PLEASANT VALLEY HOSPITAL AUXILIARY: Form 990EZ, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- PLEASANT VALLEY HOSPITAL AUXILIARY (EIN 23-7307666)
- Tax period
- 2019-07-01 to 2020-06-30
- Filed
- 2020-08-05
- IRS object ID
- 202012189349201066
- Schema version
- 2019v5.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-08-05T13:44:14-07:00 | ReturnTs |
| Tax Period End | 2020-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Accu-Service | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3615 E Barca Street | AddressLine1Txt |
| City | Camarillo | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 930103966 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnTypeCd |
| Tax Period Begin | 2019-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237307666 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Pleasant Valley Hospital Auxiliary | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PLEA | BusinessNameControlTxt |
| Phone | 8053895800 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2309 Antonio Avenue | AddressLine1Txt |
| City | Camarillo | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93010 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Walt Wood | PersonNm |
| Person Title | President | PersonTitleTxt |
| Signature | 2020-08-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Tami Velasquez | PreparerPersonNm |
| PTIN | P00742167 | PTIN |
| Phone | 8054823669 | PhoneNum |
| Self Employed | Yes (X) | SelfEmployedInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2020-11-19 02:30:22Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Schedule B Not Required | Yes (X) | ScheduleBNotRequiredInd |
| Website Address | N/A | WebsiteAddressTxt |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Other | Yes (X) | TypeOfOrganizationOtherInd |
| Gross Receipts | $131,187 | GrossReceiptsAmt |
| Info In Schedule O Part I | Yes (X) | InfoInScheduleOPartIInd |
| Contributions Gifts Grants Etc | $5,228 | ContributionsGiftsGrantsEtcAmt |
| Membership Dues | $3,209 | MembershipDuesAmt |
| Cost Or Other Basis Expense Sale | $0 | CostOrOtherBasisExpenseSaleAmt |
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Special Events Direct Expenses | $0 | SpecialEventsDirectExpensesAmt |
| Gross Sales Of Inventory | $122,750 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $69,458 | CostOfGoodsSoldAmt |
| Gross Profit Loss Sls Of Invntry | $53,292 | GrossProfitLossSlsOfInvntryAmt |
| Total Revenue | $61,729 | TotalRevenueAmt |
| Grants And Similar Amounts Paid | $45,000 | GrantsAndSimilarAmountsPaidAmt |
| Other Expenses Total | $7,056 | OtherExpensesTotalAmt |
| Total Expenses | $52,056 | TotalExpensesAmt |
| Excess Or Deficit For Year | $9,673 | ExcessOrDeficitForYearAmt |
| Net Assets Or Fund Balances BOY | $63,024 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $72,697 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part II | Yes (X) | InfoInScheduleOPartIIInd |
Cash Savings And Investments CashSavingsAndInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,539 | BOYAmt |
| EOY | $50,780 | EOYAmt |
Other Assets Total Detail OtherAssetsTotalDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,917 | BOYAmt |
| EOY | $21,917 | EOYAmt |
Form990 Total Assets Form990TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,456 | BOYAmt |
| EOY | $72,697 | EOYAmt |
Sum Of Total Liabilities SumOfTotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,432 | BOYAmt |
Net Assets Or Fund Balances NetAssetsOrFundBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,024 | BOYAmt |
| EOY | $72,697 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Exempt Purpose | Gift shop and auxiliary proceeds are donated to St. John's Pleasant Valley Hospital, a non-profit 501 (c) corp for purchase of medical equipment | PrimaryExemptPurposeTxt |
Program Srvc Accomplishment ProgramSrvcAccomplishmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Srvc Accom | Gift shop and auxiliary proceeds are donated to St. John's Pleasant Valley Hospital, a non-profit 501 (c) corp for purchase of medical equipment | DescriptionProgramSrvcAccomTxt |
| Grants And Allocations | $52,000 | GrantsAndAllocationsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $52,000 | TotalProgramServiceExpensesAmt |
Officer Director Trustee Empl OfficerDirectorTrusteeEmplGrp (6 entries)
| TitleTitleTxt | Average Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRt | CompensationCompensationAmt |
|---|---|---|
| Mary Fish | ||
| President | 0 | $0 |
| Linda Truman | ||
| Vice President | 0 | $0 |
| Carla Scanzio | ||
| Vice President | 0 | $0 |
| Franki Giffin | ||
| Treasurer | 0 | $0 |
| Elaine Snyder | ||
| Secretary | 0 | $0 |
| Tina Nunnally | ||
| Secretary | 0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRptInd |
| Chg Made To Orgnzng Doc Not Rpt | false | ChgMadeToOrgnzngDocNotRptInd |
| Organization Had UBI | false | OrganizationHadUBIInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Organization Dissolved Etc | false | OrganizationDissolvedEtcInd |
| Form1120 Pol Filed | false | Form1120PolFiledInd |
| Made Loans To From Officers | false | MadeLoansToFromOfficersInd |
| Tax Imposed Under IRC4911 | $0 | TaxImposedUnderIRC4911Amt |
| Tax Imposed Under IRC4912 | $0 | TaxImposedUnderIRC4912Amt |
| Tax Imposed Under IRC4955 | $0 | TaxImposedUnderIRC4955Amt |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| Tax Imposed On Organization Mgr | $0 | TaxImposedOnOrganizationMgrAmt |
| Tax Reimbursed By Organization | $0 | TaxReimbursedByOrganizationAmt |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Franki Griffin | PersonNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2309 Antonio Avenue | AddressLine1Txt |
| City | Camarillo | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 93010 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8053895800 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Foreign Office | false | ForeignOfficeInd |
| Donor Advised Fnds | false | DonorAdvisedFndsInd |
| Operate Hospital | false | OperateHospitalInd |
| Tanning Services Provided | false | TanningServicesProvidedInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| School Operating | false | SchoolOperatingInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Part VI Of Comp Of Hghst Pd Empl | NONE | PartVIOfCompOfHghstPdEmplTxt |
| Part VI Hghst Pd Cntrct Prof Srvc | NONE | PartVIHghstPdCntrctProfSrvcTxt |
| Filed Schedule A | Yes (true) | FiledScheduleAInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (18 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Grants and Similar Amounts Paid In Excess of $5,000.1 | | Donee's Name: St John's PV Hospital Aux Gift Shop | Donee's Address: 2309 Antonio Avenue Camarillo CA 93010 | Cash Amount Given: $45000 |
| Other Expenses.1 | Misc. Membership Expense $2344 |
| Other Expenses.2 | Bank Charges $1635 |
| Other Expenses.3 | Projects $935 |
| Other Expenses.4 | Tax Preparation $800 |
| Other Expenses.5 | Office Supplies $587 |
| Other Expenses.6 | Meals $228 |
| Other Expenses.7 | Installation Luncheon $159 |
| Other Expenses.8 | Repairs $85 |
| Other Expenses.9 | Flower Supplies $63 |
| Other Expenses.10 | Gifts $61 |
| Other Expenses.11 | Memorial Donations $50 |
| Other Expenses.12 | Dues $45 |
| Other Expenses.13 | Contributions $25 |
| Other Expenses.14 | Taxes Paid $25 |
| Other Expenses.15 | Printing and Reproduction $14 |
| Other Assets.1010 | Inventories - Beginning $21917 Inventories - Ending $21917 |
| Total Liabilities.1 | Sales Tax Payable - Beginning $2432 Sales Tax Payable - Ending $0 |