efile Public Visual Render
ObjectId: 201531959349301313 - Submission: 2015-07-14
TIN: 94-6174066
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
See separate instructions.
Information about Schedule R (Form 990) and its instructions is at
www.irs.gov/form990
.
OMB No. 1545-0047
20
13
Open to Public Inspection
Name of the organization
STANFORD HEALTH CARE
Employer identification number
94-6174066
Part I
Identification of Disregarded Entities
Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Total income
(e)
End-of-year assets
(f)
Direct controlling
entity
(1)
CARE COUNSEL LLC
899 Northgate Drive Suite 530
San Rafael
,
CA
94903
68-0396696
MEDICAL
CA
1,602,058
590,560
SHC
Part II
Identification of Related Tax-Exempt Organizations
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))
(f)
Direct controlling
entity
(g)
Section 512(b)(13) controlled entity?
Yes
No
(1)
THE BRD OF TRUST LELAND STANF JR UNI
3145 PORTER DRIVE
PALO ALTO
,
CA
94304
94-1156365
ACADEMIA
CA
501(C)(3)
2
NA
No
(2)
LUCILE SALTER PACKARD CHILDRENS HOSPITAL
725 WELCH ROAD MC 5553
PALO ALTO
,
CA
94304
77-0003859
HEALTHCARE
CA
501(C)(3)
3
STANFORD
Yes
(3)
THE FREIDENRICH SUPPORT FOUNDATION
3145 PORTER DRIVE
PALO ALTO
,
CA
94304
30-0519583
SUPPORT
CA
501(C)(3)
11, TYPE I
STANFORD
Yes
(4)
SHR HOLDINGS INC
3145 PORTER DRIVE
PALO ALTO
,
CA
94304
94-3187167
REAL ESTATE
CA
501(C)(25)
N/A
STANFORD
Yes
(5)
SU EMP BEN TRUST POST RETEMPYNT BEN
3145 PORTER DRIVE
PALO ALTO
,
CA
94304
94-3246199
BENEFITS
CA
501(C)(9)
N/A
STANFORD
Yes
(6)
UNIVERSITY HEALTHCARE ALLIANCE
855 OAK GROVE AVE SUITE 100
MENLO PARK
,
CA
94205
94-3192446
HEALTHCARE
CA
501(C)(3)
3
SHC
Yes
(7)
THE DUDLEY E CHAMBERS FOUNDATION
JP MORGAN CHASE PO BOX 3038
MILWAUKEE
,
WI
53201
38-6841793
SUPPORT
NY
501(C)(3)
11,TYPE III
STANFORD
Yes
(8)
STANFORD UNIVERSITY BOOK STORE
BLDG 60 MAIN QUAD NO 105
STANFORD
,
CA
94305
94-0894150
SUPPORT
CA
501(C)(3)
11, TYPE I
STANFORD
Yes
(9)
STANFORD SCHOOLS CORPORATION
475 POPE STREET
MENLO PARK
,
CA
94025
20-2699147
EDUCATIONAL
CA
501(C)(3)
2
STANFORD
Yes
(10)
PACKARD CHILDREN'S HEALTH ALLIANCE
725 WELCH ROAD MC5551
PALO ALTO
,
CA
94304
32-0359189
HEALTHCARE
CA
501(C)(3)
3
LPCH
Yes
(11)
STANFORD HABITAT CONSERVATION BOARD
3160 PORTER DR STE 200
PALO ALTO
,
CA
94304
46-1882243
CONSERVATION
CA
501(C)(3)
7
STANFORD
Yes
(12)
STANFORD FACULTY CLUB
PO BOX 7229
STANFORD
,
CA
94309
94-1187089
FAC INTERACT.
CA
501(C)(7)
N/A
STANFORD
Yes
(13)
STANFORD FEDERAL CREDIT UNION
1860 EMBARCADERO RD
PALO ALTO
,
CA
94303
94-1492212
CREDIT UNION
CA
501(C)(1)
N/A
STANFORD
Yes
(14)
THE HONG KONGSU CHARITABLE TRUST
1401 CAROLINE CENTER
28 PING ROAD
,
CAUSEWAY
HK
98-6078093
SUPPORT
HK
501(C)(3)
STANFORD
Yes
(15)
THE STANFORD TRUST
65 HIGH STREET
OXFORD
,
OX1 46L
UK
SUPPORT
UK
501(C)(3)
STANFORD
Yes
(16)
STANFORD PROGRAMME (CAPE TOWN) NPC
WAVERLY BUSINESS PARK BUILDING 11
CAPE TOWN
SF
EDUCATION
SF
501(C)(3)
STANFORD
Yes
(17)
UNIVERSITY HEALTHCARE ADVANTAGE
3220 BLUME DRIVE STE 260
RICHMOND
,
CA
948065741
46-4071746
SUPPORT
CA
501(C)(3)
11, TYPE I
SHC
Yes
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2013
Page 2
Schedule R (Form 990) 2013
Page
2
Part III
Identification of Related Organizations Taxable as a Partnership
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
(1)
ATWATER 12 LP
2001 ROSS AVE STE 1600
DALLAS
,
TX
75201
75-2944481
INVESTMENTS
DE
NA
(2)
AVENUE ASIA CAPITAL PARTNERS LP
399 Park Ave 6th Fl
NEW YORK
,
NY
10022
01-0553224
FOREIGN INV.
DE
NA
(3)
JER R E QUALIFIED PARTNERS EUROPE LP
7950 JONES BRANCH DR SUITE 220
MCLEAN
,
VA
22107
54-2029560
INVESTMENTS
DE
NA
(4)
LINCOLN COMMERCE PARK II LTD
PO BOX 1920
DALLAS
,
TX
75221
20-4681486
RE DEVELOPMEN
DE
NA
(5)
PARMENTER REALTY FUND II LP
1111 BRICKELL AVE STE 2910
MIAMI
,
FL
33131
20-0973616
INVESTMENTS
DE
NA
(6)
SANDPIPER FUND LP
2100 MCKINNEY AVE STE 1770
DALLAS
,
TX
98161
26-0341626
INVESTMENTS
TX
NA
(7)
SAROFIM MULTIFAMILY PARTNERS LP
8115 PRESTON RD STE 400
DALLAS
,
TX
75201
20-1929002
RE DEVELOPMEN
DE
NA
(8)
SKY HARBOR ASSOCIATES LP
PO BOX 1920
DALLAS
,
TX
75225
20-5803431
INVESTMENTS
DE
NA
(9)
STERLING STAMOS REAL ASSETS FUND (A) LP
450 PARK AVE 23RD FL
NEW YORK
,
NY
94025
20-3949682
INVESTMENTS
DE
NA
(10)
DEK PORTFOLIO LLC
C/O SPAULDING SLYE INV 1 PO S
BOSTON
,
MA
10022
04-3446765
INVESTMENTS
DE
NA
(11)
BROWN BARK I LP
PO BOX 1068
STAFFORD
,
TX
77497
72-1604614
INVESTMENTS
DE
NA
(12)
BROWN BARK II LP
PO BOX 1068
STAFFORD
,
TX
77497
20-8727391
INVESTMENTS
DE
NA
(13)
BROWN BARK III LP
PO BOX 1068
STAFFORD
,
TX
77497
26-1780743
INVESTMENTS
DE
NA
(14)
STANFORD PET-CT LLC
300 PASTEUR DRIVE M/C 5555
STANFORD
,
CA
94305
61-1423414
MED. DIAGNOST
CA
SHC
RELATED
5,308,375
9,724,890
No
0
No
50.000 %
(15)
LSF V DHB HOLDINGS LP
2711 N Haskell Ave Ste 1700
DALLAS
,
TX
75204
27-2858604
INVESTMENTS
DE
NA
(16)
SIC SNOWCREEK VIII LLC
635 KNIGHT WAY
STANFORD
,
CA
94305
27-5431605
RE DEVELOPMEN
CA
NA
(17)
SUMIT HOLDING INTERNATIONAL LLC
1400 PAGE MILL ROAD MC5713
PALO ALTO
,
CA
94305
26-3934706
HOLDING COMPA
DE
SHC
RELATED
-1,179,304
63,207,410
No
0
No
82.000 %
(18)
ARCOLA VENTURE LLC
C/O STANFORD MGMT CO 635 KNIGHT W
STANFORD
,
CA
94304
37-1689632
RE DEVELOPMEN
DE
NA
(19)
BLACKSTONE REP VII TE 7-NQ LP
C/O THE BLACKSTONE GROUP 345 PARK
NEW YORK
,
NY
943057297
90-0878802
INVESTMENTS
DE
NA
(20)
OUTLAWS CASINO LTD
3160 PORTER DR
PALO ALTO
,
CA
94304
84-1457498
HOLDING COMPA
CO
NA
(21)
STANFORD EMANUEL RAD ONCOLOGY
RADIOLOGY
CA
SHC
Related
1,713,313
2,483,080
No
0
No
60.000 %
(22)
PALO ALTO LP
OGIER HOUSE THE ESPLANADE
ST. HELIER
XC JE4 9WG
JE
FOREIGN INV.
JE
NA
(23)
FORTRESS IW COINVESTMENT (FUND B) LP
1345 AVE OF THE AMERICAS 23RD FL
NEW YORK
,
NY
10105
98-0509639
INVESTMENTS
CJ
NA
(24)
JER REAL ESTATE PARTNERS EUROPE II LP
CLARGES HOUSE 6-12 CLARGES ST
LONDON
,
EN
W1J 8AD
UK
INVESTMENTS
UK
NA
(25)
CEE EQUITY HOLDINGS LP
Elizabeth House 9 Castle St
St. Helier,
,
Je
JE4 2QP
JE
INVESTMENTS
JE
NA
(26)
ARCOLA RESIDENTIAL VENTURE LLC
REAL ESTATE
CA
NA
(27)
RESERVOIR RESOURCE PARTNERS TE
INVESTMENTS
NY
NA
(28)
STANFORD-STARTX FUND LLC
INVESTMENTS
DE
NA
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes
No
(1)
MARINER VOYAGER INTERNATIONAL LTD
C/O STUARTS CORP SVCS PO BOX 2510
GEORGE TOWN
CJ
INVESTMENTS
CJ
NA
C CORP
(2)
STANFORD SGGS EUROPE INC
UGLAND HOUSE S CHURCH ST
PO BOX 309GT, GEORGE TOWN
CJ
13-1684331
INVESTMENTS
CJ
NA
C CORP
(3)
BLACK RIVER EMEA INVESTORS FUND LTD
UGLAND HOUSE S CHURCH ST
GEORGE TOWN
CJ
98-0428006
INVESTMENTS
CJ
NA
C CORP
(4)
EAST SAIL
C/O INTL FS INC IFS COURT
TWENTYEIGHT, CYBERCITY, EBENE
MP
INVESTMENTS
MP
NA
C CORP
(5)
GAVEA INVESTMENT FUND II-C LP
PO BOX 896GT HARBOUR CENTRE
GEORGE TOWN
CJ
98-0537952
INVESTMENTS
CJ
NA
C CORP
(6)
JER ALBERTA LP
C/O JE ROBERT COS 1650 TYSON BLVD
MCLEAN
,
VA
22102
98-0423557
INVESTMENTS
CA
NA
C CORP
(7)
LS ALBERTA III LP
C/O JE ROBERT COS 1650 TYSON BLVD
MCLEAN
,
VA
22102
98-0493425
INVESTMENTS
CA
NA
C CORP
(8)
MARBLETON PROPERTY FUND (ALBERTA) LP
C/O JE ROBERT COMPANIES 1650 TYS
MCLEAN
,
VA
22102
98-0531893
INVESTMENTS
CA
NA
C CORP
(9)
CLAT (16)
CHARITABLE TR
CA
NA
TRUST
(10)
CRT (501)
CHARITABLE TR
CA
NA
TRUST
(11)
OTHER (7)
CHARITABLE TR
CA
NA
TRUST
(12)
PIF (79)
CHARITABLE TR
CA
NA
TRUST
(13)
ALPINE CHALET INC
PO BOX 9988
SOUTH LAKE TAHOE
,
CA
96158
94-1556099
SKI LODGE
CA
NA
C CORP
(14)
STANFORD (BEIJING) CNSLTNG CO LTD (WFOE)
5275TH FLBLDG CACADEMY SOUTH RD
HAIDAN DISTRICT
,
BEIJING
CH
EDUCATION
CH
NA
C CORP
(15)
STANFORD UNIV MED NETWORK RISK AUTHORITY
1400 PAGE MILL RD MSC 5713
PALO ALTO
,
CA
94304
46-1132002
RISK MGMT CON
CA
NA
C CORP
(16)
PROFESSIONAL EXCHANGE ASSURANCE COMPANY
201 merchant street suite 2400
honolulu
,
HI
96813
90-0897686
INSURANCE
HI
NA
C CORP
(17)
ARCOLA RES DEVELOPMENT CORP
C/O SMC 635 KNIGHT WAY
STANFORD
,
CA
943057297
80-0804754
INVESTMENT
DE
NA
C CORP
(18)
BREP VII ALBERTA FEEDER (OFFSHORE) TE7LP
C/O THE BLACKSTONE GROUP 345 PARK
NEW YORK
,
NY
10154
98-1066351
INVESTMENTS
CA
NA
C CORP
(19)
BREP VII ALBERTA FEEDER(OFFSHORE)TE7NQLP
C/O THE BLACKSTONE GROUP 345 PARK
NEW YORK
,
NY
10154
98-1066355
INVESTMENTS
CA
NA
C CORP
(20)
WOODBOURNE CANADA PARTNERS II -CAYMAN LP
98-0705321
INVESTMENTS
CJ
NA
C CORP
(21)
MBS AGENCY OFFSHORE FUND LTD
C/O WALKER SPV LTD 87 MARY ST
KY1-9002, GEORGE TOWN
,
GRAND CAYMAN
CJ
INVESTMENTS
CJ
NA
C CORP
(22)
WEST FACE ALTERNATIVE CREDIT CAYMAN LP
PO BOX 10008 WILLOW HOUSE
KY1-1001
,
GRAND CAYMAN
CJ
INVESTMENTS
CJ
NA
C CORP
(23)
MIDPOINT TECHNOLOGY PARK OWNERS ASSOC
3145 PORTER DRIVE
PALO ALTO
,
CA
94304
94-3287254
REAL ESTATE
CA
NA
C CORP
Schedule R (Form 990) 2013
Page 3
Schedule R (Form 990) 2013
Page
3
Part V
Transactions With Related Organizations
Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note.
Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1
During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a
Receipt of
(i)
interest,
(ii)
annuities,
(iii)
royalties, or
(iv)
rent from a controlled entity
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
1a
No
b
Gift, grant, or capital contribution to related organization(s)
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
.
1b
Yes
c
Gift, grant, or capital contribution from related organization(s)
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
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.
1c
No
d
Loans or loan guarantees to or for related organization(s)
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
.
.
1d
No
e
Loans or loan guarantees by related organization(s)
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
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.
.
.
.
.
.
1e
No
f
Dividends from related organization(s)
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
1f
g
Sale of assets to related organization(s)
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
.
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.
.
.
.
.
.
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.
.
.
.
.
.
.
.
1g
Yes
h
Purchase of assets from related organization(s)
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
1h
No
i
Exchange of assets with related organization(s)
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
1i
No
j
Lease of facilities, equipment, or other assets to related organization(s)
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
1j
Yes
k
Lease of facilities, equipment, or other assets from related organization(s)
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
1k
Yes
l
Performance of services or membership or fundraising solicitations for related organization(s)
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
1l
Yes
m
Performance of services or membership or fundraising solicitations by related organization(s)
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
1m
Yes
n
Sharing of facilities, equipment, mailing lists, or other assets with related organization(s)
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
1n
Yes
o
Sharing of paid employees with related organization(s)
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
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.
.
.
.
1o
Yes
p
Reimbursement paid to related organization(s) for expenses
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
1p
Yes
q
Reimbursement paid by related organization(s) for expenses
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
1q
Yes
r
Other transfer of cash or property to related organization(s)
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
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.
.
.
.
1r
Yes
s
Other transfer of cash or property from related organization(s)
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
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.
.
1s
Yes
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1)
SHI LLC
Q
7,597,370
BOOK
(2)
SEROC
P
249,929
BOOK
(3)
LPCH
K
68,097,665
FMV
(4)
LPCH
L
1,196,565
FMV
(5)
LPCH
M
6,488,082
FMV
(6)
LPCH
N
25,449,440
FMV
(7)
LPCH
O
578,782
BOOK
(8)
LPCH
P
9,266,102
BOOK
(9)
UNIVERSITY HEALTHCARE ALLIANCE
B
33,714,751
CASH
(10)
UNIVERSITY HEALTHCARE ALLIANCE
G
580,475
CASH
(11)
UNIVERSITY HEALTHCARE ALLIANCE
J
3,487,986
CASH
(12)
UNIVERSITY HEALTHCARE ALLIANCE
P & Q
3,808,020
COST
Schedule R (Form 990) 2013
Page 4
Schedule R (Form 990) 2013
Page
4
Part VI
Unrelated Organizations Taxable as a Partnership
Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)
(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income
(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
Yes
No
Schedule R (Form 990) 2013
Page 5
Schedule R (Form 990) 2013
Page
5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference
Explanation
SCHEDULE R, PART IV, LINE 2
CHARITABLE LEAD ANNUITY TRUSTS ARE PRINCIPALLY DOMICILED IN CALIFORNIA. SCHEDULE R, PART IV, LINE 3 CHARITABLE REMAINDER TRUSTS ARE PRINCIPALLY DOMICILED IN CALIFORNIA. SCHEDULE R, PART IV, LINE 4 OTHER TRUSTS ARE PRINCIPALLY DOMICILED IN CALIFORNIA. SCHEDULE R, PART IV, LINE 5 POOLED INVESTMENT FUNDS ARE PRINCIPALLY DOMICILED IN CALIFORNIA.
Schedule R (Form 990) 2013
Additional Data
Software ID:
Software Version: