4806 Foundation

990PF • Fiscal year 2011 • EIN 91-2143496

Jan 01, 2011 to Dec 31, 2011 • Filed on Sep 05, 2012

Organization Profile

PO Box 10298368-0244

Siviq Scores

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

No value available

Liabilities-to-assets requires both liabilities and assets on this filing.

Source year 2011

No value available

Liabilities-to-revenue requires both liabilities and revenue on this filing.

Source year 2011

No value available

Net margin requires both revenue and expenses on this filing.

Source year 2011

Higher top officer pay than 80% of similar nonprofits.

2011 filings • <$500k nonprofits • Source year 2011

-100%

Faster asset growth than 2% of similar nonprofits.

2011 filings • <$500k nonprofits • Annualized from 2010 to 2011

No value available

No valid filing value is available for this score.

Balance Sheet

Liabilities / AssetsScore unavailable

Assets

Down

Down $45,602 (-100%) from 2010

Net Assets

Down

Down $45,602 (-100%) from 2010

Liabilities

Flat

Flat from 2010

Revenue And Expenses

Liabilities / RevenueScore unavailable Net MarginScore unavailable

Revenue

No earlier filing loaded for comparison.

Expenses

$98,452

Up $3,137 (+3.3%) from 2010

Net Income

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

Asset Growth2nd percentile

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

Highlighted filing

2011

Assets$0

Liabilities$0

Net Assets$0

Open 2011 Filing

Operations Trend

Revenue GrowthScore unavailable

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

Highlighted filing

2011

Revenue-

Expenses$98,452

Net Income-

Open 2011 Filing

Jump To

Filing Snapshot

Filing Period: Jan 1, 2011 to Dec 31, 2011
Signed: Sep 5, 2012
Return Version: 2011v1.2

Compensation and Service Providers

Top Officer Pay80th percentile

Employees

Name	Title	Full / Part Time	Base	Other	Total
PETER BOESCHENSTEIN	President	-	$0	-	-
DOUGLAS G MASON	Secretary	-	$0	-	-
CHARLES KANIESKI	Treasurer	-	$0	-	-
ANTHONY PRUD'HOMME	Trustee	-	$0	-	-

Grants and Assistance

Foundation Grants and Related Investments

Type	Recipient	Purpose	Status	Location	Amount
Paid Grant	BETTY FORD CENTER FOUNDATION	TO PROVIDE FUNDS TO INDIVIDUALS TO ATTEND REHABILITA	N/A	PALM DESERT, CA, US	$33,009
Paid Grant	HAZELDEN FOUNDATION	TO PROVIDE FUNDS TO INDIVIDUALS TO ATTEND REHABILITA	N/A	CENTER CITY, MN, US	$33,009
Paid Grant	-	TO PROVIDE FUNDS TO INDIVIDUALS TO ATTEND REHABILITA	N/A	PORT TOWNSEND, WA, US	$17,943

Filing and Contact Details

Filer

EIN: 91-2143496

Raw XML AppendixShowing 400 of 414 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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DepreciationSchedule/Depreciation/ComputationMethod	0	200DB
DepreciationSchedule/Depreciation/CostOrOtherBasis	0	477
DepreciationSchedule/Depreciation/CurrentYearExpense	0	209
DepreciationSchedule/Depreciation/DateAcquired	0	2008-01-01
DepreciationSchedule/Depreciation/DescriptionOfProperty	0	FURNITURE AND EQUIPMENT
DepreciationSchedule/Depreciation/Life	0	7.000000000000
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DepreciationSchedule/Depreciation/PriorYearsDepreciation	0	268
DissolutionStmt/DissolutionInfo/AddressUS/AddressLine1	0	PO BOX 11 BC2 PLEASANT VALLEY RD
DissolutionStmt/DissolutionInfo/AddressUS/AddressLine1	1	41990 COOK STREET SUITE C301
DissolutionStmt/DissolutionInfo/AddressUS/City	0	CENTER CITY
DissolutionStmt/DissolutionInfo/AddressUS/City	1	PALM DESERT
DissolutionStmt/DissolutionInfo/AddressUS/State	0	MN
DissolutionStmt/DissolutionInfo/AddressUS/State	1	CA
DissolutionStmt/DissolutionInfo/AddressUS/ZIPCode	0	550120011
DissolutionStmt/DissolutionInfo/AddressUS/ZIPCode	1	92211
DissolutionStmt/DissolutionInfo/BusinessName/BusinessNameLine1	0	HAZELDEN FOUNDATION PATIENT AID FUND
DissolutionStmt/DissolutionInfo/BusinessName/BusinessNameLine1	1	BETTY FORD CENTER FOUNDATION FINANCIAL ASSISTANCE FUND
DissolutionStmt/DissolutionInfo/DissolutionAmt	0	33008
DissolutionStmt/DissolutionInfo/DissolutionAmt	1	33008
DissolutionStmt/DissolutionInfo/Explanation	0	NONPROFIT ORGANIZATION THAT HAS SUBSTANTIALLY SIMILAR PURPOSES.
DissolutionStmt/DissolutionInfo/Explanation	1	NONPROFIT ORGANIZATION THAT HAS SUBSTANTIALLY SIMILAR PURPOSES.
IRS990PF/AddressChange	0	X
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IRS990PF/AnalysisIncomeProducingActy/IntOnSavingsAndTempCashInvst/ExclusionCode	0	14
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IRS990PF/AnalysisOfRevenueAndExpenses/LegalFeesDsbrsChrtblPrps	0	0
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IRS990PF/AnalysisOfRevenueAndExpenses/TaxesRevAndExpnss	0	8
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IRS990PF/AnalysisOfRevenueAndExpenses/TotalNetInvestmentIncome	0	47
IRS990PF/AnalysisOfRevenueAndExpenses/TotalRevenueAndExpenses	0	52850
IRS990PF/AnalysisOfRevenueAndExpenses/TotOprExpensesDsbrsChrtblPrps	0	0
IRS990PF/AnalysisOfRevenueAndExpenses/TotOprExpensesNetInvstIncm	0	0
IRS990PF/AnalysisOfRevenueAndExpenses/TotOprExpensesRevAndExpnss	0	14491
IRS990PF/BalanceSheets/AccumDeprecLandBldgAndEquip	0	477
IRS990PF/BalanceSheets/CapitalStockBOY	0	0
IRS990PF/BalanceSheets/CapitalStockEOY	0	0
IRS990PF/BalanceSheets/LandBuildingAndEquipmentBasis	0	477
IRS990PF/BalanceSheets/LandBuildingAndEquipmentBOY	0	209
IRS990PF/BalanceSheets/LandBuildingAndEquipmentEOY	0	0
IRS990PF/BalanceSheets/LandBuildingAndEquipmentEOYFMV	0	0
IRS990PF/BalanceSheets/OrgThatDoNotFollowSFAS117	0	X
IRS990PF/BalanceSheets/PaidInOrCapitalSurplusBOY	0	0
IRS990PF/BalanceSheets/PaidInOrCapitalSurplusEOY	0	0
IRS990PF/BalanceSheets/RetainedEarningsBOY	0	45602
IRS990PF/BalanceSheets/RetainedEarningsEOY	0	0
IRS990PF/BalanceSheets/SavingsAndTempCashInvstBOY	0	45393
IRS990PF/BalanceSheets/TotalAssetsBOY	0	45602
IRS990PF/BalanceSheets/TotalAssetsEOY	0	0
IRS990PF/BalanceSheets/TotalAssetsEOYFMV	0	0
IRS990PF/BalanceSheets/TotalLiabilitiesBOY	0	0
IRS990PF/BalanceSheets/TotalLiabilitiesEOY	0	0
IRS990PF/BalanceSheets/TotalLiabilitiesNetAssetsBOY	0	45602
IRS990PF/BalanceSheets/TotalLiabilitiesNetAssetsEOY	0	0
IRS990PF/BalanceSheets/TotalNetAssetsBOY	0	45602
IRS990PF/BalanceSheets/TotalNetAssetsEOY	0	0
IRS990PF/ChangesInNetAssetsFundBalances/ExcessOfRevenueOverExpenses	0	-45602
IRS990PF/ChangesInNetAssetsFundBalances/OtherDecreases	0	0
IRS990PF/ChangesInNetAssetsFundBalances/OtherIncreases	0	0
IRS990PF/ChangesInNetAssetsFundBalances/Subtotal	0	0
IRS990PF/ChangesInNetAssetsFundBalances/TotalNetAssetsFundBalancesBOY	0	45602
IRS990PF/ChangesInNetAssetsFundBalances/TotalNetAssetsFundBalancesEOY	0	0
IRS990PF/DistributableAmount/DeductionFrDistributableAmount	0	0
IRS990PF/DistributableAmount/DistributableAmountAsAdjusted	0	1803
IRS990PF/DistributableAmount/DistributableAmountBeforeAdj	0	1803
IRS990PF/DistributableAmount/DistributableAmountBeforeDed	0	1803
IRS990PF/DistributableAmount/MinimumInvestmentReturn	0	1803
IRS990PF/DistributableAmount/RecoveriesQlfyDistributions	0	0
IRS990PF/DistributableAmount/TotalTax	0	0
IRS990PF/ExciseTaxBasedOnInvestmentIncm/AmountCreditedToNextYear	0	0
IRS990PF/ExciseTaxBasedOnInvestmentIncm/AmountToBeRefunded	0	149
IRS990PF/ExciseTaxBasedOnInvestmentIncm/DomesticOrgMeetingSect4940e	0	X
IRS990PF/ExciseTaxBasedOnInvestmentIncm/EstTaxPaymentsAndOverpayment	0	149
IRS990PF/ExciseTaxBasedOnInvestmentIncm/InvestmentIncomeExciseTax	0	0
IRS990PF/ExciseTaxBasedOnInvestmentIncm/Overpayment	0	149
IRS990PF/ExciseTaxBasedOnInvestmentIncm/SubtitleATax	0	0
IRS990PF/ExciseTaxBasedOnInvestmentIncm/Subtotal	0	0
IRS990PF/ExciseTaxBasedOnInvestmentIncm/TaxBasedOnInvestmentIncome	0	0
IRS990PF/ExciseTaxBasedOnInvestmentIncm/TaxUnderSection511	0	0
IRS990PF/ExciseTaxBasedOnInvestmentIncm/TotalCreditsAndPayments	0	149
IRS990PF/ExemptPF	0	X
IRS990PF/FinalReturn	0	X
IRS990PF/FMVAssetsEOY	0	0
IRS990PF/MethodOfAccountingCash	0	X
IRS990PF/MinimumInvestmentReturn/AcquisitionIndebtedness	0	0
IRS990PF/MinimumInvestmentReturn/AdjTotalFMVOfUnusedAssets	0	36602
IRS990PF/MinimumInvestmentReturn/AvgMonthlyCashBalances	0	36423
IRS990PF/MinimumInvestmentReturn/AvgMonthlyFMVOfSecurities	0	0
IRS990PF/MinimumInvestmentReturn/CashDeemedCharitable	0	549
IRS990PF/MinimumInvestmentReturn/FMVAllOtherNoncharitableAssets	0	179
IRS990PF/MinimumInvestmentReturn/MinimumInvestmentReturn	0	1803
IRS990PF/MinimumInvestmentReturn/NetNoncharitableAssets	0	36053
IRS990PF/MinimumInvestmentReturn/ReductionClaimed	0	0
IRS990PF/MinimumInvestmentReturn/TotalFMVOfUnusedAssets	0	36602
IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/CompOfHghstPaidCntrctNONE	0	NONE
IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/CompOfHighestPaidEmplNONE	0	NONE
IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/AvgHoursPerWkDevotedToPosition	0	2.00
IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/AvgHoursPerWkDevotedToPosition	1	2.00
IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/AvgHoursPerWkDevotedToPosition	2	2.00
IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/AvgHoursPerWkDevotedToPosition	3	2.00
IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/Compensation	0	0
IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/Compensation	1	0
IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/Compensation	2	0
IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/Compensation	3	0
IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/ContriToEmplBenefitPlansEtc	0	0
IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/ContriToEmplBenefitPlansEtc	1	0
IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/ContriToEmplBenefitPlansEtc	2	0
IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/ContriToEmplBenefitPlansEtc	3	0
IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/ExpenseAccountOtherAllowances	0	0
IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/ExpenseAccountOtherAllowances	1	0
IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/ExpenseAccountOtherAllowances	2	0
IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/ExpenseAccountOtherAllowances	3	0
IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/PersonName	0	PETER BOESCHENSTEIN
IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/PersonName	1	DOUGLAS G MASON
IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/PersonName	2	CHARLES KANIESKI
IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/PersonName	3	ANTHONY PRUD'HOMME
IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/Title	0	PRESIDENT
IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/Title	1	SECRETARY
IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/Title	2	TREASURER
IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/Title	3	TRUSTEE
IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/USAddress/AddressLine1	0	PO BOX 581
IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/USAddress/AddressLine1	1	PO BOX 581
IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/USAddress/AddressLine1	2	PO BOX 581
IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/USAddress/AddressLine1	3	PO BOX 581
IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/USAddress/City	0	PORT TOWNSEND
IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/USAddress/City	1	PORT TOWNSEND
IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/USAddress/City	2	PORT TOWNSEND
IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/USAddress/City	3	PORT TOWNSEND
IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/USAddress/State	0	WA
IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/USAddress/State	1	WA
IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/USAddress/State	2	WA
IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/USAddress/State	3	WA
IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/USAddress/ZIPCode	0	98368
IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/USAddress/ZIPCode	1	98368
IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/USAddress/ZIPCode	2	98368
IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/OfcrDirTrusteesOrKeyEmployee/USAddress/ZIPCode	3	98368
IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/TotNumberOfCntrctPaidOver50k	0	0
IRS990PF/OfcrDirTrusteesKeyEmployeeInfo/TotNumberOfOthEmplPaidOver50k	0	0
IRS990PF/QlfyUndSect4940eForReducedTax/AdjNonchrtblAssetsAndOnePct	0	37059
IRS990PF/QlfyUndSect4940eForReducedTax/AdjustedNoncharitableAssets	0	37059
IRS990PF/QlfyUndSect4940eForReducedTax/AverageDistributionRatio	0	1.027894
IRS990PF/QlfyUndSect4940eForReducedTax/DistributionRatioYear1	0	1.819160
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IRS990PF/QlfyUndSect4940eForReducedTax/LiableFor4942Tax	0	0
IRS990PF/QlfyUndSect4940eForReducedTax/NetNoncharitableAssets	0	36053
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IRS990PF/QualifyingDistributions/ExpensesAndContributions	0	83961
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IRS990PF/QualifyingDistributions/ProgramRelatedInvestmentsTotal	0	0
IRS990PF/QualifyingDistributions/QualifyingDistributions	0	83961
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IRS990PF/StatementsRegardingActivities/ApplicableInsuranceContract	0	0
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IRS990PF/StatementsRegardingActivities/BooksInCareOfPersonName	0	DOUGLAS G MASON
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IRS990PF/StatementsRegardingActivities/BooksInCareOfUSAddress/AddressLine1	0	PO BOX 244
IRS990PF/StatementsRegardingActivities/BooksInCareOfUSAddress/City	0	PORT TOWNSEND
IRS990PF/StatementsRegardingActivities/BooksInCareOfUSAddress/State	0	WA
IRS990PF/StatementsRegardingActivities/BooksInCareOfUSAddress/ZIPCode	0	983680244
IRS990PF/StatementsRegardingActivities/ChangesToArticlesOrBylaws	0	0
IRS990PF/StatementsRegardingActivities/ComplyWithPublicInspectionRqr	0	1
IRS990PF/StatementsRegardingActivities/ForeignBank	0	0
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IRS990PF/StatementsRegardingActivities/InterestInControlledEntity	0	0
IRS990PF/StatementsRegardingActivities/LegislativePoliticalActivities	0	0
IRS990PF/StatementsRegardingActivities/MoreThan100Spent	0	0
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IRS990PF/StatementsRegardingActivities/PrivateOperatingFoundation	0	0
IRS990PF/StatementsRegardingActivities/ReimbursementOfTax	0	0
IRS990PF/StatementsRegardingActivities/RequirementsOfSect508e	0	1
IRS990PF/StatementsRegardingActivities/Sect4955TaxOnManagers	0	0
IRS990PF/StatementsRegardingActivities/Sect4955TaxOnOrganization	0	0
IRS990PF/StatementsRegardingActivities/StatesFiledWith	0	WA
IRS990PF/StatementsRegardingActivities/TerminationEtc	0	1
IRS990PF/StatementsRegardingActivities/UnrelatedBusIncomeOver1000	0	0
IRS990PF/StatementsRegardingActivities/WebsiteAddress	0	N/A
IRS990PF/StatementsRegardingActy4720/BorrowOrLendWithDsqflyPerson	0	0
IRS990PF/StatementsRegardingActy4720/BusinessHoldings	0	0
IRS990PF/StatementsRegardingActy4720/FurnishedGoodsWithDsqflyPerson	0	0
IRS990PF/StatementsRegardingActy4720/GrantsToIndividuals	0	0
IRS990PF/StatementsRegardingActy4720/GrantsToOrganizations	0	0
IRS990PF/StatementsRegardingActy4720/InfluenceElection	0	0
IRS990PF/StatementsRegardingActy4720/InfluenceLegislation	0	0
IRS990PF/StatementsRegardingActy4720/JeopardyInvestments	0	0
IRS990PF/StatementsRegardingActy4720/NoncharitablePurpose	0	0
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IRS990PF/StatementsRegardingActy4720/PaymentToGovernmentOffical	0	0
IRS990PF/StatementsRegardingActy4720/PayPremiumsPrsnlBnftContract	0	0
IRS990PF/StatementsRegardingActy4720/ProhibitedTaxShelterTransactn	0	0
IRS990PF/StatementsRegardingActy4720/RcvFundsToPayPrsnlBnftContract	0	0
IRS990PF/StatementsRegardingActy4720/SaleOrExchangeWithDsqflyPerson	0	0
IRS990PF/StatementsRegardingActy4720/TransferAssetsToDsqflyPerson	0	0
IRS990PF/StatementsRegardingActy4720/UncorrectedJeopardyInvestments	0	0
IRS990PF/StatementsRegardingActy4720/UncorrectedPriorActs	0	0
IRS990PF/StatementsRegardingActy4720/UndistributedIncomePriorYears	0	0
IRS990PF/SumOfProgramRelatedInvestments/Total	0	0
IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/Amount	0	17943
IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/Amount	1	33009
IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/Amount	2	33009
IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/PurposeOfGrantOrContribution	0	TO PROVIDE FUNDS TO INDIVIDUALS TO ATTEND REHABILITA
IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/PurposeOfGrantOrContribution	1	TO PROVIDE FUNDS TO INDIVIDUALS TO ATTEND REHABILITA
IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/PurposeOfGrantOrContribution	2	TO PROVIDE FUNDS TO INDIVIDUALS TO ATTEND REHABILITA
IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientBusinessName/BusinessNameLine1	0	BETTY FORD CENTER FOUNDATION
IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientBusinessName/BusinessNameLine1	1	HAZELDEN FOUNDATION
IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientFoundationStatus	0	N/A
IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientFoundationStatus	1	N/A
IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientFoundationStatus	2	N/A
IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientPersonName	0	RESIDENTS OF GRAY WOLF RANCH REHAB
IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientRelationship	0	NONE
IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientRelationship	1	NONE
IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientRelationship	2	NONE
IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientUSAddress/AddressLine1	0	PO BOX 102
IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientUSAddress/AddressLine1	1	41990 COOK STREET SUITE C-301
IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientUSAddress/AddressLine1	2	PO BOX 11 BC2 15251 PLEASANT VALLEY
IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientUSAddress/AddressLine2	0	RD
IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientUSAddress/City	0	PORT TOWNSEND
IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientUSAddress/City	1	PALM DESERT
IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientUSAddress/City	2	CENTER CITY
IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientUSAddress/State	0	WA
IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientUSAddress/State	1	CA
IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientUSAddress/State	2	MN
IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientUSAddress/ZIPCode	0	98368
IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientUSAddress/ZIPCode	1	92211
IRS990PF/SupplementaryInformation/GrantOrContriPaidDuringYear/RecipientUSAddress/ZIPCode	2	550120011
IRS990PF/SupplementaryInformation/OnlyContributesToPreselected	0	X
IRS990PF/SupplementaryInformation/TotGrantOrContriApprovedFuture	0	0
IRS990PF/SupplementaryInformation/TotGrantOrContriPaidDuringYear	0	83961
IRS990PF/TrnsfrTrRlnWithNoncharitableEO/LoansOrLoanGuarantees	0	0
IRS990PF/TrnsfrTrRlnWithNoncharitableEO/PerformanceOfServicesEtc	0	0
IRS990PF/TrnsfrTrRlnWithNoncharitableEO/PurchaseAssetsNoncharitableEO	0	0
IRS990PF/TrnsfrTrRlnWithNoncharitableEO/ReimbursementArrangements	0	0
IRS990PF/TrnsfrTrRlnWithNoncharitableEO/RelationshipsNoncharitableEOs	0	0
IRS990PF/TrnsfrTrRlnWithNoncharitableEO/RentalOfFacilitiesEtc	0	0
IRS990PF/TrnsfrTrRlnWithNoncharitableEO/SalesOrExchangesOfAssets	0	0
IRS990PF/TrnsfrTrRlnWithNoncharitableEO/SharingOfFacilitiesEtc	0	0
IRS990PF/TrnsfrTrRlnWithNoncharitableEO/TrnsfrOfCashToNoncharitableEO	0	0
IRS990PF/TrnsfrTrRlnWithNoncharitableEO/TrnsfrOthAssetsNoncharitableEO	0	0
IRS990PF/UndistributedIncome/AppliedToCurrentYear	0	1803
IRS990PF/UndistributedIncome/AppliedToPriorYears	0	0
IRS990PF/UndistributedIncome/AppliedToYear1	0	0
IRS990PF/UndistributedIncome/DistributableAmountAsAdjusted	0	1803
IRS990PF/UndistributedIncome/DistriFromCorpus170b1EOr4942g3	0	0
IRS990PF/UndistributedIncome/ExcessDistriCarryoverYear1	0	87816
IRS990PF/UndistributedIncome/ExcessDistriCarryoverYear2	0	41415
IRS990PF/UndistributedIncome/ExcessDistriCarryoverYear3	0	97920
IRS990PF/UndistributedIncome/ExcessDistriCyovAppCYCorpus	0	0
IRS990PF/UndistributedIncome/ExcessDistriCyovAppliedCY	0	0
IRS990PF/UndistributedIncome/ExcessDistriCyovFromYear5	0	0
IRS990PF/UndistributedIncome/ExcessDistriCyovToNextYear	0	309309
IRS990PF/UndistributedIncome/ExcessFromCurrentYear	0	82158
IRS990PF/UndistributedIncome/ExcessFromYear1	0	87816
IRS990PF/UndistributedIncome/ExcessFromYear2	0	41415
IRS990PF/UndistributedIncome/ExcessFromYear3	0	97920
IRS990PF/UndistributedIncome/PriorYearDeficiencyOrTax	0	0
IRS990PF/UndistributedIncome/PriorYearUndistributedIncome	0	0
IRS990PF/UndistributedIncome/QualifyingDistributions	0	83961
IRS990PF/UndistributedIncome/RemainingDistriFromCorpus	0	82158
IRS990PF/UndistributedIncome/TaxableAmount1	0	0
IRS990PF/UndistributedIncome/TaxableAmount2	0	0
IRS990PF/UndistributedIncome/TotalCorpus	0	309309
IRS990PF/UndistributedIncome/TotalExcessDistriCarryover	0	227151
IRS990PF/UndistributedIncome/TotalForPriorYears	0	0
IRS990PF/UndistributedIncome/TreatedAsDistriFromCorpus	0	0
IRS990PF/UndistributedIncome/UndistributedIncomeCY	0	0
IRS990PF/UndistributedIncome/UndistributedIncomePriorYear	0	0
IRS990ScheduleB/ContributorInfo/AggregateContributions	0	5000
IRS990ScheduleB/ContributorInfo/AggregateContributions	1	29313
IRS990ScheduleB/ContributorInfo/AggregateContributions	2	5000
IRS990ScheduleB/ContributorInfo/AggregateContributions	3	6000
IRS990ScheduleB/ContributorInfo/ContributorAddressUS/AddressLine1	0	C/O POBOX 244
IRS990ScheduleB/ContributorInfo/ContributorAddressUS/AddressLine1	1	C/O POBOX 244
IRS990ScheduleB/ContributorInfo/ContributorAddressUS/AddressLine1	2	C/O POBOX 244
IRS990ScheduleB/ContributorInfo/ContributorAddressUS/AddressLine1	3	C/O POBOX 244
IRS990ScheduleB/ContributorInfo/ContributorAddressUS/City	0	PORT TOWNSEND
IRS990ScheduleB/ContributorInfo/ContributorAddressUS/City	1	PORT TOWNSEND
IRS990ScheduleB/ContributorInfo/ContributorAddressUS/City	2	PORT TOWNSEND
IRS990ScheduleB/ContributorInfo/ContributorAddressUS/City	3	PORT TOWNSEND
IRS990ScheduleB/ContributorInfo/ContributorAddressUS/State	0	WA
IRS990ScheduleB/ContributorInfo/ContributorAddressUS/State	1	WA
IRS990ScheduleB/ContributorInfo/ContributorAddressUS/State	2	WA
IRS990ScheduleB/ContributorInfo/ContributorAddressUS/State	3	WA
IRS990ScheduleB/ContributorInfo/ContributorAddressUS/ZIPCode	0	983680244
IRS990ScheduleB/ContributorInfo/ContributorAddressUS/ZIPCode	1	983680244
IRS990ScheduleB/ContributorInfo/ContributorAddressUS/ZIPCode	2	983680244
IRS990ScheduleB/ContributorInfo/ContributorAddressUS/ZIPCode	3	983680244
IRS990ScheduleB/ContributorInfo/ContributorNameBusiness/BusinessNameLine1	0	COSTCO WHOLESALE
IRS990ScheduleB/ContributorInfo/ContributorNameBusiness/BusinessNameLine1	1	SUMMIT FOR SOBRIETY
IRS990ScheduleB/ContributorInfo/ContributorNameBusiness/BusinessNameLine1	2	MICHAEL ALAN ROSEN FOUNDATION
IRS990ScheduleB/ContributorInfo/ContributorNameIndividual	0	CINDY ANDERSON
IRS990ScheduleB/ContributorInfo/ContributorNumber	0	1
IRS990ScheduleB/ContributorInfo/ContributorNumber	1	2
IRS990ScheduleB/ContributorInfo/ContributorNumber	2	3
IRS990ScheduleB/ContributorInfo/ContributorNumber	3	4
IRS990ScheduleB/ContributorInfo/PersonContributionType	0	X
IRS990ScheduleB/ContributorInfo/PersonContributionType	1	X
IRS990ScheduleB/ContributorInfo/PersonContributionType	2	X
IRS990ScheduleB/ContributorInfo/PersonContributionType	3	X
IRS990ScheduleB/GeneralRule	0	X
IRS990ScheduleB/Organization501c3ExemptPF	0	X
LandEtcSchedule2/LandEtc/AccumulatedDepreciation	0	477
LandEtcSchedule2/LandEtc/BookValue	0	0
LandEtcSchedule2/LandEtc/CategoryOrItem	0	FURNITURE AND EQUIPMENT
LandEtcSchedule2/LandEtc/CostOrOtherBasis	0	477
LegalFeesSchedule/LegalFees/Amount	0	1990
LegalFeesSchedule/LegalFees/Category	0	PROFESSIONAL FEES
LegalFeesSchedule/LegalFees/DisbursementsCharitablePrps	0	0
LegalFeesSchedule/LegalFees/NetInvestmentIncome	0	0
LiquidationExplanationStmt/Statement	0	THERE WERE NO ASSETS HELD BY THE CORPORATION OTHER THAN CASH. ASSETS WERE DISTRIBUTED 50% TO HAZELDEN FOUNDATION AND 50% TO BETTY FORD CENTER FOUNDATION. DISTRIBUTIONS TOOK PLACE ON 12/31/2012 AND 04/11/2012.
OtherExpensesSchedule/OtherExpenses/Description	0	ADVERTISING EXPENSE
OtherExpensesSchedule/OtherExpenses/Description	1	OFFICE EXPENSE
OtherExpensesSchedule/OtherExpenses/Description	2	TELEPHONE EXPENSE
OtherExpensesSchedule/OtherExpenses/DisbursementsCharitablePrps	0	0
OtherExpensesSchedule/OtherExpenses/DisbursementsCharitablePrps	1	0
OtherExpensesSchedule/OtherExpenses/DisbursementsCharitablePrps	2	0
OtherExpensesSchedule/OtherExpenses/NetInvestmentIncome	0	0
OtherExpensesSchedule/OtherExpenses/NetInvestmentIncome	1	0
OtherExpensesSchedule/OtherExpenses/NetInvestmentIncome	2	0
OtherExpensesSchedule/OtherExpenses/RevenueAndExpensesPerBooks	0	633
OtherExpensesSchedule/OtherExpenses/RevenueAndExpensesPerBooks	1	100
OtherExpensesSchedule/OtherExpenses/RevenueAndExpensesPerBooks	2	710
SubstantialContributorsSch/SubstantialContributor/BusinessName/BusinessNameLine1	0	COSTCO WHOLESALE
SubstantialContributorsSch/SubstantialContributor/BusinessName/BusinessNameLine1	1	SUMMIT FOR SOBRIETY
SubstantialContributorsSch/SubstantialContributor/BusinessName/BusinessNameLine1	2	MICHAEL ALAN ROSEN FOUNDATION
SubstantialContributorsSch/SubstantialContributor/PersonName	0	CINDY ANDERSON
SubstantialContributorsSch/SubstantialContributor/USAddress/AddressLine1	0	C/O POBOX 244
SubstantialContributorsSch/SubstantialContributor/USAddress/AddressLine1	1	C/O POBOX 244
SubstantialContributorsSch/SubstantialContributor/USAddress/AddressLine1	2	C/O POBOX 244
SubstantialContributorsSch/SubstantialContributor/USAddress/AddressLine1	3	C/O POBOX 244
SubstantialContributorsSch/SubstantialContributor/USAddress/City	0	PORT TOWNSEND
SubstantialContributorsSch/SubstantialContributor/USAddress/City	1	PORT TOWNSEND
SubstantialContributorsSch/SubstantialContributor/USAddress/City	2	PORT TOWNSEND
SubstantialContributorsSch/SubstantialContributor/USAddress/City	3	PORT TOWNSEND
SubstantialContributorsSch/SubstantialContributor/USAddress/State	0	WA
SubstantialContributorsSch/SubstantialContributor/USAddress/State	1	WA
SubstantialContributorsSch/SubstantialContributor/USAddress/State	2	WA
SubstantialContributorsSch/SubstantialContributor/USAddress/State	3	WA
SubstantialContributorsSch/SubstantialContributor/USAddress/ZIPCode	0	983680244
SubstantialContributorsSch/SubstantialContributor/USAddress/ZIPCode	1	983680244
SubstantialContributorsSch/SubstantialContributor/USAddress/ZIPCode	2	983680244
SubstantialContributorsSch/SubstantialContributor/USAddress/ZIPCode	3	983680244
TaxesSchedule/Taxes/Amount	0	8
TaxesSchedule/Taxes/Category	0	FEDERAL TAX EXPENSE
TaxesSchedule/Taxes/DisbursementsCharitablePrps	0	0
TaxesSchedule/Taxes/NetInvestmentIncome	0	0
ReturnHeader/BuildTS	0	2016-02-24 21:20:13Z
ReturnHeader/Filer/EIN	0	912143496
ReturnHeader/Filer/Name/BusinessNameLine1	0	4806 FOUNDATION
ReturnHeader/Filer/NameControl	0	4806
ReturnHeader/Filer/Phone	0	8663854806
ReturnHeader/Filer/USAddress/AddressLine1	0	PO BOX 102
ReturnHeader/Filer/USAddress/City	0	PORT TOWNSEND
ReturnHeader/Filer/USAddress/State	0	WA
ReturnHeader/Filer/USAddress/ZIPCode	0	983680244
ReturnHeader/Officer/AuthorizeThirdParty	0	1
ReturnHeader/Officer/DateSigned	0	2012-09-05
ReturnHeader/Officer/Name	0	PETER BOESCHENSTEIN
ReturnHeader/Officer/Phone	0	8663854806

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2011 • Form 990PFDetailed filing. Detailed filing data is available for this year.

Open filing

Assets: $0
Liabilities: $0
Net assets: $0
Revenue: -
Expenses: $98,452
Net income: -

	Balance Sheet			Operations
Year	Assets	Liabilities	Net Assets	Revenue	Expenses	Net Income
2011Detailed filing. Detailed filing data is available for this year.	$0.00	$0.00	$0.00		$98.5
2010Detailed filing. Detailed filing data is available for this year.	$45.6	$0.00	$45.6		$95.3