GENESIS HOUSE INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- GENESIS HOUSE INC (EIN 23-7297769)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-05-14
- IRS object ID
- 201741349349300729
- Schema version
- 2015v3.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-14T14:49:46-05:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PATRICIA A WINTROATH CPA | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2121 N CALIFORNIA BLVD SUITE 290 | AddressLine1Txt |
| City | WALNUT CREEK | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94596 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237297769 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GENESIS HOUSE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GENE | BusinessNameControlTxt |
| Phone | 7075525295 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1149 WARREN AVENUE | AddressLine1Txt |
| City | VALLEJO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94591 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KESTER MCDONALD | PersonNm |
| Person Title | EXECUTIVE DIRECTOR/TREASURER | PersonTitleTxt |
| Phone | 7075525295 | PhoneNum |
| Signature | 2017-05-09 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | PATRICIA A WINTROATH | PreparerPersonNm |
| PTIN | P00430440 | PTIN |
| Phone | 9259743310 | PhoneNum |
| Preparation | 2017-05-09 | PreparationDt |
| Self Employed | Yes (X) | SelfEmployedInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KESTER MCDONALD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1149 WARREN AVENUE | AddressLine1Txt |
| City | VALLEJO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94591 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $713,529 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1972 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE IN-PATIENT ALCOHOL AND DRUG TREATMENT PROGRAMS, RELATED COUNSELING AND SUPPORT SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 17 | TotalEmployeeCnt |
| Total Volunteers | 28 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $296,612 | PYContributionsGrantsAmt |
| CY Contributions Grants | $305,889 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $185,889 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $188,191 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5,382 | PYInvestmentIncomeAmt |
| CY Investment Income | $29 | CYInvestmentIncomeAmt |
| PY Other Revenue | $151,784 | PYOtherRevenueAmt |
| CY Other Revenue | $148,173 | CYOtherRevenueAmt |
| PY Total Revenue | $639,667 | PYTotalRevenueAmt |
| CY Total Revenue | $642,282 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $432,197 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $451,256 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $24,986 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $267,649 | PYOtherExpensesAmt |
| CY Other Expenses | $234,528 | CYOtherExpensesAmt |
| PY Total Expenses | $699,846 | PYTotalExpensesAmt |
| CY Total Expenses | $685,784 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$60,179 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$43,502 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $713,228 | TotalAssetsBOYAmt |
| Total Assets EOY | $654,399 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $276,478 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $261,151 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $436,750 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $393,248 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE IN-PATIENT ALCOHOL AND DRUG TREATMENT PROGRAMS, RELATED COUNSELING AND SUPPORT SERVICES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $570,229 | ExpenseAmt |
| Revenue | $196,757 | RevenueAmt |
| Desc | LONG TERM RESIDENTIAL DRUG AND ALCOHOL TREATMENT AND REHABILITATION SERVICES - OVER 7,500 PATIENT DAYS | Desc |
| Total Program Service Expenses | $570,229 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 2 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 17 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLARISSA AVEYTIA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7075525295 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1149 WARREN AVE | AddressLine1Txt |
| City | VALLEJO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94591 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|
| JIMMY SMITH | ||||||
| DIRECTOR | 0.30 | Yes (X) | $0 | $0 | $0 | |
| CLARISSA AVEYTIA | ||||||
| VICE PRESIDENT | 40.00 | Yes (X) | $52,840 | $0 | $11,000 | Yes (X) |
| KESTER MCDONALD | ||||||
| EXECUTIVE DIRECTOR/SECRETARY/TREASURER | 40.00 | Yes (X) | $56,400 | $0 | $13,924 | Yes (X) |
| DANIEL BARWELA | ||||||
| DIRECTOR | 0.30 | Yes (X) | $0 | $0 | $0 | |
| MICHAEL PRITCHARD | ||||||
| DIRECTOR | 0.30 | Yes (X) | $0 | $0 | $0 | |
| LARS WOHLER | ||||||
| DIRECTOR | 0.30 | Yes (X) | $0 | $0 | $0 | |
| GEORGE MARISCAL | ||||||
| PRESIDENT | 0.30 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| SCOTT CHRISTIAN | ||||||
| DIRECTOR | 0.30 | Yes (X) | $0 | $0 | $0 | |
| SHAWN CARTER | ||||||
| DIRECTOR | 0.30 | Yes (X) | $0 | $0 | $0 | |
| GAIL MOON | ||||||
| DIRECTOR | 0.30 | Yes (X) | $0 | $0 | $0 | |
| VIANN BARTLETT | ||||||
| DIRECTOR | 0.30 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $109,240 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $24,924 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $290,520 | GovernmentGrantsAmt |
| All Other Contributions | $15,369 | AllOtherContributionsAmt |
| Total Contributions | $305,889 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PROCEEDS FROM JOBS PER | 623990 | $108,386 | $108,386 |
| FOOD STAMPS | 623990 | $36,119 | $36,119 |
| CLIENT DISABILITY BENE | 623990 | $17,448 | $17,448 |
| SOBER LIVING FEE FOR S | 623990 | $16,523 | $16,523 |
| SERVICE FEES | 623990 | $9,715 | $9,715 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $188,191 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $29 | TotalRevenueColumnAmt |
| Exclusion | $29 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $210,854 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $71,247 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $139,607 | TotalRevenueColumnAmt |
| Exclusion | $139,607 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Business | 623990 | BusinessCd |
| Total Revenue Column | $8,566 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,566 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $8,566 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $642,282 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $196,757 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $139,636 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $109,240 | TotalAmt |
| Program Services | $87,392 | ProgramServicesAmt |
| Management And General | $16,386 | ManagementAndGeneralAmt |
| Fundraising | $5,462 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $221,186 | TotalAmt |
| Program Services | $176,949 | ProgramServicesAmt |
| Management And General | $33,178 | ManagementAndGeneralAmt |
| Fundraising | $11,059 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,553 | TotalAmt |
| Program Services | $76,442 | ProgramServicesAmt |
| Management And General | $14,333 | ManagementAndGeneralAmt |
| Fundraising | $4,778 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,277 | TotalAmt |
| Program Services | $20,222 | ProgramServicesAmt |
| Management And General | $3,792 | ManagementAndGeneralAmt |
| Fundraising | $1,263 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,100 | TotalAmt |
| Program Services | $7,735 | ProgramServicesAmt |
| Management And General | $1,365 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,005 | TotalAmt |
| Program Services | $34,855 | ProgramServicesAmt |
| Management And General | $6,150 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,607 | TotalAmt |
| Program Services | $14,966 | ProgramServicesAmt |
| Management And General | $2,641 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,836 | TotalAmt |
| Program Services | $14,311 | ProgramServicesAmt |
| Management And General | $2,525 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,423 | TotalAmt |
| Program Services | $20,760 | ProgramServicesAmt |
| Management And General | $3,663 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,008 | TotalAmt |
| Program Services | $21,257 | ProgramServicesAmt |
| Management And General | $3,751 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| DIRECT PATIENT CARE | $71,909 | $71,909 | ||
| REPAIRS & MAINTENANCE | $16,037 | $13,632 | $2,405 | |
| JOB COSTS | $7,283 | $7,283 | ||
| FUNDRAISING | $2,424 | $2,424 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,896 | TotalAmt |
| Program Services | $2,516 | ProgramServicesAmt |
| Management And General | $380 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $685,784 | TotalAmt |
| Program Services | $570,229 | ProgramServicesAmt |
| Management And General | $90,569 | ManagementAndGeneralAmt |
| Fundraising | $24,986 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,402 | BOYAmt |
| EOY | $44,317 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,534 | BOYAmt |
| EOY | $24,519 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,580 | BOYAmt |
| EOY | $47,843 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,309 | BOYAmt |
| EOY | $9,779 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,005,830 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $482,889 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $541,403 | BOYAmt |
| EOY | $522,941 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,000 | BOYAmt |
| EOY | $5,000 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $713,228 | BOYAmt |
| EOY | $654,399 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,040 | BOYAmt |
| EOY | $6,368 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $269,417 | BOYAmt |
| EOY | $254,783 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,021 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $276,478 | BOYAmt |
| EOY | $261,151 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $436,750 | BOYAmt |
| EOY | $393,248 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $436,750 | BOYAmt |
| EOY | $393,248 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $713,228 | BOYAmt |
| EOY | $654,399 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$43,502 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 0 | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $288,993 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $315,996 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $290,233 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $296,612 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $305,889 | CurrentTaxYearAmt |
| Total | $1,497,723 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $288,993 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $315,996 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $290,233 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $296,612 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $305,889 | CurrentTaxYearAmt |
| Total | $1,497,723 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $1,497,723 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $32 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $29 | CurrentTaxYearAmt |
| Total | $71 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,411 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,489 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,965 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,613 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,566 | CurrentTaxYearAmt |
| Total | $52,044 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $1,549,838 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $965,199 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.96640 | PublicSupportCY170Pct |
| Public Support PY170 | 0.96710 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $95,629 | OtherCostOrOtherBasisAmt |
| Book Value | $95,629 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $682,076 | OtherCostOrOtherBasisAmt |
| Depreciation | $281,664 | DepreciationAmt |
| Book Value | $400,412 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $228,125 | OtherCostOrOtherBasisAmt |
| Depreciation | $201,225 | DepreciationAmt |
| Book Value | $26,900 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $522,941 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $713,529 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $71,247 | OtherRevenueAmt |
| Revenue Not Reported | $71,247 | RevenueNotReportedAmt |
| Revenue Subtotal | $642,282 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $642,282 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $757,031 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $71,247 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $71,247 | ExpensesNotReportedAmt |
| Expenses Subtotal | $685,784 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $685,784 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EVENT EXPENSES SHOWN ON FORM 990 WITH FUNDRAISING EVENT INCOME 71,247. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | FUNDRAISING EVENT EXPENSES SHOWN ON FORM 990 WITH FUNDRAISING EVENT INCOME 71,247. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE EXECUTIVE DIRECTOR AND FISCAL OFFICER REVIEW THE FORM 990 PRIOR TO FILING THE FORM. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION NOTIFIES THE BOARD MEMBERS OF THE CONFLICT OF INTEREST POLICY AT A BOARD MEETING ANNUALLY. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION IS DETERMINED BY COMPARISON WITH LIKE ORGAINZATIONS IN THE REGION, THROUGH SOURCES SUCH AS CALIFONRIA HEALTH CARE ALMANAC - EMPLOYER HEALTH BENEFITS SURVEY, AND A PERCENT OF INFLATION IS ALSO USED IN DETERMINING THE PAY RAISES, WHICH ARE SUBJECT TO BOARD APPROVAL. |
| FORM 990, PART VI, SECTION C, LINE 18 | THE ORGANIZATION'S FORM 1023 AND FORM 990 ARE AVAILABLE UPON REQUEST. THE FORM 990 IS AVAILABLE ON THE CALIFORNIA REGISTRY OF CHARITABLE TRUST'S WEBSITE. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. |
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