CCPOA INSURANCE DIVISION TRUST: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CCPOA INSURANCE DIVISION TRUST (EIN 94-6459649)
Tax period
2012-04-01 to 2013-03-31
Filed
2014-02-04
IRS object ID
201430359349300433
Schema version
2012v2.1
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)
Timestamp2014-02-04T16:20:46-06:00Timestamp
Tax Period End Date2013-03-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN300702322EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1HEMMING MORSE CPA'S AND CONSULTANTSBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1155 BOVET ROAD SUITE 600AddressLine1
CitySAN MATEOCity
StateCAState
ZIP Code94402ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-04-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN946459649EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CCPOA BENEFIT TRUST FUNDBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCCPONameControl
Phone9167796300Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12515 VENTURE OAKS WAY NO 200AddressLine1
CitySACRAMENTOCity
StateCAState
ZIP Code95833ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTRUSTEEName
TitleTRUSTEETitle
Phone9167796300Phone
Date Signed2014-01-26DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone4158364000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonTRUSTEENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12515 VENTURE OAKS WAY NO 200AddressLine1
CitySACRAMENTOCity
StateCAState
ZIP Code95833ZIPCode
FieldValueIRS element (for citing)
Gross Receipts228471287GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteN/AWebSite
Type Of Organization TrustXTypeOfOrganizationTrust
Year Formation1987YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionSEE PART III LINE 4AActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees39TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year212543525ProgramServiceRevenuePriorYear
Program Service Revenue CY219999403ProgramServiceRevenueCY
Investment Income Prior Year1673640InvestmentIncomePriorYear
Investment Income Current Year1741862InvestmentIncomeCurrentYear
Other Revenue Prior Year7815256OtherRevenuePriorYear
Other Revenue Current Year6725543OtherRevenueCurrentYear
Total Revenue Prior Year222032421TotalRevenuePriorYear
Total Revenue Current Year228466808TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year201941338BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY211257453BenefitsPaidToMembersCY
Salaries Etc Prior Year3810698SalariesEtcPriorYear
Salaries Etc Current Year3825996SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6934385OtherExpensePriorYear
Other Expenses Current Year6728918OtherExpensesCurrentYear
Total Expenses Prior Year212686421TotalExpensesPriorYear
Total Expenses Current Year221812367TotalExpensesCurrentYear
Revenues Less Expenses Prior Year9346000RevenuesLessExpensesPriorYear
Revenues Less Expenses CY6654441RevenuesLessExpensesCY
Total Assets BOY124009722TotalAssetsBOY
Total Assets EOY131328605TotalAssetsEOY
Total Liabilities BOY18877551TotalLiabilitiesBOY
Total Liabilities EOY18174224TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY105132171NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY113154381NetAssetsOrFundBalancesEOY
Mission DescriptionNONEMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionTO PROVIDE CERTAIN HEALTH AND WELFARE BENEFITS TO ELIGIBLE PARTICIPANTS AND THEIR DEPENDENTS.Description
Described In501 C30DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10964744NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees39NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement0RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Own WebsiteXOwnWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MICHAEL SMALLEYBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9167796300TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12515 VENTURE OAKS WAY SUITE 200AddressLine1
CitySACRAMENTOCity
StateCAState
ZIP Code95833ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
PAULA GOODES
TRUSTEE5.00X000
GAYLE MCKINNEY
TRUSTEE5.00X000
DAVID LEWIS
TRUSTEE5.00X000
PATRICK DAY
TRUSTEE5.00X000
PAUL KAPTURKIEWICZ
TRUSTEE5.00X000
MICHAEL SMALLEY
ADMINISTRATOR40.00228742037682X
LARRY WILSON
CONTROLLER40.00150606029450X
BENJAMIN SYBESMA
LDF ADMINISTRATOR40.00207056037682X
SUMAN JHA
CHIEF INFO. OFFICER40.00125751030844X
KATHLEEN KEEFE
CFO40.00111196025117X
FieldValueIRS element (for citing)
Total Reportable Comp From Org823351TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation160775TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
FIRST DENTAL HEALTH
PO BOX 919029SAN DIEGOCA92191ADMIN FEES297750
TRUCKER HUSS
1 EMBARCADERO CENTER FLOOR 12SAN FRANCISCOCA94111LEGAL COUNSEL166803
LEGAL SERVICE BUREAU
888 W SANTA ANA BLVD STE 2000SANTA ANACA92701COLLECTIONS156441
SEGAL
120 MONTGOMERY ST STE 500SAN FRANCISCOCA94104CONSULTANT115468
JOE GONSALVES
32151 FALL RIVER ROADTRABUCO CANYONCA92679CONSULTANT101701
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
EMPLOYER CONTRIBUTIONS900099164521518164521518
PARTICIPANT CONTRIBUTIONS9000995547788555477885
FieldValueIRS element (for citing)
Total Program Service Revenue219999403TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1741842TotalRevenueColumn
Exclusion$1,741,842ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities4499Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities4479Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities20Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column20TotalRevenueColumn
Exclusion$20ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
ADMIN FEE90009943543814354381
SERVICE FEE REVENUE90009921807822180782
RENT INCOME900099140189140189

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column50191TotalRevenueColumn
Related Or Exempt Function Income50191RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue6725543TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column228466808TotalRevenueColumn
Related Or Exempt Function Income226724946RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,741,862ExclusionAmount

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total211257453Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total823351Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2159939Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total658139Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total184567Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total4752079Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total178113Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total52583Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total47850Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total97151Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total94350Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total59462Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total78974Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total187300Total

Insurance Insurance

FieldValueIRS element (for citing)
Total88271Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotal
ACTUARY AND CONSULTANT285570
PRINTING AND POSTAGE210476
COLLECTION FEE157138
PARTICIPANT OUTREACH EX114930

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total324671Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total221812367Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY200BOY
EOY2388838EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY65297762BOY
EOY51931782EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY16863076BOY
EOY17634651EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY24432BOY
EOY40509EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis7029074LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3375816LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3819713BOY
EOY3653258EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY35178523BOY
EOY52189573EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2826016BOY
EOY3489994EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY124009722BOY
EOY131328605EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1090353BOY
EOY517125EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY17787198BOY
EOY17657099EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY18877551BOY
EOY18174224EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY105132171BOY
EOY113154381EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY105132171BOY
EOY113154381EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY124009722BOY
EOY131328605EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses6654441ReconcilationRevenueExpenses
Reconciliation Unrealized Invest1367769ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis726132OtherCostOrOtherBasis
Book Value726132BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4212593OtherCostOrOtherBasis
Depreciation1389107Depreciation
Book Value2823486BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis318898OtherCostOrOtherBasis
Depreciation315026Depreciation
Book Value3872BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1771451OtherCostOrOtherBasis
Depreciation1671683Depreciation
Book Value99768BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3653258TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
LEASE DEPOSITS$6,549
GROUP INSURANCE PREMIUMS PAYABLE$13,553,308
SELF-FUNDED BENEFIT CLAIMS PAYABLE$1,006,228
INCURRED BUT NOT REPORTED CLAIMS$2,846,000
DUE TO OTHER TRUST FUNDS$245,014
FieldValueIRS element (for citing)
Total Of Amounts17657099TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt229834577TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments1367769NetUnrealizedGainsInvestments
Revenue Not Rptd F9901367769RevenueNotRptdF990
Revenue Subtotal228466808RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990228466808TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt221812367TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal221812367ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990221812367TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MICHAEL SMALLEY
ADMINISTRATOR218742010000000167430209390266424000
LARRY WILSON
CONTROLLER15060600000130100164400180056000
BENJAMIN SYBESMA
LDF ADMINISTRATOR19805609000000167430209390244738000
SUMAN JHA
CHIEF INFO. OFFICER1242290152200094940213500156595000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION A, LINE 8BTHE ORGANIZATION DOES NOT HAVE ANY SUB COMMITTES WITH THE AUTHORITY TO ACT OF BEHALF OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS REVIEWED AND SIGNED BY TWO TRUSTEES PRIOR TO FILING.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES IT GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC ON THEIR WEBSITE OR UPON REQUEST.
FORM 990, PART XI, LINE 2CTHE BOARD OF TRUSTEES ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE ORGANIZATION'S FINANCIAL STATEMENTS AND SELECTION OF THE INDEPENDENT AUDITOR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1CALIFORNIA CORRECTIONAL PEACE OFFICERS ASSOCIATION LEGAL DEFENSE FUNDBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12515 VENTURE OAKS WAY SUITE 200AddressLine1
CitySACRAMENTOCity
StateCAState
ZIP Code95833ZIPCode
FieldValueIRS element (for citing)
EIN686072830EIN
Primary ActivitiesTO PROVIDE LEGAL REPRESENTATION TO ELIGIBLE PARTICIPANTSPrimaryActivities
Legal Domicile StateCALegalDomicileState
Exempt Code Section501C(9)ExemptCodeSection
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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