KELSEY FAMILY FOUNDATION: Form 990PF, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- KELSEY FAMILY FOUNDATION (EIN 95-4738164)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-15
- IRS object ID
- 202303199349107805
- 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
- Accounting Fees Schedule
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Other Expenses Schedule
- Other Income Schedule2
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-11-15T16:08:02-06:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450250958 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EIDE BAILLY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 21515 HAWTHORNE BLVD STE 1250 | AddressLine1Txt |
| City | TORRANCE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 905036583 | 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 | 954738164 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KELSEY FAMILY FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | KELS | BusinessNameControlTxt |
| Phone | 3103013545 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3030 S BUNDY DR | AddressLine1Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90066 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | VAN KELSEY | PersonNm |
| Person Title | VICE PRESIDENT | PersonTitleTxt |
| Phone | 3103013545 | PhoneNum |
| Signature | 2023-11-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | VAN | PersonFirstNm |
| Person Last | KELSEY | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ERIN S FUKUTO CPA | PreparerPersonNm |
| PTIN | P00292761 | PTIN |
| Phone | 3105405990 | PhoneNum |
| Preparation | 2023-11-09 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| 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 | $1,166,311 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Dividends Rev And Expnss | $10,349 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $10,333 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $9,028 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $337,158 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $9,028 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $6,225 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $4,532 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | $25,602 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $23,893 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $0 | CompOfcrDirTrstDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $5,250 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $2,625 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $2,625 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $6,207 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $6,207 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $0 | OtherProfFeesDsbrsChrtblAmt |
| Interest Rev And Expnss | $60 | InterestRevAndExpnssAmt |
| Interest Net Invst Incm | $60 | InterestNetInvstIncmAmt |
| Interest Dsbrs Chrtbl | $0 | InterestDsbrsChrtblAmt |
| Taxes Rev And Expnss | $1,211 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $11 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Deprec And Dpltn Rev And Expnss | $2 | DeprecAndDpltnRevAndExpnssAmt |
| Deprec And Dpltn Net Invst Incm | $2 | DeprecAndDpltnNetInvstIncmAmt |
| Other Expenses Rev And Expnss | $5,660 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $5,567 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $4 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $18,390 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $14,472 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $2,629 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $60,000 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $60,000 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $78,390 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $14,472 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $62,629 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$52,788 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $9,421 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $32,670 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $14,242 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $14,242 | SavAndTempCashInvstEOYFMVAmt |
| Corporate Stock BOY | $413,080 | CorporateStockBOYAmt |
| Corporate Stock EOY | $417,077 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $470,550 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $47,792 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $34,680 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $30,213 | CorporateBondsEOYFMVAmt |
| Other Investments BOY | $562,995 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $537,750 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $651,306 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $1,056,537 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,003,749 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $1,166,311 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
| Capital Stock BOY | $0 | CapitalStockBOYAmt |
| Capital Stock EOY | $0 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | $1,056,537 | RetainedEarningBOYAmt |
| Retained Earning EOY | $1,003,749 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $1,056,537 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $1,003,749 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $1,056,537 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $1,003,749 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $1,056,537 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$52,788 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $1,003,749 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $1,003,749 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (6 entries)
| PropertyPropertyDesc | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt | Cost Or Other BasisCostOrOtherBasisAmt |
|---|---|---|---|---|---|---|
| FLOW THROUGH FROM DORCHESTER CAPITAL SECONDARIES IV, LP | 2022-01-01 | 2022-06-15 | $163 | $163 | $163 | |
| FLOW THROUGH FROM DORCHESTER CAPITAL SECONDARIES IV, LP | 2021-01-01 | 2022-06-15 | $9,941 | $9,941 | $9,941 | |
| FLOW THROUGH FROM DORCHESTER CAPITAL SECONDARIES IV, LP | 2021-01-01 | 2022-06-15 | $1,841 | $1,841 | $1,841 | |
| MELLON PRIVATE ASSET MANAGEMENT-LT CAPITAL GAIN DISTRIBUTION | 2021-01-01 | 2022-06-15 | $15,693 | $15,693 | $15,693 | |
| MELLON PRIVATE ASSET MANAGEMENT | 2022-01-01 | 2022-06-15 | $48,523 | -$11,211 | -$11,211 | $59,734 |
| MELLON PRIVATE ASSET MANAGEMENT | 2021-01-01 | 2022-06-15 | $260,997 | -$7,399 | -$7,399 | $268,396 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $9,028 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $131 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $131 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $131 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $2,479 | EstimatedPlusOvpmtIncmTxAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Extsn Request Income Tax Paid | $0 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $2,479 | TotalPaymentsAndCreditsAmt |
| Es Penalty | $0 | EsPenaltyAmt |
| Overpayment | $2,348 | OverpaymentAmt |
| Applied To ES Tax | $600 | AppliedToESTaxAmt |
| Refund | $1,748 | RefundAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | 0 | LegislativePoliticalActyInd |
| More Than100 Spent | 0 | MoreThan100SpentInd |
| Form1120 POL Filed | 0 | Form1120POLFiledInd |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Tax Reimbursed | $0 | TaxReimbursedAmt |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (1) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | CA | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (1) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | 0 | PrivateOperatingFoundationInd |
| New Substantial Contributors | 0 | NewSubstantialContributorsInd |
| Own Controlled Entity | 0 | OwnControlledEntityInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (1) | ComplyWithPublicInspRqrInd |
| Website Address | N/A | WebsiteAddressTxt |
| Individual With Books | MARK KELSEY | IndividualWithBooksNm |
| Phone | 3103901000 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3030 SOUTH BUNDY DRIVE | AddressLine1Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90066 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | 0 | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | 0 | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | 0 | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | 0 | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | 0 | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActsInd |
| Undistributed Income PY | 0 | UndistributedIncomePYInd |
| Business Holdings | 0 | BusinessHoldingsInd |
| Jeopardy Investments | 0 | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | 0 | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | 0 | InfluenceLegislationInd |
| Influence Election | 0 | InfluenceElectionInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Noncharitable Purpose | 0 | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| KATHLEEN K MACKER | ||||||||
| 3030 BUNDY DRIVE | LOS ANGELES | CA | 90066 | V.P. & OPERATING DIRECTOR | 2.00 | $0 | $0 | $0 |
| VAN R KELSEY III | ||||||||
| 3030 BUNDY DRIVE | LOS ANGELES | CA | 90066 | V.P. & OPERATING DIRECTOR | 2.00 | $0 | $0 | $0 |
| MARK R KELSEY | ||||||||
| 3030 BUNDY DRIVE | LOS ANGELES | CA | 90066 | PRESIDENT | 2.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Other Employee Paid Over50k | 0 | OtherEmployeePaidOver50kCnt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $1,187,637 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $63,151 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $1,250,788 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $1,250,788 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $18,762 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $1,232,026 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $61,601 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $61,601 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $131 | TaxBasedOnInvestmentIncomeAmt |
| Income Tax | $146 | IncomeTaxAmt |
| Total Tax | $277 | TotalTaxAmt |
| Distributable Before Adj | $61,324 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $61,324 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $61,324 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $62,629 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $62,629 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $61,324 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $3,524 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $976 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $10,052 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $3,859 | ExcessDistributionCyovYr2Amt |
| Total Excess Distribution Cyov | $18,411 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $62,629 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $61,324 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $1,305 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $19,716 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $3,524 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $16,192 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $976 | ExcessFromYear4Amt |
| Excess From Year3 | $10,052 | ExcessFromYear3Amt |
| Excess From Year2 | $3,859 | ExcessFromYear2Amt |
| Excess From Current Year | $1,305 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | KATHLEEN K MACKER | ContributingManagerNm |
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (23 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| CATHOLIC BIG BROTHERS BIG SISTERS OF LOS ANGELES COUNTY | |||||||
| 1530 JAMES M WOOD BLVD 2ND FLOOR | LOS ANGELES | CA | 90015 | NONE | PC | CHAMPIONS FOR YOUTH VIRTUAL EVENT | $10,000 |
| CATHOLIC EDUCATION FOUNDATION OF LOS ANGELES | |||||||
| 3424 WILSHIRE BLVD 3RD FLOOR | LOS ANGELES | CA | 90010 | NONE | PC | TUITION FOR STUDENTS | $500 |
| CORPUS CHRISTI CHURCH | |||||||
| 880 TOYOPA DR | PACIFIC PALISADES | CA | 90272 | NONE | PC | GENERAL FUND | $2,500 |
| CORPUS CHRISTI SCHOOL | |||||||
| 890 TOYOPA DR | PACIFIC PALISADES | CA | 90272 | NONE | PC | GENERAL FUND | $500 |
| DESERT COMMUNITY FOUNDATION | |||||||
| 75-105 MERLE DR300 | PALM DESERT | CA | 92211 | NONE | PC | MARRAKESH SCHOLARSHIP FUND | $1,000 |
| DOCTORS WITHOUT BORDERS | |||||||
| 40 RECTOR STREET 16TH FLOOR | NEW YORK | NY | 10006 | NONE | PC | GENERAL FUND | $5,000 |
| FREEDOM FOUNDATION | |||||||
| 1029 N PEACHTREE PARKWAY 268 | PEACHTREE CITY | GA | 30269 | NONE | PC | GENERAL FUND | $500 |
| GREENPEACE | |||||||
| 702 H STREET NW NO 300 | WASHINGTON | DC | 20001 | NONE | PC | PROTECTING AND PRESERVING THE ENVIRONMENT | $4,500 |
| HARVARD WESTLAKE UPPER SCHOOL | |||||||
| 3700 COLDWATER CANYON AVE | STUDIO CITY | CA | 91604 | NONE | PC | GENERAL FUND | $1,000 |
| HOOVER INSTITUTION | |||||||
| 326 GALVEZ STREET | STANFORD | CA | 94305 | NONE | PC | THE HOOVER INSTITUTION UNRESTRICTED GIFT FUND | $100 |
| KECK SCHOOL OF MEDICINE | |||||||
| 1975 ZONAL AVE KAM B45 | LOS ANGELES | CA | 90033 | NONE | PC | USC PAIN CENTER | $5,000 |
| LOS ANGELES BALLET INC | |||||||
| 11755 EXPOSITION BLVD | LOS ANGELES | CA | 90064 | NONE | PC | GENERAL FUND | $10,000 |
| MEALS ON WHEELS WEST | |||||||
| 1823-A MICHIGAN AVE | SANTA MONICA | CA | 90404 | NONE | PC | MEALS ON WHEELS WEST PROGRAM TO DELIVER MEALS TO HOMEBOUND RESIDENTS AND CONDUCT WELLNESS CHECKS | $50 |
| MIDLAND SCHOOL | |||||||
| PO BOX 8 | LOS OLIVOS | CA | 93441 | NONE | PC | ANNUAL SCHOLARSHIP FUND | $5,000 |
| OFF SQUARE THEATRE COMPANY | |||||||
| PO BOX 2920 | JACKSON | WY | 83001 | NONE | PC | TRAINING AND EDUCATIONAL PROGRAMS | $1,000 |
| OUR LADY OF MOUNT CARMEL SCHOOL | |||||||
| 530 HOT SPRINGS RD | SANTA BARBARA | CA | 93108 | NONE | PC | GENERAL FUND | $250 |
| SAINT JOHN'S HEALTH CENTER FOUNDATION | |||||||
| 2121 SANTA MONICA BOULEVARD | SANTA MONICA | CA | 90404 | NONE | PC | PROVIDE PHILANTHROPIC SUPPORT FOR HEALTH CARE AND RESEARCH AT THE PROVIDENCE SAINT JOHN'S HEALTH CENTER, CANCER INSTITUTE, AND PACIFIC NEUROSCIENCE INSTITUTE. | $100 |
| SANTA CATALINA SCHOOL FUND | |||||||
| 1500 MARK THOMAS DRIVE | MONTEREY | CA | 93940 | NONE | PC | GENERAL FUND | $1,000 |
| SECOND HARVEST FOOD BANK OF ORANGE COUNTY | |||||||
| 8014 MARINE WAY | IRVINE | CA | 92618 | NONE | PC | TO PROVIDE FOOD FOR ORANGE COUNTY RESIDENTS IN NEED | $5,000 |
| ST FRANCIS CENTER | |||||||
| 1835 S HOPE ST | LOS ANGELES | CA | 90015 | NONE | PC | HUNGER RELIEF TO THE HOMELESS AND EXTREMELY LOW-INCOME FAMILIES IN LA. | $500 |
| THE WALDORF SCHOOL OF SANTA BARBARA | |||||||
| 7421 MIRANO DR | GOLETA | CA | 93117 | NONE | PC | GENERAL FUND | $5,000 |
| UC BERKELEY FOUNDATION | |||||||
| 1995 UNIVERSITY AVE SUITE 401 | BERKELEY | CA | 94704 | NONE | PC | L&S ENDOWMENT/FACULTY EXCELLENCE | $500 |
| UPWARD BOUND HOUSE | |||||||
| 1104 WASHINGTON AVE | SANTA MONICA | CA | 90403 | NONE | PC | GENERAL FUND | $1,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $60,000 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $10,349 | ExclusionAmt |
Other Investment Income OtherInvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 15 | ExclusionCd |
| Exclusion | $6,225 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $9,028 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $25,602 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $25,602 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | 0 | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | 0 | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | 0 | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | 0 | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | 0 | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | 0 | RelationshipsNonchrtblEOInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING | CategoryTxt |
| Amt | $5,250 | Amt |
| Net Investment Income | $2,625 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $2,625 | DisbursementsCharitablePrpsAmt |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp (6 entries)
| BondBondNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| 212.238 SHS BNY MELLON INTERMEDIATE BOND FUND | $2,562 | $2,455 |
| 104.129 SHS BNY MELLON HIGH YIELD FUND-CLASS 1 | $665 | $534 |
| 131.447 SHS BNY MELLON CORPORATE BOND FUND | $1,711 | $1,506 |
| 2,000.048 SHS BNY MELLON YLD ENHAN STRAT-Y | $24,710 | $21,381 |
| 339.65 SHS BNY MELLON BOND FUND | $4,268 | $3,675 |
| 62.199 SHS BNY MELLON FLOATING RATE INCOME FUND | $764 | $662 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (5 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| 1,712.813 SHS BNY MELLON MULTI STRATEGY FUND | $31,588 | $27,148 |
| 900 SHS BNY MELLON ISHARES CORE S&P 500 ETF | $286,303 | $345,789 |
| 190 SHS ISHARES CORE S&P SMALLCAP 600 | $17,807 | $17,982 |
| 780 SHS ISHARES CORE MSCI EAFE ETF | $46,379 | $48,079 |
| 2,498.216 SHS GQG PARTNERS EMERGING MARKETS | $35,000 | $31,552 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (4 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| 1,239.877 SHS OPTIMA FUND LIMITED OFF-SHORE MULTI MANAGER | AT COST | $105,997 | $120,721 |
| 3,402.4891 SHS PLATIMUM FUND LIMITED OFF-SHORE SINGLE MANAGER | AT COST | $310,028 | $376,421 |
| 400.612 SHS BNY MELLON ALTERNATIVE DIVERSIFIER STRATEGIES FUND-CLASS Y | AT COST | $4,770 | $4,202 |
| .111935% DORCHESTER CAPITAL SECONDARIES IV, L.P. | AT COST | $116,955 | $149,962 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (5 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| FLOW THROUGH FROM DORCHESTER CAPITAL SECONDARIES IV,L.P.-RENTAL LOSS | $622 | $622 | $0 |
| FLOW THROUGH FROM DORCHESTER CAPITAL SECONDARIES IV, L.P.-OTHER DEDUCTIONS | $4,897 | $4,897 | $0 |
| FLOW THROUGH FROM DORCHESTER CAPITAL SECONDARIES IV, L.P.-NON DEDUCTIBLE EXP | $89 | $0 | $0 |
| FLOW THROUGH FROM DORCHESTER CAPITAL SECONDARIES IV, L.P.-PORTFOLIO DED | $48 | $48 | $0 |
| FLOW THROUGH FROM DORCHESTER CAPITAL SECONDARIES IV, L.P.-CHARITABLE CONTRIB | $4 | $0 | $4 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | FLOW THROUGH FROM DORCHESTER CAPITAL SECONDARIES IV, L.P.-ROYALTIES | Desc |
| Revenue And Expenses Per Books | $6,225 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $4,532 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $6,225 | AdjustedNetIncomeAmt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNT MANAGEMENT FEES | CategoryTxt |
| Amt | $6,207 | Amt |
| Net Investment Income | $6,207 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| FLOW THROUGH FROM DORCHESTER CAPITAL SECONDARIES IV, L.P.-FOREIGN TAXES | $11 | $11 | $0 |
| EXCISE TAX | $1,200 | $0 | $0 |