MATEO LODGE: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: MATEO LODGE (EIN 51-0140976)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-03-28
IRS object ID: 201310879349300121
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule L
Schedule M
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-03-28T15:37:59-05:00	Timestamp
Tax Period End Date	2012-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	263839190	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BURR PILGER MAYER INC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	2000 UNIVERSITY AVENUE SUITE 201	AddressLine1
City	EAST PALO ALTO	City
State	CA	State
ZIP Code	94303	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	510140976	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MATEO LODGE INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	MATE	NameControl
Phone	6505689140	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	420 CASSIA STREET	AddressLine1
City	REDWOOD CITY	City
State	CA	State
ZIP Code	94063	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	IAN D ADAMSON	Name
Title	CEO	Title
Phone	6505689140	Phone
Date Signed	2013-03-20	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	CAROLYN R AMSTER	Name
PTIN	P00189994	PTIN
Phone	6508556800	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	IAN D ADAMSON	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	420 CASSIA STREET	AddressLine1
City	REDWOOD CITY	City
State	CA	State
ZIP Code	94063	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	2621103	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	HTTP://MATEOLODGE.ORG/	WebSite
Type Of Organization Association	X	TypeOfOrganizationAssociation
Year Formation	1975	YearFormation
State Legal Domicile	CA	StateLegalDomicile
Activity Or Mission Description	TO PROVIDE COMMUNITY SUPPORT SERVICES FOR ADULTS SUFFERING FROM SERIOUS MENTAL ILLNESS IN SAN MATEO COUNTY.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	10	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	31	TotalNbrEmployees
Total Nbr Volunteers	36	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	2100089	ContributionsGrantsPriorYear
Contributions Grants Current Year	2108203	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	538653	ProgramServiceRevenuePriorYear
Program Service Revenue CY	512867	ProgramServiceRevenueCY
Investment Income Prior Year	31	InvestmentIncomePriorYear
Investment Income Current Year	33	InvestmentIncomeCurrentYear
Other Revenue Prior Year	49019	OtherRevenuePriorYear
Other Revenue Current Year	-1495	OtherRevenueCurrentYear
Total Revenue Prior Year	2687792	TotalRevenuePriorYear
Total Revenue Current Year	2619608	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	1642771	SalariesEtcPriorYear
Salaries Etc Current Year	1702516	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	1001405	OtherExpensePriorYear
Other Expenses Current Year	978444	OtherExpensesCurrentYear
Total Expenses Prior Year	2644176	TotalExpensesPriorYear
Total Expenses Current Year	2680960	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	43616	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-61352	RevenuesLessExpensesCY
Total Assets BOY	2992695	TotalAssetsBOY
Total Assets EOY	2924326	TotalAssetsEOY
Total Liabilities BOY	2629064	TotalLiabilitiesBOY
Total Liabilities EOY	2621033	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	363631	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	303293	NetAssetsOrFundBalancesEOY
Mission Description	TO PROVIDE COMMUNITY SUPPORT SERVICES FOR ADULTS SUFFERING FROM SERIOUS MENTAL ILLNESS IN SAN MATEO COUNTY.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	1569971	Expense
Revenue	512867	Revenue
Description	RESIDENT CARE FOR THE CHRONIC MENTALLY ILL. MATEO LODGE CARES FOR APPROXIMATELY 30 MENTALLY ILL ADULTS AT ANY GIVEN TIME IN A 24 HOUR SHELTERED RESIDENTIAL SETTING.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	330253	Expense
Revenue	0	Revenue
Description	SUPPORT TEAM: A COMMUNITY OUTREACH TEAM SERVING THE HOMELESS AND MENTALLY ILL. THE TEAM PROVIDES RESOURCE SUPPORT FOR COMMUNITY SERVICE AGENCIES COVERING ALL OF THE COUNTY OF SAN MATEO ON A 24 HOUR BASIS.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	356890	Expense
Revenue	0	Revenue
Description	REHABILITATION SERVICES: THIS INCLUDES (1) CASE MANAGEMENT, A COMMUNITY OUTREACH TEAM WHICH TRACKS ALL HOMELESS AND MENTALLY ILL WHO HAVE USED THE SERVICES AT MATEO LODGE, INC. (2) SHELTER PLUS CARE, A PROGRAM WHICH PROVIDES CASE MANAGERS TO OVERSEE HOMELESS INDIVIDUALS WHO ARE SEEKING PLACES OF RESIDENCE, AND (3) VARIOUS ADMINISTRATIVE SUPPORT PEOPLE.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	2257114	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	0	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	7	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	31	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Form1098 C Filed	1	Form1098CFiled
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	10	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	0	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	CA	StatesWhereCopyOfReturnIsFiled
Other Website	X	OtherWebsite

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	D J REED	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	6505689140	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	695 5TH AVENUE	AddressLine1
City	REDWOOD CITY	City
State	CA	State
ZIP Code	94063	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer
EVIN MURPHY
BOARD MEMBER	0.50	X	0	0	0
ED LYDEN
TREASURER	0.50	X	0	0	0	X
NORMA GUASPARI
BOARD MEMBER	0.50	X	0	0	0
BARBARA GREENLEAF
BOARD MEMBER	0.50	X	0	0	0
MEL CHIROLO
BOARD MEMBER	0.50	X	0	0	0
MATT MOHAMED
BOARD MEMBER	0.50	X	0	0	0
TAMI ROSELL
PRESIDENT	0.50	X	0	0	0	X
CHRISTOPHER DOUGLAS
BOARD MEMBER	0.50	X	0	0	0
JAYNE KENYON
SECRETARY	0.50	X	0	0	0	X
IAN D ADAMSON
CHIEF EXECUTIVE OFFICER	40.00		94604	0	12000	X
DJ REED
CHIEF FINANCIAL OFFICER	40.00		85037	0	2551	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	179641	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	14551	TotalOtherCompensation
Number Individuals GT100 K	0	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	0	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources
Number Of Contractors GT100 K	0	NumberOfContractorsGT100K
Fundraising Events	982	FundraisingEvents
Government Grants	1878669	GovernmentGrants
All Other Contributions	228552	AllOtherContributions
Noncash Contributions	183599	NoncashContributions
Total Contributions	2108203	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	RESIDENT FEES	Description
Business Code	721310	BusinessCode
Total Revenue Column	512867	TotalRevenueColumn
Related Or Exempt Function Income	512867	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	512867	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	33	TotalRevenueColumn
Exclusion	$33	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	0	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	982	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	1495	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-1495	TotalRevenueColumn
Exclusion	-$1,495	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2619608	TotalRevenueColumn
Related Or Exempt Function Income	512867	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	-$1,462	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	179641	Total
Program Services	1744	ProgramServices
Management And General	177897	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	950085	Total
Program Services	950085	ProgramServices

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	34428	Total
Program Services	20069	ProgramServices
Management And General	14359	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	451451	Total
Program Services	406424	ProgramServices
Management And General	45027	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	86911	Total
Program Services	589	ProgramServices
Management And General	86322	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	53800	Total
Management And General	53800	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	7128	Total
Management And General	7128	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	8115	Total
Program Services	6457	ProgramServices
Management And General	1658	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	100	Total
Management And General	100	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	71231	Total
Program Services	69805	ProgramServices
Management And General	1426	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	91644	Total
Program Services	90748	ProgramServices
Management And General	896	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	37748	Total
Program Services	28896	ProgramServices
Management And General	8852	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
RESIDENT GROCERIES	206956	206956
HOMELESS ASSISTANCE	109721	109695	26
AUTO EXPENSE	69924	69871	53
UTILITIES	61886	61886

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	260191	Total
Program Services	233889	ProgramServices
Management And General	26302	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	2680960	Total
Program Services	2257114	ProgramServices
Management And General	423846	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	393756	BOY
EOY	414659	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	30000	BOY
EOY	26200	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	35712	BOY
EOY	39563	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	3542491	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	1106195	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	2526323	BOY
EOY	2436296	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	6755	BOY
EOY	7578	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	149	BOY
EOY	30	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	2992695	BOY
EOY	2924326	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	109681	BOY
EOY	137965	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	578268	BOY
EOY	518924	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	1941115	BOY
EOY	1964144	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	2629064	BOY
EOY	2621033	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	363631	BOY
EOY	277093	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
EOY	26200	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	363631	BOY
EOY	303293	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2992695	BOY
EOY	2924326	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-61352	ReconcilationRevenueExpenses
Reconcilation Other Changes	1014	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1799462	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1922899	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1903286	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1922884	CurrentTaxYearMinus1Year
Current Tax Year	2108203	CurrentTaxYear
Total	9656734	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1799462	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1922899	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1903286	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1922884	CurrentTaxYearMinus1Year
Current Tax Year	2108203	CurrentTaxYear
Total	9656734	Total

Field	Value	IRS element (for citing)
Public Support Total170	9656734	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	73	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	85	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	27	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	31	CurrentTaxYearMinus1Year
Current Tax Year	33	CurrentTaxYear
Total	249	Total

Field	Value	IRS element (for citing)
Total Support	9656983	TotalSupport
Gross Receipts From Admissions Etc	2524099	GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage170	1.00000	PublicSupportPertcentage170
Public Support Pertcent Prior Year	1.00000	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1105039	OtherCostOrOtherBasis
Book Value	1105039	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1090228	OtherCostOrOtherBasis
Depreciation	494781	Depreciation
Book Value	595447	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1114097	OtherCostOrOtherBasis
Depreciation	505613	Depreciation
Book Value	608484	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	20680	OtherCostOrOtherBasis
Depreciation	9385	Depreciation
Book Value	11295	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	212447	OtherCostOrOtherBasis
Depreciation	96416	Depreciation
Book Value	116031	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	2436296	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
COUNTY OF SAN MATEO	$793,903
CITY OF SAN MATEO	$500,000
INTEREST EXPENSE PAYABLE	$290,387
PARTICIPATION LIABILITY	$379,854

Field	Value	IRS element (for citing)
Total Of Amounts	1964144	TotalOfAmounts
Total Revenue	2619608	TotalRevenue
Total Expenses	2680960	TotalExpenses
Excess Or Deficit For Year	-61352	ExcessOrDeficitForYear
Net Unrealized GL On Investments	899	NetUnrealizedGLOnInvestments
Other	$115	OtherAmount
Total Adjustments	1014	TotalAdjustments
Excess Or Deficit Per FS	-60338	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	2866999	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	898	NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities	244998	DonatedSrvcAndUseOfFacilities
Other Revenues	1495	OtherRevenues
Revenue Not Rptd F990	247391	RevenueNotRptdF990
Revenue Subtotal	2619608	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	2619608	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	2927337	TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities	244997	DonatedServicesUseOfFacilities
Other Expenses Included	1495	OtherExpensesIncluded
Expenses Not Rptd F990	246492	ExpensesNotRptdF990
Expenses Subtotal	2680845	ExpensesSubtotal
Other Expenses Not Included	115	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	115	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	2680960	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X:	MATEO LODGE, INC. FOLLOWS THE GUIDANCE FOR UNCERTAIN TAX POSITIONS. MANAGEMENT CONCLUDED THAT THERE ARE NO UNCERTAIN TAX POSITIONS AT JUNE 30, 2012.
PART XI, LINE 8 - OTHER ADJUSTMENTS:		DEPRECIATION 115.
PART XII, LINE 2D - OTHER ADJUSTMENTS:		SPECIAL EVENTS AND ACTIVITIES DIRECT EXPENSES INCLUDED ON LINE 9B 1,495.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:		SPECIAL EVENTS AND ACTIVITIES DIRECT EXPENSES INCLUDED ON LINE 9B 1,495.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:		DEPRECIATION 115.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
DENBY ADAMSON
WIFE OF CHIEF EXECUTIVE OFFICER	29513	EMPLOYEE OF ORGANIZATION	0
SARAH ADAMSON
DAUGHTER OF CHIEF EXECUTIVE OFFICER	28917	EMPLOYEE OF ORGANIZATION	0
(no name)
			0
BRIAN REED
BROTHER OF CHIEF FINANCIAL OFFICER	39454	EMPLOYEE OF ORGANIZATION	0

Schedule M IRS990ScheduleM

Cars And Other Vehicles CarsAndOtherVehicles

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	1383	NoncashContribsRptdF990
Method Of Determining Revenues	KELLEY BLUE BOOK	MethodOfDeterminingRevenues

Food Inventory FoodInventory

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	168290	NoncashContribsRptdF990
Method Of Determining Revenues	FAIR MARKET VALUE	MethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)

Non Cash CheckboxNonCashCheckbox	DescriptionDescription	Number Of ContributionsNumberOfContributions	Noncash Contribs Rptd F990NoncashContribsRptdF990	Method Of Determining RevenuesMethodOfDeterminingRevenues
X	RECREATION	1	14296	FAIR MARKET VALUE
X	SUPPLIES	1	1013	FAIR MARKET VALUE

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	0	ReviewProcessUnusualNCGifts
Third Parties Used	0	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11	A DRAFT OF THE TAX RETURN WILL BE E-MAILED TO THE BOARD. THE BOARD TREASURER WILL REVIEW AND ACCEPT QUESTIONS FROM OTHER BOARD MEMBERS. ONCE SATISFIED, THE BOARD WILL OK THE FILING.
FORM 990, PART VI, SECTION B, LINE 15	THE CHIEF EXECUTIVE OFFICER DETERMINES COMPENSATION BY COMPARING SALARY AVERAGES WITH OTHER ORGANIZATIONS AND THROUGH SURVEYS AVAILABLE ON THE INTERNET. FOR THE CHIEF EXECUTIVE OFFICER'S COMPENSATION, THE BOARD OF DIRECTORS DETERMINES HIS SALARY.
FORM 990, PART VI, SECTION C, LINE 18	THE ORGANIZATION'S RETURNS ARE AVAILABLE ON THE GUIDESTAR WEBSITE.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, POLICIES, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC
FORM 990, PART XI, LINE 5:	NET UNREALIZED GAINS ON INVESTMENTS: 899. DEPRECIATION 115. TOTAL TO FORM 990, PART XI, LINE 5: 1,014.	CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C	NO CHANGES TO AUDIT COMMITTEE.