BERGEN FOUNDATION: Form 990PF, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- BERGEN FOUNDATION (EIN 95-6044540)
- Tax period
- 2019-12-01 to 2020-11-30
- Filed
- 2021-08-11
- IRS object ID
- 202122239349100022
- Schema version
- 2019v5.0
- 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
- Legal Fees Schedule
- Other Assets Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-08-11T12:22:13-07:00 | ReturnTs |
| Tax Period End | 2020-11-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | William H Downs CPA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 13701 Riverside Drive 400 | AddressLine1Txt |
| City | Sherman Oaks | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91423 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2019-12-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 956044540 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Bergen Foundation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BERG | BusinessNameControlTxt |
| Phone | 8189813505 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 13701 Riverside Drive | AddressLine1Txt |
| City | Sherman Oaks | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91423 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Kris Bergen | PersonNm |
| Person Title | Director | PersonTitleTxt |
| Signature | 2021-08-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | William H Downs | PreparerPersonNm |
| PTIN | P00081850 | PTIN |
| Phone | 8189814313 | PhoneNum |
| Self Employed | Yes (X) | SelfEmployedInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | 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 | $17,141,777 | 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 | $490,904 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $490,904 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $353,371 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $3,084,305 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $353,371 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $122,616 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $122,616 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | $966,891 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $966,891 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $410,000 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $229,000 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $181,000 | CompOfcrDirTrstDsbrsChrtblAmt |
| Legal Fees Rev And Expnss | $240 | LegalFeesRevAndExpnssAmt |
| Legal Fees Net Invst Incm | $240 | LegalFeesNetInvstIncmAmt |
| Accounting Fees Rev And Expnss | $21,900 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Chrtbl Prps | $21,900 | AccountingFeesChrtblPrpsAmt |
| Interest Rev And Expnss | $76 | InterestRevAndExpnssAmt |
| Interest Net Invst Incm | $76 | InterestNetInvstIncmAmt |
| Taxes Rev And Expnss | $17,469 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $6,444 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $6,383 | TaxesDsbrsChrtblAmt |
| Occupancy Rev And Expnss | $9,691 | OccupancyRevAndExpnssAmt |
| Occupancy Net Invst Incm | $4,845 | OccupancyNetInvstIncmAmt |
| Occupancy Dsbrs Chrtbl | $4,846 | OccupancyDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $91,211 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $90,046 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $1,165 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $550,587 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $330,651 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $215,294 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $558,500 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $558,500 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $1,109,087 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $330,651 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $773,794 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$142,196 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $636,240 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $91,049 | CashBOYAmt |
| Cash EOY | $416,679 | CashEOYAmt |
| Cash EOYFMV | $416,679 | CashEOYFMVAmt |
| Sav And Temp Cash Invst BOY | $474,453 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $41,747 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $41,747 | SavAndTempCashInvstEOYFMVAmt |
| Corporate Stock BOY | $8,220,527 | CorporateStockBOYAmt |
| Corporate Stock EOY | $7,765,258 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $9,997,248 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $4,721,719 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $5,103,135 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $5,184,700 | CorporateBondsEOYFMVAmt |
| Other Investments BOY | $501,403 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $501,403 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $501,403 | OtherInvestmentsEOYFMVAmt |
| Other Assets BOY | $1,000,000 | OtherAssetsBOYAmt |
| Other Assets EOY | $1,000,635 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $1,000,000 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $15,009,151 | TotalAssetsBOYAmt |
| Total Assets EOY | $14,828,857 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $17,141,777 | TotalAssetsEOYFMVAmt |
| Accounts Payable BOY | $38,098 | AccountsPayableBOYAmt |
| Total Liabilities BOY | $38,098 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
| No Donor Rstr Net Assests BOY | $14,971,053 | NoDonorRstrNetAssestsBOYAmt |
| Tot Net Ast Or Fund Balances BOY | $14,971,053 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $14,828,857 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $15,009,151 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $14,828,857 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $14,971,053 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$142,196 | ExcessRevenueOverExpensesAmt |
| Subtotal | $14,828,857 | SubtotalAmt |
| Tot Net Ast Or Fund Balances EOY | $14,828,857 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Property | See attached | PropertyDesc |
| How Acquired | P | HowAcquiredCd |
| Acquired | 2018-01-01 | AcquiredDt |
| Sold | 2019-11-30 | SoldDt |
| Gross Sales Price | $3,084,305 | GrossSalesPriceAmt |
| Cost Or Other Basis | $2,730,934 | CostOrOtherBasisAmt |
| Gain Or Loss | $353,371 | GainOrLossAmt |
| Gains Minus Excess Or Losses | $353,371 | GainsMinusExcessOrLossesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $353,371 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | false | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $875,536 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $14,759,374 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.05932 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $847,174 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $15,114,483 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.05605 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $749,384 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $15,198,282 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.04931 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $583,766 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $14,844,660 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.03933 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $703,487 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $15,680,419 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.04486 | DistributionYr5Rt |
| Total Distribution | 0.248867 | TotalDistributionRt |
| Average Distribution | 0.049773 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $14,767,772 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $735,036 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $6,362 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $741,398 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $773,794 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Domestic Org Meeting Sect4940e | Yes (X) | DomesticOrgMeetingSect4940eInd |
| Investment Income Excise Tax | $6,362 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $6,362 | SubtotalAmt |
| Tax Based On Investment Income | $6,362 | TaxBasedOnInvestmentIncomeAmt |
| Extsn Request Income Tax Paid | $6,000 | ExtsnRequestIncomeTaxPaidAmt |
| Total Payments And Credits | $6,000 | TotalPaymentsAndCreditsAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Es Penalty | $97 | EsPenaltyAmt |
| Tax Due | $459 | 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 |
| Org Report Or Register State | CA | OrgReportOrRegisterStateCd |
| 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 |
| Website Address | N/A | WebsiteAddressTxt |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | John Larkin | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8189813505 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 13701 Riverside Drive Eighth Floor | AddressLine1Txt |
| City | Sherman Oaks | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91423 | 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 (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|---|---|---|---|
| Kris Bergen | ||||||
| c/o Foundation address | Sherman Oaks | CA | 91423 | President | 25.00 | $250,000 |
| Candice Bergen | ||||||
| c/o Foundation address | Sherman Oaks | CA | 91423 | Secretary | 1.00 | $0 |
| John Larkin | ||||||
| 13701 Riverside Drive Ste 800 | Sherman Oaks | CA | 91423 | Director | 20.00 | $160,000 |
| 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 | $14,146,028 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $345,231 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $501,403 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $14,992,662 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Adjusted Total FMV Of Unused Ast | $14,992,662 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $224,890 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $14,767,772 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $738,389 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $738,389 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $6,362 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $6,362 | TotalTaxAmt |
| Distributable Before Adj | $732,027 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $732,027 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $732,027 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $773,794 | ExpensesAndContributionsAmt |
| Qualifying Distributions | $773,794 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $6,362 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $767,432 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $732,027 | DistributableAsAdjustedAmt |
| Excess Distribution Cyov Yr3 | $1,756 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $104,202 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $146,041 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $251,999 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $773,794 | QualifyingDistributionsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $732,027 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $41,767 | RemainingDistriFromCorpusAmt |
| Total Corpus | $293,766 | TotalCorpusAmt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Excess Distri Cyov To Next Yr | $293,766 | ExcessDistriCyovToNextYrAmt |
| Excess From Year3 | $1,756 | ExcessFromYear3Amt |
| Excess From Year2 | $104,202 | ExcessFromYear2Amt |
| Excess From Year1 | $146,041 | ExcessFromYear1Amt |
| Excess From Current Year | $41,767 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Application Submission Info ApplicationSubmissionInfoGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | Do not send applications | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 13701 Riverside Drive Suite 800 | AddressLine1Txt |
| City | Sherman Oaks | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91423 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Info And Materials | Do not submit. | FormAndInfoAndMaterialsTxt |
| Submission Deadlines | Not applicable | SubmissionDeadlinesTxt |
| Restrictions On Awards | Not applicable | RestrictionsOnAwardsTxt |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Person | See list attached | RecipientPersonNm |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | Checks written to | AddressLine1Txt |
| City | public charities | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91423 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Relationship | None | RecipientRelationshipTxt |
| Recipient Foundation Status | Char | RecipientFoundationStatusTxt |
| Grant Or Contribution Purpose | Public Charity | GrantOrContributionPurposeTxt |
| Amt | $558,500 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $558,500 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $490,904 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $353,371 | ExclusionAmt |
Other Revenue Described OtherRevenueDescribedGrp (2 entries)
| DescDesc | ExclusionExclusionCd | ExclusionExclusionAmt |
|---|---|---|
| Partnership income | 16 | $112,616 |
| Royalty and license fee | 15 | $10,000 |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $966,891 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $966,891 | 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 (3 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|---|
| Auditor, 3years | $12,000 | $0 | $0 | $12,000 |
| Research & assist auditor | $6,600 | $0 | $0 | $6,600 |
| Tax preparation | $3,300 | $0 | $0 | $3,300 |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | Legal | CategoryTxt |
| Legal Fees | $240 | LegalFeesAmt |
| Net Investment Income | $240 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp (3 entries)
| DescDesc | EOY Book ValueEOYBookValueAmt | BOY Book ValueBOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| Prepaid payroll tax | $635 | ||
| Tangible & intangible items | $1,000,000 | $1,000,000 | |
| Tangible and intagible items | $1,000,000 |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (4 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|---|
| FTB & AG Filing fee | $85 | $85 | |
| Investment advisor | $89,607 | $89,607 | |
| Office and other | $439 | $439 | |
| Storage | $1,080 | $1,080 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail (2 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|
| Partnership income | $112,616 | $112,616 |
| Royalty and license fee | $10,000 | $10,000 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (3 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| Federal excise tax | $4,642 | ||
| Foreign tax on dividends | $61 | $61 | |
| Payroll tax | $12,766 | $6,383 | $6,383 |