FRIENDS OF FAMILY HEALTH CENTER: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: FRIENDS OF FAMILY HEALTH CENTER (EIN 27-1316512)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-11-05
IRS object ID: 201203109349300850
Schema version: 2011v1.2
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-11-05T11:04:41-06:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	330783700	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PDM LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	3460 TORRANCE BLVD STE 200	AddressLine1
City	TORRANCE	City
State	CA	State
ZIP Code	90503	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	271316512	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	FRIENDS OF FAMILY HEALTH CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	FRIE	NameControl
Phone	5626904001	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	501 S IDAHO STREET NO 100	AddressLine1
City	LA HABRA	City
State	CA	State
ZIP Code	90631	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	DAWN TRAN	Name
Title	CFO	Title
Phone	5626904001	Phone
Date Signed	2012-10-26	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	SCOTT J DONNELLY CPA	Name
PTIN	P00366806	PTIN
Phone	3105404118	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	DAWN TRAN	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	501 S IDAHO ST STE 100	AddressLine1
City	LA HABRA	City
State	CA	State
ZIP Code	90631	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	4543537	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.FOFHEALTHCENTER.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	2010	YearFormation
State Legal Domicile	CA	StateLegalDomicile
Activity Or Mission Description	TO OPERATE A STATE-LICENSED COMMUNITY HEALTH CLINIC IN LA HABRA, CA FOR FAMILIES.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	10	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	55	TotalNbrEmployees
Total Nbr Volunteers	9	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1508409	ContributionsGrantsPriorYear
Contributions Grants Current Year	3411757	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	569073	ProgramServiceRevenuePriorYear
Program Service Revenue CY	1131780	ProgramServiceRevenueCY
Investment Income Prior Year	0	InvestmentIncomePriorYear
Investment Income Current Year	0	InvestmentIncomeCurrentYear
Other Revenue Prior Year	0	OtherRevenuePriorYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	2077482	TotalRevenuePriorYear
Total Revenue Current Year	4543537	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	0	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	1104761	SalariesEtcPriorYear
Salaries Etc Current Year	2459519	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	151344	TotalFundrsngExpCurrentYear
Other Expense Prior Year	743637	OtherExpensePriorYear
Other Expenses Current Year	1915975	OtherExpensesCurrentYear
Total Expenses Prior Year	1848398	TotalExpensesPriorYear
Total Expenses Current Year	4375494	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	229084	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	168043	RevenuesLessExpensesCY
Total Assets BOY	603952	TotalAssetsBOY
Total Assets EOY	743741	TotalAssetsEOY
Total Liabilities BOY	370126	TotalLiabilitiesBOY
Total Liabilities EOY	341872	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	233826	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	401869	NetAssetsOrFundBalancesEOY
Mission Description	TO MAINTAIN AND OPERATE A STATE-LICENSED COMMUNITY HEALTH CLINIC IN LA HABRA FOR FAMILIES.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	3523718	Expense
Revenue	1131780	Revenue
Description	THE ORGANIZATION PROVIDES MEDICAL AND DENTAL SERVICES FOR CHILDREN, AND GENERAL MEDICAL SERVICES FOR ADULTS AND SENIORS REGARDLESS OF WHERE THEY RESIDE. THE ORGANIZATION CONTRACTS DIRECTLY OR INDIRECTLY WITH GOVERNMENTAL AGENCIES AND RECEIVES GRANTS TO SUPPORT SERVICE DELIVERY AND SPECIAL PROGRAMS.	Description
Total Program Service Expense	3523718	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	0	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	0	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	12	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	55	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	10	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	CA	StatesWhereCopyOfReturnIsFiled
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	DAWN TRAN	NamePerson
Telephone Number	5626904001	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	501 S IDAHO ST SUITE 100	AddressLine1
City	LA HABRA	City
State	CA	State
ZIP Code	90631	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
ROBERT GIRE
CHAIRMAN	1.00	X	X	0	0	0
DORIS BUTLER
VICE CHAIRMAN	1.00	X	X	0	0	0
SALVADOR CERVANTES
TREASURER	1.00	X	X	0	0	0
VALENTINA MOJICA- DUQUE
SECRETARY	1.00	X	X	0	0	0
CRISTINA DUQUE
BOARD MEMBER	1.00	X		0	0	0
CRYSTAL COMELY
BOARD MEMBER	1.00	X		0	0	0
EMMA HERNANDEZ
BOARD MEMBER	1.00	X		0	0	0
FRED LENTZ
BOARD MEMBER	1.00	X		0	0	0
STEPHANIE RUIZ
BOARD MEMBER	1.00	X		0	0	0
DAWN TRAN
CHIEF FINANCIAL OFFICER	40.00		X	114800	0	0
WANG SUSAN JENE
MD	40.00			173822	0	0	X
OBA CHISATO
MD	40.00			155812	0	0	X
ARMAN KAMBIZ
MD	40.00			126263	0	0	X
NGUYEN MAI-TRAM KIEU
MD	40.00			144712	0	0	X
RAYA-MORONES RUBY
MD	40.00			196664	0	0	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	912073	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	0	TotalOtherCompensation
Number Individuals GT100 K	6	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
HENRY SCHEIN
135 DURYEA ROAD	MELVILLE	NY	11747	MEDICAL SUPPLIES	144583
UNITED HEALTHCARE
5701 KATELLA AVENUE	CYPRESS	CA	90630	HEALTH INSURANCE	115674

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	2	NumberOfContractorsGT100K
Government Grants	1232248	GovernmentGrants
All Other Contributions	2179509	AllOtherContributions
Total Contributions	3411757	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	PATIENT SERVICES	Description
Business Code	621110	BusinessCode
Total Revenue Column	1131780	TotalRevenueColumn
Related Or Exempt Function Income	1131780	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	1131780	TotalProgramServiceRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	4543537	TotalRevenueColumn
Related Or Exempt Function Income	1131780	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$0	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	114800	Total
Program Services	45920	ProgramServices
Management And General	68880	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	2048081	Total
Program Services	1857415	ProgramServices
Management And General	190666	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	74538	Total
Program Services	65593	ProgramServices
Management And General	8945	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	60517	Total
Program Services	53255	ProgramServices
Management And General	7262	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	161583	Total
Program Services	142193	ProgramServices
Management And General	19390	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	6366	Total
Management And General	6366	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	13301	Total
Management And General	13301	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	505435	Total
Program Services	113426	ProgramServices
Management And General	240665	ManagementAndGeneral
Fundraising	151344	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	30102	Total
Management And General	30102	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	32568	Total
Program Services	27683	ProgramServices
Management And General	4885	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	247105	Total
Program Services	217452	ProgramServices
Management And General	29653	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	1237	Total
Program Services	1051	ProgramServices
Management And General	186	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	36839	Total
Program Services	35924	ProgramServices
Management And General	915	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	11575	Total
Management And General	11575	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	45543	Total
Program Services	38712	ProgramServices
Management And General	6831	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	216439	Total
Program Services	190466	ProgramServices
Management And General	25973	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
UNCOMPENSATED PAT SVCS	264142	264142
EQUIPMENT	151134	131478	19656
IMMUNIZATION	150690	150690
MEDICAL SUPPLIES & LAB	122061	122061

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	81438	Total
Program Services	66257	ProgramServices
Management And General	15181	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	4375494	Total
Program Services	3523718	ProgramServices
Management And General	700432	ManagementAndGeneral
Fundraising	151344	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	155022	BOY
EOY	82659	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	359895	BOY
EOY	458344	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	67254	BOY
EOY	49183	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	189347	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	46330	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	11243	BOY
EOY	143017	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	10538	BOY
EOY	10538	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	603952	BOY
EOY	743741	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	278331	BOY
EOY	313262	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
EOY	28610	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	91795	BOY
EOY	0	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	370126	BOY
EOY	341872	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	233826	BOY
EOY	401869	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	233826	BOY
EOY	401869	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	603952	BOY
EOY	743741	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	168043	ReconcilationRevenueExpenses
Reconcilation Other Changes	0	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus1 Year	2077482	CurrentTaxYearMinus1Year
Current Tax Year	4543537	CurrentTaxYear
Total	6621019	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus1 Year	2077482	CurrentTaxYearMinus1Year
Current Tax Year	4543537	CurrentTaxYear
Total	6621019	Total

Field	Value	IRS element (for citing)
Public Support Total170	6621019	PublicSupportTotal170
Total Support	6621019	TotalSupport
First5 Years170	X	First5Years170
General Explanation	SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: IN JULY 1, 2010, THE ORGANIZATION COMMENCED OPERATIONS AS A SEPARATE NONPROFIT ENTITY, AFTER THE NET ASSETS WERE TRANSFERRED TO THE ORGANIZATION FROM INSTITUTE FOR HEALTHCARE ADVANCEMENT. THUS, THE TAX YEAR 2010 COVERED THE SIX MONTHS FROM JULY 1, 2010 THROUGH DECEMBER 31, 2010.	GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	183332	OtherCostOrOtherBasis
Depreciation	45127	Depreciation
Book Value	138205	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6015	OtherCostOrOtherBasis
Depreciation	1203	Depreciation
Book Value	4812	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	143017	TotalOfBookValueLandBuildings
Total Revenue	4543537	TotalRevenue
Total Expenses	4375494	TotalExpenses
Excess Or Deficit For Year	168043	ExcessOrDeficitForYear
Excess Or Deficit Per FS	168043	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	4543537	TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F990	0	RevenueNotRptdF990
Revenue Subtotal	4543537	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	4543537	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	4375494	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	4375494	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	4375494	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Explanation	THE ORGANIZATION RECOGNIZES THE IMPACT OF TAX POSITIONS IN THE FINANCIAL STATEMENTS IF THAT POSITION IS MORE LIKELY THAN NOT OF BEING SUSTAINED ON AUDIT, BASED ON THE TECHNICAL MERITS OF THE POSITION. TO DATE, THE ORGANIZATION HAS NOT RECORDED ANY UNCERTAIN TAX POSITIONS. THE ORGANIZATION RECOGNIZES POTENTIAL ACCRUED INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS IN INCOME TAX EXPENSE. DURING THE YEAR ENDED DECEMBER 31, 2011, THE ORGANIZATION DID NOT RECOGNIZE ANY AMOUNT IN POTENTIAL INTEREST AND PENALTIES ASSOCIATED WITH UNCERTAIN TAX POSITIONS.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Written Employment Contract	X	WrittenEmploymentContract
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
WANG SUSAN JENE
160213	0	13609	0	0	0	0	0	0	0	173822	0	0	0
OBA CHISATO
142292	0	13520	0	0	0	0	0	0	0	155812	0	0	0
RAYA-MORONES RUBY
178215	0	18449	0	0	0	0	0	0	0	196664	0	0	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReference	ExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11	A COPY OF THE TAX RETURN IS PRESENTED TO THE BOARD OF DIRECTORS BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12C	ALL BOARD OF DIRECTORS MEMBERS SIGN THE CONFLICT OF INTEREST STATEMENTS CONFIRMING THAT THEY UNDERSTAND THE CONFLICT OF INTEREST POLICY. THE SECRETARY OF THE BOARD MONITORS THIS PROCEDURE TO ASSURE THAT THERE ARE NO CONFLICTS OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15	THE BOARD OF DIRECTORS APPROVES THE AUDITED FINANCIAL STATEMENTS AS OF DECEMBER 31, 2011. IN ADDITION, THE BOARD APPROVES THE SALARIES, WAGES, AND OTHER COMPENSATION PAID TO TOP MANAGEMENT EMPLOYEES.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION PROVIDES ANY GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS UPON REQUEST. TAX RETURNS ARE ALSO AVAILABLE ON GUIDESTAR.
FORM 990, PART XII, LINE C	THE ORGANIZATION FORMED AN AUDIT COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND THE SELECTION OF THE INDEPENDENT ACCOUNTANT.