STRATEGY STUDIO / PUBLIC DATA EXPLORER

BRINKERHOFF SAMPLE FAMILY FOUNDATION: Form 990PF, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
BRINKERHOFF SAMPLE FAMILY FOUNDATION (EIN 20-1389996)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-02
IRS object ID
202043079349100534
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)
Return2020-11-02T13:54:05-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN200436877PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1STEFFORIA PETIK & ASSOCIATES PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12178 S STATE ST STE DAddressLine1Txt
CityANN ARBORCityNm
State AbbreviationMIStateAbbreviationCd
ZIP481048107ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN201389996EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BRINKERHOFF-SAMPLE FAMILYBusinessNameLine1Txt
Business Name Line2FOUNDATIONBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlBRINBusinessNameControlTxt
Phone7343321131PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1534 GLENDALE CIRCLEAddressLine1Txt
CityANN ARBORCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48103ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWILLIAM F BRINKERHOFFPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone7343321131PhoneNum
Signature2020-10-29SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJEFFREY R STEFFORIAPreparerPersonNm
PTINP00051354PTIN
Phone7347478863PhoneNum
Preparation2020-10-29PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address75.147.241.214IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-11-02IPDt
IP Tm13:54:05IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdC999CDE2670CFDCC7D22013761110F2AD569E47BAtSubmissionCreationDeviceId
At Submission Filing Device Id42E90AD7D83B546C5D575FC5737BDE80B2F5D1FAAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-04-22 16:20:28ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$173,891FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$20InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$20InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$4,419DividendsRevAndExpnssAmt
Dividends Net Invst Incm$4,419DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$5,199NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$19,202GrossSalesPriceAmt
Total Rev And Expnss$9,638TotalRevAndExpnssAmt
Total Net Invst Incm$4,439TotalNetInvstIncmAmt
Accounting Fees Rev And Expnss$540AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$540AccountingFeesNetInvstIncmAmt
Taxes Rev And Expnss$228TaxesRevAndExpnssAmt
Taxes Net Invst Incm$228TaxesNetInvstIncmAmt
Tot Opr Expenses Rev And Expnss$768TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$768TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$23,607ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$23,607ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$24,375TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$768TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$23,607TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$14,737ExcessRevenueOverExpensesAmt
Net Investment Income$3,671NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$189CashBOYAmt
Cash EOY$149CashEOYAmt
Cash EOYFMV$149CashEOYFMVAmt
Sav And Temp Cash Invst BOY$6,634SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$5,940SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$5,940SavAndTempCashInvstEOYFMVAmt
Corporate Stock BOY$144,490CorporateStockBOYAmt
Corporate Stock EOY$130,487CorporateStockEOYAmt
Corporate Stock EOYFMV$167,802CorporateStockEOYFMVAmt
Total Assets BOY$151,313TotalAssetsBOYAmt
Total Assets EOY$136,576TotalAssetsEOYAmt
Total Assets EOYFMV$173,891TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Retained Earning BOY$151,313RetainedEarningBOYAmt
Retained Earning EOY$136,576RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$151,313TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$136,576TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$151,313TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$136,576TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$151,313TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$14,737ExcessRevenueOverExpensesAmt
Subtotal$136,576SubtotalAmt
Tot Net Ast Or Fund Balances EOY$136,576TotNetAstOrFundBalancesEOYAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$28,864AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$167,792NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.172023DistributionYr1Rt
Adjusted Qlfy Distri Yr2$37,297AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$175,052NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.213062DistributionYr2Rt
Adjusted Qlfy Distri Yr3$33,753AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$159,581NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.211510DistributionYr3Rt
Adjusted Qlfy Distri Yr4$31,582AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$145,587NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.216929DistributionYr4Rt
Adjusted Qlfy Distri Yr5$21,857AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$163,057NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.134045DistributionYr5Rt
Total Distribution0.947569TotalDistributionRt
Average Distribution0.189514AverageDistributionRt
Net Vl Noncharitable Assets$142,322NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$26,972AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$37NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$27,009AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$23,607QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$73InvestmentIncomeExciseTaxAmt
Subtotal$73SubtotalAmt
Tax Based On Investment Income$73TaxBasedOnInvestmentIncomeAmt
Tax Due$73TaxDueAmt

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 GenfalseForm990PFFiledWithAttyGenInd
Private Operating FoundationfalsePrivateOperatingFoundationInd
New Substantial ContributorsfalseNewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksWILLIAM F BRINKERHOFFIndividualWithBooksNm
Phone7343321131PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1534 GLENDALE CIRCLEAddressLine1Txt
CityANN ARBORCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48103ZIPCd
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
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 (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
KATHLEEN SAMPLE
534 GLENDALE CIRCLEANN ARBORMI48103SEC./TREAS.000.00$0$0$0
WILLIAM F BRINKERHOFF
534 GLENDALE CIRCLEANN ARBORMI48103PRESIDENT000.00$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Description1N/ADescription1Txt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$137,489AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$7,000AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$144,489TotalFMVOfUnusedAssetsAmt
Adjusted Total FMV Of Unused Ast$144,489AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$2,167CashDeemedCharitableAmt
Net Vl Noncharitable Assets$142,322NetVlNoncharitableAssetsAmt
Minimum Investment Return$7,116MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$7,116MinimumInvestmentReturnAmt
Tax Based On Investment Income$73TaxBasedOnInvestmentIncomeAmt
Total Tax$73TotalTaxAmt
Distributable Before Adj$7,043DistributableBeforeAdjAmt
Distributable Before Ded$7,043DistributableBeforeDedAmt
Distributable As Adjusted$7,043DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$23,607ExpensesAndContributionsAmt
Qualifying Distributions$23,607QualifyingDistributionsAmt
Adjusted Qualifying Distri$23,607AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$7,043DistributableAsAdjustedAmt
Excess Distribution Cyov Yr5$21,900ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$31,618ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$33,788ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$28,616ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$20,702ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$136,624TotalExcessDistributionCyovAmt
Qualifying Distributions$23,607QualifyingDistributionsAmt
Applied To Current Year$7,043AppliedToCurrentYearAmt
Remaining Distri From Corpus$16,564RemainingDistriFromCorpusAmt
Total Corpus$153,188TotalCorpusAmt
Undistributed Income CY$0UndistributedIncomeCYAmt
Excess Distri Cyov From Yr5$21,900ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$131,288ExcessDistriCyovToNextYrAmt
Excess From Year4$31,618ExcessFromYear4Amt
Excess From Year3$33,788ExcessFromYear3Amt
Excess From Year2$28,616ExcessFromYear2Amt
Excess From Year1$20,702ExcessFromYear1Amt
Excess From Current Year$16,564ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (8 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line2RecipientUSAddress/AddressLine2Txt
PEACE NEIGHBORHOOD CENTER
1111 NORTH MAPLE ROADANN ARBORMI48103501(C)(3)COMMUNITY SUPPORT$500
UNITED WAY
2305 PLATT ROADANN ARBORMI48104501(C)(3)COMMUNITY SUPPORT$20,236
UNIVERSITY OF MICHIGAN
3003 SOUTH STATE STREETANN ARBORMI481091288501(C)(3)COMMUNITY SUPPORT$500SUITE 8000
ARGUS FARM STOP
325 W LIBERTY STREETANN ARBORMI48103FEDERAL FOOD PROGRAM INCENTIVES$371
CENTRAL PRESBYTERIAN CHURCH
46 PARKMONTCLAIRNJ07042501(C)(3)COMMUNITY SUPPORT$250
LEGACY LAND CONSERVANCY
6276 JACKSON RDANN ARBORMI48103501(C)(3)LAND STEWARDSHIP$500SUITE G
GROWING HOPE
505 HILLSIDEFAIRFIELDIA52556501(C)(3)GARDEN GROWTH$250
TREELINE CONSERVANCY
525 W WILLIAMANN ARBORMI48103501(C)(3)LAND CONSERVANCY$1,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$23,607TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$20ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$4,419ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Related Or Exempt Function Incm$5,199RelatedOrExemptFunctionIncmAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$4,439ExclusionAmt
Related Or Exempt Function Incm$5,199RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$9,638TotalIncomeProducingActyAmt

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)
Amt$540Amt
Net Investment Income$540NetInvestmentIncomeAmt

Expln Of Non Filing With AG Stmt ExplnOfNonFilingWithAGStmt

FieldValueIRS element (for citing)
ExplanationPRIVATE FOUNDATIONS THAT RECEIVE ONLY CONTRIBUTIONS FROM ITS MEMBERS OR DIRECTORS IS EXEMPT FROM THE STATE OF MICHIGAN CHARITABLE SOLICITATION FILING REQUIREMENTS.ExplanationTxt

Gain Loss Sale Other Assets Sch GainLossSaleOtherAssetsSch

Gain Loss Sale Other Asset GainLossSaleOtherAssetGrp (5 entries)

AssetAssetDescAcquiredAcquiredDtHow AcquiredHowAcquiredTxtSoldSoldDtGross Sales PriceGrossSalesPriceAmtBasisBasisAmtTotal NetTotalNetAmt
ISHARES MSCI EAFE ETF2004-09PURCHASE2019-10$3,202$2,293$909
VANGUARD INTERM TERM TRSYPURCHASE2019-10$5,600$5,556$44
VANGUARD S/T INVEST GRADE FUND2004-09PURCHASE2019-10$2,800$2,813-$13
VANGUARD SMALL CAP GWTH2004-09PURCHASE2019-10$1,800$825$975
VANGUARD 500 INDEX FD2004-09PURCHASE2019-10$5,800$2,516$3,284

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (6 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
VANGUARD INTERM TERM$42,329$42,375
VANGUARD S/T INVESTMENT GRADE FUND$34,322$34,153
VANGUARD SMALL CAP$3,863$9,203
VANGUARD 500 INDEX$14,811$37,159
ISHARES TR MSCI EAFE FUND$28,760$36,317
ISHARES TR MSCI EAFE SMALL CAP$6,402$8,595

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryFEDERAL TAXESCategoryTxt
Amt$228Amt
Net Investment Income$228NetInvestmentIncomeAmt