2021-11-12T16:18:59-06:00 2020-12-31 942180068 MOON & MANDELLA A C 1 FIRST STREET SUITE 10 LOS ALTOS CA 94022 990PF 2020-01-01 770525013 THE RONALD WHITTIER FAMILY FOUNDATION RONA 6509488268 3130 ALPINE ROAD SUITE 288 PMB PORTOLA VALLEY CA 94028 JACQUELINE KUBICKA SECRETARY/COO 6509488268 2021-11-10 1 JACQUELINE KUBICKA 999009999 VICTOR P MANDELLA P00160509 6508571284 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z X 1790579 X X 52 52 52 36960 36960 36960 150612 479112 475131 0 187624 512143 37012 12400 0 0 12400 8620 0 0 8620 10 0 0 10 133 0 0 17086 0 0 16971 38249 0 0 38001 124041 124041 162290 0 0 162042 25334 512143 37012 141184 495221 495221 2034900 1295320 1295320 48400 48362 171 38 38 2176255 1790579 1790579 4383 4503 4383 4503 X 2171872 1786076 2171872 1786076 2176255 1790579 2171872 25334 0 2197206 411130 1786076 8000 SHARES INTEL CORPORATION D 1999-12-30 2020-04-16 479112 3981 475131 475131 475131 0 7119 0 7119 0 7119 7758 0 0 0 7758 0 639 639 0 0 0 0 0 0 0 1 1 0 0 1 1 CA 1 1 0 0 0 1 WWW.FAMILIESCAN.ORG JACQUELINE KUBICKA 6509488268 3130 ALPINE ROAD SUITE 288 PMB 602 PORTOLA VALLEY CA 94028 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 RONALD J WHITTIER 3130 ALPINE ROAD SUITE 288 PMB 602 PORTOLA VALLEY CA 94028 CHAIRMAN 0.25 0 0 0 JACQUELINE W KUBICKA 3130 ALPINE ROAD SUITE 288 PMB 602 PORTOLA VALLEY CA 94028 SECTY/COO 15.00 12400 0 0 JENNIFER L MILLER 3130 ALPINE ROAD SUITE 288 PMB 602 PORTOLA VALLEY CA 94028 VICE PRESIDENT 0.25 0 0 0 NONE 0 JACQUELINE KUBICA 3130 ALPINE ROAD SUITE 288 PMB 602 PORTOLA VALLEY CA 94028 PROGRAM DIRECTOR 12400 0 FAMILIESCAN - HELPING FAMILIES WITH CANCER, BY PROVIDING FINANCIAL ASSISTANCE FOR TRAVEL, LODGING & FOOD WHILE VISITING A PATIENT, HOUSEHOLD BILLS, CHILDCARE, ETC. 100493 GRANTS TO OTHER CHARITIES WITH SIMILAR EXEMPT PURPOSE - ARTS 7568 GRANTS TO OTHER CHARITIES WITH SIMILAR EXEMPT PURPOSE - HELPING FAMILIES WITH CANCER 15980 0 1967414 420123 0 2387537 0 0 2387537 35813 2351724 117586 X 162042 0 162042 0 162042 2001-05-09 X 37012 43477 41283 43484 165256 31460 36955 35091 36961 140468 162042 155959 150358 132385 600744 0 0 0 11223 11223 162042 155959 150358 121162 589521 0 0 78391 64090 66393 54098 262972 0 0 0 0 RONALD J WHITTIER J KUBICKA SECTYCOO THE RONALD WHITT 3130 ALPINE ROAD SUITE 288 PMB 602 PORTOLA VALLEY CA 94028 6509488268 FAMILIESCAN@SBCGLOBAL.NET APPLICATION FOR GRANTS AND SUPPORT SERVICES IS MADE ON AN APPLICATION PROVIDED TO THE APPLICANT BY THE FOUNDATION. SUPPLEMENTARY MATERIALS TO BE SUBMITTED INCLUDE TAX RETURNS AND MEDICAL RECORDS TO SUPPORT QUALIFICATION. QUALIFIED APPLICANTS ARE SELECTED FOR PARTICIPATION EVERY MONTH QUALIFIED APPLICANTS WILL RANGE IN AGE FROM 18 TO 65 AND ARE PATIENTS CURRENTLY RECEIVING OR WILL BE RECEIVING WITHIN 3 MONTHS CANCER TREATMENT. INDIVIDUALS MUST RESIDE IN THE SAN FRANCISCO BAY AREA AND RECEIVE TREATMENT IN THE SANTA CLARA COUNTY. THE PATIENT'S FAMILY MUST HAVE 1 OR MORE DEPENDENTS UNDER THE AGE OF 18 WHO ARE IMMEDIATE FAMILY MEMBERS. PATIENT MUST BE A CITIZEN OF THE UNITED STATES. J KUBICKA SECTYCOO THE RONALD WHITT 3130 ALPINE ROAD SUITE 288 PMB 602 PORTOLA VALLEY CA 94028 6509488268 APPLICATION FOR GRANTS AND SUPPORT SERVICES IS MADE ON AN APPLICATION PROVIDED TO THE APPLICANT BY THE FOUNDATION. QUALIFIED APPLICANTS ARE SELECTED FOR PARTICIPATION EVERY MONTH STIPENDS FOR PROMISING ARTISTS, PARTICULARLY THOSE OF HIGH SCHOOL AND COLLEGE AGE. THE FOUNDATION WILL INCLUDE PROJECTS OUTSIDED THE SAN FRANCISCO BAY AREA PROVIDED THAT THEY MAY BENEFIT OUR LOCAL AREA IN SOME WAY. CORNELL UNIVERSITY SETHUPATHY ALUMNI GIFT FUND 130 E SENECA STREET SUITE 400 ITHACA NY 14850 NONE PUBLIC CHARITY SUPPORT FOR RELATED CHARITY -SUPPORT FOR RELATED CHARITY - SUPPORT FOR RELATED CHARITYSUPPORT FOR RELATED CHARITY 5000 DRAGON THEATRE 2120 BROADWAY STREET REDWOOD CITY CA 94063 NONE PUBLIC CHARITY SUPPORT FOR RELATED CHARITY - 268 FAMILIESCAN - INDIVIDUALS FAMILIES 3130 ALPINE ROAD SUITE 288 PMB 602 PORTOLA VALLEY CA 94028 NONE INDIVIDUALS - CHARIT SUPPORT FOR RELATED CHARITY - CANCER PATIENTS AND THEIR FAMILIES 100493 GIRL SCOUT TROOP #61726 181 CONSTITUTION DRIVE MENLO PARK CA 94025 NONE PUBLIC CHARITY SUPPORT FOR RELATED CHARITY - 200 LARKIN STREET PROJECT 134 GOLDEN GATE AVENUE SAN FRANCISCO CA 94102 NONE PUBLIC CHARITY SUPPORT FOR RELATED CHARITY -SUPPORT FOR RELATED CHARITY - 2500 UC BERKELEY FOUNDATION 1995 UNIVERSITY AVE STE 401 BERKELEY CA 947041058 NONE PUBLIC CHARITY SUPPORT FOR RELATED CHARITY - 500 WOODSIDE HIGH SCHOOL 199 CHURCHILL AVENUE WOODSIDE CA 94062 NONE PUBLIC CHARITY SUPPORT FOR RELATED CHARITY - 4030 THE SAN FRANCISCO PLAYHOUSE 450 POST STREET SAN FRANCISCO CA 94102 NONE PUBLIC CHARITY SUPPORT FOR RELATED CHARITY - 5250 COLLEGETOWN BAGELS 301 EAST STATE STREET ITHACA NY 14850 NONE PUBLIC CHARITY SUPPORT FOR RELATED CHARITY - 500 ST LUKE'S WOOD RIVER FOUNDATION PO BOX 7005 KETCHUM ID 83340 NONE PUBLIC CHARITY SUPPORT FOR RELATED CHARITY - 5000 TWO BLIND BROTHERS 3130 ALPINE ROD SIUTE 288 PMB 602 PORTOLA VALLEY CA 94028 NONE PUBLIC CHARITY SUPPORT FOR RELATED CHARITY - 150 PACIFIC HISTORICAL PARKS 94-1187 KA UKA BLVD WAIPAHU HI 96797 NONE PUBLIC CHARITY SUPPORT FOR RELATED CHARITY - 100 2ND ACT PLAYERS 2515 CENTRAL PARK AVENUE EVANSTON IL 60201 NONE PUBLIC CHARITY SUPPORT FOR RELATED CHARITY -SUPPORT FOR RELATED CHARITY - 50 124041 0 52 36960 150612 0 0 187624 187624 3 THESE INVESTMENTS FUND THE GENERAL OPERATION OF THE FOUNDATION. 4 THESE INVESTMENTS FUND THE GENERAL OPERATION OF THE FOUNDATION. 7 THESE INVESTMENTS FUND THE GENERAL OPERATION OF THE FOUNDATION. 0 0 0 0 0 0 0 0 0 0 ACCOUNTING AND BOOKKEEPING 8620 0 0 8620 THE FOUNDATION WILL BE TRANSITIONING ITS PRINCIPLE FOCUS TO THE PERFORMANCE ARTS AND MAY ALSO EXTEND TO ANY PROJECT OF INTEREST, INCLUDING WRITING, DANCE, MUSIC, FILM, TEXTILES / INSTALLATION ART, PAINTING, ELECTRONIC ARTS AND THE EMERGING ARTS. GATEWAY COMPUTER EQUIPMENT 2001-04-10 2479 2479 SL 5.000000000000 0 0 0 GATEWAY COMPUTER EQUIPMENT 2001-04-10 2542 2542 SL 5.000000000000 0 0 0 LAPTOP 2002-06-13 2055 2055 ADS 5.000000000000 0 0 0 FILE CABINETS 2002-05-23 1301 1301 ADS 10.000000000000 0 0 0 DESK WITH FILE DRAWER 2002-10-11 2787 2787 ADS 10.000000000000 0 0 0 MAUDE'S CHAIR 2003-01-16 772 772 ADS 10.000000000000 0 0 0 CANON D661 COPY MACHINE 2003-03-21 541 541 ADS 10.000000000000 0 0 0 HP OJ 511OXI PRINTER 2003-03-21 195 195 ADS 5.000000000000 0 0 0 MONITOR 2003-05-03 541 541 ADS 5.000000000000 0 0 0 INSPIRON 8600, INTEL PENTIUM M PROCESSOR 725 2004-07-30 2808 2808 ADS 5.000000000000 0 0 0 DELL ULTRA SHARP 1901FP FLAT PANEL 2004-08-05 719 719 ADS 5.000000000000 0 0 0 HP PCS 2410 PRINTER 2004-10-22 216 216 ADS 5.000000000000 0 0 0 DIGITAL CAMERA 2004-08-01 393 393 ADS 10.000000000000 0 0 0 BOOKCASE 2004-10-15 1384 1384 ADS 10.000000000000 0 0 0 CAMERA 2004-06-26 1212 1212 ADS 10.000000000000 0 0 0 SONY COMPUTER 2005-07-08 3310 3310 ADS 5.000000000000 0 0 0 CAMERA 2006-05-30 580 580 ADS 10.000000000000 0 0 0 PRINTER 2007-12-07 455 455 ADS 5.000000000000 0 0 0 COMPUTER 2008-01-23 1732 1732 ADS 5.000000000000 0 0 0 MAC BOOK PRO WITH DESK TOP MONITOR #MB513LL/A 2008-06-07 4773 4773 ADS 5.000000000000 0 0 0 CAMERA 2008-10-17 125 125 ADS 10.000000000000 0 0 0 PHOTO PRINTER 2008-07-09 411 411 ADS 5.000000000000 0 0 0 PHOTO EQUIPMENT 2008-04-12 1288 1288 ADS 10.000000000000 0 0 0 SCANNER/PRINTER 2009-01-20 134 134 ADS 5.000000000000 0 0 0 OFFICE FURNITURE 2009-01-15 140 140 ADS 10.000000000000 0 0 0 DESKTOP 2010-11-23 2345 2345 ADS 5.000000000000 0 0 0 APPLE COMPUTER 2011-04-11 2023 2023 ADS 5.000000000000 0 0 0 APPLE COMPUTER 2012-04-06 525 262 200DB 5.000000000000 0 0 0 APPLE COMPUTER 2013-01-02 2924 1462 200DB 5.000000000000 0 0 0 COMPUTER (COSTCO) 2013-09-29 1237 618 200DB 5.000000000000 0 0 0 APPLE COMPUTER 2014-07-22 839 419 200DB 5.000000000000 0 0 0 OFFICE EQUIPMENT 2015-08-01 643 303 200DB 5.000000000000 18 0 0 OFFICE EQUIPMENT 2015-08-05 1395 657 200DB 5.000000000000 40 0 0 APPLE COMPUTER 2016-01-04 1308 541 200DB 5.000000000000 75 0 0 APPLE COMPUTER 2019-06-23 2268 200DB 5.000000000000 0 0 0 COMMON STOCK 1295320 1295320 GATEWAY COMPUTER EQUIPMENT 2479 2479 0 GATEWAY COMPUTER EQUIPMENT 2542 2542 0 LAPTOP 2055 2055 0 FILE CABINETS 1301 1301 0 DESK WITH FILE DRAWER 2787 2787 0 MAUDE'S CHAIR 772 772 0 CANON D661 COPY MACHINE 541 541 0 HP OJ 511OXI PRINTER 195 195 0 MONITOR 541 541 0 INSPIRON 8600, INTEL PENTIUM M PROCESSOR 725 2808 2808 0 DELL ULTRA SHARP 1901FP FLAT PANEL 719 719 0 HP PCS 2410 PRINTER 216 216 0 DIGITAL CAMERA 393 393 0 BOOKCASE 1384 1384 0 CAMERA 1212 1212 0 SONY COMPUTER 3310 3310 0 CAMERA 580 580 0 PRINTER 455 455 0 COMPUTER 1732 1732 0 MAC BOOK PRO WITH DESK TOP MONITOR #MB513LL/A 4773 4773 0 CAMERA 125 125 0 PHOTO PRINTER 411 411 0 PHOTO EQUIPMENT 1288 1288 0 SCANNER/PRINTER 134 134 0 OFFICE FURNITURE 140 140 0 DESKTOP 2345 2345 0 APPLE COMPUTER 2023 2023 0 APPLE COMPUTER 525 525 0 APPLE COMPUTER 2924 2924 0 COMPUTER (COSTCO) 1237 1237 0 APPLE COMPUTER 839 839 0 OFFICE EQUIPMENT 643 643 0 OFFICE EQUIPMENT 1395 1395 0 APPLE COMPUTER 1308 1270 38 APPLE COMPUTER 2268 2268 0 DECREASE IN FMV OF SECURITIES 411077 NON-DEDUCTIBLE EXPENSE - 2020 MEALS AT 50% 28 2020 FEDERAL TAX PAID 25 OFFICE EXPENSES 4059 0 0 3944 TELEPHONE 5722 0 0 5722 POSTAGE & SHIPPING 1059 0 0 1059 DUES AND SUBSCRIPTIONS 1591 0 0 1591 AUTOMOBILE 88 0 0 88 BANK FEES 250 0 0 250 CONFERENCE/DEVELOPMENT 4023 0 0 4023 MEALS AT 50% 29 0 0 29 DONEE RESEARCH 203 0 0 203 TRAVEL 62 0 0 62 REVOLVING CREDIT CARD BALANCE PAYABLE 4383 4503 STATE TAX & FEES 10 0 0 10