TY 2017 Form 990EZ

(a) Name and title	(b) Average hours per week devoted to position	(c) Reportable compensation (Forms W-2/1099-MISC) (if not paid, enter -0-)	(d) Health benefits, contributions to employee benefit plans, and deferred compensation	(e) Estimated amount of other compensation
Susan Killian President	2.00	0
Emily Guilherme Vice President	2.00	0
Rosemarie Thomson Director	2.00	0
Teresita Chiampas Secretary	2.00	0
Ann Wieser Treasurer	2.00	0
Lupie Saludado-Cavazos Director	2.00	0

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SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
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Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

California Catholic Daughters of America
Home Inc DBA Madonna Manor

Employer identification number

94-6091600

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2019

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2019 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2018 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2019. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2018. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2019. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2018. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2019

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .	52,159	91,414	8,322	10	6,200	158,105
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose	1,369,415	1,167,046	824,941			3,361,402
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....						0
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...						0
5	The value of services or facilities furnished by a governmental unit to the organization without charge						0
6	Total. Add lines 1 through 5	1,421,574	1,258,460	833,263	10	6,200	3,519,507
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons						0
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.	737,732	713,168				1,450,900
c	Add lines 7a and 7b..	737,732	713,168				1,450,900
8	Public support. (Subtract line 7c from line 6.)						2,068,607

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(f) Total
9	Amounts from line 6...	1,421,574	1,258,460	833,263	10	6,200	3,519,507
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..	200	2	177	1,488	806	2,673
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.						0
c	Add lines 10a and 10b.	200	2	177	1,488	806	2,673
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.	10,053	9,640	95			19,788
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..				14,272		14,272
13	Total support. (Add lines 9, 10c, 11, and 12.)..	1,431,827	1,268,102	833,535	15,770	7,006	3,556,240

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2019 (line 8, column (f) divided by line 13, column (f)) .........

58.170 %

Public support percentage from 2018 Schedule A, Part III, line 15 ...............

58.120 %

Section D. Computation of Investment Income Percentage

Investment income percentage for 2019 (line 10c, column (f) divided by line 13, column (f)) ......

0.080 %

Investment income percentage from 2018 Schedule A, Part III, line 17 .............

0.050 %

19a

331/3% support tests—2019. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2018. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2019

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2019

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2019

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2019

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2019 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2019	(iii) Distributable Amount for 2019
1 Distributable amount for 2019 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2019:
a From 2014.......
b From 2015.......
c From 2016.......
d From 2017.......
e From 2018.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2019 distributable amount
i Carryover from 2014 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2019 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2019 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2019, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2020. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2015.....
b Excess from 2016.....
c Excess from 2017.....
d Excess from 2018.....
e Excess from 2019.....

Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2019

Additional Data

Software ID:	17005038
Software Version:	2017v2.2

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Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

SCHEDULE N
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Liquidation, Termination, Dissolution, or Significant Disposition of Assets
bullet

Complete if the organization answered "Yes" on Form 990, Part IV, lines 31 or 32; or Form 990-EZ, line 36.
bullet

Attach certified copies of any articles of dissolution, resolutions, or plans.
bullet

Attach to Form 990 or 990-EZ.
bullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization
California Catholic Daughters of America
Home Inc DBA Madonna Manor

Employer identification number
94-6091600

Part I

Liquidation, Termination, or Dissolution. Complete this part if the organization answered "Yes" on Form 990, Part IV, line 31, or Form 990-EZ, line 36. Part I can be duplicated if additional space is needed.

1(a) Description of asset(s) distributed or transaction expenses paid	(b) Date of distribution	(c) Fair market value of asset(s) distributed or amount of transaction expenses	(d) Method of determining FMV for asset(s) distributed or transaction expenses	(e) EIN of recipient	(f) Name and address of recipient	(g) IRC section of recipient(s) (if tax-exempt) or type of entity
Cash	12-20-2017	357,023	Actual Cost	94-1294895	1249 Josselyn Canyon Rd Monterey,CA93940	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	51-0136799	7321 Enfield Ave Reseda,CA91335	501(c)(3)
Cash	12-20-2017	50,000	Actual Cost	26-2304578	870 W 8th Street San Pedro,CA90731	501(c)(3)
Cash	12-20-2017	50,000	Actual Cost	94-1723531	4001 7th Street Oakland,CA94607	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	34-2025135	11160 Dover Ave Hanford,CA93230	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	23-7396023	8541 Edgebrook Dr Garden Grove,CA92844	501(c)(3)
Cash	12-20-2017	20,000	Actual Cost	94-1498472	990 Eddy St San Francisco,CA94109	501(c)(3)
Cash	12-20-2017	20,000	Actual Cost	95-1690973	1531 James M Wood Blvd Los Angeles,CA90015	501(c)(3)
Cash	12-20-2017	20,000	Actual Cost	95-3031389	1820 East 16th Street Santa Ana,CA92701	501(c)(3)
Cash	12-20-2017	20,000	Actual Cost	94-2576612	2100 Broadway Sacramento,CA95818	501(c)(3)
Cash	12-20-2017	20,000	Actual Cost	95-3516461	1450 North D Street San Bernadino,CA92405	501(c)(3)
Cash	12-20-2017	20,000	Actual Cost	94-2762269	2625 Zanker Road San Jose,CA95134	501(c)(3)
Cash	12-20-2017	20,000	Actual Cost	94-1678938	149 N Fulton Street Fresno,CA93701	501(c)(3)
Cash	12-20-2017	20,000	Actual Cost	77-0042961	922 Hilby Ave Ste C Seaside,CA93955	501(c)(3)
Cash	12-20-2017	20,000	Actual Cash	94-2479393	987 Airway Court Santa Rosa,CA95402	501(c)(3)
Cash	12-20-2017	20,000	Actual Cost	94-1629114	1106 N El Dorado Street Stockton,CA95202	501(c)(3)
Cash	12-20-2017	20,000	Actual Cost	94-2677202	433 Jefferson Street Oakland,CA94607	501(c)(3)
Cash	12-20-2017	50,000	Actual Cost	53-0196620	2050 Ballenger Ave 400 Alexandria,VA22314	501(c)(3)
Cash	12-20-2017	20,000	Actual Cost	23-7334012	349 Cedar Street San Diego,CA92101	501(c)(3)
Cash	12-20-2017	75,000	237004646	23-7004646	2103 E Stockham Ave Tulare,CA93274	501(c)(3)
Cash	12-20-2017	125,000	Actual Cost	13-1623928	10 West 71st Street New York,NY10023	501(c)(3)
Cash	12-20-2017	50,000	Actual Cost	95-3435919	1500 East Duarte Road Duarte,CA91010	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	23-7172380	605 N Los Robles 5 Pasadena,CA91101	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	36-4866213	10816 Mountain View Ave Loma Linda,CA92354	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	77-0446453	6987 Avenue 404 Dinuba,CA93618	501(c)(3)
Cash	12-20-2017	25,000	Actual Cost	94-3210351	2540 Washington Ave Ste 240 San Leandro,CA94577	501(c)(3)
Cash	12-20-2017	125,000	Actual Cost	63-0801391	5817 Old Leeds Road Irondale,AL35210	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	23-7196748	1914 Lockwood Ave Fremont,CA94539	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	23-7399009	3700 N Sutter St Apt 130 Stockton,CA95204	501(c)(3)
Cash	12-20-2017	200,000	Actual Cost	80-0587086	1901 Avenue of the Stars Los Angeles,CA90067	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	23-7312927	5450 Osburn Road San Bernadino,CA92404	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	23-7175562	2235 Northside Drive Montebello,CA90640	501(c)(3)
Cash	12-20-2017	300,000	Actual Cost	77-0206356	PO Box 8412 Santa Cruz,CA95051	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	33-0757639	12551 Sonora Way Victorville,CA92392	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	51-0135466	35543 Penrose Lane Yucaipa,CA92399	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	23-7166964	PO Box 1255 Ramona,CA92065	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	23-7177475	6631 Logan Ave Fontana,CA92336	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	37-1825821	1730 Jubilee Dr Brentwood,CA94513	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	51-0567776	27 Marion Ave Salinas,CA93901	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	23-7172351	1100 N Lupine St Lompoc,CA93436	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	46-0875336	68351 Descanso Circle Cathedral City,CA92234	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	23-7177503	13019 Anola St Whittier,CA90605	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	33-0299058	12250 Main Street 6 Hesperia,CA92345	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	94-3221714	1840 London Ave San Leandro,CA94529	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	23-7172399	1342 Tradewind Dr Yuba City,CA95991	501(c)(3)
Cash	12-20-2017	50,000	Actual Cost	94-1322190	212 North 1st Street Fresno,CA93703	501(c)(3)
Cash	12-20-2017	50,000	Actual Cost	95-1571119	3333 Manning Ave Los Angeles,CA90064	501(c)(3)
Cash	12-20-2017	50,000	Actual Cost	95-2408518	6333 Rancho Mission Rd San Diego,CA92108	501(c)(3)
Cash	12-20-2017	50,000	Actual Cost	94-1520332	245 Nova Albion Way San Rafael,CA94903	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	23-7167179	8567 Hunter Dr Alta Loma,CA91701	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	23-7173043	1335 Chennault Ave Clovis,CA93611	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	36-4678319	140 N Kingswood Pkwy Reedley,CA93654	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	27-0001670	16108 Maricopa Apple Valley,CA92307	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	23-7177994	5705 N E Street San Bernardino,CA92404	201(c)(3)
Cash	12-20-2017	5,000	Actual Cost	51-0136598	1321 Coffee Rd Modesto,CA95355	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	23-7177512	11890 Freeman Ave Hawthorne,CA90250	501(c)(3)
Cash	12-01-2017	5,000	Actual Cost	51-1400372	583 Serenade Way San Jose,CA95111	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	68-0188580	1958 Wilder Dr Redding,CA96001	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	38-3775427	14947 Dickens 2 Sherman Oaks,CA91304	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	23-7177499	6709 Columbia Way 332 Quartz Hill,CA93536	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	95-3503234	2634 Bailey Ave San Diego,CA92105	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	23-7177509	1149 Lea Dr Novato,CA94945	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	23-7204588	44890 Calle Santa Barbara La Quinta,CA92253	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	23-7177524	4471 Plantation Dr Fair Oaks,CA95628	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	23-7172347	1731 Spreckels Lane Redondo Beach,CA90278	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	68-0331424	3100 Smoky Ct Sacramento,CA95826	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	95-4556390	13650 Fenton Ave Sylmar,CA91342	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	51-0178288	542 English Ave Monterey,CA93940	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	23-7320135	2023 W Julieann Ave Porterville,CA93257	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	23-7183319	5340 Emerson Rd Sacramento,CA95820	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	94-2330046	17043 Fiesta Way Salinas,CA93907	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	23-7172417	1513 Casa de Ponselle San Jose,CA95118	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	23-7172360	1597 Royal Way San Luis Obispo,CA93405	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	23-7170629	10222 La Tuna Canyon Sun Valley,CA91352	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	23-7172416	119 W Mission Santa Barbara,CA93101	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	23-7172366	3400 Santa Maria Way 102 Santa Maria,CA92355	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	73-1682532	1274 Arnold Way Alpine,CA91901	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	30-0885577	12443 Strathern St North Hollywood,CA91605	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	23-7165245	1142 Chaparral Road Pebble Beach,CA93953	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	11-3693135	10951 Deerfield Cherry Valley,CA92223	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	71-0956241	190 Heron Ct Vallejo,CA94589	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	23-7177489	13613 Barlin Ave Downey,CA90242	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	95-6089942	2022 Garner St Lomita,CA90717	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	94-2521026	2398 Fifth St Sanger,CA93657	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	23-7179438	5544 Rubion Circle Citrus Heights,CA95610	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	23-7197956	2063 W Hampton Dr Hanford,CA93230	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	23-7177532	856 Alameda Tulare,CA93247	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	41-2180643	30525 Heather Ave Madera,CA93638	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	33-1084686	2549 S Rose Ave Fresno,CA93706	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	23-7162128	3313 Nutmeg Lane Walnut Creek,CA94598	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	46-0875336	PO Box 1112 Inglewood,CA90301	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	23-7177470	1331 Casitas Circle Corona,CA92882	501(c)(3)
Cash	12-20-2017	50,000	Actual Cost	62-0646012	501 St Jude Place Memphis,TN38105	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	56-2555734	774 Clark Ave Pomona,CA91767	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	77-0283599	27250 Cumberland Rd Tehachapi,CA93561	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	23-7170519	4484 St John Ln Pittsburg,CA94565	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	23-7001841	277 Camino Sur St Chico,CA95973	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	23-7177500	8117 Yorktown Ave Los Angeles,CA90045	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	23-7062645	3394 Locksley Ct Merced,CA95340	51(c)(3)
Cash	12-20-2017	5,000	Actual Cost	23-7182988	1165 Butterfield Rd San Anselmo,CA94960	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	94-2403261	7400 Limerick Ave Dublin,CA94568	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	01-0917628	879 W Maple Dr Tulare,CA93274	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	23-7172361	1303 Blue Teal Way Newman,CA95366	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	23-7177493	9840 Costa Lago St Spring Valley,CA91977	501(c)(3)
Cash	12-20-2017	100,000	Actual Cost	41-2001751	1365 Corporate Center Curve 104 Eagan,MN55121	501(c)(3)
Cash	12-20-2017	150,000	Actual Cost	53-0196617	1550 N Fresno St Fresno,CA93703	501(c)(3)
Cash	12-20-2017	150,000	Actual Cost	95-1642382	3424 Wilshire Blvd Los Angeles,CA90010	501(c)(3)
Cash	12-20-2017	150,000	Actual Cost	94-1658203	PO Box 2048 Monterey,CA93942	501(c)(3)
Cash	12-20-2017	150,000	Actual Cost	94-1527086	2121 Harrison Street Ste 100 Oakland,CA94612	501(c)(3)
Cash	12-20-2017	150,000	Actual Cost	33-0934571	13280 Chapman Ave Garden Grove,CA92840	501(c)(3)
Cash	12-20-2017	150,000	Actual Cost	94-1270353	2110 Broadway Sacramento,CA95818	501(c)(3)
Cash	12-20-2017	150,000	Actual Cost	53-0196617	1201 East Highland Ave San Bernardino,CA92404	501(c)(3)
Cash	12-20-2017	150,000	Actual Cost	95-1644613	PO Box 85728 San Diego,CA92186	501(c)(3)
Cash	12-20-2017	150,000	Actual Cost	94-1156707	One Peter Yorke Way San Francisco,CA94109	501(c)(3)
Cash	12-20-2017	150,000	Actual Cost	94-2734503	1150 North 1st Street San Jose,CA95112	501(c)(3)
Cash	12-20-2017	150,000	Actual Cost	94-1530038	PO Box 1297 Santa Rosa,CA95403	501(c)(3)
Cash	12-20-2017	150,000	Actual Cost	94-1532129	212 North San Joaquin Street Stockton,CA95202	501(c)(3)
Cash	12-20-2017	25,000	Actual Cost	94-3158507	4670 Willow Road Pleasanton,CA94588	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	23-7172404	11460 Rosehedge Dr Whittier,CA90606	501(c)(3)
Cash	12-20-2017	5,000	Actual Cost	23-7172377	2043 S Garden St Visalia,CA93277	501(c)(3)

Yes

Did or will any officer, director, trustee, or key employee of the organization:

Become a director or trustee of a successor or transferee organization? .........................

Become an employee of, or independent contractor for, a successor or transferee organization? .....................

Become a direct or indirect owner of a successor or transferee organization? .....................

Receive, or become entitled to, compensation or other similar payments as a result of the organization's significant disposition of assets? ........

If the organization answered "Yes" to any of the questions on lines 2a through 2d, provide the name of the person involved and explain in Part III. bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or Form 990-EZ.

Cat. No. 50087Z

Schedule N (Form 990 or 990-EZ) (2019)

Page 2

Part I

Liquidation, Termination, or Dissolution (continued)

Note. If the organization distributed all of its assets during the tax year, then Form 990, Part X, column (B), line 16 (Total assets), and line 26 (Total liabilities), should equal -0-.

Yes

Did the organization distribute its assets in accordance with its governing instrument(s)? If "No," describe in Part III .............

Yes

Is the organization required to notify the attorney general or other appropriate state official of its intent to dissolve, liquidate, or terminate? ......

Yes

If "Yes," did the organization provide such notice? .....................

Yes

Did the organization discharge or pay all of its liabilities in accordance with state laws? .....................

Yes

Did the organization have any tax-exempt bonds outstanding during the year? .....................

If "Yes" on line 6a, did the organization discharge or defease all of its tax-exempt bond liabilities during the tax year in accordance with the Internal Revenue Code and state laws?

If "Yes" on line 6b, describe in Part III how the organization defeased or otherwise settled these liabilities. If "No" on line 6b, explain in Part III.

Part II

Sale, Exchange, Disposition, or Other Transfer of More Than 25% of the Organization's Assets. Complete this part if the organization answered "Yes" on Form 990, Part IV, line 32, or Form 990-EZ, line 36. Part II can be duplicated if additional space is needed.

1(a) Description of asset(s) distributed or transaction expenses paid	(b) Date of distribution	(c) Fair market value of asset(s) distributed or amount of transaction expenses	(d) Method of determining FMV for asset(s) distributed or transaction expenses	(e) EIN of recipient	(f) Name and address of recipient	(g) IRC section of recipient(s) (if tax-exempt) or type of entity

Yes

Did or will any officer, director, trustee, or key employee of the organization:

Become a director or trustee of a successor or transferee organization? .........................

Become an employee of, or independent contractor for, a successor or transferee organization? .....................

Become a direct or indirect owner of a successor or transferee organization? .....................

Receive, or become entitled to, compensation or other similar payments as a result of the organization's liquidation, termination, or dissolution? ........

If the organization answered "Yes" to any of the questions on lines 2a through 2d, provide the name of the person involved and explain in Part III. bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or Form 990-EZ.

Cat. No. 50087Z

Schedule N (Form 990 or 990-EZ) (2019)

Page 3

Part III

Supplemental Information. Provide the information required by Part I, lines 2e and 6c, and Part II, line 2e. Also complete this part to provide any additional information.

Return Reference	Explanation

Schedule N (Form 990 or 990-EZ) (2019)

Additional Data

Software ID:	17005038
Software Version:	2017v2.2

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

California Catholic Daughters of America
Home Inc DBA Madonna Manor

Employer identification number

94-6091600

Return Reference	Explanation
Grants and Similar Amounts Paid In Excess of $5,000.1	Class of Activity: Donation \| Donee's Name: Apostleship of the Sea \| Donee's Address: 870 W. 8th St San Pedro CA 90731 \| Relationship of Donee: None \| Cash Amount Given: $50000
Grants and Similar Amounts Paid In Excess of $5,000.2	Class of Activity: Donation \| Donee's Name: Apostleship of the Sea \| Donee's Address: 4001 7th Street Oakland CA 94607 \| Relationship of Donee: None \| Cash Amount Given: $50000
Grants and Similar Amounts Paid In Excess of $5,000.3	Class of Activity: Donation \| Donee's Name: Catholic Charities of San Francisco \| Donee's Address: 990 Eddy Street San Francisco CA 90015 \| Relationship of Donee: None \| Cash Amount Given: $20000
Grants and Similar Amounts Paid In Excess of $5,000.4	Class of Activity: Donation \| Donee's Name: Catholic Charities of Los Angeles Inc \| Donee's Address: 1531 James M Wood Blvd Los Angeles CA 90015 \| Relationship of Donee: None \| Cash Amount Given: $20000
Grants and Similar Amounts Paid In Excess of $5,000.5	Class of Activity: Donation \| Donee's Name: Catholic Charities of Orange County Inc \| Donee's Address: 1820 East 16th Street Santa Ana CA 92701 \| Relationship of Donee: None \| Cash Amount Given: $20000
Grants and Similar Amounts Paid In Excess of $5,000.6	Class of Activity: Donation \| Donee's Name: Catholic Charities of Sacramento Inc \| Donee's Address: 2110 Broadway Sacramento CA 95818 \| Relationship of Donee: None \| Cash Amount Given: $20000
Grants and Similar Amounts Paid In Excess of $5,000.7	Class of Activity: Donation \| Donee's Name: Catholic Charities San Bernadino County \| Donee's Address: 1450 North D Street San Bernadino CA 92405 \| Relationship of Donee: None \| Cash Amount Given: $20000
Grants and Similar Amounts Paid In Excess of $5,000.8	Class of Activity: Donation \| Donee's Name: Catholic Charities, Santa Clara County \| Donee's Address: 2625 Zanker Road San Jose CA 95134 \| Relationship of Donee: None \| Cash Amount Given: $20000
Grants and Similar Amounts Paid In Excess of $5,000.9	Class of Activity: Donation \| Donee's Name: Catholic Charities, Fresno \| Donee's Address: 149 N. Fulton Street Fresno CA 93701 \| Relationship of Donee: None \| Cash Amount Given: $20000
Grants and Similar Amounts Paid In Excess of $5,000.10	Class of Activity: Donation \| Donee's Name: Catholic Charities, Monterey \| Donee's Address: 922 Hilby Ave. Ste C Seaside CA 93955 \| Relationship of Donee: None \| Cash Amount Given: $20000
Grants and Similar Amounts Paid In Excess of $5,000.11	Class of Activity: Donation \| Donee's Name: Catholic Charities, Santa Rosa \| Donee's Address: 987 Airway Ct. Santa Rosa CA 95402 \| Relationship of Donee: None \| Cash Amount Given: $20000
Grants and Similar Amounts Paid In Excess of $5,000.12	Class of Activity: Donation \| Donee's Name: Catholic Charities, Stockton \| Donee's Address: 1106 N. El Dorado St. Stockton CA 95202 \| Relationship of Donee: None \| Cash Amount Given: $20000
Grants and Similar Amounts Paid In Excess of $5,000.13	Class of Activity: Donation \| Donee's Name: Catholic Charities of the East Bay \| Donee's Address: 433 Jefferson St Oakland CA 94607 \| Relationship of Donee: None \| Cash Amount Given: $20000
Grants and Similar Amounts Paid In Excess of $5,000.14	Class of Activity: Donation \| Donee's Name: Catholic Charities USA \| Donee's Address: 2050 Ballenger Ave #400 Alexandria VA 22314 \| Relationship of Donee: None \| Cash Amount Given: $50000
Grants and Similar Amounts Paid In Excess of $5,000.15	Class of Activity: Donation \| Donee's Name: Catholic Charities, San Diego \| Donee's Address: 349 Cedar Street San Diego CA 92101 \| Relationship of Donee: None \| Cash Amount Given: $20000
Grants and Similar Amounts Paid In Excess of $5,000.16	Class of Activity: Donation \| Donee's Name: California Catholic Daughters of America \| Donee's Address: 2103 E. Stockham Ave Tulare CA 93274 \| Relationship of Donee: None \| Cash Amount Given: $75000
Grants and Similar Amounts Paid In Excess of $5,000.17	Class of Activity: Donation \| Donee's Name: National Catholic Daughters Americas \| Donee's Address: 10 West 71st Street New York NY 10023 \| Relationship of Donee: None \| Cash Amount Given: $125000
Grants and Similar Amounts Paid In Excess of $5,000.18	Class of Activity: Donation \| Donee's Name: City of Hope \| Donee's Address: 1500 East Duarte Rd Duarte CA 91010 \| Relationship of Donee: None \| Cash Amount Given: $50000
Grants and Similar Amounts Paid In Excess of $5,000.19	Class of Activity: Donation \| Donee's Name: East Bay Innovation \| Donee's Address: 2540 Washington Ave., Ste 240 San Leandro CA 94577 \| Relationship of Donee: None \| Cash Amount Given: $25000
Grants and Similar Amounts Paid In Excess of $5,000.20	Class of Activity: Donation \| Donee's Name: Eternal Word Television Network Inc \| Donee's Address: 5817 Old Leeds Road Irondale AL 35210 \| Relationship of Donee: None \| Cash Amount Given: $125000
Grants and Similar Amounts Paid In Excess of $5,000.21	Class of Activity: Donation \| Donee's Name: Gary Sinise Foundation \| Donee's Address: 1901 Avenue of the Stars Los Angeles CA 90067 \| Relationship of Donee: None \| Cash Amount Given: $200000
Grants and Similar Amounts Paid In Excess of $5,000.22	Class of Activity: Donation \| Donee's Name: Habitat for Humanity Monterey Bay \| Donee's Address: P.O. Box 8412 Santa Cruz CA 95051 \| Relationship of Donee: None \| Cash Amount Given: $300000
Grants and Similar Amounts Paid In Excess of $5,000.23	Class of Activity: Donation \| Donee's Name: Nazareth House of Fresno, Inc \| Donee's Address: 212 North 1st Street Fresno CA 93703 \| Relationship of Donee: None \| Cash Amount Given: $50000
Grants and Similar Amounts Paid In Excess of $5,000.24	Class of Activity: Donation \| Donee's Name: Nazareth House of Los Angeles, Inc \| Donee's Address: 3333 Manning Ave Los Angeles CA 90064 \| Relationship of Donee: None \| Cash Amount Given: $50000
Grants and Similar Amounts Paid In Excess of $5,000.25	Class of Activity: Donation \| Donee's Name: Nazareth House of San Diego, Inc \| Donee's Address: 6333 Rancho Mission Rd San Diego CA 92108 \| Relationship of Donee: None \| Cash Amount Given: $50000
Grants and Similar Amounts Paid In Excess of $5,000.26	Class of Activity: Donation \| Donee's Name: Nazareth House of San Rafael, Inc \| Donee's Address: 245 Nova Albion Way San Rafael CA 94903 \| Relationship of Donee: None \| Cash Amount Given: $50000
Grants and Similar Amounts Paid In Excess of $5,000.27	Class of Activity: Donation \| Donee's Name: St. Jude Childrens Research Hospital \| Donee's Address: 501 St. Jude Place Memphis TN 38105 \| Relationship of Donee: None \| Cash Amount Given: $50000
Grants and Similar Amounts Paid In Excess of $5,000.28	Class of Activity: Donation \| Donee's Name: Laboure Society \| Donee's Address: 1365 Corporate Center Curve #104 Eagan MN 55121 \| Relationship of Donee: None \| Cash Amount Given: $100000
Grants and Similar Amounts Paid In Excess of $5,000.29	Class of Activity: Donation \| Donee's Name: The Roman Catholic, Fresno \| Donee's Address: 1550 N. Fresno Street Fresno CA 93703 \| Relationship of Donee: None \| Cash Amount Given: $150000
Grants and Similar Amounts Paid In Excess of $5,000.30	Class of Activity: Donation \| Donee's Name: The Roman Catholic, Los Angeles \| Donee's Address: 3424 WIlshire Blvd Los Angeles CA 90010 \| Relationship of Donee: None \| Cash Amount Given: $150000
Grants and Similar Amounts Paid In Excess of $5,000.31	Class of Activity: Donation \| Donee's Name: The Roman Catholic, Monterey \| Donee's Address: P.O. Box 2048 Monterey CA 93942 \| Relationship of Donee: None \| Cash Amount Given: $150000
Grants and Similar Amounts Paid In Excess of $5,000.32	Class of Activity: Donation \| Donee's Name: The Roman Catholic, Oakland \| Donee's Address: 2121 Harrison Street, Ste 100 Oakland CA 94612 \| Relationship of Donee: None \| Cash Amount Given: $150000
Grants and Similar Amounts Paid In Excess of $5,000.33	Class of Activity: Donation \| Donee's Name: The Roman Catholic, Orange \| Donee's Address: 13280 Chapman Ave Garden Grove CA 92840 \| Relationship of Donee: None \| Cash Amount Given: $150000
Grants and Similar Amounts Paid In Excess of $5,000.34	Class of Activity: Donation \| Donee's Name: The Roman Catholic, Sacramento \| Donee's Address: 2110 Broadway Sacramento CA 95818 \| Relationship of Donee: None \| Cash Amount Given: $150000
Grants and Similar Amounts Paid In Excess of $5,000.35	Class of Activity: Donation \| Donee's Name: The Roman Catholic, San Bernadino \| Donee's Address: 1201 East Highland Ave San Bernardino CA 92404 \| Relationship of Donee: None \| Cash Amount Given: $150000
Grants and Similar Amounts Paid In Excess of $5,000.36	Class of Activity: Donation \| Donee's Name: The Roman Catholic, San Diego \| Donee's Address: P. O. Box 85728 San Diego CA 92186 \| Relationship of Donee: None \| Cash Amount Given: $150000
Grants and Similar Amounts Paid In Excess of $5,000.37	Class of Activity: Donation \| Donee's Name: The Roman Catholic, San Francisco \| Donee's Address: 1 Peter Yorke Way San Francisco CA 94109 \| Relationship of Donee: None \| Cash Amount Given: $150000
Grants and Similar Amounts Paid In Excess of $5,000.38	Class of Activity: Donation \| Donee's Name: The Roman Catholic, San Jose \| Donee's Address: 1150 North 1st Street San Jose CA 95112 \| Relationship of Donee: None \| Cash Amount Given: $150000
Grants and Similar Amounts Paid In Excess of $5,000.39	Class of Activity: Donation \| Donee's Name: The Roman Catholic, Santa Rosa \| Donee's Address: P.O. Box 1297 Santa Rosa CA 95403 \| Relationship of Donee: None \| Cash Amount Given: $150000
Grants and Similar Amounts Paid In Excess of $5,000.40	Class of Activity: Donation \| Donee's Name: The Roman Catholic, Stockton \| Donee's Address: 212 North San Joaquin St Stockton CA 95202 \| Relationship of Donee: None \| Cash Amount Given: $150000
Grants and Similar Amounts Paid In Excess of $5,000.41	Class of Activity: Donation \| Donee's Name: Tri-Valley Reach, Inc \| Donee's Address: 4670 Willow Rd Pleasanton CA 94588 \| Relationship of Donee: None \| Cash Amount Given: $25000
Grants and Similar Amounts Paid In Excess of $5,000.42	Class of Activity: Donation \| Donee's Name: Ave Maria Senior Living \| Donee's Address: 1249 Josselyn Canyon Rd Monterey CA 93940 \| Relationship of Donee: None \| Cash Amount Given: $357023
Other Expenses.1002	Office Expenses $30
Other Expenses.1	Storage Rent $1176
Other Expenses.3	Taxes $20
Changes to Organizing or Governing Documents	The Organization filed a certificate of election to wind up and dissolve with the California Secretary of State on November 1, 2017. All assets were distributed see schedule N.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2019

Additional Data

Software ID:	17005038
Software Version:	2017v2.2

1	Contributions, gifts, grants, and similar amounts received ....................	1	6,200
2	Program service revenue including government fees and contracts ................	2
3	Membership dues and assessments .............................	3
4	Investment income ....................................	4	806
5a	Gross amount from sale of assets other than inventory .......	5a
b	Less: cost or other basis and sales expenses ............	5b	0
c	Gain or (loss) from sale of assets other than inventory (Subtract line 5b from line 5a) ......	5c
6	Gaming and fundraising events
a	Gross income from gaming (attach Schedule G if greater than $15,000)	6a
b	Gross income from fundraising events (not including $ of contributions from fundraising events reported on line 1) (attach Schedule G if the			sum of such gross income and contributions exceeds $15,000) ..	6b	0
c	Less: direct expenses from gaming and fundraising events ...	6c	0
d	Net income or (loss) from gaming and fundraising events (add lines 6a and 6b and subtract line 6c)	6d
7a	Gross sales of inventory, less returns and allowances ......	7a
b	Less: cost of goods sold .............	7b	0
c	Gross profit or (loss) from sales of inventory (Subtract line 7b from line 7a) .........	7c
8	Other revenue (describe in Schedule O) ....................	8
9	Total revenue. Add lines 1, 2, 3, 4, 5c, 6d, 7c, and 8 ..............	9	7,006

Part ⅢStatement of Program Service Accomplishments (see the instructions for Part III) Check if the organization used Schedule O to respond to any question in this Part III . .	Expenses (Required for section 501(c)(3) and 501(c)(4) organizations; optional for others.)
What is the organization's primary exempt purpose? The mission of Madonna Manor is to provide, at an affordable cost, a secure and caring residence for women. Madonna Manor offers an array of services to maintain an active lifestyle for both independent and assisted living residents. The staff is attentive to recognize the dignity and well being of each and every woman at The Manor.
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. In a clear and concise manner, describe the services provided, the number of persons benefited, and other relevant information for each program title.
28 Madonna Manor is licensed to care for up to 68 residents. Madonna Manor offers an array of services to maintain an active lifestyle for both independent and assisted living residents. The staff are attentive to recognize the dignity and well being of each woman at Madonna Manor. (Grants $ 4,212,023) If this amount includes foreign grants, check here ...			28a	4,212,023
29 (Grants $ ) If this amount includes foreign grants, check here ...			29a
30 (Grants $ ) If this amount includes foreign grants, check here ...			30a
31 Other program services (describe in Schedule O) ................ (Grants $ ) If this amount includes foreign grants, check here...	31a
32 Total program service expenses (add lines 28a through 31a)..........	32	4,212,023

(a) Name and business address of each independent contractor	(b) Type of service	(c) Compensation
NONE

Sign Here

	Signature of officer	Date

	Type or print name and title

10	Grants and similar amounts paid (list in Schedule O) ................	10	4,212,023
11	Benefits paid to or for members ......................	11
12	Salaries, other compensation, and employee benefits ................	12
13	Professional fees and other payments to independent contractors ............	13	25,170
14	Occupancy, rent, utilities, and maintenance ...................	14
15	Printing, publications, postage, and shipping ...................	15	152
16	Other expenses (describe in Schedule O) ...................	16	1,226
17	Total expenses. Add lines 10 through 16 .................	17	4,238,571

18	Excess or (deficit) for the year (Subtract line 17 from line 9) ............	18	-4,231,565
19	Net assets or fund balances at beginning of year (from line 27, column (A)) (must agree with
	end-of-year figure reported on prior year’s return) .................	19	4,231,565
20	Other changes in net assets or fund balances (explain in Schedule O) ...........	20
21	Net assets or fund balances at end of year. Combine lines 18 through 20 ..........	21