2011-11-15T12:35:38-06:00 2010-12-31 LAUTZE & LAUTZE 303 SECOND STREET SUITE 950N SAN FRANCISCO CA 94107 990 2010-01-01 237450840 SOVEREIGN MILITARY ORDER OF MALTA WESTERN ASSOCIATION-USA SOVE 4157884550 465 CALIFORNIA STREET NO 818 SAN FRANCISCO CA 941041820 GARY R WEST 4157884550 2011-11-14 1 ROGER BULOSAN 4155436900 2010 2016-03-07 17:11:31Z WILLIAM V REGAN III 465 CALIFORNIA STREET SAN FRANCISCO CA 941041820 3706692 0 X WWW.ORDEROFMALTAUSAWESTERN.ORG X 1953 CA SEE PAGE 2, PART III, LINE 1 18 18 10 565 0 0 2574403 3168456 0 0 111313 159500 1529 41769 2687245 3369725 1503719 2009311 0 0 463374 429693 42500 60000 149388 914939 865636 2924532 3364640 -237287 5085 6686989 7116381 319759 248618 6367230 6867763 X TO PROMOTE THE SPIRITUAL AND PHYSICAL WELFARE OF THE SICK AND DISABLED, THE POOR, AND THE ELDERLY, TO AID AND PROTECT THEM AND CONTRIBUTE TO THEIR MATERIAL AND MORAL SUPPORT AND TO ESTABLISH INSTITUTIONS OF CHRISTIAN CHARITY TO ATTEND TO THEIR NEEDS. 0 0 976000 976000 A COMMITTEE, THE HOSPITALLER COMMITTEE, DETERMINES WHAT ORGANIZATIONS ARE TO RECEIVE GRANTS FROM THE ORDER. THE COMMITTEE IS COMPOSED OF APPROXIMATELY 25 MEMBERS OF THE ORDER. APPLICANTS ARE REQUIRED TO SUBMIT FINANCIAL STATEMENTS AND THEIR ORGANIZATIONS' LITERATURE DESCRIBING THEIR ACTIVITIES AND APPLICANT ORGANIZATION WHEN THEY BELIEVE THIS IS APPROPRIATE. BASED ON INFORMATION DEVELOPED BY THE ABOVE PROCEDURES, AND ON WRITTEN GUIDELINES APPROVED BY THE BOARD OF DIRECTORS, THE HOSPITALLER COMMITTEE PROPOSES GRANTS SUBJECT TO APPROVAL BY THE BOARD OF DIRECTORS. 300600 THE LOURDES PILGRIMAGE PROGRAM IS A HEALING TREATMENT PILGRIMAGE PROGRAM TO LOURDES, FRANCE HELD EVERY YEAR FOR THE SICK. 81407 THE PARISH NURSE PROGRAM IS USED TO PROVIDE SUPPORT TO THE SICK. THE NURSES DELIVER COMMUNION TO THOSE WHO ARE UNABLE TO ATTEND CHURCH SERVICES DUE TO AN ILLNESS. 1233826 1033311 41769 GRANTS TO ORGANIZATIONS AIDING THE AGED, THE DISABLED, THE DISADVANTAGED, THE SICK AND THE POOR AND DIRECT ASSISTANCE TO THOSE IN THESE CATEGORIES. 1233826 1033311 41769 2591833 1 1 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 1 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 2 0 1 10 1 0 0 0 0 0 1 1 0 0 0 0 X 18 18 0 0 0 0 1 1 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 CA X GARY R WEST 4157884550 465 CALIFORNIA ST SUITE 818 SAN FRANCISCO CA 941041820 X WILLIAM VREGAN III 25.00 X X 0 0 0 JOSEPH F CONTADINO 16.00 X X 0 0 0 GARY R WEST 5.00 X X 0 0 0 PAT A WILSON 10.00 X X 0 0 0 BETTY A BOND 5.00 X 0 0 0 JOHN CHRISTAIN 5.00 X 0 0 0 JANET M FEELEY 5.00 X 0 0 0 RICHARD M FERRY 5.00 X 0 0 0 THOMAS P GREERTY 5.00 X 0 0 0 PATRICK A ORTIZ 5.00 X 0 0 0 CHASE E ISRAELSON 5.00 X 0 0 0 TERRANCE K BARRY 5.00 X 0 0 0 JEROME J CROWLEY JR 5.00 X 0 0 0 GEORGE J TICHY II 5.00 X 0 0 0 FREDERICK J RUOPP 5.00 X 0 0 0 JEANNE LYONS-O'BRIEN 5.00 X 0 0 0 EDWARD J MCANIFF 5.00 X 0 0 0 THOMAS O MARKEL 5.00 X 0 0 0 0 0 0 0 0 0 0 0 16500 3151956 164592 3168456 144214 144214 345167 329881 15286 15286 15286 7086 16500 7086 0 OTHER INCOME 999999 41769 41769 41769 3369725 41769 0 159500 1565369 1565369 443942 443942 327257 59117 208830 59310 7776 512 6085 1179 67428 905 61809 4714 27232 5376 19499 2357 15000 15000 30555 30555 60000 60000 15001 15001 52925 25946 26979 158413 69910 69239 19264 30018 8668 19764 1586 87968 87968 264381 262476 1905 17116 11702 5414 11288 11288 29651 6160 23491 ROBES,CAPES,MEDALS 46910 39142 7768 SUBSCRIPTION 38750 38651 99 LUNCHES AND DINNERS 26768 16291 10454 23 BOOK COSTS 18994 18410 584 VARIOUS 18197 16814 1383 3701 2442 304 955 3364640 2591833 623419 149388 1693675 1313331 669 2315 23083 25186 136845 385633 56234 36975 27122 19259 4805595 5370657 6686989 7116381 319759 248618 319759 248618 X 201683 335164 2203899 2503905 3961648 4028694 6367230 6867763 6686989 7116381 X 5085 495448 X 0 1 1 X 0 X 2297438 2503140 2449566 2574403 3168454 12993001 2297438 2503140 2449566 2574403 3168454 12993001 9942 12983059 382196 383061 282490 148163 144214 1340124 14333125 606011 0.90580 0.89270 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4471722 200 544536 182600 4833858 3898538 2582 751362 180760 4471722 4160277 8829 -270568 3898538 0 0 56234 36975 19259 19259 3369725 3364640 5085 495448 495448 500533 4246509 495448 289700 106637 891785 3354724 15001 15001 3369725 3745976 289700 106637 396337 3349639 15001 15001 3364640 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: ENDOWMENT FUNDS ARE USED TO HELP SUPPORT PROGRAMS OFFERED BY THE ORDER. THESE PROGRAMS ARE DESIGNED TO ASSIST THE SICK OR POOR AND FEED THE HUNGRY. PART XII, LINE 2D - OTHER ADJUSTMENTS: LUNCHES AND DINNERS 106,637. PART XIII, LINE 2D - OTHER ADJUSTMENTS: LUNCHES AND DINNERS 106,637. 0 EUROPE 0 0 LOURDES PILGRIMAGE HEALING 300600 0 0 0 300600 0 300600 X ITALY DAILY OPERATIONS AT WORLD HEADQUARTERS 237418 MIDDLE EAST FINANCIAL SUPPORT FOR HOSPITAL IN LEBANON 60000 0 0 0 0 0 0 PROCEDURE FOR MONITORING GRANTS OUTSIDE THE U.S.: SCHEDULE F, PART I, LINE 2: THESE PROGRAMS ARE RUN BY ORDER OF MALTA INTERNATIONAL GROUPS. X X X 1 CCS CONSULTANTS 300 MONTGOMERY STREET SUITE 925 SAN FRANCISCO CA 94104 ADVISED MANAGEMENT ON EFFECTIVE FUNDRAISING CAMPAIGNS 0 0 60000 -60000 60000 -60000 CA AUCTION 23586 16500 7086 7086 23586 16500 7086 7086 7086 0 1 ORDER OF MALTA OAKLAND CLINIC INC 2121 HARRISON ST STE 110 OAKLAND CA 94612 205969389 501(C)(3) 155000 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR BISHOP GALLEGOS MATERNITY HOME 6423 LANG AVE SACRAMENTO CA 95823 680315971 501(C)(3) 10000 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR CASA TERESA 123 W MAPLE ORANGE CA 92856 953251986 501(C)(3) 18000 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR CATHOLIC CHARITIES DIOCESE OF ORANGE CTY 1800 E MCFADDEN AVE SANTA ANA CA 92705 953031389 501(C)(3) 22500 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR CATHOLIC CHARITIES OF PHOENIX 4747 N 7TH STREET PHOENIX AZ 85013 860223999 501(C)(3) 13000 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR CATHOLIC CHARITIES OF SANTA CLARA COUNTY 195 E SAN FERNANDO ST SAN JOSE CA 95112 942762269 501(C)(3) 10000 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR CHRIST CHILD SOCIETY OF PHOENIX 4633 N 54TH ST PHOENIX AZ 850181904 860725374 501(C)(3) 10000 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR GOOD SHEPHERD SHELTER FOR BATTERED WOMEN WITH CHILDREN 2561 W VENICE BLVD LOS ANGELES CA 900196233 951652906 501(C)(3) 5000 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR INNER CHANGE 766 TREAT AVE SAN FRANCISCO CA 94110 953523150 501(C)(3) 7500 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR LITTLE SISTERS OF THE POOR JEANNE JUGAN RESIDENCE 2100 S WESTERN AVE SAN PEDRO CA 907324389 951972847 501(C)(3) 25000 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR LITTLE SISTERS OF THE POOR ST ANNES HOME 300 LAKE ST SAN FRANCISCO CA 941181397 941156552 501(C)(3) 25000 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR MARTHA'S KITCHEN 311 WILLOW ST SAN JOSE CA 95110 912091094 501(C)(3) 10000 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR MARY HEALTH OF THE SICK 2929 THERESA DR NEWBURY PARK CA 91320 952299398 501(C)(3) 15000 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR MARY'S KITCHEN PO BOX 4247 ORANGE CA 928634247 330592109 501(C)(3) 20000 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR MATT TALBOT CENTER 2313 3RD AVE SEATTLE WA 98121 911585652 501(C)(3) 20000 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR MERCY HOUSE PO BOX 1905 SANTA ANA CA 927021905 330315864 501(C)(3) 15000 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR MERCY RETIREMENT AND CARE CENTER 3431 FOOTHILL BLVD OAKLAND CA 94601 941156579 501(C)(3) 25000 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR SACRED HEART COMMUNITY SERVICE 1381 S 1ST ST SAN JOSE CA 95110 237179787 501(C)(3) 10000 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR MOST HOLY REDEMEER AIDS SUPPORT GROUP 100 DIAMOND ST SAN FRANCISCO CA 94114 941156774 501(C)(3) 5000 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR ORDER OF MALTA LOS ANGELES CLINIC 2222 OCEAN VIEW AVE STE 112 LOS ANGELES CA 90057 953532418 501(C)(3) 130000 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR MISSION OF MERCY PMB 134/5555 N 7TH ST STE 134 PHOENIX AZ 85014 860704883 501(C)(3) 25000 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR SACRED HEART SHELTER 232 WARREN AVE N SEATTLE WA 98109 911099134 501(C)(3) 25000 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR ST FRANCIS CENTER - LA 1835 S HOPE ST LOS ANGELES CA 90015 954479271 501(C)(3) 25000 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR ST FRANCIS CENTER - REDWOOD CITY PO BOX 7134 REDWOOD CITY CA 94063 943052056 501(C)(3) 7000 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR ST ANNE'S MATERNITY HOME 155 N OCCIDENTAL BLVD LOS ANGELES CA 900264641 951691306 501(C)(3) 7500 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR ST JOSEPH THE WORKER PO BOX 13503 PHOENIX AZ 85007 860600437 501(C)(3) 7500 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR ST JOSEPH HOSPITAL OF ORANGE 1100 W STEWART DR ORANGE CA 92868 951643359 501(C)(3) 15000 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR ST JUDE MEMORIAL FOUNDATION HEALTHY BEGINNINGS PO BOX 4138 FULLERTON CA 928344138 951643325 501(C)(3) 15000 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR ST MARY'S CENTER 925 BROCKHURST ST OAKLAND CA 946084122 680172229 501(C)(3) 5000 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR ST MARY'S MEDICAL CENTER FOUNDATION 450 STANYAN ST SAN FRANCISCO CA 941171079 943336143 501(C)(3) 7000 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR SANTA TERESITA MANOR 819 BUENA VISTA ST DUARTE CA 910101703 951878859 501(C)(3) 12500 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR SHELTER NETWORK 1450 CHAPIN AVE 2ND FL BURLINGAME CA 94010 770160469 501(C)(3) 20000 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR SOCIETY OF ST VINCENT DE PAUL OF MARIN COUNTY FREE DINING ROOM PO BOX 150527 SAN RAFAEL CA 949150527 941207701 501(C)(3) 10000 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR SOCIETY OF ST VINCENT DE PAUL MONTEREY BITTEN FALGE FARM WORKERS PROGRAM 3723 TREVIS WAY CARMEL CA 93923 770520525 501(C)(3) 12500 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR SOCIETY OF ST VINCENT DE PAUL ORANGE SECOND HARVEST FOOD BANK KID'S CAF 8014 MARINE WAY IRVINE CA 92618 953033494 501(C)(3) 15000 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR SOCIETY OF ST VINCENT DE PAUL PHOENIX OZANAM MANOR PO BOX 13600 PHOENIX AZ 850023600 860096789 501(C)(3) 16500 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR SOCIETY OF ST VINCENT DE PAUL SAN FRANCISCO VINCENTIAN HELP DESK 169 STILLMAN ST SAN FRANCISCO CA 94107 941571017 501(C)(3) 16500 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR SOCIETY OF ST VINCENT DE PAUL SAN MATEO COUNTY CATHERINE'S CENTER WOMEN 50 NORTH B ST SAN MATEO CA 94401 941375833 501(C)(3) 13000 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR SOCIETY OF ST VINCENT DE PAUL SAN MATEO COUNTY HOMELESS SUPPORT SERVICES 50 NORTH B ST SAN MATEO CA 94401 941375833 501(C)(3) 15000 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR SOJOURNER CENTER PO BOX 20156 PHOENIX AZ 850360156 942465081 501(C)(3) 18000 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR TALLER SAN JOSE SANTA ANA 801 N BROADWAY SANTA ANA CA 927013423 593816355 501(C)(3) 15000 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR WELLSPRING WOMEN'S CENTER PO BOX 5728 SACRAMENTO CA 958175728 911752615 501(C)(3) 15000 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR THE SOLANUS CASEY CENTER--ST JAMES CATHEDRAL 804 NINTH AVE SEATTLE WA 98104 910567738 501(C)(3) 5000 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR SAN DAMIANO RETREAT PO BOX 767 DANVILLE CA 94526 941674666 501(C)(3) 5000 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR HOLY FAMILY DAY HOME 299 DOLORES ST SAN FRANCISCO CA 94103 941156492 501(C)(3) 5000 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR CATHEDRAL OUTREACH HYGEIENE KIT PROGRAM 555 W TEMPLE LOS ANGELES CA 900122707 912090717 501(C)(3) 10000 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR CATHOLIC CHARITIES OF MONTEREY - TATTOO REMOVAL PROGRAM 922 HILBY AVE STE C SEASIDE CA 93955 720042961 501(C)(3) 15000 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR PAJARO VALLEY SHELTER SERVICES 115 BRENNAN ST H18 WATSONVILLE CA 95076 941393418 501(C)(3) 5000 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR PROVIDENCE MOUNT ST VINCENT FOUNDATION 4831 35TH AVE SEATTLE WA 898126279 911188119 501(C)(3) 15000 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR ST FELIX PANTRY 4020 BARBARA LOOP RIO RANCHO NM 971241021 850407376 501(C)(3) 10000 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR ST IGNATIUS LOYOLA PARISH SOCIAL MINISTRIES 3235 ARDEN WAY SACRAMENTO CA 95825 941294946 501(C)(3) 5000 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR ST JAMES CATHEDRAL - MENTAL HEALTH CLINIC 804 NINTH AVE SEATTLE WA 98104 910567738 501(C)(3) 25000 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR SOCIETY OF ST VINCENT DE PAUL - ALAMEDA 9235 SAN LEANDRO OAKLAND CA 94603 941156493 501(C)(3) 6000 FINANCIAL SUPPORT FOR AID TO SICK AND/OR POOR PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE ORDER PERFORMS DUE DILIGENCE TO ENSURE THAT THEIR RECIPIENTS ARE US REGISTERED CHARITIES BASED IN CALIFORNIA, (REQUIRED TO BE A 501(C)(3) ENTITY, HAVE AN EIN #, FILE A 990 RETURN, ETC). GRANT REQUEST FORM MUST BE SENT TO THE ORDER BEFORE GRANTS ARE AUTHORIZED AND APPROVED. THE MEMBERS OF HOSPITALLER COMMITTEE WILL GO TO EACH CHARITY TO INSPECT THEIR QUALIFICATION AND THE USE OF THE GRANTS. X 11 164592 FMV 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE ORDER HAS MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A MEMBERS VOTE FOR ELECTED OFFICERS WHO HOLD OFFICE FOR 3 YEARS. FORM 990, PART VI, SECTION B, LINE 11 THE TREASURER, PRESIDENT AND CHANCELLOR ALL REVIEW THE 990 BEFORE IT IS FILED. THE RESULTS ARE DISCUSSED AT THE BOARD MEETING AND AUDIT COMMITTEE MEETING. FORM 990, PART VI, SECTION B, LINE 12C THE ORDER OF MALTA HAS FOUR BOARD OF DIRECTOR MEETINGS PER YEAR AND REGULARLY DISCUSSES AND REVIEWS ALL RELATIONS FOR POTENTIAL CONFLICTING INTERESTS. FORM 990, PART VI, SECTION B, LINE 15 THE ORDER PERFORMS IN-DEPTH SEARCH AND COMPARISONS OF COMPENSATION FOR KEY EMPLOYEES. OFFICERS ARE ALL VOLUNTEERS. FORM 990, PART VI, SECTION C, LINE 19 THE ORDER'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 495,448.