UPPER ROOM DINING HALL INC: Form 990EZ, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- UPPER ROOM DINING HALL INC (EIN 47-4732040)
- Tax period
- 2018-07-01 to 2019-06-30
- Filed
- 2019-11-05
- IRS object ID
- 201943099349200519
- Schema version
- 2018v3.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-11-05T08:37:35-06:00 | ReturnTs |
| Tax Period End | 2019-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 942798193 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROBERTS & COMPANY INC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3182 CEDAR RAVINE RD | AddressLine1Txt |
| City | PLACERVILLE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95667 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2018-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 474732040 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UPPER ROOM DINING HALL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | UPPE | BusinessNameControlTxt |
| Phone | 5309191036 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 484 | AddressLine1Txt |
| City | PLACERVILLE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95667 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STEPHANIE PERRY | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 5309191036 | PhoneNum |
| Signature | 2019-11-03 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DERRELL M ROBERTS CPA | PreparerPersonNm |
| PTIN | P00456710 | PTIN |
| Phone | 5306225445 | PhoneNum |
| Preparation | 2019-11-05 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 73.220.65.171 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-11-05 | IPDt |
| IP Tm | 08:37:35 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 6021F4B678BF04E94A6301A846CEE9B0295CF302 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | B45601D9B368512B1AE2E0C80FC41A8077F434CE | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-03-31 21:24:44Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Website Address | N/A | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Gross Receipts | $165,368 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $150,413 | ContributionsGiftsGrantsEtcAmt |
| Investment Income | $14,955 | InvestmentIncomeAmt |
| Total Revenue | $165,368 | TotalRevenueAmt |
| Salaries Other Comp Empl Bnft | $73,125 | SalariesOtherCompEmplBnftAmt |
| Fees And Other Pymt To Ind Cntrct | $4,400 | FeesAndOtherPymtToIndCntrctAmt |
| Occupancy Rent Utlts And Maint | $24,338 | OccupancyRentUtltsAndMaintAmt |
| Printing Publications Postage | $653 | PrintingPublicationsPostageAmt |
| Other Expenses Total | $72,363 | OtherExpensesTotalAmt |
| Total Expenses | $174,879 | TotalExpensesAmt |
| Excess Or Deficit For Year | -$9,511 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $277,404 | NetAssetsOrFundBalancesBOYAmt |
| Other Changes In Net Assets | $6,859 | OtherChangesInNetAssetsAmt |
| Net Assets Or Fund Balances EOY | $274,752 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $231,154 | BOYAmt |
| EOY | $224,106 | EOYAmt |
Land And Buildings LandAndBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,266 | BOYAmt |
| EOY | $22,420 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,984 | BOYAmt |
| EOY | $28,226 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $277,404 | BOYAmt |
| EOY | $274,752 | EOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $277,404 | BOYAmt |
| EOY | $274,752 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | TO PROVIDE PREPARED MEALS FOR THE HOMELESS AND UNDERPRIVILEGED | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | PREPARE AND SERVE MEALS TO THE HOMELESS OR UNDERPRIVILEGED | DescriptionProgramSrvcAccomTxt |
| Program Service Expenses | $149,456 | ProgramServiceExpensesAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $149,456 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (12 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|
| PAUL SAINDON | ||
| CHAIRMAN | 000.00 | $0 |
| SCOTT WEBER | ||
| VICE CHAIRMA | 000.00 | $0 |
| MARIANNE SAINDON | ||
| SECRETARY | 000.00 | $0 |
| SCOTT WEBER | ||
| DIRECTOR | 000.00 | $0 |
| STEPHANIE PERRY | ||
| TREASURER | 000.00 | $0 |
| GENE HAYDU | ||
| DIRECTOR | 000.00 | $0 |
| JOHN WATKINS | ||
| DIRECTOR | 000.00 | $0 |
| JENNIFER LUBENKO | ||
| DIRECTOR | 000.00 | $0 |
| JENNIFER MOUVIS | ||
| DIRECTOR | 000.00 | $0 |
| DAN SELDEN | ||
| DIRECTOR | 000.00 | $0 |
| DENISE DAVIDSON | ||
| DIRECTOR | 000.00 | $0 |
| LUCILLE VILLALOBOS | ||
| DIRECTOR | 000.00 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | false | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | false | OrganizationHadUBIInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Form1120 Pol Filed | false | Form1120PolFiledInd |
| Made Loans To From Officers | false | MadeLoansToFromOfficersInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STEPHANIE PERRY | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5370 HOLLYBERRY LANE | AddressLine1Txt |
| City | PLACERVILLE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95667 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5309191036 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Foreign Office | false | ForeignOfficeInd |
| Donor Advised Fnds | false | DonorAdvisedFndsInd |
| Operate Hospital | false | OperateHospitalInd |
| Tanning Services Provided | false | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| School Operating | false | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (true) | FiledScheduleAInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $67,297 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $137,979 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $152,311 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $150,413 | CurrentTaxYearAmt |
| Total | $508,000 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $9,137 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,955 | CurrentTaxYearAmt |
| Total | $24,092 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $67,297 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $137,979 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $161,448 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $165,368 | CurrentTaxYearAmt |
| Total | $532,092 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $532,092 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $5,333 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,130 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,137 | CurrentTaxYearMinus1YearAmt |
| Total | $18,600 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $5,333 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,130 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,137 | CurrentTaxYearMinus1YearAmt |
| Total | $18,600 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $72,630 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $142,109 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $170,585 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $165,368 | CurrentTaxYearAmt |
| Total | $550,692 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.96620 | PublicSupportCY509Pct |
| Public Support PY509 | 0.95170 | PublicSupportPY509Pct |
| Investment Income CY | 0.03000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.05000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990-EZ, PART I, LINE 16 | EXPENSES OFFICE EXPENSES 1,170 INSURANCE 3,839 WORKERS COMP INSURANCE 525 FEES 1,131 TRAINING 45 FINGERPRINTING 621 FOOD EXPENSE 10,828 SUPPLIES 16,218 REPAIRS 8,684 PEST CONTROL 540 JANITORIAL 4,529 ALARM SERVICE 432 LEASE EXPENSE 2,265 MISCELLANEOUS EXPENSE 1,864 MARKETING EXPENSE 2,930 FUNDRAISING 674 LICENSES 562 ENTERTAINMENT 402 INTERNET SERVICE/TELEPHON 1,579 SOFTWARE 1,041 NON-INVESTMENT DEPRECIATION 12,484 TOTAL 72,363 |
| FORM 990-EZ, PART I, LINE 20 | BOOK / TAX DEPRECIATION DIFFERENCE 6,859 |
| FORM 990-EZ, PART II, LINE 24 | EQUIPMENT 57,949 62,949 LESS ACCUMULATED DEPRECIATION 35,965 34,723 TOTAL 21,984 28,226 |
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