STRATEGY STUDIO / PUBLIC DATA EXPLORER

BRINKERHOFF SAMPLE FAMILY FOUNDATION: Form 990PF, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
BRINKERHOFF SAMPLE FAMILY FOUNDATION (EIN 20-1389996)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-04-11
IRS object ID
201731019349100413
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)
Return2017-04-11T19:08:47+00:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN200436877PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1STEFFORIA PETIK & ASSOCIATES PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12178 S STATE ST STE DAddressLine1Txt
CityANN ARBORCityNm
State AbbreviationMIStateAbbreviationCd
ZIP481048107ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN201389996EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BRINKERHOFF-SAMPLE FAMILYBusinessNameLine1Txt
Business Name Line2FOUNDATIONBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlBRINBusinessNameControlTxt
Phone7343321131PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1534 GLENDALE CIRCLEAddressLine1Txt
CityANN ARBORCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48103ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWILLIAM F BRINKERHOFFPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone7343321131PhoneNum
Signature2017-02-22SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJEFFREY R STEFFORIAPreparerPersonNm
PTINP00051354PTIN
Phone7347478863PhoneNum
Preparation2017-02-22PreparationDt

Filing Security Information FilingSecurityInformation

FieldValueIRS element (for citing)
At Submission Creation Device Id0BF6CF767969709A8C1B9150E9AD3512B9FD4DFEAtSubmissionCreationDeviceId
At Submission Filing Device Id95E4DEAE9FF4041F7520841CC4BC2D6FBF539438AtSubmissionFilingDeviceId
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$209,990FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$101,862ContriRcvdRevAndExpnssAmt
Dividends Rev And Expnss$3,273DividendsRevAndExpnssAmt
Dividends Net Invst Incm$3,273DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss-$21,534NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$80,328GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$247CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$83,601TotalRevAndExpnssAmt
Total Net Invst Incm$3,520TotalNetInvstIncmAmt
Accounting Fees Rev And Expnss$510AccountingFeesRevAndExpnssAmt
Tot Opr Expenses Rev And Expnss$510TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$0TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$33,788ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$33,788ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$34,298TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$0TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$33,788TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$49,303ExcessRevenueOverExpensesAmt
Net Investment Income$3,520NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$14,234SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$63,501SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$63,501SavAndTempCashInvstEOYFMVAmt
Corporate Stock BOY$123,144CorporateStockBOYAmt
Corporate Stock EOY$123,144CorporateStockEOYAmt
Corporate Stock EOYFMV$146,489CorporateStockEOYFMVAmt
Total Assets BOY$137,378TotalAssetsBOYAmt
Total Assets EOY$186,645TotalAssetsEOYAmt
Total Assets EOYFMV$209,990TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Retained Earning BOY$137,378RetainedEarningBOYAmt
Retained Earning EOY$186,645RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$137,378TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$186,645TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$137,378TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$186,645TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$137,378TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$49,303ExcessRevenueOverExpensesAmt
Subtotal$186,681SubtotalAmt
Other Decreases$36OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$186,645TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

FieldValueIRS element (for citing)
Capital Gain Net Income$247CapitalGainNetIncomeAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$31,582AdjustedQlfyDistriYr1Amt
Adjusted Qlfy Distri Yr2$21,857AdjustedQlfyDistriYr2Amt
Adjusted Qlfy Distri Yr3$29,967AdjustedQlfyDistriYr3Amt
Adjusted Qlfy Distri Yr4$28,607AdjustedQlfyDistriYr4Amt
Adjusted Qlfy Distri Yr5$10,091AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets$0NetVlNoncharitableAssetsAmt
Net Investment Income Pct$35NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$35AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$33,788QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Domestic Org Meeting Sect4940eYes (X)DomesticOrgMeetingSect4940eInd
Investment Income Excise Tax$35InvestmentIncomeExciseTaxAmt
Subtotal$35SubtotalAmt
Tax Based On Investment Income$35TaxBasedOnInvestmentIncomeAmt
Tax Due$35TaxDueAmt

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
Private Operating FoundationfalsePrivateOperatingFoundationInd
New Substantial ContributorsfalseNewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksWILLIAM F BRINKERHOFFIndividualWithBooksNm
Phone7343321131PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line1534 GLENDALE CIRCLEAddressLine1Txt
CityANN ARBORCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48103ZIPCd
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
Undistributed Income PYfalseUndistributedIncomePYInd
Business HoldingsfalseBusinessHoldingsInd
Jeopardy InvestmentsfalseJeopardyInvestmentsInd
Uncorrected PY Jeopardy InvstfalseUncorrectedPYJeopardyInvstInd
Influence LegislationfalseInfluenceLegislationInd
Influence ElectionfalseInfluenceElectionInd
Grants To IndividualsfalseGrantsToIndividualsInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
KATHLEEN SAMPLE
534 GLENDALE CIRCLEANN ARBORMI48103SEC./TREAS.1.00$0$0$0
WILLIAM F BRINKERHOFF
534 GLENDALE CIRCLEANN ARBORMI48103PRESIDENT1.00$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1DONATIONS TO THE UNITED WAY FOR VARIOUS PROGRAMS IN WASHTENAW COUNTYDescription1Txt
Expenses1$22,898Expenses1Amt
Description2DONATIONS TO THE UNIVERSITY OF MICHIGAN FOR THEIR SUMMER INTERN PROGRAMDescription2Txt
Expenses2$5,000Expenses2Amt
Description3DONATION TO THE CAMPAIGN FOR THE ARK, A 501C3 ORGANIZATION FOR RENOVATIONS TO THE ORGANIZATION'S VENUE.Description3Txt
Expenses3$5,000Expenses3Amt
Description4DONATIONS TO THE GIRLS GROUP & PEACE NEIGHBORHOOD CENTER, BOTH 501C3 ORGANIZATIONS TO SUPPORT THEIR PROGRAMSDescription4Txt
Expenses4$890Expenses4Amt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Description1N/ADescription1Txt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$0AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$0AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$0TotalFMVOfUnusedAssetsAmt
Adjusted Total FMV Of Unused Ast$0AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$0CashDeemedCharitableAmt
Net Vl Noncharitable Assets$0NetVlNoncharitableAssetsAmt
Minimum Investment Return$0MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Tax Based On Investment Income$35TaxBasedOnInvestmentIncomeAmt
Total Tax$35TotalTaxAmt
Distributable As Adjusted$0DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$33,788ExpensesAndContributionsAmt
Qualifying Distributions$33,788QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$35PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$33,753AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$0DistributableAsAdjustedAmt
Excess Distribution Cyov Yr5$10,100ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$28,646ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$30,000ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$21,900ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$31,618ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$122,264TotalExcessDistributionCyovAmt
Qualifying Distributions$33,788QualifyingDistributionsAmt
Remaining Distri From Corpus$33,788RemainingDistriFromCorpusAmt
Total Corpus$156,052TotalCorpusAmt
Undistributed Income CY$0UndistributedIncomeCYAmt
Excess Distri Cyov From Yr5$10,100ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$145,952ExcessDistriCyovToNextYrAmt
Excess From Year4$28,646ExcessFromYear4Amt
Excess From Year3$30,000ExcessFromYear3Amt
Excess From Year2$21,900ExcessFromYear2Amt
Excess From Year1$31,618ExcessFromYear1Amt
Excess From Current Year$33,788ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerWILLIAM BRINKERHOFFContributingManagerNm
Contributing ManagerKATHLEEN SAMPLEContributingManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (5 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmtAddress Line2RecipientUSAddress/AddressLine2Txt
THE ARK
316 SOUTH MAIN STREETANN ARBORMI48104501(C)(3)COMMUNITY SUPPORT$5,000
GIRLS GROUP
2531 JACKSON AVE 188ANN ARBORMI48103501(C)(3)COMMUNITY SUPPORT$250
PEACE NEIGHBORHOOD CENTER
1111 NORTH MAPLE ROADANN ARBORMI48103501(C)(3)COMMUNITY SUPPORT$640
UNITED WAY
2305 PLATT ROADANN ARBORMI48104501(C)(3)COMMUNITY SUPPORT$22,898
UNIVERSITY OF MICHIGAN
3003 SOUTH STATE STREETANN ARBORMI481091288501(C)(3)COMMUNITY SUPPORT$5,000SUITE 8000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$33,788TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$3,273ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$247ExclusionAmt
Related Or Exempt Function Incm-$21,781RelatedOrExemptFunctionIncmAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$3,520ExclusionAmt
Related Or Exempt Function Incm-$21,781RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty-$18,261TotalIncomeProducingActyAmt

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 PersonWILLIAM BRINKERHOFFContributorPersonNm

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1534 GLENDALE CIRCLEAddressLine1Txt
CityANN ARBORCityNm
State AbbreviationMIStateAbbreviationCd
ZIP48103ZIPCd
FieldValueIRS element (for citing)
Total Contributions$101,862TotalContributionsAmt
Noncash ContributionYes (X)NoncashContributionInd

Non Cash Property Contribution NonCashPropertyContributionGrp

FieldValueIRS element (for citing)
Contributor1ContributorNum
Noncash Property10000 SHARES CERENIS STOCKNoncashPropertyDesc
Fair Market Value$101,862FairMarketValueAmt
Received2016-02-09ReceivedDt

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryINDIRECT ACCOUNTING FEESCategoryTxt
Amt$510Amt

Expln Of Non Filing With AG Stmt ExplnOfNonFilingWithAGStmt

FieldValueIRS element (for citing)
ExplanationPRIVATE FOUNDATIONS THAT RECEIVE ONLY CONTRIBUTIONS FROM ITS MEMBERS OR DIRECTORS IS EXEMPT FROM THE STATE OF MICHIGAN CHARITABLE SOLICITATION FILING REQUIREMENTS.ExplanationTxt

Gain Loss Sale Other Assets Sch GainLossSaleOtherAssetsSch

Gain Loss Sale Other Asset GainLossSaleOtherAssetGrp (2 entries)

AssetAssetDescAcquiredAcquiredDtHow AcquiredHowAcquiredTxtSoldSoldDtGross Sales PriceGrossSalesPriceAmtBasisBasisAmtTotal NetTotalNetAmt
6735 SHARES CERENIS THERA HLDG2016-02PURCHASE2016-09$53,985$68,604-$14,619
3265 SHARES CERENIS THERA HLDG2016-02PURCHASE2016-10$26,096$33,258-$7,162

Investments Corp Stock Schedule InvestmentsCorpStockSchedule

Investments Corporate Stock InvestmentsCorporateStockGrp (6 entries)

StockStockNmEOY Book ValueEOYBookValueAmtEOYFMVEOYFMVAmt
VANGUARD INTERM TERM$37,620$36,698
VANGUARD S/T INVESTMENT GRADE FUND$31,785$31,322
VANGUARD SMALL CAP$3,026$6,810
VANGUARD 500 INDEX$18,160$34,250
ISHARES TR MSCI EAFE FUND$28,502$31,578
ISHARES TR MSCI EAFE SMALL CAP$4,051$5,831

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescFEDERAL TAXESDesc
Amt$36Amt