2014-05-14T11:33:10-05:00 2013-09-30 952772601 GLENN BURDETTE 1150 PALM STREET SAN LUIS OBISPO CA 93401 990 2012-10-01 952078722 ATASCADERO CHRISTIAN HOME INC ATAS 8054660281 8455 SANTA ROSA ROAD ATASCADERO CA 93422 DAN BUSBY 8054660281 2014-05-14 1 MICAL W BOVEE CPA P01023187 8055441441 2012 2015-11-30 17:44:51Z X PACIFIC CHRISTIAN SENIOR SERVICES DAN BUSBY 8455 SANTA ROSA ROAD ATASCADERO CA 93422 6379027 0 X WWW.PCSENIORSERVICES.ORG X 1957 CA TO PROVIDE CARE AND HOUSING FOR THE ELDERLY WITHIN A CHRISTIAN ENVIRONMENT. 4 4 140 10 0 0 41749 64007 5790012 6312063 5438 2957 162235 0 5999434 6379027 6787 0 0 0 3606424 3861559 0 0 0 2706873 3186140 6320084 7047699 -320650 -668672 4009401 3656620 4803676 5119566 -794275 -1462946 X OUR PURPOSE AT ATASCADERO CHRISTIAN HOME IS TO OFFER A TOTAL MINISTRY TO THE SENIOR POPULATION ON CALIFORNIA'S CENTRAL COAST BY MEETING THEIR SPIRITUAL, PHYSICAL, EMOTIONAL AND SOCIAL NEEDS. OUR GOAL IS TO PROVIDE AN ATTRACTIVE AND COMFORTABLE LIVING ENVIRONMENT, PROMOTE SPIRITUAL GROWTH, PHYSICAL WELL-BEING, HEART-FELT SATISFACTION, SOCIAL AWARENESS AND A FEELING OF SECURITY. OUR AIM IS TO PRODUCE AN ATMOSPHERE OF CARING AND SHARING IN ALL ACTIVITIES CONDUCTIVE TO SELF-WORTH SUPPORTING THE HIGHEST QUALITY OF LIFE. 0 0 1284631 1702436 PROVIDE INDEPENDENT AND ASSISTED LIVING FOR THE ELDERLY WITHIN A CHRISTIAN ENVIRONMENT FOR APPROXIMATELY 66 RESIDENTS. OF THOSE RESIDENTS, APPROXIMATELY 30% RECEIVE FINANCIAL ASSISTANCE FROM THE ORGANIZATION. 3378893 4609627 FULLY LICENSED SKILLED NURSING FACILITY THAT PROVIDES CARE IN A CHRISTIAN ENVIRONMENT FOR UP TO 60 RESIDENTS. 4663524 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 26 0 1 140 1 0 0 0 0 0 0 0 0 0 0 X 4 4 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X DAN BUSBY 8054660281 14900 EL CAMINO REAL ATASCADERO CA 93422 WILLIAM ZEIDERS 3.00 X X 0 0 0 ROGER HILLBERG 2.00 X X 0 0 0 RICHARD FLEER 2.00 X X 0 0 0 MARTIN ALLEN 2.00 X X 0 0 0 DAN BUSBY 40.00 X 85000 0 0 WILLIAM MOHR PART YEAR 40.00 X 89086 0 8256 174086 0 8256 0 0 0 0 HALLMARK REHAB 27442 PORTOLA PARKWAY SUITE 200 FOOTHILL RANCH CA 92610 THERAPY 226049 HEALTHCARE SERVICES GROUP 3220 TILLMAN DRIVE SUITE 300 BENSALEM PA 19020 HOUSEKEEPING 188237 CENTRAL COAST HOME HEALTH 253 GRANADA SUITE D SAN LUIS OBISPO CA 93401 THERAPY 128964 3 64007 64007 SKILLED NURSING FACILI 623000 4609627 4609627 RESIDENTIAL CARE FACIL 623000 1702436 1702436 6312063 2957 2957 6379027 6312063 0 2957 174086 174086 2720087 2597382 122705 678306 591032 87274 289080 212330 76750 402599 272616 129983 55559 55559 32601 2467 30134 372377 35676 336701 41498 18149 23349 12496 4825 7671 167652 167652 344065 344065 64215 64215 SUPPLIES 508352 505128 3224 LICENSE AND PERMITS 347027 347027 PHYSICAL AND OCCUPATION 327871 327871 BAD DEBT 285831 285831 223997 96048 127949 7047699 4663524 2384175 0 2100 79851 355582 4827 658921 729028 249782 246598 109063 9108840 6863046 2318418 2245794 2297 2297 239162 422301 0 4009401 3656620 389355 894076 162169 120169 4207701 4103266 43379 1072 2055 4803676 5119566 X -794275 -1462946 -794275 -1462946 4009401 3656620 -668672 1 0 X 0 1 X 0 0 X 170430 83377 116573 41749 64007 476136 170430 83377 116573 41749 64007 476136 476136 18124 17707 10737 5438 2957 54963 5391 33252 2855 115 23180 64793 595892 0.79900 0.82980 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 284368 284368 7662941 5910430 1752511 1160008 952616 207392 1523 1523 2245794 PATIENT TRUST FUNDS 2055 2055 X 6379027 0 6379027 0 6379027 7047699 0 7047699 0 7047699 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: INCOME TAXES TOPIC OF FASB ACCOUNTING STANDARDS CODIFICATION REQUIRES, AMONG OTHER THINGS, THE RECOGNITION AND MEASUREMENT OF TAX POSITIONS BASED ON A "MORE LIKELY THAN NOT" (LIKELIHOOD GREATER THAN 50%) APPROACH. AS OF SEPTEMBER 30, 2013, THE ORGANIZATION DID NOT MAINTAIN ANY TAX POSITIONS THAT DID NOT MEET THE "MORE LIKELY THAN NOT" THRESHOLD. HOWEVER, TAX RETURNS REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE FOR FISCAL YEARS ENDING ON OR AFTER SEPTEMBER 30, 2010, AND BY THE CALIFORNIA FRANCHISE TAX BOARD FOR FISCAL YEARS ENDING ON OR AFTER SEPTEMBER 30, 2009. FORM 990, PART VI, SECTION A, LINE 6 THE CORPORATION INCLUDES TWO CLASSES OF MEMBERSHIP, CHURCHES AND INDIVIDUALS, AND MEMBERSHIPS APPLICATIONS ARE APPROVED AND ACCEPTED BY THE BOARD. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS VOTE IN THE SELECTION OF THE BOARD AND OTHER BUSINESS COMING BEFORE MEMBERSHIP MEETINGS, MAY REMOVE BOARD MEMBERS BY A TWO THIRD VOTE AND ALSO MUST APPROVE ANY AMENDMENTS TO THE BYLAWS. FORM 990, PART VI, SECTION A, LINE 7B THE OFFICERS OF THE CORPORATION SHALL BE MEMBERS OF THE CORPORATION AND ELECTED BY THE BOARD OF TRUSTEES FROM AMONG THE TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11 A DRAFT COPY OF THE FORM 990 IS PROVIDED TO THE CEO, CONTROLLER AND TRUSTEES FOR REVIEW AND APPROVAL PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ENFORCEMENT AND MONITORING OF THE CONFLICT OF INTEREST POLICY IS DONE BY THE EXECUTIVE DIRECTOR THROUGH A REVIEW OF ALL CONTRACTS AND ACCOUNTS PAYABLES. ANY POTENTIAL CONFLICTS ARE TO BE ADDRESSED AS THEY SHOULD ARISE. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION PROCESS IS PERFORMED BY THE BOARD USING A COMPENSATION STUDY PROVIDED Y THE AMERICAN ASSOCIATION OF HOMES AND SERVICES FOR THE AGING. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, FINANCIAL INFORMATION AND POLICIES ARE AVAILABLE TO THE PUBLIC UPON REQUEST. TAXPAYER REQUESTS RELIEF FROM FILING LATE THE FIRST EXTENSION DUE FEBRUARY 15, 2014. THE PAID PREPARER BELIEVED THE EXTENSION WAS PROPERLY FILED BY PRIOR CPA, AND THUS THE TAXPAYER OPERATED UNDER THE GOOD FAITH BELIEF THAT THE EXTENSION HAD PROPERLY BEEN FILED. WE APOLOGIZE FOR THE OVERSIGHT ON OUR PART AND ON BEHALF OF THE CORPORATION WE REQUEST THAT YOU REMOVE ANY PENALTIES THAT MIGHT BE ASSESSED FOR LATE FILING CONSIDERING THE CIRCUMSTANCES AND REASONABLE CAUSE FOR THE CORPORATION FILING THE RETURN SUBSEQUENT TO THE DUE DATE OF 2/15/14.UNDER PENALTIES OF PERJURY, I DECLARE THAT THE FOREGOING INFORMATION TO THE BEST OF MY KNOWLEDGE AND BELIEF IS TRUE, CORRECT AND COMPLETE.