TOLOSA CHILDRENS DENTAL CENTER: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
TOLOSA CHILDRENS DENTAL CENTER (EIN 77-0346861)
Tax period
2022-07-01 to 2023-06-30
Filed
2023-12-13
IRS object ID
202303479349301340
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 ReturnHeader

FieldValueIRS element (for citing)
Return2023-12-13T20:15:36-06:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN262350873PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CALIBER AUDIT & ATTEST LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1805 AEROVISTA PLACE SUITE 103AddressLine1Txt
CitySAN LUIS OBISPOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93401ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN770346861EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TOLOSA CHILDREN'S DENTAL CENTERBusinessNameLine1Txt
Business Name Line2OF SAN LUIS OBISPO COUNTYBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlTOLOBusinessNameControlTxt
Phone8052385334PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1717 WALNUT DRIVEAddressLine1Txt
CityPASO ROBLESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93446ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJON HOLLISTERPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone8052385334PhoneNum
Signature2023-12-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJONPersonFirstNm
Person LastHOLLISTERPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKIMBERLYN SPILLER CPAPreparerPersonNm
PTINP01491937PTIN
Phone8058880242PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJON HOLLISTERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1717 WALNUT DRIVEAddressLine1Txt
CityPASO ROBLESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93446ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,049,420GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressTOLOSACHILDRENSDENTAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1993FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO PROVIDE DENTAL SERVICES FOR UNDERPRIVILEGED CHILDREN IN SAN LUIS OBISPO COUNTYActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee29TotalEmployeeCnt
Total Volunteers41TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$251,626PYContributionsGrantsAmt
CY Contributions Grants$294,302CYContributionsGrantsAmt
PY Program Service Revenue$1,390,566PYProgramServiceRevenueAmt
CY Program Service Revenue$1,651,850CYProgramServiceRevenueAmt
PY Investment Income-$13,013PYInvestmentIncomeAmt
CY Investment Income$10,746CYInvestmentIncomeAmt
PY Other Revenue-$25,209PYOtherRevenueAmt
CY Other Revenue-$13,214CYOtherRevenueAmt
PY Total Revenue$1,603,970PYTotalRevenueAmt
CY Total Revenue$1,943,684CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,077,621PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,365,298CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$108,539CYTotalFundraisingExpenseAmt
PY Other Expenses$365,096PYOtherExpensesAmt
CY Other Expenses$424,735CYOtherExpensesAmt
PY Total Expenses$1,442,717PYTotalExpensesAmt
CY Total Expenses$1,790,033CYTotalExpensesAmt
PY Revenues Less Expenses$161,253PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$153,651CYRevenuesLessExpensesAmt
Total Assets BOY$2,725,551TotalAssetsBOYAmt
Total Assets EOY$3,130,065TotalAssetsEOYAmt
Total Liabilities BOY$71,580TotalLiabilitiesBOYAmt
Total Liabilities EOY$322,443TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,653,971NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,807,622NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE DENTAL SERVICES FOR UNDERPRIVILEGED CHILDREN IN SAN LUIS OBISPO COUNTY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,510,801ExpenseAmt
Revenue$1,651,850RevenueAmt
DescTO PROVIDE DENTAL SERVICES TO UNDERPRIVILEDGED CHILDREN IN SAN LUIS OBISPO COUNTY. PRODUCTION PROGRAM REVENUE IS DERIVED MAINLY FROM DENTI-CAL REIMBURSEMENTS AND IS REPORTED NET OF CLAIMS ADJUSTMENTS.Desc
Total Program Service Expenses$1,510,801TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document18IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee29EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSUZANNE RUSSELLPersonNm
Phone8052382216PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1717 WALNUT DRIVEAddressLine1Txt
CityPASO ROBLESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93446ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JON HOLLISTER DDS
PRESIDENT2.00Yes (X)Yes (X)$0$0$0
JAMES TEDFORD MD
VICE PRESIDENT1.00Yes (X)Yes (X)$0$0$0
SCOTT MILSTEAD
TREASURER/SECRETARY1.00Yes (X)Yes (X)$0$0$0
CHUCK BRAUN
DIRECTOR0.50Yes (X)$0$0$0
ROBYN FLORES DMD
DIRECTOR0.50Yes (X)$0$0$0
LAURIE TORGERSON
DIRECTOR0.50Yes (X)$0$0$0
HEIDI WILLIAMS
DIRECTOR0.50Yes (X)$0$0$0
KRISTIN KEARNS
DIRECTOR0.50Yes (X)$0$0$0
SHAUNA HAYES DMD
DIRECTOR0.50Yes (X)$0$0$0
SUZANNE RUSSELL
EXECUTIVE DIRECTOR50.00Yes (X)$82,220$0$9,061
ALEXANDRA CHAMBERLAIN
DIRECTOR OF DEVELOPMENT40.00Yes (X)$65,981$0$3,175
DIEU VO DDS
EMPLOYEE-DENTIST40.00$200,942$0$6,015Yes (X)
THOMAS NAKATSUCHI DDS
EMPLOYEE-DENTIST - FORMER40.00$28,074$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$377,217TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$18,251TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$93,969FundraisingAmt
Government Grants$58,946GovernmentGrantsAmt
All Other Contributions$141,387AllOtherContributionsAmt
Noncash Contributions$209NoncashContributionsAmt
Total Contributions$294,302TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PRODUCTION PROGRAM REV621300$1,338,179$1,338,179
DTI INCENTIVES621300$313,671$313,671
FieldValueIRS element (for citing)
Total Program Service Revenue$1,651,850TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,746TotalRevenueColumnAmt
Exclusion$10,746ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$92,522FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$93,969ContriRptFundraisingEventAmt
Fundraising Direct Expenses$105,736FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$13,214TotalRevenueColumnAmt
Exclusion-$13,214ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,943,684TotalRevenueColumnAmt
Related Or Exempt Func Income$1,651,850RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$2,468ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$183,009TotalAmt
Management And General$105,731ManagementAndGeneralAmt
Fundraising$77,278FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,021,708TotalAmt
Program Services$1,021,708ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$18,206TotalAmt
Program Services$15,657ProgramServicesAmt
Management And General$1,457ManagementAndGeneralAmt
Fundraising$1,092FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$54,909TotalAmt
Program Services$51,336ProgramServicesAmt
Management And General$3,573ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$87,466TotalAmt
Program Services$75,221ProgramServicesAmt
Management And General$6,997ManagementAndGeneralAmt
Fundraising$5,248FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$8,057TotalAmt
Program Services$811ProgramServicesAmt
Management And General$7,246ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$978TotalAmt
Management And General$978ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$15,715TotalAmt
Management And General$15,715ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$12,712TotalAmt
Fundraising$12,712FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$6,296TotalAmt
Program Services$5,762ProgramServicesAmt
Management And General$305ManagementAndGeneralAmt
Fundraising$229FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$31,232TotalAmt
Program Services$23,495ProgramServicesAmt
Management And General$7,737ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$38,556TotalAmt
Program Services$38,556ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$74,953TotalAmt
Program Services$68,957ProgramServicesAmt
Management And General$5,996ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$22,427TotalAmt
Program Services$19,287ProgramServicesAmt
Management And General$1,794ManagementAndGeneralAmt
Fundraising$1,346FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
DENTAL SUPPLIES$99,774$99,774
OUTSIDE SERVICE$30,552$28,457$1,448$647
REPAIRS$17,493$17,493
DUES$4,112$3,094$1,018

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$61,878TotalAmt
Program Services$41,193ProgramServicesAmt
Management And General$10,698ManagementAndGeneralAmt
Fundraising$9,987FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,790,033TotalAmt
Program Services$1,510,801ProgramServicesAmt
Management And General$170,693ManagementAndGeneralAmt
Fundraising$108,539FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,975,649BOYAmt
EOY$2,162,841EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$156,556BOYAmt
EOY$162,397EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$114,230BOYAmt
EOY$191,292EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$14,913BOYAmt
EOY$18,442EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,017,141LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$612,108LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$464,203BOYAmt
EOY$405,033EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$190,060EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,725,551BOYAmt
EOY$3,130,065EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$71,580BOYAmt
EOY$132,383EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$190,060EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$71,580BOYAmt
EOY$322,443EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,653,971BOYAmt
EOY$2,807,622EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,653,971BOYAmt
EOY$2,807,622EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,725,551BOYAmt
EOY$3,130,065EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$153,651ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (1)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
FS Audited0FSAuditedInd
Audit Committee0AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$305,106CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$252,884CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$229,876CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$288,336CurrentTaxYearMinus1YearAmt
Current Tax Year$294,301CurrentTaxYearAmt
Total$1,370,503TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,187,144CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,569,718CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,094,830CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,390,566CurrentTaxYearMinus1YearAmt
Current Tax Year$1,651,850CurrentTaxYearAmt
Total$7,894,108TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,492,250CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,822,602CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,324,706CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,678,902CurrentTaxYearMinus1YearAmt
Current Tax Year$1,946,151CurrentTaxYearAmt
Total$9,264,611TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,790CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16,870CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,275CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,225CurrentTaxYearMinus1YearAmt
Current Tax Year$17,818CurrentTaxYearAmt
Total$59,978TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,790CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$16,870CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,275CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$9,225CurrentTaxYearMinus1YearAmt
Current Tax Year$17,818CurrentTaxYearAmt
Total$59,978TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$9,204,633PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,873CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,659CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,892CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,498CurrentTaxYearMinus1YearAmt
Current Tax Year$10,746CurrentTaxYearAmt
Total$28,668TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,873CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,659CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,892CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,498CurrentTaxYearMinus1YearAmt
Current Tax Year$10,746CurrentTaxYearAmt
Total$28,668TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,498,123CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,828,261CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,328,598CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,681,400CurrentTaxYearMinus1YearAmt
Current Tax Year$1,956,897CurrentTaxYearAmt
Total$9,293,279TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99050PublicSupportCY509Pct
Investment Income CY0.00310InvestmentIncomeCYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$448,950InvestmentCostOrOtherBasisAmt
Depreciation$157,061DepreciationAmt
Book Value$291,889BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$568,191InvestmentCostOrOtherBasisAmt
Depreciation$455,047DepreciationAmt
Book Value$113,144BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$405,033TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescRIGHT-OF-USE ASSET - OPERATING LEASEDesc
Book Value$190,060BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$190,060TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescOPERATING LEASE LIABILITYDesc
Amt$190,060Amt
FieldValueIRS element (for citing)
Total Liability$190,060TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION'S ACTIVITIES ARE GENERALLY EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND SECTION 23701(D) OF THE CALIFORNIA FRANCHISE TAX CODE. SINCE THE ORGANIZATION IS EXEMPT FROM FEDERAL AND STATE INCOME TAX LIABILITY, NO PROVISION IS MADE FOR CURRENT OR DEFERRED INCOME TAX EXPENSE. THE ORGANIZATION IS NOT A PRIVATE FOUNDATION. MANAGEMENT IS NOT AWARE OF ANY TRANSACTIONS THAT WOULD IMPACT THE ORGANIZATION'S TAX-EXEMPT STATUS. FOR THE YEAR ENDED JUNE 30, 2023, MANAGEMENT OF THE ORGANIZATION IS NOT AWARE OF ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE ACCOUNTED FOR IN THE FINANCIAL STATEMENTS UNDER THE PRINCIPLES OF THE INCOME TAXES TOPIC OF THE FASB (ASC). THE ORGANIZATION RECOGNIZES INTEREST AND PENALTIES, IF ANY, RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE. ALL TAX EXEMPT ENTITIES ARE SUBJECT TO REVIEW AND AUDIT BY FEDERAL, STATE AND OTHER APPLICABLE AGENCIES. SUCH AGENCIES MAY REVIEW THE TAXABILITY OF UNRELATED BUSINESS INCOME, OR THE QUALIFICATION OF THE TAX-EXEMPT ENTITY UNDER THE INTERNAL REVENUE CODE AND APPLICABLE STATE STATUTES.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1SUNSET BBQEvent1Nm
Gross Receipts Event1$103,390GrossReceiptsEvent1Amt
Charitable Contri Event1$52,193CharitableContriEvent1Amt
Gross Revenue Event1$51,197GrossRevenueEvent1Amt
Non Cash Prizes Event1$32,021NonCashPrizesEvent1Amt
Food And Beverage Event1$5,635FoodAndBeverageEvent1Amt
Entertainment Event1$6,411EntertainmentEvent1Amt
Other Direct Expenses Event1$18,881OtherDirectExpensesEvent1Amt
Event2SIP FOR SMILESEvent2Nm
Gross Receipts Event2$50,986GrossReceiptsEvent2Amt
Charitable Contri Event2$23,846CharitableContriEvent2Amt
Gross Revenue Event2$27,140GrossRevenueEvent2Amt
Non Cash Prizes Event2$7,123NonCashPrizesEvent2Amt
Food And Beverage Event2$2,497FoodAndBeverageEvent2Amt
Entertainment Event2$6,697EntertainmentEvent2Amt
Other Direct Expenses Event2$5,227OtherDirectExpensesEvent2Amt
Other Events Total2OtherEventsTotalCnt
Gross Receipts Other Events$32,115GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$17,930CharitableContriOtherEventsAmt
Gross Revenue Other Events$14,185GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events$15,198NonCashPrizesOtherEventsAmt
Food And Beverage Other Events$251FoodAndBeverageOtherEventsAmt
Entertainment Other Events$1,724EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$4,071OthDirectExpnssOtherEventsAmt
Gross Receipts Total$186,491GrossReceiptsTotalAmt
Charitable Contributions Tot$93,969CharitableContributionsTotAmt
Gross Revenue Total Events$92,522GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$54,342NonCashPrizesTotalEventsAmt
Food And Beverage Total Events$8,383FoodAndBeverageTotalEventsAmt
Entertainment Total Events$14,832EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$28,179OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$105,736DirectExpenseSummaryEventsAmt
Net Income Summary-$13,214NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DIEU VO DDS
EMPLOYEE-DENTIST$200,942$0$0$0$0$0$0$0$6,015$0$206,957$0$0$0
SUZANNE RUSSELL
EXECUTIVE DIRECTOR$82,220$0$0$0$0$0$3,046$0$6,015$0$91,281$0$0$0
ALEXANDRA CHAMBERLAIN
DIRECTOR OF DEVELOPMENT$65,981$0$0$0$0$0$3,175$0$0$0$69,156$0$0$0
THOMAS NAKATSUCHI DDS
EMPLOYEE-DENTIST - FORMER$28,074$0$0$0$0$0$0$0$0$0$28,074$0$0$0

Schedule M IRS990ScheduleM

Books And Publications BooksAndPublicationsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$75NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$2,675NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution76ContributionCnt
Noncash Contributions Rpt F990$14,303NoncashContributionsRptF990Amt
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (10 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)RECREATION/TRAVEL13$9,931FAIR MARKET VALUE
Yes (X)DINING13$2,725FAIR MARKET VALUE
Yes (X)OTHER1$2,491FAIR MARKET VALUE
Yes (X)HEALTH/BEAUTY7$2,364FAIR MARKET VALUE
Yes (X)HOME/GARDEN7$1,879FAIR MARKET VALUE
Yes (X)ENTERTAINMENT/EVENTS8$1,265FAIR MARKET VALUE
Yes (X)AUTO2$1,000FAIR MARKET VALUE
Yes (X)MUSEUM PASSES2$215FAIR MARKET VALUE
Yes (X)BOOKS/GAMES4$136FAIR MARKET VALUE
Yes (X)JEWELRY1$85FAIR MARKET VALUE
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BKEY OFFICERS OF THE ORGANIZATION REVIEW THE TAX RETURN BEFORE SIGNING AND FILING
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY IS MONITORED ANNUALLY AND INTERESTED PARTIES WOULD REPORT ANY POTENTIAL CONFLICTS AS THEY SHOULD ARISE.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION PROCESS FOR TOP OFFICIAL: THE EXECUTIVE COMMITTEE PERFORMS AN ANNUAL REVIEW AND SALARY REVIEW FOR THE ORGANIZATION'S EXECUTIVE DIRECTOR.
FORM 990, PART VI, SECTION C, LINE 18DOCUMENTS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE FOR PUBLIC INSPECTION VIA MONTHLY PUBLIC BOARD MEETINGS AND UPON REQUEST.

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