOOL | |||||||
| 7380 GIRARD AVE | LA JOLLA | CA | 92037 | N/A | 509(a)(2) | General Unrestricted | $1,865 |
| THE GILLISPIE SCHOOL | |||||||
| 7380 GIRARD AVE | LA JOLLA | CA | 92037 | N/A | 509(a)(2) | Annual Giving Campaign | $2,500 |
| THE GILLISPIE SCHOOL | |||||||
| 7380 GIRARD AVE | LA JOLLA | CA | 92037 | N/A | 509(a)(2) | Annual Giving Campaign | $2,500 |
| THE NEW CHILDREN'S MUSEUM | |||||||
| 200 W ISLAND AVE | SAN DIEGO | CA | 92101 | N/A | 509(a)(1) | General Unrestricted | $5,000 |
| UC REGENTS | |||||||
| 1001 POTRERO AVE BLDG 20 | SAN FRANCISCO | CA | 94110 | N/A | 509(a)(1) | General Unrestricted | $645 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Grant Or Contri Paid During Year | 27440 | 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 | $4 | ExclusionAmount |
Dividends And Int From Sec Part VII DividendsAndIntFromSecPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion Code | 14 | ExclusionCode |
| Exclusion | $52,405 | ExclusionAmount |
Subtotals Part XVIA SubtotalsPartXVIA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $52,409 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Part XVIA | 52409 | 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 Individual | Overstreet Family Trust Dated 2604 | ContributorNameIndividual |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5811 Folsom Drive | AddressLine1 |
| City | La Jolla | City |
| State | CA | State |
| ZIP Code | 92037 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | 81400 | AggregateContributions |
| Person Contribution Type | X | PersonContributionType |
| Noncash Contribution Type | X | NoncashContributionType |
Noncash Property NoncashProperty
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number From Part I | 0001 | ContributorNumberFromPartI |
| Noncash Property Description | CONVERTIBLE N/R - ADVERSE EVENTS INC. | NoncashPropertyDescription |
| Fair Market Value | 75000 | FairMarketValue |
| Date Received | 2011-12-29 | DateReceived |
General Explanation Attachment GeneralExplanationAttachment
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corp Stock InvestmentsCorpStock
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Stock | 2765000 shares of SAGIENT RESEARCH SYSTEMS INC. SRYS.PK | NameOfStock |
| EOY Book Value | 444400 | EOYBookValue |
| EOYFMV | 110600 | EOYFMV |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOther (2 entries)
| Category Or ItemCategoryOrItem | Book ValueBookValue | EOYFMVEOYFMV |
|---|---|---|
| ADVERSE EVENTS, INC. | 15000 | 2250 |
| HOMEBUZZ, INC. | 25000 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | Revenue And Expenses Per BooksRevenueAndExpensesPerBooks | Disbursements Charitable PrpsDisbursementsCharitablePrps | Net Investment IncomeNetInvestmentIncome |
|---|---|---|---|
| Administrative Fees | 7647 | 7647 | |
| Bank Charges | 463 | 463 | |
| State or Local Filing Fees | 25 | 25 |
Other Notes Loans Rcvbl Long Sch OtherNotesLoansRcvblLongSch
Other Notes Loans Rcvbl Long OtherNotesLoansRcvblLong (12 entries)
| IndividualBorrowersName/Individual | Relationship To InsiderRelationshipToInsider | Original Amount Of LoanOriginalAmountOfLoan | Balance DueBalanceDue | Date Of NoteDateOfNote | Maturity DateMaturityDate | Repayment TermsRepaymentTerms | Interest RateInterestRate | Security Provided By BorrowerSecurityProvidedByBorrower | Purpose Of LoanPurposeOfLoan | Desc Of Lender ConsiderationDescOfLenderConsideration | Consideration FmvConsiderationFmv |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Brulliam Wines LLC | Common Officer | 9000 | 9000 | 2009-10 | 2012-10 | Interest Payments Quarterly | 0000000000.057500000000 | None | Investment | Cash | 9000 |
| Brulliam Wines LLC | Common Officer | 51500 | 51500 | 2009-05 | 2012-04 | Interest Payments Quarterly | 0000000000.057500000000 | None | Investment | Cash | 51500 |
| Brulliam Wines LLC | Common Officer | 11000 | 11000 | 2010-08 | 2013-08 | Interest Payments Quarterly | 0000000000.057500000000 | None | Investment | Cash | 11000 |
| Brulliam Wines LLC | Common Officer | 11000 | 11000 | 2010-09 | 2013-09 | Interest Payments Quarterly | 0000000000.057500000000 | None | Investment | Cash | 11000 |
| Brulliam Wines LLC | Common Officer | 11000 | 11000 | 2010-11 | 2013-11 | Interest Payments Quarterly | 0000000000.057500000000 | None | Investment | Cash | 11000 |
| Brulliam Wines LLC | Common Officer | 6000 | 6000 | 2011-01 | 2014-01 | Interest Payments Quarterly | 0000000000.057500000000 | None | Investment | Cash | 6000 |
| Brulliam Wines LLC | Common Officer | 1500 | 1500 | 2011-02 | 2014-02 | Interest Payments Quarterly | 0000000000.057500000000 | None | Investment | Cash | 1500 |
| Brulliam Wines LLC | Common Officer | 3000 | 3000 | 2010-03 | 2013-03 | Interest Payments Quarterly | 0000000000.057500000000 | None | Investment | Cash | 3000 |
| Brulliam Wines LLC | Common Officer | 4000 | 4000 | 2011-04 | 2014-04 | Interest Payments Quarterly | 0000000000.057500000000 | None | Investment | Cash | 4000 |
| Brulliam Wines LLC | Common Officer | 4800 | 4800 | 2011-05 | 2014-05 | Interest Payments Quarterly | 0000000000.057500000000 | None | Investment | Cash | 4800 |
| Brulliam Wines LLC | Common Officer | 2000 | 2000 | 2011-06 | 2014-06 | Interest Payments Quarterly | 0000000000.057500000000 | None | Investment | Cash | 2000 |
| Adverse Events Inc | Common Officer | 75000 | 75000 | 2011-05 | 2012-05 | Interest payable at note maturity | 0000000000.080000000000 | None | Investment | Cash | 75000 |
Taxes Schedule TaxesSchedule
Taxes Taxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | Estimated Tax for 2011 | Category |
| Amount | $1,600 | Amount |
| Net Investment Income | 0 | NetInvestmentIncome |
| Adjusted Net Income | 0 | AdjustedNetIncome |
| Disbursements Charitable Prps | 0 | DisbursementsCharitablePrps |
Comments