FURP.ORG / PUBLIC DATA EXPLORER

BETHANY HOME SOCIETY FOUNDATION INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
BETHANY HOME SOCIETY FOUNDATION INC (EIN 91-1787884)
Tax period
2011-11-01 to 2012-10-31
Filed
2013-02-18
IRS object ID
201310499349300416
Schema version
2011v1.5
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)
Timestamp2013-02-18T09:41:29-08:00Timestamp
Tax Period End Date2012-10-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GENSKE MULDER AND CO - MODESTOBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line14803 SISK RD STE 201AddressLine1
CitySALIDACity
StateCAState
ZIP Code953689445ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-11-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN911787884EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BETHANY HOME SOCIETY FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBETHNameControl
Phone2095994221Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1930 W MAIN STAddressLine1
CityRIPONCity
StateCAState
ZIP Code95366ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameGERALD DE VRIESName
TitleTreasurerTitle
Date Signed2013-02-18DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NamePAUL ANEMA CPAName
Phone2095233573Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts542092GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2002YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTO RECEIVE AND RAISE FUNDS FOR A PERPETUAL ENDOWMENT FUND FOR THE PURPOSE OF USING THE INCOME THEREFROM TO RENDER ASSISTANCE TOWARD THE SUPPORT OF RESIDENTS OF THE RETIREMENT HOME OPERATED BY BETHANY HOME SOCIETY OF SAN JOAQUIN COUNTY, INC., A CALIFORNIA NONPROFIT CORPORATION AND TO PROVIDE FOR THE CONTINUITY OF EXISTENCE OF BETHANY SOCIETY OF SAN JOAQUIN COUNTY, INC. BY PROMOTING THE WELFARE OF SAID NONPROFIT CORPORATION THROUGH DISTRIBUTION OF FUND NET INCOME FOR THE EXEMPT PURPOSES OF BETHANY HOME SOCIETY OF SAN JOAQUIN COUNTY, INC.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year156682ContributionsGrantsPriorYear
Contributions Grants Current Year152155ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year73495InvestmentIncomePriorYear
Investment Income Current Year107739InvestmentIncomeCurrentYear
Other Revenue Prior Year-4874OtherRevenuePriorYear
Other Revenue Current Year7OtherRevenueCurrentYear
Total Revenue Prior Year225303TotalRevenuePriorYear
Total Revenue Current Year259901TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year115792GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY46455GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year47181SalariesEtcPriorYear
Salaries Etc Current Year50174SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year102081TotalFundrsngExpCurrentYear
Other Expense Prior Year33335OtherExpensePriorYear
Other Expenses Current Year70875OtherExpensesCurrentYear
Total Expenses Prior Year196308TotalExpensesPriorYear
Total Expenses Current Year167504TotalExpensesCurrentYear
Revenues Less Expenses Prior Year28995RevenuesLessExpensesPriorYear
Revenues Less Expenses CY92397RevenuesLessExpensesCY
Total Assets BOY2191688TotalAssetsBOY
Total Assets EOY2290053TotalAssetsEOY
Total Liabilities BOY90054TotalLiabilitiesBOY
Total Liabilities EOY96022TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2101634NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2194031NetAssetsOrFundBalancesEOY
Mission DescriptionTO RECEIVE AND RAISE FUNDS FOR A PERPETUAL ENDOWMENT FUND FOR THE PURPOSE OF USING THE INCOME THEREFROM TO RENDER ASSISTANCE TOWARD THE SUPPORT OF RESIDENTS OF THE RETIREMENT HOME OPERATED BY BETHANY HOME SOCIETY OF SAN JOAQUIN COUNTY, INC., A CALIFORNIA NONPROFIT CORPORATION AND TO PROVIDE FOR THE CONTINUITY OF EXISTENCE OF BETHANY SOCIETY OF SAN JOAQUIN COUNTY, INC. BY PROMOTING THE WELFARE OF SAID NONPROFIT CORPORATION THROUGH DISTRIBUTION OF FUND NET INCOME FOR THE EXEMPT PURPOSES OF BETHANY HOME SOCIETY OF SAN JOAQUIN COUNTY, INC.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense46455Expense
Grants46455Grants
Revenue259901Revenue
DescriptionSUPPORT OF RESIDENTS OF THE RETIREMENT HOME OPERATED BY BETHANY HOME SOCIETY OF SAN JOAQUIN COUNTY, INC., A CALIFORNIA NONPROFIT CORPORATIONDescription
Total Program Service Expense46455TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Employment Tax Returns FiledfalseEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJulie De AraujoNamePerson
Telephone Number2095994221TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1930 W MAIN ST RIPON CAAddressLine1
CityRIPONCity
StateCAState
ZIP Code95366ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (7 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
JACK COPELAND
Gen. Alternate1.00X000
GERALD DE VRIES
Treasurer1.00X000X
JAKE SONKE
Secretary1.00X000X
WARD SCHEMPER
Vice President1.00X000X
RON VAN ESSEN
President1.00X000X
WILLIE BYLSMA
Trustee1.00X000
KENT VAN GRONINGEN
Trustee1.00X000
FieldValueIRS element (for citing)
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions152155AllOtherContributions
Total Contributions152155TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column79712TotalRevenueColumn
Related Or Exempt Function Income79712RelatedOrExemptFunctionIncome

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Personal17400Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Personal17393Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Personal7Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column7TotalRevenueColumn
Related Or Exempt Function Income7RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities292825Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities264798Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities28027Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column28027TotalRevenueColumn
Related Or Exempt Function Income28027RelatedOrExemptFunctionIncome

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column259901TotalRevenueColumn
Related Or Exempt Function Income107746RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total46455Total
Program Services46455ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total32624Total
Fundraising32624Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total14698Total
Fundraising14698Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2852Total
Fundraising2852Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total4400Total
Management And General4400ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total13638Total
Management And General13638ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total6816Total
Fundraising6816Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total511Total
Fundraising511Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total288Total
Fundraising288Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total0Total

Insurance Insurance

FieldValueIRS element (for citing)
Total1018Total
Management And General870ManagementAndGeneral
Fundraising148Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalFundraisingFundraising
PUBLIC RELATIONS13761376
Printing and Publications34343434
CONTRACTED LABOR1511315113
50 ANNIVERSARY GALA2362823628

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total653Total
Management And General60ManagementAndGeneral
Fundraising593Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total167504Total
Program Services46455ProgramServices
Management And General18968ManagementAndGeneral
Fundraising102081Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY57964BOY
EOY67648EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis648000LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec37745LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY498307BOY
EOY610255EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1635417BOY
EOY1612150EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2191688BOY
EOY2290053EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY90054BOY
EOY96022EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY90054BOY
EOY96022EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2101634BOY
EOY2194031EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2101634BOY
EOY2194031EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2191688BOY
EOY2290053EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses92397ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewtrueAccountantCompileOrReview
FS AuditedfalseFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1BETHANY HOME SOCIETY OF SAN JOAQUINBusinessNameLine1
FieldValueIRS element (for citing)
EIN941546850EIN
Type Of Organization501 (C)(3)TypeOfOrganization
Listed In Governing DocfalseListedInGoverningDoc
Supported Organization NotifiedtrueSupportedOrganizationNotified
Organized In UStrueOrganizedInUS
Amount$46,455Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts46455SumOfAmounts

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 Balance1938749BeginningOfYearBalance
Contributions152155Contributions
Investment Earnings Or Losses168807InvestmentEarningsOrLosses
Grants Or Scholarships46455GrantsOrScholarships
Other Expenditures129341OtherExpenditures
Administrative Expenses115349AdministrativeExpenses
End Of Year Balance1968566EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1860281BeginningOfYearBalance
Contributions156682Contributions
Investment Earnings Or Losses98947InvestmentEarningsOrLosses
Grants Or Scholarships115792GrantsOrScholarships
Other Expenditures3007OtherExpenditures
Administrative Expenses58362AdministrativeExpenses
End Of Year Balance1938749EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1656163BeginningOfYearBalance
Contributions158814Contributions
Investment Earnings Or Losses247590InvestmentEarningsOrLosses
Grants Or Scholarships124162GrantsOrScholarships
Other Expenditures6857OtherExpenditures
Administrative Expenses71267AdministrativeExpenses
End Of Year Balance1860281EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance1.00000BoardDesignatedEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis212500InvestmentCostOrOtherBasis
Book Value212500BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis435500InvestmentCostOrOtherBasis
Depreciation37745Depreciation
Book Value397755BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings610255TotalOfBookValueLandBuildings

Schedule I IRS990ScheduleI

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1BETHANY HOME SOCIETY OF SAN JOAQBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1930 W MAIN STREETAddressLine1
CityRIPONCity
StateCAState
ZIP Code95366ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient941546850EINOfRecipient
Amount Of Cash Grant46455AmountOfCashGrant
Amount Of Non Cash Assistance0AmountOfNonCashAssistance
Purpose Of GrantSupport of organizations exempt purposePurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableAll governing documents, policies, and financial statements are available upon request
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsThe board is required to sign a confirmation of understanding of policy and disclose any conflicts annually.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessThe treasurer will review the return and confer with management or the accountants regarding any questions or comments. The treasurer will also be responsbible for signing the return.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1Bethany Home Society of San Joaquin IncBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1930 W Main StreetAddressLine1
CityRiponCity
StateCAState
ZIP Code95366ZIPCode
FieldValueIRS element (for citing)
EIN941546850EIN
Primary ActivitiesNursing HomePrimaryActivities
Legal Domicile StateCALegalDomicileState
Exempt Code Section501(c)(3)ExemptCodeSection
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Bethany Home Society of San Joaquin Inc
o110848DIRECT COSTS
Bethany Home Society of San Joaquin Inc
n32624DIRECT COSTS
Bethany Home Society of San Joaquin Inc
l59695DIRECT COSTS
Bethany Home Society of San Joaquin Inc
b46455FMV