STRATEGY STUDIO / PUBLIC DATA EXPLORER

BRINKERHOFF SAMPLE FAMILY FOUNDATION: Form 990PF, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
BRINKERHOFF SAMPLE FAMILY FOUNDATION (EIN 20-1389996)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-08-20
IRS object ID
201822329349100357
Schema version
2017v2.3
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)
Return2018-08-20T15:18:45-04:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

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 Begin2017-01-01TaxPeriodBeginDt

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
Signature2018-08-07SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJEFFREY R STEFFORIAPreparerPersonNm
PTINP00051354PTIN
Phone7347478863PhoneNum
Preparation2018-08-07PreparationDt
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$209,215FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$17,110ContriRcvdRevAndExpnssAmt
Dividends Rev And Expnss$3,556DividendsRevAndExpnssAmt
Dividends Net Invst Incm$3,556DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss-$368NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$16,868GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$7CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$20,298TotalRevAndExpnssAmt
Total Net Invst Incm$3,563TotalNetInvstIncmAmt
Accounting Fees Rev And Expnss$520AccountingFeesRevAndExpnssAmt
Tot Opr Expenses Rev And Expnss$520TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$0TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$37,333ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$37,333ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$37,853TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$0TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$37,333TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$17,555ExcessRevenueOverExpensesAmt
Net Investment Income$3,563NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash EOY$155CashEOYAmt
Cash EOYFMV$155CashEOYFMVAmt
Sav And Temp Cash Invst BOY$63,501SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$8,208SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$8,208SavAndTempCashInvstEOYFMVAmt
Corporate Stock BOY$123,144CorporateStockBOYAmt
Corporate Stock EOY$160,428CorporateStockEOYAmt
Corporate Stock EOYFMV$200,852CorporateStockEOYFMVAmt
Total Assets BOY$186,645TotalAssetsBOYAmt
Total Assets EOY$168,791TotalAssetsEOYAmt
Total Assets EOYFMV$209,215TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Retained Earning BOY$186,645RetainedEarningBOYAmt
Retained Earning EOY$168,791RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$186,645TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$168,791TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$186,645TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$168,791TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$186,645TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$17,555ExcessRevenueOverExpensesAmt
Subtotal$169,090SubtotalAmt
Other Decreases$299OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$168,791TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

FieldValueIRS element (for citing)
Capital Gain Net Income$7CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$33,753AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$159,581NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.211510DistributionYr1Rt
Adjusted Qlfy Distri Yr2$31,582AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$145,587NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.216929DistributionYr2Rt
Adjusted Qlfy Distri Yr3$21,857AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$163,057NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.134045DistributionYr3Rt
Adjusted Qlfy Distri Yr4$29,967AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$157,628NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.190112DistributionYr4Rt
Adjusted Qlfy Distri Yr5$28,607AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$144,576NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.197868DistributionYr5Rt
Total Distribution0.950464TotalDistributionRt
Average Distribution0.190093AverageDistributionRt
Net Vl Noncharitable Assets$175,052NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$33,276AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$36NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$33,312AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$37,333QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$36InvestmentIncomeExciseTaxAmt
Subtotal$36SubtotalAmt
Tax Based On Investment Income$36TaxBasedOnInvestmentIncomeAmt
Tax Due$36TaxDueAmt

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
Private Operating FoundationfalsePrivateOperatingFoundationInd
New Substantial ContributorsYes (true)NewSubstantialContributorsInd
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

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.1.00$0$0$0
WILLIAM F BRINKERHOFF
534 GLENDALE CIRCLEANN ARBORMI48103PRESIDENT1.00$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$141,786AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$35,932AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$177,718TotalFMVOfUnusedAssetsAmt
Adjusted Total FMV Of Unused Ast$177,718AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$2,666CashDeemedCharitableAmt
Net Vl Noncharitable Assets$175,052NetVlNoncharitableAssetsAmt
Minimum Investment Return$8,753MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$8,753MinimumInvestmentReturnAmt
Tax Based On Investment Income$36TaxBasedOnInvestmentIncomeAmt
Total Tax$36TotalTaxAmt
Distributable Before Adj$8,717DistributableBeforeAdjAmt
Distributable Before Ded$8,717DistributableBeforeDedAmt
Distributable As Adjusted$8,717DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$37,333ExpensesAndContributionsAmt
Qualifying Distributions$37,333QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$36PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$37,297AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$8,717DistributableAsAdjustedAmt
Excess Distribution Cyov Yr5$28,646ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$30,000ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$21,900ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$31,618ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$33,788ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$145,952TotalExcessDistributionCyovAmt
Qualifying Distributions$37,333QualifyingDistributionsAmt
Applied To Current Year$8,717AppliedToCurrentYearAmt
Remaining Distri From Corpus$28,616RemainingDistriFromCorpusAmt
Total Corpus$174,568TotalCorpusAmt
Undistributed Income CY$0UndistributedIncomeCYAmt
Excess Distri Cyov From Yr5$28,646ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$145,922ExcessDistriCyovToNextYrAmt
Excess From Year4$30,000ExcessFromYear4Amt
Excess From Year3$21,900ExcessFromYear3Amt
Excess From Year2$31,618ExcessFromYear2Amt
Excess From Year1$33,788ExcessFromYear1Amt
Excess From Current Year$28,616ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerWILLIAM BRINKERHOFFContributingManagerNm
Contributing ManagerKATHLEEN SAMPLEContributingManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (4 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line2RecipientUSAddress/AddressLine2Txt
FIRST PRESBYTERIAN CHURCH OF ANN AR
1432 WASHTENAW AVEANN ARBORMI48104501(C)(3)COMMUNITY SUPPORT$500
PEACE NEIGHBORHOOD CENTER
1111 NORTH MAPLE ROADANN ARBORMI48103501(C)(3)COMMUNITY SUPPORT$1,000
UNITED WAY
2305 PLATT ROADANN ARBORMI48104501(C)(3)COMMUNITY SUPPORT$27,833
UNIVERSITY OF MICHIGAN
3003 SOUTH STATE STREETANN ARBORMI481091288501(C)(3)COMMUNITY SUPPORT$8,000SUITE 8000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$37,333TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$3,556ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion-$368ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$3,188ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$3,188TotalIncomeProducingActyAmt

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 PersonWILLIAM BRINKERHOFFContributorPersonNm

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1534 GLENDALE CIRCLEAddressLine1Txt
CityANN ARBORCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48103ZIPCd
FieldValueIRS element (for citing)
Total Contributions$17,110TotalContributionsAmt
Noncash ContributionYes (X)NoncashContributionInd

Non Cash Property Contribution NonCashPropertyContributionGrp

FieldValueIRS element (for citing)
Contributor1ContributorNum
Noncash Property2000 SHARES CERENIS STOCKNoncashPropertyDesc
Fair Market Value$17,110FairMarketValueAmt
Received2017-01-17ReceivedDt

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryINDIRECT ACCOUNTING FEESCategoryTxt
Amt$520Amt

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

FieldValueIRS element (for citing)
Asset2000 SHARES CERENIS THERAAssetDesc
Acquired2017-01AcquiredDt
How AcquiredDONATIONHowAcquiredTxt
Sold2017-01SoldDt
Gross Sales Price$16,861GrossSalesPriceAmt
Basis$17,110BasisAmt
Sales Expense$126SalesExpenseAmt
Total Net-$375TotalNetAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (6 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
VANGUARD INTERM TERM$51,707$50,505
VANGUARD S/T INVESTMENT GRADE FUND$41,270$40,679
VANGUARD SMALL CAP$5,731$11,049
VANGUARD 500 INDEX$21,288$44,214
ISHARES TR MSCI EAFE FUND$33,111$43,311
ISHARES TR MSCI EAFE SMALL CAP$7,321$11,094

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescFEDERAL TAXES & PENALTIESDesc
Amt$299Amt

Substantial Contributors Sch SubstantialContributorsSch

Substantial Contributor Detail SubstantialContributorDetail

FieldValueIRS element (for citing)
PersonWILLIAM BRINKERHOFF KATHY SAMPLEPersonNm

US Address USAddress

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