2019-11-14T18:11:41-06:00 2018-12-31 942370906 SENSIBA SAN FILIPPO LLP 6795 N PALM AVE SUITE 108 FRESNO CA 93704 990 2018-01-01 822021256 THE PI SHOP PISH 5594815004 1755 BROADWAY STREET NO 106 FRESNO CA 93721 MARK A JACKSON EXECUTIVE DIRECTOR 5594815004 2019-11-11 1 JOHN SLATER P00537659 5594370700 204.94.92.114 2019-11-11 13:14:45 PS P 1C31EFF0CECF3EB4FFE2C8B0C1F14A778F42B8DC 94890B709A3A0F9F98AB7BCCB0FDA569B667BCC8 2018 2020-03-31 21:24:44Z MARK A JACKSON 1755 BROADWAY STREET SUITE 102 FRESNO CA 93721 232770 0 X WWW.THEPISHOP.ORG X 2017 CA THE SPECIFIC PURPOSE OF THE ORGANIZATION SHALL INCLUDE, WITHOUT LIMITATION, STARTING AND OPERATING A PRODUCT DEVELOPMENT INCUBATOR AND ACCELERATOR, AND ALL ACTIVITIES RELATED TO OR INCIDENTIAL TO A PRODUCT DEVELOPMENT FACILITY. 0 0 0 0 0 0 430050 230000 0 2689 37 81 0 0 430087 232770 0 1050 0 0 0 0 0 0 8300 67804 439408 67804 440458 362283 -207688 374103 178785 11820 24190 362283 154595 X THE PI SHOP IS A STATE-OF-THE-ART PRODUCT BUSINESS INCUBATOR OFFERING FOCUSED AND FULLY-INTEGRATED INFRASTRUCTURE AND SUPPORT TO ENTREPRENEURS AND INVENTORS WHO PLAN TO DESIGN, TEST, REFINE, BUILD AND MANUFACTURE PRODUCTS OR TECHNOLOGY PRODUCTS. THE PI SHOP'S MISSION IS TO PROVIDE AN ATMOSPHERE FOR COLLABORATION, MENTORSHIP, INSTRUCTION, KNOWLEDGE, INNOVATION AND SUPPORT FOR A NEW TECHNOLOGY, MANUFACTURING OR PRODUCT-ORIENTED BUSINESS VENTURES. 0 0 426745 1050 2770 THE UNIVERSITY OF CALIFORNIA, MERCED PROVIDED FUNDING THROUGH A "PROOF-OF-CONCEPT GRANT" AS SPECIFICALLY AUTHORIZED IN CALIFORNIA STATE SENATE BILL NO. 2664 TO ESTABLISH A PRODUCT DEVELOPMENT CENTER. THE FUNDING OBTAINED THROUGH THIS GRANT GIVES THE PI SHOP (THE PRODUCT DEVELOPMENT CENTER) MEMBERS UNMATCHED ACCESS TO TECHNICAL, PROFESSIONAL AND FINANCIAL NETWORKS, INCLUDING ON-LOCATION EQUIPMENT AND SUPPORT STAFF THAT RIVALS THE SORTS OF FACILITIES THAT ARE NORMALLY TOTALLY OUT OF REACH FOR EARLY AND SEED-STAGED INNOVATORS. THE FOCUS OF THE PI SHOP IS TO BE AN INCUBATOR OF PRODUCT IDEAS WHICH HAVE THE POTENTIAL TO CREATE INDIVIDUALLY SUCCESSFUL BUSINESSES THAT CAN ENGENDER EMPLOYMENT, A GROWING TAX BASE AND OTHER VITAL SOCIAL AND ECONOMIC IMPACTS BENEFITING THE CALIFORNIA CENTRAL VALLEY. 426745 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 CA X MARK A JACKSON 5594815004 1755 BROADWAY STREET SUITE 106 FRESNO CA 93721 MARK A JACKSON CHIEF EXECUTIVE OFFICER 40.00 X 0 80960 0 AMANDA DUVALL-GRAHAM SECRETARY 12.00 X 0 0 0 NORMA VERDUZCO CHIEF FINANCIAL OFFICER 0.15 X 0 0 0 0 80960 0 0 0 0 0 BLUE DOLPHIN DESIGN AND ENGINEERING INC 40429 BRICKYARD DRIVE MADERA CA 93636 DIRECTOR, ADMIN ASSITANT, ENGINEER 212697 1 230000 230000 MEMBERSHIP DUES 611430 1600 1600 OTHER INCOME 900099 834 834 STORAGE FEES 900099 225 225 ADMIN FEES 900099 30 30 2689 81 81 232770 2770 0 0 X 50 50 1000 1000 2492 2492 2804 2804 186653 186653 35646 35646 1739 1739 27238 27238 89681 89681 4317 4317 SHOP SUPPORT SERVICES 34479 34479 EQUIPMENT 25966 25966 OFFICE FURNISHINGS 13089 13089 GRANT WRITER 8300 8300 7004 6134 870 440458 426745 5413 8300 8967 20080 300062 104042 55000 0 3150 3093 130412 89274 0 41138 6924 10432 374103 178785 11820 24190 11820 24190 X 0 0 0 0 362283 154595 362283 154595 374103 178785 -207688 0 X 0 0 0 X 430050 230000 660050 430050 230000 660050 660050 37 81 118 2689 2689 662857 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 41448 310 41138 88964 88964 0 41138 RENT DEPOSIT 2250 START UP COST 2027 TRADEMARK 2327 TRADEMARK 3828 10432 BLUE DOLPHIN DESIGN AND ENGINEERING INC MARK A. JACKSON, EXECUTIVE DIRECTOR, IS 50% SHAREHOLDER OF BLUE DOLPHIN 15575 ADMINISTRATIVE ASSISTANCE SERVICES PROVIDED TO THE PI SHOP 0 BLUE DOLPHIN DESIGN AND ENGINEERING INC MARK A. JACKSON, EXECUTIVE DIRECTOR, IS 50% SHAREHOLDER OF BLUE DOLPHIN 80960 DIRECTOR SERVICES PROVIDED TO THE PI SHOP 0 BLUE DOLPHIN DESIGN AND ENGINEERING INC MARK A. JACKSON, EXECUTIVE DIRECTOR, IS 50% SHAREHOLDER OF BLUE DOLPHIN 90118 ENGINEER IN RESIDENCE SERVICES PROVIDED TO THE PI SHOP 0 BLUE DOLPHIN DESIGN AND ENGINEERING INC MARK A. JACKSON, EXECUTIVE DIRECTOR, IS 50% SHAREHOLDER OF BLUE DOLPHIN 8300 GRANT WRITING SERVICES PROVIDED TO THE PI SHOP 0 BLUE DOLPHIN DESIGN AND ENGINEERING INC MARK A. JACKSON, EXECUTIVE DIRECTOR, IS 50% SHAREHOLDER OF BLUE DOLPHIN 26205 RENT EXPENSE AND DEPOSIT - $26,205 WAS RENT EXPENSE ON SUBLEASE UTILIZED BY THE PI SHOP; $2,250 WAS DEPOSIT ON SUBLEASE UTILIZED BY THE PI SHOP REPORTED ON BALANCE SHEET 0 BLUE DOLPHIN DESIGN AND ENGINEERING INC MARK A. JACKSON, EXECUTIVE DIRECTOR, IS 50% SHAREHOLDER OF BLUE DOLPHIN 28177 SHOP SUPPORT SERVICE PROVIDED TO THE PI SHOP 0 FORM 990, PART VI, SECTION B, LINE 11B A SPECIAL MEETING IS HELD FOR THE ORGANIZATION'S GOVERING BOARD TO REVIEW FORM 990 BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION MONITORS AND ADDRESSES ANY CONFLICT OF INTERSET POLICY AT THE BOARD MEETING VIA TAKING VERBAL POLES. THERE HAVE BEEN NO CONFLICT OF INTEREST NOTED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION WILL KEEP AT ITS PUBLIC OFFICE A COPY OF ITS FEDERAL TAX EXEMPTION APPLICATION, ANNUAL INFORMATION RETURNS AND BYLAWS AVAILABLE FOR PUBLIC INSPECTION. FORM 990, PART IX, LINE 11G ADMINISTRATIVE ASSISTANT: PROGRAM SERVICE EXPENSES 15,575. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,575. DIRECTOR FEES: PROGRAM SERVICE EXPENSES 80,960. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 80,960. ENGINEER IN RESIDENCE: PROGRAM SERVICE EXPENSES 90,118. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 90,118.