STRATEGY STUDIO / PUBLIC DATA EXPLORER

ROBERT A WALLER FOUNDATION: Form 990PF, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
ROBERT A WALLER FOUNDATION (EIN 95-4509776)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-15
IRS object ID
201743199349101929
Schema version
2016v3.0
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)
Return2017-11-15T12:25:59-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN454095250PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ROSE SNYDER & JACOBS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line115821 VENTURA BLVD SUITE 490AddressLine1Txt
CityENCINOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91436ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN954509776EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ROBERT A WALLER FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlWALLBusinessNameControlTxt
Phone6265770758PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1625 FAIR OAKS AVENUE NO 360AddressLine1Txt
CitySOUTH PASADENACityNm
State AbbreviationCAStateAbbreviationCd
ZIP91030ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonROBERT A WALLER JRPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone6265770758PhoneNum
Signature2017-11-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCRAIG M FRYEPreparerPersonNm
PTINP00090236PTIN
Phone8184610600PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address216.4.230.67IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-11-10IPDt
IP Tm11:01:51IPTm
IP TimezonePSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id8049B67B1ABF303814D7134F58AF134D65133A79AtSubmissionCreationDeviceId
At Submission Filing Device Id8049B67B1ABF303814D7134F58AF134D65133A79AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$9,087,050FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Interest On Sav Rev And Expnss$40InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$40InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$142,486DividendsRevAndExpnssAmt
Dividends Net Invst Incm$142,486DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss-$172,823NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$1,335,906GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$0CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$35OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$35OtherIncomeNetInvstIncmAmt
Total Rev And Expnss-$30,262TotalRevAndExpnssAmt
Total Net Invst Incm$142,561TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$19,500CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$3,900CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$15,600CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$14,366AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$11,493AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$2,873AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$101,219OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$70,853OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$30,366OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$2,488TaxesRevAndExpnssAmt
Taxes Net Invst Incm$85TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$2,404OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$1,692OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$288OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$139,977TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$88,023TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$49,127TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$349,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$349,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$488,977TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$88,023TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$398,127TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$519,239ExcessRevenueOverExpensesAmt
Net Investment Income$54,538NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$20,119CashBOYAmt
Cash EOY$36,540CashEOYAmt
Cash EOYFMV$36,540CashEOYFMVAmt
US Government Obligations BOY$507,681USGovernmentObligationsBOYAmt
US Government Obligations EOY$210,263USGovernmentObligationsEOYAmt
US Govt Obligations EOYFMV$211,357USGovtObligationsEOYFMVAmt
Corporate Stock BOY$6,415,295CorporateStockBOYAmt
Corporate Stock EOY$6,179,522CorporateStockEOYAmt
Corporate Stock EOYFMV$8,839,153CorporateStockEOYFMVAmt
Total Assets BOY$6,943,095TotalAssetsBOYAmt
Total Assets EOY$6,426,325TotalAssetsEOYAmt
Total Assets EOYFMV$9,087,050TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$6,944,752CapitalStockBOYAmt
Capital Stock EOY$6,427,982CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY-$1,657RetainedEarningBOYAmt
Retained Earning EOY-$1,657RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$6,943,095TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$6,426,325TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$6,943,095TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$6,426,325TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$6,943,095TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$519,239ExcessRevenueOverExpensesAmt
Other Increases$2,469OtherIncreasesAmt
Subtotal$6,426,325SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$6,426,325TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (2 entries)

PropertyPropertyDescGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
FIDELITY PORTFOLIO STCG$298,764$389,503-$90,739-$90,739
FIDELITY PORTFOLIO LTCG$1,037,142$1,119,226-$82,084-$82,084
FieldValueIRS element (for citing)
Capital Gain Net Income-$172,823CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$425,369AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$8,998,448NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.047271DistributionYr1Rt
Adjusted Qlfy Distri Yr2$267,168AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$9,045,732NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.029535DistributionYr2Rt
Adjusted Qlfy Distri Yr3$141,000AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$6,766,313NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.020839DistributionYr3Rt
Adjusted Qlfy Distri Yr4$162,333AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$2,680,514NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.060560DistributionYr4Rt
Adjusted Qlfy Distri Yr5$142,436AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$2,674,482NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.053257DistributionYr5Rt
Total Distribution0.211462TotalDistributionRt
Average Distribution0.042292AverageDistributionRt
Net Vl Noncharitable Assets$8,692,592NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$367,627AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$545NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$368,172AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$398,127QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$545InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$545SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$545TaxBasedOnInvestmentIncomeAmt
Applied To Es Tax$3,000AppliedToEsTaxAmt
Total Payments And Credits$3,000TotalPaymentsAndCreditsAmt
Form2220 AttachedYes (X)Form2220AttachedInd
Es Penalty$16EsPenaltyAmt
Overpayment$2,439OverpaymentAmt
Applied To ES Tax$300AppliedToESTaxAmt
Refund$2,139RefundAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr SatisfiedYes (1)Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateCAOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksWHITTIER TRUST COMPANYIndividualWithBooksNm
Phone6264415188PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1625 FAIR OAKS AVEAddressLine1Txt
CitySOUTH PASADENACityNm
State AbbreviationCAStateAbbreviationCd
ZIP91030ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnYes (1)PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Acts Fail To Qlfy As Exceptions0ActsFailToQlfyAsExceptionsInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
ROBERT A WALLER JR
1416 PINE AVEMANHATTAN BEACHCA90266PRESIDENT1.50$0$0$0
JUDY T WALLER
1230 S OAKLAND AVEPASADENACA91106SEC/TREASURER1.50$0$0$0
WILLIAM J WALLER
357 W RIDGELINE DRIVEBOISEID83702BOARD MEMBER1.50$6,500$0$0
SARAH W RIDDLE
5400 S 19TH AVEBOZEMANMT59718BOARD MEMBER1.50$6,500$0$0
JOHN G WALLER
1475 E CALIFORNIA BLVDPASADENACA91106BOARD MEMBER1.50$0$0$0
MARK W WALLER
1181 S OAK KNOLL AVEPASADENACA91106BOARD MEMBER1.50$0$0$0
ELLEN W HOTCHKIS
1718 PACIFIC AVEMANHATTAN BEACHCA90266BOARD MEMBER1.50$6,500$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt

Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1WHITTIER TRUST COMPANYBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1625 FAIR OAKS AVE SUITE 360AddressLine1Txt
CitySOUTH PASADENACityNm
State AbbreviationCAStateAbbreviationCd
ZIP91030ZIPCd
FieldValueIRS element (for citing)
Service TypeBOTH MANAGMENT/PHILANTHROPICServiceTypeTxt
Compensation$101,219CompensationAmt
FieldValueIRS element (for citing)
Contractor Paid Over50k0ContractorPaidOver50kCnt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$8,764,454AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$60,512AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$8,824,966TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$8,824,966AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$132,374CashDeemedCharitableAmt
Net Vl Noncharitable Assets$8,692,592NetVlNoncharitableAssetsAmt
Minimum Investment Return$434,630MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$434,630MinimumInvestmentReturnAmt
Tax Based On Investment Income$545TaxBasedOnInvestmentIncomeAmt
Total Tax$545TotalTaxAmt
Distributable Before Adj$434,085DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$434,085DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$434,085DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$398,127ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$398,127QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$545PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$397,582AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$434,085DistributableAsAdjustedAmt
Undistributed Income PY$19,934UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Qualifying Distributions$398,127QualifyingDistributionsAmt
Applied To Year1$19,934AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$378,193AppliedToCurrentYearAmt
Remaining Distri From Corpus$0RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$0TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$55,892UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$0ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerJUDY T WALLERContributingManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (80 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ALTADENA MOUNTAIN RESCUE TEAM
780 E ALTADENA DRALTADENACA91001N/APUBLIC CHARITYCHARITY$1,000
ALZHEIMER'S ASSOCIATION
9606 S SANTA MONICA BLVD 2ND FLOORLOS ANGELESCA90210N/AMEDICAL RESEARCH ORGCHARITY$3,500
AMAZON CONSERVATION ASSOCIATION
1012 14TH STREET NW SUITE 625WASHINGTONDC20005N/APUBLIC CHARITYCHARITY$1,000
AMERICAN AUTOIMMUNE RELATED DISEASES ASSOC
22100 GRATIOT AVEEASTPOINTEMI48021N/AMEDICAL RESEARCH ORGCHARITY$7,000
AMERICAN CORPORATION OF THE ARTS
6233 HOLLYWOOD BLVDLOS ANGELESCA900285310N/APUBLIC CHARITYCHARITY$15,000
AMERICAN RED CROSS LOS ANGELES REGION
11355 OHIO AVELOS ANGELESCA90025N/AMEDICAL RESEARCH ORGCHARITY$2,000
BOISE PUBLIC SCHOOLS EDUCATION FOUNDATION
8169 W VICTORY RDBOISEID83709N/AEDUCATIONAL ORGANIZACHARITY$2,000
BOYS & GIRLS CLUB OF HOLLYWOOD
805 N CAHUENGA BLVDLOS ANGELESCA90038N/APUBLIC CHARITYCHARITY$250
BREAST CANCER RESEARCH FOUNDATION
60 EAST 56TH ST 8TH FLNEW YORKNY10022N/AMEDICAL RESEARCH ORGCHARITY$3,000
CANCER SUPPORT COMMUNITY REDONDO BEACH
109 W TORRANCE BLVD SUITE 100REDONDO BEACHCA90277N/APUBLIC CHARITYCHARITY$2,000
CATE SCHOOL
1960 CATE MESA ROADCARPINTERIACA93013N/AEDUCATIONAL ORGANIZACHARITY$2,000
CATHEDRAL OF ST JOHN THE EVANGELIST
707 N 8TH STBOISEID83702N/APUBLIC CHARITYCHARITY$1,000
CHADWICK SCHOOL
26800 SOUTH ACADEMY DRIVEPALOS VERDESCA90274N/AEDUCATIONAL ORGANIZACHARITY$7,500
CHILDREN OF THE NIGHT
14530 SYLVAN STREETVAN NUYSCA91411N/APUBLIC CHARITYCHARITY$3,000
CHILDREN'S HOSPITAL LOS ANGELES
4650 SUNSET BLVD 29LOS ANGELESCA90027N/APUBLIC CHARITYCHARITY$2,500
CITY OF HOPE
1500 E DUARTE RDDUARTECA91010N/APUBLIC CHARITYCHARITY$1,000
CONNECT CHURCH OF MONTANA
PO BOX 11386BOZEMANMT59719N/APUBLIC CHARITYCHARITY$7,000
DOCTORS WITHOUT BORDERS
PO BOX 5030HAGERSTOWNMD217415030N/APUBLIC CHARITYCHARITY$1,000
DR SUSAN LOVE RESEARCH FOUNDATION
16133 VENTURA BLVD STE 1000ENCINOCA91436N/AMEDICAL RESEARCH ORGCHARITY$5,000
EAGLE MOUNT BOZEMAN
6901 GOLDENSTEIN LANEBOZEMANMT59715N/APUBLIC CHARITYCHARITY$1,000
FISHER HOUSE FOUNDATION INC
111 ROCKVILLE PIKE STE 420ROCKVILLEMD20850N/APUBLIC CHARITYCHARITY$5,000
FLINTRIDGE PREP SCHOOL
4543 CROWN AVENUELA CANADA FLINTRIDGECA91011N/AEDUCATIONAL ORGANIZACHARITY$1,000
FRIENDS OF THE HOLLYWOOD CENTRAL PARK
1680 N VINE STREET SUITE 1000LOS ANGELESCA900285310N/APUBLIC CHARITYCHARITY$250
GALLATIN COUNTY LOVE IN THE NAME OF CHRIST
PO BOX 7117BOZEMANMT59771N/APUBLIC CHARITYCHARITY$3,000
GOLD RUSH CURE FOUNDATION
27671 ROSEBUD WAYLAGUNA NIGUELCA92677N/APUBLIC CHARITYCHARITY$1,000
GRADES OF GREEN
519 MAIN STREETEL SEGUNDOCA90245N/APUBLIC CHARITYCHARITY$1,250
GREATER LA ZOO
5333 ZOO DRIVELOS ANGELESCA90027N/APUBLIC CHARITYCHARITY$2,500
HAVEN
PO BOX 752BOZEMNAMT59771N/APUBLIC CHARITYCHARITY$1,000
HUNTINGTON MEMORIAL HOSPITAL
100 W CALIFORNIA BLVDPASADENACA91105N/AMEDICAL RESEARCH ORGCHARITY$28,000
IDAHO HUMANE SOCIETY
4775 DORMAN STBOISEID83705N/APUBLIC CHARITYCHARITY$1,000
IMMACULATE CONCEPTION ACADEMY
3625 - 24TH STREETSAN FRANCISCOCA94110N/APUBLIC CHARITYCHARITY$1,000
JONATHAN ART FOUNDATION
545 S FIGUEROA STLOS ANGELESCA90071N/APUBLIC CHARITYCHARITY$2,500
JOURNEY OF FAITH
1243 ARTESIA BLVDMANHATTAN BEACHCA90266N/APUBLIC CHARITYCHARITY$3,000
KCETLINK
2900 W ALAMEDA AVEBURBANKCA91505N/APUBLIC CHARITYCHARITY$1,000
LAMBDA CHI ALPHA EDUCATION FOUNDATION
11711 N PENNSYLVANIA ST 250CARMELIN46032N/AEDUCATIONAL ORGANIZACHARITY$1,000
LAS MADRINAS
DEPARTMENT 6778LOS ANGELESCA90084N/APUBLIC CHARITYCHARITY$1,000
MAKE A WISH FOUNDATION - GREATER LOS ANGELES
1875 CENTURY PARK EAST STE 950LOS ANGELESCA90067N/APUBLIC CHARITYCHARITY$7,000
MAKE A WISH FOUNDATION - IDAHO
310 W IDAHO STREETBOISEID83702N/APUBLIC CHARITYCHARITY$1,000
MANHATTAN BEACH EDUCATION FOUNDATION
PO BOX 1110MANHATTAN BEACHCA90267N/APUBLIC CHARITYCHARITY$10,000
MARCH OF DIMES
1275 MAMARONECK AVENUEWHITE PLAINSNY10605N/APUBLIC CHARITYCHARITY$5,000
MATER DEI HIGH SCHOOL
1202 WEST EDINGER AVENUESANTA FECA927072191N/AEDUCATIONAL ORGANIZACHARITY$1,000
MAYO CLINIC
200 FIRST STREET SWROCHESTERMN55905N/AMEDICAL RESEARCH ORGCHARITY$25,000
MIGHTY OAKS FOUNDATION
27919 JEFFERSON AVENUE SUITE 203TEMECULACA92590N/APUBLIC CHARITYCHARITY$8,000
MY FRIEND'S PLACE
PO BOX 3867LOS ANGELESCA90078N/APUBLIC CHARITYCHARITY$1,000
MY STUFF BAGS FOUNDATION
5347 STERLING CENTER DRIVEWESTLAKE VILLAGECA91361N/APUBLIC CHARITYCHARITY$1,000
NORTH SHORE COUNTRY DAY SCHOOL
310 GREEN BAY ROADWINNETKAIL60093N/AEDUCATIONAL ORGANIZACHARITY$2,500
OCCIDENTAL COLLEGE
1600 CAMPUS ROADLOS ANGELESCA90041N/AEDUCATIONAL ORGANIZACHARITY$1,000
ONE STONE
1151 W MILLER STREETBOISEID83702N/APUBLIC CHARITYCHARITY$1,000
PARKINSON'S DISEASE FOUNDATION
1359 BROADWAY STE 1509NEW YORKNY10018N/APUBLIC CHARITYCHARITY$8,000
PASADENA COMMUNITY FOUNDATION
301 E COLORADO BLVD SUITE 810PASADENACA91101N/APUBLIC CHARITYCHARITY$5,000
PASADENA HUMANE SOCIETY & SPCA
361 S RAYMOND AVEPASADENACA91105N/APUBLIC CHARITYCHARITY$7,000
PASADENA MUSEUM OF CALIFORNIA ART
490 EAST UNION STREETPASADENACA91101N/APUBLIC CHARITYCHARITY$2,500
PASADENA PLAYHOUSE STATE THEATRE OF CALIFORNIA
600 PLAYHOUSE ALLEY STE 300PASADENACA91101N/APUBLIC CHARITYCHARITY$10,000
POLYTECHNIC SCHOOL
1030 EAST CALIFORNIA BLVDPASADENACA91105N/AEDUCATIONAL ORGANIZACHARITY$16,000
PREGNANCY CARING CENTER OF GALLATIN VALLEY
2251 W KAGY SUITE 2BOZEMANMT59718N/APUBLIC CHARITYCHARITY$2,000
RONALD REAGAN PRESIDENTIAL FOUNDATION
40 PRESIDENTIAL DRIVESIMI VALLEYCA93065N/APUBLIC CHARITYCHARITY$250
RX ART
208 FORSYTH STREETNEW YORKNY10002N/APUBLIC CHARITYCHARITY$1,000
SANDPIPERS PHILANTHROPY FUND
PO BOX 72HERMOSA BEACHCA90254N/APUBLIC CHARITYCHARITY$5,000
SCHOOL ON WHEELS
PO BOX 23371VENTURACA93002N/APUBLIC CHARITYCHARITY$2,000
SIERRA MADRE SEARCH AND RESCUE TEAM
PO BOX 24SIERRA MADRECA91025N/APUBLIC CHARITYCHARITY$1,000
SOCIETY OF FELLOWS HUNTINGTON LIBRARY
1151 OXFORD ROADSAN MARINOCA91108N/AEDUCATIONAL ORGANIZACHARITY$2,500
ST JOHN'S NORTHWESTERN MILITARY ACADEMY
1101 GENESSEE STDELAFIELDWI53018N/AEDUCATIONAL ORGANIZACHARITY$1,000
ST JUDE CHILDREN'S RESEARCH HOSPITAL
501 ST JUDE PLACEMEMPHISTN38105N/AMEDICAL RESEARCH ORGCHARITY$2,000
ST LUKE'S HEALTH FOUNDATION
190 EAST BANNOCK STBOISEID837129987N/AMEDICAL RESEARCH ORGCHARITY$5,000
THE DIAN FOSSEY GORILLA FUND INTERNATIONAL
800 CHEROKEE AVENUE SEATLANTAGA30315N/APUBLIC CHARITYCHARITY$2,000
THE FARLEY PROJECT
553 1/2 INDIANA AVENUEVENICECA90291N/APUBLIC CHARITYCHARITY$1,000
THE GORILLA FOUNDATION
1733 WOODSIDE RD SUITE 300REDWOOD CITYCA94061N/APUBLIC CHARITYCHARITY$2,000
UNIVERSITY OF CALIFORNIA BERKELEY
2080 ADDISON ST 4200BERKELEYCA94720N/AEDUCATIONAL ORGANIZACHARITY$2,000
UNIVERSITY OF COLORADO FOUNDATION
PO BOX 17126DENVERCO802179155N/AEDUCATIONAL ORGANIZACHARITY$2,000
UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL
208 WEST FRANKLIN STCHAPEL HILLNC27514N/AEDUCATIONAL ORGANIZACHARITY$7,500
UNIVERSITY OF SOUTHERN CALIFORNIA TROJAN ATHLETIC FUND
3501 WATT WAY HER203BLOS ANGELESCA90089N/AEDUCATIONAL ORGANIZACHARITY$35,000
USC
635 CHILDS WAYLOS ANGELESCA90089N/AEDUCATIONAL ORGANIZACHARITY$10,000
VANDERBILT UNIVERSITY
PMB 407727NASHVILLETN372407727N/AEDUCATIONAL ORGANIZACHARITY$5,000
WARRIOR CANINE CONNECTION
14934 SCHAEFFER ROADBOYDSMD20841N/APUBLIC CHARITYCHARITY$2,000
WARRIORS & QUIET WATERS FOUNDATION
1087 STONERIDGE DRIVE STE 1BOZEMANMT59718N/APUBLIC CHARITYCHARITY$7,000
WIDOWS ORPHANS & DISABLED FIREMEN'S FUND
7470 NORTH FIGUEROA STREETLOS ANGELESCA90041N/APUBLIC CHARITYCHARITY$2,000
WILDLIFE WAYSTATION
14831 LITTLE TUJUNGA CYN RDSYMARCA91342N/APUBLIC CHARITYCHARITY$8,000
WORLD WILDLIFE FUND
1250 24TH STREET NWWASHINGTONDC20037N/APUBLIC CHARITYCHARITY$2,000
WOUNDED WARRIOR PROJECT
PO BOX 758517TOPEKAKS666758517N/APUBLIC CHARITYCHARITY$2,500
YOUTH WITH A MISSION
100 WEST 35TH STREET SUITE RNATIONAL CITYCA91950N/APUBLIC CHARITYCHARITYCHARITY$4,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$349,000TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$40ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$142,486ExclusionAmt

Other Investment Incm Part VII OtherInvestmentIncmPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$35ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Related Or Exempt Function Incm-$172,823RelatedOrExemptFunctionIncmAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$142,561ExclusionAmt
Related Or Exempt Function Incm-$172,823RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty-$30,262TotalIncomeProducingActyAmt

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

FieldValueIRS element (for citing)
Line Number14LineNumberTxt
Relationship StatementTHE FOUNDATION DERIVES INCOME FROM INVESTMENTS IN SECURITIES, BONDS, ETC. FOR PURPOSES OF CONTRIBUTING THE INCOME TO VARIOUS CHARITABLE ORGANIZATIONSRelationshipStatementTxt

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTINGCategoryTxt
Amt$14,366Amt
Net Investment Income$11,493NetInvestmentIncomeAmt
Disbursements Charitable Prps$2,873DisbursementsCharitablePrpsAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (2 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
SECURITIES$5,629,393$8,281,192
FIXED INCOME SECURITIES$550,129$557,961

Investments Govt Obligations Sch InvestmentsGovtObligationsSch

FieldValueIRS element (for citing)
US Govt Obligations Book Vl EOY$210,263USGovtObligationsBookVlEOYAmt
US Govt Obligations EOYFMV$211,357USGovtObligationsEOYFMVAmt
State Local Sec Book Vl EOY$0StateLocalSecBookVlEOYAmt
State Local Sec EOYFMV$0StateLocalSecEOYFMVAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (4 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
BANK FEES$460$322$138
REGISTRATION$770$770$0
INSURANCE$750$600$150
OTHER EXPENSE$424$0$0

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail

FieldValueIRS element (for citing)
DescFIDELITYDesc
Revenue And Expenses Per Books$35RevenueAndExpensesPerBooksAmt
Net Investment Income$35NetInvestmentIncomeAmt
Adjusted Net Income$35AdjustedNetIncomeAmt

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescPRIOR YEAR MISC ADJUSTMENTDesc
Amt$2,469Amt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryMANAGEMENT FEESCategoryTxt
Amt$101,219Amt
Net Investment Income$70,853NetInvestmentIncomeAmt
Disbursements Charitable Prps$30,366DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
FTB FEES$85$85$0
FEDERAL TAXES$2,403$0$0