PACIFIC OUTREACH FOUNDATION: Form 990PF, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- PACIFIC OUTREACH FOUNDATION (EIN 71-0864641)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-05-14
- IRS object ID
- 201331349349101198
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-14T11:57:01-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 680251243 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CAMPBELL TAYLOR & COMPANY | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3741 DOUGLAS BLVD SUITE 350 | AddressLine1 |
| City | ROSEVILLE | City |
| State | CA | State |
| ZIP Code | 95661 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990PF | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 710864641 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PACIFIC OUTREACH FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | PACI | NameControl |
| Phone | 8007269180 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1700 NORTH CHRISMAN ROAD | AddressLine1 |
| City | TRACY | City |
| State | CA | State |
| ZIP Code | 95304 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JEFFREY LEONARD | Name |
| Title | TREASURER | Title |
| Phone | 8007269180 | Phone |
| Date Signed | 2013-05-01 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CAMPBELL TAYLOR COMPANY | Name |
| PTIN | P00003226 | PTIN |
| Phone | 9169293680 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990-PF IRS990PF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Exempt PF | X | ExemptPF |
| FMV Assets EOY | 8556 | FMVAssetsEOY |
| Method Of Accounting Cash | X | MethodOfAccountingCash |
Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contri Received Rev And Expnss | 67134 | ContriReceivedRevAndExpnss |
| Capital Gain Net Incm Net Invst Incm | 0 | CapitalGainNetIncmNetInvstIncm |
| Total Revenue And Expenses | 67134 | TotalRevenueAndExpenses |
| Total Net Investment Income | 0 | TotalNetInvestmentIncome |
| Total Adjusted Net Income | 0 | TotalAdjustedNetIncome |
| Comp Ofcr Dir Trst Rev And Expnss | 0 | CompOfcrDirTrstRevAndExpnss |
| Comp Ofcr Dir Trst Net Invst Incm | 0 | CompOfcrDirTrstNetInvstIncm |
| Comp Ofcr Dir Trst Adj Net Incm | 0 | CompOfcrDirTrstAdjNetIncm |
| Comp Ofcr Dir Trst Dsbrs Chrtbl Prps | 0 | CompOfcrDirTrstDsbrsChrtblPrps |
| Accounting Fees Rev And Expnss | 2500 | AccountingFeesRevAndExpnss |
| Accounting Fees Net Invst Incm | 0 | AccountingFeesNetInvstIncm |
| Accounting Fees Adj Net Incm | 0 | AccountingFeesAdjNetIncm |
| Accounting Fees Dsbrs Chrtbl Prps | 0 | AccountingFeesDsbrsChrtblPrps |
| Taxes Rev And Expnss | 10 | TaxesRevAndExpnss |
| Taxes Net Invst Incm | 0 | TaxesNetInvstIncm |
| Taxes Adj Net Incm | 0 | TaxesAdjNetIncm |
| Taxes Dsbrs Chrtbl Prps | 0 | TaxesDsbrsChrtblPrps |
| Other Expenses Rev And Expnss | 25 | OtherExpensesRevAndExpnss |
| Other Expenses Net Invst Incm | 0 | OtherExpensesNetInvstIncm |
| Other Expenses Adj Net Incm | 0 | OtherExpensesAdjNetIncm |
| Other Expenses Dsbrs Chrtbl Prps | 0 | OtherExpensesDsbrsChrtblPrps |
| Tot Opr Expenses Rev And Expnss | 2535 | TotOprExpensesRevAndExpnss |
| Tot Opr Expenses Net Invst Incm | 0 | TotOprExpensesNetInvstIncm |
| Tot Opr Expenses Adj Net Incm | 0 | TotOprExpensesAdjNetIncm |
| Tot Opr Expenses Dsbrs Chrtbl Prps | 0 | TotOprExpensesDsbrsChrtblPrps |
| Contri Gifts Paid Rev And Expnss | 65404 | ContriGiftsPaidRevAndExpnss |
| Contri Gifts Paid Dsbrs Chrtbl Prps | 65404 | ContriGiftsPaidDsbrsChrtblPrps |
| Total Expenses Rev And Expnss | 67939 | TotalExpensesRevAndExpnss |
| Total Expenses Net Invst Incm | 0 | TotalExpensesNetInvstIncm |
| Total Expenses Adj Net Incm | 0 | TotalExpensesAdjNetIncm |
| Total Expenses Dsbrs Chrtbl Prps | 65404 | TotalExpensesDsbrsChrtblPrps |
| Excess Of Revenue Over Expenses | -805 | ExcessOfRevenueOverExpenses |
| Net Investment Income | 0 | NetInvestmentIncome |
| Adjusted Net Income | 0 | AdjustedNetIncome |
Balance Sheets BalanceSheets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cash BOY | 9361 | CashBOY |
| Cash EOY | 8556 | CashEOY |
| Cash EOYFMV | 8556 | CashEOYFMV |
| Total Assets BOY | 9361 | TotalAssetsBOY |
| Total Assets EOY | 8556 | TotalAssetsEOY |
| Total Assets EOYFMV | 8556 | TotalAssetsEOYFMV |
| Total Liabilities BOY | 0 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 0 | TotalLiabilitiesEOY |
| Org That Do Not Follow SFAS117 | X | OrgThatDoNotFollowSFAS117 |
| Capital Stock BOY | 0 | CapitalStockBOY |
| Capital Stock EOY | 0 | CapitalStockEOY |
| Paid In Or Capital Surplus BOY | 0 | PaidInOrCapitalSurplusBOY |
| Paid In Or Capital Surplus EOY | 0 | PaidInOrCapitalSurplusEOY |
| Retained Earnings BOY | 9361 | RetainedEarningsBOY |
| Retained Earnings EOY | 8556 | RetainedEarningsEOY |
| Total Net Assets BOY | 9361 | TotalNetAssetsBOY |
| Total Net Assets EOY | 8556 | TotalNetAssetsEOY |
| Total Liabilities Net Assets BOY | 9361 | TotalLiabilitiesNetAssetsBOY |
| Total Liabilities Net Assets EOY | 8556 | TotalLiabilitiesNetAssetsEOY |
Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Net Assets Fund Balances BOY | 9361 | TotalNetAssetsFundBalancesBOY |
| Excess Of Revenue Over Expenses | -805 | ExcessOfRevenueOverExpenses |
| Other Increases | 0 | OtherIncreases |
| Subtotal | 8556 | Subtotal |
| Other Decreases | 0 | OtherDecreases |
| Total Net Assets Fund Balances EOY | 8556 | TotalNetAssetsFundBalancesEOY |
Qlfy Und Sect4940e For Reduced Tax QlfyUndSect4940eForReducedTax
| Field | Value | IRS element (for citing) |
|---|---|---|
| Liable For4942 Tax | 0 | LiableFor4942Tax |
Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Income Excise Tax | 0 | InvestmentIncomeExciseTax |
| Tax Under Section511 | 0 | TaxUnderSection511 |
| Subtotal | 0 | Subtotal |
| Subtitle A Tax | 0 | SubtitleATax |
| Tax Based On Investment Income | 0 | TaxBasedOnInvestmentIncome |
| Total Credits And Payments | 0 | TotalCreditsAndPayments |
| Tax Due | 0 | TaxDue |
Statements Regarding Activities StatementsRegardingActivities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Legislative Political Activities | 0 | LegislativePoliticalActivities |
| More Than100 Spent | 0 | MoreThan100Spent |
| Form1120 POL Filed | 0 | Form1120POLFiled |
| Sect4955 Tax On Organization | 0 | Sect4955TaxOnOrganization |
| Sect4955 Tax On Managers | 0 | Sect4955TaxOnManagers |
| Reimbursement Of Tax | 0 | ReimbursementOfTax |
| Activities Not Prev Reported | 0 | ActivitiesNotPrevReported |
| Changes To Articles Or Bylaws | 0 | ChangesToArticlesOrBylaws |
| Unrelated Bus Income Over1000 | 0 | UnrelatedBusIncomeOver1000 |
| Termination Etc | 0 | TerminationEtc |
| Requirements Of Sect508e | 0 | RequirementsOfSect508e |
| At Least5000 In Assets | 1 | AtLeast5000InAssets |
| States Filed With | CA | StatesFiledWith |
| Form990 PF Filed With AG | 1 | Form990PFFiledWithAG |
| Private Operating Foundation | 0 | PrivateOperatingFoundation |
| New Substantial Contributors | 0 | NewSubstantialContributors |
| Interest In Controlled Entity | 0 | InterestInControlledEntity |
| Applicable Insurance Contract | 0 | ApplicableInsuranceContract |
| Comply With Public Inspection Rqr | 1 | ComplyWithPublicInspectionRqr |
| Website Address | NONE | WebsiteAddress |
| Books In Care Of Person Name | PACIFIC MEDICAL CORPORATION | BooksInCareOfPersonName |
| Books In Care Of Phone Number | 8007269180 | BooksInCareOfPhoneNumber |
Books In Care Of US Address BooksInCareOfUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1700 NORTH CHRISMAN ROAD | AddressLine1 |
| City | TRACY | City |
| State | CA | State |
| ZIP Code | 95304 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Bank | 0 | ForeignBank |
Statements Regarding Acty4720 StatementsRegardingActy4720
| Field | Value | IRS element (for citing) |
|---|---|---|
| Sale Or Exchange With Dsqfly Person | 0 | SaleOrExchangeWithDsqflyPerson |
| Borrow Or Lend With Dsqfly Person | 0 | BorrowOrLendWithDsqflyPerson |
| Furnished Goods With Dsqfly Person | 0 | FurnishedGoodsWithDsqflyPerson |
| Pay Compensation To Dsqfly Person | 0 | PayCompensationToDsqflyPerson |
| Transfer Assets To Dsqfly Person | 0 | TransferAssetsToDsqflyPerson |
| Payment To Government Offical | 0 | PaymentToGovernmentOffical |
| Uncorrected Prior Acts | 0 | UncorrectedPriorActs |
| Undistributed Income Prior Years | 0 | UndistributedIncomePriorYears |
| Business Holdings | 0 | BusinessHoldings |
| Jeopardy Investments | 0 | JeopardyInvestments |
| Uncorrected Jeopardy Investments | 0 | UncorrectedJeopardyInvestments |
| Influence Legislation | 0 | InfluenceLegislation |
| Influence Election | 0 | InfluenceElection |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Noncharitable Purpose | 0 | NoncharitablePurpose |
| Rcv Funds To Pay Prsnl Bnft Contract | 0 | RcvFundsToPayPrsnlBnftContract |
| Pay Premiums Prsnl Bnft Contract | 0 | PayPremiumsPrsnlBnftContract |
| Prohibited Tax Shelter Transactn | 0 | ProhibitedTaxShelterTransactn |
Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo
Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (4 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation | Contri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtc | Expense Account Other AllowancesExpenseAccountOtherAllowances |
|---|---|---|---|---|---|---|---|---|
| JOHN PETLANSKY | ||||||||
| 1700 NORTH CHRISMAN ROAD | TRACY | CA | 95304 | PRESIDENT | 0.25 | 0 | 0 | 0 |
| JEFFREY LEONARD | ||||||||
| 1700 NORTH CHRISMAN ROAD | TRACY | CA | 95304 | TREASURER | 0.25 | 0 | 0 | 0 |
| PAUL WIESE | ||||||||
| 1700 NORTH CHRISMAN ROAD | TRACY | CA | 95304 | SECRETARY | 0.25 | 0 | 0 | 0 |
| STEVE MADSEN | ||||||||
| 1700 NORTH CHRISMAN ROAD | TRACY | CA | 95304 | VICE PRESIDENT | 0.25 | 0 | 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Comp Of Highest Paid Empl NONE | NONE | CompOfHighestPaidEmplNONE |
| Tot Number Of Oth Empl Paid Over50k | 0 | TotNumberOfOthEmplPaidOver50k |
| Comp Of Hghst Paid Cntrct NONE | NONE | CompOfHghstPaidCntrctNONE |
| Tot Number Of Cntrct Paid Over50k | 0 | TotNumberOfCntrctPaidOver50k |
Summary Of Direct Charitable Acty SummaryOfDirectCharitableActy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description1 | COMMUNITY OUTREACH AND ASSISTANCE TO VARIOUS CHARITABLE NON-PROFIT ORGANIZATIONS. SEE DONATION LIST, BY DONEE | Description1 |
| Expenses1 | 67114 | Expenses1 |
Sum Of Program Related Investments SumOfProgramRelatedInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Minimum Investment Return MinimumInvestmentReturn
| Field | Value | IRS element (for citing) |
|---|---|---|
| Avg Monthly FMV Of Securities | 0 | AvgMonthlyFMVOfSecurities |
| Avg Monthly Cash Balances | 18705 | AvgMonthlyCashBalances |
| FMV All Other Noncharitable Assets | 0 | FMVAllOtherNoncharitableAssets |
| Total FMV Of Unused Assets | 18705 | TotalFMVOfUnusedAssets |
| Reduction Claimed | 0 | ReductionClaimed |
| Acquisition Indebtedness | 0 | AcquisitionIndebtedness |
| Adj Total FMV Of Unused Assets | 18705 | AdjTotalFMVOfUnusedAssets |
| Cash Deemed Charitable | 281 | CashDeemedCharitable |
| Net Noncharitable Assets | 18424 | NetNoncharitableAssets |
| Minimum Investment Return | 921 | MinimumInvestmentReturn |
Distributable DistributableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Minimum Investment Return | 921 | MinimumInvestmentReturn |
| Total Tax | 0 | TotalTax |
| Distributable Amount Before Adj | 921 | DistributableAmountBeforeAdj |
| Recoveries Qlfy Distributions | 0 | RecoveriesQlfyDistributions |
| Distributable Amount Before Ded | 921 | DistributableAmountBeforeDed |
| Deduction Fr Distributable | $0 | DeductionFrDistributableAmount |
| Distributable Amount As Adjusted | 921 | DistributableAmountAsAdjusted |
Qualifying Distributions QualifyingDistributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expenses And Contributions | 65404 | ExpensesAndContributions |
| Program Related Investments Total | 0 | ProgramRelatedInvestmentsTotal |
| Qualifying Distributions | 65404 | QualifyingDistributions |
| One Pct Sect4940e Org Net Invst Incm | 0 | OnePctSect4940eOrgNetInvstIncm |
| Adj Qualifying Distributions | 65404 | AdjQualifyingDistributions |
Undistributed Income UndistributedIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Distributable Amount As Adjusted | 921 | DistributableAmountAsAdjusted |
| Undistributed Income Prior Year | 0 | UndistributedIncomePriorYear |
| Total For Prior Years | 0 | TotalForPriorYears |
| Excess Distri Carryover Year3 | 40788 | ExcessDistriCarryoverYear3 |
| Excess Distri Carryover Year2 | 74894 | ExcessDistriCarryoverYear2 |
| Excess Distri Carryover Year1 | 66167 | ExcessDistriCarryoverYear1 |
| Total Excess Distri Carryover | 181849 | TotalExcessDistriCarryover |
| Qualifying Distributions | 65404 | QualifyingDistributions |
| Applied To Year1 | 0 | AppliedToYear1 |
| Applied To Prior Years | 0 | AppliedToPriorYears |
| Treated As Distri From Corpus | 0 | TreatedAsDistriFromCorpus |
| Applied To Current Year | 921 | AppliedToCurrentYear |
| Remaining Distri From Corpus | 64483 | RemainingDistriFromCorpus |
| Excess Distri Cyov App CY Corpus | 0 | ExcessDistriCyovAppCYCorpus |
| Excess Distri Cyov Applied CY | 0 | ExcessDistriCyovAppliedCY |
| Total Corpus | 246332 | TotalCorpus |
| Prior Year Undistributed Income | 0 | PriorYearUndistributedIncome |
| Prior Year Deficiency Or Tax | 0 | PriorYearDeficiencyOrTax |
| Taxable Amount1 | 0 | TaxableAmount1 |
| Taxable Amount2 | 0 | TaxableAmount2 |
| Undistributed Income CY | 0 | UndistributedIncomeCY |
| Distri From Corpus170b1 E Or4942g3 | 0 | DistriFromCorpus170b1EOr4942g3 |
| Excess Distri Cyov From Year5 | 0 | ExcessDistriCyovFromYear5 |
| Excess Distri Cyov To Next Year | 246332 | ExcessDistriCyovToNextYear |
| Excess From Year3 | 40788 | ExcessFromYear3 |
| Excess From Year2 | 74894 | ExcessFromYear2 |
| Excess From Year1 | 66167 | ExcessFromYear1 |
| Excess From Current Year | 64483 | ExcessFromCurrentYear |
Supplementary Information SupplementaryInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Only Contributes To Preselected | X | OnlyContributesToPreselected |
Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (32 entries)
| Address Line1RecipientUSAddress/AddressLine1 | CityRecipientUSAddress/City | StateRecipientUSAddress/State | ZIP CodeRecipientUSAddress/ZIPCode | Recipient RelationshipRecipientRelationship | Recipient Foundation StatusRecipientFoundationStatus | Purpose Of Grant Or ContributionPurposeOfGrantOrContribution | AmountAmount |
|---|---|---|---|---|---|---|---|
| MADIGAN FOUNDATION | |||||||
| PO BOX 97215 | LAKEWOOD | WA | 98497 | NONE | PUBLIC | SPONSORSHIP - HEALTH SERVICES | $11,496 |
| FULL TREATMENT CENTER | |||||||
| 730 SUNRISE AVE 250 | ROSEVILLE | CA | 95661 | NONE | PUBLIC | SPONSORSHIP - HEALTH SERVICES | $2,200 |
| EMILY APACADO | |||||||
| 220 E CHANNEL ST | STOCKTON | CA | 95202 | NONE | N/A | ASSISTANCE TO INDIGENT FAMILIES | $300 |
| ANNIE BURNS | |||||||
| PO BOX 5355 | MODESTO | CA | 95352 | NONE | N/A | ASSISTANCE TO INDIGENT FAMILIES | $176 |
| TENNYSON HIGH SCHOOL | |||||||
| 313 WINSTON AVE | HAYWARD | CA | 94541 | NONE | PUBLIC | DONATION - HIGH SCHOOL FARM EQUIPMENT | $500 |
| CHURCH OF THE ASCENSION | |||||||
| PO BOX 687 | COPPEROPLIS | CA | 95228 | NONE | CHURCH | DONATION | $5,000 |
| RIPON PRIMARY URGENT CARE | |||||||
| 336 WEST MAIN ST | RIPON | CA | 95366 | NONE | HOSPITAL | DONATION OF MONEY FOR CLINICS | $4,000 |
| SJ COUNTY LEADERSHIP PRAYER BREAKFAST | |||||||
| PO BOX 78094 | STOCKTON | CA | 95267 | NONE | CHURCH | DONATION OF MONEY FOR BREAKFAST | $2,000 |
| OPERATION RAINBOW | |||||||
| 4200 PARK BLVD | OAKLAND | CA | 94602 | NONE | PUBLIC | DONATION | $1,000 |
| MELODY VINSON | |||||||
| 3291 SUSAN DRIVE | SAN BRUNO | CA | 94066 | NONE | N/A | ASSITANCE TO INDIGENT FAMILIES | $750 |
| RIPON KNIGHTS HIGH SCHOOL SPORTS | |||||||
| 435 MAPLE AVE | RIPON | CA | 95366 | NONE | SCHOOL | ASSISTANCE TO LOCAL SCHOOL | $2,000 |
| ARC LANE COUNTY | |||||||
| 4181 E STREET | SPRINGFIELD | OR | 97478 | NONE | PUBLIC | DONATION FOR DISABLED CHILDREN | $125 |
| WOUNDED WARRIORS | |||||||
| PO BOX 3023 | VISALIA | CA | 93278 | NONE | PUBLIC | DONATION OF THREE ROUNDS OF GOLF | $525 |
| DWANKHOZI HOPE | |||||||
| PO BOX 19411 | SEATTLE | WA | 98111 | NONE | PUBLIC | DONATION - MALARIA PREVENTION AND EDUCATION | $500 |
| MILLER'S TULARE FUNERAL HOME | |||||||
| 151 NH STREET | TULARE | CA | 93274 | NONE | N/A | DONATION - ASSISTANCE WITH ALANA WILTS FAMILY FUNERAL | $1,000 |
| UC DAVIS ATHLETICS | |||||||
| ONE SHIELDS AVENUE | DAVIS | CA | 95616 | NONE | SCHOOL | DONATION | $250 |
| MISSION HILLS CATHOLIC MORTUARY | |||||||
| 11160 STRANWOOD AVE | MISSION HILLS | CA | 91345 | NONE | NONE | DONATION- ASSITANCE WITH FUNERAL | $750 |
| G2 CONSTRUCTION CAMP PATRIOT | |||||||
| 201 NORTH EDISON STE 227 | KENNEWICK | WA | 99336 | NONE | NONE | DONATION | $750 |
| PANCREATIC CANCER ACTION NETWORK | |||||||
| 1500 ROSECRANS AVE STE 200 | MANHATTAN BEACH | CA | 90266 | NONE | PUBLIC | SPONSORSHIP - HEALTH SERVICES | $2,500 |
| REVOLUTION SPORTS HEALTH SCIENCE | |||||||
| 647 IRWIN ST UNIT D | SAN RAFAEL | CA | 94901 | NONE | NONE | SPONSORSHIP - HEALTH SERVICES | $3,000 |
| ALEX RIOS | |||||||
| 5756 PACIFIC AVE STE 94 | STOCKTON | CA | 95207 | NONE | N/A | ASSISTANCE TO INDIGENT FAMILIES | $257 |
| HOOKED ON DRIVING | |||||||
| 2347 SADDLEBACK DRIVE | DANVILLE | CA | 94506 | NONE | N/A | SURGEON EDUCATION | $990 |
| THE HEART INSTITUTE | |||||||
| PO BOX 28213 | FRESNO | CA | 93729 | NONE | HOSPITAL | SPONSORSHIP FOR HEALTH SERVICES | $600 |
| LANI BAKER | |||||||
| 55 EAST 10TH STREET | TRACY | CA | 95376 | NONE | N/A | ASSISTANCE TO INDIGENT FAMILIES | $1,926 |
| BRIGHTER CHRISTMAS | |||||||
| PO BOX 642 | TRACY | CA | 95378 | NONE | PUBLIC | COMMUNITY OUTREACH | $9,900 |
| TRACY YOUTH FOOTBALL LEAGUE | |||||||
| 793 S TRACY BLVD 269 | TRACY | CA | 95376 | NONE | PUBLIC | DONATION - YOUTH SPORTS | $250 |
| NOOR CLINIC | |||||||
| 1428 PHILLIPS LANE | SAN LUIS OBISPO | CA | 93407 | NONE | PUBLIC | SPONSORSHIP FOR HEALTH SERVICES | $2,000 |
| LORI MEJIA | |||||||
| 1639 PRINCETON AVE | MODESTO | CA | 95350 | NONE | N/A | ASSISTANCE TO INDIGENT FAMILIES | $1,039 |
| BERNADETTE WILSON | |||||||
| 5896 EAST AVENUE | LIVERMORE | CA | 94550 | NONE | N/A | ASSISTANCE TO INDIGENT FAMILIES | $840 |
| BRENDA SUAREZ | |||||||
| 644 SIERRA COURT | DUBLIN | CA | 94568 | NONE | N/A | ASSISTANCE TO INDIGENT FAMILIES | $1,400 |
| JOESPH MEDICAL CTR FOUNDATION | |||||||
| 2901 SQUALICUM PARKWAY | BELLINGHAM | WA | 98225 | NONE | HOSPITAL | SPONSORSHIP - HEALTH SERVICES | $250 |
| THUNDER HILL PARK | |||||||
| 9000 CROW CANYON ROAD SUITE S | DANVILLE | CA | 94506 | NONE | N/A | SURGEON EDUCATION | $7,130 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tot Grant Or Contri Paid During Year | 65404 | TotGrantOrContriPaidDuringYear |
| Tot Grant Or Contri Approved Future | 0 | TotGrantOrContriApprovedFuture |
Analysis Income Producing Acty AnalysisIncomeProducingActy
Subtotals Part XVIA SubtotalsPartXVIA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Unrelated Business Income | $0 | UnrelatedBusinessIncomeAmount |
| Exclusion | $0 | ExclusionAmount |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Part XVIA | 0 | TotalPartXVIA |
Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trnsfr Of Cash To Noncharitable EO | 0 | TrnsfrOfCashToNoncharitableEO |
| Trnsfr Oth Assets Noncharitable EO | 0 | TrnsfrOthAssetsNoncharitableEO |
| Sales Or Exchanges Of Assets | 0 | SalesOrExchangesOfAssets |
| Purchase Assets Noncharitable EO | 0 | PurchaseAssetsNoncharitableEO |
| Rental Of Facilities Etc | 0 | RentalOfFacilitiesEtc |
| Reimbursement Arrangements | 0 | ReimbursementArrangements |
| Loans Or Loan Guarantees | 0 | LoansOrLoanGuarantees |
| Performance Of Services Etc | 0 | PerformanceOfServicesEtc |
| Sharing Of Facilities Etc | 0 | SharingOfFacilitiesEtc |
| Relationships Noncharitable E Os | 0 | RelationshipsNoncharitableEOs |
Schedule B IRS990ScheduleB
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization501c3 Exempt PF | X | Organization501c3ExemptPF |
| General Rule | X | GeneralRule |
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | 1 | ContributorNumber |
| Contributor Name Individual | PACIFIC MEDICAL CORPORATION | ContributorNameIndividual |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1700 NORTH CHRISMAN ROAD | AddressLine1 |
| City | TRACY | City |
| State | CA | State |
| ZIP Code | 95304 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | 67134 | AggregateContributions |
| Person Contribution Type | X | PersonContributionType |
Accounting Fees Schedule AccountingFeesSchedule
Accounting Fees AccountingFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | ACCOUNTING FEES | Category |
| Amount | $2,500 | Amount |
| Net Investment Income | 0 | NetInvestmentIncome |
| Adjusted Net Income | 0 | AdjustedNetIncome |
| Disbursements Charitable Prps | 0 | DisbursementsCharitablePrps |
Other Expenses Schedule OtherExpensesSchedule
Other Expenses OtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | LICENSE FEE | Description |
| Revenue And Expenses Per Books | 25 | RevenueAndExpensesPerBooks |
| Net Investment Income | 0 | NetInvestmentIncome |
| Adjusted Net Income | 0 | AdjustedNetIncome |
| Disbursements Charitable Prps | 0 | DisbursementsCharitablePrps |
Taxes Schedule TaxesSchedule
Taxes Taxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Category | FRANCHISE TAX BOARD | Category |
| Amount | $10 | Amount |
| Net Investment Income | 0 | NetInvestmentIncome |
| Adjusted Net Income | 0 | AdjustedNetIncome |
| Disbursements Charitable Prps | 0 | DisbursementsCharitablePrps |
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