KAYSER FAMILY FOUNDATION INC: Form 990PF, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- KAYSER FAMILY FOUNDATION INC (EIN 82-0503233)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-05-24
- IRS object ID
- 202231449349100213
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990-PF
- Accounting Fees Schedule
- Gain Loss Sale Other Assets Sch
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Other Expenses Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-24T12:51:19-04:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 931051614 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lynn McFarland CPA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1937 Pleasant Hill Road | AddressLine1Txt |
| City | Pleasant Hill | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94523 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 820503233 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE KAYSER FAMILY FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | KAYS | BusinessNameControlTxt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 980 S THOMPSON ROAD | AddressLine1Txt |
| City | LAFAYETTE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94549 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JEAN K KAYSER MD | PersonNm |
| Person Title | PRESIDENT & TRE | PersonTitleTxt |
| Phone | 4155055326 | PhoneNum |
| Signature | 2022-05-23 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JEAN | PersonFirstNm |
| Person Last | KAYSER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Lynn McFarland | PreparerPersonNm |
| PTIN | P00681209 | PTIN |
| Phone | 5109192115 | PhoneNum |
| Preparation | 2022-05-24 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| OOB Security Verification | 00 | OOBSecurityVerificationCd |
| Authentication Assurance Level | AAL2 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $829,244 | 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 |
| Interest On Sav Rev And Expnss | $2 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $2 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $13,333 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $13,333 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $429,231 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $509,678 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $819 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $442,566 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $14,154 | TotalNetInvstIncmAmt |
| Accounting Fees Rev And Expnss | $2,510 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Chrtbl Prps | $2,510 | AccountingFeesChrtblPrpsAmt |
| Taxes Rev And Expnss | $219 | TaxesRevAndExpnssAmt |
| Other Expenses Rev And Expnss | $5,279 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Dsbrs Chrtbl | $2,045 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $8,008 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $0 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $4,555 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $46,600 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $46,600 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $54,608 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $0 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $51,155 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $387,958 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $14,154 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $348 | CashBOYAmt |
| Cash EOY | $16,113 | CashEOYAmt |
| Cash EOYFMV | $16,113 | CashEOYFMVAmt |
| Corporate Stock BOY | $153,242 | CorporateStockBOYAmt |
| Corporate Stock EOY | $525,435 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $784,552 | CorporateStockEOYFMVAmt |
| Other Investments BOY | $7,328 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $7,328 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $28,579 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $160,918 | TotalAssetsBOYAmt |
| Total Assets EOY | $548,876 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $829,244 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
| No Donor Rstr Net Assests BOY | $160,918 | NoDonorRstrNetAssestsBOYAmt |
| No Donor Rstr Net Assests EOY | $548,876 | NoDonorRstrNetAssestsEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $160,918 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $548,876 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $160,918 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $548,876 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $160,918 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $387,958 | ExcessRevenueOverExpensesAmt |
| Subtotal | $548,876 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $548,876 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Property | CHARLES SCHWAB | PropertyDesc |
| Gross Sales Price | $819 | GrossSalesPriceAmt |
| Gain Or Loss | $819 | GainOrLossAmt |
| Gains Minus Excess Or Losses | $819 | GainsMinusExcessOrLossesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $819 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $197 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $197 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $197 | TaxBasedOnInvestmentIncomeAmt |
| Tax Due | $197 | TaxDueAmt |
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 |
| Form990 PF Filed With Atty Gen | Yes (true) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | false | PrivateOperatingFoundationInd |
| New Substantial Contributors | false | NewSubstantialContributorsInd |
| Own Controlled Entity | false | OwnControlledEntityInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (true) | ComplyWithPublicInspRqrInd |
| Individual With Books | JEAN K KAYSER MD | IndividualWithBooksNm |
| Phone | 4155055326 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 980 S THOMPSON ROAD | AddressLine1Txt |
| City | LAFAYETTE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94549 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | false | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | false | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | false | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | false | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | false | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | false | UncorrectedPriorActsInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| Undistr Incm Sect4942a2 Not App | false | UndistrIncmSect4942a2NotAppInd |
| 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 (5 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 |
|---|---|---|---|---|---|---|---|---|
| BILL R KAYSER | ||||||||
| 15525 SE RIVER FORREST DRIVE | PORTLAND | OR | 97267 | SECRETARY | 1.00 | $0 | $0 | $0 |
| RUBY K KAYSER | ||||||||
| 1643 RIVER FOREST PLACE | PORTLAND | OR | 97267 | DIRECTOR | 1.00 | $0 | $0 | $0 |
| KEVIN KAYSER | ||||||||
| 16343 RIVER FORREST PLACE | PORTLAND | OR | 97267 | VICE PRESIDENT | 1.00 | $0 | $0 | $0 |
| JEAN K KAYSER MD | ||||||||
| 980 S THOMPSON ROAD | LAFAYETTE | CA | 94549 | PRESIDENT & TREASURER | 2.00 | $0 | $0 | $0 |
| STELLA KAYSER | ||||||||
| 2538 NE 21ST STREET | PORTLAND | OR | 97212 | DIRECTOR | 1.00 | $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 |
Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | NA | Description1Txt |
| Expenses1 | $0 | Expenses1Amt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | NA | Description1Txt |
| Expenses1 | $0 | Expenses1Amt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $0 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $0 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $802,030 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $802,030 | TotalFMVOfUnusedAssetsAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $802,030 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $12,030 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $790,000 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $39,500 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $39,500 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $197 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $197 | TotalTaxAmt |
| Distributable Before Adj | $39,303 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $39,303 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $39,303 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $51,155 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $51,155 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $39,303 | DistributableAsAdjustedAmt |
| Excess Distribution Cyov Yr2 | $3,367 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $1,507 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $4,874 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $51,155 | QualifyingDistributionsAmt |
| Applied To Current Year | $39,303 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $11,852 | RemainingDistriFromCorpusAmt |
| Total Corpus | $16,726 | TotalCorpusAmt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Excess Distri Cyov To Next Yr | $16,726 | ExcessDistriCyovToNextYrAmt |
| Excess From Year2 | $3,367 | ExcessFromYear2Amt |
| Excess From Year1 | $1,507 | ExcessFromYear1Amt |
| Excess From Current Year | $11,852 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | DONALD R KAYSER | ContributingManagerNm |
| Contributing Manager | MARY K KAYSER | ContributingManagerNm |
| Shareholder Manager | NA | ShareholderManagerNm |
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (43 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|
| THE MADELINE | ||||||
| 3240 23RD AVENUE | PORTLAND | OR | 97212 | PC | COMMUNITY | $7,500 |
| NORTH CLACKAMAS EDUCATION FOUNDATIO | ||||||
| PO BOX 595 | CLACKAMAS | OR | 97015 | PC | COMMUNITY | $2,500 |
| NORTH CLACKAMAS SOCCER CLUB | ||||||
| PO BOX 68884 | PORTLAND | OR | 97268 | PC | COMMUNITY | $1,000 |
| MELMARK NEW ENGLAND | ||||||
| 461 RIVER RD | PORTLAND | OR | 97212 | PC | COMMUNITY | $1,000 |
| BIG BROTHERS BIG SISTERS OF CENTRAL | ||||||
| 143 NORTH MERIDIAN STREET | INDIANAPOLIS | IN | 46202 | PC | COMMUNITY | $250 |
| FIRST PRESBYTERIAN FOOD BANK | ||||||
| 1207 CONNER STREET | NOBLESVILLE | IN | 46060 | PC | COMMUNITY | $250 |
| SCHOOL ON WHEELS | ||||||
| 2605 EAST 62ND STREET | INDIANAPOLIS | IN | 46202 | PC | COMMUNITY | $250 |
| THE OCONNOR HOUSE | ||||||
| PO BOX 1061 | CARMEL | IN | 46082 | PC | COMMUNITY | $250 |
| LAKE PLACID CENTER FOR THE ARTS | ||||||
| 17 ALGONQUIN DR | LAKE PLACID | NY | 12946 | PC | COMMUNITY | $300 |
| FAMILIES FIRST IN ESSEX COUNTY | ||||||
| 196 WATER ST | ELIZABETHTOWN | NY | 12932 | PC | COMMUNITY | $250 |
| HILLCREST FUND | ||||||
| 2268 SARANAC AVENUE | LAKE PLACID | NY | 12946 | PC | COMMUNITY | $200 |
| NEW YORK SKI EDUCATION FOUNDATION | ||||||
| 5021 NY-86 | WILMINGTON | NY | 12997 | PC | COMMUNITY | $150 |
| TRI-LAKES HUMANE SOCIETY | ||||||
| 255 GEORGE H LAPAN MEMORIAL HWY | SARANAC LAKE | NY | 12983 | PC | COMMUNITY | $200 |
| ST AGNES SCHOOL | ||||||
| 2322 SARANAC AVE | LAKE PLACID | NY | 12946 | PC | COMMUNITY | $750 |
| MCDOWELL SONORAN CONSERVANCY | ||||||
| 8175 E EVANS ROAD | SCOTTSDALE | AZ | 85260 | PC | COMMUNITY | $100 |
| BISHOPS FUND ROMAN CATHOLIC DIOCES | ||||||
| 622 WASHINGTON STREET | OGDENSBURG | NY | 13669 | PC | COMMUNITY | $200 |
| WORLD SCHOLARSHIP INITIATIVE | ||||||
| 2553 SE DOVE STREET | PORTLAND | OR | 97222 | PC | COMMUNITY | $500 |
| PORTLAND RESCUE MISSION | ||||||
| PO BOX 3713 | PORTLAND | OR | 97208 | PC | COMMUNITY | $100 |
| PORTLAND TENNIS AND EDUCATION | ||||||
| 7519 N BURLINGTON AVENUE | PORTLAND | OR | 97203 | PC | COMMUNITY | $250 |
| HOSPITAL DE LA FAMILIA FOUNDATION | ||||||
| PO BOX 12981 | BERKELEY | CA | 94712 | PC | COMMUNITY | $1,700 |
| STANFORD UNIVERSITY | ||||||
| 326 GALVEZ STREET | STANFORD | CA | 94305 | PC | COMMUNITY | $250 |
| FRIENDS OF ROWENZORI FOUNDATION | ||||||
| 8 ALTAMOUNT DRIVE | ORINDA | CA | 94563 | PC | COMMUNITY | $100 |
| STEVENSON SCHOOL -SEAN COOLEY FUND | ||||||
| 3152 FOREST LAKE ROAD | PEBBLE BEACH | CA | 93953 | PC | COMMUNITY | $3,000 |
| RISE UP | ||||||
| 555 12TH STREET SUITE 290 | OAKLAND | CA | 94607 | PC | COMMUNITY | $500 |
| FR RICKST LUKES FOUNDATION HAITI | ||||||
| 8980 SW 56TH STREET | MIAMI | FL | 33165 | PC | COMMUNITY | $250 |
| KQED | ||||||
| 50 BEALE STREET FIFTH FLOOR | SAN FRANCISCO | CA | 94105 | PC | COMMUNITY | $250 |
| AFGHAN INSTITUTE OF LEARNING | ||||||
| PO BOX 1058 | DEARBORN | MI | 48121 | PC | COMMUNITY | $250 |
| WOMEN FOR WOMEN INTERNATIONAL | ||||||
| 2000 M STREET NW | WASHINGTON | DC | 20036 | PC | COMMUNITY | $100 |
| TIBA FOUNDATION | ||||||
| 344 20TH STREET 9D | OAKLAND | CA | 94612 | PC | COMMUNITY | $500 |
| ALDEA | ||||||
| 1732 1ST AVENUE 26867 | NEW YORK | NY | 10128 | PC | COMMUNITY | $250 |
| JESUIT TUITION ASSISTANCE | ||||||
| 9000 SW BEAVERTON-HILLSDALE HWY | PORTLAND | OR | 97225 | PC | COMMUNITY | $250 |
| BIKE FIRST | ||||||
| 11611 NE AINSWORTH CIRCLE | PORTLAND | OR | 97220 | PC | COMMUNITY | $250 |
| IN A LANDSCAPE | ||||||
| 5331 S MACADAM SUITE 258-1007 | PORTLAND | OR | 97238 | PC | COMMUNITY | $200 |
| OHSU KNIGHT CANCER INST | ||||||
| 3181 SW SAM JACKSON PARK ROAD | PORTLAND | OR | 97239 | PC | COMMUNITY | $250 |
| PEREGRINE FUND | ||||||
| 5668 W FLYING HAWK LANE | BOISE | ID | 83709 | PC | COMMUNITY | $5,000 |
| FR RICKST LUKES FOUNDATION HAITI | ||||||
| 8980 SW 56TH ST | MIAMI | FL | 33101 | PC | COMMUNITY | $2,500 |
| GONZAGA FUNDFR TONY | ||||||
| 502 E BOONE AVE | SPOKANE | WA | 99258 | PC | COMMUNITY | $2,500 |
| NATURAL RESOURCES DEFENCE COUNCIL | ||||||
| 40 W 2OTH STREET | NEW YORK | NY | 10011 | PC | COMMUNITY | $2,000 |
| BOYS GIRLS CLUBS OF LARIMER COUNT | ||||||
| 103 SMOKEY STREET | FORT COLLINS | CO | 80525 | PC | COMMUNITY | $2,000 |
| ANIMAL FRIENDS ALLIANCE | ||||||
| 2321 E MULBERRY ST | FORT COLLINS | CO | 80525 | PC | COMMUNITY | $2,000 |
| MT HOOD MUSEUM | ||||||
| 88900 E HWY 26 | GOVERNMENT CAMP | OR | 97028 | PC | COMMUNITY | $2,500 |
| PANCREATIC CANCER FUND | ||||||
| 1500 ROSECRANS AVE STE200 | MANHATTAN BEACH | CA | 90266 | PC | COMMUNITY | $2,000 |
| ALZHEIMERS ASSOCIATION | ||||||
| 225 N MICHIGAN AVE | CHICAGO | IL | 60603 | PC | COMMUNITY | $2,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $46,600 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Related Or Exempt Function Incm | $2 | RelatedOrExemptFunctionIncmAmt |
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Related Or Exempt Function Incm | $13,333 | RelatedOrExemptFunctionIncmAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 01 | ExclusionCd |
| Exclusion | $819 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $819 | ExclusionAmt |
| Related Or Exempt Function Incm | $13,335 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $14,154 | 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 |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | TAX PREPARATION | CategoryTxt |
| Amt | $2,510 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $2,510 | DisbursementsCharitablePrpsAmt |
Gain Loss Sale Other Assets Sch GainLossSaleOtherAssetsSch
Gain Loss Sale Other Asset GainLossSaleOtherAssetGrp (12 entries)
| AssetAssetDesc | AcquiredAcquiredDt | How AcquiredHowAcquiredTxt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | BasisBasisAmt | Sales ExpenseSalesExpenseAmt | Total NetTotalNetAmt | Accumulated DepreciationAccumulatedDepreciationAmt |
|---|---|---|---|---|---|---|---|---|
| 65 SH CHARTER | 2012-04 | PURCHASE | 2021-05 | $44,007 | $5,164 | $0 | $38,843 | $0 |
| 395 SH HONEYWELL | 2012-04 | PURCHASE | 2021-05 | $88,528 | $16,663 | $0 | $71,865 | $0 |
| 83 SH RESIDIO | 2012-04 | PURCHASE | 2021-05 | $2,500 | $181 | $0 | $2,319 | $0 |
| 150 SH CHEVRON | 2012-04 | PURCHASE | 2021-05 | $15,524 | $5,596 | $0 | $9,928 | $0 |
| 1250 SH INTEL | 2012-04 | PURCHASE | 2021-05 | $71,665 | $21,221 | $0 | $50,444 | $0 |
| 65 SH SELED AIR | 2012-04 | PURCHASE | 2021-05 | $4,187 | $1,704 | $0 | $2,483 | $0 |
| 340 SH EXXON | 2012-04 | PURCHASE | 2021-05 | $19,608 | $9,877 | $0 | $9,731 | $0 |
| 225 SH MONDELEZ | 2012-04 | PURCHASE | 2021-05 | $13,642 | $5,392 | $0 | $8,250 | $0 |
| 21 SH SYLVAMO | 2012-04 | PURCHASE | 2021-05 | $650 | $0 | $0 | $650 | $0 |
| 50 SH GARRETT | 2012-04 | PURCHASE | 2021-05 | $276 | $68 | $0 | $208 | $0 |
| 1149 SH ORACLE | 2012-04 | PURCHASE | 2021-05 | $90,980 | $4,009 | $0 | $86,971 | $0 |
| 850 SH TEXAS INSTRUMENTS | 2012-04 | PURCHASE | 2021-05 | $157,292 | $10,572 | $0 | $146,720 | $0 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (60 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| CHARTER COMMUNICATIONS | $1,668 | $13,691 |
| CHEVRON TEXACO | $5,596 | $17,602 |
| CULLEN FROST | $5,667 | $12,607 |
| EXXON MOBIL | $7,907 | $16,644 |
| HONEYWELL | $4,429 | $21,894 |
| INTEL CORP | $5,942 | $18,025 |
| MONDELEZ | $5,345 | $14,787 |
| ORACLE | $1,274 | $31,832 |
| SEALED AIR | $19,306 | $49,590 |
| TEXAS INSTRUMENTS | $3,762 | $65,964 |
| GARRETT MOTION | $0 | $0 |
| RESIDEO | $0 | $0 |
| INTERNATIONAL PAPER | $11,310 | $11,275 |
| ABBOTT LABS | $10,689 | $12,667 |
| ADOBE | $10,183 | $11,341 |
| AKAMAI | $9,882 | $10,534 |
| ALCON | $8,026 | $10,019 |
| ALPHABET | $11,802 | $14,485 |
| ALPHATEC | $8,428 | $7,201 |
| AMAZON | $10,201 | $10,003 |
| AMERICAN EXPRESS | $10,067 | $10,634 |
| AMETEK | $10,795 | $11,763 |
| ANSYS | $8,482 | $10,028 |
| APPLE | $11,026 | $15,093 |
| BANK OF AMERICA | $10,063 | $10,900 |
| CASTLE BIOSCIENCES | $10,108 | $7,717 |
| CHARLES RIVER LABS | $9,987 | $11,303 |
| CINTAS | $10,402 | $13,295 |
| COGNYTE SOFTWARE | $8,908 | $5,406 |
| CONOCOPHILLIPS | $7,739 | $10,827 |
| DANAHER | $10,183 | $13,160 |
| ECOLAB | $7,814 | $8,211 |
| ESTEE LAUDER | $7,864 | $9,255 |
| FMC | $7,662 | $7,143 |
| FORTINET | $10,285 | $17,970 |
| HOME DEPOT | $9,678 | $12,450 |
| IDEX | $10,099 | $10,634 |
| STARBUCKS | $10,241 | $10,527 |
| JP MORGAN CHASE | $10,148 | $10,293 |
| KEURIG DR PEPPER | $7,823 | $8,109 |
| MICROSOFT | $10,055 | $13,453 |
| MOODYS | $9,848 | $11,717 |
| NIKE | $10,021 | $12,500 |
| NTNL INSTRUMENTS | $10,487 | $11,136 |
| NUTANIX | $7,014 | $7,009 |
| OREILLY | $8,054 | $10,593 |
| PAYPAL | $10,485 | $7,543 |
| PEPSICO | $7,902 | $9,554 |
| PIONEER NATURAL | $7,747 | $9,094 |
| ROCKWELL | $10,555 | $13,954 |
| ROPER | $11,186 | $12,296 |
| SBA | $7,489 | $9,725 |
| SALESFORCE | $10,502 | $11,436 |
| THERMO FISHER | $9,409 | $13,345 |
| TRIMBLE | $10,874 | $11,771 |
| UNION PACIFIC | $10,022 | $11,337 |
| VF CORP | $11,084 | $9,519 |
| VISA | $10,442 | $9,752 |
| WALT DISNEY | $11,043 | $9,293 |
| ZOETIS | $10,425 | $14,646 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category Or Item | WEYERHAEUSER CO REIT | CategoryOrItemTxt |
| Book Value | $7,328 | BookValueAmt |
| EOYFMV | $28,579 | EOYFMVAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (3 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|---|
| COMPUTER AND PRINTER | $2,027 | $0 | $0 | $2,027 |
| POSTAGE | $18 | $0 | $0 | $18 |
| INVESTMENT MANAGEMENT FEES | $3,234 | $0 | $0 | $0 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | 2020 EXCISE TAX | CategoryTxt |
| Amt | $219 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |