Fwm 8879 - University Enterprises Corporation
Transcription
Fwm 8879 - University Enterprises Corporation
Fwm IRS e-file Signature Authorization for an Exempt Organization 8879- EO For calendar year 201C, orfiscalyear beginning JUL 1 , 2010, and ending OMB No. 1545-1878 JUN 30 .20 11 ^ Do not send to the IRS. Keep for your records. ^ See instructions. Department of the Treasury Internal Revenue Service Name of exempt organization 2010 Employer identification number FOUNDATION FOR THE CALIFORNIA UNIVERSITY , SAN BERNARDINO STATE 95-6067343 Name and title of officer ROBERT GARDNER TREASURER Type of Return and Return Information (Whole Dollars Only) Part I Check the box for the return for which you are using this Form 8879-EO and enter the applicable amount, if any, from the return. If you check the box on line 1a, 2a, 3a, 4a, or 5a, below, and the amount on that line for the return being filed with this form was blank, then leave line 1b, 2b, 3b, 4b, or 5b, whichever is applicable, blank (do not enter -0-). But, if you entered -0- on the return, then enter -0- on the applicable line below. Do not complete more than 1 line in Part I. 1a 2a 3a 4a 5a Form 990 check here ^- LXJ Form 990-EZ check here frForm 1120-POL check here ^Form 990-PF check here j» I Form 8868 check here ^-EU Part II | b Total revenue, if any (Form 990, Part VIII, column (A), line 12) I b Total revenue, if any (Form 990-EZ, line 9) CU b Total tax (Form 1120-POL, line 22) I b Tax based on investment income (Form 990-PF, Part VI, line 5) b Balance Due (Form 8868, Part I, line 3c or Part II, line 8c) . 1b 2b 3b 4b 5b 31718030 Declaration and Signature Authorization of Officer Under penalties of perjury, I declare that I am an officer of the above organization and that I have examined a copy of the organization's 2010 electronic return and accompanying schedules and statements and to the best of my knowledge and belief, they are true, correct, and complete. I further declare that the amount in Part I above is the amount shown on the copy of the organization's electronic return. I consent to allow my intermediate service provider, transmitter, or electronic return originator (ERO) to send the organization's return to the IRS and to receive from the IRS (a) an acknowledgement of receipt or reason for rejection of the transmission, (b) the reason for any delay in processing the return or refund, and (c) the date of any refund. If applicable, I authorize the U.S. Treasury and its designated Financial Agent to initiate an electronic funds withdrawal (direct debit) entry to the financial institution account indicated in the tax preparation software for payment of the organization's federal taxes owed on this return, and the financial institution to debit the entry to this account. To revoke a payment, I must contact the U.S. Treasury Financial Agent at 1 -888-353-4537 no later than 2 business days prior to the payment (settlement) date. I also authorize the financial institutions involved in the processing of the electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment. I have selected a personal identification number (PIN) as my signature for the organization's electronic return and, if applicable, the organization's consent to electronic funds withdrawal. Officer's PIN: check one box only Hcl iauthorize ROGERS, ANDERSON. MALODY & SCOTT, LLP to enter my PIN| 34894 Enter five numbers, but do not enter all zeros ERO firm name as my signature on the organization's tax year 2010 electronically filed return. If I have indicated within this return that a copy of the return is being filed with a state agency(ies) regulating charities as part of the IRS Fed/State program, I also authorize the aforementioned ERO to enter my PIN on the return's disclosure consent screen. I I As an officer of the organization, I will enter ray PIN as my signature on the organization's tax year 2010 electronically filed return. If I have indicated within this-return that a copy of trip return is being filed with a state agency(ies) regulating charities as part of the IRS Fed/State program, I will entermy PIN on the return's "disclosure consent screen. Officer's signature &• Part III I T ^ " ' t---v **-' \]^~" Date ^- '2- Certification and Authentication ERO's EFIN/PIN. Enter your six-digit electronic filing identification number (EFIN) followed by your five-digit self-selected PIN. 33117916500 do not enter all zeros I certify that the above numeric entry is my PIN, which is my signature on the 2010 electronically filed return for the organization indicated above. I confirm that I am submitting this return in accordance with the requirements of Pub. 4163, Modernized e-File (MeF) Information for Authorized IRS e-file Providers for Business Returns. Date ERO's signature ERO Must Retain This Form - See Instructions Do Not Submit This Form To the IRS Unless Requested To Do So LHA For Paperwork Reduction Act Notice, see instructions. 023051 12-27-10 Form 8879-EO (2010) qqn OMB No. 1545-0047 Return of Organization Exempt From Income Tax 2010 Form ilCIW Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation) ^- The organization may have to use a copy of this return to satisfy state reporting requirements. A For the 2010 calendar year, or tax year beginning JUL 1, 2010 and ending JUN 3 0 , 2011 Department of the Treasury Internal Revenue Service C Name of organization FOUNDATION FOR THE CALIFORNIA STATE UNIVERSITY, SAN BERNARDINO B Check if applicable: n Address change nName change n Initial return Terminated n Amended return n Application pending n Doing Business As Number and street (or P.O. box if mail is not delivered to street address) 5 5 0 0 UNIVERSITY PARKWAY Open to Public Inspection D Employer identification number 95-6067343 E Telephone number Room/suite 909-537-5918 G Gross receipts $ 39,129,966. City or town, state or country, and ZIP + 4 SAN BERNARDINO, CA 92407 H(a) Is this a group return F Name and address of principal officerROBERT GARDNER for affiliates? [ Ives l_Xj No SAME AS C ABOVE H(b) Are all affiliates included? LZ1 Yes 1 No I Tax-exempt status: LXJ 501 (c)(3) I l501(c)( )•< (insert no.) I I 4947(a)(1) or I I 527 If "No," attach a list, (see instructions) J Website: ^ UEC . CSUSB . EDU H(c) Group exemption number ^ Association Trust Other K Form of organization: l_Xj Corporation I L Year of formation: 19 6 2| M State of legal domicile: CA Activities & Governance Part I Summary a) 3 Expenses DC l_ C/3 °s ~m o>.£2 co ro II 1 Briefly describe the organization's mission or most significant activities: TO PROMOTE AND ASSIST IN EDUCATION, ADMINISTRATION, AND RELATED SERVICES OF CALIFORNIA STATE 2 Check this box ^- I I if the organization discontinued its operations or disposed of more than 25% of its net a;jsets. 86 3 Number of voting members of the governing body (Part VI, line 1 a) 3 76 4 Number of independent voting members of the governing body (Part VI, line 1 b) 4 1195 5 Total number of individuals employed in calendar year 201 0 (Part V, line 2a) 5 83 6 Total number of volunteers (estimate if necessary) 6 0. 7 a Total unrelated business revenue from Part VIII, column (C), line 12 7a 0. b Net unrelated business taxable income from Form 990-T, line 34 7b Prior Year Current Year 30,104,247. 28, 307,353. 8 Contributions and grants (Part VIII, line 1h) 1,026,459. 2, 133,919. 9 Program service revenue (Part VIII, line 2g) 609,837. 10 Investment income (Part VIII, column (A), lines 3, 4, and 7d) 1, 2 7 6 , 7 5 8 . 4,812,224. 0. 11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 3 6 , 5 5 2 , 7 6 7 . 7 1 8 , 0 3 0. 31, 12 Total revenue • add lines 8 through 1 1 (must equal Part VIII, column (A), line 12) 0. 0. 13 Grants and similar amounts paid (Part IX, column (A), lines 1-3) 0. 0. 14 Benefits paid to or for members (Part IX, column (A), line 4) 13,495,553. 15, 6 7 9 , 9 8 8 . 15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5-1 0) 0. 0. 16a Professional fundraising fees (Part IX, column (A), line 11e) b Total fundraising expenses (Part IX, column (D), line 25) ^ 0. 55,012,971. 19, 5 3 7 , 4 4 1 . 17 Other expenses (Part IX, column (A), lines 11a-11d, 11f-24f) 68,508,524. 35, 217,429. 18 Total expenses. Add lines 13-17 (must equal Part IX, column (A), line 25) -31,955,757. -3, 4 9 9 , 3 9 9 . 19 Revenue less expenses. Subtract line 18 from line 12 Beginning of Current Year End of Year 46,775,477. 45, 3 9 8 , 6 2 0 . 20 Total assets (Part X, line 1 6) 9,335,483. 12, 9 3 6 , 1 9 4 . 21 Total liabilities (Part X, line 26) 37,439,994. 32, 4 6 2 , 4 2 6 . 22 Net assets or fund balances. Subtract line 21 from line 20 [ Part II Signature Block 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 officer) is based on all information of which preparer has any knowledge. k Date ^ Signature of officer Sign Here k ROBERT GARDNER, * Type or print name and title Paid Preparer Use Only TREASURER Preparer's signature Print/Type preparer's name TERRY SHEA Firm's name ^. ROGERS , ANDERSON , MALODY & SCOTT, Firm's address ^ 735 E. CARNEGIE DRIVE, SUITE 100 SAN BERNARDINO, CA 9 2 4 0 8 May the IRS discuss this return with the preparer shown above? (see instructions) 03200102-22-11 LHA For Paperwork Reduction Act Notice, see the separate instructions. Date Check | | PTIN self-employed LLP Firm's EINfr. Phoneno. ( 9 0 9 ) 889-0871 LJ^Yes JNO Form 990 (2010) SEE SCHEDULE 0 FOR ORGANIZATION MISSION STATEMENT CONTINUATION FOUNDATION FOR THE CALIFORNIA STATE Form990(2010) UNIVERSITY, SAN BERNARDINO | Part III | Statement of Program Service Accomplishments 1 95-6067343 Check if Schedule O contains a response to any question in this Part III Briefly describe the organization's mission: Page2 LXj TO PROMOTE AND ASSIST IN EDUCATION, ADMINISTRATION, AND RELATED SERVICES OF CALIFORNIA STATE UNIVERSITY, SAN BERNARDINO. 2 3 4 4a Did the organization undertake any significant program services during the year which were not listed on the prior Form 990 or 990-EZ? If "Yes," describe these new services on Schedule O. Did the organization cease conducting, or make significant changes in how it conducts, any program services? If "Yes," describe these changes on Schedule O. Describe the exempt purpose achievements for each of the organization's three largest program services by expenses. Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported. (Code: ) (Expenses $ 2 9 , 0 0 1 , 5 9 3 . including grants of $ ) (Revenue $ I IVOR I~X"I No LXj Yes I I No 119 , 192 . ) GRANTS AND CONTRACTS - PROVIDE STAFF SALARIES; OPERATING SUPPLIES; BOOKS AND MATERIALS; TUITION, STIPENDS AND EQUIPMENT. GRANTS ARE FOR RESEARCH, TEACHING AND COMMUNITY SERVICE PROJECTS. 4b (Code: ) (Expenses $ 5 9 5 , 6 8 5 . including grants of $ ) (Revenue $ 615 , CHILDREN'S & INFANT CENTERS 4c (Code: ) (Expenses $ 2 , 6 6 8 , 5 3 3 . including grants of $ ) (Revenue $ 23,631. SCHOLARSHIPS - COORDINATE SCHOLARSHIP DONATIONS WITH THE STUDENT AWARDED SCHOLARSHIPS. STUDENT AWARDS WERE 700. 4d 4e Other program services. (Describe in Schedule O.) (Expenses $ 7 9 6 , 1 0 0 . including grants of $ Total program service expenses ^ 33,061,911. 032002 12-21-10 ) (Revenues 1,375,412. ) Form 990 (2010) Form 990 (2010) FOUNDATION FOR THE CALIFORNIA STATE UNIVERSITY, SAN BERNARDINO 95-6067343 Page3 Part IV | Checklist of Required Schedules Yes 1 Is the organization described in section 501 (c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule A 2 3 Is the organization required to complete Schedule B, Schedule of Contributors? Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501 (h) election in effect during the tax year? If "Yes," complete Schedule C, Part II 5 Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part III 5 6 Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I Did the organization receive or hold a conservation easement, including easements to preserve open space, the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II 7 8 Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete ScheduleD, Part III 8 9 Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV Did the organization, directly or through a related organization, hold assets in term, permanent, or quasi-endowments? If "Yes," complete Schedule D, Part V 4 7 10 11 1 No X 2 X 3 X 4 X 6 _ X X 9 10 X 11a X If the organization's answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable. a Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete Schedule D, Part VI b Did the organization report an amount for investments - other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII 11b _ c Did the organization report an amount for investments • program related in Part X, line 13 that is 5% or more of its total assets reported in PartX, line 16?/f "Yes," complete Schedule D, Part VIII 11c _ d Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in PartX, line 16? If "Yes," complete Schedule D, Part IX 11d _ e Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, PartX 11e f Did the organization's separate or consolidated financial statements for the tax year include a footnote that addresses the organization's liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, PartX 12a Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete ScheduleD, PartsXI, XII, andXIII b Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No"toline 12a, then completing Schedule D, Parts XI, XII, and XIII is optional 13 Is the organization a school described in section 170(b)(1)(A)(ii)?/rYes,"comp/efeSc/7edu/e£ 14a Did the organization maintain an office, employees, or agents outside of the United States? b Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If "Yes," complete Schedule F, Parts I and IV 11f _ 12a I2b 13 X X X_ 14a _ 14b _ 15 Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the United States? If "Yes," complete Schedule F, Parts II and IV 15 16 Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the United States? If "Yes," complete Schedule F, Parts III and IV 16 Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I 18 Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1cand8a?/f "Yes," complete Schedule G, Part II 19 Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III 20a Did the organization operate one or more hospitals? If "Yes," complete Schedule H X X X 17 17 18 _ 19 20a ] b If "Yes" to line 20a, did the organization attach its audited financial statements to this return? Note. Some Form 990 filers that operate one or more hospitals must attach audited financial statements (see instructions) I 20b | Form 990 (2010) 032003 12-21-10 Form 990 (2010) FOUNDATION FOR THE CALIFORNIA STATE UNIVERSITY, SAN BERNARDINO 95-6 0 67343 Page 4 Part IV Checklist of Required Schedules (continued) Yes 21 22 23 24a b c d 25a b 26 27 28 a b c 29 30 31 32 33 34 Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If "Yes," complete Schedule I, Parts I and II Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If "Yes," complete Schedule I, Parts I and III Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization's current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If "Yes," answer lines 24b through 24d and complete Schedule K. If "No", go to line 25 Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defease any tax-exempt bonds? Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year? Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Parti Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization's tax year? If "Yes," complete Schedule L, Part II Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If "Yes," complete Schedule L, Part III Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions): A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Parti Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets?/^ "Ves," complete ScheduleN, PartII Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701 -2 and 301.7701 -3? If "Yes," complete Schedule R, Part I Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Parts II, III, IV, and V, line 1 35 Is any related organization a controlled entity within the meaning of section 512(b)(13)? a Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 I I Yes QT] No 36 Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, Iine2 37 Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI 38 Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O 032004 12-21-10 No 21 X 22 X 23 X 24a 24b X 24c 24d 25a _25b X 26 X 27 X 28a 28b X_ 28c 29 X_ 30 31 X 32 X 33 34 X 35 36 X 37 38 X Form 990 (2010) FOUNDATION FOR THE CALIFORNIA STATE Form 990 (2010) UNIVERSITY, SAN BERNARDINO Part V | Statements Regarding Other IRS Filings and Tax Compliance 95-6067343 PageS Check if Schedule O contains a response to any question in this Part V Yes 1a Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable 1a b Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable 1b c Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prizewinners? 1c 2a Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements, 1195 filed for the calendar year ending with or within the year covered by this return 2a b If at least one is reported on line 2a, did the organization file all required federal employment tax returns?. 2b Note. If the sum of lines 1 a and 2a is greater than 250, you may be required to e-file. (see instructions) 3a Did the organization have unrelated business gross income of $1,000 or more during the year? 3a b If "Yes," has it filed a Form 990-T for this year? If "No," provide an explanation in Schedule O | 3b 4a At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? 4a b If "Yes," enter the name of the foreign country: ^ See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts. 5a Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? 5a b Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction? 5b c If "Yes," to Nne5aor5b, did the organization file Form 8886-T? 5c 6a Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible? 6a b If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? 6b 7 Organizations that may receive deductible contributions under section 170(c). Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? 7a b If "Yes," did the organization notify the donor of the value of the goods or services provided? 7b c Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? 7c d If "Yes," indicate the number of Forms 8282 filed during the year | 7d e Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? 7e f Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? 7f g If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? 7g h If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? 7h 8 Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year? 8 9 a b 10 a b 11 a b 12a b 13 a b c 14a b Sponsoring organizations maintaining donor advised funds. Did the organization make any taxable distributions under section 4966? Did the organization make a distribution to a donor, donor advisor, or related person? Section 501(c)(7) organizations. Enter: Initiation fees and capital contributions included on Part VIII, line 12 10a Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities | 10b Section 501(c)(12) organizations. Enter: Gross income from members or shareholders 11a Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) I 11b Section 4947(a)( 1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041 ? If "Yes," enter the amount of tax-exempt interest received or accrued during the year | 12b | Section 501(c)(29) qualified nonprofit health insurance issuers. Is the organization licensed to issue qualified health plans in more than one state? Note. See the instructions for additional information the organization must report on Schedule O. Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans 13b Enter the amount of reserves on hand | 13c Did the organization receive any payments for indoor tanning services during the tax year? If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O 032005 12-21-10 No 511 X X X X X •; 9a 9b 12a 13a 14a X. | 14b Form 990 (2010) Form 990 (2010) FOUNDATION FOR THE CALIFORNIA STATE UNIVERSITY, SAN BERNARDINO 95-6067343 PageG Part VI | Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and lor a "No" response to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions. Check if Schedule O contains a response to any question in this Part VI Section A. Governing Body and Management Yes 1a Enter the number of voting members of the governing body at the end of the tax year 1a b Enter the number of voting members included in line 1 a, above, who are independent 1b 2 Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? 3 Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? 4 Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? 5 Did the organization become aware during the year of a significant diversion of the organization's assets? 6 Does the organization have members or stockholders? 7a Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? b Are any decisions of the governing body subject to approval by members, stockholders, or other persons? 8 Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following: a The governing body? b Each committee with authority to act on behalf of the governing body? 9 Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization's mailing address? If "Yes," provide the names and addresses in Schedule O Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.) No 86 76 2 X 3 4 5 6 X X X X 7a 7b X X 8a 8b X X 9 X Yes I No 10a Does the organization have local chapters, branches, or affiliates? b If "Yes," does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? 11a Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form? b Describe in Schedule O the process, if any, used by the organization to review this Form 990. 12a Does the organization have a written conflict of interest policy? If "No," go fo line 13 b Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? c Does the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this is done 13 Does the organization have a written whistleblower policy? 14 Does the organization have a written document retention and destruction policy? 15 Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision? a The organization's CEO, Executive Director, or top management official b Other officers or key employees of the organization If "Yes" to line 15a or 15b, describe the process in Schedule O. (See instructions.) 16a Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? b If "Yes," has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization's exempt status with respect to such arrangements? ,_„.. ,. 10a 10b 11a X 12a X 12b X 12c 13 14 X X 15a _ 15b X 16a 16b Section C. Disclosure 17 18 19 20 List the states with which a copy of this Form 990 is required to be 1 Section 6104 requires an organization to make its Forms 1023 (or 1024 if applicable), 990, and 990-T (501 (c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply. I X I Own website I I Another's website I X I Upon request Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public. State the name, physical address, and telephone number of the person who possesses the books and records of the organization: ^ LISA IANNOLO - 909-537-3922 5500 UNIVERSITY PARKWAY, SAN BERNARDINO, CA 92407 Form 990 (2010) 032006 12-21-10 6 FOUNDATION FOR THE CALIFORNIA STATE Form 990 (2010) UNIVERSITY, SAN BERNARDINO 95-6067343 [Part vil| Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors PaqeT Check if Schedule O contains a response to any question in this Part VII Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees 1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization's tax year. • List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid. • List all of the organization's current key employees, if any. See instructions for definition of "key employee." • List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee) who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the organization and any related organizations. • List all of the organization's former officers, key employees, and highest compensated employees who received more than $100,000 of reportable compensation from the organization and any related organizations. • List all of the organization's former directors or trustees that received, in the capacity as a former director or trustee of the organization, more than $10,000 of reportable compensation from the organization and any related organizations. List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest compensated employees; and former such persons. Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee. (C) (B) Average Position hours per (check all that apply) week ^ (describe hours for o £ S2 related organizations in Schedule ;> 1 £ 0) , Key employee Highest compensated employee (A) Name and Title (D) Reportable compensation from the organization (W-2/1099-MISC) (E) Reportable compensation from related organizations (W-2/1099-MISC) (F) Estimated amount of other compensation from the organization and related organizations NEALE PERKINS PRESIDENT ALBERT KARNIG 1.00 X X 0. 0. 0. CEO 1.00 X X 0. 338,013. 62,522. EDWARD TEYBER VICE PRESIDENT 1.00 X X 0. 92,170. 33,352. 1.00 X X 0. 0. 0. 1.00 X X 0. 183,848. 50,396. 1.00 X 0. 0. 0. DIRECTOR DONALD AVERILL 1.00 X 0. 0. 0. DIRECTOR BETTY BARKER 1.00 X 0. 0. 0. DIRECTOR GLENDA BAYLESS 1.00 X 0. 0. 0. DIRECTOR VIRGINIA M. BLUMENTHAL DIRECTOR RUSSELL V. BOGH DIRECTOR MICHAEL BRACKEN DIRECTOR JACK H. BROWN 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. DIRECTOR ROBERT BURLINGAME 1.00 X 0. 0. 0. DIRECTOR ARTHUR BUTLER DIRECTOR TONI CALLICOTT 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. LOIS CARSON SECRETARY ROBERT GARDNER TREASURER MARIE ALONZO DIRECTOR WILLIAM ANTHONY DIRECTOR 032007 12-21-10 0. Form 990 (2010) FOUNDATION FOR THE CALIFORNIA STATE UNIVERSITY, SAN BERNARDINO Form 990 (2010) 95-6067343 | Part VII Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) Institutional trustee (B) (C) Average Position hours per (check all that apply) week (describe hours for 1 related organizations o^ 1 in Schedule i 0) ft Individual trustee or director (A) Name and title , (D) Reportable compensation from the organization (W-2/1099-MISC) (E) Reportable compensation from related organizations (W-2/1099-MISC) PaqeS (F) Estimated amount of other compensation from the organization and related organizations ALI CAYIR DIRECTOR STEVE 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 146,270. 329,944. 476,214. I. CHIANG DIRECTOR GREG K. CHRISTIAN DIRECTOR HENRY COIL DIRECTOR NICHOLAS J. CO0SSOULIS DIRECTOR JIM CUEVAS DIRECTOR CARL DAMERON DIRECTOR JAMIL DADA DIRECTOR THEODORE W. DUTTON DIRECTOR 1b c d 2 0. 614,031. Sub-total > 3 6 0 , 8 8 5 . 1,060,129. Total from continuation sheets to Part VII, Section A * 3 6 0 , 8 8 5 . 1,674,160. Total (add lines 1b and 1c) Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organization ^- Yes No Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on X line 1 a? If "Yes," complete Schedule J for such individual 3 For any individual listed on line 1 a, is the sum of reportable compensation and other compensation from the organization X and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual 4 Did any person listed on line 1 a receive or accrue compensation from any unrelated organization or individual for services X rendered to the organization? If "Yes," complete Schedule J for such person 5 Section B. Independent Contractors 1 Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. (A) (C) (B) Description of services Compensation Name and business address SEA WEST ENTERPRISES, INC. 373 E FOOTHILL BLVD , SAN DIMAS , CA 91773 LAND FORMS LANDSCAPE CONSTRUCTIONS, 27601 FORBES RD STE 3 6 , LACUNA NIGUEL , CA 9 2 6 7 7 EMERGING GROWTH ENTERPRISES, LLC , 1020 PROSPECT STREET, SUITE 2 5 0 , LA JOLLA, CA MORGAN STATE UNIVERSITY, 1700 E. COLD SPRING LANE, BALTIMORE, MD 21251 EVALUATION & DEVELOPMENT ASSOC , LLC 530 S LAKE AVE #401, PASADENA, CA 91101 2 CONTRACT SERVICES FOR OBSERVATORY CONTRACT SERVICES FOR WATER RESOURCES CONTRACT SERVICES FOR ITTN COURSE DVLP CONTRACT SERVICES FOR ITTN COURSE DVLP 1 CONTRACT SERVICES POR ACES MATHEMATICS 1,184,145. 464,686. 185,000. 162,000. 129,649. Total number of independent contractors (including but not limited to those listed above) who received more than $1 00,000 in compensation from the organization ^5 SEE PART VII, SECTION A CONTINUATION SHEETS 032008 12-21-10 Form 990 (2010) Form 990 (2010) FOUNDATION FOR THE CALIFORNIA STATE UNIVERSITY, SAN BERNARDINO 95-6067343 22 1 s 1 CD Key employee I* Highest compensated employee | Part VII Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) (A) (B) (C) (D) (E) Name and title Average Position Reportable Reportable hours (check all that apply) compensation compensation per from from related week the organizations organization (W-2/1099-MISC) ^ .1 (W-2/1099-MISC) o (F) Estimated amount of other compensation from the organization and related organizations 1 £ WILLIAM EASLEY DIRECTOR 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. MARK EDWARDS DIRECTOR JAMES EGAN DIRECTOR JIM ERICKSON DIRECTOR GERRY FAWCETT DIRECTOR JAMES FERGUSON DIRECTOR ROBERT FEY DIRECTOR HOWARD FRIEDMAN DIRECTOR MICHAEL J. GALLO DIRECTOR GRACIANO GOMEZ DIRECTOR ALLEN B. GRESHAM DIRECTOR W. BENSON RARER, JR. DIRECTOR GARNER HOLT DIRECTOR JIM IMBIORSKI DIRECTOR DOROTHY INGHRAM DIRECTOR AARON KNOX DIRECTOR RICK LAZAR DIRECTOR WILFRID LEMANN DIRECTOR DOBBIN LO DIRECTOR PAUL MATA DIRECTOR Total to Part VII, Section A, line 1c 032201 12-21-10 Form 990 (2010) FOUNDATION FOR THE CALIFORNIA STATE UNIVERSITY, SAN BERNARDINO 95-6067343 Part VII Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) (A) (C) (B) (D) (E) Name and title Average Position Reportable Reportable (check all that apply) hours compensation compensation per from from related week the organizations 1 organization (W-2/1099-MISC) E" .1 (W-2/1099-MISC) o f 1 g Key employee -^ •g Institutional trustee _0 £ e» in (F) Estimated amount of other compensation from the organization and related organizations 1 BARBARA MCGEE 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. DIRECTOR 1.00 X 0. 0. 0. PATRICK O'REILLY DIRECTOR 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 0. 0. 0. DIRECTOR CHARLES MCNEELY DIRECTOR MICHAEL R. MILLER DIRECTOR LOUIS MONVILLE DIRECTOR YOLANDA MOSES DIRECTOR MICHAEL NAPOLI DIRECTOR JOHN NOLAN DIRECTOR CHARLES OBERSHAW DIRECTOR SHELBY OBERSHAW DIRECTOR RICHARD OLIPHANT MADELEINE PFAU DIRECTOR STEVE PON TELL DIRECTOR RAY QUINTO DIRECTOR JAMES RAMOS DIRECTOR ALI RAZI DIRECTOR RON REDFERN DIRECTOR D. BRIAN REIDER DIRECTOR GEORGE REYES DIRECTOR CARLOS RODRIGUEZ DIRECTOR X Total to Part VII, Section A, line 1c 032201 12-21-10 10 FOUNDATION FOR THE CALIFORNIA STATE UNIVERSITY, SAN BERNARDINO Form 990 (2010) 95-6067343 DONALD L. Institutional trustee Individual trustee or director | Part VII | Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) (A) (B) (C) (D) (E) Name and title Average Position Reportable Reportable hours (check all that apply) compensation compensation per from from related week the organizations | organization (W-2/1099-MISC) 1" (W-2/1099-MISC) -S 1 o i E" 0) bz (F) Estimated amount of other compensation from the organization and related organizations 1 £ ROGERS DIRECTOR 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 50,192. 13,819. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 0. 0. 1.00 X 0. 198,060. 49,207. 1.00 X 0. 86,670. 20,726. 1.00 X 0. 229,614. 44,249. 1.00 X 0. 0. 0. 1.00 X 0. 114,925. 31,034. 1.00 X 0. 143,724. 39,803. 1.00 X 0. 101,862. 30,923. CINDY ROTH DIRECTOR ALI SAHABI DIRECTOR PHILLIP SAVAGE, IV DIRECTOR GEORGE H. SCHNARRE DIRECTOR LARRY R. SHARP DIRECTOR PAUL SHIMOFF DIRECTOR BARBARA SIMMONS DIRECTOR ERNEST H. SIVA DIRECTOR BRUCE D. VARNER DIRECTOR JAMES R. WATSON DIRECTOR ELLEN WEISSER DIRECTOR D. LINN WILEY DIRECTOR ANDREW BODMAN DIRECTOR DOROTHY CHEN-MAYNARD DIRECTOR SPENCER FREUND DIRECTOR JUSTINE PLEMONS DIRECTOR CINDI PRINGLE DIRECTOR FRANK RINCON DIRECTOR BARBARA SIROTNIK DIRECTOR Total to Part VII, Section A, line 1c 032201 12-21-10 11 Form 990 (2010) FOUNDATION FOR THE CALIFORNIA STATE UNIVERSITY, SAN BERNARDINO 95-6067343 I Highest compensated employee Key employee Institutional trustee Individual trustee or director Part VII | Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) (A) (B) (C) (D) (E) Name and title Average Position Reportable Reportable hours (check all that apply) compensation compensation per from from related week the organizations organization (W-2/1099-MISC) (W-2/1099-MISC) (F) Estimated amount of other compensation from the organization and related organizations 1 FRANCOISE AYLMER DIRECTOR 1.00 X 0. 135,082. 29,836. 40.00 X 129,000. 0. 25,707. 40.00 X 122,400. 0. 23,226. 40.00 X 109,485. 0. 21,414. 360,885. 1,060,129. 329,944. DEBORAH BURNS EXECUTIVE DIRECTOR TIMOTHY GERRITY DIR OF OTTC KRISTINE A. ALEXANDER ED CAL ARTS PROG Total to Part VII, Section A, line 1c 032201 12-21-10 12 FOUNDATION FOR THE CALIFORNIA STATE UNIVERSITY, SAN BERNARDINO Form 990 (2010) 95-6067343 Page9 I Part VIII I Statement of Revenue gifts, grants ar amounts (A) Total revenue 1 a Federated campaigns Program Service Revenue Contributio and other s «FI 1b c d e f Fundraising events Related organizations Government grants (contribut ons) All other contributions, gifts, grants, and similar amounts not included above 1c 1d 1e 16933443. if 11373910. g Noncash contributions included in lines 1a-1f: S a b c d OTHER SERVICES (ALUMNI CHILDREN'S & INFANT CE GRANTS & CONTRACTS SCHOLARSHIPS Royalties 6 a b c d 7 a Gross Rents Less: rental expenses Rental income or (loss) Net rental income or (loss) Gross amount from sales of assets other than inventory b Less: cost or other basis and sales expenses c Gain or (loss) (D) excludeTfrom tax under sections 51 2, 513, or 514 28307353. 1 , 3 7 5 , 4 1 2 . 1,375,412. 615,684. 615,684. 611310 119,192. 119,192. 611310 23,631. 23,631. 611310 ^• 2,133,919. ^• ^ 783,227. 783,227. 493,531. 493,531. ^ (ii) Personal (i) Real Other Revenue ^• Business Code 611310 e f All other program service revenue g Total.Add lines 2a-2f 3 Investment income (including dividends, interest, and other similar amounts) 4 Income from investment of tax-exempt bond proceeds 5 (C) Unrelated business revenue 1a b Membership dues h Total. Add lines 1a-1f 2 (B) Related or exempt function revenue ^ (j)J5ecurit es 7905467 . (ii) Other 7369895. 535,572. 42,041. -42,041. d Net gain or (loss) 8 a Gross income from fundraising events (not including $ of ^• contributions reported on line 1c). See Part IV, line 18 a b Less: direct expenses b c Net income or (loss) from fundraising events > 9 a Gross income from gaming activities. See Part IV, line 19 b Less: direct expenses c Net income or (loss) from gaming activities 10 a Gross sales of inventory, less returns and allowances b Less: cost of goods sold c Net income or (loss) from sales of inventory Miscellaneous Revenue a b .. *> a b ^Business Code 11 a b c d All other revenue e Total. Add lines 1 1 a-1 1 d 12 Total revenue. See instructions. > ^ 31718030. 2,133,919. 032009 12-21-10 0. 1276758. Form 990 (2010) 13 FOUNDATION FOR THE CALIFORNIA STATE BERNARDINO Form 990 (2010) UNIVERSITY, SAN Part IX | Statement of Functional Expenses 95-6067343 PagelO Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D). Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII. 1 2 3 4 5 6 7 8 9 10 11 a b c d e f g 12 13 14 15 16 17 18 19 20 21 22 23 24 a b c d Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21 Grants and other assistance to individuals in the U.S. See Part IV, line 22 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16 Benefits paid to or for members Compensation of current officers, directors, trustees, and key employees Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) Other salaries and wages Pension plan contributions (include section 401(k) and section 403(b) employer contributions) Other employee benefits Payroll taxes Fees for services (non-employees): Management Legal Accounting Lobbying Professional fundraising services. See Part IV, line 17 Investment management fees Other Advertising and promotion Office expenses Information technology Royalties Occupancy Travel Payments of travel or entertainment expenses for any federal, state, or local public officials Conferences, conventions, and meetings Interest Payments to affiliates Depreciation, depletion, and amortization Insurance Other expenses. Itemize expenses not covered above. (List miscellaneous expenses in line 24f. If line 24f amount exceeds 10% of line 25, column (A) amount, list line 24f expenses on Schedule 0.) STIPENDS, ROOM & BOARD SCHOLARSHIPS MISCELLANEOUS STUDENT SERVICES (A) Total expenses (B) Program service expenses 360,885. (C) Management and general expenses (D) Fundraising expenses 360,885. 10,299,679. 9,799,344. 500,335. 5,019,424. 4,526,493. 492,931. 507,033. 507,033. 115,620. 3,980,304. 115,620. 3,980,304. 3,744,113. 3,642,271. 101,842. 728,012. 721,979. 6,033. 543,607. 89,117. 505,943. 12,045. 37,664. 77,072. 5,496,717. 2,668,533. 1,367,176. 297,209. 5,496,717. 2,668,533. 1,295,453. 297,209. 35,217,429. 33,061,911. 71,723. e f All other expenses 25 Total functional expenses. Add lines 1 through 24f 26 Joint costs. Check here ^ I I if following SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation 2,155,518. 0. Form 990 (2010) 032010 12-21-10 14 FOUNDATION FOR THE CALIFORNIA STATE Form 990 (2010) UNIVERSITY, SAN BERNARDINO Part X Balance Sheet 95-6067343 (A) Beginning of year 1 2 3 4 5 £ 8 J? Liability » w 8 (0 sts or Fur •D « <J s z Cash - non-interest-bearing Savings and temporary cash investments Pledges and grants receivable, net Accounts receivable, net Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L 6 Receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501 (c)(9) voluntary employees' beneficiary organizations (see instructions) 7 Notes and loans receivable, net 8 Inventories for sale or use 9 Prepaid expenses and deferred charges 10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 8,037,240. b Less: accumulated depreciation 10b 3,344,298. 1 1 Investments - publicly traded securities 12 Investments - other securities. See Part IV, line 1 1 13 Investments - program-related. See Part IV, line 1 1 14 Intangible assets 15 Other assets. See Part IV, line 1 1 16 Total assets. Add lines 1 throuqh 15 (must equal line 34) 17 Accounts payable and accrued expenses 18 Grants payable 19 Deferred revenue 20 Tax-exempt bond liabilities 21 Escrow or custodial account liability. Complete Part IV of Schedule D 22 Payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified persons. Complete Part II of Schedule L 23 Secured mortgages and notes payable to unrelated third parties 24 Unsecured notes and loans payable to unrelated third parties 25 Other liabilities. Complete Part X of Schedule D 26 Total liabilities. Add lines 17 throuqh 25 Organizations that follow SFAS 117, check here ^- LXj and complete lines 27 through 29, and lines 33 and 34. 27 Unrestricted net assets 28 Temporarily restricted net assets 29 Permanently restricted net assets Organizations that do not follow SFAS 117, check here ^ I I and complete lines 30 through 34. 30 Capital stock or trust principal, or current funds 31 Paid-in or capital surplus, or land, building, or equipment fund 32 Retained earnings, endowment, accumulated income, or other funds 33 Total net assets or fund balances 34 Total liabilities and net assets/fund balances Page11 (B) End of year 1 12,247,360. 2,742,507. 5,261,520. 2 3 4 10,883,100. 782,393. 3,040,310. 5 6 7 8 9,748. 3,650,341. 6,038,261. 15,686,907. 112,913. 9 10c 11 4,692,942. 24,762,687. 12 13 77,502. 1,061,331. 46,775,477. 3,562,411. 14 15 16 17 62,944. 1,061,331. 45,398,620. 2,406,797. 18 19 20 21 22 23 24 5,773,072. 9,335,483. 25 26 10,529,397. 12,936,194. 1,287,115. 27 -1,987,429. onU j yQ o cU n /b aa ^ o ab . 15,202,213. 28 29 1 Q O1 lo , 1Izl ,O ^/4*7/ . 16,328,608. 30 31 32 37,439,994. 46,775,477. 33 34 32,462,426. 45,398,620. Form 990 (2010) 032011 12-21-10 15 FOUNDATION FOR THE CALIFORNIA STATE UNIVERSITY, SAN BERNARDINO Part XI | Reconciliation of Net Assets Form 990 (2010) 95-6067343 Page12 Check if Schedule O contains a response to any question in this Part XI 1 2 3 4 5 Total revenue (must equal Part VIII, column (A), line 12) Total expenses (must equal Part IX, column (A), line25) Revenue less expenses. Subtract line 2 from line 1 Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) Other changes in net assets or fund balances (explain in Schedule O) Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) I_X_ 1 2 3 4 5 6 31,718,030 35 , 217 , 429 -3,499,399 37,439,994. —1,478,169. 32,462,426 | Part Xll| Financial Statements and Reporting Check if Schedule O contains a response to any question in this Part XII. Yes 1 2a b c d 3a b Accounting method used to prepare the Form 990: I I Cash I X I Accrual I I Other If the organization changed its method of accounting from a prior year or checked "Other," explain in Schedule O. Were the organization's financial statements compiled or reviewed by an independent accountant? Were the organization's financial statements audited by an independent accountant? If "Yes" to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant? If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O. If "Yes" to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both: r X I Separate basis I I Consolidated basis I I Both consolidated and separate basis As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. 032012 12-21-10 16 2a 2b X 2c X 3a X No 3b X Form 990 (2010) SCHEDULE A Public Charity Status and Public Support (Form 990 or 990-EZ) OMB No. 1545-0047 2010 Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust. Open to Public Inspection ^ Attach to Form 990 or Form 990-EZ. ^- See separate instructions. Employer identification number Name of the organization FOUNDATION FOR THE CALIFORNIA STATE UNIVERSITY, SAN BERNARDINO 95-6067343 Part 1 | Reason for Public Charity Status (All organizations must complete this part.) See instructions. Department of the Treasury nternal Revenue Service The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.) 1 I I A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i). 2 O A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.) 3 I I A hospital or a cooperative hospital service organization described in section l70(b)(1)(A)(iii). 4 I I A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state: An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.) 6 I I A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v). 7 I I An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.) 8 I I A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.) 9 I I An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions - subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30,1975. See section 509(a)(2). (Complete Part III.) 10 I I An organization organized and operated exclusively to test for public safety. See section 509(a)(4). 11 I I An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box that describes the type of supporting organization and complete lines 11 e through 11 h. a I I Typo I h I I Typp ii c I I Type III - Functionally integrated dl_J Type III - Other e I I By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). f If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box g Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons? (i) A person who directly or indirectly controls, either alone or together with persons described in (ii) and (iii) below, Yes No the governing body of the supported organization? (ii) A family member of a person described in (i) above? (iii) A 35% controlled entity of a person described in (i) or (ii) above? h Provide the following information about the supported organization(s). (i) Name of supported organization (ii)EIN (iii) Type of (vi)lsthe [iv) Is the organization (v) Did you notify the in col. organization in col. (i) listed in your organization in col. organization (described on lines 1-9 governing document? (i) of your support? (i) organized in the U.S.? above or IRC section (see instructions)) Yes No Yes No Yes No Total LHA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. (vii) Amount of support Schedule A (Form 990 or 990-EZ) 2010 032021 12-21-10 17 FOUNDATION FOR THE CALIFORNIA STATE Schedule A (Form 990 or 990-EZ) 2010 UNIVERSITY, SAN BERNARDINO 95-6067343 Part II Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) Page 2 (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.) Section A. Public Support Calendar year (or fiscal year beginning in)^1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e)2010 (f) Total 7 2 3 9 5 4 7 . 3 4 7 7 5 0 0 8 . 3 3 0 2 2 2 9 3 . 3 0 1 0 4 2 4 7 . 2 8 3 0 7 3 5 3 . 133448448 2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf 3 The value of services or facilities furnished by a governmental unit to the organization without charge 4 Total. Add lines 1 through 3 5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 1 1 , column (f) 6 7 2 3 9 5 4 7 . 3 4 7 7 5 0 0 8 . 3 3 0 2 2 2 9 3 . 30104247. 28307353. 133448448 133448448 Public Support. Subtract line 5 from line 4. Section B. Total Support Calendar year (or fiscal year beginning in) ^7 Amounts from line 4 8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources 9 Net income from unrelated business activities, whether or not the business is regularly carried on 10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) 11 Total support. Add lines 7 through 10 (a) 2006 (b) 2007 (c) 2008 (e)2010 (d) 2009 (f) Total 7239547. 3 4 7 7 5 0 0 8 . 3 3 0 2 2 2 9 3 . 30104247. 2 8 3 0 7 3 5 3 . 133448448 1084289. 945,807. 962,052. 609,837. 3597532. 3843797. 4812224. 4246004. 783,227. 4385212. 16499557. 154333217 12 Gross receipts from related activities, etc. (see instructions) 12 I 13 First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501 (c)(3) organization, check this box and stop here Section C. Computation of Public Support Percentage 14 Public support percentage for 201 0 (line 6, column (f) divided by line 11, column (f)) 15 Public support percentage from 2009 Schedule A, Part II, line 14 14 15 86.47 83.30 % % 16a 33 1/3% support test-2010.If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization b 33 1/3% support test - 2009. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this box and stop here. The organization qualifies as a publicly supported organization 17a 10% -facts-and-circumstances test-2010.lf the organization did not check a box on line 13,16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization b 10% -facts-and-circumstances test - 2009.If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization 18 Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see instructions Schedule A (Form 990 or 990-EZ) 2010 032022 12-21-10 18 Schedule A (Form 990 or 990-EZ) 2010 Page 3 Part II |r£ Support Schedule for Organizations Described in Section 509(a){2) fs (Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part I Section A. Public Support Calendar year (or fiscal year beginning in) ^- (a) 2006 (b) 2007 (c) 2008 (d) 2009 (e)2010 (f) Total 1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") 2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose 3 Gross receipts from activities that are not an unrelated trade or business under section 513 4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf i 5 The value of services or facilities furnished by a governmental unit to the organization without charge 6 Total. Add lines 1 through 5 7 a Amounts included on lines 1 , 2, and 3 received from disqualified persons b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year c Add lines 7a and 7b 8 Public support (Subtract line 7c from line 6.) Section B. Total Support Calendar year (or fiscal year beginning in) ^- (a) 2006 (c) 2008 (b) 2007 (d) 2009 (e)2010 (f) Total 9 Amounts from line 6 10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975 c Add lines 1 0a and 1 0b 11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on 12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.) 13 Total Support (Add lines 9, 10c, 11, and 12.) 14 First five years. If the Form 990 is fo the organization's first, second, third, fourth, or fifth tax year as a section 501 (c)(3) organization, check this box and stop here Section C. Computation of Public Support Percentage 15 Public support percentage for 201 0 (line 8, column (f) divided by line 1 3, column (f)) 16 Public support percentage from 2009 Schedule A, Part III, line 15 15 % 16 % Section D. Computation of Investment Income Percentage 17 Investment income percentage for 2010 (line 10c, column (f) divided by line 13, column (f)) 17 18 Investment income percentage from 2009 Schedule A, Part III, line 17 18 19a 33 1/3% support tests - 2010. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ^-l I b33 1/3% support tests - 2009. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3%, and line 18 is not more than 33 1 /3%, check this box and stop here. The organization qualifies as a publicly supported organization ^-1 I 20 Private foundation. If the organization did not check a box on line 14,19a, or 19b, check this box and see instructions ^-L 032023 12-21-10 Schedule A (Form 990 or 990-EZ) 2010 19 FOUNDATION FOR THE CALIFORNIA STATE Schedule A (Form 990 or 990-EZ) 2010 UNIVERSITY, SAN BERNARDINO 9 5 - 6 0 6 7 3 4 3 Pa ge4 | Part IV | Supplemental Information. Complete this part to provide the explanations required by Part II. line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions). PART II, LINE 10 - OTHER INCOME: NATURE AND SOURCE 2010 2009 2008 2007 2006 COMMISSIONS 0 1,127,445 1,223,713 227,681 124,514 MISCELLANEOUS 0 86,820 161,059 174,947 3,473,018 INDIRECT COST RECOVERY 0 2,757,239 2,135,815 1,194,623 0_ 840,720 725,417 2,246,546 0 OTHER REVENUE TOTAL 0 $0 $4,812,224 $4,246,004 $3,843,797 $3,597,532 032024 12-21-10 Schedule A (Form 990 or 990-EZ) 2010 20 SCHEDULE D Supplemental Financial Statements (Form 990) ^ Complete if the organization answered "Yes," to Form 990, Part IV, line 6, 7, 8,9, 10, 11, or 12. ^ Attach to Form 990. ^ See separate instructions. Department of the Treasury Internal Revenue Service Name of the organization FOUNDATION FOR THE CALIFORNIA STATE UNIVERSITY, SAN BERNARDINO OMB No. 1545-0047 2010 Open to Public Inspection Employer identification number 95-6067343 | Part I | Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6. (a) Donor advised funds (b) Funds and other accounts Total number at end of year Aggregate contributions to (during year) Aggregate grants from (during year) Aggregate value at end of year Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization's property, subject to the organization's exclusive legal control? Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? | Part II | Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7. 1 2 Yes a NO Yes No Purpose(s) of conservation easements held by the organization (check all that apply). I I Preservation of land for public use (e.g., recreation or education) I I Preservation of an historically important land area I I Protection of natural habitat I I Preservation of a certified historic structure I I Preservation of open space Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year. Held at the End of the Tax Year a b c d 3 4 5 6 7 8 9 Total number of conservation easements 2a Total acreage restricted by conservation easements 2b Number of conservation easements on a certified historic structure included in (a) 2c Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure 2d listed in the National Register Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the tax year ^Number of states where property subject to conservation easement is located ^Does the organization have a written policy regarding the periodic monitoring, inspection, handling of Yes No violations, and enforcement of the conservation easements it holds? Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year ^ Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year ^ $ Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) I I Yes I I No and section 170(h)(4)(B)(ii)? .. In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and balance sheet, and include, if applicable, the text of the footnote to the organization's financial statements that describes the organization's accounting for conservation easements. [ Part HI | Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets. Complete if the organization answered "Yes" to Form 990, Part IV, line 8. 1a If the organization elected, as permitted under SFAS 116(ASC958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIV, the text of the footnote to its financial statements that describes these items. b If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items: (i) Revenues included in Form 990, Part VIII, line 1 ^ $_ 1,061,331. (ii) Assets included in Form 990, PartX ^- $ _ 2 If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the following amounts required to be reported under SFAS 116 (ASC 958) relating to these items: a Revenues included in Form 990, Part VIII, line 1 ^- $ _ Assets included in Form 990, Part X > $ LMA For Paperwork Reduction Act Notice, see the Instructions for Form 990. 032051 12-20-10 21 Schedule D (Form 990) 2010 Schedule D (Form 990) 2010 FOUNDATION FOR THE CALIFORNIA STATE UNIVERSITY, SAN BERNARDINO 95-6067343 Page2 Part I | Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued) 3 Using the organization's acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply): a I X | Public exhibition d I X I Loan or exchange programs X | Scholarly research e I I Other b c i X | Preservation for future generations 4 Provide a description of the organization's collections and explain how they further the organization's exempt purpose in Part XIV. 5 During the year, did the organization solicit or receive donations of art, historical treasures, or other similar assets to be sold to raise funds rather than to be maintained as part of the organization's collection? I I Yes | Part IV | Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21. 1a Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not included on Form 990, Part X? If "Yes," explain the arrangement in Part XIV and complete the following table: ,J I Yes No IZZl No Amount c Beginning balance 1C d Additions during the year 1d e Distributions during the year 1e f Ending balance 1f I I Yes I I No 2a Did the organization include an amount on Form 990, Part X, line 21 ? b If "Yes," explain the arrangement in Part XIV. | Part V | Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10. (c) Two years back (d) Three years back (e) Four years back (a) Current year (b) Prior year 16,426,507. 13,401,462. 14,189,699. 1a Beginning of year balance 368,302. 392,596. 1,338,219. b Contributions 3,914,337. 2,632,449. -1,734,557. c Net investment earnings, gains, and losses 361,648. 327,980. d Grants or scholarships e Other expenditures for facilities 584,212. and programs 82,026. 63,919. f Administrative expenses 16,426,507. 19,681,260. 13,401,462. g End of year balance Provide the estimated percentage of the year end balance held as: Board designated or quasi-endowment ^- _ °/> 82.97 % Permanent endowment 17.03 c Term endowment 3a Are there endowment funds not in the possession of the organization that are held and administered for the organization by: (i) unrelated organizations (ii) related organizations b If "Yes" to 3a(ii), are the related organizations listed as required on ScheeMe R? 4 Describe in Part XIV the intended uses of the organization's endowment funds. | Part VI Land, Buildings, and Equipment, see Form 990, Part x line 10. Description of investment (a) Cost or other basis (investment) 1a Land b Buildings c Leasehold improvements d Equipment e Other Total. Add lines 1 a through 1e. (Column (d) must equal Form 990, Part X, column (b) Cost or other basis (other) (c) Accumulated depreciation 4,640. 3,904,549. 441,733. 2,019,153. 1,667,165. 1,916,327. 272,456. 1,155,515. (B), line 10(c).) 032052 12-20-10 22 Yes 3a(i) 3a(ii) 3b No X X (d) Book value 4,640. 1,988,222. 169,277. 863,638. 1,667,165. 4,692,942. ^Schedule D (Form 990) 2010 FOUNDATION FOR THE CALIFORNIA STATE UNIVERSITY, SAN BERNARDINO Schedule D (Form 990) 2010 | Part Vll| Investments - Other Securities, see Form 990, Part x, line 12. (a) Description of security or category (b) Book value (including name of security) 95-6067343 Page3 (c) Method of valuation: Cost or end-of-year market value (1) Financial derivatives (2) Closely-held equity interests (3) Other (A) (B) (C) (D) (E) (F) (G) (H) (D Total. (Col (b) must equal Form 990, Part X, col (B) line 12.) ^• Part VIII | Investments - Program Related, see Form 990, Part x, line 13 (a) Description of investment type (c) Method of valuation: Cost or end-of-year market value (b) Book value (1) (2) (3) (4) (5) (6) (7) (8) (9) (10) Total. (Col (b) must equal Form 990, Part X, col (B) line 13.) ^• Part IX I Other Assets. See Form 990, Part X, line 15. (a) Description (b) Book value (D (2) (3) (4) (5) (6) (7) (8) (9) (10) Total. (Column (b) must equal Form 990, PartX, col (B) line 15.) | Part X | Other Liabilities, see Form 990, Part x, line 25. (a) Description of liability 1. ^(b) Amount ("0 Federal income taxes 2,052,307. 8,477,090. (2) LIABILITY TO BENEFICIARIES POST-RETIREMENT MEDICAL BENEFITS (3) (4) (5) (6) (7) (8) (9) (10) (11) Total. (Column (b) must equal Form 990, Part X, col (B) line 25.) >• 10,529,397. 2. FIN 48 (ASC 740). 032053 12-20-10 Schedule D (Form 990) 2010 23 FOUNDATION FOR THE CALIFORNIA STATE Schedule D (Form 990) 2010 UNIVERSITY, SAN BERNARDINO 95-6067343 Part XI Reconciliation of Change in Net Assets from Form 990 to Audited Financial Statements Page4 1 Total revenue (Form 990, Part VIII, column (A), line 12) 31,718,030. 1 2 Total expenses (Form 990, Part IX, column (A), line 25) 35,217,429. 2 -3,499,399. 3 Excess or (deficit) for the year. Subtract line 2 from line 1 3 4 Net unrealized gains (losses) on investments 2,803,199. 4 5 Donated services and use of facilities 5 6 Investment expenses 6 7 Prior period adjustments 7 8 Other (Describe in Part XIV.) 8 9 Total adjustments (net). Add lines 4 through 8 2,803,199. 9 -696,200. 10 Exc ess or (deficit) for the year per audited financial statements. Combine lines 3 and 9 10 | Part XII | Reconciliation of Revenue per Audited Financial Statements With Revenue per Return 34 ,521 , 2 2 9 . Total revenue, gains, and other support per audited financial statements 1 Amounts included on line 1 but not on Form 990, Part VIII, line 12: 2,803,199. a Net unrealized gains on investments 2a b Donated services and use of facilities 2b c Recoveries of prior year grants 2c d Other (Describe in Part XIV.) 2d 2 , 8 0 3 ,199. 2e e Add lines 2a through 2d 31 ,718 , 0 3 0 . 3 Subtract line 2e from line 1 3 4 Amounts included on Form 990, Part VIII, line 12, but not on line 1: 4a a Investment expenses not included on Form 990, Part VIII, line 7b 4b b Other (Describe in Part XIV.) 0. 4c c Add lines 4a and 4b 31 ,718 , 0 3 0 . 5 5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part 1, line 12.) | Part Xlll| Reconciliation of Expenses per Audited Financial Statements With Expenses per Return 35,217,429. 1 1 Total expenses and losses per audited financial statements 1 2 2 Amounts included on line 1 but not on Form 990, Part IX, line 25: a Donated services and use of facilities b Prior year adjustments c Other losses d Other (Describe in Part XIV.) e Add lines 2a through 2d 3 Subtract line 2e from line 1 4 Amounts included on Form 990, Part IX, line 25, but not on line 1: a Investment expenses not included on Form 990, Part VIM, line 7b b Other (Describe in Part XIV.) c Add lines 4a and 4b 5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part 1, line 18.) | Part XIV| Supplemental Information 2a 2b 2c 2d 2e 0. 3 35,217,429. 4a 4b 4c 0. 5 35,217,429. Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1aand 4; Part IV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information. PART III, LINE 4: THE FOUNDATION'S ART COLLECTION AIDS IN THE EDUCATIONAL MISSION OF THE CALIFORNIA STATE UNIVERSITY, SAN BERNARDINO. IT IS USED AS A STUDY AID FOR ART STUDENTS AS WELL AS AN EDUCATIONAL OPPORTUNITY FOR LOCAL ELEMENTARY AND HIGH SCHOOL STUDENTS AND THE COMMUNITY. PART V, LINE 4: ENDOWMENT FUNDS ARE USED PRIMARILY FOR DESIGNATED SCHOLARSHIPS. THERE ARE SOME FUNDS THAT ARE DESIGNATED TO SUPPORT PROGRAM Schedule D (Form 990) 2010 032064 12-20-10 24 D (Form 990) 2010 FOUNDATION FOR THE CALIFORNIA STATE UNIVERSITY, SAN BERNARDINO 95-6067343 Pages | Part XIV| Supplemental Information (continued) FUNCTIONS. Schedule D (Form 990) 2010 032055 12-20-10 25 SCHEDULE J (Form 990) Department of the Treasury Internal Revenue Service Name of the organization Part I Compensation Information OMB No. 1545-0047 2010 For certain Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees ^- Complete if the organization answered "Yes" to Form 990, Part IV, line 23. ^- Attach to Form 990. ^- See separate instructions. FOUNDATION FOR THE CALIFORNIA STATE UNIVERSITY, SAN BERNARDINO Open to Public Inspection Employer identification number 95-6067343 Questions Regarding Compensation Yes No 1a Check the appropriate box(es) if the organization provided any of the following to or for a person listed in Form 990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items. I I First-class or charter travel I I Housing allowance or residence for personal use I I Travel for companions I I Payments for business use of personal residence I I Tax indemnification and gross-up payments I I Health or social club dues or initiation fees I I Discretionary spending account I I Personal services (e.g., maid, chauffeur, chef) b If any of the boxes on line 1 a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain 2 Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? 3 Indicate which, if any, of the following the organization uses to CEO/Executive Director. Check all that apply. I I Compensation committee I I Independent compensation consultant I I Form 990 of other organizations 1b 2 establish the compensation of the organization's I I Written employment contract I X | Compensation survey or study I X I Approval by the board or compensation committee 4 During the year, did any person listed in Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization: a Receive a severance payment or change-of-control payment from the organization or a related organization? b Participate in, or receive payment from, a supplemental nonqualified retirement plan? c Participate in, or receive payment from, an equity-based compensation arrangement? If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III. Only section 501(c)(3) and 50l(c)(4) organizations must complete lines 5-9. For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any compensation contingent on the revenues of: The organization? Any related organization? If "Yes" to line 5a or 5b, describe in Part III. 6 For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any compensation contingent on the net earnings of: a The organization? b Any related organization? If "Yes" to line 6a or 6b, describe in Part III. ' For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed payments not described in lines 5 and 6? If "Yes," describe in Part III 8 Were any amounts reported in Form 990, Part VII, paid or accrued pursuant to a contract that was subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe in Part III 9 If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Requlations section 53.4958-6(c)? .. LHA For Paperwork Reduction Act Notice, see the Instructions for Form 990. 032111 12-21-10 26 4a X 4b X X 4c 5a 5b X X 6b X X 7 X 8 X 6a 9 Schedule J (Form 990) 2010 FOUNDATION FOR THE CALIFORNIA STATE 95-6067343 UNIVERSITY, SAN BERNARDINO Schedule J (Form 990) 2010 | Part II | Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed. Page 2 For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII. Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1 a. (B) Breakdown of W-2 and/or 1099-MISC compensation (i) Base compensation (A) Name 1 ALBERT KARNIG 2 ROBERT GARDNER 3 ANDREW BODMAN 4 SPENCER FREUND 5 FRANK RINCON 6 FRANCO I SE AYLMER 7 DEBORAH BURNS 8 9 10 11 12 13 14 15 16 (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) (i) (ii) 0. 338,013. 0. 183,848. 0. 198,060. 0. 229,614. 0. 143,724. 0. 135,082. 129,000. 0. (ii) Bonus & incentive compensation (iii) Other reportable compensation 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. (C) Retirement and other deferred compensation 0. 49,809. 0. 33,492. 0. 36,068. 0. 30,916. 0. 27,087. 0. 18,916. 14,448. 0. (D) Nontaxable benefits 0. 12,713. 0. 16,904. 0. 13,139. 0. 13,333. 0. 12,716. 0. 10,920. 11,259. 0. (E) Total of columns (B)(i)-(D) 0. 400,535. 0. 234,244. 0. 247,267. 0. 273,863. 0. 183,527. 0. 164,918. 154,707. 0. (F) Compensation reported in prior Form 990 or Form 990-EZ 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. 0. Schedule J (Form 990) 2010 032112 12-21-10 27 SCHEDULE O Supplemental Information to Form 990 or 990-EZ (Form 990 or 990-EZ) Complete to provide information for responses to specific questions on Form 990 or 990-EZ or to provide any additional information. - Attach to Form 990 or 990-EZ. Department of the Treasury Internal Revenue Service Name of the organization FOUNDATION FOR THE CALIFORNIA UNIVERSITY, SAN BERNARDINO STATE OMB No. 1545-0047 2010 Open to Public Inspection Employer identification number 95-6067343 FORM 990, PART I, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: UNIVERSITY, SAN BERNARDINO. FORM 990, PART III, LINE 3, CHANGES IN PROGRAM SERVICES: TRANSFER OF PALM DESERT CAMPUS BUILDINGS TO CALIFORNIA STATE UNIVERSITY, SAN BERNARDINO COMPLETED IN PRIOR YEAR. FORM 990, PART III, LINE 4D, OTHER PROGRAM SERVICES; OTHER ACTIVITIES - ALUMNI ASSOCIATION, BOOKSTORE, FOOD SERVICES, VENDING & PC LAB. EXPENSES $ 796,100. INCLUDING GRANTS OF $ 0. REVENUE $ 1,375,412 FORM 990, PART VI, SECTION A, LINE 2: CHARLES AND SHELBY OBERSHAW ARE HUSBAND AND WIFE. FORM 990, PART VI, SECTION B, LINE 11: A COPY OF FORM 990 IS PROVIDED TO AND REVIEWED BY MANAGEMENT AND THE BOARD OF DIRECTORS BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C: EACH MEMBER OF THE BOARD SHALL RECEIVE ANNUALLY A COPY OF THE APPLICABLE SECTIONS OF THE CALIFORNIA EDUCATION CODE WITH INTERPRETATION OF THE LAW BY THE FOUNDATION'S COUNSEL AND WILL CERTIFY, BY SIGNATURE, HIS OR HER COMPLIANCE. FORM 990, PART VI, SECTION B, LINE 15: COMPARABILITY STUDIES ARE USED. THE GOVERNING BOARD APPROVES THE SALARY FOR THE EXECUTIVE DIRECTOR. LHA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. 032211 01-24-11 28 Schedule O (Form 990 or 990-EZ) (2010) Schedule O (Form 990 or 990-EZ) (2010) Name of the organization Page 2 FOUNDATION FOR THE CALIFORNIA STATE UNIVERSITY, SAN BERNARDINO Employer identification number 95-6067343 FORM 990, PART VI, SECTION C, LINE 19: THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THROUGH ITS WEBSITE AND ALSO UPON REQUEST OF THE PUBLIC AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. FORM 990, PART XI, LINE 5, CHANGES IN NET ASSETS: NET UNREALIZED GAINS ON INVESTMENTS: 2,803,199. PRIOR PERIOD ADJUSTMENTS: -4,281,368. TOTAL TO FORM 990, PART XI, LINE 5 -1,478,169. FORM 990, PART XI, LINE 2C: THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. 01-24-11 Schedule O (Form 990 or 990-EZ) (2010) 29 Name of the organization p t .. 2010 >• Complete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37. ^ Attach to Form 990. ^- See separate instructions. Department of the Treasury Part 1 OMB No. 1545-0047 Related Organizations and Unrelated Partnerships SCHEDULE R (Form 990) Open to Public Inspection FOUNDATION FOR THE CALIFORNIA STATE UNIVERSITY, SAN BERNARDINO Employer identification number 95-6067343 Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33.) (a) (b) (c) (d) (e) Name, address, and EIN of disregarded entity Primary activity Legal domicile (state or Total income End-of-year assets (f) Direct controlling entity foreign country) Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.) (a) Name, address, and EIN of related organization (b) Primary activity (c) Legal domicile (state or foreign country) (d) Exempt Code section (e) Public charity status (if section 501(c)(3)) (f) Direct controlling entity Section Jl2(bX13) controlled entty? Yes No CALIFORNIA STATE UNIVERSITY, SAN BERNARDINO - 33-0644150, BERNARDINO, 5 5 0 0 UNIVERSITY PARKWAY, SAN CA 92407 PUBLIC UNIVERSITY OF CALIFORNIA - STATE STATE :ALIFORNIA For Paperwork Reduction Act Notice, see the Instructions for Form 990. 032161 12-21-10 LHA 115 (1) INSTITUTION X Schedule R (Form 990) 2010 30 Schedule R (Form 990) 2010 Part II FOUNDATION FOR THE CALIFORNIA STATE UNIVERSITY, SAN BERNARDINO 95-6067343 Page2 Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.) (a) Name, address, and EIN of related organization Part IV (b) Primary activity (c) Legal domicile (state or foreign country) (d) Direct controlling entity (e) (f) (g) (h) Predominant income (related, unrelated, excluded from tax under sections 512-514) Share of total income Share of end-of-year assets Disproportionate allocations? Yes No (k) (i) (j) General or Percentage Code V-UBI amount in box managing ownership 20 of Schedule partner? K-1 (Form 1065) res No Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.) (a) Name, address, and EIN of related organization 032162 12-21-10 (b) Primary activity (c) Legal domicile (state or foreign country) (d) Direct controlling entity (e) Type of entity (C corp, S corp, or trust) (f) Share of total income (9) Share of end-of-year assets (h) Percentage ownership Schedule R (Form 990) 2010 Schedule R (Form 990) 2010 Part V FOUNDATION FOR THE CALIFORNIA STATE UNIVERSITY, SAN BERNARDINO 95-6067343 Page3 Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35, 35a, or 36.) Yes Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule. 1 During the tax year, did the organization engage in any of the following transactions with one or more related organizations listed in Parts II-IV? a Receipt of (i) interest (ii) annuities (iii) royalties or(iv) rent from a controlled entity b Gift, grant, or capital contribution to other organization(s) c Gift, grant, or capital contribution from other organization(s) d Loans or loan guarantees to or for other organization(s) e Loans or loan guarantees by other organization(s) 1a 1b 1c Sale of assets to other organization(s) Purchase of assets from other organization(s) Exchange of assets Lease of facilities, equipment, or other assets to other organization(s) j k I m n Lease of facilities, equipment, or other assets from other organization(s) Performance of services or membership or fundraising solicitations for other organization(s) Performance of services or membership or fundraising solicitations by other organization^) Sharing of facilities, equipment, mailing lists, or other assets Sharing of paid employees 1h X 1k _ 1m 1n X 1o o Reimbursement paid to other organization for expenses p Reimbursement paid by other organization for expenses 1p q Other transfer of cash or property to other organization(s) r Other transfer of cash or property from other organization(s) 2 If the answer to any of the above is "Yes," see the in CALIFORNIA STATE UNIVERSITY, SAN (1) BERNARDINO CALIFORNIA STATE UNIVERSITY, SAN (2) BERNARDINO _ X 1d 1e 1f f g h i (a) Name of other organization No 1q 1r (b) Transaction type (a-r) (c) Amount involved 0 8 , 4 0 9 , 7 4 2 . FMV P 522,879.|FMV X X (d) Method of determining amount involved (3) (4) (5) (6) 032163 12-21-10 32 Schedule R (Form 990) 2010 Schedule R (Form 990) 2010 Part VI FOUNDATION FOR THE CALIFORNIA STATE UNIVERSITY, SAN BERNARDINO 95-6067343page4 Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 37.) Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships. (a) Name, address, and EIN of entity (b) Primary activity (c) Legal domicile (state or foreign country) (d) Are all partners section 501(cX3 organizations? Yes No (e) Share of end-ofyear assets (f) Disproportionate allocations? Yes No (h) (g) General or Code V-UBI managing amount in box 20 partner? of Schedule K-1 (Form 1065) Yes No Schedule R (Form 990) 2010 032164 12-21-10 33 FOUNDATION FOR THE CALIFORNIA STATE Schedule R (Form 990) 2010 UNIVERSITY, SAN BERNARDINO | Part VII [ Supplemental Information 95-6067343 Page 5 Complete this part to provide additional information for responses to questions on Schedule R (see instructions). Schedule R (Form 990) 2010 34 Form 8868 (Rev. January 2011) Department of the Treasury Internal Revenue Service Application for Extension of Time To File an Exempt Organization Return OMB No. 1545-1709 ^ File a separate application for each return. • If you are filing for an Automatic 3-Month Extension, complete only Part I and check this box ^- I X I • If you are filing for an Additional (Not Automatic) 3-Month Extension, complete only Part II (on page 2 of this form). Do not complete Part II unless you have already been granted an automatic 3-month extension on a previously filed Form 8868. Electronic filing (e-file). You can electronically file Form 8868 if you need a 3-month automatic extension of time to file (6 months for a corporation required to file Form 990-T), or an additional (not automatic) 3-month extension of time. You can electronically file Form 8868 to request an extension of time to file any of the forms listed in Part I or Part II with the exception of Form 8870, Information Return for Transfers Associated With Certain Personal Benefit Contracts, which must be sent to the IRS in paper format (see instructions). For more details on the electronic filing of this form, 'w.jrs.gov/efile and click on e-ffle for Charities & Nonprofits. _ | Part I | Automatic 3-Month Extension Of Time. Only submit original (no copies needed). A corporation required to file Form 990-T and requesting an automatic 6-month extension - check this box and complete Part lonly .................... All other corporations (including 1 120-C filers), partnerships, REMICs, and trusts must use Form 7004 to request an extension of time to file income tax returns. Type or print File by the due date for filing your return. See instructions. Name of exempt organization FOUNDATION FOR THE CALIFORNIA STATE UNIVERSITY, SAN BERNARDINO I I Employer identification number 95-6067343 Number, street, and room or suite no. If a P.O. box, see instructions. 5 5 0 0 UNIVERSITY PARKWAY City, town or post office, state, and ZIP code. For a foreign address, see instructions. SAN BERNARDINO, CA 92407 Enter the Return code for the return that this application is for (file a separate application for each return) Application Return Application Return Code Is For Is For Code Form 990-T (corporation) 01 07 Form 990 Form 1041 -A Form 990-BL 02 08 Form 990-EZ 03 Form 4720 09 Form 990-PF 04 Form 5227 10 11 Form 990-T (sec. 401 (a) or 408(a) trust) 05 Form 6069 12 Form 990-T (trust other than above) 06 Form 8870 LISA IANNOLO • The books are in the care of ^ 5 5 0 0 UNIVERSITY PARKWAY SAN BERNARDINO, CA 9 2 4 0 7 Telephone No> 9 0 9 - 5 3 7 - 3 9 2 2 FAX No. *> ^ Q • If the organization does not have an office or place of business> in the Un ited States, check this box • If this is for a Group Return, enter the organization's four digit <3roup Exe mption Number (GEN) . If this is for the whole group, check this box ^ [ J . If it is for part of the group, check this box ^ L and atta :h a list with the names and EINs of all members the extension is for. 1 I request an automatic 3-month (6 months for a corporation required to file Form 990-T) extension of time until FEBRUARY 15, 2012 , to file the exempt organization return for the organization named above. The extension is for the organization's return for: ^•T I calendar year or JUL 1, 2010 , and ending JUN 30, 2011 I tax year beginning 2 If the tax year entered in line 1 is for less than 12 months, check reason: I I Change in accounting period Initial return 3a Final return If this application is for Form 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any 0. 3a nonrefundable credits. See instructions. $ b If this application is for Form 990-PF, 990-T, 4720, or 6069, enter any refundable credits and 0. estimated tax payments made. Include any prior year overpayment allowed as a credit. 3b $ c Balance due. Subtract line 3b from line 3a. Include your payment with this form, if required, 0. 3c by using EFTPS (Electronic Federal Tax Payment System). See instructions. $ Caution. If you are going to make an electronic fund withdrawal with this Form 8868, see Form 8453-EO and Form 8879-EO for payment instructions. LHA For Paperwork Reduction Act Notice, see Instructions. Form 8868 (Rev. 1 -2011) 023841 01-03-11 35 ***** Form 8879-EO THIS IS NOT A FILEABLE COPY * * * * * IRS e-file Signature Authorization for an Exempt Organization For calendar year 2010, or fiscal year beginning JUL 1 , 2010, and ending JUN 30 OMB No. 1545-1878 11 Do not send to the IRS. Keep for your records. ^- See instructions. Department of the Treasury Internal Revenue Service Name 01 exempt organization 2010 Employer identification number FOUNDATION FOR THE CALIFORNIA STATE UNIVERSITY, SAN BERNARDINO 95-6067343 Name and title of officer ROBERT GARDNER TREASURER Part Type of Return and Return Information (whole Dollars Only) Check the box for the return for which you are using this Form 8879-EO and enter the applicable amount, if any, from the return. If you check the box on line 1a, 2a, 3a, 4a, or 5a, below, and the amount on that line for the return being filed with this form was blank, then leave line 1b, 2b, 3b, 4b, or 5b, whichever is applicable, blank (do not enter -0-). But, if you entered -0- on the return, then enter -0- on the applicable line below. Do not complete more than 1 line in Part I. 1a 2a 3a 4a 5a Form 990 check here Form 990-EZ check here Form 1120-POL check here Form 990-PF check here l Form 8868 check here ^ CHI [ Part II | 1b 2b 3b 4b 5b b Total revenue, if any (Form 990, Part VIII, column (A), line 12) b Total revenue, if any (Form 990-EZ, line 9) b Total tax (Form 11 20-POL, line 22) ............................... I b Tax based on investment income (Form 990-PF, Part VI, line 5) b Balance Due (Form 8868, Part I, line 3c or Part II, line 8c) 31718030 Declaration and Signature Authorization of Officer Under penalties of perjury, I declare that I am an officer of the above organization and that I have examined a copy of the organization's 2010 electronic return and accompanying schedules and statements and to the best of my knowledge and belief, they are true, correct, and complete. I further declare that the amount in Part I above is the amount shown on the copy of the organization's electronic return. I consent to allow my intermediate service provider, transmitter, or electronic return originator (ERO) to send the organization's return to the IRS and to receive from the IRS (a) an acknowledgement of receipt or reason for rejection of the transmission, (b) the reason for any delay in processing the return or refund, and (c) the date of any refund. If applicable, I authorize the U.S. Treasury and its designated Financial Agent to initiate an electronic funds withdrawal (direct debit) entry to the financial institution account indicated in the tax preparation software for payment of the organization's federal taxes owed on this return, and the financial institution to debit the entry to this account. To revoke a payment, I must contact the U.S. Treasury Financial Agent at 1-888-353-4537 no later than 2 business days prior to the payment (settlement) date. I also authorize the financial institutions involved in the processing of the electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment. I have selected a personal identification number (PIN) as my signature for the organization's electronic return and, if applicable, the organization's consent to electronic funds withdrawal. Officer's PIN: check one box only [X] I authorize ROGERS, ANDERSON, MALODY & SCOTT, LLP to enter my PINlF 3 4 8 9 4 | Enter five numbers, but do not enter all zeros ERO firm name as my signature on the organization's tax year 2010 electronically filed return. If I have indicated within this return that a copy of the return is being filed with a state agency(ies) regulating charities as part of the IRS Fed/State program, I also authorize the aforementioned ERO to enter my PIN on the return's disclosure consent screen. I I As an officer of the organization, I will enter my PIN as my signature on the organization's tax year 2010 electronically filed return. If I have indicated within this return that a copy of the return is being filed with a state agency(ies) regulating charities as part of the IRS Fed/State program, I will enter my PIN on the return's disclosure consent screen. Officer's signature^ Part III **** THIS IS NOT A FILEABLE COPY **** Date ^ Certification and Authentication ERO's EFIN/PIN. Enter your six-digit electronic filing identification number (EFIN) followed by your five-digit self-selected PIN. 33117916500 do not enter all zeros I certify that the above numeric entry is my PIN, which is my signature on the 2010 electronically filed return for the organization indicated above. I confirm that I am submitting this return in accordance with the requirements of Pub. 4163, Modernized e-File (MeF) Information for Authorized \RS e-file Providers for Business Returns. Date ERO's signature ERO Must Retain This Form - See Instructions Do Not Submit This Form To the IRS Unless Requested To Do So Form 8879-EO (2010) LHA For Paperwork Reduction Act Notice, see instructions. 023051 12-27-10 36 TAXABLE YEAR 2010 028941 12-16-10 California Exempt Organization Annual Information Return Calendar Year 20 10 or fiscal year beginning month JULY A First Return Filed? 1 1 Yes nn NO day 1 FORM 199 year2010 B Type of organization Exempt under Section 23701 IRC Section 4947(a)(1) trust | | , and ending month JUNE D day 3 0 2011. year CORPS (insert letter) 0438029 Corporation/Organization Name FEIN FOUNDATION FOR THE CALIFORNIA STATE UNIVERSITY, SAN BERNARDINO 95-6067343 Address 5500 UNIVERSITY PARKWAY State City SAN BERNARDINO CA C Amended Return? Yes D Are you a subordinate/affiliate in a group exemption? Yes (8) Is this a group filing for affiliates? See General Instruction L Yes (b) I X I No H _l No I No (C) Are all affiliates included? (If "No," attach a list. See instructions.) I (d) Is this a separate return tiled by an organization covered by a group ruling? . . (6) Federal Group Exemption Number (f) Is a roster of subordinates attached? INC I Dissolved I Surrendered (Withdrawn) * I_ I Merged/Reorganized (attach explanation) 6 I 990T (2) • (3) _ I (Schedule H) 990 Receipts Expenses Filing Fee I . . I No I I Yes L- I No * I I Yes LJ I No * I I Yes LJ I No Did the organization file Form 100 or Form 109 to report taxable income? 1 Gross sales or receipts from other sources. From Side 2, Part II, line 8 Gross dues and assessments from members and affiliates 3 Gross contributions, gifts, grants, and similar amounts received 4 Total gross receipts for filing requirement test. Add line 1 through line 3. 5 This line must be completed. If the result is less than $25,000, see General Instruction B 5 Cost of goods sold • 6 Cost or other basis, and sales expenses of assets sold 7 Total costs. Add line 5 and line 6 8 Total gross income. Subtract line 7 from line 4 • 6 • 1 1 0 , 8 2 2 , 6 1 3 . oo 2 00 STMT 1 • 3 2 8 , 3 0 7 , 3 5 3 . oo • 4 3 9 , 1 2 9 , 9 6 6 . oo 7 00 7,411 , 9 3 6 . oo 11 Filing fee $10 or $25. See General Instruction F 11 7,411,936. oo 3 1 , 7 1 8 , 0 3 0 . oo 3 5 , 2 1 7 , 4 2 9 . oo - 3 , 4 9 9 , 3 9 9 . oo 10. oo 12 Total payments 12 00 13 Penalties and Interest. See General Instruction J 13 00 14 Use tax. See General Instruction K 9 10 • 8 Total expenses and disbursements. From Side 2, Part II, line 18 • 9 Excess of receipts over expenses and disbursements. Subtract line 9 from line 8 • 10 . 14 00 10. oo Balance due. Add line 11, line 13, and line 14. Then subtract line 12 from the result Sign Date 1 Title Here officer6 »> Date • Telephone Check if self-employed ^ [ 5 • Preparer's PTiWSSN P00165007 • FEIN Firm's name (or yours, employed) belief, [TREASURER Preparer's ^ signature ^ Preparer's I No I Yes LJ * 15 Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statement: , and to the best of my knowledge and it is true, correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which prepar sr has any knowledge. Use Only instrument, the . i-^ I Yes LJ Is the organization under audit by the IRS or has the IRS 2 15 Paid , r-^ I Yes LJ _^^^^^^^__ M Is the organization a Limited Liability Company? N (3) Complete Part I unless not required to file this form. See General Instructions B and C. and Revenues Accrual Is the organization exempt under R&TC Section 23701g? * audited in a prior year? If organization is exempt under R&TC Section 23701d and is exclusively religious, educational, or charitable, and is supported primarily (50% or more) by public contributions, check box. See General Instruction F. No filing fee is required. Part I LKJ K L _ I 990PF 92407 (2) Did the organization have any changes in its activities, governing articles of incorporation, or bylaws that have not been reported to Franchise Tax Board? If "Yes," complete an explanation , and attach copies of revised documents .. * I Check the box if the organization filed the following federal forms or schedule: (1) • I_ I Ca:ish If "Yes* enter amount of gross receipts from nonmember sources $ If a box is checked, enter date * F (1) I J No Final return? * I_ Accounting method used If exempt under R&TC Section 23701d, has the organization during the year: (1) participated in any political campaign or (2) attempted to influence legislation or any ballot measure, or (3) made an election under R&TC Section 23704.5 (relating to lobbying by public charities)? If "Yes," complete and attach form FTB 3509, Political or Legislative Activities , by Section 23701d Organizations • I If "Yes," enter the number of affiliates * I_ ZIP Code ROGERS , ANDERSON, MALODY & SCOTT, 735 E. CARNEGIE DRIVE, SUITE 100 SAN BERNARDINO, CA 9 2 4 0 8 May the FTB discuss this return with the preparer shown above? See instructions For Privacy Notice, get form FTB 1131. 022 | 3651104 LLP 95-2662063 • Telephone (909) •UCJves 889-0871 L_J No Form 199 C1 2010 Side 1 FOUNDATION FOR THE CALIFORNIA STATE UNIVERSITY, SAN BERNARDINO Part II 95-6067343 Organizations with gross receipts of more than $25,000 and private foundations regardless of amount of gross receipts - complete Part II or furnish substitute information. See Specific Line Instructions. 1 2 Gross sales or receipts from all business activities. See instructions Interest • • 028951 12-16-10 1 00 2 7 8 3 , 2 2 7 . oo 3 Dividends • 3 00 Receipts 4 Gross rents • 4 00 from 5 Gross royalties Other 6 Gross amount received from sale of assets (See instructions) Sources 7 Other income 8 Total gross sales or receipts from other sources. Add line 1 through line 7. SEE • 5 00 STATEMENT 2 • 6 STATEMENT 3 • 7 7 , 9 0 5 , 4 6 7 . oo 2,133,919. oo 8 10,822,613. oo 9 00 Enter here and on Side 1, Part I, line 1 9 Contributions, gifts, grants, and similar amounts paid • 10 Disbursements to or for members SEE STATEMENT • 10 00 • • 11 3 6 0 , 8 8 5 . oo 1 0 , 2 9 9 , 6 7 9 . oo Expenses 11 Compensation of officers, directors, and trustees 12 Other salaries and wages 4 and 13 Interest • 13 00 Disburse- 14 Taxes • 14 00 ments 15 Rents • 15 00 16 5 4 3 , 6 0 7 . oo 2 4 , 0 1 3 , 2 5 8 . oo 3 5 , 2 1 7 , 4 2 9 . oo 16 Depreciation and depletion (See instructions) • 17 Other SEE STATEMENT 5 18 Total expenses and disbursements. Add line 9 through line 17. Enter here and on Side 1, Part I, line 9 Beginning of taxable year Schedule L Balance Sheets (a) Assets (b) • 12 17 18 End of taxable year (d) . 10,883,100. • 3,040,310. • • • • • 24,762,687. • • (c) 12,247,360. 5,261,520. 1 Cash 2 Net accounts receivable 3 Net notes receivable 4 Inventories 5 Federal and state government obligations 6 Investments in other bonds STMT 6 8 Mortgage loans (number of loans 9 Other investments STMT 7 Investments in stock ) 7 6,038,261. 15,686,907. 6,822,574. ( 3,176,873. ) 10 a Depreciable assets b Less accumulated depreciation 11 Land 12 Other assets STMT 8 13 Total assets 3,645,701. ( 4,640. 3,891,088. 46,775,477. 8,032,600. 3,344,298. ) • • 4,688,302. 4,640. 2,019,581. 45,398,620. Liabilities and net worth . • • • 3,562,411. 14 Accounts payable 15 Contributions, gifts, or grants payable 16 Bonds and notes payable 17 Mortgages payable 18 Other liabilities STMT 10,529,397. 5,773,072. 9 • • • 19 Capital stock or principle fund 20 Paid-in or capital surplus. Attach reconciliation 37,439,994. 21 Retained earnings or income fund 22 Total liabilities and net worth Schedule M-1 2,406,797. 46,775,477. 32,462,426. 45,398,620. Reconciliation of income per books with income per return Do not complete this schedule if the amount on Schedule L, line 13, column (d), is less than $25,000 1 Net income per books 696,200. 2 Federal income tax Income recorded on books this year 3 Excess of capital losses over capital gains not included in this return STMT 10 2,803,199. 4 Income not recorded on books this year Deductions in this return not charged against book income this year 5 Expenses recorded on books this year not deducted in this return Total. Add line 7 and line 8 6 Total. Add line 1 through line 5 Side 2 Form 199 C1 2010 2,803,199. Net income per return. 696,200. 622 | Subtract line 9 from line 6 ... 3652104 -3,499,399. FOUNDATION FOR THE CALIFORNIA STATE UNIV FORM 199 onMTpTTmTfYR'S NAME 95-6067343 CASH CONTRIBUTIONS OF $5000 OR MORE INCLUDED ON PART I, LINE 3 CONTRIBUTOR'S ADDRESS STATEMENT DATE OF GIFT 1 AMOUNT 03/09/11 5,000. 05/18/11 5,100. 02/14/11 10,000. 12/17/10 42,225. L2/31/10 11,838. 02/16/11 5,000. 04/12/11 152,674. 04/26/11 50,000. 05/23/11 14,405. 01/26/11 15,000. 06/15/11 9,900. 12/09/10 22,475. 06/30/11 ( 25,000. 11/16/10 130,000. 06/06/11 78,695. 12/17/10 40,000. STATEMENT(S) 1 FOUNDATION FOR THE CALIFORNIA STATE UNIV 95-6067343 04/26/11 5,500. 07/01/10 15,000. 02/23/11 258,845. 12/20/10 21,250. 02/09/11 5,500. 05/17/11 10,000. 04/07/11 5,000. 09/27/10 17,496. 09/30/10 50,000. 01/27/11 10,000. 12/09/10 27,180. 10/20/10 10,000. 08/04/10 25,733. 05/23/11 12,500. 06/06/11 10,500. 04/13/11 5,000. 12/07/10 5,000. 09/14/10 5,000. STATEMENT(S) 1 FOUNDATION FOR THE CALIFORNIA STATE UNIV 95-6067343 12/31/10 5,250. 11/15/10 5,000. 12/31/10 5,065. 04/26/11 5,000. , 04/12/11 5,000. 1 06/17/11 15,018. 02/08/11 6,300. 05/25/11 17,150. 12/31/10 10,000. 09/16/10 100,000. 06/06/11 5,000. 12/31/10 5,000. 11/08/10 17,887. 10/08/10 9,851. 02/08/11 5,000. f 03/11/11 21,000. 06/06/11 6,600. 07/27/10 10,500. STATEMENT(S) 1 FOUNDATION FOR THE CALIFORNIA STATE UNIV 95-6067343 06/23/11 10,000. 11/02/10 10,000. 12/31/10 48,167. 05/25/11 127,887. 03/07/11 12,000. 12/17/10 27,500. 10/25/10 100,000. 12/31/10 25,000. 11/22/10 25,000. 05/02/11 37,540. 06/06/11 18,000. 12/07/10 6,265. 05/05/11 290,335. 04/19/11 48,182. 11/03/10 ( 02/16/11 5,000. 10,000. 09/01/10 35,500. 11/01/10 20,000. STATEMENT(S) 1 95-6067343 FOUNDATION FOR THE CALIFORNIA STATE UNIV 07/14/10 5,000 07/12/10 10,000 03/07/11 11,500 12/01/10 6,352 12/31/10 31,373 2,292,038 STATEMENT(S) 1 FOUNDATION FOR THE CALIFORNIA STATE UNIV FORM 199 95-6067343 STATEMENT GROSS AMOUNT FROM SALE OF ASSETS DATE SOLD DATE ACQUIRED DESCRIPTION INVESTMENTS IN PUBLICLY-TRADED SECURITIES VARIOUS VARIOUS COST OR OTHER BASIS DATE ACQUIRED FURNITURE AND EQUIPMENT VARIOUS COST OR OTHER BASIS NONE TOTAL TO FORM 199, PAGE 2, LN 6 FORM 199 0. 0. DESCRIPTION PURCHASED EXPENSE OF SALE DEPREC. 7,369,895. NAME OF BUYER METHOD ACQUIRED DATE SOLD 7,905,467. METHOD ACQUIRED 06/30/11 DEPREC. GROSS SALES PRICE PURCHASED EXPENSE OF SALE GROSS SALES PRICE 382,618. 340,577. 0. 0. 7,752,513. 340,577. 0. 7,905,467. OTHER INCOME STATEMENT DESCRIPTION AMOUNT CHILDREN'S & INFANT CENTERS OTHER SERVICES (ALUMNI, BOOKSTORE, FOOD SERVICE, PC LAB) GRANTS & CONTRACTS SCHOLARSHIPS 615,684. 1,375,412. 119,192. 23,631. TOTAL TO FORM 199, PART II, LINE 7 2,133,919. STATEMENT(S) 2, 3 FOUNDATION FOR THE CALIFORNIA STATE UNIV FORM 199 95-6067343 COMPENSATION OF OFFICERS, DIRECTORS AND TRUSTEES NAME AND ADDRESS TITLE AND AVERAGE HRS WORKED/WK STATEMENT 4 COMPENSATION NEALE PERKINS 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 PRESIDENT 1.00 0. LOIS CARSON 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 SECRETARY 1.00 0. MARIE ALONZO 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR 0. WILLIAM ANTHONY 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR DONALD AVERILL 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR BETTY BARKER 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR GLENDA BAYLESS 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR VIRGINIA M. BLUMENTHAL 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR RUSSELL V. BOGH 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR MICHAEL BRACKEN 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR JACK H. BROWN 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 STATEMENT(S) 4 FOUNDATION FOR THE CALIFORNIA STATE UNIV ROBERT BURLINGAME 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR ARTHUR BUTLER 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR TONI CALLICOTT 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR ALI CAYIR 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR STEVE I. CHIANG 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR GREG K. CHRISTIAN 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR HENRY COIL 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR NICHOLAS J. COUSSOULIS 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR JIM CUEVAS 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR CARL DAMERON 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR JAMIL DADA 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR THEODORE W. DUTTON 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR WILLIAM EASLEY 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR 95-6067343 0. 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 STATEMENT(S) 4 FOUNDATION FOR THE CALIFORNIA STATE UNIV 95-6067343 MARK EDWARDS 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR JAMES EGAN 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR JIM ERICKSON 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR GERRY FAWCETT 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR JAMES FERGUSON 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR ROBERT FEY 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR HOWARD FRIEDMAN 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR MICHAEL J. GALLO 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR GRACIANO GOMEZ 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR ALLEN B. GRESHAM 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR W. BENSON HARER, JR. 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR GARNER HOLT 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR JIM IMBIORSKI 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR 0. 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 STATEMENT(S) 4 95-6067343 FOUNDATION FOR THE CALIFORNIA STATE UNIV DOROTHY INGHRAM 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR AARON KNOX 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR RICK LAZAR 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR WILFRID LEMANN 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR DOBBIN LO 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR PAUL MATA 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR BARBARA MCGEE 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR CHARLES MCNEELY 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR MICHAEL R. MILLER 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR LOUIS MONVILLE 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR YOLANDA MOSES 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR MICHAEL NAPOLI 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR JOHN NOLAN 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR 0. 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 STATEMENT(S) 4 FOUNDATION FOR THE CALIFORNIA STATE UNIV CHARLES OBERSHAW 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR SHELBY OBERSHAW 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR RICHARD OLIPHANT 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR PATRICK O'REILLY 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR MADELEINE PFAU 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR STEVE PON TELL 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR RAY QUINTO 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR JAMES RAMOS 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR ALI RAZI 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR RON REDFERN 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR D. BRIAN REIDER 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR GEORGE REYES 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR CARLOS RODRIGUEZ 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR 95-6067343 0. 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 STATEMENT(S) 4 FOUNDATION FOR THE CALIFORNIA STATE UNIV DONALD L. ROGERS 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR CINDY ROTH 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR ALI SAHABI 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR PHILLIP SAVAGE, IV 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR GEORGE H. SCHNARRE 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR PAUL SHIMOFF 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR BARBARA SIMMONS 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR ERNEST H. SIVA 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR BRUCE D. VARNER 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR JAMES R. WATSON 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR ELLEN WEISSER 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR D. LINN WILEY 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR JUSTINE PLEMONS 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIRECTOR 95-6067343 0. 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 0. 1.00 STATEMENT(S) 4 FOUNDATION FOR THE CALIFORNIA STATE UNIV 95-6061343 DEBORAH BURNS 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 EXECUTIVE DIRECTOR 40.00 129,000. TIMOTHY GERRITY 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 DIR OF OTTC 40.00 122,400. KRISTINE A. ALEXANDER 5500 UNIVERSITY PARKWAY SAN BERNARDINO, CA 92407 ED CAL ARTS PROG 40.00 109,485. TOTAL TO FORM 199, PART II, LINE 11 FORM 199 360,885. STATEMENT OTHER EXPENSES 5 DESCRIPTION AMOUNT STIPENDS, ROOM & BOARD SCHOLARSHIPS MISCELLANEOUS STUDENT SERVICES OTHER EMPLOYEE BENEFITS ACCOUNTING FEES INVESTMENT MANAGEMENT FEES OTHER PROFESSIONAL FEES OFFICE EXPENSES TRAVEL INSURANCE 5,496,717. 2,668,533. 1,367,176. 297,209. 5,019,424. 507,033. 115,620. 3,980,304. 3,744,113. 728,012. 89,117. TOTAL TO FORM 199, PART II, LINE 17 FORM 199 24,013,258. INVESTMENTS IN STOCK DESCRIPTION STATEMENT BEG. OF YEAR 6 END OF YEAR PUBLICLY TRADED SECURITIES 6,038,261. 24,762,687 TOTAL TO FORM 199, SCHEDULE L, LINE 7 6,038,261. 24,762,687 STATEMENT(S) 4, 5, 6 FOUNDATION FOR THE CALIFORNIA STATE UNIV FORM 199 95-6067343 STATEMENT OTHER INVESTMENTS DESCRIPTION BEG. OF YEAR 7 END OF YEAR EQUITY SECURITIES MUTUAL FUNDS MONEY MARKET FUNDS HEDGE FUND 3 ,490 ,789. 10 ,042 ,050. 514 ,246. 1 ,639 ,822. 0. 0. 0. 0. TOTAL TO FORM 199, SCHEDULE L, LINE 9 15 ,686 ,907. 0. FORM 199 OTHER ASSETS DESCRIPTION STATEMENT BEG. OF YEAR 8 END OF YEAR PLEDGES AND GRANTS RECEIVABLE PREPAID EXPENSES AND DEFERRED CHARGES INTANGIBLE ASSETS ART COLLECTION 2 ,742 ,507. 9 ,748. 77 ,502. 1 ,061 ,331. 782,393. 112,913. 62,944. 1,061,331. TOTAL TO FORM 199, SCHEDULE L, LINE 12 3 ,891 ,088. 2,019,581. FORM 199 STATEMENT OTHER LIABILITIES BEG. OF YEAR DESCRIPTION 9 END OF YEAR LIABILITY TO BENEFICIARIES POST-RETIREMENT MEDICAL BENEFITS 1 ,467 ,562. 4 ,305 ,510. 2,052,307. 8,477,090. TOTAL TO FORM 199, SCHEDULE L, LINE 18 5 ,773 ,072. 10,529,397. FORM 199 INCOME RECORDED ON BOOKS THIS YEAR NOT INCLUDED IN THIS RETURN STATEMENT 10 DESCRIPTION AMOUNT UNREALIZED GAIN ON INVESTMENTS 2,803,199. TOTAL TO FORM 199, SCHEDULE M-l, LINE 7 2,803,199. STATEMENT(S) 7, 8, 9, 10 FOUNDATION FOR THE CALIFORNIA STATE UNIV FORM 199 95-6067343 FUND BALANCES DESCRIPTION STATEMENT BEG. OF YEAR 11 END OF YEAR UNRESTRICTED ASSETS TEMPORARILY RESTRICTED ASSETS PERMANENTLY RESTRICTED ASSETS 1,287,115. 20,950,666. 15,202,213. -1,987,429. 18,121,247. 16,328,608. TOTAL TO FORM 199, SCHEDULE L, LINE 21 37,439,994. 32,462,426. STATEMENT(S) 11 MAIL TO: Registry of Charitable Trusts P.O. Box 903447 Sacramento, CA 94203-4470 Telephone: (916) 445-2021 WEB SITE ADDRESS: http://ag.ca.gov/charities/ ANNUAL REGISTRATION RENEWAL FEE REPORT TO ATTORNEY GENERAL OF CALIFORNIA Sections 12586 and 12587, California Government Code 11 Cal. Code Regs, sections 301-307, 311 and 312 Failure to submit this report annually no later than four months and fifteen days after the end of the organization's accounting period may result in the loss of tax exemption and the assessment of a minimum tax of $800, plus interest, and/or fines or filing penalties as defined in Government Code section 12586.1. IRS extensions will be honored. State Charity Registration Number: CT Check if: 04294 CZl Change of address FOUNDATION FOR THE CALIFORNIA STATE UNIVERSITY, SAN BERNARDINO IZH Amended report Name of Organization 5500 UNIVERSITY PARKWAY Corporate or Organization No. 0438029 Address (Number and Street) SAN BERNARDINO, CA 92407 Federal Employer I. D. No. 95-6067343 City or Town, State and ZIP Code ANNUAL REGISTRATION RENEWAL FEE SCHEDULE (11 Cal. Code Regs, sections 301-307, 311 and 312) Make Check Payable to Attorney General's Registry of Charitable Trusts Gross Annual Revenue Fee Gross Annual Revenue Fee Gross Annual Revenue Less than $25,000 Between $25,000 and $100,000 0 $25 Between $100,001 and $250,000 Between $250,001 and $1 million $50 $75 Between $1,000,001 and $10 million $150 Between $10,000,001 and $50 million $225 Greater than $50 million $300 Fee PART A - ACTIVITIES For your most recent full accounting period (beginning 0 7 / 0 1 / 2 0 1 Gross annual revenue $ 31,718, 030 . Total assets $ _ ending 06/30/2011 45,398,620. ) list: PART B - STATEMENTS REGARDING ORGANIZATION DURING THE PERIOD OF THIS REPORT Note: If you answer "yes" to any of the questions below, you must attach a separate sheet providing an explanation and details for each "yes" response. Please review RRF-1 instructions for information required. Yes No 1. During this reporting period, were there any contracts, loans, leases or other financial transactions between the organization and any officer, director or trustee thereof either directly or with an entity in which any such officer, director or trustee had any financial interest? 2. During this reporting period, was there any theft, embezzlement, diversion or misuse of the organization's charitable property or funds? 3. During this reporting period, did non-program expenditures exceed 50% of gross revenues? 4. During this reporting period, were any organization funds used to pay any penalty, fine or judgment? If you filed a Form 4720 with the Internal Revenue Service, attach a copy. 5. During this reporting period, were the services of a commercial fundraiser or fundraising counsel for charitable purposes used? If "yes," provide an attachment listing the name, address, and telephone number of the service provider. 6. During this reporting period, did the organization receive any governmental funding? If so, provide an attachment listing the name of the agency, mailing address, contact person, and telephone number. SEE STATEMENT 7. During this reporting period, did the organization hold a raffle for charitable purposes? If "yes," provide an attachment indicating the number of raffles and the date(s) they occurred. X 8. Does the organization conduct a vehicle donation program? If "yes," provide an attachment indicating whether the program is operated by the charity or whether the organization contracts with a commercial fundraiser for charitable purposes. X 9. Did your organization have prepared an audited financial statement in accordance with generally accepted accounting principles for this reporting period? Organization's area code and telephone number X X 12 X 909-537-5918 Organization's e-mail address LIANNOLO@CSUSB . EDU I declare under penalty of perjury that I have examined this report, including accompanying documents, and to the best of my knowledge and belief, it is true, correct and complete. ROBERT GARDNER Signature of authorized officer 029291 05-01-10 TREASURER Printed Name RRF-1 (3-05) Foundation for CSUSB - Statement 12: Form RRF-1 Information Regarding Government Funding; Part B, Line 6 Project FF10416 FF10443 FF 10449 Pro] Fdescr Coma Gas Dynamics 12/2011 III Pol icy Analysis 6/2010 Data Collction National Forest Total FF10508 FF20024 FF20027 FF20041 FF20047 FF20075 FF20076 FF20115 FF20135 FF20145 FF20150 FF20169 FF20176 FF20185 FF20186 FF20200 FF20238 FF20281 FF20293 FF20307 FF20308 FF20309 FF20310 FF20324 FF20348 FF20353 FF20366 FF20384 FF20385 FF20386 FF20387 FF20406 FF20407 FF20409 FF20411 FF20412 FF20413 FF20414 FF20415 FF20416 FF20418 FF20419 FF20421 FF20423 FF20424 FF20425 FF20432 FF20433 FF20434 FF20435 FF20437 FF20438 FF20439 PI Phone number 877/677-2123 (619) 221-5499 or (6 9792609445 Contact BENVENUTTI, BEN James Canty or Rachel Gmyr SNODGRASS.MARTHA CAL DEPT OF EDUCATION, CATEGORICALCOMPLIANCE DIVISION City State Address Attn: Office of Procurement-S Stennis Space Center, MS 39529 140 Sylvester Road, Bldg. 140, ! San Diego, California 92106-3521 1400 Independence Ave., S.W. Washington, D. C. 20250-0003 1430 NORTH STREET, SUITE SACRAMENTO, CALIFORNIA 95814 4401 Linda Rivera 916/445-1957 CAL DEPT OF TRANSPORTATION, Division of Research and Innovation, MS A#83 CAL POSTSECONDARY EDUC COMMISSION CALIF DEPT OF REHABILITATION, Blind Field Sen/ices California Commission on Teacher Credentials! California Commission on Teacher Credentialing California Commission on Teacher Credentialing CALIFORNIA COMMISSION ON TEACHER CREDENTIALING CALIFORNIA COMMISSION ON TEACHER CREDENTIALING CALIFORNIA COMMISSION ON TEACHER CREDENTIALING California Department of Corrections and Rehabilitation California Department of Education California Department of Water Resources, , Floodplain Management Branch California Department of Water Resources, Division of Planning & Local Assistance California Institute for Regerative Medicine (CIRM) California Postsecondary Education Commission (CPEC) California Postsecondary Education Commission (CPEC) City of Corona City of Corona City of San Bernardino City of San Bernardino City of San Bernardino Community Action Partnership of San Bernardino County of San Bernardino Department of Community Development & Housing County of San Bernardino Department of Community Development & Housing County of San Bernardino Department of Community Development & Housing CSU San Bernardino Deptof the Treasury -Internal Revenue Service Desert Community College District Health & Human Services Agency Health Resources and Services Administration Health Resources and Services Administration HHS-Center for Disease Control and Prevention Jet Propolsion Laboratory/NASA Jet Propolsion Laboratory/NASA National Endowment for the Arts National Endowment for the Humanities National Geospartial-lntelligence Agency, Office of Naval Research National Geospartial-lntelligence Agency, Office of Naval Research National Institutes of Health National Institutes of Health National Institutes of Health National Institutes of Health National Institutes of Health National Institutes of Health National Institutes of Health National Institutes of Health National Institutes of Health National Institutes of Health National Institutes of Health National Institutes of Health National Institutes of Health National Institutes of Health P.O. Box 942873 Sacramento, California 94273-0001 Sacramento, California 95814-3396 770 L Street, Suite 1160 464 West 4th Street, Suite 152 San Bernardino, CA 92401-1419 1020 East Cooley Drive Colton, California 92324 1020 East Cooley Drive Colton, California 92324 1020 East Cooley Drive Colton, California 92324 1020 East Cooley Drive Colton, California 92324 1020 East Cooley Drive Colton, California 92324 1020 East Cooley Drive Colton, California 92324 1515 S Street Rm212-N Sacramento, CA 95811 1430 N Street Sacramento, CA 95814 3310 ElCamino Ave, Suite LL6 Sacramento, CA 95821 P. 0,Box942836 Sacramento, California 94236-0001 201 King Street San Francisco, CA 94107 770 L Street, Suite 1160 Sacramento, CA 95814 770 L Street, Suite 1160 Sacramento, CA 95814 400 S. Vicentia Ave Corona, CA 92882 400 S. Vicentia Ave Corona, CA 92882 1100 Pennsylvania Avenue, Nv\0Washington, North D Street D. C. 20506 San Bernardino, CA 92418 300 North D Street San Bernardino, CA 92418 San Bernardino, CA 92415-0610 696 S Tippecanoe Ave 290 North D Street *600 San Bernardino, CA 92401-1706 290 North D Street «600 San Bernardino, CA 92401-1706 San Bernardino, CA 92401-1706 290 North D Street «600 5500 University Parkway San Bernardino, CA 92407-2393 5600 Fishers Lane -11-33 llth Rockville, MD 20857 43500 Monterey Ave Palm Desert, CA 92260 Bethesda, Maryland 20892 9000 Rockville Pike Merrifield, VA 22116 PO Box 2910 Merrifield, VA 22116 PO Box 2910 1600 Clifton Rd Atlanta, GA 30333 Pasadena, CA 91109-8099 4800 Oak Grove Dr. Pasadena, CA 91109-8099 4800 Oak Grove Dr. 1100 Pennsylvania Avenue, N\0 Washington, PennsylvaniaDC Avenue, 20506N\ Washington, D. C. 20590 140 Sylvester Road, Bldg. 140, 1 San Diego, California 92121-3521 341 Pine Tree Road Cornell Uni Itheca, NY 14850 9000 Rockville Pike Bethesda, Maryland 20892 9000 Rockville Pike Bethesda, Maryland 20892 Bethesda, Maryland 20892 9000 Rockville Pike 9000 Rockville Pike Bethesda, Maryland 20892 9000 Rockville Pike Bethesda, Maryland 20892 9000 Rockville Pike Bethesda, Maryland 20892 9000 Rockville Pike Bethesda, Maryland 20892 9000 Rockville Pike Bethesda, Maryland 20892 9000 Rockville Pike Bethesda, Maryland 20892 9000 Rockville Pike Bethesda, Maryland 20892 9000 Rockville Pike Bethesda, Maryland 20892 9000 Rockville Pike Bethesda, Maryland 20892 9000 Rockville Pike Bethesda, Maryland 20892 9000 Rockville Pike Bethesda, Maryland 20892 Christine Azevedo Karen Humphrey Main number Lori Isom Lori Isom Lori Isom Lori Isom Lori Isom Lori Isom LanSoohoo J916) 657-4723 (916) 445-1504 (909)383-4401 909.433.4653 (909) 433-4653 (909) 433-4653 (909)433-4653 (909) 433-4653 (909)433-4653 913.323.1399 916.319.0800 916/574-0611 (916)651-9616 415.396.9121 916.322.7984 918.322. 7984 951.736.2400 951.736.2400 202.606.8237 909.384.5211 909.384.5211 909.723.1525 909.388.0800 909.388.0800 909.388.0800 Woodney,Laura Young.Clifford Marx, Marcia Funding Agency National Aeronautics and Space Administration OFFICE NAVAL RESEARCH USDA Forest Service ELL Tech Assistance 06/10 Eggleston,Carolyn UTC-Cal Trans 9/2011 ALEGRIA! 09/10-(F4)9/2010 Assistive computing Vendorization 9/99 (F4) Early Childhood Education Total Mild Moderate 06/11 (State) Total Earyl Childhood 06/11 (State) Total Early Childhood Education 08/09 MS Disabilities 09/10 F4 Total Earlv Childhood Education 09/10 SB Day Reporting Center Total CTE Arts Media-6/11 Total Alluvial Fan Task Force Lytle Creek Watershed Action Plan CSUSB Bridge Stem Cell8/13F4 Total ALEGRIA! 10/11-(F4|9/2011 Total SWIRL Yl/4 Total Corona CDBG 09/10 6/10 F4 Total Corona CDBG 2010-2011 6/11 Total OE Phoenix CalGrip 12/10 F4 Total Coyote Conservatory(F4)9/99 Total CalGrip 03/12 Total LL20633 CAP Riyerside MTmg6/ll Total San Bernardino CDBG 09/10 Total EWBC Small Bus Job 9/2010 Total CDDB 7/1/10-6/30/11 F4 Total Services Leading to Employment Total 09/10 VITA Coop Grant Linking COD 9/10 Total MIDARP/Yang 7/2011 Total HealthCare&Other Facility Total Advanced Nursing Traineeships Total Whole Glove Integrity 8/10 Solar System Comet (F4) 9/99 Total C/ Hale-Bopp @ 27 AU 9/11 F4 Total Retelling the Ring 6/10 ntegrating Area Studie-12/12 Total Center of Academic Excellence Ctr 4 Academic Excellence 9/11 Total Serotonin&Dopamine Regultn 8/10 nfluenza Virus RNA 2/2011 RIMI Shared Resources 7/31/09 Total CSUSB MARC 08/09 Prj-5/2010 Effect of Early Meth 4/2013 EARDA 09/10 6/2010 Total EARDA/Siegel 7/2010 EARDA/Moffett 7/2010 Total CSUSB MIDARP 7/2011 RIMI Administration RIMI Infrasture 09/10 Total RIMI Acad Career Dey 09/10 Total RIMI Shared Resources 09/10 Total RIMI Faculty Research 09/10Total Wu,John D.Fischman,J.Jesunat LMcNaught.M.Ross Selmi, Ann McCabe,Marjorie McCabe,Marjorie Sylvajudy Phil!ips,Kathleen McCabe,Marjorie Eggleston,Carolyn Alexander, Kristine Longville.Susan Longville,Susan Bournais, Nicole Fischman.Davida Polcyn, David Skiljan, Michelle Skiljan, Michelle Eggleston.Carolyn Bryan, Leslie Eggleston,Carolyn Jandt.Fred Skiljan, Michelle Skiljan, Michelle Stull, Michael Jaworski, Beth Courts,Janet Jandt,Fred Yang, Shumei Jandt,Fred Dodd-Butera, Teresa Phalen.Bob Lederer, Susan Woodney,Laura kirsch,Eva Chuang, Beatrice Clark.Mark Clark, Mark Chao,Michael Newcomb,Laura Carerre.Haddock McDougall,Sanders Crawford,Cynthia Haddock,Bryan Siegel, Shannon Moffett, Aaron Crawford,Cynthia Carerre,Haddock Carerre,Haddock Carerre,Haddock Carerre,Haddock Carerre.Haddock Pindea,Ricardo Dottie Tarleton-Rush Jenny Lam Karen Humphrey Marcia Trott Robert Straughter Gerald Brown Azell Turner Yinka Abu Pamela Bell Pamela Bell GRANDILLO, PETER E Jason Knapp Linda Nenadovic-Cantuna Rocco Landesman Robert Straughter Phillip Hwang Wertz,Deborah S. SALOMON, RACHELLE DELORIS HUNTER ALTIERI, ROBERT HAIKALIS, DIANA RYAN TALESNIK ean Flagg-Newton Jean Flagg-Newton HAIKALIS, DIANA DELORIS HUNTER DELORIS HUNTER DELORIS HUNTER DELORIS HUNTER DELORIS HUNTER 404/338-8917 760.773.2513 301.595.0572 301.443.3504 301.443.3504 4123866834 818.354.4550 818.393.0921 202/682-5403 202.606.8237 703/735-2639 607.255.5085 3014436710 3014022202 301/402-1366 301 5944648 3014436710 301.435.6976 301.402.1366 301.402.1366 301 4436710 301/402-1366 301/402-1366 301/402-1366 301/402-1366 301/402-1366 MIDARP/LaChausse 7/31/11 Total National Institutes of Health LaChausse, Robert Ontogeny of Behavioral Sensitization:Assoc. 4/10 National Institutes of Health McDoupall,Sanders Applied Linguistics and Limited English Proficiency in the Mec Vickers.Caroline National Institutes of Health Analysis of Surface Behavior 12/2012 National Institutes of Health Orwin,Paul Dopamine Modulation 12/2013 National Institutes of Health Chao.Michael FF20445 CSUSB MARC2010/2011-05/11 Total McDougall,Sanders National Institutes of Health National Institutes of Health FF20448 EARDA 2010/2011 Haddock,Bryan Carerre,Haddock National Institutes of Health FF20449 RIMI Administration Total National Institutes of Health FF20450 RIMI Infrac & Capacity Biding Total Carerre,Haddock National Institutes of Health FF20451 RIMI Shared Resources Total Carerre,Haddock Carerre.Haddock National Institutes of Health FF20452 RIMI Faculty Resources Total FF20455 RIMI Academic Research Total Carerre,Haddock National Institutes of Health Kim, Yu Jang National Institutes of Health FF20457 Hobo Transposition 10/11 Total FF20464 CSUSB MARCFV11/12-5/12 Total McDougall.Sanders National Institutes of Health FF20472 Collaborative Rsrch MSPA-8/10 Total Freiling,Chris National Science Foundation FF20483 Noyce Math 8. Science-8/11 Total Fischman,Davida National Science Foundation FF20490 Math&Scienc Scholrs@>CSUSB12/10 Cousins.KJFryxellKS National Science Foundation FF20491 Investifations in Combinatorics: Knot Theory Trapp,Rolland National Science Foundation FF20495 EARTH SCOPE GPS 2/2012 McGill.Sally National Science Foundation FF20503 Alligator Research 7/11 Middleton,Kevin National Science Foundation FF20509 CSUSB Noyce Math Tching Fellows-7/2015 D.Fischman,J.Jesunat National Science Foundation FF20514 IAEP(SFS Scholarship) 8/13 Coulson,Tony National Science Foundation FF20518 CPATH-1 Turner,David National Science Foundation FF20522 Wings to Flippers 2/13 Middleton,Kevin National Science Foundation FF20527 Acquistion of a Portable X-Ray Fluorescence Analyzer-4/2011 Melchiorre,Erik National Science Foundation FF20528 Mathematical ACES: Alegebriac Concepts for Elementary Stuc Fischman,Davida National Science Foundation FF20555 CPATH-1 (RET) Total Turner,David National Science Foundation FF20563 CPATH-1 (REU) Total Turner,David National Science Foundation FF20564 PRISM 07/15 Total National Science Foundation Trapp,Rolland FF20565 09/10 ANNEX 11-8/11 Total Coulson,Tony National Security Agency (NSA) FF20566 HS Strand - STARTALK 2/2011 Nelson.Doueri National Security Agency (NSA) Coulson,Tony National Security Agency (NSA) FF20567 10/11 ANNEX 112/10 Total FF20574 2011 STARTALK 2/12 Total Nelson, Terri National Security Agency (NSA) Brule, Monica Office of Naval Research FF20578 ITTN Program 5/11 Total DeLaO, Armalyn Regent of the University of California FF20579 LA Basin CAP 09/10(F4)6/2011 Total DeLaO, Armalyn Regents of the University of California FF20580 RIMS CAP 05-06(F4)6/10 Total Alexander, Kristine Regents of the University of California FF20581 TCAP 05-06(F4)S/10 Total Morris, Teresa Regents of the University of California FF20582 NATL CHILDREN STDY9/11 Total Smith, Laurie Regents of the University of California FF20583 09/10 Title IV-E MASW 6/10 Total Smith, Laurie Regents of the University of California FF20584 09/10 Title IV-E BASW 6/10 Total Smith, Laurie Regents of the University of California FF20585 09/10 Mental Health Stpnd 6/10 Total Morris, Teresa Regents of the University of California FF20586 SW Pilot Distance Educ. 6/10 Total Sarli, John FF20587 MDTP 12/31/11 Total Regents of the University of California Alexander, Kristine FF20588 TCAP09/10(F4)6/2011 Total Regents of the University of California DeLaO, Armalyn Regents of the University of California FF20589 RIMS CAP 09/10( F416/11 Total FF20591 ICMP09/10(F4)6/11 Total Fischman.Davida Regents of the University of California Harris, Maria Regents of the University of California FF20597 Tactical & Critical Thinking Total Smith, Laurie Regents of the University of California FF20598 10/11 Title IV-E MASW 6/11 Total FF20599 10/11 Title IV-E BAWS 6/11 Total Smith, Laurie Regents of the University of California FF20602 10/11 Mental Health 6/11 Total Smith, Laurie Regents of the University of California FF20606 CMP STIR 10/11-5/11 Total Fischman,Davida Regents of the University of California FF20615 NCLB 7 RIMS 201/2011-6/11 Total DeLaO, Armalyn Regents of the University of California DeLaO, Armalyn FF20623 NCLB 7 LA BasinlO/11-6/11 Total Regents of the University of California FF20624 NCLB 7 ICMP 10/11-6/11 Total Fischman,Davida Regents of the University of California FF20625 Mediation Training 12/10 F4 Total Jandt.Fred Riverside County Tibbetts, Stephen Riverside County FF20627 Eval JJCPA 6/30/10 Total Spitzer, Sue Riverside County FF20635 Pathwy/ProflnternlO/11 Total FF20648 Pathways Pre-lnters(F4)-6/09 Total Jesunathadas, Josepr Riverside County Office of Education Jesunathadas, Josepl Riverside County Office of Education FF20655 Pathways Pre-lnterns(F4|-6/09 Total Spitzer, Sue GG10138 Regional Intern Project 6/09F4 Total Riverside County Office of Education Spitzer, Sue GG 10207 Pthwys Prof INTERN - 6/30/2010 Total Riverside County Office of Education Sandlin, Ruth GG10227 09/10 BTSA 6/2011 Total Riverside County Office of Education FF20440 FF20441 FF20442 FF20443 FF20444 Bethesda, Maryland 20892 9000 Rockville Pike Bethesda, Maryland 20892 9000 Rockville Pike Bethesda, Maryland 20892 9000 Rockville Pike Bethesda, Maryland 20892 9000 Rockville Pike 9000 Rockville Pike Bethesda, Maryland 20892 Bethesda, Maryland 20892 9000 Rockville Pike Bethesda, Maryland 20892 9000 Rockville Pike 9000 Rockville Pike Bethesda, Maryland 20892 9000 Rockville Pike Bethesda, Maryland 20892 9000 Rockville Pike Bethesda, Maryland 20892 Bethesda, Maryland 20892 9000 Rockville Pike 9000 Rockville Pike Bethesda, Maryland 20892 9000 Rockville Pike Bethesda, Maryland 20892 9000 Rockville Pike Bethesda, Maryland 20892 4201 Wilson Boulevard Arlington, Virginia 22230 Arlington, Virginia 22230 4201 Wilson Boulevard Arlington, Virginia 22230 4201 Wilson Boulevard 4201 Wilson Boulevard Arlington, Virginia 22230 4201 Wilson Boulevard Arlington, Virginia 22230 4201 Wilson Boulevard Arlington, Virginia 22230 4201 Wilson Boulevard Arlington, Virginia 22230 4201 Wilson Boulevard Arlington, Virginia 22230 4201 Wilson Boulevard Arlington, Virginia 22230 4201 Wilson Boulevard Arlington, Virginia 22230 4201 Wilson Boulevard Arlington, Virginia 22230 4201 Wilson Boulevard Arlington, Virginia 22230 Arlington, Virginia 22230 4201 Wilson Boulevard 4201 Wilson Boulevard Arlington, Virginia 22230 4201 Wilson Boulevard Arlington, Virginia 22230 Fort George G. Meade MD, 20755 Fort George G Meade MD, 20755 Meade MD, 20755 Fort George G. Fort George G. Meade MD, 20755 140 Sylvester Road, Bldg. 140, ! San Diego, California 92106-3521 1111 Franklin St., 12th Floor Oakland, CA 94607 1111 Franklin St., 12th Floor Oakland, CA 94607 1111 Franklin St., 12th Floor Oakland, CA 94607 1111 Franklin St. ,12th Floor Oakland, CA 94607 1111 Franklin St., 12th Floor Oakland, CA 94607 1111 Franklin St., 12th Floor Oakland, CA 94607 1111 Franklin St., 12th Floor Oakland, CA 94607 1111 Franklin St., 12th Floor Oakland, CA 94607 1111 Franklin St., 12th Floor Oakland, CA 94607 1111 Franklin St., 12th Floor Oakland, CA 94607 1111 Franklin St., 12th Floor Oakland, CA 94607 1111 Franklin St., 12th Floor Oakland, CA 94607 1111 Franklin St., 12th Floor Oakland, CA 94607 1111 Franklin St., 12th Floor Oakland, CA 94607 1111 Franklin St., 12th Floor Oakland, CA 94607 1111 Franklin St., 12th Floor Oakland, CA 94607 1111 Franklin St., 12th Floor Oakland, CA 94607 1111 Franklin St., 12th Floor Oakland, CA 94607 1111 Franklin St., 12th Floor Oakland, CA 94607 1111 Franklin St., 12th Floor Oakland, CA 94607 3939 Thirteenth Street Riverside, CA 92501 3939 Thirteenth Street Riverside, CA 92501 Riverside, CA 92501 3939 Thirteenth Street 3939 Thirteenth Street Riverside, CA 92501 3939 Thirteenth Street Riverside, CA 92501 3939 Thirteenth Street Riverside, CA 92501 3939 Thirteenth Street Riverside, CA 92501 3939 Thirteenth Street Riverside, CA 92501 Diana Haiklis Mills,Catherine PAUL COTTON Erica West ALTIERI, ROBERT Robert Altieri RYANTALESNIK DELORIS HUNTER DELORIS HUNTER DELORIS HUNTER DELORIS HUNTER DELORIS HUNTER Ryan Talesnik Robert Altieri RICHARDSON, VANESSA HAWKINS, PAMELA A. ALEXANDER-PINKNEY, REGINA ILONKAKARASZ 301.443.6710 3014436710 301/402-6423 301/594-3917 3015944648 310.594.4648 3014356976 301/402-1366 301/402-1366 301/402-1366 301/402-1366 301/402-1366 301.435.2722 301.594.4648 703/292-8213 703 2924814 Vanessa Richardson FARRIOR, LEVAR RASHAWN ROBERSON, KATHY FUQUA, LARRY ROBERSON, APRILEN Young, DeniseO. Pival,Joan T John Roney Thomas Jones ILONKA KARASZ Alice Schaffer VARIEUR, DIANE E Alice Schaffer Diane Varieur James Canty or Rachel Gmyr 703/292-4839 703 2922187 202/369-1011 Karen Taylor Karen Taylor Cheryl Herra Miranda Chiu Miranda Chiu Miranda Chiu Miranda Chiu Lourdes DeMattos 510.987.9543 510.987.9543 949.824.1825 510.643.6290 510.643.6290 510.643.6290 510.643.6290 510.987.9850 Susie Hakansson 310.794.9885 Miranda Chiu Miranda Chiu Miranda Chiu 510.643.6290 510.643.6290 510.643.6290 Lourdes DeMattos Lourdes DeMattos Lourdes DeMattos 510.987.9850 510.987.9850 510.987.9850 951.826.6530 951.826.6530 951.862.6632 951.826.6530 951826.653 George Araya 703/292-8453 703/292-4831 703/292-4841 703 2924837 703 2924635 703.292.4831 410.854.6206 4108541948 410.854.6206 410.854.1948 (619) 221-5499 or (6 951.826.6530 951.826.6530 760.771.8576 GG10367 GG10398 GG10450 GG10495 GG10496 GG20059 GG20077 GG20114 GG20177 GG20182 GG20319 GG 20333 GG20334 GG20342 GG20365 GG20391 CG20392 GG20393 GG20394 GG20395 GG20396 GG20397 GG20402 GG20429 GG 20430 GG 20431 GG20436 GG20462 GG20475 GG20477 GG20479 GG204S1 GG20493 GG20501 GG20516 GG20517 GG20546 GG20547 GG 20549 GG20557 GG20559 GG20561 GG20569 GG20577 GG20590 GG20592 GG20596 GG20614 GG20617 GG20618 GG20619 GG20622 GG2062S LL20015 LL20211 LL20218 LL20219 LL20220 LL20224 LL20227 LL20399 LL20420 Pthwys Prof INTERN 6/30/2011 Total Spitzer, Sue A.5.A.P. 6/30/12 Total Jesunathadas, Josepl 10/11 BTSA 6/12 Total Sandlin, Ruth ASAP/VPSS 6/30/12 Total Jesunathadas, JosepJ LL20568-Project Delta 6/11 Total Jetter, Madeleine LL20634 AB 212 Stipend 08/10 Total Kirby, Barb SART 06/07 (DBH Priding) Total MNTL HUH WRKFRC5/11 Total Morris, Teresa Mild/Moderate Disabilities 09/10 McCabe,Marjorie Moderate/Severe 06/11 (State) Total McCabe,Marjorie Moderate/Severe Disabilities 09/10 (State Funds) Phillips.Kathleen Nutrition Ed 9/12 Total LaChausse, Robert AB 212 Stipend 3/11 Total Kirby, Barb Cyanide Resrch/Wastwatr 9/10F4 Total Stanley, Brett Std Asst Dept of Forestry-8/1 1 Total Evaluation of AmeriCorp Tola Sechrest,Dale Blding,LnkgGlobaly08/09-9/09 Total Fischman,Davida HSGP 2/2011 Total Fields, Leandre TCAP (F4)-6/07 Total Alexander, Kristine ICMP(F4) -6/2010 Total Fischman.Davida NCLB 6 ICMP 2009/2010-6/10 Total Fischman,Davida NCLB 6 RIMS 2009/2010-6/10 Total DeLaO, Armalyn NCLB 6 LA Basin 2009/2010-6/10 Total DeLaO, Armalyn Genetic Info/Vrtbrt Speces9/ll Total Metcalf, Anthony Develop USDA Pgms -4/2011 Bodman,Andrew Preparing Underrepresented Stds for USDA Natural Resource J.Noblet.S.Longville Recruit Retention&T raining Total Williams, Kimberlyn Nematode Bio Control 8/2010 Orwin,Paul USDA Natural Resource Careers with Multi-Disciplinary Interr Longville,Susan SAIL Pgm 8/2010 Y5 of 5 Flores,Debble Asian Studies at CSUSB-6/09 Chuang,Rueyling QTQS Project 7/10 Hwang,Young Suk Clark,J. Milton GEAR UP 07/08 CSUSB-8/08 Total McNair Scholars Program 9/2011 Ramon,Roy BE SMART:Cmnty Networking 9/10 Podolske, Diane Upward Bound-S.B. 11/2010 Total Sanchez,Rosas Upward Bound-RIALTO 11/2010 Sanchez.Rosas Clark.J. Milton GearUp 08/09 CSUSB-8/09 Total Gaines,Larry : und for the Improvement of Education Ed Lab Equipment PDC 7/10 Jandt,Fred Project Win 9/2013 Balderrama, Maria Clark.J Milton Gear UP 09/10 CSUSB-8/2010 GearUp09/10 Rialto USD-8/2010 Total Clark.J Milton Clark,J. Milton GearUp09/10 CarterHS-S/2010 Total Clark.J. Milton GearUp09/10 Eisenhower-8/2010 Total Clark.J Milton GearUp09/10 Rialto HS-8/2010 Total Clark,J. Milton GearUp09/10CoachellaHS-8/2010 Total GearUp09/10 DesertMirageS/2010 Total Clark.J. Milton GearUp09/10 HentageHS-8/2010 Total Clark,J. Milton Clark.J. Milton GearUp09/10NuviewBridge8/2010 Total Wilcox Herzog.Flores CCAMPIS Main-PD 9/2010 Wilcox Herzog.Flores CCAMPIS-SAIL 9/2011 Total Wilcox Herzog.Flores CCAMPIS-Child Care 9/2011 Total VVVcox Herzog Flo-es CCAMPIS-ITLS 9/2011 Total -lores.Debbie SAIL Program 09/1//10-8/31/11 Total Clark,J. Milton Gear Up 10/11 CSUSB Total ClarkJ. Milton Gear Up 10/11 Rialto USD Total Clark,J. Milton Gear Up 10/11 Carter High Sch Total Clark,J. Milton Gear Up 10/11 Eisenhower HS Total Clark,J. Milton Gear Up 10/11 Rialto HS Total Clark,J. Milton Gear Up 10/11 Coachella HS Total Clark,J. Milton Gear Up 10/11 Desert Mirage HSTotal Riverside County Office of Education Riverside County Office of Education Riverside County Office of Education Riverside County Office of Education Riverside County Superintendent of Schools San Bernardino County San Bernardino County Department of Behavioral Health San Bernardino County Department of Health San Bernardino County Office of Education San Bernardino County Office of Education San Bernardino County Superintendent of Education San Bernardino County Superintendent of Schools San Bernardino County Superintendent of Schools San Bernardino Municipal Wather District Trustees of the California State University trustees of the California State University Trustees of the California State University Trustees of the California State University University of California Office of the President University of California Office of the President University of California Office of the President University of California Office of the President University of California Office of the President US Department of Agriculture US Department of Agriculture US Department of Agriculture US Department of Agriculture US Department of Agriculture US Department of Agriculture US Department of Education US Department of Education US Department of Education US Department of Education US Department of Education US Department of Education US Department of Education US Department of Education US Department of Education US Department of Education US Department of Education US Department of Education US Department of Education US Department of Education US Department of Education US Department of Education US Department of Education US Department of Education US Department of Education US Department of Education US Department of Education US Department of Education US Department of Education US Department of Education US Department of Education US Department of Education US Department of Education US Department of Education US Department of Education US Department of Education US Department of Education US Department of Education US Department of Education Riverside, CA 92501 3939 Thirteenth Street Riverside, CA 92501 3939 Thirteenth Street 3939 Thirteenth Street Riverside, CA 92501 3939 Thirteenth Street Riverside, CA 92501 Riverside, CA 92501 3939 Thirteenth Street 385 N Arrowhead Ave San Bernardino, CA 92415 686 E. 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