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CASA FOUNDATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
CASA FOUNDATION (EIN 33-0632829)
Tax period
2010-08-01 to 2011-07-31
Filed
2012-06-12
IRS object ID
201211649349300721
Schema version
2010v3.2
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-06-12T13:40:01-07:00Timestamp
Tax Period End Date2011-07-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CASA FOUNDATION 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 Date2010-08-01TaxPeriodBeginDate

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 Signed2012-06-12DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameXSPName
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts927128GrossReceipts
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 Year733680ContributionsGrantsPriorYear
Contributions Grants Current Year861753ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year62249InvestmentIncomePriorYear
Investment Income Current Year65375InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year795929TotalRevenuePriorYear
Total Revenue Current Year927128TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year131977GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY104434GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year29453TotalFundrsngExpCurrentYear
Other Expense Prior Year125705OtherExpensePriorYear
Other Expenses Current Year128580OtherExpensesCurrentYear
Total Expenses Prior Year257682TotalExpensesPriorYear
Total Expenses Current Year233014TotalExpensesCurrentYear
Revenues Less Expenses Prior Year538247RevenuesLessExpensesPriorYear
Revenues Less Expenses CY694114RevenuesLessExpensesCY
Total Assets BOY4319018TotalAssetsBOY
Total Assets EOY5495884TotalAssetsEOY
Total Liabilities BOY90469TotalLiabilitiesBOY
Total Liabilities EOY112557TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4228549NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5383327NetAssetsOrFundBalancesEOY
Mission DescriptionSee Statement 4MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense146102Expense
Revenue65375Revenue
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 Expense146102TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
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 AssetsfalseReportOtherAssets
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 OrganizationfalseBsnssRltnshpWithOrganization
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 With109674NumberFormsTransmittedWith1096
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 CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
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 (8 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
ROBIN JENSEN
Chair1.00X000
DOROTHY RISHEBERGER
Member2.00X000
STEVE RIDDLE
Member1.00X000
JEANNINE MCCULLAGH
Member1.00X000
KIM DOMINY
Member2.00X017090538560X
DAVID JOHNSON
CFO/Treasurer4.00X01772285756X
GEORGE SCHARNBERG
Secretary1.00X000
MARCY KAYE
Member1.00X000
FieldValueIRS element (for citing)
Total Reportable Comp Frm Rltd Orgs348133TotalReportableCompFrmRltdOrgs
Total Other Compensation44316TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcestrueCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions861753AllOtherContributions
Noncash Contributions42697NoncashContributions
Total Contributions861753TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column65375TotalRevenueColumn
Exclusion$65,375ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column927128TotalRevenueColumn
Exclusion$65,375ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total104434Total
Program Services104434ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total24000Total
Program Services0ProgramServices
Management And General24000ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5742Total
Program Services4986ProgramServices
Management And General756ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3250Total
Program Services0ProgramServices
Management And General3250ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Consulting88359294532945329453
Sales Tax2733273300
Maintenance & Repairs24124100
Other Professional Fees4255425500

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total233014Total
Program Services146102ProgramServices
Management And General57459ManagementAndGeneral
Fundraising29453Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3700BOY
EOY2952EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY500000BOY
EOY20000EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY694012BOY
EOY978896EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis360632LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec16224LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY339815BOY
EOY344408EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY2781491BOY
EOY4149628EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4319018BOY
EOY5495884EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2829BOY
EOY3600EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY87640BOY
EOY108957EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY90469BOY
EOY112557EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1495306BOY
EOY2635888EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1023914BOY
EOY1033110EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1709329BOY
EOY1714329EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4228549BOY
EOY5383327EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4319018BOY
EOY5495884EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses694114ReconcilationRevenueExpenses
Reconcilation Other Changes460664ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Written IRS DeterminationXWrittenIRSDetermination

Supported Org Information SupportedOrgInformation (2 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
CASA DE LAS CAMPANAS INC
33037128012truetruetrue$47,467
CASA RESIDENT ASSOCIATION INC
06177556813falsetruetrue$56,967
FieldValueIRS element (for citing)
Total Number Of Supported Orgs2TotalNumberOfSupportedOrgs
Sum Of Amounts104434SumOfAmounts
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

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 Balance2765903BeginningOfYearBalance
Contributions527669Contributions
Investment Earnings Or Losses434832InvestmentEarningsOrLosses
Other Expenditures61839OtherExpenditures
End Of Year Balance3666565EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance2053880BeginningOfYearBalance
Contributions594157Contributions
Investment Earnings Or Losses177057InvestmentEarningsOrLosses
Other Expenditures59191OtherExpenditures
End Of Year Balance2765903EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2847126BeginningOfYearBalance
Contributions69655Contributions
Investment Earnings Or Losses784480InvestmentEarningsOrLosses
Other Expenditures78421OtherExpenditures
End Of Year Balance3622840EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.51100BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.46700PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.02200TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis16224InvestmentCostOrOtherBasis
Depreciation16224Depreciation

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis344408InvestmentCostOrOtherBasis
Book Value344408BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings344408TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionFederal Income TaxDescription

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (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 and scholarships held for Casa Foundation for non-profit programs.
Pt XThe organization is exempt from federal & California income taxes under Section 501 (c) (3) of the IRC (Internal Revenue Code)& correponding California provisions, except to the extent of unrelated business taxable income (UBTI) as defined by the IRC. Casa & the Foundation maintain their tax exempt status
Pt XTHROUGH 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 UBI & 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, 2011 & 2010, THE ORGANIZATION HAD NO UNCERTAIN TAX POSITION

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)47467generalsupport
CASA RESIDENT ASSOCIATION
18655 W BERNARDO DRSAN DIEGOCA92127061775568501(c)(7)56967generalsupport
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 ArrangementfalseEquityBasedCompArrangement
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 OrgsBonusRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs
KIM DOMINY
168796210938560209465221315
DAVID JOHNSON
141075198604578182984191500162931178

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierExplanationExplanation
Pt I Line 6bBonus eligible if Net Operating Budget is met for CFO & Executive Director.
Part VII, Section A, Line 5Unrelated organization - Life Care Services, LLC Person receiving compensation - Kim Dominy, Executive Director of Casa de las Campanas. Life Care Services, LLC is the Management Company at Casa de las Campanas. Reimbursement to Life Care Services for Kim Dominy totalled $209,465.

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions19NumberOfContributions
Noncash Contribs Rptd F9904593NoncashContribsRptdF990
Method Of Determining RevenuesOpinion of expertMethodOfDeterminingRevenues

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F99030848NoncashContribsRptdF990
Method Of Determining RevenuesSales priceMethodOfDeterminingRevenues

Cars And Other Vehicles CarsAndOtherVehicles

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions2NumberOfContributions
Noncash Contribs Rptd F9902420NoncashContribsRptdF990
Method Of Determining RevenuesSales priceMethodOfDeterminingRevenues

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F9904836NoncashContribsRptdF990
Method Of Determining RevenuesAverage of market 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 (10 entries)

IdentifierIdentifierExplanationExplanation
Pt VI-C, Line 19Conflict of Interest Statement & Financials are available upon request.
Pt VI-B, Line 12cConflict of Interest Statements are filed annually.
Pt VI-B, Line 12cAdministration & Accounting closely monitor its vendor relations.
Pt VI-C, Line 19These schedules are available upon request.
Pt VI-B, Line 15Casa Foundation does not have any employees. Management
Pt VI-B, Line 15consists of volunteers on the Board & the CFO\Treasurer
Pt VI-B, Line 15& a key employee from a related organization, Casa de las Campanas.
Pt VI-B, Line 11aCopies provided to Board and upon their approval filed subsequently.
Pt XIConsists of unrealized investment gains and change in
Pt XIvalue of CRT's, Pooled Income Funds & Gift Annuity contracts.

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)
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
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 EmployeestrueSharingOfPaidEmployees
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
1b47467Payments
CASA DE LAS CAMPANAS INC
1o23975Payments