2017-11-14T17:01:42-06:00 2016-12-31 942180068 MOON & MANDELLA A C 1 FIRST STREET SUITE 10 LOS ALTOS CA 94022 990PF 2016-01-01 770525013 THE RONALD WHITTIER FAMILY FOUNDATION RONA 6509488268 3130 ALPINE ROAD SUITE 288 PMB 602 PORTOLA VALLEY CA 94028 JACQUELINE KUBICKA SECRETARY/COO 6509488268 2017-11-06 1 VICTOR P MANDELLA P00160509 6508571284 12.133.139.226 2017-11-06 09:28:38 PS P 8C33CA2279FC11C7839172DF788CA4787B27FFFF A8624ED35F187B37D593762FB4A13D6193CB56FC 2016 2017-02-10 21:41:12Z X 1606337 X X 42660 42660 42660 0 0 42660 42660 42660 13966 0 0 13966 8809 0 0 8809 1182 626 626 556 10 0 0 10 1847 0 0 722 0 0 722 11839 0 0 11839 38375 626 626 35902 99358 99358 137733 626 626 135260 -95073 42034 42034 229385 117450 117450 1412517 1487137 1487137 46132 44382 2289 1750 1750 1644191 1606337 1606337 17960 395 17960 395 X 1626231 1605942 1626231 1605942 1644191 1606337 1626231 -95073 74784 1605942 0 1605942 0 136427 1324776 0.102981 143089 1432246 0.099905 157477 1333244 0.118116 245145 1578479 0.155305 296304 1628481 0.181951 0.658258 0.131652 1530615 201509 420 201929 135260 841 0 841 0 841 5982 5982 5141 5141 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 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 13966 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 13966 0 FAMILIESCAN - HELPING FAMILIES WITH CANCER, BY PROVIDING FINANCIAL ASSISTANCE FOR TRAVEL, LODGING & FOOD WHILE VISITING A PATIENT, HOUSEHOLD BILLS, CHILDCARE, ETC. 82907 GRANTS TO OTHER CHARITIES WITH SIMILAR EXEMPT PURPOSE 16450 0 1370294 183630 0 1553924 0 0 1553924 23309 1530615 76531 X 135260 0 135260 0 135260 2001-05-09 X 42034 39065 44052 50513 175664 35729 33205 37444 42936 149314 135260 136427 143089 157477 572253 16450 10290 23940 28417 79097 118810 126137 119149 129060 493156 0 0 51021 44159 47741 44441 187362 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 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. CANARY FOUNDATION 1501 SOUTH CALIFORNIA AVENUE SUITE 2500 PALO ALTO CA 94304 NONE PUBLIC CHARITY SUPPORT FOR RELATED CHARITY - 500 CORNELL UNIVERSITY WEIL MEDICAL CENTER 575 LEXINGTON AVENUE 670 NEW YORK NY 10022 NONE PUBLIC CHARITY SUPPORT FOR RELATED CHARITY -SUPPORT FOR RELATED CHARITY - SUPPORT FOR RELATED CHARITYSUPPORT FOR RELATED CHARITY 1000 FAMILIESCAN - INDIVIDUALS FAMILIES 3130 ALPINE ROAD SUITE 288 PMB 602 PORTOLA VALLEY CA 94028 NONE INDIVIDUALS - CHARIT SUPPORT FOR CANCER PATIENTS AND THEIR FAMILIES 82908 MENLO PARK PRES CHURCH - JAUREZ MISSION FUND 950 SANTA CRUZ AVENUE MENLO PARK CA 94025 NONE PUBLIC CHARITY SUPPORT FOR RELATED CHARITYSUPPORT FOR RELATED CHARITYSUPPORT FOR RELATED CHARITY - 200 MONTE VISTA CHAPEL 1619 E MONTE VISTA AVENUE TURLOCK CA 95382 NONE PUBLIC CHARITY SUPPORT FOR RELATED CHARITY - 500 SAINT FRANCIS HIGH SCHOOL 1885 MIRAMONTE AVENUE MT VIEW CA 94040 NONE PUBLIC CHARITY SUPPORT FOR RELATED CHARITY - 250 STANFORD UNIVERSITY - LUCILE PACKARD FOUNDATION FOR CHILDREN'S HEALTH 400 HAMILTON AVENUE SUITE 340 PALO ALTO CA 94301 NONE PUBLIC CHARITY SUPPORT FOR RELATED CHARITY - 1000 SUMMIT PREPARATORY SCHOOL 890 BROADWAY STREET REDWOOD CITY CA 94063 NONE PUBLIC CHARITY SUPPORT FOR RELATED CHARITY - 500 UC BERKELEY SCHOOL OF PUBLIC HEALTH 50 UNIVERSITY HALL 7360 BERKELEY CA 947207360 NONE PUBLIC CHARITY SUPPORT FOR RELATED CHARITY - 2500 UCLA DEPARTMENT OF SURGERY - LIVER & PANCREATIC TRANSPLANTATION 200 UCLA MEDICAL PLAZA SUITE 214 LOS ANGELES CA 90095 NONE PUBLIC CHARITY SUPPORT FOR RELATED CHARITY - 5000 YOUNG DREAMER NETWORK 2221 BROADWAY STREET REDWOOD CITY CA 94063 NONE PUBLIC CHARITY SUPPORT FOR RELATED CHARITY - 5000 99358 0 42660 0 0 42660 42660 4 THESE INVESTMENTS FUND THE GENERAL OPERATION OF THE FOUNDATION. 0 0 0 0 0 0 0 0 0 0 ACCOUNTING (PAID IN 2016) 8809 0 0 8809 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 2006-05-30 580 551 ADS 10.000000000000 29 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 97 ADS 10.000000000000 13 0 0 PHOTO PRINTER 2008-07-09 411 411 ADS 5.000000000000 0 0 0 PHOTO EQUIPMENT 2008-04-12 1288 967 ADS 10.000000000000 129 0 0 SCANNER/PRINTER 2009-01-20 134 134 ADS 5.000000000000 0 0 0 OFFICE FURNITURE 2009-01-15 140 91 ADS 10.000000000000 14 0 0 DESKTOP 2010-11-23 2345 2345 ADS 5.000000000000 0 0 0 APPLE COMPUTER 2011-04-11 2023 1822 ADS 5.000000000000 201 0 0 APPLE COMPUTER 2012-04-06 525 216 200DB 5.000000000000 31 0 0 APPLE COMPUTER 2013-01-02 2924 1041 200DB 5.000000000000 168 0 0 COMPUTER (COSTCO) 2013-09-29 1237 440 200DB 5.000000000000 71 0 0 APPLE COMPUTER 2014-07-22 839 218 200DB 5.000000000000 80 0 0 OFFICE EQUIPMENT 2015-08-01 643 64 200DB 5.000000000000 103 0 0 OFFICE EQUIPMENT 2015-08-05 1395 139 200DB 5.000000000000 223 0 0 APPLE COMPUTER 2016-01-04 1308 200DB 5.000000000000 785 0 0 COMMON STOCK 1487137 1487137 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 125 110 15 PHOTO PRINTER 411 411 0 PHOTO EQUIPMENT 1288 1096 192 SCANNER/PRINTER 134 134 0 OFFICE FURNITURE 140 105 35 DESKTOP 2345 2345 0 APPLE COMPUTER 2023 2023 0 APPLE COMPUTER 525 510 15 APPLE COMPUTER 2924 2671 253 COMPUTER (COSTCO) 1237 1130 107 APPLE COMPUTER 839 718 121 OFFICE EQUIPMENT 643 489 154 OFFICE EQUIPMENT 1395 1060 335 APPLE COMPUTER 1308 785 523 OFFICE EXPENSES 3748 0 0 3748 TELEPHONE 4923 0 0 4923 POSTAGE & SHIPPING 2138 0 0 2138 DUES AND SUBSCRIPTIONS 632 0 0 632 AUTOMOBILE 98 0 0 98 BANK FEES 150 0 0 150 WEBSITE & BROCHURES 150 0 0 150 INCREASE IN FMV OF SECURITIES 74620 PRIOR YEAR INCOME TAX REFUND 15 PRIOR YEAR INSURANCE REFUND 149 REVOLVING CREDIT CARD BALANCE PAYABLE 17960 395 STATE TAX & FEES 10 0 0 10