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KISCO CARES FOUNDATION: Form 990PF, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
KISCO CARES FOUNDATION (EIN 27-2239057)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-11-12
IRS object ID
202543169349102454
Schema version
2024v5.2
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)
Return2025-11-12T12:32:21-06:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN133924314PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KISCO SENIOR LIVING LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line15790 FLEET STREET STE 300AddressLine1Txt
CityCARLSBADCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92008ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN272239057EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KISCO CARES FOUNDATIONBusinessNameLine1Txt
Business Name Line2C/O KISCO SENIOR LIVINGBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlKISCBusinessNameControlTxt
Phone7608047018PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15790 FLEET STREET STE 300AddressLine1Txt
CityCARLSBADCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92008ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonANDREW KOHLBERGPersonNm
Person TitleDIRECTORPersonTitleTxt
Phone7608047018PhoneNum
Signature2025-11-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonANDREW R RISTEENPreparerPersonNm
PTINP00177558PTIN
Phone7608047018PhoneNum
Preparation2025-11-11PreparationDt
FieldValueIRS element (for citing)
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$41,535,275FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$10,255,465ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$1,047,330InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$1,047,330InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$453,420DividendsRevAndExpnssAmt
Dividends Net Invst Incm$439,937DividendsNetInvstIncmAmt
Gross Rents Rev And Expnss$11,927GrossRentsRevAndExpnssAmt
Gross Rents Net Invst Incm$11,927GrossRentsNetInvstIncmAmt
Net Rental Income Or Loss$11,927NetRentalIncomeOrLossAmt
Net Gain Sale Ast Rev And Expnss-$9,990NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$645,673GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$0CapGainNetIncmNetInvstIncmAmt
Other Income Rev And Expnss$38,881OtherIncomeRevAndExpnssAmt
Other Income Net Invst Incm$38,881OtherIncomeNetInvstIncmAmt
Total Rev And Expnss$11,797,033TotalRevAndExpnssAmt
Total Net Invst Incm$1,538,075TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Legal Fees Rev And Expnss$26,366LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$0LegalFeesNetInvstIncmAmt
Legal Fees Dsbrs Chrtbl$0LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$22,816AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$0AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$52,000OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$0OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$52,000OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$22,172TaxesRevAndExpnssAmt
Taxes Net Invst Incm$0TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Trav Conf Meeting Rev And Expnss$111,201TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Net Invst Incm$0TravConfMeetingNetInvstIncmAmt
Trav Conf Meeting Dsbrs Chrtbl$111,201TravConfMeetingDsbrsChrtblAmt
Other Expenses Rev And Expnss$100,629OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$100,168OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$41OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$335,184TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$100,168TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$163,242TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$2,970,885ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$2,970,885ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$3,306,069TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$100,168TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$3,134,127TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$8,490,964ExcessRevenueOverExpensesAmt
Net Investment Income$1,437,907NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$19,997,962CashBOYAmt
Cash EOY$21,134,372CashEOYAmt
Cash EOYFMV$21,134,372CashEOYFMVAmt
Corporate Stock BOY$6,130,482CorporateStockBOYAmt
Corporate Stock EOY$12,927,208CorporateStockEOYAmt
Corporate Stock EOYFMV$12,927,208CorporateStockEOYFMVAmt
Other Investments BOY$6,384,465OtherInvestmentsBOYAmt
Other Investments EOY$7,473,695OtherInvestmentsEOYAmt
Other Investments EOYFMV$7,473,695OtherInvestmentsEOYFMVAmt
Total Assets BOY$32,512,909TotalAssetsBOYAmt
Total Assets EOY$41,535,275TotalAssetsEOYAmt
Total Assets EOYFMV$41,535,275TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind
Capital Stock BOY$0CapitalStockBOYAmt
Capital Stock EOY$0CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$32,512,909RetainedEarningBOYAmt
Retained Earning EOY$41,535,275RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$32,512,909TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$41,535,275TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$32,512,909TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$41,535,275TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$32,512,909TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$8,490,964ExcessRevenueOverExpensesAmt
Other Increases$531,402OtherIncreasesAmt
Subtotal$41,535,275SubtotalAmt
Other Decreases$0OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$41,535,275TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (13 entries)

PropertyPropertyDescAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmtCost Or Other BasisCostOrOtherBasisAmtHow AcquiredHowAcquiredCd
JP MORGAN-9003 LONG-TERM CAPITAL GAIN DISTRIBUTIONS2023-01-012024-12-31$29,651$29,651$29,651
5128 SHS - BROOKFIELD RENEWABLE COR2023-01-012024-06-13$155,647-$22,937-$22,937$178,584
300000 SHS - CITIGROUP INC2022-09-132024-05-15$300,000$2,150$2,150$297,850
2054 SHS - SPDR S&P KENSHO CLEAN POWER ETF2023-01-012024-06-13$137,778-$34,039-$34,039$171,817
KOHLBERG PARTNERS VIII, LP2024-01-012024-12-31-$43-$43$43P
KOHLBERG PARTNERS VIII, LP2023-01-012024-12-31-$417-$417$417P
KOHLBERG PARTNERS IX, LP2024-01-012024-12-31$223$223$223P
KOHLBERG PARTNERS IX, LP2023-01-012024-12-31$12,816$12,816$12,816P
MT INVESTORS LLC2024-01-012024-12-31$40$40$40P
MT INVESTORS LLC2023-01-012024-12-31$1,050$1,050$1,050P
GENERAL ATLANTIC PARTNERS (BERMUDA) III, LP2023-01-012024-12-31-$6,852-$6,852$6,852P
GENERAL ATLANTIC PARTNERS (BERMUDA) IV, LP2023-01-012024-12-31$8,468$8,468$8,468P
GENERAL ATLANTIC PARTNERS 100, LP2023-01-012024-12-31-$100-$100$100P
FieldValueIRS element (for citing)
Capital Gain Net Income-$9,990CapitalGainNetIncomeAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$19,987InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$19,987SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$19,987TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$2,295EstimatedPlusOvpmtIncmTxAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Extsn Request Income Tax Paid$22,000ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$24,295TotalPaymentsAndCreditsAmt
Es Penalty$589EsPenaltyAmt
Overpayment$3,719OverpaymentAmt
Applied To ES Tax$3,719AppliedToESTaxAmt
Refund$0RefundAmt

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 Satisfied0Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateCAOrgReportOrRegisterStateCd
Org Report Or Register StateDEOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial ContributorsYes (1)NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp RqrYes (1)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1KISCO CARES FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7608047018PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line15790 FLEET STREET STE 300AddressLine1Txt
CityCARLSBADCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92008ZIPCd
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 Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
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
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (5 entries)

Address Line1USAddress/AddressLine1TxtAddress Line2USAddress/AddressLine2TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
ANDREW S KOHLBERG
C/O KISCO SENIOR LIVING 5790 FLEETSTREET STE 300CARLSBADCA92008DIRECTOR, PRESIDENT, SECRE1.00$0$0$0
DAVID P KING
C/O KISCO SENIOR LIVING 5790 FLEETSTREET STE 300CARLSBADCA92008DIRECTOR1.00$0$0$0
ANNICA KREUTER
C/O KISCO SENIOR LIVING 5790 FLEETSTREET STE 300CARLSBADCA92008DIRECTOR1.00$0$0$0
JASON K HOWERTON
C/O KISCO SENIOR LIVING 5790 FLEETSTREET STE 300CARLSBADCA92008DIRECTOR1.00$0$0$0
BRENDAN R CUMMINGS
C/O KISCO SENIOR LIVING 5790 FLEETSTREET STE 300CARLSBADCA92008DIRECTOR1.00$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1N/ADescription1Txt
Expenses1$0Expenses1Amt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Description1N/ADescription1Txt
Expenses1$0Expenses1Amt
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$9,624,587AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$20,689,074AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$30,313,661TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$30,313,661AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$454,705CashDeemedCharitableAmt
Net Vl Noncharitable Assets$29,858,956NetVlNoncharitableAssetsAmt
Minimum Investment Return$1,492,948MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$1,492,948MinimumInvestmentReturnAmt
Tax Based On Investment Income$19,987TaxBasedOnInvestmentIncomeAmt
Total Tax$19,987TotalTaxAmt
Distributable Before Adj$1,472,961DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$1,472,961DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$1,472,961DistributableAsAdjustedAmt

PF Qualifying Distributions PFQualifyingDistributionsGrp

FieldValueIRS element (for citing)
Expenses And Contributions$3,134,127ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$3,134,127QualifyingDistributionsAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$1,472,961DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$436,213ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$670,441ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$475,588ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$800,478ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$980,471ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$3,363,191TotalExcessDistributionCyovAmt
Qualifying Distributions$3,134,127QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$1,472,961AppliedToCurrentYearAmt
Remaining Distri From Corpus$1,661,166RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$5,024,357TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$436,213ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$4,588,144ExcessDistriCyovToNextYrAmt
Excess From Year4$670,441ExcessFromYear4Amt
Excess From Year3$475,588ExcessFromYear3Amt
Excess From Year2$800,478ExcessFromYear2Amt
Excess From Year1$980,471ExcessFromYear1Amt
Excess From Current Year$1,661,166ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerANDREW S KOHLBERGContributingManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (52 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
ADAMA LUSINR - UNIVERSITY OF NORTH
1400 SPRING GARDEN STGREENSBORONC27412QUALIFIED SCHOLARSHIP RECIPIENTISTUDENT SCHOLARSHIP GRANT$1,308
AMIAH AIKEN - NC AT STATE UNIVERSIT
1601 E MARKET STREETGREENSBORONC27411QUALIFIED SCHOLARSHIP RECIPIENTISTUDENT SCHOLARSHIP GRANT$105
ASHA PATEL - UNIVERSITY OF NORTH CA
104 AIRPORT DR CAMPUS BOX 1220CHAPEL HILLNC27599QUALIFIED SCHOLARSHIP RECIPIENTISTUDENT SCHOLARSHIP GRANT$1,308
CAMERON BORDEAUX - WINGATE UNIVERSI
PO BOX 159WINGATENC28174QUALIFIED SCHOLARSHIP RECIPIENTISTUDENT SCHOLARSHIP GRANT$1,645
CAMERON BORDEAUX - WINGATE UNIVERSI
PO BOX 159WINGATENC28174QUALIFIED SCHOLARSHIP RECIPIENTISTUDENT SCHOLARSHIP GRANT$1,569
CANDENCE MAYNARD - NORTH CAROLINA S
CAMPUS BOX 7205RALEIGHNC27695QUALIFIED SCHOLARSHIP RECIPIENTISTUDENT SCHOLARSHIP GRANT$1,097
CELIA RONNENBERG - NORTH CAROLINA S
CAMPUS BOX 7205RALEIGHNC27695QUALIFIED SCHOLARSHIP RECIPIENTISTUDENT SCHOLARSHIP GRANT$1,645
CENTER FOR BIOLOGICAL DIVERSITY
378 N MAIN AVETUCSONAZ85701NONEEXEMPTDONATION$300,000
CONNIE RAMIREZ - CALIFORNIA STATE U
9001 STOCKDALE HWY - 35 ADMBAKERSFIELDCA93311QUALIFIED SCHOLARSHIP RECIPIENTISTUDENT SCHOLARSHIP GRANT$1,645
CRYSTAL MIRELES - WAKE TECHNICAL CO
9101 FAYETTEVILLE RDRALEIGHNC27603QUALIFIED SCHOLARSHIP RECIPIENTISTUDENT SCHOLARSHIP GRANT$1,097
DANTE SANTOS - CALIFORNIA STATE UNI
333 S TWIN OAKS VALLEY RDSAN MARCOSCA92096QUALIFIED SCHOLARSHIP RECIPIENTISTUDENT SCHOLARSHIP GRANT$1,308
EARTH ISLAND INSTITUTE
2150 ALLSTON WAY STE 460BERKELEYCA94704NONEEXEMPTDONATION$200,000
EMMA NANI - UNIVERSITY OF NORTH CAR
601 S COLLEGE RDWILMINGTONNC28403QUALIFIED SCHOLARSHIP RECIPIENTISTUDENT SCHOLARSHIP GRANT$349
ERIC CUPPLES - EMBRY-RIDDLE AERONAU
1 AEROSPACE BLVDDAYTONA BEACHFL32114QUALIFIED SCHOLARSHIP RECIPIENTISTUDENT SCHOLARSHIP GRANT$1,569
ISSAC ACEVEDO - SAN DIEGO STATE UNI
5500 CAMPANILE DRSAN DIEGOCA92182QUALIFIED SCHOLARSHIP RECIPIENTISTUDENT SCHOLARSHIP GRANT$1,097
JADA POTTS - NORTH CAROLINA CENTRAL
1801 FAYETTEVILLE STDURHAMNC27707QUALIFIED SCHOLARSHIP RECIPIENTISTUDENT SCHOLARSHIP GRANT$1,645
JASMINE BOLORQUEZ - GUILFORD TECH C
601 E MAIN STREETJAMESTOWNNC27282QUALIFIED SCHOLARSHIP RECIPIENTISTUDENT SCHOLARSHIP GRANT$823
JASMINE BOLORQUEZ - GUILFORD TECH C
601 E MAIN STREETJAMESTOWNNC27282QUALIFIED SCHOLARSHIP RECIPIENTISTUDENT SCHOLARSHIP GRANT$1,046
JORDANN STEPHENSON - WINSTON-SALEM
601 S MARTIN LUTHER KING JR DRWINSTONSALEMNC27110QUALIFIED SCHOLARSHIP RECIPIENTISTUDENT SCHOLARSHIP GRANT$1,308
JOY SHULL - UNIVERSITY OF NORTH CAR
1400 SPRING GARDEN STGREENSBORONC27412QUALIFIED SCHOLARSHIP RECIPIENTISTUDENT SCHOLARSHIP GRANT$418
KANGAMI DIVINE - UNIVERSITY OF MARY
7901 REGENTS DRCOLLEGE PARKMD20742QUALIFIED SCHOLARSHIP RECIPIENTISTUDENT SCHOLARSHIP GRANT$1,046
KENNEDY THOMAS - UNIVERSITY OF NORT
601 S COLLEGE RDWILMINGTONNC28403QUALIFIED SCHOLARSHIP RECIPIENTISTUDENT SCHOLARSHIP GRANT$1,645
KENNEDY THOMAS - UNIVERSITY OF NORT
601 S COLLEGE RDWILMINGTONNC28403QUALIFIED SCHOLARSHIP RECIPIENTISTUDENT SCHOLARSHIP GRANT$1,308
LESHELLE HARRIS - NC AT STATE UNIVE
1601 E MARKET STREETGREENSBORONC27411QUALIFIED SCHOLARSHIP RECIPIENTISTUDENT SCHOLARSHIP GRANT$1,569
LISBETH ACEVADO - NORCO COMMUNITY C
2001 THIRD STNORCOCA92860QUALIFIED SCHOLARSHIP RECIPIENTISTUDENT SCHOLARSHIP GRANT$1,046
LIZBETH ACEVEDO - MORENO VALLEY COL
16130 LASSELLE STMORENO VALLEYCA92551QUALIFIED SCHOLARSHIP RECIPIENTISTUDENT SCHOLARSHIP GRANT$686
MADELINE HOOKS - WESTCLIFF UNIVERSI
17877 VON KARMEN AVE 4TH FLOORIRVINECA92614QUALIFIED SCHOLARSHIP RECIPIENTISTUDENT SCHOLARSHIP GRANT$1,097
MARIN COMMUNITY FOUNDATION
5 HAMILTON LANDING STE 200NOVATOCA94949NONEEXEMPTDONATION$334,405
MELVIN SAULS - VOORHEES UNIVERSITY
481 PORTER DRDENMARKSC29042QUALIFIED SCHOLARSHIP RECIPIENTISTUDENT SCHOLARSHIP GRANT$523
MERYLL FATE REAL - KAPI'OLANI COMMU
4303 DIAMOND HEAD RDHONOLULUHI96816QUALIFIED SCHOLARSHIP RECIPIENTISTUDENT SCHOLARSHIP GRANT$976
MILA RAHIM - BARNARD COLLEGE
3009 BROADWAYNEW YORKNY10027QUALIFIED SCHOLARSHIP RECIPIENTISTUDENT SCHOLARSHIP GRANT$1,310
MOJAVE DESERT LAND TRUST
PO BOX 1544JOSHUA TREECA92252NONEEXEMPTDONATION$60,000
NATHAN TAYLOR - TRINITY ANGLICAN SE
311 11TH STREETAMBRIDGEPA15003QUALIFIED SCHOLARSHIP RECIPIENTISTUDENT SCHOLARSHIP GRANT$1,308
OLUFUNMILAYO OYEFESO - NC AT STATE
1601 E MARKET STREETGREENSBORONC27411QUALIFIED SCHOLARSHIP RECIPIENTISTUDENT SCHOLARSHIP GRANT$784
PANTHERA
8 W 40TH STREET 18TH FLOORNEW YORKNY10018NONEEXEMPTDONATION$100,000
PATIENCE PAGOP - FORTIS COLLEGE
3949 S 700 E 150SALT LAKE CITYUT84107QUALIFIED SCHOLARSHIP RECIPIENTISTUDENT SCHOLARSHIP GRANT$917
PATRICK FINKBINER - NORTH CAROLINA
CAMPUS BOX 7205RALEIGHNC27695QUALIFIED SCHOLARSHIP RECIPIENTISTUDENT SCHOLARSHIP GRANT$1,645
REWILD
PO BOX 129AUSTINTX78767NONEEXEMPTDONATION$1,417,000
REMY MERKOUSKO - WAKE TECHNICAL COM
9101 FAYETTEVILLE RDRALEIGHNC27603QUALIFIED SCHOLARSHIP RECIPIENTISTUDENT SCHOLARSHIP GRANT$548
REMY MERKOUSKO - WAKE TECHNICAL COM
9101 FAYETTEVILLE RDRALEIGHNC27603QUALIFIED SCHOLARSHIP RECIPIENTISTUDENT SCHOLARSHIP GRANT$418
RICARDO MARQUEZ - CALIFORNIA STATE
6000 JED SMITH DRSACRAMENTOCA95819QUALIFIED SCHOLARSHIP RECIPIENTISTUDENT SCHOLARSHIP GRANT$1,645
RICARDO MARQUEZ - CALIFORNIA STATE
6000 JED SMITH DRSACRAMENTOCA95819QUALIFIED SCHOLARSHIP RECIPIENTISTUDENT SCHOLARSHIP GRANT$1,046
SHAWN COSTILL - WEBER STATE UNIVERS
3850 DIXON PARKWAYOGDENUT84408QUALIFIED SCHOLARSHIP RECIPIENTISTUDENT SCHOLARSHIP GRANT$439
SHERINA SINGUA - IRVINE VALLEY COLL
5500 IRVINE CENTER DRIRVINECA92618QUALIFIED SCHOLARSHIP RECIPIENTISTUDENT SCHOLARSHIP GRANT$399
SIENA FARLEY - UTAH VALLEY UNIVERSI
800 W UNIVERSITY PKWYOREMUT84058QUALIFIED SCHOLARSHIP RECIPIENTISTUDENT SCHOLARSHIP GRANT$1,595
SOFIA SANTOS - UNIVERSITY OF CALIFO
120 SPROUL HALLBERKELEYCA94720QUALIFIED SCHOLARSHIP RECIPIENTISTUDENT SCHOLARSHIP GRANT$1,308
TANYA BOKOLO - UNC CHARLOTTE
9201 UNIVERSITY CITY BLVDCHARLOTTENC28223QUALIFIED SCHOLARSHIP RECIPIENTISTUDENT SCHOLARSHIP GRANT$1,045
THE WILDLANDS CONSERVANCY
39611 OAK GLEN RD BLDG 12OAK GLENCA92399NONEEXEMPTDONATION$150,000
THOMAS MURPHY - SALT LAKE COMMUNITY
4600 S REDWOOD RDTAYLORSVILLEUT84123QUALIFIED SCHOLARSHIP RECIPIENTISTUDENT SCHOLARSHIP GRANT$1,214
THOMAS MURPHY - SALT LAKE COMMUNITY
4600 S REDWOOD RDTAYLORSVILLEUT84123QUALIFIED SCHOLARSHIP RECIPIENTISTUDENT SCHOLARSHIP GRANT$1,046
WILDCOAST
2120 JIMMY DURANTE BLVD STE 106DEL MARCA92014NONEEXEMPTDONATION$300,000
YWAM SAN DIEGOBAJA
1101 BAY BLVD STE CCHULA VISTACA91911NONEEXEMPTDONATION$61,935
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$2,970,885TotalGrantOrContriPdDurYrAmt
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$1,047,330ExclusionAmt

Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$453,420ExclusionAmt

Net Rntl Incm Re Debt Fincd Prop NetRntlIncmReDebtFincdPropGrp

FieldValueIRS element (for citing)
Exclusion16ExclusionCd
Exclusion$11,927ExclusionAmt

Other Investment Income OtherInvestmentIncomeGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$38,881ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion-$9,990ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$1,541,568ExclusionAmt
Related Or Exempt Function Incm$0RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$1,541,568TotalIncomeProducingActyAmt

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

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
General RuleYes (X)GeneralRuleInd

Contributor Information ContributorInformationGrp (2 entries)

ContributorContributorNumAddress Line1ContributorUSAddress/AddressLine1TxtCityContributorUSAddress/CityNmState AbbreviationContributorUSAddress/StateAbbreviationCdZIPContributorUSAddress/ZIPCdTotal ContributionsTotalContributionsAmtPerson ContributionPersonContributionInd
NANCY S KOHLBERG ADMIN TRUST CO TROVE
140 BROAD STREETBOSTONMA02109$4,195,418Yes (X)
NANCY S KOHLBERG CO TROVE
240 BROAD STREETBOSTONMA02109$6,060,047Yes (X)

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$22,816Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockMARKETABLE SECURITIESStockNm
EOY Book Value$12,927,208EOYBookValueAmt
EOYFMV$12,927,208EOYFMVAmt

Investments Other Schedule2 InvestmentsOtherSchedule2

Investments Other InvestmentsOtherGrp (14 entries)

Category Or ItemCategoryOrItemTxtListed At Cost Or FMVListedAtCostOrFMVCdBook ValueBookValueAmtEOYFMVEOYFMVAmt
INVESTMENT IN PEMBROKE TCM NORTH WARNER LLCAT COST$719,699$719,699
INVESTMENT IN KOHLBERG PARTNERS IX, LPAT COST$2,027,957$2,027,957
WILDLANDS CONSERVANCY NOTEAT COST$2,223,121$2,223,121
INVESTMENT IN KOHLBERG PARTNERS X, LPAT COST$707,300$707,300
INVESTMENT IN KOHLBERG PARTNERS VIII, LPAT COST$405,372$405,372
INVESTMENT IN MT INVESTORS LLCAT COST$10,475$10,475
INVESTMENT IN KOHLBERG SKI PARTNERS VIII, LPAT COST$10,785$10,785
INVESTMENT IN GENERAL ATLANTIC (BERMUDA) III LPAT COST$72,672$72,672
INVESTMENT IN GENERAL ATLANTIC (BERMUDA) IV LPAT COST$880,020$880,020
INVESTMENT IN GENERAL ATLANTIC PARTNERS 92C LPAT COST$162,539$162,539
INVESTMENT IN GENERAL ATLANTIC PARTNERS 93 LPAT COST$52,306$52,306
INVESTMENT IN GENERAL ATLANTIC PARTNERS 99I LPAT COST$9,984$9,984
INVESTMENT IN GENERAL ATLANTIC PARTNERS 100 LPAT COST$84,910$84,910
INVESTMENT IN GENERAL ATLANTIC PARTNERS AIV-1 A LPAT COST$106,555$106,555

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryLEGAL FEESCategoryTxt
Legal Fees$26,366LegalFeesAmt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (14 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
BANK FEES$420$0$0
GENERAL ATLANTIC PARTNERS 92C, LP - OTHER DEDUCTIONS$154$154$0
KOHLBERG IX, LP - OTHER DEDUCTIONS$2,916$2,916$0
MANAGEMENT FEES$55,130$55,130$0
KOHLBERG X, LP - OTHER DEDUCTIONS$36,207$36,207$0
GENERAL ATLANTIC PARTNERS 99I, LP - OTHER DEDUCTIONS$309$309$0
KOHLBERG PARTNERS VIII, LP - OTHER DEDUCTIONS$403$403$0
MT INVESTORS LLC - OTHER DEDUCTIONS$3,047$3,047$0
KOHLBERG SKI PARTNERS VIII, LP - OTHER DEDUCTIONS$2$2$0
GENERAL ATLANTIC PARTNERS (BERMUDA) III, LP - OTHER DEDUCTIONS$18$18$0
GENERAL ATLANTIC PARTNERS (BERMUDA) IV, LP - OTHER DEDUCTIONS$1,560$1,560$0
GENERAL ATLANTIC PARTNERS 93, LP - OTHER DEDUCTIONS$31$31$0
GENERAL ATLANTIC PARTNERS 100, LP - OTHER DEDUCTIONS$99$99$0
GENERAL ATLANTIC PARTNERS AIV-1 A, LP - OTHER DEDUCTIONS$333$292$41

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail (7 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmt
KOHLBERG PARTNERS VIII LP - ORDINARY BUSINESS INCOME(LOSS)-$63-$63-$63
KOHLBERG PARTNERS IX LP - ORDINARY BUSINESS INCOME(LOSS)$1,189$1,189$1,189
KOHLBERG PARTNERS X, LP$1,468$1,468$1,468
MT INVESTORS LLC$1,823$1,823$1,823
GENERAL ATLANTIC PARTNERS (BERMUDA) IV, LP-$10-$10-$10
GENERAL ATLANTIC PARTNERS 100, LP$37,942$37,942$37,942
GENERAL ATLANTIC PARTNERS AIV-1 A, LP-$3,468-$3,468-$3,468

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescUNREALIZED GAIN/LOSS-MARKETABLE SECURITIES & OTHER INVESTMENTSDesc
Amt$531,402Amt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryCONSULTING FEESCategoryTxt
Amt$52,000Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$52,000DisbursementsCharitablePrpsAmt

Substantial Contributors Sch SubstantialContributorsSch

Substantial Contributor Detail SubstantialContributorDetail (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCd
ANDREW KOHLBERG
5790 FLEET STREET STE 300CARLSBADCA92008
NANCY S KOHLBERG ADMIN TRUST CO TROVE
40 BROAD STREETBOSTONMA02109
NANCY S KOHLBERG CO TROVE
40 BROAD STREETBOSTONMA02109

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail

FieldValueIRS element (for citing)
CategoryTAXES & LICENSESCategoryTxt
Amt$22,172Amt
Net Investment Income$0NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt