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DAVID S AND BRENDA K CARLSON FOUNDATION: Form 990PF, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
DAVID S AND BRENDA K CARLSON FOUNDATION (EIN 68-0467243)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-10-27
IRS object ID
202133009349101108
Schema version
2020v4.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2021-10-27T18:30:12-04:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN208169085PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Mark Halversen CPABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1140 Gregory Lane Suite 180AddressLine1Txt
CityPleasant HillCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94523ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN680467243EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE DAVID S AND BRENDA K CARLSON FOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlDAVIBusinessNameControlTxt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1889 MOHICAN CTAddressLine1Txt
CityWALNUT CREEKCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94598ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVID S CARLSONPersonNm
Person TitleCEOPersonTitleTxt
Phone9259377285PhoneNum
Signature2021-10-26SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstDAVIDPersonFirstNm
Person LastCARLSONPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMark HalversenPreparerPersonNm
PTINP01243703PTIN
Phone9256871040PhoneNum
Preparation2021-10-27PreparationDt
Self EmployedYes (X)SelfEmployedInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
OOB Security Verification00OOBSecurityVerificationCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$2,005,526FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$105,633ContriRcvdRevAndExpnssAmt
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$90,465InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$90,465InterestOnSavNetInvstIncmAmt
Total Rev And Expnss$196,098TotalRevAndExpnssAmt
Total Net Invst Incm$90,465TotalNetInvstIncmAmt
Legal Fees Rev And Expnss$150LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$150LegalFeesNetInvstIncmAmt
Accounting Fees Rev And Expnss$50AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$50AccountingFeesNetInvstIncmAmt
Other Prof Fees Rev And Expnss$10OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$10OtherProfFeesNetInvstIncmAmt
Interest Rev And Expnss$20InterestRevAndExpnssAmt
Interest Net Invst Incm$20InterestNetInvstIncmAmt
Tot Opr Expenses Rev And Expnss$230TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$230TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$100,100ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$0ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$100,330TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$230TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$0TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$95,768ExcessRevenueOverExpensesAmt
Net Investment Income$90,235NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Prepaid Expenses BOY$34,859PrepaidExpensesBOYAmt
Prepaid Expenses EOY$56,748PrepaidExpensesEOYAmt
Prepaid Expenses EOYFMV$56,748PrepaidExpensesEOYFMVAmt
US Government Obligations BOY$491,352USGovernmentObligationsBOYAmt
US Government Obligations EOY$402,711USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$402,711USGovtObligationsEOYFMVAmt
Corporate Stock BOY$221,417CorporateStockBOYAmt
Corporate Stock EOY$253,672CorporateStockEOYAmt
Corporate Stock EOYFMV$253,672CorporateStockEOYFMVAmt
Corporate Bonds BOY$763,565CorporateBondsBOYAmt
Corporate Bonds EOY$1,089,427CorporateBondsEOYAmt
Corporate Bonds EOYFMV$1,089,427CorporateBondsEOYFMVAmt
Other Investments BOY$357,107OtherInvestmentsBOYAmt
Other Investments EOY$202,968OtherInvestmentsEOYAmt
Other Investments EOYFMV$202,968OtherInvestmentsEOYFMVAmt
Total Assets BOY$1,868,300TotalAssetsBOYAmt
Total Assets EOY$2,005,526TotalAssetsEOYAmt
Total Assets EOYFMV$2,005,526TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$1,868,300CapitalStockBOYAmt
Capital Stock EOY$2,005,526CapitalStockEOYAmt
Tot Net Ast Or Fund Balances BOY$1,868,300TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$2,005,526TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$1,868,300TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$2,005,526TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$1,868,300TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$95,768ExcessRevenueOverExpensesAmt
Other Increases$41,458OtherIncreasesAmt
Subtotal$2,005,526SubtotalAmt
Tot Net Ast Or Fund Balances EOY$2,005,526TotNetAstOrFundBalancesEOYAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$1,254InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$1,254SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$1,254TaxBasedOnInvestmentIncomeAmt
Tax Due$1,254TaxDueAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Form1120 POL FiledfalseForm1120POLFiledInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Changes To Articles Or BylawsfalseChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (true)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (true)AtLeast5000InAssetsInd
Form990 PF Filed With Atty GenYes (true)Form990PFFiledWithAttyGenInd
Private Operating FoundationfalsePrivateOperatingFoundationInd
New Substantial ContributorsfalseNewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrfalseComplyWithPublicInspRqrInd
Individual With BooksDAVID S CARLSONIndividualWithBooksNm
Phone9259377285PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1889 MOHICAN CTAddressLine1Txt
CityWALNUT CREEKCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94598ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts QuestionfalseForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified PrsnfalseSaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified PrsnfalseBrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified PrsnfalseFurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnfalsePayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
Undistributed Income PYfalseUndistributedIncomePYInd
Undistr Incm Sect4942a2 Not AppfalseUndistrIncmSect4942a2NotAppInd
Business HoldingsfalseBusinessHoldingsInd
Jeopardy InvestmentsfalseJeopardyInvestmentsInd
Uncorrected PY Jeopardy InvstfalseUncorrectedPYJeopardyInvstInd
Influence LegislationfalseInfluenceLegislationInd
Influence ElectionfalseInfluenceElectionInd
Grants To IndividualsfalseGrantsToIndividualsInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
DAVID S CARLSON
889 MOHICAN CTWALNUT CREEKCA94598CEO0.00$0$0$0
BRENDA K CARLSON
889 MOHICAN CTWALNUT CREEKCA94598CFO AND SECR0.00$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$0AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$0AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$0TotalFMVOfUnusedAssetsAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$0AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$0CashDeemedCharitableAmt
Net Vl Noncharitable Assets$0NetVlNoncharitableAssetsAmt
Minimum Investment Return$0MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Sect4942j3j5 Fndtn And Frgn OrgYes (X)Sect4942j3j5FndtnAndFrgnOrgInd

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$0ExpensesAndContributionsAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerDAVID CARLSONContributingManagerNm
Contributing ManagerBRENDA CARLSONContributingManagerNm
Shareholder ManagerNONEShareholderManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (9 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ASSISTANCE LEAGUE OF DIABLO VALLE
2711 BUENA VISTA AVEWALNUT CREEKCA94597NONEPCALL VOLUNTEER ORGANIZATION TO COMMUNITY PROGRAMS$4,000
NORTH PARK UNIVERSITY
3225 W FOSTER AVECHICAGOIL60625NONENCPRIVATE UNIVERSITYEVANGELICAL COVENANT CHURCH$53,000
LOAVES AND FISHES OF CONTRA COSTA
835 FERRY STMARTINEZCA94553NONEPCFEEDING THE POOR$3,000
SALVATION ARMY
615 SLATERS LANEALEXANDRIAVA22314NONEPCPROVIDING ASSISTANCE TO THE POOR$9,000
ST JOHNS LUTHERAN CHURCH
1360 E TREGALLAS RDANTIOCHCA94509NONEPCRELIGIOUS MINISTERING$8,000
JOHN MUIR HEALTH FOUNDATION
1400 TREAT BLVDWALNUT CREEKCA94597NONEPOFSUPPORT FOR HOSPITAL PATIENT CARE$3,000
SHRINERSS FOR CHILDREN HOSPITAL
2900 N ROCKY POINT DRTAMPAFL33607NONEPOFPATIENT CARE RESEARCH AND EDUCATION$10,000
UCSF FOUNDATION RHEUMATOLOGY
10 KORET WAYSAN FRANCISCOCA94143NONEPOFMEDICAL RESEARCH AND TRAINING$10,000
COVENANT LIVING BENEVOLENT FUND
5700 OLD ORCHARD RDSKOKIEIL60077NONEPOFASSISTED LIVING SUPPORT FOR THOSE IN NEED$100
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$100,100TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Other Investment Incm Part VII OtherInvestmentIncmPartVIIGrp

FieldValueIRS element (for citing)
Related Or Exempt Function Incm$90,465RelatedOrExemptFunctionIncmAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Related Or Exempt Function Incm$90,465RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$90,465TotalIncomeProducingActyAmt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EOfalseTrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EOfalseTrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EOfalsePurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth AssetsfalseRentalOfFacilitiesOthAssetsInd
Reimbursement ArrangementsfalseReimbursementArrangementsInd
Loans Or Loan GuaranteesfalseLoansOrLoanGuaranteesInd
Performance Of Services EtcfalsePerformanceOfServicesEtcInd
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtcInd
Relationships Nonchrtbl EOfalseRelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNINGCategoryTxt
Amt$50Amt
Net Investment Income$50NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule

Investments Corporate Bonds InvestmentsCorporateBondsGrp

FieldValueIRS element (for citing)
BondBONDSBondNm
EOY Book Value$1,089,427EOYBookValueAmt
EOYFMV$1,089,427EOYFMVAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockSECURITIESStockNm
EOY Book Value$253,672EOYBookValueAmt
EOYFMV$253,672EOYFMVAmt

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Obligations Book Vl EOY$402,711USGovtObligationsBookVlEOYAmt
US Govt Obligations EOYFMV$402,711USGovtObligationsEOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (2 entries)

Category Or ItemCategoryOrItemTxtBook ValueBookValueAmtEOYFMVEOYFMVAmt
CD FIXED$202,968$202,968
CL END FUND$0$0

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryLEGALCategoryTxt
Legal Fees$150LegalFeesAmt
Net Investment Income$150NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescINCREASE IN MARKET VALUEDesc
Amt$41,458Amt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryOTHER PROFESSIONALCategoryTxt
Amt$10Amt
Net Investment Income$10NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt