The Bernice Heffernan Family Foundation: Form 990PF, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- The Bernice Heffernan Family Foundation (EIN 33-0954861)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-09-15
- IRS object ID
- 202212589349101106
- Schema version
- 2021v4.2
- 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
- Depreciation Schedule
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Investments Govt Obligations Sch
- Other Expenses Schedule
- Other Income Schedule2
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-09-15T14:54:09-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FOUNDATION SOURCE | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | ONE HOLLOW LN STE 212 | AddressLine1Txt |
| City | LAKE SUCCESS | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11042 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 330954861 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Bernice Heffernan Family Foundation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % Foundation Source | InCareOfNm |
| Business Name Control | BERN | BusinessNameControlTxt |
| Phone | 8008391754 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | Foundation Source 501 Silverside Rd | AddressLine1Txt |
| City | Wilmington | CityNm |
| State Abbreviation | DE | StateAbbreviationCd |
| ZIP | 198091377 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PATRICK J HEFFERNAN | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 8008391754 | PhoneNum |
| Signature | 2022-07-02 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | PATRICK J | PersonFirstNm |
| Person Last | HEFFERNAN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Jeffrey D Haskell | PreparerPersonNm |
| PTIN | P01345770 | PTIN |
| Phone | 8008391754 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | TrustedCustomerGrp |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $648,020 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $0 | ContriRcvdRevAndExpnssAmt |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Interest On Sav Rev And Expnss | $85 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $85 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $15,144 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $15,144 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $53,816 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $213,773 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $53,816 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $6 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $6 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | $69,051 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $69,051 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Other Prof Fees Rev And Expnss | $4,551 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $4,551 | OtherProfFeesNetInvstIncmAmt |
| Taxes Rev And Expnss | $319 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $219 | TaxesNetInvstIncmAmt |
| Other Expenses Rev And Expnss | $8,756 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $22 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $8,734 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $13,626 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $4,792 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $8,734 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $135,000 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $135,000 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $148,626 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $4,792 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $143,734 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$79,575 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $64,259 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $37,736 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $57,298 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $57,298 | SavAndTempCashInvstEOYFMVAmt |
| US Government Obligations BOY | $96,115 | USGovernmentObligationsBOYAmt |
| US Government Obligations EOY | $76,807 | USGovernmentObligationsEOYAmt |
| US Govt Obligations EOYFMV | $79,137 | USGovtObligationsEOYFMVAmt |
| Corporate Stock BOY | $322,708 | CorporateStockBOYAmt |
| Corporate Stock EOY | $269,770 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $450,210 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $84,011 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $57,120 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $61,375 | CorporateBondsEOYFMVAmt |
| Total Assets BOY | $540,570 | TotalAssetsBOYAmt |
| Total Assets EOY | $460,995 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $648,020 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Retained Earning BOY | $540,570 | RetainedEarningBOYAmt |
| Retained Earning EOY | $460,995 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $540,570 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $460,995 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $540,570 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $460,995 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $540,570 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$79,575 | ExcessRevenueOverExpensesAmt |
| Subtotal | $460,995 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $460,995 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Property | Publicly-traded Securities | PropertyDesc |
| Gross Sales Price | $213,773 | GrossSalesPriceAmt |
| Cost Or Other Basis | $159,957 | CostOrOtherBasisAmt |
| Gain Or Loss | $53,816 | GainOrLossAmt |
| Gains Minus Excess Or Losses | $53,816 | GainsMinusExcessOrLossesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $53,816 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $893 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $893 | SubtotalAmt |
| Tax Based On Investment Income | $893 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $408 | EstimatedPlusOvpmtIncmTxAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Extsn Request Income Tax Paid | $485 | ExtsnRequestIncomeTaxPaidAmt |
| Total Payments And Credits | $893 | TotalPaymentsAndCreditsAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Es Penalty | $0 | EsPenaltyAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | false | LegislativePoliticalActyInd |
| More Than100 Spent | false | MoreThan100SpentInd |
| Form1120 POL Filed | false | Form1120POLFiledInd |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | false | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (true) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Org Report Or Register State | CA | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (true) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | false | PrivateOperatingFoundationInd |
| New Substantial Contributors | false | NewSubstantialContributorsInd |
| Own Controlled Entity | false | OwnControlledEntityInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (true) | ComplyWithPublicInspRqrInd |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Foundation Source | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8008391754 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 501 Silverside Road Suite 123 | AddressLine1Txt |
| City | Wilmington | CityNm |
| State Abbreviation | DE | StateAbbreviationCd |
| ZIP | 198091377 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | false | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | false | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | false | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | false | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | false | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | false | UncorrectedPriorActsInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| Business Holdings | false | BusinessHoldingsInd |
| Jeopardy Investments | false | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | false | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | false | InfluenceLegislationInd |
| Influence Election | false | InfluenceElectionInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Noncharitable Purpose | false | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| John B Heffernan | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | Sec, Dir | 1.0 | $0 | $0 | $0 |
| Patrick J Heffernan | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | Treas, Dir | 1.0 | $0 | $0 | $0 |
| Robert E Heffernan | ||||||||
| Foundation Source 501 Silverside Rd | Wilmington | DE | 198091377 | VP, Dir | 1.0 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Summary Of Direct Chrtbl Acty | SummaryOfDirectChrtblActyGrp | |
| Sum Of Program Related Invst | SumOfProgramRelatedInvstGrp |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $632,711 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $50,497 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $683,208 | TotalFMVOfUnusedAssetsAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $683,208 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $10,248 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $672,960 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $33,648 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $33,648 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $893 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $893 | TotalTaxAmt |
| Distributable Before Adj | $32,755 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $32,755 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $32,755 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $143,734 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Charitable Assets Acquis Paid | $0 | CharitableAssetsAcquisPaidAmt |
| Set Aside Suitability Test | $0 | SetAsideSuitabilityTestAmt |
| Set Aside Cash Distri Test | $0 | SetAsideCashDistriTestAmt |
| Qualifying Distributions | $143,734 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $32,755 | DistributableAsAdjustedAmt |
| Prior Year1 | 2019 | PriorYear1Yr |
| Prior Year2 | 2018 | PriorYear2Yr |
| Prior Year3 | 2017 | PriorYear3Yr |
| Excess Distribution Cyov Yr5 | $128,958 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $115,243 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $121,307 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $122,918 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $131,020 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $619,446 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $143,734 | QualifyingDistributionsAmt |
| Applied To Current Year | $32,755 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $110,979 | RemainingDistriFromCorpusAmt |
| Total Corpus | $730,425 | TotalCorpusAmt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Excess Distri Cyov From Yr5 | $128,958 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $601,467 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $115,243 | ExcessFromYear4Amt |
| Excess From Year3 | $121,307 | ExcessFromYear3Amt |
| Excess From Year2 | $122,918 | ExcessFromYear2Amt |
| Excess From Year1 | $131,020 | ExcessFromYear1Amt |
| Excess From Current Year | $110,979 | ExcessFromCurrentYearAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Private Operating Foundations | PrivateOperatingFoundationsGrp |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | NONE | ContributingManagerNm |
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (26 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| BLANCHET HOUSE OF HOSPITALITY | |||||||
| 310 NW GLISAN ST | PORTLAND | OR | 97209 | N/A | PC | General & Unrestricted | $2,500 |
| CATHOLIC CHARITIES | |||||||
| 2740 SE POWELL BLVD | PORTLAND | OR | 97202 | N/A | PC | General & Unrestricted | $2,500 |
| CATHOLIC CHARITIES OF ORANGE COUNTY | |||||||
| 1820 E 16TH ST | SANTA ANA | CA | 92701 | N/A | PC | General & Unrestricted | $5,000 |
| DE LA SALLE NORTH CATHOLIC HIGH SCHOOL | |||||||
| 4300 NE KILLINGSWORTH ST | PORTLAND | OR | 97218 | N/A | PC | Student Tuition Costs scholarship fund | $2,500 |
| FAMILY SERVICE AGENCY OF TEHAMA COUNTY | |||||||
| 1347 GRANT ST | RED BLUFF | CA | 96080 | N/A | PC | General & Unrestricted | $2,250 |
| FRIENDS OF THE CHILDREN - NATIONAL OFFICE | |||||||
| 44 NE MORRIS ST | PORTLAND | OR | 97212 | N/A | PC | Charitable Event | $10,000 |
| FRIENDS OF THE CHILDREN-PORTLAND | |||||||
| 44 NE MORRIS ST | PORTLAND | OR | 97212 | N/A | PC | General & Unrestricted | $2,500 |
| HOMES FOR OUR TROOPS INC | |||||||
| 6 MAIN ST | TAUNTON | MA | 02780 | N/A | PC | General & Unrestricted | $2,500 |
| JESUIT HIGH SCHOOL | |||||||
| 9000 SW BEAVERTON-HILLSDALE HWY | PORTLAND | OR | 97225 | N/A | PC | Patrick Heffernan Family Foundation | $10,000 |
| LIFENET FAMILY RESOURCE AND PREGNANCY CENTER OF TE | |||||||
| 715 JACKSON ST STE B | RED BLUFF | CA | 96080 | N/A | PC | General & Unrestricted | $2,000 |
| MERCY FOUNDATION NORTH | |||||||
| 2625 EDITH AVE STE E | REDDING | CA | 96001 | N/A | PC | OB Laboring Bed at St Elizabeth Hospital in Red Bluff | $5,000 |
| NORTHWEST CATHOLIC COUNSELING CENTER | |||||||
| 8383 NE SANDY BLVDSTE 205 | PORTLAND | OR | 97220 | N/A | PC | General & Unrestricted | $2,500 |
| NOTRE DAME SCHOOL | |||||||
| 435 HAZEL ST | CHICO | CA | 95928 | N/A | PC | Library fund | $3,000 |
| OREGON FOOD BANK INC | |||||||
| 7900 NE 33RD DR | PORTLAND | OR | 97211 | N/A | PC | General & Unrestricted | $2,500 |
| OUR LADY OF THE LAKE CHURCH | |||||||
| 650 A AVE | LAKE OSWEGO | OR | 97034 | N/A | PC | General & Unrestricted | $20,000 |
| OUTSIDE IN | |||||||
| 1132 SW 13TH AVE | PORTLAND | OR | 97205 | N/A | PC | Education Resource Center | $10,000 |
| PASTOR OF SACRED HEART PARISH - RED BLUFF A CORPOR | |||||||
| 2355 MONROE AVE | RED BLUFF | CA | 96080 | N/A | PC | Music fund | $2,000 |
| POOR AND THE HOMELESS TEHAMA COUNTY COALITION | |||||||
| PO BOX 315 | RED BLUFF | CA | 96080 | N/A | PC | General & Unrestricted | $5,000 |
| RED BLUFF MASTERWORKS CHORALE | |||||||
| 246 BEVERLEY AVE | RED BLUFF | CA | 96080 | N/A | PC | General & Unrestricted | $1,500 |
| SACRED HEART RETREAT APOSTOLATE | |||||||
| 10480 WINNETKA AVE 12 | CHATSWORTH | CA | 91311 | N/A | PC | General & Unrestricted | $10,000 |
| SACRED HEART SCHOOL | |||||||
| 2255 MONROE ST | RED BLUFF | CA | 96080 | N/A | PC | Tuition Scholarship Fund | $15,000 |
| SACRED HEART SCHOOL | |||||||
| 2255 MONROE ST | RED BLUFF | CA | 96080 | N/A | PC | General & Unrestricted | $3,000 |
| ST ANDREW NATIVITY SCHOOL | |||||||
| 4925 NE 9TH AVE | PORTLAND | OR | 97211 | N/A | PC | General & Unrestricted | $2,500 |
| STATE THEATRE FOR THE ARTS | |||||||
| 333 OAK ST | RED BLUFF | CA | 96080 | N/A | PC | Charitable Event | $1,250 |
| TALLER SAN JOSE HOPE BUILDERS | |||||||
| PO BOX 685 | SANTA ANA | CA | 92701 | N/A | PC | General & Unrestricted | $5,000 |
| THE NATIONAL HEMOPHILIA FOUNDATION | |||||||
| 7 PENN PLZ | NEW YORK | NY | 10001 | N/A | PC | Judith Pool Research Fund for Coagulation disorders | $5,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $135,000 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees Contracts From Govt Ag | FeesContractsFromGovtAgGrp | |
| Membership Dues And Assmnt | MembershipDuesAndAssmntGrp |
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $85 | ExclusionAmt |
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $15,144 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Rntl Incm Re Debt Fincd Prop | NetRntlIncmReDebtFincdPropGrp | |
| Net Rntl Incm Re Not Debt Fincd Prop | NetRntlIncmReNotDebtFincdProp | |
| Net Rental Income Personal Prop | NetRentalIncomePersonalPropGrp | |
| Other Investment Income | OtherInvestmentIncomeGrp |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $53,816 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Income Loss From Special Evt | NetIncomeLossFromSpecialEvtGrp | |
| Gross Profit Loss Sls Of Invntry | GrossProfitLossSlsOfInvntryGrp |
Other Revenue Described OtherRevenueDescribedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CLASS ACTION LAWSUIT PROCEEDS | Desc |
| Exclusion | 01 | ExclusionCd |
| Exclusion | $6 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $69,051 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $69,051 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | false | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | false | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | false | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | false | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | false | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | false | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | false | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | false | RelationshipsNonchrtblEOInd |
Depreciation Schedule DepreciationSchedule
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp (3 entries)
| BondBondNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| MERCK & CO INC NT - 2.400% - 0 | $24,174 | $25,219 |
| NIKE INC NOTE CALL - 2.375% - | $22,823 | $26,136 |
| UNITEDHEALTH GROUP INC - 2.875 | $10,123 | $10,020 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (59 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| ACCENTURE PLC | $3,321 | $8,291 |
| AMGEN INC | $1,317 | $5,624 |
| APPLE INC | $5,735 | $20,776 |
| ASTRAZENECA | $2,814 | $5,534 |
| AT&T, INC | $10,486 | $8,979 |
| BAKER HUGHES COMPANY | $9,115 | $9,504 |
| BANK OF AMERICA CORP | $4,629 | $8,231 |
| BLACKROCK INC | $2,357 | $4,578 |
| CHARLES SCHWAB CORP | $3,749 | $9,672 |
| CHEVRON CORP | $5,192 | $7,041 |
| CIENA CORP | $1,781 | $6,158 |
| CISCO SYSTEMS INC | $4,036 | $8,238 |
| CITIGROUP INC | $6,863 | $6,341 |
| CVS CAREMARK CORP | $4,649 | $7,737 |
| DUTCH BROS INC | $1,808 | $2,800 |
| EMBRAER EMPRESA BR | $8,404 | $12,336 |
| FEDEX CORPORATION | $3,512 | $5,173 |
| FIRST ENERGY CORP | $5,613 | $7,486 |
| FIRST REPUBLIC BANK | $3,332 | $8,260 |
| FLEXTRONICS INTERNATIONAL | $2,070 | $4,949 |
| FORD MOTOR COMPANY | $4,735 | $9,243 |
| GEN DYNAMICS CP | $4,840 | $7,296 |
| GILEAD SCIENCES INC | $6,290 | $6,898 |
| GOLDMAN SACHS GROUP | $4,629 | $7,651 |
| IMAX CORPORATION | $5,743 | $5,084 |
| INTEL CORP | $7,110 | $6,438 |
| INTERCONTINENTAL EXCHANGE, INC | $4,305 | $6,155 |
| INTERNATIONAL PAPER CO | $4,572 | $4,698 |
| ISHARE SP SMALL CAP 600 INDEX | $11,021 | $15,459 |
| ISHARES CORE MSCI EMERGING MAR | $5,415 | $6,884 |
| JOHNSON & JOHNSON | $5,394 | $9,409 |
| JP MORGAN CHASE | $1,177 | $9,501 |
| KINDER MORGAN INC | $4,797 | $4,599 |
| KROGER CO | $2,617 | $5,431 |
| LAMB WESTON HOLDINGS INC | $7,399 | $7,923 |
| MAGNA INTERNATIONAL INC | $2,573 | $4,856 |
| MCKESSON CORP | $1,091 | $7,457 |
| MEDTRONIC PLC | $3,449 | $4,138 |
| MERCK & CO INC | $2,396 | $5,748 |
| METHANEX CORPORATION | $4,838 | $5,339 |
| MICROSOFT CORP | $1,721 | $20,179 |
| NEWMONT GOLDCORP CORPORATION | $3,382 | $6,512 |
| ORION OFFICE REIT ORD SHS | $186 | $168 |
| PFIZER INC | $6,722 | $14,467 |
| PROCTER GAMBLE CO | $2,929 | $5,725 |
| QUALCOMM INC | $2,905 | $10,058 |
| QUEST DIAGNOSTICS | $4,200 | $6,920 |
| RAYTHEON TECHNOLOGIES CORP | $935 | $5,336 |
| REALTY INCOME CORP | $6,283 | $6,801 |
| SALESFORCE.COM | $3,849 | $6,353 |
| SAP AKTIENGESELL ADS | $6,541 | $7,706 |
| SIEMENS AG | $6,561 | $7,794 |
| STARBUCKS CORP COM | $3,543 | $5,849 |
| US BANCORP | $3,478 | $6,740 |
| VANGUARD FTSE EUROPEAN ETF | $12,321 | $15,013 |
| VENTAS INC | $7,075 | $7,412 |
| VISA INC | $3,243 | $4,334 |
| WAL-MART STORES INC | $3,522 | $7,958 |
| WALT DISNEY HOLDINGS CO | $5,200 | $6,970 |
Investments Govt Obligations Sch InvestmentsGovtObligationsSch
| Field | Value | IRS element (for citing) |
|---|---|---|
| US Govt Obligations Book Vl EOY | $76,807 | USGovtObligationsBookVlEOYAmt |
| US Govt Obligations EOYFMV | $79,137 | USGovtObligationsEOYFMVAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (3 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|---|
| Administrative Fees | $8,709 | $8,709 | |
| Bank Charges | $22 | $22 | |
| State or Local Filing Fees | $25 | $25 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Class Action Lawsuit Proceeds | Desc |
| Revenue And Expenses Per Books | $6 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $6 | NetInvestmentIncomeAmt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | Investment Management Services | CategoryTxt |
| Amt | $4,551 | Amt |
| Net Investment Income | $4,551 | NetInvestmentIncomeAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| 990-PF Estimated Tax for 2021 | $100 | |
| Foreign Tax Paid | $219 | $219 |