2020-11-11T17:56:32-06:00 2019-12-31 942180068 MOON & MANDELLA A C 1 FIRST STREET SUITE 10 LOS ALTOS CA 94022 990PF 2019-01-01 770525013 THE RONALD WHITTIER FAMILY FOUNDATION RONA 6509488268 3130 ALPINE ROAD SUITE 288 PMB PORTOLA VALLEY CA 94028 JACQUELINE KUBICKA SECRETARY/COO 6509488268 2020-10-27 1 VICTOR P MANDELLA P00160509 6508571284 12.133.139.226 2020-10-27 16:17:31 PD P CB00B5CC3E5481B5C81775427596B6F6EBB4B63A CB00B5CC3E5481B5C81775427596B6F6EBB4B63A 2019 2021-04-22 16:20:28Z X 2176255 X X 571 571 571 42840 42840 42840 0 0 66 66 66 43477 43477 43477 12400 0 0 12400 5985 0 0 5985 35 0 0 35 2492 0 0 36 0 0 36 12304 0 0 12304 33252 0 0 30760 125199 125199 158451 0 0 155959 -114974 43477 43477 269682 141184 141184 1595621 2034900 2034900 48400 48229 395 171 171 1865698 2176255 2176255 5796 4383 5796 4383 X 1859902 2171872 1859902 2171872 1865698 2176255 1859902 -114974 439280 2184208 12336 2171872 0 150358 1991778 0.075489 132385 1622935 0.081571 135260 1530615 0.088370 136427 1324776 0.102981 143089 1432246 0.099905 0.448316 0.089663 1922696 172395 435 172830 155959 870 0 870 0 870 8628 0 0 8628 0 7758 7758 0 0 0 0 0 0 0 0 0 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. 114170 GRANTS TO OTHER CHARITIES WITH SIMILAR EXEMPT PURPOSE 11029 0 1740205 211771 0 1951976 0 0 1951976 29280 1922696 96135 X 155959 0 155959 0 155959 2001-05-09 X 43477 41283 43484 42034 170278 36955 35091 36961 35729 144736 155959 150358 132385 135260 573962 0 0 11223 16450 27673 155959 150358 121162 118810 546289 0 0 64090 66393 54098 51021 235602 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. 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 - 1000 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 114170 STARR SCHOLARSHIP 426 AUDITORIUM ROAD ROOM 250 EAST LANSING MI 488244604 NONE PUBLIC CHARITY SUPPORT FOR RELATED CHARITY - 300 THE LEUKEMIA & LYMPHOMA SOCIETY 1311 MAMARONECK AVENUE SUITE 310 WHITE PLAINS NY 10605 NONE PUBLIC CHARITY SUPPORT FOR RELATED CHARITY -SUPPORT FOR RELATED CHARITY - 250 UC BERKELEY FOOD INSTITUTE 141 UNIVERSITY HALL 3100 BERKELEY CA 947203100 NONE PUBLIC CHARITY SUPPORT FOR RELATED CHARITY - 1000 WOODSIDE HIGH SCHOOL 199 CHURCHILL AVENUE WOODSIDE CA 94062 NONE PUBLIC CHARITY SUPPORT FOR RELATED CHARITY - 3000 VIRGIN MONEY GIVING BOTLEY ROAD WEST END SOUTHAMPTON UNITED KINGDOM UK 94028 NONE PUBLIC CHARITY SUPPORT FOR RELATED CHARITY - 129 GIRL SCOUT TROOP #61726 181 CONSTITUTION DRIVE MENLO PARK CA 94025 NONE PUBLIC CHARITY SUPPORT FOR RELATED CHARITY - 200 KQED 2601 MARIPOSA STREET SAN FRANCISCO CA 94110 NONE PUBLIC CHARITY SUPPORT FOR RELATED CHARITY -SUPPORT FOR RELATED CHARITYSUPPORT FOR RELATED CHARITY - 150 125199 0 571 42840 66 0 0 43477 43477 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 (PAID IN 2019) 5985 0 0 5985 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 2009-01-15 140 133 ADS 10.000000000000 7 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 2014-07-22 839 395 200DB 5.000000000000 24 0 0 OFFICE EQUIPMENT 2015-08-01 643 266 200DB 5.000000000000 37 0 0 OFFICE EQUIPMENT 2015-08-05 1395 576 200DB 5.000000000000 81 0 0 APPLE COMPUTER 2016-01-04 1308 466 200DB 5.000000000000 75 0 0 APPLE COMPUTER 2019-06-23 2268 200DB 5.000000000000 2268 0 0 COMMON STOCK 2034900 2034900 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 643 625 18 OFFICE EQUIPMENT 1395 1355 40 APPLE COMPUTER 1308 1195 113 APPLE COMPUTER 2268 2268 0 NON-DEDUCTIBLE EXPENSE - 2018 MEALS AT 50% 336 2018 FEDERAL TAX PAID 12000 OFFICE EXPENSES 4356 0 0 4356 TELEPHONE 4981 0 0 4981 POSTAGE & SHIPPING 1091 0 0 1091 DUES AND SUBSCRIPTIONS 534 0 0 534 AUTOMOBILE 298 0 0 298 BANK FEES 175 0 0 175 CONFERENCE/DEVELOPMENT 533 0 0 533 MEALS AT 50% 336 0 0 336 MISCELLANEOUS 66 66 66 INCREASE IN FMV OF SECURITIES 439280 REVOLVING CREDIT CARD BALANCE PAYABLE 5796 4383 STATE TAX & FEES 35 0 0 35