Civic Intelligence

Clay Buchholz Foundation

990 • Fiscal year 2016 • EIN 46-2505613

Jan 01, 2016 to Dec 31, 2016 • Filed on Aug 02, 2017

10960 Wilshire Blvd 5th FloorLos Angeles, CA 90024

(310) 722-1590

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

56th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Liabilities / Revenue

55th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Net Margin

28th percentile

-6.7%

Higher net margin than 28% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Top Officer Pay

75th percentile

$0

Higher top officer pay than 75% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2016 filings • 501(c)3 • <$500k nonprofits • Source year 2016

Asset Growth

18th percentile

-25%

Faster asset growth than 18% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Annualized from 2015 to 2016

Revenue Growth

53rd percentile

2.6%

Faster revenue growth than 53% of similar nonprofits.

2016 filings • 501(c)3 • <$500k nonprofits • Annualized from 2015 to 2016

Assets

Down

$65,734

Down $21,633 (-25%) from 2015

Net Assets

Down

$65,734

Down $21,633 (-25%) from 2015

Liabilities

Flat

$0

Flat from 2015

Revenue

Up

$321,943

Up $8,217 (+2.6%) from 2015

Expenses

Up

$343,576

Up $32,579 (+10%) from 2015

Net Income

Down

-$21,633

Down $24,362 (-893%) from 2015

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$100K$50K$0Assets 2013: $58,001Liabilities 2013: $0Net Assets 2013: $58,0012013Assets 2014: $84,638Liabilities 2014: $0Net Assets 2014: $84,6382014Assets 2015: $87,367Liabilities 2015: $0Net Assets 2015: $87,3672015Assets 2016: $65,734Liabilities 2016: $0Net Assets 2016: $65,7342016Assets 2017: $46,302Liabilities 2017: $0Net Assets 2017: $46,3022017Assets 2018: $39,515Liabilities 2018: $0Net Assets 2018: $39,5152018Assets 2019: $37,684Liabilities 2019: $0Net Assets 2019: $37,6842019Assets 2020: $33,032Liabilities 2020: $0Net Assets 2020: $33,0322020Assets 2021: $31,031Liabilities 2021: $0Net Assets 2021: $31,0312021

Highlighted filing

2016

Assets$65,734
Liabilities$0
Net Assets$65,734

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$400K$300K$200K$100K$0-$100KRevenue 2013: $215,235Expenses 2013: $157,234Net Income 2013: $58,0012013Revenue 2014: $236,495Expenses 2014: $209,858Net Income 2014: $26,6372014Revenue 2015: $313,726Expenses 2015: $310,997Net Income 2015: $2,7292015Revenue 2016: $321,943Expenses 2016: $343,576Net Income 2016: -$21,6332016Revenue 2017: $6,098Expenses 2017: $25,530Net Income 2017: -$19,4322017Revenue 2018: $0Expenses 2018: $6,787Net Income 2018: -$6,7872018Revenue 2019: $0Expenses 2019: $1,831Net Income 2019: -$1,8312019Revenue 2020: $0Expenses 2020: $4,652Net Income 2020: -$4,6522020Revenue 2021: $0Expenses 2021: $2,001Net Income 2021: -$2,0012021

Highlighted filing

2016

Revenue$321,943
Expenses$343,576
Net Income-$21,633
Jump To
Filing Snapshot
Filing Period
Jan 1, 2016 to Dec 31, 2016
Signed
Aug 2, 2017
Return Version
2016v3.0
Gross Receipts
$321,943
Mission and Program Overview

Mission

Provide health, educational and sports opportunities to improve the lives of children in need.

Balance Sheet Detail
LineBeginningEndChange
Assets
Rtn Earn Endowment Incm Other Fnds$87,367$65,734▼ $21,633
Cash and Non-Interest-Bearing Accounts$81,629$60,455▼ $21,174
Intangible Assets$5,738$5,279▼ $459
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Total Assets$87,367$65,734▼ $21,633
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$87,367$65,734▼ $21,633
Total Liabilities and Net Assets / Fund Balance$87,367$65,734▼ $21,633
Compensation and Service Providers

Board Members and Trustees

NameTitle
Clay BuchholzPresident
Lindsay BuchholzVice President/secretary
Matthew SegalTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$321,943
Program Service Revenue
$0
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-21,633
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Grants and Similar Amounts Paid$191,000
Other Expenses$152,576
Total Fundraising Expense$70,955
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$191,000--$191,000
Fees for Services Legal-$3,650-$3,650
Travel-$1,714-$1,714
Insurance-$1,356-$1,356
Depreciation Depletion-$459-$459
Other Expenses-$422$70,955$422
All Other Expenses-$266-$266
Total Functional Expenses$191,000$81,621$70,955$343,576
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
CHRISTOPHER'S HAVENBoston, MA-Assist as a Home Away From Home for Children With Cancer.$85,000
Melmark Charitable FundAndover, MA-Provide Assistance for Children in Need$40,000
Family ReachBoston, MA-To Provide a Financial Lifeline for Families Fighting Cancer$25,000
Binkeez for ComfortNorth Grafton, MA-Provide 3700 Blankets to Children$15,000
Bright HopeHoffman Estates, IL-Provide Assistance for Orphan Children in Need$15,000
Pitching for KidsBoston, MA-Improve the Lives of Children Through Sports-related Programs.$10,000
Autism Speaks IncBoston, MA-To Assist Children Who Struggle With Autism$1,000
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
Yes

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Direct Expenses$0
Fundraising Gross Income$0
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Donation Income$321,943---
Total Events$321,943---
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
Yes
Annual disclosure for covered persons
Yes
Audit committee
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, Line 2

President and vice president/secretary are husband and wife.

Form 990, Part VI, Section B, Line 11B

Form 990 is prepared by a cpa firm, then reviewed by the president and acting executive director prior to filing.

Form 990, Part VI, Section B, Line 12C

Periodic reviews shall be conducted.

Form 990, Part VI, Section C, Line 19

The organization will provide access to financial information, governing documents and tax information to the general public as required by law.

Filing and Contact Details

Filer

Filer Name
Clay Buchholz Foundation Inc
EIN
46-2505613
Phone
3107221590
Address
10960 WILSHIRE BLVD 5TH FLOOR, LOS ANGELES, CA 90024

Signing Officer

Name
Matthew Segal
Title
Treasurer
Phone
3102774657
Signed
2017-08-02
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Matthew Segal
Formed
2013
Legal Domicile
De
Voting Board Members
0
Independent Board Members
0
Employees
0
Volunteers
0

Preparer

Firm
Nksfb LLC
Address
10960 WILSHIRE BL 5TH FL, LOS ANGELES, CA 90024
Preparer
Nataliya Krasikova
Phone
3102774657
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IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0ASSIST AS A HOME AWAY FROM HOME FOR CHILDREN WITH CANCER.
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IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd4MA
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd5IL
IRS990ScheduleI/RecipientTable/USAddress/StateAbbreviationCd6MA
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd002114
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd102109
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd201536
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd302109
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd401810
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd560169
IRS990ScheduleI/RecipientTable/USAddress/ZIPCd602116
IRS990/ScheduleJRequiredInd00
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0PRESIDENT AND VICE PRESIDENT/SECRETARY ARE HUSBAND AND WIFE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1FORM 990 IS PREPARED BY A CPA FIRM, THEN REVIEWED BY THE PRESIDENT AND ACTING EXECUTIVE DIRECTOR PRIOR TO FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2PERIODIC REVIEWS SHALL BE CONDUCTED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE ORGANIZATION WILL PROVIDE ACCESS TO FINANCIAL INFORMATION, GOVERNING DOCUMENTS AND TAX INFORMATION TO THE GENERAL PUBLIC AS REQUIRED BY LAW.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PART VI, SECTION A, LINE 2
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PART VI, SECTION B, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART VI, SECTION B, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART VI, SECTION C, LINE 19
IRS990/SchoolOperatingInd00
IRS990/SignificantChangeInd00
IRS990/SignificantNewProgramSrvcInd00
IRS990/StatesWhereCopyOfReturnIsFldCd0AZ
IRS990/StatesWhereCopyOfReturnIsFldCd1MA
IRS990/SubjectToProxyTaxInd00
IRS990/TaxablePartyNotificationInd00
IRS990/TaxExemptBondsInd00
IRS990/TempOrPermanentEndowmentsInd00
IRS990/TerminateOperationsInd00
IRS990/TotalAssetsBOYAmt087367
IRS990/TotalAssetsEOYAmt065734
IRS990/TotalAssetsGrp/BOYAmt087367
IRS990/TotalAssetsGrp/EOYAmt065734
IRS990/TotalCompGreaterThan150KInd00
IRS990/TotalContributionsAmt0321943
IRS990/TotalEmployeeCnt00
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt070955
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt081621
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0191000
IRS990/TotalFunctionalExpensesGrp/TotalAmt0343576
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt087367
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt065734
IRS990/TotalOtherCompensationAmt00
IRS990/TotalProgramServiceExpensesAmt0191000
IRS990/TotalReportableCompFromOrgAmt00
IRS990/TotalRevenueGrp/ExclusionAmt00
IRS990/TotalRevenueGrp/RelatedOrExemptFuncIncomeAmt00
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0321943
IRS990/TotalRevenueGrp/UnrelatedBusinessRevenueAmt00
IRS990/TotalVolunteersCnt00
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt087367
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt065734
IRS990/TotReportableCompRltdOrgAmt00
IRS990/TravelGrp/ManagementAndGeneralAmt01714
IRS990/TravelGrp/TotalAmt01714
IRS990/TrnsfrExmptNonChrtblRltdOrgInd00
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd00
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt010960 WILSHIRE BLVD 5TH FL
IRS990/USAddress/CityNm0LOS ANGELES
IRS990/USAddress/StateAbbreviationCd0CA
IRS990/USAddress/ZIPCd090024
IRS990/VotingMembersGoverningBodyCnt00
IRS990/VotingMembersIndependentCnt00
IRS990/WebsiteAddressTxt0CLAYBUCHHOLZFOUNDATION.ORG
IRS990/WhistleblowerPolicyInd00
ReturnHeader/BuildTS02017-02-10 21:41:12Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd01
ReturnHeader/BusinessOfficerGrp/PersonNm0MATTHEW SEGAL
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0TREASURER
ReturnHeader/BusinessOfficerGrp/PhoneNum03102774657
ReturnHeader/BusinessOfficerGrp/SignatureDt02017-08-02
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0CLAY BUCHHOLZ FOUNDATION INC
ReturnHeader/Filer/BusinessNameControlTxt0CLAY
ReturnHeader/Filer/EIN0462505613
ReturnHeader/Filer/PhoneNum03107221590
ReturnHeader/Filer/USAddress/AddressLine1Txt010960 WILSHIRE BLVD 5TH FLOOR
ReturnHeader/Filer/USAddress/CityNm0LOS ANGELES
ReturnHeader/Filer/USAddress/StateAbbreviationCd0CA
ReturnHeader/Filer/USAddress/ZIPCd090024
ReturnHeader/FilingSecurityInformation/AtSubmissionCreationDeviceId000B84F6B4C862D6AEFD705EEF7984E66BF39E5F6
ReturnHeader/FilingSecurityInformation/AtSubmissionFilingDeviceId05B983289A37135BC3A771FB983011FE1FFEB5B33
ReturnHeader/FilingSecurityInformation/FilingLicenseTypeCd0P
ReturnHeader/FilingSecurityInformation/IPAddress/IPv4AddressTxt064.80.159.66
ReturnHeader/FilingSecurityInformation/IPDt02017-08-02

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