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PACIFICANS CARE: Form 990EZ, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
PACIFICANS CARE (EIN 77-0004308)
Tax period
2016-07-01 to 2017-06-30
Filed
2017-11-08
IRS object ID
201743129349202054
Schema version
2016v3.0
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)
Return2017-11-08T15:05:40-08:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Larry J Anderson EABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line15010 Geary Blvd Suite 3AddressLine1Txt
CitySan FranciscoCityNm
State AbbreviationCAStateAbbreviationCd
ZIP941182857ZIPCd
FieldValueIRS element (for citing)
Return Type990EZReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN770004308EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PACIFICANS CAREBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPACIBusinessNameControlTxt
Phone6503596215PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 875AddressLine1Txt
CityPACIFICACityNm
State AbbreviationCAStateAbbreviationCd
ZIP94044ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBRUCE BANCOPersonNm
Person TitleTreasurerPersonTitleTxt
Signature2017-11-08SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLARRY J ANDERSON EAPreparerPersonNm
PTINP00166775PTIN
Phone4153870500PhoneNum
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2018-03-14 21:41:22ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Website AddressWWW.PACIFICANS-CARE.ORGWebsiteAddressTxt
Organization501c3Yes (X)Organization501c3Ind
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Gross Receipts$115,758GrossReceiptsAmt
Info In Schedule O Part IYes (X)InfoInScheduleOPartIInd
Contributions Gifts Grants Etc$77,380ContributionsGiftsGrantsEtcAmt
Investment Income$5,160InvestmentIncomeAmt
Sale Of Assets Gross$3,571SaleOfAssetsGrossAmt
Cost Or Other Basis Expense Sale$0CostOrOtherBasisExpenseSaleAmt
Gain Or Loss From Sale Of Assets$3,571GainOrLossFromSaleOfAssetsAmt
Fundraising Gross Income$29,647FundraisingGrossIncomeAmt
Special Events Direct Expenses$7,005SpecialEventsDirectExpensesAmt
Special Events Net Income Loss$22,642SpecialEventsNetIncomeLossAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt
Total Revenue$108,753TotalRevenueAmt
Grants And Similar Amounts Paid$48,000GrantsAndSimilarAmountsPaidAmt
Fees And Other Pymt To Ind Cntrct$1,029FeesAndOtherPymtToIndCntrctAmt
Occupancy Rent Utlts And Maint$200OccupancyRentUtltsAndMaintAmt
Printing Publications Postage$153PrintingPublicationsPostageAmt
Other Expenses Total$1,930OtherExpensesTotalAmt
Total Expenses$51,312TotalExpensesAmt
Excess Or Deficit For Year$57,441ExcessOrDeficitForYearAmt
Net Assets Or Fund Balances BOY$205,819NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$263,260NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIYes (X)InfoInScheduleOPartIIInd

Cash Savings And Investments CashSavingsAndInvestmentsGrp

FieldValueIRS element (for citing)
BOY$205,819BOYAmt
EOY$262,760EOYAmt

Other Assets Total Detail OtherAssetsTotalDetail

FieldValueIRS element (for citing)
EOY$500EOYAmt

Form990 Total Assets Form990TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$205,819BOYAmt
EOY$263,260EOYAmt

Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp

FieldValueIRS element (for citing)
BOY$205,819BOYAmt
EOY$263,260EOYAmt
FieldValueIRS element (for citing)
Primary Exempt PurposePACIFICANS CARE IS A COMMUNITY-BASED NON-PROFIT ORGANIZTION THAT RAISES FUNDS LOCALLY TO PROVIDE GRANTS TO SOCIAL-SERVICE ORGANIZATIONS IN THE UNITED STATES. WE DISPENSE OUR FUDNS PRUDENTLY AND INCUR MINIMAL EXPENSES SO THAT THE FUNDS RAISED ARE PASSED ON TO OUR RECIPIENT ORGANIZATIONS.PrimaryExemptPurposeTxt

Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp (5 entries)

Description Program Srvc AccomDescriptionProgramSrvcAccomTxtGrants And AllocationsGrantsAndAllocationsAmtProgram Service ExpensesProgramServiceExpensesAmt
PACIFICA RESOURCE CENTER: Safety-net services to families and individuals in City of Pacifica to increase food security and prevent homelessness in the city. Servicing approximately 3,000 individuals representing over 1,300 households.$135$15,000
CITY OF PACIFICA SENIOR SERVICES: (1) Provide supplementary funding of city's van used to transport seniors, approximately 3,700 one-way trips; (2) Provide supplementary funding for Meals on Wheels program for seniors and non-seniors, over 14,000 meals served.$136$15,000
PACIFICA YOUTH SERVICES BUREAU - CLINIC COUNSELING PROGRAM: Providing fee subsidies for programs designed to support and nurture families in the development of connected, healthy and productive youth. Pacifica Youth Services Bureau provides individual and family counseling, crisis intervention, substance abuse prevention, and jevenile crime prevention, through parent-support groups. Funding subsidizes over 300 sessions.$90$10,000
CITY OF PACIFICA CHILD CARE SERVICES: Providing supplementary funding for low-income children participating in summer activities including field trips, swimming lessons, local community trips, and special events. Serves approximately 250 to 350 children each week during summer.$63$7,000
DALY CITY YOUTH HEALTH CENTER: Providing excellent primary health care, counseling services, vocational internships, and comprehensive sexual health education for youth, ages 12- 24, living in Daly City, Broadmoor, Pacifica, Colma, Brisbane, South San Francisco and San Bruno. The center's Behavioral Health Counseling Service provides individual, family, couples, and group counseling to an average of 70 youth a month.
FieldValueIRS element (for citing)
Total Program Service Expenses$424TotalProgramServiceExpensesAmt

Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (6 entries)

TitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmt
KAREN ERVIN
President2.50$0
GINNY JAQUITH
Vice President2.50$0
BRUCE BANCO
Treasurer10.00$0
ALICE BULL
Secretary7.50$0
DEBORAH ALEXANDER-SKILES
Secretary1.00$0
MARISA RYAN
Media Coord5.00$0
FieldValueIRS element (for citing)
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Chg Made To Orgnzng Doc Not RptfalseChgMadeToOrgnzngDocNotRptInd
Organization Had UBIfalseOrganizationHadUBIInd
Organization Filed990 TfalseOrganizationFiled990TInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Form1120 Pol FiledfalseForm1120PolFiledInd
Made Loans To From OfficersfalseMadeLoansToFromOfficersInd
Initiation Fees And Cap Contri$0InitiationFeesAndCapContriAmt
Gross Receipts For Public Use$0GrossReceiptsForPublicUseAmt
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonBRUCE BANCOPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11141 SHEILA LANEAddressLine1Txt
CityPACIFICACityNm
State AbbreviationCAStateAbbreviationCd
ZIP94044ZIPCd
FieldValueIRS element (for citing)
Phone6503596215PhoneNum
FieldValueIRS element (for citing)
Foreign Financial AccountfalseForeignFinancialAccountInd
Foreign OfficefalseForeignOfficeInd
Donor Advised FndsfalseDonorAdvisedFndsInd
Operate HospitalfalseOperateHospitalInd
Tanning Services ProvidedfalseTanningServicesProvidedInd
Form720 FiledfalseForm720FiledInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
School OperatingfalseSchoolOperatingInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Related Org Sect527 OrgfalseRelatedOrgSect527OrgInd
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)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$44,076CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$54,723CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$32,850CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$93,502CurrentTaxYearMinus1YearAmt
Current Tax Year$100,022CurrentTaxYearAmt
Total$325,173TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$44,076CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$54,723CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$32,850CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$93,502CurrentTaxYearMinus1YearAmt
Current Tax Year$100,022CurrentTaxYearAmt
Total$325,173TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$325,173PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,262CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,302CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,444CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,524CurrentTaxYearMinus1YearAmt
Current Tax Year$8,731CurrentTaxYearAmt
Total$48,263TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Total Support$373,436TotalSupportAmt
Public Support CY1700.87080PublicSupportCY170Pct
Public Support PY1700.86030PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1SPEAKEASY NIGHTEvent1Nm
Gross Receipts Event1$27,357GrossReceiptsEvent1Amt
Gross Revenue Event1$27,357GrossRevenueEvent1Amt
Rent Facility Costs Event1$3,047RentFacilityCostsEvent1Amt
Food And Beverage Event1$473FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$3,455OtherDirectExpensesEvent1Amt
Gross Receipts Total$27,357GrossReceiptsTotalAmt
Gross Revenue Total Events$27,357GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$3,047RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$473FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$3,455OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$6,975DirectExpenseSummaryEventsAmt
Net Income Summary$20,382NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Grants and Similar Amounts Paid In Excess of $5,000.1Class of Activity: SAFETY-NET SERVICES | Donee's Name: PACIFICA RESOURCE CENTER | Donee's Address: 1809 PALMETTO AVE PACIFICA CA 94044 | Relationship of Donee: EXEMPT ORG | Cash Amount Given: $15000
Grants and Similar Amounts Paid In Excess of $5,000.2Class of Activity: COUNSELING PROGRAM | Donee's Name: PACIFICA YOUTH SERVICE BUREAU | Donee's Address: 1670 SOUTH AMPHLETT BLVD STE 115 SAN MATEO CA 94403 | Relationship of Donee: EXEMPT ORG | Cash Amount Given: $10000
Grants and Similar Amounts Paid In Excess of $5,000.3Class of Activity: LOW-INCOME FAMILY FUND | Donee's Name: CITY OF PACIFICA CHILD CARE SERVICES | Donee's Address: 1810 FRANCISCO BLVD PACIFICA CA 94044 | Relationship of Donee: EXEMPT ORG | Cash Amount Given: $7000
Grants and Similar Amounts Paid In Excess of $5,000.4Class of Activity: MEALS & TRANSPORATION SVC | Donee's Name: CITY OF PACIFICA SENIOR SERVICES | Donee's Address: 540 CRESPI DR PACIFICA CA 94044 | Relationship of Donee: EXEMPT ORG | Cash Amount Given: $15000
Other Expenses.1001Advertising and Promotion $335
Other Expenses.1002Office Expenses $96
Other Expenses.1012Insurance $1499
Other Assets.1011Prepaid Expenses and Deferred Charges - Beginning $0 Prepaid Expenses and Deferred Charges - Ending $500

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