MOUNTAIN VALLEY HAVEN: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- MOUNTAIN VALLEY HAVEN (EIN 30-0064647)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-10-30
- IRS object ID
- 201403039349301275
- Schema version
- 2013v3.1
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-10-30T14:28:55-07:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Nicholson & Olson CPAs | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 729 Sunrise Avenue Suite 303 | AddressLine1 |
| City | Roseville | City |
| State | CA | State |
| ZIP Code | 95661 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 300064647 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOUNTAIN VALLEY HAVEN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MOUN | BusinessNameControlTxt |
| Phone | 9163340810 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5105 MANZANITA AVENUE | AddressLine1 |
| City | CARMICHAEL | City |
| State | CA | State |
| ZIP Code | 95608 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BILL PACE | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Signature | 2014-10-30 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Charles A Nicholson | PreparerPersonNm |
| PTIN | P00410549 | PTIN |
| Phone | 9167867997 | PhoneNum |
| Self Employed | Yes (X) | SelfEmployedInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MIKE WINES | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5105 MANZANITA AVE | AddressLine1 |
| City | CARMICHAEL | City |
| State | CA | State |
| ZIP Code | 95608 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $64,058 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| All Affiliates Included | false | AllAffiliatesIncludedInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.eskaton.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2001 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | ORGANIZATION'S MISSION IS TO ENHANCE THE QUALITY OF LIFE OF SENIORS THROUGH INNOVATIVE HEALTH, HOUSING AND SOCIAL SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 1 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $33,072 | PYContributionsGrantsAmt |
| CY Contributions Grants | $32,475 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $30,868 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $29,332 | CYProgramServiceRevenueAmt |
| PY Investment Income | $32 | PYInvestmentIncomeAmt |
| CY Investment Income | $35 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,402 | PYOtherRevenueAmt |
| CY Other Revenue | $2,216 | CYOtherRevenueAmt |
| PY Total Revenue | $65,374 | PYTotalRevenueAmt |
| CY Total Revenue | $64,058 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $22,564 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $25,401 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $72,068 | PYOtherExpensesAmt |
| CY Other Expenses | $67,858 | CYOtherExpensesAmt |
| PY Total Expenses | $94,632 | PYTotalExpensesAmt |
| CY Total Expenses | $93,259 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$29,258 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$29,201 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $895,797 | TotalAssetsBOYAmt |
| Total Assets EOY | $874,325 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $11,698 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $19,427 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $884,099 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $854,898 | NetAssetsOrFundBalancesEOYAmt |
| Mission | ORGANIZATION'S MISSION IS TO ENHANCE THE QUALITY OF LIFE OF SENIORS THROUGH INNOVATIVE HEALTH, HOUSING AND SOCIAL SERVICES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $57,819 | ExpenseAmt |
| Revenue | $29,332 | RevenueAmt |
| Desc | PROVIDE AFFORDABLE APARTMENTS FOR INDEPENDENT OLDER ADULTS WITH LIMITED INCOME.PLEASE VISIT THE ESKATON WEBSITE (WWW.ESKATON.ORG) FOR THE ESKATON ANNUAL & SOCIAL ACCOUNTABILITY REPORT. | Desc |
| Total Program Service Expenses | $57,819 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | 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 |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | 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 | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| 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 With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| 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 | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 1 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | false | Form990TFiledInd |
| 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 |
| Excess Business Holdings | false | ExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Org Filed In Lieu Of Form1041 | false | OrgFiledInLieuOfForm1041Ind |
| Licensed More Than One State | false | LicensedMoreThanOneStateInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| 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 | Yes (true) | 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 | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | 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 |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ED BOOGAARD | PersonNm |
| Phone | 9163340810 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5105 MANZANITA AVENUE | AddressLine1 |
| City | CARMICHAEL | City |
| State | CA | State |
| ZIP Code | 95608 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| KAREN ROBISON | |||||||
| Board Member | 0.07 | 0.85 | Yes (X) | $0 | $0 | $0 | |
| JEFF CRAWFORD | |||||||
| Vice Chairman | 0.07 | 0.85 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| BETSI HOWARD | |||||||
| Board Member | 0.07 | 0.70 | Yes (X) | $0 | $0 | $0 | |
| MARTHA KUNKEL | |||||||
| Board Member | 0.07 | 0.85 | Yes (X) | $0 | $0 | $0 | |
| JAMES H PHILLIPS | |||||||
| Board Member | 0.07 | 0.70 | Yes (X) | $0 | $0 | $0 | |
| PAT ANDERSON | |||||||
| Board Member | 0.07 | 0.14 | Yes (X) | $0 | $0 | $0 | |
| CINDY BLACKBURN | |||||||
| Board Member | 0.07 | 0.14 | Yes (X) | $0 | $0 | $0 | |
| MIKE WINES | |||||||
| Chairman | 0.07 | 0.14 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| CATHY SAILOR | |||||||
| Secretary | 0.14 | 1.70 | $0 | $0 | $0 | Yes (X) | |
| BILL PACE | |||||||
| CFO | 0.14 | 1.70 | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Indiv Rcvd Greater Than100 K | 0 | 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 | $32,475 | GovernmentGrantsAmt |
| Total Contributions | $32,475 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RENTAL INCOME | Desc |
| Total Revenue Column | $29,332 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $29,332 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $29,332 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $35 | TotalRevenueColumnAmt |
| Exclusion | $35 | 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 |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | 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 | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| LAUNDRY & TENANT CHARGES | $2,044 | $2,044 |
| MISCELLANEOUS IMCOME | $172 | $172 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,216 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $64,058 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $31,548 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $35 | ExclusionAmt |
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 | $0 | TotalAmt |
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 | $0 | TotalAmt |
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 | $20,142 | TotalAmt |
| Program Services | $4,303 | ProgramServicesAmt |
| Management And General | $15,839 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,733 | TotalAmt |
| Program Services | $3,733 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,526 | TotalAmt |
| Program Services | $1,526 | ProgramServicesAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,600 | TotalAmt |
| Management And General | $6,600 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $147 | TotalAmt |
| Management And General | $147 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,775 | TotalAmt |
| Management And General | $2,775 | ManagementAndGeneralAmt |
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 | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,350 | TotalAmt |
| Management And General | $4,350 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $315 | TotalAmt |
| Management And General | $315 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,003 | TotalAmt |
| Management And General | $1,003 | ManagementAndGeneralAmt |
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 | $9,392 | TotalAmt |
| Program Services | $9,392 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,883 | TotalAmt |
| Management And General | $2,883 | ManagementAndGeneralAmt |
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 | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,090 | TotalAmt |
| Program Services | $26,090 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,470 | TotalAmt |
| Program Services | $2,470 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| EQUIPMENT MAINTENANCE | $4,399 | $4,399 | |
| CONTRACTS | $3,344 | $3,344 | |
| WORKERS COMP | $1,633 | $1,633 | |
| SUPPLIES | $1,215 | $886 | $329 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,242 | TotalAmt |
| Program Services | $43 | ProgramServicesAmt |
| Management And General | $1,199 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,259 | TotalAmt |
| Program Services | $57,819 | ProgramServicesAmt |
| Management And General | $35,440 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50 | BOYAmt |
| EOY | $50 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $880 | BOYAmt |
| EOY | $3,587 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | 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 | $1,632 | BOYAmt |
| EOY | $384 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,036,602 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $236,365 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $824,678 | BOYAmt |
| EOY | $800,237 | 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) |
|---|---|---|
| EOY | $0 | 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 | $68,557 | BOYAmt |
| EOY | $70,067 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $895,797 | BOYAmt |
| EOY | $874,325 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,989 | BOYAmt |
| EOY | $15,254 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,709 | BOYAmt |
| EOY | $4,173 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,698 | BOYAmt |
| EOY | $19,427 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $884,099 | BOYAmt |
| EOY | $854,898 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $884,099 | BOYAmt |
| EOY | $854,898 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $895,797 | BOYAmt |
| EOY | $874,325 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$29,201 | ReconcilationRevenueExpnssAmt |
| 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 | false | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
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 | $31,531 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $33,667 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $35,809 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $33,072 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $32,475 | CurrentTaxYearAmt |
| Total | $166,554 | 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 | $31,531 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $33,667 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $35,809 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $33,072 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $32,475 | CurrentTaxYearAmt |
| Total | $166,554 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $0 | SubstantialContributorsTotAmt |
| Public Support Total170 | $166,554 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $23 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $25 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $31 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $32 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $32 | CurrentTaxYearAmt |
| Total | $143 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $166,697 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $151,484 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99910 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99830 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $25,000 | OtherCostOrOtherBasisAmt |
| Book Value | $25,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $997,362 | OtherCostOrOtherBasisAmt |
| Depreciation | $228,467 | DepreciationAmt |
| Book Value | $768,895 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,770 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,876 | DepreciationAmt |
| Book Value | $4,894 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,470 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,022 | DepreciationAmt |
| Book Value | $1,448 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $800,237 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| REPLACEMENT RESERVE | $66,345 |
| TENANT DEPOSITS HELD IN TRUST | $3,722 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $70,067 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| MISCELLANEOUS CURRENT LIABILITIES | $594 |
| TENANT DEPOSITS HELD IN TRUST | $3,579 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $4,173 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $64,058 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $64,058 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $64,058 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $93,259 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $93,259 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $93,259 | TotalExpensesPerForm990Amt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 11b: Form 990 Review Process | FORM 990 REVIEWED BY THE CFO OF THE MANAGEMENT COMPANY, AND REVIEWED AND SIGNED BY OFFICER OF THE BOARD OF DIRECTORS. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | OFFICERS AND DIRECTORS ARE REQUIRED TO ANNUALLY DISCLOSE THEIR POTENTIAL CONFLICTS OF INTEREST AND ARE REQUIRED TO ABSTAIN FROM ANY DISCUSSION OR VOTE RELATED TO THE POTENTIAL CONFLICT OF INTEREST. |
| Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management | COMPENSATION OF THE ADMINISTRATOR IS DETERMINED FROM DATA OBTAINED FROM A WIDE RANGE OF COMPARABLE ORGANIZATIONS. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | THIS LIST OF DOCUMENTS IS MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (20 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| FRANK JACONETTI SENIOR MANOR | ||||||||||
| 5105 MANZANITA AVENUE | CARMICHAEL | CA | 95608 | 680219231 | SENIOR RESIDENCES & SERVICES | CA | 501(c)(3) | 7 | N/A | false |
| MOUNTAIN VALLEY HAVEN IIHAYFORK II | ||||||||||
| 5105 MANZANITA AVENUE | CARMICHAEL | CA | 95608 | 412131879 | SENIOR RESIDENCES & SERVICES | CA | 501(c)(3) | 7 | N/A | false |
| MOUNTAIN VALLEY HAVEN IIIHAYFORK III | ||||||||||
| 5105 MANZANITA AVENUE | CARMICHAEL | CA | 95608 | 202887101 | SENIOR RESIDENCES & SERVICES | CA | 501(c)(3) | 7 | N/A | false |
| PRESIDENT JAMES MADISON MANORJEFFERSON | ||||||||||
| 5105 MANZANITA AVENUE | CARMICHAEL | CA | 95608 | 942494749 | SENIOR RESIDENCES & SERVICES | CA | 501(c)(3) | 9 | N/A | false |
| PRESIDENT JOHN F KENNEDY MANOR | ||||||||||
| 5105 MANZANITA AVENUE | CARMICHAEL | CA | 95608 | 942164867 | SENIOR RESIDENCES & SERVICES | CA | 501(c)(3) | 9 | N/A | false |
| LASSEN COUNTY SENIOR HOUSING COUNCIL INC | ||||||||||
| 5105 MANZANITA AVENUE | CARMICHAEL | CA | 95608 | 942861422 | SENIOR RESIDENCES & SERVICES | CA | 501(c)(3) | 7 | N/A | false |
| PRESIDENT ANDREW JACKSON MANORLASSEN | ||||||||||
| 5105 MANZANITA AVENUE | CARMICHAEL | CA | 95608 | 600033365 | SENIOR RESIDENCES & SERVICES | CA | 501(c)(3) | 7 | N/A | false |
| PRESIDENT HARRY S TRUMAN MANOR | ||||||||||
| 5105 MANZANITA AVENUE | CARMICHAEL | CA | 95608 | 943041300 | SENIOR RESIDENCES & SERVICES | CA | 501(c)(3) | 9 | N/A | false |
| LASSEN MANOR IV | ||||||||||
| 5105 MANZANITA AVENUE | CARMICHAEL | CA | 95608 | 680450882 | SENIOR RESIDENCES & SERVICES | CA | 501(c)(3) | 7 | N/A | false |
| PRESIDENT ABRAHAM LINCOLN MANOR | ||||||||||
| 5105 MANZANITA AVENUE | CARMICHAEL | CA | 95608 | 680033361 | SENIOR RESIDENCES & SERVICES | CA | 501(c)(3) | 7 | N/A | false |
| PRESIDENT ABRAHAM LINCOLN MANOR II | ||||||||||
| 5105 MANZANITA AVENUE | CARMICHAEL | CA | 95608 | 680450881 | SENIOR RESIDENCES & SERVICES | CA | 501(c)(3) | 7 | N/A | false |
| CASA NATOMASNATOMAS MANOR | ||||||||||
| 5105 MANZANITA AVENUE | CARMICHAEL | CA | 95608 | 680468416 | SENIOR RESIDENCES & SERVICES | CA | 501(c)(3) | 7 | N/A | false |
| PRESIDENT GEORGE WASHINGTON MANOR I | ||||||||||
| 5105 MANZANITA AVENUE | CARMICHAEL | CA | 95608 | 943046045 | SENIOR RESIDENCES & SERVICES | CA | 501(c)(3) | 9 | N/A | false |
| PRESIDENT GEORGE WASHINGTON MANOR II | ||||||||||
| 5105 MANZANITA AVENUE | CARMICHAEL | CA | 95608 | 942666532 | SENIOR RESIDENCES & SERVICES | CA | 501(c)(3) | 7 | N/A | false |
| PRESIDENT GROVER CLEVELAND MANOR | ||||||||||
| 5105 MANZANITA AVENUE | CARMICHAEL | CA | 95608 | 943203590 | SENIOR RESIDENCES & SERVICES | CA | 501(c)(3) | 9 | N/A | false |
| SHASTA MANOR | ||||||||||
| 5105 MANZANITA AVENUE | CARMICHAEL | CA | 95608 | 943319203 | SENIOR RESIDENCES & SERVICES | CA | 501(c)(3) | 7 | N/A | false |
| SHASTA MANOR II | ||||||||||
| 5105 MANZANITA AVENUE | CARMICHAEL | CA | 95608 | 680545825 | SENIOR RESIDENCES & SERVICES | CA | 501(c)(3) | 7 | N/A | false |
| PRESIDENT WOODROW WILSON MANOR | ||||||||||
| 5105 MANZANITA AVENUE | CARMICHAEL | CA | 95608 | 680033363 | SENIOR RESIDENCES & SERVICES | CA | 501(c)(3) | 7 | N/A | false |
| CLEARLAKE OAKS MANOR | ||||||||||
| 5105 MANZANITA AVENUE | CARMICHAEL | CA | 95608 | 202886754 | SENIOR RESIDENCES & SERVICES | CA | 501(c)(3) | 7 | N/A | false |
| ESKATON ROSEVILLE MANOR | ||||||||||
| 5105 MANZANITA AVENUE | CARMICHAEL | CA | 95608 | 331148888 | SENIOR RESIDENCES & SERVICES | CA | 501(c)(3) | 9 | N/A | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |