PACIFIC OUTREACH FOUNDATION: Form 990PF, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- PACIFIC OUTREACH FOUNDATION (EIN 71-0864641)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-05-15
- IRS object ID
- 201401359349102625
- Schema version
- 2013v3.0
- 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 | 2014-05-15T16:55:46-05:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 680251243 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAMPBELL TAYLOR & COMPANY | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3741 DOUGLAS BLVD SUITE 350 | AddressLine1 |
| City | ROSEVILLE | City |
| State | CA | State |
| ZIP Code | 95661 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 710864641 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PACIFIC OUTREACH FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PACI | BusinessNameControlTxt |
| Phone | 8007269180 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1700 NORTH CHRISMAN ROAD | AddressLine1 |
| City | TRACY | City |
| State | CA | State |
| ZIP Code | 95304 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JEFFREY LEONARD | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 8007269180 | PhoneNum |
| Signature | 2014-05-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | CAMPBELL TAYLOR COMPANY | PreparerPersonNm |
| PTIN | P00003225 | PTIN |
| Phone | 9169293680 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-12-30 17:16:21Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| FMV Assets EOY | $9,627 | FMVAssetsEOYAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Rcvd Rev And Expnss | $78,189 | ContriRcvdRevAndExpnssAmt |
| Cap Gain Net Incm Net Invst Incm | $0 | CapGainNetIncmNetInvstIncmAmt |
| Total Rev And Expnss | $78,189 | TotalRevAndExpnssAmt |
| Total Net Invst Incm | $0 | TotalNetInvstIncmAmt |
| Total Adj Net Incm | $0 | TotalAdjNetIncmAmt |
| Comp Ofcr Dir Trst Rev And Expnss | $0 | CompOfcrDirTrstRevAndExpnssAmt |
| Comp Ofcr Dir Trst Net Invst Incm | $0 | CompOfcrDirTrstNetInvstIncmAmt |
| Comp Ofcr Dir Trst Adj Net Incm | $0 | CompOfcrDirTrstAdjNetIncmAmt |
| Comp Ofcr Dir Trst Dsbrs Chrtbl | $0 | CompOfcrDirTrstDsbrsChrtblAmt |
| Accounting Fees Rev And Expnss | $2,500 | AccountingFeesRevAndExpnssAmt |
| Accounting Fees Net Invst Incm | $0 | AccountingFeesNetInvstIncmAmt |
| Accounting Fees Adj Net Incm | $0 | AccountingFeesAdjNetIncmAmt |
| Accounting Fees Chrtbl Prps | $0 | AccountingFeesChrtblPrpsAmt |
| Taxes Rev And Expnss | $35 | TaxesRevAndExpnssAmt |
| Taxes Net Invst Incm | $0 | TaxesNetInvstIncmAmt |
| Taxes Adj Net Incm | $0 | TaxesAdjNetIncmAmt |
| Taxes Dsbrs Chrtbl | $0 | TaxesDsbrsChrtblAmt |
| Tot Opr Expenses Rev And Expnss | $2,535 | TotOprExpensesRevAndExpnssAmt |
| Tot Opr Expenses Net Invst Incm | $0 | TotOprExpensesNetInvstIncmAmt |
| Tot Opr Expenses Adj Net Incm | $0 | TotOprExpensesAdjNetIncmAmt |
| Tot Opr Expenses Dsbrs Chrtbl | $0 | TotOprExpensesDsbrsChrtblAmt |
| Contri Paid Rev And Expnss | $74,583 | ContriPaidRevAndExpnssAmt |
| Contri Paid Dsbrs Chrtbl | $74,583 | ContriPaidDsbrsChrtblAmt |
| Total Expenses Rev And Expnss | $77,118 | TotalExpensesRevAndExpnssAmt |
| Total Expenses Net Invst Incm | $0 | TotalExpensesNetInvstIncmAmt |
| Total Expenses Adj Net Incm | $0 | TotalExpensesAdjNetIncmAmt |
| Total Expenses Dsbrs Chrtbl | $74,583 | TotalExpensesDsbrsChrtblAmt |
| Excess Revenue Over Expenses | $1,071 | ExcessRevenueOverExpensesAmt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
Form990 PF Balance Sheets Form990PFBalanceSheetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | $8,556 | CashBOYAmt |
| Cash EOY | $9,627 | CashEOYAmt |
| Cash EOYFMV | $9,627 | CashEOYFMVAmt |
| Total Assets BOY | $8,556 | TotalAssetsBOYAmt |
| Total Assets EOY | $9,627 | TotalAssetsEOYAmt |
| Total Assets EOYFMV | $9,627 | TotalAssetsEOYFMVAmt |
| Total Liabilities BOY | $0 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
| Capital Stock BOY | $0 | CapitalStockBOYAmt |
| Capital Stock EOY | $0 | CapitalStockEOYAmt |
| Additional Paid In Capital BOY | $0 | AdditionalPaidInCapitalBOYAmt |
| Additional Paid In Capital EOY | $0 | AdditionalPaidInCapitalEOYAmt |
| Retained Earning BOY | $8,556 | RetainedEarningBOYAmt |
| Retained Earning EOY | $9,627 | RetainedEarningEOYAmt |
| Tot Net Ast Or Fund Balances BOY | $8,556 | TotNetAstOrFundBalancesBOYAmt |
| Tot Net Ast Or Fund Balances EOY | $9,627 | TotNetAstOrFundBalancesEOYAmt |
| Total Liabilities Net Ast BOY | $8,556 | TotalLiabilitiesNetAstBOYAmt |
| Total Liabilities Net Ast EOY | $9,627 | TotalLiabilitiesNetAstEOYAmt |
Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Net Ast Or Fund Balances BOY | $8,556 | TotNetAstOrFundBalancesBOYAmt |
| Excess Revenue Over Expenses | $1,071 | ExcessRevenueOverExpensesAmt |
| Other Increases | $0 | OtherIncreasesAmt |
| Subtotal | $9,627 | SubtotalAmt |
| Other Decreases | $0 | OtherDecreasesAmt |
| Tot Net Ast Or Fund Balances EOY | $9,627 | TotNetAstOrFundBalancesEOYAmt |
Qlfy Und Sect4940e Reduced Tax QlfyUndSect4940eReducedTaxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable Section4942 Tax | Yes (1) | LiableSection4942TaxInd |
Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | $0 | InvestmentIncomeExciseTaxAmt |
| Tax Under Section511 | $0 | TaxUnderSection511Amt |
| Subtotal | $0 | SubtotalAmt |
| Subtitle A Tax | $0 | SubtitleATaxAmt |
| Tax Based On Investment Income | $0 | TaxBasedOnInvestmentIncomeAmt |
| Total Payments And Credits | $0 | TotalPaymentsAndCreditsAmt |
| Tax Due | $0 | TaxDueAmt |
Statements Regarding Acty StatementsRegardingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Acty | 0 | LegislativePoliticalActyInd |
| More Than100 Spent | 0 | MoreThan100SpentInd |
| Form1120 POL Filed | 0 | Form1120POLFiledInd |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Tax Reimbursed | $0 | TaxReimbursedAmt |
| Activities Not Previously Rpt | 0 | ActivitiesNotPreviouslyRptInd |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylawsInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Organization Dissolved Etc | 0 | OrganizationDissolvedEtcInd |
| Section508e Rqr Satisfied | 0 | Section508eRqrSatisfiedInd |
| At Least5000 In Assets | Yes (1) | AtLeast5000InAssetsInd |
| Org Report Or Register State | CA | OrgReportOrRegisterStateCd |
| Form990 PF Filed With Atty Gen | Yes (1) | Form990PFFiledWithAttyGenInd |
| Private Operating Foundation | 0 | PrivateOperatingFoundationInd |
| New Substantial Contributors | 0 | NewSubstantialContributorsInd |
| Own Controlled Entity | 0 | OwnControlledEntityInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Comply With Public Insp Rqr | Yes (1) | ComplyWithPublicInspRqrInd |
| Website Address | NONE | WebsiteAddressTxt |
| Individual With Books | PACIFIC MEDICAL CORPORATION | IndividualWithBooksNm |
| Phone | 8007269180 | PhoneNum |
Location Of Books US Address LocationOfBooksUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1700 NORTH CHRISMAN ROAD | AddressLine1 |
| City | TRACY | City |
| State | CA | State |
| ZIP Code | 95304 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Accounts Question | 0 | ForeignAccountsQuestionInd |
Statements Regarding Acty4720 StatementsRegardingActy4720Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exch Disqualified Prsn | 0 | SaleOrExchDisqualifiedPrsnInd |
| Brrw Or Lend Disqualified Prsn | 0 | BrrwOrLendDisqualifiedPrsnInd |
| Furn Goods Disqualified Prsn | 0 | FurnGoodsDisqualifiedPrsnInd |
| Pay Comp Disqualified Prsn | 0 | PayCompDisqualifiedPrsnInd |
| Transfer Ast Disqualified Prsn | 0 | TransferAstDisqualifiedPrsnInd |
| Payment To Government Official | 0 | PaymentToGovernmentOfficialInd |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActsInd |
| Undistributed Income PY | 0 | UndistributedIncomePYInd |
| Business Holdings | 0 | BusinessHoldingsInd |
| Jeopardy Investments | 0 | JeopardyInvestmentsInd |
| Uncorrected PY Jeopardy Invst | 0 | UncorrectedPYJeopardyInvstInd |
| Influence Legislation | 0 | InfluenceLegislationInd |
| Influence Election | 0 | InfluenceElectionInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Noncharitable Purpose | 0 | NoncharitablePurposeInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp
Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (4 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt | Employee Benefit ProgramEmployeeBenefitProgramAmt | Expense Account Other AllwncExpenseAccountOtherAllwncAmt |
|---|---|---|---|---|---|---|---|---|
| JOHN PETLANSKY | ||||||||
| 1700 NORTH CHRISMAN ROAD | TRACY | CA | 95304 | PRESIDENT | 1.00 | $0 | $0 | $0 |
| JEFFREY LEONARD | ||||||||
| 1700 NORTH CHRISMAN ROAD | TRACY | CA | 95304 | TREASURER | 1.00 | $0 | $0 | $0 |
| PAUL WIESE | ||||||||
| 1700 NORTH CHRISMAN ROAD | TRACY | CA | 95304 | SECRETARY | 1.00 | $0 | $0 | $0 |
| STEVE MADSEN | ||||||||
| 1700 NORTH CHRISMAN ROAD | TRACY | CA | 95304 | VICE PRESIDENT | 1.00 | $0 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Hghst Pd Empl Or NONE | NONE | CompOfHghstPdEmplOrNONETxt |
| Other Employee Paid Over50k | 0 | OtherEmployeePaidOver50kCnt |
| Comp Of Hghst Pd Cntrct Or NONE | NONE | CompOfHghstPdCntrctOrNONETxt |
| Contractor Paid Over50k | 0 | ContractorPaidOver50kCnt |
Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | COMMUNITY OUTREACH AND ASSISTANCE TO VARIOUS CHARITABLE NON-PROFIT ORGANIZATIONS. SEE DONATION LIST, BY DONEE | Description1Txt |
| Expenses1 | $74,583 | Expenses1Amt |
Sum Of Program Related Invst SumOfProgramRelatedInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Minimum Investment Return MinimumInvestmentReturnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Average Monthly FMV Of Sec | $0 | AverageMonthlyFMVOfSecAmt |
| Average Monthly Cash Balances | $14,894 | AverageMonthlyCashBalancesAmt |
| FMV All Other Noncharitable Ast | $0 | FMVAllOtherNoncharitableAstAmt |
| Total FMV Of Unused Assets | $14,894 | TotalFMVOfUnusedAssetsAmt |
| Reduction Claimed | $0 | ReductionClaimedAmt |
| Acquisition Indebtedness | $0 | AcquisitionIndebtednessAmt |
| Adjusted Total FMV Of Unused Ast | $14,894 | AdjustedTotalFMVOfUnusedAstAmt |
| Cash Deemed Charitable | $223 | CashDeemedCharitableAmt |
| Net Vl Noncharitable Assets | $14,671 | NetVlNoncharitableAssetsAmt |
| Minimum Investment Return | $734 | MinimumInvestmentReturnAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | $734 | MinimumInvestmentReturnAmt |
| Total Tax | $0 | TotalTaxAmt |
| Distributable Before Adj | $734 | DistributableBeforeAdjAmt |
| Recoveries Qualfied Distri | $0 | RecoveriesQualfiedDistriAmt |
| Distributable Before Ded | $734 | DistributableBeforeDedAmt |
| Deduction From Distributable | $0 | DeductionFromDistributableAmt |
| Distributable As Adjusted | $734 | DistributableAsAdjustedAmt |
Qualifying Distri Part XII QualifyingDistriPartXIIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | $74,583 | ExpensesAndContributionsAmt |
| Program Related Invst Total | $0 | ProgramRelatedInvstTotalAmt |
| Qualifying Distributions | $74,583 | QualifyingDistributionsAmt |
| Pct Sect4940e Org Net Invst Incm | $0 | PctSect4940eOrgNetInvstIncmAmt |
| Adjusted Qualifying Distri | $74,583 | AdjustedQualifyingDistriAmt |
Undistributed Income UndistributedIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable As Adjusted | $734 | DistributableAsAdjustedAmt |
| Undistributed Income PY | $0 | UndistributedIncomePYAmt |
| Total For Prior Years | $0 | TotalForPriorYearsAmt |
| Excess Distribution Cyov Yr4 | $40,788 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $74,894 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $66,167 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $64,483 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $246,332 | TotalExcessDistributionCyovAmt |
| Qualifying Distributions | $74,583 | QualifyingDistributionsAmt |
| Applied To Year1 | $0 | AppliedToYear1Amt |
| Applied To Prior Years | $0 | AppliedToPriorYearsAmt |
| Treated As Distri From Corpus | $0 | TreatedAsDistriFromCorpusAmt |
| Applied To Current Year | $734 | AppliedToCurrentYearAmt |
| Remaining Distri From Corpus | $73,849 | RemainingDistriFromCorpusAmt |
| Excess Distri Cyov App CY Corpus | $0 | ExcessDistriCyovAppCYCorpusAmt |
| Excess Distribution Cyov App CY | $0 | ExcessDistributionCyovAppCYAmt |
| Total Corpus | $320,181 | TotalCorpusAmt |
| Prior Year Undistributed Incm | $0 | PriorYearUndistributedIncmAmt |
| Prior Year Deficiency Or Tax | $0 | PriorYearDeficiencyOrTaxAmt |
| Taxable1 | $0 | Taxable1Amt |
| Taxable2 | $0 | Taxable2Amt |
| Undistributed Income CY | $0 | UndistributedIncomeCYAmt |
| Corpus Distri170b1 E Or4942g3 | $0 | CorpusDistri170b1EOr4942g3Amt |
| Excess Distri Cyov From Yr5 | $0 | ExcessDistriCyovFromYr5Amt |
| Excess Distri Cyov To Next Yr | $320,181 | ExcessDistriCyovToNextYrAmt |
| Excess From Year4 | $40,788 | ExcessFromYear4Amt |
| Excess From Year3 | $74,894 | ExcessFromYear3Amt |
| Excess From Year2 | $66,167 | ExcessFromYear2Amt |
| Excess From Year1 | $64,483 | ExcessFromYear1Amt |
| Excess From Current Year | $73,849 | ExcessFromCurrentYearAmt |
Supplementary Information SupplementaryInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contri To Preselected | Yes (X) | OnlyContriToPreselectedInd |
Grant Or Contribution Pd Dur Yr GrantOrContributionPdDurYrGrp (31 entries)
| Address Line1RecipientUSAddress/AddressLine1 | CityRecipientUSAddress/City | StateRecipientUSAddress/State | ZIP CodeRecipientUSAddress/ZIPCode | Recipient RelationshipRecipientRelationshipTxt | Recipient Foundation StatusRecipientFoundationStatusTxt | Grant Or Contribution PurposeGrantOrContributionPurposeTxt | AmtAmt |
|---|---|---|---|---|---|---|---|
| BERNADETTE WILSON | |||||||
| 5850 EAST AVE 135 | LIVERMORE | CA | 94550 | NONE | N/A | ASSISTANCE TO INDIGENT FAMILIES | $795 |
| LORI MEJIA | |||||||
| 2041 LANCEY DR 23 | MODESTO | CA | 95355 | NONE | N/A | ASSISTANCE TO INDIGENT FAMILIES | $1,831 |
| BELINDA PENA | |||||||
| 1225 NANA PL | MANTECA | OR | 95336 | NONE | N/A | ASSISTANCE TO INIGENT FAMILIES | $1,767 |
| LANI BAKER | |||||||
| 665 YOSEMITE AVE | MANTECA | CA | 95337 | NONE | N/A | ASSISTANCE TO INDIGENT FAMILIES | $1,830 |
| DAVE GAMROTH | |||||||
| 2018 NW WHEATFIELD WAY | PORTLAND | CA | 97229 | NONE | N/A | ASSISTANCE TO INDIGENT FAMILIES | $7,170 |
| RELAY FOR LIFE | |||||||
| 207 E ALPINE AVE | STOCKTON | CA | 95204 | NONE | PUBLIC | DONATION | $100 |
| KARYN WHITTLE | |||||||
| 1112 VERMAL STREET | MANTECA | CA | 95337 | NONE | N/A | ASSISTANCE TO INDIGENT FAMILIES | $642 |
| MADIGAN FOUNDATION | |||||||
| 9040A JACKSON AVE | TACOMA | WA | 98431 | NONE | PUBLIC | SPONSORSHIP - HEALTH SERVICES | $8,674 |
| BOYS AND GIRLS CLUB | |||||||
| 753 W LOWELL AVE | TRACY | CA | 95376 | NONE | PUBLIC | DONATION | $3,000 |
| ST FRANCIS SCHOOL | |||||||
| 13440 COGBURN RD | ALPHARETTA | GA | 30004 | NONE | SCHOOL | DONATION- PURCHASED TICKETS TO FUNDRAISER | $1,000 |
| COMMUNITY HOSPICE FOUNDATION | |||||||
| 295 VALLEY VIEW BLVD | RENSSELAER | NY | 12144 | NONE | HOSPITAL | DONATION | $1,500 |
| CHRISTINE BYGUM | |||||||
| 258 LANCASTER DR APT 32 | MANTECA | CA | 95336 | NONE | N/A | ASSITANCE TO INDIGENT FAMILIES | $12,055 |
| CLUB PASCO REBELS | |||||||
| 6212 WESTMINSTER LANE | PASCO | WA | 99301 | NONE | PUBLIC | DONATION- BASEBALL SPONSORSHIP | $500 |
| BELLINGHAM TITANS | |||||||
| 2881 LAZER LN | BELLINGHAM | WA | 98226 | NONE | SCHOOL | DONATION OF UNIFORMS FOR SPORTS | $1,500 |
| ST JUDES | |||||||
| 262 DANNY THOMAS PLACE | MEMPHIS | TN | 38105 | NONE | PUBLIC | DONATION | $2,300 |
| POSITIVE COACHING ALLIANCE | |||||||
| 1001 N RENGSTORFF AVE STE 100 | KENNEWICK | WA | 99336 | NONE | PUBLIC | DONATION | $2,500 |
| DWANKHOZI HOPE | |||||||
| PO BOX 19411 | SEATTLE | WA | 98109 | NONE | PUBLIC | DONATION- GOLF TOURNAMENT FOR CHILDREN OF ZAMBIA | $250 |
| G2 CONSTRUCTION | |||||||
| 7117 WEST HOOD PLACE STE 1701 | KENNEWICK | WA | 99336 | NONE | PUBLIC | DONATION- GOLF FUNDRAISER | $750 |
| JACKSON ORTHORPEADIC FOUNDATION | |||||||
| 200 PORTER DR STE 215 | SAN RAMON | CA | 94583 | NONE | PUBLIC | DONATION- FUNDING SCHOLARSHIPS | $10,000 |
| SLE LUPUS FOUDATION | |||||||
| 330 SEVENTH AVE STE 1701 | NEW YORK | NY | 10001 | NONE | PUBLIC | DONATION | $250 |
| OPERATION RAINBOW | |||||||
| 4200 PARK BLVD | OAKLAND | CA | 94602 | NONE | PUBLIC | DONATION- FUNDING CLUB FOOT SURGERY IN THIRD WORLD COUNTRIES | $500 |
| AMERICAN HEART | |||||||
| 7272 GREENVILLE AVE | DALLAS | TX | 75231 | NONE | PUBLIC | DONATION | $800 |
| THE LITTLE LIGHT HOUSE | |||||||
| 5120 E 36TH STREET | TULSA | OK | 74135 | NONE | SCHOOL | DONATION | $1,500 |
| KIDS FIRST CHARITY GOLF TOURNAMENT | |||||||
| 1165 SCENIC DRIVE STE A | MODESTO | CA | 95350 | NONE | PUBLIC | DONATION | $1,000 |
| PAUL SCURTIS | |||||||
| 2701 DORIS CT | CARMICHAEL | CA | 95608 | NONE | N/A | ASSISTANCE TO INDIGENT FAMILES | $1,900 |
| BRIGHTER CHRISTMAS | |||||||
| PO BOX 642 | TRACY | CA | 95378 | NONE | PUBLIC | DONATION OF FOOD AND GIFTS FOR INDINGENT FAMILIES | $6,700 |
| DEBBIE MARTIN | |||||||
| 1825 HUNT AVE | MODESTO | CA | 95350 | NONE | N/A | ASSISTANCE TO INDIGENT FAMILIES | $1,159 |
| FISHER HOUSE | |||||||
| 111 ROCKVILLE PIKE STE 420 | ROCKVILLE | MD | 20850 | NONE | PUBLIC | DONATION | $1,000 |
| MARIA PEREZ | |||||||
| 1980 GORDON VERNER CIRCLE | STOCKTON | CA | 95206 | NONE | N/A | ASSISTANCE TO INDIGENT FAMILIES | $450 |
| SMILE TRAIN | |||||||
| PO BOX 96231 | WASHINGTON | DC | 20090 | NONE | PUBLIC | DONATION FOR CLEFT PALLET SURGERY | $1,000 |
| MIKE REMLEY CENTER FOUNDATION | |||||||
| 19560 BALL BUTTE CT | BEND | OR | 97702 | NONE | PUBLIC | DONATION | $160 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grant Or Contri Pd Dur Yr | $74,583 | TotalGrantOrContriPdDurYrAmt |
| Total Grant Or Contri Apprv Fut | $0 | TotalGrantOrContriApprvFutAmt |
Analysis Income Producing Acty AnalysisIncomeProducingActyGrp
Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Taxbl Incm | $0 | UnrelatedBusinessTaxblIncmAmt |
| Exclusion | $0 | ExclusionAmt |
| Related Or Exempt Function Incm | $0 | RelatedOrExemptFunctionIncmAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Income Producing Acty | $0 | TotalIncomeProducingActyAmt |
Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Nonchrtbl EO | 0 | TrnsfrOfCashToNonchrtblEOInd |
| Trnsfr Other Asset Nonchrtbl EO | 0 | TrnsfrOtherAssetNonchrtblEOInd |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssetsInd |
| Purchase Of Assets Nonchrtbl EO | 0 | PurchaseOfAssetsNonchrtblEOInd |
| Rental Of Facilities Oth Assets | 0 | RentalOfFacilitiesOthAssetsInd |
| Reimbursement Arrangements | 0 | ReimbursementArrangementsInd |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuaranteesInd |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtcInd |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtcInd |
| Relationships Nonchrtbl EO | 0 | RelationshipsNonchrtblEOInd |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | Yes (X) | Organization501c3ExemptPFInd |
| General Rule | Yes (X) | GeneralRuleInd |
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | 1 | ContributorNum |
| Contributor Person | PACIFIC MEDICAL CORPORATION | ContributorPersonNm |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1700 NORTH CHRISMAN ROAD | AddressLine1 |
| City | TRACY | City |
| State | CA | State |
| ZIP Code | 95304 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | $76,880 | TotalContributionsAmt |
| Person Contribution | Yes (X) | PersonContributionInd |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees Detail AccountingFeesDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING FEES | CategoryTxt |
| Amt | $2,500 | Amt |
| Net Investment Income | $0 | NetInvestmentIncomeAmt |
| Adjusted Net Income | $0 | AdjustedNetIncomeAmt |
| Disbursements Charitable Prps | $0 | DisbursementsCharitablePrpsAmt |
Taxes Schedule TaxesSchedule
Taxes Detail TaxesDetail (2 entries)
| CategoryCategoryTxt | AmtAmt | Net Investment IncomeNetInvestmentIncomeAmt | Adjusted Net IncomeAdjustedNetIncomeAmt | Disbursements Charitable PrpsDisbursementsCharitablePrpsAmt |
|---|---|---|---|---|
| FRANCHISE TAX BOARD | $10 | $0 | $0 | $0 |
| ATTORNEY GENERAL | $25 | $0 | $0 | $0 |
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