LILLYS GIFT FOUNDATION: Form 990PF, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- LILLYS GIFT FOUNDATION (EIN 68-0445376)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-10-16
- IRS object ID
- 202332899349100138
- Schema version
- 2022v5.0
- 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
- Schedule B
- Accounting Fees Schedule
- Investments Other Schedule2
- Legal Fees Schedule
- Other Decreases Schedule
- Other Expenses Schedule
- Other Professional Fees Schedule
- Substantial Contributors Sch
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-10-16T12:20:11-07:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 680146027 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AGT CPAS AND ADVISORS | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 205 N MOUNT SHASTA BLVD STE 300 | AddressLine1Txt |
| City | MOUNT SHASTA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 96067 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 680445376 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lillys Gift Foundation | BusinessNameLine1Txt |
| Business Name Line2 | Lois G Ericson President | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LILL | BusinessNameControlTxt |
| Phone | 5305987446 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 Outsen Road | AddressLine1Txt |
| City | Yreka | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 96097 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Lois Ericson | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Signature | 2023-10-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Lois | PersonFirstNm |
| Person Last | Ericson | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (true) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Logan Castle CPA | PreparerPersonNm |
| PTIN | P00739887 | PTIN |
| Phone | 5309263881 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Federated Assurance Level | FAL1 | FederatedAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | 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 | $22,184,230 | 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 | $1,797,396 | ContriRcvdRevAndExpnssAmt |
| Dividends Rev And Expnss | $609,703 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $609,703 | DividendsNetInvstIncmAmt |
| Dividends Adj Net Incm | $609,703 | DividendsAdjNetIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $533,857 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $6,175,844 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $533,857 | CapGainNetIncmNetInvstIncmAmt |
| Net ST Capital Gain Adj Net Incm | $108 | NetSTCapitalGainAdjNetIncmAmt |
| Total Rev And Expnss | $2,940,956 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $1,143,560 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $609,811 | TotalAdjNetIncmAmt |
| Legal Fees Rev And Expnss | $10,211 | LegalFeesRevAndExpnssAmt |
| Legal Fees Adj Net Incm | $10,211 | LegalFeesAdjNetIncmAmt |
| Accounting Fees Rev And Expnss | $8,644 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Adj Net Incm | $8,644 | AccountingFeesAdjNetIncmAmt |
| Other Prof Fees Rev And Expnss | $91,895 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $91,895 | OtherProfFeesNetInvstIncmAmt |
| Taxes Rev And Expnss | $17,080 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $16,880 | TaxesNetInvstIncmAmt |
| Taxes Adj Net Incm | $200 | TaxesAdjNetIncmAmt |
| Other Expenses Rev And Expnss | $16 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Adj Net Incm | $16 | OtherExpensesAdjNetIncmAmt |
| Tot Opr Expenses Rev And Expnss | $127,846 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $108,775 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $19,071 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $1,330,000 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $1,330,000 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $1,457,846 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $108,775 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $19,071 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $1,330,000 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $1,483,110 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $1,034,785 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $590,740 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $512,311 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $554,425 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $554,425 | SavAndTempCashInvstEOYFMVAmt |
| Other Investments BOY | $24,897,129 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $21,629,805 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $21,629,805 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $25,409,440 | TotalAssetsBOYAmt |
| Total Assets EOY | $22,184,230 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $22,184,230 | TotalAssetsEOYFMVAmt |
| Accounts Payable EOY | $12,382 | AccountsPayableEOYAmt |
| Total Liabilities EOY | $12,382 | TotalLiabilitiesEOYAmt |
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
| No Donor Rstr Net Assests BOY | $25,409,440 | NoDonorRstrNetAssestsBOYAmt |
| No Donor Rstr Net Assests EOY | $22,171,848 | NoDonorRstrNetAssestsEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $25,409,440 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $22,171,848 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $25,409,440 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $22,184,230 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $25,409,440 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $1,483,110 | ExcessRevenueOverExpensesAmt |
| Subtotal | $26,892,550 | SubtotalAmt |
| Other Decreases | $4,720,702 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $22,171,848 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (3 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|---|---|
| PUBLICLY TRADED SECURITIES - ST | P | 2022-06-30 | 2022-12-31 | $26,448 | $26,340 | $108 | $108 |
| PUBLICLY TRADED SECURITIES - LT | P | 2021-01-01 | 2022-12-31 | $5,835,300 | $5,615,647 | $219,653 | $219,653 |
| Capital Gain Dividends | $314,096 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $533,857 | CapitalGainNetIncomeAmt |
| Net Short Term Capital Gain Loss | $108 | NetShortTermCapitalGainLossAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $14,384 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $14,384 | SubtotalAmt |
| Tax Based On Investment Income | $14,384 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $2,521 | EstimatedPlusOvpmtIncmTxAmt |
| Extsn Request Income Tax Paid | $19,000 | ExtsnRequestIncomeTaxPaidAmt |
| Total Payments And Credits | $21,521 | TotalPaymentsAndCreditsAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Es Penalty | $519 | EsPenaltyAmt |
| Overpayment | $6,618 | OverpaymentAmt |
| Applied To ES Tax | $6,618 | AppliedToESTaxAmt |
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 | Yes (true) | NewSubstantialContributorsInd |
| Own Controlled Entity | false | OwnControlledEntityInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (true) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Peggy King | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5305987446 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 Outsen Road | AddressLine1Txt |
| City | Yreka | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 96097 | 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 |
| Acts Fail To Qlfy As Exceptions | false | ActsFailToQlfyAsExceptionsInd |
| 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 (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|---|---|---|---|
| Lois Ericson | ||||||
| 8519 Shady Dell Road | Macdoel | CA | 96058 | CEO | 1.00 | $0 |
| Constance Sherwood | ||||||
| 1809 NW Canyon Drive | Redmond | OR | 97756 | CFO | 0.00 | $0 |
| Steven L Ericson | ||||||
| 7001 East Butte Valley Road | Dorris | CA | 96023 | Vice President | 0.00 | $0 |
| Marilyn Ericson | ||||||
| 92561 Pioch Lane | Springfield | OR | 97478 | Secretary | 0.00 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $22,253,749 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $373,130 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $22,626,879 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Adjusted Total FMV Of Unused Ast | $22,626,879 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $339,403 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $22,287,476 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $1,114,374 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $1,114,374 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $14,384 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $14,384 | TotalTaxAmt |
| Distributable Before Adj | $1,099,990 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $1,099,990 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $1,099,990 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $1,330,000 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $1,330,000 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $1,099,990 | DistributableAsAdjustedAmt |
| Excess Distribution Cyov Yr5 | $304,074 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $265,317 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $165,985 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $218,431 | ExcessDistributionCyovYr2Amt |
| Total Excess Distribution Cyov | $953,807 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $1,330,000 | QualifyingDistributionsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $1,099,990 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $230,010 | RemainingDistriFromCorpusAmt |
| Total Corpus | $1,183,817 | TotalCorpusAmt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Excess Distri Cyov From Yr5 | $304,074 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $879,743 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $265,317 | ExcessFromYear4Amt |
| Excess From Year3 | $165,985 | ExcessFromYear3Amt |
| Excess From Year2 | $218,431 | ExcessFromYear2Amt |
| Excess From Current Year | $230,010 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | LILLY'S GIFT FOUNDATION | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 601 OUTSEN ROAD | AddressLine1Txt |
| City | YREKA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 96097 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 5303984373 | RecipientPhoneNum |
| Form And Info And Materials | POTENTIAL RECIPIENTS ARE TO SUBMIT A WRITTEN LETTER EXPLAINING NEED. | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | NO SUBMISSION DEADLINES | SubmissionDeadlinesTxt |
| Restrictions On Awards | NO RESTRICTIONS OR LIMITATIONS ON AWARDS. | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (44 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| TULELAKE-BUTTE VALLEY FAIR FRIENDS | |||||||
| PO BOX 866 | TULELAKE | CA | 96134 | NONE | PC | FOR SUPPORT OF FAIRS. FUNDS NOT TO BE USED FOR ADMINISTRATIVE EXPENSES. | $335,000 |
| ASANTE FOUNDATION | |||||||
| 2600 SISKIYOU BLVD SUITE 100 | MEDFORD | OR | 97504 | NONE | PC | PROVIDE FUNDS FOR COMMUNITY HEALTH CARE. | $25,000 |
| SKY LAKES CANCER TREATMENT CENTER | |||||||
| 2865 DAGGETT AVENUE | KLAMATH FALLS | OR | 97601 | NONE | PC | PROVIDE FUNDS FOR MAMMOGRAPHIC FUND | $8,000 |
| SEARCH DOG FOUNDATION | |||||||
| 201 E OJAI AVENUE | OJAI | CA | 93023 | NONE | PC | PROVIDE FUNDS TO RECRUIT RESCUED DOGS FOR USE BY FIRST RESPONDERS | $4,000 |
| RONALD MCDONALD HOUSES OF ORANGE CO | |||||||
| 383 SOUTH BATAVIA STREET | ORANGE | CA | 92868 | NONE | PC | ASSIST IN HOUSING FOR SERIOUSLY ILL CHILDREN & THEIR FAMILIES | $4,000 |
| ROCKY MOUNTAIN CHILDREN'S HEALTH FN | |||||||
| 2055 HIGH STREET SUITE 240 | DENVER | CO | 80205 | NONE | PC | SUPPORT TO PEDIATRIC PATIENTS & THEIR FAMILIES | $1,500 |
| RED BUCKET EQUINE RESCUE | |||||||
| 18381 GOLDEN WEST STREET | HUNTINGTON BEACH | CA | 92648 | NONE | PC | PROVIDE FUNDS TO SAVE & REHABILITATE ABANDONED & UNWANTED HORSES | $1,500 |
| ORANGE COUNTY RESCUE MISSION | |||||||
| ONE HOPE DRIVE | TUSTIN | CA | 92782 | NONE | PC | PROVIDE FUNDS TO SUPPORT THE MISSION OF THE RESCUE MISSION | $10,000 |
| MILLER CHILDREN'S HOSPITAL LONG BEA | |||||||
| 2801 ATLANTIC AVENUE | LOGN BEACH | CA | 90801 | NONE | PC | PROVIDE FUNDS TO ASSIST IN PEDIATRIC CARE FOR CHILDREN AND YOUNG ADULTS | $20,000 |
| MERCY HOME FOR BOYS GIRLS | |||||||
| 1140 W JACKSON BOULEVARD | CHICAGO | IL | 60607 | NONE | PC | FOR FOOD, CLOTHING AND SHELTER FOR THOSE ASSISTED | $5,000 |
| KLAMATH FALLS GOSPEL MISSION | |||||||
| 823 WALNUT AVENUE | KLAMATH FALLS | OR | 97601 | NONE | PC | ASSISTANCE FOR EMERGENCY FOOD, CLOTHING & SHELTER | $10,000 |
| STABLE HANDS | |||||||
| PO BOX 1852 | YREKA | CA | 96097 | NONE | PC | PROVIDE FUNDS FOR THERAPEUTIC RIDING PROGRAM. FUNDS TO BE USED FOR AREA IMPROVEMENTS | $25,000 |
| SMART-START MAKING A READER TODAY | |||||||
| 219 NW 12TH AVENUE SUITE 203 | PORTLAND | OR | 97209 | NONE | PC | PROVIDE FUNDS FOR READING PROGRAMS | $20,000 |
| MARCH OF DIMES | |||||||
| 2222 MARTIN SUITE 155 | IRVINE | CA | 92612 | NONE | PC | FOR ANY EXPENDITUER RELATED TO CHARITABLE PURPOSE | $30,000 |
| KLAMATH LAKE COUNTIES FOOD BANK | |||||||
| 3231 MAY WOOD DRIVE | KLAMATH FALLS | OR | 97601 | NONE | PC | FOR EMERGENCY FOOD ASSISTANCE ONLY | $20,000 |
| ALSA - ORANGE COUNTY | |||||||
| 2230 WEST CHAPMAN SUITE 123 | ORANGE | CA | 92868 | NONE | PC | FOR ANY EXPENDITURE RELATED TO CHARITABLE PURPOSE | $20,000 |
| KLAMATH HOSPICE INC | |||||||
| 4745 S 6TH STREET | KLAMATH FALLS | OR | 97601 | NONE | PC | FOR CLIENT CARE OR CAMP EVERGREEN | $10,000 |
| BOYS REPUBLIC | |||||||
| 1907 BOYS REPUBLIC DRIVE | CHINO HILLS | CA | 91709 | NONE | PC | PROVIDE FUNDS FOR THE DELLA ROBBIA WREATH PROGRAM WHICH SUPPORTS AT RISK YOUTH | $15,000 |
| EASTER SEALS BAY AREA | |||||||
| 391 TAYLOR BOULEVARD | PLEASANT HILL | CA | 94523 | NONE | PC | FOR THE SUMMER CAMP PROGRAM AT EAGLE LAKE OR GRIZZ. | $10,000 |
| HOSANNA CHRISTIAN SCHOOL | |||||||
| 5000 HOSANNA WAY | KLAMATH FALLS | OR | 97603 | NONE | PC | PROGRAM ASSISTANCE TO CHRISTIAN SCHOOL | $5,000 |
| HEALTHY-SMILES KIDS OF ORANGE COUNT | |||||||
| 10602 CHAPMAN AVENUE SUITE 200 | GARDEN GROVE | CA | 92840 | NONE | PC | PROVIDE FUNDS FOR PROMOTING ORAL HEALTH FOR THE KIDS OF ORANGE COUNTY | $20,000 |
| GUIDING EYES FOR THE BLIND | |||||||
| 611 GRANITE SPRINGS ROAD | YORKTOWN HEIGHTS | NY | 10598 | NONE | PC | SUPPORT FOR THE BLIND | $20,000 |
| KLAMATH CRISIS CENTER | |||||||
| PO BOX 1358 | KLAMATH FALLS | OR | 97601 | NONE | PC | ASSISTANCE FOR VICTIMS OF SEXUAL AND DOMESTIC VIOLENCE | $5,000 |
| BUTTE VALLEY AMBULANCE SERVICE | |||||||
| PO BOX 9 | DORRIS | CA | 96023 | NONE | PC | TO PROVIDE SERVICE TO INDIVIDUALS WHO CANNOT PAY | $10,000 |
| KLAMATH HUMANE SOCIETY | |||||||
| PO BOX 482 | KLAMATH FALLS | OR | 97601 | NONE | PC | BUILDING FUND | $10,000 |
| CA CHAPTERS-ROCKY MOUNTAIN ELK FNDT | |||||||
| PO BOX 8249 | MISSOULA | MT | 59807 | NONE | PC | WILDLIFE ENHANCEMENT | $10,000 |
| BUTTE VALLEY FIRE PROTECTION DISTRI | |||||||
| PO BOX 103 | MACDOEL | CA | 96058 | NONE | PC | TO PURCHASE NEW EQUIPMENT | $15,000 |
| THE SMILE TRAIN | |||||||
| 245 FIFTH AVENUE SUITE 2201 | NEW YORK | NY | 10016 | NONE | PC | PROVIDE FUNDS TO TREAT CHILDREN WITH CLEFT PALATES | $20,000 |
| MADRONE HOSPICE | |||||||
| 255 COLLIER WAY | YREKA | CA | 96097 | NONE | PC | FOR CLIENT CARE | $25,000 |
| SMART CARNIVAL SUPER EVENT | |||||||
| 2834 S 6TH STREET | KLAMATH FALLS | OR | 97603 | NONE | PC | COMMUNITY CARNIVAL AND SUPERHERO EVENT | $7,000 |
| BENEFIT FOR THE BASIN | |||||||
| 6510 S 6TH STREET 130 | KLAMATH FALLS | OR | 97603 | NONE | PC | TO SUPPORT YOUTH, EDUCATION, COMMUNITY, AND THE KLAMATH COUNTY FAIRGROUNDS. | $5,000 |
| CALIFORNIA DEER ASSOCIATION | |||||||
| 1431 N MARKET BLVD STE 1 | SACRAMENTO | CA | 95834 | NONE | PC | CONSERVATION ORGANIZATION TO PRESERVE DEER HABITAT AND DEER. | $15,000 |
| FRIENDS OF THE NRA | |||||||
| PO BOX 670 | DORRIS | CA | 96023 | NONE | PC | FOR ANY EXPENDITURE RELATED TO THE EXEMPT PURPOSE | $10,000 |
| FIRST CHURCH OF CHRIST SCIENTIST | |||||||
| 64 N French Broad Avenue | Asheville | NC | 28801 | NONE | PC | Designed to make the healing and educational system known as Christian Science available and accessible to everyone | $24,000 |
| KLAMATH LAKE CARES- ABUSED CHILDREN | |||||||
| 2421 Washburn Way Suite H | Klamath Falls | OR | 97603 | NONE | PC | Provides trauma-focused, evidence-based services to children and the community. We serve children impacted by traumatic events, including childhood physical abuse, sexual abuse, and neglect. We also servce drug endangered children and those exposed to domestic violence or other critical incidents. | $20,000 |
| MUSTARD SEED RANCH | |||||||
| 125 Aspen Drive | Mountain Village | CO | 81435 | NONE | PC | Assists children through therapeutic riding and animal therapy programs at their Ranch in Warner Springs, CA. | $15,000 |
| PAWS- ELEPHANTS OTHER | |||||||
| PO Box 849 | Galt | CA | 95632 | NONE | PC | Dedicated to the protection of performing animals, to providing sanctuary to abused, abondoned and retired captive wildlife, to enforcing the best standards of care for all captive wildlife, to the preservation of wild species and their habitat and to promoting public education about captive wildlife issues. | $20,000 |
| SJS AWARENESS- OREGON | |||||||
| PO Box 1364 | Klamath Falls | OR | 97601 | NONE | PC | We have donated funds to the Stevens Johnson Syndrome Foundation. We also donated funds to the Vandebilt SJS research fund. Locally, we have created a car show to spread awareness. | $25,000 |
| 10TH DISTRICT JR LIVESTOCK COMMITTE | |||||||
| 1712 Fairlane Road | Yreka | CA | 96097 | NONE | PC | The operation of an annual Junior Livestock Auction in Siskiyou County for the educational benefit of the youth involved in FFA, 4-H, Grange and youth independent exhibitor programs in Siskiyou County. | $335,000 |
| DOLLYWOOD FOUNDATION | |||||||
| 111 E Main St 2nd Floor | Sevierville | TN | 37862 | NONE | PC | Inspire children to achieve educational success. The signature program of the foundation, the Imagination Library, is focused on inspiring a love of books and reading for all preschool children. | $10,000 |
| KLAMATH COUNTY CERT | |||||||
| 305 Main Street | Klamath Falls | OR | 97601 | NONE | PC | Training volunteers to augment rural fire departments, emergency medical services, and local law enforcement agencies in Klamath County. | $10,000 |
| LITTLE HOOVES RESCUE | |||||||
| 607 Windmill Ranch Rd | Encinitas | CA | 92024 | NONE | PC | Rescues miniature horses, donkeys and mules from auctions and kill pens. Strives to bring rescues back to full health and find forever homes. | $10,000 |
| WATER MISSIONS INTERNATIONAL | |||||||
| PO Box 31258 | Charleston | SC | 29417 | NONE | PC | To build safe water, sanitation, and hygiene solutions in developing nations and disaster areas. | $100,000 |
| SISKIYOU SPAY NEUTER INCENTIVE PROG | |||||||
| 218 Executive Court | Yreka | CA | 96097 | NONE | PC | To assist in the effort to help end dog and cat overpopulation in Siskiyou County through education, support and need-based financial assistance to pet owners. | $10,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $1,330,000 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $609,703 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Related Or Exempt Function Incm | $533,857 | RelatedOrExemptFunctionIncmAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $609,703 | ExclusionAmt |
| Related Or Exempt Function Incm | $533,857 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $1,143,560 | 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 |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| General Rule | Yes (X) | GeneralRuleInd |
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | 1 | ContributorNum |
| Contributor Person | GRISWOLD INDUSTRIES | ContributorPersonNm |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1701 PLACENTIA AVENUE | AddressLine1Txt |
| City | COSTA MESA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92627 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | $1,797,396 | TotalContributionsAmt |
| Person Contribution | Yes (X) | PersonContributionInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | Accounting Fees | CategoryTxt |
| Amt | $8,644 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $8,644 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (13 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| MFB NORTHERN FUNDS STK INDEX FD | FMV | $6,655,885 | $6,655,885 |
| MFB NORTHERN EQUITY INDEX FUNDS MID CAP | FMV | $864,025 | $864,025 |
| MFB NORTHERN FUNDS SMALL CAP INDEX | FMV | $839,530 | $839,530 |
| MFB NORTHERN EQUITY INDEX FUNDS INTL EQT | FMV | $3,156,009 | $3,156,009 |
| MFO DFA INTL SMALL CO PORTFOLIO | FMV | $531,950 | $531,950 |
| MFB NORTHERN FUNDS EMERGING MKTS EQUITY | FMV | $874,010 | $874,010 |
| MFB NORTHERN FUNDS BD INDEX FD | FMV | $2,321,824 | $2,321,824 |
| MFB NORTHERN FUNDS HIGH YIELD FIXED INC | FMV | $3,145,272 | $3,145,272 |
| MFC FLEXSHARES TR STOXX GLOBAL BROAD INF | FMV | $988,086 | $988,086 |
| MFB NORTHERN FDS GLOBAL REAL ESTATE | FMV | $553,195 | $553,195 |
| MFC FLEXSHARES TR MORNINGSTAR GLOBAL UPS | FMV | $1,284,669 | $1,284,669 |
| MFO VANGUARD INFLATION PROTECTED SECURIT | FMV | $154,960 | $154,960 |
| MFC FLEXSHARES TR IBOXX 3 YR TARGET DURA | FMV | $260,390 | $260,390 |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | Legal Fees | CategoryTxt |
| Legal Fees | $10,211 | LegalFeesAmt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $10,211 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Accrual of 2022 Excise Tax & Penalties | Desc |
| Amt | $12,382 | Amt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS EXPENSES | Desc |
| Revenue And Expenses Per Books | $16 | RevenueAndExpensesPerBooksAmt |
| Adjusted Net Income | $16 | AdjustedNetIncomeAmt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | INVESTMENT FEES | CategoryTxt |
| Amt | $91,895 | Amt |
| Net Investment Income | $91,895 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Substantial Contributors Sch SubstantialContributorsSch
Substantial Contributor Detail SubstantialContributorDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Griswold Industries | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1701 Placentia Avenue | AddressLine1Txt |
| City | Costa Mesa | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92627 | ZIPCd |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt |
|---|---|---|---|
| FOREIGN TAX PAID | $16,880 | $16,880 | |
| STATE FILING FEES | $200 | $200 |