PACIFIC OUTREACH FOUNDATION: Form 990PF, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
PACIFIC OUTREACH FOUNDATION (EIN 71-0864641)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-03-07
IRS object ID
201120669349100257
Schema version
2010v3.2
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)
Timestamp2011-03-07T17:59:59-08:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

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 Date2010-01-01TaxPeriodBeginDate

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 Signed2010-03-04DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameJeffrey OtoName
Phone5106538160Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Exempt PFXExemptPF
FMV Assets EOY11985FMVAssetsEOY
Method Of Accounting CashXMethodOfAccountingCash

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Received Rev And Expnss75000ContriReceivedRevAndExpnss
Net Gain Sale Assets Rev And Expnss0NetGainSaleAssetsRevAndExpnss
Total Revenue And Expenses75000TotalRevenueAndExpenses
Total Net Investment Income0TotalNetInvestmentIncome
Accounting Fees Rev And Expnss3764AccountingFeesRevAndExpnss
Taxes Rev And Expnss10TaxesRevAndExpnss
Deprec And Depletion Rev And Expnss0DeprecAndDepletionRevAndExpnss
Other Expenses Rev And Expnss25OtherExpensesRevAndExpnss
Tot Opr Expenses Rev And Expnss3799TotOprExpensesRevAndExpnss
Tot Opr Expenses Net Invst Incm0TotOprExpensesNetInvstIncm
Tot Opr Expenses Dsbrs Chrtbl Prps0TotOprExpensesDsbrsChrtblPrps
Contri Gifts Paid Rev And Expnss76354ContriGiftsPaidRevAndExpnss
Contri Gifts Paid Dsbrs Chrtbl Prps76354ContriGiftsPaidDsbrsChrtblPrps
Total Expenses Rev And Expnss80153TotalExpensesRevAndExpnss
Total Expenses Net Invst Incm0TotalExpensesNetInvstIncm
Total Expenses Dsbrs Chrtbl Prps76354TotalExpensesDsbrsChrtblPrps
Excess Of Revenue Over Expenses-5153ExcessOfRevenueOverExpenses
Net Investment Income0NetInvestmentIncome

Balance Sheets BalanceSheets

FieldValueIRS element (for citing)
Cash BOY17138CashBOY
Cash EOY11985CashEOY
Cash EOYFMV11985CashEOYFMV
Total Assets BOY17138TotalAssetsBOY
Total Assets EOY11985TotalAssetsEOY
Total Assets EOYFMV11985TotalAssetsEOYFMV
Total Liabilities EOY0TotalLiabilitiesEOY
Org That Do Not Follow SFAS117XOrgThatDoNotFollowSFAS117
Retained Earnings BOY17138RetainedEarningsBOY
Retained Earnings EOY11985RetainedEarningsEOY
Total Net Assets BOY17138TotalNetAssetsBOY
Total Net Assets EOY11985TotalNetAssetsEOY
Total Liabilities Net Assets BOY17138TotalLiabilitiesNetAssetsBOY
Total Liabilities Net Assets EOY11985TotalLiabilitiesNetAssetsEOY

Changes In Net Assets Fund Balances ChangesInNetAssetsFundBalances

FieldValueIRS element (for citing)
Total Net Assets Fund Balances BOY17138TotalNetAssetsFundBalancesBOY
Excess Of Revenue Over Expenses-5153ExcessOfRevenueOverExpenses
Subtotal11985Subtotal
Total Net Assets Fund Balances EOY11985TotalNetAssetsFundBalancesEOY

Excise Tax Based On Investment Incm ExciseTaxBasedOnInvestmentIncm

FieldValueIRS element (for citing)
Investment Income Excise Tax0InvestmentIncomeExciseTax
Amount Credited To Next Year0AmountCreditedToNextYear

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
Expenses176354Expenses1

Minimum Investment Return MinimumInvestmentReturn

FieldValueIRS element (for citing)
Avg Monthly FMV Of Securities0AvgMonthlyFMVOfSecurities
Avg Monthly Cash Balances29639AvgMonthlyCashBalances
FMV All Other Noncharitable Assets0FMVAllOtherNoncharitableAssets
Total FMV Of Unused Assets29639TotalFMVOfUnusedAssets
Reduction Claimed0ReductionClaimed
Adj Total FMV Of Unused Assets29639AdjTotalFMVOfUnusedAssets
Cash Deemed Charitable445CashDeemedCharitable
Net Noncharitable Assets29194NetNoncharitableAssets
Minimum Investment Return1460MinimumInvestmentReturn

Distributable DistributableAmount

FieldValueIRS element (for citing)
Minimum Investment Return1460MinimumInvestmentReturn
Distributable Amount Before Adj1460DistributableAmountBeforeAdj
Distributable Amount Before Ded1460DistributableAmountBeforeDed
Distributable Amount As Adjusted1460DistributableAmountAsAdjusted

Qualifying Distributions QualifyingDistributions

FieldValueIRS element (for citing)
Expenses And Contributions76354ExpensesAndContributions
Qualifying Distributions76354QualifyingDistributions
Adj Qualifying Distributions76354AdjQualifyingDistributions

Undistributed Income UndistributedIncome

FieldValueIRS element (for citing)
Distributable Amount As Adjusted1460DistributableAmountAsAdjusted
Excess Distri Carryover Year140788ExcessDistriCarryoverYear1
Total Excess Distri Carryover40788TotalExcessDistriCarryover
Qualifying Distributions76354QualifyingDistributions
Treated As Distri From Corpus0TreatedAsDistriFromCorpus
Applied To Current Year1460AppliedToCurrentYear
Remaining Distri From Corpus74894RemainingDistriFromCorpus
Total Corpus115682TotalCorpus
Undistributed Income CY0UndistributedIncomeCY
Excess Distri Cyov To Next Year115682ExcessDistriCyovToNextYear
Excess From Year140788ExcessFromYear1
Excess From Current Year74894ExcessFromCurrentYear

Supplementary Information SupplementaryInformation

FieldValueIRS element (for citing)
Only Contributes To PreselectedXOnlyContributesToPreselected

Grant Or Contri Paid During Year GrantOrContriPaidDuringYear (24 entries)

Address Line1RecipientUSAddress/AddressLine1CityRecipientUSAddress/CityStateRecipientUSAddress/StateZIP CodeRecipientUSAddress/ZIPCodeRecipient RelationshipRecipientRelationshipRecipient Foundation StatusRecipientFoundationStatusPurpose Of Grant Or ContributionPurposeOfGrantOrContributionAmountAmount
HAITI RELIEF
48-D Atlantic AvenueLynbrookNY11563NONEPUBLICPROVIDE MEDICAL EQUIPMENT TO DISASTER VICTIMS$1,995
JILLIAN MEHLHAFF
5604 SUN VALLEY CRTSALIDACA95368NONEN/AASSISTANCE TO INDIGENT FAMILIES$271
PROSTHETICS OUTREACH FOUNDATION
400 EAST PINE ST SUITE 225SEATTLEWA98122NONEPUBLICSPONSORSHIP FOR HEALTH SERVICES$15,000
BAVILYN FREEMAN
225 EAST GRANTLINE RD 1TRACYCA95376NONEN/AASSISTANCE TO INDIGENT FAMILIES$500
SANTA'S CHARITIES INC
1406 CHESTER DRIVETRACYCA95376NONEPUBLICBENEFIT NEEDY CHILDREN$500
MCHENRY HOUSE
757 A STREETTRACYCA95376NONEPUBLICSUPPORT LOCAL COMMUNITY CENTER$600
WOMEN'S CENTER OF SAN JOAQUIN COUNT
620 NORTH SAN JOAQUIN STSTOCKTONCA95202NONEPUBLICSUPPORT LOCAL COMMUNITY CENTER$1,000
ARTHRITIS FOUNDATION
809 E CHESTNUT STREETBELLINGHAMWA98225NONEPUBLICSPONSORSHIP FOR HEALTH SERVICES$250
PANCREATIC CANCER ACTION NETWORK
2141 ROSECRABS AVE SUITE7000EL SEGUNDOCA90245NONEPUBLICSPONSORSHIP FOR HEALTH SERVICES$2,500
SIM TEP
PO BOX 691911STOCKTONCA95269NONEN/AASSISTANCE TO INDIGENT FAMILIES$1,054
ANTOINETTE BURNS
4061 DALE RDMODESTOCA95356NONEN/AASSISTANCE TO INDIGENT FAMILIES$200
SEATTLE MEDICAL RESEARCH FOUNDATION
901 BOREN ST 800SEATTLEWA98104NONEPUBLICMEDICAL RESEARCH$15,000
JARRED BUTLER MEMORIAL FUND
5555 Mildred StreetSAN DIEGOCA92110NONEN/APURCHASE OF FOUNTAIN$1,000
UC REGENTS ABBOT SOCIETY
MISSION BAY CONFERENCE CENTERSAN FRANCISCOCA94143NONEPUBLICSUPPORT OF SCIENTIFIC AND EDUCATIONAL SERVICES$7,500
MADDENKUONI DESTINATION MANAGEMENT
po bOX 9SAN MATEOCA94401NONEPUBLICSPONSORSHIP FOR HEALTH AND EDUCATION SERVICES$5,000
NATIONAL MULTIPLE SCLEROSIS SOCIETY
1700 OWENS ST SUITE 190SAN FRANCISCOCA94158NONEPUBLICSPONSORSHIP - HEALTH SERVICES$500
INTERFAITH MINISTRIES
311 WEST GRANTLINE RDTRACYCA95376NONECHURCHVARIOUS RELIGIOUS PURPOSES$4,500
BRIGHTER CHRISTMAS
PO BOX 642TRACYCA95378NONEN/AASSISTANCE TO INDIGENT FAMILIES$10,000
TRACY HOSPITAL FOUNDATION
1420 NORTH TRACY BLVDTRACYCA95376NONEHOSPITALSPONSORSHIP - HEALTH SERVICES$1,500
KARYN WHITTLE
PO BOX 1168MANTECACA95336NONEN/AASSISTANCE TO INDIGENT FAMILIES$961
ANNIE CANSLER
604 HELEN CTMANTECACA95336NONEN/AASSISTANCE TO INDIGENT FAMILIES$3,023
GRANADA FOOTBALL SOCCER
400 WALL STREETLIVERMORECA94550NONESCHOOLASSISTANCE TO LOCAL SCHOOL$2,700
AMERICAN CANCER SOCIETY
207 EAST ALPINE AVENUESTOCKTONCA95204NONEPUBLICRELAY OF LIFE SPONSORSHIP$500
CAMP STIX
PO BOX 9884SPOKANEWA99209NONEPUBLICFOR SPONSORSHIP OF SUMMER CAMP$300
FieldValueIRS element (for citing)
Tot Grant Or Contri Paid During Year76354TotGrantOrContriPaidDuringYear

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 Contributions75000AggregateContributions
Person Contribution TypeXPersonContributionType

Accounting Fees Schedule AccountingFeesSchedule

Accounting Fees AccountingFees

FieldValueIRS element (for citing)
CategoryAccountingCategory
Amount$3,764Amount
Net Investment Income0NetInvestmentIncome
Adjusted Net Income0AdjustedNetIncome
Disbursements Charitable Prps0DisbursementsCharitablePrps

Other Expenses Schedule OtherExpensesSchedule

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionLicense FeeDescription
Revenue And Expenses Per Books25RevenueAndExpensesPerBooks

Taxes Schedule TaxesSchedule

Taxes Taxes

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

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