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LILLYS GIFT FOUNDATION: Form 990PF, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
LILLYS GIFT FOUNDATION (EIN 68-0445376)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-08-14
IRS object ID
201732269349100233
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)
Return2017-08-14T11:53:56-07:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Aiello Goodrich & Teuscher IncBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1205 N MOUNT SHASTA BLVD STE 300AddressLine1Txt
CityMOUNT SHASTACityNm
State AbbreviationCAStateAbbreviationCd
ZIP96067ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN680445376EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LILLYS GIFT FOUNDATIONBusinessNameLine1Txt
Business Name Line2LOIS G ERICSON PRESIDENTBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlLILLBusinessNameControlTxt
Phone5303984373PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18519 SHADY DELL ROADAddressLine1Txt
CityMACDOELCityNm
State AbbreviationCAStateAbbreviationCd
ZIP96058ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLOIS ERICSONPersonNm
Person TitleTreasurerPersonTitleTxt
Signature2017-08-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDorian M Aiello CPAPreparerPersonNm
PTINP00154017PTIN
Phone5309263881PhoneNum
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$12,892,340FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$1,275,000ContriRcvdRevAndExpnssAmt
Dividends Rev And Expnss$373,913DividendsRevAndExpnssAmt
Dividends Net Invst Incm$373,913DividendsNetInvstIncmAmt
Net Gain Sale Ast Rev And Expnss$558,831NetGainSaleAstRevAndExpnssAmt
Gross Sales Price$15,805,147GrossSalesPriceAmt
Cap Gain Net Incm Net Invst Incm$558,831CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$2,207,744TotalRevAndExpnssAmt
Total Net Invst Incm$932,744TotalNetInvstIncmAmt
Legal Fees Rev And Expnss$7,668LegalFeesRevAndExpnssAmt
Legal Fees Net Invst Incm$7,668LegalFeesNetInvstIncmAmt
Accounting Fees Rev And Expnss$143AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$143AccountingFeesNetInvstIncmAmt
Other Prof Fees Rev And Expnss$66,541OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$66,541OtherProfFeesNetInvstIncmAmt
Taxes Rev And Expnss$4,150TaxesRevAndExpnssAmt
Taxes Net Invst Incm$4,150TaxesNetInvstIncmAmt
Tot Opr Expenses Rev And Expnss$78,502TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$78,502TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$0TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$920,000ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$920,000ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$998,502TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$78,502TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$920,000TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$1,209,242ExcessRevenueOverExpensesAmt
Net Investment Income$854,242NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Sav And Temp Cash Invst BOY$253,532SavAndTempCashInvstBOYAmt
Sav And Temp Cash Invst EOY$253,482SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$253,518SavAndTempCashInvstEOYFMVAmt
Corporate Stock BOY$3,609,688CorporateStockBOYAmt
Corporate Stock EOY$9,089,156CorporateStockEOYAmt
Corporate Stock EOYFMV$9,001,672CorporateStockEOYFMVAmt
Corporate Bonds BOY$7,674,534CorporateBondsBOYAmt
Corporate Bonds EOY$2,562,351CorporateBondsEOYAmt
Corporate Bonds EOYFMV$2,580,484CorporateBondsEOYFMVAmt
Other Investments BOY$151,436OtherInvestmentsBOYAmt
Other Investments EOY$993,443OtherInvestmentsEOYAmt
Other Investments EOYFMV$1,056,666OtherInvestmentsEOYFMVAmt
Total Assets BOY$11,689,190TotalAssetsBOYAmt
Total Assets EOY$12,898,432TotalAssetsEOYAmt
Total Assets EOYFMV$12,892,340TotalAssetsEOYFMVAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Retained Earning BOY$11,689,190RetainedEarningBOYAmt
Retained Earning EOY$12,898,432RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$11,689,190TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$12,898,432TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$11,689,190TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$12,898,432TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$11,689,190TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$1,209,242ExcessRevenueOverExpensesAmt
Subtotal$12,898,432SubtotalAmt
Tot Net Ast Or Fund Balances EOY$12,898,432TotNetAstOrFundBalancesEOYAmt

Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail

Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (3 entries)

PropertyPropertyDescHow AcquiredHowAcquiredCdAcquiredAcquiredDtSoldSoldDtGross Sales PriceGrossSalesPriceAmtCost Or Other BasisCostOrOtherBasisAmtGain Or LossGainOrLossAmtGains Minus Excess Or LossesGainsMinusExcessOrLossesAmt
NORTHERN TRUST VARIOUS SHORT TERM SALESP2016-01-012016-12-31$5,898,184$5,772,541$125,643$125,643
NORTHERN TRUST VARIOUS LONG TERM SALESP2001-01-012016-12-31$9,838,852$9,473,775$365,077$365,077
NORTHERN TRUST L/T CAPITAL GAINSP2001-01-012016-12-31$68,111$68,111$68,111
FieldValueIRS element (for citing)
Capital Gain Net Income$558,831CapitalGainNetIncomeAmt
Net Short Term Capital Gain Loss$125,643NetShortTermCapitalGainLossAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 TaxfalseLiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$896,094AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$11,710,262NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.07652DistributionYr1Rt
Adjusted Qlfy Distri Yr2$900,000AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$11,340,648NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.07936DistributionYr2Rt
Adjusted Qlfy Distri Yr3$1,109,591AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$10,708,528NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.10362DistributionYr3Rt
Adjusted Qlfy Distri Yr4$605,623AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$9,640,834NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.06282DistributionYr4Rt
Adjusted Qlfy Distri Yr5$360,000AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$8,285,267NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.04345DistributionYr5Rt
Total Distribution0.365771TotalDistributionRt
Average Distribution0.073154AverageDistributionRt
Net Vl Noncharitable Assets$12,945,205NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$946,994AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$8,542NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$955,536AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$920,000QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$17,085InvestmentIncomeExciseTaxAmt
Subtotal$17,085SubtotalAmt
Tax Based On Investment Income$17,085TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$4,362EstimatedPlusOvpmtIncmTxAmt
Applied To Es Tax$12,734AppliedToEsTaxAmt
Total Payments And Credits$17,096TotalPaymentsAndCreditsAmt
Form2220 AttachedYes (X)Form2220AttachedInd
Es Penalty$11EsPenaltyAmt

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
Form990 T FiledfalseForm990TFiledInd
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 ContributorsYes (true)NewSubstantialContributorsInd
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 Line1LOIS ERICSONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5303984373PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line18519 SHADY DELL ROADAddressLine1Txt
CityMACDOELCityNm
State AbbreviationCAStateAbbreviationCd
ZIP96058ZIPCd
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
Acts Fail To Qlfy As ExceptionsfalseActsFailToQlfyAsExceptionsInd
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
Undistributed Income PYfalseUndistributedIncomePYInd
Undistr Incm Sect4942a2 Not AppfalseUndistrIncmSect4942a2NotAppInd
Business HoldingsfalseBusinessHoldingsInd
Excess Business HoldingsfalseExcessBusinessHoldingsInd
Jeopardy InvestmentsfalseJeopardyInvestmentsInd
Uncorrected PY Jeopardy InvstfalseUncorrectedPYJeopardyInvstInd
Influence LegislationfalseInfluenceLegislationInd
Influence ElectionfalseInfluenceElectionInd
Grants To IndividualsfalseGrantsToIndividualsInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
Transactions Fail To Qlfy As ExcfalseTransactionsFailToQlfyAsExcInd
Maintained Expenditure RspnsfalseMaintainedExpenditureRspnsInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Proceeds Or Net IncomefalseProceedsOrNetIncomeInd

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 PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
LOIS ERICSON
8519 SHADY DELL ROADMACDOELCA96058President1.00$0
CONSTANCE D SHEPARD
2325 TYLER STREETEUGENEOR97405Vice President0.00$0
STEVEN L ERICSON
7001 EAST BUTTE VALLEY ROADDORRISCA96023Vice President0.00$0
MARILYN ERICSON
8519 SHADY DELL ROADMACDOELCA96058Vice President0.00$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$0AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$250,000AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$12,892,340FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$13,142,340TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Adjusted Total FMV Of Unused Ast$13,142,340AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$197,135CashDeemedCharitableAmt
Net Vl Noncharitable Assets$12,945,205NetVlNoncharitableAssetsAmt
Minimum Investment Return$647,260MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$647,260MinimumInvestmentReturnAmt
Tax Based On Investment Income$17,085TaxBasedOnInvestmentIncomeAmt
Total Tax$17,085TotalTaxAmt
Distributable Before Adj$630,175DistributableBeforeAdjAmt
Distributable Before Ded$630,175DistributableBeforeDedAmt
Distributable As Adjusted$630,175DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$920,000ExpensesAndContributionsAmt
Qualifying Distributions$920,000QualifyingDistributionsAmt
Adjusted Qualifying Distri$920,000AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$630,175DistributableAsAdjustedAmt
Excess Distribution Cyov Yr3$572,041ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$337,140ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$318,393ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$1,227,574TotalExcessDistributionCyovAmt
Qualifying Distributions$920,000QualifyingDistributionsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$630,175AppliedToCurrentYearAmt
Remaining Distri From Corpus$289,825RemainingDistriFromCorpusAmt
Total Corpus$1,517,399TotalCorpusAmt
Undistributed Income CY$0UndistributedIncomeCYAmt
Excess Distri Cyov To Next Yr$1,517,399ExcessDistriCyovToNextYrAmt
Excess From Year3$572,041ExcessFromYear3Amt
Excess From Year2$337,140ExcessFromYear2Amt
Excess From Year1$318,393ExcessFromYear1Amt
Excess From Current Year$289,825ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

Application Submission Info ApplicationSubmissionInfoGrp

FieldValueIRS element (for citing)
Recipient PersonLILLY'S GIFT FOUNDATIONRecipientPersonNm

Recipient US Address RecipientUSAddress

FieldValueIRS element (for citing)
Address Line18519 SHADY DELL ROADAddressLine1Txt
CityMACDOELCityNm
State AbbreviationCAStateAbbreviationCd
ZIP96058ZIPCd
FieldValueIRS element (for citing)
Recipient Phone5303984373RecipientPhoneNum
Form And Info And MaterialsPOTENTIAL RECIPIENTS ARE TO SUBMIT A WRITTEN LETTER EXPLAINING NEED.FormAndInfoAndMaterialsTxt
Submission DeadlinesNO SUBMISSION DEADLINESSubmissionDeadlinesTxt
Restrictions On AwardsNO RESTRICTIONS OR LIMITATIONS ON AWARDS.RestrictionsOnAwardsTxt

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (48 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
10TH DISTRICT AGRICULTURAL ASSOCIAT
1712 FAIRLANE ROADYREKACA96097NONEPCFOR SUPPORT OF FAIRS. FUNDS NOT TO BE USED FOR ADMINISTRATIVE EXPENSES.$250,000
TULELAKE-BUTTE VALLEY FAIR FRIENDS
PO BOX 866TULELAKECA96134NONEPCFOR SUPPORT OF FAIRS. FUNDS NOT TO BE USED FOR ADMINISTRATIVE EXPENSES.$250,000
ASANTE FOUNDATION
2600 SISKIYOU BLVD SUITE 100MEDFORDOR97504NONEPCPROVIDE FUNDS FOR COMMUNITY HEALTH CARE.$5,000
PERFORMING ANIMAL WELFAR SOCIETY-PA
PO BOX 849GALTCA95632NONEPCPROVIDE FUNDS TO ASSIST IN PROTECTING PERFORMING ANIMALS$15,000
THE ACADEMY OF SISTERS
62895 HAMBY ROADBENDOR97701NONEPCFOR SUPPORT OF AN AT RISK BOARDING SCHOOL FOR GIRLS. FUNDS NOT TO BE USED FOR ADMINISTRATIVE USE.$15,000
STEVENS JOHNSON SYNDROME FOUNDATION
PO BOX 350333WESTMINSTERCO80035NONEPCPROVIDE FUNDS FOR RESEARCH$10,000
SKY LAKES CANCER TREATMENT CENTER
2865 DAGGETT AVENUEKLAMATH FALLSOR97601NONEPCPROVIDE FUNDS FOR MAMMOGRAPHIC FUND$2,000
SEARCH DOG FOUNDATION
201 E OJAI AVENUEOJAICA93023NONEPCPROVIDE FUNDS TO RECRUIT RESCUED DOGS FOR USE BY FIRST RESPONDERS$15,000
RONALD MCDONALD HOUSES OF PORTLAND
2620 N COMMERCIAL AVENUEPORTLANDOR97227NONEPCASSIST IN HOUSING FOR SERIOUSLY ILL CHILDREN & THEIR FAMILIES$2,000
RONALD MCDONALD HOUSES OF ORANGE CO
383 SOUTH BATAVIA STREETORANGECA92868NONEPCASSIST IN HOUSING FOR SERIOUSLY ILL CHILDREN & THEIR FAMILIES$4,000
ROCKY MOUNTAIN CHILDREN'S HEALTH FN
2055 HIGH STREET SUITE 240DENVERCO80205NONEPCSUPPORT TO PEDIATRIC PATIENTS & THEIR FAMILIES$2,500
RED BUCKET EQUINE RESCUE
18381 GOLDEN WEST STREETHUNTINGTON BEACHCA92648NONEPCPROVIDE FUNDS TO SAVE & REHABILITATE ABANDONED & UNWANTED HORSES$10,000
ASHER STUDENT FOUNDATION
1408 BARRY AVENUELOS ANGELESCA90025NONEPCFOR ANY STUDENT RELATED COSTS$3,000
ORANGE COUNTY RESCUE MISSION
ONE HOPE DRIVETUSTINCA92782NONEPCPROVIDE FUNDS TO SUPPORT THE MISSION OF THE RESCUE MISSION$15,000
THE MUSTARD SEED RANCH
1421 EDINGER SUITE BTUSTINCA92780NONEPCFOR THE MUSTARD SEED RANCH PROGRAM$7,000
MOUNT SHASTA RACE ASSOCIATION
PO BOX 759MOUNT SHASTACA96067NONEPCFOR GENERAL SUPPORT OF THE SKI TEAM$15,000
MILLER CHILDREN'S HOSPITAL LONG BEA
2801 ATLANTIC AVENUELOGN BEACHCA90801NONEPCPROVIDE FUNDS TO ASSIST IN PEDIATRIC CARE FOR CHILDREN AND YOUNG ADULTS$7,000
MERCY HOME FOR BOYS GIRLS
1140 W JACKSON BOULEVARDCHICAGOIL60607NONEPCFOR FOOD, CLOTHING AND SHELTER FOR THOSE ASSISTED$2,000
RESCUE RANCH INC
PO BOX 1192YREKACA96097NONEPCPROVIDE FUNDS FOR DOG RESUCE & REHABILITATION$5,000
KLAMATH FALLS GOSPEL MISSION
823 WALNUT AVENUEKLAMATH FALLSOR97601NONEPCASSISTANCE FOR EMERGENCY FOOD, CLOTHING & SHELTER$6,000
STABLE HANDS
PO BOX 1852YREKACA96097NONEPCPROVIDE FUNDS FOR THERAPEUTIC RIDING PROGRAM. FUNDS TO BE USED FOR AREA IMPROVEMENTS$20,000
SMART-START MAKING A READER TODAY
219 NW 12TH AVENUE SUITE 203PORTLANDOR97209NONEPCPROVIDE FUNDS FOR READING PROGRAMS$25,000
MARCH OF DIMES
2222 MARTIN SUITE 155IRVINECA92612NONEPCFOR ANY EXPENDITUER RELATED TO CHARITABLE PURPOSE$20,000
KLAMATH LAKE COUNTIES FOOD BANK
3231 MAY WOOD DRIVEKLAMATH FALLSOR97601NONEPCFOR EMERGENCY FOOD ASSISTANCE ONLY$20,000
KLAMATH LAKE COUNTY CARES
2220 ELDORADO BOULEVARDKLAMATH FALLSOR97601NONEPCFOR SUPPORT OF CHILD ABUSE PROGRAM$40,000
ALSA - ORANGE COUNTY
2230 WEST CHAPMAN SUITE 123ORANGECA92868NONEPCFOR ANY EXPENDITURE RELATED TO CHARITABLE PURPOSE$5,000
KLAMATH HOSPICE INC
4745 S 6TH STREETKLAMATH FALLSOR97601NONEPCFOR CLIENT CARE OR CAMP EVERGREEN$6,000
BOYS REPUBLIC
1907 BOYS REPUBLIC DRIVECHINO HILLSCA91709NONEPCPROVIDE FUNDS FOR THE DELLA ROBBIA WREATH PROGRAM WHICH SUPPORTS AT RISK YOUTH$5,000
EASTER SEALS BAY AREA
391 TAYLOR BOULEVARDPLEASANT HILLCA94523NONEPCFOR THE SUMMER CAMP PROGRAM AT EAGLE LAKE OR GRIZZ.$8,000
THE V FOUNDATION
14600 WESTON PARKWAYCARYNC27513NONEPCPROVIDE FUNDS TO HELP WITH CANCER RESEARCH$5,000
HOSANNA CHRISTIAN SCHOOL
5000 HOSANNA WAYKLAMATH FALLSOR97603NONEPCPROGRAM ASSISTANCE TO CHRISTIAN SCHOOL$5,000
HEALTHY-SMILES KIDS OF ORANGE COUNT
10602 CHAPMAN AVENUE SUITE 200GARDEN GROVECA92840NONEPCPROVIDE FUNDS FOR PROMOTING ORAL HEALTH FOR THE KIDS OF ORANGE COUNTY$10,000
GUIDING EYES FOR THE BLIND
611 GRANITE SPRINGS ROADYORKTOWN HEIGHTSNY10598NONEPCSUPPORT FOR THE BLIND$7,500
FRIENDS OF THE NRA - KLAMATH FALLS
9233 OLD FORT ROADKLAMATH FALLSOR97601NONEPCFOR ANY EXPENDITURE RELATED TO EXEMPT FUNCTION$10,000
FRIENDS OF BOW ISLE
16680 SE 56TH PLACEBELLEVUEWA98006NONEPCFOR OPERATION OF THE CAMP$4,000
KLAMATH CRISIS CENTER
PO BOX 1358KLAMATH FALLSOR97601NONEPCASSISTANCE FOR VICTIMS OF SEXUAL AND DOMESTIC VIOLENCE$5,000
BUTTE VALLEY AMBULANCE SERVICE
PO BOX 9DORRISCA96023NONEPCTO PROVIDE SERVICE TO INDIVIDUALS WHO CANNOT PAY$1,000
KLAMATH HUMANE SOCIETY
PO BOX 482KLAMATH FALLSOR97601NONEPCBUILDING FUND$6,000
DORRIS VOLUNTEER FIRE DEPARTMENT
PO BOX 768DORRISCA96023NONEPCFOR ANY EXPENDITURE RELATED TO CHARITABLE PURPOSE$10,000
CA CHAPTERS-ROCKY MOUNTAIN ELK FNDT
PO BOX 8249MISSOULAMT59807NONEPCWILDLIFE ENHANCEMENT$10,000
BUTTE VALLEY FIRE PROTECTION DISTRI
PO BOX 103MACDOELCA96058NONEPCTO PURCHASE NEW EQUIPMENT$10,000
THE SMILE TRAIN
245 FIFTH AVENUE SUITE 2201NEW YORKNY10016NONEPCPROVIDE FUNDS TO TREAT CHILDREN WITH CLEFT PALATES$10,000
THE GIDEONS INTERNATIONAL
3863 HOOKER ROADROSEBURGOR97470NONEPCPROVIDE FUNDS FOR BIBLE DISTRIBUTION$2,000
MADRONE HOSPICE
255 COLLIER WAYYREKACA96097NONEPCFOR CLIENT CARE$15,000
ORE-CAL RCD
PO BOX 383YREKACA96097NONEPCDORRIS FLAG PROJECT$5,000
TAIL WAGGERS RESCUE
560 A NE F STREET 127GRANTS PASSOR97526NONEPCANIMAL RESCUE$5,000
WATER FOR LIFE
75-5851 KUAKINI HWY 75KAILUA KONAHI96740NONEPCASSIST IN PROVIDING SAFE WATER FOR THE WORLD$5,000
SMART CARNIVAL SUPER EVENT
2834 S 6TH STREETKLAMATH FALLSOR97603NONEPCCOMMUNITY CARNIVAL AND SUPERHERO EVENT$5,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$920,000TotalGrantOrContriPdDurYrAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp

FieldValueIRS element (for citing)
Exclusion14ExclusionCd
Exclusion$373,913ExclusionAmt

Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp

FieldValueIRS element (for citing)
Exclusion18ExclusionCd
Exclusion$558,831ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Exclusion$932,744ExclusionAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$932,744TotalIncomeProducingActyAmt

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 PersonGRISWOLD INDUSTRIESContributorPersonNm

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line11701 PLACENTIA AVENUEAddressLine1Txt
CityCOSTA MESACityNm
State AbbreviationCAStateAbbreviationCd
ZIP92627ZIPCd
FieldValueIRS element (for citing)
Total Contributions$1,275,000TotalContributionsAmt
Person ContributionYes (X)PersonContributionInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryACCOUNTINGCategoryTxt
Amt$143Amt
Net Investment Income$143NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

General Explanation Attachment GeneralExplanationAttachment

General Explanation GeneralExplanationGrp

FieldValueIRS element (for citing)
Form And Line ReferenceGeneral Explanation Supplemental Information for Form 990-PFFormAndLineReferenceDesc
Medium ExplanationFORM 990-PF, PART II - DETAILED SCHEDULESLINE 10B - INVESTMENTS CORPORATE STOCK DETAILED SCHEDULE BEGINNNING OF END OF END OF THE YEAR THE YEAR THE YEARNAME BOOK VALUE BOOK VALUE FAIR MARKET VALUEEQUITY SECURITIES $3,413,922 $8,596,807 $8,575,908REAL ESTATE FUNDS $195,766 $492,349 $425,764TOTAL $3,609,688 $9,089,156 $9,001,672LINE 10C - INVESTMENTS CORPORATE BONDS DETAILED SCHEDULE BEGINNNING OF END OF END OF THE YEAR THE YEAR THE YEARNAME BOOK VALUE BOOK VALUE FAIR MARKET VALUEFIXED INCOME SECURITIES $7,674,534 $2,562,351 $2,580,484LINE 13 - INVESTMENTS OTHER DETAILED SCHEDULE BEGINNNING OF END OF END OF THE YEAR THE YEAR THE YEARNAME BOOK VALUE BOOK VALUE FAIR MARKET VALUECOMMODITIES $151,436 $993,443 $1,056,666MediumExplanationTxt

Legal Fees Schedule LegalFeesSchedule

Legal Fees LegalFeesGrp

FieldValueIRS element (for citing)
CategoryLEGALCategoryTxt
Legal Fees$7,668LegalFeesAmt
Net Investment Income$7,668NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryINVESTMENT FEESCategoryTxt
Amt$66,541Amt
Net Investment Income$66,541NetInvestmentIncomeAmt
Adjusted Net Income$0AdjustedNetIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Substantial Contributors Sch SubstantialContributorsSch

Substantial Contributor Detail SubstantialContributorDetail

FieldValueIRS element (for citing)
PersonGRISWOLD INDUSTRIESPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11701 PLACENTIA AVENUEAddressLine1Txt
CityCOSTA MESACityNm
State AbbreviationCAStateAbbreviationCd
ZIP92627ZIPCd

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmt
FEDERAL IRS QUARTERLY PAYMENTS$4,000$4,000
STATE FILING FEES$150$150