IMTASIK FAMILY COUNSELING SERVICES INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
IMTASIK FAMILY COUNSELING SERVICES INC (EIN 46-5525893)
Tax period
2017-01-01 to 2017-12-31
Filed
2019-02-24
IRS object ID
201940559349300254
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)
Return2019-02-24T20:12:00-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN023321483PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Robert L Jumper Jr CPABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1Post Office Box 53038AddressLine1Txt
CityRiversideCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92517ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN465525893EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1IMTASIK FAMILY COUNSELING SERVICE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% IRA L LAKEInCareOfNm
Business Name ControlIMTABusinessNameControlTxt
Phone9517741367PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16809 INDIANA AVENUE Ste 207AddressLine1Txt
CityRIVERSIDECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92506ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonIRA L LAKEPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone9517741367PhoneNum
Signature2019-02-24SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonROBERT L JUMPER JR CPAPreparerPersonNm
PTINP01451012PTIN
Phone7818643603PhoneNum
Preparation2019-02-24PreparationDt
Self EmployedYes (X)SelfEmployedInd

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address71.95.60.63IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id04602820190551058420FederalOriginalSubmissionId
Federal Original Submission Id2019-02-24FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id10D0975A23BDF15E8BF72C89C181E5E7030687E4AtSubmissionCreationDeviceId
At Submission Filing Device Id10D0975A23BDF15E8BF72C89C181E5E7030687E4AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Initial ReturnYes (X)InitialReturnInd
Principal OfficerIRA L LAKEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line16809 INDIANA AVENUE Ste 207AddressLine1Txt
CityRIVERSIDECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92506ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$160,713GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.imtasik.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2014FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionFamily individual and couples mental health counseling for under priviledged peopleActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee6TotalEmployeeCnt
Total Gross UBI$71,126TotalGrossUBIAmt
CY Contributions Grants$8,034CYContributionsGrantsAmt
CY Program Service Revenue$152,512CYProgramServiceRevenueAmt
CY Investment Income$167CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
CY Total Revenue$160,713CYTotalRevenueAmt
CY Grants And Similar Paid$7,506CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$141,032CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$2,575CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$13,248CYTotalFundraisingExpenseAmt
CY Other Expenses$54,711CYOtherExpensesAmt
CY Total Expenses$205,824CYTotalExpensesAmt
CY Revenues Less Expenses-$45,111CYRevenuesLessExpensesAmt
Total Assets BOY$1,926TotalAssetsBOYAmt
Total Assets EOY$13,163TotalAssetsEOYAmt
Total Liabilities BOY$1,806TotalLiabilitiesBOYAmt
Total Liabilities EOY$58,155TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$120NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$44,992NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionFAMILY, INDIVIDUAL, AND COUPLES MENTAL HEALTH COUNSELING Provided mental health counseling to sheltered and unsheltered poor, including meals, clothing, supplies, gift cards, and bus passesMissionDesc
Significant New Program SrvcYes (true)SignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$22,555ExpenseAmt
DescMental health services to San Bernardino sheltered and unsheltered poor individuals and families. Also provided meals, clothing, supplies, gift cards and bus passes as needed.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$6,239ExpenseAmt
DescProvided mental health counseling services to sheltered and unshelter- ed poor in Riverside, CA.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$28,794TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentfalseReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee6EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsYes (true)NondeductibleContributionsInd
Nondeductible Contri DisclfalseNondeductibleContriDisclInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisuseYes (true)MaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyfalseMinutesOfGoverningBodyInd
Minutes Of CommitteesfalseMinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyfalseConflictOfInterestPolicyInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1IMTASIK FAMILY COUNSELING SERVICES INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9517741367PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16809 INDIANA AVENUE Ste 207AddressLine1Txt
CityRIVERSIDECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92506ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
IRA L LAKE
Chief Exec Director40Yes (X)Yes (X)$79,825$0$0
LEO ADORADOR
Board PresidentYes (X)$0$0$0
MICHELLE REYES
Board SecretaryYes (X)$0$0$0
SHARON JONES
Board TreasurerYes (X)$0$0$0
DAVID L TAYLOR
Board memberYes (X)$0$0$0
NANCY THRANE
Board memberYes (X)$0$0$0
WILLIAM WRIGHT
Board memberYes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$79,825TotalReportableCompFromOrgAmt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

ServicesServicesDescCompensationCompensationAmt
Adrian Pressley
Counselling fees$475
Nicole Montes
Counselor fees$2,155
Yvette Diaz
Counselor fees$465
Ricardo Forbes
Grant writer$2,575
FieldValueIRS element (for citing)
All Other Contributions$8,034AllOtherContributionsAmt
Total Contributions$8,034TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescFamCounseling ServicesDesc
Business624100BusinessCd
Total Revenue Column$71,126TotalRevenueColumnAmt
Unrelated Business Revenue$71,126UnrelatedBusinessRevenueAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$81,386TotalRevenueColumnAmt
Related Or Exempt Func Income$81,386RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$152,512TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$167TotalRevenueColumnAmt
Related Or Exempt Func Income$167RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$160,713TotalRevenueColumnAmt
Related Or Exempt Func Income$81,553RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$71,126UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$100TotalAmt
Program Services$100ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$7,406TotalAmt
Program Services$7,406ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$79,824TotalAmt
Program Services$71,842ProgramServicesAmt
Fundraising$7,982FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$29,487TotalAmt
Program Services$21,887ProgramServicesAmt
Management And General$7,600ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$443TotalAmt
Program Services$277ProgramServicesAmt
Management And General$122ManagementAndGeneralAmt
Fundraising$44FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$31,278TotalAmt
Program Services$19,013ProgramServicesAmt
Management And General$9,657ManagementAndGeneralAmt
Fundraising$2,608FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$959TotalAmt
Program Services$738ProgramServicesAmt
Management And General$221ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,510TotalAmt
Management And General$1,510ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$2,575TotalAmt
Fundraising$2,575FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,567TotalAmt
Program Services$3,420ProgramServicesAmt
Management And General$108ManagementAndGeneralAmt
Fundraising$39FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$8,895TotalAmt
Program Services$8,895ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$9,467TotalAmt
Program Services$3,482ProgramServicesAmt
Management And General$5,985ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,987TotalAmt
Program Services$1,444ProgramServicesAmt
Management And General$2,543ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$10,659TotalAmt
Program Services$3,516ProgramServicesAmt
Management And General$7,143ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,286TotalAmt
Program Services$1,286ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,627TotalAmt
Program Services$1,627ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,428TotalAmt
Management And General$1,428ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,716TotalAmt
Program Services$621ProgramServicesAmt
Management And General$1,095ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Telephones$5,306$3,836$1,470
Mbrshp/Dues$1,869$1,869
Bank chgs/fees$1,104$721$383
Misc Exp$836$836

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$495TotalAmt
Management And General$495ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$205,824TotalAmt
Program Services$151,980ProgramServicesAmt
Management And General$40,596ManagementAndGeneralAmt
Fundraising$13,248FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,376BOYAmt
EOY$654EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
EOY$7,615EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$3,480EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$1,414EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$550BOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,926BOYAmt
EOY$13,163EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$487BOYAmt
EOY$1,504EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$1,319BOYAmt
EOY$29,546EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
EOY$27,105EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,806BOYAmt
EOY$58,155EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$120BOYAmt
EOY-$91,117EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
EOY$46,125EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$120BOYAmt
EOY-$44,992EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,926BOYAmt
EOY$13,163EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$45,111ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year$59,726CurrentTaxYearAmt
FieldValueIRS element (for citing)
Public Support Total170$0PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year$167CurrentTaxYearAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Current Tax Year-$18,473CurrentTaxYearAmt
FieldValueIRS element (for citing)
First5 Years170Yes (X)First5Years170Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year$89,420CurrentTaxYearAmt
Total$89,420TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year$71,126CurrentTaxYearAmt
Total$71,126TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year$160,546CurrentTaxYearAmt
Total$160,546TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year$71,126CurrentTaxYearAmt
Total$71,126TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year$71,126CurrentTaxYearAmt
Total$71,126TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$89,420PublicSupportTotal509Amt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year$160,546CurrentTaxYearAmt
Total$160,546TotalAmt
FieldValueIRS element (for citing)
First5 Years509Yes (X)First5Years509Ind
Investment Income CY0.00000InvestmentIncomeCYPct

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part II or III Line 1Kaiser Permanente;Dignity Lutheran Soc Svcs;Dioc SB
Part II Line 10/Part III Line 12Mental health, clothing, supplies, Meals; travel,

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Donor Advised Funds Held4DonorAdvisedFundsHeldCnt
Written Policy MonitoringfalseWrittenPolicyMonitoringInd
Section170h Rqr StsfdfalseSection170hRqrStsfdInd
Solicited Assets SalefalseSolicitedAssetsSaleInd
Agent Trustee EtcfalseAgentTrusteeEtcInd
Incl Escrow Custodial Acct LiabfalseInclEscrowCustodialAcctLiabInd

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Employer Federal PR Tax$22,988
Accrued Employer Cal SUI$194
Emplr CAL state PR Taxes$3,923
FieldValueIRS element (for citing)
Total Liability$27,105TotalLiabilityAmt

Schedule L IRS990ScheduleL

Disqualified Person Ex Bnft Tr DisqualifiedPersonExBnftTrGrp (6 entries)

Rln Disqualified Person OrgRlnDisqualifiedPersonOrgTxtTransactionTransactionDescTransaction CorrectedTransactionCorrectedInd
IRA L LAKE
Ira L Lake, LLC, Inc.LLC trans on NPOYes (true)
(no name)
false
(no name)
false
(no name)
false
(no name)
false
(no name)
false

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (10 entries)

DefaultDefaultIndBoard Or Committee ApprovalBoardOrCommitteeApprovalIndWritten AgreementWrittenAgreementInd
falsefalsefalse
falsefalsefalse
falsefalsefalse
falsefalsefalse
falsefalsefalse
falsefalsefalse
falsefalsefalse
falsefalsefalse
falsefalsefalse
falsefalsefalse

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (10 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
IRA L LAKE
Owns:approx$14K$14,000Travel & book salesfalse
(no name)
false
(no name)
false
(no name)
false
(no name)
false
(no name)
false
(no name)
false
(no name)
false
(no name)
false
(no name)
false

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
990 Part VIII, line 1fDonations to NPO were amended to remove loans from books.
990 Part VIII, line 1fDonations preceded much of loans. Treated as wash.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part III Line 2Started programs providing mental health services to underprivileged
Part III Line 2persons in Riverside and San Bernardino counties.
Part VI Line 5Assets were ultimately offset against COD's donations.
Part VI Line 11bOfficer to review prior to filing.
Part VI Line 19No documentss available to the public
Part IX Line 11g401K Mgmt Fee Total expenses - $392.00 Program service expenses - $245.00 Mgmt and general expenses - $108.00 Fundraising expenses - $39.00
Part IX Line 11gOutside Cnslrs Total expenses - $3075.00 Program service expenses - $3075.00 Mgmt and general expenses - $0.00 Fundraising expenses - $0.00
Part IX Line 11gContract Admin Total expenses - $100.00 Program service expenses - $100.00 Mgmt and general expenses - $0.00 Fundraising expenses - $0.00
Part IX Line 24eOther Bus Exp Total expenses - $340.00 Program service expenses - $0.00 Mgmt and general expenses - $340.00 Fundraising expenses - $0.00
Part IX Line 24eLicences/fees Total expenses - $105.00 Program service expenses - $0.00 Mgmt and general expenses - $105.00 Fundraising expenses - $0.00
Part IX Line 24eCal Frn Tax Brd Total expenses - $50.00 Program service expenses - $0.00 Mgmt and general expenses - $50.00 Fundraising expenses - $0.00

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Ira L Lake LLC IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesWeddings book sales seminarsPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1UnknownBusinessNameLine1Txt
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

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