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PACIFICANS CARE: Form 990EZ, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
PACIFICANS CARE (EIN 77-0004308)
Tax period
2012-07-01 to 2013-06-30
Filed
2013-11-13
IRS object ID
201313179349202166
Schema version
2012v2.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-13T12:43:33-08:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LARRY J ANDERSON EABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line15010 GEARY BLVD SUITE 3AddressLine1
CitySAN FRANCISCOCity
StateCAState
ZIP Code941182857ZIPCode
FieldValueIRS element (for citing)
Return Type990EZReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN770004308EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PACIFICANS CAREBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPACINameControl
Phone6503596215Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 875AddressLine1
CityPACIFICACity
StateCAState
ZIP Code94044ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBRUCE BANCOName
TitlePRESIDENTTitle
Phone6503596215Phone
Date Signed2013-11-01DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameLARRY J ANDERSON EAName
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990-EZ IRS990EZ

FieldValueIRS element (for citing)
Method Of Accounting CashXMethodOfAccountingCash
Web SiteWWW.PACIFICANS-CARE.ORGWebSite
Organization501c3XOrganization501c3
Gross Receipts54712GrossReceipts
Info In Schedule O Part IXInfoInScheduleOPartI
Contributions Gifts Grants Etc20346ContributionsGiftsGrantsEtc
Program Service Revenue0ProgramServiceRevenue
Membership Dues0MembershipDues
Investment Income5262InvestmentIncome
Cost Other Basis And Sales Expenses0CostOtherBasisAndSalesExpenses
Gain Or Loss From Sale Of Assets0GainOrLossFromSaleOfAssets
Gaming Gross Income0GamingGrossIncome
Fundraising Gross Income27640FundraisingGrossIncome
Special Events Direct Expenses3910SpecialEventsDirectExpenses
Special Events Net Income Loss23730SpecialEventsNetIncomeLoss
Cost Of Goods Sold0CostOfGoodsSold
Gro Profit Loss Sales Of Inventory0GroProfitLossSalesOfInventory
Other Revenue Total1464OtherRevenueTotal
Total Revenue50802TotalRevenue
Grants And Similar Amounts Paid45000GrantsAndSimilarAmountsPaid
Fees And Oth Pymt To Ind Contractors1478FeesAndOthPymtToIndContractors
Occupancy Rent Utilities And Maint180OccupancyRentUtilitiesAndMaint
Printing Publications Postage132PrintingPublicationsPostage
Other Expenses Total3261OtherExpensesTotal
Total Expenses50051TotalExpenses
Excess Or Deficit For Year751ExcessOrDeficitForYear
Net Assets Or Fund Balances BOY161437NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY162188NetAssetsOrFundBalancesEOY

Cash Savings And Investments CashSavingsAndInvestments

FieldValueIRS element (for citing)
BOY161437BOY
EOY162188EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY161437BOY
EOY162188EOY

Net Assets Or Fund Balances NetAssetsOrFundBalances

FieldValueIRS element (for citing)
BOY161437BOY
EOY162188EOY
FieldValueIRS element (for citing)
Primary Exempt PurposeSEE STATEMENT ATTACHEDPrimaryExemptPurpose

Program Service Accomplishment ProgramServiceAccomplishment (4 entries)

Description Program Service AccomDescriptionProgramServiceAccomGrants And AllocationsGrantsAndAllocationsProgram Service ExpensesProgramServiceExpenses
SEE STATEMENT ATTACHED1550015500
SEE STATEMENT ATTACHED90009000
SEE STATEMENT ATTACHED60006000
SEE STATEMENT ATTACHED1450014500
FieldValueIRS element (for citing)
Total Program Service Expenses45000TotalProgramServiceExpenses

Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (5 entries)

TitleTitleAvg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPositionCompensationCompensation
BRUCE BANCO
PRESIDENT5.000
DEBORAH KIEST
VICE PRESIDENT2.000
ALICE BULL
RECORDING SECRETARY2.000
KATHY GUSTAVSON
CORRESPONDENCE SECRETARY2.000
MARI BRUMM-MIRRILL
TREASURER2.000
FieldValueIRS element (for citing)
Activities Not Previously RptfalseActivitiesNotPreviouslyRpt
Made Changes To Orgnzng Etc DocfalseMadeChangesToOrgnzngEtcDoc
Organization Had UBIfalseOrganizationHadUBI
Subject To Proxy TaxfalseSubjectToProxyTax
Organization Dissolved EtcfalseOrganizationDissolvedEtc
Did Org File Form1120 POL This YearfalseDidOrgFileForm1120POLThisYear
Made Loans To From OfficersfalseMadeLoansToFromOfficers
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTrans
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMARI BRUMM-MERRILLNamePerson

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1320 PALMETTO AVE APT 152AddressLine1
CityPACIFICACity
StateCAState
ZIP Code94044ZIPCode
FieldValueIRS element (for citing)
Telephone Number6503596215TelephoneNumber
FieldValueIRS element (for citing)
Foreign Financial AccountfalseForeignFinancialAccount
Foreign OfficefalseForeignOffice
Maintain Any Donor Advised FundsfalseMaintainAnyDonorAdvisedFunds
Does Org Have HospitalfalseDoesOrgHaveHospital
Tanning Services ProvidedfalseTanningServicesProvided
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction With Control EntityfalseTransactionWithControlEntity
Engage Political Cmpgn ActivitiesfalseEngagePoliticalCmpgnActivities
Engage In Lobbying ActivitiesfalseEngageInLobbyingActivities
Operating SchoolfalseOperatingSchool
Trnsfrs Exempt Non Char Related OrgfalseTrnsfrsExemptNonCharRelatedOrg
Part VI Of Comp Of Highest Paid EmplNONEPartVIOfCompOfHighestPaidEmpl
Part VIA Hghst Paid Cntrct Prof SerNONEPartVIAHghstPaidCntrctProfSer

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years26400CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years34674CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years38843CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year46110CurrentTaxYearMinus1Year
Current Tax Year44076CurrentTaxYear
Total190103Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years26400CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years34674CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years38843CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year46110CurrentTaxYearMinus1Year
Current Tax Year44076CurrentTaxYear
Total190103Total
FieldValueIRS element (for citing)
Public Support Total170190103PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2989CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1953CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2880CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4525CurrentTaxYearMinus1Year
Current Tax Year5262CurrentTaxYear
Total17609Total
FieldValueIRS element (for citing)
Total Support207712TotalSupport
Public Support Pertcentage1700.91520PublicSupportPertcentage170
Public Support Pertcent Prior Year0.91510PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
Public Support Total5090PublicSupportTotal509
Public Support Percentage5090PublicSupportPercentage509
Investment Income Percentage0InvestmentIncomePercentage

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 G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1CASINO NIGHTNameOfEvent1
Gross Receipts Event114671GrossReceiptsEvent1
Gross Revenue Event114671GrossRevenueEvent1
Other Direct Expenses Event13910OtherDirectExpensesEvent1
Name Of Event2HOLIDAY FUNDNameOfEvent2
Gross Receipts Event27454GrossReceiptsEvent2
Gross Revenue Event27454GrossRevenueEvent2
Gross Receipts Total22125GrossReceiptsTotal
Gross Revenue Total Events22125GrossRevenueTotalEvents
Other Direct Expenses Total Events3910OtherDirectExpensesTotalEvents
Direct Expense Summary Events3910DirectExpenseSummaryEvents
Net Income Summary18215NetIncomeSummary

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Volunteer Labor BingofalseVolunteerLaborBingo
Volunteer Labor Pull TabsfalseVolunteerLaborPullTabs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifierExplanationExplanation
Form 990EZ, Part I, Line 8PEDRO POINT COMM ASSOC - FISCAL SPONSOR 964. NPO GATEWAY - FISCAL SPONSOR 500.
Form 990EZ, Part I, Line 10GRANTS PAYMENTS FOR FOOD PACIFICA RESOURCE CENTER EXEMPT ORG 15500. GRANTS PAYMENTS FOR PACIFICA YOUTH SERVICE BUREAU EXEMPT ORG 9000. GRANTS FUNDING FOR CITY OF PACIFICA CHILD CARE SVC EXEMPT ORG 6000. GRANTS FUNDING FOR MEALS CITY OF PACIFICA SENIOR SERVICES EXEMPT ORG 13000. GRANTS MINI GRANT FOR PACIFICA COMMUNITY CENTER EXEMPT ORG 500. GRANTS FUNDING FOR AN PACIFICA SCHOOL VOLUNTEERS EXEMPT ORG 500. GRANTS MINI GRANT FOR INGRID B LACY MIDDLE SCHOOL EXEMPT ORG 500.
Form 990EZ, Part I, Line 16CREDIT AND COLLECTION COSTS 294. FILING FEES 55. INSURANCE 1250. INVESTMENT ACCOUNT FEES 21. INVESTMENT INTEREST EXPENSE 7. MARKETING 1584. PENALTY AND FINES 50.

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