LEGACY HEALTH ENDOWMENT: Form 990PF, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- LEGACY HEALTH ENDOWMENT (EIN 46-2670041)
- Tax period
- 2022-04-01 to 2023-03-31
- Filed
- 2023-10-31
- IRS object ID
- 202343049349100524
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990-PF
- Schedule B
- Accounting Fees Schedule
- Depreciation Schedule
- Gain Loss Sale Other Assets Sch
- Investments Corp Bonds Schedule
- Investments Corp Stock Schedule
- Investments Other Schedule2
- Land Etc Schedule2
- Legal Fees Schedule
- Other Assets Schedule
- Other Decreases Schedule
- Other Expenses Schedule
- Other Income Schedule2
- Other Liabilities Schedule
- Other Professional Fees Schedule
- Taxes Schedule
- Transfers To Controlled Entities
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-10-31T13:03:54-05:00 | ReturnTs |
| Tax Period End | 2023-03-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910189318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2882 PROSPECT PARK DR STE 300 | AddressLine1Txt |
| City | RANCHO CORDOVA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95670 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2022-04-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 462670041 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LEGACY HEALTH ENDOWMENT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LEGA | BusinessNameControlTxt |
| Phone | 2092502312 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2881 GEER ROAD SUITE A | AddressLine1Txt |
| City | TURLOCK | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95382 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JEFFREY LEWIS | PersonNm |
| Person Title | PRESIDENT, CEO | PersonTitleTxt |
| Phone | 2092502312 | PhoneNum |
| Signature | 2023-10-30 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | JEFFREY | PersonFirstNm |
| Person Last | LEWIS | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TRACY S PAGLIA | PreparerPersonNm |
| PTIN | P00366884 | PTIN |
| Phone | 9165038100 | PhoneNum |
| Preparation | 2023-10-30 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $57,373,399 | FMVAssetsEOYAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $201,900 | ContriRcvdRevAndExpnssAmt |
| Interest On Sav Rev And Expnss | $109,359 | InterestOnSavRevAndExpnssAmt |
| Interest On Sav Net Invst Incm | $109,359 | InterestOnSavNetInvstIncmAmt |
| Dividends Rev And Expnss | $1,193,171 | DividendsRevAndExpnssAmt |
| Dividends Net Invst Incm | $1,193,748 | DividendsNetInvstIncmAmt |
| Net Gain Sale Ast Rev And Expnss | $1,017,115 | NetGainSaleAstRevAndExpnssAmt |
| Gross Sales Price | $17,983,334 | GrossSalesPriceAmt |
| Cap Gain Net Incm Net Invst Incm | $1,097,523 | CapGainNetIncmNetInvstIncmAmt |
| Other Income Rev And Expnss | $95,303 | OtherIncomeRevAndExpnssAmt |
| Other Income Net Invst Incm | $1,287 | OtherIncomeNetInvstIncmAmt |
| Total Rev And Expnss | $2,616,848 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $2,401,917 | TotalNetInvstIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $352,744 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $21,165 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $333,832 | CompOfcrDirTrstDsbrsChrtblAmt |
| Oth Empl Slrs Wgs Rev And Expnss | $178,640 | OthEmplSlrsWgsRevAndExpnssAmt |
| Oth Empl Slrs Wgs Net Invst Incm | $10,718 | OthEmplSlrsWgsNetInvstIncmAmt |
| Oth Empl Slrs Wgs Dsbrs Chrtbl | $164,567 | OthEmplSlrsWgsDsbrsChrtblAmt |
| Pension Empl Bnft Rev And Expnss | $26,162 | PensionEmplBnftRevAndExpnssAmt |
| Pension Empl Bnft Net Invst Incm | $1,570 | PensionEmplBnftNetInvstIncmAmt |
| Pension Empl Bnft Dsbrs Chrtbl | $23,673 | PensionEmplBnftDsbrsChrtblAmt |
| Legal Fees Rev And Expnss | $209,924 | LegalFeesRevAndExpnssAmt |
| Legal Fees Net Invst Incm | $4,198 | LegalFeesNetInvstIncmAmt |
| Legal Fees Dsbrs Chrtbl | $207,330 | LegalFeesDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $135,082 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $8,105 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Chrtbl Prps | $125,797 | AccountingFeesChrtblPrpsAmt |
| Other Prof Fees Rev And Expnss | $71,580 | OtherProfFeesRevAndExpnssAmt |
| Other Prof Fees Net Invst Incm | $0 | OtherProfFeesNetInvstIncmAmt |
| Other Prof Fees Dsbrs Chrtbl | $88,744 | OtherProfFeesDsbrsChrtblAmt |
| Taxes Rev And Expnss | $91,214 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $18,884 | TaxesNetInvstIncmAmt |
| Taxes Dsbrs Chrtbl | $24,665 | TaxesDsbrsChrtblAmt |
| Deprec And Dpltn Rev And Expnss | $3,723 | DeprecAndDpltnRevAndExpnssAmt |
| Deprec And Dpltn Net Invst Incm | $0 | DeprecAndDpltnNetInvstIncmAmt |
| Occupancy Rev And Expnss | $34,858 | OccupancyRevAndExpnssAmt |
| Occupancy Net Invst Incm | $0 | OccupancyNetInvstIncmAmt |
| Occupancy Dsbrs Chrtbl | $34,587 | OccupancyDsbrsChrtblAmt |
| Trav Conf Meeting Rev And Expnss | $16,597 | TravConfMeetingRevAndExpnssAmt |
| Trav Conf Meeting Net Invst Incm | $383 | TravConfMeetingNetInvstIncmAmt |
| Trav Conf Meeting Dsbrs Chrtbl | $16,191 | TravConfMeetingDsbrsChrtblAmt |
| Printing And Pub Rev And Expnss | $157,805 | PrintingAndPubRevAndExpnssAmt |
| Printing And Pub Net Invst Incm | $0 | PrintingAndPubNetInvstIncmAmt |
| Printing And Pub Dsbrs Chrtbl | $164,321 | PrintingAndPubDsbrsChrtblAmt |
| Other Expenses Rev And Expnss | $299,462 | OtherExpensesRevAndExpnssAmt |
| Other Expenses Net Invst Incm | $332,523 | OtherExpensesNetInvstIncmAmt |
| Other Expenses Dsbrs Chrtbl | $90,026 | OtherExpensesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $1,577,791 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $397,546 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $1,273,733 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $3,241,700 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $3,131,697 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $4,819,491 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $397,546 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Dsbrs Chrtbl | $4,405,430 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | -$2,202,643 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $2,004,371 | NetInvestmentIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $192,796 | CashBOYAmt |
| Cash EOY | $331,127 | CashEOYAmt |
| Cash EOYFMV | $331,127 | CashEOYFMVAmt |
| Sav And Temp Cash Invst BOY | $1,246,590 | SavAndTempCashInvstBOYAmt |
| Sav And Temp Cash Invst EOY | $2,362,864 | SavAndTempCashInvstEOYAmt |
| Sav And Temp Cash Invst EOYFMV | $2,362,864 | SavAndTempCashInvstEOYFMVAmt |
| Acct Rcvbl | $4,181 | AcctRcvblAmt |
| Acct Rcvbl EOY | $4,181 | AcctRcvblEOYAmt |
| Acct Rcvbl EOYFMV | $4,181 | AcctRcvblEOYFMVAmt |
| Prepaid Expenses BOY | $4,839 | PrepaidExpensesBOYAmt |
| Prepaid Expenses EOY | $26,110 | PrepaidExpensesEOYAmt |
| Prepaid Expenses EOYFMV | $26,110 | PrepaidExpensesEOYFMVAmt |
| Corporate Stock BOY | $41,817,845 | CorporateStockBOYAmt |
| Corporate Stock EOY | $34,067,759 | CorporateStockEOYAmt |
| Corporate Stock EOYFMV | $34,067,759 | CorporateStockEOYFMVAmt |
| Corporate Bonds BOY | $17,756,492 | CorporateBondsBOYAmt |
| Corporate Bonds EOY | $14,732,802 | CorporateBondsEOYAmt |
| Corporate Bonds EOYFMV | $14,732,802 | CorporateBondsEOYFMVAmt |
| Other Investments BOY | $5,256,697 | OtherInvestmentsBOYAmt |
| Other Investments EOY | $5,834,875 | OtherInvestmentsEOYAmt |
| Other Investments EOYFMV | $5,834,875 | OtherInvestmentsEOYFMVAmt |
| Land Bldg Equip Cost Or Other Bss | $26,612 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $24,040 | LandBldgEquipAccumDeprecAmt |
| Land BOY | $7,071 | LandBOYAmt |
| Land EOY | $2,572 | LandEOYAmt |
| Land EOYFMV | $13,306 | LandEOYFMVAmt |
| Other Assets BOY | $0 | OtherAssetsBOYAmt |
| Other Assets EOY | $375 | OtherAssetsEOYAmt |
| Other Assets EOYFMV | $375 | OtherAssetsEOYFMVAmt |
| Total Assets BOY | $66,282,330 | TotalAssetsBOYAmt |
| Total Assets EOY | $57,362,665 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $57,373,399 | TotalAssetsEOYFMVAmt |
| Accounts Payable BOY | $88,521 | AccountsPayableBOYAmt |
| Accounts Payable EOY | $77,681 | AccountsPayableEOYAmt |
| Grants Payable BOY | $1,100,000 | GrantsPayableBOYAmt |
| Grants Payable EOY | $1,210,002 | GrantsPayableEOYAmt |
| Other Liabilities BOY | $255,804 | OtherLiabilitiesBOYAmt |
| Other Liabilities EOY | $120,551 | OtherLiabilitiesEOYAmt |
| Total Liabilities BOY | $1,444,325 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,408,234 | TotalLiabilitiesEOYAmt |
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
| No Donor Rstr Net Assests BOY | $29,214,092 | NoDonorRstrNetAssestsBOYAmt |
| No Donor Rstr Net Assests EOY | $25,579,805 | NoDonorRstrNetAssestsEOYAmt |
| Donor Rstr Net Assets BOY | $35,623,913 | DonorRstrNetAssetsBOYAmt |
| Donor Rstr Net Assets EOY | $30,374,626 | DonorRstrNetAssetsEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $64,838,005 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $55,954,431 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $66,282,330 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $57,362,665 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $64,838,005 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | -$2,202,643 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $62,635,362 | SubtotalAmt |
| Other Decreases | $6,680,931 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $55,954,431 | TotNetAstOrFundBalancesEOYAmt |
Cap Gains Loss Tx Invst Incm Detail CapGainsLossTxInvstIncmDetail
Cap Gains Loss Tx Invst Incm CapGainsLossTxInvstIncmGrp (4 entries)
| PropertyPropertyDesc | AcquiredAcquiredDt | SoldSoldDt | Gross Sales PriceGrossSalesPriceAmt | Cost Or Other BasisCostOrOtherBasisAmt | Gain Or LossGainOrLossAmt | Gains Minus Excess Or LossesGainsMinusExcessOrLossesAmt | How AcquiredHowAcquiredCd |
|---|---|---|---|---|---|---|---|
| PUBLICLY TRADED SECURITIES - BOTW | 2022-01-01 | 2022-12-31 | $13,163,085 | $12,641,762 | $521,323 | $521,323 | |
| PUBLICLY TRADED SECURITIES - COVENANT | 2022-01-01 | 2022-12-31 | $4,464,987 | $4,244,049 | $220,938 | $220,938 | |
| CAPITAL GAIN DISTRIBUTION | 2022-01-01 | 2022-12-31 | $275,630 | $275,630 | $275,630 | P | |
| CAPITAL GAIN FROM PASSTHROUGH | 2022-01-01 | 2022-12-31 | $79,632 | $79,632 | $79,632 | P |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Capital Gain Net Income | $1,097,523 | CapitalGainNetIncomeAmt |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $27,861 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $27,861 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $27,861 | TaxBasedOnInvestmentIncomeAmt |
| Estimated Plus Ovpmt Incm Tx | $24,312 | EstimatedPlusOvpmtIncmTxAmt |
| Exempt Frgn Org Tax Wthld At Srce | $0 | ExemptFrgnOrgTaxWthldAtSrceAmt |
| Extsn Request Income Tax Paid | $6,000 | ExtsnRequestIncomeTaxPaidAmt |
| Backup Withholding Withheld | $0 | BackupWithholdingWithheldAmt |
| Total Payments And Credits | $30,312 | TotalPaymentsAndCreditsAmt |
| Form2220 Attached | Yes (X) | Form2220AttachedInd |
| Es Penalty | $0 | EsPenaltyAmt |
| Overpayment | $2,451 | OverpaymentAmt |
| Applied To ES Tax | $2,451 | AppliedToESTaxAmt |
| Refund | $0 | RefundAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | 0 | LegislativePoliticalActyInd |
| More Than100 Spent | 0 | MoreThan100SpentInd |
| Form1120 POL Filed | 0 | Form1120POLFiledInd |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Tax Reimbursed | $0 | TaxReimbursedAmt |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | Yes (1) | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | CA | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (1) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | 0 | PrivateOperatingFoundationInd |
| New Substantial Contributors | 0 | NewSubstantialContributorsInd |
| Own Controlled Entity | Yes (1) | OwnControlledEntityInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (1) | ComplyWithPublicInspRqrInd |
| Website Address | LEGACYHEALTHENDOWMENT.ORG | WebsiteAddressTxt |
| Individual With Books | WENDY CARRIEGAN | IndividualWithBooksNm |
| Phone | 2092502312 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2881 GEER ROAD SUITE A | AddressLine1Txt |
| City | TURLOCK | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95382 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | 0 | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | 0 | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | 0 | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | 0 | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | Yes (1) | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Acts Fail To Qlfy As Exceptions | 0 | ActsFailToQlfyAsExceptionsInd |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActsInd |
| Undistributed Income PY | 0 | UndistributedIncomePYInd |
| Business Holdings | 0 | BusinessHoldingsInd |
| Jeopardy Investments | 0 | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | 0 | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | 0 | InfluenceLegislationInd |
| Influence Election | 0 | InfluenceElectionInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Noncharitable Purpose | 0 | NoncharitablePurposeInd |
| Transactions Fail To Qlfy As Exc | 0 | TransactionsFailToQlfyAsExcInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (15 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| JEFFREY LEWIS | ||||||||
| 2881 GEER RD STE A | TURLOCK | CA | 95382 | PRESIDENT & CEO | 40.00 | $308,228 | $44,516 | $0 |
| NEILL CALLIS | ||||||||
| 2881 GEER RD STE A | TURLOCK | CA | 95382 | CHAIRMAN | 1.00 | $0 | $0 | $0 |
| KASSY PERRY | ||||||||
| 2881 GEER RD STE A | TURLOCK | CA | 95382 | VICE CHAIR | 1.00 | $0 | $0 | $0 |
| VANCE AHLEM | ||||||||
| 2881 GEER RD STE A | TURLOCK | CA | 95382 | SECRETARY | 1.00 | $0 | $0 | $0 |
| LARRY ANDERSON | ||||||||
| 2881 GEER RD STE A | TURLOCK | CA | 95382 | TREASURER | 1.00 | $0 | $0 | $0 |
| MIKE BREM | ||||||||
| 2881 GEER RD STE A | TURLOCK | CA | 95382 | TRUSTEE | 0.20 | $0 | $0 | $0 |
| DR MARK DAVENPORT | ||||||||
| 2881 GEER RD STE A | TURLOCK | CA | 95382 | TRUSTEE | 0.20 | $0 | $0 | $0 |
| LANI DICKINSON | ||||||||
| 2881 GEER RD STE A | TURLOCK | CA | 95382 | TRUSTEE | 0.20 | $0 | $0 | $0 |
| DR RALPH GONZALES | ||||||||
| 2881 GEER RD STE A | TURLOCK | CA | 95382 | TRUSTEE | 0.20 | $0 | $0 | $0 |
| JESSICA CHANG IRISH | ||||||||
| 2881 GEER RD STE A | TURLOCK | CA | 95382 | TRUSTEE | 0.20 | $0 | $0 | $0 |
| TODD SLECHTA | ||||||||
| 2881 GEER RD STE A | TURLOCK | CA | 95382 | TRUSTEE | 0.20 | $0 | $0 | $0 |
| MARLENE STANTE | ||||||||
| 2881 GEER RD STE A | TURLOCK | CA | 95382 | VICE CHAIR (THRU 12/22) | 0.20 | $0 | $0 | $0 |
| JONNIE YORK RN | ||||||||
| 2881 GEER RD STE A | TURLOCK | CA | 95382 | SECRETARY (THRU 12/22) | 0.20 | $0 | $0 | $0 |
| ROGER HERRERA | ||||||||
| 2881 GEER RD STE A | TURLOCK | CA | 95382 | TRUSTEE (THRU 12/22) | 0.20 | $0 | $0 | $0 |
| KRISTIN OLSEN | ||||||||
| 2881 GEER RD STE A | TURLOCK | CA | 95382 | TRUSTEE (THRU 12/22) | 0.20 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Other Employee Paid Over50k | 0 | OtherEmployeePaidOver50kCnt |
Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Service TypeServiceTypeTxt | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ADLER AND COLVIN A LAW CORPORATION | |||||
| 135 MAIN STREET 20TH FLOOR | SAN FRANCISCO | CA | 94105 | LEGAL | $149,510 |
| J WALLIN INC | |||||
| 4695 MACARTHUR COURT SUITE 130 | NEWPORT BEACH | CA | 92660 | CONSULTING | $73,450 |
| KIDDERBROOK GROUP | |||||
| 80 HURON DRIVE | CHATHAM | NJ | 07928 | CONSULTING | $70,000 |
| CAPITOL ADVOCACY PARTNERS | |||||
| 600 PENNSYLVANIA AVENUE SE 15048 | WASHINGTON | DC | 20003 | CONSULTING | $57,800 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $55,958,527 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $2,235,927 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $26,485 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $58,220,939 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $58,220,939 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $873,314 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $57,347,625 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $2,867,381 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $2,867,381 | MinimumInvestmentReturnAmt |
| Tax Based On Investment Income | $27,861 | TaxBasedOnInvestmentIncomeAmt |
| Income Tax | $133 | IncomeTaxAmt |
| Total Tax | $27,994 | TotalTaxAmt |
| Distributable Before Adj | $2,839,387 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $2,839,387 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $2,839,387 | DistributableAsAdjustedAmt |
PF Qualifying Distributions PFQualifyingDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $4,405,430 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $4,405,430 | QualifyingDistributionsAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $2,839,387 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr3 | $493,111 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $1,157,219 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $1,562,788 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $3,213,118 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $4,405,430 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $2,839,387 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $1,566,043 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $4,779,161 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $4,779,161 | ExcessDistriCyovToNextYrAmt |
| Excess From Year3 | $493,111 | ExcessFromYear3Amt |
| Excess From Year2 | $1,157,219 | ExcessFromYear2Amt |
| Excess From Year1 | $1,562,788 | ExcessFromYear1Amt |
| Excess From Current Year | $1,566,043 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (61 entries)
| Address Line1RecipientUSAddress/AddressLine1Txt | CityRecipientUSAddress/CityNm | State AbbreviationRecipientUSAddress/StateAbbreviationCd | ZIPRecipientUSAddress/ZIPCd | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|
| LIVINGSTON COMMUNITY HEALTH | ||||||
| 600 B STREET SUITE A | LIVINGSTON | CA | 95334 | PC | DENTAL PROVIDER RECRUITMENT | $80,000 |
| UNITED SAMARITANS FOUNDATION | ||||||
| 220 S BROADWAY | TURLOCK | CA | 95380 | PC | RX RELIEF PROGRAM | $10,000 |
| GOLDEN VALLEY HEALTH CENTERS | ||||||
| 737 W CHILDS AVENUE | MERCED | CA | 95351 | PC | PHYSICALS AND VACCINATION CLINICS FOR DUSD AND UCP | $20,000 |
| FIRST BEHAVIORAL HEALTH URGENT CARE CENTER | ||||||
| PO BOX 3760 | TURLOCK | CA | 95381 | PC | GENERAL OPERATING SUPPORT | $65,000 |
| COMMUNITY HEALTH CENTERS OF AMERICA | ||||||
| 5200 PIRRONE COURT SUITE A | SALIDA | CA | 95368 | PC | ASSIST WITH LOCAL PHARMACY COSTS | $10,000 |
| GUSTINE UNIFIED SCHOOL DISTRICT | ||||||
| 1500 MEREDITH AVENUE | GUSTINE | CA | 95322 | GOV | MENTAL HEALTH SERVICES EXPANSION | $15,000 |
| LIVINGSTON COMMUNITY HEALTH | ||||||
| 600 B STREET SUITE A | LIVINGSTON | CA | 95334 | PC | DENTAL RESIDENT EQUIPMENT | $7,000 |
| LGBTQ COLLABORATIVE | ||||||
| 1202 H STREET SUITE D | MODESTO | CA | 95354 | PC | PREP TINRX PROGRAM | $10,000 |
| COMMUNITY ACCESS NATIONAL NETWORK | ||||||
| 1724 FLORIDA AVENUE NW | WASHINGTON | DC | 20009 | PC | EDUCATIONAL PAPER ON NAVIGATING HEALTHCARE | $5,000 |
| COMMUNITY HEALTH CENTERS OF AMERICA | ||||||
| 5200 PIRRONE COURT SUITE A | SALIDA | CA | 95368 | PC | GUSTINE CLINIC STAFFING | $250,000 |
| STANISLAUS COUNTY POLICE ACTIVITIES LEAGUE | ||||||
| 1325 BEVERLY DRIVE | MODESTO | CA | 95351 | GOV | CHILD PASSENGER SAFETY PROGRAM | $5,000 |
| GOLDEN VALLEY HEALTH CENTERS | ||||||
| 737 W CHILDS AVENUE | MERCED | CA | 95351 | PC | GENERAL OPERATING SUPPORT | $65,000 |
| COMMUNITY HEALTH CENTERS OF AMERICA | ||||||
| 5200 PIRRONE COURT SUITE A | SALIDA | CA | 95368 | PC | GUSD SPORTS PHYSICALS, PHYSICALS AND VACCINATIONS CLINICS | $45,000 |
| LIVINGSTON COMMUNITY HEALTH | ||||||
| 600 B STREET SUITE A | LIVINGSTON | CA | 95334 | PC | LIN WAN CSUS NURSE PRACTICTIONER SCHOLARSHIP | $20,000 |
| DENAIR UNIFIED SCHOOL DISTRICT | ||||||
| 3460 LESTER ROAD | DENAIR | CA | 95316 | GOV | BILINGUAL LCSW | $50,000 |
| CITY MINISTRIES NETWORK | ||||||
| 820 H STREET | MODESTO | CA | 95352 | PC | PASTORAL MENTAL HEALTH AND HEALTH SERVICES | $25,000 |
| DEL PUERTO HOSPITAL FOUNDATION | ||||||
| 875 E STREET | PATTERSON | CA | 95363 | PC | PARAMEDICS TRAINING PROGRAM | $25,000 |
| JESSICA'S HOUSE | ||||||
| 1225 W CHRISTOFFERSEN PARKWAY | TURLOCK | CA | 95382 | PC | UNDERWRITING GRIEF MANAGEMENT BOOK | $50,000 |
| LIVINGSTON COMMUNITY HEALTH | ||||||
| 600 B STREET SUITE A | LIVINGSTON | CA | 95334 | PC | GENERAL OPERATING SUPPORT | $10,000 |
| PRODIGAL SONS AND DAUGHTERS | ||||||
| PO BOX 3303 | TURLOCK | CA | 95381 | PC | GENERAL OPERATING SUPPORT | $10,000 |
| UNITED SAMARITANS FOUNDATION | ||||||
| 220 SOUTH BROADWAY | TURLOCK | CA | 95380 | PC | GENERAL OPERATING SUPPORT | $7,000 |
| SALVATION ARMY | ||||||
| PO BOX 3576 | TURLOCK | CA | 95381 | PC | GENERAL OPERATING SUPPORT | $5,000 |
| COVENANT CARE HOME AND HOSPICE | ||||||
| 125 N BROADWAY SUITE 1B | TURLOCK | CA | 95380 | PC | GENERAL OPERATING SUPPORT | $30,000 |
| TURLOCK PREGNANCY AND HEALTH CENTER | ||||||
| 134 REGIS SUITE B | TURLOCK | CA | 95382 | PC | GENERAL OPERATING SUPPORT | $10,000 |
| COVENANT CARE HOME AND HOSPICE | ||||||
| 125 N BROADWAY SUITE 1B | TURLOCK | CA | 95380 | PC | GENERAL OPERATING SUPPORT | $10,000 |
| UNITED SAMARITANS FOUNDATION | ||||||
| 220 SOUTH BROADWAY | TURLOCK | CA | 95380 | PC | GENERAL OPERATING SUPPORT | $200,000 |
| SONSHINE MINISTRIES DBA WESTSIDE MINISTRIES | ||||||
| 950 COLUMBIA STREET | TURLOCK | CA | 95380 | PC | GENERAL OPERATING SUPPORT | $5,000 |
| COMMUNITY HEALTH CENTERS OF AMERICA | ||||||
| 5200 PIRRONE COURT SUITE A | SALIDA | CA | 95368 | PC | GUSTINE, KEYES, AND DENAIR VACCINATION CLINICS | $50,000 |
| JESSICA'S HOUSE | ||||||
| 1225 W CHRISTOFFERSEN PARKWAY | TURLOCK | CA | 95382 | PC | GENERAL OPERATING SUPPORT | $40,000 |
| COVENANT CARE HOME AND HOSPICE | ||||||
| 125 N BROADWAY SUITE 1B | TURLOCK | CA | 95380 | PC | BRIDGE TO HOME PROGRAM | $50,000 |
| CASTLE FAMILY HEALTH CENTERS | ||||||
| 3605 HOSPITAL ROAD | ATWATER | CA | 95301 | PC | ATWATER VACCINATION CLINICS | $5,000 |
| UNIVERSITY OF THE PACIFIC - SCHOOL OF PHARMACY | ||||||
| 3601 PACIFIC AVENUE | STOCKTON | CA | 95211 | PC | PHARMACY INSTITUTE | $35,000 |
| LIVINGSTON COMMUNITY HEALTH | ||||||
| 600 B STREET SUITE A | LIVINGSTON | CA | 95334 | PC | PHARMACY ASSISTANCE | $200,000 |
| COMMUNITY HEALTH CENTERS OF AMERICA | ||||||
| 5200 PIRRONE COURT SUITE A | SALIDA | CA | 95368 | PC | TELEHEALTH RN | $80,000 |
| COMMUNITY HEALTH CENTERS OF AMERICA | ||||||
| 5200 PIRRONE COURT SUITE A | SALIDA | CA | 95368 | PC | FORESIGHT AI | $150,000 |
| CASTLE FAMILY HEALTH CENTERS | ||||||
| 3605 HOSPITAL ROAD | ATWATER | CA | 95301 | PC | CAPACITY GRANT - EQUIPMENT | $200,000 |
| CASTLE FAMILY HEALTH CENTERS | ||||||
| 3605 HOSPITAL ROAD | ATWATER | CA | 95301 | PC | PATTERSON UNIFIED SCHOOL DISTRICT VACCINATIONS | $7,000 |
| LIVINGSTON COMMUNITY HEALTH | ||||||
| 600 B STREET SUITE A | LIVINGSTON | CA | 95334 | PC | LEADERSHIP PROFESSIONAL DEVELOPMENT | $5,000 |
| SALVATION ARMY | ||||||
| PO BOX 3576 | TURLOCK | CA | 95381 | PC | TRANSPORTATION FOR MEDICAL APPOINTMENTS | $10,000 |
| LIVINGSTON COMMUNITY HEALTH | ||||||
| 600 B STREET SUITE A | LIVINGSTON | CA | 95334 | PC | TRANSPORTATION ASSISTANCE | $60,000 |
| COMMUNITY HEALTH CENTERS OF AMERICA | ||||||
| 5200 PIRRONE COURT SUITE A | SALIDA | CA | 95368 | PC | AI CONSULTANT | $10,000 |
| DENAIR UNIFIED SCHOOL DISTRICT | ||||||
| 3460 LESTER ROAD | DENAIR | CA | 95316 | GOV | FOOD SECURITY GRANT | $12,000 |
| COMMUNITY HEALTH CENTERS OF AMERICA | ||||||
| 5200 PIRRONE COURT SUITE A | SALIDA | CA | 95368 | PC | PCC FOR CITY OF TURLOCK | $200,000 |
| COMMUNITY HEALTH CENTERS OF AMERICA | ||||||
| 5200 PIRRONE COURT SUITE A | SALIDA | CA | 95368 | PC | GENERAL OPERATING SUPPORT | $160,000 |
| COMMUNITY HEALTH CENTERS OF AMERICA | ||||||
| 5200 PIRRONE COURT SUITE A | SALIDA | CA | 95368 | PC | PAIN MANAGEMENT SPECIALIST FOR SPECIALTY CARE CLINIC | $100,000 |
| SALVATION ARMY | ||||||
| PO BOX 3576 | TURLOCK | CA | 95381 | PC | GENERAL OPERATING SUPPORT - HEALTHCARE SERVICES | $1,000 |
| COMMUNITY HEALTH CENTERS OF AMERICA | ||||||
| 5200 PIRRONE COURT SUITE A | SALIDA | CA | 95368 | PC | GUSTINE SPECIALTY CLINIC PLANNING GRANT WITH UCSF | $100,000 |
| UNITED SAMARITANS FOUNDATION | ||||||
| 220 SOUTH BROADWAY | TURLOCK | CA | 95380 | PC | PRESCRIPTION ASSISTANCE PROGRAM | $10,000 |
| UNITED CEREBRAL PALSY - TURLOCK | ||||||
| 4265 SPYRES WAY 2 | MODESTO | CA | 95356 | PC | HEALTH AND MENTAL HEALTH OF CLIENTS | $10,000 |
| UNITED CEREBRAL PALSY - TURLOCK | ||||||
| 4265 SPYRES WAY 2 | MODESTO | CA | 95356 | PC | GENERAL OPERATING SUPPORT | $2,500 |
| ALLIANCE FOR COMMUNITY WELLNESS DBA LA FAMILIA | ||||||
| 24301 SOUTHLAND DRIVE SUITE 300 | HAYWARD | CA | 95454 | PC | GENERAL OPERATING SUPPORT | $8,000 |
| KINGS VIEW | ||||||
| 1396 WEST HERNDON AVENUE | FRESNO | CA | 93711 | PC | WHITE PAPER ON CARING FOR INDIVIDUALS WITH INTELLECTUAL DISABILITIES | $25,000 |
| ALLISON GOMEZ | ||||||
| 1937 PAGE STREET 6 | SAN FRANCISCO | CA | 94117 | I | SCHOLARSHIP FOR MED STUDENT | $86,332 |
| MADISYN MOAK | ||||||
| 8419 GREENBRIER DRIVE | SAN ANTONIO | TX | 78209 | I | SCHOLARSHIP FOR MED STUDENT | $93,540 |
| CHRISTOPHER TERAN | ||||||
| 853 MIRAGGIO DRIVE | PATTERSON | CA | 95363 | I | SCHOLARSHIP FOR MED STUDENT | $45,095 |
| TAYLOR NUNES | ||||||
| 6137 N 9TH STREET | FRESNO | CA | 93710 | I | SCHOLARSHIP FOR MED STUDENT | $74,000 |
| AMRITPAL SINGH | ||||||
| 1916 BRIDLEWOOD DRIVE | ATWATER | CA | 95301 | I | SCHOLARSHIP FOR MED STUDENT | $75,521 |
| KATHRYN ROMEO | ||||||
| 2125 EL CAMINO DRIVE | TURLOCK | CA | 95380 | I | SCHOLARSHIP FOR ACCELERATED NURSING PROGRAM | $14,237 |
| YADIRA LOPEZ ORTIZ | ||||||
| 1325 BONTA AVENUE | GUSTINE | CA | 95322 | I | SCHOLARSHIP FOR ACCELERATED NURSING PROGRAM | $14,237 |
| ALEXA DUARTE | ||||||
| 12304 TERRACE VIEW LANE | WATERFORD | CA | 95386 | I | SCHOLARSHIP FOR ACCELERATED NURSING PROGRAM | $14,237 |
| LIVINGSTON COMMUNITY HEALTH | ||||||
| 600 B STREET STE A | LIVINGSTON | CA | 95334 | PC | CSUS NURSE PRACTITIONER PROGRAM | $139,998 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $3,131,697 | TotalGrantOrContriPdDurYrAmt |
Grant Or Contri Apprv For Fut GrantOrContriApprvForFutGrp
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH CENTERS OF AMERICA | BusinessNameLine1Txt |
Recipient US Address RecipientUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5200 PIRRONE COURT SUITE A | AddressLine1Txt |
| City | SALIDA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95368 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient Foundation Status | PC | RecipientFoundationStatusTxt |
| Grant Or Contribution Purpose | JOELLE AND ROBERT TRIEBSCH HEALTH SCHOLAR PROGRAM | GrantOrContributionPurposeTxt |
| Amt | $250,000 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Apprv Fut | $250,000 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $109,359 | ExclusionAmt |
Dividends And Interest From Sec Dtl DividendsAndInterestFromSecDtl
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 14 | ExclusionCd |
| Exclusion | $1,193,171 | ExclusionAmt |
Gain Sales Ast Oth Than Invntry GainSalesAstOthThanInvntryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exclusion | 18 | ExclusionCd |
| Exclusion | $1,017,115 | ExclusionAmt |
Other Revenue Described OtherRevenueDescribedGrp (2 entries)
| DescDesc | ExclusionExclusionCd | ExclusionExclusionAmt |
|---|---|---|
| REIMBURSEMENTS - EMCH | 01 | $95,089 |
| TAX REFUND | 01 | $214 |
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $2,414,948 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $2,414,948 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | 0 | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | 0 | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | 0 | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | 0 | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | 0 | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | 0 | RelationshipsNonchrtblEOInd |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| General Rule | Yes (X) | GeneralRuleInd |
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | 1 | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CITY OF TURLOCK | BusinessNameLine1Txt |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 156 S BROADWAY SUITE 112 | AddressLine1Txt |
| City | TURLOCK | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95380 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | $200,000 | TotalContributionsAmt |
| Person Contribution | Yes (X) | PersonContributionInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| ACCOUNTING SERVICES | $38,517 | $2,311 | $35,026 |
| AUDIT SERVICES | $96,565 | $5,794 | $90,771 |
Depreciation Schedule DepreciationSchedule
Depreciation Property DepreciationPropertyGrp (18 entries)
| PropertyPropertyDesc | AcquiredAcquiredDt | Cost Or Other BasisCostOrOtherBasisAmt | Prior Year DepreciationPriorYearDepreciationAmt | Computation MethodComputationMethodTxt | LifeLifeRt | Current Year ExpenseCurrentYearExpenseAmt | Net Investment IncomeNetInvestmentIncomeAmt |
|---|---|---|---|---|---|---|---|
| CEO LAPTOP | 2016-06-10 | $2,119 | $2,119 | SL | 5.000000000000 | $0 | $0 |
| ADOBE 2015 SOFTWARE | 2016-06-21 | $598 | $598 | SL | 3.000000000000 | $0 | $0 |
| LHE OFFICE LAPTOP | 2016-06-21 | $1,861 | $1,861 | SL | 5.000000000000 | $0 | $0 |
| BOARD EFFECT SOFTWARE | 2016-09-16 | $7,750 | $7,750 | SL | 3.000000000000 | $0 | $0 |
| OFFICE FRONT DOOR SIGNS | 2016-10-10 | $992 | $762 | SL | 7.000000000000 | $142 | $0 |
| CONF ROOM TABLE & CHAIRS | 2016-11-30 | $8,892 | $6,828 | SL | 7.000000000000 | $1,270 | $0 |
| INTERNAL SERVER & RELATED | 2016-12-05 | $2,328 | $2,328 | SL | 5.000000000000 | $0 | $0 |
| MICROSOFT PRO TABLET | 2016-12-15 | $1,028 | $1,028 | SL | 5.000000000000 | $0 | $0 |
| LOGITECH WEBCAM INTERNAL | 2016-12-19 | $2,030 | $2,030 | SL | 5.000000000000 | $0 | $0 |
| POLYCOM SOUNDSTATION CONF | 2016-12-19 | $560 | $560 | SL | 5.000000000000 | $0 | $0 |
| DELL COMPUTER MONITORS | 2017-02-20 | $2,300 | $2,300 | SL | 5.000000000000 | $0 | $0 |
| DELL COMPUTER DESKTOPS | 2017-02-20 | $830 | $830 | SL | 5.000000000000 | $0 | $0 |
| FOUNDANT SOFTWARE | 2017-03-27 | $13,500 | $13,500 | SL | 3.000000000000 | $0 | $0 |
| 7 IPADS | 2017-06-13 | $3,090 | $2,798 | SL | 5.000000000000 | $146 | $0 |
| COMPUTER & HARDWARE | 2018-08-16 | $2,971 | $2,079 | SL | 5.000000000000 | $595 | $0 |
| LAPTOP | 2018-09-08 | $3,154 | $2,208 | SL | 5.000000000000 | $316 | $0 |
| OFFICE FURNITURE | 2018-09-26 | $3,480 | $2,436 | SL | 5.000000000000 | $696 | $0 |
| THINKPAD P53S WORKSTATION | 2020-03-27 | $2,789 | $1,186 | SL | 5.000000000000 | $558 | $0 |
Gain Loss Sale Other Assets Sch GainLossSaleOtherAssetsSch
Gain Loss Sale Other Asset GainLossSaleOtherAssetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Asset | DISPOSITION OF FIXED ASSETS | AssetDesc |
| Acquired | 2020-06 | AcquiredDt |
| How Acquired | PURCHASED | HowAcquiredTxt |
| Sold | 2022-12 | SoldDt |
| Basis | $44,660 | BasisAmt |
| Basis Method | COST | BasisMethodTxt |
| Sales Expense | $0 | SalesExpenseAmt |
| Total Net | -$776 | TotalNetAmt |
| Accumulated Depreciation | $43,884 | AccumulatedDepreciationAmt |
Investments Corp Bonds Schedule InvestmentsCorpBondsSchedule
Investments Corporate Bonds InvestmentsCorporateBondsGrp (45 entries)
| BondBondNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| ALIBABA GROUP HLDG LTD SR GLBL | $195,466 | $195,466 |
| ALLIED WORLD ASSURN CO HLDGS SR GLBL | $193,812 | $193,812 |
| BK OF AMERICA CORP FR | $120,153 | $120,153 |
| CBS CORP NEW SR NT | $96,710 | $96,710 |
| DISNEY WALT CO SR GLBL NT | $149,058 | $149,058 |
| FEDERAL HOME LN MTG CORP MULTICLASS SER 3196 | $46,517 | $46,517 |
| FEDERAL HOME LN MTG CORP MULTICLASS SER 4365 | $37,467 | $37,467 |
| FEDERAL HOME LN MTG CORP MULTICLASS SER 4366 | $26,171 | $26,171 |
| FEDERAL HOME LN MTG CORP PARTN CTF GROUP #1G0359 | $207 | $207 |
| FEDERAL HOME LN MTG CORP PARTN CTF GROUP #788825 | $984 | $984 |
| FEDERAL HOME LN MTG CORP PARTN CTF GROUP #846695 | $1,219 | $1,219 |
| FEDERAL HOME LN MTG CORP PARTN GOLD GROUP #G08693 | $31,748 | $31,748 |
| FEDERAL NATL MTG ASSN GTD PASSTHRU CTF POOL #255456 | $1,188 | $1,188 |
| FEDERAL NATL MTG ASSN GTD PASSTHRU CTF POOL #791972 | $713 | $713 |
| FEDERAL NATL MTG ASSN GTD PASSTHRU CTF POOL #AN4385 | $50,440 | $50,440 |
| FEDERAL NATL MTG ASSN GTD PASSTHRU CTF POOL #MA1557 | $18,748 | $18,748 |
| FEDERAL NATL MTG ASSN GTD PASSTHRU CTF POOL #MA2079 | $18,653 | $18,653 |
| FEDERATED HERMES INSTITUTIONAL HIGH YIELD BOND FUND | $627,199 | $627,199 |
| FEDERATED HERMES INSTL HIGH YIELD BD IS | $476,787 | $476,787 |
| GOVERNMENT NATL MTG ASSN GTD REMIC | $2,129 | $2,129 |
| JOHNSON INST CORE BD FD | $2,050,008 | $2,050,008 |
| JOHNSON INSTITUTIONAL INTERMEDIATE BOND FUND | $2,374,626 | $2,374,626 |
| JOHNSON INSTITUTIONAL SHORT DURATION BOND FUND | $2,828,390 | $2,828,390 |
| JPMORGAN CHASE & CO SUB GLBL NT | $97,633 | $97,633 |
| KOHLS CORP SR GLBL NT | $139,688 | $139,688 |
| MFS CORPORATE BOND FUND CL I #811 | $381,095 | $381,095 |
| MONSANTO CO NEW SR NT | $150,104 | $150,104 |
| MORGAN STANLEY FR | $181,246 | $181,246 |
| PIMCO EMERGING MARKETS BOND INSTL | $398,642 | $398,642 |
| PIMCO INCOME INSTL | $2,150,737 | $2,150,737 |
| PRINCIPAL SPECTRUM PREFERRED AND CAPITAL SECURITIES | $539,490 | $539,490 |
| ROYAL BK CDA FR | $121,889 | $121,889 |
| SMALL BUSINESS ADMIN GTD LN POOL CTFS #509932 | $6,619 | $6,619 |
| SMALL BUSINESS ADMIN GTD LN POOL CTFS 2.67% | $5,191 | $5,191 |
| SMALL BUSINESS ADMIN GTD LN POOL CTFS 5.31% | $1,208 | $1,208 |
| SMALL BUSINESS ADMIN GTD LN POOL CTFS 5.37% | $1,737 | $1,737 |
| SMALL BUSINESS ADMIN GTD LN POOL CTFS 5.70% | $3,687 | $3,687 |
| SMALL BUSINESS ADMIN GTD LN POOL CTFS 5.87% | $1,648 | $1,648 |
| SMALL BUSINESS ADMIN GTD LN POOL CTFS 6.07% | $1,368 | $1,368 |
| T ROWE PRICE US TREASURY LONG TERM INDEX FD | $46,090 | $46,090 |
| VANGUARD SHORT-TERM CORPORATE BOND | $439,664 | $439,664 |
| VANGUARD SHORT-TERM TREASURY FUND ADM #532 | $74,298 | $74,298 |
| VANGUARD TOTAL INTL BD IDX ADMIRAL | $394,388 | $394,388 |
| WELLPOINT INC SR NT | $146,940 | $146,940 |
| ZURICH REINS CENTRE HLDGS INC SR NT | $101,047 | $101,047 |
Investments Corp Stock Schedule InvestmentsCorpStockSchedule
Investments Corporate Stock InvestmentsCorporateStockGrp (45 entries)
| StockStockNm | EOY Book ValueEOYBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|
| ABBVIE INC COM | $119,687 | $119,687 |
| ALPHABET INC CAP STK CL A | $519,480 | $519,480 |
| AMAZON.COM INC COM | $431,442 | $431,442 |
| APPLE INC COM | $511,025 | $511,025 |
| APPLIED MATLS INC COM | $429,905 | $429,905 |
| ARTISAN INTERNATIONAL SMALL-MID FUND | $262,971 | $262,971 |
| BECTON DICKINSON & CO COM | $250,015 | $250,015 |
| BLACKROCK INC COM | $299,097 | $299,097 |
| BROWN CAPITAL MGMT SMALL CO INSTL | $367,802 | $367,802 |
| COMCAST CORP CL A | $166,956 | $166,956 |
| DFA EMERGING MARKETS CORE EQUITY I | $432,075 | $432,075 |
| DFA INTERNATIONAL CORE EQUITY I | $2,942,068 | $2,942,068 |
| DODGE & COX INTERNATIONAL STOCK I | $1,396,947 | $1,396,947 |
| GILEAD SCIENCES INC COM | $331,880 | $331,880 |
| GOLDMAN SACHS GROUP INC COM | $330,381 | $330,381 |
| HARBOR SMALL CAP GROWTH INSTL | $553,885 | $553,885 |
| HOME DEPOT INC COM | $295,120 | $295,120 |
| ISHARES MSCI EMERGING MARKETS ETF | $1,175,316 | $1,175,316 |
| JOHNSON & JOHNSON COM | $198,400 | $198,400 |
| JPMORGAN CHASE & CO COM | $325,775 | $325,775 |
| LAM RESEARCH CORP COM | $318,072 | $318,072 |
| LOCKHEED MARTIN CORP COM | $112,510 | $112,510 |
| MARATHON PETE CORP COM | $484,579 | $484,579 |
| MERCK & CO INC NEW COM | $319,170 | $319,170 |
| MFS INTERNATIONAL EQUITY FUND CL R6 #403 | $1,068,207 | $1,068,207 |
| MICROCHIP TECHNOLOGY INC COM | $586,460 | $586,460 |
| MICROSOFT CORP COM | $600,529 | $600,529 |
| MORGAN STANLEY COM NEW | $299,047 | $299,047 |
| NEXTERA ENERGY INC COM | $231,240 | $231,240 |
| PRINCIPAL MID CAP FUND INSTL CLASS #4749 | $978,372 | $978,372 |
| PROLOGIS INC COM | $124,770 | $124,770 |
| QUALCOMM INC COM | $398,815 | $398,815 |
| QUANTA SVCS INC COM | $107,483 | $107,483 |
| SCHLUMBERGER LTD COM | $270,197 | $270,197 |
| T ROWE PRICE SMALL-CAP STOCK FUND #525 | $494,284 | $494,284 |
| THORNBURG DEVELOPING WORLD I | $612,142 | $612,142 |
| UNION PAC CORP COM | $185,159 | $185,159 |
| UNITED RENTALS INC COM | $269,117 | $269,117 |
| UNITEDHEALTH GROUP INC COM | $530,246 | $530,246 |
| VANGUARD INSTITUTIONAL INDEX I | $9,328,092 | $9,328,092 |
| VANGUARD INTERNATIONAL GROWTH ADM | $1,759,794 | $1,759,794 |
| VANGUARD MID CAP INDEX INSTITUTIONAL | $2,375,909 | $2,375,909 |
| VANGUARD SMALL CAP VALUE INDEX ADMIRAL | $486,660 | $486,660 |
| VISA INC COM CL A | $563,650 | $563,650 |
| VULCAN MATLS CO COM | $223,028 | $223,028 |
Investments Other Schedule2 InvestmentsOtherSchedule2
Investments Other InvestmentsOtherGrp (5 entries)
| Category Or ItemCategoryOrItemTxt | Listed At Cost Or FMVListedAtCostOrFMVCd | Book ValueBookValueAmt | EOYFMVEOYFMVAmt |
|---|---|---|---|
| ACCRUED INCOME | FMV | $54,699 | $54,699 |
| ADAMS STREET 2019 GLOBAL FUND | FMV | $4,693,593 | $4,693,593 |
| CARLYLE TACTICAL PRIVATE CREDIT | FMV | $373,034 | $373,034 |
| MFS GLOBAL REAL ESTATE FUND | FMV | $172,972 | $172,972 |
| PARAMETRIC COMMODITY STRATEGY FUND | FMV | $540,577 | $540,577 |
Land Etc Schedule2 LandEtcSchedule2
Land Etc LandEtcGrp (9 entries)
| Category Or ItemCategoryOrItemTxt | Cost Or Other BasisCostOrOtherBasisAmt | Accumulated DepreciationAccumulatedDepreciationAmt | Book ValueBookValueAmt |
|---|---|---|---|
| OFFICE FRONT DOOR SIGNS | $992 | $904 | $88 |
| CONF ROOM TABLE & CHAIRS | $8,892 | $8,098 | $794 |
| INTERNAL SERVER & RELATED | $2,328 | $2,328 | $0 |
| LOGITECH WEBCAM INTERNAL | $2,030 | $2,030 | $0 |
| DELL COMPUTER MONITORS | $2,300 | $2,300 | $0 |
| DELL COMPUTER DESKTOPS | $830 | $830 | $0 |
| LAPTOP | $3,154 | $2,524 | $630 |
| OFFICE FURNITURE | $3,480 | $3,132 | $348 |
| THINKPAD P53S WORKSTATION | $2,789 | $1,744 | $1,045 |
Legal Fees Schedule LegalFeesSchedule
Legal Fees LegalFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | LEGAL | CategoryTxt |
| Legal Fees | $209,924 | LegalFeesAmt |
| Net Investment Income | $4,198 | NetInvestmentIncomeAmt |
| Disbursements Charitable Prps | $207,330 | DisbursementsCharitablePrpsAmt |
Other Assets Schedule OtherAssetsSchedule
Other Assets Schedule OtherAssetsScheduleGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | EXTENDED WARRANTIES | Desc |
| BOY Book Value | $0 | BOYBookValueAmt |
| EOY Book Value | $375 | EOYBookValueAmt |
| EOYFMV | $375 | EOYFMVAmt |
Other Decreases Schedule OtherDecreasesSchedule
Other Decreases Detail OtherDecreasesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET UNREALIZED GAIN/LOSS | Desc |
| Amt | $6,680,931 | Amt |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses Schedule OtherExpensesScheduleGrp (8 entries)
| DescDesc | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| BANK FEES | $362 | $0 | $362 |
| DUES AND MEMBERSHIPS | $10,112 | $0 | $16,080 |
| INSURANCE | $11,531 | $0 | $11,672 |
| INVESTMENT FEES | $217,439 | $217,439 | $0 |
| REPAIRS & MAINTENANCE | $2,198 | $0 | $2,192 |
| WARRANTY EXPENSE | $20 | $0 | $20 |
| PASSTHROUGH EXPENSES | $0 | $115,084 | $0 |
| GRANTWRITING/FUNDRAISING | $57,800 | $0 | $59,700 |
Other Income Schedule2 OtherIncomeSchedule2
Other Income Detail OtherIncomeDetail (3 entries)
| DescDesc | Net Investment IncomeNetInvestmentIncomeAmt | Revenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt | Adjusted Net IncomeAdjustedNetIncomeAmt |
|---|---|---|---|
| PASSTHROUGH INCOME | $1,287 | ||
| REIMBURSEMENTS - EMCH | $95,089 | $95,089 | |
| TAX REFUND | $214 | $214 |
Other Liabilities Schedule OtherLiabilitiesSchedule
Other Liabilities Detail OtherLiabilitiesDetail (3 entries)
| DescDesc | BOY Book ValueBOYBookValueAmt | EOY Book ValueEOYBookValueAmt |
|---|---|---|
| CREDIT CARDS PAYABLE | $1,690 | $2,903 |
| DEFERRED TAX LIABILITY | $212,737 | $117,648 |
| FEDERAL TAXES PAYABLE | $41,377 | $0 |
Other Professional Fees Schedule OtherProfessionalFeesSchedule
Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| INDEPENDENT CONTRACTORS | $57,692 | $0 | $74,884 |
| PURCHASED SERVICES | $13,888 | $0 | $13,860 |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (4 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|
| EXCISE TAX | $47,771 | $0 | $0 |
| FOREIGN INVESTMENT TAX | $17,006 | $17,322 | $0 |
| PAYROLL TAX EXPENSE | $26,033 | $1,562 | $24,261 |
| TAXES & FEES | $404 | $0 | $404 |
Transfers To Controlled Entities TransfersToControlledEntities
Transfers To Controlled Ent TransfersToControlledEntGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FIRST BEHAVIORAL HEALTH URGENT CARE CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 3760 | AddressLine1Txt |
| City | TURLOCK | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95381 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 821449305 | EIN |
| Desc | SUPPORT MENTAL HEALTH SERVICES IN SCHOOL AND CLINICAL OFFICE AND EXPAND ACCESS FOR AREA RESIDENTS. | Desc |
| Amt | $65,000 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,000 | TotalAmt |