PACIFIC OUTREACH FOUNDATION: Form 990PF, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
PACIFIC OUTREACH FOUNDATION (EIN 71-0864641)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-05-15
IRS object ID
201231369349101678
Schema version
2011v1.2
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)
Timestamp2012-05-15T11:28:54-07:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Oto Bailey Fukumoto & Mishima IncBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO Box 99170AddressLine1
CityEmeryvilleCity
StateCAState
ZIP Code946629170ZIPCode
FieldValueIRS element (for citing)
Return Type990PFReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN710864641EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Pacific Outreach FoundationBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPACINameControl
Phone8007269180Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11700 North Chrisman RoadAddressLine1
CityTracyCity
StateCAState
ZIP Code95304ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJEFFREY LEONARDName
TitleTreasurerTitle
Date Signed2012-05-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJeffrey OtoName
Phone5106538160Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Exempt PFXExemptPF
FMV Assets EOY9361FMVAssetsEOY
Method Of Accounting CashXMethodOfAccountingCash

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Received Rev And Expnss67662ContriReceivedRevAndExpnss
Total Revenue And Expenses67662TotalRevenueAndExpenses
Total Net Investment Income0TotalNetInvestmentIncome
Accounting Fees Rev And Expnss3129AccountingFeesRevAndExpnss
Taxes Rev And Expnss10TaxesRevAndExpnss
Other Expenses Rev And Expnss150OtherExpensesRevAndExpnss
Tot Opr Expenses Rev And Expnss3289TotOprExpensesRevAndExpnss
Tot Opr Expenses Net Invst Incm0TotOprExpensesNetInvstIncm
Tot Opr Expenses Dsbrs Chrtbl Prps0TotOprExpensesDsbrsChrtblPrps
Contri Gifts Paid Rev And Expnss66997ContriGiftsPaidRevAndExpnss
Contri Gifts Paid Dsbrs Chrtbl Prps66997ContriGiftsPaidDsbrsChrtblPrps
Total Expenses Rev And Expnss70286TotalExpensesRevAndExpnss
Total Expenses Net Invst Incm0TotalExpensesNetInvstIncm
Total Expenses Dsbrs Chrtbl Prps66997TotalExpensesDsbrsChrtblPrps
Excess Of Revenue Over Expenses-2624ExcessOfRevenueOverExpenses
Net Investment Income0NetInvestmentIncome

Balance Sheets BalanceSheets

FieldValueIRS element (for citing)
Cash BOY11985CashBOY
Cash EOY9361CashEOY
Cash EOYFMV9361CashEOYFMV
Total Assets BOY11985TotalAssetsBOY
Total Assets EOY9361TotalAssetsEOY
Total Assets EOYFMV9361TotalAssetsEOYFMV
Total Liabilities EOY0TotalLiabilitiesEOY
Org That Do Not Follow SFAS117XOrgThatDoNotFollowSFAS117
Retained Earnings BOY11985RetainedEarningsBOY
Retained Earnings EOY9361RetainedEarningsEOY
Total Net Assets BOY11985TotalNetAssetsBOY
Total Net Assets EOY9361TotalNetAssetsEOY
Total Liabilities Net Assets BOY11985TotalLiabilitiesNetAssetsBOY
Total Liabilities Net Assets EOY9361TotalLiabilitiesNetAssetsEOY

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

FieldValueIRS element (for citing)
Total Net Assets Fund Balances BOY11985TotalNetAssetsFundBalancesBOY
Excess Of Revenue Over Expenses-2624ExcessOfRevenueOverExpenses
Subtotal9361Subtotal
Total Net Assets Fund Balances EOY9361TotalNetAssetsFundBalancesEOY

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

FieldValueIRS element (for citing)
Investment Income Excise Tax0InvestmentIncomeExciseTax

Statements Regarding Activities StatementsRegardingActivities

FieldValueIRS element (for citing)
Legislative Political ActivitiesfalseLegislativePoliticalActivities
More Than100 SpentfalseMoreThan100Spent
Form1120 POL FiledfalseForm1120POLFiled
Activities Not Prev ReportedfalseActivitiesNotPrevReported
Changes To Articles Or BylawsfalseChangesToArticlesOrBylaws
Unrelated Bus Income Over1000falseUnrelatedBusIncomeOver1000
Form990 T FiledfalseForm990TFiled
Termination EtcfalseTerminationEtc
Requirements Of Sect508efalseRequirementsOfSect508e
At Least5000 In AssetstrueAtLeast5000InAssets
States Filed WithCAStatesFiledWith
Form990 PF Filed With AGtrueForm990PFFiledWithAG
Private Operating FoundationfalsePrivateOperatingFoundation
New Substantial ContributorsfalseNewSubstantialContributors
Interest In Controlled EntityfalseInterestInControlledEntity
Applicable Insurance ContractfalseApplicableInsuranceContract
Comply With Public Inspection RqrtrueComplyWithPublicInspectionRqr
Website AddressnoneWebsiteAddress

Books In Care Of Business Name BooksInCareOfBusinessName

FieldValueIRS element (for citing)
Business Name Line1OBF&M INCBusinessNameLine1
FieldValueIRS element (for citing)
Books In Care Of Phone Number5106538160BooksInCareOfPhoneNumber

Books In Care Of US Address BooksInCareOfUSAddress

FieldValueIRS element (for citing)
Address Line12200 POWELL STREET SUITE 1100AddressLine1
CityEMERYVILLECity
StateCAState
ZIP Code94608ZIPCode
FieldValueIRS element (for citing)
Foreign BankfalseForeignBank

Statements Regarding Acty4720 StatementsRegardingActy4720

FieldValueIRS element (for citing)
Sale Or Exchange With Dsqfly PersonfalseSaleOrExchangeWithDsqflyPerson
Borrow Or Lend With Dsqfly PersonfalseBorrowOrLendWithDsqflyPerson
Furnished Goods With Dsqfly PersonfalseFurnishedGoodsWithDsqflyPerson
Pay Compensation To Dsqfly PersonfalsePayCompensationToDsqflyPerson
Transfer Assets To Dsqfly PersonfalseTransferAssetsToDsqflyPerson
Payment To Government OfficalfalsePaymentToGovernmentOffical
Acts Fail To Qualify As ExceptionsfalseActsFailToQualifyAsExceptions
Uncorrected Prior ActsfalseUncorrectedPriorActs
Undistributed Income Prior YearsfalseUndistributedIncomePriorYears
Undistr Income4942a2 Not AppliedfalseUndistrIncome4942a2NotApplied
Business HoldingsfalseBusinessHoldings
Excess Business HoldingsfalseExcessBusinessHoldings
Jeopardy InvestmentsfalseJeopardyInvestments
Uncorrected Jeopardy InvestmentsfalseUncorrectedJeopardyInvestments
Influence LegislationfalseInfluenceLegislation
Influence ElectionfalseInfluenceElection
Grants To IndividualsfalseGrantsToIndividuals
Grants To OrganizationsfalseGrantsToOrganizations
Noncharitable PurposefalseNoncharitablePurpose
Tr Fail To Qualify As ExceptionsfalseTrFailToQualifyAsExceptions
Maint Expend ResponsibilityfalseMaintExpendResponsibility
Rcv Funds To Pay Prsnl Bnft ContractfalseRcvFundsToPayPrsnlBnftContract
Pay Premiums Prsnl Bnft ContractfalsePayPremiumsPrsnlBnftContract
Prohibited Tax Shelter TransactnfalseProhibitedTaxShelterTransactn
Proceeds Or Net IncomefalseProceedsOrNetIncome

Ofcr Dir Trustees Key Employee Info OfcrDirTrusteesKeyEmployeeInfo

Ofcr Dir Trustees Or Key Employee OfcrDirTrusteesOrKeyEmployee (4 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeTitleTitleAvg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPositionCompensationCompensation
STEVE MADSEN
1700 NORTH CHRISMAN ROADTRACYCA95304Vice President1.000
PAUL WIESE
1700 NORTH CHRISMAN ROADTRACYCA95304Secretary1.000
JEFFREY LEONARD
1700 NORTH CHRISMAN ROADTRACYCA95304Treasurer2.000
JOHN PETLANSKY
1700 NORTH CHRISMAN ROADTRACYCA95304President2.000
FieldValueIRS element (for citing)
Comp Of Highest Paid Empl NONENONECompOfHighestPaidEmplNONE
Comp Of Hghst Paid Cntrct NONENONECompOfHghstPaidCntrctNONE

Summary Of Direct Charitable Acty SummaryOfDirectCharitableActy

FieldValueIRS element (for citing)
Description1COMMUNITY OUTREACH AND ASSISTANCE TO VARIOUS CHARITABLE NON-PROFIT ORGANIZATIONS. SEE DONATION LIST, BY DONEE.Description1
Expenses167662Expenses1

Minimum Investment Return MinimumInvestmentReturn

FieldValueIRS element (for citing)
Avg Monthly FMV Of Securities0AvgMonthlyFMVOfSecurities
Avg Monthly Cash Balances16857AvgMonthlyCashBalances
FMV All Other Noncharitable Assets0FMVAllOtherNoncharitableAssets
Total FMV Of Unused Assets16857TotalFMVOfUnusedAssets
Reduction Claimed0ReductionClaimed
Adj Total FMV Of Unused Assets16857AdjTotalFMVOfUnusedAssets
Cash Deemed Charitable253CashDeemedCharitable
Net Noncharitable Assets16604NetNoncharitableAssets
Minimum Investment Return830MinimumInvestmentReturn

Distributable DistributableAmount

FieldValueIRS element (for citing)
Minimum Investment Return830MinimumInvestmentReturn
Distributable Amount Before Adj830DistributableAmountBeforeAdj
Distributable Amount Before Ded830DistributableAmountBeforeDed
Distributable Amount As Adjusted830DistributableAmountAsAdjusted

Qualifying Distributions QualifyingDistributions

FieldValueIRS element (for citing)
Expenses And Contributions66997ExpensesAndContributions
Qualifying Distributions66997QualifyingDistributions
Adj Qualifying Distributions66997AdjQualifyingDistributions

Undistributed Income UndistributedIncome

FieldValueIRS element (for citing)
Distributable Amount As Adjusted830DistributableAmountAsAdjusted
Excess Distri Carryover Year240788ExcessDistriCarryoverYear2
Excess Distri Carryover Year174894ExcessDistriCarryoverYear1
Total Excess Distri Carryover115682TotalExcessDistriCarryover
Qualifying Distributions66997QualifyingDistributions
Treated As Distri From Corpus0TreatedAsDistriFromCorpus
Applied To Current Year830AppliedToCurrentYear
Remaining Distri From Corpus66167RemainingDistriFromCorpus
Total Corpus181849TotalCorpus
Undistributed Income CY0UndistributedIncomeCY
Excess Distri Cyov To Next Year181849ExcessDistriCyovToNextYear
Excess From Year240788ExcessFromYear2
Excess From Year174894ExcessFromYear1
Excess From Current Year66167ExcessFromCurrentYear

Supplementary Information SupplementaryInformation

FieldValueIRS element (for citing)
Only Contributes To PreselectedXOnlyContributesToPreselected

Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (26 entries)

Address Line1RecipientUSAddress/AddressLine1CityRecipientUSAddress/CityStateRecipientUSAddress/StateZIP CodeRecipientUSAddress/ZIPCodeRecipient RelationshipRecipientRelationshipRecipient Foundation StatusRecipientFoundationStatusPurpose Of Grant Or ContributionPurposeOfGrantOrContributionAmountAmount
Tracy Interfaith Ministries
311 West Grant LineTracyCA95378NONECHURCHDonation$400
Drycreek Ranch Middle School
8779 Cook Riolo RdRosevilleCA95747NONEN/ADonated money to a fundraiser benefitting leukemia and lymphoma$250
Brighter Christmas
po box 642TracyCA95304NONEPUBLICCommunity outreach$7,500
Adopt a Kid program
1776 Helsinki wayLivermoreCA94550NONEN/Asponsorship - adopt a kid program$2,250
Blue Star Mothers
800 South Murphy StreetStillwaterOK74074NONEPUBLICDonation$250
Salvation Army
1101 S LowryStillwaterOK74074NONEPUBLICDonation$250
Novato Community Hospital
180 Roland WayNovatoCA94945NONEHOSPITALDonation$1,000
St MichaelsSt Charles CYO Basketbal
46 Cascata CtLivermoreCA94550NONEPUBLICDonation - Youth sports$250
Tracy Hospital Foundation
1420 North Tracy BlvdTracyCA95376NONEHOSPITALSPONSORSHIP - HEALTH SERVICES$1,500
Dublin Nomads
4101 Dublin Blvd FL 137DublinCA94568NONEPUBLICSponsorship for youth sports activities$500
Ripon's primary urgent care center
336 West main StreetRiponCA95366NONEHOSPITALDonation of money for beds$10,000
Women's Shelter
620 North San Joaquin StreetStocktonCA95202NONEPUBLICSUPPORT LOCAL COMMUNITY CENTER$5,000
AVHS Athletic Booster
2558 Kilpatrick CtSan RamonCA94583NONESCHOOLdonation - high school sports program$500
Operation Rainbow
4200 park blvd pmb 157OaklandCA94602NONEPUBLICSponsorship for health services$6,500
The Arc Lane County
4181 E StreetSpringfieldOR97478NONEPUBLICDonation for disabled kids$125
Full Circle Treatment
8791 Morgan creek laneRosevilleCA95747NONEPUBLICsponsorship - drugs and alcohol treatment$1,200
Helping One Woman
po box 3375PinedaleCA93650NONEPUBLICDonation of Abused women prevention$550
Northern California Golf Associatio
6474 Patterson pass RdLivermoreCA94550NONEPUBLICDonation of golf club and tees$175
Camp Taylor
5424 Pirrone CourtSalidaCA95368NONEN/ASPONSORSHIP FOR KIDS WITH HEART DISEASE$700
Alisha Rodriguez
2356 Stockton BlvdSacramentoCA95817NONEN/AASSISTANCE TO INDIGENT FAMILIES$867
Julie Orcutt
27 w 10th StreetTracyCA95376NONEN/AASSISTANCE TO INDIGENT FAMILIES$500
Madigan Foundation
PO Box 97215LakewoodWA98497NONEPUBLICSponsorship - Health services$16,635
BAVILYN FREEMAN
390 Towne Center DriveLathropCA95833NONEN/AASSISTANCE TO INDIGENT FAMILIES$1,595
PANCREATIC CANCER ACTION NETWORK
1500 ROSECRANS AVE SUITE200Manhattan BeachCA90266NONEPUBLICSPONSORSHIP FOR HEALTH SERVICES$2,500
MADDENKUONI DESTINATION MANAGEMENT
po bOX 9SAN MATEOCA94401NONEPUBLICSPONSORSHIP FOR HEALTH AND EDUCATION SERVICES$5,000
GRANADA FOOTBALL SOCCER
828 Placenza StreetLIVERMORECA94551NONESCHOOLASSISTANCE TO LOCAL SCHOOL$1,000
FieldValueIRS element (for citing)
Tot Grant Or Contri Paid During Year66997TotGrantOrContriPaidDuringYear

Trnsfr Tr Rln With Noncharitable EO TrnsfrTrRlnWithNoncharitableEO

FieldValueIRS element (for citing)
Trnsfr Of Cash To Noncharitable EOfalseTrnsfrOfCashToNoncharitableEO
Trnsfr Oth Assets Noncharitable EOfalseTrnsfrOthAssetsNoncharitableEO
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssets
Purchase Assets Noncharitable EOfalsePurchaseAssetsNoncharitableEO
Rental Of Facilities EtcfalseRentalOfFacilitiesEtc
Reimbursement ArrangementsfalseReimbursementArrangements
Loans Or Loan GuaranteesfalseLoansOrLoanGuarantees
Performance Of Services EtcfalsePerformanceOfServicesEtc
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtc
Relationships Noncharitable E OsfalseRelationshipsNoncharitableEOs

Schedule B IRS990ScheduleB

FieldValueIRS element (for citing)
Organization501c3 Exempt PFXOrganization501c3ExemptPF
General RuleXGeneralRule

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor Number1ContributorNumber
Contributor Name IndividualPACIFIC MEDICAL CORPORATIONContributorNameIndividual

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line11700 NORTH CHRISMAN ROADAddressLine1
CityTRACYCity
StateCAState
ZIP Code95304ZIPCode
FieldValueIRS element (for citing)
Aggregate Contributions67662AggregateContributions
Person Contribution TypeXPersonContributionType

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees AccountingFees

FieldValueIRS element (for citing)
CategoryAccountingCategory
Amount$3,129Amount
Net Investment Income0NetInvestmentIncome
Adjusted Net Income0AdjustedNetIncome
Disbursements Charitable Prps0DisbursementsCharitablePrps

Other Expenses Schedule OtherExpensesSchedule

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionRevenue And Expenses Per BooksRevenueAndExpensesPerBooks
Registry125
License Fee25

Taxes Schedule TaxesSchedule

Taxes Taxes

FieldValueIRS element (for citing)
CategoryFranchise Tax BoardCategory
Amount$10Amount

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