HAVNER FAMILY FOUNDATION: Form 990PF, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- HAVNER FAMILY FOUNDATION (EIN 04-3762697)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-05-10
- IRS object ID
- 201741309349102514
- 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
- Form 990-PF
- Schedule B
- Accounting Fees Schedule
- Depreciation Schedule
- Expenditure Responsibility Stmt
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Other Decreases Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Increases Schedule
- Taxes Schedule
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-10T19:08:55-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOLTHOUSE CARLIN & VAN TRIGT LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3011 TOWNSGATE ROAD SUITE 400 | AddressLine1Txt |
| City | WESTLAKE VILLAGE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91361 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 043762697 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The Havner Family Foundation | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % RONALD L & LEEANN R HAVNER | InCareOfNm |
| Business Name Control | HAVN | BusinessNameControlTxt |
| Phone | 6263569908 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2275 CHAUCER ROAD | AddressLine1Txt |
| City | SAN MARINO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91108 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LEEANN R HAVNER | PersonNm |
| Person Title | trustee | PersonTitleTxt |
| Phone | 6263569908 | PhoneNum |
| Signature | 2017-05-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ROBIN M PAULE | PreparerPersonNm |
| PTIN | P00358939 | PTIN |
| Phone | 8053748555 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 174.46.231.234 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 95206420171305000013 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2017-05-10 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | AC144D2C5944885D7D87D465B4329167CD393E1C | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 5B9418D81C8C58433D8B74FB7DBA4202CCD0ED42 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $1,656,046 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $1,020,000 | ContriRcvdRevAndExpnssAmt |
| Dividends Rev And Expnss | $48,510 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $48,510 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $419,378 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $768,398 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $421,113 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $890 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $300 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | $1,488,778 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $469,923 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Accounting Fees Rev And Expnss | $2,512 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $1,256 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Adj Net Incm | $0 | AccountingFeesAdjNetIncmAmt |
| Accounting Fees Chrtbl Prps | $1,256 | AccountingFeesChrtblPrpsAmt |
| Taxes Rev And Expnss | $8,160 | TaxesRevAndExpnssAmt |
| Taxes Dsbrs Chrtbl | $160 | TaxesDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $100 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Dsbrs Chrtbl | $100 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $10,772 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $1,256 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $0 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $1,516 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $734,675 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $728,675 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $745,447 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $1,256 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $0 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $730,191 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $743,331 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $468,667 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sav And Temp Cash Invst BOY | $86,960 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $493,052 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $493,052 | SavAndTempCashInvstEOYFMVAmt |
| Corporate Stock BOY | $366,126 | CorporateStockBOYAmt |
| Corporate Stock EOY | $440,594 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $696,914 | CorporateStockEOYFMVAmt |
| Other Investments BOY | $199,161 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $180,400 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $466,080 | OtherInvestmentsEOYFMVAmt |
| Total Assets BOY | $652,247 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,114,046 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $1,656,046 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Retained Earning BOY | $652,247 | RetainedEarningBOYAmt |
| Retained Earning EOY | $1,114,046 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $652,247 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $1,114,046 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $652,247 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $1,114,046 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $652,247 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $743,331 | ExcessRevenueOverExpensesAmt |
| Other Increases | $30 | OtherIncreasesAmt |
| Subtotal | $1,395,608 | SubtotalAmt |
| Other Decreases | $281,562 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $1,114,046 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (5 entries)
| PropertyPropertyDesc | How AcquiredHowAcquiredCd | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt |
|---|---|---|---|---|---|---|---|
| 10,000 SHS USG CORPORATION | D | 2011-07-07 | 2016-12-01 | $287,970 | $143,953 | $144,017 | $144,017 |
| 20,000 SHS HUNTSMAN CORPORATION | D | 2008-12-18 | 2016-07-12 | $310,632 | $70,018 | $240,614 | $240,614 |
| 1,000 SHS BLACKSTONE GROUP LP | P | 2013-02-04 | 2016-05-24 | $25,440 | $17,210 | $8,230 | $8,230 |
| 5,000 SHS BLACKSTONE MTG TR REIT | P | 2016-01-21 | 2016-07-19 | $143,753 | $116,104 | $27,649 | $27,649 |
| CAPITAL GAIN DIVIDENDS | P | $448 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $421,113 | CapitalGainNetIncomeAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | false | LiableSection4942TaxInd |
| Adjusted Qlfy Distri Yr1 | $685,475 | AdjustedQlfyDistriYr1Amt |
| Net Vl Noncharitable Assets Yr1 | $1,098,431 | NetVlNoncharitableAssetsYr1Amt |
| Distribution Yr1 | 0.624049 | DistributionYr1Rt |
| Adjusted Qlfy Distri Yr2 | $386,925 | AdjustedQlfyDistriYr2Amt |
| Net Vl Noncharitable Assets Yr2 | $793,148 | NetVlNoncharitableAssetsYr2Amt |
| Distribution Yr2 | 0.487835 | DistributionYr2Rt |
| Adjusted Qlfy Distri Yr3 | $264,731 | AdjustedQlfyDistriYr3Amt |
| Net Vl Noncharitable Assets Yr3 | $791,206 | NetVlNoncharitableAssetsYr3Amt |
| Distribution Yr3 | 0.334592 | DistributionYr3Rt |
| Adjusted Qlfy Distri Yr4 | $265,949 | AdjustedQlfyDistriYr4Amt |
| Net Vl Noncharitable Assets Yr4 | $810,425 | NetVlNoncharitableAssetsYr4Amt |
| Distribution Yr4 | 0.32816 | DistributionYr4Rt |
| Adjusted Qlfy Distri Yr5 | $269,185 | AdjustedQlfyDistriYr5Amt |
| Net Vl Noncharitable Assets Yr5 | $826,715 | NetVlNoncharitableAssetsYr5Amt |
| Distribution Yr5 | 0.325608 | DistributionYr5Rt |
| Total Distribution | 2.100244 | TotalDistributionRt |
| Average Distribution | 0.420049 | AverageDistributionRt |
| Net Vl Noncharitable Assets | $1,291,129 | NetVlNoncharitableAssetsAmt |
| Adj Net Vl Noncharitable Assets | $542,337 | AdjNetVlNoncharitableAssetsAmt |
| Net Investment Income Pct | $4,687 | NetInvestmentIncomePctAmt |
| Adj Nonchrtbl Net Invst Incm Pct | $547,024 | AdjNonchrtblNetInvstIncmPctAmt |
| Qualifying Distributions | $730,191 | QualifyingDistributionsAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Domestic Org Meeting Sect4940e | Yes (X) | DomesticOrgMeetingSect4940eInd |
| Investment Income Excise Tax | $4,687 | InvestmentIncomeExciseTaxAmt |
| Subtotal | $4,687 | SubtotalAmt |
| Tax Based On Investment Income | $4,687 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $5,559 | EstimatedPlusOvpmtIncmTxAmt |
| Total Payments And Credits | $5,559 | TotalPaymentsAndCreditsAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Es Penalty | $2 | EsPenaltyAmt |
| Overpayment | $870 | OverpaymentAmt |
| Applied To ES Tax | $870 | AppliedToESTaxAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | false | LegislativePoliticalActyInd |
| More Than100 Spent | false | MoreThan100SpentInd |
| Form1120 POL Filed | false | Form1120POLFiledInd |
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | false | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (true) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (true) | AtLeast5000InAssetsInd |
| Org Report Or Register State | CA | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (true) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | false | PrivateOperatingFoundationInd |
| New Substantial Contributors | false | NewSubstantialContributorsInd |
| Own Controlled Entity | false | OwnControlledEntityInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (true) | ComplyWithPublicInspRqrInd |
Persons With Books Name PersonsWithBooksName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RONALD L & LEEANN R HAVNER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6263569908 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2275 CHAUCER ROAD | AddressLine1Txt |
| City | SAN MARINO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91108 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | false | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | false | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | false | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | false | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | false | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | false | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | false | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | false | UncorrectedPriorActsInd |
| Undistributed Income PY | false | UndistributedIncomePYInd |
| Business Holdings | false | BusinessHoldingsInd |
| Jeopardy Investments | false | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | false | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | false | InfluenceLegislationInd |
| Influence Election | false | InfluenceElectionInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Noncharitable Purpose | false | NoncharitablePurposeInd |
| Transactions Fail To Qlfy As Exc | false | TransactionsFailToQlfyAsExcInd |
| Maintained Expenditure Rspns | Yes (true) | MaintainedExpenditureRspnsInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| LEEANN R HAVNER | ||||||||
| 2275 CHAUCER ROAD | SAN MARINO | CA | 91108 | TRUSTEE | 0.0 | $0 | $0 | $0 |
| RONALD L HAVNER | ||||||||
| 2275 CHAUCER ROAD | SAN MARINO | CA | 91108 | TRUSTEE | 0.0 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Employee Paid Over50k | 0 | OtherEmployeePaidOver50kCnt |
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Summary Of Direct Chrtbl Acty | SummaryOfDirectChrtblActyGrp | |
| Sum Of Program Related Invst | SumOfProgramRelatedInvstGrp |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $1,105,525 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $205,266 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $1,310,791 | TotalFMVOfUnusedAssetsAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $1,310,791 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $19,662 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $1,291,129 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $64,556 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $64,556 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $4,687 | TaxBasedOnInvestmentIncomeAmt |
| Total Tax | $4,687 | TotalTaxAmt |
| Distributable Before Adj | $59,869 | DistributableBeforeAdjAmt |
| Distributable Before Ded | $59,869 | DistributableBeforeDedAmt |
| Distributable As Adjusted | $59,869 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $730,191 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Charitable Assets Acquis Paid | $0 | CharitableAssetsAcquisPaidAmt |
| Set Aside Suitability Test | $0 | SetAsideSuitabilityTestAmt |
| Set Aside Cash Distri Test | $0 | SetAsideCashDistriTestAmt |
| Qualifying Distributions | $730,191 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $4,687 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $725,504 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $59,869 | DistributableAsAdjustedAmt |
| Prior Year1 | 2014 | PriorYear1Yr |
| Prior Year2 | 2013 | PriorYear2Yr |
| Prior Year3 | 2012 | PriorYear3Yr |
| Excess Distribution Cyov Yr5 | $230,841 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $228,438 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $225,939 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $348,088 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $637,847 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $1,671,153 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $730,191 | QualifyingDistributionsAmt |
| Applied To Current Year | $59,869 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $670,322 | RemainingDistriFromCorpusAmt |
| Total Corpus | $2,341,475 | TotalCorpusAmt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Excess Distri Cyov From Yr5 | $230,841 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $2,110,634 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $228,438 | ExcessFromYear4Amt |
| Excess From Year3 | $225,939 | ExcessFromYear3Amt |
| Excess From Year2 | $348,088 | ExcessFromYear2Amt |
| Excess From Year1 | $637,847 | ExcessFromYear1Amt |
| Excess From Current Year | $670,322 | ExcessFromCurrentYearAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Private Operating Foundations | PrivateOperatingFoundationsGrp |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributing Manager | RONALD L HAVNER AND LEEANN R HAVN | ContributingManagerNm |
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (22 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| AMERICAN BALLET THEATRE | |||||||
| 890 Broadway 34d Floor | NEW YORK | NY | 10003 | NONE | PC | general operating support | $5,000 |
| Cancer Support Community | |||||||
| 200 East Del Mar Ave 118 | Pasadena | CA | 91105 | none | PC | general operating support | $2,500 |
| Casa de las Amigas | |||||||
| 160 North El Molino Ave | Pasadena | CA | 91101 | none | PC | general operating support | $112,500 |
| City Of Hope | |||||||
| PO Box 60409 | Los Angeles | CA | 90060 | none | PC | general operating support | $5,000 |
| GLAAC BSA | |||||||
| 2333 Scout Way | Los Angeles | CA | 90026 | none | PC | general operating support | $6,500 |
| Hillsides | |||||||
| 940 Avenue 64 | Pasadena | CA | 91105 | none | PC | general operating support | $73,250 |
| Huntington Hospital Office of Philanthropy | |||||||
| 100 West California Blvd | Pasadena | CA | 91105 | none | PC | general operating support | $210,000 |
| La Casa de San Gabriel | |||||||
| 203 East Mission Rd | san gabriel | CA | 91776 | none | PC | general operating support | $500 |
| Los Angeles Philharmonic | |||||||
| 151 South Grand Ave | Los Angeles | CA | 90012 | none | PC | general operating support | $5,500 |
| MUSEIQUE | |||||||
| 750 E Green St Suite 305 | Pasadena | CA | 91101 | none | PC | general operating support | $202,925 |
| Pasadena Guild of Childrens Hospital | |||||||
| 4650 sunset blvd suite m/s 4 | los angeles | CA | 90027 | none | SO III NFI | Support endowed chair in Developmental Biology and Regenerative Medicine | $6,000 |
| Planned Parenthood Pasadena & San Gabriel Valley | |||||||
| 2333 Lake Ave | Altadena | CA | 91001 | NONE | PC | general operating support | $1,000 |
| San Marino Junior Alliance Inc | |||||||
| 1370 Old Mill Rd | San Marino | AS | 91108 | none | PC | general operating support | $1,000 |
| San Marino Schools Foundation | |||||||
| 1665 West Dr | San Marino | CA | 91108 | none | PC | general operating support | $2,500 |
| South Pasadena-San Marino Family YMCA | |||||||
| 1605 Garfield Ave | South Pasadena | CA | 91030 | none | PC | general operating support | $5,000 |
| The Boston Foundation | |||||||
| 75 Arlington St | Boston | MA | 02116 | none | PC | general operating support | $2,000 |
| The Friends of Crowell Public Library | |||||||
| 1890 Huntington Dr | San Marino | CA | 91108 | none | SO I | general operating support | $500 |
| The Huntington Library | |||||||
| 1151 Oxford Rd | San Marino | CA | 91108 | none | PC | general operating support | $5,000 |
| The Mirembe Project-Refoundry | |||||||
| 20 Plaza Street East No C11 | Brooklyn | NY | 11238 | none | PC | general operating support | $1,000 |
| The UCLA Foundation | |||||||
| 10920 Wilshire Blvd Ste 1400 | Los Angeles | CA | 90024 | none | PC | general operating support | $30,000 |
| Treasure The Children | |||||||
| 330 Warren Way | Arcadia | CA | 91007 | none | PC | general operating support | $1,000 |
| Villa Esperanza Services | |||||||
| 2060 E Villa Street | Pasadena | CA | 91107 | none | PC | general operating support | $56,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $734,675 | TotalGrantOrContriPdDurYrAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fees Contracts From Govt Ag | FeesContractsFromGovtAgGrp | |
| Membership Dues And Assmnt | MembershipDuesAndAssmntGrp | |
| Int On Sav And Temp Cash Invst | IntOnSavAndTempCashInvstGrp |
Div And Int From Sec Part VII DivAndIntFromSecPartVIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $48,510 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Rntl Incm Re Debt Fincd Prop | NetRntlIncmReDebtFincdPropGrp | |
| Net Rntl Incm Re Not Debt Fincd Prop | NetRntlIncmReNotDebtFincdProp | |
| Net Rental Income Personal Prop | NetRentalIncomePersonalPropGrp | |
| Other Investment Incm Part VII | OtherInvestmentIncmPartVIIGrp |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $419,378 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Income Loss From Special Evt | NetIncomeLossFromSpecialEvtGrp | |
| Gross Profit Loss Sls Of Invntry | GrossProfitLossSlsOfInvntryGrp |
Other Revenue Described OtherRevenueDescribedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | BLACKSTONE GROUP LP | Desc |
| Exclusion | 01 | ExclusionCd |
| Exclusion | $890 | ExclusionAmt |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | $468,778 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $468,778 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | false | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | false | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | false | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | false | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | false | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | false | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | false | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | false | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | false | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | false | RelationshipsNonchrtblEOInd |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| General Rule | Yes (X) | GeneralRuleInd |
Contributor Information ContributorInformationGrp (2 entries)
| ContributorContributorNum | Address Line1ContributorUSAddress/AddressLine1Txt | CityContributorUSAddress/CityNm | State AbbreviationContributorUSAddress/StateAbbreviationCd | ZIPContributorUSAddress/ZIPCd | Total ContributionsTotalContributionsAmt | Person ContributionPersonContributionInd | Noncash ContributionNoncashContributionInd |
|---|---|---|---|---|---|---|---|
| RONALD L AND LEEANN R HAVNER | |||||||
| 1 | 2275 CHAUCER ROAD | SAN MARINO | CA | 91108 | $570,000 | Yes (X) | Yes (X) |
| RONALD L AND LEEANN R HAVNER | |||||||
| 2 | 2275 chaucer road | san marino | CA | 91108 | $450,000 | Yes (X) | |
Non Cash Property Contribution NonCashPropertyContributionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | 1 | ContributorNum |
| Noncash Property | 20,000 SHS USG CORPORATION STOCK | NoncashPropertyDesc |
| Fair Market Value | $570,000 | FairMarketValueAmt |
| Received | 2016-11-30 | ReceivedDt |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | TAX RETURN PREPARATION | CategoryTxt |
| Amt | $2,512 | Amt |
| Net Investment Income | $1,256 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $1,256 | DisbursementsCharitablePrpsAmt |
Depreciation Schedule DepreciationSchedule
Expenditure Responsibility Stmt ExpenditureResponsibilityStmt
Expenditure Responsibility ExpenditureResponsibilityGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | GrantGrantDt | GrantGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Expended By GranteeExpendedByGranteeAmt | Any Diversion By GranteeAnyDiversionByGranteeTxt | Dates Of Reports By GranteeDatesOfReportsByGranteeTxt | VerificationVerificationDt | Results Of VerificationResultsOfVerificationTxt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| PASADENA GUILD OF CHILDREN'S HOSPITAL | |||||||||||
| 4650 SUNSET BLVD SUITE M/S 4 | LOS ANGELES | CA | 90027 | 2016-10-01 | $1,000 | TO SUPPORT ENDOWED CHAIR IN DEVELOPMENTAL BIOLOGY AND REGENERATIVE MEDICINE. | $1,000 | NO | 10/22/2016 | 2016-10-22 | VERIFICATION CONFIRMED THAT $1,000 WAS SPENT TOWARD THE GRANT PURPOSE WITH NO DIVERSION. |
| PASADENA GUILD OF CHILDREN'S HOSPITAL | |||||||||||
| 4560 SUNSET BLVD SUITE M/S 4 | LOS ANGELES | CA | 90027 | 2016-04-08 | $5,000 | TO SUPPORT ENDOWED CHAIR IN DEVELOPMENTAL BIOLOGY AND REGENERATIVE MEDICINE. | $5,000 | NO | 04/30/2016 | 2016-04-30 | VERIFICATION CONFIRMED THAT $5,000 WAS SPENT TOWARD THE GRANT PURPOSE WITH NO DIVERSION. |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (4 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| 105 SHS BANK OF AMERICA 7.25% | $88,708 | $122,514 |
| 240 SHS WELLS FARGO 7.5% | $207,400 | $285,600 |
| 20,000 SHS HUNTSMAN CORP | ||
| 10,000 SHS USG CORPORATION | $144,486 | $288,800 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (2 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| 1,000 SHS BLACKSTONE GROUP | AT COST | $0 | $0 |
| 4,000 SHS PS BUSINESS PARKS | AT COST | $180,400 | $466,080 |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | STOCK CONTRIBUTION BASIS ADJUSTMENT | Desc |
| Amt | $281,562 | Amt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | COMMUNITY OUTREACH | Desc |
| Revenue And Expenses Per Books | $100 | RevenueAndExpensesPerBooksAmt |
| Disbursements Charitable Prps | $100 | DisbursementsCharitablePrpsAmt |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | BLACKSTONE GROUP LP | Desc |
| Revenue And Expenses Per Books | $890 | RevenueAndExpensesPerBooksAmt |
| Net Investment Income | $300 | NetInvestmentIncomeAmt |
Other Increases Schedule OtherIncreasesSchedule
Other Increases Detail OtherIncreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PRIOR PERIOD ADJUSTMENT | Desc |
| Amt | $30 | Amt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (3 entries)
| CategoryCategoryTxt | AmtAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|
| FEDERAL TAXES | $8,000 | |
| CALIFORNIA REGISTRY FEE | $150 | $150 |
| FILING FEE | $10 | $10 |