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LUBERSKI FAMILY FOUNDATION INC: Form 990PF, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
LUBERSKI FAMILY FOUNDATION INC (EIN 26-3187239)
Tax period
2021-07-01 to 2022-06-30
Filed
2023-04-04
IRS object ID
202320949349100807
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 ReturnHeader

FieldValueIRS element (for citing)
Return2023-04-04T10:56:26-05:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN910189318PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12040 MAIN STREET SUITE 900AddressLine1Txt
CityIRVINECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92614ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN263187239EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LUBERSKI FAMILY FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLUBEBusinessNameControlTxt
Phone8003263220PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1310 NORTH HARBOR BOULEVARD 205AddressLine1Txt
CityFULLERTONCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92832ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonROBERT FORRESTPersonNm
Person TitleCFOPersonTitleTxt
Phone8003263220PhoneNum
Signature2023-03-30SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstROBERTPersonFirstNm
Person LastFORRESTPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPATRICIA J MAYERPreparerPersonNm
PTINP00188643PTIN
Phone9492214000PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$60,018FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$1,850,000ContriRcvdRevAndExpnssAmt
Cap Gain Net Incm Net Invst Incm$0CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$1,850,000TotalRevAndExpnssAmt
Total Net Invst Incm$0TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Legal Fees Rev And Expnss$4,992LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$0LegalFeesNetInvstIncmAmt
Legal Fees Dsbrs Chrtbl$4,992LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$3,250AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$3,250AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$91,004OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$0OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$91,004OtherProfFeesDsbrsChrtblAmt
Other Expenses Rev And Expnss$183,746OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$0OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$183,746OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$282,992TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$0TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$282,992TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$1,631,489ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$1,631,489ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$1,914,481TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$0TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$1,914,481TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$64,481ExcessRevenueOverExpensesAmt
Net Investment Income$0NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$120,349CashBOYAmt
Cash EOY$55,868CashEOYAmt
Cash EOYFMV$55,868CashEOYFMVAmt
Other Investments BOY$4,150OtherInvestmentsBOYAmt
Other Investments EOY$4,150OtherInvestmentsEOYAmt
Other Investments EOYFMV$4,150OtherInvestmentsEOYFMVAmt
Total Assets BOY$124,499TotalAssetsBOYAmt
Total Assets EOY$60,018TotalAssetsEOYAmt
Total Assets EOYFMV$60,018TotalAssetsEOYFMVAmt
Other Liabilities BOY$5,000OtherLiabilitiesBOYAmt
Other Liabilities EOY$5,000OtherLiabilitiesEOYAmt
Total Liabilities BOY$5,000TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,000TotalLiabilitiesEOYAmt
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$119,499RetainedEarningBOYAmt
Retained Earning EOY$55,018RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$119,499TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$55,018TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$124,499TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$60,018TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$119,499TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$64,481ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$55,018SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$55,018TotNetAstOrFundBalancesEOYAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$0InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$0SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$0TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$0EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$0TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Tax Due$0TaxDueAmt

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 Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1ROBERT FORRESTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8003263220PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1310 NORTH HARBOR BOULEVARD SUITEAddressLine1Txt
Address Line2205AddressLine2Txt
CityFULLERTONCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92832ZIPCd
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 Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Transactions Fail To Qlfy As Exc0TransactionsFailToQlfyAsExcInd
Maintained Expenditure RspnsYes (1)MaintainedExpenditureRspnsInd
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 (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
TIMOTHY E LUBERSKI
PO BOX 34001FULLERTONCA92834PRESIDENT/SECRETARY/DIRECT1.00$0$0$0
ROBERT FORREST
PO BOX 34001FULLERTONCA92834CHIEF FINANCIAL OFFICER1.00$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt

Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp

FieldValueIRS element (for citing)
PersonELISE ZVIRBULISPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1310 NORTH HARBOR BOULEVARD NO 205AddressLine1Txt
CityFULLERTONCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92832ZIPCd
FieldValueIRS element (for citing)
Service TypeCONSULTINGServiceTypeTxt
Compensation$64,200CompensationAmt
FieldValueIRS element (for citing)
Contractor Paid Over50k0ContractorPaidOver50kCnt

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1SPINAL TREATMENT FOR HARDSHIP INDIVIDUALSDescription1Txt
Expenses1$148,243Expenses1Amt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$0AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$287,153AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$287,153TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$287,153AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$4,307CashDeemedCharitableAmt
Net Vl Noncharitable Assets$282,846NetVlNoncharitableAssetsAmt
Minimum Investment Return$14,142MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$14,142MinimumInvestmentReturnAmt
Total Tax$0TotalTaxAmt
Distributable Before Adj$14,142DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$14,142DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$14,142DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$1,914,481ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$1,914,481QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$14,142DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$1,983,653ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$2,007,723ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$1,846,595ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$1,599,604ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$1,899,341ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$9,336,916TotalExcessDistributionCyovAmt
Qualifying Distributions$1,914,481QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$14,142AppliedToCurrentYearAmt
Remaining Distri From Corpus$1,900,339RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$11,237,255TotalCorpusAmt
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$1,983,653ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$9,253,602ExcessDistriCyovToNextYrAmt
Excess From Year4$2,007,723ExcessFromYear4Amt
Excess From Year3$1,846,595ExcessFromYear3Amt
Excess From Year2$1,599,604ExcessFromYear2Amt
Excess From Year1$1,899,341ExcessFromYear1Amt
Excess From Current Year$1,900,339ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerTIMOTHY E LUBERSKIContributingManagerNm

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonTIMOTHY LUBERSKIRecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line1310 NORTH HARBOR BOULEVARD SUITEAddressLine1Txt
Address Line2205AddressLine2Txt
CityFULLERTONCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92832ZIPCd
FieldValueIRS element (for citing)
Recipient Phone8003263220RecipientPhoneNum
Form And Info And MaterialsWRITTEN REQUESTS ONLY, INCLUDING: APPLICATION FORM, PROPOSAL, PROJECT BUDGET, LIST OF OFFICERS AND BOARD OF DIRECTORS, LIST OF STAFF AND KEY PERSONNEL, MOST RECENT AUDITED/YEAR END FINANCIAL STATEMENTS, CONFIRMATION OF EXEMPT STATUS.FormAndInfoAndMaterialsTxt
Submission DeadlinesNO DEADLINESubmissionDeadlinesTxt
Restrictions On AwardsRESTRICTIONS OR LIMITATIONS ARE DETERMINED BASED ON THE FACTS AND CIRCUMSTANCES OF EACH GRANT.RestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (59 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line1RecipientForeignAddress/AddressLine1TxtCityRecipientForeignAddress/CityNmProvince Or StateRecipientForeignAddress/ProvinceOrStateNmCountryRecipientForeignAddress/CountryCdForeign PostalRecipientForeignAddress/ForeignPostalCdAddress Line2RecipientUSAddress/AddressLine2Txt
AG LEADERSHIP FOUNDATION OF HAWAI'I
PO BOX 342066KAILUAHI96734NONEPCGENERAL OPERATING GRANT$2,500
ALTERNATIVE OPTIONS COUNSELING CENT
11423 187TH ST STE 200ARTESIACA90701NONEIINDIVIDUAL HARDSHIP ASSISTANCE$1,050
ASSOCIATION COEUR D'AMOUR
NONENCGENERAL OPERATING GRANT$65,00023 FONTAMARA 29PORT AU PRINCEPORT AU PRINCEHA
CALIFORNIA CATHOLIC CONFERENCE
1119 K STREET 2ND FLOORSACRAMENTOCA95814NONEPCGENERAL OPERATING GRANT$40,000
CAMERON SCHWEDER
19961 WILDWOOD COURTYORBA LINDACA92886NONEIINDIVIDUAL HARDSHIP ASSISTANCE$10,200
CARRIE WINN
507 SWANSON AVEPLACENTIACA92870NONEIINDIVIDUAL HARDSHIP ASSISTANCE$55,240
CASA COLINA FOUNDATION
PO BOX 6001POMONACA917696001NONESO III FIGENERAL OPERATING GRANT$50,000
CBB CHARITY GOLF CLASSIC
701 N HAVEN AVEONTARIOCA91764NONEPCGENERAL OPERATING GRANT$5,000
CEDAR CREEK APARTMENTS
PO BOX 2600NEWPORT BEACHCA926582600NONEIINDIVIDUAL HARDSHIP ASSISTANCE$17,698
CITY OF HOPE
1500 E DUARTE RDDUARTECA91010NONEPCGENERAL OPERATING GRANT$1,500
CLEMMER AND COMPANY
9901 ROSEDALE HIGHWAYBAKERSFIELDCA93312NONEIINDIVIDUAL HARDSHIP ASSISTANCE$10,000
COALITION OF HOPE
POST OFFICE BOX 9FULLERTONCA928360009NONEPCGENERAL OPERATING GRANT$12,500
COURTNEY BEAL LMFT
4848 LAKEVIEW AVE 202EYORBA LINDACA92886NONEIINDIVIDUAL HARDSHIP ASSISTANCE$480
CRITTENTON SERVICES FOR CHILDREN & FAMS
POST OFFICE BOX 9FULLERTONCA928360009NONEPCGENERAL OPERATING GRANT$10,000
CYSTIC FIBROSIS FOUNDATION
4002 WESTMINSTER AVESANTA ANACA927031310NONEPCGENERAL OPERATING GRANT$15,000
DIOCESE OF ORANGE
13280 CHAPMAN AVENUE SUITE 430GARDEN GROVECA92840NONEPCGENERAL OPERATING GRANT$5,000
FAITH AND FAMILY LIFE CATHOLIC MINISTRIES
22082 ANTONIO PARKWAYRANCH SANTA MARGARITACA92688NONEPCGENERAL OPERATING GRANT$51,698
FRANCISCAN FRIARS OF THE RENEWAL
421 EAST 155TH STREETBRONXNY10455NONEPCGENERAL OPERATING GRANT$9,000
FRANCISCAN MISSION OUTREACH
PO BOX 1073SECAUCUSNJ070961073NONEPCGENERAL OPERATING GRANT$100,000
FREE WHEELCHAIR MISSION
15279 ALTON PARKWAY STE 300IRVINECA92618NONEPCGENERAL OPERATING GRANT$10,000
GARY SINISE FOUNDATION
PO BOX 368WOODLAND HILLSCA91365NONEPCGENERAL OPERATING GRANT$10,000
GILBERT SALINAS
5915 WINTER GROVE DRIVEBAKERSFIELDCA93313NONEIINDIVIDUAL HARDSHIP ASSISTANCE$8,400
GOODWILL INDUSTRIES OF ORANGE COUNTRY
410 NORTH FAIRVIEW STREETSANTA ANACA92703NONEPCGENERAL OPERATING GRANT$100,000
HENSLIN ASSOCIATES
745 S BREA BLVD SUITE 23BREACA92821NONEIINDIVIDUAL HARDSHIP ASSISTANCE$300
HIGHER GROUND YOUTH & FAMILY SERVICES
23001 LA PALMA AVENUE SUITE 220AYORBA LINDACA92887NONEPCGENERAL OPERATING GRANT$100,000
HOMESTEAD APARTMENTS
1942 DEERPARK DRFULLERTONCA92831NONEIINDIVIDUAL HARDSHIP ASSISTANCE$24,780
HOUSE OF HOPE
710 N ANAHEIM BLVDANAHEIMCA92805NONEPCGENERAL OPERATING GRANT$25,000
IMMACULATA MINISTERIES
2134 SAN ANTONIO DRIVECORONACA92882NONEPCGENERAL OPERATING GRANT$30,000
JUANITA MCCOY
2302 LAGO VENTANA CHULACHULA VISTACA91914NONEIINDIVIDUAL HARDSHIP ASSISTANCE$2,500
KIRSTEN KING
1590 ADAMS AVE P O BOX 2350COSTA MESACA92628NONEIINDIVIDUAL HARDSHIP ASSISTANCE$3,123
LARRY ANDREASON
42 LA COSTA CTLAGUNA BEACHCA92651NONEIINDIVIDUAL HARDSHIP ASSISTANCE$22,640
LET IT BE FOUNDATION
14720 CENTRAL AVECHINOCA91710NONEPCGENERAL OPERATING GRANT$37,500
LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL
PO BOX 2000LOMA LINDACA92354NONEPCGENERAL OPERATING GRANT$2,000
MARILYN LUKICH
1942 DEERPARK DRIVE APT 121FULLERTONCA92831NONEIINDIVIDUAL HARDSHIP ASSISTANCE$11,527
MARINA ROBANCHO
5915 WINTER GROVE DRIVEBAKERSFIELDCA93313NONEIINDIVIDUAL HARDSHIP ASSISTANCE$21,650
MELISSA FISHER GOLDMAN
5915 WINTER GROVE DRIVEBAKERSFIELDCA93313NONEIINDIVIDUAL HARDSHIP ASSISTANCE$600
MIDWEST POULTRY CONSORTIUM
4630 CHURCHILL ST STE 1ST PAULMN55126NONEPCGENERAL OPERATING GRANT$5,000
NATIONAL MULTIPLE SCLEROSIS SOCIETY
10089 WILLOW CREEK RD 250SAN DIEGOCA92131NONEPCGENERAL OPERATING GRANT$2,000
NAVAJYOTHI PROVINCE IDUKKI
NONENCGENERAL OPERATING GRANT$64,090RAJAMUDI PO IDUKKIKERALAKERALAIN685604
NEW IMAGE EMERGENCY SHELTER
1008 E 59TH STLOS ANGELESCA90001NONEPCGENERAL OPERATING GRANT$10,000
NEW WAYS TO WORK INC
1012 W BEVERLY BLVD 377MONTEBELLOCA90640NONEPCGENERAL OPERATING GRANT$98,190
NPH USA
8925 EAST PIMA CENTER PARKWAY SUITESCOTTSDALEAZ852584407NONEPCGENERAL OPERATING GRANT$100,000145
OLIVE CREST
2130 E FOURTH ST STE 200 SUITE 200SANTA ANACA92705NONEPCGENERAL OPERATING GRANT$55,000
ORANGE CATHOLIC FOUNDATION
13280 CHAPMAN AVENUE SUITE 430GARDEN GROVECA92840NONEPCGENERAL OPERATING GRANT$9,000
HOMELESS PROGRAM
1590 ADAMS AVE P O BOX 2350 COSTACOSTA MESA CACA92628NONEIINDIVIDUAL HARDSHIP ASSISTANCE$2,000MESA CA
PFA STRONG FOUNDATION
5160 RICHTON STMONTCLAIRCA91763NONEPCGENERAL OPERATING GRANT$5,000
PRIME LOCATIONS
1125 12TH AVE SOUTH EAST OLYMPIASOUTH EAST OLYMPIAWA98501NONEIINDIVIDUAL HARDSHIP ASSISTANCE$7,600
SAINT MARY'S CATHOLIC CHURCH
400 W COMMONWEALTH AVEFULLERTONCA92832NONEPCGENERAL OPERATING GRANT$134,800
SAN ANTONIO CATHOLIC CHURCH
5800 E SANTA ANA CANYON RDANAHIEM HILLSCA92807NONEPCGENERAL OPERATING GRANT$1,700
SERVITE HIGH SCHOOL
1952 W LA PALMA AVEANAHEIMCA92801NONEPCGENERAL OPERATING GRANT$89,540
SPIRIT FILLED HEARTS MINISTRY
19161 WOODORD TERRACEIRVINECA92603NONEPCGENERAL OPERATING GRANT$5,000
ST NORBERT PARISH SCHOOL
300 E TAFT AVEORANGECA92865NONEPCGENERAL OPERATING GRANT$7,018
ST ANGELA MERICI
575 SOUTH WALNUT AVEBREACA92821NONEPCGENERAL OPERATING GRANT$50,000
ST CATHERINE'S ACADEMY
215 N HARBOR BLVDANAHEIMCA92805NONEPCGENERAL OPERATING GRANT$50,000
ST FRANCIS OF ASSISI CATHOLIC SCHOOL
5330 EASTSIDE CIRCLEYORBA LINDACA92887NONEPCGENERAL OPERATING GRANT$8,815
UDR - ANGELA GIBSON
1590 ADAMS AVE P O BOX 2350COSTA MESACA92628NONEIINDIVIDUAL HARDSHIP ASSISTANCE$9,728
WALK INTUIT INC
27128 A PASEO ESPADA 1522SAN JUAN CAPISTRANOCA92675NONEPCGENERAL OPERATING GRANT$2,122
WORDNET PRODUCTIONS
532 NORTH D STREETSAN BERNARDINOCA92401NONEPCGENERAL OPERATING GRANT$25,000
ZACHARY LIPOT
2084 N NORDIC STORANGECA92865NONEIINDIVIDUAL HARDSHIP ASSISTANCE$18,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$1,631,489TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

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

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

FieldValueIRS element (for citing)
Contributor1ContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1TIMOTHY LUBERSKIBusinessNameLine1Txt

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1310 N HARBOR BLVD STE 205AddressLine1Txt
CityFULLERTONCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92832ZIPCd
FieldValueIRS element (for citing)
Total Contributions$1,850,000TotalContributionsAmt
Person ContributionYes (X)PersonContributionInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$3,250Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$3,250DisbursementsCharitablePrpsAmt

Expenditure Responsibility Stmt ExpenditureResponsibilityStmt

Expenditure Responsibility ExpenditureResponsibilityGrp (5 entries)

Address Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdGrantGrantDtGrantGrantAmtPurpose Of GrantPurposeOfGrantTxtExpended By GranteeExpendedByGranteeAmtAny Diversion By GranteeAnyDiversionByGranteeTxtDates Of Reports By GranteeDatesOfReportsByGranteeTxtResults Of VerificationResultsOfVerificationTxtProvince Or StateForeignAddress/ProvinceOrStateNmVerificationVerificationDt
NAVAJYOTHI PROVINCE IDUKKI
RAJAMUDI PO IDUKKIKERALAIN6856042021-10-13$64,090TO PROVIDE CHARITABLE EDUCATION ASSISTANCE TO SCHOOL-AGE CHILDREN$64,090NONE10/13/22THE FOUNDATION HAS NO REASON TO DOUBT THE ACCURACY OR RELIABILITY OF THE GRANTEE'S REPORTS.
ASSOCIATION COEUR D'AMOUR
23 FONTAMARA 29PORTAUPRINCEHA2021-07-23$65,000TO PROVIDE CHARITABLE EDUCATION ASSISTANCE TO SCHOOL-AGE CHILDREN.$65,000NONE07/23/22THE FOUNDATION HAS NO REASON TO DOUBT THE ACCURACY OR RELIABILITY OF THE GRANTEE'S REPORTS.HAITI
NAVAJYOTHI PROVINCE IDUKKI
RAJAMUDI PO IDUKKIKERALAIN6856042020-08-18$53,232TO PROVIDE CHARITABLE EDUCATION ASSISTANCE TO SCHOOL-AGE CHILDREN$53,232NONE8/18/21THE FOUNDATION HAS NO REASON TO DOUBT THE ACCURACY OR RELIABILITY OF THE GRANTEE'S REPORTS.2020-08-18
ASSOCIATION COEUR D'AMOUR
23 FONTAMARA 29PORTAUPRINCEHA2020-08-07$30,000TO PROVIDE CHARITABLE EDUCATION ASSISTANCE TO SCHOOL-AGE CHILDREN.$30,000NONE8/7/21THE FOUNDATION HAS NO REASON TO DOUBT THE ACCURACY OR RELIABILITY OF THE GRANTEE'S REPORTS.HAITI2020-08-07
NAVAJYOTHI PROVINCE IDUKKI
RAJAMUDI PO IDUKKIKERALAIN6856042019-12-17$50,000TO PROVIDE CHARITABLE EDUCATION ASSISTANCE TO SCHOOL-AGE CHILDREN$50,000NONE12/17/20; 12/17/21THE FOUNDATION HAS NO REASON TO DOUBT THE ACCURACY OR RELIABILITY OF THE GRANTEE'S REPORTS.2019-12-17

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp

FieldValueIRS element (for citing)
Category Or ItemSECURITY DEPOSITCategoryOrItemTxt
Listed At Cost Or FMVAT COSTListedAtCostOrFMVCd
Book Value$4,150BookValueAmt
EOYFMV$4,150EOYFMVAmt

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryLEGAL FEESCategoryTxt
Legal Fees$4,992LegalFeesAmt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$4,992DisbursementsCharitablePrpsAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (4 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
RENT, PARKING, AND UTILITIES$35,150$0$35,150
BANK FEES$61$0$61
INSURANCE$292$0$292
PROGRAM EXPENSES - SPINAL TREATMENT PROGRAM$148,243$0$148,243

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail

FieldValueIRS element (for citing)
DescDEPOSITDesc
BOY Book Value$5,000BOYBookValueAmt
EOY Book Value$5,000EOYBookValueAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryOTHER SERVICESCategoryTxt
Amt$91,004Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$91,004DisbursementsCharitablePrpsAmt