-
TIN:
Form
990-PF
Department of the Treasury
Internal Revenue Service
Return of Private Foundation
or Section 4947(a)(1) Trust Treated as Private Foundation
Do not enter social security numbers on this form as it may be made public.
Go to
www.irs.gov/Form990PF
for instructions and the latest information.
OMB No. 1545-0052
20
19
Open to Public Inspection
For calendar year 2019, or tax year beginning
01-01-2019
, and ending
12-31-2019
Name of foundation
THE CREAN FOUNDATION
Number and street (or P.O. box number if mail is not delivered to street address)
27052 Falling Leaf Dr
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Laguna Hills
,
CA
92653
A Employer identification number
95-3676334
B
Telephone number (see instructions)
(949) 642-3050
C
If exemption application is pending, check here
G
Check all that apply:
Initial return
Initial return of a former public charity
Final return
Amended return
Address change
Name change
D 1.
Foreign organizations, check here.............
2
. Foreign organizations meeting the 85%
test, check here and attach computation ...
E
If private foundation status was terminated
under section 507(b)(1)(A), check here .......
H
Check type of organization:
Section 501(c)(3) exempt private foundation
Section 4947(a)(1) nonexempt charitable trust
Other taxable private foundation
F
If the foundation is in a 60-month termination
under section 507(b)(1)(B), check here .......
I
Fair market value of all assets at end
of year (from Part II, col. (c),
line 16)
$
68,735,986
J
Accounting method:
Cash
Accrual
Other (specify)
(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)
1
Contributions, gifts, grants, etc., received (attach schedule)
2
Check
.............
3
Interest on savings and temporary cash investments
72,781
72,781
72,781
4
Dividends and interest from securities
...
1,874,614
1,874,614
1,874,614
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
2,073,636
b
Gross sales price for all assets on line 6a
29,467,720
7
Capital gain net income (from Part IV, line 2)
...
2,073,636
8
Net short-term capital gain
.........
1,819,507
9
Income modifications
...........
10a
Gross sales less returns and allowances
36,842
b
Less: Cost of goods sold
....
9,386
c
Gross profit or (loss) (attach schedule)
.....
27,456
27,456
11
Other income (attach schedule)
.......
12
Total.
Add lines 1 through 11
........
4,048,487
4,021,031
3,794,358
13
Compensation of officers, directors, trustees, etc.
331,622
14
Other employee salaries and wages
......
15
Pension plans, employee benefits
.......
16a
Legal fees (attach schedule)
.........
b
Accounting fees (attach schedule)
.......
21,163
21,163
c
Other professional fees (attach schedule)
....
17
Interest
...............
18
Taxes (attach schedule) (see instructions)
...
18,823
18,823
19
Depreciation (attach schedule) and depletion
...
499
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
22
Printing and publications
..........
520
520
23
Other expenses (attach schedule)
.......
326,570
320,253
6,317
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
699,197
360,759
6,317
0
25
Contributions, gifts, grants paid
.......
3,501,090
3,501,090
26
Total expenses and disbursements.
Add lines 24 and 25
4,200,287
360,759
6,317
3,501,090
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-151,800
b
Net investment income
(if negative, enter -0-)
3,660,272
c
Adjusted net income
(if negative, enter -0-)
...
3,788,041
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X
Form
990-PF
(2019)
Form 990-PF (2019)
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
1
Cash—non-interest-bearing
.............
2
Savings and temporary cash investments
.........
1,855,356
3,848,381
3,848,381
3
Accounts receivable
Less: allowance for doubtful accounts
4
Pledges receivable
Less: allowance for doubtful accounts
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)
Less: allowance for doubtful accounts
8
Inventories for sale or use
..............
5,600
42,136
144,400
9
Prepaid expenses and deferred charges
..........
10a
Investments—U.S. and state government obligations (attach schedule)
b
Investments—corporate stock (attach schedule)
.......
7,420,367
7,355,247
9,141,894
c
Investments—corporate bonds (attach schedule)
.......
1,533,372
1,391,542
1,433,845
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
51,928,218
48,768,858
54,167,466
14
Land, buildings, and equipment: basis
3,477
Less: accumulated depreciation (attach schedule)
3,308
668
169
15
Other assets (describe
)
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
62,743,581
61,406,333
68,735,986
17
Accounts payable and accrued expenses
..........
-84,907
18
Grants payable
.................
6,220,000
5,890,000
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
)
511
447
23
Total liabilities
(add lines 17 through 22)
.........
6,135,604
5,890,447
Foundations that follow FASB ASC 958, check here
and complete lines 24, 25, 29 and 30.
24
Net assets without donor restrictions
...........
25
Net assets with donor restrictions
............
Foundations that do not follow FASB ASC 958, check here
and complete lines 26 through 30.
26
Capital stock, trust principal, or current funds
........
27
Paid-in or capital surplus, or land, bldg., and equipment fund
28
Retained earnings, accumulated income, endowment, or other funds
56,607,977
55,515,886
29
Total net assets or fund balances
(see instructions)
.....
56,607,977
55,515,886
30
Total liabilities and net assets/fund balances
(see instructions)
.
62,743,581
61,406,333
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 29 (must agree with end-of-year figure reported on prior year’s return)
...............
1
56,607,977
2
Enter amount from Part I, line 27a
.....................
2
-151,800
3
Other increases not included in line 2 (itemize)
3
1,019,709
4
Add lines 1, 2, and 3
..........................
4
57,475,886
5
Decreases not included in line 2 (itemize)
5
1,960,000
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 29
.
6
55,515,886
Form
990-PF
(2019)
Form 990-PF (2019)
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
Publicly Traded Securities
P
2019-02-01
2019-12-31
b
Publicly Traded Securities
P
2018-01-01
2019-12-31
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
9,464,717
7,645,210
1,819,507
b
20,003,003
19,748,874
254,129
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
1,819,507
b
254,129
c
d
e
2
Capital gain net income or (net capital loss)
If gain, also enter in Part I, line 7
If (loss), enter -0- in Part I, line 7
2
2,073,636
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
...................
3
1,819,507
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?
Yes
No
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))
2018
3,269,590
65,942,852
0.04958
2017
4,335,575
68,993,418
0.06284
2016
3,391,640
65,344,257
0.05190
2015
3,430,090
69,047,226
0.04968
2014
3,477,590
70,848,156
0.04909
2
Total
of line 1, column (d)
.....................
2
0.263088
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
0.052618
4
Enter the net value of noncharitable-use assets for 2019 from Part X, line 5
......
4
65,364,492
5
Multiply line 4 by line 3
......................
5
3,439,349
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
36,603
7
Add lines 5 and 6
........................
7
3,475,952
8
Enter qualifying distributions from Part XII, line 4
,.............
8
3,501,090
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
(2019)
Form 990-PF (2019)
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
and enter “N/A" on line 1.
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
36,603
here
and 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
3
Add lines 1 and 2
...........................
3
36,603
4
Subtitle A (income) tax (domestic section 4947(a)(1) trusts and taxable foundations only. Others enter -0-)
4
5
Tax based on investment income.
Subtract line 4 from line 3. If zero or less, enter -0-
.....
5
36,603
6
Credits/Payments:
a
2019 estimated tax payments and 2018 overpayment credited to 2019
6a
83,787
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
83,787
8
Enter any
penalty
for underpayment of estimated tax.
Check here
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
.......
9
10
Overpayment.
If line 7 is more than the total of lines 5 and 8, enter the
amount overpaid
...
10
47,184
11
Enter the amount of line 10 to be:
Credited to 2020 estimated tax
47,184
Refunded
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.
$
(2)
On foundation managers.
$
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
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)
CA
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 2019 or the taxable year beginning in 2019? 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.
...............................
10
No
Form
990-PF
(2019)
Form 990-PF (2019)
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 address
N/A
14
The books are in care of
MARC S GOLDIN CFO
Telephone no.
(949) 642-3050
Located at
27052 Falling Leaf Dr
Laguna Hills
CA
ZIP+4
926536502
15
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-PF in lieu of
Form 1041
—check here
.........
and enter the amount of tax-exempt interest received or accrued during the year
........
15
16
At any time during calendar year 2019, did the foundation have an interest in or a signature or other authority over
Yes
No
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
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?
Yes
No
(2)
Borrow money from, lend money to, or otherwise extend credit to (or accept it from)
a disqualified person?
......................
Yes
No
(3)
Furnish goods, services, or facilities to (or accept them from) a disqualified person?
Yes
No
(4)
Pay compensation to, or pay or reimburse the expenses of, a disqualified person?
Yes
No
(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)?
...............
Yes
No
(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.)
.......
Yes
No
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
Organizations relying on a current notice regarding disaster assistance check here
........
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 2019?
.............
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 2019, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2019?
.............
Yes
No
If "Yes," list the years
20
,
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.
20
,
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?
......................
Yes
No
b
If "Yes," did it have excess business holdings in 2019 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 2019.)
..................
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 2019?
4b
No
Form
990-PF
(2019)
Form 990-PF (2019)
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))?
Yes
No
(2)
Influence the outcome of any specific public election (see section 4955); or to carry
on, directly or indirectly, any voter registration drive?
.............
Yes
No
(3)
Provide a grant to an individual for travel, study, or other similar purposes?
Yes
No
(4)
Provide a grant to an organization other than a charitable, etc., organization described
in section 4945(d)(4)(A)? See instructions
................
Yes
No
(5)
Provide for any purpose other than religious, charitable, scientific, literary, or
educational purposes, or for the prevention of cruelty to children or animals?
.....
Yes
No
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
Organizations relying on a current notice regarding disaster assistance check here
.........
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?
..........
Yes
No
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?
.....................
Yes
No
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?
Yes
No
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?
.................
Yes
No
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
ANDREW CREAN
President
1.00
0
PO BOX 8449
NEWPORT BEACH
,
CA
926588449
EMILY CREAN VOGLER
Vice President
1.00
0
PO BOX 8449
NEWPORT BEACH
,
CA
926588449
SUSAN E THOMAS
Secretary
1.00
0
PO BOX 8449
NEWPORT BEACH
,
CA
926588449
MARC S GOLDIN
CFO
30.00
331,622
PO BOX 8449
NEWPORT BEACH
,
CA
926588449
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
...................
Form
990-PF
(2019)
Form 990-PF (2019)
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
.............
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
DISTRIBUTION OF BOOKS ON ALCOHOLISM INTENDED TO EDUCATE AND ASSIST THE GENERAL PUBLIC CONCERNING THE DISEASE. THE TOTAL NUMBER OF BOOKS DISTRIBUTED DURING 2019 WAS 12,190.
0
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
.........................
Form
990-PF
(2019)
Form 990-PF (2019)
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
64,548,913
b
Average of monthly cash balances
.......................
1b
1,810,977
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
66,359,890
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
3
Subtract line 2 from line 1d
.........................
3
66,359,890
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
995,398
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
65,364,492
6
Minimum investment return.
Enter 5% of line 5
..................
6
3,268,225
Part XI
Distributable Amount
(see instructions) (Section 4942(j)(3) and (j)(5) private operating foundations and certain foreign organizations check here
and do not complete this part.)
1
Minimum investment return from Part X, line 6
....................
1
3,268,225
2a
Tax on investment income for 2019 from Part VI, line 5
......
2a
36,603
b
Income tax for 2019. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
36,603
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
3,231,622
4
Recoveries of amounts treated as qualifying distributions
................
4
5
Add lines 3 and 4
............................
5
3,231,622
6
Deduction from distributable amount (see instructions)
.................
6
7
Distributable amount
as adjusted. Subtract line 6 from line 5. Enter here and on Part XIII, line 1
...
7
3,231,622
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
3,501,090
b
Program-related investments—total from Part IX-B
..................
1b
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
3,501,090
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
36,603
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
3,464,487
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
(2019)
Form 990-PF (2019)
Page
9
Part XIII
Undistributed Income
(see instructions)
(a)
Corpus
(b)
Years prior to 2018
(c)
2018
(d)
2019
1
Distributable amount for 2019 from Part XI, line 7
3,231,622
2
Undistributed income, if any, as of the end of 2019:
a
Enter amount for 2018 only
.......
b
Total for prior years:
20
,
20
,
20
3
Excess distributions carryover, if any, to 2019:
a
From 2014
......
b
From 2015
......
30,577
c
From 2016
......
161,851
d
From 2017
......
950,532
e
From 2018
......
76,332
f
Total
of lines 3a through e
........
1,219,292
4
Qualifying distributions for 2019 from Part
XII, line 4:
$
3,501,090
a
Applied to 2018, but not more than line 2a
b
Applied to undistributed income of prior years
(Election required—see instructions)
.....
c
Treated as distributions out of corpus (Election
required—see instructions)
........
0
d
Applied to 2019 distributable amount
.....
3,231,622
e
Remaining amount distributed out of corpus
269,468
5
Excess distributions carryover applied to 2019.
(If an amount appears in column (d), the
same amount must be shown in column (a).)
6
Enter the net total of each column as
indicated below:
a
Corpus. Add lines 3f, 4c, and 4e. Subtract line 5
1,488,760
b
Prior years’ undistributed income. Subtract
line 4b from line 2b
..........
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
......
d
Subtract line 6c from line 6b. Taxable amount
—see instructions
...........
e
Undistributed income for 2018. Subtract line
4a from line 2a. Taxable amount—see
instructions
.............
f
Undistributed income for 2019. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2020
..........
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)
.......
8
Excess distributions carryover from 2014 not
applied on line 5 or line 7 (see instructions)
...
9
Excess distributions carryover to 2020.
Subtract lines 7 and 8 from line 6a
......
1,488,760
10
Analysis of line 9:
a
Excess from 2015
....
30,577
b
Excess from 2016
....
161,851
c
Excess from 2017
....
950,532
d
Excess from 2018
....
76,332
e
Excess from 2019
....
269,468
Form
990-PF
(2019)
Form 990-PF (2019)
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 2019, enter the date of the ruling
.......
b
Check box to indicate whether the organization is a private operating foundation described in section
4942(j)(3)
or
4942(j)(5)
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)
2019
(b)
2018
(c)
2017
(d)
2016
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.)
1
Information Regarding Foundation Managers:
a
List 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).)
b
List 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.
2
Information Regarding Contribution, Grant, Gift, Loan, Scholarship, etc., Programs:
Check here
if the foundation only makes contributions to preselected charitable organizations and does not accept
unsolicited requests for funds. If the foundation makes gifts, grants, etc. to individuals or organizations under
other conditions, complete items 2a, b, c, and d. See instructions
a
The name, address, and telephone number or email address of the person to whom applications should be addressed:
b
The form in which applications should be submitted and information and materials they should include:
c
Any submission deadlines:
d
Any restrictions or limitations on awards, such as by geographical areas, charitable fields, kinds of institutions, or other
factors:
Form
990-PF
(2019)
Form 990-PF (2019)
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)
a
Paid during the year
Orange County Rescue Mission
One Hope Drive
Tustin
,
CA
92782
N/A
Public
Food and shelter for the poor.
10,000
Biola University
13800 Biola Ave
La Mirada
,
CA
90639
N/A
Public
Medical services for the poor.
3,000
The Midnight Mission
601 South San Pedro St
Los Angeles
,
CA
90014
N/A
Public
Shelter for alcoholics.
20,000
American Heart Association
PO Box 6046
Irvine
,
CA
92716
N/A
Public
Medical Research.
10,000
Big BrothersBig Sisters
1801 E Edinger Ave Ste 101
Santa Ana
,
CA
92705
N/A
Public
Programs for children.
35,000
Chapman University
One University Drive
Orange
,
CA
92866
N/A
Public
Education.
1,040,000
Children's Bureau
50 S Anaheim Blvd Ste 241
Anaheim
,
CA
92805
N/A
Public
Programs for disadvantaged children.
245,000
Children's Hospital of OC Foundatio
455 S Main St
Orange
,
CA
92868
N/A
Public
Pediatric Medical Care.
110,000
Childhelp
PO Box 2954
Newport Beach
,
CA
92659
N/A
Public
Treatment and Prevention of Child Abuse.
25,000
Guide Dogs of America
13445 Glenoaks Blvd
Sylmar
,
CA
91342
N/A
Public
Training of dogs to assist the vision impaired.
10,000
Make-A-Wish Foundation of OC
3230 El Camino Real Ste 100
Irvine
,
CA
92602
N/A
Public
Program for terminally ill children.
7,500
Providence Speech and Hearing Cente
1301 Providence Ave
Orange
,
CA
92868
N/A
Public
Assistance of the hearing impaired.
7,500
Santa Catatlina Island Tuna Club Fo
PO Box 526
Avalon
,
CA
90704
N/A
Public
Maintaining the forests of Santa Catalina Island.
5,000
YMCA of Orange County
13821 Newport Ave 200
Tustin
,
CA
92780
N/A
Public
Recreation programs for the needy.
35,000
ONEOC
1901 EAST FOURTH ST 100
SANTA ANA
,
CA
92705
N/A
PUBLIC
ASSISTANCE TO CHARITABLE ORGANIZATIONS.
5,000
PHILHARMONIC SOCIETY OF OC
2082 BUSINESS CENTER DR 100
IRVINE
,
CA
92612
N/A
PUBLIC
MUSIC PROGRAMS.
25,000
ALZHEIMER'S ORANGE COUNTY
2515 McCabe Way Ste 200
Irvine
,
CA
92614
N/A
PUBLIC
PROGRAMS FOR PEOPLE WITH ALZHEIMER'S DISEASE.
100,000
BLIND CHILDREN'S LEARNING CENTER
18542-B VANDERLIP AVENUE
SANTA ANA
,
CA
92705
N/A
PUBLIC
PROGRAMS FOR VISUALLY IMPAIRED CHILDREN.
10,000
GLORIA DEI LUTHERAN CHURCH
33501 STONEHILL DR
DANA POINT
,
CA
92629
N/A
PUBLIC
RELIGIOUS PROGRAMS.
11,440
LUTHERAN CHURCH OF THE MASTER
2900 PACIFIC VIEW DR
CORONA DEL MAR
,
CA
92625
N/A
PUBLIC
RELIGIOUS PROGRAMS.
5,200
LUTHERAN CHURCH OF THE MASTER
10931 SANTA MONICA BLVD
LOS ANGELES
,
CA
90025
N/A
PUBLIC
RELIGIOUS PROGRAMS.
20,800
SAINT ANDREW'S ABBEY
PO BOX 40
VALYERMO
,
CA
93563
N/A
PUBLIC
RELIGIOUS PROGRAMS.
2,500
ARTS ORANGE COUNTY
3750 S SUSAN ST STE 200
SANTA ANA
,
CA
92704
N/A
PUBLIC
EDUCATIONAL PROGRAMS FOR CHILDREN.
15,000
BACK BAY THERAPEUTIC RIDING CLUB
20262 SW CYPRESS ST
NEWPORT BEACH
,
CA
92660
N/A
PUBLIC
PROGRAMS FOR DISABLED CHILDREN.
2,500
SECOND HARVEST FOOD BANK OF OC
8014 Marine Way
Irvine
,
CA
92618
N/A
PUBLIC
FOOD FOR THE POOR AND HOMELESS.
10,000
LOS ANGELES MISSION
303 EAST 5TH ST
LOS ANGELES
,
CA
90013
N/A
PUBLIC
FOOD AND SHELTER FOR THE HOMELESS.
5,000
HOAG HOSPITAL FOUNDATION
330 Placentia Ave Suite 100
NEWPORT BEACH
,
CA
92663
N/A
PUBLIC
CONSTRUCTION OF NEW HOSPITAL FACILITIES.
500,000
CYSTIC FIBROSIS FOUNDATION
1801 E Edinger Ave Ste 135
Santa Ana
,
CA
92705
N/A
PUBLIC
MEDICAL RESEARCH.
5,000
PROJECT CUDDLE INC
2973 HARBOR BLVD PMB 326
COSTA MESA
,
CA
92626
N/A
PUBLIC
ASSISTANCE TO POOR PREGNANT WOMEN WHO CANNOT KEEP THEIR BABIES.
1,000
THE ALL-AMERICAN BOYS CHORUS
PO BOX 1527
COSTA MESA
,
CA
92628
N/A
PUBLIC
MUSIC PROGRAM.
5,000
FACES
1015 E Chapman Ave Ste A
Fullerton
,
CA
92831
N/A
Public
Programs for children.
10,000
Heart of Jesus Retreat Center
2927 S Greenville St
Santa Ana
,
CA
92704
N/A
Public
Religious programs.
2,500
Youth Employment Services Inc
114 E 19th St
Costa Mesa
,
CA
92627
N/A
Public
Assistance of teenagers to obtain employment.
10,000
Child Guidance Center Inc
525 N Cabrillo Park Dr Ste 300
Santa Ana
,
CA
92701
N/A
Public
Treatment and prevention of child abuse.
5,000
Acacia Adult Day Services
11391 Acacia Parkway
Garden Grove
,
CA
92840
N/A
Public
Programs for seniors.
10,000
Friends of Santa Ana Zoo
1801 E Chestnut Ave
Santa Ana
,
CA
92701
N/A
Public
Maintenance of animal exhibits.
10,000
Goodwill of Orange County
410 N Fairview
Santa Ana
,
CA
92703
N/A
Public
Assistance for poor people.
1,000
Laura's House
999 Corporate Dr Ste 225
Ladera Ranch
,
CA
92694
N/A
Public
Shelter for abused women and children.
10,000
Discovery Cube's Ocean Quest
2500 N MAIN ST
SANTA ANA
,
CA
92705
N/A
Public
STEM EDUCATIONAL PROGRAMS AT THE SCIENCE CENTER.
5,000
Samueli Academy
1901 N Fairview St
Santa Ana
,
CA
92706
N/A
Public
Education Programs.
60,000
Project Dignity
651 N Rose Drive D115
Placentia
,
CA
92870
N/A
Public
Assistance for poor people.
7,500
Ronald McDonald House Charities
1250 Lyman Pl
Los Angeles
,
CA
90029
N/A
Public
Camp program for children with cancer.
10,000
ANGEL FACES
2235 Encinitas Blvd Ste 107B
ENCINITAS
,
CA
92024
N/A
Public
Seminars to build self-esteeem for burn victims.
20,000
COURT APPOINTED SPECIAL ADVOCATES
1505 E 17th St Suite 214
Santa Ana
,
CA
92705
N/A
Public
Programs for disadvantaged youth.
2,500
NEW VISTA SCHOOL FOUNDATION
23902 Mill Creek Dr
Laguna Hills
,
CA
92653
N/A
Public
TUITION ASSISTANCE FOR LOW INCOME STUDENTS.
40,000
SUPPORT THE ENLISTED PROJECT INC
9951 Businesspark Ave Ste A
SAN DIEGO
,
CA
92131
N/A
Public
Assistance for military veterans.
10,000
THE WOODEN FLOOR
1810 N Main St
Santa Ana
,
CA
92706
N/A
Public
DANCE PROGRAMS FOR POOR CHILDREN.
5,000
SHARE OUR SELVES CORPORATION
1550 Superior Ave
Costa Mesa
,
CA
92627
N/A
Public
Medical, food and clothing for poor people.
10,000
THE PRENTICE SCHOOL
18341 Lassen Dr
Santa Ana
,
CA
92705
N/A
Public
EDUCATION PROGRAMS.
10,000
THE WINSTON SCHOOL
215 9th St
Del Mar
,
CA
92014
N/A
Public
EDUCATION PROGRAMS.
10,000
COMMUNITY SENIORSERV
1200 N Knollwood Circle
Anaheim
,
CA
92801
N/A
Public
Programs for seniors.
10,000
FIRST STEP HOUSE OF ORANGE COUNTY
PO BOX 1904
COSTA MESA
,
CA
92628
N/A
Public
PROGRAMS FOR ALCOHOLIC REHABILITATION.
20,000
FRIENDSHIP SHELTER INC
PO BOX 4252
LAGUNA BEACH
,
CA
92652
N/A
Public
SELF-SUFFICIENCY PROGRAMS FOR THE HOMELESS.
5,000
KIDWORKS
1902 W CHESTNUT AVE
SANTA ANA
,
CA
92703
N/A
Public
PROGRAMS FOR AT-RISK CHILDREN.
10,000
PROBATION COMMUNITY ACTION ASSOCIAT
9701CAITHNESS DR
HUNTINGTON BEACH
,
CA
92646
N/A
Public
PROGRAM FOR AT-RISK YOUTH.
5,000
HOPE BUILDERS
801 N BROADWAY
SANTA ANA
,
CA
92701
N/A
Public
JOB TRAINING PROGRAM FOR AT-RISK YOUTH.
10,000
VCC THE GARY CENTER
341 S HILLCREST ST
LA HABRA
,
CA
90631
N/A
Public
JOB TRAINING FOR AT-RISK YOUTH.
10,000
THE SHEA CENTER FOR THERAPEUTIC RID
26284 OSO RD
SAN JUAN CAPISTRANO
,
CA
92675
N/A
Public
PROGRAMS FOR DISABLED CHILDREN.
20,000
WOMEN'S TRANSITIONAL LIVING CENTER
PO BOX 6103
ORANGE
,
CA
92863
N/A
Public
PROGRAMS FOR ABUSED ADULTS AND CHILDREN.
5,000
ARMY AND NAVY ACADEMY
PO BOX 3000
CARLSBAD
,
CA
92018
N/A
Public
TUITION ASSISTANCE FOR LOW INCOME STUDENTS.
50,000
CASA TERESA
PO BOX 429
ORANGE
,
CA
92856
N/A
Public
PROVIDE SHELTER TO HOMELESS PREGNANT WOMEN.
5,000
LAGUNA BEACH SENIORS INC
380 THIRD ST
LAGUNA BEACH
,
CA
92651
N/A
Public
INCREASE OUTREACH TO SENIORS.
20,000
SEGERSTROM CENTER FOR THE ARTS
600 TOWN CENTER DR
COSTA MESA
,
CA
92626
N/A
Public
MUSIC PROGRAMS FOR CHILDREN.
10,000
WORLD FIT FOUNDATION INC
151 KAHIKI DR
TAVERNIER
,
FL
33070
N/A
Public
FITNESS PROGRAM FOR CHILDREN.
15,000
SERVING PEOPLE IN NEED INC
151 KALMUS DR STE H-2
COSTA MESA
,
CA
92626
N/A
Public
SELF-SUFFICIENCY PROGRAMS FOR THE HOMELESS.
2,500
ART CREATIVITY FOR HEALING INC
23011 Moulton Parkway Ste I-5
Laguna Hills
,
CA
92653
N/A
Public
Programs for veterans.
1,000
UCI MIND
2646 BIOLOGICAL SCIENCES III
IRVINE
,
CA
92697
N/A
Public
MEDICAL RESEARCH.
25,000
CALIFORNIA YOUTH SERVICES
23282 MILL CREEK DR STE 130
LAGUNA HILLS
,
CA
92653
N/A
Public
SUBSTANCE ABUSE COUNSELING FOR YOUTH.
12,500
CASA DE AMMA
27231 CALLE ARROYO
SAN JUAN CAPISTRANO
,
CA
92675
N/A
Public
ASSISTANCE OF ADULTS WITH SPECIAL NEEDS.
10,000
ACCESS OC SOUTHERN CALIFORNIA
1505 E 17th St Suite 209
Santa Ana
,
CA
92705
N/A
Public
HEALTH CARE FOR THE POOR.
10,000
KOCE-TV FOUNDATION
PO BOX 25113
SANTA ANA
,
CA
92799
N/A
Public
PUBLIC TELEVISION EDUCATIONAL PROGRAMMING.
1,000
PROJECT ACCESS INC
3900 BIRCH ST SUITE 113
NEWPORT BEACH
,
CA
92660
N/A
Public
EDUCATION AND EMPLOYMENT SERVICES TO POOR PEOPLE.
10,000
SOUTHERN CALIFORNIA CHILDREN'S CHOR
5020 CAMPUS DR
NEWPORT BEACH
,
CA
92660
N/A
Public
MUSIC PROGRAMS FOR CHILDREN.
2,500
DISCOVERY CUBE ORANGE COUNTY
2500 N MAIN ST
SANTA ANA
,
CA
92705
N/A
Public
STEM EDUCATIONAL PROGRAMS AT THE SCIENCE CENTER.
10,000
FRIENDS OF THE NATIONAL WW II MEMOR
921 PENNSYLVANIA AVE SE SUITE 304
WASHINGTON
,
DC
20003
N/A
Public
MAINTENANCE OF NATIONAL MEMORIAL.
1,000
ORANGE COUNTY COMMUNITY FOUNDATION
4041 MACARTHUR BLVD SUITE 510
NEWPORT BEACH
,
CA
92660
N/A
Public
COMMUNITY FOUNDATION SUPPORT.
150
WORKING WARDROBES FOR A NEW START
1851 Kettering St
Irvine
,
CA
92614
N/A
Public
CLOTHING FOR POOR PEOPLE.
10,000
INTERNATIONAL GAME FISH ASSOCIATION
300 GULF STREAM WAY
DANIA BEACH
,
FL
33004
N/A
PC
FISH RESEARCH CONSERVATION AND EDUCATION.
4,500
PACIFIC SYMPHONY
3631 S HARBOR BLVD STE 100
SANTA ANA
,
CA
92704
N/A
PC
MUSIC PROGRAMS FOR CHILDREN.
10,000
PRETEND CITY THE CHILDREN'S MUSEUM
29 Hubble
Irvine
,
CA
92618
N/A
PC
MUSEUM OPERATING EXPENSES.
5,000
RVMH HERITAGE FOUNDATION INC
21565 Executive Pkwy
Elkhart
,
IN
46514
N/A
PC
MUSEUM OPERATING EXPENSES.
20,000
SPECIAL CAMP FOR SPECIAL KIDS
31641 La Novia
San Juan Capistrano
,
CA
92675
N/A
PC
CAMP PROGRAM FOR SPECIAL NEEDS CHILDREN.
1,000
THUNDERING TRAILS
5607 SPLIT MOUNTAIN RD
BOREGO SPRINGS
,
CA
92004
N/A
PC
RECREATIONAL PROGRAMS FOR DISADVANTAGED CHILDREN.
2,000
Assistance League of Irvine
2452 Alton Parkway
Irvine
,
CA
92606
N/A
PC
Educational programs.
2,000
Heroes Hall Veterans Foundation
88 Fair Dr
Costa Mesa
,
CA
92626
N/A
PC
Support of museum honoring veterans.
2,500
Laurel House
1 Hope Drive
Tustin
,
CA
92782
N/A
PC
Support for homeless teens.
5,000
UC Irvine
162B Rowland Hall
Irvine
,
CA
92697
N/A
PC
Math educational program for underserved youth.
2,500
America on Track
600 W Santa Ana Blvd Suite 710
Santa Ana
,
CA
92701
N/A
PC
Educational programs for parents and children.
5,000
Anaheim Family YMCA
240 S Euclid Street
Anaheim
,
CA
92802
N/A
PC
Programs for youth and development of new athletic facilities.
115,000
Sage Hill School
20402 Newport Coast Dr
Newport Coast
,
CA
92657
N/A
PC
Educational programs.
40,000
HD-CARE
2643 Biological Sciences III
Irvine
,
CA
92697
N/A
PC
Research regarding Huntington's Disease.
10,000
Concordia University Foundation
1530 Concordia
Irvine
,
CA
92612
N/A
PC
Construction of new music, worship and theology building.
200,000
Freedom Alliance
22570 Markey Ct Ste 240
Dulles
,
VA
20166
N/A
PC
Rehabilitation of militiary veterans.
4,000
Straight Talk Clinic Inc
5712 Camp St
Cypress
,
CA
90630
N/A
PC
Counseling services for adolescents.
5,000
Veterans Legal Institute
2100 N Broadway Ste 209
Santa Ana
,
CA
92706
N/A
PC
Legal assistance for military veterans.
5,000
AMVETS
12345 Euclid St
Garden Grove
,
CA
92840
N/A
PC
Support for military veterans.
5,000
Illumination Foundation
1091 N Batavia St
Orange
,
CA
92867
N/A
PC
Assistance for homeless families.
1,000
Ocean Institute
24200 Dana Point Harbor Dr
Dana Point
,
CA
92629
N/A
PC
Educational programs for children.
5,000
Precious Life Shelter
3622 Florista St
Los Alamitos
,
CA
90720
N/A
PC
Assistance for newborns.
1,000
The Teen Project Inc
22431 Antonio Pkwy Suite B160
Rancho Santa Marg
,
CA
92688
N/A
PC
Transitional housing for at risk homeless and sex trafficked young women.
200,000
The Priority Center
2390 E Orangewood Ave Suite 300
Anaheim
,
CA
92806
N/A
PC
Assistance for at risk families to prevent child abuse.
25,000
Total
.................................
3a
3,501,090
b
Approved for future payment
Total
.................................
3b
Form
990-PF
(2019)
Form 990-PF (2019)
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.)
1
Program service revenue:
(a)
Business code
(b)
Amount
(c)
Exclusion code
(d)
Amount
a
b
c
d
e
f
g
Fees and contracts from government agencies
2
Membership dues and assessments
....
3
Interest on savings and temporary cash
investments
...........
14
72,781
4
Dividends and interest from securities
....
14
1,874,614
5
Net rental income or (loss) from real estate:
a
Debt-financed property
......
b
Not 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
............
2,073,636
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
27,456
11
Other revenue:
a
b
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
1,947,395
2,101,092
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
4,048,487
(See worksheet in line 13 instructions to verify calculations.)
Part XVI-B
Relationship of Activities to the Accomplishment of Exempt Purposes
Line No.
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.)
10
SALE OF BOOKS ON ALCOHOLISM INTENDED TO EDUCATE AND ASSIST THE GENERAL PUBLIC CONCERNING THE DISEASE.
Form
990-PF
(2019)
Form 990-PF (2019)
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?
...........
Yes
No
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.
May the IRS discuss this return
with the preparer shown below
(see instr.)
Yes
No
Signature of officer or trustee
Date
Title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's Signature
Date
Check if self-
employed
PTIN
Firm's name
Firm's EIN
Firm's address
Phone no.
Form
990-PF
(2019)
Additional Data
Software ID:
19009920
Software Version:
2019v5.0
Form 990PF - Special Condition Description:
Special Condition Description