ALISA ANN RUCH BURN FOUNDATION A CHARITABLE CORPORATION: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: ALISA ANN RUCH BURN FOUNDATION A CHARITABLE CORPORATION (EIN 23-7162017)
Tax period: 2021-01-01 to 2021-12-31
Filed: 2022-11-15
IRS object ID: 202233199349315723
Schema version: 2021v4.1
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule I
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-11-15T11:34:23-08:00	ReturnTs
Tax Period End	2021-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	950858589	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	HUTCHINSON AND BLOODGOOD LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	550 N BRAND BLVD 14th Floor	AddressLine1Txt
City	GLENDALE	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	91203	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	237162017	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ALISA ANN RUCH BURN FOUNDATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	ALIS	BusinessNameControlTxt
Phone	8188480223	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	50 N HILL AVENUE 305	AddressLine1Txt
City	PASADENA	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	91106	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DANIEL CHACON	PersonNm
Person Title	Executive Dir.	PersonTitleTxt
Signature	2022-11-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	DANIEL	PersonFirstNm
Person Last	CHACON	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	GEORGETTE M GREEN	PreparerPersonNm
PTIN	P00449497	PTIN
Phone	8186375000	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd
Federated Assurance Level	FAL1	FederatedAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Amended Return	Yes (X)	AmendedReturnInd
Principal Officer	DANIEL CHACON	PrincipalOfficerNm
Gross Receipts	$1,414,824	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.aarbf.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1971	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	TO SIGNIFICANTLY REDUCE THE NUMBER OF BURN INJURIES THROUGH PREVENTION EDUCATION, AND TO ENHANCE THE QUALITY OF LIFE OF THOSE AFFECTED BY BURN INJURIES IN CALIFORNIA.	ActivityOrMissionDesc
Voting Members Governing Body	8	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	7	TotalEmployeeCnt
Total Volunteers	1000	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
PY Contributions Grants	$693,994	PYContributionsGrantsAmt
CY Contributions Grants	$951,239	CYContributionsGrantsAmt
PY Program Service Revenue	$485	PYProgramServiceRevenueAmt
CY Program Service Revenue	$450	CYProgramServiceRevenueAmt
PY Investment Income	$8,056	PYInvestmentIncomeAmt
CY Investment Income	$108,435	CYInvestmentIncomeAmt
PY Other Revenue	$56,664	PYOtherRevenueAmt
CY Other Revenue	$325,749	CYOtherRevenueAmt
PY Total Revenue	$759,199	PYTotalRevenueAmt
CY Total Revenue	$1,385,873	CYTotalRevenueAmt
PY Grants And Similar Paid	$54,726	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$54,238	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$567,609	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$559,423	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$193,136	CYTotalFundraisingExpenseAmt
PY Other Expenses	$323,333	PYOtherExpensesAmt
CY Other Expenses	$491,799	CYOtherExpensesAmt
PY Total Expenses	$945,668	PYTotalExpensesAmt
CY Total Expenses	$1,105,460	CYTotalExpensesAmt
PY Revenues Less Expenses	-$186,469	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$280,413	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,407,972	TotalAssetsBOYAmt
Total Assets EOY	$1,702,397	TotalAssetsEOYAmt
Total Liabilities BOY	$214,241	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$226,144	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,193,731	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,476,253	NetAssetsOrFundBalancesEOYAmt
Mission	THE ALISA ANN RUCH BURN FOUNDATION ("AARBF") WAS FOUNDED IN 1971 AND DERIVES ITS NAME AND INSPIRATION FROM AN EIGHT-YEAR OLD CHILD, ALISA ANN, WHO WAS FATALLY BURNED IN A BACKYARD BARBEQUE ACCIDENT. THE FOUNDATION'S MISSION IS TO SIGNIFICANTLY REDUCE THE NUMBER OF BURN INJURIES THROUGH PREVENTION EDUCATION, AND TO ENCHANCE THE QUALIFY OF LIFE OF THOSE AFFECTED BY BURN INJURIES IN CALIFORNIA. THE FOUNDATION WORKS IN PARTNERSHIP WITH FIREFIGHTERS, EDUCATORS, BURN CARE PROFESSIONALS, AND COMMUNITY MEMBERS TO DEVELOP AND IMPLEMENT PROGRAMS AND SERVICES. THE FOUNDATION IS GOVERNED BY AN EXECUTIVE BOARD OF DIRECTORS AND IS AIDED BY A SMALL TEAM OF STAFF LOACTED IN PASADENA, FRESNO, CLOVIS, AND SAN FRANCISCO, CALIFORNIA.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$464,262	ExpenseAmt
Desc	SURVIVOR SERVICESScholarship Programs: The Alisa Ann Ruch Burn Foundation provides Scholarships and Financial Support for Burn Survivors and their families. AARBF offers four scholarships, The Woody and Louise Bridge to Life Scholarship, the Aiming Higher Educational Scholarship, the Phoenix World Burn Congress Scholarship and Therapy Grants. In addition, AARBF offers Emergency Financial Assistance during hospitalization, including financial, housing and food assistance; as well as Financial Assistance for medical supplies, including pressure garments and image enhancement services, including cosmetics, wigs, and make-up.Camps and Recreation: Our Camps and Recreation programs are comprised of a suite of camps, retreats, outings, and gatherings that provide ongoing support for survivors of all ages by engaging them and their loved ones in therapeutic and recreational activities. Due to COVID-19, in-person camps did not return until June of 2021. Champ Camp is the largest as well as one of the longest running summer burn camps in the world, celebrating its 35th Anniversary in 2021. Champ Camp is held each year during the month of June at Wonder Valley Ranch in Sanger, CA. In 2021, due to COVID-19, the number of in-person campers was limited resulting in the creation of a hybrid camp program with both in-person and virtual options over the week of June 12-18, 2021. This years Champ Camp experience also included virtual training for volunteers, virtual town halls to address parents/guardians questions and concerns, as well as a virtual VIP Tour for our Champ Camp supporters. Hospital Visits and Additional Support: The Alisa Ann Ruch Burn Foundation provides supportive services for burn survivors and their families, including Hospital Visits, in order to provide initial information about and resources for burn injuries; Peer Support through monthly support groups, peer mentoring, and volunteer efforts; Support Groups to provide a safe place for burn survivors, care givers, loved ones and burn care professionals to share experiences and give back to others; financial assistance for Therapy Support for burn survivors, including assistance with co-pays and private pay rates for psychotherapy support; and Financial Support includes gas cards, food cards, and hotel stays. In 2021, to keep our community engaged during the continued pandemic, AARBF hosted Virtual Yoga classes and launched a new monthly virtual program, the Expression Series. The Expression Series is designed to help teach ways to positively express thoughts and emotions by improving the ability to connect with oneself and others leading to healthier and happier relationships. The Expression Series offers sessions on writing, art and music. The guest speakers in 2021 included published authors, singers, musicians and artists, sharing their talents and their stories with burn survivors, family/caregivers and supporters. IN 2021, THE ALISA ANN RUCH BURN FOUNDATION VISTED 149 BURN SURVIVORS AND 97 FAMILY MEMBERS FOR HOSPITAL VISITS.In 2021, AARBF co-hosted a Spanish Peer Support Chat on Facebook with the Phoenix Society for Burn Survivors. Members joined the Facebook group allowing them to contact one another directly between scheduled Live Chat sessions. In the fall of 2021, AARBF hosted a virtual Back-to-School Town Hall designed to address the concerns surrounding sending a child burn survivor back to school. Facilitators included AARBF Staff, a Child Life Specialist with the Fresno Community Regional Medical Center burn unit, and a licensed marriage and family therapist and burn survivor, who were able to address parents questions and concerns on how to support their child returning to school after a burn injury or transferring to a new school. There were 8 families participated.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$343,884	ExpenseAmt
Desc	BURN PREVENTION:Burn Prevention Education: The Alisa Ann Ruch Burn Foundation works with local hospitals, fire departments, safety coalitions, and other organizations across California to develop innovative programs and services. Burn Prevention is the key to avoiding agonizing burn injuries. The Firefighters in Safety Education (FISE) Burn Prevention Education Program teaches elementary school students to protect themselves with Stop, Drop, and Roll, Cool-A-Burn, High 5 A Firefighter, Get Low and Go and Toys vs. Tools. In 2020, AARBF pivoted this program to a virtual program. A social media campaign titled FISE Friday was created to introduce this virtual platform over a series of weekly posts May August. Meet the Johnsons is a book series written by Jennifer Radics-Johnson and illustrated by Alexandra Hall-Pinner. This 4-book series was expanded in 2020 to include audio books and downloadable coloring books. Launched in October of 2020, AARBF brings organization to preparing for wildfires through Wildfire P.R.E.P.A.R.E. AARBF gathered all of the valuable resources and information available for wildfire preparedness and created a hub on the AARBF website to make finding information quick and easy.During THE 2021 National Burn Awareness Week, AARBF introduced a Spanish translation for the first book of the series, Conoce a los Johnsons: Una Familia Segura Contra el Fuego y Quemaduras and plans to translate the remaining four books. In early 2021, the Habitot Childrens Museum hosted a Virtual Early Childhood Safety Campaign throughout January. AARBFs Meet the Johnsons book and Lucky the Fire Burping Dragon puppet show were featured in the campaign. In addition, AARBF assisted with the creation of a video with Patrick Reyes, San Francisco Firefighter and AARBF Volunteer, who shared a message of kitchen safety and scald prevention.In 2021, AARBF collaborated with AARP to present our Senior Prevention and Risk Conversations (SPARC) program with AARPs HomeFit program. SPARC is a burn prevention program focusing on burn safety for the aging population.During National Burn Awareness Week, the Alisa Ann Ruch Burn Foundation announced a new partnership with the Midnight Mission of Los Angeles and the launch of the Safe and Warm campaign, designed to reduce the number of burn injuries and fires among the unhoused community. The Safe and Warm campaign provides prevention education to the unique needs of this community where the most common injuries are caused by candles in tents or flame by butane or propane from cooking. The campaign includes the distribution of mylar blankets with the prevention information printed directly onto the material. Also in 2021, the Safe and Warm Campaign benefitted as the subject of an Eagle Scout project, receiving both blankets and cash donations. AARBF, in partnership with Pyramid Educational Consultants, developed the N.I.C.K. (Neurotypical/diverse Independent Communication Kit) for Fire and Burn Safety, to bring fire and burn safety education to individuals with autism spectrum disorder, developmental disabilities, intellectual disabilities, and communication challenges. The goal of the N.I.C.K. for Fire and Burn Safety program is to provide life-saving lessons and burn prevention education to learners with special needs, who are more vulnerable to preventable exposure to danger and are at higher risk for burn injuries. Utilizing the safety messages from AARBFs Firefighters in Safety Education program, the N.I.C.K. Fire and Burn Safety program incorporates a fire and burn prevention picture set from Pyramids Pics for PECS images that can be used for expressive communication via the Picture Exchange Communication System (PECS) protocol, receptive communication as well as within visual stories and life lessons to help learners understand fire and burn safety. This new prevention program was launched during National Burn Awareness Week and has already been translated into Mandarin Chinese and Japanese. The NICK program was also used in collaboration with the Los Angeles County Fire Departments Sirens of Silence program. Promoting autism and special needs awareness, education and inclusion, the LACFDs Sirens of Silence program consists of three parts: 1) training, information, resources and materials for first responders; 2) sensory-sensitive community events; and 3) safety-related and sensory-sensitive items for patients. Both AARBF and LACFD have information on their websites of both programs and a link-back link to each others full content.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$808,146	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	false	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	false	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	false	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	21	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	7	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Form8282 Filed	0	Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Form8899 Filedind	false	Form8899Filedind
Form1098 C Filed	false	Form1098CFiledInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	8	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	Yes (true)	LocalChaptersInd
Policies Reference Chapters	Yes (true)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	DANIEL CHACON	PersonNm
Phone	4154957223	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	708 EL CERRITO PLAZA	AddressLine1Txt
City	EL CERRITO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94530	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
JENNIFER RADICS-JOHNSON
Executive Dir.	40.00	0.00	Yes (X)	$130,651	$0	$0
ANDREW MERSMANN
PAST PRESIDENT	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
RUSS CHARVONIA
President	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
MIKE BRADLEY
Vice President	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
CARA GOODMAN
Secretary	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
LEA ELDER
Treasurer	2.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
CAROLYN PRASAD
BOARD MEMBER	2.00	0.00		$0	$0	$0	Yes (X)
ALISON CLARK
Director	2.00	0.00		$0	$0	$0	Yes (X)
RANA STEPHAN
Director	2.00	0.00		$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$130,651	TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K	1	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	false	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
Government Grants	$121,015	GovernmentGrantsAmt
All Other Contributions	$830,224	AllOtherContributionsAmt
Total Contributions	$951,239	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	PROGRAM FEES	Desc
Total Revenue Column	$450	TotalRevenueColumnAmt
Related Or Exempt Func Income	$450	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$450	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$108,435	TotalRevenueColumnAmt
Exclusion	$108,435	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$219,737	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$28,951	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$190,786	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EMPLOYEE RETENTION CREDIT	$133,000	$133,000
OTHER INCOME	$1,963		$1,963

Field	Value	IRS element (for citing)
Other Revenue Total	$134,963	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,385,873	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,413	RelatedOrExemptFuncIncomeAmt
Exclusion	$241,435	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$54,238	TotalAmt
Program Services	$54,238	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$130,651	TotalAmt
Program Services	$91,455	ProgramServicesAmt
Management And General	$19,598	ManagementAndGeneralAmt
Fundraising	$19,598	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$344,693	TotalAmt
Program Services	$270,722	ProgramServicesAmt
Management And General	$22,003	ManagementAndGeneralAmt
Fundraising	$51,968	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$45,221	TotalAmt
Program Services	$37,285	ProgramServicesAmt
Management And General	$5,878	ManagementAndGeneralAmt
Fundraising	$2,058	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$38,858	TotalAmt
Program Services	$6,876	ProgramServicesAmt
Management And General	$31,600	ManagementAndGeneralAmt
Fundraising	$382	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$713	TotalAmt
Management And General	$713	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$9,152	TotalAmt
Program Services	$9,152	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$166,034	TotalAmt
Program Services	$79,197	ProgramServicesAmt
Management And General	$3,796	ManagementAndGeneralAmt
Fundraising	$83,041	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$52,988	TotalAmt
Program Services	$47,690	ProgramServicesAmt
Management And General	$2,649	ManagementAndGeneralAmt
Fundraising	$2,649	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$15,013	TotalAmt
Program Services	$13,237	ProgramServicesAmt
Management And General	$959	ManagementAndGeneralAmt
Fundraising	$817	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$3,089	TotalAmt
Program Services	$2,970	ProgramServicesAmt
Management And General	$22	ManagementAndGeneralAmt
Fundraising	$97	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$4,122	TotalAmt
Program Services	$3,710	ProgramServicesAmt
Management And General	$206	ManagementAndGeneralAmt
Fundraising	$206	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$4,866	TotalAmt
Program Services	$4,380	ProgramServicesAmt
Management And General	$243	ManagementAndGeneralAmt
Fundraising	$243	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$11,619	TotalAmt
Program Services	$3,618	ProgramServicesAmt
Management And General	$7,800	ManagementAndGeneralAmt
Fundraising	$201	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
PROGRAM EXPENSES	$105,620	$104,866	$377	$377
Printing and Publications	$21,547	$7,007	$185	$14,355
MISCELLANEOUS EXPENSE	$20,891	$14,918	$2,771	$3,202
PREVENTION MATERIALS	$17,749	$17,749

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$58,396	TotalAmt
Program Services	$39,076	ProgramServicesAmt
Management And General	$5,378	ManagementAndGeneralAmt
Fundraising	$13,942	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,105,460	TotalAmt
Program Services	$808,146	ProgramServicesAmt
Management And General	$104,178	ManagementAndGeneralAmt
Fundraising	$193,136	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$150,291	BOYAmt
EOY	$426,898	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$386,249	BOYAmt
EOY	$194,378	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$25,500	BOYAmt
EOY	$146,316	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$17,401	BOYAmt
EOY	$3,678	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$207,738	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$127,736	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$84,868	BOYAmt
EOY	$80,002	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$738,360	BOYAmt
EOY	$846,373	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$5,303	BOYAmt
EOY	$4,752	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,407,972	BOYAmt
EOY	$1,702,397	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$64,341	BOYAmt
EOY	$78,366	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$149,900	BOYAmt
EOY	$147,778	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$214,241	BOYAmt
EOY	$226,144	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,096,231	BOYAmt
EOY	$1,421,253	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$97,500	BOYAmt
EOY	$55,000	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,193,731	BOYAmt
EOY	$1,476,253	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,407,972	BOYAmt
EOY	$1,702,397	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$280,413	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$2,109	NetUnrlzdGainsLossesInvstAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Public Organization170	Yes (X)	PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$968,055	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$781,506	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,330,539	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$693,994	CurrentTaxYearMinus1YearAmt
Current Tax Year	$951,239	CurrentTaxYearAmt
Total	$4,725,333	TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$968,055	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$781,506	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,330,539	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$693,994	CurrentTaxYearMinus1YearAmt
Current Tax Year	$951,239	CurrentTaxYearAmt
Total	$4,725,333	TotalAmt

Field	Value	IRS element (for citing)
Substantial Contributors Tot	$402,125	SubstantialContributorsTotAmt
Public Support Total170	$4,323,208	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$4,695	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,822	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$32,385	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$8,053	CurrentTaxYearMinus1YearAmt
Current Tax Year	$108,435	CurrentTaxYearAmt
Total	$156,390	TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Income170 OtherIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus3 Years	$28,782	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$5,600	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$485	CurrentTaxYearMinus1YearAmt
Current Tax Year	$135,413	CurrentTaxYearAmt
Total	$170,280	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$5,052,003	TotalSupportAmt
Public Support CY170	0.85570	PublicSupportCY170Pct
Public Support PY170	0.89400	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$738,360	BeginningYearBalanceAmt
Contributions	$31,500	ContributionsAmt
Investment Earnings Or Losses	$85,665	InvestmentEarningsOrLossesAmt
Administrative Expenses	$9,152	AdministrativeExpensesAmt
End Year Balance	$846,373	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$614,510	BeginningYearBalanceAmt
Contributions	$57,000	ContributionsAmt
Investment Earnings Or Losses	$75,420	InvestmentEarningsOrLossesAmt
Administrative Expenses	$8,570	AdministrativeExpensesAmt
End Year Balance	$738,360	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$581,575	BeginningYearBalanceAmt
Contributions	$50,000	ContributionsAmt
Investment Earnings Or Losses	-$6,785	InvestmentEarningsOrLossesAmt
Administrative Expenses	$10,280	AdministrativeExpensesAmt
End Year Balance	$614,510	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$658,532	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$66,095	InvestmentEarningsOrLossesAmt
Administrative Expenses	$10,862	AdministrativeExpensesAmt
End Year Balance	$581,575	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$577,239	BeginningYearBalanceAmt
Investment Earnings Or Losses	$89,572	InvestmentEarningsOrLossesAmt
Administrative Expenses	$8,279	AdministrativeExpensesAmt
End Year Balance	$658,532	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	false	RelatedOrgListSchRInd

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$27,999	OtherCostOrOtherBasisAmt
Depreciation	$6,352	DepreciationAmt
Book Value	$21,647	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$74,692	OtherCostOrOtherBasisAmt
Depreciation	$70,307	DepreciationAmt
Book Value	$4,385	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$105,047	OtherCostOrOtherBasisAmt
Depreciation	$51,077	DepreciationAmt
Book Value	$53,970	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$80,002	TotalBookValueLandBuildingsAmt
Total Book Value Securities	$846,373	TotalBookValueSecuritiesAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$1,382,030	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$2,109	NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts	$3,200	DonatedServicesAndUseFcltsAmt
Revenue Not Reported	$5,309	RevenueNotReportedAmt
Revenue Subtotal	$1,376,721	RevenueSubtotalAmt
Investment Expenses Not Incld	$9,152	InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt	$9,152	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$1,385,873	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$1,099,508	TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts	$3,200	DonatedServicesUseFcltsAmt
Expenses Not Reported	$3,200	ExpensesNotReportedAmt
Expenses Subtotal	$1,096,308	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$9,152	InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt	$9,152	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$1,105,460	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part V, Line 4: Intended uses of the endowment fund.

INTENDED USES OF ENDOWMENT FUNDS/QUASI-ENDOWMENT FUNDS ARE BOARD DESIGNATED AND USED FOR THREE PURPOSES: 1)CHAMP CAMP; 2) SCHOLARSHIP FUND; AND 3) OTHER EXPENSES APPROVED BY UNANIMOUS BOARD VOTE.

Part X : FIN48 Footnote

The Foundation is a nonprofit corporation, qualifying under section 501(c)(3) of the Internal Revenue Code and corresponding California provisions. As such, except for taxes pertaining to unrelated business income, the Foundation is exempt from federal and state income taxes. No provision has been made for income taxes, as the Foundation had no unrelated business income. The Foundation believes that it has appropriate support for any tax position taken and, as such, the Foundation has no material unrecognized tax benefits, tax penalties or interest as of and for the year ended December 31, 2021. The Foundations tax years that are open for examination by federal and state agencies are three and four years, respectively.

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Agrmt Prof Fundraising Acty	false	AgrmtProfFundraisingActyInd

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	DINNER AND DANCE	Event1Nm
Gross Receipts Event1	$95,082	GrossReceiptsEvent1Amt
Gross Revenue Event1	$95,082	GrossRevenueEvent1Amt
Other Direct Expenses Event1	$9,939	OtherDirectExpensesEvent1Amt
Event2	50TH ANNIVERSARY GALA	Event2Nm
Gross Receipts Event2	$51,721	GrossReceiptsEvent2Amt
Gross Revenue Event2	$51,721	GrossRevenueEvent2Amt
Food And Beverage Event2	$100	FoodAndBeverageEvent2Amt
Other Direct Expenses Event2	$16,092	OtherDirectExpensesEvent2Amt
Other Events Total	2	OtherEventsTotalCnt
Gross Receipts Other Events	$67,934	GrossReceiptsOtherEventsAmt
Gross Revenue Other Events	$67,934	GrossRevenueOtherEventsAmt
Oth Direct Expnss Other Events	$2,820	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$214,737	GrossReceiptsTotalAmt
Gross Revenue Total Events	$214,737	GrossRevenueTotalEventsAmt
Food And Beverage Total Events	$100	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$28,851	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$28,951	DirectExpenseSummaryEventsAmt
Net Income Summary	$185,786	NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	false	GrantRecordsMaintainedInd
Total501c3 Org	0	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
SCHOLARSHIPS/SURVIVOR STIPEND	176	$48,413
EDUCATIONAL SCHOLARSHIP	1	$5,825

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 11b: Form 990 Review Process	THE ANNUAL FORM 990 IS REVIEWD AND APPROVED BY ALL BOARD MEMBER PRIOR TO FILING.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts	BOARD MEMBERS REVIEW THE CONFLICT OF INTEREST POLICY AT THE ANNUAL MEETING OF THE ALISA ANN RUCH BURN FOUNDATION'S EXECUTIVE BOARD OF DIRECTORS. BOARD MEMBERS ARE ENCOURAGED TO DISCLOUSE CONFLICTS OF INTEREST. EACH BOARD MEMBER SIGNS AND AN ACKNOWLEDGMENT STATEMENT, WHICH IS MAINTAINED ON FILE AT THE ORGANIZATION'S HEADQUARTERS IN PASADENA, CALIFORNIA.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management	AN AD HOC HUMAN RESOURCE COMMITTEE OF OF THE EXECUTIVE BOARD OF DIRECTORS, WHICH INCLUDES THE EXECUTIVE DIRECTOR, MEETS ANNUALLY TO REVIEW COMPARABILITY DATE IN THE FORM OF THE SALARY AND BENEFITS SURVEY DISTRIBUTED BY THE CENTER FOR NONPROFIT MANAGEMENT, WEIGHING BUDGET SIZE, GEOGRAPHIC REGION AND MARKET. SALARIES AND BENEFITS, INCLUDING THE EXCUTIVE DIRECTOR'S COMPENSATION, ARE SET ACCORDINGLY.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees	COMPENSATION PROCESS FOR OFFICERS OTHER THAN THE EXECUTIVE DIRECTOR AS MENTIONED IN 15A, THERE ARE NO OTHER PAID OFFICERS OR KEY EMPLOYEES. HOWEVER, ALL STAFF SALARIES ARE REVIEWED ANNUALLY BY THE EXECUTIVE DIRECTOR AND FINANCE COMMITTEE.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	THE ALISA ANN RUCH BURN FOUNATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FORM 990 AND FINANCIAL STATEMENTS ARE AVAILABLE FOR REVIEW UPON REQUEST.
Amended Explanation	THE TAX RETURN IS AMENDED TO REFLECT THE COMPLETE AND ACCURATE TAX RETURN FILING AS AN INCOMPLETE TAX RETURN WAS INADVERTENTLY FILED WITH THE EXTENSION FILING OF THE RETURN. THIS WAS DUE TO MERE OVERSIGHT AND NOT AN ACT OF WILLFULLNESS.