2020-02-01T13:52:34-06:00 2019-06-30 330835986 SQUAR MILNER LLP 135 MAIN STREET 9TH FLOOR SAN FRANCISCO CA 941051815 990 2018-07-01 237117402 KIMOCHI INC KIMO 4159312294 1715 BUCHANAN STREET SAN FRANCISCO CA 941153208 STEVE ISHII EXECUTIVE DIRECTOR 4159312294 2020-01-28 1 JOUA LO P01225144 4157812500 71.6.48.101 2020-01-28 10:37:29 PS P A10E66D1B1278DF75E9EF635849935C7192534B9 B243BC3058B55501FBAAEA84B6214EFBF5552A11 2018 2020-09-23 17:36:50Z STEVE ISHII 1715 BUCHANAN STREET SAN FRANCISCO CA 941153208 4656495 0 X WWW.KIMOCHI-INC.ORG X 1971 CA THE MISSION OF KIMOCHI, INC. IS TO PROVIDE A CONTINUUM OF CULTURALLY SENSITIVE PROGRAMS AND (CONT'D) SERVICES TO ALL SENIORS AND THEIR FAMILIES, TO PRESERVE THEIR DIGNITY AND INDEPENDENCE, WITH A FOCUS ON THE JAPANESE AMERICAN AND JAPANESE SPEAKING COMMUNITY. 17 17 72 300 0 0 2348122 2561692 1848981 1901764 17452 21990 57688 73184 4272243 4558630 10000 0 0 0 2408835 2560146 0 0 243420 1731352 1880518 4150187 4440664 122056 117966 8786548 8725088 2101199 1908695 6685349 6816393 X KIMOCHI IS IN ITS 48TH YEAR OF PROVIDING PROGRAMS AND SERVICES FOR SENIORS. THESE PROGRAMS AND SERVICES INCLUDE: INFORMATION AND REFERRAL ASSISTANCE, SENIOR CENTER ACTIVITIES, HEALTH AND CONSUMER EDUCATION SEMINARS, HEALTHY AGING ACTIVITIES, HOT LUNCHES, HOME DELIVERED MEALS, SOCIAL SERVICES, IN-HOME SUPPORT SERVICES, TRANSPORTATION, ADULT SOCIAL DAY CARE, AND 24 HOUR RESIDENTIAL AND RESPITE CARE PROGRAMS. 0 0 971843 NUTRITION PROGRAM: 62,557 CONGREGATE MEALS SERVED TO SENIORS; 31,572 HOME-DELIVERED MEALS SERVED TO SENIORS. 1702598 1607753 RESIDENTIAL/RESPITE CARE PROGRAM: 34 BEDS PROVIDED IN LICENSED 24-HOUR SUPERVISED RESIDENTIAL CARE FACILITIES (2); STAFF PROVIDES ASSISTANCE WITH ACTIVITIES OF DAILY LIVING 1159371 294011 COMMUNITY SERVICES PROGRAMS, INCLUDING: ADULT DAY CARE ACTIVITIES (38 CLIENTS/22,175 UNITS OF SERVICE) TRANSPORTATION (9,595 TRIPS) SOCIAL SERVICES/TRANSLATION PROGRAM (545 CLIENTS/3,919 UNITS OF SERVICE) CASE MANAGEMENT PROGRAM (79 CLIENTS/2,731 UNITS OF SERVICE) FAMILY CAREGIVER SUPPORT PROGRAM (390 CLIENTS/2,125 UNITS OF SERVICE) 3833812 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 3 0 1 72 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 X 17 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X CONTROLLER 4159312294 1715 BUCHANAN STREET SAN FRANCISCO CA 941153208 ROD HENMI DIRECTOR/CHAIRPERSON 2.00 X X 0 0 0 ELLEN KIYOMIZU DIRECTOR/VICE CHAIRPERSON 2.00 X X 0 0 0 MARK MORIGUCHI DIRECTOR/TREASURER 2.00 X X 0 0 0 MARY ISHISAKI DIRECTOR/SECRETARY 2.00 X X 0 0 0 PAUL CHINN DIRECTOR 1.00 X 0 0 0 ROY IKEDA DIRECTOR 1.00 X 0 0 0 MARI KAWAGUCHI DIRECTOR 1.00 X 0 0 0 ROY KUGA DIRECTOR 1.00 X 0 0 0 BENH NAKAJO DIRECTOR 1.00 X 0 0 0 PETER NAMKUNG DIRECTOR 1.00 X 0 0 0 JOHN NOGUCHI DIRECTOR 1.00 X 0 0 0 KYLE OURA DIRECTOR 1.00 X 0 0 0 DENNIS SATO DIRECTOR 1.00 X 0 0 0 HIROSHI SHIMIZU DIRECTOR 1.00 X 0 0 0 GREG YEE DIRECTOR 1.00 X 0 0 0 MICHI YUKAWA DIRECTOR 1.00 X 0 0 0 JANE YURA DIRECTOR 1.00 X 0 0 0 STEVE ISHII EXECUTIVE DIRECTOR 40.00 X 109086 0 12900 109086 0 12900 1 0 0 0 0 254810 1498745 808137 7553 2561692 RESIDENT FEES 623990 1607753 1607753 COMMUNITY PROGRAM FEES 624100 294011 294011 1901764 28309 28309 21000 27319 -6319 -6319 -6319 143087 254810 70546 72541 72541 643 0 643 643 4558630 1901764 0 95174 122472 12247 61236 48989 2132733 1850909 150680 131144 124087 101500 10883 11704 180854 150472 16620 13762 9528 9528 3151 2100 1051 17200 17200 6788 6788 107826 67214 22505 18107 29790 28403 1387 360498 347895 12603 3757 3076 387 294 93038 93038 307026 291292 15734 35673 25137 6482 4054 FOOD COSTS 450939 450939 SUPPLIES/MATERIALS 103060 84544 18158 358 VEHICLE EXPENSE 101115 100170 945 CONTRACT/OUTSIDE SERVIC 90420 72875 6104 11441 160709 142473 14669 3567 4440664 3833812 363432 243420 1374488 1215100 364142 340706 18801 29624 83256 99480 9045874 2984105 6287189 6061769 525173 554855 128362 418510 5137 5044 8786548 8725088 119648 126186 228095 85339 1753456 1697170 2101199 1908695 X 6545380 6614017 139969 202376 6685349 6816393 8786548 8725088 117966 13078 0 X X 0 1 X 1 0 X 2245414 2714202 2206101 2153364 2300526 11619607 2245414 2714202 2206101 2153364 2300526 11619607 234446 11385161 83960 32106 22391 17452 28290 184199 11803806 7555620 0.96450 0.98370 X SCHEDULE A, PART VI, LIST OF UNUSUAL GRANTS: DESCRIPTION: PROGRAM SUPPORT DATE: 12/31/18 AMOUNT: 30000. DESCRIPTION: PROGRAM SUPPORT DATE: 12/31/18 AMOUNT: 220138. DESCRIPTION: PROGRAM SUPPORT DATE: 12/31/18 AMOUNT: 11028. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1399079 1399079 6423375 2237777 4185598 1223420 746328 477092 6061769 X 4564920 13078 13078 4551842 6788 6788 4558630 4433876 0 4433876 6788 6788 4440664 PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND CALIFORNIA REVENUE AND TAXATION CODE, SECTION 23701(D). ACCORDINGLY, IT HAS NOT PROVIDED FOR INCOME TAXES IN THE FINANCIAL STATEMENTS. EACH YEAR MANAGEMENT CONSIDERS WHETHER ANY MATERIAL TAX POSITION THE ORGANIZATION HAS TAKEN IS MORE LIKELY THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPLICABLE TAXING AUTHORITY. MANAGEMENT BELIEVES THAT ANY POSITIONS THE ORGANIZATION HAS TAKEN ARE SUPPORTED BY SUBSTANTIAL AUTHORITY AND, HENCE, DO NOT NEED TO BE MEASURED OR DISCLOSED IN THE FINANCIAL STATEMENTS. ISSHO-NI OCTOBER EVENT 134990 109465 25525 800 3450 7773 1000 KIMOCHI GOLF TOURNAMENT 79346 44851 34495 6199 14024 8000 4 183561 100494 83067 13209 11936 4155 397897 254810 143087 6999 30683 27709 1000 4155 70546 72541 FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW - COPIES OF FORM 990 ARE PROVIDED TO THE ORGANIZATION'S MANAGEMENT AND FINANCE COMMITTEE OF THE BOARD OF DIRECTORS FOR THEIR REVIEW PRIOR TO SIGNING AND FILING OF THE TAX RETURN. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY - UPON OR BEFORE ELECTION TO THE BOARD, A BOARD MEMBER WILL MAKE A FULL, WRITTEN DISCLOSURE OF INTERESTS, RELATIONSHIPS, AND HOLDINGS THAT COULD POTENTIALLY RESULT IN A CONFLICT OF INTEREST. THIS WRITTEN DISCLOSURE IS KEPT ON FILE AND IS UPDATED AS APPROPRIATE. ANNUALLY, EACH DIRECTOR WILL UPDATE THE CONFLICT OF INTEREST POLICY DECLARATION. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION PROCESS - THE PERSONNEL COMMITTEE OF THE BOARD OF DIRECTORS IS CHARGED WITH REVIEW AND APPROVAL OF THE COMPENSATION OF THE EXECUTIVE DIRECTOR AND ANY OTHER EMPLOYEE SELECTED. THE COMMITTEE IS PROVIDED WITH COMPARABILITY DATA AND EVALUATIONS AS PART OF THIS PROCESS OF DELIBERATION AND DECISION. FORM 990, PART VI, SECTION C, LINE 19 DISCLOSURE - INFORMATION IS AVAILABLE TO THE PUBLIC AS FOLLOWS: (1) INSPECTION AT THE ORGANIZATION'S BUCHANAN STREET HEADQUARTER SITE (2) UPON WRITTEN REQUEST, A RESPONSE IS MADE WITHIN A TEN DAY PERIOD FOLLOWING THE RECEIPT OF THE REQUEST. FORM 990, PART XII, LINE 2C: THE ORGANIZATION'S FINANCE COMMITTEE OVERSEES THE AUDIT, WHICH IS CONDUCTED BY AN INDEPENDENT CPA FIRM. THERE WAS NO CHANGE TO EITHER THE SELECTION PROCESS OR THE AUDITOR DURING THE CURRENT YEAR.