efile Public Visual Render
ObjectId: 201543099349100429 - Submission: 2015-11-05
TIN: 20-3846597
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.
Information about Form 990-PF and its instructions is at
www.irs.gov/form990pf
.
OMB No. 1545-0052
20
14
Open to Public Inspection
For calendar year 2014, or tax year beginning
01-01-2014
, and ending
12-31-2014
Name of foundation
The Thiel Foundation
Number and street (or P.O. box number if mail is not delivered to street address)
One Letterman Dr Bldg C Ste 400
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
San Francisco
,
CA
94129
A Employer identification number
20-3846597
B
Telephone number (see instructions)
(415) 376-0356
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)
$
25,898,470
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)
467,617
2
Check
Sch. B
.............
3
Interest on savings and temporary cash investments
4
Dividends and interest from securities
...
255
255
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
3,549,924
b
Gross sales price for all assets on line 6a
12,688,661
7
Capital gain net income (from Part IV, line 2)
...
12,618,427
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)
.......
39,662
0
12
Total.
Add lines 1 through 11
........
4,057,458
12,618,682
13
Compensation of officers, directors, trustees, etc.
41,667
0
0
14
Other employee salaries and wages
......
735,135
194,201
388,401
15
Pension plans, employee benefits
.......
4,511
0
0
16a
Legal fees (attach schedule)
.........
75,777
0
52,503
b
Accounting fees (attach schedule)
.......
74,432
37,216
0
c
Other professional fees (attach schedule)
....
467,524
0
317,942
17
Interest
...............
18
Taxes (attach schedule) (see instructions)
...
293,557
0
0
19
Depreciation (attach schedule) and depletion
...
3,900
0
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
360,021
0
328,460
22
Printing and publications
..........
23
Other expenses (attach schedule)
.......
2,365,639
66,174
2,122,522
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
4,422,163
297,591
3,209,828
25
Contributions, gifts, grants paid
.......
7,774,293
7,964,804
26
Total expenses and disbursements.
Add lines 24 and 25
12,196,456
297,591
11,174,632
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
-8,138,998
b
Net investment income
(if negative, enter -0-)
12,321,091
c
Adjusted net income
(if negative, enter -0-)
...
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X
Form
990-PF
(2014)
Page 2
Form 990-PF (2014)
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
.............
15,494,218
16,768,582
16,768,582
2
Savings and temporary cash investments
.........
7,956
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
..............
9
Prepaid expenses and deferred charges
..........
90,870
2,500
2,500
10a
Investments—U.S. and state government obligations (attach schedule)
b
Investments—corporate stock (attach schedule)
.......
15,536,432
9,115,032
9,115,032
c
Investments—corporate bonds (attach schedule)
.......
11
Investments—land, buildings, and equipment: basis
Less: accumulated depreciation (attach schedule)
12
Investments—mortgage loans
.............
13
Investments—other (attach schedule)
..........
14
Land, buildings, and equipment: basis
22,074
Less: accumulated depreciation (attach schedule)
9,718
11,154
12,356
12,356
15
Other assets (describe
)
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
31,140,630
25,898,470
25,898,470
17
Accounts payable and accrued expenses
..........
153,133
356,077
18
Grants payable
..................
2,402,928
2,199,587
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
)
0
185,000
23
Total liabilities
(add lines 17 through 22)
.........
2,556,061
2,740,664
Foundations that follow SFAS 117, check here
and complete lines 24 through 26 and lines 30 and 31.
24
Unrestricted
..................
28,584,569
23,157,806
25
Temporarily restricted
...............
26
Permanently restricted
...............
Foundations that do not follow SFAS 117, check here
and complete lines 27 through 31.
27
Capital stock, trust principal, or current funds
........
28
Paid-in or capital surplus, or land, bldg., and equipment fund
29
Retained earnings, accumulated income, endowment, or other funds
30
Total net assets or fund balances
(see instructions)
.....
28,584,569
23,157,806
31
Total liabilities and net assets/fund balances
(see instructions)
.
31,140,630
25,898,470
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
28,584,569
2
Enter amount from Part I, line 27a
.....................
2
-8,138,998
3
Other increases not included in line 2 (itemize)
3
2,897,235
4
Add lines 1, 2, and 3
..........................
4
23,342,806
5
Decreases not included in line 2 (itemize)
5
185,000
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30
.
6
23,157,806
Form
990-PF
(2014)
Page 3
Form 990-PF (2014)
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
Corporate stock
D
2013-12-31
2014-12-30
b
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
12,688,661
70,234
12,618,427
b
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
12,618,427
b
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
12,618,427
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
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))
2013
7,871,712
20,197,046
0.389746
2012
11,012,414
2,235,441
4.926283
2011
5,731,259
3,245,418
1.765954
2010
5,205,651
5,669,411
0.918200
2009
2,338,891
1,076,700
2.172277
2
Total
of line 1, column (d)
.....................
2
10.172460
3
Average distribution ratio for the 5-year base period—divide the total on line 2 by 5, or by
the number of years the foundation has been in existence if less than 5 years
.
.
.
3
2.034492
4
Enter the net value of noncharitable-use assets for 2014 from Part X, line 5
.....
4
28,057,990
5
Multiply line 4 by line 3
......................
5
57,083,756
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
123,211
7
Add lines 5 and 6
........................
7
57,206,967
8
Enter qualifying distributions from Part XII, line 4
.............
8
11,174,632
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
(2014)
Page 4
Form 990-PF (2014)
Page
4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see page 18 of the instructions)
1a
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
246,422
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
0
3
Add lines 1 and 2
...........................
3
246,422
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
246,422
6
Credits/Payments:
a
2014 estimated tax payments and 2013 overpayment credited to 2014
6a
260,000
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
260,000
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
4,112
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
9,466
11
Enter the amount of line 10 to be:
Credited to 2015 estimated tax
9,466
Refunded
11
0
Part VII-A
Statements Regarding Activities
1a
During the tax year, did the foundation attempt to influence any national, state, or local legislation or did
Yes
No
it participate or intervene in any political campaign?
....................
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.
$
0
(2)
On foundation managers.
$
0
e
Enter the reimbursement (if any) paid by the foundation during the year for political expenditure tax imposed
on foundation managers.
$
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)
CA
,
DE
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 2014 or the taxable year beginning in 2014 (see instructions for Part XIV)?
If "Yes," complete Part XIV
.............................
9
No
10
Did any persons become substantial contributors during the tax year?
If "Yes," attach a schedule listing their names
and addresses.
...............................
10
No
Form
990-PF
(2014)
Page 5
Form 990-PF (2014)
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
www.thielfoundation.org
14
The books are in care of
The Organization
Telephone no.
(415) 376-0356
Located at
1 Letterman Drive Bldg C Ste 400
San Francisco
CA
ZIP+4
94129
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 2014, 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 instructions for exceptions and filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR). If "Yes", enter the name of the foreign country
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
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 2014?
.............
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 2014, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2014?
.............
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 2014 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 2014.)
..................
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 2014?
4b
No
Form
990-PF
(2014)
Page 6
Form 990-PF (2014)
Page
6
5a
During the year did the foundation pay or incur any amount to:
(1)
Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
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
No
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
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
Peter Thiel
Chairman of the Board
2.00
0
0
0
1 Letterman Drive Bldg C Suite 400
San Francisco
,
CA
94129
Mathew Alexander
Treasurer/Secretary
1.00
0
0
0
1 Letterman Drive Bldg C Suite 400
San Francisco
,
CA
94129
Jonathan Cain
President
20.00
0
0
0
1 Letterman Drive Bldg C Suite 400
San Francisco
,
CA
94129
Ajay Royan
Director
1.00
0
0
0
1 Letterman Drive Bldg C Suite 400
San Francisco
,
CA
94129
James O'Neill
Director
1.00
0
0
0
1 Letterman Drive Bldg C Suite 400
San Francisco
,
CA
94129
Alana Ackerson
CEO
40.00
41,667
0
0
1 Letterman Drive Bldg C Suite 400
San Francisco
,
CA
94129
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
Lynn M Fishburne
Senior Vice Presiden
40.00
358,000
0
0
1 Letterman Drive Bldg C Suite 400
San Francisco
,
CA
94129
Hemai Parthasarathy
Scientific Director
40.00
195,800
0
0
1 Letterman Drive Bldg C Suite 400
San Francisco
,
CA
94129
James Kaltrieder
Research Analysis &
40.00
100,000
0
0
1 Letterman Drive Bldg C Suite 400
San Francisco
,
CA
94129
Total
number of other employees paid over $50,000
...................
0
Form
990-PF
(2014)
Page 7
Form 990-PF (2014)
Page
7
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
Torch Communications
Media consulting
381,330
9 Lafayette st 9
San Francisco
,
CA
94103
JDB
General Consulting
191,682
314 Lytton Ave
Palo Alto
,
CA
94301
Danielle Lynn Strachman
Consulting - 20under20 program managment
174,363
840 Williams way 1
Mountain View
,
CA
94040
Bohdanna Kesala
Consulting - Events Coordinator
154,675
533 Jersey St
San Francisco
,
CA
94114
Michelle Kim-Danley
Consulting - Breakout labs progam coordinator
147,125
2040 Broadway Street 201
San Francisco
,
CA
94115
Total
number of others receiving over $50,000 for professional services
.............
0
Part IX-A
Summary of Direct Charitable Activities
List the foundation’s four largest direct charitable activities during the tax year. Include relevant statistical information such as the number of organizations and other beneficiaries served, conferences convened, research papers produced, etc.
Expenses
1
2
3
4
Part IX-B
Summary of Program-Related Investments
(see instructions)
Describe the two largest program-related investments made by the foundation during the tax year on lines 1 and 2.
Amount
1
2
All other program-related investments. See instructions.
3
Total.
Add lines 1 through 3
.........................
0
Form
990-PF
(2014)
Page 8
Form 990-PF (2014)
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
19,901,940
b
Average of monthly cash balances
.......................
1b
8,583,329
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
28,485,269
e
Reduction claimed for blockage or other factors reported on lines 1a and
1c (attach detailed explanation)
.............
1e
0
2
Acquisition indebtedness applicable to line 1 assets
..................
2
0
3
Subtract line 2 from line 1d
.........................
3
28,485,269
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
427,279
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
28,057,990
6
Minimum investment return.
Enter 5% of line 5
..................
6
1,402,900
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
1,402,900
2a
Tax on investment income for 2014 from Part VI, line 5
......
2a
246,422
b
Income tax for 2014. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
246,422
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
1,156,478
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
1,156,478
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
1,156,478
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
11,174,632
b
Program-related investments—total from Part IX-B
..................
1b
0
2
Amounts paid to acquire assets used (or held for use) directly in carrying out charitable, etc.,
purposes
...............................
2
3
Amounts set aside for specific charitable projects that satisfy the:
a
Suitability test (prior IRS approval required)
....................
3a
b
Cash distribution test (attach the required schedule)
.................
3b
4
Qualifying distributions.
Add lines 1a through 3b. Enter here and on Part V, line 8, and Part XIII, line 4
4
11,174,632
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
11,174,632
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
(2014)
Page 9
Form 990-PF (2014)
Page
9
Part XIII
Undistributed Income
(see instructions)
(a)
Corpus
(b)
Years prior to 2013
(c)
2013
(d)
2014
1
Distributable amount for 2014 from Part XI, line 7
1,156,478
2
Undistributed income, if any, as of the end of 2014:
a
Enter amount for 2013 only
.......
0
b
Total for prior years:
20
,
20
,
20
0
3
Excess distributions carryover, if any, to 2014:
a
From 2009
......
2,285,225
b
From 2010
......
5,113,448
c
From 2011
......
5,569,452
d
From 2012
......
10,900,646
e
From 2013
......
6,861,860
f
Total
of lines 3a through e
........
30,730,631
4
Qualifying distributions for 2014 from Part
XII, line 4:
$
11,174,632
a
Applied to 2013, 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 2014 distributable amount
.....
1,156,478
e
Remaining amount distributed out of corpus
10,018,154
5
Excess distributions carryover applied to 2014.
0
0
(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
40,748,785
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 2013. Subtract line
4a from line 2a. Taxable amount—see
instructions
.............
0
f
Undistributed income for 2014. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2015
..........
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 2009 not
applied on line 5 or line 7 (see instructions)
...
2,285,225
9
Excess distributions carryover to 2015.
Subtract lines 7 and 8 from line 6a
......
38,463,560
10
Analysis of line 9:
a
Excess from 2010
....
5,113,448
b
Excess from 2011
....
5,569,452
c
Excess from 2012
....
10,900,646
d
Excess from 2013
....
6,861,860
e
Excess from 2014
....
10,018,154
Form
990-PF
(2014)
Page 10
Form 990-PF (2014)
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 2014, 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)
2014
(b)
2013
(c)
2012
(d)
2011
b
85% of line 2a
.........
c
Qualifying distributions from Part XII,
line 4 for each year listed
.....
d
Amounts included in line 2c not used directly
for active conduct of exempt activities
..........
e
Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c
....
3
Complete 3a, b, or c for the
alternative test relied upon:
a
“Assets" alternative test—enter:
(1)
Value of all assets
......
(2)
Value of assets qualifying
under section 4942(j)(3)(B)(i)
b
“Endowment" alternative test— enter 2/3
of minimum investment return shown in
Part X, line 6 for each year listed
...
c
“Support" alternative test—enter:
(1)
Total support other than gross
investment income (interest,
dividends, rents, payments
on securities loans (section
512(a)(5)), or royalties)
....
(2)
Support from general public
and 5 or more exempt
organizations as provided in
section 4942(j)(3)(B)(iii)
....
(3)
Largest amount of support
from an exempt organization
(4)
Gross investment income
Part XV
Supplementary Information (Complete this part only if the organization had $5,000 or more in
assets at any time during the year—see instructions.)
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. (see instructions) to individuals or organizations under
other conditions, complete items 2a, b, c, and d.
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
(2014)
Page 11
Form 990-PF (2014)
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
San Francisco Foundation
One Embarcadero Center Suite 1400
San Francisco
,
CA
94111
None
501(C)(3)
Thiel Foundation General Grant
697,400
SENS Foundation
110 Pioneer Way Suite J
Mountain View
,
CA
94041
Jonathan Cain, executive Director on Board of Directors of SENS Foundat
501(C)(3)
Thiel Foundation General Grant
600,000
Newbigin House of Studies
1388 Sutter St Ste 412
San Francisco
,
CA
94109
None
501(C)(3)
Thiel Foundation General Grant
500,000
Leverage Research Inc
6078 Fairiane Dr
Oakland
,
CA
94611
None
501(C)(3)
Thiel Foundation General Grant
400,000
Cortexyme Inc
1609 Kirkham St
San Francisco
,
CA
94122
None
C Corp
Breakout Labs Grant
350,000
EpiBone Inc
666 Fith Ave 30th Floor
New York
,
NY
10103
None
C Corp
Breakout Labs Grant
350,000
G-Tech
Fogarty Institute for Innovation
2490 Hospital Drive ste 310
Mountain View
,
CA
94040
None
C Crop
Breakout Labs Grant
350,000
Helen Whitney Productions LLC
59 Bank Street Apt 6
New York
,
NY
10014
None
LLC
Thiel Foundation General Grant
350,000
Machine Intelligence Research Institute
2030 Addison St 300
Berkeley
,
CA
94704
None
501(c)3
Thiel Foundation General Grant
250,000
The Seasteading Institute
330 2nd Street 302
Oakland
,
CA
94607
None
501(C)(3)
Thiel Foundation General Grant
216,983
Stealth Biosciences
655 12th Ave
Menlo Park
,
CA
94025
None
C Corp
Breakout Labs Grant
216,000
3X Bio
4 Whitney Court
Menlo Park
,
CA
94025
None
C Corp
Breakout Labs Grant
200,000
Human Rights Foundation
350 Fifth Avenue 4515
New York
,
NY
10118
None
501(C)(3)
Thiel Foundation General Grant
200,000
Association Recherches Mimetique
42 rue Diderot 93100
Montreuil
,
Pas-de-Calais
FR
None
Foreign entity Nonpr
Imitatio Grant
152,983
Pareto Biotecnologies Inc
1465 65th St Ste 356
Emeryville
,
CA
94608
None
C Corp
Breakout Labs Grant
150,000
Ayn Rand Institute
2121 Alton Parkway Ste 250
Irvine
,
CA
92606
None
501(C)(3)
Thiel Foundation General Grant
100,000
Hudson Institute
1015 15th Street NW Suite 600
Washington
,
DC
20005
None
501(C)(3)
Thiel Foundation General Grant
100,000
Methusaleh Foundation
8021 Flint Street
Springfield
,
VA
22153
None
501(C)(3)
Thiel Foundation General Grant
100,000
James Alison
Av Dr Vieira de Carvalho 141 108
Sao Paulo SP
,
Sao Paulo
BR
None
Individual
Imitatio Grant
95,000
Benoit Chantre
42 RUE Diderot
Montreuil
,
Pas-de-Calais
FR
None
Individual
Imitatio Grant
80,000
Mark Anspach
Interno 6 Via Goito 8
Bologna
,
Bologna
IT
None
Individual
Imitatio Grant
55,000
Madison Thea Maxey
311 Troutman St Unit 1L
Brooklyn
,
NY
11237
None
Individual
20u20 Fellowship Grant
54,167
Thomas R Sohmers
216 Park Lane
Atherton
,
CA
94027
None
Individual
20u20 Fellowship Grant
54,167
Mark Daniel
2130 Post St 303
San Francisco
,
CA
94115
None
Individual
20u20 Fellowship Grant
53,704
Acton Institute
161 Ottawa Avenue NW Suite 301
Grand Rapids
,
MI
49503
None
501(C)(3)
Thiel Foundation General Grant
50,000
Andrew Brackin
139 Magnolia Ave
Milbrae
,
CA
94030
None
Individual
20u20 Fellowship Grant
50,000
Christopher T Walker
4302 Stanford St
Chery Chase
,
MD
20815
None
Individual
20u20 Fellowship Grant
50,000
Delian Asparouhov
1864 Fell Street
San Francisco
,
CA
94117
None
Individual
20u20 Fellowship Grant
50,000
Gary Le
5 Lucha Court
East Brunswick
,
NJ
08816
None
Individual
20u20 Fellowship Grant
50,000
James Schuler
483 Bedford Road
Armonk
,
NY
10504
None
Individual
20u20 Fellowship Grant
50,000
Laura T Ball
714 Honey Creek Pkwy
Wauwatosa
,
WI
52313
None
Individual
20u20 Fellowship Grant
50,000
Nicklaus Liow
8728 SW Marine Drive Suite 106
Vancouver
,
British Columbia
V6P6A4
CA
None
Individual
20u20 Fellowship Grant
50,000
Riley Ennis
8027 Georgetown Pike
Mc Lean
,
VA
22102
None
Individual
20u20 Fellowship Grant
50,000
Riley Susan Drake
800 Haterleigh Road
Baltimore
,
MD
21212
None
Individual
20u20 Fellowship Grant
50,000
William C LeGate
660 Gunby Road
Marietta
,
GA
30067
None
Individual
20u20 Fellowship Grant
50,000
Zachary Hamed
3 Camille Lane
Holbrook
,
NY
11741
None
Individual
20u20 Fellowship Grant
50,000
Tara Seshan
6 Pine Ridge Rd
Wilton
,
CT
06897
None
Individual
20u20 Fellowship Grant
46,833
Darren Lim
Bukit Batok E Ave 3 Blk 287 23-403
Singapore
,
Singapore
SN
None
Individual
20u20 Fellowship Grant
45,833
Diwank Tomer
437/2 Bahra Saudager East Lucknow
Road
Hardoi
,
Hardoi
IN
None
Individual
20u20 Fellowship Grant
45,833
Nelson Zhang
2525 Le Conte Ave Apt 7
Berkeley
,
CA
94709
None
Individual
20u20 Fellowship Grant
45,833
Xinyi Chen
4072 First Center
Princeton
,
NJ
08544
None
Individual
20u20 Fellowship Grant
45,730
Kevin Wang
555 Ygnacio Valley Road
Walnut Creek
,
CA
94596
None
Individual
20u20 Fellowship Grant
41,667
Cornerstone Forum
PO Box 9249
Santa Rosa
,
CA
95405
None
501(C)(3)
Imitatio Grant
40,000
Jean Pierre Dupuy
2 square de Port Royal
Paris
,
Ile de France
FR
None
Individual
Imitatio Grant
40,000
Preaching Peace
942 Bentley Ridge Blvd
Lancaster
,
PA
17602
None
501(C)(3)
Imitatio Grant
40,000
William Johnsen
1042 Lakeside Drive SE
East Grand Rapids
,
MI
49506
None
Individual
Imitatio Grant
40,000
Ritesh Agarwal
310 Arcon Retreat Patia Square
Bhubanes Hwar
,
Orissa
IN
None
Individual
20u20 Fellowship Grant
38,958
All Saints Anglican Church Ainslir
Ainsile Canberra ACT 2602 PO Box
328
Dickson
,
Canberra
AS
None
501(C)(3)
Imitatio Grant
113,000
Omar Rizwan
10 Hillside Drive
East Hanover
,
NJ
07936
None
Individual
20u20 Fellowship Grant
37,500
Jarred Sumner
1069 Oakhill Road
Lafayette
,
CA
94549
None
Individual
20u20 Fellowship Grant
37,037
Lucy Guo
1233 Via Di Salerno
Pleasanton
,
CA
94566
None
Individual
20u20 Fellowship Grant
37,037
MC McGrath
1522 9th St
Oakland
,
CA
94607
None
Individual
20u20 Fellowship Grant
33,333
Austin K Russel
91979 Port Trinity Cir
Newport Beach
,
CA
92660
None
Individual
20u20 Fellowship Grant
29,722
Anand Gupta
765 San Antonio Rd 61
Palo Alto
,
CA
94303
None
Individual
20u20 Fellowship Grant
29,167
Taylor R Wilson
2385 Manzanita Ln
Reno
,
NV
89509
None
Individual
20u20 Fellowship Grant
29,167
Tony Ho
1398 Bing Dr
San Jose
,
CA
95129
None
Individual
20u20 Fellowship Grant
29,167
Adam Munich
2705 Ridge Road
Berkeley
,
CA
94709
None
Individual
20u20 Fellowship Grant
29,167
Adithya Chandrasekaran Ganesh
629 Ashley Place
Murphy
,
TX
75094
None
Individual
20u20 Fellowship Grant
29,167
Alexander Koren
132A Langton Street
San Francisco
,
CA
94103
None
Individual
20u20 Fellowship Grant
29,167
Ari Weinstein
2211 Mission St Unit B
San Francisco
,
CA
94110
None
Individual
20u20 Fellowship Grant
29,167
Benjamin Englard
20350 W Country Club Dr 4-110
Aventura
,
FL
33180
None
Individual
20u20 Fellowship Grant
29,167
Conrad Kramer
2211 Mission St Unit B
San Francisco
,
CA
94110
None
Individual
20u20 Fellowship Grant
29,167
Fouad Matin
2211 Mission St Unit B
San Francisco
,
CA
94110
None
Individual
20u20 Fellowship Grant
29,167
Ishaan Gulrajani
1864 Fell Street
San Francisco
,
CA
94117
None
Individual
20u20 Fellowship Grant
29,167
Kaushik Tiwari
97/5 Krishna Nagar Safdarjung
Enclave
New Delhi
,
New Delhi
IN
None
Individual
20u20 Fellowship Grant
29,167
Martin Dimov Stoyanov
8 Vasil Aprilov Street
Novi Pazar
,
Shumen
BU
None
Individual
20u20 Fellowship Grant
29,167
Rebecca Jolitz
22570 Citation Dr
Lost Gatos
,
CA
95033
None
Individual
20u20 Fellowship Grant
29,167
Thomas Arthur Hunt
13435 Ward Way Street
Saratoga
,
CA
95070
None
Individual
20u20 Fellowship Grant
29,167
Vitalik Buterin
347 Deloraine Ave
Toronto
,
Ontario
M5M2B7
CA
None
Individual
20u20 Fellowship Grant
29,167
Charles Clayton Allsopp
750 Loma Verde Ave
Palo Alto
,
CA
94303
None
Individual
20u20 Fellowship Grant
25,000
Christopher Olah
211 St Patrick Street PH4C
Toronto
,
Ontario
CA
None
Individual
20u20 Fellowship Grant
25,000
Dylan Field
4425 Acacia Way
Penngrove
,
CA
94928
None
Individual
20u20 Fellowship Grant
25,000
James Koppel
2117 Hillsgate Court
St Louis
,
MO
63146
None
Individual
20u20 Fellowship Grant
25,000
Noor Siddiqui
7501 Evans Ford Rd
Clifton
,
VA
20124
None
Individual
20u20 Fellowship Grant
25,000
Ameican Friends of Bildeberg
2099 Pennsylvania Ave
Washington
,
DC
20006
None
501(C)(3)
Thiel Foundation General Grant
25,000
Raven Foundation
2624 Patriot Blvd
Glenview
,
IL
60026
None
501(C)(3)
Imitatio Grant
25,000
Catherine Ray
5820 Merriewood Drive
Oakland
,
CA
94611
None
Individual
20u20 Fellowship Grant
24,667
Kettner Griswold Jr
8308 Carderock Dr
Bethesda
,
MD
20817
None
Individual
20u20 Fellowship Grant
20,834
Charlie Stigler
418 Arbramar Ave
Pacific Palisades
,
CA
90272
None
Individual
20u20 Fellowship Grant
20,833
Connor Zwick
537 Garden Prairie
Waukesha
,
WI
53186
None
Individual
20u20 Fellowship Grant
20,833
Ilya Vakhutinsky
9-15 Elaine Ter
Fair Lawn
,
NJ
07410
None
Individual
20u20 Fellowship Grant
20,833
Paul Sebexen
861 N Rengstorff Ave
Mountain View
,
CA
94043
None
Individual
20u20 Fellowship Grant
20,833
Ritik Malhotra
1170 Johnson Ave
San Jose
,
CA
95129
None
Individual
20u20 Fellowship Grant
20,833
Spencer Hewett
603 Winsford Rd
Bryn Mawr
,
PA
19010
None
Individual
20u20 Fellowship Grant
20,833
Theology & Peace
1307 W Church Street
Elmira
,
NY
14905
None
501(C)(3)
Imitatio Grant
17,000
Yoonseo Kang
909 SW Willow Road
Maysville
,
MO
54469
None
Individual
20u20 Fellowship Grant
16,667
Ryan David Lelek
1300 Irving Street Apt 2
San Francisco
,
CA
94122
None
Individual
20u20 Fellowship Grant
12,767
Eliana Lorch
1150 Masonic Ave
San Francisco
,
CA
94117
None
Individual
20u20 Fellowship Grant
12,500
Daniel Zulla
28 2nd St Floor 23
San Francisco
,
CA
94105
None
Individual
20u20 Fellowship Grant
11,479
Australian Girard Seminar
250 Victoria Parade
Melbourne
,
Victoria
AS
None
Unincorporated Assoc
Imitatio Grant
10,000
Friends of St Andrew's
23 South Hill Drive
Essex
,
VT
05452
None
501(C)(3)
Imitatio Grant
9,000
Shantanu Bala
7280 W Electra Lane
Peoria
,
AZ
85383
None
Individual
20u20 Fellowship Grant
8,333
Colloquium on Violence & Religion
1415 Madison Ave
Memphis
,
TN
38104
None
501(C)(3)
Imitatio Grant
8,000
Joel Prickett
2045 Commonwealth Ave Apt 45
Brighton
,
MA
02135
None
Individual
Thiel Foundation General Grant
5,000
Grace Gee
10495 NE 4th Street Apt N208
Bellevue
,
WA
98004
None
Individual
20u20 Fellowship Grant
4,167
Michael Kirwan
51 Horspord Rd
London
,
London
UK
None
Individual
Imitatio Grant
4,000
Total
.................................
3a
7,964,804
b
Approved for future payment
Total
.................................
3b
0
Form
990-PF
(2014)
Page 12
Form 990-PF (2014)
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
...........
4
Dividends and interest from securities
....
14
255
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
............
18
3,549,924
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
..
11
Other revenue:
a
Program fees
03
39,406
b
Miscellaneous income
03
256
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
0
3,589,841
0
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
3,589,841
(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.)
Form
990-PF
(2014)
Page 13
Form 990-PF (2014)
Page
13
Part XVII
Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
1
Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) of the Code (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
Yes
No
a
Transfers from the reporting foundation to a noncharitable exempt organization of:
(1)
Cash
...................................
1a(1)
No
(2)
Other assets
.................................
1a(2)
No
b
Other transactions:
(1)
Sales of assets to a noncharitable exempt organization
....................
1b(1)
No
(2)
Purchases of assets from a noncharitable exempt organization
..................
1b(2)
No
(3)
Rental of facilities, equipment, or other assets
.......................
1b(3)
No
(4)
Reimbursement arrangements
...........................
1b(4)
No
(5)
Loans or loan guarantees
.............................
1b(5)
No
(6)
Performance of services or membership or fundraising solicitations
................
1b(6)
No
c
Sharing of facilities, equipment, mailing lists, other assets, or paid employees
..............
1c
No
d
If the answer to any of the above is "Yes," complete the following schedule. Column
(b)
should always show the fair market value
of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
in any transaction or sharing arrangement, show in column
(d)
the value of the goods, other assets, or services received.
(a)
Line No.
(b)
Amount involved
(c)
Name of noncharitable exempt organization
(d)
Description of transfers, transactions, and sharing arrangements
2a
Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
described in section 501(c) of the Code (other than section 501(c)(3)) or in section 527?
...........
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.
2015-11-05
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
P01023106
Firm's name
MKR ACCOUNTING
Firm's EIN
Firm's address
6927 Saroni Drive
Oakland
,
CA
94611
Phone no.
(510) 338-0692
Form
990-PF
(2014)
Additional Data
Software ID:
Software Version:
Form 990PF - Special Condition Description:
Special Condition Description