2013-11-08T17:48:53-06:00 2012-12-31 941587502 G & J SEIBERLICH & CO LLP 3264 VILLA LANE NAPA CA 94558 990 2012-01-01 680201898 MY HOME INC MYHO 7075397435 1639 MANZANITA AVE SANTA ROSA CA 95404 BEVERLY LYNNE VAUGHAN 7075397435 2013-10-30 1 WENDELL R COATS P00375614 7072247948 2012 2016-02-25 16:41:14Z BEVERLY LYNNE VAUGHAN 1639 MANZANITA AVENUE SANTA ROSA CA 95404 564515 0 X N/A X 1991 CA PROMOTE THE EDUCATION AND WELFARE OF DEVELOPMENTALLY DISABLED PERSONS AND FAMILIES OF DEVELOPMENTALLY DISABLED PERSONS AND TO DEVELOP AND OPERATE LIVING ARRANGEMENTS FOR DEVELOPMENTALLY DISABLED PERSONS. 3 3 17 0 0 0 6163 7 659682 558426 0 3 5000 6079 670845 564515 0 0 0 0 237307 232978 0 0 0 411855 325915 649162 558893 21683 5622 101349 106971 0 0 101349 106971 X TO OFFER THE BEST IN DIGNIFIED AND PRODUCTIVE LIVING TO ADULTS WITH DEVELOPMENTAL DISABILITIES. TO PROVIDE A PROGRESSIVE LEARNING ENVIRONMENT THAT STIMULATES PERSONAL STRENGTHS AND REWARDS INDIVIDUAL DEVELOPMENT THROUGH STIMULATION, REASSURANCE, MOTIVATION AND ASSISTANCE. RESIDENTS ARE ABLE TO PARTICIPATE IN LIFE TO THEIR FULLEST ABILITY. 0 0 439413 564505 PROMOTE THE EDUCATION AND WELFARE OF DEVELOPMENTALLY DISABLED PERSONS AND FAMILIES OF DEVELOPMENTALLY DISABLED PERSONS, AND TO DEVELOP AND OPERATE LIVING ARRANGEMENTS FOR DEVELOPMENTALLY DISABLED PERSONS. 439413 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 23 0 1 17 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 3 3 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 1 0 0 0 CA X JANE GIBBONS 7075397435 1639 MANZANITA AVENUE SANTA ROSA CA 95404 X BEVERLY LYNNE VAUGHAN 2.00 X X 0 0 0 TERRY LONGORIA 2.00 X X 0 0 0 TONY APPOLLONI 2.00 X X 0 0 0 0 0 0 0 0 0 0 0 7 7 MEDI-CAL 624310 347256 347256 D.D.S. 624310 142513 142513 S.S.A. BENEFITS 624310 68657 68657 558426 3 3 6050 0 6050 6050 6050 29 29 29 564515 564505 0 3 211126 154545 56581 2710 2710 19142 14012 5130 6298 6298 14032 14032 38400 38400 2800 2800 29925 25848 4077 DAY PROGRAM SERVICES 132585 132585 OPERATING EXPENSE 49093 49093 DHCS - QUALITY ASSURANC 27385 27385 25397 10106 15291 558893 439413 119479 0 98549 106971 15996 15996 2800 0 101349 106971 0 0 X 101349 106971 101349 106971 101349 106971 5622 0 X 0 0 0 X 330943 355077 356181 604617 495826 2142644 330943 355077 356181 604617 495826 2142644 2142644 3 3 60234 64719 60675 66228 68686 320542 2463189 0.86990 0.86440 X 15996 15996 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE TREASURER AND A COPY IS PROVIDED TO KEY MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO IT BEING FILED. FORM 990, PART VI, SECTION B, LINE 12 THE ORGANIZATION'S BOARD OF DIRECTORS APPROVED AND IMPLEMENTED A WRITTEN WHISTLEBLOWER POLICY AND DOCUMENT RETENTION AND DESTRUCTION POLICY AT THE MARCH 2011 ORGANIZATION BOARD MEETING. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST AND ON-SITE.