KAHRIZAK FOUNDATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
KAHRIZAK FOUNDATION (EIN 95-4463572)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-11
IRS object ID
201343169349300609
Schema version
2012v2.3
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)
Timestamp2013-11-11T12:47:00-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1RAMINEH FANI NOWAKHTAR & RASHIDI LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line15757 WILSHIRE BLVD SUITE 937AddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code900365810ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN954463572EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1KAHRIZAK FOUNDATIONBusinessNameLine1
Business Name Line2DBA NOOR ACTIVE LIVING CENTERBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlKAHRNameControl
Phone4083804036Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11818 SCOTT BLVDAddressLine1
CitySANTA CLARACity
StateCAState
ZIP Code95050ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSAEED SHAKERIName
TitleCEOTitle
Phone4083804036Phone
Date Signed2013-11-05DateSigned
Authorize Third PartyfalseAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBIJAN RAMINEH CPAName
Phone3239375757Phone
Date Prepared2013-11-11DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSAEED SHAKERINameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11818 SCOTT BLVDAddressLine1
CitySANTA CLARACity
StateCAState
ZIP Code95050ZIPCode
FieldValueIRS element (for citing)
Gross Receipts130028GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.NOORACTIVELIVING.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTHE FOUNDATIONS'S PRIMARY EXEMPT PURPOSE IS TO PROVIDE ASSISTED LIVING FOR THE UNDER PREVILEGED ELDERLY MEN, WOMEN.ActivityOrMissionDescription
Nbr Voting Members Governing Body4NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees2TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year40550ContributionsGrantsPriorYear
Contributions Grants Current Year11331ContributionsGrantsCurrentYear
Program Service Revenue Prior Year114324ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year218InvestmentIncomePriorYear
Investment Income Current Year174InvestmentIncomeCurrentYear
Other Revenue Current Year78309OtherRevenueCurrentYear
Total Revenue Prior Year155092TotalRevenuePriorYear
Total Revenue Current Year89814TotalRevenueCurrentYear
Grants And Similar Amnts CY200GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year22926SalariesEtcPriorYear
Salaries Etc Current Year33645SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year78886OtherExpensePriorYear
Other Expenses Current Year109079OtherExpensesCurrentYear
Total Expenses Prior Year101812TotalExpensesPriorYear
Total Expenses Current Year142924TotalExpensesCurrentYear
Revenues Less Expenses Prior Year53280RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-53110RevenuesLessExpensesCY
Total Assets BOY3423570TotalAssetsBOY
Total Assets EOY3370460TotalAssetsEOY
Total Liabilities EOY0TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3423570NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3370460NetAssetsOrFundBalancesEOY
Mission DescriptionTHE FOUNDATIONS'S PRIMARY EXEMPT PURPOSE IS TO PROVIDE ASSISTED LIVING FOR THE UNDER PREVILEGED ELDERLY MEN, WOMEN.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense107721Expense
Grants200Grants
DescriptionREMODELING OF THE ORGANIZATIONS'S FACILITY TO PROVIDE RESIDENTIAL CARE TO NEEDY ELDERLY INDIVIDUALS UNDER THE LICENSE FROM THE STATE OF CALIFORNIA DEPARTMENT OF SOCIAL SERVICES WAS COMPLETED ON 11/28/2011. THE ORGANIZATION ACCEPTED RESIDENTS IN MID 2013 AND AT PRESENT HAS 3 RESIDENTS THAT RECEIVE 24/7 CARE. THE PLAN IS TO ADD ONE RESIDENT EACH MONTH.Description
Total Program Service Expense107721TotalProgramServiceExpense
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 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 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
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredfalseScheduleORequired
Number Forms Transmitted With10965NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees2NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members4NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
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 CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1KAHRIZAK FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4083804036TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11818 SCOTT BLVDAddressLine1
CitySANTA CLARACity
StateCAState
ZIP Code95050ZIPCode
FieldValueIRS element (for citing)
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (4 entries)

TitleTitleIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
SAEED SHAKERI
PRESIDENTXX000
AZADEH HARIRI
CFO/SECXX000
MAJID RAHIMIAN
X000
ASHRAF BAHADORZADEH
X000
FieldValueIRS element (for citing)
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
All Other Contributions11331AllOtherContributions
Total Contributions11331TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column174TotalRevenueColumn
Exclusion$174ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events118523GrossIncomeFundraisingEvents
Fundraising Direct Expenses40214FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column78309TotalRevenueColumn
Exclusion$78,309ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column89814TotalRevenueColumn
Exclusion$78,483ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total200Total
Program Services200ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total30799Total
Program Services17885ProgramServices
Management And General12914ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2846Total
Program Services1653ProgramServices
Management And General1193ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2832Total
Management And General2832ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total4140Total
Management And General4140ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total12899Total
Program Services12154ProgramServices
Management And General745ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total15240Total
Program Services15240ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total9747Total
Management And General9747ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total29963Total
Program Services29963ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROPERTY TAX - NOOR1561915619
UTILITIES85848584
BUILDING REPAIRS29012901
AUTO REIMBUSEMENT EXPENSE14001120280

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total5754Total
Program Services2402ProgramServices
Management And General3352ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total142924Total
Program Services107721ProgramServices
Management And General35203ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY571292BOY
EOY551881EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY153485BOY
EOY148659EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2701047LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec33627LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2696293BOY
EOY2667420EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2500BOY
EOY2500EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3423570BOY
EOY3370460EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY3423570BOY
EOY3370460EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3423570BOY
EOY3370460EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3423570BOY
EOY3370460EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-53110ReconcilationRevenueExpenses
Method Of Accounting CashXMethodOfAccountingCash
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years70501CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years94995CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years121643CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year40550CurrentTaxYearMinus1Year
Current Tax Year11331CurrentTaxYear
Total339020Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years70501CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years94995CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years121643CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year40550CurrentTaxYearMinus1Year
Current Tax Year11331CurrentTaxYear
Total339020Total
FieldValueIRS element (for citing)
Public Support Total170339020PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years60814CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years39238CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7841CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year218CurrentTaxYearMinus1Year
Current Tax Year174CurrentTaxYear
Total108285Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years115373CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years114103CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year119324CurrentTaxYearMinus1Year
Current Tax Year118523CurrentTaxYear
Total467323Total
FieldValueIRS element (for citing)
Total Support914628TotalSupport
Public Support Pertcentage1700.37070PublicSupportPertcentage170
Public Support Pertcent Prior Year0.53620PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1556892OtherCostOrOtherBasis
Book Value1556892BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1144155OtherCostOrOtherBasis
Depreciation33627Depreciation
Book Value1110528BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2667420TotalOfBookValueLandBuildings

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1SAN JOSE BAZARNameOfEvent1
Gross Receipts Event1110540GrossReceiptsEvent1
Gross Revenue Event1110540GrossRevenueEvent1
Other Direct Expenses Event140214OtherDirectExpensesEvent1
Name Of Event2RAMADANNameOfEvent2
Gross Receipts Event27983GrossReceiptsEvent2
Gross Revenue Event27983GrossRevenueEvent2
Gross Receipts Total118523GrossReceiptsTotal
Gross Revenue Total Events118523GrossRevenueTotalEvents
Other Direct Expenses Total Events40214OtherDirectExpensesTotalEvents
Direct Expense Summary Events40214DirectExpenseSummaryEvents
Net Income Summary78309NetIncomeSummary

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE TAX RETURN IS PREPARED BY AN OUTSIDE ACCOUNTANT AND IS REVIWED BY THE BOARD MEMBERS BEFORE FILING WITH FEDERAL AUTHORITIES.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CDURING THE COURSE OF THE YEAR, MANAGEMENT MONITORS TRANSACTIONS FOR POTENTIAL CONFLICTS AND REQUIRES ALL BOARD MEMBERS TO DISCLOSE ANY CONFLICTS IMMEDIATELY.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19NO DOCUMENTS AVAILABLE TO THE PUBLIC

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