efile Public Visual Render
ObjectId: 201931919349100108 - Submission: 2019-07-10
TIN: 68-0299542
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
18
Open to Public Inspection
For calendar year 2018, or tax year beginning
01-01-2018
, and ending
12-31-2018
Name of foundation
BILL & SUSAN OBERNDORF FOUNDATION
Number and street (or P.O. box number if mail is not delivered to street address)
615 FRONT STREET
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
SAN FRANCISCO
,
CA
94111
A Employer identification number
68-0299542
B
Telephone number (see instructions)
(415) 500-6900
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)
$
62,115,835
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)
6,476,381
2
Check
.............
3
Interest on savings and temporary cash investments
113
113
113
4
Dividends and interest from securities
...
1,472,929
1,472,929
1,472,929
5a
Gross rents
............
b
Net rental income or (loss)
6a
Net gain or (loss) from sale of assets not on line 10
14,588,647
b
Gross sales price for all assets on line 6a
14,594,969
7
Capital gain net income (from Part IV, line 2)
...
14,588,647
8
Net short-term capital gain
.........
9
Income modifications
...........
10a
Gross sales less returns and allowances
b
Less: Cost of goods sold
....
c
Gross profit or (loss) (attach schedule)
.....
11
Other income (attach schedule)
.......
12
Total.
Add lines 1 through 11
........
22,538,070
16,061,689
1,473,042
13
Compensation of officers, directors, trustees, etc.
0
0
0
0
14
Other employee salaries and wages
......
15
Pension plans, employee benefits
.......
16a
Legal fees (attach schedule)
.........
5,100
2,550
0
2,550
b
Accounting fees (attach schedule)
.......
21,458
10,729
0
10,729
c
Other professional fees (attach schedule)
....
100,000
50,000
0
50,000
17
Interest
...............
21,492
21,492
0
0
18
Taxes (attach schedule) (see instructions)
...
192,146
0
0
0
19
Depreciation (attach schedule) and depletion
...
20
Occupancy
..............
21
Travel, conferences, and meetings
.......
22
Printing and publications
..........
23
Other expenses (attach schedule)
.......
4,451
4,304
0
148
24
Total operating and administrative expenses.
Add lines 13 through 23
..........
344,647
89,075
0
63,427
25
Contributions, gifts, grants paid
.......
14,797,517
14,797,517
26
Total expenses and disbursements.
Add lines 24 and 25
15,142,164
89,075
0
14,860,944
27
Subtract line 26 from line 12:
a
Excess of revenue over expenses and disbursements
7,395,906
b
Net investment income
(if negative, enter -0-)
15,972,614
c
Adjusted net income
(if negative, enter -0-)
...
1,473,042
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 11289X
Form
990-PF
(2018)
Page 2
Form 990-PF (2018)
Page
2
Part II
Balance Sheets
Attached schedules and amounts in the description column
should be for end-of-year amounts only. (See instructions.)
Beginning of year
End of year
(a)
Book Value
(b)
Book Value
(c)
Fair Market Value
1
Cash—non-interest-bearing
.............
5,901,543
22,921,229
22,921,229
2
Savings and temporary cash investments
.........
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
..........
153,360
231,360
231,360
10a
Investments—U.S. and state government obligations (attach schedule)
b
Investments—corporate stock (attach schedule)
.......
63,342,521
49,051,094
38,963,246
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
Less: accumulated depreciation (attach schedule)
15
Other assets (describe
)
16
Total assets
(to be completed by all filers—see the
instructions. Also, see page 1, item I)
69,397,424
72,203,683
62,115,835
17
Accounts payable and accrued expenses
..........
18
Grants payable
.................
19
Deferred revenue
.................
20
Loans from officers, directors, trustees, and other disqualified persons
21
Mortgages and other notes payable (attach schedule)
......
22
Other liabilities (describe
)
23
Total liabilities
(add lines 17 through 22)
.........
0
0
Foundations that follow SFAS 117, check here
and complete lines 24 through 26 and lines 30 and 31.
24
Unrestricted
..................
25
Temporarily restricted
...............
26
Permanently restricted
...............
Foundations that do not follow SFAS 117, check here
and complete lines 27 through 31.
27
Capital stock, trust principal, or current funds
........
0
0
28
Paid-in or capital surplus, or land, bldg., and equipment fund
0
0
29
Retained earnings, accumulated income, endowment, or other funds
69,397,424
72,203,683
30
Total net assets or fund balances
(see instructions)
.....
69,397,424
72,203,683
31
Total liabilities and net assets/fund balances
(see instructions)
.
69,397,424
72,203,683
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
69,397,424
2
Enter amount from Part I, line 27a
.....................
2
7,395,906
3
Other increases not included in line 2 (itemize)
3
0
4
Add lines 1, 2, and 3
..........................
4
76,793,330
5
Decreases not included in line 2 (itemize)
5
4,589,647
6
Total net assets or fund balances at end of year (line 4 minus line 5)—Part II, column (b), line 30
.
6
72,203,683
Form
990-PF
(2018)
Page 3
Form 990-PF (2018)
Page
3
Part IV
Capital Gains and Losses for Tax on Investment Income
(a)
List and describe the kind(s) of property sold (e.g., real estate,
2-story brick warehouse; or common stock, 200 shs. MLC Co.)
(b)
How acquired
P—Purchase
D—Donation
(c)
Date acquired
(mo., day, yr.)
(d)
Date sold
(mo., day, yr.)
1 a
FX GAINS & LOSSES
P
b
NORTHERN TRUST #40040
P
c
d
e
(e)
Gross sales price
(f)
Depreciation allowed
(or allowable)
(g)
Cost or other basis
plus expense of sale
(h)
Gain or (loss)
(e) plus (f) minus (g)
a
6,322
-6,322
b
14,594,969
14,594,969
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
-6,322
b
14,594,969
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
14,588,647
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
0
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))
2017
17,413,963
77,686,585
0.224157
2016
16,953,420
69,568,215
0.243695
2015
13,090,727
71,282,208
0.183646
2014
10,169,083
73,266,570
0.138796
2013
7,865,229
58,858,262
0.133630
2
Total
of line 1, column (d)
.....................
2
0.923924
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
0.184785
4
Enter the net value of noncharitable-use assets for 2018 from Part X, line 5
......
4
74,360,016
5
Multiply line 4 by line 3
......................
5
13,740,616
6
Enter 1% of net investment income (1% of Part I, line 27b)
...........
6
159,726
7
Add lines 5 and 6
........................
7
13,900,342
8
Enter qualifying distributions from Part XII, line 4
,.............
8
14,860,944
If line 8 is equal to or greater than line 7, check the box in Part VI, line 1b, and complete that part using a 1% tax rate. See the Part VI instructions.
Form
990-PF
(2018)
Page 4
Form 990-PF (2018)
Page
4
Part VI
Excise Tax Based on Investment Income (Section 4940(a), 4940(b), 4940(e), or 4948—see instructions)
1a
Exempt operating foundations described in section 4940(d)(2), check here
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
159,726
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
159,726
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
159,726
6
Credits/Payments:
a
2018 estimated tax payments and 2017 overpayment credited to 2018
6a
231,360
b
Exempt foreign organizations—tax withheld at source
......
6b
c
Tax paid with application for extension of time to file (Form 8868)
...
6c
0
d
Backup withholding erroneously withheld
...........
6d
0
7
Total credits and payments. Add lines 6a through 6d
..............
7
231,360
8
Enter any
penalty
for underpayment of estimated tax.
Check here
if Form 2220 is attached.
8
0
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
71,634
11
Enter the amount of line 10 to be:
Credited to 2019 estimated tax
71,634
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
b
If the answer is "Yes" to line 7, has the foundation furnished a copy of Form 990-PF to the Attorney
General (or designate) of each state as required by General Instruction G?
If "No," attach explanation
.
8b
Yes
9
Is the foundation claiming status as a private operating foundation within the meaning of section 4942(j)(3)
or 4942(j)(5) for calendar year 2018 or the taxable year beginning in 2018? See the instructions for Part XIV.
If "Yes," complete Part XIV
.............................
9
No
10
Did any persons become substantial contributors during the tax year?
If "Yes," attach a schedule listing their names
and addresses.
...............................
10
No
Form
990-PF
(2018)
Page 5
Form 990-PF (2018)
Page
5
Part VII-A
Statements Regarding Activities
(continued)
11
At any time during the year, did the foundation, directly or indirectly, own a controlled entity within the
meaning of section 512(b)(13)? If "Yes," attach schedule. See instructions
.............
11
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
Yes
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
SUSAN C OBERNDORF
Telephone no.
(415) 500-6900
Located at
615 FRONT STREET
SAN FRANCISCO
CA
ZIP+4
94111
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 2018, 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
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 2018?
.............
1c
No
2
Taxes on failure to distribute income (section 4942) (does not apply for years the foundation was a private
operating foundation defined in section 4942(j)(3) or 4942(j)(5)):
a
At the end of tax year 2018, did the foundation have any undistributed income (lines 6d
and 6e, Part XIII) for tax year(s) beginning before 2018?
.............
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 2018 as a result of
(1)
any purchase by the foundation
or disqualified persons after May 26, 1969;
(2)
the lapse of the 5-year period (or longer period approved
by the Commissioner under section 4943(c)(7)) to dispose of holdings acquired by gift or bequest; or
(3)
the lapse of the 10-, 15-, or 20-year first phase holding period?
(Use Schedule C, Form 4720, to determine
if the foundation had excess business holdings in 2018.)
..................
3b
4a
Did the foundation invest during the year any amount in a manner that would jeopardize its charitable purposes?
4a
No
b
Did the foundation make any investment in a prior year (but after December 31, 1969) that could jeopardize its
charitable purpose that had not been removed from jeopardy before the first day of the tax year beginning in 2018?
4b
No
Form
990-PF
(2018)
Page 6
Form 990-PF (2018)
Page
6
Part VII-B
Statements Regarding Activities for Which Form 4720 May Be Required
(continued)
5a
During the year did the foundation pay or incur any amount to:
Yes
No
(1)
Carry on propaganda, or otherwise attempt to influence legislation (section 4945(e))?
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
SUSAN C OBERNDORF
PRESIDENT
10.00
0
0
0
615 FRONT STREET
SAN FRANCISCO
,
CA
94111
WILLIAM E OBERNDORF
SECRETARY
2.00
0
0
0
615 FRONT STREET
SAN FRANCISCO
,
CA
94111
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
...................
0
Form
990-PF
(2018)
Page 7
Form 990-PF (2018)
Page
7
Part VIII
Information About Officers, Directors, Trustees, Foundation Managers, Highly Paid Employees,
and Contractors
(continued)
3
Five highest-paid independent contractors for professional services (see instructions). If none, enter "NONE".
(a)
Name and address of each person paid more than $50,000
(b)
Type of service
(c)
Compensation
NONE
Total
number of others receiving over $50,000 for professional services
.............
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
(2018)
Page 8
Form 990-PF (2018)
Page
8
Part X
Minimum Investment Return
(All domestic foundations must complete this part. Foreign foundations,see instructions.)
1
Fair market value of assets not used (or held for use) directly in carrying out charitable, etc.,
purposes:
a
Average monthly fair market value of securities
...................
1a
57,660,316
b
Average of monthly cash balances
.......................
1b
17,832,086
c
Fair market value of all other assets (see instructions)
................
1c
0
d
Total
(add lines 1a, b, and c)
.........................
1d
75,492,402
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
75,492,402
4
Cash deemed held for charitable activities. Enter 1 1/2% of line 3 (for greater amount, see
instructions)
.............................
4
1,132,386
5
Net value of noncharitable-use assets.
Subtract line 4 from line 3. Enter here and on Part V, line 4
5
74,360,016
6
Minimum investment return.
Enter 5% of line 5
..................
6
3,718,001
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
3,718,001
2a
Tax on investment income for 2018 from Part VI, line 5
......
2a
159,726
b
Income tax for 2018. (This does not include the tax from Part VI.)
...
2b
c
Add lines 2a and 2b
............................
2c
159,726
3
Distributable amount before adjustments. Subtract line 2c from line 1
............
3
3,558,275
4
Recoveries of amounts treated as qualifying distributions
................
4
0
5
Add lines 3 and 4
............................
5
3,558,275
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
3,558,275
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
14,860,944
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
14,860,944
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
159,726
6
Adjusted qualifying distributions.
Subtract line 5 from line 4
..............
6
14,701,218
Note:
The amount on line 6 will be used in Part V, column (b), in subsequent years when calculating whether the foundation qualifies for
the section 4940(e) reduction of tax in those years.
Form
990-PF
(2018)
Page 9
Form 990-PF (2018)
Page
9
Part XIII
Undistributed Income
(see instructions)
(a)
Corpus
(b)
Years prior to 2017
(c)
2017
(d)
2018
1
Distributable amount for 2018 from Part XI, line 7
3,558,275
2
Undistributed income, if any, as of the end of 2018:
a
Enter amount for 2017 only
.......
0
b
Total for prior years:
20
,
20
,
20
0
3
Excess distributions carryover, if any, to 2018:
a
From 2013
......
5,156,987
b
From 2014
......
6,691,107
c
From 2015
......
9,651,682
d
From 2016
......
13,567,013
e
From 2017
......
13,662,274
f
Total
of lines 3a through e
........
48,729,063
4
Qualifying distributions for 2018 from Part
XII, line 4:
$
14,860,944
a
Applied to 2017, but not more than line 2a
0
b
Applied to undistributed income of prior years
(Election required—see instructions)
.....
0
c
Treated as distributions out of corpus (Election
required—see instructions)
........
0
d
Applied to 2018 distributable amount
.....
3,558,275
e
Remaining amount distributed out of corpus
11,302,669
5
Excess distributions carryover applied to 2018.
0
0
(If an amount appears in column (d), the
same amount must be shown in column (a).)
6
Enter the net total of each column as
indicated below:
a
Corpus. Add lines 3f, 4c, and 4e. Subtract line 5
60,031,732
b
Prior years’ undistributed income. Subtract
line 4b from line 2b
..........
0
c
Enter the amount of prior years’ undistributed
income for which a notice of deficiency has
been issued, or on which the section 4942(a)
tax has been previously assessed
......
0
d
Subtract line 6c from line 6b. Taxable amount
—see instructions
...........
0
e
Undistributed income for 2017. Subtract line
4a from line 2a. Taxable amount—see
instructions
.............
0
f
Undistributed income for 2018. Subtract
lines 4d and 5 from line 1. This amount must
be distributed in 2019
..........
0
7
Amounts treated as distributions out of
corpus to satisfy requirements imposed by
section 170(b)(1)(F) or 4942(g)(3) (Election may
be required - see instructions)
.......
0
8
Excess distributions carryover from 2013 not
applied on line 5 or line 7 (see instructions)
...
5,156,987
9
Excess distributions carryover to 2019.
Subtract lines 7 and 8 from line 6a
......
54,874,745
10
Analysis of line 9:
a
Excess from 2014
....
6,691,107
b
Excess from 2015
....
9,651,682
c
Excess from 2016
....
13,567,013
d
Excess from 2017
....
13,662,274
e
Excess from 2018
....
11,302,669
Form
990-PF
(2018)
Page 10
Form 990-PF (2018)
Page
10
Part XIV
Private Operating Foundations
(see instructions and Part VII-A, question 9)
1a
If the foundation has received a ruling or determination letter that it is a private operating
foundation, and the ruling is effective for 2018, enter the date of the ruling
.......
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)
2018
(b)
2017
(c)
2016
(d)
2015
b
85% of line 2a
.........
c
Qualifying distributions from Part XII,
line 4 for each year listed
.....
d
Amounts included in line 2c not used directly
for active conduct of exempt activities
..........
e
Qualifying distributions made directly
for active conduct of exempt activities.
Subtract line 2d from line 2c
....
3
Complete 3a, b, or c for the
alternative test relied upon:
a
“Assets" alternative test—enter:
(1)
Value of all assets
......
(2)
Value of assets qualifying
under section 4942(j)(3)(B)(i)
b
“Endowment" alternative test— enter 2/3
of minimum investment return shown in
Part X, line 6 for each year listed
...
c
“Support" alternative test—enter:
(1)
Total support other than gross
investment income (interest,
dividends, rents, payments
on securities loans (section
512(a)(5)), or royalties)
....
(2)
Support from general public
and 5 or more exempt
organizations as provided in
section 4942(j)(3)(B)(iii)
....
(3)
Largest amount of support
from an exempt organization
(4)
Gross investment income
Part XV
Supplementary Information (Complete this part only if the foundation had $5,000 or more in
assets at any time during the year—see instructions.)
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).)
SUSAN C OBERNDORF
WILLIAM E OBERNDORF
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
(2018)
Page 11
Form 990-PF (2018)
Page
11
Part XV
Supplementary Information
(continued)
3
Grants and Contributions Paid During the Year or Approved for Future Payment
Recipient
If recipient is an individual,
show any relationship to
any foundation manager
or substantial contributor
Foundation
status of
recipient
Purpose of grant or
contribution
Amount
Name and address (home or business)
a
Paid during the year
ALLIANCE COLLEGE READY PUBLIC SCHOOLS
601 SOUTH FIGUEROA STREET 4TH FLOOR
LOS ANGELES
,
CA
90017
PC
GENERAL CHARITY
5,000
AMERICAN ENTERPRISE INSTITUTE
1789 MASSACHUSETTS AVE NW
WASHINGTON
,
DC
20036
PC
GENERAL CHARITY
50,000
AMERICAN FEDERATION CHILDREN GROWTH FUND
1020 19TH STREET NW SUITE 675
WASHINGTON
,
DC
20036
PC
GENERAL CHARITY
250,000
AMERICAN FEDERATION CHILDREN GROWTH FUND
1020 19TH STREET NW SUITE 675
WASHINGTON
,
DC
20036
PC
GENERAL CHARITY
1,500,000
AMERICAN FEDERATION FOR CHILDREN
1020 19TH STREET NW
WASHINGTON
,
DC
20036
PC
GENERAL CHARITY
750,000
ARCS FOUNDATION
1008 GENERAL KENNEDY AVE SUITE D
SAN FRANCISCO
,
CA
94129
PC
GENERAL CHARITY
2,500
ASPEN INSTITUTE
455 GOLD RIVERS COURT
BASALT
,
CO
81621
PC
GENERAL CHARITY
10,000
ASPIRE PUBLIC SCHOOLS
1001 22ND AVE 100
OAKLAND
,
CA
94606
PC
GENERAL CHARITY
25,000
BAY AREA DISCOVERY MUSEUM
557 MCREYNOLDS ROAD
SAUSILITO
,
CA
94965
PC
GENERAL CHARITY
5,000
BAY SCHOLARS
465 CALIFORNIA STREET
SAN FRANCISCO
,
CA
94104
PC
GENERAL CHARITY
10,000
3BOYS AND GIRLS CLUB OF SAN FRANCISCO
380 FULTON STREET
SAN FRANCISCO
,
CA
94102
PC
GENERAL CHARITY
10,000
BREAKTHROUGH COLLABORATIVE
PO BOX 71420
OAKLAND
,
CA
94612
PC
GENERAL CHARITY
10,000
CALIFORNIA ACADEMY OF SCIENCES
55 MUSIC CONCOURSE DRIVE
SAN FRANCISCO
,
CA
94118
PC
GENERAL CHARITY
25,000
CANINE COMPANIONS FOR INDEPENDENCE
2965 DUTTON AVE
SANTA ROSA
,
CA
95407
PC
GENERAL CHARITY
5,000
CATHEDRAL SCHOOL FOR BOYS
1275 SACRAMENTO STREET
SAN FRANCISCO
,
CA
94108
PC
GENERAL CHARITY
10,000
CENTER FOR EDUCATION REFORM
1455 PENNSYLVANIA AVENUE NW SUITE
250
WASHINGTON
,
DC
20004
PC
GENERAL CHARITY
10,000
CENTER FOR STRATEGIC & INTERNATIONAL STUDIES
1616 RHODE ISLAND AVENUE NW
WASHINGTON
,
DC
20036
PC
GENERAL CHARITY
25,000
CHICAGO BOTANICAL GARDEN
1000 LAKE COOK ROAD
GLENCOE
,
IL
60022
PC
GENERAL CHARITY
2,500
CHRONICLE SEASON OF SHARING
PO BOX 44740
SAN FRANCISCO
,
CA
94144
PC
GENERAL CHARITY
25,000
CLEVELAND SIGHT CENTER
1909 E 101ST STREET
CLEVELAND
,
OH
44106
PC
GENERAL CHARITY
1,000
COACHING CORPS
310 8TH STREET
OAKLAND
,
CA
94607
PC
GENERAL CHARITY
5,000
EDGEWOOD CENTER FOR CHILDREN & FAMILIES
1801 VICENTE STREET
SAN FRANCISCO
,
CA
94116
PC
GENERAL CHARITY
25,000
EDGEWOOD CENTER FOR CHILDREN & FAMILIES
1801 VICENTE STREET
SAN FRANCISCO
,
CA
94116
PC
GENERAL CHARITY
50,000
EDUCATION OUTSIDE
135 VAN NESS AVE SUITE 408
SAN FRANCISCO
,
CA
94102
PC
GENERAL CHARITY
5,000
EPISCOPAL CHARITIES
815 SECOND AVENUE
NEW YORK
,
NY
10017
PC
GENERAL CHARITY
25,000
FINE ARTS MUSEUMS OF SAN FRANCISCO
50 HAGIWARA TEA GARDEN DRIVE
SAN FRANCISCO
,
CA
94118
PC
GENERAL CHARITY
5,000
FOUNDATION FOR EXCELLENCE IN EDUCATION
215 SOUTH MONROE STREET
TALLAHASSEE
,
FL
32301
PC
GENERAL CHARITY
250,000
GLENN MILLER MEMORIAL GOLF TOURNAMENT
180 STIPP LANE
UKIAH
,
CA
95482
PC
GENERAL CHARITY
5,000
GOLDEN GATE NATIONAL PARKS CONSERVANCY
201 FORT MASON
SAN FRANCISCO
,
CA
94123
PC
GENERAL CHARITY
5,000
GREENLIGHT CLINIC
1808 WEDEMEYER ST SUITE B-10
SAN FRANCISCO
,
CA
94129
PC
GENERAL CHARITY
10,000
HATHAWAY BROWN SCHOOL
19600 NORTH PARK BOULEVARD
SHAKER HEIGHTS
,
OH
44122
PC
GENERAL CHARITY
250,000
HIDDEN WINGS
517 ATTERDAG ROAD
SOLVANG
,
CA
93463
PC
GENERAL CHARITY
45,000
JUDSON FOUNDATION
2181 AMBLESIDE DRIVE
CLEVELAND
,
OH
44106
PC
GENERAL CHARITY
1,000
KAHUMANA COMMUNITY
86-660 LUALUALEI HOMSTEAD ROAD
WAIANAE
,
HI
96792
PC
GENERAL CHARITY
10,000
KQED
2601 MARIPOSA STREET
SAN FRANCISCO
,
CA
94110
PC
GENERAL CHARITY
10,000
MEMORIAL SLOAN KETTERING DIRT'S FUND MSK 64
1275 YORK AVENUE
NEW YORK
,
NY
10065
PC
GENERAL CHARITY
10,000
MILWAUKEE COLLEGIATE ACADEMY
4030 N 29TH STREET
MILWAUKEE
,
WI
53216
PC
GENERAL CHARITY
200,000
MISSION DELORES ACADEMY
3371 16TH STREET
SAN FRANCISCO
,
CA
94114
PC
GENERAL CHARITY
100,000
MOTHERS 2 MOTHERS
33 MARTIN HAMMERSCHLAG WAY 5TH
FLOOR
CAPETOWN
,
FORESHORE
8001
SF
PC
GENERAL CHARITY
50,000
NARAL PRO-CHOICE AMERICA FOUNDATION
1725 EYE STREET NW SUITE 900
WASHINGTON
,
DC
20006
PC
GENERAL CHARITY
5,000
NATIONAL REVIEW INSTITUTE
19 WEST 44TH STREET SUITE 1701
NEW YORK
,
NY
10036
PC
GENERAL CHARITY
10,000
NEW SCHOOLS VENTURE FUND
1616 FRANKLIN STREET SECOND FLOOR
OAKLAND
,
CA
94612
PC
GENERAL CHARITY
100,000
PASSAGES AMERICA ISRAEL INC
50 S MAIN STREET
NAPERVILLE
,
IL
60540
PC
GENERAL CHARITY
50,000
PEER HEALTH EXCHANGE
70 GOLD STREET
SAN FRANCISCO
,
CA
94133
PC
GENERAL CHARITY
5,000
SAFE AND SOUND
1757 WALLER STREET
SAN FRANCISCO
,
CA
94117
PC
GENERAL CHARITY
10,000
SALVATION ARMY
615 SLATERS LANE PO BOX 269
ALEXANDRIA
,
VA
22313
PC
GENERAL CHARITY
500
SALVATION ARMY
615 SLATERS LANE PO BOX 269
ALEXANDRIA
,
VA
22313
PC
GENERAL CHARITY
100,000
SAN FRANCISCO BOTANICAL GARDEN SOCIETY
1199 9TH AVENUE
SAN FRANCISCO
,
CA
94122
PC
GENERAL CHARITY
5,000
SAN FRANCISCO EDUCATION FUND
2730 BRYANT STREET SECOND FLOOR
SAN FRANCISCO
,
CA
94110
PC
GENERAL CHARITY
25,000
SAN FRANCISCO FILM SOCIETY
39 MESA STREET SUITE 110
SAN FRANCISCO
,
CA
94129
PC
GENERAL CHARITY
10,000
SAN FRANCISCO FREE CLINIC
4900 CALIFORNIA STREET
SAN FRANCISCO
,
CA
94118
PC
GENERAL CHARITY
5,000
SAN FRANCISCO MUSEUM OF MODERN ART
151 3RD STREET
SAN FRANCISCO
,
CA
94103
PC
GENERAL CHARITY
20,000
SAN FRANCISCO SYMPHONY
201 VAN NESS AVENUE
SAN FRANCISCO
,
CA
94102
PC
GENERAL CHARITY
32,500
SAVE THE CHILDREN
501 KINGS HIGHWAY EAST SUITE 400
FAIRFIELD
,
CT
06825
PC
GENERAL CHARITY
10,000
SCHOLAR MATCH
849 VALENCIA STREET
SAN FRANCISCO
,
CA
94110
PC
GENERAL CHARITY
30,000
SEO SCHOLARS SAN FRANCISCO
2030 HARRISON STREET
SAN FRANCISCO
,
CA
94110
PC
GENERAL CHARITY
10,000
ST AGNES CHURCH
1025 MASONIC AVENUE
SAN FRANCISCO
,
CA
94117
PC
GENERAL CHARITY
50,000
ST HELENA CATHOLIC CHURCH
1340 TAINTER STREET
ST HELENA
,
CA
94574
PC
GENERAL CHARITY
50,000
ST HELENA CATHOLIC CHURCH
1340 TAINTER STREET
ST HELENA
,
CA
94574
PC
GENERAL CHARITY
50,000
ST HELENA HOSPITAL FOUNDATION
10 WOODLAND ROAD
ST HELENA
,
CA
94574
PC
GENERAL CHARITY
1,000
STANFORD GRADUATE SCHOOL OF BUSINESS
655 KNIGHT WAY
STANFORD
,
CA
94305
PC
GENERAL CHARITY
250,000
STANFORD LIVE
327 LASUEN STREET
STANFORD
,
CA
94305
PC
GENERAL CHARITY
7,500
STANFORD UNIVERSITY
450 SERRA MALL
STANFORD
,
CA
94305
PC
GENERAL CHARITY
20,000
SWEETWATER SPECTRUM
369 5TH STREET W
SONOMA
,
CA
95476
PC
GENERAL CHARITY
5,000
TEACH FOR AMERICA
685 MARKET ST SURE 500
SAN FRANCISCO
,
CA
94103
PC
GENERAL CHARITY
5,000
TEN STRANDS
1007 GENERAL KENNEDY AVE
SAN FRANCISCO
,
CA
94129
PC
GENERAL CHARITY
5,000
THACHER SCHOOL
5025 THACER ROAD
OJAI
,
CA
93023
PC
GENERAL CHARITY
50,000
THE DREXEL FUND
606 E JUNEAU AVENUE 510635
MILWAUKEE
,
WI
53203
PC
GENERAL CHARITY
25,000
THE EDIBLE SCHOOLYARD PROJECT
1517 SHATTUCK AVENUE
BERKELEY
,
CA
94709
PC
GENERAL CHARITY
5,000
THE FORE-SITE FOUNDATION
2 MARINA BLVD BUILDING C
SAN FRANCISCO
,
CA
94123
PC
GENERAL CHARITY
10,000
THE WILDWOOD SCHOOL
11811 W OLYMPIC BLVD
LOS ANGELES
,
CA
90064
PC
GENERAL CHARITY
9,232
TIPPING POINT COMMUNITY
220 MONTGOMERY STREET 850
SAN FRANCISCO
,
CA
94104
PC
GENERAL CHARITY
100,000
TIPPING POINT COMMUNITY
220 MONTGOMERY STREET 850
SAN FRANCISCO
,
CA
94104
PC
GENERAL CHARITY
400,000
UCSF
505 PARNASSUS AVENUE
SAN FRANCISCO
,
CA
94143
PC
GENERAL CHARITY
597,785
UCSF BENIOFF CHILDREN'S HOSPITAL
1975 4TH STREET
SAN FRANCISCO
,
CA
94118
PC
GENERAL CHARITY
17,000
UCSF FOUNDATION
220 MONTGOMERY STREET
SAN FRANCISCO
,
CA
94143
PC
GENERAL CHARITY
1,000,000
UCSF HELEN DILLER CANCER CENTER
1450 3RD STREET
SAN FRANCISCO
,
CA
94158
PC
GENERAL CHARITY
10,000
UNITED RELIGIONS INITITATIVE
1009 GENERAL KENNEDY AVE 1
SAN FRANCISCO
,
CA
94129
PC
GENERAL CHARITY
10,000
VIETNAM FOUNDATION
1045 SLOAT BLVD
SAN FRANCISCO
,
CA
94132
PC
GENERAL CHARITY
5,000
VISION OF HOPE
1555 34TH AVENUE
OAKLAND
,
CA
94601
PC
GENERAL CHARITY
10,000
WOOD RIVER YMCA
101 SADDLE RD
KETCHUM
,
ID
83340
PC
GENERAL CHARITY
5,000
NATIONAL PHILATHROPIC TRUST
165 TOWNSHIP LINE ROAD SUITE 1200
JENKINTOWN
,
PA
19046
PC
GENERAL CHARITY
7,880,000
Total
.................................
3a
14,797,517
b
Approved for future payment
Total
.................................
3b
0
Form
990-PF
(2018)
Page 12
Form 990-PF (2018)
Page
12
Part XVI-A
Analysis of Income-Producing Activities
Enter gross amounts unless otherwise indicated.
Unrelated business income
Excluded by section 512, 513, or 514
(e)
Related or exempt
function income
(See instructions.)
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
113
4
Dividends and interest from securities
....
14
1,472,929
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
14,588,647
9
Net income or (loss) from special events:
10
Gross profit or (loss) from sales of inventory
11
Other revenue:
a
b
c
d
e
12
Subtotal. Add columns (b), (d), and (e)
..
0
16,061,689
0
13
Total.
Add line 12, columns (b), (d), and (e)
..................
13
16,061,689
(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.)
13
ALL INCOME IS USED IN THE OPERATIONS OF THE ORGANIZATION AND
13
EXCLUSIVELY TOWARD ITS EXEMPT PURPOSE.
Form
990-PF
(2018)
Page 13
Form 990-PF (2018)
Page
13
Part XVII
Information Regarding Transfers To and Transactions and Relationships With Noncharitable Exempt Organizations
1
Did the organization directly or indirectly engage in any of the following with any other organization described in section 501(c) (other than section 501(c)(3) organizations) or in section 527, relating to political organizations?
Yes
No
a
Transfers from the reporting foundation to a noncharitable exempt organization of:
(1)
Cash
...................................
1a(1)
No
(2)
Other assets
.................................
1a(2)
No
b
Other transactions:
(1)
Sales of assets to a noncharitable exempt organization
....................
1b(1)
No
(2)
Purchases of assets from a noncharitable exempt organization
..................
1b(2)
No
(3)
Rental of facilities, equipment, or other assets
.......................
1b(3)
No
(4)
Reimbursement arrangements
...........................
1b(4)
No
(5)
Loans or loan guarantees
.............................
1b(5)
No
(6)
Performance of services or membership or fundraising solicitations
................
1b(6)
No
c
Sharing of facilities, equipment, mailing lists, other assets, or paid employees
..............
1c
No
d
If the answer to any of the above is "Yes," complete the following schedule. Column
(b)
should always show the fair market value
of the goods, other assets, or services given by the reporting foundation. If the foundation received less than fair market value
in any transaction or sharing arrangement, show in column
(d)
the value of the goods, other assets, or services received.
(a)
Line No.
(b)
Amount involved
(c)
Name of noncharitable exempt organization
(d)
Description of transfers, transactions, and sharing arrangements
2a
Is the foundation directly or indirectly affiliated with, or related to, one or more tax-exempt organizations
described in section 501(c) (other than section 501(c)(3)) or in section 527?
...........
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.
2019-07-02
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
FRANCIS R CASSIDY
Preparer's Signature
Date
Check if self-
employed
PTIN
P00733712
Firm's name
ANDERSEN TAX LLC
Firm's EIN
33-1197384
Firm's address
100 FIRST STREET STE 1600
SAN FRANCISCO
,
CA
94105
Phone no.
(415) 764-2700
Form
990-PF
(2018)
Additional Data
Software ID:
Software Version:
Form 990PF - Special Condition Description:
Special Condition Description