BETA

NISSI FOUNDATION: Form 990PF, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
NISSI FOUNDATION (EIN 20-4475709)
Tax period
2017-01-01 to 2017-12-31
Filed
2019-02-22
IRS object ID
201910539349100101
Schema version
2017v2.3
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)
Return2019-02-22T10:00:55-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN770191384PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CATHLEEN M PETERSEN EABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line114583 BIG BASIN WAY STE6AddressLine1Txt
CitySARATOGACityNm
State AbbreviationCAStateAbbreviationCd
ZIP950706072ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN204475709EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NISSI FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNISSBusinessNameControlTxt
Phone4082068437PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line113983 PIKE RDAddressLine1Txt
CitySARATOGACityNm
State AbbreviationCAStateAbbreviationCd
ZIP95070ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKAR K TANPersonNm
Person TitleOFFICERPersonTitleTxt
Phone4082068437PhoneNum
Signature2019-01-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCATHLEEN M PETERSENPreparerPersonNm
PTINP00362773PTIN
Phone4087411412PhoneNum
Self EmployedYes (X)SelfEmployedInd

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address75.147.129.61IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-01-14IPDt
IP Tm15:46:21IPTm
IP TimezonePSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdA9381FF7E2675AE889A95B2DE673192986A70B41AtSubmissionCreationDeviceId
At Submission Filing Device IdE08C1EB777E4EFBD855969DFAA76BE7B87F1A643AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$582,976FMVAssetsEOYAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$60,000ContriRcvdRevAndExpnssAmt
Interest On Sav Rev And Expnss$4InterestOnSavRevAndExpnssAmt
Interest On Sav Net Invst Incm$4InterestOnSavNetInvstIncmAmt
Gross Rents Rev And Expnss$28,600GrossRentsRevAndExpnssAmt
Gross Rents Net Invst Incm$28,600GrossRentsNetInvstIncmAmt
Net Rental Income Or Loss$10,346NetRentalIncomeOrLossAmt
Cap Gain Net Incm Net Invst Incm$0CapGainNetIncmNetInvstIncmAmt
Total Rev And Expnss$88,604TotalRevAndExpnssAmt
Total Net Invst Incm$28,604TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Comp Ofcr Dir Trst Net Invst Incm$0CompOfcrDirTrstNetInvstIncmAmt
Comp Ofcr Dir Trst Dsbrs Chrtbl$0CompOfcrDirTrstDsbrsChrtblAmt
Accounting Fees Rev And Expnss$2,100AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$2,100AccountingFeesNetInvstIncmAmt
Accounting Fees Chrtbl Prps$0AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$2,860OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$2,860OtherProfFeesNetInvstIncmAmt
Other Prof Fees Dsbrs Chrtbl$0OtherProfFeesDsbrsChrtblAmt
Taxes Rev And Expnss$3,532TaxesRevAndExpnssAmt
Taxes Net Invst Incm$3,532TaxesNetInvstIncmAmt
Taxes Dsbrs Chrtbl$0TaxesDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$6,033DeprecAndDpltnRevAndExpnssAmt
Deprec And Dpltn Net Invst Incm$6,033DeprecAndDpltnNetInvstIncmAmt
Other Expenses Rev And Expnss$6,766OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$5,839OtherExpensesNetInvstIncmAmt
Other Expenses Dsbrs Chrtbl$927OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$21,291TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$20,364TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$927TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$55,836ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$55,836ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$77,127TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$20,364TotalExpensesNetInvstIncmAmt
Total Expenses Dsbrs Chrtbl$56,763TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses$11,477ExcessRevenueOverExpensesAmt
Net Investment Income$8,240NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$54,405CashBOYAmt
Cash EOY$31,534CashEOYAmt
Cash EOYFMV$31,534CashEOYFMVAmt
Sav And Temp Cash Invst EOY$42,351SavAndTempCashInvstEOYAmt
Sav And Temp Cash Invst EOYFMV$42,351SavAndTempCashInvstEOYFMVAmt
Acct Rcvbl BOY$2,500AcctRcvblBOYAmt
Invst Land Cost Or Other Basis$239,606InvstLandCostOrOtherBasisAmt
Invst Land Accum Depreciation$52,389InvstLandAccumDepreciationAmt
Land Bldg Investments BOY$193,250LandBldgInvestmentsBOYAmt
Land Bldg Investments EOY$187,217LandBldgInvestmentsEOYAmt
Land Bldg Investments EOYFMV$509,091LandBldgInvestmentsEOYFMVAmt
Other Assets BOY$0OtherAssetsBOYAmt
Other Assets EOY$1,000OtherAssetsEOYAmt
Other Assets EOYFMV$0OtherAssetsEOYFMVAmt
Total Assets BOY$250,155TotalAssetsBOYAmt
Total Assets EOY$262,102TotalAssetsEOYAmt
Total Assets EOYFMV$582,976TotalAssetsEOYFMVAmt
Accounts Payable BOY$6AccountsPayableBOYAmt
Other Liabilities BOY$0OtherLiabilitiesBOYAmt
Other Liabilities EOY$1,700OtherLiabilitiesEOYAmt
Total Liabilities BOY$6TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,700TotalLiabilitiesEOYAmt
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind
Capital Stock BOY$0CapitalStockBOYAmt
Capital Stock EOY$0CapitalStockEOYAmt
Additional Paid In Capital BOY$0AdditionalPaidInCapitalBOYAmt
Additional Paid In Capital EOY$0AdditionalPaidInCapitalEOYAmt
Retained Earning BOY$250,149RetainedEarningBOYAmt
Retained Earning EOY$260,402RetainedEarningEOYAmt
Tot Net Ast Or Fund Balances BOY$250,149TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY$260,402TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$250,155TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$262,102TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY$250,149TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses$11,477ExcessRevenueOverExpensesAmt
Other Increases$0OtherIncreasesAmt
Subtotal$261,626SubtotalAmt
Other Decreases$1,224OtherDecreasesAmt
Tot Net Ast Or Fund Balances EOY$260,402TotNetAstOrFundBalancesEOYAmt

Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp

FieldValueIRS element (for citing)
Liable Section4942 Tax0LiableSection4942TaxInd
Adjusted Qlfy Distri Yr1$46,088AdjustedQlfyDistriYr1Amt
Net Vl Noncharitable Assets Yr1$548,747NetVlNoncharitableAssetsYr1Amt
Distribution Yr10.083988DistributionYr1Rt
Adjusted Qlfy Distri Yr2$77,557AdjustedQlfyDistriYr2Amt
Net Vl Noncharitable Assets Yr2$457,873NetVlNoncharitableAssetsYr2Amt
Distribution Yr20.169385DistributionYr2Rt
Adjusted Qlfy Distri Yr3$67,023AdjustedQlfyDistriYr3Amt
Net Vl Noncharitable Assets Yr3$442,057NetVlNoncharitableAssetsYr3Amt
Distribution Yr30.151616DistributionYr3Rt
Adjusted Qlfy Distri Yr4$74,004AdjustedQlfyDistriYr4Amt
Net Vl Noncharitable Assets Yr4$625,385NetVlNoncharitableAssetsYr4Amt
Distribution Yr40.118334DistributionYr4Rt
Adjusted Qlfy Distri Yr5$78,405AdjustedQlfyDistriYr5Amt
Net Vl Noncharitable Assets Yr5$349,009NetVlNoncharitableAssetsYr5Amt
Distribution Yr50.224650DistributionYr5Rt
Total Distribution0.747973TotalDistributionRt
Average Distribution0.149595AverageDistributionRt
Net Vl Noncharitable Assets$551,286NetVlNoncharitableAssetsAmt
Adj Net Vl Noncharitable Assets$82,470AdjNetVlNoncharitableAssetsAmt
Net Investment Income Pct$82NetInvestmentIncomePctAmt
Adj Nonchrtbl Net Invst Incm Pct$82,552AdjNonchrtblNetInvstIncmPctAmt
Qualifying Distributions$56,763QualifyingDistributionsAmt

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$165InvestmentIncomeExciseTaxAmt
Tax Under Section511$0TaxUnderSection511Amt
Subtotal$165SubtotalAmt
Subtitle A Tax$0SubtitleATaxAmt
Tax Based On Investment Income$165TaxBasedOnInvestmentIncomeAmt
Estimated Plus Ovpmt Incm Tx$2EstimatedPlusOvpmtIncmTxAmt
Extsn Request Income Tax Paid$0ExtsnRequestIncomeTaxPaidAmt
Backup Withholding Withheld$0BackupWithholdingWithheldAmt
Total Payments And Credits$2TotalPaymentsAndCreditsAmt
Es Penalty$0EsPenaltyAmt
Tax Due$163TaxDueAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political Acty0LegislativePoliticalActyInd
More Than100 Spent0MoreThan100SpentInd
Form1120 POL Filed0Form1120POLFiledInd
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Tax Reimbursed$0TaxReimbursedAmt
Activities Not Previously Rpt0ActivitiesNotPreviouslyRptInd
Changes To Articles Or Bylaws0ChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Organization Dissolved Etc0OrganizationDissolvedEtcInd
Section508e Rqr Satisfied0Section508eRqrSatisfiedInd
At Least5000 In AssetsYes (1)AtLeast5000InAssetsInd
Org Report Or Register StateCAOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (1)Form990PFFiledWithAttyGenInd
Private Operating Foundation0PrivateOperatingFoundationInd
New Substantial Contributors0NewSubstantialContributorsInd
Own Controlled Entity0OwnControlledEntityInd
Donor Advised Fund0DonorAdvisedFundInd
Comply With Public Insp Rqr0ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt
Individual With BooksKAR K TANIndividualWithBooksNm
Phone4082068437PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line113983 PIKE RDAddressLine1Txt
CitySARATOGACityNm
State AbbreviationCAStateAbbreviationCd
ZIP95070ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts Question0ForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified Prsn0SaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified Prsn0BrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified Prsn0FurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified Prsn0PayCompDisqualifiedPrsnInd
Transfer Ast Disqualified Prsn0TransferAstDisqualifiedPrsnInd
Payment To Government Official0PaymentToGovernmentOfficialInd
Uncorrected Prior Acts0UncorrectedPriorActsInd
Undistributed Income PY0UndistributedIncomePYInd
Business Holdings0BusinessHoldingsInd
Jeopardy Investments0JeopardyInvestmentsInd
Uncorrected PY Jeopardy Invst0UncorrectedPYJeopardyInvstInd
Influence Legislation0InfluenceLegislationInd
Influence Election0InfluenceElectionInd
Grants To Individuals0GrantsToIndividualsInd
Grants To Organizations0GrantsToOrganizationsInd
Noncharitable Purpose0NoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
DAVID K YIM
13983 PIKE ROADSARATOGACA95070OFFICER6.00$0$0$0
KAR K TAN
13983 PIKE ROADSARATOGACA95070OFFICER6.00$0$0$0
FieldValueIRS element (for citing)
Comp Of Hghst Pd Empl Or NONENONECompOfHghstPdEmplOrNONETxt
Other Employee Paid Over50k0OtherEmployeePaidOver50kCnt
Comp Of Hghst Pd Cntrct Or NONENONECompOfHghstPdCntrctOrNONETxt
Contractor Paid Over50k0ContractorPaidOver50kCnt

Sum Of Program Related Invst SumOfProgramRelatedInvstGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$0AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$50,590AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$509,091FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$559,681TotalFMVOfUnusedAssetsAmt
Reduction Claimed$0ReductionClaimedAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$559,681AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$8,395CashDeemedCharitableAmt
Net Vl Noncharitable Assets$551,286NetVlNoncharitableAssetsAmt
Minimum Investment Return$27,564MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$27,564MinimumInvestmentReturnAmt
Tax Based On Investment Income$165TaxBasedOnInvestmentIncomeAmt
Total Tax$165TotalTaxAmt
Distributable Before Adj$27,399DistributableBeforeAdjAmt
Recoveries Qualfied Distri$0RecoveriesQualfiedDistriAmt
Distributable Before Ded$27,399DistributableBeforeDedAmt
Deduction From Distributable$0DeductionFromDistributableAmt
Distributable As Adjusted$27,399DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$56,763ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Qualifying Distributions$56,763QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$56,763AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$27,399DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$61,096ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$42,760ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$45,022ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$54,791ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$18,785ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$222,454TotalExcessDistributionCyovAmt
Qualifying Distributions$56,763QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Prior Years$0AppliedToPriorYearsAmt
Treated As Distri From Corpus$0TreatedAsDistriFromCorpusAmt
Applied To Current Year$27,399AppliedToCurrentYearAmt
Remaining Distri From Corpus$29,364RemainingDistriFromCorpusAmt
Excess Distri Cyov App CY Corpus$0ExcessDistriCyovAppCYCorpusAmt
Excess Distribution Cyov App CY$0ExcessDistributionCyovAppCYAmt
Total Corpus$251,818TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Prior Year Deficiency Or Tax$0PriorYearDeficiencyOrTaxAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Corpus Distri170b1 E Or4942g3$0CorpusDistri170b1EOr4942g3Amt
Excess Distri Cyov From Yr5$61,096ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$190,722ExcessDistriCyovToNextYrAmt
Excess From Year4$42,760ExcessFromYear4Amt
Excess From Year3$45,022ExcessFromYear3Amt
Excess From Year2$54,791ExcessFromYear2Amt
Excess From Year1$18,785ExcessFromYear1Amt
Excess From Current Year$29,364ExcessFromCurrentYearAmt

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Contributing ManagerDAVID K YIMContributingManagerNm
Contributing ManagerKAR K TANContributingManagerNm
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (13 entries)

Address Line1RecipientUSAddress/AddressLine1TxtCityRecipientUSAddress/CityNmState AbbreviationRecipientUSAddress/StateAbbreviationCdZIPRecipientUSAddress/ZIPCdRecipient RelationshipRecipientRelationshipTxtRecipient Foundation StatusRecipientFoundationStatusTxtGrant Or Contribution PurposeGrantOrContributionPurposeTxtAmtAmt
WORLD CHRISTIAN RESTAURANT MINISTRIES INC
P O BOX 350POWDER SPRINGSGA30127NONE501(C)(3) ORGANIZATIOVERCOMING ADDICTION TO DRUGS$2,016
CITYTEAM MINISTRIES
2304 ZANKER ROADSAN JOSECA95131NONE501(C)(3) ORGANIZATICHRISTIAN EVANGELISM$6,000
RIVER OF LIFE CHRISTIAN CHURCH
1177 LAURELWOOD ROADSANTA CLARACA95054NONE501(C)(3) ORGANIZATICHRISTIAN EVANGELISM$30,000
PARTNERS INTERNATIONAL
1117 E WESTVIEW COURTSPOKANEWA99218NONE501(C)(3) ORGANIZATICHRISTIAN EVANGELISM$5,200
INTERVARSITY CHRISTIAN FELLOWSHIP
635 SCIENCE DRIVEMADISONWI53711NONE501(C)(3) ORGANIZATICHRISTIAN EVANGELISM$100
LOVE FOUNDATION
11 CROWN PLAZAHAZLETNJ07730NONE501(C)(3) ORGANIZATIHELPING PEOPLE IN NEED$250
RIVER OF LIFE FOUNDATION
1177 LAURELWOOD ROADSANTA CLARACA95054NONE501(C)(3) ORGANIZATICHRISTIAN EVANGELISM$400
CREATION MINISTRIES INTERNATIONAL
P O BOX 350POWDER SPRINGSGA30127NONE501(C)(3) ORGANIZATICHRISTIAN EVANGELISM$500
MEDIA EVANGELISM ASSOCIATION (USA)
1613 S MAIN STREET 105MILPITASCA95035NONE501(C)(3) ORGANIZATICHRISTIAN EVANGELISM$1,970
OLIVE TREE INTERNATIONAL
P O BOX 1321CAMPBELLCA95009NONE501(C)(3) ORGANIZATICHRISTIAN EVANGELISM$1,000
LIVING STONES VILLAGE
2360 MCLAUGHLIN AVENUESAN JOSECA95122NONE501(C)(3) ORGANIZATIHELPING PEOPLE IN NEED$7,000
FULL GOSPEL BUSINESSMEN'S FELLOWSHIP INTERNATIONAL
14491 SPRINGER AVENUESARATOGACA95070NONE501(C)(3) ORGANIZATICHRISTIAN EVANGELISM$400
SHOWERS OF BLESSINGS EVANGELISTIC
41817 ALBRAE STREETFREMONTCA94538NONE501(C)(3) ORGANIZATICHRISTIAN EVANGELISM$1,000
FieldValueIRS element (for citing)
Total Grant Or Contri Pd Dur Yr$55,836TotalGrantOrContriPdDurYrAmt
Total Grant Or Contri Apprv Fut$0TotalGrantOrContriApprvFutAmt

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Int On Sav And Temp Cash Invst IntOnSavAndTempCashInvstGrp

FieldValueIRS element (for citing)
Related Or Exempt Function Incm$4RelatedOrExemptFunctionIncmAmt

Net Rntl Incm Re Not Debt Fincd Prop NetRntlIncmReNotDebtFincdProp

FieldValueIRS element (for citing)
Exclusion16ExclusionCd
Exclusion$10,346ExclusionAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Unrelated Business Taxbl Incm$0UnrelatedBusinessTaxblIncmAmt
Exclusion$10,346ExclusionAmt
Related Or Exempt Function Incm$4RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$10,350TotalIncomeProducingActyAmt

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp (2 entries)

Line NumberLineNumberTxtRelationship StatementRelationshipStatementTxt
3THE FOUNDATION PLANS TO AND HAS MADE CONTRIBUTIONS TO VARIOUS RELIGIOUS AND CHARITABLE ORGANIZATIONS
5THE FOUNDATION PLANS TO AND HAS MADE CONTRIBUTIONS TO VARIOUS RELIGIOUS AND CHARITABLE ORGANIZATIONS

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EO0TrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EO0TrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of Assets0SalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EO0PurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth Assets0RentalOfFacilitiesOthAssetsInd
Reimbursement Arrangements0ReimbursementArrangementsInd
Loans Or Loan Guarantees0LoansOrLoanGuaranteesInd
Performance Of Services Etc0PerformanceOfServicesEtcInd
Sharing Of Facilities Etc0SharingOfFacilitiesEtcInd
Relationships Nonchrtbl EO0RelationshipsNonchrtblEOInd

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
General RuleYes (X)GeneralRuleInd

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
Contributor1ContributorNum
Contributor PersonDAVID YIM AND KAR K TANContributorPersonNm

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line113983 PIKE ROADAddressLine1Txt
CitySARATOGACityNm
State AbbreviationCAStateAbbreviationCd
ZIP95070ZIPCd
FieldValueIRS element (for citing)
Total Contributions$60,000TotalContributionsAmt
Person ContributionYes (X)PersonContributionInd

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees Detail AccountingFeesDetail

FieldValueIRS element (for citing)
CategoryTAX PREPARATIONCategoryTxt
Amt$2,100Amt
Net Investment Income$2,100NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Depreciation Schedule DepreciationSchedule

Depreciation Property DepreciationPropertyGrp (3 entries)

PropertyPropertyDescAcquiredAcquiredDtCost Or Other BasisCostOrOtherBasisAmtComputation MethodComputationMethodTxtCurrent Year ExpenseCurrentYearExpenseAmtNet Investment IncomeNetInvestmentIncomeAmtPrior Year DepreciationPriorYearDepreciationAmtLifeLifeRt
LAND2009-09-10$71,108L$0$0
BUILDING2009-09-10$165,919SL$6,033$6,033$43,77727.500000000000
REFRIGERATOR/RANGE2009-09-10$2,579200DB$0$0$2,5795.000000000000

Investments Land Schedule2 InvestmentsLandSchedule2

Investment Land InvestmentLandGrp (3 entries)

Category Or ItemCategoryOrItemTxtCost Or Other BasisCostOrOtherBasisAmtAccumulated DepreciationAccumulatedDepreciationAmtBook ValueBookValueAmtEOYFMVEOYFMVAmt
LAND$71,108$0$71,108$0
BUILDING$165,919$49,810$116,109$509,091
REFRIGERATOR/RANGE$2,579$2,579$0$0

Other Assets Schedule OtherAssetsSchedule

Other Assets Schedule OtherAssetsScheduleGrp

FieldValueIRS element (for citing)
DescDONATION IN TRANSITDesc
EOY Book Value$1,000EOYBookValueAmt

Other Decreases Schedule OtherDecreasesSchedule

Other Decreases Detail OtherDecreasesDetail

FieldValueIRS element (for citing)
DescCORRECTION OF PRIOR YEAR ITEMSDesc
Amt$1,224Amt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (7 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
CHURCH EVENTS$585$0$585
PUBLICATIONS$30$0$30
SUPPLIES$312$0$312
INSURANCE$377$377$0
PLUMBING REPAIRS$565$565$0
APPLIANCE REPAIRS$157$157$0
ASSOCIATION DUES$4,740$4,740$0

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail

FieldValueIRS element (for citing)
DescTENANT DEPOSITSDesc
BOY Book Value$0BOYBookValueAmt
EOY Book Value$1,700EOYBookValueAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail

FieldValueIRS element (for citing)
CategoryPROPERTY MANAGEMENTCategoryTxt
Amt$2,860Amt
Net Investment Income$2,860NetInvestmentIncomeAmt
Disbursements Charitable Prps$0DisbursementsCharitablePrpsAmt

Taxes Schedule TaxesSchedule

Taxes Detail TaxesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
REAL ESTATE TAX$3,522$3,522$0
STATE INCOME TAX$10$10$0

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