UPPER ROOM DINING HALL INC: Form 990EZ, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
UPPER ROOM DINING HALL INC (EIN 47-4732040)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-14
IRS object ID
201841349349205764
Schema version
2016v3.1
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

FieldValueIRS element (for citing)
Return2018-05-14T16:13:36-07:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN942798193PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ROBERTS & COMPANY INC CPABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13182 CEDAR RAVINE RDAddressLine1Txt
CityPLACERVILLECityNm
State AbbreviationCAStateAbbreviationCd
ZIP956676541ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN474732040EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1UPPER ROOM DINING HALL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlUPPEBusinessNameControlTxt
Phone5309191036PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 484AddressLine1Txt
CityPLACERVILLECityNm
State AbbreviationCAStateAbbreviationCd
ZIP95667ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPAUL SAINDONPersonNm
Person TitleTREASURERPersonTitleTxt
Phone5309191036PhoneNum
Signature2018-05-11SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonDERRELL M ROBERTS CPAPreparerPersonNm
PTINP00456710PTIN
Phone5306225445PhoneNum
Preparation2018-05-14PreparationDt
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Website AddressN/AWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$141,121GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$133,846ContributionsGiftsGrantsEtcAmt
Investment Income$7,275InvestmentIncomeAmt
Total Revenue$141,121TotalRevenueAmt
Salaries Other Comp Empl Bnft$18,567SalariesOtherCompEmplBnftAmt
Fees And Other Pymt To Ind Cntrct$2,700FeesAndOtherPymtToIndCntrctAmt
Occupancy Rent Utlts And Maint$78,073OccupancyRentUtltsAndMaintAmt
Printing Publications Postage$288PrintingPublicationsPostageAmt
Other Expenses Total$49,404OtherExpensesTotalAmt
Total Expenses$149,032TotalExpensesAmt
Excess Or Deficit For Year-$7,911ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$267,874NetAssetsOrFundBalancesBOYAmt
Other Changes In Net Assets$36,959OtherChangesInNetAssetsAmt
Net Assets Or Fund Balances EOY$296,922NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$267,874BOYAmt
EOY$261,285EOYAmt

Land And Buildings LandAndBuildingsGrp

FieldValueIRS element (for citing)
EOY$18,770EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
EOY$16,867EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$267,874BOYAmt
EOY$296,922EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$267,874BOYAmt
EOY$296,922EOYAmt
FieldValueIRS element (for citing)
Primary Exempt PurposeTO PROVIDE PREPARED MEALS FOR THE HOMELESS AND UNDERPRIVILEGEDPrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp

FieldValueIRS element (for citing)
Description Program Srvc AccomPREPARE AND SERVICE MEALS TO THE HOMELESS OR UNDERPRIVILEGEDDescriptionProgramSrvcAccomTxt
Program Service Expenses$140,645ProgramServiceExpensesAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$140,645TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (4 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
JAMES MCDONOUGH
CHAIRMAN20.00$0
PAUL SAINDON
TREASURER16.00$0
COLLETTE POLASKI
SECRETARY12.00$0
DEANNA SCHARDER
DIRECTOR12.00$0
FieldValueIRS element (for citing)
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not RptfalseChgMadeToOrgnzngDocNotRptInd
Organization Had UBIfalseOrganizationHadUBIInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Form1120 Pol FiledfalseForm1120PolFiledInd
Made Loans To From OfficersfalseMadeLoansToFromOfficersInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonPAUL SAINDONPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14390 PATTERSON DRIVE UNIT 293AddressLine1Txt
CityDIAMOND SPRINGSCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95619ZIPCd
FieldValueIRS element (for citing)
Phone5309191036PhoneNum
FieldValueIRS element (for citing)
Foreign Financial AccountfalseForeignFinancialAccountInd
Foreign OfficefalseForeignOfficeInd
Donor Advised FndsfalseDonorAdvisedFndsInd
Operate HospitalfalseOperateHospitalInd
Tanning Services ProvidedfalseTanningServicesProvidedInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
School OperatingfalseSchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Part VI Of Comp Of Hghst Pd EmplNONEPartVIOfCompOfHghstPdEmplTxt
Part VI Hghst Pd Cntrct Prof SrvcNONEPartVIHghstPdCntrctProfSrvcTxt
Filed Schedule AYes (true)FiledScheduleAInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$67,297CurrentTaxYearMinus1YearAmt
Current Tax Year$137,979CurrentTaxYearAmt
Total$205,276TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$67,297CurrentTaxYearMinus1YearAmt
Current Tax Year$137,979CurrentTaxYearAmt
Total$205,276TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$205,276PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$5,333CurrentTaxYearMinus1YearAmt
Current Tax Year$4,130CurrentTaxYearAmt
Total$9,463TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$5,333CurrentTaxYearMinus1YearAmt
Current Tax Year$4,130CurrentTaxYearAmt
Total$9,463TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$72,630CurrentTaxYearMinus1YearAmt
Current Tax Year$142,109CurrentTaxYearAmt
Total$214,739TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.95590PublicSupportCY509Pct
Investment Income CY0.04000InvestmentIncomeCYPct
Investment Income PY0.00000InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990-EZ, PART I, LINE 16EXPENSES OFFICE EXPENSES 500 FEES 846 TRAINING 165 FINGERPRINTING 1,369 FOOD EXPENSE 2,984 SUPPLIES 11,846 REPAIRS 15,871 PEST CONTROL 540 JANITORIAL 2,940 ALARM SERVICE 432 LEASE EXPENSE 892 INSURANCE 3,721 MISCELLANEOUS EXPENSE 1,178 NON-INVESTMENT DEPRECIATION 6,120 TOTAL 49,404
FORM 990-EZ, PART I, LINE 20PRIOR PERIOD ADJUSTMENT 36,223 BOOK / TAX DEPRECIATION DIFFERENCE 736
FORM 990-EZ, PART II, LINE 24EQUIPMENT 0 49,884 LESS ACCUMULATED DEPRECIATION 0 33,017 TOTAL 0 16,867

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