SAMOAN COMMUNITY DEVELOPMENT CENTER INCORPORATED: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: SAMOAN COMMUNITY DEVELOPMENT CENTER INCORPORATED (EIN 77-0290646)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2012-11-15
IRS object ID: 201243209349302094
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 G
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-11-15T10:37:03-00:00	Timestamp
Tax Period End Date	2012-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	OLIVER and ASSOCIATES	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	9181 BASTILLE WAY	AddressLine1
City	FRISCO	City
State	TX	State
ZIP Code	750337183	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	770290646	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	SAMOAN COMMUNITY DEVELOPMENT CENTER INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	SAMO	NameControl
Phone	4158411086	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2055 SUNNYDALE AVENUE Room No 100	AddressLine1
City	SAN FRANCISCO	City
State	CA	State
ZIP Code	941342611	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	PATSY TITO	Name
Title	EXECUTIVE DIRECTOR	Title
Date Signed	2012-11-12	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	CHARLES S OLIVER EA	Name
Phone	4693626887	Phone
Date Prepared	2012-11-12	DatePrepared
Self Employed	X	SelfEmployed

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	Sululagi Palega	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	2055 Sunnydale Avenue	AddressLine1
City	San Francisco	City
State	CA	State
ZIP Code	94134	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	1298092	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1991	YearFormation
State Legal Domicile	CA	StateLegalDomicile
Activity Or Mission Description	PROVIDED PROGRAMS AND SERVICES TO THE YOUTH AND ADULTS UNDERSERVED IN THE SAMOAN AND PACIFIC ISLAND COMMUNITY OF SAN FRANCISCO,CA	ActivityOrMissionDescription
Nbr Voting Members Governing Body	9	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	9	TotalNbrEmployees
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	469467	ContributionsGrantsPriorYear
Contributions Grants Current Year	487279	ContributionsGrantsCurrentYear
Program Service Revenue CY	0	ProgramServiceRevenueCY
Investment Income Prior Year	1452	InvestmentIncomePriorYear
Investment Income Current Year	1214	InvestmentIncomeCurrentYear
Other Revenue Prior Year	-4209	OtherRevenuePriorYear
Other Revenue Current Year	697	OtherRevenueCurrentYear
Total Revenue Prior Year	466710	TotalRevenuePriorYear
Total Revenue Current Year	489190	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	336304	SalariesEtcPriorYear
Salaries Etc Current Year	326895	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	10432	TotalFundrsngExpCurrentYear
Other Expense Prior Year	143292	OtherExpensePriorYear
Other Expenses Current Year	163645	OtherExpensesCurrentYear
Total Expenses Prior Year	479596	TotalExpensesPriorYear
Total Expenses Current Year	490540	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-12886	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-1350	RevenuesLessExpensesCY
Total Assets BOY	179232	TotalAssetsBOY
Total Assets EOY	178921	TotalAssetsEOY
Total Liabilities BOY	77540	TotalLiabilitiesBOY
Total Liabilities EOY	55456	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	101692	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	123465	NetAssetsOrFundBalancesEOY
Mission Description	THE PURPOSE OF THIS ORGANIZATION IS TO FOSTER THE HEALTH, EDUCATION AND WELL BEING OF THE SAMOAN COMMUNITY, TO ASSIST IN CONTUINING AND MAINTAINING THE TRADITIONS OF THE SAMOAN CUSTOMS.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	438540	Expense
Description	PROVIDED AFTER SCHOOL ACTIVITES FOR YOUTH SUCH AS TUTORIALS ACADEMIC ACHIEVEMENT, LEADERSHIP DEVELOPMENT ADULTS SERVICES SUCH AS ANGER MANAGEMENT, FAMILY DEVELOPMENT	Description
Total Program Service Expense	438540	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	true	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	true	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	11	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	9	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	9	NbrVotingGoverningBodyMembers
Number Independent Voting Members	9	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	false	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	CA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	OLIVER ASSOCIATES	NamePerson
Telephone Number	4693626887	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	9181 BASTILLE WAY	AddressLine1
City	FRISCO	City
State	TX	State
ZIP Code	75034	ZIPCode

Field	Value	IRS element (for citing)
No Listed Persons Compensated	X	NoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (10 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
Sululagi Palega
President	004.00	X	X	0	0	0
Maina Tuimavave
VP	002.00	X	X	0	0	0
Rena Ilasa
Treasurer	002.00	X	X	0	0	0
Maioa Suisala
Director	002.00	X		0	0	0
Meritiana Li
Director	002.00	X		0	0	0
Rev Douglass Fitch
Director	002.00	X		0	0	0
Louise Winterstein
Secretary	004.00	X	X	0	0	0
Angeli Fitch
Director	004.00	X		0	0	0
Aunoa Uiagalelei
Director	001.00	X		0	0	0
Patsy Tito
Executive Director	040.00			0	0	0	X	X

Field	Value	IRS element (for citing)
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Government Grants	464224	GovernmentGrants
All Other Contributions	23055	AllOtherContributions
Total Contributions	487279	TotalContributions

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1214	TotalRevenueColumn

Field	Value	IRS element (for citing)
Gross Income Gaming	808480	GrossIncomeGaming
Gaming Direct Expenses	808902	GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	-422	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	Refunds, Program, Misc	Description
Business Code	900099	BusinessCode
Total Revenue Column	1119	TotalRevenueColumn

Field	Value	IRS element (for citing)
Total Other Revenue	1119	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	489190	TotalRevenueColumn

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	65332	Total
Program Services	48367	ProgramServices
Management And General	6533	ManagementAndGeneral
Fundraising	10432	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	212255	Total
Program Services	201461	ProgramServices
Management And General	10794	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	0	Total

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	25130	Total
Program Services	22617	ProgramServices
Management And General	2513	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	24178	Total
Program Services	21761	ProgramServices
Management And General	2417	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	24015	Total
Program Services	20414	ProgramServices
Management And General	3601	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Fees For Services Prof Fundraising		FeesForServicesProfFundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	0	Total

Advertising Advertising

Field	Value	IRS element (for citing)
Total	0	Total

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	18727	Total
Program Services	16854	ProgramServices
Management And General	1873	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	7404	Total
Program Services	6664	ProgramServices
Management And General	740	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	21812	Total
Program Services	18540	ProgramServices
Management And General	3272	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	0	Total

Interest Interest

Field	Value	IRS element (for citing)
Total	0	Total

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	0	Total

Insurance Insurance

Field	Value	IRS element (for citing)
Total	0	Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
SUBCONTRACTING / PROF FEES	10200	8670	1530
MISCELLANEOUS	4392	3952	440
PROGRAM EXPENSES	68208	61242	6966
INSURANCE	8887	7998	889

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	0	Total

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	490540	Total
Program Services	438540	ProgramServices
Management And General	41568	ManagementAndGeneral
Fundraising	10432	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	245	BOY
EOY	34457	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	11019	BOY
EOY	2397	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	133208	BOY
EOY	91544	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	7916	LandBuildingsEquipmentBasis

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	7916	BOY
EOY	7916	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	26844	BOY
EOY	42607	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	179232	BOY
EOY	178921	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	27316	BOY
EOY	3072	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	34824	BOY
EOY	27501	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	15400	BOY
EOY	24883	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	77540	BOY
EOY	55456	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	70363	BOY
EOY	123465	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	31329	BOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	101692	BOY
EOY	123465	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	179232	BOY
EOY	178921	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-1350	ReconcilationRevenueExpenses
Reconcilation Other Changes	23123	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	false	FSAudited
Federal Grant Audit Required	false	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 Minus4 Years	665123	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	591376	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	626348	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	466710	CurrentTaxYearMinus1Year
Current Tax Year	489190	CurrentTaxYear
Total	2838747	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	665123	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	591376	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	626348	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	466710	CurrentTaxYearMinus1Year
Current Tax Year	489190	CurrentTaxYear
Total	2838747	Total

Field	Value	IRS element (for citing)
Public Support Total170	2838747	PublicSupportTotal170
Total Support	2838747	TotalSupport
Public Support Pertcentage170	1.00000	PublicSupportPertcentage170
Public Support Pertcent Prior Year	1.00000	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170
Public Support Percentage509	0.00000	PublicSupportPercentage509
Investment Income Percentage	0.00000	InvestmentIncomePercentage

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

Field	Value	IRS element (for citing)
Included On FS	false	IncludedOnFS

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	7916	OtherCostOrOtherBasis
Book Value	7916	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	7916	TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescription	Book ValueBookValue
LONGTERM INVESTMENT - SCHOLARSHIP FUND
INTERFUND TRANSFER	35488
PREPAID EXPENSES
COSTS IN EXCESS OF BILLILNGS
ADVANCE TO SENIORS PROGRAM	7119

Field	Value	IRS element (for citing)
Total Book Value Other Assets	42607	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
Accrued Expenses	$19,812
REFUNDABLE ADVANCES	$5,071

Field	Value	IRS element (for citing)
Total Of Amounts	24883	TotalOfAmounts

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Agreement Ref Fundraising	false	AgreementRefFundraising

Gaming Information GamingInformation

Field	Value	IRS element (for citing)
Gross Revenue Bingo	808480	GrossRevenueBingo
Cash Prizes Bingo	701346	CashPrizesBingo
Rent Facility Costs Bingo	61637	RentFacilityCostsBingo
Other Direct Expenses Bingo	45919	OtherDirectExpensesBingo
Volunteer Labor Bingo	true	VolunteerLaborBingo
Volunteer Labor Percentage Bingo	1.00000	VolunteerLaborPercentageBingo
Gross Revenue Total Gaming	808480	GrossRevenueTotalGaming
Cash Prizes Total Gaming	701346	CashPrizesTotalGaming
Rent Facility Costs Total Gaming	61637	RentFacilityCostsTotalGaming
Other Direct Expenses Total Gaming	45919	OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming	808902	DirectExpenseSummaryGaming
Net Gaming Income Summary	-422	NetGamingIncomeSummary

Field	Value	IRS element (for citing)
States Where Gaming Conducted	CA	StatesWhereGamingConducted
Licensed	true	Licensed
License Suspended Etc	false	LicenseSuspendedEtc
Gaming With Nonmembers	true	GamingWithNonmembers
Member Of Other Entity	false	MemberOfOtherEntity
Percentage Of Gaming Othr Facility	1.00000	PercentageOfGamingOthrFacility
Name Of Gaming Rec Keeper Person	PATSY TITO	NameOfGamingRecKeeperPerson

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

Field	Value	IRS element (for citing)
Address Line1	2055 SUNNYDALE AVENUE	AddressLine1
City	SAN FRANCISCO	City
State	CA	State
ZIP Code	94134	ZIPCode

Field	Value	IRS element (for citing)
Contract With3rd Party For Gam Rev	false	ContractWith3rdPartyForGamRev
Gaming Manager Name Person	PATSY TITO	GamingManagerNamePerson
Gaming Manager Services Provided	Supervisor volunteer staff and operations	GamingManagerServicesProvided
Gaming Manager Is Employee	X	GamingManagerIsEmployee
Charitable Distrib Required	false	CharitableDistribRequired
Amount Distributed	100	AmountDistributed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990 Part VI	11A	Gov body reviews financial information with accountant
Form 990 Part VI	12c	Question raised during board meetings
Form 990 Part VI	15a	Board reviews salaries after proposed
Form 990 Part VI	19	Disclose financials to public during open meetings. Disclose governing documents, conflict of interest polices upon request.
Form 990 Part XI	5	Changes in Fund Balance Board voted to remove scholarship fund.
		Form 990 Part VI Section B Line 11A Gov body reviews financial information with accountant Form 990 Part VI Section B Line 12c Question raised during board meetings Form 990 Part VI Section B Line 15a Board reviews salaries after proposed Form 990 Part VI Section C Line 19 Disclose financials to public during open meetings. Disclose governing documents, conflict of interest polices upon request. Form 990 Part XI Line 5 Changes in Fund Balance Board voted to remove scholarship fund.