STRATEGY STUDIO / PUBLIC DATA EXPLORER

SIERRA SENIOR SERVICES: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
SIERRA SENIOR SERVICES (EIN 68-0484075)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-02-19
IRS object ID
201430509349300713
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)
Timestamp2014-02-19T09:39:53-08:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1JENSEN SMITH CPAsBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 160AddressLine1
CityLINCOLNCity
StateCAState
ZIP Code95648ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN680484075EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Sierra Senior ServicesBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSIERNameControl
Phone5305507600Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 4152AddressLine1
CityTruckeeCity
StateCAState
ZIP Code96160ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJim DykstraName
TitleChairpersonTitle
Date Signed2014-02-19DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameLisette L Hutchens CPAName
PTINP01513142PTIN
Phone9164341662Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJim DykstraNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO Box 4152AddressLine1
CityTruckeeCity
StateCAState
ZIP Code96160ZIPCode
FieldValueIRS element (for citing)
Gross Receipts432054GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.sierraseniors.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2002YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTo improve the quality of life for seniors in the Tahoe/Truckee area by providing congregate and home delivered meals to seniors, serving as a resource to meet seniors needs, providing services that help promote healthy aging, and collaborate with community groups and organizations to support senior programs and services.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees7TotalNbrEmployees
Total Nbr Volunteers130TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year369470ContributionsGrantsPriorYear
Contributions Grants Current Year360878ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year349InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year36790OtherRevenuePriorYear
Other Revenue Current Year46697OtherRevenueCurrentYear
Total Revenue Prior Year406609TotalRevenuePriorYear
Total Revenue Current Year407575TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year187720SalariesEtcPriorYear
Salaries Etc Current Year185004SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year18272TotalFundrsngExpCurrentYear
Other Expense Prior Year193900OtherExpensePriorYear
Other Expenses Current Year219995OtherExpensesCurrentYear
Total Expenses Prior Year381620TotalExpensesPriorYear
Total Expenses Current Year404999TotalExpensesCurrentYear
Revenues Less Expenses Prior Year24989RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2576RevenuesLessExpensesCY
Total Assets BOY248965TotalAssetsBOY
Total Assets EOY237006TotalAssetsEOY
Total Liabilities BOY53844TotalLiabilitiesBOY
Total Liabilities EOY39309TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY195121NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY197697NetAssetsOrFundBalancesEOY
Mission DescriptionTo improve the quality of life for seniors in the Tahoe/Truckee area by providing congregate and home delivered meals to seniors, serving as a resource to meet seniors needs, providing services that help promote healthy aging, and collaborate with community groups and organizations to support senior programs and services.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense266807Expense
Description16,285 meals served in Nevada County, 8,934 meals in Placer County, and expanded service into Incline Village and Crystal Bay area where one month of service delivered 91 meals to seniors. Total meals served in fiscal year 2012-2013 was 25,310, a new record for number of meals served.Successful pilot program to include a bonus breakfast meal for those in need.Continued providing meals at no charge to seniors. Donations are accepted but nobody is ever turned away due to inability to contribute financially.Under the SNAP-ed program, we were able to hold Body Recall Classes and Nutrition Education classes with food demonstrations and nutritional information at each session. Average attendance was 16 attendees per session. We also began a lending library for health and nutritional information including CD's, videos, and cookbooks.125,000 hours of volunteer work in fiscal year 2012-2013.Description
Total Program Service Expense266807TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingtrueGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10961NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees7NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledtrueForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
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 CommitteesfalseMinutesOfCommittees
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 CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSarah Hall DeardorffNamePerson
Telephone Number5305507600TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line110040 Estates DriveAddressLine1
CityTruckeeCity
StateCAState
ZIP Code96161ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
Mary Anderson
Board Member1.000.00X000
Jan Chamberlain
Board Member1.000.00X000
John Manocchio
Board Member1.000.00X000
Sarah Deardorff
Executive Dir.40.000.00X5520900X
Susan Duffy Smith
Board Member1.000.00X000
Kelley Carroll
Board Member1.000.00X000
Gina Brown
Board Member1.000.00X000
Carolyn Chambers
Board Member1.000.00X000
David Kahn
Board Member1.000.00X000
Marianne Porter
Board Member1.000.00X000
Bob Hartsfield
Board Member1.000.00X000
Veronica Cannon
Board Member1.000.00X000
Ann Holmes-Delforge
Board Member1.000.00X000
Jim Dykstra
Chairperson1.000.00X000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org55209TotalReportableCompFromOrg
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants186972GovernmentGrants
All Other Contributions173906AllOtherContributions
Noncash Contributions5851NoncashContributions
Total Contributions360878TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Fundraising Events39110GrossIncomeFundraisingEvents
Fundraising Direct Expenses20316FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column18794TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Gaming30812GrossIncomeGaming
Gaming Direct Expenses4163GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column26649TotalRevenueColumn
Related Or Exempt Function Income26649RelatedOrExemptFunctionIncome

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMiscellaneous IncomeDescription
Total Revenue Column1254TotalRevenueColumn
Exclusion$1,254ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1254TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column407575TotalRevenueColumn
Related Or Exempt Function Income26649RelatedOrExemptFunctionIncome
Exclusion$1,254ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total55209Total
Program Services4969ProgramServices
Management And General41407ManagementAndGeneral
Fundraising8833Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total115130Total
Program Services65964ProgramServices
Management And General43910ManagementAndGeneral
Fundraising5256Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total14665Total
Program Services6874ProgramServices
Management And General6498ManagementAndGeneral
Fundraising1293Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total45858Total
Program Services44086ProgramServices
Management And General1772ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total3983Total
Program Services3983ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total1381Total
Program Services1381ProgramServices

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total3Total
Management And General3ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total18411Total
Management And General18411ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total12157Total
Program Services12157ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
OTO expense78226962860
Vehicle Operations80047827177
Supplies1289812898
Raw Food7593275932

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total33546Total
Program Services23774ProgramServices
Management And General6882ManagementAndGeneral
Fundraising2890Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total404999Total
Program Services266807ProgramServices
Management And General119920ManagementAndGeneral
Fundraising18272Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY22106BOY
EOY-4975EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY105701BOY
EOY100949EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY50283EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY25577BOY
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis164661LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec73912LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY95581BOY
EOY90749EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY248965BOY
EOY237006EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY23557BOY
EOY26838EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY30287BOY
EOY12471EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY53844BOY
EOY39309EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY161259BOY
EOY163609EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY33862BOY
EOY34088EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY195121BOY
EOY197697EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY248965BOY
EOY237006EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses2576ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteefalseAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years313645CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years383148CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years349072CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year345689CurrentTaxYearMinus1Year
Current Tax Year387358CurrentTaxYear
Total1778912Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years313645CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years383148CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years349072CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year345689CurrentTaxYearMinus1Year
Current Tax Year387358CurrentTaxYear
Total1778912Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total1701778912PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years433CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years547CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years766CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year349CurrentTaxYearMinus1Year
Total2095Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Total Support1781007TotalSupport
Public Support Pertcentage1700.99880PublicSupportPertcentage170
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

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

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance5604BeginningOfYearBalance
End Of Year Balance5604EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance5604BeginningOfYearBalance
Investment Earnings Or Losses-19InvestmentEarningsOrLosses
End Of Year Balance5585EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance1.00000BoardDesignatedEOYBalance
Endowments Held By Unrelated OrgstrueEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis164661InvestmentCostOrOtherBasis
Depreciation73912Depreciation
Book Value90749BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings90749TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt458534TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities26480DonatedSrvcAndUseOfFacilities
Other Revenues24479OtherRevenues
Revenue Not Rptd F99050959RevenueNotRptdF990
Revenue Subtotal407575RevenueSubtotal
Total Revenue Per Form990407575TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt455958TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities26480DonatedServicesUseOfFacilities
Other Expenses Included24479OtherExpensesIncluded
Expenses Not Rptd F99050959ExpensesNotRptdF990
Expenses Subtotal404999ExpensesSubtotal
Total Expenses Per Form990404999TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XII, Line 2dPart XII, Line 2d: Other expenses and losses per audited F/SSpecial Events not netted on F/S $24479
Part XI, Line 2dPart XI, Line 2d: Other revenue amounts included in F/S but not included on form 990Gross Special Events Rev on F/S $24479

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Solicitation Of Non Govt GrantsXSolicitationOfNonGovtGrants
Solicitation Of Govt GrantsXSolicitationOfGovtGrants
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref FundraisingfalseAgreementRefFundraising
Licensed StatesCALicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1PaellaNameOfEvent1
Gross Receipts Event122463GrossReceiptsEvent1
Gross Revenue Event122463GrossRevenueEvent1
Other Direct Expenses Event114442OtherDirectExpensesEvent1
Name Of Event2Pancake BreakfastNameOfEvent2
Gross Receipts Event28894GrossReceiptsEvent2
Gross Revenue Event28894GrossRevenueEvent2
Other Direct Expenses Event23033OtherDirectExpensesEvent2
Gross Receipts Total31357GrossReceiptsTotal
Gross Revenue Total Events31357GrossRevenueTotalEvents
Other Direct Expenses Total Events17475OtherDirectExpensesTotalEvents
Direct Expense Summary Events17475DirectExpenseSummaryEvents
Net Income Summary13882NetIncomeSummary

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Gross Revenue Bingo30812GrossRevenueBingo
Other Direct Expenses Bingo4163OtherDirectExpensesBingo
Volunteer Labor BingotrueVolunteerLaborBingo
Volunteer Labor Percentage Bingo1.00000VolunteerLaborPercentageBingo
Volunteer Labor Pull TabsfalseVolunteerLaborPullTabs
Volunteer Labor Other GamingfalseVolunteerLaborOtherGaming
Gross Revenue Total Gaming30812GrossRevenueTotalGaming
Other Direct Expenses Total Gaming4163OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming4163DirectExpenseSummaryGaming
Net Gaming Income Summary26649NetGamingIncomeSummary
FieldValueIRS element (for citing)
States Where Gaming ConductedCAStatesWhereGamingConducted
LicensedtrueLicensed
License Suspended EtcfalseLicenseSuspendedEtc
Gaming With NonmembersfalseGamingWithNonmembers
Member Of Other EntityfalseMemberOfOtherEntity
Percentage Of Gaming Othr Facility1.00000PercentageOfGamingOthrFacility

Name Of Gaming Rec Keeper Bus NameOfGamingRecKeeperBus

FieldValueIRS element (for citing)
Business Name Line1Sarah DeardorffBusinessNameLine1

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

FieldValueIRS element (for citing)
Address Line110040 Estates DrAddressLine1
CityTruckeeCity
StateCAState
ZIP Code96161ZIPCode
FieldValueIRS element (for citing)
Contract With3rd Party For Gam RevfalseContractWith3rdPartyForGamRev
Charitable Distrib RequiredfalseCharitableDistribRequired

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableGoverning documents, financial information, and policies are available upon request at the Organization's main headquarters.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsAnnually each Board Member and Officer complete a Conflict of Interest Policy Annual Disclosure Form. The forms are then reviewed to determine if there are any conflicts of interest.
Form 990, Part VI, Line 11bForm 990, Part VI, Line 11b: Form 990 Review ProcessForm 990 is given to each board member to review. It is approved by the board before filing with the IRS. The approval is documented in the board minutes. A copy of the final 990 is given to every board member before it is filed.