2012-11-15T13:30:52-06:00 2011-12-31 330532641 RAIMONDO PETTIT GROUP 21515 HAWTHORNE BLVD 1250 TORRANCE CA 905036583 990PF 2011-01-01 336181586 THE DAVID CHOW HUMANITARIAN AWARD FOUNDATION DAVI 9498528181 C/O DAN HALES 2372 MORSE AVENUE IRVINE CA 92614 DANIEL C HALES 9498528181 2012-11-15 1 ERIN S FUKUTO CPA P00292761 3105405990 2011 2016-02-24 21:20:13Z X 5368031 X 63000 25000 25000 83137 83137 147136 313830 147136 318273 255273 250000 0 125000 46855 0 0 30992 30992 0 50190 3715 0 14279 0 0 392316 34707 125000 29000 29000 421316 34707 154000 -103043 220566 8741 140733 883000 0 0 883000 883000 5880401 4965665 5880401 2850000 3501331 1634618 1634618 355 413 413 8616825 8398432 5368031 1560 0 1560 X 8616825 8396872 0 0 0 0 8616825 8396872 8616825 8398432 8616825 -103043 49567 8563349 166477 8396872 SALE OF PUBLICLY TRADED STOCK 2011-11-21 2011-12-05 11 11 11 SALE OF PUBLICLY TRADED STOCK 2010-06-30 2011-12-31 309578 166694 142884 142884 CAPITAL GAINS DIVIDENDS P 4241 4241 4241 147136 0 115750 3795898 0.030493 180000 3727337 0.048292 152802 411984 0.370893 30050 137133 0.219130 21605 169649 0.127351 0.796159 0.159232 2880246 458627 2206 460833 154000 4411 0 4411 0 4411 4136 10000 14136 3 9722 9722 0 0 0 0 0 0 0 0 0 0 0 0 1 CA 1 0 1 0 0 1 WWW.DAVIDCHOWFOUNDATION.ORG DANIEL C HALES 9498528181 2372 MORSE AVE IRVINE CA 92614 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 DANIEL C HALES ESQ 2372 MORSE AVENUE IRVINE CA 92614 5.00 50000 0 0 HARRY WONG 1144 HILLCREST AVENUE PASADENA CA 91106 5.00 50000 0 0 CURTIS F WONG 4201 W VANOVEN PLACE BURBANK CA 91505 5.00 50000 0 0 DAVID FREEMAN 25837 OAK STREET 220 LOMITA CA 90717 5.00 50000 0 0 RUDY HILL 311 N ROBERTSON BLVD 904 BEVERLY HILLS CA 90211 5.00 50000 0 0 NONE 0 NONE 0 RECOGNIZES & REWARDS DEDICATED AND CARING HUMANITARIANS FOUND AMONG CHARITABLE, RELIGIOUS, SCIENTIFIC, LITERARY, AND EDUCATIONAL ORGANIZATIONS THAT PROMOTE MAN'S HUMANITY. 0 0 2901607 22501 0 2924108 0 0 2924108 43862 2880246 144012 144012 4411 4411 139601 0 139601 0 139601 154000 0 154000 0 154000 139601 0 0 64118 23338 132599 220055 154000 0 0 0 139601 14399 0 0 234454 0 0 0 0 0 0 64118 170336 23338 132599 14399 X DANIEL C HALES 2372 MORSE AVENUE IRVINE CA 92614 9498528181 A NOMINATION FORM AND THREE ENDORSEMENT FORMS ARE REQUIRED. THE NOMINATION FORM SHOULD INCLUDE DETAILS ON THE NOMINEE'S HUMANTIARIAN SERVICE. SEPTEMBER 15 NONE JON D FONDY 7231 S EASTERN B275 LAS VEGAS NV 89119 NONE INDIVIDUAL HUMANITARIAN AWARD 2500 SAM HAN 588 S EUCLID AVE PASADENA CA 91106 NONE INDIVIDUAL HUMANITARIAN AWARD 10000 BENJAMIN LAU 28600 GUNTER ROAD RANCHO PALOS VERDES CA 90275 NONE INDIVIDUAL HUMANITARIAN AWARD 7000 MICHAEL NYEHOLT 885 SOUTH ORANGE GROVE AVE 16 PASADENA CA 91105 NONE INDIVIDUAL HUMANITARIAN AWARD 5000 LORRAINE ROSENTHAL 2043 N BERENDO ST LOS ANGELES CA 90027 NONE INDIVIDUAL HUMANITARIAN AWARD 2500 MICHAEL SIGNORELLI 308 W SAHARA AVE LAS VEGAS NV 89102 NONE INDIVIDUAL HUMANITARIAN AWARD 1000 JIM AND ANN STEINMETZ 6842 LOYOLA DRIVE HUNTINGTON BEACH CA 92647 NONE INDIVIDUAL HUMANITARIAN AWARD 1000 29000 0 14 25000 14 83137 14 147136 0 255273 0 255273 0 0 0 0 0 0 0 0 0 0 X X 1 DAVID CHOW TRUST 2372 MORSE AVE IRVINE CA 92614 63000 X CHARLES SCHWAB INVESTMETNS FMV 1634618 1634618 LEGAL AND PROFESSIONAL 46855 0 0 INCOME RECEIVABLE 355 413 413 UNREALIZED LOSSES 166477 COMPUTER EXPENSE 350 0 0 BANK CHARGES 443 0 0 OFFICE EXPENSE 1173 0 0 UTILITIES 9962 0 0 AUTOMOBILE EXPENSES 841 0 0 DUES 360 0 0 POOL SERVICE 1150 0 0 BOOK VS TAX DIFFERENCE ON SALE OF SECURITIES 49567 GERALD DRAKE NONE 0 4000 2011-09 10.000000000000 0 SAMUEL DRAKE NONE 0 4000 2011-08 10.000000000000 0 JAMES MYRON NONE 0 575000 2011-11 10.000000000000 0 JAMES MYRON NONE 0 300000 2011-12 10.000000000000 0 DAVID CHOW TRUST 2372 MORSE AVE IRVINE CA 92614 FOREIGN TAXES 3715 3715 0 PROPERTY TAXES 34039 0 0 DEPARTMENT OF TREASURY 12293 0 0 FRANCHISE TAX BOARD 143 0 0