PACIFIC VISION FOUNDATION: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- PACIFIC VISION FOUNDATION (EIN 94-2422439)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-14
- IRS object ID
- 201733189349313408
- Schema version
- 2016v3.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-14T19:09:12-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 941254756 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOOD & STRONG LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 275 BATTERY ST STE 900 | AddressLine1Txt |
| City | SAN FRANCISCO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94111 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 942422439 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PACIFIC VISION FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PACI | BusinessNameControlTxt |
| Phone | 4153931225 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 711 VAN NESS AVENUE NO 260 | AddressLine1Txt |
| City | SAN FRANCISCO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94102 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ELLEN JAMASON | PersonNm |
| Person Title | CHIEF EXECUTIVE OFFICER | PersonTitleTxt |
| Phone | 4159233423 | PhoneNum |
| Signature | 2017-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MAGA E KISRIEV | PreparerPersonNm |
| PTIN | P01008919 | PTIN |
| Phone | 4157810793 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 12.201.129.210 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-11-14 | IPDt |
| IP Tm | 16:03:56 | IPTm |
| IP Timezone | PS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | FFC74CCD9668B0F87D493C80261F94F84E4E816A | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | FFC74CCD9668B0F87D493C80261F94F84E4E816A | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
| Principal Officer | ELLEN JAMASON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 711 VAN NESS AVENUE NO 260 | AddressLine1Txt |
| City | SAN FRANCISCO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94102 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $3,701,795 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTP://WWW.PACIFICVISIONFOUNDATION.ORG/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1977 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | TO SUPPORT RESEARCH AND EDUCATIONAL INSTRUCTION IN OPHTHALMOLOGY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 21 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 19 | VotingMembersIndependentCnt |
| Total Employee | 4 | TotalEmployeeCnt |
| Total Volunteers | 19 | TotalVolunteersCnt |
| Total Gross UBI | -$245,302 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$245,301 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,265,526 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,085,013 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $291,784 | PYInvestmentIncomeAmt |
| CY Investment Income | $439,151 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$622,846 | PYOtherRevenueAmt |
| CY Other Revenue | -$568,825 | CYOtherRevenueAmt |
| PY Total Revenue | $934,464 | PYTotalRevenueAmt |
| CY Total Revenue | $955,339 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $560,738 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $619,547 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $396,713 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $508,321 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $128,164 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $117,031 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $210,187 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $444,535 | PYOtherExpensesAmt |
| CY Other Expenses | $687,621 | CYOtherExpensesAmt |
| PY Total Expenses | $1,530,150 | PYTotalExpensesAmt |
| CY Total Expenses | $1,932,520 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$595,686 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$977,181 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $44,844,549 | TotalAssetsBOYAmt |
| Total Assets EOY | $53,486,809 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $27,236,687 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $36,498,396 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $17,607,862 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $16,988,413 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PACIFIC VISION FOUNDATION'S MISSION IS TO FOSTER THE HIGHEST LEVEL OF EYE CARE FOR ALL, WITHOUT REGARD TO ABILITY TO PAY. PVF IS DEDICATED TO EXPANDING ACCESS TO EYE CARE FOR THE UNDERSERVED IN OUR COMMUNITIES, EDUCATING THE NEXT GENERATION OF EYE CARE SPECIALISTS, AND SUPPORTING CLINICAL RESEARCH IN OPHTHALMOLOGY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,522,000 | ExpenseAmt |
| Grant | $619,547 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | PVF PROVIDES SUPPORT FOR THE CPMC OPHTHALMOLOGY RESIDENCY PROGRAM, INCLUDING SUPPORT FOR THE PROGRAM DIRECTOR, REIMBURSEMENT OF EDUCATIONAL EXPENSES OF VOLUNTEER FACULTY MEMBERS, VISITING PROFESSOR LECTURE SERIES AND THE RETINA FELLOWSHIP PROGRAM. PVF ALSO PROVIDES SUPPORT FOR THE DEPARTMENT CHAIR AND SECTION CHIEFS OF NEURO-OPHTHALMOLOGY, PATHOLOGY, AND VISION REHABILITATION.THE OPHTHALMOLOGY RESIDENTS AND FACULTY MEMBERS TREAT LOW INCOME AND UNINSURED PATIENTS FOR NO CHARGE AT THE CPMC LIONS CLINIC. RESEARCH SUPPORT INCLUDES PRE-RESIDENCY RESEARCH FELLOWSHIPS, THE ANNUAL BARKAN SCIENTIFIC SYMPOSIUM AND OTHER RESEARCH GRANTS. | Desc |
| Total Program Service Expenses | $1,522,000 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | Yes (1) | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 29 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 4 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 21 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 19 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ELLEN JAMASON | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4153931225 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 711 VAN NESS AVENUE SUITE 260 | AddressLine1Txt |
| City | SAN FRANCISCO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94102 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| BRUCE E SPIVEY MD | ||||||
| CHAIRMAN | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DAVID C CUNEO | ||||||
| TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| DALE R WALKER | ||||||
| VICE CHAIRMAN | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| ELLEN JAMASON | ||||||
| SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| RICK HERRERO | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| ERICH P HORN MD | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| ROBERT A NELSON MD | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| DAVID O'NEILL | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| LEE K SCHWARTZ | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| VERNON G WONG MD | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| WAYNE E FUNG MD | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| ROBERT G WEBSTER JR MD | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| STEVEN R YOUNG | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| KEVIN DENNY MD | ||||||
| EX-OFFICIO | 2.00 | Yes (X) | $0 | $0 | $0 | |
| JOHN SCHROEDER | ||||||
| EX-OFFICIO | 2.00 | Yes (X) | $0 | $0 | $0 | |
| F CLARK WARDEN | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| RONA SILKISS MD | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| ERIC SPIVEY | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| USHA ARUNACHALAM | ||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| MICHAEL MAHONEY | ||||||
| CEO | 40.00 | Yes (X) | Yes (X) | $275,000 | $0 | $0 |
| CAROLYN BURNETT | ||||||
| EXECUTIVE DIRECTOR | 40.00 | Yes (X) | Yes (X) | $123,216 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $398,216 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| NIBBI BROS ASSOCIATES | |||||
| 1000 BRANNAN STREET SUITE 102 | SAN FRANCISCO | CA | 94103 | CONSTRUCTION | $7,178,696 |
| ROSSI BUILDERS | |||||
| 5 3RD STREET SUITE 822 | SAN FRANCISCO | CA | 94103 | CONSTRUCTION | $481,577 |
| VERTAN ASSOCIATES LLC | |||||
| 242 BUTTERFIELD RD | SAN ANSELMO | CA | 94960 | CONSTRUCTION MANAGEMENT | $363,496 |
| TACTICS STUDIO | |||||
| 85 HARRISON AVE | SAUSALITO | CA | 94965 | ARCHITECT SERVICES | $268,547 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $1,085,013 | AllOtherContributionsAmt |
| Noncash Contributions | $14,417 | NoncashContributionsAmt |
| Total Contributions | $1,085,013 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $454,542 | TotalRevenueColumnAmt |
| Exclusion | $454,542 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,870,536 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,439,361 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$568,825 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$568,825 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$245,302 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$323,523 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $291,704 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $307,095 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$15,391 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$15,391 | TotalRevenueColumnAmt |
| Exclusion | -$15,391 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $955,339 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$245,302 | UnrelatedBusinessRevenueAmt |
| Exclusion | $115,628 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $222,393 | TotalAmt |
| Program Services | $222,393 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $397,154 | TotalAmt |
| Program Services | $397,154 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $420,477 | TotalAmt |
| Program Services | $344,420 | ProgramServicesAmt |
| Management And General | $35,530 | ManagementAndGeneralAmt |
| Fundraising | $40,527 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,912 | TotalAmt |
| Program Services | $25,456 | ProgramServicesAmt |
| Management And General | $41,228 | ManagementAndGeneralAmt |
| Fundraising | $16,228 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,932 | TotalAmt |
| Program Services | $4,932 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,014 | TotalAmt |
| Program Services | $3,014 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $113,422 | TotalAmt |
| Program Services | $56,711 | ProgramServicesAmt |
| Management And General | $56,711 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $117,031 | TotalAmt |
| Fundraising | $117,031 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,363 | TotalAmt |
| Program Services | $53,363 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $167,538 | TotalAmt |
| Program Services | $133,298 | ProgramServicesAmt |
| Management And General | $34,240 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $115,260 | TotalAmt |
| Program Services | $46,235 | ProgramServicesAmt |
| Management And General | $32,624 | ManagementAndGeneralAmt |
| Fundraising | $36,401 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,000 | TotalAmt |
| Program Services | $14,000 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $207,143 | TotalAmt |
| Program Services | $207,143 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,881 | TotalAmt |
| Program Services | $13,881 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,932,520 | TotalAmt |
| Program Services | $1,522,000 | ProgramServicesAmt |
| Management And General | $200,333 | ManagementAndGeneralAmt |
| Fundraising | $210,187 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,688,700 | BOYAmt |
| EOY | $1,407,772 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $383,048 | BOYAmt |
| EOY | $2,480,300 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $152,383 | BOYAmt |
| EOY | $322,157 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,800 | BOYAmt |
| EOY | $399,575 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $547,114 | BOYAmt |
| EOY | $483,780 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $28,417,092 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,083,861 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,616,949 | BOYAmt |
| EOY | $26,333,231 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,971,402 | BOYAmt |
| EOY | $21,378,907 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,478,153 | BOYAmt |
| EOY | $681,087 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,844,549 | BOYAmt |
| EOY | $53,486,809 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $347,854 | BOYAmt |
| EOY | $1,493,631 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $234,708 | BOYAmt |
| EOY | $221,400 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,654,125 | BOYAmt |
| EOY | $34,783,365 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,236,687 | BOYAmt |
| EOY | $36,498,396 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$6,612,928 | BOYAmt |
| EOY | -$7,655,899 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,353,684 | BOYAmt |
| EOY | $16,777,206 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,867,106 | BOYAmt |
| EOY | $7,867,106 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,607,862 | BOYAmt |
| EOY | $16,988,413 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,844,549 | BOYAmt |
| EOY | $53,486,809 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$977,181 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $357,732 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | 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 (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | 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 | $969,641 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $496,363 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $719,653 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,265,526 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,085,013 | CurrentTaxYearAmt |
| Total | $4,536,196 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $969,641 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $496,363 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $719,653 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,265,526 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,085,013 | CurrentTaxYearAmt |
| Total | $4,536,196 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $200,875 | SubstantialContributorsTotAmt |
| Public Support Total170 | $4,335,321 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,315,821 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,649,989 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,307,918 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,946,078 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,325,078 | CurrentTaxYearAmt |
| Total | $9,544,884 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $14,081,080 | TotalSupportAmt |
| Public Support CY170 | 0.30790 | PublicSupportCY170Pct |
| Public Support PY170 | 0.28230 | PublicSupportPY170Pct |
| Ten Pct Facts Crcmstncs Test CY | Yes (X) | TenPctFactsCrcmstncsTestCYInd |
| Facts And Circumstances Test | REG. SEC. 1.170A-9(F)(3)(II)PACIFIC VISION FOUNDATION ("FOUNDATION") IS AN ORGANIZATION THAT MAINTAINS A CONTINUOUS AND BONA FIDE PROGRAM FOR SOLICITATION OF FUNDS FROM THE GENERAL PUBLIC AND COMMUNITY. DURING 2016, THE FOUNDATION EXPENDED $210,187, OR 10.88% OF TOTAL FUNCTIONAL EXPENSES, ON FUNDRAISING ACTIVITIES.REG. SEC. 1.170A-9(F)(3)(III)(A)AS OF THE TAX YEAR END, THE FOUNDATION RECEIVED 30.79% OF TOTAL FINANCIAL SUPPORT FROM THE PUBLIC, 20.79% ABOVE THE REQUIREMENT OF REG. SEC. 1.170A-9(F)(3)(I).REG. SEC. 1.170A-9(F)(3)(III)(B)THE FOUNDATION RECEIVES SUPPORT FROM INDIVIDUALS AND ORGANIZATIONS TO FUND RESEARCH IN OPHTHALMOLOGY AND THE OPERATION OF AN OPHTHALMOLOGY RESIDENCY PROGRAM AT A MEDICAL CENTER. REG. SEC. 1.170A-9(F)(3)(III)(C)INDIVIDUALS WHO SPECIALIZE IN OPHTHALMOLOGY SERVE ON THE GOVERNING BODY OF THE FOUNDATION. OTHER MEMBERS OF THE GOVERNING BODY ARE COMMUNITY LEADERS AND PERSONS THAT REPRESENT THE BROAD INTERESTS OF THE PUBLIC. | FactsAndCircumstancesTestTxt |
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 | $19,249,622 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $793,553 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $978,126 | OtherExpendituresAmt |
| End Year Balance | $19,065,049 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $19,795,336 | BeginningYearBalanceAmt |
| Contributions | $1,000 | ContributionsAmt |
| Investment Earnings Or Losses | $73,165 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $619,879 | OtherExpendituresAmt |
| End Year Balance | $19,249,622 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $19,917,036 | BeginningYearBalanceAmt |
| Contributions | $2,784 | ContributionsAmt |
| Investment Earnings Or Losses | $363,554 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $488,038 | OtherExpendituresAmt |
| End Year Balance | $19,795,336 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $19,258,540 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,116,879 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $458,383 | OtherExpendituresAmt |
| End Year Balance | $19,917,036 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $16,925,810 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $2,708,677 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $375,947 | OtherExpendituresAmt |
| End Year Balance | $19,258,540 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00850 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.41260 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.57890 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,000,000 | OtherCostOrOtherBasisAmt |
| Book Value | $6,000,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,024,859 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,073,816 | DepreciationAmt |
| Book Value | $15,951,043 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,242,187 | OtherCostOrOtherBasisAmt |
| Book Value | $4,242,187 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $150,046 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,045 | DepreciationAmt |
| Book Value | $140,001 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $26,333,231 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $3,752,432 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $357,732 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $357,732 | RevenueNotReportedAmt |
| Revenue Subtotal | $3,394,700 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$2,439,361 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$2,439,361 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $955,339 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $4,371,881 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $2,439,361 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $2,439,361 | ExpensesNotReportedAmt |
| Expenses Subtotal | $1,932,520 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $1,932,520 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE FOUNDATION'S ENDOWMENTS INCLUDE DONOR-RESTRICTED ENDOWMENT FUNDS AND FUNDS DESIGNATED BY THE BOARD OF DIRECTORS TO FUNCTION AS ENDOWMENTS. NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS, INCLUDING FUNDS DESIGNATED BY THE BOARD OF DIRECTORS TO FUNCTION AS ENDOWMENTS, ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OR ABSENCE OF DONOR-IMPOSED RESTRICTIONS. RETURNS ON ENDOWMENT FUNDS ARE USED TO SUPPORT THE MISSION OF THE FOUNDATION. |
| PART X, LINE 2: | THE FOUNDATION IS ORGANIZED AS A CALIFORNIA NONPROFIT CORPORATION AND HAS BEEN DETERMINED TO BE EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND CALIFORNIA STATE INCOME TAXES AS A PUBLIC CHARITY. IN ADDITION, THE INTERNAL REVENUE SERVICE HAS DETERMINED THE FOUNDATION IS NOT A PRIVATE FOUNDATION. MANAGEMENT EVALUATED THE FOUNDATION'S TAX POSITIONS AND CONCLUDED THAT THE FOUNDATION HAD MAINTAINED ITS TAX EXEMPT STATUS AND HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS. THEREFORE, NO PROVISION OR LIABILITY FOR INCOME TAXES HAS BEEN INCLUDED IN THE FINANCIAL STATEMENTS. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | RENTAL EXPENSES RECLASSIFIED TO REVENUE -2,439,361. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES RECLASSIFIED TO REVENUE 2,439,361. |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | Yes (X) | MailSolicitationsInd |
| In Person Solicitations | Yes (X) | InPersonSolicitationsInd |
| Solicitation Of Non Govt Grants | Yes (X) | SolicitationOfNonGovtGrantsInd |
| Agrmt Prof Fundraising Acty | Yes (1) | AgrmtProfFundraisingActyInd |
Fundraiser Activity Info FundraiserActivityInfoGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | ActivityActivityTxt | Fundraiser Control Of FundsFundraiserControlOfFundsInd | Gross ReceiptsGrossReceiptsAmt | Retained By ContractorRetainedByContractorAmt | Net To OrganizationNetToOrganizationAmt |
|---|---|---|---|---|---|---|---|---|
| CHARLES SIZEMORE | ||||||||
| 2718 GASPAR CT | PALO ALTO | CA | 94306 | CONSULTANT | 0 | $0 | $18,424 | -$18,424 |
| GAIL TERRY GRIMES | ||||||||
| 206 TEMELEC CIRCLE | SONOMA | CA | 95476 | GRANT WRITING | 0 | $0 | $25,375 | -$25,375 |
| CYNTHIA COLEBROOK | ||||||||
| 2677 LARKIN STREET | SAN FRANCISCO | CA | 94109 | CONSULTANT | 0 | $0 | $64,525 | -$64,525 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Retained By Contractors | $108,324 | TotalRetainedByContractorsAmt |
| Total Net To Organization | -$108,324 | TotalNetToOrganizationAmt |
| Licensed States | CA | LicensedStatesCd |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CPMCSUTTER HEALTH | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 7999 | AddressLine1Txt |
| City | SAN FRANCISCO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94120 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 940562680 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $222,393 | CashGrantAmt |
| Purpose Of Grant | SUPPORT EYE PROGRAMS AND DOCTORS | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (10 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| VOLUNTEER FACULTY MEMBERS | 15 | $82,000 |
| EYE RESIDENCIES | 11 | $43,526 |
| PATHOLOGY | 1 | $6,510 |
| LOW VISION PROGRAM | 1 | $66,000 |
| CLINIC ATTENDING | 60 | $41,878 |
| VISITING PROFESSOR | 1 | $17,599 |
| INTERNATIONAL RESEARCH | 1 | $12,636 |
| TECHNOLOGY AND MEDICAL RESEARCH | 1 | $104,401 |
| CLINIC SUPPORT | 4 | $9,280 |
| CHAIR | 1 | $13,324 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | PAYMENTS ARE MADE TO SUPPORT GRANTEES' WORK WITHIN THE DEPARTMENT OF OPHTHALMOLOGY. EXPENSE REPORTS ARE SUBMITTED. BOARD APPROVES STIPENDS. GRANTS COMMITTEE OF THE BOARD REVIEWS AND RECOMMENDS ACTION ON RESEARCH GRANTS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL MAHONEY | PersonNm |
| Title | CEO | TitleTxt |
| Base Compensation Filing Org | $250,000 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $25,000 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $0 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $0 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $275,000 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | BRUCE SPIVEY AND ERIC SPIVEY HAVE A FAMILY RELATIONSHIP. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 WAS REVIEWED BY THE CONTROLLER AND THE CEO. UPON REVIEW, THE FORM WAS SENT TO MEMBERS OF THE BOARD WITH A REQUEST THAT THEY REVIEW ITS CONTENTS AND OFFER ANY EDITS PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | ANY DIRECTOR, PRINCIPAL OFFICER OR MEMBER OF A COMMITTEE ARE ALL COVERED BY THE POLICY. DETERMINATIONS ARE MADE WHERE THERE IS A FINANCIAL INTEREST IN INVESTMENTS, COMPENSATION, OR POTENTIAL INVESTMENTS OR COMPENSATION. CONFLICTS ARE REVIEWED WHEREVER A FINANCIAL INTEREST EXISTS. APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION IS TAKEN WHEN THERE IS FOUND TO BE A CONFLICT. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD OF DIRECTORS APPROVES COMPENSATION BASED ON REVIEW OF SALARY SURVEYS. COMPENSATION FOR THE CEO AND THE EXECUTIVE DIRECTOR ARE REVIEWED BY THE CHAIR OF THE BOARD WITH INPUT FROM ALL BOARD COMMITTEE MEMBERS. THE CHAIR THEN MEETS AND DISCUSSES WITH THE EMPLOYEE. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS FOR THE SAME PERIOD OF TIME SET FORTH IN SEC. 6104(D) ARE MADE AVAILABLE UPON REQUEST THROUGH HARD COPIES IN THE CONTROLLER'S OFFICE. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| SFOC LLC | |||||||||
| 711 VAN NESS AVENUE SUITE 260 | SAN FRANCISCO | CA | 94102 | 452209678 | REAL ESTATE RENTAL | CA | -$568,825 | $28,921,348 | PACIFIC VISION FOUNDATION |
| SF EYE LLC | |||||||||
| 711 VAN NESS AVENUE SUITE 260 | SAN FRANCISCO | CA | 94102 | 942422439 | REAL ESTATE RENTAL | CA | $0 | $0 | PACIFIC VISION FOUNDATION |