BLOSSOM BIRTH SERVICES: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
BLOSSOM BIRTH SERVICES (EIN 77-0506942)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201323199349311367
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)
Timestamp2013-11-15T17:51:42-08:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BHATIA AND CO INC CPASBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line15201 GREAT AMERICA PKWY STE 256AddressLine1
CitySANTA CLARACity
StateCAState
ZIP Code95054ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN770506942EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1BLOSSOM BIRTH SERVICESBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlBLOSNameControl
Phone6503212326Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1299 S CALIFORNIA AVENUEAddressLine1
CityPALO ALTOCity
StateCAState
ZIP Code94306ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameNOELLE THURLOWName
TitleBOARD MEMBERTitle
Phone6503212326Phone
Date Signed2013-11-12DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameNEERAJ BHATIA CPAName
Phone4088459411Phone
Date Prepared2013-11-15DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonNOELLE THURLOWNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1299 S CALIFORNIA AVENUE STE 120AddressLine1
CityPALO ALTOCity
StateCAState
ZIP Code94306ZIPCode
FieldValueIRS element (for citing)
Gross Receipts317531GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1999YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionChildbirth and Postpartum EducationActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members6NbrIndependentVotingMembers
Total Nbr Employees6TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year43931ContributionsGrantsPriorYear
Contributions Grants Current Year72283ContributionsGrantsCurrentYear
Program Service Revenue Prior Year176973ProgramServiceRevenuePriorYear
Program Service Revenue CY224363ProgramServiceRevenueCY
Investment Income Prior Year5InvestmentIncomePriorYear
Investment Income Current Year3InvestmentIncomeCurrentYear
Other Revenue Prior Year14973OtherRevenuePriorYear
Other Revenue Current Year20882OtherRevenueCurrentYear
Total Revenue Prior Year235882TotalRevenuePriorYear
Total Revenue Current Year317531TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year68201SalariesEtcPriorYear
Salaries Etc Current Year67998SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year4792TotalFundrsngExpCurrentYear
Other Expense Prior Year163812OtherExpensePriorYear
Other Expenses Current Year191543OtherExpensesCurrentYear
Total Expenses Prior Year232013TotalExpensesPriorYear
Total Expenses Current Year259541TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3869RevenuesLessExpensesPriorYear
Revenues Less Expenses CY57990RevenuesLessExpensesCY
Total Assets BOY37195TotalAssetsBOY
Total Assets EOY97070TotalAssetsEOY
Total Liabilities BOY19790TotalLiabilitiesBOY
Total Liabilities EOY21675TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY17405NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY75395NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionChildbirth and Postpartum EducationMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense253690Expense
Grants23000Grants
Revenue317531Revenue
DescriptionBLOSSOM BIRTH IS A NON-PROFIT EDUCATION AND RESOURCE CENTER THAT PROVIDES PARENTS AND BIRTH PROFESSIONALS WITH A HOLISTIC, NON-JUDGMENTAL VIEW OF PREGNANCY, CHILDBIRTH, AND EARLY PARENTING.Description
Total Program Service Expense253690TotalProgramServiceExpense
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 EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
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 ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
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 EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109649NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees6NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members6NumberIndependentVotingMembers
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
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJENNIFER DOOLINNamePerson
Telephone Number6503212326TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1299 S CALIFORNIA AVENUE STE 120AddressLine1
CityPALO ALTOCity
StateCAState
ZIP Code94306ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekKey EmployeeKeyEmployeeReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficer
MORA A OOMMEN
Executive Director20.00X3112500
ANNA HURTY
Secretary1.00000XX
DEBBIE MAC
Board Member1.00000X
HANNAH MESTEL
Co-Chair1.00000XX
ROTEM PEARLSON
Board Member1.00000X
DESTIA SKINNER
Officer1.00000XX
ALISA STERN
Board Member1.00000X
SHRADHA TIBREWAL
Co-Chair1.50000XX
NOELLE THURLOW
Board Member1.00000X
DOMINIQUE VINCENT
Board Member1.00000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org31125TotalReportableCompFromOrg
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Membership Dues750MembershipDues
All Other Contributions71533AllOtherContributions
Total Contributions72283TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionChildbirth/ Postpartum EducationDescription
Business Code624100BusinessCode
Total Revenue Column224363TotalRevenueColumn
FieldValueIRS element (for citing)
Total Program Service Revenue224363TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Fundraising Events20882GrossIncomeFundraisingEvents

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column20882TotalRevenueColumn
Exclusion$20,882ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column317531TotalRevenueColumn
Related Or Exempt Function Income224366RelatedOrExemptFunctionIncome
Exclusion$20,882ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total31125Total
Program Services31125ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total32001Total
Program Services32001ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4872Total
Program Services4872ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total7481Total
Program Services7481ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total637Total
Program Services637ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total8115Total
Program Services8115ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total50688Total
Program Services50688ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total6220Total
Program Services6220ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Program expense11244210765004792
Paypal expense2772277200
Bank charges2119211900
Taxes101000

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1059Total
Program Services0ProgramServices
Management And General1059ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total259541Total
Program Services253690ProgramServices
Management And General1059ManagementAndGeneral
Fundraising4792Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY37095BOY
EOY70978EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY100BOY
EOY26092EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY37195BOY
EOY97070EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1188BOY
EOY605EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY16855BOY
EOY18297EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1747BOY
EOY2773EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY19790BOY
EOY21675EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY17405BOY
EOY75395EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY17405BOY
EOY75395EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY37195BOY
EOY97070EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses57990ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2
Public Support Total1700PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Pertcentage1700PublicSupportPertcentage170

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years41515CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years44636CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years31505CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year43931CurrentTaxYearMinus1Year
Current Tax Year72283CurrentTaxYear
Total233870Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years151454CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years170306CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years205222CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year176973CurrentTaxYearMinus1Year
Current Tax Year224363CurrentTaxYear
Total928318Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years192969CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years214942CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years236727CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year220904CurrentTaxYearMinus1Year
Current Tax Year296646CurrentTaxYear
Total1162188Total
FieldValueIRS element (for citing)
Public Support Total5091162188PublicSupportTotal509

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Total1162188Total
FieldValueIRS element (for citing)
Public Support Percentage5091.00000PublicSupportPercentage509
Prior Year Support Percentage0.00000PriorYearSupportPercentage
Investment Income Percentage0InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00000PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Sales tax payable$1,835
Federal Payroll taxes$868
CA PIT/SDI$70
FieldValueIRS element (for citing)
Total Of Amounts2773TotalOfAmounts

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Gross Receipts Event120882GrossReceiptsEvent1
Gross Revenue Event120882GrossRevenueEvent1
Other Direct Expenses Event14792OtherDirectExpensesEvent1
Gross Receipts Total20882GrossReceiptsTotal
Gross Revenue Total Events20882GrossRevenueTotalEvents
Other Direct Expenses Total Events4792OtherDirectExpensesTotalEvents
Direct Expense Summary Events4792DirectExpenseSummaryEvents
Net Income Summary16090NetIncomeSummary

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanation
Pt VI, Line 11bBefore filing the tax return, form 990 is submitted
at the board meeting for approval
Pt VI, Line 12cConflict of interest policy is a part of the
organization's bylaws and the organization follows
the procedures mentioned in policy
Pt VI, Line 15aA meeting is held to decide on the compensation that
may be required to pay to the CEO or executive directors
Form 990, Part IX, Line 24fFEE & OTHER CHARGES 90. 90. 0. PRIOR PERIOD ADJUSTMENT 969. 969. 0.

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