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LILLYS GIFT FOUNDATION: Form 990PF, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
LILLYS GIFT FOUNDATION (EIN 68-0445376)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-07-07
IRS object ID
202011899349101636
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 ReturnHeader

FieldValueIRS element (for citing)
Return2020-07-07T14:11:59-07:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN680146027PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1AGT CPAS AND ADVISORSBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1205 N MOUNT SHASTA BLVD STE 300AddressLine1Txt
CityMOUNT SHASTACityNm
State AbbreviationCAStateAbbreviationCd
ZIP96067ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN680445376EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LILLYS GIFT FOUNDATIONBusinessNameLine1Txt
Business Name Line2LOIS G ERICSON PRESIDENTBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlLILLBusinessNameControlTxt
Phone5305987446PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18519 SHADY DELL ROADAddressLine1Txt
CityMACDOELCityNm
State AbbreviationCAStateAbbreviationCd
ZIP96058ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLOIS ERICSONPersonNm
Person TitlePresidentPersonTitleTxt
Signature2020-07-07SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLogan Castle CPAPreparerPersonNm
PTINP00739887PTIN
Phone5309263881PhoneNum
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$18,834,595FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$1,870,000ContriRcvdRevAndExpnssAmt
Dividends Rev And Expnss$534,614DividendsRevAndExpnssAmt
Dividends Net Invst Incm$534,614DividendsNetInvstIncmAmt
Dividends Adj Net Incm$534,614DividendsAdjNetIncmAmt
Net Gain Sale Ast Rev And Expnss-$76,205NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$4,334,013GrossSalesPriceAmt
Total Rev And Expnss$2,328,409TotalRevAndExpnssAmt
Total Net Invst Incm$534,614TotalNetInvstIncmAmt
Total Adj Net Incm$534,614TotalAdjNetIncmAmt
Legal Fees Rev And Expnss$2,585LegalFeesRevAndExpnssAmt
Legal Fees Adj Net Incm$2,585LegalFeesAdjNetIncmAmt
Accounting Fees Rev And Expnss$12,661AccountingFeesRevAndExpnssAmt
Accounting Fees Adj Net Incm$12,661AccountingFeesAdjNetIncmAmt
Other Prof Fees Rev And Expnss$71,405OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$71,405OtherProfFeesNetInvstIncmAmt
Taxes Rev And Expnss$57,942TaxesRevAndExpnssAmt
Taxes Net Invst Incm$57,782TaxesNetInvstIncmAmt
Taxes Adj Net Incm$160TaxesAdjNetIncmAmt
Other Expenses Rev And Expnss$50OtherExpensesRevAndExpnssAmt
Other Expenses Adj Net Incm$50OtherExpensesAdjNetIncmAmt
Tot Opr Expenses Rev And Expnss$144,643TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$129,187TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$15,456TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$1,000,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$1,000,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$1,144,643TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$129,187TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$15,456TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$1,000,000TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$1,183,766ExcessRevenueOverExpensesAmt
Net Investment Income$405,427NetInvestmentIncomeAmt
Adjusted Net Income$519,158AdjustedNetIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$372,478SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$388,314SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$388,314SavAndTempCashInvstEOYFMVAmt
Other Investments BOY$14,509,258OtherInvestmentsBOYAmt
Other Investments EOY$18,446,281OtherInvestmentsEOYAmt
Other Investments EOYFMV$18,446,281OtherInvestmentsEOYFMVAmt
Total Assets BOY$14,881,736TotalAssetsBOYAmt
Total Assets EOY$18,834,595TotalAssetsEOYAmt
Total Assets EOYFMV$18,834,595TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY$14,881,736NoDonorRstrNetAssestsBOYAmt
Tot Net Ast Or Fund Balances BOY$14,881,736TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$18,834,595TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$14,881,736TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$18,834,595TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$14,881,736TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$1,183,766ExcessRevenueOverExpensesAmt
Other Increases$2,769,093OtherIncreasesAmt
Subtotal$18,834,595SubtotalAmt
Tot Net Ast Or Fund Balances EOY$18,834,595TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (3 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
PUBLICLY TRADED SECURITIESP2000-01-012019-12-01$2,931,442$3,064,358-$132,916-$132,916
PUBLICLY TRADED SECURITIESP2019-01-012019-12-01$1,337,396$1,345,860-$8,464-$8,464
Capital Gain Dividends$65,175
FieldValueIRS element (for citing)
Capital Gain Net Income-$76,205CapitalGainNetIncomeAmt
Net Short Term Capital Gain Loss-$8,464NetShortTermCapitalGainLossAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$1,016,000AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$15,653,441NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.06491DistributionYr1Rt
Adjusted Qlfy Distri Yr2$1,000,000AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$14,240,657NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.07022DistributionYr2Rt
Adjusted Qlfy Distri Yr3$920,000AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$12,945,205NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.07107DistributionYr3Rt
Adjusted Qlfy Distri Yr4$896,094AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$11,710,262NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.07652DistributionYr4Rt
Adjusted Qlfy Distri Yr5$900,000AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$11,340,648NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.07936DistributionYr5Rt
Total Distribution0.362079TotalDistributionRt
Average Distribution0.072416AverageDistributionRt
Net Vl Noncharitable Assets$16,842,485NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$1,219,665AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$4,054NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$1,223,719AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$1,000,000QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$8,109InvestmentIncomeExciseTaxAmt
Subtotal$8,109SubtotalAmt
Tax Based On Investment Income$8,109TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$32,068EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$32,068TotalPaymentsAndCreditsAmt
Form2220 AttachedYes (X)Form2220AttachedInd
Overpayment$23,959OverpaymentAmt
Applied To ES Tax$23,959AppliedToESTaxAmt

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
Org Report Or Register StateCAOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (true)Form990PFFiledWithAttyGenInd
Private Operating FoundationfalsePrivateOperatingFoundationInd
New Substantial ContributorsfalseNewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1PEGGY KINGBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5305987446PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line18519 SHADY DELL ROADAddressLine1Txt
CityMACDOELCityNm
State AbbreviationCAStateAbbreviationCd
ZIP96058ZIPCd
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
Acts Fail To Qlfy As ExceptionsfalseActsFailToQlfyAsExceptionsInd
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
Undistributed Income PYfalseUndistributedIncomePYInd
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 (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
LOIS ERICSON
8519 SHADY DELL ROADMACDOELCA96058President1.00$0
CONSTANCE SHERWOOD
2325 TYLER STREETEUGENEOR97405Secretary0.00$0
STEVEN L ERICSON
7001 EAST BUTTE VALLEY ROADDORRISCA96023Vice President0.00$0
MARILYN ERICSON
8519 SHADY DELL ROADMACDOELCA96058Vice President0.00$0
PEGGY KING
8519 SHADY DELL ROADMACDOELCA96058CFO0.00$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$16,877,621AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$221,349AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$17,098,970TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Adjusted Total FMV Of Unused Ast$17,098,970AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$256,485CashDeemedCharitableAmt
Net Vl Noncharitable Assets$16,842,485NetVlNoncharitableAssetsAmt
Minimum Investment Return$842,124MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$842,124MinimumInvestmentReturnAmt
Tax Based On Investment Income$8,109TaxBasedOnInvestmentIncomeAmt
Total Tax$8,109TotalTaxAmt
Distributable Before Adj$834,015DistributableBeforeAdjAmt
Distributable Before Ded$834,015DistributableBeforeDedAmt
Distributable As Adjusted$834,015DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$1,000,000ExpensesAndContributionsAmt
Qualifying Distributions$1,000,000QualifyingDistributionsAmt
Adjusted Qualifying Distri$1,000,000AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$834,015DistributableAsAdjustedAmt
Excess Distribution Cyov Yr5$337,140ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$318,393ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$289,825ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$304,074ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$265,317ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$1,514,749TotalExcessDistributionCyovAmt
Qualifying Distributions$1,000,000QualifyingDistributionsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$834,015AppliedToCurrentYearAmt
Remaining Distri From Corpus$165,985RemainingDistriFromCorpusAmt
Total Corpus$1,680,734TotalCorpusAmt
Undistributed Income CY$0UndistributedIncomeCYAmt
Excess Distri Cyov From Yr5$337,140ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$1,343,594ExcessDistriCyovToNextYrAmt
Excess From Year4$318,393ExcessFromYear4Amt
Excess From Year3$289,825ExcessFromYear3Amt
Excess From Year2$304,074ExcessFromYear2Amt
Excess From Year1$265,317ExcessFromYear1Amt
Excess From Current Year$165,985ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonLILLY'S GIFT FOUNDATIONRecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line18519 SHADY DELL ROADAddressLine1Txt
CityMACDOELCityNm
State AbbreviationCAStateAbbreviationCd
ZIP96058ZIPCd
FieldValueIRS element (for citing)
Recipient Phone5303984373RecipientPhoneNum
Form And Info And MaterialsPOTENTIAL RECIPIENTS ARE TO SUBMIT A WRITTEN LETTER EXPLAINING NEED.FormAndInfoAndMaterialsTxt
Submission DeadlinesNO SUBMISSION DEADLINESSubmissionDeadlinesTxt
Restrictions On AwardsNO RESTRICTIONS OR LIMITATIONS ON AWARDS.RestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (46 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
10TH DISTRICT AGRICULTURAL ASSOCIAT
1712 FAIRLANE ROADYREKACA96097NONEPCFOR SUPPORT OF FAIRS. FUNDS NOT TO BE USED FOR ADMINISTRATIVE EXPENSES.$300,000
TULELAKE-BUTTE VALLEY FAIR FRIENDS
PO BOX 866TULELAKECA96134NONEPCFOR SUPPORT OF FAIRS. FUNDS NOT TO BE USED FOR ADMINISTRATIVE EXPENSES.$300,000
ASANTE FOUNDATION
2600 SISKIYOU BLVD SUITE 100MEDFORDOR97504NONEPCPROVIDE FUNDS FOR COMMUNITY HEALTH CARE.$5,000
PAWS-PERFORMING ANIMAL WELFARE SOCI
PO BOX 849GALTCA95632NONEPCPROVIDE FUNDS TO ASSIST IN PROTECTING PERFORMING ANIMALS$15,000
THE ACADEMY OF SISTERS
62895 HAMBY ROADBENDOR97701NONEPCFOR SUPPORT OF AN AT RISK BOARDING SCHOOL FOR GIRLS. FUNDS NOT TO BE USED FOR ADMINISTRATIVE USE.$5,000
STEVENS JOHNSON SYNDROME FOUNDATION
PO BOX 350333WESTMINSTERCO80035NONEPCPROVIDE FUNDS FOR RESEARCH$15,000
SKY LAKES CANCER TREATMENT CENTER
2865 DAGGETT AVENUEKLAMATH FALLSOR97601NONEPCPROVIDE FUNDS FOR MAMMOGRAPHIC FUND$2,000
SEARCH DOG FOUNDATION
201 E OJAI AVENUEOJAICA93023NONEPCPROVIDE FUNDS TO RECRUIT RESCUED DOGS FOR USE BY FIRST RESPONDERS$15,000
RONALD MCDONALD HOUSES OF ORANGE CO
383 SOUTH BATAVIA STREETORANGECA92868NONEPCASSIST IN HOUSING FOR SERIOUSLY ILL CHILDREN & THEIR FAMILIES$4,000
ROCKY MOUNTAIN CHILDREN'S HEALTH FN
2055 HIGH STREET SUITE 240DENVERCO80205NONEPCSUPPORT TO PEDIATRIC PATIENTS & THEIR FAMILIES$6,000
RED BUCKET EQUINE RESCUE
18381 GOLDEN WEST STREETHUNTINGTON BEACHCA92648NONEPCPROVIDE FUNDS TO SAVE & REHABILITATE ABANDONED & UNWANTED HORSES$10,000
ORANGE COUNTY RESCUE MISSION
ONE HOPE DRIVETUSTINCA92782NONEPCPROVIDE FUNDS TO SUPPORT THE MISSION OF THE RESCUE MISSION$10,000
THE MUSTARD SEED RANCH
1421 EDINGER SUITE BTUSTINCA92780NONEPCFOR THE MUSTARD SEED RANCH PROGRAM$12,000
MILLER CHILDREN'S HOSPITAL LONG BEA
2801 ATLANTIC AVENUELOGN BEACHCA90801NONEPCPROVIDE FUNDS TO ASSIST IN PEDIATRIC CARE FOR CHILDREN AND YOUNG ADULTS$10,000
MERCY HOME FOR BOYS GIRLS
1140 W JACKSON BOULEVARDCHICAGOIL60607NONEPCFOR FOOD, CLOTHING AND SHELTER FOR THOSE ASSISTED$2,000
KLAMATH FALLS GOSPEL MISSION
823 WALNUT AVENUEKLAMATH FALLSOR97601NONEPCASSISTANCE FOR EMERGENCY FOOD, CLOTHING & SHELTER$6,000
STABLE HANDS
PO BOX 1852YREKACA96097NONEPCPROVIDE FUNDS FOR THERAPEUTIC RIDING PROGRAM. FUNDS TO BE USED FOR AREA IMPROVEMENTS$29,000
SMART-START MAKING A READER TODAY
219 NW 12TH AVENUE SUITE 203PORTLANDOR97209NONEPCPROVIDE FUNDS FOR READING PROGRAMS$19,000
MARCH OF DIMES
2222 MARTIN SUITE 155IRVINECA92612NONEPCFOR ANY EXPENDITUER RELATED TO CHARITABLE PURPOSE$25,000
KLAMATH LAKE COUNTIES FOOD BANK
3231 MAY WOOD DRIVEKLAMATH FALLSOR97601NONEPCFOR EMERGENCY FOOD ASSISTANCE ONLY$20,000
KLAMATH LAKE COUNTY CARES
2220 ELDORADO BOULEVARDKLAMATH FALLSOR97601NONEPCFOR SUPPORT OF CHILD ABUSE PROGRAM$20,000
ALSA - ORANGE COUNTY
2230 WEST CHAPMAN SUITE 123ORANGECA92868NONEPCFOR ANY EXPENDITURE RELATED TO CHARITABLE PURPOSE$10,000
KLAMATH HOSPICE INC
4745 S 6TH STREETKLAMATH FALLSOR97601NONEPCFOR CLIENT CARE OR CAMP EVERGREEN$5,000
BOYS REPUBLIC
1907 BOYS REPUBLIC DRIVECHINO HILLSCA91709NONEPCPROVIDE FUNDS FOR THE DELLA ROBBIA WREATH PROGRAM WHICH SUPPORTS AT RISK YOUTH$5,000
EASTER SEALS BAY AREA
391 TAYLOR BOULEVARDPLEASANT HILLCA94523NONEPCFOR THE SUMMER CAMP PROGRAM AT EAGLE LAKE OR GRIZZ.$5,000
JIMMY V FOUNDATION
14600 WESTON PARKWAYCARYNC27513NONEPCPROVIDE FUNDS TO HELP WITH CANCER RESEARCH$10,000
HOSANNA CHRISTIAN SCHOOL
5000 HOSANNA WAYKLAMATH FALLSOR97603NONEPCPROGRAM ASSISTANCE TO CHRISTIAN SCHOOL$5,000
HEALTHY-SMILES KIDS OF ORANGE COUNT
10602 CHAPMAN AVENUE SUITE 200GARDEN GROVECA92840NONEPCPROVIDE FUNDS FOR PROMOTING ORAL HEALTH FOR THE KIDS OF ORANGE COUNTY$15,000
GUIDING EYES FOR THE BLIND
611 GRANITE SPRINGS ROADYORKTOWN HEIGHTSNY10598NONEPCSUPPORT FOR THE BLIND$10,000
FRIENDS OF THE NRA - KLAMATH FALLS
9233 OLD FORT ROADKLAMATH FALLSOR97601NONEPCFOR ANY EXPENDITURE RELATED TO EXEMPT FUNCTION$3,000
KLAMATH CRISIS CENTER
PO BOX 1358KLAMATH FALLSOR97601NONEPCASSISTANCE FOR VICTIMS OF SEXUAL AND DOMESTIC VIOLENCE$5,000
BUTTE VALLEY AMBULANCE SERVICE
PO BOX 9DORRISCA96023NONEPCTO PROVIDE SERVICE TO INDIVIDUALS WHO CANNOT PAY$4,000
KLAMATH HUMANE SOCIETY
PO BOX 482KLAMATH FALLSOR97601NONEPCBUILDING FUND$6,000
CA CHAPTERS-ROCKY MOUNTAIN ELK FNDT
PO BOX 8249MISSOULAMT59807NONEPCWILDLIFE ENHANCEMENT$5,000
BUTTE VALLEY FIRE PROTECTION DISTRI
PO BOX 103MACDOELCA96058NONEPCTO PURCHASE NEW EQUIPMENT$10,000
THE GIDEONS INTERNATIONAL
3863 HOOKER ROADROSEBURGOR97470NONEPCPROVIDE FUNDS FOR BIBLE DISTRIBUTION$1,000
MADRONE HOSPICE
255 COLLIER WAYYREKACA96097NONEPCFOR CLIENT CARE$20,000
TAIL WAGGERS RESCUE
560 A NE F STREET 127GRANTS PASSOR97526NONEPCANIMAL RESCUE$5,000
WATER FOR LIFE
75-5851 KUAKINI HWY 75KAILUA KONAHI96740NONEPCASSIST IN PROVIDING SAFE WATER FOR THE WORLD$5,000
SMART CARNIVAL SUPER EVENT
2834 S 6TH STREETKLAMATH FALLSOR97603NONEPCCOMMUNITY CARNIVAL AND SUPERHERO EVENT$6,000
CA CATTLE WOMEN HERITAGE FOUNDATION
791 SPARROW DRIVEFERNLEYNV89408NONEPCSUPPORT CALIFORNIA CATTLE INDUSTRY$5,000
BENEFIT FOR THE BASIN
6510 S 6TH STREET 130KLAMATH FALLSOR97603NONEPCTO SUPPORT YOUTH, EDUCATION, COMMUNITY, AND THE KLAMATH COUNTY FAIRGROUNDS.$5,000
CALIFORNIA DEER ASSOCIATION
1431 N MARKET BLVD STE 1SACRAMENTOCA95834NONEPCCONSERVATION ORGANIZATION TO PRESERVE DEER HABITAT AND DEER.$5,000
CIVIL DEFENSE COMMUNICATIONS AUXILI
2731 ALTAMONT DRIVEKLAMATH FALLSOR97603PCTO PROVIDE INSTRUCTION TO AMATEUR RADIO AND EMERGENCY COMMUNICATION OPERATORS$5,000
FRIENDS OF THE NRA
PO BOX 670DORRISCA96023PCFOR ANY EXPENDITURE RELATED TO THE EXEMPT PURPOSE$5,000
SMILE TRAIN
633 THIRD AVENUE 9TH FLOORNEW YORKNY10017PCTO PROVIDE SERVICES TO CHILDREN BORN WITH A CLEFT.$10,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$1,000,000TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$534,614ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Related Or Exempt Function Incm-$76,205RelatedOrExemptFunctionIncmAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$534,614ExclusionAmt
Related Or Exempt Function Incm-$76,205RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$458,409TotalIncomeProducingActyAmt

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

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
General RuleYes (X)GeneralRuleInd

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
Contributor1ContributorNum
Contributor PersonGRISWOLD INDUSTRIESContributorPersonNm

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line11701 PLACENTIA AVENUEAddressLine1Txt
CityCOSTA MESACityNm
State AbbreviationCAStateAbbreviationCd
ZIP92627ZIPCd
FieldValueIRS element (for citing)
Total Contributions$1,870,000TotalContributionsAmt
Person ContributionYes (X)PersonContributionInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTINGCategoryTxt
Amt$12,661Amt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$12,661AdjustedNetIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (11 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
MFB NORTHERN FUNDS STK INDEX FDFMV$5,617,871$5,617,871
MFB NORTHERN EQUITY INDEX FUNDS MID CAPFMV$987,942$987,942
MFB NORTHERN FUNDS SMALL CAP INDEXFMV$578,360$578,360
MFB NORTHERN EQUITY INDEX FUNDS INTL EQTFMV$3,447,433$3,447,433
MFO DFA INTL SMALL CO PORTFOLIOFMV$644,354$644,354
MFB NORTHERN FUNDS EMERGING MKTS EQUITYFMV$1,151,310$1,151,310
MFB NORTHERN FUNDS BD INDEX FDFMV$1,552,383$1,552,383
MFB NORTHERN FUNDS HIGH YIELD FIXED INCFMV$2,052,334$2,052,334
MFC FLEXSHARES TR STOXX GLOBAL BROAD INFFMV$737,995$737,995
MFB NORTHERN FDS GLOBAL REAL ESTATEFMV$910,138$910,138
MFC FLEXSHARES TR MORNINGSTAR GLOBAL UPSFMV$766,161$766,161

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryLEGALCategoryTxt
Legal Fees$2,585LegalFeesAmt
Net Investment Income$0NetInvestmentIncomeAmt
Adjusted Net Income$2,585AdjustedNetIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS EXPENSESDesc
Revenue And Expenses Per Books$50RevenueAndExpensesPerBooksAmt
Adjusted Net Income$50AdjustedNetIncomeAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryINVESTMENT FEESCategoryTxt
Amt$71,405Amt
Net Investment Income$71,405NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (3 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmt
FEDERAL EXCISE TAXES$43,000$43,000
FOREIGN TAX PAID$14,782$14,782
STATE FILING FEES$160$160