RAY AND DAGMAR DOLBY FAMILY FUND: Form 990PF, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- RAY AND DAGMAR DOLBY FAMILY FUND (EIN 91-2159332)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-15
- IRS object ID
- 202233199349106098
- 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
- Investments Other Schedule2
- Legal Fees Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Increases Schedule
- Other Liabilities Schedule
- Other Professional Fees Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-15T14:52:40-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 861065772 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELOITTE TAX LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 555 MISSION STREET | AddressLine1Txt |
| City | SAN FRANCISCO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94105 | 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 | 912159332 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RAY AND DAGMAR DOLBY FAMILY FUND | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | RAYA | BusinessNameControlTxt |
| Phone | 4155633646 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3340 JACKSON ST | AddressLine1Txt |
| City | SAN FRANCISCO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 941182019 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAGMAR DOLBY | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 4155633646 | PhoneNum |
| Signature | 2022-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DAGMAR | PersonFirstNm |
| Person Last | DOLBY | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MIKE SCHLECT | PreparerPersonNm |
| PTIN | P00967848 | PTIN |
| Phone | 4157834000 | PhoneNum |
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 | 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 | $107,417,721 | FMVAssetsEOYAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
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 | $1,866 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $1,866 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $349,399 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $435,288 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $2,654,775 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $34,116,923 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $4,724,895 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $3,536,194 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $2,533,900 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | $6,542,234 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $7,695,949 | 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 |
| Legal Fees Rev And Expnss | $39,341 | LegalFeesRevAndExpnssAmt |
| Legal Fees Net Invst Incm | $19,671 | LegalFeesNetInvstIncmAmt |
| Legal Fees Dsbrs Chrtbl | $19,671 | LegalFeesDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $94,176 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $47,088 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $47,088 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $1,052,731 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $246,667 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $806,064 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $178,685 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $59,806 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $25 | TaxesDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $38,230 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $400,965 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $37,491 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $1,403,163 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $774,197 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $910,339 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $13,236,876 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $3,575,860 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $14,640,039 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $774,197 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $4,486,199 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$8,097,805 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $6,921,752 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $2,407,956 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $4,224,392 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $4,224,392 | SavAndTempCashInvstEOYFMVAmt |
| Acct Rcvbl | $1,729 | AcctRcvblAmt |
| Acct Rcvbl BOY | $9,645,465 | AcctRcvblBOYAmt |
| Acct Rcvbl EOY | $1,729 | AcctRcvblEOYAmt |
| Acct Rcvbl EOYFMV | $1,729 | AcctRcvblEOYFMVAmt |
| Prepaid Expenses EOY | $76,768 | PrepaidExpensesEOYAmt |
| Prepaid Expenses EOYFMV | $76,768 | PrepaidExpensesEOYFMVAmt |
| Other Investments BOY | $89,475,498 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $103,114,832 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $103,114,832 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $101,528,919 | TotalAssetsBOYAmt |
| Total Assets EOY | $107,417,721 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $107,417,721 | TotalAssetsEOYFMVAmt |
| Accounts Payable BOY | $135,574 | AccountsPayableBOYAmt |
| Accounts Payable EOY | $114,740 | AccountsPayableEOYAmt |
| Grants Payable EOY | $9,661,016 | GrantsPayableEOYAmt |
| Other Liabilities BOY | $287,962 | OtherLiabilitiesBOYAmt |
| Other Liabilities EOY | $374,209 | OtherLiabilitiesEOYAmt |
| Total Liabilities BOY | $423,536 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $10,149,965 | 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 | $101,105,383 | RetainedEarningBOYAmt |
| Retained Earning EOY | $97,267,756 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $101,105,383 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $97,267,756 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $101,528,919 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $107,417,721 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $101,105,383 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$8,097,805 | ExcessRevenueOverExpensesAmt |
| Other Increases | $4,260,178 | OtherIncreasesAmt |
| Subtotal | $97,267,756 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $97,267,756 | 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 |
|---|---|---|---|---|---|---|---|
| CAPITAL GAIN DISTRIBUTION | P | 2021-01-01 | 2021-12-31 | $2,080,473 | $1,175,728 | $904,745 | $904,745 |
| FROM PARTNERSHIPS | P | 2021-01-01 | 2021-12-31 | $2,467,145 | $2,467,145 | $2,467,145 | |
| FROM PORTFOLIO | P | 2021-01-01 | 2021-12-31 | $29,569,305 | $28,216,300 | $1,353,005 | $1,353,005 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $4,724,895 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $96,212 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $96,212 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $96,212 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $166,768 | 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 | $166,768 | TotalPaymentsAndCreditsAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Es Penalty | $0 | EsPenaltyAmt |
| Overpayment | $70,556 | OverpaymentAmt |
| Applied To ES Tax | $70,556 | AppliedToESTaxAmt |
| Refund | $0 | 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 | JEN LYNCH | IndividualWithBooksNm |
| Phone | 4155633646 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3340 JACKSON STREET | AddressLine1Txt |
| City | SAN FRANCISCO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 941182019 | 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 | Yes (1) | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | 0 | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Acts Fail To Qlfy As Exceptions | 0 | ActsFailToQlfyAsExceptionsInd |
| 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 (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 |
|---|---|---|---|---|---|---|---|---|
| DAGMAR DOLBY | ||||||||
| 3340 JACKSON STREET | SAN FRANCISCO | CA | 941182019 | PRESIDENT | 1.00 | $0 | $0 | $0 |
| THOMAS DOLBY | ||||||||
| 3340 JACKSON STREET | SAN FRANCISCO | CA | 941182019 | SECRETARY | 1.00 | $0 | $0 | $0 |
| DAVID DOLBY | ||||||||
| 3340 JACKSON STREET | SAN FRANCISCO | CA | 941182019 | CHIEF FINANCIAL OFFICER | 1.00 | $0 | $0 | $0 |
| KARENA FOWLER | ||||||||
| 3340 JACKSON STREET | SAN FRANCISCO | CA | 941182019 | ASSISTANT SECRETARY | 1.00 | $0 | $0 | $0 |
| NATASHA DOLBY | ||||||||
| 3340 JACKSON STREET | SAN FRANCISCO | CA | 941182019 | VICE PRESIDENT | 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 |
Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Service TypeServiceTypeTxt | CompensationCompensationAmt |
|---|---|---|---|---|---|
| HIRSCH & ASSOCIATES LLC | |||||
| 1714 STOCKTON STREET SUITE 400 | SAN FRANCISCO | CA | 94133 | PHILANTHROPIC ADVISE SERVICES | $806,064 |
| HALL CAPITAL PARTNERS LLC | |||||
| ONE MARITIME PLAZA SUITE 500 | SAN FRANCISCO | CA | 94111 | INVESTMENT MANAGEMENT SERVICES | $247,197 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | $97,925,140 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $8,983,407 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $106,908,547 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $106,908,547 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $1,603,628 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $105,304,919 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $5,265,246 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $5,265,246 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $96,212 | TaxBasedOnInvestmentIncomeAmt |
| Income Tax | $5,231 | IncomeTaxAmt |
| Total Tax | $101,443 | TotalTaxAmt |
| Distributable Before Adj | $5,163,803 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $5,163,803 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $5,163,803 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $4,486,199 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $4,486,199 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $5,163,803 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr5 | $14,487,001 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $7,127,918 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $24,960,239 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $13,499,138 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $9,306,815 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $69,381,111 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $4,486,199 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $4,486,199 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $0 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $677,604 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $677,604 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $68,703,507 | 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 | $13,809,397 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $54,894,110 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $7,127,918 | ExcessFromYear4Amt |
| Excess From Year3 | $24,960,239 | ExcessFromYear3Amt |
| Excess From Year2 | $13,499,138 | ExcessFromYear2Amt |
| Excess From Year1 | $9,306,815 | ExcessFromYear1Amt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | DAGMAR DOLBY | ContributingManagerNm |
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | JEN LYNCH RAY AND DAGMAR DOLBY FAMI | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3340 JACKSON STREET | AddressLine1Txt |
| City | SAN FRANCISCO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94118 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Phone | 4155633646 | RecipientPhoneNum |
| Form And Info And Materials | PLEASE SUBMIT A SIMPLE LETTER DESCRIBING YOUR ORGANIZATION AND PURPOSE OF REQUESTED FUNDS. | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | NO DEADLINES | SubmissionDeadlinesTxt |
| Restrictions On Awards | NOT APPLICABLE | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (4 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|
| KAISER FOUNDATION HOSPITALS | ||||||
| 1 KAISER PLAZA 15L | OAKLAND | CA | 94612 | PC | GENERAL OPERATING SUPPORT | $1,865,000 |
| NARAL PRO-CHOICE AMERICA FOUNDATION | ||||||
| 1156 15TH STREET SUITE 700 | WASHINGTON | DC | 20005 | PC | GENERAL OPERATING SUPPORT | $25,000 |
| THE REGENTS OF UCSF | ||||||
| 220 MONTGOMERY STREET FLOOR 5 | SAN FRANCISCO | CA | 94104 | PC | GENERAL OPERATING SUPPORT | $1,671,860 |
| YALE UNIVERSIITY | ||||||
| 433 TEMPLE STREET | NEW HAVEN | CT | 06511 | PC | GENERAL OPERATING SUPPORT | $14,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $3,575,860 | TotalGrantOrContriPdDurYrAmt |
Grant Or Contri Apprv For Fut GrantOrContriApprvForFutGrp (3 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|
| KAISER FOUNDATION HOSPITALS | ||||||
| 1 KAISER PLAZA 15L | OAKLAND | CA | 94612 | PC | GENERAL OPERATING SUPPORT | $2,223,562 |
| THE REGENTS OF UCSF | ||||||
| 220 MONTGOMERY STREET FLOOR 5 | SAN FRANCISCO | CA | 94104 | PC | GENERAL OPERATING SUPPORT | $2,992,140 |
| ZUCKERBERG SF GENERAL HOSPITAL PLEDGE | ||||||
| 1001 POTRERO AVE | SAN FRANCISCO | CA | 94110 | PC | GENERAL OPERATING SUPPORT | $4,510,483 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Apprv Fut | $9,726,185 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $1,866 | ExclusionAmt |
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $349,399 | ExclusionAmt |
Other Investment Income OtherInvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $3,536,194 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $2,654,775 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $6,542,234 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $6,542,234 | 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 | PROFESSIONAL FEES-ACCOUNTING | CategoryTxt |
| Amt | $94,176 | Amt |
| Net Investment Income | $47,088 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $47,088 | DisbursementsCharitablePrpsAmt |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category Or Item | OTHER INVESTMENTS | CategoryOrItemTxt |
| Listed At Cost Or FMV | AT COST | ListedAtCostOrFMVCd |
| Book Value | $103,114,832 | BookValueAmt |
| EOYFMV | $103,114,832 | EOYFMVAmt |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | PROFESSIONAL FEES-LEGAL | CategoryTxt |
| Legal Fees | $39,341 | LegalFeesAmt |
| Net Investment Income | $19,671 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $19,671 | DisbursementsCharitablePrpsAmt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (3 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| OTHER EXPENSES | $1,421 | $711 | $711 |
| OTHER EXPENSES-PARTNERSHIP | $29 | $400,254 | $0 |
| MEMBERSHIP/DUES | $36,780 | $0 | $36,780 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail (3 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt |
|---|---|---|---|
| PARTNERSHIP INCOME | $3,536,194 | $626,128 | $3,536,194 |
| PARTNERSHIP INTEREST INCOME | $0 | $84,895 | $0 |
| PARTNERSHIP DIVIDEND INCOME | $0 | $1,822,877 | $0 |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | UNREALIZED INCOME/LOSS | Desc |
| Amt | $4,260,178 | Amt |
Other Liabilities Schedule OtherLiabilitiesSchedule
Other Liabilities Detail OtherLiabilitiesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DEFERRED TAX LIABILITY | Desc |
| BOY Book Value | $287,962 | BOYBookValueAmt |
| EOY Book Value | $374,209 | EOYBookValueAmt |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| PROFESSIONAL FEES-INVESTMENT | $246,667 | $246,667 | $0 |
| PROFESSIONAL FEES-ADMINISTRATIVE | $806,064 | $0 | $806,064 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (3 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| FEDERAL/STATE TAXES | $178,660 | $0 | $0 |
| FILING FEES | $25 | $0 | $25 |
| FOREIGN TAXES-PARTNERSHIP | $0 | $59,806 | $0 |