TOLOSA CHILDRENS DENTAL CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
TOLOSA CHILDRENS DENTAL CENTER (EIN 77-0346861)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-02-15
IRS object ID
201430489349301568
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)
Timestamp2014-02-15T17:09:32-06:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN952772601EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GLENN BURDETTEBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11150 PALM STREETAddressLine1
CitySAN LUIS OBISPOCity
StateCAState
ZIP Code93401ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN770346861EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PARTNERSHIP FOR THE CHILDREN OFBusinessNameLine1
Business Name Line2SAN LUIS OBISPO COUNTYBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlPARTNameControl
Phone8052385334Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1717 WALNUT DRIVEAddressLine1
CityPASO ROBLESCity
StateCAState
ZIP Code93446ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJON HOLLISTERName
TitlePRESIDENTTitle
Phone8052385334Phone
Date Signed2014-01-28DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMICAL W BOVEE CPAName
PTINP01023187PTIN
Phone8055441441Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1TOLOSA CHILDREN'S DENTAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonJON HOLLISTERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1717 WALNUT DRIVEAddressLine1
CityPASO ROBLESCity
StateCAState
ZIP Code93446ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1453403GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteTOLOSACHILDRENSDENTAL.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1993YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE MEDICAL & DENTAL SERVICES FOR UNDERPRIVILEGED CHILDREN IN SAN LUIS OBISPO COUNTYActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees23TotalNbrEmployees
Total Nbr Volunteers18TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year157814ContributionsGrantsPriorYear
Contributions Grants Current Year123935ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1116066ProgramServiceRevenuePriorYear
Program Service Revenue CY1310220ProgramServiceRevenueCY
Investment Income Prior Year2775InvestmentIncomePriorYear
Investment Income Current Year2658InvestmentIncomeCurrentYear
Other Revenue Prior Year1411OtherRevenuePriorYear
Other Revenue Current Year-13055OtherRevenueCurrentYear
Total Revenue Prior Year1278066TotalRevenuePriorYear
Total Revenue Current Year1423758TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY986GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year920787SalariesEtcPriorYear
Salaries Etc Current Year1029330SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year3835TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY10893TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year65161TotalFundrsngExpCurrentYear
Other Expense Prior Year317949OtherExpensePriorYear
Other Expenses Current Year369316OtherExpensesCurrentYear
Total Expenses Prior Year1242571TotalExpensesPriorYear
Total Expenses Current Year1410525TotalExpensesCurrentYear
Revenues Less Expenses Prior Year35495RevenuesLessExpensesPriorYear
Revenues Less Expenses CY13233RevenuesLessExpensesCY
Total Assets BOY1004625TotalAssetsBOY
Total Assets EOY1000493TotalAssetsEOY
Total Liabilities BOY69392TotalLiabilitiesBOY
Total Liabilities EOY51639TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY935233NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY948854NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE MEDICAL & DENTAL SERVICES FOR UNDERPRIVILEGED CHILDREN IN SAN LUIS OBISPO COUNTYMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense1012441Expense
Grants986Grants
Revenue1310220Revenue
DescriptionPROVIDE FUNDS AND MEDICAL SERVICES TO UNDERPRIVILEDGED CHILDREN IN SAN LUIS OBISPO COUNTY.Description
Total Program Service Expense1012441TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
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 Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10965NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees23NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
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 Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy0WhistleblowerPolicy
Document Retention Policy0DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1SUZANNE RUSSELLBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8052385334TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1717 WALNUT DRIVEAddressLine1
CityPASO ROBLESCity
StateCAState
ZIP Code93446ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
MARTIN CRAVEN DDS
PRESIDENT2.00XX000
MAUREEN TITUS
VICE PRESIDENT2.00XX000
DAVE BOOKER
SECRETARY/TREASURER THRU 12/31/122.00XX000
CHUCK BRAUN
SECRETARY/TREASURER 1/1/20132.00XX000
JAC W PEDERSEN II DDS
FOUNDER & EX-OFFICIO MEMBE2.00XX000
DAVE ALLES
MEMBER0.50X000
LYNN COOPER
MEMBER THRU 4/30/131.00X000
JON HOLLISTER DDS
MEMBER1.00X000
JAMES OATES DDS
MEMBER0.50X000
JAMES TEDFORD MD
MEMBER0.50X000
LAURIE TORGERSON
MEMBER0.50X000
JAMES A FORESTER DDS
EMPLOYEE-DENTIST32.0015734805946X
MARTIN DUNNE DDS
EMPLOYEE-DENTIST32.0012977509135X
FieldValueIRS element (for citing)
Total Reportable Comp From Org287123TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation15081TotalOtherCompensation
Number Individuals GT100 K2NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events43777FundraisingEvents
Government Grants29647GovernmentGrants
All Other Contributions50511AllOtherContributions
Noncash Contributions22018NoncashContributions
Total Contributions123935TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PRODUCTION INCOME62130012677201267720
MEDICAL EHR INCENTIVE6213004250042500
FieldValueIRS element (for citing)
Total Program Service Revenue1310220TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2125TotalRevenueColumn
Exclusion$2,125ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities248Securities
Other400Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities0Securities
Other115Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities248Securities
Other285Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column533TotalRevenueColumn
Exclusion$533ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events16475GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events43777CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses29530FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-13055TotalRevenueColumn
Exclusion-$13,055ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1423758TotalRevenueColumn
Related Or Exempt Function Income1310220RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$10,397ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total986Total
Program Services986ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total294468Total
Program Services294468ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total627238Total
Program Services430960ProgramServices
Management And General148124ManagementAndGeneral
Fundraising48154Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total31269Total
Program Services10258ProgramServices
Management And General21011ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total76355Total
Program Services41232ProgramServices
Management And General29778ManagementAndGeneral
Fundraising5345Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total14694Total
Management And General14694ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total10893Total
Fundraising10893Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total423Total
Management And General423ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total113406Total
Program Services91900ProgramServices
Management And General21506ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total576Total
Program Services576ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total4119Total
Management And General4119ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total8748Total
Management And General8748ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total6524Total
Management And General6524ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total332Total
Management And General332ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2805Total
Program Services2805ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total46377Total
Management And General46377ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total19091Total
Management And General19091ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
DENTAL SUPPLIES112256111294962
LAB FEES2121721217
REPAIRS & MAINTENANCE61086108
JANITORIAL38003800

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total8840Total
Program Services637ProgramServices
Management And General7434ManagementAndGeneral
Fundraising769Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1410525Total
Program Services1012441ProgramServices
Management And General332923ManagementAndGeneral
Fundraising65161Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY49908BOY
EOY51924EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY608673BOY
EOY632503EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis616251LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec311106LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY335778BOY
EOY305145EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY10266BOY
EOY10921EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1004625BOY
EOY1000493EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY23725BOY
EOY16244EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY45667BOY
EOY35395EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY69392BOY
EOY51639EOY
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)
BOY935233BOY
EOY948854EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY935233BOY
EOY948854EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1004625BOY
EOY1000493EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses13233ReconcilationRevenueExpenses
Reconciliation Unrealized Invest388ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting CashXMethodOfAccountingCash
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited0FSAudited
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1398637CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1204303CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1152711CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year168169CurrentTaxYearMinus1Year
Current Tax Year123935CurrentTaxYear
Total4047755Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1398637CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1204303CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1152711CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year168169CurrentTaxYearMinus1Year
Current Tax Year123935CurrentTaxYear
Total4047755Total
FieldValueIRS element (for citing)
Public Support Total1704047755PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8396CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9575CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6527CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3733CurrentTaxYearMinus1Year
Current Tax Year2658CurrentTaxYear
Total30889Total
FieldValueIRS element (for citing)
Total Support4078644TotalSupport
Gross Receipts From Admissions Etc2428010GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99240PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99200PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance10226BeginningOfYearBalance
Contributions100Contributions
Investment Earnings Or Losses1018InvestmentEarningsOrLosses
Administrative Expenses423AdministrativeExpenses
End Of Year Balance10921EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance9355BeginningOfYearBalance
Contributions1000Contributions
Investment Earnings Or Losses-10InvestmentEarningsOrLosses
Other Expenditures119OtherExpenditures
End Of Year Balance10226EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance7858BeginningOfYearBalance
Contributions100Contributions
Investment Earnings Or Losses1521InvestmentEarningsOrLosses
Other Expenditures124OtherExpenditures
End Of Year Balance9355EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance7165BeginningOfYearBalance
Investment Earnings Or Losses825InvestmentEarningsOrLosses
Other Expenditures132OtherExpenditures
End Of Year Balance7858EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance8107BeginningOfYearBalance
Investment Earnings Or Losses-1753InvestmentEarningsOrLosses
Grants Or Scholarships1000GrantsOrScholarships
Administrative Expenses189AdministrativeExpenses
End Of Year Balance7165EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs1EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis271613OtherCostOrOtherBasis
Depreciation43499Depreciation
Book Value228114BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis344638OtherCostOrOtherBasis
Depreciation267607Depreciation
Book Value77031BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings305145TotalOfBookValueLandBuildings

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:Identifier
Return ReferencePART V, LINE 4:ReturnReference
ExplanationTHE ENDOWMENT FUND IS HELD AND ADMINISTERED BY THE SAN LUIS OBISPO COUNTY COMMUNITY FOUNDATION. THE PRIMARY PURPOSE OF THE FUND IS TO PROVIDE SUPPORT TO THE PARTNERSHIP FOR THE CHILDREN TO CARRY OUT ITS ROLE, MISSION AND CHARITABLE WORK AS DESCRIBED BY ITS GOVERNING DOCUMENTS.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1SUNSET BBQNameOfEvent1
Gross Receipts Event150629GrossReceiptsEvent1
Charitable Contributions Event137429CharitableContributionsEvent1
Gross Revenue Event113200GrossRevenueEvent1
Non Cash Prizes Event18535NonCashPrizesEvent1
Food And Beverage Event14050FoodAndBeverageEvent1
Entertainment Event11100EntertainmentEvent1
Other Direct Expenses Event19447OtherDirectExpensesEvent1
Name Of Event2SIP FOR SMILESNameOfEvent2
Gross Receipts Event29623GrossReceiptsEvent2
Charitable Contributions Event26348CharitableContributionsEvent2
Gross Revenue Event23275GrossRevenueEvent2
Cash Prizes Event2100CashPrizesEvent2
Non Cash Prizes Event24523NonCashPrizesEvent2
Food And Beverage Event21510FoodAndBeverageEvent2
Entertainment Event2125EntertainmentEvent2
Other Direct Expenses Event2140OtherDirectExpensesEvent2
Gross Receipts Total60252GrossReceiptsTotal
Charitable Contributions Total43777CharitableContributionsTotal
Gross Revenue Total Events16475GrossRevenueTotalEvents
Cash Prizes Total Events100CashPrizesTotalEvents
Non Cash Prizes Total Events13058NonCashPrizesTotalEvents
Food And Beverage Total Events5560FoodAndBeverageTotalEvents
Entertainment Total Events1225EntertainmentTotalEvents
Other Direct Expenses Total Events9587OtherDirectExpensesTotalEvents
Direct Expense Summary Events29530DirectExpenseSummaryEvents
Net Income Summary-13055NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonJAMES A FORESTER DDSNamePerson
TitleEMPLOYEE-DENTISTTitle
Base Compensation Filing Org157348BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org5946NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org163294TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11KEY OFFICERS OF THE ORGANIZATION REVIEW THE TAX RETURN BEFORE SIGNING AND FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY IS MONITORED ANNUALLY AND INTERESTED PARTIES WOULD REPORT ANY POTENTIAL CONFLICTS AS THEY SHOULD ARISE.
FORM 990, PART VI, SECTION C, LINE 19DOCUMENTS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST.

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