Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
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Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (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. | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (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 | ||||||
Calendar year (or fiscal
year beginning in) ![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 56,374 | 84,291 | 75,324 | 4,313 | 79,081 | 299,383 |
| 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 | 1,435 | 7,815 | 17,725 | 23,950 | 24,100 | 75,025 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | 35,869 | 16,638 | 48,558 | 45,232 | 146,297 | |
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | 93,678 | 108,744 | 93,049 | 76,821 | 148,413 | 520,705 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | 10,000 | 55,000 | 40,000 | 60,000 | 165,000 | |
| 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. | 0 | |||||
| c | Add lines 7a and 7b.. | 10,000 | 55,000 | 40,000 | 60,000 | 165,000 | |
| 8 | Public support. (Subtract line 7c from line 6.) | 355,705 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 93,678 | 108,744 | 93,049 | 76,821 | 148,413 | 520,705 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 11,639 | 7,107 | 3,486 | 11,510 | 33,742 | |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 11,639 | 7,107 | 3,486 | 11,510 | 33,742 | |
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | 371 | 371 | ||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 105,688 | 115,851 | 96,535 | 76,821 | 159,923 | 554,818 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 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) |
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| 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): |
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| 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 0.015 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 0.035 | 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 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2023 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2023 |
(iii) Distributable Amount for 2023 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2023 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2023: | ||||
| a From 2018....... | ||||
| b From 2019....... | ||||
| c From 2020....... | ||||
| d From 2021....... | ||||
| e From 2022....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2023 distributable amount | ||||
|
i
Carryover from 2018 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2023 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2023 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2023, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2023. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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7 Excess distributions carryover to 2024. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2019..... | ||||
| b Excess from 2020..... | ||||
| c Excess from 2021..... | ||||
| d Excess from 2022..... | ||||
| e Excess from 2023..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | OTHER INCOME - 2019 AMOUNT: $ 371. |
| Software ID: | |
| Software Version: |
| Return Reference | Explanation |
|---|---|
| FORM 990-EZ, PART I, LINE 4 - OTHER INVESTMENT INCOME | DESCRIPTION: INTEREST INCOME. AMOUNT: 11,510. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE CONTRIBUTIONS - MARKETING GROUPS. GRANTEE NAME: ADOPT AN ANGEL. GRANTEE ADDRESS: 6219 ESCALLONIA DRIVE NEWARK, CA 94560. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 12/31/23. AMOUNT GIVEN: 729. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE CONTRIBUTIONS - MARKETING GROUPS. GRANTEE NAME: ALAMEDA COUNTY COMMUNITY FOOD BANK. GRANTEE ADDRESS: 7900 EDGEWATER DRIVE OAKLAND, CA 94621. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 12/29/23. AMOUNT GIVEN: 1,838. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE CONTRIBUTIONS - MARKETING GROUPS. GRANTEE NAME: LITTLE MIRACLES, INC.. GRANTEE ADDRESS: 039-E SERPENTINE LANE PLEASANTON, CA 94566. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 12/12/23. AMOUNT GIVEN: 610. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE CONTRIBUTIONS - MARKETING GROUPS. GRANTEE NAME: SLEEP IN HEAVENLY PEACE. GRANTEE ADDRESS: 4463 BUCKSKIN COURT LIVERMORE, CA 94551. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 12/11/23. AMOUNT GIVEN: 1,063. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE CONTRIBUTIONS - MARKETING GROUPS. GRANTEE NAME: MISSING MAN MINISTRY. GRANTEE ADDRESS: 5424 SUNOL BLVD, SUITE 10-107 PLEASANTON, CA 94566. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 12/04/23. AMOUNT GIVEN: 4,002. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE CONTRIBUTIONS - MARKETING GROUPS. GRANTEE NAME: LIVERMORE VALLEY JOINT UNIFIED SCHOOL DISTRICT. GRANTEE ADDRESS: 685 E. JACK LONDON BLVD LIVERMORE, CA 94551. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 08/14/23. AMOUNT GIVEN: 9,235. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE CONTRIBUTIONS - MARKETING GROUPS. GRANTEE NAME: TRI VALLEY HAVEN. GRANTEE ADDRESS: 3663 PACIFIC AVENUE LIVERMORE, CA 94550. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 07/21/23. AMOUNT GIVEN: 194. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE CONTRIBUTIONS - MARKETING GROUPS. GRANTEE NAME: REINS IN MOTION. GRANTEE ADDRESS: P.O. BOX 1001 LIVERMORE, CA 94551. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 04/01/23. AMOUNT GIVEN: 4,167. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE GROUPS. GRANTEE NAME: AGAPE VILLAGES. GRANTEE ADDRESS: 3160 CROW CANYON PLACE, #120 SAN RAMON, CA 94583. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 06/01/23. AMOUNT GIVEN: 500. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: CHARITABLE GROUPS. GRANTEE NAME: KIDS AGAINST HUNGER. GRANTEE ADDRESS: 1258 QUARRY LANE PLEASANTON, CA 94566. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 03/31/23. AMOUNT GIVEN: 300. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: MEMBERS HELPING MEMBERS. GRANTEE NAME: BEVERLEY MORRIS. GRANTEE ADDRESS: 1378 SAUVIGNON STREET MOUNTAIN HOUSE, CA 95391. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 07/11/23. AMOUNT GIVEN: 5,000. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: SCHOLARSHIPS. GRANTEE NAME: CLARA MARKEL. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 08/04/23. AMOUNT GIVEN: 1,500. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: SCHOLARSHIPS. GRANTEE NAME: SAVANNAH JOHNSON. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 08/04/23. AMOUNT GIVEN: 1,500. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: SCHOLARSHIPS. GRANTEE NAME: SARAH LISANTI. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 08/04/23. AMOUNT GIVEN: 1,500. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: SCHOLARSHIPS. GRANTEE NAME: EAINDRAE MYAE . GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 08/04/23. AMOUNT GIVEN: 1,500. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: SCHOLARSHIPS. GRANTEE NAME: COLE WISENOR. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 08/04/23. AMOUNT GIVEN: 1,500. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: SCHOLARSHIPS. GRANTEE NAME: ARIAN MOGHNI. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 08/04/23. AMOUNT GIVEN: 2,500. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: SCHOLARSHIPS. GRANTEE NAME: BENJAMIN MAGANA. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 08/04/23. AMOUNT GIVEN: 2,500. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: SCHOLARSHIPS. GRANTEE NAME: DEVYN DONOVAN-STAUDER. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 08/04/23. AMOUNT GIVEN: 1,500. |
| FORM 990-EZ, PART I, LINE 10 - GRANTS AND SIMILAR AMOUNTS PAID | ACTIVITY CLASSIFICATION: SCHOLARSHIPS. GRANTEE NAME: TONY WANG. GRANTEE RELATIONSHIP: NONE. DATE OF GIFT: 08/04/23. AMOUNT GIVEN: 2,500. TOTAL INCLUDED ON FORM 990-EZ, LINE 10: 44,138. |
| FORM 990-EZ, PART I, LINE 16 - OTHER EXPENSES | DESCRIPTION: ADMINISTRATIVE FEE. AMOUNT: 15,000. DESCRIPTION: BANK SERVICE CHARGES. AMOUNT: 407. DESCRIPTION: DUES AND SUBSCRIPTIONS. AMOUNT: 150. DESCRIPTION: FILING FEES. AMOUNT: 80. DESCRIPTION: OFFICE EXPENSES. AMOUNT: 478. DESCRIPTION: TRUSTEE EXPENSES. AMOUNT: 429. TOTAL TO FORM 990-EZ, LINE 16: 16,544. |
| FORM 990-EZ, PART II, LINE 24 - OTHER ASSETS | DESCRIPTION: ACCOUNTS RECEIVABLE. BEG. OF YEAR AMOUNT: 58,307. END OF YEAR AMOUNT: 0. DESCRIPTION: ACCRUED INCOME. BEG. OF YEAR AMOUNT: 1,441. END OF YEAR AMOUNT: 0. DESCRIPTION: PREPAID EVENT EXPENSE. BEG. OF YEAR AMOUNT: 3,000. END OF YEAR AMOUNT: 0. |
| FORM 990-EZ, PART II, LINE 26 - OTHER LIABILITIES | DESCRIPTION: ACCOUNTS PAYABLE. BEG. OF YEAR AMOUNT: 47,609. END OF YEAR AMOUNT: 5,411. |
| Software ID: | |
| Software Version: |