2011-05-13T18:52:43-05:00 2010-06-30 AKT LLP 312 S Juniper Street Suite 100 Escondido CA 92025 990 2009-07-01 820549103 THE ELIZABETH HOSPICE FOUNDATION ELIZ 7607372050 150 W CREST STREET ESCONDIDO CA 92025 KIPRIAN SKAVINSKI 7607372050 2011-05-12 1 Elsa A Romero 7607461560 2011-05-12 2009 2016-02-24 21:20:13Z LAURA MILLER 150 W CREST STREET ESCONDIDO CA 92025 4196196 0 X WWW.ELIZABETHHOSPICE.ORG X 2002 CA SUPPORT PROMOTE & STRENGTHEN THE DELIVERY OF CARE & SERVICES PROVIDED BY THE ELIZABETH HOSPICE,INC. 8 8 0 15 0 0 2273892 2860992 3468 291224 12596 -77521 0 2487595 2877056 139391 344758 0 0 0 522646 631985 770861 771376 1115619 1716219 1761437 6970610 9506056 3175303 3527523 3795307 5978533 SUPPORT, PROMOTE, AND STRENGTHEN THE DELIVERY OF CARE AND SERVICES PROVIDED BY THE ELIZABETH HOSPICE, INC TO THE TERMINALLY ILL AND THEIR FAMILIES. 0 0 431106 344758 3468 OBTAIN AND PROVIDE FUNDS AND FUNDING RESOURCES IN SUPPORT OF THE ELIZABETH HOSPICE'S PROGRAMS AND SERVICES. 431106 1 1 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 6 0 1 0 0 0 0 0 0 0 0 0 0 8 8 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 CA X STACY MAXA 7607372050 150 W CREST ST ESCONDIDO CA 92025 X BETTE FINEGAN 1.00 X 0 0 0 FAYE HINES 1.00 X 0 0 0 RON KLINGENSMITH 1.00 X 0 0 0 ERIC MENEES 1.00 X X 0 0 0 SUSIE SNOW 1.00 X 0 0 0 JOHN FORST 1.00 X 0 0 0 RICHARD SEGARRA 1.00 X 0 0 0 DAN LAFRAMBOISE 1.00 X 0 0 0 LAURA MILLER 1.00 X 0 146497 32652 KIPRIAN SKAVINSKI 1.00 X 0 99639 23618 CHERYL FARST 1.00 X 0 16138 2321 0 262274 58591 0 0 1 0 0 2860992 16548 2860992 OTHER INCOME 3468 3468 3468 113408 113408 1218328 1319140 -100812 -100812 -100812 2877056 3468 0 12596 344758 344758 398057 38362 359695 71263 71263 2700 1350 1350 37160 37160 80 80 26064 10001 9998 6065 12150 5871 5871 408 20688 10344 10344 1511 1511 126 126 62206 31103 31103 38710 19355 19355 DIRECT MAIL EXPENSE 52694 52694 COMPUTER 15981 693 693 14595 DONOR RELATIONS 9783 9783 PRINTING 9742 4530 4530 682 MINOR EQUIPMENT 6202 3101 3101 5744 5744 1115619 431106 161867 522646 50722 10957 50382 75589 17486 12986 2900681 91918 2811027 2808763 458859 1573729 3582134 5024032 6970610 9506056 1062891 1904368 2112412 1623155 3175303 3527523 X 1700116 3177450 174864 220756 1920327 2580327 3795307 5978533 6970610 9506056 X 0 1 1 X 0 X 3807963 1154128 1236310 2273892 2860992 11333285 3807963 1154128 1236310 2273892 2860992 11333285 3336860 7996425 67620 151412 167864 74919 113428 575243 11908528 3468 0.67150 0.75080 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1734578 660000 268846 2663424 920327 1000000 -185749 1734578 0.97000 0.03000 0 0 879235 879235 2010903 89442 1921461 10543 2476 8067 2808763 MUTUAL FUNDS 4262971 F MONEY MARKET FUNDS 761061 F 5024032 2877056 1115619 1761437 421789 421789 2183226 24688080 421789 21479089 21900878 2787202 37160 52694 89854 2877056 20403275 19377510 19377510 1025765 37160 52694 89854 1115619 Part XII, Line 2d - Other Adjustments: REVENUES FROM RELATED ORGANIZATION PER CONSOLIDATED GAAP STATEMENTS: 21951720. ELIMINATING ENTRIES PER CONSOLIDATED GAAP STATEMENTS: -472631. Part XII, Line 4b - Other Adjustments: SPECIAL EVENT EXPENSE: 52694. Part XIII, Line 2d - Other Adjustments: EXPENSES FROM RELATED ORGANIZATION PER CONSOLIDATED GAAP STATEMENTS: 19850141. ELIMINATING ENTRIES PER CONSOLIDATED GAAP STATEMENTS: -472631. Part XIII, Line 4b - Other Adjustments: SPECIAL EVENT EXPENSE: 52694. 1 ELIZABETH HOSPICE INC 150 W CREST STREET ESCONDIDO CA 92025 953275679 501(C)(3) 344758 SUPPORT OF ELIZABETH HOSPICE, INC TO PROVIDE HOSPICE CARE. 1 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: GRANT IS TO RELATED ORGANIZATION. X X 0 0 0 0 0 0 0 0 0 LAURA MILLER 0 146497 0 0 0 0 0 20254 0 12398 0 179149 0 190248 Form 990, Part VI, Section B, line 11 THE BOARD OF DIRECTORS HAS DELEGATED ITS AUTHORITY TO THE AUDIT COMMITEE OF THE BOARD TO REVIEW, RECOMMEND, AND APPROVE THE 990 TAX RETURNS PRIOR TO FILING. Form 990, Part VI, Section B, line 12c BOARD MEMBERS, OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENTS Form 990, Part VI, Section B, line 15 THE ORGANIZATION DOES NOT COMPENSATE ANY OFFICERS, DIRECTORS OR KEY EMPLOYEES. ALL EMPLOYEES ARE REPORTED AND PAID BY ELIZABETH HOSPICE, INC. A RELATED ORGANIZATION. Form 990, Part VI, Section C, line 18 DOCUMENTS ARE AVAILABLE FOR VIEWING UPON REQUEST AT 150 W. CREST STREET, ESCONDIDO, CA 92025. Form 990, Part VI, Section C, line 19 DOCUMENTS ARE AVAILABLE FOR VIEWING UPON REQUEST AT 150 W. CREST STREET, ESCONDIDO, CA 92025. FORM 990, PART XI, LINE 2C NO CHANGE FROM PRIOR YEAR. ELIZABETH HOSPICE INC 150 W CREST STREET ESCONDIDO CA 92025 953275679 HOSPICE SERVICES CA 501(C)(3) 509(a)(2) N/A 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 1