TY 2023 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(1) HOLLY HAGLER...................................................................... CEO	40.00 .................		X		350,805	38,760
(2) JANE ROTH...................................................................... CFO / VP FOOD SERVICES	40.00 .................		X		239,151	24,006
(3) DARLA J OLSON...................................................................... VP OF ADVANCEMENT	40.00 .................			X	185,990	19,481
(4) BYRON G CORZO...................................................................... VP OF HOME AND CARE SERVIC	40.00 .................			X	182,193	18,404
(5) ALEJANDRO LUPERCIO...................................................................... VP OF SOCIAL SERVICES	40.00 .................			X	179,120	0
(6) NORMA RODRIGUEZ...................................................................... DIR HUMAN RESOURCES	40.00 .................			X	132,499	3,332
(7) HELEN KNISLEY...................................................................... CONTROLLER	40.00 .................			X	122,494	2,026
(8) TINA PRONK...................................................................... CFO (START 10/23)	40.00 .................		X		0	0
(9) RANDY PLATT...................................................................... CHAIR	1.00 .................	X	X		0	0
(10) LYNN DAUCHER...................................................................... VICE CHAIR	1.00 .................	X	X		0	0
(11) COREY SAENZ...................................................................... SECRETARY	1.00 .................	X	X		0	0
(12) RICHARD LEE...................................................................... TREASURER	1.00 .................	X	X		0	0
(13) EARLE ZUCHT...................................................................... PAST CHAIR	1.00 .................	X			0	0
(14) GARY COBURN...................................................................... BOARD MEMBER	1.00 .................	X			0	0
(15) SCOTT HEINILA...................................................................... BOARD MEMBER	1.00 .................	X			0	0
(16) SUSAN LUCERO...................................................................... BOARD MEMBER	1.00 .................	X			0	0
(17) DI PATTERSON...................................................................... BOARD MEMBER	1.00 .................	X			0	0

(A) Name and business address	(B) Description of services	(C) Compensation
FRONTERAS FOOD GROUP 700 COUNTRY ROSE COURT CORONA,CA92882	FOOD PREPARATION/PURCHASES	214,581
PERKINS COIE LLP 1201 THIRD AVENUE SUITE 4900 SEATTLE,WA98101	LEGAL/PROFESSIONAL SERVICES	197,860
BARON TRANSPORT PO BOX 28630 ANAHEIM HILLS,CA92809	STAFFING- DRIVERS	155,515
RIGOS EQUIPMENT MANUFACTURING 14501 JOANBRIDGE STREET BALDWIN PARK,CA91706	EQUIPMENT PURCHASE/INSTALLATION	135,635

2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 4

- TIN:

SCHEDULE A
(Form 990)

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.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

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

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

COMMUNITY SENIORSERV INC

Employer identification number

95-2771715

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).)

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 33 1/3% 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 33 1/3% 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 on 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) 2023

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) 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.") ..	12,094,429	51,585,938	13,769,189	14,011,919	13,910,806	105,372,281
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	12,094,429	51,585,938	13,769,189	14,011,919	13,910,806	105,372,281
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.						105,372,281

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
7	Amounts from line 4..	12,094,429	51,585,938	13,769,189	14,011,919	13,910,806	105,372,281
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...	38,645	65,459	72,601	83,015	136,971	396,691
9	Net income from unrelated business activities, whether or not the business is regularly carried on..	70,506	42,646	46,029	56,744	-212,496	3,429
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..				50,858		50,858
11	Total support. Add lines 7 through 10						105,823,259

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

First 5 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 2023 (line 6, column (f) divided by line 11, column (f)) .........

99.570 %

Public support percentage for 2022 Schedule A, Part II, line 14 ...............

99.270 %

16a

33 1/3% support test—2023. 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—2022. 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—2023. 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—2022. 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) 2023

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) 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.") .
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
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
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
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
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.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
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.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 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 2023 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2022 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2023 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2022 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2023. 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—2022. 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) 2023

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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 lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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) .

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

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 on 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 on 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) 2023

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 on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, 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 line 2 above, 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 lines 2a and 2b 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 on line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2023

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 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

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) 2023

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	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.
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)
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.
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.
7 Excess distributions carryover to 2024. Add lines 3j and 4c.
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.....

Schedule A (Form 990) (2023)

Schedule A (Form 990) 2023

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) 2023

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow

Attach to Form 990.
right arrow

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

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

COMMUNITY SENIORSERV INC

Employer identification number

95-2771715

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow

Number of states where property subject to conservation easement is located right arrow

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

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

Cat. No. 52283D

Schedule D (Form 990) 2022

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment right arrow

Permanent endowment right arrow

Term endowment right arrow

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	800,492		800,492
b	Buildings ....	4,225,200	2,433,246	1,791,954
c	Leasehold improvements
d	Equipment ....	5,674,437	3,042,916	2,631,521
e	Other .....	221,566		221,566
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				5,445,533

Schedule D (Form 990) 2022

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3) Other (A) INVESTMENTS	7,168,461	F
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	7,168,461

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
ACCRUED LIABILITIES	1,071,515
LEASE LIABILITY	148,059







Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	1,219,574
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2022

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	21,555,393
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	164,367
b	Donated services and use of facilities .........	2b	964,418
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ...........	2d	1,238,876
e	Add lines 2a through 2d .....................			2e	2,367,661
3	Subtract line 2e from line 1..................			3	19,187,732
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a	23,000
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................			4c	23,000
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	19,210,732

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	20,003,144
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a	964,418
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ...........	2d	675,003
e	Add lines 2a through 2d....................			2e	1,639,421
3	Subtract line 2e from line 1...................			3	18,363,723
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a	23,000
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.....................			4c	23,000
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	18,386,723

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
PART X, LINE 2:	THE ORGANIZATION ADOPTED THE PROVISIONS OF FASB ASC 740-10-25, INCOME TAXES. IN ACCORDANCE WITH ASC 740-10-25, AN ORGANIZATION MUST RECOGNIZE THE TAX BENEFIT ASSOCIATED WITH TAX TAKEN FOR TAX RETURN PURPOSES WHEN IT IS MORE LIKELY THAN NOT THE POSITION WILL BE SUSTAINED. THE IMPLEMENTATION OF ASC 740-10-25 HAD NO IMPACT ON THE ORGANIZATIONS FINANCIAL STATEMENTS. THE ORGANIZATION DOES NOT BELIEVE THERE ARE ANY MATERIAL UNCERTAIN TAX POSITIONS, AND ACCORDINGLY, IT HAS NOT RECOGNIZED ANY LIABILITY FOR UNRECOGNIZED TAX BENEFITS OR ANY RELATED INTEREST OR PENALTIES.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	CHILL COOK COGS ASSETS RELEASED FROM RESTRICTIONS FUNDRAISING EXPENSES
PART XII, LINE 2D - OTHER ADJUSTMENTS:	COOK CHILL COGS FUNDRAISING EXPENSES ASSETS RELEASED FROM RESTRICTIONS
SCHEDULE D, PAGE 4, PART XII, LINE 2D	FUNCTIONAL EXPENSE: $657,970

Schedule D (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

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

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization
COMMUNITY SENIORSERV INC

Employer identification number

95-2771715

Part I

Fundraising Activities.Complete if the organization answered "Yes" on Form 990, Part IV, line 17.

Form 990-EZ filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

YesNo

If "Yes," list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(i) Name and address of individual or entity (fundraiser)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










Total . . . . . . . . . . . . . . . . . . . .

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

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

Cat. No. 50083H

Schedule G (Form 990) 2023

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 LUNCHEON 2023 (event type)	(b) Event #2 (event type)	(c) Other events (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	20,000			20,000
2	Less: Contributions . . . .
3	Gross income (line 1 minus line 2) . . . . . .	20,000			20,000

4	Cash prizes . . . . .
5	Noncash prizes . . . .
6	Rent/facility costs . . . .
7	Food and beverages . . .	17,033	17,033
8	Entertainment . . . .
9	Other direct expenses . . .
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .		17,033
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .		2,967

Part III

Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

		(a) Bingo	(b) Pull tabs/Instant bingo/progressive bingo	(c) Other gaming	(d) Total gaming (add col.(a) through col.(c))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow

Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

Enter the state(s) in which the organization conducts gaming activities:

Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .

YesNo

If "Yes," explain:

Schedule G (Form 990) 2023

Page 3

Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? . . . . . . . . . . . . . . . . .

YesNo

Indicate the percentage of gaming activity conducted in:

The organization's facility . . . . . . . . . . . . . . . . . .

13a

An outside facility . . . . . . . . . . . . . . . . . . . .

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? . . . . . . . . . . . . . . . . . . . . . . . .

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? . . . . . . . . . . . . . . . . . . .

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.

Return Reference	Explanation

Schedule G (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

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

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

COMMUNITY SENIORSERV INC

Employer identification number

95-2771715

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Yes

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Yes

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

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

Cat. No. 50053T

Schedule J (Form 990) 2023

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1HOLLY HAGLER CEO	(i) (ii)	310,805 ------------- 0	40,000 ------------- 0	0 ------------- 0	14,079 ------------- 0	24,681 ------------- 0	389,565 ------------- 0	0 ------------- 0
2JANE ROTH CFO / VP FOOD SERVICES	(i) (ii)	209,151 ------------- 0	30,000 ------------- 0	0 ------------- 0	11,765 ------------- 0	12,241 ------------- 0	263,157 ------------- 0	0 ------------- 0
3DARLA J OLSON VP OF ADVANCEMENT	(i) (ii)	170,990 ------------- 0	15,000 ------------- 0	0 ------------- 0	6,679 ------------- 0	12,802 ------------- 0	205,471 ------------- 0	0 ------------- 0
4BYRON G CORZO VP OF HOME AND CARE SERVIC	(i) (ii)	167,193 ------------- 0	15,000 ------------- 0	0 ------------- 0	0 ------------- 0	18,404 ------------- 0	200,597 ------------- 0	0 ------------- 0
5ALEJANDRO LUPERCIO VP OF SOCIAL SERVICES	(i) (ii)	164,120 ------------- 0	15,000 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	179,120 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2023

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
PART I, LINE 3	CEO COMPENSATION IS REVIEWED, AND APPROVED, BY THE BOARD OF DIRECTORS. THE BOARD IS PROVIDED WITH A COMPARABILITY ANALYSIS PROVIDED BY HUMAN RESOURCES AND DERIVED FROM RELEVANT SOURCES. THE DELIBERATIONS OF THE BOARD ARE RECORDED IN BOARD MINUTES. BOARD MEMBERS WITH CONFLICTS OF INTEREST ARE NOT INCLUDED IN THE DELIBERATIONS. SENIORSERV PARTICIPATES IN AN ANNUAL SALARY SURVEY FOR NOT-FOR-PROFIT ORGANIZATIONS IN ORANGE COUNTY, CA. THE COMPENSATION OF SENIOR MANAGEMENT IS REVIEWED, AND APPROVED, BY THE BOARD OF DIRECTORS. THE BOARD IS PROVIDED WITH A COMPARABILITY ANALYSIS PROVIDED BY HUMAN RESOURCES AND DERIVED FROM RELEVANT SOURCES. THE DELIBERATIONS OF THE BOARD ARE RECORDED IN BOARD MINUTES. BOARD MEMBERS WITH CONFLICTS OF INTEREST ARE NOT INCLUDED IN THE DELIBERATIONS. SENIORSERV PARTICIPATES IN AN ANNUAL SALARY SURVEY FOR NOT-FOR-PROFIT ORGANIZATIONS IN ORANGE COUNTY, CA.
PART I, LINE 4A	NAME: HELEN KNISLEY, DESCRIPTION: SEVERANCE, CURRENT YEAR AMOUNT: $25,750. PLAN DESCRIPTION: EMPLOYEE TERMINATION
PART I, LINE 5	BONUS

Schedule J (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
Attach to Form 990 or Form 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

COMMUNITY SENIORSERV INC

Employer identification number

95-2771715

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... $

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ $

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No




Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

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

Cat. No. 50056A

Schedule L (Form 990) 2023

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) CARE PARTNERS AT HOME	RANDY PLATT	60,027	HOME CARE SERVICES		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference

Explanation

FORM IV LINE 1

BEGINNING 7/1/2018, SENIORSERV, INC. ENTERED INTO AN AGREEMENT WITH CARE PARTNERS AT HOME, CO-FOUNDED BY RANDY PLATT WHO SERVED AS VICE CHAIRMAN OF SENIORSERV, INC. DURING THE TAX YEAR. CARE PARTNERS AT HOME PROVIDED A ROUTINE HOUSEHOLD MAINTENANCE AND PERSONAL CARE SERVICES FOR SENIORSERV'S BUSINESS IN HOME PROGRAM. TOTAL PAYMENTS MADE BY SENIORSERV TO CARE PARTNERS AT HOME WAS $60,027 FROM 7/1/2023 TO 6/30/2024.

Schedule L (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

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.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

COMMUNITY SENIORSERV INC

Employer identification number

95-2771715

Return Reference	Explanation
FORM 990, PART VI, SECTION A, LINE 1A	SECTION 6.02. EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE IS A STANDING BOARD COMMITTEE CONSISTING OF THE FOLLOWING FIVE OFFICERS OF THE CORPORATION: THE BOARD CHAIR (WHO WILL CHAIR THE COMMITTEE), THE VICE CHAIR, THE PAST CHAIR, THE TREASURER, AND THE SECRETARY. A MAJORITY OF THE NUMBER EXECUTIVE COMMITTEE MEMBERS CONSTITUTES A QUORUM FOR THE TRANSACTION FOR THE TRANSACTION OF EXECUTIVE COMMITTEE BUSINESS. THE EXECUTIVE COMMITTEE, IN CASES OF EMERGENCY AND BETWEEN MEETINGS OF THE BOARD, WILL HAVE FULL POWER TO CONDUCT THE AFFAIRS OF THIS CORPORATION, SUBJECT TO THE DECISIONS AND APPROVAL OF THE BOARD, AND ALSO SUBJECT TO ANY PROVISIONS OF LAW, EXCEPT WITH RESPECT TO: (A) FILLING VACANCIES ON THE BOARD, IN ONE OF THE OFFICERS OF THE CORPORATION, OR ON ANY COMMITTEE, WHICH HAS THE AUTHORITY OF THE BOARD. (B) AMENDING OR RESTATING THE ARTICLES. (C) AMENDING THE BYLAWS OR REPEALING AND ADOPTING NEW BYLAWS. (D) AMENDING OR REPEALING ANY RESOLUTION OF THE BOARD. THE EXECUTIVE COMMITTEE WILL MEET AS NEEDED WITH NOTICE. NO PROXY VOTING IS PERMITTED. THE EXECUTIVE COMMITTEE MUST KEEP WRITTEN MINUTES OF EACH OF ITS MEETINGS, CAUSE THEM TO BE FILED WITH THE CORPORATE RECORDS, AND PRESENT SUCH MINUTES TO THE BOARD AT THE NEXT BOARD MEETING IMMEDIATELY FOLLOWING EACH EXECUTIVE COMMITTEE MEETING. BY A MAJORITY VOTE OF THE BOARD, THE BOARD MAY, AT ANY TIME, REVOKE OR MODIFY ANY OR ALL OF THE AUTHORITY SO DELEGATED TO THE EXECUTIVE COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 11B	LINE 11B EXPLANATION - FOLLOWING THE COMPLETION OF THE SENIORSERV AUDIT AND COMPLETION OF THE SS IRS FORM 990, THE FORM IS REVIEWED BY THE BOARD FINANCE COMMITTEE AND DISTRIBUTED TO THE SENORSERV BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12C	WHENEVER THERE IS REASON TO BELIEVE THAT A POTENTIAL CONFLICT OF INTEREST EXISTS BETWEEN SENIORSERV AND A BOARD MEMBER OR THE CEO, THE BOARD SHALL DETERMINE THE APPROPRIATE RESPONSE. THE POTENTIAL CONFLICT OF INTEREST WILL BE BROUGHT TO THE ATTENTION OF THE BOARD FOR ACTION AT THE NEXT REGULAR MEETING, OR DURING A SPECIAL MEETING CALLED, SPECIFICALLY, TO REVIEW THE POTENTIAL CONFLICT OF INTEREST. THE BOARD MEMBER WILL BE ASKED TO COMPLETE A POTENTIAL CONFLICT OF INTEREST DISCLOSURE STATEMENT AND/OR CONFLICT OF INTEREST AFFIRMATION OF COMPLIANCE. ALSO, EACH YEAR, AT THE APRIL OR MAY MEETING OF THE BOARD OF DIRECTORS, EACH MEMBER IS REQUESTED TO REVIEW AND SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND A CONFLICT OF INTEREST AFFIRMATION OF COMPLIANCE.
FORM 990, PART VI, SECTION B, LINE 15	THE COMPENSATION OF THE PERSON IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS OR COMPENSATION COMMITTEE OF THE ORGANIZATION, PROVIDED THAT PERSONS WITH CONFLICTS OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT AT ISSUE ARE NOT INVOLVED IN THIS REVIEW AND APPROVAL. THE BOARD IS PROVIDED A COMPARABILITY ANALYSIS PROVIDED BY HUMAN RESOURCES TAKEN FROM SUBSTANTIVE SOURCES IN DECIDING ON COMPENSATION FOR ITS TOP EXECUTIVES. ALL RELEVANT DATA OF THE BOARDS DELIBERATION IS RECORDED IN THE MINUTES. THE COMPENSATION OF THE PERSON IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS OR COMPENSATION COMMITTEE OF THE ORGANIZATION, PROVIDED THAT PERSONS WITH CONFLICTS OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT AT ISSUE ARE NOT INVOLVED IN THIS REVIEW AND APPROVAL. THE BOARD IS PROVIDED A COMPARABILITY ANALYSIS PROVIDED BY HUMAN RESOURCES TAKEN FROM SUBSTANTIVE SOURCES IN DECIDING ON COMPENSATION FOR ITS TOP EXECUTIVES. ALL RELEVANT DATA OF THE BOARDS DELIBERATION IS RECORDED IN THE MINUTES. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2023.
FORM 990, PART VI, SECTION C, LINE 19	GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS ARE POSTED ON THE AGENCY WEBSITE AND PROVIDED BY MAIL, IF REQUESTED.
FORM 990, PART IX, LINE 11G	CONTRACT EXPENSES: PROGRAM SERVICE EXPENSES 3,639,760. MANAGEMENT AND GENERAL EXPENSES -5,260. FUNDRAISING EXPENSES 111,430. TOTAL EXPENSES 3,745,930. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 76,113. MANAGEMENT AND GENERAL EXPENSES 18,667. FUNDRAISING EXPENSES 332. TOTAL EXPENSES 95,112.
FORM 990, PART XII, LINE 2C:	HOME DELIVERED MEALS - THESE MEALS HELP HOMEBOUND SENIORS WHO ARE UNABLE TO PREPARE THEIR OWN FOOD BY PROVIDING HOME DELIVERY OF BREAKFAST, LUNCH AND DINNER.
FORM 990, PART XII, LINE 2C:	CONGREGATE LUNCH PROGRAMS - LUNCH IS SERVED AT 24 FRIENDLY LOCATIONS FOR ACTIVE SENIORS. THIS IS MORE THAN JUST A MEAL. IT INCLUDES DANCING, GAMES, PHYSICAL FITNESS AND MANY OTHER SOCIAL AND EDUCATIONAL ACTIVITIES.
FORM 990, PART XII, LINE 2C:	A. TEMP MEAL PROGRAM (COVID RELIEF PROGRAM) PROGRAM PROVIDES MEALS TO ADULTS 65 AND OLDER AND ADULTS 60-64 WHO ARE AT HIGH-RISK, AS DEFINED BY THE CDC AND WHO ARE UNABLE TO ACCESS MEALS WHILE STAYING AT HOME AND ARE INELIGIBLE FOR OTHER NUTRITIONAL PROGRAMS; AND SUPPORTS LOCAL RESTAURANTS AND OTHER FOOD PROVIDER/AGRICULTURAL WORKERS AND TO SUPPORT OWNERS WHO HAVE CLOSED OR ARE STRUGGLING TO REMAIN OPEN DUE TO COVID-19 MITIGATION TACTICS. DISTRICT 4 (NUTRITION GAP) - A SUPPLEMENTAL SUPPORT PROGRAM FOR THE MOST VULNERABLE POPULATION IMPACTED BY THE COVID-19 PANDEMIC. IT IS DESIGNED TO ADDRESS FOOD INSECURITY CHALLENGES CASUED BY COVID-19 FOR SENIORS, PERSONS WITH DISABILITIES AND OTHER DEMOGRAPHICS.

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

Cat. No. 51056K

Schedule O (Form 990) 2023

Additional Data

Software ID:
Software Version:

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	14,011,919	13,910,806
9	Program service revenue (Part VIII, line 2g) .........	4,890,842	5,254,333
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	240,968	255,122
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	125,020	-209,529
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	19,268,749	19,210,732
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	6,140,628	6,331,180
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 612,629
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	21,111,338	12,055,543
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	27,251,966	18,386,723
19	Revenue less expenses. Subtract line 18 from line 12.......	-7,983,217	824,009
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	19,239,651	20,518,549
21	Total liabilities (Part X, line 26).............	2,795,965	3,086,487
22	Net assets or fund balances. Subtract line 21 from line 20.....	16,443,686	17,432,062

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 6,405,824 including grants of $ 0 ) (Revenue $ 0 )
	HOME DELIVERED MEALS - THESE MEALS HELP HOMEBOUND SENIORS WHO ARE UNABLE TO PREPARE THEIR OWN FOOD BY PROVIDING HOME DELIVERY OF BREAKFAST, LUNCH AND DINNER.

4b	(Code: ) (Expenses $ 4,164,217 including grants of $ 0 ) (Revenue $ 0 )
	CONGREGATE LUNCH PROGRAMS - LUNCH IS SERVED AT 24 FRIENDLY LOCATIONS FOR ACTIVE SENIORS. THIS IS MORE THAN JUST A MEAL. IT INCLUDES DANCING, GAMES, PHYSICAL FITNESS AND MANY OTHER SOCIAL AND EDUCATIONAL ACTIVITIES.

4c	(Code: ) (Expenses $ 1,910,200 including grants of $ 0 ) (Revenue $ 2,539,205 )
	SOCIAL MEALS - THIS PROGRAM PROVIDES NUTRITION AND SUPPORTIVE SERVICES TO ENHANCE THE PHYSICAL AND MENTAL WELL-BEING OF THE ELDERLY POPULATION. IT ENCOURAGES DIGNITY AND SELF CONTROL. IT PROVIDES STIMULATING ACTIVITIES AND VOLUNTEER OPPORTUNITIES. IT AUGMENTS PARTICIPANTS' FINANCIAL RESOURCES BY PROVIDING DONATION-BASED MEALS AND PRODUCTS.

	(Code: ) (Expenses $ 1,512,432 including grants of $ 0 ) (Revenue $ 973,114 )
	ADULT DAY HEALTH CARE (SANTA ANA VIP) - COMPREHENSIVE DAYTIME CARE AND MEDICAL SUPERVISION TO FUNCTIONALLY IMPAIRED ADULTS WHICH INCLUDE REHABILITATIVE THERAPIES AND SOCIAL ACTIVITIES.

	(Code: ) (Expenses $ 1,699,110 including grants of $ 0 ) (Revenue $ 1,207,922 )
	ADULT DAY HEALTH CARE (ANAHEIM VIP) - COMPREHENSIVE DAYTIME CARE AND MEDICAL SUPERVISION TO FUNCTIONALLY IMPAIRED ADULTS WHICH INCLUDE REHABILITATIVE THERAPIES AND SOCIAL ACTIVITIES.

	(Code: ) (Expenses $ 181,213 including grants of $ 0 ) (Revenue $ 0 )
	IN-HOME BOUND - THIS PROVIDES ASSISTANCE FOR SENIORS TO REMAIN IN THEIR HOMES BY MAKING AVAILABLE BASIC HOUSEKEEPING AND PERSONAL CARE SERVICES.

	(Code: ) (Expenses $ 337,265 including grants of $ 0 ) (Revenue $ 23,490 )
	BUENA PARK DAY CARE PROGRAM - ADULT DAY CARE - THIS PROGRAM PROVIDES A SAFE, UPLIFTING DAYTIME ENVIRONMENT FOR FRAIL, ELDERLY PERSONS. THE PROGRAM ALSO PROVIDES TEMPORARY RESPITE TO FAMILY CARE GIVERS.

	(Code: ) (Expenses $ 251,109 including grants of $ 0 ) (Revenue $ 0 )
	THE (TITLE III) TRANSPORTATION PROGRAM IS A PARTNERSHIP PROGRAM WITH THE OCTA (ORANGE COUNTY TRANSPORTATION AUTHORITY) TO PROVIDE SENIORS AND THE DISABLED WITH TRANSPORTATION SERVICES TO AND FROM DAY PROGRAMS SUCH AS ADULT DAY HEALTH CARE AND REGIONAL SENIOR CENTER PROGRAMS.

	(Code: ) (Expenses $ 505,394 including grants of $ 0 ) (Revenue $ 508,038 )
	HCA (HEALTH CARE AGENCY) - THIS PROGRAM PARTNERS WITH HEALTHCARE AND OLDER ADULT ORGANIZATIONS TO PROVIDE PERSON-CENTERED CARE MANAGEMENT TO PROVIDE ON-GOING PLANS OF CARE AND ACCESS TO HEALTH CARE AND THERAPIES, MEDICATION MANAGEMENT, FAMILY INFORMATION SHARING AND MUCH MORE. MEALS ON WHEELS IS THE SOLE LOCAL ADMINISTRATOR FOR THE CENTRAL AND NORTH ORANGE COUNTY SERVICE AREAS, RESPONSIBLE FOR IMPLEMENTING AND ADMINISTRATION OF THIS PROGRAM.

	(Code: ) (Expenses $ 236,999 including grants of $ 0 ) (Revenue $ 0 )
	CASE MANAGEMENT PROGRAM (TITLE III) PROFESSIONAL ASSESSMENT AND CARE PLANNING FOR FRAIL OLDER ADULTS AT RISK OF LOSING THEIR INDEPENDENCE.

	(Code: ) (Expenses $ 42,867 including grants of $ 0 ) (Revenue $ 2,564 )
	OTHER GRANTS - ADMINISTRATION OF VARIOUS GRANTS FROM PRIVATE DONORS AND ORGANIZATIONS.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 4,766,389 including grants of $ 0 ) (Revenue $ 2,715,128 )
4e	Total program service expenses17,246,630

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) CHALAT RAJARAM........................................................................ BOARD MEMBER	1.00 .......................	X	0	0	0
(19) FARIBA TOOFANIAN........................................................................ BOARD MEMBER	1.00 .......................	X	0	0	0
(20) TONY CHURCH........................................................................ BOARD MEMBER	1.00 .......................	X	0	0	0
(21) RUTH COSSIO-MUNIZ........................................................................ BOARD MEMBER	1.00 .......................	X	0	0	0
(22) DEVON WIENS........................................................................ BOARD MEMBER	1.00 .......................	X	0	0	0
(23) SUSAN WILLIG........................................................................ BOARD MEMBER	1.00 .......................	X	0	0	0

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	1,392,252	0	106,009

1	Briefly describe the organization’s mission or most significant activities: TO NOURISH THE WELLNESS, PURPOSE AND DIGNITY OF SENIORS AND THEIR FAMILIES IN OUR COMMUNITY.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	15
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	15
5	Total number of individuals employed in calendar year 2023 (Part V, line 2a) ......	5	131
6	Total number of volunteers (estimate if necessary) .............	6	679
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	-212,496
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	12,032,831

f	All other contributions, gifts, grants, and similar amounts not included above		1f	1,877,975

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		13,910,806

		Business Code
2a	SOCIAL MEALS	621610	2,539,205	2,539,205
b	ANAHEIM VIP CENTER	621610	1,207,922	1,207,922
c	SANTA ANA VIP CENTER	621610	973,114	973,114
d	CARE COORDINATION	621610	508,038	508,038
e	BUENA PARK ADULT DAY CARE PROGRAM	624210	23,490	23,490
f	All other program service revenue.		2,564	2,564
g	Total. Add lines 2a–2f .....		5,254,333

3 Investment income (including dividends, interest, and othersimilar amounts) ......			136,971			136,971
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a
b	Less: rental expenses	6b
c	Rental income or (loss)	6c
d	Net rental income or (loss).......
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	1,529,714
b	Less: cost or other basis and sales expenses	7b	1,411,563
c	Gain or (loss)	7c	118,151
d	Net gain or (loss).........			118,151			118,151
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a	20,000
b	Less: direct expenses ...		8b	17,033
c	Net income or (loss) from fundraising events..			2,967			2,967
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a	445,474
b	Less: cost of goods sold ..		10b	657,970
c	Net income or (loss) from sales of inventory..			-212,496		-212,496

Business Code
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See instructions.....			19,210,732	5,254,333	-212,496	258,089

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	784,083	745,507	24,698	13,878
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	4,986,404	4,741,104	157,107	88,193
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	47,386	45,055	1,492	839
9	Other employee benefits .......	118,743	112,900	3,741	2,102
10	Payroll taxes ...........	394,564	375,151	12,429	6,984
11	Fees for services (non-employees):
a	Management ......
b	Legal .........
c	Accounting ...........
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	23,000		23,000
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	3,841,042	3,715,873	13,407	111,762
12	Advertising and promotion ....
13	Office expenses .......	129,332	129,248	15	69
14	Information technology ......	259,066	250,204		8,862
15	Royalties ..
16	Occupancy ...........	114,949	113,680	1,269
17	Travel ............	450,839	447,033	3,399	407
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	26,318	26,318
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	405,978	234,061	171,917
23	Insurance ...	891,335	879,325		12,010
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	FOOD AND SUPPLY COST	3,948,891	3,901,165	47,726
b	REPAIRS AND MAINTENANCE	447,222	447,222
c	DIRECT MAIL	370,601	12,325	831	357,445
d	TELEPHONE AND UTILITIES	318,356	317,776		580
e	All other expenses	828,614	752,683	66,433	9,498
25	Total functional expenses. Add lines 1 through 24e	18,386,723	17,246,630	527,464	612,629
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			2,117,002	1	3,518,630
2	Savings and temporary cash investments .........			105,910	2	106,179
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			4,056,046	4	3,730,688
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			569,158	8	348,177
9	Prepaid expenses and deferred charges ......				9	46,810
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	10,921,695
b	Less: accumulated depreciation	10b	5,476,162	4,686,942	10c	5,445,533
11	Investments—publicly traded securities .				11
12	Investments—other securities. See Part IV, line 11 .....			7,666,720	12	7,168,461
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			37,873	15	154,071
16	Total assets. Add lines 1 through 15 (must equal line 33)...			19,239,651	16	20,518,549

17	Accounts payable and accrued expenses .....	442,965	17	609,652
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..	1,319,963	24	1,257,261
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	1,033,037	25	1,219,574
26	Total liabilities. Add lines 17 through 25..	2,795,965	26	3,086,487

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	16,104,697	27	17,270,476
28	Net assets with donor restrictions ...........	338,989	28	161,586
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	16,443,686	32	17,432,062
33	Total liabilities and net assets/fund balances ........	19,239,651	33	20,518,549