STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

OLYMPIC COMMUNITY ACTION PROGRAMS: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
OLYMPIC COMMUNITY ACTION PROGRAMS (EIN 91-0814319)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-10-02
IRS object ID
201322759349300137
Schema version
2012v2.1
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

FieldValueIRS element (for citing)
Timestamp2013-10-02T13:23:12-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN910870697EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1AIKEN & SANDERS INC PSBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1343 W WISHKAH STAddressLine1
CityABERDEENCity
StateWAState
ZIP Code98520ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN910814319EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1OLYMPIC COMMUNITY ACTION PROGRAMSBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlOLYMNameControl
Phone3603852571Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1823 COMMERCE LOOPAddressLine1
CityPORT TOWNSENDCity
StateWAState
ZIP Code98368ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameOFFICERName
TitleEXECUTIVE DIRECTORTitle
Phone3603852571Phone
Date Signed2013-09-11DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameTERRY D SODDERS CPAName
PTINP00003151PTIN
Phone3605333370Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonGEOFF CRUMPNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1823 COMMERCE LOOPAddressLine1
CityPORT TOWNSENDCity
StateWAState
ZIP Code98368ZIPCode
FieldValueIRS element (for citing)
Gross Receipts7874572GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteHTTP://WWW.OLYCAP.ORG/WebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1966YearFormation
State Legal DomicileWAStateLegalDomicile
Activity Or Mission DescriptionTO STRENGTHEN THE COMMUNITY BY PROVIDING SUPORTIVE SERVICES THAT HELP PEOPLE TO HELP THEMSELVES.ActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees245TotalNbrEmployees
Total Nbr Volunteers506TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year9571456ContributionsGrantsPriorYear
Contributions Grants Current Year7372481ContributionsGrantsCurrentYear
Program Service Revenue Prior Year581125ProgramServiceRevenuePriorYear
Program Service Revenue CY396496ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year48429OtherRevenuePriorYear
Other Revenue Current Year-15484OtherRevenueCurrentYear
Total Revenue Prior Year10201010TotalRevenuePriorYear
Total Revenue Current Year7753493TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2978156GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1884759GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year5596685SalariesEtcPriorYear
Salaries Etc Current Year4287783SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year87TotalFundrsngExpCurrentYear
Other Expense Prior Year1964384OtherExpensePriorYear
Other Expenses Current Year1561624OtherExpensesCurrentYear
Total Expenses Prior Year10539225TotalExpensesPriorYear
Total Expenses Current Year7734166TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-338215RevenuesLessExpensesPriorYear
Revenues Less Expenses CY19327RevenuesLessExpensesCY
Total Assets BOY5645762TotalAssetsBOY
Total Assets EOY5171436TotalAssetsEOY
Total Liabilities BOY4677212TotalLiabilitiesBOY
Total Liabilities EOY3955192TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY968550NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1216244NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionOLYMPIC COMMUNITY ACTION PROGRAMS SERVES AS A COMMUNITY ACTION AGENCY IN CONFIRMITY WITH THE ECONOMIC OPPORTUNITY ACT OF 1964. THE ORGANIZATION'S PRINCIPAL OPERATION IS ADMINISTRATION OF GOVERNMENT AND COMMUNITY FUNDED PROGRAMS DIRECTED TOWARDS ECONOMIC BETTERMENT OF LOW-INCOME, ELDERLY, MINORITY, AND DISADVANTAGED COMMUNITY MEMBERS OF CLALLAM AND JEFFERSON COUNTIES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense2424448Expense
Grants536396Grants
Revenue58663Revenue
DescriptionEARLY CHILDHOOD PROGRAMS PROVIDE OPPORTUNITIES FOR THE HEALTHY GROWTH AND DEVELOPMENT OF CHILDREN, EDUCATE PARENTS AND PROVIDE FAMILY SUPPORT SERVICES FOR CHILDREN AND THEIR FAMILIES.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1314577Expense
Grants221303Grants
Revenue193270Revenue
DescriptionLONG TERM CARE PROGRAMS PROVIDE IN-HOME SERVICES TO ELDERLY AND DISABLED INDIVIDUALS WHICH ALLOW THEM TO CONTINUE LIVING IN THEIR OWN HOMES RATHER THAN BE PREMATURELY INSTITUTIONALIZED.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1401073Expense
Grants406921Grants
Revenue129485Revenue
DescriptionHOUSING PROGRAMS PROVIDE REHABILITATION AND/OR WEATHERIZATION OF HOMES IN ADDITION TO PROVIDING SAFE, AFFORDABLE HOUSING UNITS AND SHELTERS.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense1302957Expense
Grants720139Grants
DescriptionCOMMUNITY SUPPORT SERVICES PROVIDES A BROAD RANGE OF SERVICES IN EMPLOYMENT ASSISTANCE, EMERGENCY AID, FOOD AND NUTRITION ASSISTANCE, INFORMATION AND REFERRAL SERVICES TO COMMUNITY CENTERS AND PROVISION OF VOLUNTEER RESOURCES.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp1302957TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt720139TotalOfOtherProgramServiceGrnt
Total Program Service Expense6443055TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109666NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees245NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledWAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMICHAEL JR LIEUALLENNamePerson
Telephone Number3603852571TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1823 COMMERCE LOOPAddressLine1
CityPORT TOWNSENDCity
StateWAState
ZIP Code98368ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
ROBERT GRAY
VICE CHAIR0.00XX000
CYNDYANN JOYNER
SECRETARY0.00XX000
DR ED HOPFNER
TREASURER0.00XX000
MAJ-BRITT PEACOCK
BOARD MEMBER0.00X000
ANNA BARRIGAN
BOARD MEMBER0.00X000
DAVID SULLIVAN
BOARD MEMBER0.00X000
CAMMY BROWN
BOARD MEMBER0.00X000
TOM DUKE
BOARD MEMBER0.00X000
MICAH HOOTEN
BOARD MEMBER0.00X000
WILLIAM JAMES
BOARD MEMBER0.00X000
RICH CICCARONE
CHAIR0.00XX000
MICHAELJR LIEUALLEN
FISCAL DIRECTOR40.00X25521010029
JANET ANDERSON
INTERIM EXECUTIVE DIRECTOR40.00X8043009484
GEOFF CRUMP
EXECUTIVE DIRECTOR40.00X3554303884
FieldValueIRS element (for citing)
Total Reportable Comp From Org141494TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation23397TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
PUGET SOUND ENERGY
310 FOUR CORNERS ROADPORT TOWNSENDWA98368ELECTRICITY/ENERGY251621
CLALLAM COUNTY PUD
PO BOX 1090PORT ANGELESWA98362ELECTRICITY/ENERGY193885
SYSCO FOOD SERVICES
PO BOX 84907SEATTLEWA98124FOOD161692
CITY OF PORT ANGELES
PO BOX 1150PORT ANGELESWA98362UTILITIES151389
QUILLAYUTE VALLEY SCHOOL DISTRICT
411 SOUTH SPARTAN AVENUEFORKSWA98331CHILD CARE147637
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K
Government Grants6604932GovernmentGrants
All Other Contributions767549AllOtherContributions
Noncash Contributions255399NoncashContributions
Total Contributions7372481TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
FEES REVENUE721310268802253724$15,078
RENTAL INCOME623990127694127694
FieldValueIRS element (for citing)
Total Program Service Revenue396496TotalProgramServiceRevenue
Gross Sales Of Inventory97762GrossSalesOfInventory
Cost Of Goods Sold121079CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-23317TotalRevenueColumn
Exclusion-$23,317ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLENAOUSDescription
Business Code900099BusinessCode
Total Revenue Column7833TotalRevenueColumn
Exclusion$7,833ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue7833TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column7753493TotalRevenueColumn
Related Or Exempt Function Income381418RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$406ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total379086Total
Program Services379086ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total1505673Total
Program Services1505673ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total164891Total
Program Services47630ProgramServices
Management And General117261ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2892941Total
Program Services2458960ProgramServices
Management And General433981ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total65174Total
Program Services55846ProgramServices
Management And General9328ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total689184Total
Program Services578233ProgramServices
Management And General110951ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total475593Total
Program Services408387ProgramServices
Management And General67206ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total45331Total
Management And General45331ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total26000Total
Management And General26000ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total36581Total
Program Services22417ProgramServices
Management And General14164ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total108016Total
Program Services65248ProgramServices
Management And General42768ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total134313Total
Program Services88420ProgramServices
Management And General45893ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total432464Total
Program Services292417ProgramServices
Management And General140047ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total144958Total
Program Services119733ProgramServices
Management And General25225ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total136226Total
Program Services10993ProgramServices
Management And General125233ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total206759Total
Program Services152892ProgramServices
Management And General53867ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total76116Total
Program Services54607ProgramServices
Management And General21509ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
STAFF AND VOLUNTEER DEV61806523759431
INKIND5523755237
PRINTING & PUBLICATION341081537118737
MISCELLANEOUS2929154346-2514287

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total34418Total
Program Services25184ProgramServices
Management And General9234ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total7734166Total
Program Services6443055ProgramServices
Management And General1291024ManagementAndGeneral
Fundraising87Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY84357BOY
EOY59701EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1031633BOY
EOY641445EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2137BOY
EOY8512EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY72353BOY
EOY39128EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY160BOY
EOY160EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis6329299LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2045449LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4418681BOY
EOY4283850EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY36441BOY
EOY138640EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5645762BOY
EOY5171436EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY834690BOY
EOY911358EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY373871BOY
EOY33363EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2770649BOY
EOY2720481EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY625200BOY
EOY236508EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY72802BOY
EOY53482EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4677212BOY
EOY3955192EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY279734BOY
EOY242981EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY688816BOY
EOY973263EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY968550BOY
EOY1216244EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5645762BOY
EOY5171436EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses19327ReconcilationRevenueExpenses
Reconcilation Prior Adjustment228367ReconcilationPriorAdjustment
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10082689CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10494177CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10792138CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9571456CurrentTaxYearMinus1Year
Current Tax Year7372481CurrentTaxYear
Total48312941Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10082689CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10494177CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10792138CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9571456CurrentTaxYearMinus1Year
Current Tax Year7372481CurrentTaxYear
Total48312941Total
FieldValueIRS element (for citing)
Public Support Total17048312941PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3CurrentTaxYearMinus4Years
Total3Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years-1409CurrentTaxYearMinus4Years
Current Tax Year Minus2 Years-1687CurrentTaxYearMinus2Years
Total-3096Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years37577CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11463CurrentTaxYearMinus1Year
Current Tax Year7833CurrentTaxYear
Total56873Total
FieldValueIRS element (for citing)
Total Support48366721TotalSupport
Gross Receipts From Admissions Etc2579624GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99890PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99910PublicSupportPertcentPriorYear
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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis856560OtherCostOrOtherBasis
Book Value856560BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3545794OtherCostOrOtherBasis
Depreciation900354Depreciation
Book Value2645440BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1106746OtherCostOrOtherBasis
Depreciation430922Depreciation
Book Value675824BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis820199OtherCostOrOtherBasis
Depreciation714173Depreciation
Book Value106026BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4283850TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionMISCELLANOUSDescription
Amount$53,482Amount
FieldValueIRS element (for citing)
Total Of Amounts53482TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt8400208TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities403921DonatedSrvcAndUseOfFacilities
Other Revenues242794OtherRevenues
Revenue Not Rptd F990646715RevenueNotRptdF990
Revenue Subtotal7753493RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9907753493TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt8390678TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities403921DonatedServicesUseOfFacilities
Other Expenses Included252591OtherExpensesIncluded
Expenses Not Rptd F990656512ExpensesNotRptdF990
Expenses Subtotal7734166ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9907734166TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:THE ORGANIZATION IS A NON-PROFIT CORPORATION EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS NOT CLASSIFIED AS A PRIVATE FOUNDATION. THE ORGANIZATION HAS LIMITED UNRELATED BUSINESS INCOME THAT IS SUBJECT TO TAX AND WHOSE LIABILITY IS NOT MATERIAL TO THE FINANCIAL STATEMENTS. THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THESE FINANCIAL STATEMENTS. THE ORGANIZATION FILES INCOME TAX RETURNS IN THE U.S. FEDERAL JURISDICTION. THE ORGANIZATION IS NO LONGER SUBJECT TO U.S. FEDERAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2009. CURRENTLY, THERE IS NO EXAMINATION OR PENDING EXAMINATION WITH THE INTERNAL REVENUE SERVICE (IRS). THE ORGANIZATION ADOPTED THE PROVISIONS OF FASB ASC 740-10, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, ON JANUARY 1, 2009. AS OF DECEMBER 31, 2012, THERE ARE NO TAX POSITIONS FOR WHICH THE DEDUCTIBILITY IS CERTAIN BUT FOR WHICH THERE IS UNCERTAINTY REGARDING THE TIMING OF SUCH DEDUCTIBILITY.
PART XI, LINE 2D - OTHER ADJUSTMENTS:ADJUSTMENT MADE TO REMOVE SOUTH SEVEN ACTIVITY, A SEPERATELY REPORTED ENTITY 121,715. COST OF GOODS EXPENSE IN EXPENSES ON FINANCIAL STATEMENTS 121,079.
PART XII, LINE 2D - OTHER ADJUSTMENTS:ADJUSTMENT MADE TO REMOVE SOUTH SEVEN ACTIVITY, A SEPERATELY REPORTED ENTITY 131,512. COST OF GOODS EXPENSE IN EXPENSES ON FINANCIAL STATEMENTS 121,079.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantIRC SectionIRCSection
QUILCENE SCHOOL DISTRICT
PO BOX 40QUILCENEWA9837691092808311656TO SUPPORT EARLY CHILDHOOD PROGRAM ACTIVITES.
QUILLAYUTE VALLEY SCHOOL DISTRICT
411 S SPARTAN AVEFORKSWA98331911012362241476TO SUPPORT EARLY CHILDHOOD PROGRAM ACTIVITES.
PENINSULA COLLEGE
1502 E LAURIDSENPORT ANGELESWA98362910824213125954TO SUPPORT HEAD START PROGRAM ACTIVITIES.501(C)3
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants3TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII (6 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrant
RENTAL ASSISTANCE476125659
ENERGY ASSISTANCE2364548990
TRANSPORTATION ASSISTANCE90039143
WEATHERIZATION ASSISTANCE75290037
OTHER ASSISTANCE147025744
NUTRITION ASSISTANCE44473400000

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: THE AGENCY FOLLOWS INTAKE AND CERTIFICATION PROCEDURES FOR DETERMINING CLIENT ELIGIBILITY. CONTRACT SPECIFIC ELIGIBILITY REQUIREMENTS ARE ALSO CONSIDERED DURING THE CLIENT APPROVAL PROCESS. THE FISCAL DEPARTMENT MONITORS PAYMENTS AND ENSURES EXPENSES FOLLOW THE APPROVED BUDGET FOR THE RESPECTIVE FUNDING SOURCE.Explanation

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F990128356NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues

Food Inventory FoodInventory

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions2NumberOfContributions
Noncash Contribs Rptd F990127043NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11THE EXECUTIVE DIRECTOR, ACCOUNTING MANAGEMENT AND THE BOARD CHAIR REVIEW THE FORM 990 BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST POLICY IS MONITORED AND ENFORCED THROUGH ANNUAL DISCUSSIONS, DISCLOSURE AND TRAINING. WHEN A CONFLICT ARISES, THE BOARD MEMBER REFRAINS FROM DISCUSSING AND VOTING OF THOSE MATTERS.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD PERFORMS AN ANNUAL REVIEW OF EXECUTIVE DIRECTOR COMPENSATION AND THE COMPENSATION COMMITTEE PERFORMS A BI-ANNUAL REVIEW OF EMPLOYEE WAGES WHICH INCLUDES A SALARY SURVEY.
FORM 990, PART VI, SECTION C, LINE 18OLYCAP'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS AND FORM 990 ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19OLYCAP'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS AND FORM 990 ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
PART XII LINE 2CTHE PROCESS HAS NOT CHANGED FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1SOUTH SEVEN SENIOR VILLAGEBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1823 COMMERCE LOOPAddressLine1
CityPORT TOWNSENDCity
StateWAState
ZIP Code98368ZIPCode
FieldValueIRS element (for citing)
EIN731676594EIN
Primary ActivitiesSENIOR HOUSINGPrimaryActivities
Legal Domicile StateWALegalDomicileState
Exempt Code Section501 (C)(3)ExemptCodeSection
Public Charity StatusLINE 9PublicCharityStatus
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
SOUTH SEVEN SENIOR VILLAGE
O14723FMV
SOUTH SEVEN SENIOR VILLAGE
L16708FMV