FURP.ORG / PUBLIC DATA EXPLORER

H & H VAN KLAVEREN FAMILY FOUNDATION: Form 990PF, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
H & H VAN KLAVEREN FAMILY FOUNDATION (EIN 56-2296408)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-04-15
IRS object ID
201141059349100209
Schema version
2010v3.2
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-04-15T15:09:12-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GRIMBLEBY COLEMAN CPAS INCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1200 W ROSEBURG AVEAddressLine1
CityMODESTOCity
StateCAState
ZIP Code95350ZIPCode
FieldValueIRS element (for citing)
Return Type990PFReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN562296408EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1H & H VAN KLAVEREN FAMILY FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlH&HVNameControl
Phone2095500956Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line15900 WOODLAND AVENUEAddressLine1
CityMODESTOCity
StateCAState
ZIP Code95358ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameHENRY VAN KLAVERENName
TitleDIRECTORTitle
Phone2095500956Phone
Date Signed2011-03-21DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCLIVE T GRIMBLEBYName
Phone2095274220Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Exempt PFXExemptPF
FMV Assets EOY434282FMVAssetsEOY
Method Of Accounting CashXMethodOfAccountingCash

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Received Rev And Expnss100000ContriReceivedRevAndExpnss
Dividends Rev And Expnss1647DividendsRevAndExpnss
Dividends Net Invst Incm1647DividendsNetInvstIncm
Capital Gain Net Incm Net Invst Incm0CapitalGainNetIncmNetInvstIncm
Total Revenue And Expenses101647TotalRevenueAndExpenses
Total Net Investment Income1647TotalNetInvestmentIncome
Comp Ofcr Dir Trst Rev And Expnss0CompOfcrDirTrstRevAndExpnss
Comp Ofcr Dir Trst Net Invst Incm0CompOfcrDirTrstNetInvstIncm
Comp Ofcr Dir Trst Dsbrs Chrtbl Prps0CompOfcrDirTrstDsbrsChrtblPrps
Legal Fees Rev And Expnss396LegalFeesRevAndExpnss
Legal Fees Net Invst Incm0LegalFeesNetInvstIncm
Legal Fees Dsbrs Chrtbl Prps0LegalFeesDsbrsChrtblPrps
Accounting Fees Rev And Expnss1100AccountingFeesRevAndExpnss
Accounting Fees Net Invst Incm0AccountingFeesNetInvstIncm
Accounting Fees Dsbrs Chrtbl Prps0AccountingFeesDsbrsChrtblPrps
Taxes Rev And Expnss35TaxesRevAndExpnss
Taxes Net Invst Incm0TaxesNetInvstIncm
Taxes Dsbrs Chrtbl Prps0TaxesDsbrsChrtblPrps
Other Expenses Rev And Expnss200OtherExpensesRevAndExpnss
Other Expenses Net Invst Incm0OtherExpensesNetInvstIncm
Other Expenses Dsbrs Chrtbl Prps0OtherExpensesDsbrsChrtblPrps
Tot Opr Expenses Rev And Expnss1731TotOprExpensesRevAndExpnss
Tot Opr Expenses Net Invst Incm0TotOprExpensesNetInvstIncm
Tot Opr Expenses Dsbrs Chrtbl Prps0TotOprExpensesDsbrsChrtblPrps
Contri Gifts Paid Rev And Expnss120000ContriGiftsPaidRevAndExpnss
Contri Gifts Paid Dsbrs Chrtbl Prps120000ContriGiftsPaidDsbrsChrtblPrps
Total Expenses Rev And Expnss121731TotalExpensesRevAndExpnss
Total Expenses Net Invst Incm0TotalExpensesNetInvstIncm
Total Expenses Dsbrs Chrtbl Prps120000TotalExpensesDsbrsChrtblPrps
Excess Of Revenue Over Expenses-20084ExcessOfRevenueOverExpenses
Net Investment Income1647NetInvestmentIncome

Balance Sheets BalanceSheets

FieldValueIRS element (for citing)
Savings And Temp Cash Invst BOY454338SavingsAndTempCashInvstBOY
Savings And Temp Cash Invst EOY434282SavingsAndTempCashInvstEOY
Savings And Temp Cash Invst EOYFMV434282SavingsAndTempCashInvstEOYFMV
Accounts Receivable BOY28AccountsReceivableBOY
Total Assets BOY454366TotalAssetsBOY
Total Assets EOY434282TotalAssetsEOY
Total Assets EOYFMV434282TotalAssetsEOYFMV
Total Liabilities BOY0TotalLiabilitiesBOY
Total Liabilities EOY0TotalLiabilitiesEOY
Org That Do Not Follow SFAS117XOrgThatDoNotFollowSFAS117
Capital Stock BOY0CapitalStockBOY
Capital Stock EOY0CapitalStockEOY
Paid In Or Capital Surplus BOY0PaidInOrCapitalSurplusBOY
Paid In Or Capital Surplus EOY0PaidInOrCapitalSurplusEOY
Retained Earnings BOY454366RetainedEarningsBOY
Retained Earnings EOY434282RetainedEarningsEOY
Total Net Assets BOY454366TotalNetAssetsBOY
Total Net Assets EOY434282TotalNetAssetsEOY
Total Liabilities Net Assets BOY454366TotalLiabilitiesNetAssetsBOY
Total Liabilities Net Assets EOY434282TotalLiabilitiesNetAssetsEOY

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

FieldValueIRS element (for citing)
Total Net Assets Fund Balances BOY454366TotalNetAssetsFundBalancesBOY
Excess Of Revenue Over Expenses-20084ExcessOfRevenueOverExpenses
Other Increases0OtherIncreases
Subtotal434282Subtotal
Other Decreases0OtherDecreases
Total Net Assets Fund Balances EOY434282TotalNetAssetsFundBalancesEOY

Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax

FieldValueIRS element (for citing)
Liable For4942 Tax0LiableFor4942Tax
Qualifying Distributions Year10QualifyingDistributionsYear1
Noncharitable Assets Year1329636NoncharitableAssetsYear1
Distribution Ratio Year10.0DistributionRatioYear1
Qualifying Distributions Year2299894QualifyingDistributionsYear2
Noncharitable Assets Year2331319NoncharitableAssetsYear2
Distribution Ratio Year20.905152DistributionRatioYear2
Qualifying Distributions Year3272397QualifyingDistributionsYear3
Noncharitable Assets Year3268292NoncharitableAssetsYear3
Distribution Ratio Year31.015300DistributionRatioYear3
Qualifying Distributions Year4249891QualifyingDistributionsYear4
Noncharitable Assets Year4298450NoncharitableAssetsYear4
Distribution Ratio Year40.837296DistributionRatioYear4
Qualifying Distributions Year5149946QualifyingDistributionsYear5
Noncharitable Assets Year5257694NoncharitableAssetsYear5
Distribution Ratio Year50.581876DistributionRatioYear5
Total Distribution Ratio3.339624TotalDistributionRatio
Average Distribution Ratio0.667925AverageDistributionRatio
Net Noncharitable Assets426098NetNoncharitableAssets
Adjusted Noncharitable Assets284602AdjustedNoncharitableAssets
One Percent Net Investment Income16OnePercentNetInvestmentIncome
Adj Nonchrtbl Assets And One284618AdjNonchrtblAssetsAndOnePct
Qualifying Distributions120000QualifyingDistributions

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

FieldValueIRS element (for citing)
Investment Income Excise Tax33InvestmentIncomeExciseTax
Tax Under Section5110TaxUnderSection511
Subtotal33Subtotal
Subtitle A Tax0SubtitleATax
Tax Based On Investment Income33TaxBasedOnInvestmentIncome
Total Credits And Payments0TotalCreditsAndPayments
Tax Due33TaxDue

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 Sect508e0RequirementsOfSect508e
At Least5000 In Assets1AtLeast5000InAssets
States Filed WithCAStatesFiledWith
Form990 PF Filed With AG1Form990PFFiledWithAG
Private Operating Foundation0PrivateOperatingFoundation
New Substantial Contributors1NewSubstantialContributors
Interest In Controlled Entity0InterestInControlledEntity
Applicable Insurance Contract0ApplicableInsuranceContract
Comply With Public Inspection Rqr1ComplyWithPublicInspectionRqr
Website AddressN/AWebsiteAddress
Books In Care Of Person NameHELENA VAN KLAVERENBooksInCareOfPersonName
Books In Care Of Phone Number2095500956BooksInCareOfPhoneNumber

Books In Care Of US Address BooksInCareOfUSAddress

FieldValueIRS element (for citing)
Address Line15900 WOODLAND AVENUEAddressLine1
CityMODESTOCity
StateCAState
ZIP Code95358ZIPCode
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 (5 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeTitleTitleAvg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPositionCompensationCompensationContri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtcExpense Account Other AllowancesExpenseAccountOtherAllowances
HENRY VAN KLAVEREN
5900 WOODLAND AVENUEMODESTOCA95358PRESIDENT/DIRECTOR0.00000
HELENA VAN KLAVEREN
5900 WOODLAND AVENUEMODESTOCA95358SECRETARY/CFO0.00000
HENRY VAN KLAVEREN JR
5900 WOODLAND AVENUEMODESTOCA95358DIRECTOR0.00000
BRUCE VAN KLAVEREN
5900 WOODLAND AVENUEMODESTOCA95358DIRECTOR0.00000
DAVID VAN KLAVEREN
5900 WOODLAND AVENUEMODESTOCA95358DIRECTOR0.00000
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 Securities0AvgMonthlyFMVOfSecurities
Avg Monthly Cash Balances432587AvgMonthlyCashBalances
FMV All Other Noncharitable Assets0FMVAllOtherNoncharitableAssets
Total FMV Of Unused Assets432587TotalFMVOfUnusedAssets
Reduction Claimed0ReductionClaimed
Acquisition Indebtedness0AcquisitionIndebtedness
Adj Total FMV Of Unused Assets432587AdjTotalFMVOfUnusedAssets
Cash Deemed Charitable6489CashDeemedCharitable
Net Noncharitable Assets426098NetNoncharitableAssets
Minimum Investment Return21305MinimumInvestmentReturn

Distributable DistributableAmount

FieldValueIRS element (for citing)
Minimum Investment Return21305MinimumInvestmentReturn
Tax Based On Investment Income33TaxBasedOnInvestmentIncome
Total Tax33TotalTax
Distributable Amount Before Adj21272DistributableAmountBeforeAdj
Recoveries Qlfy Distributions0RecoveriesQlfyDistributions
Distributable Amount Before Ded21272DistributableAmountBeforeDed
Deduction Fr Distributable$0DeductionFrDistributableAmount
Distributable Amount As Adjusted21272DistributableAmountAsAdjusted

Qualifying Distributions QualifyingDistributions

FieldValueIRS element (for citing)
Expenses And Contributions120000ExpensesAndContributions
Program Related Investments Total0ProgramRelatedInvestmentsTotal
Qualifying Distributions120000QualifyingDistributions
One Pct Sect4940e Org Net Invst Incm0OnePctSect4940eOrgNetInvstIncm
Adj Qualifying Distributions120000AdjQualifyingDistributions

Undistributed Income UndistributedIncome

FieldValueIRS element (for citing)
Distributable Amount As Adjusted21272DistributableAmountAsAdjusted
Undistributed Income Prior Year0UndistributedIncomePriorYear
Total For Prior Years0TotalForPriorYears
Excess Distri Carryover Year5137169ExcessDistriCarryoverYear5
Excess Distri Carryover Year4235186ExcessDistriCarryoverYear4
Excess Distri Carryover Year3259188ExcessDistriCarryoverYear3
Excess Distri Carryover Year2283540ExcessDistriCarryoverYear2
Total Excess Distri Carryover915083TotalExcessDistriCarryover
Qualifying Distributions120000QualifyingDistributions
Applied To Year10AppliedToYear1
Applied To Prior Years0AppliedToPriorYears
Treated As Distri From Corpus0TreatedAsDistriFromCorpus
Applied To Current Year21272AppliedToCurrentYear
Remaining Distri From Corpus98728RemainingDistriFromCorpus
Excess Distri Cyov App CY Corpus0ExcessDistriCyovAppCYCorpus
Excess Distri Cyov Applied CY0ExcessDistriCyovAppliedCY
Total Corpus1013811TotalCorpus
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 Year5137169ExcessDistriCyovFromYear5
Excess Distri Cyov To Next Year876642ExcessDistriCyovToNextYear
Excess From Year4235186ExcessFromYear4
Excess From Year3259188ExcessFromYear3
Excess From Year2283540ExcessFromYear2
Excess From Current Year98728ExcessFromCurrentYear

Supplementary Information SupplementaryInformation

FieldValueIRS element (for citing)
Only Contributes To PreselectedXOnlyContributesToPreselected

Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (2 entries)

Address Line1RecipientUSAddress/AddressLine1CityRecipientUSAddress/CityStateRecipientUSAddress/StateZIP CodeRecipientUSAddress/ZIPCodeRecipient RelationshipRecipientRelationshipRecipient Foundation StatusRecipientFoundationStatusPurpose Of Grant Or ContributionPurposeOfGrantOrContributionAmountAmount
MODESTO PREGNANCY CENTER
3025 MCHENRY AVE STE MMODESTOCA95350NONENON PROFITBUILDING FUND$100,000
CROSSROAD BIBLE INSTITUTE
PO BOX 900GRAND RAPIDSMI495090900NONERELIGIOUSTO FURTHER ACTIVITY OF ORGANIZATION$20,000
FieldValueIRS element (for citing)
Tot Grant Or Contri Paid During Year120000TotGrantOrContriPaidDuringYear
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$1,647ExclusionAmount

Subtotals Part XVIA SubtotalsPartXVIA

FieldValueIRS element (for citing)
Unrelated Business Income$0UnrelatedBusinessIncomeAmount
Exclusion$1,647ExclusionAmount
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Part XVIA1647TotalPartXVIA

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 IndividualHENRY HELENA VAN KLAVERENContributorNameIndividual

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line15900 WOODLAND AVENUEAddressLine1
CityMODESTOCity
StateCAState
ZIP Code95358ZIPCode
FieldValueIRS element (for citing)
Aggregate Contributions100000AggregateContributions
Person Contribution TypeXPersonContributionType

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees AccountingFees

FieldValueIRS element (for citing)
CategoryACCOUNTINGCategory
Amount$1,100Amount
Net Investment Income0NetInvestmentIncome
Disbursements Charitable Prps0DisbursementsCharitablePrps

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFees

FieldValueIRS element (for citing)
CategoryLEGALCategory
Amount$396Amount
Net Investment Income0NetInvestmentIncome
Disbursements Charitable Prps0DisbursementsCharitablePrps

Other Expenses Schedule OtherExpensesSchedule

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionRevenue And Expenses Per BooksRevenueAndExpensesPerBooksNet Investment IncomeNetInvestmentIncomeDisbursements Charitable PrpsDisbursementsCharitablePrps
FILING FEES5000
INVESTMENT ACCOUNT FEES15000

Substantial Contributors Sch SubstantialContributorsSch

Substantial Contributor SubstantialContributor

FieldValueIRS element (for citing)
Person NameHENRY HELENA VAN KLAVERENPersonName

US Address USAddress

FieldValueIRS element (for citing)
Address Line15900 WOODLAND AVENUEAddressLine1
CityMODESTOCity
StateCAState
ZIP Code95358ZIPCode

Taxes Schedule TaxesSchedule

Taxes Taxes (2 entries)

CategoryCategoryAmountAmountNet Investment IncomeNetInvestmentIncomeDisbursements Charitable PrpsDisbursementsCharitablePrps
INTERNAL REVENUE SERVICE$2500
FRANCHISE TAX BOARD$1000