﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2011v1.2" xsi:schemaLocation="http://www.irs.gov/efile">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2012-05-15T11:28:54-07:00</Timestamp>
    <TaxPeriodEndDate>2011-12-31</TaxPeriodEndDate>
    <PreparerFirm>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>Oto Bailey Fukumoto &amp; Mishima Inc</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>PO Box 99170</AddressLine1>
        <City>Emeryville</City>
        <State>CA</State>
        <ZIPCode>946629170</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990PF</ReturnType>
    <TaxPeriodBeginDate>2011-01-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>710864641</EIN>
      <Name>
        <BusinessNameLine1>Pacific Outreach Foundation</BusinessNameLine1>
      </Name>
      <NameControl>PACI</NameControl>
      <Phone>8007269180</Phone>
      <USAddress>
        <AddressLine1>1700 North Chrisman Road</AddressLine1>
        <City>Tracy</City>
        <State>CA</State>
        <ZIPCode>95304</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>JEFFREY LEONARD</Name>
      <Title>Treasurer</Title>
      <DateSigned>2012-05-15</DateSigned>
      <AuthorizeThirdParty>true</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Name>Jeffrey Oto</Name>
      <Phone>5106538160</Phone>
    </Preparer>
    <TaxYear>2011</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="5">
    <IRS990PF documentId="IRS990PF" referenceDocumentId="GeneralExplanation" softwareId="11000144" softwareVersion="2011v1.2">
      <ExemptPF>X</ExemptPF>
      <FMVAssetsEOY>9361</FMVAssetsEOY>
      <MethodOfAccountingCash>X</MethodOfAccountingCash>
      <AnalysisOfRevenueAndExpenses>
        <ContriReceivedRevAndExpnss>67662</ContriReceivedRevAndExpnss>
        <TotalRevenueAndExpenses>67662</TotalRevenueAndExpenses>
        <TotalNetInvestmentIncome>0</TotalNetInvestmentIncome>
        <AccountingFeesRevAndExpnss referenceDocumentId="AccountingFeesSchedule">3129</AccountingFeesRevAndExpnss>
        <TaxesRevAndExpnss referenceDocumentId="TaxesSchedule">10</TaxesRevAndExpnss>
        <OtherExpensesRevAndExpnss referenceDocumentId="OtherExpensesSchedule AmortizationSchedule">150</OtherExpensesRevAndExpnss>
        <TotOprExpensesRevAndExpnss>3289</TotOprExpensesRevAndExpnss>
        <TotOprExpensesNetInvstIncm>0</TotOprExpensesNetInvstIncm>
        <TotOprExpensesDsbrsChrtblPrps>0</TotOprExpensesDsbrsChrtblPrps>
        <ContriGiftsPaidRevAndExpnss>66997</ContriGiftsPaidRevAndExpnss>
        <ContriGiftsPaidDsbrsChrtblPrps>66997</ContriGiftsPaidDsbrsChrtblPrps>
        <TotalExpensesRevAndExpnss>70286</TotalExpensesRevAndExpnss>
        <TotalExpensesNetInvstIncm>0</TotalExpensesNetInvstIncm>
        <TotalExpensesDsbrsChrtblPrps>66997</TotalExpensesDsbrsChrtblPrps>
        <ExcessOfRevenueOverExpenses>-2624</ExcessOfRevenueOverExpenses>
        <NetInvestmentIncome>0</NetInvestmentIncome>
      </AnalysisOfRevenueAndExpenses>
      <BalanceSheets>
        <CashBOY>11985</CashBOY>
        <CashEOY>9361</CashEOY>
        <CashEOYFMV>9361</CashEOYFMV>
        <TotalAssetsBOY>11985</TotalAssetsBOY>
        <TotalAssetsEOY>9361</TotalAssetsEOY>
        <TotalAssetsEOYFMV>9361</TotalAssetsEOYFMV>
        <TotalLiabilitiesEOY>0</TotalLiabilitiesEOY>
        <OrgThatDoNotFollowSFAS117>X</OrgThatDoNotFollowSFAS117>
        <RetainedEarningsBOY>11985</RetainedEarningsBOY>
        <RetainedEarningsEOY>9361</RetainedEarningsEOY>
        <TotalNetAssetsBOY>11985</TotalNetAssetsBOY>
        <TotalNetAssetsEOY>9361</TotalNetAssetsEOY>
        <TotalLiabilitiesNetAssetsBOY>11985</TotalLiabilitiesNetAssetsBOY>
        <TotalLiabilitiesNetAssetsEOY>9361</TotalLiabilitiesNetAssetsEOY>
      </BalanceSheets>
      <ChangesInNetAssetsFundBalances>
        <TotalNetAssetsFundBalancesBOY>11985</TotalNetAssetsFundBalancesBOY>
        <ExcessOfRevenueOverExpenses>-2624</ExcessOfRevenueOverExpenses>
        <Subtotal>9361</Subtotal>
        <TotalNetAssetsFundBalancesEOY>9361</TotalNetAssetsFundBalancesEOY>
      </ChangesInNetAssetsFundBalances>
      <ExciseTaxBasedOnInvestmentIncm>
        <InvestmentIncomeExciseTax>0</InvestmentIncomeExciseTax>
      </ExciseTaxBasedOnInvestmentIncm>
      <StatementsRegardingActivities>
        <LegislativePoliticalActivities>false</LegislativePoliticalActivities>
        <MoreThan100Spent>false</MoreThan100Spent>
        <Form1120POLFiled>false</Form1120POLFiled>
        <ActivitiesNotPrevReported>false</ActivitiesNotPrevReported>
        <ChangesToArticlesOrBylaws>false</ChangesToArticlesOrBylaws>
        <UnrelatedBusIncomeOver1000>false</UnrelatedBusIncomeOver1000>
        <Form990TFiled>false</Form990TFiled>
        <TerminationEtc>false</TerminationEtc>
        <RequirementsOfSect508e>false</RequirementsOfSect508e>
        <AtLeast5000InAssets>true</AtLeast5000InAssets>
        <StatesFiledWith>CA</StatesFiledWith>
        <Form990PFFiledWithAG>true</Form990PFFiledWithAG>
        <PrivateOperatingFoundation>false</PrivateOperatingFoundation>
        <NewSubstantialContributors>false</NewSubstantialContributors>
        <InterestInControlledEntity>false</InterestInControlledEntity>
        <ApplicableInsuranceContract>false</ApplicableInsuranceContract>
        <ComplyWithPublicInspectionRqr>true</ComplyWithPublicInspectionRqr>
        <WebsiteAddress>none</WebsiteAddress>
        <BooksInCareOfBusinessName>
          <BusinessNameLine1>OBF&amp;M INC</BusinessNameLine1>
        </BooksInCareOfBusinessName>
        <BooksInCareOfPhoneNumber>5106538160</BooksInCareOfPhoneNumber>
        <BooksInCareOfUSAddress>
          <AddressLine1>2200 POWELL STREET SUITE 1100</AddressLine1>
          <City>EMERYVILLE</City>
          <State>CA</State>
          <ZIPCode>94608</ZIPCode>
        </BooksInCareOfUSAddress>
        <ForeignBank>false</ForeignBank>
      </StatementsRegardingActivities>
      <StatementsRegardingActy4720>
        <SaleOrExchangeWithDsqflyPerson>false</SaleOrExchangeWithDsqflyPerson>
        <BorrowOrLendWithDsqflyPerson>false</BorrowOrLendWithDsqflyPerson>
        <FurnishedGoodsWithDsqflyPerson>false</FurnishedGoodsWithDsqflyPerson>
        <PayCompensationToDsqflyPerson>false</PayCompensationToDsqflyPerson>
        <TransferAssetsToDsqflyPerson>false</TransferAssetsToDsqflyPerson>
        <PaymentToGovernmentOffical>false</PaymentToGovernmentOffical>
        <ActsFailToQualifyAsExceptions>false</ActsFailToQualifyAsExceptions>
        <UncorrectedPriorActs>false</UncorrectedPriorActs>
        <UndistributedIncomePriorYears>false</UndistributedIncomePriorYears>
        <UndistrIncome4942a2NotApplied>false</UndistrIncome4942a2NotApplied>
        <BusinessHoldings>false</BusinessHoldings>
        <ExcessBusinessHoldings>false</ExcessBusinessHoldings>
        <JeopardyInvestments>false</JeopardyInvestments>
        <UncorrectedJeopardyInvestments>false</UncorrectedJeopardyInvestments>
        <InfluenceLegislation>false</InfluenceLegislation>
        <InfluenceElection>false</InfluenceElection>
        <GrantsToIndividuals>false</GrantsToIndividuals>
        <GrantsToOrganizations>false</GrantsToOrganizations>
        <NoncharitablePurpose>false</NoncharitablePurpose>
        <TrFailToQualifyAsExceptions>false</TrFailToQualifyAsExceptions>
        <MaintExpendResponsibility>false</MaintExpendResponsibility>
        <RcvFundsToPayPrsnlBnftContract>false</RcvFundsToPayPrsnlBnftContract>
        <PayPremiumsPrsnlBnftContract>false</PayPremiumsPrsnlBnftContract>
        <ProhibitedTaxShelterTransactn>false</ProhibitedTaxShelterTransactn>
        <ProceedsOrNetIncome>false</ProceedsOrNetIncome>
      </StatementsRegardingActy4720>
      <OfcrDirTrusteesKeyEmployeeInfo>
        <OfcrDirTrusteesOrKeyEmployee>
          <PersonName>STEVE MADSEN</PersonName>
          <USAddress>
            <AddressLine1>1700 NORTH CHRISMAN ROAD</AddressLine1>
            <City>TRACY</City>
            <State>CA</State>
            <ZIPCode>95304</ZIPCode>
          </USAddress>
          <Title>Vice President</Title>
          <AvgHoursPerWkDevotedToPosition>1.00</AvgHoursPerWkDevotedToPosition>
          <Compensation>0</Compensation>
        </OfcrDirTrusteesOrKeyEmployee>
        <OfcrDirTrusteesOrKeyEmployee>
          <PersonName>PAUL WIESE</PersonName>
          <USAddress>
            <AddressLine1>1700 NORTH CHRISMAN ROAD</AddressLine1>
            <City>TRACY</City>
            <State>CA</State>
            <ZIPCode>95304</ZIPCode>
          </USAddress>
          <Title>Secretary</Title>
          <AvgHoursPerWkDevotedToPosition>1.00</AvgHoursPerWkDevotedToPosition>
          <Compensation>0</Compensation>
        </OfcrDirTrusteesOrKeyEmployee>
        <OfcrDirTrusteesOrKeyEmployee>
          <PersonName>JEFFREY LEONARD</PersonName>
          <USAddress>
            <AddressLine1>1700 NORTH CHRISMAN ROAD</AddressLine1>
            <City>TRACY</City>
            <State>CA</State>
            <ZIPCode>95304</ZIPCode>
          </USAddress>
          <Title>Treasurer</Title>
          <AvgHoursPerWkDevotedToPosition>2.00</AvgHoursPerWkDevotedToPosition>
          <Compensation>0</Compensation>
        </OfcrDirTrusteesOrKeyEmployee>
        <OfcrDirTrusteesOrKeyEmployee>
          <PersonName>JOHN PETLANSKY</PersonName>
          <USAddress>
            <AddressLine1>1700 NORTH CHRISMAN ROAD</AddressLine1>
            <City>TRACY</City>
            <State>CA</State>
            <ZIPCode>95304</ZIPCode>
          </USAddress>
          <Title>President</Title>
          <AvgHoursPerWkDevotedToPosition>2.00</AvgHoursPerWkDevotedToPosition>
          <Compensation>0</Compensation>
        </OfcrDirTrusteesOrKeyEmployee>
        <CompOfHighestPaidEmplNONE>NONE</CompOfHighestPaidEmplNONE>
        <CompOfHghstPaidCntrctNONE>NONE</CompOfHghstPaidCntrctNONE>
      </OfcrDirTrusteesKeyEmployeeInfo>
      <SummaryOfDirectCharitableActy>
        <Description1>COMMUNITY OUTREACH AND ASSISTANCE TO VARIOUS CHARITABLE NON-PROFIT ORGANIZATIONS. SEE DONATION LIST, BY DONEE.</Description1>
        <Expenses1>67662</Expenses1>
      </SummaryOfDirectCharitableActy>
      <MinimumInvestmentReturn>
        <AvgMonthlyFMVOfSecurities>0</AvgMonthlyFMVOfSecurities>
        <AvgMonthlyCashBalances>16857</AvgMonthlyCashBalances>
        <FMVAllOtherNoncharitableAssets>0</FMVAllOtherNoncharitableAssets>
        <TotalFMVOfUnusedAssets>16857</TotalFMVOfUnusedAssets>
        <ReductionClaimed>0</ReductionClaimed>
        <AdjTotalFMVOfUnusedAssets>16857</AdjTotalFMVOfUnusedAssets>
        <CashDeemedCharitable>253</CashDeemedCharitable>
        <NetNoncharitableAssets>16604</NetNoncharitableAssets>
        <MinimumInvestmentReturn>830</MinimumInvestmentReturn>
      </MinimumInvestmentReturn>
      <DistributableAmount>
        <MinimumInvestmentReturn>830</MinimumInvestmentReturn>
        <DistributableAmountBeforeAdj>830</DistributableAmountBeforeAdj>
        <DistributableAmountBeforeDed>830</DistributableAmountBeforeDed>
        <DistributableAmountAsAdjusted>830</DistributableAmountAsAdjusted>
      </DistributableAmount>
      <QualifyingDistributions>
        <ExpensesAndContributions>66997</ExpensesAndContributions>
        <QualifyingDistributions>66997</QualifyingDistributions>
        <AdjQualifyingDistributions>66997</AdjQualifyingDistributions>
      </QualifyingDistributions>
      <UndistributedIncome>
        <DistributableAmountAsAdjusted>830</DistributableAmountAsAdjusted>
        <ExcessDistriCarryoverYear2>40788</ExcessDistriCarryoverYear2>
        <ExcessDistriCarryoverYear1>74894</ExcessDistriCarryoverYear1>
        <TotalExcessDistriCarryover>115682</TotalExcessDistriCarryover>
        <QualifyingDistributions>66997</QualifyingDistributions>
        <TreatedAsDistriFromCorpus>0</TreatedAsDistriFromCorpus>
        <AppliedToCurrentYear>830</AppliedToCurrentYear>
        <RemainingDistriFromCorpus>66167</RemainingDistriFromCorpus>
        <TotalCorpus>181849</TotalCorpus>
        <UndistributedIncomeCY>0</UndistributedIncomeCY>
        <ExcessDistriCyovToNextYear>181849</ExcessDistriCyovToNextYear>
        <ExcessFromYear2>40788</ExcessFromYear2>
        <ExcessFromYear1>74894</ExcessFromYear1>
        <ExcessFromCurrentYear>66167</ExcessFromCurrentYear>
      </UndistributedIncome>
      <SupplementaryInformation>
        <OnlyContributesToPreselected>X</OnlyContributesToPreselected>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>Tracy Interfaith Ministries</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>311 West Grant Line</AddressLine1>
            <City>Tracy</City>
            <State>CA</State>
            <ZIPCode>95378</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>CHURCH</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>Donation</PurposeOfGrantOrContribution>
          <Amount>400</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>Drycreek Ranch Middle School</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>8779 Cook Riolo Rd</AddressLine1>
            <City>Roseville</City>
            <State>CA</State>
            <ZIPCode>95747</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>N/A</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>Donated money to a fundraiser benefitting leukemia and lymphoma</PurposeOfGrantOrContribution>
          <Amount>250</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>Brighter Christmas</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>po box 642</AddressLine1>
            <City>Tracy</City>
            <State>CA</State>
            <ZIPCode>95304</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>PUBLIC</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>Community outreach</PurposeOfGrantOrContribution>
          <Amount>7500</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>Adopt a Kid program</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>1776 Helsinki way</AddressLine1>
            <City>Livermore</City>
            <State>CA</State>
            <ZIPCode>94550</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>N/A</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>sponsorship - adopt a kid program</PurposeOfGrantOrContribution>
          <Amount>2250</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>Blue Star Mothers</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>800 South Murphy Street</AddressLine1>
            <City>Stillwater</City>
            <State>OK</State>
            <ZIPCode>74074</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>PUBLIC</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>Donation</PurposeOfGrantOrContribution>
          <Amount>250</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>Salvation Army</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>1101 S Lowry</AddressLine1>
            <City>Stillwater</City>
            <State>OK</State>
            <ZIPCode>74074</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>PUBLIC</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>Donation</PurposeOfGrantOrContribution>
          <Amount>250</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>Novato Community Hospital</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>180 Roland Way</AddressLine1>
            <City>Novato</City>
            <State>CA</State>
            <ZIPCode>94945</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>HOSPITAL</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>Donation</PurposeOfGrantOrContribution>
          <Amount>1000</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>St MichaelsSt Charles CYO Basketbal</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>46 Cascata Ct</AddressLine1>
            <City>Livermore</City>
            <State>CA</State>
            <ZIPCode>94550</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>PUBLIC</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>Donation - Youth sports</PurposeOfGrantOrContribution>
          <Amount>250</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>Tracy Hospital Foundation</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>1420 North Tracy Blvd</AddressLine1>
            <City>Tracy</City>
            <State>CA</State>
            <ZIPCode>95376</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>HOSPITAL</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>SPONSORSHIP - HEALTH SERVICES</PurposeOfGrantOrContribution>
          <Amount>1500</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>Dublin Nomads</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>4101 Dublin Blvd FL 137</AddressLine1>
            <City>Dublin</City>
            <State>CA</State>
            <ZIPCode>94568</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>PUBLIC</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>Sponsorship for youth sports activities</PurposeOfGrantOrContribution>
          <Amount>500</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>Ripon's primary urgent care center</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>336 West main Street</AddressLine1>
            <City>Ripon</City>
            <State>CA</State>
            <ZIPCode>95366</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>HOSPITAL</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>Donation of money for beds</PurposeOfGrantOrContribution>
          <Amount>10000</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>Women's Shelter</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>620 North San Joaquin Street</AddressLine1>
            <City>Stockton</City>
            <State>CA</State>
            <ZIPCode>95202</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>PUBLIC</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>SUPPORT LOCAL COMMUNITY CENTER</PurposeOfGrantOrContribution>
          <Amount>5000</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>AVHS Athletic Booster</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>2558 Kilpatrick Ct</AddressLine1>
            <City>San Ramon</City>
            <State>CA</State>
            <ZIPCode>94583</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>SCHOOL</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>donation - high school sports program</PurposeOfGrantOrContribution>
          <Amount>500</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>Operation Rainbow</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>4200 park blvd pmb 157</AddressLine1>
            <City>Oakland</City>
            <State>CA</State>
            <ZIPCode>94602</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>PUBLIC</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>Sponsorship for health services</PurposeOfGrantOrContribution>
          <Amount>6500</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>The Arc Lane County</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>4181 E Street</AddressLine1>
            <City>Springfield</City>
            <State>OR</State>
            <ZIPCode>97478</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>PUBLIC</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>Donation for disabled kids</PurposeOfGrantOrContribution>
          <Amount>125</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>Full Circle Treatment</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>8791 Morgan creek lane</AddressLine1>
            <City>Roseville</City>
            <State>CA</State>
            <ZIPCode>95747</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>PUBLIC</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>sponsorship - drugs and alcohol treatment</PurposeOfGrantOrContribution>
          <Amount>1200</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>Helping One Woman</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>po box 3375</AddressLine1>
            <City>Pinedale</City>
            <State>CA</State>
            <ZIPCode>93650</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>PUBLIC</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>Donation of Abused women prevention</PurposeOfGrantOrContribution>
          <Amount>550</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>Northern California Golf Associatio</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>6474 Patterson pass Rd</AddressLine1>
            <City>Livermore</City>
            <State>CA</State>
            <ZIPCode>94550</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>PUBLIC</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>Donation of golf club and tees</PurposeOfGrantOrContribution>
          <Amount>175</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>Camp Taylor</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>5424 Pirrone Court</AddressLine1>
            <City>Salida</City>
            <State>CA</State>
            <ZIPCode>95368</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>N/A</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>SPONSORSHIP FOR KIDS WITH HEART DISEASE</PurposeOfGrantOrContribution>
          <Amount>700</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>Alisha Rodriguez</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>2356 Stockton Blvd</AddressLine1>
            <City>Sacramento</City>
            <State>CA</State>
            <ZIPCode>95817</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>N/A</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>ASSISTANCE TO INDIGENT FAMILIES</PurposeOfGrantOrContribution>
          <Amount>867</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>Julie Orcutt</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>27 w 10th Street</AddressLine1>
            <City>Tracy</City>
            <State>CA</State>
            <ZIPCode>95376</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>N/A</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>ASSISTANCE TO INDIGENT FAMILIES</PurposeOfGrantOrContribution>
          <Amount>500</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>Madigan Foundation</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>PO Box 97215</AddressLine1>
            <City>Lakewood</City>
            <State>WA</State>
            <ZIPCode>98497</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>PUBLIC</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>Sponsorship - Health services</PurposeOfGrantOrContribution>
          <Amount>16635</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>BAVILYN FREEMAN</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>390 Towne Center Drive</AddressLine1>
            <City>Lathrop</City>
            <State>CA</State>
            <ZIPCode>95833</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>N/A</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>ASSISTANCE TO INDIGENT FAMILIES</PurposeOfGrantOrContribution>
          <Amount>1595</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>PANCREATIC CANCER ACTION NETWORK</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>1500 ROSECRANS AVE SUITE200</AddressLine1>
            <City>Manhattan Beach</City>
            <State>CA</State>
            <ZIPCode>90266</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>PUBLIC</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>SPONSORSHIP FOR HEALTH SERVICES</PurposeOfGrantOrContribution>
          <Amount>2500</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>MADDENKUONI DESTINATION MANAGEMENT</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>po bOX 9</AddressLine1>
            <City>SAN MATEO</City>
            <State>CA</State>
            <ZIPCode>94401</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>PUBLIC</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>SPONSORSHIP FOR HEALTH AND EDUCATION SERVICES</PurposeOfGrantOrContribution>
          <Amount>5000</Amount>
        </GrantOrContriPaidDuringYear>
        <GrantOrContriPaidDuringYear>
          <RecipientPersonName>GRANADA FOOTBALL SOCCER</RecipientPersonName>
          <RecipientUSAddress>
            <AddressLine1>828 Placenza Street</AddressLine1>
            <City>LIVERMORE</City>
            <State>CA</State>
            <ZIPCode>94551</ZIPCode>
          </RecipientUSAddress>
          <RecipientRelationship>NONE</RecipientRelationship>
          <RecipientFoundationStatus>SCHOOL</RecipientFoundationStatus>
          <PurposeOfGrantOrContribution>ASSISTANCE TO LOCAL SCHOOL</PurposeOfGrantOrContribution>
          <Amount>1000</Amount>
        </GrantOrContriPaidDuringYear>
        <TotGrantOrContriPaidDuringYear>66997</TotGrantOrContriPaidDuringYear>
      </SupplementaryInformation>
      <TrnsfrTrRlnWithNoncharitableEO>
        <TrnsfrOfCashToNoncharitableEO>false</TrnsfrOfCashToNoncharitableEO>
        <TrnsfrOthAssetsNoncharitableEO>false</TrnsfrOthAssetsNoncharitableEO>
        <SalesOrExchangesOfAssets>false</SalesOrExchangesOfAssets>
        <PurchaseAssetsNoncharitableEO>false</PurchaseAssetsNoncharitableEO>
        <RentalOfFacilitiesEtc>false</RentalOfFacilitiesEtc>
        <ReimbursementArrangements>false</ReimbursementArrangements>
        <LoansOrLoanGuarantees>false</LoansOrLoanGuarantees>
        <PerformanceOfServicesEtc>false</PerformanceOfServicesEtc>
        <SharingOfFacilitiesEtc>false</SharingOfFacilitiesEtc>
        <RelationshipsNoncharitableEOs>false</RelationshipsNoncharitableEOs>
      </TrnsfrTrRlnWithNoncharitableEO>
    </IRS990PF>
    <IRS990ScheduleB documentId="IRS990ScheduleB" softwareId="11000144" softwareVersion="2011v1.2">
      <Organization501c3ExemptPF>X</Organization501c3ExemptPF>
      <GeneralRule>X</GeneralRule>
      <ContributorInfo>
        <ContributorNumber>1</ContributorNumber>
        <ContributorNameIndividual>PACIFIC MEDICAL CORPORATION</ContributorNameIndividual>
        <ContributorAddressUS>
          <AddressLine1>1700 NORTH CHRISMAN ROAD</AddressLine1>
          <City>TRACY</City>
          <State>CA</State>
          <ZIPCode>95304</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>67662</AggregateContributions>
        <PersonContributionType>X</PersonContributionType>
      </ContributorInfo>
    </IRS990ScheduleB>
    <AccountingFeesSchedule documentId="AccountingFeesSchedule" softwareId="11000144" softwareVersion="2011v1.2">
      <AccountingFees>
        <Category>Accounting</Category>
        <Amount>3129</Amount>
        <NetInvestmentIncome>0</NetInvestmentIncome>
        <AdjustedNetIncome>0</AdjustedNetIncome>
        <DisbursementsCharitablePrps>0</DisbursementsCharitablePrps>
      </AccountingFees>
    </AccountingFeesSchedule>
    <OtherExpensesSchedule documentId="OtherExpensesSchedule" softwareId="11000144" softwareVersion="2011v1.2">
      <OtherExpenses>
        <Description>Registry</Description>
        <RevenueAndExpensesPerBooks>125</RevenueAndExpensesPerBooks>
      </OtherExpenses>
      <OtherExpenses>
        <Description>License Fee</Description>
        <RevenueAndExpensesPerBooks>25</RevenueAndExpensesPerBooks>
      </OtherExpenses>
    </OtherExpensesSchedule>
    <TaxesSchedule documentId="TaxesSchedule" softwareId="11000144" softwareVersion="2011v1.2">
      <Taxes>
        <Category>Franchise Tax Board</Category>
        <Amount>10</Amount>
      </Taxes>
    </TaxesSchedule>
  </ReturnData>
</Return>