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CASA FOUNDATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
CASA FOUNDATION (EIN 33-0632829)
Tax period
2012-08-01 to 2013-07-31
Filed
2014-06-12
IRS object ID
201421639349301157
Schema version
2012v2.0
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

FieldValueIRS element (for citing)
Timestamp2014-06-12T16:26:54-07:00Timestamp
Tax Period End Date2013-07-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CASA DE LAS CAMPANAS INCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line118655 WEST BERNARDO DRIVEAddressLine1
CitySAN DIEGOCity
StateCAState
ZIP Code921273002ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-08-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN330632829EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CASA FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCASANameControl
Phone8585921885Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line118655 WEST BERNARDO DRIVEAddressLine1
CitySAN DIEGOCity
StateCAState
ZIP Code921273002ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDAVID JOHNSONName
TitleCFOTitle
Phone8585921885Phone
Date Signed2014-02-25DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameDAVID JOHNSONName
Phone8585921885Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1DAVID JOHNSONBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line118655 W BERNARDO DRAddressLine1
CitySAN DIEGOCity
StateCAState
ZIP Code921273002ZIPCode
FieldValueIRS element (for citing)
Gross Receipts434767GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1994YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionSee Statement 4ActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers19TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year920412ContributionsGrantsPriorYear
Contributions Grants Current Year315157ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year87240InvestmentIncomePriorYear
Investment Income Current Year119610InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year1007652TotalRevenuePriorYear
Total Revenue Current Year434767TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year201780GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY188897GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year30066TotalFundrsngExpCurrentYear
Other Expense Prior Year132811OtherExpensePriorYear
Other Expenses Current Year136585OtherExpensesCurrentYear
Total Expenses Prior Year334591TotalExpensesPriorYear
Total Expenses Current Year325482TotalExpensesCurrentYear
Revenues Less Expenses Prior Year673061RevenuesLessExpensesPriorYear
Revenues Less Expenses CY109285RevenuesLessExpensesCY
Total Assets BOY5909240TotalAssetsBOY
Total Assets EOY6420513TotalAssetsEOY
Total Liabilities BOY89918TotalLiabilitiesBOY
Total Liabilities EOY94399TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5819322NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6326114NetAssetsOrFundBalancesEOY
Mission DescriptionSee Statement 4MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense236076Expense
Grants188897Grants
DescriptionPROVIDE SUPPORT TO CASA DE LAS CAMPANAS IN FURTHERANCE OF THEIR EXEMPT ORGANIZATION PURPOSE IN ENHANCING THE LIFE OF OLDER PERSONS THROUGH INNOVATIVE AND SOCIALLY RESPONSIBLE PROGRAMS.Description
Total Program Service Expense236076TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArttrueCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArttrueDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109672NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form1098 C FiledtrueForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DAVID JOHNSONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8585921885TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line118655 WEST BERNARDO DRAddressLine1
CitySAN DIEGOCity
StateCAState
ZIP Code921273002ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (7 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationIndividual Trustee Or DirectorIndividualTrusteeOrDirector
ROBIN JENSEN
Chair1.00X000
DOROTHY RISHEBERGER
Member2.00000X
STEVE RIDDLE
Member1.00000X
JEANNINE MCCULLAGH
Member1.00000X
KIM DOMINY
Member2.00020108024197X
DAVID JOHNSON
CFO/Treasurer4.00X01819876421X
MARCY KAYE
Member1.00000X
FieldValueIRS element (for citing)
Total Reportable Comp Frm Rltd Orgs383067TotalReportableCompFrmRltdOrgs
Total Other Compensation30618TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcestrueCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions315157AllOtherContributions
Noncash Contributions60205NoncashContributions
Total Contributions315157TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column119610TotalRevenueColumn
Exclusion$119,610ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column434767TotalRevenueColumn
Exclusion$119,610ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total188897Total
Program Services188897ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total26400Total
Program Services0ProgramServices
Management And General26400ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total10727Total
Program Services9792ProgramServices
Management And General935ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1938Total
Program Services0ProgramServices
Management And General1938ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Consulting90200300673006730066
Sales Tax2309230900
Other Professional Fees5011501100

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total325482Total
Program Services236076ProgramServices
Management And General59340ManagementAndGeneral
Fundraising30066Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY184140BOY
EOY10649EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY4859BOY
EOY29680EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY865914BOY
EOY970490EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis26954LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec16224LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY14985BOY
EOY10730EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY4499189BOY
EOY5058811EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY340153BOY
EOY340153EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5909240BOY
EOY6420513EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1700BOY
EOY5987EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY88218BOY
EOY88412EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY89918BOY
EOY94399EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2599602BOY
EOY2933424EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY975011BOY
EOY1112810EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2244709BOY
EOY2279880EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5819322BOY
EOY6326114EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5909240BOY
EOY6420513EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses109285ReconcilationRevenueExpenses
Reconciliation Unrealized Invest336333ReconciliationUnrealizedInvest
Reconcilation Other Changes61174ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1

Supported Org Information SupportedOrgInformation (2 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
CASA DE LAS CAMPANAS INC
33037128012truetruetrue$116,918
CASA RESIDENT ASSOCIATION INC
06177556813falsetruetrue$71,981
FieldValueIRS element (for citing)
Total Number Of Supported Orgs2TotalNumberOfSupportedOrgs
Sum Of Amounts188899SumOfAmounts
Public Support Total1700PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Pertcentage1700PublicSupportPertcentage170
Public Support Total5090PublicSupportTotal509
Public Support Percentage5090PublicSupportPercentage509
Investment Income Percentage0InvestmentIncomePercentage

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Art Public Exhibition Amts ArtPublicExhibitionAmts

FieldValueIRS element (for citing)
Assets In Part X340153AssetsInPartX
FieldValueIRS element (for citing)
Collect Used For Public ExhibitionXCollectUsedForPublicExhibition

Collection Used For Other CollectionUsedForOther

FieldValueIRS element (for citing)
Collection Used For Other PurposesXCollectionUsedForOtherPurposes
Description Of Other PurposesArt Collection in common areasDescriptionOfOtherPurposes
FieldValueIRS element (for citing)
Solicited Assets For SalefalseSolicitedAssetsForSale

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance5118123BeginningOfYearBalance
Contributions181449Contributions
Investment Earnings Or Losses520741InvestmentEarningsOrLosses
Other Expenditures236283OtherExpenditures
End Of Year Balance5584030EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance4617060BeginningOfYearBalance
Contributions708823Contributions
Investment Earnings Or Losses-88464InvestmentEarningsOrLosses
Other Expenditures119296OtherExpenditures
End Of Year Balance5118123EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance3772040BeginningOfYearBalance
Contributions464859Contributions
Investment Earnings Or Losses428588InvestmentEarningsOrLosses
Other Expenditures48427OtherExpenditures
End Of Year Balance4617060EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance3011080BeginningOfYearBalance
Contributions601469Contributions
Investment Earnings Or Losses236308InvestmentEarningsOrLosses
Other Expenditures76817OtherExpenditures
End Of Year Balance3772040EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance3782113BeginningOfYearBalance
Contributions166091Contributions
Investment Earnings Or Losses-761719InvestmentEarningsOrLosses
Other Expenditures175405OtherExpenditures
End Of Year Balance3011080EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.49000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.01000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.50000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgstrueEndowmentsHeldByUnrelatedOrgs

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis10730InvestmentCostOrOtherBasis
Book Value10730BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis16224InvestmentCostOrOtherBasis
Depreciation16224Depreciation
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings10730TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionArt InventoryDescription
Book Value340153BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets340153TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionFederal Income TaxDescription
FieldValueIRS element (for citing)
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifierExplanationExplanation
Pt III Line 4Art collection is displayed throughout the facility for the enjoyment of the Residents.
Pt V Line 4Various endowments for healthcare, transportation, activities, hardship and scholarships held for non-profit programs.
Pt X Line 2Casa & the Foundation are exempt from federal & California income taxes under Section 501(c)(3) of the IRC & corresponding California provisions, except to the extent of UBTI as defined by the IRC. Casa & the Foundation maintain their
Pt X Line 2TAX-EXEMPT STATUS THROUGH DEVOTING THEIR RESOURCES TO MEET THE PRIMARY NEEDS OF AGED PERSONS, HOUSING, HEALTH CARE, & FINANCIAL SECURITY. THE ORGANIZATION EVALUATES UNCERTAIN TAX POSITIONS THROUGH ITS REVIEW OF THE SOURCES OF INCOME TO IDENTIFY UBTI & CERTAIN OTHER MATTERS, INCLUDING THOSE WHICH MAY AFFECT ITS TAX EXEMPT STATUS. THE EFFECT OF THE UNCERTAINTY WOULD BE RECORDED IF THE OUTCOME WAS CONSIDERED PROBABLE AND REASONABLY ESTIMATABLE. AS OF JULY 31, 2013 & 2012, THE ORGANIZATION HAD NO UN

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
CASA DE LAS CAMPANAS INC
18655 W BERNARDO DRSAN DIEGOCA92127330371280501(c)(3)116916generalsupport
CASA RESIDENT ASSOCIATION
18655 W BERNARDO DRSAN DIEGOCA92127061775568501(c)(7)71981generalsupport
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV (5 entries)

IdentifierIdentifierExplanationExplanation
Pt I Line 2The Foundation Board approves an annual budget prior the beginning of
Pt I Line 2all fiscal years. Any non-budgeted general support expenditures are
Pt I Line 2approved by the Foundation Board. In addition, a committee reviews all
Pt I Line 2requests prior to going to the Board and records are kept to substantiate
Pt I Line 2all activities that are subject to an annual audit.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementtrueEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgstrueCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
KIM DOMINY
1251512400151928806016857225997220757
DAVID JOHNSON
145875178941821848541567188408187996

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierExplanationExplanation
Pt I Line 6bBonus eligible if Net Operating Budget is met for CFO & Executive Director.
Pt I Line 4cIncentive Compensation for Kim Dominy $24,001 & Dave Johnson $17,894 from Casa de las Campanas.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonDAVID JOHNSONNamePerson
FieldValueIRS element (for citing)
RelationshipCFORelationship
Amount Of Transaction11300AmountOfTransaction
Description Of TransactionPurchased auto via open biddingDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F99031537NoncashContribsRptdF990
Method Of Determining RevenuesSales priceMethodOfDeterminingRevenues

Cars And Other Vehicles CarsAndOtherVehicles

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions5NumberOfContributions
Noncash Contribs Rptd F99018200NoncashContribsRptdF990
Method Of Determining RevenuesSales priceMethodOfDeterminingRevenues

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F99010468NoncashContribsRptdF990
Method Of Determining RevenuesAverage of mkt priceMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (19 entries)

IdentifierIdentifierExplanationExplanation
Pt VI, Line 19Conflict of Interest Statement & Financials are available upon request.
Pt VI, Line 12cConflict of Interest Statements are filed annually.
Pt VI, Line 12cAdministration & Accounting closely monitor its vendor relations.
Pt VI, Line 19These schedules are available upon request.
Pt VI, Line 15aCasa Foundation does not have any employees. Management
Pt VI, Line 15aconsists of volunteers on the Board & the CFO\Treasurer
Pt VI, Line 15a& a key employee from a related organization, Casa de las Campanas.
Pt VI, Line 11bCopies provided to Board and upon their approval filed subsequently.
Pt XIConsists of change in value of CRT's, Pooled Income
Pt XIfunds & Gift Annuity contracts.
SCHEDULE OLife Care Services, LLC is a FOR-PROFIT Iowa LIMITED LIABILITY
SCHEDULE OCOMPANY WHICH OPERATES AND MANAGES a variety of CONTINUING CARE
SCHEDULE ORETIREMENT COMMUNITIES nationwide, INCLUDING CASA DE LAS
SCHEDULE OCAMPANAS, INC. CASA DE LAS CAMPANAS, INC. IS GOVERNED BY
SCHEDULE OAN INDEPENDENT BOARD OF DIRECTORS AND IS ADVISED BY A RESIDENTS
SCHEDULE OCOUNCIL ELECTED BY THE COMMUNITY RESIDENTS. The CASA FOUNDATION INC
SCHEDULE OBOARD OF DIRECTORS CONSISTS OF FIVE MEMBERS, THREE OF WHICH
SCHEDULE OARE CASA DE LAS CAMPANAS BOARD MEMBERS AND THE OTHER TWO ARE
SCHEDULE OCASA RESIDENTS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1CASA DE LAS CAMPANAS INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line118655 W BERNARDO DRAddressLine1
CitySAN DIEGOCity
StateCAState
ZIP Code921273002ZIPCode
FieldValueIRS element (for citing)
EIN330371280EIN
Primary ActivitiesRetirement HomePrimaryActivities
Legal Domicile StateCALegalDomicileState
Exempt Code Section501 (c) 3ExemptCodeSection
Public Charity Status9PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
CASA DE LAS CAMPANAS INC
b117651Payments
CASA DE LAS CAMPANAS INC
nart value