Form990-PF
Click to see attachment

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.
bulletGo to www.irs.gov/Form990PF for instructions and the latest information.
OMB No. 1545-0052
2018
Open to Public Inspection
For calendar year 2018, or tax year beginning 07-01-2018 , and ending 06-30-2019
Name of foundation
THE HS LOPEZ FAMILY FOUNDATION
 
Number and street (or P.O. box number if mail is not delivered to street address)3901 EAST BROADWAY BLVD
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
TUCSON, AZ85711
A Employer identification number

20-5725952
B Telephone number (see instructions)

(520) 322-6964
C bullet
G Check all that apply:

D 1. Foreign organizations, check here............. bullet
2. Foreign organizations meeting the 85%
test, check here and attach computation ...
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$7,846,569
J 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) 35,000
2 Check bullet.............
3 Interest on savings and temporary cash investments      
4 Dividends and interest from securities... 18,217 18,217  
5a Gross rents............      
b Net rental income or (loss)  
6a Net gain or (loss) from sale of assets not on line 10 294,780
b Gross sales price for all assets on line 6a 2,256,749
7 Capital gain net income (from Part IV, line 2)... 2,256,749
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)....... 93,402 0 93,402
12 Total. Add lines 1 through 11........ 441,399 2,274,966 93,402
Operating and Administrative Expenses 13 Compensation of officers, directors, trustees, etc. 0 0 0 0
14 Other employee salaries and wages...... 77,598 0 0 77,598
15 Pension plans, employee benefits.......        
16a Legal fees (attach schedule)......... 18,226 9,113 0 9,113
b Accounting fees (attach schedule)....... 7,470 3,735 0 3,735
c Other professional fees (attach schedule)....        
17 Interest...............        
18 Taxes (attach schedule) (see instructions)... 152,635 0 0 28,971
19 Depreciation (attach schedule) and depletion...      
20 Occupancy..............        
21 Travel, conferences, and meetings....... 128 0 0 128
22 Printing and publications..........        
23 Other expenses (attach schedule)....... 109,613 5,386 0 104,226
24 Total operating and administrative expenses.
Add lines 13 through 23.......... 365,670 18,234 0 223,771
25 Contributions, gifts, grants paid....... 418,500 418,500
26 Total expenses and disbursements. Add lines 24 and 25 784,170 18,234 0 642,271
27 Subtract line 26 from line 12:
a Excess of revenue over expenses and disbursements -342,771
b Net investment income (if negative, enter -0-) 2,256,732
c Adjusted net income (if negative, enter -0-)... 93,402
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X Form 990-PF (2018)
Form 990-PF (2018)
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............. 819,704 118,156 118,156
2 Savings and temporary cash investments.........   2,092,852 2,092,852
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.......... 21,999    
10a Investments—U.S. and state government obligations (attach schedule)      
b Investments—corporate stock (attach schedule)....... 220,152 Click to see attachment220,152 204,600
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).......... 1,334,000 Click to see attachment1,427,402 2,008,462
14 Land, buildings, and equipment: basis bullet3,422,499
Less: accumulated depreciation (attach schedule) bullet   3,212,913 3,422,499 3,422,499
15 Other assets (describe bullet) Click to see attachment1,962,504 Click to see attachment0 Click to see attachment0
16 Total assets (to be completed by all filers—see the
instructions. Also, see page 1, item I) 7,571,272 7,281,061 7,846,569
Liabilities 17 Accounts payable and accrued expenses.......... 34,952 41,585
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 attachment42,787 Click to see attachment88,714
23 Total liabilities (add lines 17 through 22)......... 77,739 130,299
Net Assets or Fund Balances Foundations that follow SFAS 117, check here bullet
and complete lines 24 through 26 and lines 30 and 31.
24 Unrestricted..................    
25 Temporarily restricted...............    
26 Permanently restricted...............    
Foundations that do not follow SFAS 117, check here bullet
and complete lines 27 through 31.
27 Capital stock, trust principal, or current funds........ 0 0
28 Paid-in or capital surplus, or land, bldg., and equipment fund 0 0
29 Retained earnings, accumulated income, endowment, or other funds 7,493,533 7,150,762
30 Total net assets or fund balances (see instructions)..... 7,493,533 7,150,762
31 Total liabilities and net assets/fund balances (see instructions). 7,571,272 7,281,061
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
7,493,533
2
Enter amount from Part I, line 27a .....................
2
-342,771
3
Other increases not included in line 2 (itemize) bullet
3
0
4
Add lines 1, 2, and 3 ..........................
4
7,150,762
5
Decreases not included in line 2 (itemize) bullet
5
0
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30 .
6
7,150,762
Form 990-PF (2018)
Form 990-PF (2018)
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 CENTER STREET LENDING - GAIN ON EXCESS DISTRIBUTION P 2013-11-01 2019-06-30
b PUBLICLY TRADED SECURITIES P    
c
d
e
(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 4,118     4,118
b 2,252,631     2,252,631
c
d
e
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       4,118
b       2,252,631
c
d
e
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 2,256,749
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))
2017 3,802,566 2,087,396 1.821679
2016 514,276 686,825 0.748773
2015 369,976 1,224,300 0.302194
2014 295,240 1,139,546 0.259086
2013 190,680 756,240 0.252142
2
Total of line 1, column (d) .....................
2
3.383874
3
Average distribution ratio for the 5-year base period—divide the total on line 2 by 5.0, or by the number of years the foundation has been in existence if less than 5 years ......
3
0.676775
4
Enter the net value of noncharitable-use assets for 2018 from Part X, line 5......
4
3,231,204
5
Multiply line 4 by line 3......................
5
2,186,798
6
Enter 1% of net investment income (1% of Part I, line 27b)...........
6
22,567
7
Add lines 5 and 6........................
7
2,209,365
8
Enter qualifying distributions from Part XII, line 4,.............
8
851,856
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 (2018)
Form 990-PF (2018)
Page 4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a Exempt operating foundations described in section 4940(d)(2), check here Bullet and enter “N/A" on line 1. Bracket includes lines 1a and 1b
Date of ruling or determination letter:   (attach copy of letter if necessary–see instructions)
b Domestic foundations that meet the section 4940(e) requirements in Part V, check 1 45,135
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 45,135
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 45,135
6 Credits/Payments:
a 2018 estimated tax payments and 2017 overpayment credited to 2018 6a 7,449
b Exempt foreign organizations—tax withheld at source...... 6b
c Tax paid with application for extension of time to file (Form 8868)... 6c 0
d Backup withholding erroneously withheld ........... 6d 0
7 Total credits and payments. Add lines 6a through 6d.............. 7 7,449
8 Enter any penalty for underpayment of estimated tax. Check here if Form 2220 is attached. Click to see attachment 8 427
9 Tax due. If the total of lines 5 and 8 is more than line 7, enter amount owed.......Bullet 9 38,113
10 Overpayment. If line 7 is more than the total of lines 5 and 8, enter the amount overpaid...Bullet 10  
11 Enter the amount of line 10 to be: Credited to 2019 estimated taxBullet   RefundedBullet 11  
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? ....................
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)
    bullet
    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 2018 or the taxable year beginning in 2018? See the 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 (2018)
    Form 990-PF (2018)
    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
    Yes
     
    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 addressbulletTHEHSLOPEZFAMILYFOUNDATION.ORG
    14
    The books are in care ofbulletFOUNDATION Telephone no.bullet (520) 322-6964

    Located atbullet3901 E BROADWAYTUCSONAZ ZIP+4bullet85711
    15
    Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of Form 1041 —check here .........bullet
    and enter the amount of tax-exempt interest received or accrued during the year ........bullet
    15
     
    16 At any time during calendar year 2018, 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 the instructions for exceptions and filing requirements for FinCEN Form 114. 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
     
    No
    ........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 2018?.............
    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 2018, did the foundation have any undistributed income (lines 6d
    and 6e, Part XIII) for tax year(s) beginning before 2018?.............
    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 2018 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 2018.)..................
    3b
     
    No
    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 2018?
    4b
     
    No
    Form 990-PF (2018)
    Form 990-PF (2018)
    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:
    Yes
    No
    (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
     
     
    8
    Is the foundation subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or
    excess parachute payment during the year? .................
    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
    HUMBERTO S LOPEZ PRESIDENT/TREASURER
    1.00
    0 0 0
    3901 E BROADWAY BLVD
    TUCSON,AZ85711
    CZARINA M LOPEZ SECRETARY
    1.00
    0 0 0
    3901 E BROADWAY BLVD
    TUCSON,AZ85711
    OMAR MIRELES TREASURER
    1.00
    0 0 0
    3901 E BROADWAY BLVD
    TUCSON,AZ85711
    ILIANA M LOPEZ DIRECTOR
    1.00
    0 0 0
    3901 E BROADWAY BLVD
    TUCSON,AZ85711
    STEPHEN P COUIG DIRECTOR
    1.00
    0 0 0
    3901 E BROADWAY BLVD
    TUCSON,AZ85711
    IOVANNA COUIG DIRECTOR
    1.00
    0 0 0
    3901 E BROADWAY BLVD
    TUCSON,AZ85711
    AMY MIRELES DIRECTOR
    1.00
    0 0 0
    3901 E BROADWAY BLVD
    TUCSON,AZ85711
    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
    Form 990-PF (2018)
    Form 990-PF (2018)
    Page 7
    Part VIII
    Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
    and Contractors (continued)
    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 IMPROVEMENTS TO A BUILDINGS TO BE USED BY PUBLIC CHARITIES TO CARRY OUT THEIR TAX-EXEMPT FUNCTIONS 209,585
    2  
    All other program-related investments. See instructions.
    3  
    Total. Add lines 1 through 3.........................bullet209,585
    Form 990-PF (2018)
    Form 990-PF (2018)
    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
    2,196,570
    b
    Average of monthly cash balances.......................
    1b
    1,083,840
    c
    Fair market value of all other assets (see instructions)................
    1c
    0
    d
    Total (add lines 1a, b, and c).........................
    1d
    3,280,410
    e
    Reduction claimed for blockage or other factors reported on lines 1a and
    1c (attach detailed explanation) Click to see attachment.............
    1e
    0
    2
    Acquisition indebtedness applicable to line 1 assets..................
    2
    0
    3
    Subtract line 2 from line 1d.........................
    3
    3,280,410
    4
    Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
    instructions) .............................
    4
    49,206
    5
    Net value of noncharitable-use assets. Subtract line 4 from line 3. Enter here and on Part V, line 4
    5
    3,231,204
    6
    Minimum investment return. Enter 5% of line 5..................
    6
    161,560
    Part XI
    Distributable Amount (see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here bullet and do not complete this part.)
    1
    Minimum investment return from Part X, line 6....................
    1
    161,560
    2a
    Tax on investment income for 2018 from Part VI, line 5......
    2a
    45,135
    b
    Income tax for 2018. (This does not include the tax from Part VI.)...
    2b
     
    c
    Add lines 2a and 2b............................
    2c
    45,135
    3
    Distributable amount before adjustments. Subtract line 2c from line 1............
    3
    116,425
    4
    Recoveries of amounts treated as qualifying distributions................
    4
    0
    5
    Add lines 3 and 4............................
    5
    116,425
    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
    116,425
    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
    642,271
    b
    Program-related investments—total from Part IX-B..................
    1b
    209,585
    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
    851,856
    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
    0
    6
    Adjusted qualifying distributions. Subtract line 5 from line 4..............
    6
    851,856
    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 (2018)
    Form 990-PF (2018)
    Page 9
    Part XIII
    Undistributed Income (see instructions)
    (a)
    Corpus
    (b)
    Years prior to 2017
    (c)
    2017
    (d)
    2018
    1 Distributable amount for 2018 from Part XI, line 7 116,425
    2 Undistributed income, if any, as of the end of 2018:
    a Enter amount for 2017 only....... 0
    b Total for prior years:20, 20, 20 0
    3 Excess distributions carryover, if any, to 2018:
    a From 2013...... 156,816
    b From 2014...... 240,057
    c From 2015...... 308,965
    d From 2016...... 485,083
    e From 2017...... 3,746,734
    fTotal of lines 3a through e........ 4,937,655
    4Qualifying distributions for 2018 from Part
    XII, line 4: bullet$ 851,856
    a Applied to 2017, but not more than line 2a 0
    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 2018 distributable amount..... 116,425
    e Remaining amount distributed out of corpus 735,431
    5 Excess distributions carryover applied to 2018. 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 5,673,086
    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 2017. Subtract line
    4a from line 2a. Taxable amount—see
    instructions .............
    0
    f Undistributed income for 2018. Subtract
    lines 4d and 5 from line 1. This amount must
    be distributed in 2019 ..........
    0
    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
    8 Excess distributions carryover from 2013 not
    applied on line 5 or line 7 (see instructions) ...
    156,816
    9Excess distributions carryover to 2019.
    Subtract lines 7 and 8 from line 6a ......
    5,516,270
    10 Analysis of line 9:
    a Excess from 2014.... 240,057
    b Excess from 2015.... 308,965
    c Excess from 2016.... 485,083
    d Excess from 2017.... 3,746,734
    e Excess from 2018.... 735,431
    Form 990-PF (2018)
    Form 990-PF (2018)
    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 2018, 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) 2018 (b) 2017 (c) 2016 (d) 2015
             
    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 foundation 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).)
    HUMBERTO S LOPEZ
    CZARINA M LOPEZ
    ILIANA M LOPEZ
    IOVANNA COUIG
    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 e-mail address of the person to whom applications should be addressed:
    CZARINA M LOPEZ
    3901 E BROADWAY BLVD
    TUCSON,AZ85711
    (520) 322-6994
    bThe form in which applications should be submitted and information and materials they should include:
    LETTER WITH THE GRANT APPLICATION FORM.
    cAny submission deadlines:
    JUNE 1 AND DECEMBER 1.
    dAny restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
    factors:
    N/A
    Form 990-PF (2018)
    Form 990-PF (2018)
    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
    AMERICAN CANCER SOCIETY
    250 WILLIAMS STREET NW
    ATLANTA,GA30303
    NONE PC TO SAVE LIVES, CELEBRATE LIVES, AND LEAD THE FIGHT FOR A WORLD WITHOUT CANCER. 5,000
    ANGEL CHARITY FOR CHILDREN INC
    3132 N SWAN RD
    TUCSON,AZ85712
    NONE PC TO IMPROVE THE QUALITY OF LIFE FOR THE CHILDREN IN OUR COMMUNITY. 1,000
    ARIZONA ONCOLOGY FOUNDATION
    2625 N CRAYCROFT RD STE 101
    TUCSON,AZ85712
    NONE PC DELIVERS INTEGRATIVE AND SUPPORT SERVICES TO THE WHOLE COMMUNITY TO ANYONE TOUCHED BY CANCER. 10,000
    BOYS TO MEN TUCSON INC
    5210 E PIMA STREET SUITE 200
    TUCSON,AZ85712
    NONE PC TO HELP BOYS ON THEIR JOURNEY TO MANHOOD BY PROVIDING THEM WITH SKILLED MALE GROUP MENTORS AS WELL AS OPPORTUNITIES FOR PERSONAL AND EMOTIONAL GROWTH 2,000
    CATHOLIC COMMUNITY SERVICES OF SOUTHERN AZ
    140 W SPEEEDWAY BLVD SUITE 230
    TUCSON,AZ85705
    NONE PC WE STRENGTHEN CHILDREN, ADULTS, FAMILIES AND COMMUNITIES BY PROVIDING HELP, CREATING HOPE AND SERVING ALL. 15,000
    CATHOLIC FOUNDATION FOR THE DIOCESE
    400 E MONROE STREET
    PHEONIX,AZ85004
    NONE PC SERVING TO BUILD RESOURCES FOR THE DIOCESE OF PHOENIX, ITS MINISTRIES AND APOSTOLATES. 75,000
    COMMUNITY FOUNDATION FOR SOUTHERN ARIZONA
    2250 E BROADWAY BOULEVARD
    TUCSON,AZ85719
    NONE PC TO CREATE A STRONGER COMMUNITY BY CONNECTING DONORS TO CAUSES THEY CARE ABOUT NOW AND FOREVER. 5,000
    GINNY L CLEMENTS BREAST CANCER RESEARCH FUND
    20280 N 59TH AVE STE 115 312
    GLENDALE,AZ85308
    NONE PC PROVIDES INFORMATION AND ASSISTANCE TO THE GENERAL PUBLIC CONCERNING BREAST CANCER AND OTHER DEGENERATIVE DISEASES. 5,000
    GIRL SCOUTS OF SOUTHERN ARIZONA
    4300 E BROADWAY BLVD
    TUCSON,AZ85711
    NONE PC TO HELP LOCAL GIRL SCOUTS BUILD THECOURAGE, CONFIDENCE AND CHARACTER TO MAKE THE WORLD A BETTER PLACE 10,000
    GOSPEL RESCUE MISSION
    707 W MIRACLE MILE
    TUCSON,AZ85705
    NONE PC TO SERVE THE HOMELESS AND NEEDY BY PROVIDING FOR THEIR SPIRITUAL, PHYSICAL, EMOTIONAL, AND MENTAL WHOLENESS THROUGH THE POWER OF JESUS CHRIST. 109,600
    HEDRICK HOUSE
    542 N WEST BLVD
    VINELAND,NJ08360
    NONE PC PROVIDES HALFWAY HOUSE TREATMENT TO ADULT MEN AND WOMEN. 25,000
    MENTORING TUCSON'S KIDS
    PO BOX 89729
    TUCSON,AZ85752
    NONE PC PROVIDE POSITIVE INFLUENCE TO KIDS FACING TOUGH LIFE CHALLENGES. 900
    MOBILE MEALS OF TUCSON
    4803 E 5TH ST 209
    TUCSON,AZ85711
    NONE PC PRESERVE THE HEALTH, DIGNITY AND INDEPENDENCE OF ELDERLY AND DISABLED ADULTS BY PROVIDING MEDICALLY-TAILORED, HOME-DELIVERED MEALS. 2,500
    OLD PUEBLO COMMUNITY SERVICES
    4501 E 5TH ST 1
    TUCSON,AZ85711
    NONE PC TO OFFER HOUSING, COUNSELING AND SUPPORT SERVICES TO HELP HOMELESSNESS TRANSFORM THEIR LIVES. 10,000
    PHOENIX CHILDRENS HOSPITAL
    1919 E THOMAS RD
    PHOENIX,AZ85016
    NONE PC TO OFFER THE VERY BEST MEDICAL SPECIALISTS, CUTTING-EDGE TECHNOLOGY, AND FAMILY-FRIENDLY SERVICES WITHOUT REGARD TO THE FAMILY'S ABILITY TO PAY. 10,000
    POVERELLO HOUSE
    221 E LEE ST
    TUCSON,AZ85705
    NONE PC TO PROVIDE DAILY LIFE-SUSTAINING SERVICES TO THE POOR, HUNGRY AND HOMELESS OF THE FRESNO COMMUNITY 3,500
    PURPLE HEART COMBAT WOUNDED VETERANS OF ARIZONA
    22511 N GALICIA DR
    SUN CITY WEST,AZ85375
    NONE PC FOSTER AN ENVIRONMENT OF GOODWILL AND CAMARADERIE AMONG COMBAT WOUNDED VETERANS, PROMOTE PATRIOTISM, SUPPORT NECESSARY LEGISLATIVE INITIATIVES, AND MOST IMPORTANTLY, PROVIDE SERVICE TO ALL VETERANS AND THEIR FAMILIES. 2,500
    SANTA CRUZ TRAINING PROGRAM INC
    PO BOX 638
    NOGALES,AZ85628
    NONE PC SCHOOL FOR DEVELOPMENTALLY DISABLED 5,000
    SISTER JOSE'S WOMANS CENTER
    PO BOX 1028
    TUCSON,AZ85702
    NONE PC THE SISTER JOSE WOMEN'S CENTER (SJWC) IS DEDICATED TO THE CARE AND NURTURE OF HOMELESS WOMEN IN A WELCOMING AND SAFE ENVIRONMENT 15,000
    ST AUGUSTINE CATHOLIC HIGH SCHOOL
    8800 E 22ND ST
    TUCSON,AZ85710
    NONE PC TO FACILITATE ACADEMIC EXCELLENCE IN A CATHOLIC ENVIRONMENT WHERE STUDENTS ARE ENCOURAGED TO GROW IN THE CHRISTIAN LIFE THROUGH DIALOGUE, PROCLAMATION, CHARITABLE OUTREACH, WORSHIP, AND CELEBRATION. 5,000
    ST ELIZABETH'S HEALTH CENTER
    140 W SPEEDWAY BLVD STE 100
    TUCSON,AZ85705
    NONE PC WE COMMIT TO PROVIDE HIGH QUALITY HEALTHCARE WITH RESPECT AND DIGNITY BY RESPONDING TO INDIVIDUAL NEEDS AND ENCOURAGING HEALTH AND WELL-BEING. 5,000
    ST LUKE'S HOME
    615 E ADAMS ST
    TUCSON,AZ85705
    NONE PC TO PROVIDE HIGH-QUALITY LEVELS OF SERVICE AND CARE FOR ITS ELDER COMMUNITY MEMBERS WHO ARE ALL OF LIMITED FINANCIAL MEANS. 2,500
    SUNNYSIDE UNIFIED SCHOOL DIST FOUNDATION
    2238 E GINTER ROAD
    TUCSON,AZ85706
    NONE PC TO PROMOTE EDUCATIONAL EXCELLENCE BY PROVIDING RESOURCES TO SUPPORT WORK WHICH ENRICHES THE EDUCATION, DEVELOPMENT, AND WELL BEING OF ALL SUNNYSIDE UNIFIED SCHOOL DISTRICT CHILDREN 5,000
    THE HAVEN
    1107 E ADELAIDE DR
    TUCSON,AZ85719
    NONE PC TO PROVIDE GENDER-SPECIFIC SUBSTANCE USE SERVICES FOR WOMEN IN A SAFE, SUPPORTIVE ENVIRONMENT FREE OF JUDGMENT AND STIGMA. 1,500
    THE PRIMAVERA FOUNDATION INC
    151 W 40TH ST
    TUCSON,AZ85713
    NONE PC TO PROVIDE PATHWAYS OUT OF POVERTY 2,500
    THE SALVATION ARMY
    5757 N ORACLE RD 105
    TUCSON,AZ85704
    NONE PC TO PREACH THE GOSPEL OF JESUS CHRIST AND TO MEET HUMAN NEEDS IN HIS NAME WITHOUT DISCRIMINATION. 1,000
    THE TIA FOUNDATION
    PO BOX 36203
    TUCSON,AZ85067
    NONE PC TO BRING ACCESS TO LIFESAVING HEALTHCARE AND PREVENTATIVE EDUCATION IN THE POOREST REMOTE PLACES WHERE THERE ARE NO DOCTORS OR MEDICINE THROUGH TIA'S SELF-SUSTAINING, TEACH THEM TO FISH PROGRAM. 1,000
    TU NIDITO CHILDREN & FAMILY SERVICES
    3922 N MOUNTAIN AVE
    TUCSON,AZ85719
    NONE PC TO CREATE A COMMUNITY OF ACCEPTANCE AND UNDERSTANDING REGARDING CHILDREN IN GRIEF 10,000
    TUCSON POLICE OFFICERS ASSOCIATION
    3849 W BROADWAY STE 320
    TUCSON,AZ85716
    NONE PC POLICE OFFICERS HAVE THE SAME CONSTITUTIONAL RIGHTS AND DUE PROCESS AS OTHER CITIZENS OF THE UNITED STATES AND WILL SCRUPULOUSLY WORK TO PROTECT THOSE RIGHTS. 5,000
    TUCSON SYMPHONY SOCIETY
    2715 N 6TH AVE
    TUCSON,AZ85705
    NONE PC TO ENGAGE, EDUCATE AND TRANSFORM OUR COMMUNITY THROUGH LIVE MUSICAL EXPERIENCES OF THE HIGHEST QUALITY 2,500
    UC SAN DIEGO FOUNDATION
    9500 GILMAN DRIVE MC 0940
    LA JOLLA,CA92093
    NONE PC HELPS UC SAN DIEGO OBTAIN PRIVATE GIFTS (IN SUPPORT OF RESEARCH, TEACHING, AND PUBLIC SERVICE) AND MANAGES THE GIFT ASSETS. 50,000
    UNITED WAY OF TUCSON AND SOUTHERN ARIZONA
    330 N COMMERCE PARK LOOK STE 200
    TUCSON,AZ85745
    NONE PC BUILDING A THRIVING COMMUNITY BY UNITING PEOPLE, IDEAS AND RESOURCES. 10,000
    USO COUNCIL OF SAN DIEGO INC
    2790 TRUXTUN RD SUITE 110
    SAN DIEGO,CA92106
    NONE PC TO ENHANCE THE QUALITY OF LIFE OF THE U.S. ARMED FORCES PERSONNEL AND THEIR FAMILIES WORLDWIDE AND TO CREATE A COOPERATIVE RELATIONSHIP BETWEEN U.S. MILITARY COMMUNITIES AND INVOLVED OR SUPPORTING CIVILIAN COMMUNITIES. 500
    YMCA OF SOUTHERN ARIZONA
    PO BOX 1111
    TUCSON,AZ85702
    NONE PC THE YMCA OF SOUTHERN ARIZONA IS DEDICATED TO IMPROVING THE QUALITY OF HUMAN LIFE AND TO HELPING ALL PEOPLE REALIZE THEIR FULLEST POTENTIAL THROUGH THE DEVELOPMENT OF SPIRIT, MIND AND BODY. 5,000
    Total .................................bullet 3a 418,500
    bApproved for future payment
    Total .................................bullet 3b 0
    Form 990-PF (2018)
    Form 990-PF (2018)
    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 ...........
             
    4 Dividends and interest from securities....     14 18,217  
    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 ............
        18 294,780  
    9 Net income or (loss) from special events:          
    10 Gross profit or (loss) from sales of inventory          
    11 Other revenue:
    aPANTANTO ESCALANTE ASSOCIATES LLC
        16 93,402  
    b
    c
    d
    e
    12 Subtotal. Add columns (b), (d), and (e).. 0 406,399 0
    13Total. Add line 12, columns (b), (d), and (e)..................
    13
    406,399
    (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 (2018)
    Form 990-PF (2018)
    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) (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) (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 (2018)
    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 Go to www.irs.gov/Form990 for the latest information.
    OMB No. 1545-0047
    2018
    Name of the organization
    THE HS LOPEZ FAMILY FOUNDATION
     
    Employer identification number

    20-5725952
    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 isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2018)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2
    Name of organization
    THE HS LOPEZ FAMILY FOUNDATION
     
    Employer identification number
    20-5725952
    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
    JIM CLICK  
    6725 EAST CAMINO PRINCIPAL
     
    TUCSON, AZ85715

    $ 20,000


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    2
    BURSEY REVOCABLE TRUST
     
    2800 E CALLE SIN PECADO
     
    TUCSON, AZ85718

    $ 5,000


    (Complete Part II for noncash contributions.)
    (a)
    No.
    (b)
    Name, address, and ZIP + 4
    (c)
    Total contributions
    (d)
    Type of contribution
    3
    TOWN WEST REALTY
     
    3002 N CAMPBELL AVE 200
     
    TUCSON, AZ85719

    $ 10,000


    (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) (2018)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Page 3
    Name of organization
    THE HS LOPEZ FAMILY FOUNDATION
     
    Employer identification number

    20-5725952
    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) (2018)
    Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
    Page 4
    Name of organization
    THE HS LOPEZ FAMILY FOUNDATION
     
    Employer identification number

    20-5725952
    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) (2018)

    Additional Data


    Software ID:  
    Software Version:  

    TY 2018 AccountingFeesSchedule
    Name:
    THE HS LOPEZ FAMILY FOUNDATION
    EIN:
    20-5725952
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ACCOUNTING FEES 7,470 3,735 0 3,735

    TY 2018 GeneralExplanationAttachment
    Name:
    THE HS LOPEZ FAMILY FOUNDATION
    EIN:
    20-5725952
    Identifier Return Reference Explanation
    CONTROLLED ENTITIES FORM 990-PF, PAGE 5, PART VII-A, LINE 11 NAME OF CONTROLLED ENTITY: HSL CENTER FOR OPPORTUNITY, LLCEIN: 82-2822769ADDRESS: 3901 E BROADWAY, TUCSON, AZ 85711EXCESS BUSINESS HOLDING: NO

    TY 2018 InvestmentsCorpStockSchedule
    Name:
    THE HS LOPEZ FAMILY FOUNDATION
    EIN:
    20-5725952
    Name of Stock End of Year Book Value End of Year Fair Market Value
    FORD MOTOR COMPANY 220,152 204,600

    TY 2018 InvestmentsOtherSchedule2
    Name:
    THE HS LOPEZ FAMILY FOUNDATION
    EIN:
    20-5725952
    Category/ Item Listed at Cost or FMV Book Value End of Year Fair Market Value
    PANTANO ESCALANTE ASSOCIATES LLC AT COST 1,427,402 1,977,867
    CENTER STREET LENDING AT COST 0 30,595

    TY 2018 LegalFeesSchedule
    Name:
    THE HS LOPEZ FAMILY FOUNDATION
    EIN:
    20-5725952
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    LEGAL FEES 18,226 9,113 0 9,113


    TY 2018 OtherAssetsSchedule
    Name:
    THE HS LOPEZ FAMILY FOUNDATION
    EIN:
    20-5725952
    Description Beginning of Year - Book Value End of Year - Book Value End of Year - Fair Market Value
    DEPOSIT - SW GAS 535 0 0
    TABULA RASA HEALTH CARE CONTINGENCY 1,961,969 0 0


    TY 2018 OtherExpensesSchedule
    Name:
    THE HS LOPEZ FAMILY FOUNDATION
    EIN:
    20-5725952
    Description Revenue and Expenses per Books Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    ADVERTISING 1,366 0 0 1,366
    PROPERTY INSURANCE 21,999 0 0 21,999
    WEBSITE 5,000 2,500 0 2,500
    TELEPHONE 1,494 747 0 747
    SIGNS/GRAPHICS/BROCHURES 113 0 0 113
    UTILITIES 36,412 0 0 36,412
    LANDSCAPING 13,310 0 0 13,310
    LEASE PAYMENTS 22,910 0 0 22,910
    OFFICE SUPPLIES 231 116 0 115
    BANK CHARGES 193 97 0 96
    DUES AND FEES 66 33 0 33
    REPAIRS AND MAINTENANCE 2,733 0 0 2,733
    POSTAGE 35 18 0 17
    LICENSES AND FEES 10 5 0 5
    ENTERTAINMENT 3,741 1,870 0 1,870


    TY 2018 OtherIncomeSchedule2
    Name:
    THE HS LOPEZ FAMILY FOUNDATION
    EIN:
    20-5725952
    Description Revenue And Expenses Per Books Net Investment Income Adjusted Net Income
    PANTANTO ESCALANTE ASSOCIATES LLC 93,402   93,402


    TY 2018 OtherLiabilitiesSchedule
    Name:
    THE HS LOPEZ FAMILY FOUNDATION
    EIN:
    20-5725952
    Description Beginning of Year - Book Value End of Year - Book Value
    REAL ESTATE TAXES PAYABLE 42,737 50,327
    OTHER ACCRUED EXPENSES 50 38,387


    TY 2018 ReductionExplanationStatement
    Name:
    THE HS LOPEZ FAMILY FOUNDATION
    EIN:
    20-5725952
    Explanation:
    THE VALUATION OF PANTANO/ESCALANTE ASSOCIATES WAS BASED ON A NON-CONTROLLING, NONMARKETABLE OWNERSHIP BASIS USING GENERALLY ACCEPTABLE METHODS FOR VALUATION PURPOSES BY A QUALIFIED APPRAISER. THE INVESTMENT IS CLOSELY HELD AND IS NOT READILY SOLD. THE APPRAISED VALUE USED AN EFFECTIVE DISCOUNT OF 35%. THE DISCOUNT IN THE AVERAGE MONTHLY FAIR MARKET VALUE WAS LIMITED TO 10% OF THE GROSS VALUE OF THE INVESTMENT.

    TY 2018 SubstantialContributorsSch
    Name:
    THE HS LOPEZ FAMILY FOUNDATION
    EIN:
    20-5725952
    Name Address
    HSL PROPERTIES INC
     
    3901 E BROADWAY BLVD
    TUCSON,AZ85711
    HUMBERTO S AND CZARINA LOPEZ 3901 E BROADWAY BLVD
    TUCSON,AZ85711


    TY 2018 TaxesSchedule
    Name:
    THE HS LOPEZ FAMILY FOUNDATION
    EIN:
    20-5725952
    Category Amount Net Investment Income Adjusted Net Income Disbursements for Charitable Purposes
    REAL ESTATE TAXES - CENTER OF OPPORTUNITY 79,250 0 0 28,923
    FEDERAL TAXES 73,337 0 0 0
    PAYROLL TAXES 48 0 0 48