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HAVNER FAMILY FOUNDATION: Form 990PF, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
HAVNER FAMILY FOUNDATION (EIN 04-3762697)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-05-14
IRS object ID
201841349349104174
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)
Return2018-05-14T17:05:24-05:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HOLTHOUSE CARLIN & VAN TRIGT LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13011 TOWNSGATE ROAD SUITE 400AddressLine1Txt
CityWESTLAKE VILLAGECityNm
State AbbreviationCAStateAbbreviationCd
ZIP91361ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN043762697EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1The Havner Family FoundationBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% RONALD L & LEEANN R HAVNERInCareOfNm
Business Name ControlHAVNBusinessNameControlTxt
Phone6263569908PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12275 CHAUCER ROADAddressLine1Txt
CitySAN MARINOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91108ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLEEANN R HAVNERPersonNm
Person TitletrusteePersonTitleTxt
Phone6263569908PhoneNum
Signature2018-05-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonStephanie WilkinsonPreparerPersonNm
PTINP01231617PTIN
Phone8053748555PhoneNum
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$1,408,080FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$677,400ContriRcvdRevAndExpnssAmt
Dividends Rev And Expnss$40,207DividendsRevAndExpnssAmt
Dividends Net Invst Incm$40,207DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$540,246NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$885,832GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$540,246CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$11,000OtherIncomeRevAndExpnssAmt
Total Rev And Expnss$1,268,853TotalRevAndExpnssAmt
Total Net Invst Incm$580,453TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Accounting Fees Rev And Expnss$3,580AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$1,790AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$1,790AccountingFeesChrtblPrpsAmt
Taxes Rev And Expnss$3,978TaxesRevAndExpnssAmt
Taxes Dsbrs Chrtbl$160TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$13OtherExpensesRevAndExpnssAmt
Other Expenses Dsbrs Chrtbl$13OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$7,571TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$1,790TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$1,963TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$1,066,583ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$1,063,583ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$1,074,154TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$1,790TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$1,065,546TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$194,699ExcessRevenueOverExpensesAmt
Net Investment Income$578,663NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$493,052SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$355,937SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$355,937SavAndTempCashInvstEOYFMVAmt
Corporate Stock BOY$440,594CorporateStockBOYAmt
Corporate Stock EOY$275,408CorporateStockEOYAmt
Corporate Stock EOYFMV$426,693CorporateStockEOYFMVAmt
Other Investments BOY$180,400OtherInvestmentsBOYAmt
Other Investments EOY$83,425OtherInvestmentsEOYAmt
Other Investments EOYFMV$625,450OtherInvestmentsEOYFMVAmt
Total Assets BOY$1,114,046TotalAssetsBOYAmt
Total Assets EOY$714,770TotalAssetsEOYAmt
Total Assets EOYFMV$1,408,080TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Retained Earning BOY$1,114,046RetainedEarningBOYAmt
Retained Earning EOY$714,770RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$1,114,046TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$714,770TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$1,114,046TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$714,770TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$1,114,046TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$194,699ExcessRevenueOverExpensesAmt
Subtotal$1,308,745SubtotalAmt
Other Decreases$593,975OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$714,770TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (4 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtAcquiredAcquiredDtSoldSoldDt
10,000 SHS USG CORPORATIOND$312,070$144,486$167,584$167,584
4,000 SHS PS BUSINESS PARKSD$546,439$180,400$366,039$366,0392006-08-242017-11-21
20 SHS WELLS FARGO BK 7.5%D$26,635$20,700$5,935$5,9352011-10-042017-09-19
CAPITAL GAIN DIVIDENDSP$688
FieldValueIRS element (for citing)
Capital Gain Net Income$540,246CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$725,504AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$1,291,129NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.561914DistributionYr1Rt
Adjusted Qlfy Distri Yr2$685,475AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$1,098,431NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.624049DistributionYr2Rt
Adjusted Qlfy Distri Yr3$386,925AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$793,148NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.487835DistributionYr3Rt
Adjusted Qlfy Distri Yr4$264,731AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$791,206NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.334592DistributionYr4Rt
Adjusted Qlfy Distri Yr5$265,949AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$810,425NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.32816DistributionYr5Rt
Total Distribution2.33655TotalDistributionRt
Average Distribution0.46731AverageDistributionRt
Net Vl Noncharitable Assets$1,192,640NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$557,333AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$5,787NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$563,120AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$1,065,546QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$5,787InvestmentIncomeExciseTaxAmt
Subtotal$5,787SubtotalAmt
Tax Based On Investment Income$5,787TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$4,688EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$4,688TotalPaymentsAndCreditsAmt
Form2220 AttachedYes (X)Form2220AttachedInd
Tax Due$1,099TaxDueAmt

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

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1RONALD L & LEEANN R HAVNERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6263569908PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line12275 CHAUCER ROADAddressLine1Txt
CitySAN MARINOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91108ZIPCd
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
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
Undistributed Income PYfalseUndistributedIncomePYInd
Business HoldingsfalseBusinessHoldingsInd
Jeopardy InvestmentsfalseJeopardyInvestmentsInd
Uncorrected PY Jeopardy InvstfalseUncorrectedPYJeopardyInvstInd
Influence LegislationfalseInfluenceLegislationInd
Influence ElectionfalseInfluenceElectionInd
Grants To IndividualsfalseGrantsToIndividualsInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
Transactions Fail To Qlfy As ExcfalseTransactionsFailToQlfyAsExcInd
Maintained Expenditure RspnsYes (true)MaintainedExpenditureRspnsInd
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
LEEANN R HAVNER
2275 CHAUCER ROADSAN MARINOCA91108TRUSTEE3.0$0$0$0
RONALD L HAVNER
2275 CHAUCER ROADSAN MARINOCA91108TRUSTEE0.0$0$0$0
FieldValueIRS element (for citing)
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Contractor Paid Over50k0ContractorPaidOver50kCnt
FieldValueIRS element (for citing)
Summary Of Direct Chrtbl ActySummaryOfDirectChrtblActyGrp
Sum Of Program Related InvstSumOfProgramRelatedInvstGrp

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$972,565AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$238,237AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$1,210,802TotalFMVOfUnusedAssetsAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$1,210,802AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$18,162CashDeemedCharitableAmt
Net Vl Noncharitable Assets$1,192,640NetVlNoncharitableAssetsAmt
Minimum Investment Return$59,632MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$59,632MinimumInvestmentReturnAmt
Tax Based On Investment Income$5,787TaxBasedOnInvestmentIncomeAmt
Total Tax$5,787TotalTaxAmt
Distributable Before Adj$53,845DistributableBeforeAdjAmt
Recoveries Qualfied Distri$11,000RecoveriesQualfiedDistriAmt
Distributable Before Ded$64,845DistributableBeforeDedAmt
Distributable As Adjusted$64,845DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$1,065,546ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$1,065,546QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$5,787PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$1,059,759AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$64,845DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Prior Year12015PriorYear1Yr
Prior Year22014PriorYear2Yr
Prior Year32013PriorYear3Yr
Excess Distribution Cyov Yr5$228,438ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$225,939ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$348,088ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$637,847ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$670,322ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$2,110,634TotalExcessDistributionCyovAmt
Qualifying Distributions$1,065,546QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Current Year$64,845AppliedToCurrentYearAmt
Remaining Distri From Corpus$1,000,701RemainingDistriFromCorpusAmt
Total Corpus$3,111,335TotalCorpusAmt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Excess Distri Cyov From Yr5$228,438ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$2,882,897ExcessDistriCyovToNextYrAmt
Excess From Year4$225,939ExcessFromYear4Amt
Excess From Year3$348,088ExcessFromYear3Amt
Excess From Year2$637,847ExcessFromYear2Amt
Excess From Year1$670,322ExcessFromYear1Amt
Excess From Current Year$1,000,701ExcessFromCurrentYearAmt
FieldValueIRS element (for citing)
Private Operating FoundationsPrivateOperatingFoundationsGrp

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerRONALD L HAVNER AND LEEANN R HAVNContributingManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (17 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
Cancer Support Community
200 East Del Mar Ave 118PasadenaCA91105nonePCgeneral operating support$2,500
Casa de las Amigas
160 North El Molino AvePasadenaCA91101nonePCgeneral operating support$10,000
GLAAC BSA
2333 Scout WayLos AngelesCA90026nonePCgeneral operating support$20,500
Hillsides
940 Avenue 64PasadenaCA91105nonePCgeneral operating support$65,138
Huntington Hospital Office of Philanthropy
100 West California BlvdPasadenaCA91105nonePCgeneral operating support$305,000
La Casa de San Gabriel
203 East Mission Rdsan gabrielCA91776nonePCgeneral operating support$500
MUSEIQUE
750 E Green St Suite 305PasadenaCA91101nonePCgeneral operating support$411,545
Pasadena Guild of Childrens Hospital
4650 sunset blvd suite m/s 4los angelesCA90027noneSO III NFISupport endowed chair in Developmental Biology and Regenerative Medicine$3,000
San Marino Junior Alliance Inc
1370 Old Mill RdSan MarinoAS91108nonePCgeneral operating support$5,250
San Marino Schools Foundation
1665 West DrSan MarinoCA91108nonePCgeneral operating support$150,000
The Huntington Library
1151 Oxford RdSan MarinoCA91108nonePCgeneral operating support$10,000
Villa Esperanza Services
2060 E Villa StreetPasadenaCA91107nonePCgeneral operating support$50,000
HUNTINGTON MEDICAL RESEARCH INSTITUTE
99 NORTH EL MOLINO AVENUEPASADENACA91101NONEPCGENERAL OPERATING SUPPORT$5,000
SAN MARINO MOTOR CLASSIC
1425 HAMPTON ROADSAN MARINOCA91108NONEPCGENERAL OPERATING SUPPORT$12,500
SAN MARINO HIGH SCHOOL PARENT TEACHER STUDENT ASSO
2701 HUNTINGTON DRIVESAN MARINOCA91108NONEPCGENERAL OPERATING SUPPORT$250
UCLA FOUNDATION
10920 WILSHIRE BLVD STE 1400LOS ANGELESCA90024NONEPCGENERAL OPERATING SUPPORT$14,400
UNION RESCUE MISSION
545 S SAN PEDRO STLOS ANGELESCA90013NONEPCGENERAL OPERATING SUPPORT$1,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$1,066,583TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

FieldValueIRS element (for citing)
Fees Contracts From Govt AgFeesContractsFromGovtAgGrp
Membership Dues And AssmntMembershipDuesAndAssmntGrp
Int On Sav And Temp Cash InvstIntOnSavAndTempCashInvstGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$40,207ExclusionAmt
FieldValueIRS element (for citing)
Net Rntl Incm Re Debt Fincd PropNetRntlIncmReDebtFincdPropGrp
Net Rntl Incm Re Not Debt Fincd PropNetRntlIncmReNotDebtFincdProp
Net Rental Income Personal PropNetRentalIncomePersonalPropGrp
Other Investment Incm Part VIIOtherInvestmentIncmPartVIIGrp

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$540,246ExclusionAmt
FieldValueIRS element (for citing)
Net Income Loss From Special EvtNetIncomeLossFromSpecialEvtGrp
Gross Profit Loss Sls Of InvntryGrossProfitLossSlsOfInvntryGrp

Other Revenue Described OtherRevenueDescribedGrp

FieldValueIRS element (for citing)
DescRECOVERY OF PY QUALIFYING DISTRIBUTIONSDesc
Exclusion01ExclusionCd
Exclusion$11,000ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$591,453ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$591,453TotalIncomeProducingActyAmt

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 PersonRONALD L AND LEEANN R HAVNERContributorPersonNm

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line12275 CHAUCER ROADAddressLine1Txt
CitySAN MARINOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91108ZIPCd
FieldValueIRS element (for citing)
Total Contributions$677,400TotalContributionsAmt
Person ContributionYes (X)PersonContributionInd
Noncash ContributionYes (X)NoncashContributionInd

Non Cash Property Contribution NonCashPropertyContributionGrp

FieldValueIRS element (for citing)
Contributor1ContributorNum
Noncash Property5,000 SHS PS BUSINESS PARKS, INC. SECURITIESNoncashPropertyDesc
Fair Market Value$677,400FairMarketValueAmt
Received2017-11-21ReceivedDt

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryTAX RETURN PREPARATIONCategoryTxt
Amt$3,580Amt
Net Investment Income$1,790NetInvestmentIncomeAmt
Disbursements Charitable Prps$1,790DisbursementsCharitablePrpsAmt

Depreciation Schedule DepreciationSchedule

Expenditure Responsibility Stmt ExpenditureResponsibilityStmt

Expenditure Responsibility ExpenditureResponsibilityGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdGrantGrantDtGrantGrantAmtPurpose Of GrantPurposeOfGrantTxtExpended By GranteeExpendedByGranteeAmtAny Diversion By GranteeAnyDiversionByGranteeTxtDates Of Reports By GranteeDatesOfReportsByGranteeTxtVerificationVerificationDtResults Of VerificationResultsOfVerificationTxt
PASADENA GUILD OF CHILDREN'S HOSPITAL
4650 SUNSET BLVD SUITE M/S 4LOS ANGELESCA900272017-03-22$500TO SUPPORT ENDOWED CHAIR IN DEVELOPMENTAL BIOLOGY AND REGENERATIVE MEDICINE.$500NO01/08/20182018-01-08VERIFICATION CONFIRMED THAT $500 WAS SPENT TOWARD THE GRANT PURPOSE WITH NO DIVERSION.
PASADENA GUILD OF CHILDREN'S HOSPITAL
4560 SUNSET BLVD SUITE M/S 4LOS ANGELESCA900272017-04-18$2,500TO SUPPORT ENDOWED CHAIR IN DEVELOPMENTAL BIOLOGY AND REGENERATIVE MEDICINE.$2,500NO05/02/20172017-05-02VERIFICATION CONFIRMED THAT $2,500 WAS SPENT TOWARD THE GRANT PURPOSE WITH NO DIVERSION.

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (3 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
105 SHS BANK OF AMERICA 7.25%$88,708$138,495
220 SHS WELLS FARGO 7.5%$186,700$288,198
10,000 SHS USG CORPORATION$0$0

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (2 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
5,000 SHS PS BUSINESS PARKSAT COST$83,425$625,450
4,000 SHS PS BUSINESS PARKSAT COST$0$0

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescSTOCK CONTRIBUTION BASIS ADJUSTMENTDesc
Amt$593,975Amt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

FieldValueIRS element (for citing)
DescPOSTAGEDesc
Revenue And Expenses Per Books$13RevenueAndExpensesPerBooksAmt
Disbursements Charitable Prps$13DisbursementsCharitablePrpsAmt

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescRECOVERY OF PY QUALIFYING DISTRIBUTIONSDesc
Revenue And Expenses Per Books$11,000RevenueAndExpensesPerBooksAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (3 entries)

CategoryCategoryTxtAmtAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FEDERAL TAXES$3,818
CALIFORNIA REGISTRY FEE$150$150
FILING FEE$10$10