2018-03-13T18:23:39-05:00 2017-06-30 330835986 SQUAR MILNER LLP 135 MAIN STREET 9TH FLOOR SAN FRANCISCO CA 941051815 990 2016-07-01 237117402 KIMOCHI INC KIMO 4159312294 1715 BUCHANAN STREET SAN FRANCISCO CA 941153208 STEVE ISHII EXECUTIVE DIRECTOR 4159312294 2018-02-28 1 DEBORAH KAMINSKI P00645581 4157812500 71.6.48.101 2018-02-28 16:47:51 PS P 03D6BDED2525892F42308D58865894C9B7D3DE2B 78CB9C1D67E7E8C60496C6105331FB326CC5543F 2016 2021-01-29 14:40:06Z STEVE ISHII 1715 BUCHANAN STREET SAN FRANCISCO CA 941153208 4248047 0 X WWW.KIMOCHI-INC.ORG X 1971 CA THE MISSION OF KIMOCHI, INC. IS TO PROVIDE A CONTINUUM OF CULTURALLY SENSITIVE PROGRAMS AND (CONT'D) SERVICES TO ALL SENIORS AND THEIR FAMILIES, TO PRESERVE THEIR DIGNITY AND INDEPENDENCE, WITH A FOCUS ON THE JAPANESE AMERICAN AND JAPANESE SPEAKING COMMUNITY. 15 15 66 325 0 0 2944908 2452709 887931 1595847 106579 22391 75298 48181 4014716 4119128 9794 40850 0 0 1758734 2216656 0 0 198301 1371561 1699638 3140089 3957144 874627 161984 8509163 8587830 2092524 2024793 6416639 6563037 X KIMOCHI IS IN ITS 46TH YEAR OF PROVIDING PROGRAMS AND SERVICES FOR SENIORS. THESE PROGRAMS AND SERVICES INCLUDE: INFORMATION AND REFERRAL ASSISTANCE, SENIOR CENTER ACTIVITIES, HEALTH AND CONSUMER EDUCATION SEMINARS, HEALTHY AGING ACTIVITIES, HOT LUNCHES, HOME DELIVERED MEALS, SOCIAL SERVICES, IN-HOME SUPPORT SERVICES, TRANSPORTATION, ADULT SOCIAL DAY CARE, AND 24 HOUR RESIDENTIAL AND RESPITE CARE PROGRAMS. 0 0 864123 NUTRITION PROGRAM: 62,901 CONGREGATE MEALS SERVED TO SENIORS; 30,568 HOME-DELIVERED MEALS SERVED TO SENIORS; AND 2,373 UNITS OF NUTRITION EDUCATION. 1544514 1375321 RESIDENTIAL/RESPITE CARE PROGRAM: 34 BEDS PROVIDED IN LICENSED 24-HOUR SUPERVISED RESIDENTIAL CARE FACILITIES (2); STAFF PROVIDES ASSISTANCE WITH ACTIVITIES OF DAILY LIVING 1035388 40850 220526 COMMUNITY SERVICES PROGRAMS, INCLUDING: ADULT DAY CARE ACTIVITIES (40 CLIENTS/20,301 UNITS OF SERVICE) TRANSPORTATION (10,624 TRIPS) SOCIAL SERVICES/TRANSLATION PROGRAM (543 CLIENTS/1,019 UNITS OF ACTIVITY SCHEDULING; 2,016 UNITS OF SOCIAL SERVICES; 1,372 UNITS OF TRANSLATION) CASE MANAGEMENT PROGRAM (73 CLIENTS/4,671 UNITS OF SERVICE) FAMILY CAREGIVER SUPPORT PROGRAM (270 CLIENTS/1,112 UNITS OF SERVICE) 3444025 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 8 0 1 66 1 0 0 0 0 0 1 1 0 0 0 1 0 X 15 15 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X CONTROLLER 4159312294 1715 BUCHANAN STREET SAN FRANCISCO CA 941153208 ROD HENMI DIRECTOR/CHAIRPERSON 2.00 X X 0 0 0 ELLEN KIYOMIZU DIRECTOR/VICE CHAIRPERSON 2.00 X X 0 0 0 MARK MORIGUCHI DIRECTOR/TREASURER 2.00 X X 0 0 0 MARY ISHISAKI DIRECTOR/SECRETARY 2.00 X X 0 0 0 PAUL CHIN DIRECTOR 1.00 X 0 0 0 DENNIS SATO DIRECTOR 1.00 X 0 0 0 ROY KUGA DIRECTOR 1.00 X 0 0 0 MARI KAWAGUCHI DIRECTOR 1.00 X 0 0 0 KYLE OURA DIRECTOR 1.00 X 0 0 0 BENH NAKAJO DIRECTOR 1.00 X 0 0 0 HIROSHI SHIMIZU DIRECTOR 1.00 X 0 0 0 PETER NAMKUNG DIRECTOR 1.00 X 0 0 0 JOHN NOGUCHI DIRECTOR 1.00 X 0 0 0 MICHI YUKAWA DIRECTOR 1.00 X 0 0 0 JANE YURA DIRECTOR 1.00 X 0 0 0 STEVE NAKAJO EXECUTIVE DIRECTOR 40.00 X 116485 0 597 STEVE ISHII EXECUTIVE DIRECTOR (SUCCESSOR) 40.00 X 96628 0 3984 213113 0 4581 1 0 0 0 0 274995 1325557 852157 5141 2452709 RESIDENT FEES 623990 1375321 1375321 COMMUNITY PROGRAM FEES 624100 220526 220526 1595847 22391 22391 167060 274995 128919 38141 38141 10040 0 10040 10040 4119128 1595847 0 70572 40850 40850 168614 34203 73468 60943 1814687 1592419 120454 101814 69143 50002 6831 12310 164212 135864 15424 12924 2081 2081 16997 16997 16700 16700 6830 6830 78384 62653 11806 3925 34389 29231 5158 270971 263449 7522 1113 107 1006 86677 86677 288186 272162 16024 30849 23060 6283 1506 FOOD COSTS 410123 410123 WORKERS COMPENSATION IN 153599 148316 2866 2417 VEHICLE EXPENSE 80371 80371 SUPPLIES/MATERIALS 79627 74232 2933 2462 142741 123309 19432 3957144 3444025 314818 198301 707155 1089857 290059 257844 32566 35870 85512 86103 8984911 2513991 6734011 6470920 537889 530840 116971 111396 5000 5000 8509163 8587830 155990 91608 12057 64171 1924477 1869014 2092524 2024793 X 6291195 6441357 125444 121680 6416639 6563037 8509163 8587830 161984 -15586 0 X X 0 1 X 1 0 X 1582143 3064374 2245414 2714202 2206101 11812234 1582143 3064374 2245414 2714202 2206101 11812234 360478 11451756 20602 45463 83960 32106 22391 204522 12016756 5358411 0.95300 0.93150 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1399079 1399079 6423375 1867515 4555860 1162457 646476 515981 0 6470920 X 4137623 -15586 -15586 4153209 -34081 -34081 4119128 3991225 0 3991225 -34081 -34081 3957144 PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND CALIFORNIA REVENUE AND TAXATION CODE, SECTION 23701D. ACCORDINGLY, IT HAS NOT PROVIDED FOR INCOME TAXES IN THESE FINANCIAL STATEMENTS. EACH YEAR MANAGEMENT CONSIDERS WHETHER ANY MATERIAL TAX POSITION THE ORGANIZATION HAS TAKEN IS MORE LIKELY THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPLICABLE TAXING AUTHORITY. MANAGEMENT BELIEVES THAT ANY POSITIONS THE ORGANIZATION HAS TAKEN ARE SUPPORTED BY SUBSTANTIAL AUTHORITY AND, HENCE, DO NOT NEED TO BE MEASURED OR DISCLOSED IN THESE FINANCIAL STATEMENTS. PART XI, LINE 4B - OTHER ADJUSTMENTS: RECLASSIFY SPECIAL EVENTS-DIRECT (NON-DONOR BENEFIT) COSTS FROM FUNCTIONAL EXPENSES (UNDER GAAP) TO GROSS INCOME FROM FUNDRAISING EVENTS-DIRECT EXPENSE -34,081. PART XII, LINE 4B - OTHER ADJUSTMENTS: RECLASSIFY SPECIAL EVENTS-DIRECT (NON-DONOR BENEFIT) COSTS FROM FUNCTIONAL EXPENSES (UNDER GAAP) TO GROSS INCOME FROM FUNDRAISING EVENTS-DIRECT EXPENSE -34,081. NAKAJO TRIBUTE 105780 73405 32375 21821 1600 8011 KIMOCHI SPIRIT EVENT 81825 70373 11452 2303 3040 5880 6 254450 131217 123233 4705 26956 28987 25616 442055 274995 167060 7008 26956 53848 1600 39507 128919 38141 1 COLLEGE SCHOLARSHIPS/STUDENT INTERNSHIPS 5 40850 PART I, LINE 2: THE ORGANIZATION MONITORS SCHOLARSHIPS THROUGH ITS AWARDS PROCESS WHEREBY APPLICANTS/RECIPIENTS WILL PROVIDE DOCUMENTATION OF COLLEGE ACCEPTANCE AND SUCCESSFUL COMPLETION OF COURSES. FORM 990, PART VI, SECTION A, LINE 2 FAMILY/BUSINESS RELATIONSHIPS - STEVE NAKAJO, EXECUTIVE DIRECTOR, AND BENH NAKAJO, DIRECTOR, ARE BROTHERS. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW - COPIES OF FORM 990 ARE PROVIDED TO THE ORGANIZATION'S MANAGEMENT AND FINANCE COMMITTEE OF THE BOARD OF DIRECTORS FOR THEIR REVIEW PRIOR TO SIGNING AND FILING OF THE TAX RETURN. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY - UPON OR BEFORE ELECTION TO THE BOARD, A BOARD MEMBER WILL MAKE A FULL, WRITTEN DISCLOSURE OF INTERESTS, RELATIONSHIPS, AND HOLDINGS THAT COULD POTENTIALLY RESULT IN A CONFLICT OF INTEREST. THIS WRITTEN DISCLOSURE IS KEPT ON FILE AND IS UPDATED AS APPROPRIATE. ANNUALLY, EACH DIRECTOR WILL UPDATE THE CONFLICT OF INTEREST POLICY DECLARATION. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION PROCESS - THE PERSONNEL COMMITTEE OF THE BOARD OF DIRECTORS IS CHARGED WITH REVIEW AND APPROVAL OF THE COMPENSATION OF THE EXECUTIVE DIRECTOR AND ANY OTHER EMPLOYEE SELECTED. THE COMMITTEE IS PROVIDED WITH COMPARABILITY DATA AND EVALUATIONS AS PART OF THIS PROCESS OF DELIBERATION AND DECISION. FORM 990, PART VI, SECTION C, LINE 19 DISCLOSURE - INFORMATION IS AVAILABLE TO THE PUBLIC AS FOLLOWS: (1) INSPECTION AT THE ORGANIZATION'S BUCHANAN STREET HEADQUARTER SITE (2) UPON WRITTEN REQUEST, A RESPONSE IS MADE WITHIN A TEN DAY PERIOD FOLLOWING THE RECEIPT OF THE REQUEST. FORM 990, PART XII, LINE 2C: THE ORGANIZATION'S FINANCE COMMITTEE OVERSEES THE AUDIT, WHICH IS CONDUCTED BY AN INDEPENDENT CPA FIRM. THERE WAS NO CHANGE TO EITHER THE SELECTION PROCESS OR THE AUDITOR DURING THE CURRENT YEAR.