2011-07-26T12:10:23-00:00 2010-12-31 Foundation Source 55 Walls Drive Fairfield CT 06824 990PF 2010-01-01 201266221 The Black Dog Private Foundation Inc BLAC 8008391754 c/o Foundation Source 501 Silversid Wilmington DE 198091377 David L Mahoney 2011-07-26 false Jeffrey D Haskell 8008391754 2011-07-26 2010 2016-02-24 21:20:13Z X 1405929 X 549291 62 62 11195 11195 9327 148117 116274 569875 127531 1826 1826 309 8381 8381 10516 1826 8381 335000 335000 345516 1826 343381 224359 125705 515149 312756 312756 570982 997734 1093173 1086131 1310490 1405929 0 X 1086131 1310490 1086131 1310490 1086131 1310490 1086131 224359 1310490 1310490 Publicly-traded Securities 148117 31843 116274 116274 116274 false 177416 1031959 000.171922 276288 1024723 000.269622 130267 889070 000.146521 165220 664450 000.248657 7062 588914 000.011992 000.848714 000.169743 1038849 176337 1257 177594 343381 X 1257 1257 1257 203 1085 1288 1288 X 31 31 false false false false false false true true true true false false false false true co Foundation Source 8008391754 501 Silverside Road Suite 123 Wilmington DE 198091377 false false false false false false false false false false false false false false false false false false false true Winnifred Ellis c/o Foundation Source 501 Silversid Wilmington DE 19809 001.00 0 David L Mahoney c/o Foundation Source 501 Silversid Wilmington DE 19809 001.00 0 NONE 654451 400218 0 1054669 1054669 15820 1038849 51942 51942 1257 1257 50685 50685 50685 343381 343381 1257 342124 50685 118405 92925 236126 126030 573486 343381 50685 292696 866182 0 866182 118405 92925 236126 126030 292696 David L Mahoney Winnifred C Ellis X AIM HIGH FOR HIGH SCHOOL 2030 HARRISON ST 3RD FL SAN FRANCISCO CA 94110 N/A 509(a)(1) General Unrestricted 1000 ART INSTITUTE OF CHICAGO 111 S MICHIGAN AVE CHICAGO IL 60603 N/A 509(a)(1) Lewis Baltz Prototype 2500 BOSTON COLLEGE TRUSTEES 140 COMMONWEALTH AVE CHESTNUT HILL MA 02467 N/A 509(a)(1) Mahoney Family Scholarship 12500 CATHOLIC CHARITIES CYO 180 HOWARD ST STE 100 SAN FRANCISCO CA 94105 N/A 509(a)(1) General Unrestricted 500 ENVIRONMENTAL DEFENSE FUND INC 1875 CONNECTICUT AVE NW STE 600 WASHINGTON DC 20009 N/A 509(a)(1) Healthy Farms/Healthy Food Initiative 10000 GIRLVENTURES 3543 18TH SST STE 18 4TH FL SAN FRANCISCO CA 94110 N/A 509(a)(1) General Unrestricted 2500 GLIDE MEMORIAL UNITED METHODIST CHU 330 ELLIS ST SAN FRANCISCO CA 94102 N/A 509(a)(1) Glide Foundation 500 GOLDEN GATE COMMUNITY HEALTH 815 EDDY ST STE 300 SAN FRANCISCO CA 94109 N/A 509(a)(1) General Unrestricted 500 HEALDSBURG ANIMAL SHELTER INC PO BOX 42 HEALDSBURG CA 95448 N/A 509(a)(1) Sustainability Campaign 5000 HJH LIBRARIES FOR ALL PROGRAM 1716 DEL NORTE AVE LOVELAND CO 80538 N/A 509(a)(1) Riecken Library Project 10000 INTERNATIONAL MEDICAL CORPS 1919 SANTA MONICA BLVD STE 400 SANTA MONICA CA 90404 N/A 509(a)(1) General Unrestricted 1000 LIVE OAK A LEARNING CENTER FOR CHIL 1555 MARIPOSA ST SAN FRANCISCO CA 94107 N/A 509(a)(1) Annual Fund 25000 LIVE OAK A LEARNING CENTER FOR CHIL 1555 MARIPOSA ST SAN FRANCISCO CA 94107 N/A 509(a)(1) Class of 2010 Legacy Gift Campaign 3000 LIVE OAK A LEARNING CENTER FOR CHIL 1555 MARIPOSA ST SAN FRANCISCO CA 94107 N/A 509(a)(1) The Holly Horton Scholarship Fund 100000 MARINE MAMMAL CENTER 2000 BUNKER RD FORT CRONKHITE SAUSALITO CA 94965 N/A 509(a)(1) General Unrestricted 1000 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) Haiti Earthquake Fund 1000 MERCY CORPS 45 SW ANKENY ST PORTLAND OR 97204 N/A 509(a)(1) Phoenix Fund 10000 MERCY CORPS 45 SW ANKENY ST PORTLAND OR 97204 N/A 509(a)(1) Capital Campaign 50000 NORTHERN CALIFORNIA PUBLIC BROADCAS 2601 MARIPOSA ST SAN FRANCISCO CA 94110 N/A 509(a)(1) General Unrestricted 25500 OUTWARD BOUND INC 910 JACKSON ST GOLDEN CO 80401 N/A 509(a)(1) Outward Bound Bay Area Division 12500 PRINCETON UNIVERSITY - ANNUAL GIVIN GIFT RECORDS BOX 5357 PRINCETON NJ 08543 N/A 509(a)(1) Annual Giving Class of 1975 Campaign 5000 PROJECT OPEN HAND 730 POLK ST 3RD FL SAN FRANCISCO CA 94109 N/A 509(a)(1) General Unrestricted 500 SAN FRANCISCO CHILD ABUSE PREVENTIO 1757 WALLER ST SAN FRANCISCO CA 94117 N/A 509(a)(1) General Unrestricted 1000 SAN FRANCISCO MUSEUM OF MODERN ART 151 3RD ST SAN FRANCISCO CA 94103 N/A 509(a)(1) General Unrestricted 25000 SAN FRANCISCO MUSEUM OF MODERN ART 151 3RD ST SAN FRANCISCO CA 94103 N/A 509(a)(1) Photography Accessions Fund 7500 SAN FRANCISCO MUSEUM OF MODERN ART 151 3RD ST SAN FRANCISCO CA 94103 N/A 509(a)(1) Photography Accessions Program 7500 SOCIETY FOR THE PREVENTION OF CRUEL 2500 16TH ST SAN FRANCISCO CA 94103 N/A 509(a)(2) General Unrestricted 500 SECOND CHANCE PET RESCUE AND ADOPTI 4312 RAWSON RD CORNING CA 96021 N/A 509(a)(1) General Unrestricted 2500 SECOND CHANCE PET RESCUE AND ADOPTI 4312 RAWSON RD CORNING CA 96021 N/A 509(a)(1) Roof Project 1000 TEACH FOR AMERICA BAY AREA 101 MONTGOMERY ST 5TH FL SAN FRANCISCO CA 94105 N/A 509(a)(1) General Unrestricted 10000 335000 14 62 14 11195 18 9327 20584 20584 false false false false false false false false false false X X 0001 David L Mahoney & Winnifred C Ellis '98 Family Tr Agreement co David L Mahoney 121 Jo San Francisco CA 94118 121908 X 0002 Mahoney David 121 Jordan Ave San Francisco CA 94118 427383 X 0001 SHORETEL, INC. 2980 2010-09-08 0001 SPRINT NXTEL CP State Zip Code Foreign State or Province 111121 2010-04-09 0001 EQUINIX, INC. 5053 2010-03-29 0001 CALLIDUS SOFTWARE, INC. 553 2010-03-15 0001 DEMANDTEC, INC. 1104 2010-03-15 0001 SHORETEL, INC. 1097 2010-03-15 0002 CORCEPT THERAPEUTICS INC. 420500 2010-12-22 0002 ANCESTRY.COM INC 6883 2010-10-01 150 shares of BERKSHIRE HATHAWAY INC. CLASS B BRK-B 12602 12017 100000 shares of CORCEPT THERAPEUTICS INC. CORT 420501 385999 3207 shares of DFA EMERGING MARKETS CORE EQ PRTFL MUTUAL FUND DFCEX 40195 71070 2721 shares of DFA INTERNATIONAL SMALL CAP VALUE PORTFOLIO DISVX 51967 46805 2877 shares of DFA INTERNATIONAL SMALL CO PORTFOLIO DFISX 48822 49421 4815 shares of DFA TAX MANAGED U.S. MARKETWIDE VALUE PT DTMMX 44475 72414 1565 shares of DFA TAX MANAGED U.S. SMALL CAP PORTFOLIO DFTSX 21209 35900 2447 shares of DFA TAX-MANAGED INTL VAL DTMIX 24581 36831 1795 shares of DFA U.S. MICRO CAP PORTFOLIO DFSCX 24039 24713 4144 shares of DFA U.S. SMALL CAP VALUE PORTFOLIO DFSVX 105580 105957 4324 shares of DWS RREEF GLOBAL REAL ESTATE SECURITIES FUND INSTI RRGIX 41964 32431 719 shares of GOLDMAN SACHS PREASSIGNED 38144L852 GSC 33060 35102 153 shares of ISHARES SP 500 INDEX FD IVV 18247 19325 846 shares of SPDR SP 500 ETF TRUST SPY 77478 106385 1232 shares of VANGUARD FTSE ALL-WORLD EX-US ETF VEU 33014 58803 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, 2010, 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 335,000. This amount represents over 25 of the Foundations net assets of 1,114,171 as measured by fair market value at the beginning of the Foundations taxable year ending December 31, 2010. 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. Administrative Fees 8356 8356 State or Local Filing Fees 25 25 Investment Management Services 1826 1826 Estimated Tax for 2010 200 0 0 0 IRS Excise Tax Payment with 1st ext 990PF 109 0 0 0