Form990-PF

Department of the Treasury
Internal Revenue Service

Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
bulletDo not enter social security numbers on this form as it may be made public.
bulletInformation about Form 990-PF and its instructions is at www.irs.gov/form990pf.
OMB No. 1545-0052
2015
Open to Public Inspection
For calendar year 2015, or tax year beginning 01-01-2015 , and ending 12-31-2015
Name of foundation
THE HEXBERG FAMILY FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)921 EMERALD BAY
  Room/suite
City or town, state or province, country, and ZIP or foreign postal code
LAGUNA BEACH, CA92651
A Employer identification number

91-2172555
B Telephone number (see instructions)

(714) 236-4800
C bullet
G Check all that apply:

D 1. bullet
2. bullet
E bullet
H Check type of organization:
F bullet
I Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)bullet$17,837,048J Accounting method:
 
(Part I, column (d) must be on cash basis.)
Part I Analysis of Revenue and Expenses (The total of amounts in columns (b), (c), and (d) may not necessarily equal the amounts in column (a) (see instructions).) (a) Revenue and
expenses per
books 		(b) Net investment
income 		(c) Adjusted net
income 		(d) Disbursements
for charitable
purposes
(cash basis only)
Revenue 1 Contributions, gifts, grants, etc., received (attach schedule) 1,347,935
2 Check bullet Sch. B .............
3 Interest on savings and temporary cash investments 162 162  
4 Dividends and interest from securities... 275,728 275,728  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 338,722
b Gross sales price for all assets on line 6a 2,277,403
7 Capital gain net income (from Part IV, line 2)... 338,722
8 Net short-term capital gain.........  
9 Income modifications...........  
10a Gross sales less returns and allowances  
b Less: Cost of goods sold....  
c Gross profit or (loss) (attach schedule).....    
11 Other income (attach schedule).......      
12 Total. Add lines 1 through 11........ 1,962,547 614,612  
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0   0
14 Other employee salaries and wages......        
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule).........        
b Accounting fees (attach schedule)....... Click to see attachment 9,500 9,500   0
c Other professional fees (attach schedule).... Click to see attachment 15,000 0   15,000
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... Click to see attachment 33,799 33,799   0
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings....... 738 0   738
22 Printing and publications..........        
23 Other expenses (attach schedule)....... Click to see attachment 75,442 74,397   1,045
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 134,479 117,696   16,783
25 Contributions, gifts, grants paid....... 713,250 713,250
26 Total expenses and disbursements. Add lines 24 and 25 847,729 117,696   730,033
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements 1,114,818
b Net investment income (if negative, enter -0-) 496,916
c Adjusted net income (if negative, enter -0-)...  
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2015)
Form 990-PF (2015)
Page 2
Part II Balance Sheets Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)		 Beginning of year End of year
(a) Book Value (b) Book Value (c) Fair Market Value
Assets 1 Cash—non-interest-bearing.............      
2 Savings and temporary cash investments......... 1,591,925 2,025,185 2,025,185
3 Accounts receivable bullet  
Less: allowance for doubtful accounts bullet        
4 Pledges receivable bullet  
Less: allowance for doubtful accounts bullet        
5 Grants receivable.................      
6 Receivables due from officers, directors, trustees, and other
disqualified persons (attach schedule) (see instructions).....      
7 Other notes and loans receivable (attach schedule) bullet  
Less: allowance for doubtful accounts bullet        
8 Inventories for sale or use..............      
9 Prepaid expenses and deferred charges..........      
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule).......      
c Investments—corporate bonds (attach schedule).......      
11 Investments—land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
12 Investments—mortgage loans.............      
13 Investments—other (attach schedule).......... 12,613,033 Click to see attachment13,163,039 15,811,863
14 Land, buildings, and equipment: basis bullet  
Less: accumulated depreciation (attach schedule) bullet        
15 Other assets (describe bullet)      
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 14,204,958 15,188,224 17,837,048
Liabilities 17 Accounts payable and accrued expenses..........    
18 Grants payable..................    
19 Deferred revenue.................    
20 Loans from officers, directors, trustees, and other disqualified persons    
21 Mortgages and other notes payable (attach schedule)......    
22 Other liabilities (describe bullet) Click to see attachment65 Click to see attachment0
23 Total liabilities (add lines 17 through 22)......... 65 0
Net Assets or Fund Balances bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted..................    
25 Temporarily restricted...............    
26 Permanently restricted...............    
bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........ 11,538,342 11,538,342
28 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
29 Retained earnings, accumulated income, endowment, or other funds 2,666,551 3,649,882
30 Total net assets or fund balances (see instructions)..... 14,204,893 15,188,224
31 Total liabilities and net assets/fund balances (see instructions). 14,204,958 15,188,224
Part III
Analysis of Changes in Net Assets or Fund Balances
1
Total net assets or fund balances at beginning of year—Part II, column (a), line 30 (must agree with end-of-year figure reported on prior year’s return) ...............
1
14,204,893
2
Enter amount from Part I, line 27a .....................
2
1,114,818
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
15,319,711
5
Decreases not included in line 2 (itemize) bulletClick to see attachment
5
131,487
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
15,188,224
Form 990-PF (2015)
Form 990-PF (2015)
Page 3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a) List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.) 		(b) How acquired
P—Purchase
D—Donation 		(c) Date acquired
(mo., day, yr.) 		(d) Date sold
(mo., day, yr.)
1 a STERLING CAPITAL SPECIAL OPP   2012-12-01 2015-07-08
b MATTHEW ASIA DIVIDND INST'L   2013-05-08 2015-01-20
c MFS INT'L VALUE FC   2013-08-19 2015-11-09
d OPPENHEIMER INT'L SMALL CO.   2013-10-14 2015-07-08
e PIMCO LONG DURATION TOTAL RETURN   2013-03-08 2015-01-20
VANGUARD LONG TERM TREASURY ADMIRAL   2012-05-07 2015-09-11
CAPITAL GAINS DIVIDENDS P    
(e) Gross sales price (f) Depreciation allowed
(or allowable) 		(g) Cost or other basis
plus expense of sale 		(h) Gain or (loss)
(e) plus (f) minus (g)
a 436,793   417,350 19,443
b 159,914   163,419 -3,505
c 590,774   537,215 53,559
d 281,919   250,472 31,447
e 220,387   203,805 16,582
360,918   366,420 -5,502
226,698     226,698
Complete only for assets showing gain in column (h) and owned by the foundation on 12/31/69 (l) Gains (Col. (h) gain minus
col. (k), but not less than -0-) or
Losses (from col.(h))
(i) F.M.V. as of 12/31/69 (j) Adjusted basis
as of 12/31/69 		(k) Excess of col. (i)
over col. (j), if any
a       19,443
b       -3,505
c       53,559
d       31,447
e       16,582
      -5,502
      226,698
2 Capital gain net income or (net capital loss) Bracket If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7		 Bracket 2 338,722
3 Net short-term capital gain or (loss) as defined in sections 1222(5) and (6):
If gain, also enter in Part I, line 8, column (c) (see instructions). If (loss), enter -0-
in Part I, line 8 ................... 		Bracket 3  
Part V
Qualification Under Section 4940(e) for Reduced Tax on Net Investment Income
(For optional use by domestic private foundations subject to the section 4940(a) tax on net investment income.)
If section 4940(d)(2) applies, leave this part blank.
Was the foundation liable for the section 4942 tax on the distributable amount of any year in the base period?
If "Yes," the foundation does not qualify under section 4940(e). Do not complete this part.
1 Enter the appropriate amount in each column for each year; see instructions before making any entries.
(a)
Base period years Calendar
year (or tax year beginning in) 		(b)
Adjusted qualifying distributions 		(c)
Net value of noncharitable-use assets 		(d)
Distribution ratio
(col. (b) divided by col. (c))
2014 590,500 14,493,482 0.040742
2013 534,322 12,177,842 0.043877
2012 460,930 10,694,159 0.043101
2011 386,738 9,379,360 0.041233
2010 278,000 7,794,460 0.035666
2
Total of line 1, column (d) .....................
20.204619
3
Average distribution ratio for the 5-year base period—divide the total on line 2 by 5, or by
the number of years the foundation has been in existence if less than 5 years . . .
3
0.040924
4
Enter the net value of noncharitable-use assets for 2015 from Part X, line 5.....
4
17,072,877
5
Multiply line 4 by line 3......................
5
698,690
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
4,969
7
Add lines 5 and 6........................
7
703,659
8
Enter qualifying distributions from Part XII, line 4.............
8
730,033
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See the Part VI instructions.
Form 990-PF (2015)
Form 990-PF (2015)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see page 18 of the instructions)
1a Bullet and enter “N/A" on line 1. Bracket
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b 1 4,969
hereBulletand enter 1% of Part I, line 27b...................
c All other domestic foundations enter 2% of line 27b. Exempt foreign organizations enter 4% of Part I, line 12, col. (b)
2 Tax under section 511 (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 2 0
3 Add lines 1 and 2........................... 3 4,969
4 Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-) 4 0
5 Tax based on investment income. Subtract line 4 from line 3. If zero or less, enter -0- ..... 5 4,969
6 Credits/Payments:
a 2015 estimated tax payments and 2014 overpayment credited to 2015 6a 10,920
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c  
d Backup withholding erroneously withheld ........... 6d  
7 Total credits and payments. Add lines 6a through 6d.............. 7 10,920
8 Enter any penalty for underpayment of estimated tax. if Form 2220 is attached. 8  
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9  
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10 5,951
11 Enter the amount of line 10 to be: Credited to 2015 estimated taxBullet5,951 RefundedBullet 11 0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign? Click to see attachment....................
1a
 
No
b
Did it spend more than $100 during the year (either directly or indirectly) for political purposes (see Instructions
for definition)?.................................
1b
 
No
If the answer is "Yes" to 1a or 1b, attach a detailed description of the activities and copies of any materials
published or distributed by the foundation in connection with the activities.
c
Did the foundation file Form 1120-POL for this year?.....................
1c
 
No
d
Enter the amount (if any) of tax on political expenditures (section 4955) imposed during the year:
(1) On the foundation. bullet$ 0(2) On foundation managers.bullet$ 0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.bullet$ 0
2
Has the foundation engaged in any activities that have not previously been reported to the IRS?.......
2
 
No
If "Yes," attach a detailed description of the activities.
3
Has the foundation made any changes, not previously reported to the IRS, in its governing instrument, articles
of incorporation, or bylaws, or other similar instruments? If "Yes," attach a conformed copy of the changes....
3
 
No
4a
Did the foundation have unrelated business gross income of $1,000 or more during the year?........
4a
 
No
b
If "Yes," has it filed a tax return on Form 990-T for this year?...................
4b
 
 
5
Was there a liquidation, termination, dissolution, or substantial contraction during the year?.........
5
 
No
If "Yes," attach the statement required by General Instruction T.
6
Are the requirements of section 508(e) (relating to sections 4941 through 4945) satisfied either:
  • By language in the governing instrument, or
  • By state legislation that effectively amends the governing instrument so that no mandatory directions
    • that conflict with the state law remain in the governing instrument?................
    6
    Yes
     
    7
    Did the foundation have at least $5,000 in assets at any time during the year? If "Yes," complete Part II, col. (c),
    and Part XV..................................
    7
    Yes
     
    8a
    Enter the states to which the foundation reports or with which it is registered (see instructions)
    bulletCA
    b
    If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
    General (or designate) of each state as required by General Instruction G? If "No," attach explanation .
    8b
    Yes
     
    9
    Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
    or 4942(j)(5) for calendar year 2015 or the taxable year beginning in 2015 (see instructions for Part XIV)?
    If "Yes," complete Part XIV.............................
    9
     
    No
    10
    Did any persons become substantial contributors during the tax year? If "Yes," attach a schedule listing their names
    and addresses. Click to see attachment...............................
    10
    Yes
     
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 5
    Part VII-A
    Statements Regarding Activities (continued)
    11
    At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
    meaning of section 512(b)(13)? If "Yes," attach schedule. (see instructions) .............
    11
     
    No
    12
    Did the foundation make a distribution to a donor advised fund over which the foundation or a disqualified person had
    advisory privileges? If "Yes," attach statement (see instructions).................
    12
     
    No
    13
    Did the foundation comply with the public inspection requirements for its annual returns and exemption application?
    13
    Yes
     
    Website addressbulletN/A
    14
    The books are in care ofbulletFROSTAD WARD AN ACCOUNTANCY CORP Telephone no.bullet (714) 236-4800

    Located atbullet4281 KATELLA AVE SUITE 127LOS ALAMITOSCA ZIP+4bullet90720
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041.......bullet
    and enter the amount of tax-exempt interest received or accrued during the year ......bullet
    150
    16 At any time during calendar year 2015, did the foundation have an interest in or a signature or other authority over YesNo
    a bank, securities, or other financial account in a foreign country?
    16   No
    See instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). If "Yes", enter the name of the foreign country bullet  
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required
    File Form 4720 if any item is checked in the "Yes" column, unless an exception applies.
    Yes
    No
    1a
    During the year did the foundation (either directly or indirectly):
    (1) Engage in the sale or exchange, or leasing of property with a disqualified person?
    (2) Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
    a disqualified person?......................
    (3) Furnish goods, services, or facilities to (or accept them from) a disqualified person?
    (4) Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
    (5) Transfer any income or assets to a disqualified person (or make any of either available
    for the benefit or use of a disqualified person)?...............
    (6) Agree to pay money or property to a government official? (Exception. Check "No"
    if the foundation agreed to make a grant to or to employ the official for a period
    after termination of government service, if terminating within 90 days.).......
    b
    If any answer is "Yes" to 1a(1)–(6), did any of the acts fail to qualify under the exceptions described in Regulations
    section 53.4941(d)-3 or in a current notice regarding disaster assistance (see instructions)? ........
    1b
     
     
    ........bullet
    c
    Did the foundation engage in a prior year in any of the acts described in 1a, other than excepted acts,
    that were not corrected before the first day of the tax year beginning in 2015?.............
    1c
     
    No
    2
    Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
    operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
    a
    At the end of tax year 2015, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2015?.............
    If "Yes," list the years bullet20, 20, 20, 20
    b
    Are there any years listed in 2a for which the foundation is not applying the provisions of section 4942(a)(2)
    (relating to incorrect valuation of assets) to the year’s undistributed income? (If applying section 4942(a)(2)
    to all years listed, answer "No" and attach statement—see instructions.) ..............
    2b
     
     
    c
    If the provisions of section 4942(a)(2) are being applied to any of the years listed in 2a, list the years here.
    bullet20, 20, 20, 20
    3a
    Did the foundation hold more than a 2% direct or indirect interest in any business enterprise at
    any time during the year?......................
    b
    If "Yes," did it have excess business holdings in 2015 as a result of (1) any purchase by the foundation
    or disqualified persons after May 26, 1969; (2) the lapse of the 5-year period (or longer period approved
    by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or (3)
    the lapse of the 10-, 15-, or 20-year first phase holding period? (Use Schedule C, Form 4720, to determine
    if the foundation had excess business holdings in 2015.)..................
    3b
     
     
    4a
    Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
    4a
     
    No
    b
    Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
    charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2015?
    4b
     
    No
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 6
    Part VII-B
    Statements Regarding Activities for Which Form 4720 May Be Required (Continued)
    5a
    During the year did the foundation pay or incur any amount to:
    (1) Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
    (2) Influence the outcome of any specific public election (see section 4955); or to carry
    on, directly or indirectly, any voter registration drive?.............
    (3) Provide a grant to an individual for travel, study, or other similar purposes?
    (4) Provide a grant to an organization other than a charitable, etc., organization described
    in section 4945(d)(4)(A)? (see instructions)................
    (5) Provide for any purpose other than religious, charitable, scientific, literary, or
    educational purposes, or for the prevention of cruelty to children or animals?.....
    b
    If any answer is "Yes" to 5a(1)–(5), did any of the transactions fail to qualify under the exceptions described in
    Regulations section 53.4945 or in a current notice regarding disaster assistance (see instructions)? ......
    5b
     
     
    .........bullet
    c
    If the answer is "Yes" to question 5a(4), does the foundation claim exemption from the
    tax because it maintained expenditure responsibility for the grant?..........
    If "Yes," attach the statement required by Regulations section 53.4945–5(d).
    6a
    Did the foundation, during the year, receive any funds, directly or indirectly, to pay premiums on
    a personal benefit contract?.....................
    b
    Did the foundation, during the year, pay premiums, directly or indirectly, on a personal benefit contract?....
    6b
     
    No
    If "Yes" to 6b, file Form 8870.
    7a
    At any time during the tax year, was the foundation a party to a prohibited tax shelter transaction?
    b
    If yes, did the foundation receive any proceeds or have any net income attributable to the transaction? ....
    7b
     
     
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors
    1 List all officers, directors, trustees, foundation managers and their compensation (see instructions).
    (a) Name and address (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation
     (If not paid, enter
    -0-)     		(d) Contributions to employee benefit plans and deferred compensation (e) Expense account,
    other allowances
    GREGORY HEXBERG TRUSTEE
    1.00     		0 0 0
    921 EMERALD BAY
    LAGUNA BEACH,CA92651
    JILL HEXBERG TRUSTEE
    0.10     		0 0 0
    10732 ORANGE PARK BLVD
    ORANGE,CA92869
    DEBORAH L HEXBERG TRUSTEE
    0.10     		0 0 0
    921 EMERALD BAY
    LAGUNA BEACH,CA92651
    2 Compensation of five highest-paid employees (other than those included on line 1—see instructions). If none, enter “NONE."
    (a) Name and address of each employee paid more than $50,000 (b) Title, and average
    hours per week
    devoted to position     		(c) Compensation (d) Contributions to
    employee benefit
    plans and deferred
    compensation     		(e) Expense account,
    other allowances
    NONE
    Total number of other employees paid over $50,000...................bullet 0
    3 Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
    (a) Name and address of each person paid more than $50,000 (b) Type of service (c) Compensation
    NONE
    Total number of others receiving over $50,000 for professional services.............bullet0
    Part IX-A
    Summary of Direct Charitable Activities
    List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc. Expenses
    1
     
    2  
    3  
    4  
    Part IX-B
    Summary of Program-Related Investments (see instructions)
    Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2. Amount
    1  
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet0
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 8
    Part X
    Minimum Investment Return (All domestic foundations must complete this part. Foreign foundations,see instructions.)
    1
    Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
    purposes:
    a
    Average monthly fair market value of securities...................
    1a
    14,991,166
    b
    Average of monthly cash balances.......................
    1b
    1,074,777
    c
    Fair market value of all other assets (see instructions)................
    1c
    1,266,927
    d
    Total (add lines 1a, b, and c).........................
    1d
    17,332,870
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) .............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    17,332,870
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    259,993
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    17,072,877
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    853,644
    Part XI
    Distributable Amount bullet
    1
    Minimum investment return from Part X, line 6....................
    1
    853,644
    2a
    Tax on investment income for 2015 from Part VI, line 5......
    2a
    4,969
    b
    Income tax for 2015. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    4,969
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    848,675
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    848,675
    6
    Deduction from distributable amount (see instructions).................
    6
    0
    7
    Distributable amount as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1 ...
    7
    848,675
    Part XII
    Qualifying Distributions (see instructions)
    1
    Amounts paid (including administrative expenses) to accomplish charitable, etc., purposes:
    a
    Expenses, contributions, gifts, etc.—total from Part I, column (d), line 26 ..........
    1a
    730,033
    b
    Program-related investments—total from Part IX-B..................
    1b
    0
    2
    Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
    purposes...............................
    2
     
    3
    Amounts set aside for specific charitable projects that satisfy the:
    a
    Suitability test (prior IRS approval required)....................
    3a
     
    b
    Cash distribution test (attach the required schedule) .................
    3b
     
    4
    Qualifying distributions. Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
    4
    730,033
    5
    Foundations that qualify under section 4940(e) for the reduced rate of tax on net investment
    income. Enter 1% of Part I, line 27b (see instructions).................
    5
    4,969
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    725,064
    Note: The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
    the section 4940(e) reduction of tax in those years.
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus     		(b)
    Years prior to 2014     		(c)
    2014     		(d)
    2015
    1 Distributable amount for 2015 from Part XI, line 7 848,675
    2 Undistributed income, if any, as of the end of 2015:
    a Enter amount for 2014 only....... 712,268
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2015:
    a From 2010......  
    b From 2011......  
    c From 2012......  
    d From 2013......  
    e From 2014......  
    fTotal of lines 3a through e........ 0
    4Qualifying distributions for 2015 from Part
    XII, line 4: bullet$ 730,033
    a Applied to 2014, but not more than line 2a 712,268
    b Applied to undistributed income of prior years
    (Election required—see instructions).....     		0
    c Treated as distributions out of corpus (Election
    required—see instructions)........     		0
    d Applied to 2015 distributable amount..... 17,765
    e Remaining amount distributed out of corpus 0
    5 Excess distributions carryover applied to 2015. 0 0
    (If an amount appears in column (d), the
    same amount must be shown in column (a).)
    6Enter the net total of each column as
    indicated below:
    a Corpus. Add lines 3f, 4c, and 4e. Subtract line 5 0
    b Prior years’ undistributed income. Subtract
    line 4b from line 2b ..........     		0
    c Enter the amount of prior years’ undistributed
    income for which a notice of deficiency has
    been issued, or on which the section 4942(a)
    tax has been previously assessed......     		0
    d Subtract line 6c from line 6b. Taxable amount
    —see instructions ...........     		0
    e Undistributed income for 2014. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............     		0
    f Undistributed income for 2016. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2015 ..........     		830,910
    7 Amounts treated as distributions out of
    corpus to satisfy requirements imposed by
    section 170(b)(1)(F) or 4942(g)(3) (Election may
    be required - see instructions) .......     		0
    8Excess distributions carryover from 2010 not
    applied on line 5 or line 7 (see instructions) ...     		0
    9Excess distributions carryover to 2016.
    Subtract lines 7 and 8 from line 6a ......     		0
    10 Analysis of line 9:
    a Excess from 2011....  
    b Excess from 2012....  
    c Excess from 2013....  
    d Excess from 2014....  
    e Excess from 2015....  
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 10
    Part XIV
    Private Operating Foundations (see instructions and Part VII-A, question 9)
    1a If the foundation has received a ruling or determination letter that it is a private operating
    foundation, and the ruling is effective for 2015, enter the date of the ruling.......bullet
     
    b Check box to indicate whether the organization is a private operating foundation described in section or
    2a Enter the lesser of the adjusted net
    income from Part I or the minimum
    investment return from Part X for each
    year listed ..........     		Tax year Prior 3 years (e) Total
    (a) 2015 (b) 2014 (c) 2013 (d) 2012
             
    b 85% of line 2a .........          
    c Qualifying distributions from Part XII,
    line 4 for each year listed .....     		         
    d Amounts included in line 2c not used directly
    for active conduct of exempt activities ..........     		         
    e Qualifying distributions made directly
    for active conduct of exempt activities.
    Subtract line 2d from line 2c ....     		         
    3 Complete 3a, b, or c for the
    alternative test relied upon:
    a “Assets" alternative test—enter:
    (1) Value of all assets ......          
    (2) Value of assets qualifying
    under section 4942(j)(3)(B)(i)    		          
    b “Endowment" alternative test— enter 2/3
    of minimum investment return shown in
    Part X, line 6 for each year listed...     		         
    c “Support" alternative test—enter:
    (1) Total support other than gross
    investment income (interest,
    dividends, rents, payments
    on securities loans (section
    512(a)(5)), or royalties) ....     		         
    (2) Support from general public
    and 5 or more exempt
    organizations as provided in
    section 4942(j)(3)(B)(iii)....     		         
    (3) Largest amount of support
    from an exempt organization    		          
    (4) Gross investment income          
    Part XV
    Supplementary Information (Complete this part only if the organization had $5,000 or more in
    assets at any time during the year—see instructions.)
    1Information Regarding Foundation Managers:
    aList any managers of the foundation who have contributed more than 2% of the total contributions received by the foundation
    before the close of any tax year (but only if they have contributed more than $5,000). (See section 507(d)(2).)
    bList any managers of the foundation who own 10% or more of the stock of a corporation (or an equally large portion of the
    ownership of a partnership or other entity) of which the foundation has a 10% or greater interest.
    2Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
    Check here bullet
    aThe name, address, and telephone number or email address of the person to whom applications should be addressed:
    bThe form in which applications should be submitted and information and materials they should include:
    cAny submission deadlines:
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 11
    Part XV
    Supplementary Information (continued)
    3 Grants and Contributions Paid During the Year or Approved for Future Payment
    Recipient If recipient is an individual,
    show any relationship to
    any foundation manager
    or substantial contributor
    		 Foundation
    status of
    recipient     		Purpose of grant or
    contribution     		Amount
    Name and address (home or business)
    aPaid during the year
    ADVENTURE UNLIMITEDDISCOVERY BOUND FOUNDATION
    5201 SOUTH QUEBEC STREET
    GREENWOOD VILLAGE,CO80111     		NONE 501 (C)(3) ORGANIZAT PROVIDE SPIRTUAL ADVENTURES FOR YOUTH 35,000
    AIDS RESEARCH ALLIANCE
    1400 S GRAND AVE 701
    LOS ANGELES,CA90015     		NONE 501 (C)(3) ORGANIZAT HELP DEVELOP A CURE FOR HIV/AIDS 5,000
    AMERICAN RED CROSS
    601 N GOLDEN CIRCLE DRIVE
    SANTA ANA,CA92705     		NONE 501 (C)(3) PUBLIC CH FOR GENERAL OPERATING SUPPORT OF CHARITABLE ORGANIZATION 15,000
    AMERICAN SOCIETY FOR THE PREVENTION OF CRUELTY TO ANIMALS (ASPCA)
    PO BOX 97288
    WASHINGTON DC,DC20090     		NONE 501 (C)(3) PUBLIC CH PREVENTION OF CRUELTY TO ANIMALS 8,500
    ANDRE AGASSI FOUNDATION
    1120 N TOWN CENTER DRIVE
    LAS VEGAS,NV89144     		NONE 501 (C)(3) ORGANIZAT EDUCATION FOR UNDERSERVED YOUTH 5,000
    ARMED SERVICES YMCA OF THE USA
    6359 WALKER LANE 200
    ALEXANDRIA,VA22310     		NONE 501 (C)(3) PUBLIC CH SUPPORT OF OUR MEN IN THE SERVICE 5,000
    BLUE BELL FOUNDATION FOR CATS
    20982 LAGUNA CANYON RD
    LAGUNA BEACH,CA92651     		NONE 501 (C)(3) ORGANIZAT HELP PROVIDE FOR AND HOUSE RETIRED CATS IN COMMUNITY 6,500
    BOY SCOUTS OF AMERICA ORANGE COUNTY COUNCIL
    1211 EAST DYER RD
    SANTA ANA,CA92705     		NONE 501 (C)(3) ORGANIZAT SUPPORT SCOUTING PROGRAMS 7,000
    BOYS & GIRLS CLUB OF LAGUNA BEACH
    1085 LAGUNA CANYON ROAD
    LAGUNA BEACH,CA92651     		NONE 501 (C)(3) PUBLIC CH HELP PROVIDE A POSITIVE ENVIRONMENT FOR THE CHILDREN 10,000
    BOYS AND GIRLS CLUB OF COSTA MESA
    2131 TUSTIN AVE
    COSTA MESA,CA92651     		NONE 501 (C)(3) ORGANIZAT HELP PROVIDE AN ENRICHING ENVIRONMENT AFTER SCHOOL WHERE YOUTH ARE INSPIRED TO REACH THEIR FULL POTENTIAL. 6,000
    BOYS HOPE GIRLS HOPE
    17701 CROWN 150
    IRVINE,CA92614     		NONE 501 (C)(3) ORGANIZAT HELP PROVIDE AT RISK CHILDREN WITH STABLE HOMES 10,000
    CAMFED USA
    465 CALIFORNIA STREET
    SAN FRANCISCO,CA94104     		NONE 501 (C)(3) ORGANIZAT HELP GIRLS IN IMPOVERISHED RUAL DISTRICTS OF AFRICA 5,000
    CASA YOUTH SHELTER
    10911 REGAN STREET
    LOS ALAMITOS,CA90720     		NONE 501 (C)(3) ORGANIZAT PROVIDE FOOD, SHELTER AND CRISIS COUNSELING TO YOUTH 8,000
    CATALINA ISLAND CONSERVANCY
    PO BOX 2739
    AVALON,CA90704     		NONE 501 (C)(3) ORGANIZAT FOR PROGRAMS IN CONSERVATION AND EDUCATION 7,500
    CENTER FOR ENERGY EFFICIENCY AND RENEWABLE TECHNOLOGIES (CEERT)
    1100 11TH STREET SUITE 311
    SACRAMENTO,CA95814     		NONE 501 (C)(3) ORGANIZAT DESIGN & FIGHT FOR GLOBAL WARMING SOLUTIONS 5,000
    CHALLENGED ATHLETES FOUNDATION
    PO BOX 910769
    SAN DIEGO,CA92191     		NONE 501 (C)(3) ORGANIZAT PROVIDE SUPPORT TO PEOPLE WITH PHYSICAL DISABILITIES 7,500
    CHILDREN'S DEFENSE FUND
    25 E STREET NW
    WASHINGTON DC,DC20001     		NONE 501 (C)(3) ORGANIZAT PROTECT & SUPPORT CHILDREN OF AMERICA 6,500
    CHILDREN'S HOSPITAL OF LOS ANGELES
    4650 SUNSET BLVD 29
    LOS ANGELES,CA90027     		NONE 501 (C)(3) PUBLIC CH SUPPLY FUNDING FOR A VARIETY OF CHILDREN'S NEEDS 14,000
    CHILDREN'S SCHOLARSHIP FUND
    80 WEST 38TH STREET 9TH FLOOR
    NEW YORK,NY10018     		NONE 501 (C)(3) ORGANIZAT PAY FOR SCHOLARSHIPS FOR NEEDY CHILDREN 7,500
    CHOC CHILDREN'S FOUNDATION
    455 SOUTH MAIN ST
    ORANGE,CA92868     		NONE 501 (C)(3) ORGANIZAT TO NURTURE, ADVANCE AND PROTECT THE HEALTH AND WELL BEING OF CHILDREN. 8,500
    CROSSROADS MINISTRY
    PO BOX 6246
    OAKRIDGE,TN37830     		NONE 501 (C)(3) PUBLIC CH ASSIST SINGLE MOTHER'S & BABIES WHO HAVE NO HOMES 6,500
    CRYSTAL COVE ALLIANCE
    3535 E COAST HWY PMB 360
    CORONA DEL MAR,CA92625     		NONE 501 (C)(3) ORGANIZAT RESTORATION,EDUCATION,CONSERVATION OF CRYSTAL COVE 16,000
    CUSTER ECONOMIC DEVELOPMENT CORPORATION
    PO BOX 2739
    BROKEN BOW,NE68822     		NONE 501 (C)(3) ORGANIZAT HELP BUILD AN EDUCATIONAL COMPLEX IN BROKEN BOW, NE 10,000
    DIRECT RELIEF INTERNATIONAL
    27 S LA PATERA LANE
    SANTA BARBARA,CA93117     		NONE 501 (C)(3) PUBLIC CH PROVIDE MEDICAL ASSISTANCE AND SUPPLIES 50,000
    DOCTORS WITHOUT BORDERS
    333 7TH AVENUE 2ND FLOOR
    NEW YORK,NY10001     		NONE 501 (C)(3) PUBLIC CH TO ASSIST IN PROVIDING MEDICAL CARE AROUND THE WORLD 10,000
    EQUALITY NOW
    250 WEST 57 STREET 1527
    NEW YORK,NY10107     		NONE 501 (C)(3) ORGANIZAT END VIOLENCE AND DISCRIMINATION AGAINST WOMEN/GIRLS 5,500
    FEEDING AMERICA'S HUNGRY CHILDREN
    PO BOX 83775
    PHOENIX,AZ85071     		NONE 501 (C)(3) ORGANIZAT FEED AMERICA'S HUNGRY CHILDREN 6,000
    FISHER HOUSE FOUNDATION INC
    1401 ROCKVILLE PIKE 600
    ROCKVILLE,MA20850     		NONE 501 (C)(3) ORGANIZAT FOR THE BENEFIT OF OUR MILITARY SERVICE MEN & WOMEN 5,000
    FLAGSTAFF MARINE LEAGUE CHARITIES
    2536 E MADISON STREET
    PHOENIX,AZ85034     		NONE 501 (C)(3) ORGANIZAT SUPPORT CHARITIES ORGANIZED TO ASSIST CHILDREN OF NORTHERN AZ. 1,500
    FOODBANK OF SOUTHERN CALIFORNIA
    1444 SAN FRANCISCO AVE
    LONG BEACH,CA90813     		NONE 501 (C)(3) ORGANIZAT ASSIST IN FEEDING HUNGRY PEOPLE IN THE COMMUNITY 7,500
    FREEDOM ALLIANCE
    22570 MARKEY COURT
    DULLES,VA20166     		NONE 501 (C)(3) ORGANIZAT PROVIDE EDUCATIONAL SCHOLARSHIP TO CHILDREN 16,500
    FRIENDS OF THE SANTA ANA ZOO
    1801 E CHESTNUT AVE
    SANTA ANA,CA92701     		NONE 501 (C)(3) ORGANIZAT SUPPORT ZOO 5,000
    FRIENSHIP SHELTER
    PO BOX 4252
    LAGUNA BEACH,CA92652     		NONE 501 (C)(3) ORGANIZAT HELP HOMELESS ADULTS ACHIEVE SELF-SUFFICIENCY AND BECOME MORE PRODUCTIVE MEMBERS OF THE COMMUNITY. 5,000
    GIRLS INCORPORATED OF SANTA BARBARA
    PO BOX 236
    SANTA BARBARA,CA93102     		NONE 501 (C)(3) ORGANIZAT ENCOURAGE GIRLS TO BE STRONG, SMART AND BOLD 7,500
    GLENNWOOD HOUSING FOUNDATION
    2130 S COAST HIGHWAY
    LAGUNA BEACH,CA92651     		NONE 501 (C)(3) ORGANIZAT PROVIDE HOUSING & LIFE SKILLS FOR ADULTS WITH DEVELOPMENTAL DISABILITIES 7,500
    GLOBAL GRINS
    18101 VON KARMAN 330
    IRVINE,CA92612     		NONE 501 (C)(3) ORGANIZAT DELIVER TOOTHBRUSHES TO PEOPLE AROUND THE WORLD 6,000
    GOODWILL OF ORANGE COUNTY
    410 NORTH FAIRVIEW
    SANTA ANA,CA92703     		NONE 501 (C)(3) PUBLIC CH HELP PROVIDE SUPPORT TO PEOPLE WITH DISABILITIES AND OTHER BARRIERS. 5,000
    HABITAT FOR HUMANITY-ORANGE COUNTY
    2200 SOUTH RITCHEY
    SANTA ANA,CA92705     		NONE 501 (C)(3) PUBLIC CH BUILDING FUND 6,500
    HEAL THE BAY
    1444 9TH STREET
    SANTA MONICA,CA90401     		NONE 501 (C)(3) PUBLIC CH PROTECT OUR COASTAL WATERS AND MARINE LIFE 6,500
    LAGUNA COLLEGE OF ART-DESIGN
    2222 LAGUNA CANYON ROAD
    LAGUNA BEACH,CA92651     		NONE 501 (C)(3) ORGANIZAT CONTRIBUTION TO COLLEGE SCHOLARSHIP FUND 4,000
    LAGUNA FOOD PANTRY
    20652 LAGUNA CANYON ROAD
    LAGUNA BEACH,CA92651     		NONE 501 (C)(3) ORGANIZAT PROVIDE LOW-INCOME FAMILIES WITH BALANCED, NUTRITIOUS FOOD CHOICES 3,500
    LEROY HAYNES FOUNDATION
    233 WEST BASELINE ROAD BOS 400
    LA VERNE,CA91750     		NONE 501 (C)(3) ORGANIZAT HELP STRENGTHEN THE MIND AND SPIRIT OF CHILDREN WITH EMOTIONAL, SPECIAL LEARNING DIFFICULTIES AND DEVELOPMENTAL NEEDS BY PROVIDING SPECIALIZED PROGRAMS IN A NURTURING, CARING AND THERAPEUTIC ENVIRONMENT.N 5,000
    NATIONAL BRAIN TUMOR SOCIETY
    124 WASHINGTON ST SUITE 3H
    WATERTOWN,MA02472     		NONE 501 (C)(3) ORGANIZAT BRAIN TUMOR RESEARCH AND SUPPORTIVE PATIENT SERVICES 6,500
    HARDWOOD FOREST FOUNDATION
    PO BOX 34518
    MEMPHIS,TN38184     		NONE 501 (C)(3) ORGANIZAT SUPPORT PROGRAMS AT PARTICIPATING COLLEGES FOR PURPOSE OF EDUCATION 3,500
    ORANGE COUNTY RESCUE MISSION
    1 HOPE DRIVE
    TUSTIN,CA92782     		NONE 501 (C)(3) PUBLIC CH FOR THE GENERAL OPERATING SUPPORT OF CHARITY 7,000
    ORANGEWOOD CHILDREN'S FOUNDATION
    1575 E 17TH ST
    SANTA ANA,CA92705     		NONE 501 (C)(3) ORGANIZAT PREVENTION AND INTERVENTION PROGRAMS FOR ABUSED AND NEGLECTED CHILDREN, YOUNG ADULTS 6,500
    PACIFIC AVIATION MUSEUM-PEARL HARBOR
    PO BOX 29988
    HONOLULU,HI96820     		NONE 501 (C)(3) PUBLIC CH RESTORATION OF HISTORIC AIRFIELD CONTROL TOWER 5,000
    PACIFIC MARINE MAMMAL CENTER
    LAGUNA CANYON ROAD
    LAGUNA BEACH,CA92651     		NONE 501 (C)(3) PUBLIC CH ASSIST IN RESCUING AND REHABILITATING MARINE MAMMALS 10,000
    PEDIATRIC BRAIN TUMOR FOUNDATION
    302 RIDGEFIELD
    ASHVILLE,NC28806     		NONE 501 (C)(3) ORGANIZAT CANCER RESEARCH 7,500
    PRINCIPIA COLLEGE
    13201 CLAYTON ROAD
    ST LOUIS,MO63131     		NONE 501 (C)(3) PUBLIC CH COLLEGE ATHLETIC COMPLEX FUND 75,000
    PUP LAGUNA BEACH
    PO BOX 104
    LAGUNA BEACH,CA92652     		NONE 501 (C)(3) ORGANIZAT SUPPORT THE LAGUNA BEACH ANIMAL SHELTER PROGRAM. 10,000
    RED BUCKET EQUINE RESCUE
    2885 ENGLISH ROAD
    CHINO HILLS,CA91709     		NONE 501 (C)(3) ORGANIZAT SAVING & REHABILITATING HORSES, FINDING THEM APPROPRIATE ADOPTIVE HOMES 5,000
    SALVATION ARMY
    10200 PIONEER ROAD
    TUSTIN,CA92782     		NONE 501 (C)(3) PUBLIC CH ASSIST THE MEN, WOMEN AND CHILDREN IN NEED IN ORANGE COUNTY 4,500
    SANTA MARIA VALLEY HUMANE SOCIETY
    PO BOX 8246
    SANTA MARIA,CA93456     		NONE 501 (C)(3) ORGANIZAT SUPPORT NEW ANIMAL CARE COMPLEX 7,500
    SCHOOL POWER LAGUNA BEACH EDUCATION FOUNDATION
    733 ST ANNS DR
    LAGUNA BEACH,CA92651     		NONE 501 (C)(3) ORGANIZAT LAGUNA BEACH HIGH SCHOOL SPORTS PROGRAM. 35,000
    SECOND HARVEST FOOD BANK
    8014 MARINE WAY
    IRVINE,CA92618     		NONE 501 (C)(3) ORGANIZAT ASSIST IN ELIMINATING HUNGER IN ORANGE COUNTY CALIF. 6,500
    SHARE OUR STRENGTH
    1730 M STREET NW 700
    WASHINGTON DC,DC20036     		NONE 501 (C)(3) ORGANIZAT WORK TO END CHILD HUNGER IN THE U.S. 6,500
    SURFRIDER FOUNDATION
    PO BOX 6010
    SAN CLEMENTE,CA92673     		NONE 501 (C)(3) ORGANIZAT PROGRAMS TO PROTECT LOCAL BEACHES,KEEP WATER CLEAN 7,500
    SUSAN G KOMEN FOR THE CURE
    3191-A AIRPORT LOOP
    COSTA MESA,CA92626     		NONE 501 (C)(3) PUBLIC CH GENERAL OPERATING SUPPORT OF CHARITABLE ORGANIZATION 7,000
    THE AARON DIAMOND AIDS RESEARCH CENTER
    455 FIRST AVENUE
    NEW YORK,NY10016     		NONE 501 (C)(3) ORGANIZAT ASSIST WITH RESEARCH TO FIND A CURE FOR AIDS/HIV. 5,500
    THE BILLFISH FOUNDATION
    2161 E COMMERCIAL BLVD
    FORT LAUDERDALE,FL33308     		NONE 501 (C)(3) ORGANIZAT ASSIST IN FIGHT AGAINST IRRESPONSIBLE FISHING 5,000
    THE CAMBELL CENTER
    6512 SAN FERNANDO ROAD
    GLENDALE,CA91201     		NONE 501 (C)(3) ORGANIZAT MULTI-CULTURAL PROGRAM TO EMPOWER ADULTS WITH DEVELOPMENTAL DISABILITIES. 5,000
    THE CHILDREN'S HEALTH FUND
    215 WEST 125TH STREET
    NEW YORK,NY10027     		NONE 501 (C)(3) ORGANIZAT HELP PROVIDE HEALTH CARE SERVICES TO CHILDREN 6,500
    THE DISTINGUISHED FLYING CROSS SOCIETY
    PO BOX 530250
    SAN DIEGO,CA92153     		NONE 501 (C)(3) ORGANIZAT GENERAL OPERATING SUPPORT OF CHARITABLE ORGANIZATION 5,000
    THE ECOLOGY CENTER
    32701 ALIPAZ ST
    SAN JUAN CAPISTRANO,CA92675     		NONE 501 (C)(3) ORGANIZAT EDUCATE AND PRESERVE THE COMMUNITY 10,750
    THE FOREST FOUNDATION
    853 LINCOLN WAY 208
    AUBURN,CA95603     		NONE 501 (C)(3) PUBLIC CH HELP EDUCATE ON THE IMPORTANCE OF CARING FOR FORESTS 5,000
    THE HUMANE SOCIETY OF THE UNITED STATES
    2100 L STREET NW
    WASHINGTON DC,DC20037     		NONE 501 (C)(3) PUBLIC CH TO ASSIST IN PROTECTING ANIMALS FROM CRUELTY & ABUSE 7,500
    THE JOYFUL CHILD FOUNDATION
    PO BOX 12680
    WESTMINSTER,CA92685     		NONE 501 (C)(3) ORGANIZAT PREVENT CHILD SEXUAL ABUSE & ABDUCTION THROUGH VARIOUS PROGRAMS IN THE COMMUNITY 6,000
    THE MAMMOTH LAKE FOUNDATION
    100 COLLEGE PARKWAY
    MAMMOTH LAKES,CA93546     		NONE 501 (C)(3) ORGANIZAT HELP DEVELOP EXHIBITIONS & EDUCATIONAL PROGRAMS 7,500
    UCLA MEDICAL CENTER
    757 WESTWOOD PLAZA SUITE 1320
    LOS ANGELES,CA90095     		NONE 501 (C)(3) ORGANIZAT HELP HEAL AMEERICA'S MOST SEVERLY INJURED SERVICEMEN 7,500
    UNICEF
    125 MAIDEN LANE
    NEW YORK,NY10038     		NONE 501 (C)(3) PUBLIC CH PROVIDE HEALTH CARE-EMERGENCY RELIEF FOR CHILDREN 7,500
    USO
    PO BOX 96860
    WASHINGTON DC,DC20077     		NONE 501 (C)(3) PUBLIC CH TO HELP SUPPORT OUR MEN & WOMEN IN THE ARMED SERVICE 5,000
    WOUNDED WARRIOR PROJECT
    7020 AD SKINNER PARKWAY 100
    JACKSONVILLE,FL32256     		NONE 501 (C)(3) PUBLIC CH ASSIST INJURED SERVICEMEN AND WOMEN 6,500
    YWCA OF GLENDALE
    735 EAST LEXINGTON DRIVE
    GLENDALE,CA91206     		NONE 501 (C)(3) ORGANIZAT ASSIST WITH DOMESTIC VIOLENCE PROGRAM 3,500
    YWCA WINGS SHELTER
    517 HOLLOW AVE
    WEST COVINA,CA91790     		NONE 501 (C)(3) ORGANIZAT PROVIDE SHELTER FOR WOMEN AND CHILDREN VICTIMS OF VIOLENCE 4,000
    ONE SAVE PLACE
    2280 BENTON DRIVE SUITE A
    REDDING,CA96003     		NONE 501 (C)(3) ORGANIZAT SUPPORT SERVICES AND SHELTER FOR MEN, WOMEN, AND CHILDREN SUFFERING FROM DOMETIC AND SEXUAL ABUSE. 5,000
    VANGUARD UNIVERSITY FOUNDATION
    55 FAIR DRIVE
    COSTA MESA,CA92626     		NONE 501 (C)(3) ORGANIZAT MEN'S BASKETBALL PROGRAM 5,000
    SURFING HERITAGE AND CULTURE CENTER
    110 CALLE IGLESIA
    SAN CLEMENTE,CA92672     		NONE 501 (C)(3) ORGANIZAT PRESERVING AND PROMOTING SURFING'S HERITAGE AND EDUCATION. 2,500
    COSTA MESA POP WARNER EAGLES
    2973 HARBOR BLVD SUITE 738
    COSTA MESA,CA92626     		NONE 501 (C)(3) ORGANIZAT TO INSPIRE YOUTH REGARDLESS OF RACE, RELIGION OR NAT'L ORIGIN AND TO PRACTICE IDEALS OF SPORTSMANSHIP SCHOLARSHIP AND PHYSICAL FITNESS. 2,500
    OPEN HOUSE MINISTRIESPORTLAND HOO-HOO CLUB
    PO BOX 17130
    PORTLAND,OR97217     		NONE 501 (C)(3) ORGANIZAT TO PROVIDE AND BRING TO THE FAMILIES OF THE HOMELESS THE SPIRIT OF CHRISTMAS. 2,500
    YMCA OF ORANGE COUNTY
    2300 UNIVERSITY DRIVE
    NEWPORT BEACH,CA92660     		NONE 501 (C)(3) ORGANIZAT PLAYPEN PROGRAM 6,500
    NEWPORT BAY CONSERVANCY
    PO BOX 10804
    NEWPORT BEACH,CA92658     		NONE 501 (C)(3) ORGANIZAT SUPPORT SCHOOL TOURS, RESTORATION PROGRAM, MULTIPLE PROGRAMS OFFERED TO THE PUBLIC. 2,500
    Total .................................bullet 3a 713,250
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 12
    Part XVI-A
    Analysis of Income-Producing Activities
    Enter gross amounts unless otherwise indicated. Unrelated business income Excluded by section 512, 513, or 514 (e)
    Related or exempt
    function income
    (See instructions.)
    1Program service revenue: (a)
    Business code     		(b)
    Amount     		(c)
    Exclusion code     		(d)
    Amount
    a
    b
    c
    d
    e
    f
    gFees and contracts from government agencies          
    2 Membership dues and assessments....          
    3
    Interest on savings and temporary cash investments ...........     		    14 162  
    4 Dividends and interest from securities....     14 275,728  
    5 Net rental income or (loss) from real estate:
    aDebt-financed property......          
    bNot debt-financed property.....          
    6
    Net rental income or (loss) from personal property     		         
    7 Other investment income.....          
    8
    Gain or (loss) from sales of assets other than inventory ............     		    18 338,722  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory..          
    11 Other revenue: a
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 614,612 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13614,612
    (See worksheet in line 13 instructions to verify calculations.)
    Part XVI-B
    Relationship of Activities to the Accomplishment of Exempt Purposes
    Line No.
    DownArrow     		Explain below how each activity for which income is reported in column (e) of Part XVI-A contributed importantly to
    the accomplishment of the foundation’s exempt purposes (other than by providing funds for such purposes). (See
    instructions.)
    Form 990-PF (2015)
    Form 990-PF (2015)
    Page 13
    Part XVII
    Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
    1
    Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
    Yes
    No
    a
    Transfers from the reporting foundation to a noncharitable exempt organization of:
    (1) Cash...................................
    1a(1)
     
    No
    (2) Other assets.................................
    1a(2)
     
    No
    b
    Other transactions:
    (1) Sales of assets to a noncharitable exempt organization....................
    1b(1)
     
    No
    (2) Purchases of assets from a noncharitable exempt organization..................
    1b(2)
     
    No
    (3) Rental of facilities, equipment, or other assets.......................
    1b(3)
     
    No
    (4) Reimbursement arrangements...........................
    1b(4)
     
    No
    (5) Loans or loan guarantees.............................
    1b(5)
     
    No
    (6) Performance of services or membership or fundraising solicitations................
    1b(6)
     
    No
    c
    Sharing of facilities, equipment, mailing lists, other assets, or paid employees..............
    1c
     
    No
    d
    If the answer to any of the above is "Yes," complete the following schedule. Column (b) should always show the fair market value
    of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
    in any transaction or sharing arrangement, show in column (d) the value of the goods, other assets, or services received.

    (a) Line No. (b) Amount involved (c) Name of noncharitable exempt organization (d) Description of transfers, transactions, and sharing arrangements
    2a
    Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
    described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?...........
    b
    If "Yes," complete the following schedule.

    (a) Name of organization (b) Type of organization (c) Description of relationship
    Sign Here
    Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
    Bullet Bullet
    May the IRS discuss this return
    with the preparer shown below
    (see instr.)?
    Signature of officer or trustee Date Title
    Paid Preparer Use Only Print/Type preparer's name Preparer's Signature Date PTIN
    Firm's name SmallBullet
    		 Firm's EIN SmallBullet
    Firm's address SmallBullet


    		 Phone no.
    Form 990-PF (2015)
    Additional Data


    Software ID:  
    Software Version:  


    Form 990PF - Special Condition Description:
    Special Condition Description
    Schedule B
    (Form 990, 990-EZ,
    or 990-PF)
    Department of the Treasury
    Internal Revenue Service
    Schedule of Contributors
    Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
    Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
    OMB No. 1545-0047
    2015
    Name of the organization
    THE HEXBERG FAMILY FOUNDATION
     
    Employer identification number

    91-2172555
    Organization type (check one):
    Filers of:
    Section:
    Form 990 or 990-EZ





    Form 990-PF




    Check if your organization is covered by the General Rule or a Special Rule.  
    Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
    General Rule
    Special Rules
    ......... Arrow Bullet $  
    Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
    990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
    Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
    990-EZ, or 990-PF).
    For Paperwork Reduction Act Notice, see the Instructions
    for Form 990, 990-EZ, or 990-PF.
    Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2
    Name of organization
    THE HEXBERG FAMILY FOUNDATION
          		Employer identification number
    91-2172555
    Part I
    Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
    1
     
     

    THE HEXBERG CHARITABLE LEAD TRUST  
    921 EMERALD BAY
     
    LAGUNA BEACH, CA92651

    		$ 1,347,935


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

       
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

       
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

       
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

       
     
     

    		$  


    (Complete Part II for noncash contributions.)
    (a)
    No.    		 (b)
    Name, address, and ZIP + 4    		 (c)
    Total contributions    		 (d)
    Type of contribution
     
     
     

       
     
     

    		$  


    (Complete Part II for noncash contributions.)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Page 3
    Name of organization
    THE HEXBERG FAMILY FOUNDATION
          		Employer identification number

    91-2172555
    Part II
    Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    (a)
    No.from Part I    		 (b)
    Description of noncash property given    		 (c)
    FMV (or estimate)
    (see instructions)     		(d)
    Date received
     
    		$    
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
    Page 4
    Name of organization
    THE HEXBERG FAMILY FOUNDATION
          		Employer identification number

    91-2172555
    Part III
    Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
    Use duplicate copies of Part III if additional space is needed.
    (a)
    No.from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No.from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No.from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    (a)
    No.from Part I    		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
     
    (e) Transfer of gift
    Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
     
     
         
     
    Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

    Additional Data


    Software ID:  
    Software Version:  

    TY 2015 AccountingFeesSchedule
    Name:
    THE HEXBERG FAMILY FOUNDATION
    EIN:
    91-2172555
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 9,500 9,500   0

    TY 2015 ExplanOfLegisPoliticalActvts
    Name:
    THE HEXBERG FAMILY FOUNDATION
    EIN:
    91-2172555
    Explanation:
    NONE

    TY 2015 InvestmentsOtherSchedule2
    Name:
    THE HEXBERG FAMILY FOUNDATION
    EIN:
    91-2172555
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    WELLS FARGO ADVISORS FMV 4,576,708 6,930,599
    FIDELITY SECURITIES FMV 8,029,872 7,450,381
    PARTNERSHIP INVESTMENT CWS STRATEGIC APARTMENT FUND LC FMV 154,551 442,246
    CWS SAF III LLC (2.07%) FMV 109,734 130,672
    CWS SAF II LLC FMV 13,179 270,984
    RANGEFORE RESOURCES INC-PRIVATE PLACEMENT FMV 100,000 71,222
    CWS SAF III LLC (.3658%) FMV 21,083 231,046
    CWS SAF V LLC FMV 151,259 191,979
    CWS WIND UP AVA LLC FMV 6,653 92,734

    TY 2015 OtherDecreasesSchedule
    Name:
    THE HEXBERG FAMILY FOUNDATION
    EIN:
    91-2172555
    Description Amount
    PASSIVE LOSSES FROM DEBT FINANCED PARTNERSHIPS 131,487


    TY 2015 OtherExpensesSchedule
    Name:
    THE HEXBERG FAMILY FOUNDATION
    EIN:
    91-2172555
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    INVESTMENT ADVISOR FEES 73,944 73,944   0
    WIRE FEE 25 25   0
    OFFICE SUPPLIES 614 307   307
    BUSINESS REGISTRATION FEE 26 26   0
    MISCELLANEOUS 95 95   0
    MEETINGS WITH CHARITABLE ORGANIZATIONS 738 0   738


    TY 2015 OtherLiabilitiesSchedule
    Name:
    THE HEXBERG FAMILY FOUNDATION
    EIN:
    91-2172555
    Description Beginning of Year - Book Value End of Year - Book Value
    AMERICAN EXPRESS PAYABLE 65 0


    TY 2015 OtherProfessionalFeesSchedule
    Name:
    THE HEXBERG FAMILY FOUNDATION
    EIN:
    91-2172555
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    CONSULTANT 15,000 0   15,000


    TY 2015 SubstantialContributorsSch
    Name:
    THE HEXBERG FAMILY FOUNDATION
    EIN:
    91-2172555
    Name Address
    THE HEXBERG CHARITABLE LEAD TRUST
          		921 EMERALD BAY
    LAGUNA BEACH,CA92651


    TY 2015 TaxesSchedule
    Name:
    THE HEXBERG FAMILY FOUNDATION
    EIN:
    91-2172555
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    FOREIGN TAXES 13,043 13,043   0
    FRANCHISE TAX BOARD 3,310 3,310   0
    REGISTRY OF CHARITABLE TRUSTS 150 150   0
    FEDERAL TAX ON INVESTMENT INCOME 15,348 15,348   0
    GEORGIA STATE TAX 1,948 1,948   0