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BASZUCKI FAMILY FOUNDATION: Form 990PF, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
BASZUCKI FAMILY FOUNDATION (EIN 32-0660398)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-15
IRS object ID
202403209349102395
Schema version
2023v5.1
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)
Return2024-11-15T10:04:08-06:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN920460586PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PWC US TAX LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11420 5TH AVE STE 2800AddressLine1Txt
CitySEATTLECityNm
State AbbreviationWAStateAbbreviationCd
ZIP981011344ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN320660398EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE BASZUCKI FAMILY FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBASZBusinessNameControlTxt
Phone6502418740PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1204 2ND AVENUE 522AddressLine1Txt
CitySAN MATEOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP944013904ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJAN BASZUCKIPersonNm
Person TitleSECRETARY/TREASURERPersonTitleTxt
Phone6502418740PhoneNum
Signature2024-11-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKYLE TALLEYPreparerPersonNm
PTINP01239408PTIN
Phone2063983000PhoneNum
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$38,960,963FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$22,444,000ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$666,209InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$666,209InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$679,070DividendsRevAndExpnssAmt
Dividends Net Invst Incm$679,070DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$0NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$22,443,230GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$22,443,168CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$625,252OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$0OtherIncomeNetInvstIncmAmt
Other Income Adj Net Incm$0OtherIncomeAdjNetIncmAmt
Total Rev And Expnss$24,414,531TotalRevAndExpnssAmt
Total Net Invst Incm$23,788,447TotalNetInvstIncmAmt
Total Adj Net Incm$0TotalAdjNetIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$162,667CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Adj Net Incm$0CompOfcrDirTrstAdjNetIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$162,667CompOfcrDirTrstDsbrsChrtblAmt
Oth Empl Slrs Wgs Rev And Expnss$781,369OthEmplSlrsWgsRevAndExpnssAmt
Oth Empl Slrs Wgs Net Invst Incm$0OthEmplSlrsWgsNetInvstIncmAmt
Oth Empl Slrs Wgs Adj Net Incm$0OthEmplSlrsWgsAdjNetIncmAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$781,369OthEmplSlrsWgsDsbrsChrtblAmt
Legal Fees Rev And Expnss$117,595LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$0LegalFeesNetInvstIncmAmt
Legal Fees Adj Net Incm$0LegalFeesAdjNetIncmAmt
Legal Fees Dsbrs Chrtbl$58,797LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$103,550AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$51,775AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$51,775AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$47,288OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$0OtherProfFeesNetInvstIncmAmt
Other Prof Fees Adj Net Incm$0OtherProfFeesAdjNetIncmAmt
Other Prof Fees Dsbrs Chrtbl$47,288OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$312,372TaxesRevAndExpnssAmt
Taxes Net Invst Incm$1,650TaxesNetInvstIncmAmt
Taxes Adj Net Incm$0TaxesAdjNetIncmAmt
Taxes Dsbrs Chrtbl$312,372TaxesDsbrsChrtblAmt
Trav Conf Meeting Rev And Expnss$113,232TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Adj Net Incm$0TravConfMeetingAdjNetIncmAmt
Trav Conf Meeting Dsbrs Chrtbl$113,232TravConfMeetingDsbrsChrtblAmt
Other Expenses Rev And Expnss$1,103,585OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$0OtherExpensesNetInvstIncmAmt
Other Expenses Adj Net Incm$0OtherExpensesAdjNetIncmAmt
Other Expenses Dsbrs Chrtbl$1,103,585OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$2,741,658TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$53,425TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$2,631,085TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$9,755,138ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$8,755,138ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$12,496,796TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$53,425TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$11,386,223TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$11,917,735ExcessRevenueOverExpensesAmt
Net Investment Income$23,735,022NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$116,680CashBOYAmt
Cash EOY$71,222CashEOYAmt
Cash EOYFMV$71,222CashEOYFMVAmt
US Government Obligations BOY$25,292,220USGovernmentObligationsBOYAmt
US Government Obligations EOY$37,714,442USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$37,714,442USGovtObligationsEOYFMVAmt
Corporate Stock BOY$499,996CorporateStockBOYAmt
Corporate Stock EOY$1,162,053CorporateStockEOYAmt
Corporate Stock EOYFMV$1,162,053CorporateStockEOYFMVAmt
Other Assets BOY$0OtherAssetsBOYAmt
Other Assets EOY$13,246OtherAssetsEOYAmt
Other Assets EOYFMV$13,246OtherAssetsEOYFMVAmt
Total Assets BOY$25,908,896TotalAssetsBOYAmt
Total Assets EOY$38,960,963TotalAssetsEOYAmt
Total Assets EOYFMV$38,960,963TotalAssetsEOYFMVAmt
Accounts Payable BOY$49,647AccountsPayableBOYAmt
Accounts Payable EOY$222,007AccountsPayableEOYAmt
Grants Payable BOY$27,814,015GrantsPayableBOYAmt
Grants Payable EOY$1,000,000GrantsPayableEOYAmt
Other Liabilities BOY$94,872OtherLiabilitiesBOYAmt
Other Liabilities EOY$56,844OtherLiabilitiesEOYAmt
Total Liabilities BOY$27,958,534TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,278,851TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$0CapitalStockBOYAmt
Capital Stock EOY$0CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY-$2,049,638RetainedEarningBOYAmt
Retained Earning EOY$37,682,112RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY-$2,049,638TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$37,682,112TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$25,908,896TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$38,960,963TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY-$2,049,638TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$11,917,735ExcessRevenueOverExpensesAmt
Other Increases$27,814,015OtherIncreasesAmt
Subtotal$37,682,112SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$37,682,112TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (9 entries)

PropertyPropertyDescAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
PUBLICLY TRADED SECURITIES - ROBLOX CORP (RBLX) CLASS A, 100,000 SHARES2004-04-062023-03-02$3,811,123$10$3,811,113$3,811,113
GMO QUALITY FUND R62023-12-12$94,625$94,625$94,625
PUBLICLY TRADED SECURITIES - ROBLOX CORP (RBLX) CLASS A, 75,000 SHARES2004-04-062023-05-19$2,987,888$8$2,987,880$2,987,880
PUBLICLY TRADED SECURITIES - ROBLOX CORP (RBLX) CLASS A, 75,000 SHARES2004-04-062023-05-22$2,982,585$8$2,982,577$2,982,577
PUBLICLY TRADED SECURITIES - ROBLOX CORP (RBLX) CLASS A, 50,000 SHARES2004-04-062023-07-19$2,299,301$5$2,299,296$2,299,296
PUBLICLY TRADED SECURITIES - ROBLOX CORP (RBLX) CLASS A, 75,000 SHARES2004-04-062023-08-11$2,252,533$8$2,252,525$2,252,525
PUBLICLY TRADED SECURITIES - ROBLOX CORP (RBLX) CLASS A, 75,000 SHARES2004-04-062023-08-14$2,249,886$7$2,249,879$2,249,879
PUBLICLY TRADED SECURITIES - ROBLOX CORP (RBLX) CLASS A, 75,000 SHARES2004-04-062023-11-04$2,892,151$8$2,892,143$2,892,143
PUBLICLY TRADED SECURITIES - ROBLOX CORP (RBLX) CLASS A, 75,000 SHARES2004-04-062023-11-04$2,873,138$8$2,873,130$2,873,130
FieldValueIRS element (for citing)
Capital Gain Net Income$22,443,168CapitalGainNetIncomeAmt
Net Short Term Capital Gain Loss$0NetShortTermCapitalGainLossAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$329,917InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$329,917SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$329,917TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$335,000EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$75,000ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$410,000TotalPaymentsAndCreditsAmt
Form2220 AttachedYes (X)Form2220AttachedInd
Es Penalty$0EsPenaltyAmt
Overpayment$80,083OverpaymentAmt
Applied To ES Tax$80,083AppliedToESTaxAmt
Refund$0RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateCAOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled EntityYes (1)OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksJIM CONLEY CO THE BASZUCKI FAMILYIndividualWithBooksNm
Phone6502418740PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1204 2ND AVE 522AddressLine1Txt
CitySAN MATEOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP944013904ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified PrsnYes (1)FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnYes (1)PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Acts Fail To Qlfy As Exceptions0ActsFailToQlfyAsExceptionsInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
DAVID BASZUCKI
204 2ND AVENUE 522SAN MATEOCA944013904PRESIDENT1.00$0$0$0
JAN BASZUCKI
204 2ND AVENUE 522SAN MATEOCA944013904SECRETARY/TREASURER10.00$0$0$0
CAROLYN WALL SAKATA
204 2ND AVENUE 522SAN MATEOCA944013904COO EXECUTIVE DIRECTOR40.00$162,667$9,049$0

Compensation Highest Paid Empl CompensationHighestPaidEmplGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee BenefitsEmployeeBenefitsAmtExpense AccountExpenseAccountAmt
BRET SCHER
204 2ND AVENUE 522SAN MATEOCA94401DIRECTOR, METABOLIC40.00$127,500$16,718$0
JULIE MILDER
204 2ND AVENUE 522SAN MATEOCA94401ASSOCIATE SCIENCE DI40.00$90,000$9,909$0
BURCIN EKANADHAM
204 2ND AVENUE 522SAN MATEOCA94401SCIENCE PROGRAM OFFI40.00$72,000$20,225$0
FieldValueIRS element (for citing)
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt

Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdService TypeServiceTypeTxtCompensationCompensationAmt
WE ARE RALLY LLC
5670 WILSHIRE BLVD 820LOS ANGELESCA90036COMMUNICATIONS$331,614
GMMB
1200 WESTLAKE AVE NSEATTLEWA98109COMMUNICATIONS$272,989
GLOBALIZATION PARTNERS
175 FEDERAL ST 17TH FLOORBOSTONMA02110BUSINESS ADMINISTRATION SERVICES$172,676
STELLATE COMMUNICATIONS LLC
8 THE GRN STE B DOVERDELAWAREDE199013618COMMUNICATIONS$123,664
NEWTON STREET PUBLIC RELATIONS LLC
162 NEWTON STREETSEATTLEWA98109COMMUNICATIONS$68,000
FieldValueIRS element (for citing)
Contractor Paid Over50k0ContractorPaidOver50kCnt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Description1NONEDescription1Txt
Expenses1$0Expenses1Amt
Description2NONEDescription2Txt
Expenses2$0Expenses2Amt
All Other Program Rltd Invst Tot$0AllOtherProgramRltdInvstTotAmt
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$29,021,467AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$2,956,968AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$82,930FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$32,061,365TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$32,061,365AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$480,920CashDeemedCharitableAmt
Net Vl Noncharitable Assets$31,580,445NetVlNoncharitableAssetsAmt
Minimum Investment Return$1,579,022MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$1,579,022MinimumInvestmentReturnAmt
Tax Based On Investment Income$329,917TaxBasedOnInvestmentIncomeAmt
Total Tax$329,917TotalTaxAmt
Distributable Before Adj$1,249,105DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$1,249,105DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$1,249,105DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$11,386,223ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$11,386,223QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$1,249,105DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$11,386,223QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$1,249,105AppliedToCurrentYearAmt
Remaining Distri From Corpus$10,137,118RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$10,137,118TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$10,137,118ExcessDistriCyovToNextYrAmt
Excess From Current Year$10,137,118ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerDAVID BASZUCKIContributingManagerNm
Contributing ManagerJAN BASZUCKIContributingManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (15 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line2RecipientUSAddress/AddressLine2Txt
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES (UCLA)
PAYMENT SOLUTIONS AND COMPLIANCELOS ANGELESCA900957089PCSUPPORT THE WORK TO CONTINUE TO BUILD THE CHILD BIPOLAR NETWORK$278,754
THE RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK
PO BOX 9ALBANYNY12201PCA RESEARCH PROJECT TO DEVELOP A DATA-DRIVEN SOFTWARE PLATFORM FOR MODELING COMPUTATIONAL PSYCHIATRY KNOWN AS NEUROBLOX UNDER THE DIRECT SUPERVISION OF L. R. MUJICA-PARODI, PH.D., $1,022,977 IN 2022, $997,128 IN 2023, $1,001,326 IN 2024$997,128
UNIVERSITY OF PITTSBURGH
213 PARK PLAZA 128 NORTH CRAIGPITTSBURGHPA15260PCSUPPORT THE PROJECT ELUCIDATING NEUROBIOLOGICAL MECHANISMS UNDERLYING THE THERAPEUTIC EFFECT OF THE KETOGENIC DIET IN BIPOLAR DISORDER (BD): A MULTIDISCIPLINARY MECHANISTIC STUDY BEING CONDUCTED BY MARY PHILIPS, MD$2,054,784STREE
STONY BROOK FOUNDATION INC
30 ADMINISTRATION BUILDINGSTONY BROOKNY117941188PCTO ESTABLISH THE BASZUCKI ENDOWED CHAIR FOR METABOLIC NEUROSCIENCE$3,000,000
THE MCLEAN HOSPITAL
PO BOX 3951BOSTONMA022413951PCSUPPORT DR. VIRGINIE-ANNE CHOUINARD IN THEIR WORK ON THE KETO-BD TRIAL: RANDOMIZED CONTROLLED CLINICAL TRIAL OF THE KETOGENIC DIET FOR BRAIN ENERGY METABOLISM AND PSYCHIATRIC SYMPTOMS IN FIRST EPISODE BIPOLAR DISORDER$452,249
REGENERATIVE AGRICULTURE FOUNDATION
PO BOX 7276MINNEAPOLISMN55407PCFUNDERS FOR REGENERATIVE AGRICULTURE MEMBERSHIP$10,000
SUNDANCE INSTITUTE
PO BOX 684429PARK CITYUT84068PCCATALYST FORUM$35,000
HEALTH RESEARCH ALLIANCE
6409 FAYETTEVILLEDURHAMNC27713PCMEMBERSHIP DUES, SEPTEMBER TO DECEMBER 2023$3,333
DEPRESSION AND BIPOLAR SUPPORT ALLIANCE
55 E JACKSON BLVD SUITE 490CHICAGOIL60604PC$70,000 FOR METABOLIC THERAPY PEER COUNCILS AND $50,000 FOR METABOLIC THERAPY CLINICAL TRIAL WELLNESS SCALE$120,000
THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
516 W 168TH STREEETNEW YORKNY10032PCGENERAL SUPPORT FOR RESEARCH IN MITOCHONDRIAL PSYCHOBIOLOGY, CURRENTLY BEING CONDUCTED BY DR. MARTIN PICARD.$500,000
GLUT1 DEFICIENCY FOUNDATION
PO BOX 737OWINGSVILLEKY40360PCPILOT PROGRAM TO PROVIDE FULL KETOGENIC DIETARY THERAPY SUPPORT SERVICES FOR SIX GLUT1 DEFICIENCY PATIENTS AND ONE-TIME SECOND OPINION CONSULTATION SERVICES FOR FORTY GLUT1 DEFICIENCY PATIENTS.$15,000
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA SAN DIEGO
UCSD CAMPUS MAIN DEPOSITORY PO BOXLOS ANGELESCA900741539PCSUPPLEMENTAL GRANT FOR ADDITIONAL LAB COST (ORIGINAL GRANT PF-2023-003)$243,180741539
THE BOARD OF TRUSTEES OF THE LELAND STANFORD JUNIOR UNIVERSITY
1520 PAGE MILL ROAD MAIL CODE 5190PALO ALTOCA94304PCSUPPORT THE STANFORD MENTAL HEALTHCARE INNOVATIONS SUMMIT AT A LEVEL OF $10,000 PLUS 13% DEVELOPMENT FEE$11,300
NEW YORK UNIVERSITY
SPONSORED PROGRAMS ADMINISTRATIONNEW YORKNY10087PCSUPPORT CHIYE AOKI IN THEIR WORK TO INVESTIGATE THE AMELIORATIVE PROPERTIES OF KETOGENIC DIET UPON ANOREXIA NERVOSA USING THE ACTIVITY-BASED ANOREXIA (ABA) MOUSE MODEL$29,785PO BOX 51661
THE RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK
PO BOX 9ALBANYNY12201PCTO SUPPORT THE USE OF KETOSIS IN MODULATING METABOLIC PATHWAYS IN BIPOLAR DISORDER$1,004,625
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$8,755,138TotalGrantOrContriPdDurYrAmt

Grant Or Contri Apprv For Fut GrantOrContriApprvForFutGrp (6 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line2RecipientUSAddress/AddressLine2Txt
THE REGENTS OF THE UNIVERSITY OF CALIFORNIA LOS ANGELES (UCLA)
PAYMENT SOLUTIONS AND COMPLIANCELOS ANGELESCA900957089PCSUPPORT THE WORK TO CONTINUE TO BUILD THE CHILD BIPOLAR NETWORK$284,179
THE MCLEAN HOSPITAL
PO BOX 3951BOSTONMA022413951PCSUPPORT DR. VIRGINIE-ANNE CHOUINARD IN THEIR WORK ON THE KETO-BD TRIAL: A RANDOMIZED CONTROLLED CLINICAL TRIAL OF THE KETOGENIC DIET FOR BRAIN ENERGY METABOLISM ANDPSYCHIATRIC SYMPTOMS IN FIRST EPISODE BIPOLAR DISORDER$986,771
THE RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK
30 ADMINISTRATION BUILDINGSTONY BROOKNY117941188PCTO SUPPORT THE USE OF KETOSIS IN MODULATING METABOLIC PATHWAYS IN BIPOLAR DISORDER$1,995,375
UNIVERSITY OF PITTSBURGH
213 PARK PLAZA 128 NORTH CRAIGPITTSBURGHPA15260PCSUPPORT THE PROJECT ELUCIDATING NEUROBIOLOGICAL MECHANISMS UNDERLYING THE THERAPEUTIC EFFECT OF THE KETOGENIC DIET IN BIPOLAR DISORDER (BD): A MULTIDISCIPLINARY MECHANISTIC STUDY BEING CONDUCTED BY MARY PHILIPS, MD$4,248,374STREE
THE TRUSTEES OF COLUMBIA UNIVERSITY IN THE CITY OF NEW YORK
516 W 168TH STREEETNEW YORKNY10032PCGENERAL SUPPORT FOR RESEARCH IN MITOCHONDRIAL PSYCHOBIOLOGY, CURRENTLY BEING CONDUCTED BY DR. MARTIN PICARD.$1,000,000
THE RESEARCH FOUNDATION FOR THE STATE UNIVERSITY OF NEW YORK
PO BOX 9ALBANYNY12201PCA RESEARCH PROJECT TO DEVELOP A DATA-DRIVEN SOFTWARE PLATFORM FOR MODELING COMPUTATIONAL PSYCHIATRY KNOWN AS NEUROBLOX UNDER THE DIRECT SUPERVISION OF L. R. MUJICA-PARODI, PH.D., $1,022,977 IN 2022, $997,128 IN 2023, $1,001,326 IN 2024$1,001,326
FieldValueIRS element (for citing)
Total Grant Or Contri Apprv Fut$9,516,025TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$666,209ExclusionAmt

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$679,070ExclusionAmt

Other Investment Income OtherInvestmentIncomeGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$625,252ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$1,970,531ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$1,970,531TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
General RuleYes (X)GeneralRuleInd

Contributor Information ContributorInformationGrp (8 entries)

ContributorContributorNumAddress Line1ContributorUSAddress/AddressLine1TxtCityContributorUSAddress/CityNmState AbbreviationContributorUSAddress/StateAbbreviationCdZIPContributorUSAddress/ZIPCdTotal ContributionsTotalContributionsAmtPerson ContributionPersonContributionIndNoncash ContributionNoncashContributionInd
DAVID AND JAN BASZUCKI
1204 2ND AVENUE 522SAN MATEOCA944013904$3,802,500Yes (X)Yes (X)
DAVID AND JAN BASZUCKI
2204 2ND AVENUE 522SAN MATEOCA944013904$3,009,750Yes (X)Yes (X)
DAVID AND JAN BASZUCKI
3204 2ND AVENUE 522SAN MATEOCA944013904$2,995,500Yes (X)Yes (X)
DAVID AND JAN BASZUCKI
4204 2ND AVENUE 522SAN MATEOCA944013904$2,266,000Yes (X)Yes (X)
DAVID AND JAN BASZUCKI
5204 2ND AVENUE 522SAN MATEOCA944013904$2,247,750Yes (X)Yes (X)
DAVID AND JAN BASZUCKI
6204 2ND AVENUE 522SAN MATEOCA944013904$2,248,125Yes (X)Yes (X)
DAVID AND JAN BASZUCKI
7204 2ND AVENUE 522SAN MATEOCA944013904$2,902,125Yes (X)Yes (X)
DAVID AND JAN BASZUCKI
8204 2ND AVENUE 522SAN MATEOCA944013904$2,848,500Yes (X)Yes (X)

Non Cash Property Contribution NonCashPropertyContributionGrp (8 entries)

ContributorContributorNumNoncash PropertyNoncashPropertyDescFair Market ValueFairMarketValueAmtReceivedReceivedDt
1SECURITY (ROBLOX CORP CL A) 100,000 SHARES$3,802,5002023-03-02
2SECURITY (ROBLOX CORP CL A) 75,000 SHARES$3,009,7502023-05-19
3SECURITY (ROBLOX CORP CL A) 75,000 SHARES$2,995,5002023-05-22
4SECURITY (ROBLOX CORP CL A) 50,000 SHARES$2,266,0002023-07-19
5SECURITY (ROBLOX CORP CL A) 75,000 SHARES$2,247,7502023-08-11
6SECURITY (ROBLOX CORP CL A) 75,000 SHARES$2,248,1252023-08-14
7SECURITY (ROBLOX CORP CL A) 75,000 SHARES$2,902,1252023-11-10
8SECURITY (ROBLOX CORP CL A) 75,000 SHARES$2,848,5002023-11-13

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING SERVICESCategoryTxt
Amt$103,550Amt
Net Investment Income$51,775NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$51,775DisbursementsCharitablePrpsAmt

All Oth Prog Rltd Investments Sch AllOthProgRltdInvestmentsSch

All Other Program Related Invst AllOtherProgramRelatedInvstGrp

FieldValueIRS element (for citing)
DescNONEDesc
Amt$0Amt

Distribution From Corpus Election DistributionFromCorpusElection

FieldValueIRS element (for citing)
ElectionSEE STATEMENT 16ElectionDesc

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockEQUITY SECURITIESStockNm
EOY Book Value$1,162,053EOYBookValueAmt
EOYFMV$1,162,053EOYFMVAmt

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Obligations Book Vl EOY$37,714,442USGovtObligationsBookVlEOYAmt
US Govt Obligations EOYFMV$37,714,442USGovtObligationsEOYFMVAmt
State Local Sec Book Vl EOY$0StateLocalSecBookVlEOYAmt
State Local Sec EOYFMV$0StateLocalSecEOYFMVAmt

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryLEGAL FEESCategoryTxt
Legal Fees$117,595LegalFeesAmt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$58,797DisbursementsCharitablePrpsAmt

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp

FieldValueIRS element (for citing)
DescPREPAID EXPENSESDesc
EOY Book Value$13,246EOYBookValueAmt
EOYFMV$13,246EOYFMVAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (3 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
GENERAL AND ADMINISTRATIVE$63,099$0$0$63,099
COMMUNICATION EXPENSES$920,184$0$0$920,184
SPONSORSHIP AND EXTERNAL EVENTS$120,302$0$0$120,302

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescUNREALIZED INVESTMENT GAINSDesc
Revenue And Expenses Per Books$625,252RevenueAndExpensesPerBooksAmt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescRESTRUCTURING OF PRIOR YEAR GRANTDesc
Amt$27,814,015Amt

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail

FieldValueIRS element (for citing)
DescFEDERAL EXCISE TAX PAYABLEDesc
BOY Book Value$94,872BOYBookValueAmt
EOY Book Value$56,844EOYBookValueAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryPROFESSIONAL FEESCategoryTxt
Amt$47,288Amt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$47,288DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FOREIGN TAX PAID$0$1,650$0$0
EXCISE TAX EXPENSE$312,372$0$0$312,372

Transfers To Controlled Entities TransfersToControlledEntities

Transfers To Controlled Ent TransfersToControlledEntGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1METABOLIC MIND LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1204 2ND AVE STE 522AddressLine1Txt
CitySAN MATEOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94401ZIPCd
FieldValueIRS element (for citing)
EIN920573910EIN
DescTHE BASZUCKI FAMILY FOUNDATION TRANSFERRED $100,000 OF FUNDING TO METABOLIC MIND LLC.Desc
Amt$100,000Amt
FieldValueIRS element (for citing)
Total$100,000TotalAmt