STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

DAVID & SUSAN MARTIN FOUNDATION INC: Form 990PF, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
DAVID & SUSAN MARTIN FOUNDATION INC (EIN 20-3945158)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-04-27
IRS object ID
201721179349100022
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)
Return2017-04-27T15:52:23-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

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 Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN203945158EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DAVID & SUSAN MARTIN FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% SUSAN MARTINInCareOfNm
Business Name ControlDAVIBusinessNameControlTxt
Phone3104747379PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12056 MADRONA AVENUEAddressLine1Txt
CitySAINT HELENACityNm
State AbbreviationCAStateAbbreviationCd
ZIP94574ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJ DAVID MARTINPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone3104747379PhoneNum
Signature2017-04-24SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonROBIN M PAULEPreparerPersonNm
PTINP00358939PTIN
Phone8053748555PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address174.46.231.234IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id95206420171175000001FederalOriginalSubmissionId
Federal Original Submission Id2017-04-27FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdAC144D2C5944885D7D87D465B4329167CD393E1CAtSubmissionCreationDeviceId
At Submission Filing Device Id5B9418D81C8C58433D8B74FB7DBA4202CCD0ED42AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$1,090,005FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$395,284ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$10InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$10InterestOnSavNetInvstIncmAmt
Dividends Rev And Expnss$8,510DividendsRevAndExpnssAmt
Dividends Net Invst Incm$8,510DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$1,034NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$1,034GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$1,034CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$404,838TotalRevAndExpnssAmt
Total Net Invst Incm$9,554TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Legal Fees Rev And Expnss$2,124LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$0LegalFeesNetInvstIncmAmt
Legal Fees Adj Net Incm$0LegalFeesAdjNetIncmAmt
Legal Fees Dsbrs Chrtbl$2,124LegalFeesDsbrsChrtblAmt
Accounting Fees Rev And Expnss$3,918AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$3,918AccountingFeesChrtblPrpsAmt
Taxes Rev And Expnss$129TaxesRevAndExpnssAmt
Taxes Net Invst Incm$119TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$10TaxesDsbrsChrtblAmt
Other Expenses Rev And Expnss$75OtherExpensesRevAndExpnssAmt
Other Expenses Dsbrs Chrtbl$75OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$6,246TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$119TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$6,127TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$107,800ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$107,800ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$114,046TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$119TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$113,927TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$290,792ExcessRevenueOverExpensesAmt
Net Investment Income$9,435NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$415,309CashBOYAmt
Cash EOY$301,383CashEOYAmt
Cash EOYFMV$301,383CashEOYFMVAmt
Sav And Temp Cash Invst BOY$102,513SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$102,523SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$102,523SavAndTempCashInvstEOYFMVAmt
Corporate Stock BOY$256,084CorporateStockBOYAmt
Corporate Stock EOY$686,099CorporateStockEOYAmt
Corporate Stock EOYFMV$686,099CorporateStockEOYFMVAmt
Total Assets BOY$773,906TotalAssetsBOYAmt
Total Assets EOY$1,090,005TotalAssetsEOYAmt
Total Assets EOYFMV$1,090,005TotalAssetsEOYFMVAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Retained Earning BOY$773,906RetainedEarningBOYAmt
Retained Earning EOY$1,090,005RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$773,906TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$1,090,005TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$773,906TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$1,090,005TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$773,906TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$290,792ExcessRevenueOverExpensesAmt
Other Increases$25,307OtherIncreasesAmt
Subtotal$1,090,005SubtotalAmt
Tot Net Ast Or Fund Balances EOY$1,090,005TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp

FieldValueIRS element (for citing)
PropertyCAPITAL GAIN DIVIDENDSPropertyDesc
How AcquiredPHowAcquiredCd
Gain Or Loss$1,034GainOrLossAmt
FieldValueIRS element (for citing)
Capital Gain Net Income$1,034CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$98,229AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$446,275NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.220109DistributionYr1Rt
Adjusted Qlfy Distri Yr2$163,847AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$305,650NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.536061DistributionYr2Rt
Adjusted Qlfy Distri Yr3$49,070AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$282,972NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.173409DistributionYr3Rt
Adjusted Qlfy Distri Yr4$66,786AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$324,322NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.205925DistributionYr4Rt
Adjusted Qlfy Distri Yr5$61,377AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$359,107NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.170916DistributionYr5Rt
Total Distribution1.30642TotalDistributionRt
Average Distribution0.261284AverageDistributionRt
Net Vl Noncharitable Assets$814,566NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$212,833AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$94NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$212,927AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$113,927QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$189InvestmentIncomeExciseTaxAmt
Subtotal$189SubtotalAmt
Tax Based On Investment Income$189TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$509EstimatedPlusOvpmtIncmTxAmt
Total Payments And Credits$509TotalPaymentsAndCreditsAmt
Overpayment$320OverpaymentAmt
Applied To ES Tax$320AppliedToESTaxAmt

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
Website AddressN/AWebsiteAddressTxt

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1SUSAN MARTINBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3104747379PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line12056 MADRONA AVENUEAddressLine1Txt
CitySAINT HELENACityNm
State AbbreviationCAStateAbbreviationCd
ZIP94574ZIPCd
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 (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
J DAVID MARTIN
2056 MADRONA AVENUESAINT HELENACA94574PRESIDENT/DIRECTOR1.0$0$0$0
SUSAN MARTIN
2056 MADRONA AVENUESAINT HELENACA94574SECRETARY/CFO/DIRECTOR3.0$0$0$0
KATHERINE L OSLER
2056 MADRONA AVENUESAINT HELENACA94574DIRECTOR0$0$0$0
ANNABEL R MARTIN
2056 MADRONA AVENUESAINT HELENACA94574DIRECTOR0$0$0$0
FieldValueIRS element (for citing)
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Contractor Paid Over50k0ContractorPaidOver50kCnt

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1N/ADescription1Txt
FieldValueIRS element (for citing)
Sum Of Program Related InvstSumOfProgramRelatedInvstGrp

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$365,597AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$461,374AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$826,971TotalFMVOfUnusedAssetsAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$826,971AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$12,405CashDeemedCharitableAmt
Net Vl Noncharitable Assets$814,566NetVlNoncharitableAssetsAmt
Minimum Investment Return$40,728MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$40,728MinimumInvestmentReturnAmt
Tax Based On Investment Income$189TaxBasedOnInvestmentIncomeAmt
Total Tax$189TotalTaxAmt
Distributable Before Adj$40,539DistributableBeforeAdjAmt
Distributable Before Ded$40,539DistributableBeforeDedAmt
Distributable As Adjusted$40,539DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$113,927ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$113,927QualifyingDistributionsAmt
Adjusted Qualifying Distri$113,927AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$40,539DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Prior Year12014PriorYear1Yr
Prior Year22013PriorYear2Yr
Prior Year32012PriorYear3Yr
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$43,646ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$50,726ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$35,127ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$149,466ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$76,012ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$354,977TotalExcessDistributionCyovAmt
Qualifying Distributions$113,927QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Current Year$40,539AppliedToCurrentYearAmt
Remaining Distri From Corpus$73,388RemainingDistriFromCorpusAmt
Total Corpus$428,365TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Excess Distri Cyov From Yr5$43,646ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$384,719ExcessDistriCyovToNextYrAmt
Excess From Year4$50,726ExcessFromYear4Amt
Excess From Year3$35,127ExcessFromYear3Amt
Excess From Year2$149,466ExcessFromYear2Amt
Excess From Year1$76,012ExcessFromYear1Amt
Excess From Current Year$73,388ExcessFromCurrentYearAmt
FieldValueIRS element (for citing)
Private Operating FoundationsPrivateOperatingFoundationsGrp

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerJ DAVID MARTIN SUSAN MARTINContributingManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (16 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
HILLSIDE CHRISTIAN CENTER
100 ANDERSON ROADNAPACA94558NONEPCSupporting church and its missions.$46,100
EDIFY
8825 AERO DRIVE suite 220SAN DIEGOCA92123NONEPCProviding education opportunities in developing world.$10,000
St Helena Volunteer Fire Department
1480 main streetsaint helenaCA94574noneNCGENERAL SUPPORT - TO PROVIDE THE VERY BEST PROTECTION FOR LIFE AND PROPERTY IN ST. HELENA.$1,000
ST HELENA HOSPITAL FOUNDATION
10 WOODLAND RDSAINT HELENACA94574NONESO IMedical research.$5,000
PROJECT RESCUE FOUNDATION
PO BOX 922SPRINGFIELDMO65801NONEPCHelping survivors given a hope-filled future.$18,000
UCSF FOUNDATION
PO BOX 45339SAN FRANCISCOCA94145NONEPCExpanding scientific knowledge and groundbreaking discoveries. Educate future leaders and deliver best outcomes for patients.$7,500
ASSIST INTERNATIONAL INC
PO BOX 66396SCOTTS VALLEYCA95067NONEPCAddress the needs of the poor.$5,000
IMHRO
PO BOX 680RUTHERFORDCA94573NONEPCScientific research for brain disorders.$5,000
SHOW HOPE SHAOHANNAH'S HOPE
PO BOX 647FRANKLINTN37065NONEPCCaring for orphans.$2,000
COLLABRIA CARE
414 S JEFFERSON STREETNAPACA94559NONEPCSupporting hospice care and more.$2,500
CENTERPOINT COMMUNITY CHURCH
PO BOX 417ERIECO80516NONEPCSupporting core values of the Church.$1,200
FINE ARTS MUSEUM FOUNDATION
50 HAGIWARA TEA GARDEN DRIVESAN FRANCISCOCA94118NONESO IISUPPORTing Innovative exhibitions.$1,000
SUN VALLEY COMMUNITY CHURCH
456 E RAY ROADGILBERTAZ85296NONEPCSupporting church and its missions.$1,000
SALVATION ARMY
PO BOX 269ALEXANDRIAVA22313NONEPCHelping needy in the community.$1,000
WOUNDED WARRIOR PROJECT
4899 BELFORT ROAD SUITE 300JACKSONVILLEFL32256NONEPCAssisting wounded service members as they rebuild their lives.$1,000
OLE HEALTH
1100 TRANCAS STREET SUITE 300NAPACA94558NONEPCPrenatal care.$500
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$107,800TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

FieldValueIRS element (for citing)
Fees Contracts From Govt AgFeesContractsFromGovtAgGrp
Membership Dues And AssmntMembershipDuesAndAssmntGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$10ExclusionAmt

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$8,510ExclusionAmt
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$1,034ExclusionAmt
FieldValueIRS element (for citing)
Net Income Loss From Special EvtNetIncomeLossFromSpecialEvtGrp
Gross Profit Loss Sls Of InvntryGrossProfitLossSlsOfInvntryGrp

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$9,554ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$9,554TotalIncomeProducingActyAmt

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 PersonDAVID SUSAN MARTINContributorPersonNm

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line12056 MADRONA AVENUEAddressLine1Txt
CitySAINT HELENACityNm
State AbbreviationCAStateAbbreviationCd
ZIP94574ZIPCd
FieldValueIRS element (for citing)
Total Contributions$395,284TotalContributionsAmt
Person ContributionYes (X)PersonContributionInd
Noncash ContributionYes (X)NoncashContributionInd

Non Cash Property Contribution NonCashPropertyContributionGrp

FieldValueIRS element (for citing)
Contributor1ContributorNum
Noncash Property24,845 SHS DIMENSIONAL GLOBAL ALL 60/40 PRTF INSTLNoncashPropertyDesc
Fair Market Value$395,284FairMarketValueAmt
Received2016-10-14ReceivedDt

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTING FEESCategoryTxt
Amt$3,918Amt
Disbursements Charitable Prps$3,918DisbursementsCharitablePrpsAmt

Depreciation Schedule DepreciationSchedule

Expenditure Responsibility Stmt ExpenditureResponsibilityStmt

Expenditure Responsibility ExpenditureResponsibilityGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST HELENA VOLUNTEER FIRE DEPARTMENTBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11480 MAIN STREETAddressLine1Txt
CitySAINT HELENACityNm
State AbbreviationCAStateAbbreviationCd
ZIP94574ZIPCd
FieldValueIRS element (for citing)
Grant2016-12-29GrantDt
Grant$1,000GrantAmt
Purpose Of GrantGENERAL CHARITABLE SUPPORT - TO PROVIDE THE VERY BEST PROTECTION FOR LIFE AND PROPERTY IN ST.HELENAPurposeOfGrantTxt
Expended By Grantee$1,000ExpendedByGranteeAmt
Any Diversion By GranteeNOAnyDiversionByGranteeTxt
Dates Of Reports By Grantee03/28/2017DatesOfReportsByGranteeTxt
Verification2017-03-28VerificationDt
Results Of VerificationVERIFICATION CONFIRMED THAT $1,000 WAS SPENT TOWARD THE GRANT PURPOSE WITH NO DIVERSION.ResultsOfVerificationTxt

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp

FieldValueIRS element (for citing)
StockDIMENSIONAL GLOBAL PORT INSTStockNm
EOY Book Value$686,099EOYBookValueAmt
EOYFMV$686,099EOYFMVAmt

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryLEGAL FEESCategoryTxt
Legal Fees$2,124LegalFeesAmt
Disbursements Charitable Prps$2,124DisbursementsCharitablePrpsAmt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp

FieldValueIRS element (for citing)
DescLICENSES AND PERMITSDesc
Revenue And Expenses Per Books$75RevenueAndExpensesPerBooksAmt
Disbursements Charitable Prps$75DisbursementsCharitablePrpsAmt

Other Increases Schedule OtherIncreasesSchedule

Other Increases Detail OtherIncreasesDetail

FieldValueIRS element (for citing)
DescUNREALIZED GAIN ON INVESTMENTDesc
Amt$25,307Amt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmtNet Investment IncomeNetInvestmentIncomeAmt
STATE FILING FEE$10$10
FOREIGN TAXES PAID$119$119