Name of organization Employer identification number
Part I Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. (a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
TEEA0702L 08/09/19BAA Schedule B (Form 990, 990-EZ, or 990-PF) (2019) 1 5
ANGEL VIEW, INC. 95-1861861
X1
5,000.
X2
6,000.
X3
10,000.
X4
25,000.
X5
25,000.
X6
22,500.
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan)
Name of organization Employer identification number
Part I Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. (a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
TEEA0702L 08/09/19BAA Schedule B (Form 990, 990-EZ, or 990-PF) (2019) 2 5
ANGEL VIEW, INC. 95-1861861
X7
5,000.
X8
20,000.
X9
5,000.
X10
15,000.
X11
10,000.
X12
15,000.
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan)
Name of organization Employer identification number
Part I Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. (a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
TEEA0702L 08/09/19BAA Schedule B (Form 990, 990-EZ, or 990-PF) (2019) 3 5
ANGEL VIEW, INC. 95-1861861
X13
5,000.
X14
32,857.
X15
10,000.
X16
15,000.
X17
15,000.
X18
20,000.
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan)
Name of organization Employer identification number
Part I Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. (a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
TEEA0702L 08/09/19BAA Schedule B (Form 990, 990-EZ, or 990-PF) (2019) 4 5
ANGEL VIEW, INC. 95-1861861
X19
10,000.
X20
5,000.
X21
5,000.
X22
15,000.
X23
39,000.
X24
11,102.
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan)
Name of organization Employer identification number
Part I Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. (a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
TEEA0702L 08/09/19BAA Schedule B (Form 990, 990-EZ, or 990-PF) (2019) 5 5
ANGEL VIEW, INC. 95-1861861
X25
10,000.
X26
5,000.
X27
5,000.
X28
50,957.
X29
10,000.
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan)
Name of organization Employer identification number
Part II Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed. (a) No. (b) (c) (d)
from Description of noncash property given FMV (or estimate) Date received Part I (See instructions.)
$
(a) No. (b) (c) (d)
from Description of noncash property given FMV (or estimate) Date received Part I (See instructions.)
$
(a) No. (b) (c) (d)
from Description of noncash property given FMV (or estimate) Date received Part I (See instructions.)
$
(a) No. (b) (c) (d)
from Description of noncash property given FMV (or estimate) Date received Part I (See instructions.)
$
(a) No. (b) (c) (d)
from Description of noncash property given FMV (or estimate) Date received Part I (See instructions.)
$
(a) No. (b) (c) (d)
from Description of noncash property given FMV (or estimate) Date received Part I (See instructions.)
$
BAA Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
TEEA0703L 08/09/19
1 1
ANGEL VIEW, INC. 95-1861861
N/A
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Name of organization Employer identification number
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., Gcontributions of $1,000 or less for the year. (Enter this information once. See instructions.) . . . . . . . . . . . . $ Use duplicate copies of Part III if additional space is needed. (a) (b) (c) (d)
No. from Purpose of gift Use of gift Description of how gift is held Part I
(e)
Transfer of gift
Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee (a) (b) (c) (d)
No. from Purpose of gift Use of gift Description of how gift is held Part I
(e)
Transfer of gift
Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee (a) (b) (c) (d)
No. from Purpose of gift Use of gift Description of how gift is held Part I
(e)
Transfer of gift
Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee (a) (b) (c) (d)
No. from Purpose of gift Use of gift Description of how gift is held Part I
(e)
Transfer of gift
Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee Schedule B (Form 990, 990-EZ, or 990-PF) (2019)BAA
TEEA0704L 08/09/19
1 1
ANGEL VIEW, INC. 95-1861861
N/A
N/A
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan) OMB No. 1545-0047
Supplemental Financial StatementsSCHEDULE D
(Form 990) G Complete if the organization answered 'Yes' on Form 990, 2019Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
G Attach to Form 990. Open to PublicDepartment of the Treasury G Go to www.irs.gov/Form990 for instructions and the latest information.Internal Revenue Service Inspection Name of the organization Employer identification number Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts.Part I Complete if the organization answered 'Yes' on Form 990, Part IV, line 6. (a) Donor advised funds (b) Funds and other accounts
Total number at end of year . . . . . . . . . . . . . . . . 1 Aggregate value of contributions to (during year). . . . . . . 2 Aggregate value of grants from (during year). . . . . . . . . . 3 Aggregate value at end of year . . . . . . . . . . . . . 4 5 Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds Yes Noare the organization's property, subject to the organization's exclusive legal control? . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 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 Yes Noimpermissible private benefit? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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).1 Preservation of land for public use (for example, recreation or education) Preservation of a historically important land area Protection of natural habitat Preservation of a certified historic structure Preservation of open space
2 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.
Held at the End of the Tax Year
Total number of conservation easements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a 2 a Total acreage restricted by conservation easements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b 2 b Number of conservation easements on a certified historic structure included in (a) . . . . . . . . . . . . . c 2 c d Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic 2 dstructure listed in the National Register. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the3 tax year G
4 Number of states where property subject to conservation easement is located G Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations,5 Yes Noand enforcement of the conservation easements it holds? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year6 G
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year7 G$
8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) Yes Noand section 170(h)(4)(B)(ii)?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 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.
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.Part III Complete if the organization answered 'Yes' on Form 990, Part IV, line 8. 1 a 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. b 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:
$GRevenue included on Form 990, Part VIII, line 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (i) $GAssets included in Form 990, Part X. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (ii) 2 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:
$GRevenue included on Form 990, Part VIII, line 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a $GAssets included in Form 990, Part X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b TEEA3301L 8/22/19BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule D (Form 990) 2019 ANGEL VIEW, INC. 95-1861861
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan) Schedule D (Form 990) 2019 Page 2
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)Part III 3 Using the organization's acquisition, accession, and other records, check any of the following that make significant use of its collection items (check all that apply):
Public exhibition Loan or exchange programa d
Scholarly research Otherb e
Preservation for future generationsc
4 Provide a description of the organization's collections and explain how they further the organization's exempt purpose in Part XIII.
5 During the year, did the organization solicit or receive donations of art, historical treasures, or other similar assets Yes Noto be sold to raise funds rather than to be maintained as part of the organization's collection? . . . . . . . . . . . . . . . . . . . .
Escrow and Custodial Arrangements. Complete if the organization answered 'Yes' on Form 990, Part IV,Part IV line 9, or reported an amount on Form 990, Part X, line 21. 1 a Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not included Yes Noon Form 990, Part X?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If 'Yes,' explain the arrangement in Part XIII and complete the following table:b Amount
Beginning balance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c 1 c Additions during the year. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d 1 d Distributions during the year. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . e 1 e Ending balance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . f 1 f Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?. . . . . 2 a Yes No If 'Yes,' explain the arrangement in Part XIII. Check here if the explanation has been provided on Part XIII . . . . . . . . . . . . . . . . . . . . . b 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 Beginning of year balance. . . . . . 1 a
Contributions . . . . . . . . . . . . . . . . . . b
c Net investment earnings, gains,
and losses. . . . . . . . . . . . . . . . . . . . .
Grants or scholarships . . . . . . . . . d
e Other expenditures for facilities
and programs. . . . . . . . . . . . . . . . . .
Administrative expenses. . . . . . . . f
End of year balance. . . . . . . . . . . . g
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:2 %Board designated or quasi-endowment Ga
%Permanent endowment Gb
%Term endowment Gc
The percentages on lines 2a, 2b, and 2c should equal 100%. 3 a Are there endowment funds not in the possession of the organization that are held and administered for the Yes Noorganization by:
Unrelated organizations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (i) 3a(i) Related organizations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (ii) 3a(ii) If 'Yes' on line 3a(ii), are the related organizations listed as required on Schedule R? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b 3b Describe in Part XIII the intended uses of the organization's endowment funds.4 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 (d) Book value(a) Cost or other basis (b) Cost or other (c) Accumulated (investment) basis (other) depreciation
Land. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 a Buildings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Leasehold improvements. . . . . . . . . . . . . . . . . . . c Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . e GTotal. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10c.). . . . . . . . . . . . . . . . . . . . .
Schedule D (Form 990) 2019BAA
TEEA3302L 8/22/19
ANGEL VIEW, INC. 95-1861861
X
68,302.
74,736.
143,038.
X
X
8,538,685. 8,183,856. 8,275,609. 7,050,000. 50,000.
50,958. 450,000. 7,000,000.
354,829. -91,753. 775,609.
0. 8,589,643. 8,538,685. 8,183,856. 8,275,609. 7,050,000.
99.50 0.50
X
X
5,000. 2,344,815. 2,349,815.
13,138,981. 7,333,667. 5,805,314.
2,310,454. 910,871. 1,399,583.
1,595,547. 1,351,124. 244,423.
2,096,015. 1,547,304. 548,711.
10,347,846.
SEE PART XIII
SEE PART XIII
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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. (b) Book value(a) Description of security or category (including name of security) (c) Method of valuation: Cost or end-of-year market value (1) Financial derivatives. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (2) Closely held equity interests. . . . . . . . . . . . . . . . . . . . . . . . . (3) Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
GTotal. (Column (b) must equal Form 990, Part X, column (B) line 12.). . .
Investments ' Program Related.Part VIII 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)
(10)
GTotal. (Column (b) must equal Form 990, Part X, column (B) line 13.). . .
Other Assets.Part IX
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)
(10)
GTotal. (Column (b) must equal Form 990, Part X, column (B) line 15.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other Liabilities.Part X
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25. (a) Description of liability (b) Book value1.
(1) Federal income taxes
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
GTotal. (Column (b) must equal Form 990, Part X, column (B) line 25.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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 FASB ASC 740. Check here if the text of the footnote has been provided in Part XIII. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
TEEA3303L 8/22/19BAA Schedule D (Form 990) 2019
92,894.
95-1861861ANGEL VIEW, INC.
N/A
N/A
N/A
DEFERRED LEASE INCENTIVE 87,054.
RENTAL DEPOSITS 5,840.
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan) Schedule D (Form 990) 2019 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.
Total revenue, gains, and other support per audited financial statements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 Amounts included on line 1 but not on Form 990, Part VIII, line 12:2 Net unrealized gains (losses) on investments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a 2 a b Donated services and use of facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 b Recoveries of prior year grants. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c 2 c d Other (Describe in Part XIII.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 d e Add lines 2a through 2d. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 e Subtract line 2e from line 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 3 Amounts included on Form 990, Part VIII, line 12, but not on line 1:4 Investment expenses not included on Form 990, Part VIII, line 7b. . . . . . . . . . . . . . a 4 a Other (Describe in Part XIII.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b 4 b c Add lines 4a and 4b. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 c 5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.). . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 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.
Total expenses and losses per audited financial statements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 Amounts included on line 1 but not on Form 990, Part IX, line 25:2 Donated services and use of facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a 2 a Prior year adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b 2 b c Other losses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 c Other (Describe in Part XIII.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d 2 d e Add lines 2a through 2d. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 e 3 Subtract line 2e from line 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 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. . . . . . . . . . . . . . 4 a b Other (Describe in Part XIII.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 b c Add lines 4a and 4b. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 c 5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.). . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Supplemental Information.Part XIII
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part IV, 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.
BAA Schedule D (Form 990) 2019
TEEA3304L 8/22/19
ANGEL VIEW, INC. 95-1861861
31,020,182.
-115,630.
12,000.
45,856.
-57,774.
31,077,956.
31,077,956.
33,164,673.
12,000.
45,856.
57,856.
33,106,817.
33,106,817.
PART IV, LINE 2B - EXPLANATION OF ESCROW ACCOUNT LIABILITY
THE ORGANIZATION ADMINISTERS STATUTORY PATIENT TRUST ACCOUNTS FOR THE MAJORITY OF THE FACILITIES. THE ORGANIZATION HAS NO TITLE TO THE BALANCES OF THE TRUST ACCOUNTS AND ACTS IN A FIDUCIARY CAPACITY ON BEHALF OF THE CLIENTS.
PART V, LINE 4 - INTENDED USES OF ENDOWMENT FUND
THE INCOME FROM THE FUND IS TO BE USED TO HELP PROVIDE THERAPY PROGRAMS TO THE YOUNG PEOPLE ENTRUSTED TO THE ORGANIZATION'S CARE.
SEE PART XIII
SEE PART XIII
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Supplemental Information (continued)Part XIII
TEEA3305L 8/22/19BAA Schedule D (Form 990) 2019
95-1861861ANGEL VIEW, INC.
SCHEDULE D, PART XI, LINE 2D
OTHER REVENUE INCLUDED IN F/S BUT NOT INCLUDED ON FORM 990 DIRECT FUNDRAISING EXPENSES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 15,334.
DIRECT RENTAL EXPENSES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30,522.
TOTAL $ 45,856.
SCHEDULE D, PART XII, LINE 2D
OTHER EXPENSES AND LOSSES PER AUDITED F/S
DIRECT FUNDRAISING EXPENSES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 15,334.
DIRECT RENTAL EXPENSES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30,522.
TOTAL $ 45,856.
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan) OMB No. 1545-0047Supplemental Information Regarding Fundraising or Gaming Activities SCHEDULE G Complete if the organization answered 'Yes' on Form 990, Part IV, line 17, 18, or 19, or if the(Form 990 or 990-EZ) 2019organization entered more than $15,000 on Form 990-EZ, line 6a.
G Attach to Form 990 or Form 990-EZ. Open to PublicDepartment of the Treasury G Go to www.irs.gov/Form990 for instructions and the latest information. InspectionInternal Revenue Service Name of the organization Employer identification number Fundraising Activities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 17.Part I 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.1 Mail solicitations Solicitation of non-government grantsa e Internet and email solicitations Solicitation of government grantsb f Phone solicitations Special fundraising eventsc g
In-person solicitationsd
2 a Did the organization have a written or oral agreement with any individual (including officers, directors, trustees, or key Yes Noemployees listed in Form 990, Part VII) or entity in connection with professional fundraising services? . . . . . . . . . . . . . . . . .
If 'Yes,' list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is to beb compensated at least $5,000 by the organization.
(v) Amount paid to (vi) Amount paid to(iii) Did fundraiser(i) Name and address of individual (iv) Gross receipts (or retained by)(ii) Activity (or retained by)have custody or controlor entity (fundraiser) from activity fundraiser listed in organizationof contributions? column (i) Yes No
1 2
3 4
5 6
7 8
9 10
GTotal. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 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.
BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. Schedule G (Form 990 or 990-EZ) 2019 TEEA3701L 08/19/19
95-1861861ANGEL VIEW, INC.
X
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan) Schedule G (Form 990 or 990-EZ) 2019 Page 2
Fundraising Events. Complete if the organization answered 'Yes' on Form 990, Part IV, line 18, or reportedPart II 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.
(d) Total events(a) Event #1 (b) Event #2 (c) Other events (add column (a)
through column (c))
R (event type) (event type) (total number)
E
V
E Gross receipts . . . . . . . . . . . . . . . . . . . . . . . . 1N U
E
Less: Contributions. . . . . . . . . . . . . . . . . . . . 2 Gross income (line 1 minus line 2) . . . . . 3
Cash prizes. . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Noncash prizes . . . . . . . . . . . . . . . . . . . . . . . 5 D
I
Rent/facility costs . . . . . . . . . . . . . . . . . . . . . 6R E
C
T Food and beverages. . . . . . . . . . . . . . . . . . . 7 E
X Entertainment. . . . . . . . . . . . . . . . . . . . . . . . . 8P E
N
Other direct expenses. . . . . . . . . . . . . . . . . 9S E
S
GDirect expense summary. Add lines 4 through 9 in column (d). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 GNet income summary. Subtract line 10 from line 3, column (d) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Gaming. Complete if the organization answered 'Yes' on Form 990, Part IV, line 19, or reported more thanPart III $15,000 on Form 990-EZ, line 6a.
(b) Pull tabs/instant (d) Total gamingR (a) Bingo (c) Other gamingbingo/progressive (add column (a)E bingo through column (c))V
E
N
U
E Gross revenue. . . . . . . . . . . . . . . . . . . . . . . . 1 Cash prizes. . . . . . . . . . . . . . . . . . . . . . . . . . . 2 E
D X
I P Noncash prizes . . . . . . . . . . . . . . . . . . . . . . . 3R E E N
C S
T E Rent/facility costs . . . . . . . . . . . . . . . . . . . . . 4S Other direct expenses. . . . . . . . . . . . . . . . . 5 % % %Yes Yes Yes
Volunteer labor . . . . . . . . . . . . . . . . . . . . . . . 6 No No No GDirect expense summary. Add lines 2 through 5 in column (d). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 GNet gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Enter the state(s) in which the organization conducts gaming activities:9 Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a Yes No If 'No,' explain:b
Were any of the organization's gaming licenses revoked, suspended, or terminated during the tax year?. . . . . . . . . . . . . 10 a Yes No If 'Yes,' explain:b
TEEA3702L 08/19/19BAA Schedule G (Form 990 or 990-EZ) 2019 59,953.
14,820.
6,148.6,148.
8,672.8,672.
74,773.74,773.
31,028.31,028.
105,801.31,028.74,773.
95-1861861ANGEL VIEW, INC.
NONENEW YEAR SWIMFASHION SHOW
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan) Schedule G (Form 990 or 990-EZ) 2019 Page 3
Yes NoDoes the organization conduct gaming activities with nonmembers?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Is the organization a grantor, beneficiary or trustee of a trust, or a member of a partnership or other entity formed to12 Yes Noadminister charitable gaming?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Indicate the percentage of gaming activity conducted in:13 The organization's facility. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a 13 a % An outside facility. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b 13 b % Enter the name and address of the person who prepares the organization's gaming/special events books and records:14 GName
GAddress
Does the organization have a contract with a third party from whom the organization receives gaming revenue? . . . . . . 15 a Yes No G $If 'Yes,' enter the amount of gaming revenue received by the organization and the amountb G $of gaming revenue retained by the third party
If 'Yes,' enter name and address of the third party:c
GName
GAddress
Gaming manager information:16
GName
G $Gaming manager compensation
GDescription of services provided
Director/officer Employee Independent contractor
Mandatory distributions:17
Is the organization required under state law to make charitable distributions from the gaming proceeds to retain thea state gaming license?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in theb G $organization's own exempt activities during the tax year Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v);Part IV and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.
TEEA3703L 08/19/19BAA Schedule G (Form 990 or 990-EZ) 2019 ANGEL VIEW, INC. 95-1861861
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan) OMB No. 1545-0047Compensation InformationSCHEDULE J
(Form 990) For certain Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees 2019G Complete if the organization answered 'Yes' on Form 990, Part IV, line 23.
G Attach to Form 990. Open to PublicDepartment of the Treasury InspectionInternal Revenue Service G Go to www.irs.gov/Form990 for instructions and the latest information.
Name of the organization Employer identification number Questions Regarding CompensationPart I
Yes No
Check the appropriate box(es) if the organization provided any of the following to or for a person listed on Form 990, Part1 a 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 indemnification and gross-up payments Health or social club dues or initiation fees Discretionary spending account Personal services (such as maid, chauffeur, chef) If any of the boxes on line 1a are checked, did the organization follow a written policy regarding payment orb reimbursement or provision of all of the expenses described above? If 'No,' complete Part III to explain . . . . . . . . . . . . . . . . 1 b Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all directors,2 trustees, and officers, including the CEO/Executive Director, regarding the items checked on line 1a? . . . . . . . . . . . . . . . . . . 2 Indicate which, if any, of the following the organization used to establish the compensation of the organization's CEO/3 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 filing4 organization or a related organization:
Receive a severance payment or change-of-control payment? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a 4 a Participate in, or receive payment from, a supplemental nonqualified retirement plan? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b 4 b Participate in, or receive payment from, an equity-based compensation arrangement?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c 4 c If 'Yes' to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only section 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 compensation5 contingent on the revenues of:
The organization?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a 5 a Any related organization? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b 5 b 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 compensation6 contingent on the net earnings of:
The organization?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a 6 a Any related organization? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b 6 b 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 nonfixed7 payments not described on lines 5 and 6? If 'Yes,' describe in Part III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Were any amounts reported on Form 990, Part VII, paid or accrued pursuant to a contract that was subject8 to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If 'Yes,' describe in Part III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 If 'Yes' on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations9 section 53.4958-6(c)?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule J (Form 990) 2019 TEEA4101L 8/2/19
95-1861861ANGEL VIEW, INC.
X X
X
X X
X
X
X
X
X
X
X
X
X
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan) Schedule J (Form 990) 2019 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 aren't listed on Form 990, Part VII.
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.Note:
(B) Breakdown of W-2 and/or 1099-MISC compensation
(F) Compensation(C) Retirement (D) Nontaxable (E) Total of (i) Base (iii) Other(A) Name and Title in column (B)and other benefits columns(B)(i)-(D)(ii) Bonus & incentivecompensation reportablecompensation reported asdeferred compensation deferred on priorcompensation
Form 990
(i)
1 (ii)
(i)
2 (ii)
(i)
3 (ii)
(i)
4 (ii)
(i)
5 (ii)
(i)
6 (ii)
(i)
7 (ii)
(i)
8 (ii)
(i)
9 (ii)
(i)
10 (ii)
(i)
11 (ii)
(i)
12 (ii)
(i)
13 (ii)
(i)
14 (ii)
(i)
15 (ii)
(i)
16 (ii)
TEEA4102L 8/2/19BAA Schedule J (Form 990) 2019
95-1861861ANGEL VIEW, INC.
PATTI PARK
CEO
187,022.
0. 0.
0. 0.
0. 0.
0. 8,333.
0. 195,355.
0. 0.
0. DONNA SNELL
DIR OF SALES OPS
165,905.
0. 0.
0. 0.
0. 0.
0. 7,946.
0. 173,851.
0. 0.
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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.
BAA Schedule J (Form 990) 2019
TEEA4103L 8/2/19
ANGEL VIEW, INC. 95-1861861
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 OMB No. 1545-0047SCHEDULE M Noncash Contributions(Form 990) 2019G Complete if the organizations answered 'Yes' on Form 990, Part IV, lines 29 or 30.
G Attach to Form 990. Open to PublicDepartment of the Treasury G Go to www.irs.gov/Form990 for instructions and the latest information. InspectionInternal Revenue Service Name of the organization Employer identification number Part I Types of Property
(a) (b) (c) (d)Check if Number of Noncash contribution Method of determiningapplicable contributions or amounts reported noncash contribution amountsitems contributed on Form 990, Part VIII, line 1g
Art ' Works of art . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Art ' Historical treasures. . . . . . . . . . . . . . . . . . . . . . . 2 Art ' Fractional interests. . . . . . . . . . . . . . . . . . . . . . . 3 Books and publications. . . . . . . . . . . . . . . . . . . . . . . . . 4 Clothing and household goods . . . . . . . . . . . . . . . . . . 5 Cars and other vehicles . . . . . . . . . . . . . . . . . . . . . . . . 6 Boats and planes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Intellectual property. . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Securities ' Publicly traded . . . . . . . . . . . . . . . . . . . . 9 Securities ' Closely held stock . . . . . . . . . . . . . . . . . 10 Securities ' Partnership, LLC, or trust interests. . 11 Securities ' Miscellaneous. . . . . . . . . . . . . . . . . . . . . 12 Qualified conservation contribution '13
Historic structures. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Qualified conservation contribution ' Other. . . . . . 14 Real estate ' Residential. . . . . . . . . . . . . . . . . . . . . . . 15 Real estate ' Commercial. . . . . . . . . . . . . . . . . . . . . . 16 Real estate ' Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Collectibles. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Food inventory. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Drugs and medical supplies. . . . . . . . . . . . . . . . . . . . . 20 Taxidermy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Historical artifacts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 Scientific specimens . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Archeological artifacts. . . . . . . . . . . . . . . . . . . . . . . . . . 24 ( ). . . . 25 OtherG
( ). . . . 26 OtherG
( ). . . . 27 OtherG
( ). . . . 28 OtherG
Number of Forms 8283 received by the organization during the tax year for contributions for which the29 organization completed Form 8283, Part IV, Donee Acknowledgement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 Yes No
During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that30a it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 a If 'Yes,' describe the arrangement in Part II.b
Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions? . . . . . 31 31 Does the organization hire or use third parties or related organizations to solicit, process, or sell32a noncash contributions?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 a If 'Yes,' describe in Part II.b
If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked,33 describe in Part II.
BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule M (Form 990) 2019 TEEA4601L 8/5/19
X
X
X
FMV125,805.78X
FMV18,932,627.X
ANGEL VIEW, INC. 95-1861861
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan) Schedule M (Form 990) 2019 Page 2
Part II Supplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
TEEA4602L 8/5/19BAA Schedule M (Form 990) 2019
ANGEL VIEW, INC. 95-1861861
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan) OMB No. 1545-0047Supplemental Information to Form 990 or 990-EZSCHEDULE O (Form 990 or 990-EZ) Complete to provide information for responses to specific questions on 2019Form 990 or 990-EZ or to provide any additional information.
G Attach to Form 990 or 990-EZ.
Open to PublicDepartment of the Treasury G Go to www.irs.gov/Form990 for the latest information. InspectionInternal Revenue Service Name of the organization Employer identification number TEEA4901L 08/19/19 Schedule O (Form 990 or 990-EZ) (2019)BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. 95-1861861ANGEL VIEW, INC.
FORM 990, PART III, LINE 1 - ORGANIZATION MISSION
FOR DECADES, ANGEL VIEW'S MISSION HAS BEEN "HELPING CHILDREN AND ADULTS WITH DISABILITIES REACH THEIR MAXIMUM POTENTIAL."
OUR CLIENTS HAVE ACQUIRED HEAD INJURIES, CEREBRAL PALSY, EPILEPSY, INTELLECTUAL DISABILITIES, NEUROMUSCULAR DISEASES, AND ORTHOPEDIC DISORDERS. APPROXIMATELY 70% HAVE SOME FORM OF PARALYSIS AND REQUIRE WHEELCHAIRS FOR AMBULATION. BECAUSE ANGEL VIEW EXISTS, 100% OF THE COACHELLA VALLEY RESIDENTS WHO NEED OUR SERVICES HAVE THEM AVAILABLE WITHOUT LEAVING THE PALM SPRINGS AREA; THE ONLY CRITERION IS A QUALIFYING DISABILITY.
IN 2019-2020, WE ASSISTED APPROXIMATELY 700 INDIVIDUALS WITH DISABILITIES, 93% OF WHOM ARE FROM THE COACHELLA VALLEY, THROUGH THREE PRIMARY PROGRAMS: RESIDENTIAL CARE, ADULT DAY PROGRAM, AND ANGEL VIEW OUTREACH.
FORM 990, PART III, LINE 4A - PROGRAM SERVICE ACCOMPLISHMENTS
RESIDENTIAL CARE
ANGEL VIEW OPERATES 19 HOMES. EIGHTEEN OF THE HOMES ARE INTERMEDIATE CARE FACILITIES FOR CHILDREN AND ADULTS WITH DEVELOPMENTAL DISABILITIES (ICF/DD HOMES). WE ALSO
OPERATE ONE HOME LICENSED AS A CONGREGATE LIVING HEALTH FACILITY (CLHF) FOR SIX
CLIENTS WITH MUSCULAR DYSTROPHY WHO USE WHEELCHAIRS FOR AMBULATION AND VENTILATORS TO BREATHE. 16 HOMES ARE LOCATED IN THE COACHELLA VALLEY AND THREE ARE IN JOSHUA TREE, CA. ALL HOMES ARE SIX-BED HOMES AND ARE LICENSED AS ICF/DD-H, N AND CN AND ONE CLHF.
CLASSIFICATIONS INDICATE THE LEVEL OF CARE REQUIRED BY THE CLIENTS – FROM HABILITATIVE (H) FOR PRIMARILY AMBULATORY CLIENTS, TO NURSING (N), TO THE HIGHEST LEVEL OF CARE -- CONTINUOUS NURSING (CN). THESE HOMES PROVIDE A THERAPEUTIC AND LOVING ENVIRONMENT WHERE CLIENTS WORK TO MEET INDIVIDUAL GOALS SET BY A MULTIDISCIPLINARY TEAM. IN ALL, WE PROVIDE 24-HOUR RESIDENTIAL CARE TO UP TO 114 CLIENTS WITH A WIDE RANGE OF DISABILITIES. WE PROVIDED MORE THAN 1 MILLION HOURS OF DIRECT CARE SERVICE, FEEDING,
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan) Schedule O (Form 990 or 990-EZ) (2019) Page 2
Name of the organization Employer identification number BAA Schedule O (Form 990 or 990-EZ) (2019)
TEEA4902L 08/19/19
95-1861861ANGEL VIEW, INC.
FORM 990, PART III, LINE 4A - PROGRAM SERVICE ACCOMPLISHMENTS BATHING, TOILETING, DRESSING, TRANSPORTING CLIENTS, ETC. WE PROVIDE WHAT IS CLASSIFIED AS “ACTIVE TREATMENT.” EACH CLIENT MEETS WITH AN INTERDISCIPLINARY TEAM TO SET INDIVIDUALIZED GOALS. ALL OF THEIR ONGOING THERAPIES AND ACTIVITIES ARE DESIGNED TO HELP THEM MAXIMIZE THEIR INDEPENDENCE.
FORM 990, PART III, LINE 4D - OTHER PROGRAM SERVICES DESCRIPTION
OUTREACH
TO PROVIDE ONGOING SUPPORT TO FAMILIES STRUGGLING TO RAISE CHILDREN WITH DISABILITIES, IN 2012, ANGEL VIEW LAUNCHED ITS NEWEST PROGRAM, ANGEL VIEW OUTREACH.
THROUGH THE ASSISTANCE OF OUR TWO BILINGUAL OUTREACH SPECIALISTS, WHO MEET WITH FAMILIES FROM ONE END OF THE VALLEY TO ANOTHER, WE SOLVE FAMILIES’ IMMEDIATE NEEDS IN THESE PRIMARY WAYS. WE PROVIDE:
1) FREE RESOURCES AND REFERRALS, AND HELP ACCESSING SERVICES; 2) MILEAGE REIMBURSEMENT FOR “MEDICAL MILES” TRAVELED ACCESSING CHILDREN’S SPECIALTY PEDIATRIC CARE;
3) MINI-GRANTS FOR MEDICAL SUPPLIES, SERVICES AND EQUIPMENT NOT COVERED BY MEDI-CAL OR INSURANCE;
4) ACTIVITY SPONSORSHIPS FOR PROGRAMS THAT ACCEPT CHILDREN WITH DISABILITIES; AND 5) FAMILY STABILIZATION WHICH PROVIDES SERVICES TO THE ENTIRE FAMILY TO ENSURE THE CHILD WITH A DISABILITY HAS A STABLE FAMILY ENVIRONMENT.
IN FY 19-20, WE HELPED NEARLY 500 CHILDREN AND FAMILIES. WE HELPED FAMILIES APPLY
FOR ASSISTANCE FROM MEDI-CAL, SNAPS (FOOD STAMPS), THE INLAND REGIONAL CENTER, LOW
INCOME HOME ENERGY ASSISTANCE PROGRAM (LIHEAP), INLAND EMPIRE HEALTH PLAN (IEHP), CALIFORNIA CHILDREN’S SERVICES AND MORE. WE ASSISTED WITH THE PURCHASE OF ADAPTIVE EQUIPMENT, MEDICAL SUPPLIES, AND APPROXIMATELY 100 ACTIVITY SPONSORSHIPS. WE ALSO HELPED COVER THE COST OF MORE THAN 115,000 “MEDICAL MILES,” ENABLING CHILDREN TO GET TO 800+ APPOINTMENTS WITH SPECIALIST, PRIMARILY IN LOMA LINDA.
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan) Schedule O (Form 990 or 990-EZ) (2019) Page 2
Name of the organization Employer identification number BAA Schedule O (Form 990 or 990-EZ) (2019)
TEEA4902L 08/19/19
95-1861861ANGEL VIEW, INC.
FORM 990, PART III, LINE 4D - OTHER PROGRAM SERVICES DESCRIPTION
CAMP FORREST
AT ANGEL VIEW, WE SEEK TO PROVIDE OUR CLIENTS WITH NORMAL EXPERIENCES. ONE THAT IS OUT OF REACH FOR THOSE WITH DEVELOPMENTAL DISABILITIES IS ATTENDING CAMP. TO ENABLE
OUR RESIDENTS AND DAY PROGRAM ATTENDEES TO HAVE THAT ENRICHING AND HIGHLY THERAPEUTIC EXPERIENCE, IN 1996, WE BUILT CAMP FORREST, A WHEELCHAIR ACCESSIBLE CAMPUS.
BUILT ON 17 ACRES IN JOSHUA TREE, CA, CAMP FORREST IS AN INTEGRAL PART OF OUR PROGRAM TO FOSTER INDEPENDENCE. IN APRIL AND MAY, CLIENTS ATTEND SPRING FUN DAYS WHERE THEY PARTICIPATE IN TRADITIONAL CAMP ACTIVITIES: SWIMMING, ARCHERY, ARTS AND
CRAFTS, CAMPFIRE GATHERINGS, NATURE ACTIVITIES, SOFTBALL, ARCHAEOLOGY DIGS, WATER GAMES, AND MORE.
FORM 990, PART VI, LINE 11B - FORM 990 REVIEW PROCESS
DRAFT COPIES OF THE 990 ARE PRESENTED TO THE BOARD OF DIRECTORS FOR THEIR APPROVAL PRIOR TO FILING.
FORM 990, PART VI, LINE 12C - EXPLANATION OF MONITORING AND ENFORCEMENT OF CONFLICTS
AN ANNUAL QUESTIONNAIRE IS PROVIDED TO THE BOARD OF DIRECTORS TO DISCLOSE ANY CONFLICTS OF INTEREST.
FORM 990, PART VI, LINE 15A - COMPENSATION REVIEW & APPROVAL PROCESS - CEO & TOP MANAGEMENT
THE BOARD OF DIRECTORS ANNUALLY REVIEWS AND DETERMINES THE COMPENSATION FOR THE EXECUTIVE DIRECTOR BASED ON PERFORMANCE AND REGIONAL INDUSTRY STANDARDS.
FORM 990, PART VI, LINE 15B - COMPENSATION REVIEW & APPROVAL PROCESS - OFFICERS & KEY EMPLOYEES
THE BOARD OF DIRECTORS ANNUALLY REVIEWS AND DETERMINES THE COMPENSATION OF OFFICERS AND KEY EMPLOYEES BASED ON PERFORMANCE AND REGIONAL INDUSTRY STANDARDS.
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan) Schedule O (Form 990 or 990-EZ) (2019) Page 2
Name of the organization Employer identification number BAA Schedule O (Form 990 or 990-EZ) (2019)
TEEA4902L 08/19/19
95-1861861ANGEL VIEW, INC.
FORM 990, PART VI, LINE 18 - EXPLANATION OF OTHER MEANS FORMS AVAILABLE FOR PUBLIC INSPECTION
GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS CAN BE OBTAINED UPON REQUEST TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, LINE 19 - OTHER ORGANIZATION DOCUMENTS PUBLICLY AVAILABLE
GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS CAN BE OBTAINED UPON REQUEST TO THE BOARD OF DIRECTORS.
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan) 2019 CALIFORNIA FILING INSTRUCTIONS
CLIENT 40488 ANGEL VIEW, INC. 95-1861861
ELECTRONICALLY FILED:
FORM 199 - 2019 CALIFORNIA EXEMPT ORGANIZATION ANNUAL INFORMATION
RETURN WILL BE ELECTRONICALLY FILED UPON RECEIPT OF A SIGNED FORM 8453-EO.
PAYMENT:
NO PAYMENT IS REQUIRED.
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan) 2019 CALIFORNIA FILING INSTRUCTIONS
CLIENT 40488 ANGEL VIEW, INC. 95-1861861
FORM TO FILE:
FORM RRF-1 - REGISTRATION/RENEWAL FEE REPORT TO ATTORNEY GENERAL OF
CALIFORNIA
SIGNATURE:
SIGN AND DATE FORM RRF-1.
PAYMENT:
THERE IS A FEE DUE OF $225 WHICH IS PAYABLE BY NOVEMBER 16, 2020.
ATTACH A CHECK OR MONEY ORDER FOR THE FULL AMOUNT PAYABLE TO "ATTORNEY GENERAL'S REGISTRY OF CHARITABLE TRUSTS" AND WRITE THE CALIFORNIA CHARITY REGISTRATION NUMBER ON THE PAYMENT.
WHEN TO FILE:
ON OR BEFORE NOVEMBER 16, 2020.
WHERE TO FILE:
REGISTRY OF CHARITABLE TRUSTS
P.O. BOX 903447
SACRAMENTO, CA 94203-4470
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan)
TAXABLE YEAR FORM
California Exempt Organization2019 199Annual Information Return Calendar Year 2019 or fiscal year beginning (mm/dd/yyyy) , and ending (mm/dd/yyyy) .
Corporation/Organization name California corporation number Additional information. See instructions. FEIN
Street address (suite or room) PMB no.
City State Zip code
Foreign country name Foreign province/state/county Foreign postal code J If exempt under R&TC Section 23701d, has theFirst Return. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes NoA organization engaged in political activities?B Amended Return. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No@ See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ Yes No IRC Section 4947(a)(1) trust. . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes NoC D Final Information Return?
K Is the organization exempt under R&TC Section 23701g?. . . @ Yes No@ Dissolved Surrendered (Withdrawn) Merged/Reorganized If "Yes," enter the gross receipts from@Enter date: (mm/dd/yyyy) $nonmember sources . . . . . . . . . . . . . . . . . . . . .
Check accounting method:E If organization is a public charity exempt underL Cash Accrual Other1 2 3 R&TC Section 23701d and meets the filing fee exception, check box. No filing fee is required. . . . . . . . . . . @@ @ @Federal return filed? 990T 990-PF Sch H (990)1 2 3F Other 990 series M4 Is the organization a Limited Liability Company?. . . . . . . . . @ Yes No @Is this a group filing? See instructions . . . . . . . . . . . . . . . . . . Yes NoG Did the organization file Form 100 or Form 109 to reportN taxable income?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ Yes No H Is this organization in a group exemption . . . . . . . . . . . . . . . . . . Is the organization under audit by the IRS or has the IRSOYes No audited in a prior year?. . . . . . . . . . . . . . . . . . . . . . . . . . . If "Yes," what is the parent's name? @ Yes No Is federal Form 1023/1024 pending? . . . . . . . . . . . . . . . . . . . P Yes No Did the organization have any changes to its guidelinesI Date filed with IRS not reported to the FTB? See instructions. . . . . . . . . . . . . . . . Yes No@ Complete Part I unless not required to file this form. See General Information B and C.Part I 1Gross sales or receipts from other sources. From Side 2, Part II, line 8. . . . . . . . . . . . . . . . . . . . . @ 1 2Gross dues and assessments from members and affiliates. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ 2 Receipts 3Gross contributions, gifts, grants, and similar amounts received. . . . . . . . . . . . . . . . . . . . . . . . . . . . @ 3and Revenues Total gross receipts for filing requirement test. Add line 1 through line 3. 4 4This line must be completed. If the result is less than $50,000, see General Information B. . . @ 5Cost of goods sold . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @5 66 Cost or other basis, and sales expenses of assets sold . . . . . . . @ 7Total costs. Add line 5 and line 6. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Total gross income. Subtract line 7 from line 4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @8 8 9Total expenses and disbursements. From Side 2, Part II, line 18 . . . . . . . . . . . . . . . . . . . . . . . . . . . @9Expenses 10Excess of receipts over expenses and disbursements. Subtract line 9 from line 8. . . . . . . . . . . . @10 1111 Total payments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ 1212 Use tax. See General Information K. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ 1313 Payments balance. If line 11 is more than line 12, subtract line 12 from line 11 . . . . . . . . . . . . . @ 1414 Use tax balance. If line 12 is more than line 11, subtract line 11 from line 12. . . . . . . . . . . . . . . . @Filing Fee 1515 Filing fee $10 or $25. See General Information F. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1616 Penalties and Interest. See General Information J. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 17>Balance due. Add line 12, line 15, and line 16. Then subtract line 11 from the result . . . . . . . . . . . . . . . . . . . . . . . . .
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, Sign correct, and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Title DateHere Telephone@Signature
Gof officer
Date PTINCheck if @
Preparer's self-Gsignature employed GPaid
Firm's FEIN@Preparer's Firm's nameUse Only (or yours, if Gself-employed) Telephoneand address @
May the FTB discuss this return with the preparer shown above? See instructions . . . . . . . . . . . . . . . . . . . . @ Yes No CACA1112L 12/13/19 3651194 Form 199 2019 Page 1059 7/01/2019 6/30/2020
ANGEL VIEW, INC. 0296115
95-1861861
67625 E PALM CANYON DR STE A7
CATHEDRAL CITY CA 92234-5462
X
X XX
X
X
X
X
X
X
X
X
X
X
35,737,916.
SEE SCH. B 19,504,668.
55,242,584.
17,940,731.
6,178,041.
24,118,772.
31,123,812.
33,152,673.
-2,028,861.
0. CEO (760) 329-6471
P00404339
MARYANOV MADSEN GORDON CAMPBELL
PO BOX 1826 95-3178278
PALM SPRINGS, CA 92263-1826
(760) 320-6642
X
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan) Organizations with gross receipts of more than $50,000 and private foundationsPart II regardless of amount of gross receipts ' complete Part II or furnish substitute information. 1Gross sales or receipts from all business activities. See instructions. . . . . . . . . . . . . . . . . . . . . . . . . @ 1 2Interest. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ 2 3Dividends. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ 3Receipts 4Gross rents. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ 4from Other 5Gross royalties. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @5Sources 6Gross amount received from sale of assets (See Instructions). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @6 7Other income. Attach schedule. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @7 8Total gross sales or receipts from other sources. Add line 1 through line 7. Enter here and on Page 1, Part I, line 1. . . . . . 8 Contributions, gifts, grants, and similar amounts paid. Attach schedule. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @9 9 Disbursements to or for members . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ 1010 Compensation of officers, directors, and trustees. Attach schedule . . . . . . . . . . . . . . . . . . . . . . . . . . @ 1111 Other salaries and wages. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @12 12 Expenses Interest. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ 1313and Disburse- Taxes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ 1414 ments Rents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ 1515 Depreciation and depletion (See instructions). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @16 16 17Other Expenses and Disbursements. Attach schedule. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @17 18Total expenses and disbursements. Add line 9 through line 17. Enter here and on Page 1, Part I, line 9. . . . . . . . . . . . . . . 18 Balance Sheet Beginning of taxable year End of taxable yearSchedule L (a) (b) (c) (d)Assets
@Cash. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 @Net accounts receivable . . . . . . . . . . . . . . . . . . . . . . . 2 @Net notes receivable. . . . . . . . . . . . . . . . . . . . . . . . . . 3 @Inventories. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 @Federal and state government obligations . . . . . . . . . . 5 @Investments in other bonds. . . . . . . . . . . . . . . . . . . . . 6 @Investments in stock . . . . . . . . . . . . . . . . . . . . . . . . . 7 @Mortgage loans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 @Other investments. Attach schedule. . . . . . . . . . . . . . . 9 10a Depreciable assets. . . . . . . . . . . . . . . . . . . . . . . . . . . b Less accumulated depreciation. . . . . . . . . . . . . . . . . . @Land. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 @Other assets. Attach schedule. . . . . . . . . . . . . . . . . . . 12 13 Total assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Liabilities and net worth
@Accounts payable. . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 @Contributions, gifts, or grants payable. . . . . . . . . . . . . 15 @Bonds and notes payable. . . . . . . . . . . . . . . . . . . . . . 16 @Mortgages payable. . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Other liabilities. Attach schedule. . . . . . . . . . . . . . . . . 18 @Capital stock or principal fund . . . . . . . . . . . . . . . . . . 19 @Paid-in or capital surplus. Attach reconciliation. . . . . . 20 @Retained earnings or income fund. . . . . . . . . . . . . . . . 21 Total liabilities and net worth . . . . . . . . . . . . . . . . . 22 Reconciliation of income per books with income per returnSchedule M-1 Do not complete this schedule if the amount on Schedule L, line 13, column (d), is less than $50,000 @Net income per books. . . . . . . . . . . . . . . . . . . . . . . . Income recorded on books this year not included 1 7 @ @Federal income tax. . . . . . . . . . . . . . . . . . . . . . . . . . in this return. Attach schedule. . . . . . . . . . . . . 2 @ Deductions in this return not charged 8Excess of capital losses over capital gains. . . . . . . . . 3 against book income this year.Income not recorded on books this year. 4 @ @Attach schedule. . . . . . . . . . . . . . . . . . . . . . . Attach schedule. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total. Add line 7 and line 8. . . . . . . . . . . . . . . 9Expenses recorded on books this year not deducted 5 @ 10 Net income per return.in this return. Attach schedule . . . . . . . . . . . . . . . . .
Subtract line 9 from line 6. . . . . . . . . . Total. Add line 1 through line 5. . . . . . . . . . . . . . . . . 6 CACA1112L 12/13/193652194Page 2 Form 199 2019 059
ANGEL VIEW, INC. 95-1861861
13,644,219.
555,586.
95,837.
6,322,315.
15,119,959.
35,737,916.
317,637.
15,359,084.
18,473.
1,847,340.
813,933.
14,796,206.
33,152,673.
3,132,289. 4,578,114.
1,287,064. 1,284,149.
1,497,604. 2,798,909.
17,012,863. 16,600,998.
18,786,123. 19,140,997.
10,448,475. 8,337,648. 11,142,966. 7,998,031.
2,349,815. 2,349,815.
211,602. 228,208.
33,828,885. 35,838,224.
2,246,123. 2,635,703.
3,649,604.
159,992. 141,419.
102,713. 235,932.
31,320,057. 29,175,566.
33,828,885. 35,838,224.
-2,144,491.
115,630.
-2,028,861. -2,028,861.
SEE ST 8
SEE STATEMENT 1
SEE STMT 2
SEE STATEMENT 3
STMT 4
STM 5
ST 6
STM 7
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan) OMB No. 1545-0047Schedule B
Schedule of Contributors(Form 990, 990-EZ,
2019or 990-PF) G Attach to Form 990, Form 990-EZ, or Form 990-PF.Department of the Treasury Internal Revenue Service G Go to www.irs.gov/Form990 for the latest information.
Name of the organization Employer identification number Organization type (check one):
Filers of: Section:
Form 990 or 990-EZ 501(c)( ) (enter number) organization 4947(a)(1) nonexempt charitable trust not treated as a private foundation 527 political organizationForm 990-PF
501(c)(3) exempt private foundation
4947(a)(1) nonexempt charitable trust treated as a private foundation 501(c)(3) taxable private foundation
Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.
Special Rules
For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33-1/3% support test of the regulations under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of ( 1) $5,000; or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h; or (ii) Form 990-EZ, line 1. Complete Parts I and II.
For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor, during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.
For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor, during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because $Git received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year .
Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990, 990-EZ, or 990-PF), but it must answer 'No' on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ or on its Form 990-PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990-PF).
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)BAA For Paperwork Reduction Act Notice, see the instructions for Form 990, 990-EZ, or 990-PF.
TEEA0701L 08/09/19
CA PUBLIC DISCLOSURE COPY
ANGEL VIEW, INC. 95-1861861
X 3
X
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan)
Name of organization Employer identification number
Part I Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. (a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
TEEA0702L 08/09/19BAA Schedule B (Form 990, 990-EZ, or 990-PF) (2019) 1 5
ANGEL VIEW, INC. 95-1861861
X1
5,000.
X2
6,000.
X3
10,000.
X4
25,000.
X5
25,000.
X6
22,500.
6.A.g
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan)
Name of organization Employer identification number
Part I Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. (a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
TEEA0702L 08/09/19BAA Schedule B (Form 990, 990-EZ, or 990-PF) (2019) 2 5
ANGEL VIEW, INC. 95-1861861
X7
5,000.
X8
20,000.
X9
5,000.
X10
15,000.
X11
10,000.
X12
15,000.
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan)
Name of organization Employer identification number
Part I Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. (a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
TEEA0702L 08/09/19BAA Schedule B (Form 990, 990-EZ, or 990-PF) (2019) 3 5
ANGEL VIEW, INC. 95-1861861
X13
5,000.
X14
32,857.
X15
10,000.
X16
15,000.
X17
15,000.
X18
20,000.
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan)
Name of organization Employer identification number
Part I Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. (a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
TEEA0702L 08/09/19BAA Schedule B (Form 990, 990-EZ, or 990-PF) (2019) 4 5
ANGEL VIEW, INC. 95-1861861
X19
10,000.
X20
5,000.
X21
5,000.
X22
15,000.
X23
39,000.
X24
11,102.
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan)
Name of organization Employer identification number
Part I Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. (a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
TEEA0702L 08/09/19BAA Schedule B (Form 990, 990-EZ, or 990-PF) (2019) 5 5
ANGEL VIEW, INC. 95-1861861
X25
10,000.
X26
5,000.
X27
5,000.
X28
50,957.
X29
10,000.
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan)
Name of organization Employer identification number
Part II Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed. (a) No. (b) (c) (d)
from Description of noncash property given FMV (or estimate) Date received Part I (See instructions.)
$
(a) No. (b) (c) (d)
from Description of noncash property given FMV (or estimate) Date received Part I (See instructions.)
$
(a) No. (b) (c) (d)
from Description of noncash property given FMV (or estimate) Date received Part I (See instructions.)
$
(a) No. (b) (c) (d)
from Description of noncash property given FMV (or estimate) Date received Part I (See instructions.)
$
(a) No. (b) (c) (d)
from Description of noncash property given FMV (or estimate) Date received Part I (See instructions.)
$
(a) No. (b) (c) (d)
from Description of noncash property given FMV (or estimate) Date received Part I (See instructions.)
$
BAA Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
TEEA0703L 08/09/19
1 1
ANGEL VIEW, INC. 95-1861861
N/A
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan) Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 4
Name of organization Employer identification number
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., Gcontributions of $1,000 or less for the year. (Enter this information once. See instructions.) . . . . . . . . . . . . $ Use duplicate copies of Part III if additional space is needed. (a) (b) (c) (d)
No. from Purpose of gift Use of gift Description of how gift is held Part I
(e)
Transfer of gift
Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee (a) (b) (c) (d)
No. from Purpose of gift Use of gift Description of how gift is held Part I
(e)
Transfer of gift
Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee (a) (b) (c) (d)
No. from Purpose of gift Use of gift Description of how gift is held Part I
(e)
Transfer of gift
Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee (a) (b) (c) (d)
No. from Purpose of gift Use of gift Description of how gift is held Part I
(e)
Transfer of gift
Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee Schedule B (Form 990, 990-EZ, or 990-PF) (2019)BAA
TEEA0704L 08/09/19
1 1
ANGEL VIEW, INC. 95-1861861
N/A
N/A
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan) 2019 CALIFORNIA STATEMENTS PAGE 1
CLIENT 40488 ANGEL VIEW, INC. 95-1861861
STATEMENT 1
FORM 199, PART II, LINE 7
OTHER INCOME
INCOME FROM SPECIAL EVENTS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 79,666.
MISCELLANEOUS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,631.
PROGRAM SERVICE REVENUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15,037,662.
TOTAL $ 15,119,959.
STATEMENT 2
FORM 199, PART II, LINE 11
COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES CURRENT OFFICERS:
TITLE AND TOTAL CONTRI- EXPENSE
AVERAGE HOURS COMPEN- BUTION TO ACCOUNT/
NAME AND ADDRESS PER WEEK DEVOTED SATION EBP & DC OTHER RHONDA LARSON SECRETARY $ 0. $ 0. $ 0.
67625 E PALM CANYON DR 1.00
CATHEDRAL CITY, CA 92234
HENRY KOTZEN DIRECTOR 0. 0. 0.
67625 E PALM CANYON DR 1.00
CATHEDRAL CITY, CA 92234
CAROLE HAES LANDON PRESIDENT 0. 0. 0.
67625 E PALM CANYON DR 3.00
CATHEDRAL CITY, CA 92234
CHRISTOPHER J. LAUBACH DIRECTOR 0. 0. 0.
67625 E PALM CANYON DR 1.00
CATHEDRAL CITY, CA 92234
RUDY BARELA DIRECTOR 0. 0. 0.
67625 E PALM CANYON DR 1.00
CATHEDRAL CITY, CA 92234
DR. HELENE KALFUSS DIRECTOR 0. 0. 0.
67625 E PALM CANYON DR 1.00
CATHEDRAL CITY, CA 92234
KIRA L. KLATCHKO DIRECTOR 0. 0. 0.
67625 E PALM CANYON DR 1.00
CATHEDRAL CITY, CA 92234
HARRY NUSSBAUM DIRECTOR 0. 0. 0.
67625 E PALM CANYON DR 1.00
CATHEDRAL CITY, CA 92234
PATTI PARK CEO 195,355. 0. 8,333.
67625 E PALM CANYON DR 40.00
CATHEDRAL CITY, CA 92234
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan) 2019 CALIFORNIA STATEMENTS PAGE 2
ANGEL VIEW, INC. 95-1861861CLIENT 40488
STATEMENT 2 (CONTINUED)
FORM 199, PART II, LINE 11
COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES AND KEY EMPLOYEES CURRENT OFFICERS:
TITLE AND TOTAL CONTRI- EXPENSE
AVERAGE HOURS COMPEN- BUTION TO ACCOUNT/
NAME AND ADDRESS PER WEEK DEVOTED SATION EBP & DC OTHER MARY MEZE CFO $ 122,282. $ 0. $ 16,251.
67625 E PALM CANYON DR 40.00
CATHEDRAL CITY, CA 92234
RICH WHEELER TREASURER 0. 0. 0.
67625 E PALM CANYON DR 1.00
CATHEDRAL CITY, CA 92234
J. CHRIS MOBLEY DIRECTOR 0. 0. 0.
67625 E PALM CANYON DR 1.00
CATHEDRAL CITY, CA 92234
ROBERT HARGREAVES VICE PRESIDENT 0. 0. 0.
67625 E PALM CANYON DR 1.00
CATHEDRAL CITY, CA 92234
TOTAL $ 317,637. $ 0. $ 24,584.
STATEMENT 3
FORM 199, PART II, LINE 17
OTHER EXPENSES
ADVERTISING AND PROMOTION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 167,689.
BANK & INVESTMENT FEES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 309,843.
DAY PROGRAM & TRANSPORTATION. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,096,333.
DEVELOPMENT & FUNDRAISING . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34,510.
DIETARY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 427,595.
INSURANCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 246,264.
MISCELLANEOUS - CLIENT SERVICE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 149,224.
MISCELLANEOUS - OTHER . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 383,943.
OTHER EMPLOYEE BENEFIT. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3,646,226.
OTHER FEES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,105,256.
PROPERTY TAXES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 152,538.
QUALITY ASSURANCE FEE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 583,311.
RENT. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2,537,287.
RENTAL EXPENSES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30,522.
REPAIRS AND MAINTENANCE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 286,183.
SPECIAL EVENT EXPENSES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15,334.
SUPPLIES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 742,599.
TRAVEL. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 809,225.
UTILITIES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,072,324.
TOTAL $14,796,206.
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ANGEL VIEW, INC. 95-1861861CLIENT 40488
STATEMENT 4
FORM 199, SCHEDULE L, LINE 7
INVESTMENTS IN STOCKS
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 16,600,998.
TOTAL $ 16,600,998.
STATEMENT 5
FORM 199, SCHEDULE L, LINE 12
OTHER ASSETS
CONSTRUCTION IN PROGRESS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12,634.
DEPOSITS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 127,381.
MINERAL RIGHTS. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 100.
PREPAID EXPENSES AND DEFERRED CHARGES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88,093.
TOTAL $ 228,208.
STATEMENT 6
FORM 199, SCHEDULE L, LINE 16
BONDS AND NOTES PAYABLE
OTHER NOTES PAYABLE BALANCE DUE
LENDER'S NAME: UNION BANK
BALANCE DUE: 350,000.
LENDER'S NAME: SBA
BALANCE DUE: 3,299,604.
TOTAL OTHER NOTES PAYABLE $ 3,649,604.
TOTAL NOTES AND BONDS PAYABLE $ 3,649,604.
STATEMENT 7
FORM 199, SCHEDULE L, LINE 18
OTHER LIABILITIES
DEFERRED LEASE INCENTIVE. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 87,054.
ESCROW ACCOUNT LIABILITY. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143,038.
RENTAL DEPOSITS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5,840.
TOTAL $ 235,932.
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan) 2019 CALIFORNIA STATEMENTS PAGE 4
ANGEL VIEW, INC. 95-1861861CLIENT 40488
STATEMENT 8
FORM 199, SCHEDULE M-1, LINE 5
EXPENSES RECORDED ON BOOKS NOT DEDUCTED ON RETURN
UNREALIZED LOSS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 115,630.
TOTAL $ 115,630.
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan)
STATE OF CALIFORNIA
DEPARTMENT OF JUSTICERRF-1
PAGE 1 of 5(Rev. 09/2017)
IN
(For Registry Use Only)MAIL TO:
Registry of Charitable Trusts ANNUAL REGISTRATION RENEWAL FEE REPORT P.O. Box 903447
Sacramento, CA 94203-4470 TO ATTORNEY GENERAL OF CALIFORNIA (916) 210-6400
Sections 12586 and 12587, California Government CodeSTREET ADDRESS:
11 Cal. Code Regs. sections 301-306, 309, 311, and 3121300 I Street Sacramento, CA 95814 Failure to submit this report annually no later than four months and fifteen after the end of the (916) 210-6400 organization's accounting period may result in the loss of tax exemption and the assessment of a minimum tax of $800, plus interest, and/or fines or filing penalties. Revenue & Taxation CodeWEBSITE ADDRESS: section 23703; Government Code section 12586.1. IRS extensions will be honored.www.ag.ca.gov/charities/ Check if:
Change of address
Name of Organization
Amended report
List all DBAs and names the organization uses or has used State Charity Registration Number
Address (Number and Street)
Corporation or Organization No.
City or Town, State and ZIP Code
Federal Employer ID No.Telephone Number E-mail Address
ANNUAL REGISTRATION RENEWAL FEE SCHEDULE (11 Cal. Code Regs. sections 301-307, 311, and 312) Make Check Payable to Department of Justice
Gross Annual Revenue Fee Gross Annual Revenue Fee Gross Annual Revenue Fee 0Less than $25,000 Between $100,001 and $250,000 $50 Between $1,000,001 and $10 million $150 Between $25,000 and $100,000 $25 Between $250,001 and $1 million $75 Between $10,000,001 and $50 million $225 Greater than $50 million $300
PART A ' ACTIVITIES
For your most recent full accounting period (beginning ending ) list:
$ $ $Gross Annual Revenue Noncash Contributions Total Assets $ $Program Expenses Total Expenses
PART B ' STATEMENTS REGARDING ORGANIZATION DURING THE PERIOD OF THIS REPORT All questions must be answered. If you answer "yes" to any of the questions below, you must attach a separate pageNote:
providing an explanation and details for each "yes" response. Please review RRF-1 instructions for information required. Yes No During this reporting period, were there any contracts, loans, leases or other financial transactions between the organization and any1 officer, director or trustee thereof, either directly or with an entity in which any such officer, director or trustee had any financial interest? 2 During this reporting period, was there any theft, embezzlement, diversion or misuse of the organization's charitable property or funds? 3 During this reporting period, were any organization funds used to pay any penalty, fine or judgment? 4 During this reporting period, were the services of a commercial fundraiser, fundraising counsel for charitable purposes, or commercial coventurer used?
5 During this reporting period, did the organization receive any governmental funding? 6 During this reporting period, did the organization hold a raffle for charitable purposes? 7 Does the organization conduct a vehicle donation program? 8 Did the organization conduct an independent audit and prepare audited financial statements in accordance with generally accepted accounting principles for this reporting period? 9 At the end of this reporting period, did the organization hold restricted net assets, while reporting negative unrestricted net assets? I declare under penalty of perjury that I have examined this report, including accompanying documents, and to the best of my knowledge and belief, the content is true, correct and complete, and I am authorized to sign.
Signature of Authorized Agent Printed Name Title Date
CAEA9801L 03/19/20
ANGEL VIEW, INC.
01548967625 E PALM CANYON DR STE A7
CATHEDRAL CITY, CA 92234-5462 0296115
(760) 329-6471 95-1861861
7/01/19 6/30/20
31,077,956. 19,058,432. 35,838,224.
31,254,063. 33,152,673.
X
X
X
X
X
X
X
X
X
PATTI PARK CEO
SEE STATEMENT 1
SEE STATEMENT 2
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan) 2019 CALIFORNIA STATEMENTS PAGE 1
CLIENT 40488 ANGEL VIEW, INC. 95-1861861
STATEMENT 1
FORM RRF-1, PART B, LINE 5
GOVERNMENT AGENCY THAT PROVIDED FUNDING
CITY OF PALM DESERT
73510 FRED WARING DR
PALM DESERT, CA 92260
760-346-0611
CITY OF INDIAN WELLS
44950 ELDORADO DR
INDIAN WELLS, CA 92210
760-346-2489
CITY OF RANCHO MIRAGE
69825 HIGHWAY 111
RANHCO MIRAGE, CA 92270
760-324-4511
STATEMENT 2
FORM RRF-1, PART B, LINE 7
VEHICLE DONATION PROGRAM INFORMATION
ANGEL VIEW, INC. RUNS ITS VEHICLE DONATION PROGRAM THROUGH THE THRIFTMARTS AND COMPLIES WITH ALL REPORTING REQUIREMENTS.
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan) OMB No. 1545-0047
Form 990
Return of Organization Exempt From Income Tax 2019(Rev. January 2020) Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) Open to PublicG Do not enter social security numbers on this form as it may be made public.Department of the Treasury InspectionInternal Revenue Service G Go to www.irs.gov/Form990 for instructions and the latest information.
A For the 2019 calendar year, or tax year beginning , 2019, and ending , Employer identification numberC DCheck if applicable:B
Address change
Telephone numberEName change
Initial return
Final return/terminated
$Amended return Gross receiptsG
Is this a group return for subordinates?H(a)Name and address of principal officer:FApplication pending Yes No H(b) Are all subordinates included? Yes No
If "No," attach a list. (see instructions)
H ( )Tax-exempt status: 501(c)(3) 501(c) (insert no.) 4947(a)(1) or 527I Group exemption numberJ Website: G H(c) G
GForm of organization: Corporation Trust Association Other Year of formation: State of legal domicile:K L M Part I Summary
Briefly describe the organization's mission or most significant activities:1 if the organization discontinued its operations or disposed of more than 25% of its net assets.Check this box G2 Number of voting members of the governing body (Part VI, line 1a) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 3 Number of independent voting members of the governing body (Part VI, line 1b) . . . . . . . . . . . . . . . . . . . . . . . 4 4 Total number of individuals employed in calendar year 2019 (Part V, line 2a) . . . . . . . . . . . . . . . . . . . . . . . . . . 5 5 Total number of volunteers (estimate if necessary) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 6 Total unrelated business revenue from Part VIII, column (C), line 12. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7a 7a Net unrelated business taxable income from Form 990-T, line 39. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b 7b Prior Year Current Year
Contributions and grants (Part VIII, line 1h). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Program service revenue (Part VIII, line 2g). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Investment income (Part VIII, column (A), lines 3, 4, and 7d) . . . . . . . . . . . . . . . . . . . . . . . . . 10 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e). . . . . . . . . . . . . . . . 11 Total revenue ' add lines 8 through 11 (must equal Part VIII, column (A), line 12) . . . . . 12 Grants and similar amounts paid (Part IX, column (A), lines 1-3). . . . . . . . . . . . . . . . . . . . . . 13 Benefits paid to or for members (Part IX, column (A), line 4). . . . . . . . . . . . . . . . . . . . . . . . . . 14 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5-10). . . . . . 15 Professional fundraising fees (Part IX, column (A), line 11e). . . . . . . . . . . . . . . . . . . . . . . . . . 16a Total fundraising expenses (Part IX, column (D), line 25) Gb Other expenses (Part IX, column (A), lines 11a-11d, 11f-24e). . . . . . . . . . . . . . . . . . . . . . . . . 17 Total expenses. Add lines 13-17 (must equal Part IX, column (A), line 25) . . . . . . . . . . . . . 18 Revenue less expenses. Subtract line 18 from line 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 End of YearBeginning of Current Year
Total assets (Part X, line 16). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Total liabilities (Part X, line 26) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Net assets or fund balances. Subtract line 21 from line 20 . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 Part II Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
A Signature of officer DateSign
Here A Type or print name and title
Print/Type preparer's name Preparer's signature Date PTINCheck if self-employedPaid
GFirm's namePreparer
GUse Only Firm's EIN GFirm's address
Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No TEEA0101L 01/21/20BAA For Paperwork Reduction Act Notice, see the separate instructions. Form 990 (2019) 7/01 6/30 2020
ANGEL VIEW, INC.
67625 E PALM CANYON DR STE A7
CATHEDRAL CITY, CA 92234-5462
95-1861861
(760) 329-6471
X
WWW.ANGELVIEW.ORG
29,175,566.31,320,057.
6,662,658.2,508,828.
35,838,224.33,828,885.
-2,028,861.4,118,921.
33,106,817.31,847,121.
11,936,530.11,556,652.
34,510.
21,170,287.20,290,469.
31,077,956.35,966,042.
-4,164,234.-2,875,562.
699,860.3,543,791.
15,037,662.14,468,089.
19,504,668.20,829,724.
0. 0.
56 692
11 11
CA1955X
55,242,584.
CEOPATTI PARK
X
X
ANGEL VIEW'S MISSION IS HELPING
CHILDREN AND ADULTS WITH DISABILITIES REACH THEIR MAXIMUM POTENTIAL THROUGH THREE PRIMARY PROGRAMS: 24 HOUR RESIDENTIAL CARE, A DAY PROGRAM FOR ADULTS WITH DISABILITIES, AND ANGEL VIEW OUTREACH.
P00404339
MARYANOV MADSEN GORDON CAMPBELL
95-3178278PO BOX 1826
(760) 320-6642PALM SPRINGS, CA 92263-1826
SAME AS C ABOVE
CAROLE HAES LANDON
STEVEN T. ERICKSON, CPA
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan) Form 990 (2019) Page 2
Part III Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Briefly describe the organization's mission:1
Did the organization undertake any significant program services during the year which were not listed on the prior2 Form 990 or 990-EZ?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No If "Yes," describe these new services on Schedule O.
Did the organization cease conducting, or make significant changes in how it conducts, any program services? . . . . 3 Yes No If "Yes," describe these changes on Schedule O.
4 Describe the organization's program service accomplishments for each of its three largest program services, as measured by expenses.
Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported. $ $ $(Code: ) (Expenses including grants of ) (Revenue )4 a $ $ $(Code: ) (Expenses including grants of ) (Revenue )4 b $ $ $(Code: ) (Expenses including grants of ) (Revenue )4 c Other program services (Describe on Schedule O.)4 d
$ $ $(Expenses including grants of ) (Revenue )
4 e Total program service expenses G
Form 990 (2019)TEEA0102L 07/31/19BAA
31,254,063.
507,135.
1,941,256.
13,941,990.
14,863,682.
X
X
95-1861861ANGEL VIEW, INC.
X
THRIFT STORES
ANGEL VIEW OPERATES RESALE STORES IN RIVERSIDE AND SAN BERNARDINO COUNTIES AND
CLEARANCE CENTERS IN DESERT HOT SPRINGS AND HEMET THAT OFFER SHOPPERS A WIDE VARIETY OF CONSTANTLY CHANGING MERCHANDISE. ALL PROCEEDS FROM THE SALE OF OUR GENTLY USED
MERCHANDISE DIRECTLY BENEFIT THE CHILDREN AND ADULTS WITH DISABILITIES WE ASSIST THROUGH OUR PROGRAMS AND SERVICES.
DAY PROGRAM
THE ANGEL VIEW DAY PROGRAM, WHICH PROVIDES THERAPEUTIC, EDUCATIONAL, AND RECREATIONAL
SERVICES TO ADULTS WITH DEVELOPMENTAL DISABILITIES, ONCE AGAIN ENABLES CLIENTS TO LEARN NEW SKILLS AND ACHIEVE INDIVIDUAL GOALS SET BY A MULTIDISCIPLINARY TEAM. THE
PROGRAM OFFERS ESSENTIAL RESPITE FOR LOCAL FAMILIES WHO ARE CARING FOR THEIR LOVED ONES AT HOME. THE PROGRAM IS HOUSED AT OUR DESERT HOT SPRINGS DAY PROGRAM SITE.
TRANSPORTATION TO AND FROM THE PROGRAM IS PROVIDED, AS WELL AS TRANSPORTATION TO ALL OUTINGS. THE PROGRAM WAS ORIGINALLY DESIGNED FOR 30 CLIENTS BUT THANKS TO ITS SUCCESS AND COMMUNITY SUPPORT, WAS EXPANDED TWICE AND IS CURRENTLY SERVING 85 CLIENTS.
SEE SCHEDULE O
SEE SCHEDULE O
SEE SCHEDULE O
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan) Form 990 (2019) Page 3
Part IV Checklist of Required Schedules
Yes No
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If 'Yes,' complete1 Schedule A. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)?. . . . . . . . . . . . . . . . . . . . . . 2 2 Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates3 for public office? If 'Yes,' complete Schedule C, Part I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 4 Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If 'Yes,' complete Schedule C, Part II. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues,5 assessments, or similar amounts as defined in Revenue Procedure 98-19? If 'Yes,' complete Schedule C, Part III. . . . . . . 5 Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right6 to provide advice on the distribution or investment of amounts in such funds or accounts? If 'Yes,' complete Schedule D, Part I . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Did the organization receive or hold a conservation easement, including easements to preserve open space, the7 environment, historic land areas, or historic structures? If 'Yes,' complete Schedule D, Part II. . . . . . . . . . . . . . . . . . . . . . . . . . 7 Did the organization maintain collections of works of art, historical treasures, or other similar assets? If 'Yes,'8 complete Schedule D, Part III. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Did the organization report an amount in Part X, line 21, for escrow or custodial account liability, serve as a custodian9 for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If 'Yes,' complete Schedule D, Part IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Did the organization, directly or through a related organization, hold assets in donor-restricted endowments10 or in quasi endowments? If 'Yes,' complete Schedule D, Part V. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 If the organization's answer to any of the following questions is 'Yes', then complete Schedule D, Parts VI, VII, VIII, IX,11 or X as applicable.
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If 'Yes,' complete Schedulea D, Part VI . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 a Did the organization report an amount for investments ' other securities in Part X, line 12, that is 5% or more of its totalb assets reported in Part X, line 16? If 'Yes,' complete Schedule D, Part VII. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 b Did the organization report an amount for investments ' program related in Part X, line 13, that is 5% or more of its totalc assets reported in Part X, line 16? If 'Yes,' complete Schedule D, Part VIII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 c Did the organization report an amount for other assets in Part X, line 15, that is 5% or more of its total assets reportedd in Part X, line 16? If 'Yes,' complete Schedule D, Part IX. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 d Did the organization report an amount for other liabilities in Part X, line 25? If 'Yes,' complete Schedule D, Part X . . . . . . e 11 e Did the organization's separate or consolidated financial statements for the tax year include a footnote that addressesf the organization's liability for uncertain tax positions under FIN 48 (ASC 740)? If 'Yes,' complete Schedule D, Part X. . . . 11 f Did the organization obtain separate, independent audited financial statements for the tax year? If 'Yes,' complete12 a Schedule D, Parts XI and XII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12a Was the organization included in consolidated, independent audited financial statements for the tax year? If 'Yes,' andb if the organization answered 'No' to line 12a, then completing Schedule D, Parts XI and XII is optional . . . . . . . . . . . . . . . . . 12 b Is the organization a school described in section 170(b)(1)(A)(ii)? If 'Yes,' complete Schedule E . . . . . . . . . . . . . . . . . . . . . . . 13 13 Did the organization maintain an office, employees, or agents outside of the United States? . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 a 14a Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising,b business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If 'Yes,' complete Schedule F, Parts I and IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14b Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any15 foreign organization? If 'Yes,' complete Schedule F, Parts II and IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to16 or for foreign individuals? If 'Yes,' complete Schedule F, Parts III and IV . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX,17 column (A), lines 6 and 11e? If 'Yes,' complete Schedule G, Part I (see instructions). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII,18 lines 1c and 8a? If 'Yes,' complete Schedule G, Part II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If 'Yes,'19 complete Schedule G, Part III. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 20a20a Did the organization operate one or more hospital facilities? If 'Yes,' complete Schedule H . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If 'Yes' to line 20a, did the organization attach a copy of its audited financial statements to this return? . . . . . . . . . . . . . . . . b 20b Did the organization report more than $5,000 of grants or other assistance to any domestic organization or21 domestic government on Part IX, column (A), line 1? If 'Yes,' complete Schedule I, Parts I and II . . . . . . . . . . . . . . . . . . . . . . 21 TEEA0103L 07/31/19BAA Form 990 (2019)
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Part IV Checklist of Required Schedules (continued)
Yes No
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX,22 column (A), line 2? If 'Yes,' complete Schedule I, Parts I and III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 Did the organization answer 'Yes' to Part VII, Section A, line 3, 4, or 5 about compensation of the organization's current23 and former officers, directors, trustees, key employees, and highest compensated employees? If 'Yes,' complete Schedule J . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of24 a the last day of the year, that was issued after December 31, 2002? If 'Yes,' answer lines 24b through 24d and complete Schedule K. If 'No, 'go to line 25a . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24a Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception? . . . . . . . . . . . . . . . . . . b 24b Did the organization maintain an escrow account other than a refunding escrow at any time during the year to defeasec any tax-exempt bonds? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24c Did the organization act as an 'on behalf of' issuer for bonds outstanding at any time during the year? . . . . . . . . . . . . . . . . . d 24d 25 a Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit 25atransaction with a disqualified person during the year? If 'Yes,' complete Schedule L, Part I . . . . . . . . . . . . . . . . . . . . . . . . . . .
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, andb that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ? If 'Yes,' complete Schedule L, Part I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25b Did the organization report any amount on Part X, line 5 or 22, for receivables from or payables to any current or26 former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If 'Yes,' complete Schedule L, Part II . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key27 employee, creator or founder, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these 27persons? If 'Yes,' complete Schedule L, Part III. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV28 instructions, for applicable filing thresholds, conditions, and exceptions):
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? Ifa 28a'Yes,' complete Schedule L, Part IV. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
A family member of any individual described in line 28a? If 'Yes,' complete Schedule L, Part IV. . . . . . . . . . . . . . . . . . . . . . . . b 28b A 35% controlled entity of one or more individuals and/or organizations described in lines 28a or 28b? Ifc Yes,' complete Schedule L, Part IV. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28c Did the organization receive more than $25,000 in non-cash contributions? If 'Yes,' complete Schedule M . . . . . . . . . . . . . . 29 29 Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation30 contributions? If 'Yes,' complete Schedule M. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 Did the organization liquidate, terminate, or dissolve and cease operations? If 'Yes,' complete Schedule N, Part I. . . . . . . 31 31 Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If 'Yes,' complete32 Schedule N, Part II. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections33 301.7701-2 and 301.7701-3? If 'Yes,' complete Schedule R, Part I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 Was the organization related to any tax-exempt or taxable entity? If 'Yes,' complete Schedule R, Part II, III, or IV,34 and Part V, line 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34 Did the organization have a controlled entity within the meaning of section 512(b)(13)?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35 a 35a If 'Yes' to line 35a, did the organization receive any payment from or engage in any transaction with a controlledb entity within the meaning of section 512(b)(13)? If 'Yes,' complete Schedule R, Part V, line 2. . . . . . . . . . . . . . . . . . . . . . . . . . 35b 36 Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related 36organization? If 'Yes,' complete Schedule R, Part V, line 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is37 treated as a partnership for federal income tax purposes? If 'Yes,' complete Schedule R, Part VI . . . . . . . . . . . . . . . . . . . . . . 37 Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19?38 Note: All Form 990 filers are required to complete Schedule O. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 Part V Statements Regarding Other IRS Filings and Tax Compliance Check if Schedule O contains a response or note to any line in this Part V . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes No
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable . . . . . . . . . . . . . . 1 a 1 a Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable. . . . . . . . . . . . b 1 b Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gamingc (gambling) winnings to prize winners?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 c TEEA0104L 07/31/19BAA Form 990 (2019)
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Part V Statements Regarding Other IRS Filings and Tax Compliance (continued) Yes No
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax State-2 a ments, filed for the calendar year ending with or within the year covered by this return . . . . . 2 a If at least one is reported on line 2a, did the organization file all required federal employment tax returns? . . . . . . . . . . . . . b 2 b Note: If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions) Did the organization have unrelated business gross income of $1,000 or more during the year? . . . . . . . . . . . . . . . . . . . . . . . . 3 a 3 a If 'Yes,' has it filed a Form 990-T for this year? If 'No' to line 3b, provide an explanation on Schedule O. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b 3 b At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a4 a financial account in a foreign country (such as a bank account, securities account, or other financial account)? . . . . . . . . . 4 a If 'Yes,' enter the name of the foreign countryGb
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? . . . . . . . . . . . . . . . . . . . 5 a 5 a Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction? . . . . . . . . . . . . b 5 b If 'Yes,' to line 5a or 5b, did the organization file Form 8886-T?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c 5 c Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization6 a solicit any contributions that were not tax deductible as charitable contributions?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 a If 'Yes,' did the organization include with every solicitation an express statement that such contributions or gifts wereb not tax deductible?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 b 7 Organizations that may receive deductible contributions under section 170(c).
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods anda services provided to the payor?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 a If 'Yes,' did the organization notify the donor of the value of the goods or services provided? . . . . . . . . . . . . . . . . . . . . . . . . . . b 7 b Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to filec Form 8282? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 c If 'Yes,' indicate the number of Forms 8282 filed during the year . . . . . . . . . . . . . . . . . . . . . . . . . . d 7 d Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract? . . . . . . . . . . e 7 e Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?. . . . . . . . . . . . . . f 7 f If the organization received a contribution of qualified intellectual property, did the organization file Form 8899g as required?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 g If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file ah Form 1098-C?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 h 8 Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 9 Sponsoring organizations maintaining donor advised funds.
Did the sponsoring organization make any taxable distributions under section 4966? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a 9 a Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?. . . . . . . . . . . . . . . . . . . . . . b 9 b 10 Section 501(c)(7) organizations. Enter:
Initiation fees and capital contributions included on Part VIII, line 12 . . . . . . . . . . . . . . . . . . . . . . a 10 a Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities. . . . . b 10 b 11 Section 501(c)(12) organizations. Enter:
Gross income from members or shareholders. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a 11 a Gross income from other sources (Do not net amounts due or paid to other sourcesb against amounts due or received from them.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 b 12 a Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?. . . . . . . . . . . . . . 12 a If 'Yes,' enter the amount of tax-exempt interest received or accrued during the year . . . . . . . b 12 b 13 Section 501(c)(29) qualified nonprofit health insurance issuers.
Is the organization licensed to issue qualified health plans in more than one state? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a 13 a Note: See the instructions for additional information the organization must report on Schedule O.
Enter the amount of reserves the organization is required to maintain by the states inb which the organization is licensed to issue qualified health plans. . . . . . . . . . . . . . . . . . . . . . . . . . 13 b Enter the amount of reserves on hand. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c 13 c Did the organization receive any payments for indoor tanning services during the tax year?. . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 a 14 a If 'Yes,' has it filed a Form 720 to report these payments? If 'No,' provide an explanation on Schedule O . . . . . . . . . . . . . . . b 14 b 15 Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or 15excess parachute payment(s) during the year?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If 'Yes,' see instructions and file Form 4720, Schedule N. 16Is the organization an educational institution subject to the section 4968 excise tax on net investment income?16 If 'Yes,' complete Form 4720, Schedule O.
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Part VI Governance, Management, and Disclosure For each 'Yes' response to lines 2 through 7b below, and for a 'No' response to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes on Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Section A. Governing Body and Management
Yes No
Enter the number of voting members of the governing body at the end of the tax year . . . . . . 1 a 1 a If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain on Schedule O.
Enter the number of voting members included on line 1a, above, who are independent . . . . . b 1 b Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other2 officer, director, trustee, or key employee? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Did the organization delegate control over management duties customarily performed by or under the direct supervision3 of officers, directors, trustees, or key employees to a management company or other person? . . . . . . . . . . . . . . . . . . . . . . . . . 3 Did the organization make any significant changes to its governing documents4 since the prior Form 990 was filed? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Did the organization become aware during the year of a significant diversion of the organization's assets?. . . . . . . . . . . . . . 55 Did the organization have members or stockholders?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 66 Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more7 a members of the governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 a Are any governance decisions of the organization reserved to (or subject to approval by) members,b stockholders, or persons other than the governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 b Did the organization contemporaneously document the meetings held or written actions undertaken during the year by8 the following:
The governing body?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a 8 a Each committee with authority to act on behalf of the governing body? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b 8 b Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the9 organization's mailing address? If 'Yes,' provide the names and addresses on Schedule O. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.) Yes No
Did the organization have local chapters, branches, or affiliates?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 a 10 a If 'Yes,' did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure theirb operations are consistent with the organization's exempt purposes? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 b Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form?. . . . . . . . . . . . . . . . . . . . . . 11 a 11 a Describe in Schedule O the process, if any, used by the organization to review this Form 990.b Did the organization have a written conflict of interest policy? If 'No,' go to line 13 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 a 12 a Were officers, directors, or trustees, and key employees required to disclose annually interests that could give riseb to conflicts? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 b Did the organization regularly and consistently monitor and enforce compliance with the policy? If 'Yes,' describe inc Schedule O how this was done. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 c Did the organization have a written whistleblower policy?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 13 Did the organization have a written document retention and destruction policy? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 14 Did the process for determining compensation of the following persons include a review and approval by independent15 persons, comparability data, and contemporaneous substantiation of the deliberation and decision? The organization's CEO, Executive Director, or top management official . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a 15 a Other officers or key employees of the organization . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b 15 b If 'Yes' to line 15a or 15b, describe the process in Schedule O (see instructions).
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a16 a taxable entity during the year?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 a If 'Yes,' did the organization follow a written policy or procedure requiring the organization to evaluate itsb participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization's exempt status with respect to such arrangements? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 b Section C. Disclosure
List the states with which a copy of this Form 990 is required to be filed G17 Section 6104 requires an organization to make its Forms 1023 (1024 or 1024-A, if applicable), 990, and 990-T (Section 501(c)(3)s only)18 available for public inspection. Indicate how you made these available. Check all that apply.
Other (explain on Schedule O)Own website Another's website Upon request Describe on Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to19 the public during the tax year.
State the name, address, and telephone number of the person who possesses the organization's books and records G20 TEEA0106L 07/31/19BAA Form 990 (2019)
95-1861861ANGEL VIEW, INC.
MARY MEZE 67625 E PALM CANYON DR A7 CATHEDRAL CITY CA 92234-5462 (760) 329-6471 X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
11 11
X
X
CA
SEE SCHEDULE O
SEE SCHEDULE O
SEE SCHEDULE O
SEE SCHEDULE O
SEE SCHEDULE O
SEE SCH. O
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan) Form 990 (2019) Page 7
Part VII Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees 1 a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization's tax year.
? List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid. ? List all of the organization's current key employees, if any. See instructions for definition of 'key employee.' ? List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee) who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the organization and any related organizations.
? List all of the organization's former officers, key employees, and highest compensated employees who received more than $100,000 of reportable compensation from the organization and any related organizations. ? List all of the organization's former directors or trustees that received, in the capacity as a former director or trustee of the organization, more than $10,000 of reportable compensation from the organization and any related organizations.
See instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee. (C)
Position (do not check more(A) (D) (E) (F)(B) than one box, unless person Name and title Average Reportable Reportableis both an officer and a Estimated amounthours compensation from compensation fromdirector/trustee) of otherper the organization related organizations compensation fromweek (W-2/1099-MISC) (W-2/1099-MISC) the organization(list any and relatedhours for organizationsrelated organiza-
tions
below
dotted
line)
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
(12)
(13)
(14)
TEEA0107L 07/31/19BAA Form 990 (2019)
ANGEL VIEW, INC. 95-1861861
PATTI PARK 40
CEO 0 X 187,022. 0. 8,333.
DONNA SNELL 40
DIR OF SALES OPS 0 X 165,905. 0. 7,946.
CHERYL CLIBURN IRVING 40
LIC VOC NURSE 0 X 133,314. 0. 0.
CINDY CLIBURN 40
DIR OF PRGRM SRVCS 0 X 115,658. 0. 7,739.
MARY MEZE 40
CFO 0 X 106,031. 0. 16,251.
ANNETTE PEARCE 40
REGISTERED NURSE 0 X 120,451. 0. 0.
DEBRA UHLMAN 40
HR DIRECTOR 0 X 102,297. 0. 16,251.
RHONDA LARSON 1
SECRETARY 0 X X 0. 0. 0.
HENRY KOTZEN 1
DIRECTOR 0 X 0. 0. 0.
CAROLE HAES LANDON 3
PRESIDENT 0 X X 0. 0. 0.
CHRISTOPHER J. LAUBACH 1
DIRECTOR 0 X 0. 0. 0.
RUDY BARELA 1
DIRECTOR 0 X 0. 0. 0.
DR. HELENE KALFUSS 1
DIRECTOR 0 X 0. 0. 0.
KIRA L. KLATCHKO 1
DIRECTOR 0 X 0. 0. 0.
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan) Form 990 (2019) Page 8
Part VII Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) (B) (C)
Position (D) (E) (F)Average (do not check more than one(A) hours box, unless person is both an Reportable ReportableName and title Estimated amountper officer and a director/trustee) compensation from compensation from of otherweek the organization related organizations compensation from(list any (W-2/1099-MISC) (W-2/1099-MISC) the organizationhours and relatedfor
organizationsrelated
organiza
- tions
below
dotted
line)
(15)
(16)
(17)
(18)
(19)
(20)
(21)
(22)
(23)
(24)
(25)
G1 b Subtotal. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Gc Total from continuation sheets to Part VII, Section A . . . . . . . . . . . . . . . . . . . . . . .
Gd Total (add lines 1b and 1c). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation2 from the organization G
Yes No
3 Did the organization list any former officer, director, trustee, key employee, or highest compensated employee 3on line 1a? If 'Yes,' complete Schedule J for such individual. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If 'Yes,' complete Schedule J for 4such individual. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual 5for services rendered to the organization? If 'Yes,' complete Schedule J for such person. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Section B. Independent Contractors
1 Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization's tax year. (A) (B) (C)
Name and business address Description of services Compensation Total number of independent contractors (including but not limited to those listed above) who received more than2 G$100,000 of compensation from the organization
TEEA0108L 07/31/19BAA Form 990 (2019)
ANGEL VIEW, INC. 95-1861861
1 114,922.
X
X
X
7 56,520.0.930,678.
56,520.0.930,678.
0.0.0. HARRY NUSSBAUM 1
DIRECTOR 0 X 0. 0. 0.
RICH WHEELER 1
TREASURER 0 X X 0. 0. 0.
J. CHRIS MOBLEY 1
DIRECTOR 0 X 0. 0. 0.
ROBERT HARGREAVES 1
VICE PRESIDENT 0 X X 0. 0. 0.
BEHAVIORAL CONSULTANTDERRIC ANGLIN, JR 5922 NICKEL BEND LN RICHMOND, TX 77469
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan) Form 990 (2019) Page 9
Part VIII Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A) (B) (C) (D)
Total revenue Related or Unrelated Revenue
exempt business excluded from tax
function revenue under sections
revenue 512-514
Federated campaigns. . . . . . . . . . 1 a 1 a
Membership dues . . . . . . . . . . . . . b 1 b
Fundraising events. . . . . . . . . . . . c 1 c
Related organizations . . . . . . . . . d 1 d
Government grants (contributions). . . . . e 1 e
All other contributions, gifts, grants, andf
similar amounts not included above. . . . 1 f
Noncash contributions included ing
1 glines 1a-1f. . . . . . . . . . . . . . . . . . . . . .
Gh Total. Add lines 1a-1f. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Business Code
2 a
b
c
d
e
All other program service revenue. . . . f
Gg Total. Add lines 2a-2f. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Investment income (including dividends, interest, and3
Gother similar amounts). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
GIncome from investment of tax-exempt bond proceeds. . . .4 GRoyalties . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 (i) Real (ii) Personal
Gross rents . . . . . . . . 6 a 6a
Less: rental expensesb 6b
Rental income or (loss)c 6c
GNet rental income or (loss). . . . . . . . . . . . . . . . . . . . . . . . . . . d (i) Securities (ii) Other
Gross amount from7 a
sales of assets 7aother than inventory
Less: cost or other basisb
7band sales expenses
Gain or (loss). . . . . . . c 7c
Net gain or (loss) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Gd Gross income from fundraising events8 a
(not including $
of contributions reported on line 1c).
See Part IV, line 18. . . . . . . . . . . . . 8 a
Less: direct expenses . . . . . . b 8 b
GNet income or (loss) from fundraising events. . . . . . . . . . c Gross income from gaming activities.9 a
See Part IV, line 19. . . . . . . . . . . . . 9 a
Less: direct expenses . . . . . . b 9 b
GNet income or (loss) from gaming activities. . . . . . . . . . . c Gross sales of inventory, less . . . . . 10a
returns and allowances 10a
Less: cost of goods sold. . . . b 10b
GNet income or (loss) from sales of inventory . . . . . . . . . . c Business Code
11a
b
c
All other revenue. . . . . . . . . . . . . . . . . . . d Ge Total. Add lines 11a-11d. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
G12 Total revenue. See instructions . . . . . . . . . . . . . . . . . . . . . .
TEEA0109L 07/31/19BAA Form 990 (2019)
ANGEL VIEW, INC. 95-1861861
31,028.
19,473,640.
19,058,432.
19,504,668.
13,127,999. 13,127,999.
1,789,031. 1,789,031.
120,632. 120,632.
15,037,662.
555,586. 555,586.
65,315. 65,315.
144,274. 144,274.
31,028.
64,332.
-4,296,512. -4,296,512.
624310 2,631. 2,631.
2,631.
31,077,956. 10,953,370. 0. 555,586.
CLIENT SERVICES - HOUSES
DAY PROGRAM
OUTREACH
95,837.
30,522.
65,315.
6,304,315. 18,000.
6,133,236. 44,805.
171,079. -26,805.
79,666.
15,334.
13644219.
17940731.
MISCELLANEOUS
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Part IX Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).
Check if Schedule O contains a response or note to any line in this Part IX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (D)(A) (B) (C)Do not include amounts reported on lines Total expenses and FundraisingProgram service Management6b, 7b, 8b, 9b, and 10b of Part VIII. expenses general expenses expenses Grants and other assistance to domestic1
organizations and domestic governments.
See Part IV, line 21. . . . . . . . . . . . . . . . . . . . . . . .
Grants and other assistance to domestic2 individuals. See Part IV, line 22. . . . . . . . . . . . .
Grants and other assistance to foreign3
organizations, foreign governments, and for-
eign individuals. See Part IV, lines 15 and 16
Benefits paid to or for members. . . . . . . . . . . . . 4 Compensation of current officers, directors,5 trustees, and key employees. . . . . . . . . . . . . . . .
Compensation not included above to6 disqualified persons (as defined under section 4958(f)(1)) and persons described
in section 4958(c)(3)(B) . . . . . . . . . . . . . . . . . . . .
Other salaries and wages. . . . . . . . . . . . . . . . . . . 7 Pension plan accruals and contributions8 (include section 401(k) and 403(b) employer contributions) . . . . . . . . . . . . . . . . . . . .
Other employee benefits . . . . . . . . . . . . . . . . . . . 9 Payroll taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Fees for services (nonemployees):11
Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a Legal. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Accounting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c Lobbying. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d Professional fundraising services. See Part IV, line 17. . . e Investment management fees. . . . . . . . . . . . . . . f g Other. (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O.). . . . .
Advertising and promotion. . . . . . . . . . . . . . . . . . 12 Office expenses. . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Information technology. . . . . . . . . . . . . . . . . . . . . 14 Royalties. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 Travel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Payments of travel or entertainment18
expenses for any federal, state, or local
public officials. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Conferences, conventions, and meetings . . . . 19
Interest. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 Payments to affiliates. . . . . . . . . . . . . . . . . . . . . . 21 Depreciation, depletion, and amortization. . . . 22
Insurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Other expenses. Itemize expenses not24
covered above (List miscellaneous expenses
on line 24e. If line 24e amount exceeds 10%
of line 25, column (A) amount, list line 24e
expenses on Schedule O.). . . . . . . . . . . . . . . . . . a
b
c
d
All other expenses. . . . . . . . . . . . . . . . . . . . . . . . . e 25 Total functional expenses. Add lines 1 through 24e. . . . 26 Joint costs. Complete this line only if
the organization reported in column (B)
joint costs from a combined educational
campaign and fundraising solicitation.
if followingCheck here G
SOP 98-2 (ASC 958-720). . . . . . . . . . . . . . . . . . .
BAA Form 990 (2019)TEEA0110L 07/31/19
ANGEL VIEW, INC. 95-1861861
317,637. 171,026. 146,611. 0.
0. 0. 0. 0.
15,359,084. 14,831,006. 528,078.
3,646,226. 3,407,930. 238,296.
1,847,340. 1,718,026. 129,314.
1,105,256. 784,421. 320,835.
167,689. 167,234. 455.
809,225. 804,131. 5,094.
18,473. 421. 18,052.
813,933. 762,419. 51,514.
246,264. 244,197. 2,067.
2,537,287. 2,537,287.
2,096,333. 2,096,333.
1,072,324. 998,091. 74,233.
742,599. 685,316. 57,283.
2,327,147. 2,046,225. 246,412. 34,510.
33,106,817. 31,254,063. 1,818,244. 34,510.
RENT
DAY PROGRAM & TRANSPORTATION
UTILITIES
SUPPLIES
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Part X Balance Sheet
Check if Schedule O contains a response or note to any line in this Part X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (A) (B)
Beginning of year End of year
Cash ' non-interest-bearing. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 Savings and temporary cash investments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 2 Pledges and grants receivable, net. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 3 Accounts receivable, net. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 4 Loans and other receivables from any current or former officer, director,5 trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons . . . . . . . . . . . . . . . . . . . . . 5 Loans and other receivables from other disqualified persons (as defined under6 6section 4958(f)(1)), and persons described in section 4958(c)(3)(B). . . . . . . . . . . . . .
Notes and loans receivable, net. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 7 Inventories for sale or use . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 8 Prepaid expenses and deferred charges . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 9 Land, buildings, and equipment: cost or other basis.10a Complete Part VI of Schedule D. . . . . . . . . . . . . . . . . . . . 10a Less: accumulated depreciation. . . . . . . . . . . . . . . . . . . . b 10b 10 c 11Investments ' publicly traded securities. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 12Investments ' other securities. See Part IV, line 11. . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 13Investments ' program-related. See Part IV, line 11 . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 14Intangible assets. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14 15Other assets. See Part IV, line 11. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 1616 Total assets. Add lines 1 through 15 (must equal line 33). . . . . . . . . . . . . . . . . . . . . . .
Accounts payable and accrued expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 17 Grants payable. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 18 Deferred revenue. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 19 Tax-exempt bond liabilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20 20 Escrow or custodial account liability. Complete Part IV of Schedule D. . . . . . . . . . . 21 21 Loans and other payables to any current or former officer, director, trustee,22 key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons . . . . . . . . . . . . . . . . . . . . . 22 Secured mortgages and notes payable to unrelated third parties . . . . . . . . . . . . . . . . 23 23 Unsecured notes and loans payable to unrelated third parties . . . . . . . . . . . . . . . . . . . 24 24 Other liabilities (including federal income tax, payables to related third parties,25 and other liabilities not included on lines 17-24). Complete Part X of Schedule D. 25 26 Total liabilities. Add lines 17 through 25. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 Organizations that follow FASB ASC 958, check here G
and complete lines 27, 28, 32, and 33.
Net assets without donor restrictions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 27 Net assets with donor restrictions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 28 Organizations that do not follow FASB ASC 958, check here G and complete lines 29 through 33.
Capital stock or trust principal, or current funds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 29 Paid-in or capital surplus, or land, building, or equipment fund. . . . . . . . . . . . . . . . . . 30 30 Retained earnings, endowment, accumulated income, or other funds . . . . . . . . . . . . 31 31 Total net assets or fund balances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 32 Total liabilities and net assets/fund balances. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33 33 TEEA0111L 07/31/19BAA Form 990 (2019)
ANGEL VIEW, INC. 95-1861861
807,794. 1,008,439.
2,324,495. 3,569,675.
1,287,064. 1,284,149.
1,497,604. 2,798,909.
113,076. 88,093.
21,490,812.
11,142,966. 10,687,463. 10,347,846.
17,012,863. 16,600,998.
98,526. 140,115.
33,828,885. 35,838,224.
2,246,123. 2,635,703.
68,302. 143,038.
159,992. 491,419.
3,299,604.
34,411. 92,894.
2,508,828. 6,662,658.
X
31,238,784. 29,075,485.
81,273. 100,081.
31,320,057. 29,175,566.
33,828,885. 35,838,224.
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan) Form 990 (2019) Page 12
Part XI Reconciliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total revenue (must equal Part VIII, column (A), line 12) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 Total expenses (must equal Part IX, column (A), line 25). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 2 Revenue less expenses. Subtract line 2 from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 3 Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)). . . . . . . . . . . . . . . . . . 4 4 Net unrealized gains (losses) on investments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 5 Donated services and use of facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 6 Investment expenses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 7 Prior period adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 8 Other changes in net assets or fund balances (explain on Schedule O). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 9 Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32,10 column (B)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Part XII Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Yes No
Accounting method used to prepare the Form 990: Cash Accrual Other1 If the organization changed its method of accounting from a prior year or checked 'Other,' explain in Schedule O.
Were the organization's financial statements compiled or reviewed by an independent accountant? . . . . . . . . . . . . . . . . . . . . 2 a 2 a If 'Yes,' check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
Separate basis Consolidated basis Both consolidated and separate basis Were the organization's financial statements audited by an independent accountant?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b 2 b If 'Yes,' check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
Separate basis Consolidated basis Both consolidated and separate basis c If 'Yes' to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?. . . . . . . . . . . . . . . . . . . . . . . . . 2 c If the organization changed either its oversight process or selection process during the tax year, explain on Schedule O.
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single3 a Audit Act and OMB Circular A-133? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 a If 'Yes,' did the organization undergo the required audit or audits? If the organization did not undergo the required auditb or audits, explain why on Schedule O and describe any steps taken to undergo such audits. . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 b TEEA0112L 01/21/20BAA Form 990 (2019)
ANGEL VIEW, INC. 95-1861861
31,077,956.
33,106,817.
-2,028,861.
31,320,057.
-115,630.
0. 29,175,566.
X
X
X
X
X
X
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan) OMB No. 1545-0047
Public Charity Status and Public SupportSCHEDULE A 2019Complete if the organization is a section 501(c)(3) organization or a section(Form 990 or 990-EZ) 4947(a)(1) nonexempt charitable trust.
G Attach to Form 990 or Form 990-EZ. Open to Public
Department of the Treasury Inspection G Go to www.irs.gov/Form990 for instructions and the latest information.Internal Revenue Service Name of the organization Employer identification number Reason for Public Charity Status (All organizations must complete this part.) See instructions.Part I The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.) 1 A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i). 2 A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).) 3 A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii). 4 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:
5 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.)
6 A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v). 7 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.)
8 A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.) An agricultural research organization described in section 170(b)(1)(A)(ix) operated in conjunction with a land-grant college9 or university or a non-land-grant college of agriculture (see instructions). Enter the name, city, and state of the college or university:
10 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.) 11 An organization organized and operated exclusively to test for public safety. See section 509(a)(4). 12 An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g. a 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.
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.
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. d 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. e 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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . f Provide the following information about the supported organization(s).g (v) Amount of monetary(i) Name of supported organization (vi) Amount of other(iii) Type of organization(ii) EIN (iv) Is the (described on lines 1-10 organization listed support (see instructions) support (see instructions) above (see instructions)) in your governing
document?
Yes No
(A)
(B)
(C)
(D)
(E)
Total
BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. Schedule A (Form 990 or 990-EZ) 2019 TEEA0401L 07/03/19
ANGEL VIEW, INC. 95-1861861
X
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan) Schedule A (Form 990 or 990-EZ) 2019 Page 2
Part II Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.) Section A. Public Support
Calendar year (or fiscal year (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Totalbeginning in) G Gifts, grants, contributions, and1
membership fees received. (Do not
include any 'unusual grants.'). . . . . . . .
Tax revenues levied for the2
organization's benefit and
either paid to or expended
on its behalf. . . . . . . . . . . . . . . . . .
The value of services or3
facilities furnished by a
governmental unit to the
organization without charge. . . .
4 Total. Add lines 1 through 3 . . .
The portion of total5
contributions by each person
(other than a governmental
unit or publicly supported
organization) included on line 1
that exceeds 2% of the amount
shown on line 11, column (f). . .
6 Public support. Subtract line 5
from line 4 . . . . . . . . . . . . . . . . . . .
Section B. Total Support
Calendar year (or fiscal year (a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) Totalbeginning in) G Amounts from line 4 . . . . . . . . . . 7
Gross income from interest,8
dividends, payments received
on securities loans, rents,
royalties, and income from
similar sources . . . . . . . . . . . . . . .
Net income from unrelated9
business activities, whether or
not the business is regularly
carried on. . . . . . . . . . . . . . . . . . . .
Other income. Do not include10
gain or loss from the sale of
capital assets (Explain in
Part VI.). . . . . . . . . . . . . . . . . . . . . .
11 Total support. Add lines 7
through 10. . . . . . . . . . . . . . . . . . . .
Gross receipts from related activities, etc. (see instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 12 13 First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) Gorganization, check this box and stop here. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Section C. Computation of Public Support Percentage
Public support percentage for 2019 (line 6, column (f) divided by line 11, column (f)). . . . . . . . . . . . . . . . . . . . . . . . . . . 14 14 % Public support percentage from 2018 Schedule A, Part II, line 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . %15 15 16a 33-1/3% support test'2019. If the organization did not check the box on line 13, and line 14 is 33-1/3% or more, check this box Gand stop here. The organization qualifies as a publicly supported organization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b 33-1/3% support test'2018. If the organization did not check a box on line 13 or 16a, and line 15 is 33-1/3% or more, check this box Gand stop here. The organization qualifies as a publicly supported organization. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17a 10%-facts-and-circumstances test'2019. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the 'facts-and-circumstances' test, check this box and stop here. Explain in Part VI how Gthe organization meets the 'facts-and-circumstances' test. The organization qualifies as a publicly supported organization . . . . . . . . . . b 10%-facts-and-circumstances test'2018. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the 'facts-and-circumstances' test, check this box and stop here. Explain in Part VI how the Gorganization meets the 'facts-and-circumstances' test. The organization qualifies as a publicly supported organization. . . . . . . . . . . . . . 18 GPrivate foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see instructions . . .
BAA Schedule A (Form 990 or 990-EZ) 2019
TEEA0402L 07/03/19
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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
(c) 2017Calendar year (or fiscal year beginning in) G (a) 2015 (b) 2016 (d) 2018 (e) 2019 (f) Total Gifts, grants, contributions,1
and membership fees
received. (Do not include
any 'unusual grants.') . . . . . . . . .
Gross receipts from admissions,2
merchandise sold or services
performed, or facilities
furnished in any activity that is
related to the organization's
tax-exempt purpose. . . . . . . . . . .
Gross receipts from activities3
that are not an unrelated trade
or business under section 513 .
Tax revenues levied for the4
organization's benefit and
either paid to or expended on
its behalf. . . . . . . . . . . . . . . . . . . . .
The value of services or5
facilities furnished by a
governmental unit to the
organization without charge. . . .
6 Total. Add lines 1 through 5 . . .
Amounts included on lines 1,7a
2, and 3 received from
disqualified persons. . . . . . . . . . .
Amounts included on lines 2b
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. . . . . . . . . . . . . . . . . . .
Add lines 7a and 7b. . . . . . . . . . . c
8 Public support. (Subtract line
7c from line 6.) . . . . . . . . . . . . . . .
Section B. Total Support
(a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) 2019 (f) TotalCalendar year (or fiscal year beginning in) G Amounts from line 6 . . . . . . . . . . 9
Gross income from interest, dividends,10a
payments received on securities loans,
rents, royalties, and income from
similar sources . . . . . . . . . . . . . . . . . .
Unrelated business taxableb
income (less section 511
taxes) from businesses
acquired after June 30, 1975. . .
Add lines 10a and 10b. . . . . . . . . c
Net income from unrelated business11
activities not included in line 10b,
whether or not the business is
regularly carried on . . . . . . . . . . . . . . .
Other income. Do not include12
gain or loss from the sale of
capital assets (Explain in
Part VI.). . . . . . . . . . . . . . . . . . . . . .
13 Total support. (Add Iines 9,
10c, 11, and 12.). . . . . . . . . . . . . .
14 First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) Gorganization, check this box and stop here. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Section C. Computation of Public Support Percentage
%Public support percentage for 2019 (line 8, column (f), divided by line 13, column (f)) . . . . . . . . . . . . . . . . . . . . . . . . . . 15 15 %Public support percentage from 2018 Schedule A, Part III, line 15. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 16 Section D. Computation of Investment Income Percentage
%17 Investment income percentage for 2019 (line 10c, column (f), divided by line 13, column (f)). . . . . . . . . . . . . . . . . . . . 17 %18 Investment income percentage from 2018 Schedule A, Part III, line 17 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 19a 33-1/3% support tests'2019. If the organization did not check the box on line 14, and line 15 is more than 33-1/3%, and line 17 Gis not more than 33-1/3%, check this box and stop here. The organization qualifies as a publicly supported organization . . . . . . . . . . . b 33-1/3% support tests'2018. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33-1/3%, and Gline 18 is not more than 33-1/3%, check this box and stop here. The organization qualifies as a publicly supported organization. . . . . 20 GPrivate foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions. . . . . . . . . . . . .
TEEA0403L 07/03/19BAA Schedule A (Form 990 or 990-EZ) 2019 ANGEL VIEW, INC. 95-1861861
12552533. 14149413. 19045638. 20829724. 19516668. 86,093,976. 12246900. 13420849. 14530316. 14468089. 15037662. 69,703,816.
0. 0.
0. 24799433. 27570262. 33575954. 35297813. 34554330. 155797792.
0. 0. 12,250. 0. 0. 12,250.
0. 0. 0. 0. 0. 0.
0. 0. 12,250. 0. 0. 12,250.
155785542.
24799433. 27570262. 33575954. 35297813. 34554330. 155797792. 414,415. 370,482. 348,360. 454,584. 555,586. 2,143,427.
0. 414,415. 370,482. 348,360. 454,584. 555,586. 2,143,427.
0. 79,245. 57,571. 58,106. 69,257. 67,946. 332,125.
25293093. 27998315. 33982420. 35821654. 35177862. 158273344.
98.43 98.40
1.35 1.35
X
SEE PART VI
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan) Schedule A (Form 990 or 990-EZ) 2019 Page 4
Part IV Supporting Organizations
(Complete only if you checked a box in line 12 on Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.) Section A. All Supporting Organizations
Yes No
Are all of the organization's supported organizations listed by name in the organization's governing documents?1 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. 1 Did the organization have any supported organization that does not have an IRS determination of status under section2 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). 2
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If 'Yes,' answer (b)3a and (c) below. 3a
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) andb satisfied the public support tests under section 509(a)(2)? If 'Yes,' describe in Part VI when and how the organization made the determination. 3b
c 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. 3c Was any supported organization not organized in the United States ('foreign supported organization')? If 'Yes' anda4 if you checked 12a or 12b in Part I, answer (b) and (c) below. 4a Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supportedb 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. 4b Did the organization support any foreign supported organization that does not have an IRS determination underc 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. 4c Did the organization add, substitute, or remove any supported organizations during the tax year? If 'Yes,' answer (b)a5 and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by a5amendment to the organizing document).
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in theb organization's organizing document? b5
c Substitutions only. Was the substitution the result of an event beyond the organization's control? 5c 6 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 6the 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 contributor7 (as defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If 'Yes,' complete Part I of Schedule L (Form 990 or 990-EZ). 7 Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If 'Yes,'8 complete Part I of Schedule L (Form 990 or 990-EZ). 8
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons9a 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. a9
Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which theb supporting organization had an interest? If 'Yes,' provide detail in Part VI. 9b Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from,c assets in which the supporting organization also had an interest? If 'Yes,' provide detail in Part VI. 9c Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding10a certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If 'Yes,' answer 10b below. 10a
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determineb whether the organization had excess business holdings.) 10b TEEA0404L 07/03/19BAA Schedule A (Form 990 or 990-EZ) 2019 ANGEL VIEW, INC. 95-1861861
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Supporting Organizations (continued)Part IV
Yes No
Has the organization accepted a gift or contribution from any of the following persons?11 a A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization? 11a
A family member of a person described in (a) above?b 11b c 11cA 35% controlled entity of a person described in (a) or (b) above? If 'Yes' to a, b, or c, provide detail in Part VI.
Section B. Type I Supporting Organizations
Yes No
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint1 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, 1applied to such powers during the tax year.
2 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 2supporting organization.
Section C. Type II Supporting Organizations
Yes No
1 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 1supporting organization was vested in the same persons that controlled or managed the supported organization(s).
Section D. All Type III Supporting Organizations
Yes No
1 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 1organization'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 supported2 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). 2 3 By reason of the relationship described in (2), did the organization's supported organizations have a significant voice in the organization's investment policies and in directing the use of the organization's income or assets at all times during the tax year? If 'Yes,' describe in Part VI the role the organization's supported organizations played 3in this regard.
Section E. Type III Functionally Integrated Supporting Organizations 1 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.a The organization is the parent of each of its supported organizations. Complete line 3 below.b The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions).c 2 Activities Test. Answer (a) and (b) below. Yes No
a 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 2asubstantially all of its activities.
b Did the activities described in (a) constitute activities that, but for the organization's involvement, one or more of the organization's supported organization(s) would have been engaged in? If 'Yes,' explain in Part VI the reasons for the organization's position that its supported organization(s) would have engaged in these activities but for the 2borganization's involvement.
Parent of Supported Organizations. Answer (a) and (b) below.3 Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees ofa each of the supported organizations? Provide details in Part VI. 3a Did the organization exercise a substantial degree of direction over the policies, programs, and activities of each of itsb supported organizations? If 'Yes,' describe in Part VI the role played by the organization in this regard. 3b TEEA0405L 07/03/19BAA Schedule A (Form 990 or 990-EZ) 2019 ANGEL VIEW, INC. 95-1861861
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Type III Non-Functionally Integrated 509(a)(3) Supporting OrganizationsPart V 1 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. (B) Current Year(A) Prior YearSection A ' Adjusted Net Income (optional) 1 1Net short-term capital gain
2 2Recoveries of prior-year distributions
3 3Other gross income (see instructions)
4 4Add lines 1 through 3.
5 5Depreciation and depletion
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 6production of income (see instructions)
7 7Other expenses (see instructions)
8 8Adjusted Net Income (subtract lines 5, 6, and 7 from line 4) (B) Current Year(A) Prior YearSection B ' Minimum Asset Amount (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):
a 1aAverage monthly value of securities
b 1bAverage monthly cash balances
c Fair market value of other non-exempt-use assets 1c
d 1dTotal (add lines 1a, 1b, and 1c)
e Discount claimed for blockage or other
factors (explain in detail in Part VI):
2 2Acquisition indebtedness applicable to non-exempt-use assets 3 3Subtract line 2 from line 1d.
4 Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, 4see instructions).
5 5Net value of non-exempt-use assets (subtract line 4 from line 3) 6 6Multiply line 5 by .035.
7 7Recoveries of prior-year distributions
8 8Minimum Asset Amount (add line 7 to line 6)
Current YearSection C ' Distributable Amount
1 1Adjusted net income for prior year (from Section A, line 8, Column A) 2 2Enter 85% of line 1.
3 3Minimum asset amount for prior year (from Section B, line 8, Column A) 4 4Enter greater of line 2 or line 3.
5 5Income tax imposed in prior year
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency 6temporary reduction (see instructions).
7 Check here if the current year is the organization's first as a non-functionally integrated Type III supporting organization (see instructions).
BAA Schedule A (Form 990 or 990-EZ) 2019
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan) Schedule A (Form 990 or 990-EZ) 2019 Page 7
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)Part V Current YearSection D ' Distributions
1 Amounts paid to supported organizations to accomplish exempt purposes 2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required) 6 Other distributions (describe in Part VI). See instructions. 7 Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions.
9 Distributable amount for 2019 from Section C, line 6
10 Line 8 amount divided by line 9 amount
(i) (ii) (iii)
Excess Underdistributions DistributableSection E ' Distribution Allocations (see instructions) Distributions Pre-2019 Amount for 2019
1 Distributable amount for 2019 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required ' explain in Part VI). See instructions. 3 Excess distributions carryover, if any, to 2019
a From 2014. . . . . . . . . . . . . . . .
b From 2015. . . . . . . . . . . . . . . .
c From 2016. . . . . . . . . . . . . . . .
d From 2017. . . . . . . . . . . . . . . .
e From 2018. . . . . . . . . . . . . . . .
f Total of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2019 distributable amount
i Carryover from 2014 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4 Distributions for 2019 from Section D,
line 7: $
a Applied to underdistributions of prior years
b Applied to 2019 distributable amount
Remainder. Subtract lines 4a and 4b from 4.c
5 Remaining underdistributions for years prior to 2019, if any.
Subtract lines 3g and 4a from line 2. For result greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2019. Subtract lines 3h and 4b from line 1. For result greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2020. Add lines 3j and 4c. 8 Breakdown of line 7:
a Excess from 2015. . . . . . .
b Excess from 2016. . . . . . .
c Excess from 2017. . . . . . .
d Excess from 2018. . . . . . .
e Excess from 2019. . . . . . .
BAA Schedule A (Form 990 or 990-EZ) 2019
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Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b;Part III, line 12; Part IV,Part VI 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.)
BAA Schedule A (Form 990 or 990-EZ) 2019TEEA0408L 07/03/19 ANGEL VIEW, INC. 95-1861861
PART III, LINE 12 - OTHER INCOME
NATURE AND SOURCE 2019 2018 2017 2016 2015
RENTS & MISCELLANEOUS $ 67,946. $ 69,257. $ 58,106. $ 57,571. $ 79,245.
TOTAL $ 67,946. $ 69,257. $ 58,106. $ 57,571. $ 79,245.
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan) OMB No. 1545-0047Schedule B
Schedule of Contributors(Form 990, 990-EZ,
2019or 990-PF) G Attach to Form 990, Form 990-EZ, or Form 990-PF.Department of the Treasury Internal Revenue Service G Go to www.irs.gov/Form990 for the latest information.
Name of the organization Employer identification number Organization type (check one):
Filers of: Section:
Form 990 or 990-EZ 501(c)( ) (enter number) organization 4947(a)(1) nonexempt charitable trust not treated as a private foundation 527 political organizationForm 990-PF
501(c)(3) exempt private foundation
4947(a)(1) nonexempt charitable trust treated as a private foundation 501(c)(3) taxable private foundation
Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.
Special Rules
For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33-1/3% support test of the regulations under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of ( 1) $5,000; or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h; or (ii) Form 990-EZ, line 1. Complete Parts I and II.
For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor, during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.
For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor, during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because $Git received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year .
Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990, 990-EZ, or 990-PF), but it must answer 'No' on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ or on its Form 990-PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990, 990-EZ, or 990-PF).
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)BAA For Paperwork Reduction Act Notice, see the instructions for Form 990, 990-EZ, or 990-PF.
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PUBLIC DISCLOSURE COPY
ANGEL VIEW, INC. 95-1861861
X 3
X
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan)
Name of organization Employer identification number
Part I Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. (a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
TEEA0702L 08/09/19BAA Schedule B (Form 990, 990-EZ, or 990-PF) (2019) 1 5
ANGEL VIEW, INC. 95-1861861
X1
5,000.
X2
6,000.
X3
10,000.
X4
25,000.
X5
25,000.
X6
22,500.
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan)
Name of organization Employer identification number
Part I Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. (a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
TEEA0702L 08/09/19BAA Schedule B (Form 990, 990-EZ, or 990-PF) (2019) 2 5
ANGEL VIEW, INC. 95-1861861
X7
5,000.
X8
20,000.
X9
5,000.
X10
15,000.
X11
10,000.
X12
15,000.
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan)
Name of organization Employer identification number
Part I Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. (a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
TEEA0702L 08/09/19BAA Schedule B (Form 990, 990-EZ, or 990-PF) (2019) 3 5
ANGEL VIEW, INC. 95-1861861
X13
5,000.
X14
32,857.
X15
10,000.
X16
15,000.
X17
15,000.
X18
20,000.
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan)
Name of organization Employer identification number
Part I Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. (a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
TEEA0702L 08/09/19BAA Schedule B (Form 990, 990-EZ, or 990-PF) (2019) 4 5
ANGEL VIEW, INC. 95-1861861
X19
10,000.
X20
5,000.
X21
5,000.
X22
15,000.
X23
39,000.
X24
11,102.
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan)
Name of organization Employer identification number
Part I Contributors (see instructions). Use duplicate copies of Part I if additional space is needed. (a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
(a) (b) (c) (d)
No. Name, address, and ZIP + 4 Total Type of contribution contributions
Person
Payroll
$ Noncash
(Complete Part II for
noncash contributions.)
TEEA0702L 08/09/19BAA Schedule B (Form 990, 990-EZ, or 990-PF) (2019) 5 5
ANGEL VIEW, INC. 95-1861861
X25
10,000.
X26
5,000.
X27
5,000.
X28
50,957.
X29
10,000.
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Name of organization Employer identification number
Part II Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed. (a) No. (b) (c) (d)
from Description of noncash property given FMV (or estimate) Date received Part I (See instructions.)
$
(a) No. (b) (c) (d)
from Description of noncash property given FMV (or estimate) Date received Part I (See instructions.)
$
(a) No. (b) (c) (d)
from Description of noncash property given FMV (or estimate) Date received Part I (See instructions.)
$
(a) No. (b) (c) (d)
from Description of noncash property given FMV (or estimate) Date received Part I (See instructions.)
$
(a) No. (b) (c) (d)
from Description of noncash property given FMV (or estimate) Date received Part I (See instructions.)
$
(a) No. (b) (c) (d)
from Description of noncash property given FMV (or estimate) Date received Part I (See instructions.)
$
BAA Schedule B (Form 990, 990-EZ, or 990-PF) (2019)
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N/A
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Name of organization Employer identification number
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., Gcontributions of $1,000 or less for the year. (Enter this information once. See instructions.) . . . . . . . . . . . . $ Use duplicate copies of Part III if additional space is needed. (a) (b) (c) (d)
No. from Purpose of gift Use of gift Description of how gift is held Part I
(e)
Transfer of gift
Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee (a) (b) (c) (d)
No. from Purpose of gift Use of gift Description of how gift is held Part I
(e)
Transfer of gift
Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee (a) (b) (c) (d)
No. from Purpose of gift Use of gift Description of how gift is held Part I
(e)
Transfer of gift
Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee (a) (b) (c) (d)
No. from Purpose of gift Use of gift Description of how gift is held Part I
(e)
Transfer of gift
Transferee's name, address, and ZIP + 4 Relationship of transferor to transferee Schedule B (Form 990, 990-EZ, or 990-PF) (2019)BAA
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N/A
N/A
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Supplemental Financial StatementsSCHEDULE D
(Form 990) G Complete if the organization answered 'Yes' on Form 990, 2019Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
G Attach to Form 990. Open to PublicDepartment of the Treasury G Go to www.irs.gov/Form990 for instructions and the latest information.Internal Revenue Service Inspection Name of the organization Employer identification number Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts.Part I Complete if the organization answered 'Yes' on Form 990, Part IV, line 6. (a) Donor advised funds (b) Funds and other accounts
Total number at end of year . . . . . . . . . . . . . . . . 1 Aggregate value of contributions to (during year). . . . . . . 2 Aggregate value of grants from (during year). . . . . . . . . . 3 Aggregate value at end of year . . . . . . . . . . . . . 4 5 Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds Yes Noare the organization's property, subject to the organization's exclusive legal control? . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 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 Yes Noimpermissible private benefit? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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).1 Preservation of land for public use (for example, recreation or education) Preservation of a historically important land area Protection of natural habitat Preservation of a certified historic structure Preservation of open space
2 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.
Held at the End of the Tax Year
Total number of conservation easements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a 2 a Total acreage restricted by conservation easements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b 2 b Number of conservation easements on a certified historic structure included in (a) . . . . . . . . . . . . . c 2 c d Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic 2 dstructure listed in the National Register. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the3 tax year G
4 Number of states where property subject to conservation easement is located G Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations,5 Yes Noand enforcement of the conservation easements it holds? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year6 G
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year7 G$
8 Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) Yes Noand section 170(h)(4)(B)(ii)?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 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.
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.Part III Complete if the organization answered 'Yes' on Form 990, Part IV, line 8. 1 a 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. b 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:
$GRevenue included on Form 990, Part VIII, line 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (i) $GAssets included in Form 990, Part X. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (ii) 2 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:
$GRevenue included on Form 990, Part VIII, line 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a $GAssets included in Form 990, Part X . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b TEEA3301L 8/22/19BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule D (Form 990) 2019 ANGEL VIEW, INC. 95-1861861
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Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)Part III 3 Using the organization's acquisition, accession, and other records, check any of the following that make significant use of its collection items (check all that apply):
Public exhibition Loan or exchange programa d
Scholarly research Otherb e
Preservation for future generationsc
4 Provide a description of the organization's collections and explain how they further the organization's exempt purpose in Part XIII.
5 During the year, did the organization solicit or receive donations of art, historical treasures, or other similar assets Yes Noto be sold to raise funds rather than to be maintained as part of the organization's collection? . . . . . . . . . . . . . . . . . . . .
Escrow and Custodial Arrangements. Complete if the organization answered 'Yes' on Form 990, Part IV,Part IV line 9, or reported an amount on Form 990, Part X, line 21. 1 a Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not included Yes Noon Form 990, Part X?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
If 'Yes,' explain the arrangement in Part XIII and complete the following table:b Amount
Beginning balance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c 1 c Additions during the year. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d 1 d Distributions during the year. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . e 1 e Ending balance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . f 1 f Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?. . . . . 2 a Yes No If 'Yes,' explain the arrangement in Part XIII. Check here if the explanation has been provided on Part XIII . . . . . . . . . . . . . . . . . . . . . b 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 Beginning of year balance. . . . . . 1 a
Contributions . . . . . . . . . . . . . . . . . . b
c Net investment earnings, gains,
and losses. . . . . . . . . . . . . . . . . . . . .
Grants or scholarships . . . . . . . . . d
e Other expenditures for facilities
and programs. . . . . . . . . . . . . . . . . .
Administrative expenses. . . . . . . . f
End of year balance. . . . . . . . . . . . g
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:2 %Board designated or quasi-endowment Ga
%Permanent endowment Gb
%Term endowment Gc
The percentages on lines 2a, 2b, and 2c should equal 100%. 3 a Are there endowment funds not in the possession of the organization that are held and administered for the Yes Noorganization by:
Unrelated organizations. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (i) 3a(i) Related organizations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (ii) 3a(ii) If 'Yes' on line 3a(ii), are the related organizations listed as required on Schedule R? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b 3b Describe in Part XIII the intended uses of the organization's endowment funds.4 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 (d) Book value(a) Cost or other basis (b) Cost or other (c) Accumulated (investment) basis (other) depreciation
Land. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 a Buildings. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b Leasehold improvements. . . . . . . . . . . . . . . . . . . c Equipment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . e GTotal. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10c.). . . . . . . . . . . . . . . . . . . . .
Schedule D (Form 990) 2019BAA
TEEA3302L 8/22/19
ANGEL VIEW, INC. 95-1861861
X
68,302.
74,736.
143,038.
X
X
8,538,685. 8,183,856. 8,275,609. 7,050,000. 50,000.
50,958. 450,000. 7,000,000.
354,829. -91,753. 775,609.
0. 8,589,643. 8,538,685. 8,183,856. 8,275,609. 7,050,000.
99.50 0.50
X
X
5,000. 2,344,815. 2,349,815.
13,138,981. 7,333,667. 5,805,314.
2,310,454. 910,871. 1,399,583.
1,595,547. 1,351,124. 244,423.
2,096,015. 1,547,304. 548,711.
10,347,846.
SEE PART XIII
SEE PART XIII
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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. (b) Book value(a) Description of security or category (including name of security) (c) Method of valuation: Cost or end-of-year market value (1) Financial derivatives. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (2) Closely held equity interests. . . . . . . . . . . . . . . . . . . . . . . . . (3) Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
GTotal. (Column (b) must equal Form 990, Part X, column (B) line 12.). . .
Investments ' Program Related.Part VIII 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)
(10)
GTotal. (Column (b) must equal Form 990, Part X, column (B) line 13.). . .
Other Assets.Part IX
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)
(10)
GTotal. (Column (b) must equal Form 990, Part X, column (B) line 15.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Other Liabilities.Part X
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25. (a) Description of liability (b) Book value1.
(1) Federal income taxes
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
(11)
GTotal. (Column (b) must equal Form 990, Part X, column (B) line 25.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
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 FASB ASC 740. Check here if the text of the footnote has been provided in Part XIII. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
TEEA3303L 8/22/19BAA Schedule D (Form 990) 2019
92,894.
95-1861861ANGEL VIEW, INC.
N/A
N/A
N/A
DEFERRED LEASE INCENTIVE 87,054.
RENTAL DEPOSITS 5,840.
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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.
Total revenue, gains, and other support per audited financial statements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 Amounts included on line 1 but not on Form 990, Part VIII, line 12:2 Net unrealized gains (losses) on investments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a 2 a b Donated services and use of facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 b Recoveries of prior year grants. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c 2 c d Other (Describe in Part XIII.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 d e Add lines 2a through 2d. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 e Subtract line 2e from line 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 3 Amounts included on Form 990, Part VIII, line 12, but not on line 1:4 Investment expenses not included on Form 990, Part VIII, line 7b. . . . . . . . . . . . . . a 4 a Other (Describe in Part XIII.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b 4 b c Add lines 4a and 4b. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 c 5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.). . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 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.
Total expenses and losses per audited financial statements. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 1 Amounts included on line 1 but not on Form 990, Part IX, line 25:2 Donated services and use of facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a 2 a Prior year adjustments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b 2 b c Other losses. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 c Other (Describe in Part XIII.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . d 2 d e Add lines 2a through 2d. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 e 3 Subtract line 2e from line 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 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. . . . . . . . . . . . . . 4 a b Other (Describe in Part XIII.). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 b c Add lines 4a and 4b. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 c 5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.). . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Supplemental Information.Part XIII
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part IV, 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.
BAA Schedule D (Form 990) 2019
TEEA3304L 8/22/19
ANGEL VIEW, INC. 95-1861861
31,020,182.
-115,630.
12,000.
45,856.
-57,774.
31,077,956.
31,077,956.
33,164,673.
12,000.
45,856.
57,856.
33,106,817.
33,106,817.
PART IV, LINE 2B - EXPLANATION OF ESCROW ACCOUNT LIABILITY
THE ORGANIZATION ADMINISTERS STATUTORY PATIENT TRUST ACCOUNTS FOR THE MAJORITY OF THE FACILITIES. THE ORGANIZATION HAS NO TITLE TO THE BALANCES OF THE TRUST ACCOUNTS AND ACTS IN A FIDUCIARY CAPACITY ON BEHALF OF THE CLIENTS.
PART V, LINE 4 - INTENDED USES OF ENDOWMENT FUND
THE INCOME FROM THE FUND IS TO BE USED TO HELP PROVIDE THERAPY PROGRAMS TO THE YOUNG PEOPLE ENTRUSTED TO THE ORGANIZATION'S CARE.
SEE PART XIII
SEE PART XIII
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Supplemental Information (continued)Part XIII
TEEA3305L 8/22/19BAA Schedule D (Form 990) 2019
95-1861861ANGEL VIEW, INC.
SCHEDULE D, PART XI, LINE 2D
OTHER REVENUE INCLUDED IN F/S BUT NOT INCLUDED ON FORM 990 DIRECT FUNDRAISING EXPENSES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 15,334.
DIRECT RENTAL EXPENSES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30,522.
TOTAL $ 45,856.
SCHEDULE D, PART XII, LINE 2D
OTHER EXPENSES AND LOSSES PER AUDITED F/S
DIRECT FUNDRAISING EXPENSES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 15,334.
DIRECT RENTAL EXPENSES. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30,522.
TOTAL $ 45,856.
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan) OMB No. 1545-0047Supplemental Information Regarding Fundraising or Gaming Activities SCHEDULE G Complete if the organization answered 'Yes' on Form 990, Part IV, line 17, 18, or 19, or if the(Form 990 or 990-EZ) 2019organization entered more than $15,000 on Form 990-EZ, line 6a.
G Attach to Form 990 or Form 990-EZ. Open to PublicDepartment of the Treasury G Go to www.irs.gov/Form990 for instructions and the latest information. InspectionInternal Revenue Service Name of the organization Employer identification number Fundraising Activities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 17.Part I 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.1 Mail solicitations Solicitation of non-government grantsa e Internet and email solicitations Solicitation of government grantsb f Phone solicitations Special fundraising eventsc g
In-person solicitationsd
2 a Did the organization have a written or oral agreement with any individual (including officers, directors, trustees, or key Yes Noemployees listed in Form 990, Part VII) or entity in connection with professional fundraising services? . . . . . . . . . . . . . . . . .
If 'Yes,' list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is to beb compensated at least $5,000 by the organization.
(v) Amount paid to (vi) Amount paid to(iii) Did fundraiser(i) Name and address of individual (iv) Gross receipts (or retained by)(ii) Activity (or retained by)have custody or controlor entity (fundraiser) from activity fundraiser listed in organizationof contributions? column (i) Yes No
1 2
3 4
5 6
7 8
9 10
GTotal. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 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.
BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. Schedule G (Form 990 or 990-EZ) 2019 TEEA3701L 08/19/19
95-1861861ANGEL VIEW, INC.
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan) Schedule G (Form 990 or 990-EZ) 2019 Page 2
Fundraising Events. Complete if the organization answered 'Yes' on Form 990, Part IV, line 18, or reportedPart II 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.
(d) Total events(a) Event #1 (b) Event #2 (c) Other events (add column (a)
through column (c))
R (event type) (event type) (total number)
E
V
E Gross receipts . . . . . . . . . . . . . . . . . . . . . . . . 1N U
E
Less: Contributions. . . . . . . . . . . . . . . . . . . . 2 Gross income (line 1 minus line 2) . . . . . 3
Cash prizes. . . . . . . . . . . . . . . . . . . . . . . . . . . 4 Noncash prizes . . . . . . . . . . . . . . . . . . . . . . . 5 D
I
Rent/facility costs . . . . . . . . . . . . . . . . . . . . . 6R E
C
T Food and beverages. . . . . . . . . . . . . . . . . . . 7 E
X Entertainment. . . . . . . . . . . . . . . . . . . . . . . . . 8P E
N
Other direct expenses. . . . . . . . . . . . . . . . . 9S E
S
GDirect expense summary. Add lines 4 through 9 in column (d). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 GNet income summary. Subtract line 10 from line 3, column (d) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Gaming. Complete if the organization answered 'Yes' on Form 990, Part IV, line 19, or reported more thanPart III $15,000 on Form 990-EZ, line 6a.
(b) Pull tabs/instant (d) Total gamingR (a) Bingo (c) Other gamingbingo/progressive (add column (a)E bingo through column (c))V
E
N
U
E Gross revenue. . . . . . . . . . . . . . . . . . . . . . . . 1 Cash prizes. . . . . . . . . . . . . . . . . . . . . . . . . . . 2 E
D X
I P Noncash prizes . . . . . . . . . . . . . . . . . . . . . . . 3R E E N
C S
T E Rent/facility costs . . . . . . . . . . . . . . . . . . . . . 4S Other direct expenses. . . . . . . . . . . . . . . . . 5 % % %Yes Yes Yes
Volunteer labor . . . . . . . . . . . . . . . . . . . . . . . 6 No No No GDirect expense summary. Add lines 2 through 5 in column (d). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 GNet gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Enter the state(s) in which the organization conducts gaming activities:9 Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a Yes No If 'No,' explain:b
Were any of the organization's gaming licenses revoked, suspended, or terminated during the tax year?. . . . . . . . . . . . . 10 a Yes No If 'Yes,' explain:b
TEEA3702L 08/19/19BAA Schedule G (Form 990 or 990-EZ) 2019 59,953.
14,820.
6,148.6,148.
8,672.8,672.
74,773.74,773.
31,028.31,028.
105,801.31,028.74,773.
95-1861861ANGEL VIEW, INC.
NONENEW YEAR SWIMFASHION SHOW
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Yes NoDoes the organization conduct gaming activities with nonmembers?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11 Is the organization a grantor, beneficiary or trustee of a trust, or a member of a partnership or other entity formed to12 Yes Noadminister charitable gaming?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Indicate the percentage of gaming activity conducted in:13 The organization's facility. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a 13 a % An outside facility. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b 13 b % Enter the name and address of the person who prepares the organization's gaming/special events books and records:14 GName
GAddress
Does the organization have a contract with a third party from whom the organization receives gaming revenue? . . . . . . 15 a Yes No G $If 'Yes,' enter the amount of gaming revenue received by the organization and the amountb G $of gaming revenue retained by the third party
If 'Yes,' enter name and address of the third party:c
GName
GAddress
Gaming manager information:16
GName
G $Gaming manager compensation
GDescription of services provided
Director/officer Employee Independent contractor
Mandatory distributions:17
Is the organization required under state law to make charitable distributions from the gaming proceeds to retain thea state gaming license?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No Enter the amount of distributions required under state law to be distributed to other exempt organizations or spent in theb G $organization's own exempt activities during the tax year Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v);Part IV and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.
TEEA3703L 08/19/19BAA Schedule G (Form 990 or 990-EZ) 2019 ANGEL VIEW, INC. 95-1861861
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan) OMB No. 1545-0047Compensation InformationSCHEDULE J
(Form 990) For certain Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees 2019G Complete if the organization answered 'Yes' on Form 990, Part IV, line 23.
G Attach to Form 990. Open to PublicDepartment of the Treasury InspectionInternal Revenue Service G Go to www.irs.gov/Form990 for instructions and the latest information.
Name of the organization Employer identification number Questions Regarding CompensationPart I
Yes No
Check the appropriate box(es) if the organization provided any of the following to or for a person listed on Form 990, Part1 a 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 indemnification and gross-up payments Health or social club dues or initiation fees Discretionary spending account Personal services (such as maid, chauffeur, chef) If any of the boxes on line 1a are checked, did the organization follow a written policy regarding payment orb reimbursement or provision of all of the expenses described above? If 'No,' complete Part III to explain . . . . . . . . . . . . . . . . 1 b Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all directors,2 trustees, and officers, including the CEO/Executive Director, regarding the items checked on line 1a? . . . . . . . . . . . . . . . . . . 2 Indicate which, if any, of the following the organization used to establish the compensation of the organization's CEO/3 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 filing4 organization or a related organization:
Receive a severance payment or change-of-control payment? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a 4 a Participate in, or receive payment from, a supplemental nonqualified retirement plan? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b 4 b Participate in, or receive payment from, an equity-based compensation arrangement?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . c 4 c If 'Yes' to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only section 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 compensation5 contingent on the revenues of:
The organization?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a 5 a Any related organization? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b 5 b 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 compensation6 contingent on the net earnings of:
The organization?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . a 6 a Any related organization? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . b 6 b 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 nonfixed7 payments not described on lines 5 and 6? If 'Yes,' describe in Part III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Were any amounts reported on Form 990, Part VII, paid or accrued pursuant to a contract that was subject8 to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If 'Yes,' describe in Part III . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 If 'Yes' on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations9 section 53.4958-6(c)?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9 BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule J (Form 990) 2019 TEEA4101L 8/2/19
95-1861861ANGEL VIEW, INC.
X X
X
X X
X
X
X
X
X
X
X
X
X
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan) Schedule J (Form 990) 2019 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 aren't listed on Form 990, Part VII.
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.Note:
(B) Breakdown of W-2 and/or 1099-MISC compensation
(F) Compensation(C) Retirement (D) Nontaxable (E) Total of (i) Base (iii) Other(A) Name and Title in column (B)and other benefits columns(B)(i)-(D)(ii) Bonus & incentivecompensation reportablecompensation reported asdeferred compensation deferred on priorcompensation
Form 990
(i)
1 (ii)
(i)
2 (ii)
(i)
3 (ii)
(i)
4 (ii)
(i)
5 (ii)
(i)
6 (ii)
(i)
7 (ii)
(i)
8 (ii)
(i)
9 (ii)
(i)
10 (ii)
(i)
11 (ii)
(i)
12 (ii)
(i)
13 (ii)
(i)
14 (ii)
(i)
15 (ii)
(i)
16 (ii)
TEEA4102L 8/2/19BAA Schedule J (Form 990) 2019
95-1861861ANGEL VIEW, INC.
PATTI PARK
CEO
187,022.
0. 0.
0. 0.
0. 0.
0. 8,333.
0. 195,355.
0. 0.
0. DONNA SNELL
DIR OF SALES OPS
165,905.
0. 0.
0. 0.
0. 0.
0. 7,946.
0. 173,851.
0. 0.
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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.
BAA Schedule J (Form 990) 2019
TEEA4103L 8/2/19
ANGEL VIEW, INC. 95-1861861
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 OMB No. 1545-0047SCHEDULE M Noncash Contributions(Form 990) 2019G Complete if the organizations answered 'Yes' on Form 990, Part IV, lines 29 or 30.
G Attach to Form 990. Open to PublicDepartment of the Treasury G Go to www.irs.gov/Form990 for instructions and the latest information. InspectionInternal Revenue Service Name of the organization Employer identification number Part I Types of Property
(a) (b) (c) (d)Check if Number of Noncash contribution Method of determiningapplicable contributions or amounts reported noncash contribution amountsitems contributed on Form 990, Part VIII, line 1g
Art ' Works of art . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 Art ' Historical treasures. . . . . . . . . . . . . . . . . . . . . . . 2 Art ' Fractional interests. . . . . . . . . . . . . . . . . . . . . . . 3 Books and publications. . . . . . . . . . . . . . . . . . . . . . . . . 4 Clothing and household goods . . . . . . . . . . . . . . . . . . 5 Cars and other vehicles . . . . . . . . . . . . . . . . . . . . . . . . 6 Boats and planes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7 Intellectual property. . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Securities ' Publicly traded . . . . . . . . . . . . . . . . . . . . 9 Securities ' Closely held stock . . . . . . . . . . . . . . . . . 10 Securities ' Partnership, LLC, or trust interests. . 11 Securities ' Miscellaneous. . . . . . . . . . . . . . . . . . . . . 12 Qualified conservation contribution '13
Historic structures. . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Qualified conservation contribution ' Other. . . . . . 14 Real estate ' Residential. . . . . . . . . . . . . . . . . . . . . . . 15 Real estate ' Commercial. . . . . . . . . . . . . . . . . . . . . . 16 Real estate ' Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Collectibles. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Food inventory. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19 Drugs and medical supplies. . . . . . . . . . . . . . . . . . . . . 20 Taxidermy. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21 Historical artifacts. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 Scientific specimens . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 Archeological artifacts. . . . . . . . . . . . . . . . . . . . . . . . . . 24 ( ). . . . 25 OtherG
( ). . . . 26 OtherG
( ). . . . 27 OtherG
( ). . . . 28 OtherG
Number of Forms 8283 received by the organization during the tax year for contributions for which the29 organization completed Form 8283, Part IV, Donee Acknowledgement. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 Yes No
During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that30a it must hold for at least three years from the date of the initial contribution, and which isn't required to be used for exempt purposes for the entire holding period? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30 a If 'Yes,' describe the arrangement in Part II.b
Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions? . . . . . 31 31 Does the organization hire or use third parties or related organizations to solicit, process, or sell32a noncash contributions?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32 a If 'Yes,' describe in Part II.b
If the organization didn't report an amount in column (c) for a type of property for which column (a) is checked,33 describe in Part II.
BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990. Schedule M (Form 990) 2019 TEEA4601L 8/5/19
X
X
X
FMV125,805.78X
FMV18,932,627.X
ANGEL VIEW, INC. 95-1861861
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Part II Supplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
TEEA4602L 8/5/19BAA Schedule M (Form 990) 2019
ANGEL VIEW, INC. 95-1861861
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan) OMB No. 1545-0047Supplemental Information to Form 990 or 990-EZSCHEDULE O (Form 990 or 990-EZ) Complete to provide information for responses to specific questions on 2019Form 990 or 990-EZ or to provide any additional information.
G Attach to Form 990 or 990-EZ.
Open to PublicDepartment of the Treasury G Go to www.irs.gov/Form990 for the latest information. InspectionInternal Revenue Service Name of the organization Employer identification number TEEA4901L 08/19/19 Schedule O (Form 990 or 990-EZ) (2019)BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. 95-1861861ANGEL VIEW, INC.
FORM 990, PART III, LINE 1 - ORGANIZATION MISSION
FOR DECADES, ANGEL VIEW'S MISSION HAS BEEN "HELPING CHILDREN AND ADULTS WITH DISABILITIES REACH THEIR MAXIMUM POTENTIAL."
OUR CLIENTS HAVE ACQUIRED HEAD INJURIES, CEREBRAL PALSY, EPILEPSY, INTELLECTUAL DISABILITIES, NEUROMUSCULAR DISEASES, AND ORTHOPEDIC DISORDERS. APPROXIMATELY 70% HAVE SOME FORM OF PARALYSIS AND REQUIRE WHEELCHAIRS FOR AMBULATION. BECAUSE ANGEL VIEW EXISTS, 100% OF THE COACHELLA VALLEY RESIDENTS WHO NEED OUR SERVICES HAVE THEM AVAILABLE WITHOUT LEAVING THE PALM SPRINGS AREA; THE ONLY CRITERION IS A QUALIFYING DISABILITY.
IN 2019-2020, WE ASSISTED APPROXIMATELY 700 INDIVIDUALS WITH DISABILITIES, 93% OF WHOM ARE FROM THE COACHELLA VALLEY, THROUGH THREE PRIMARY PROGRAMS: RESIDENTIAL CARE, ADULT DAY PROGRAM, AND ANGEL VIEW OUTREACH.
FORM 990, PART III, LINE 4A - PROGRAM SERVICE ACCOMPLISHMENTS
RESIDENTIAL CARE
ANGEL VIEW OPERATES 19 HOMES. EIGHTEEN OF THE HOMES ARE INTERMEDIATE CARE FACILITIES FOR CHILDREN AND ADULTS WITH DEVELOPMENTAL DISABILITIES (ICF/DD HOMES). WE ALSO
OPERATE ONE HOME LICENSED AS A CONGREGATE LIVING HEALTH FACILITY (CLHF) FOR SIX
CLIENTS WITH MUSCULAR DYSTROPHY WHO USE WHEELCHAIRS FOR AMBULATION AND VENTILATORS TO BREATHE. 16 HOMES ARE LOCATED IN THE COACHELLA VALLEY AND THREE ARE IN JOSHUA TREE, CA. ALL HOMES ARE SIX-BED HOMES AND ARE LICENSED AS ICF/DD-H, N AND CN AND ONE CLHF.
CLASSIFICATIONS INDICATE THE LEVEL OF CARE REQUIRED BY THE CLIENTS – FROM HABILITATIVE (H) FOR PRIMARILY AMBULATORY CLIENTS, TO NURSING (N), TO THE HIGHEST LEVEL OF CARE -- CONTINUOUS NURSING (CN). THESE HOMES PROVIDE A THERAPEUTIC AND LOVING ENVIRONMENT WHERE CLIENTS WORK TO MEET INDIVIDUAL GOALS SET BY A MULTIDISCIPLINARY TEAM. IN ALL, WE PROVIDE 24-HOUR RESIDENTIAL CARE TO UP TO 114 CLIENTS WITH A WIDE RANGE OF DISABILITIES. WE PROVIDED MORE THAN 1 MILLION HOURS OF DIRECT CARE SERVICE, FEEDING,
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Name of the organization Employer identification number BAA Schedule O (Form 990 or 990-EZ) (2019)
TEEA4902L 08/19/19
95-1861861ANGEL VIEW, INC.
FORM 990, PART III, LINE 4A - PROGRAM SERVICE ACCOMPLISHMENTS BATHING, TOILETING, DRESSING, TRANSPORTING CLIENTS, ETC. WE PROVIDE WHAT IS CLASSIFIED AS “ACTIVE TREATMENT.” EACH CLIENT MEETS WITH AN INTERDISCIPLINARY TEAM TO SET INDIVIDUALIZED GOALS. ALL OF THEIR ONGOING THERAPIES AND ACTIVITIES ARE DESIGNED TO HELP THEM MAXIMIZE THEIR INDEPENDENCE.
FORM 990, PART III, LINE 4D - OTHER PROGRAM SERVICES DESCRIPTION
OUTREACH
TO PROVIDE ONGOING SUPPORT TO FAMILIES STRUGGLING TO RAISE CHILDREN WITH DISABILITIES, IN 2012, ANGEL VIEW LAUNCHED ITS NEWEST PROGRAM, ANGEL VIEW OUTREACH.
THROUGH THE ASSISTANCE OF OUR TWO BILINGUAL OUTREACH SPECIALISTS, WHO MEET WITH FAMILIES FROM ONE END OF THE VALLEY TO ANOTHER, WE SOLVE FAMILIES’ IMMEDIATE NEEDS IN THESE PRIMARY WAYS. WE PROVIDE:
1) FREE RESOURCES AND REFERRALS, AND HELP ACCESSING SERVICES; 2) MILEAGE REIMBURSEMENT FOR “MEDICAL MILES” TRAVELED ACCESSING CHILDREN’S SPECIALTY PEDIATRIC CARE;
3) MINI-GRANTS FOR MEDICAL SUPPLIES, SERVICES AND EQUIPMENT NOT COVERED BY MEDI-CAL OR INSURANCE;
4) ACTIVITY SPONSORSHIPS FOR PROGRAMS THAT ACCEPT CHILDREN WITH DISABILITIES; AND 5) FAMILY STABILIZATION WHICH PROVIDES SERVICES TO THE ENTIRE FAMILY TO ENSURE THE CHILD WITH A DISABILITY HAS A STABLE FAMILY ENVIRONMENT.
IN FY 19-20, WE HELPED NEARLY 500 CHILDREN AND FAMILIES. WE HELPED FAMILIES APPLY
FOR ASSISTANCE FROM MEDI-CAL, SNAPS (FOOD STAMPS), THE INLAND REGIONAL CENTER, LOW
INCOME HOME ENERGY ASSISTANCE PROGRAM (LIHEAP), INLAND EMPIRE HEALTH PLAN (IEHP), CALIFORNIA CHILDREN’S SERVICES AND MORE. WE ASSISTED WITH THE PURCHASE OF ADAPTIVE EQUIPMENT, MEDICAL SUPPLIES, AND APPROXIMATELY 100 ACTIVITY SPONSORSHIPS. WE ALSO HELPED COVER THE COST OF MORE THAN 115,000 “MEDICAL MILES,” ENABLING CHILDREN TO GET TO 800+ APPOINTMENTS WITH SPECIALIST, PRIMARILY IN LOMA LINDA.
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan) Schedule O (Form 990 or 990-EZ) (2019) Page 2
Name of the organization Employer identification number BAA Schedule O (Form 990 or 990-EZ) (2019)
TEEA4902L 08/19/19
95-1861861ANGEL VIEW, INC.
FORM 990, PART III, LINE 4D - OTHER PROGRAM SERVICES DESCRIPTION
CAMP FORREST
AT ANGEL VIEW, WE SEEK TO PROVIDE OUR CLIENTS WITH NORMAL EXPERIENCES. ONE THAT IS OUT OF REACH FOR THOSE WITH DEVELOPMENTAL DISABILITIES IS ATTENDING CAMP. TO ENABLE
OUR RESIDENTS AND DAY PROGRAM ATTENDEES TO HAVE THAT ENRICHING AND HIGHLY THERAPEUTIC EXPERIENCE, IN 1996, WE BUILT CAMP FORREST, A WHEELCHAIR ACCESSIBLE CAMPUS.
BUILT ON 17 ACRES IN JOSHUA TREE, CA, CAMP FORREST IS AN INTEGRAL PART OF OUR PROGRAM TO FOSTER INDEPENDENCE. IN APRIL AND MAY, CLIENTS ATTEND SPRING FUN DAYS WHERE THEY PARTICIPATE IN TRADITIONAL CAMP ACTIVITIES: SWIMMING, ARCHERY, ARTS AND
CRAFTS, CAMPFIRE GATHERINGS, NATURE ACTIVITIES, SOFTBALL, ARCHAEOLOGY DIGS, WATER GAMES, AND MORE.
FORM 990, PART VI, LINE 11B - FORM 990 REVIEW PROCESS
DRAFT COPIES OF THE 990 ARE PRESENTED TO THE BOARD OF DIRECTORS FOR THEIR APPROVAL PRIOR TO FILING.
FORM 990, PART VI, LINE 12C - EXPLANATION OF MONITORING AND ENFORCEMENT OF CONFLICTS
AN ANNUAL QUESTIONNAIRE IS PROVIDED TO THE BOARD OF DIRECTORS TO DISCLOSE ANY CONFLICTS OF INTEREST.
FORM 990, PART VI, LINE 15A - COMPENSATION REVIEW & APPROVAL PROCESS - CEO & TOP MANAGEMENT
THE BOARD OF DIRECTORS ANNUALLY REVIEWS AND DETERMINES THE COMPENSATION FOR THE EXECUTIVE DIRECTOR BASED ON PERFORMANCE AND REGIONAL INDUSTRY STANDARDS.
FORM 990, PART VI, LINE 15B - COMPENSATION REVIEW & APPROVAL PROCESS - OFFICERS & KEY EMPLOYEES
THE BOARD OF DIRECTORS ANNUALLY REVIEWS AND DETERMINES THE COMPENSATION OF OFFICERS AND KEY EMPLOYEES BASED ON PERFORMANCE AND REGIONAL INDUSTRY STANDARDS.
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan) Schedule O (Form 990 or 990-EZ) (2019) Page 2
Name of the organization Employer identification number BAA Schedule O (Form 990 or 990-EZ) (2019)
TEEA4902L 08/19/19
95-1861861ANGEL VIEW, INC.
FORM 990, PART VI, LINE 18 - EXPLANATION OF OTHER MEANS FORMS AVAILABLE FOR PUBLIC INSPECTION
GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS CAN BE OBTAINED UPON REQUEST TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, LINE 19 - OTHER ORGANIZATION DOCUMENTS PUBLICLY AVAILABLE
GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS CAN BE OBTAINED UPON REQUEST TO THE BOARD OF DIRECTORS.
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan) 059
Date Accepted DO NOT MAIL THIS FORM TO THE FTB
TAXABLE YEAR FORMCalifornia e-file Return Authorization for 2019 8453-EOExempt Organizations
Exempt Organization name Identifying number
Part I Electronic Return Information (whole dollars only) 1 Total gross receipts (Form 199, line 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 2 Total gross income (Form 199, line 8). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 3 Total expenses and disbursements (Form 199, Line 9). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 Part II Settle Your Account Electronically for Taxable Year 2019 4 Electronic funds withdrawal 4a Amount 4b Withdrawal date (mm/dd/yyyy) Part III Banking Information (Have you verified the exempt organization's banking information?) 5 Routing number
6 Account number Type of account: Checking Savings7
Part IV Declaration of Officer
I authorize the exempt organization's account to be settled as designated in Part II. If I check Part II, Box 4, I authorize an electronic funds withdrawal for the amount listed on line 4a.
Under penalties of perjury, I declare that I am an officer of the above exempt organization and that the information I provided to my electronic return originator (ERO), transmitter, or intermediate service provider and the amounts in Part I above agree with the amounts on the corresponding lines of the exempt organization's 2019 California electronic return. To the best of my knowledge and belief, the exempt organization's return is true, correct, and complete. If the exempt organization is filing a balance due return, I understand that if the Franchise Tax Board (FTB) does not receive full and timely payment of the exempt organization's fee liability, the exempt organization will remain liable for the fee liability and all applicable interest and penalties. I authorize the exempt organization return and accompanying schedules and statements be transmitted to the FTB by the ERO, transmitter, or intermediate service provider. If the processing of the exempt organization's return or refund is delayed, I authorize the FTB to disclose to the ERO or intermediate service provider the reason(s) for the delay.
A ASign
Signature of officer Date TitleHere
Part V Declaration of Electronic Return Originator (ERO) and Paid Preparer. See instructions.
I declare that I have reviewed the above exempt organization's return and that the entries on form FTB 8453-EO are complete and correct to the best of my knowledge. (If I am only an intermediate service provider, I understand that I am not responsible for reviewing the exempt organization's return. I declare, however, that form FTB 8453-EO accurately reflects the data on the return.) I have obtained the organization officer's signature on form FTB 8453-EO before transmitting this return to the FTB; I have provided the organization officer with a copy of all forms and information that I will file with the FTB, and I have followed all other requirements described in FTB Pub. 1345, 2019 Handbook for Authorized e-file Providers. I will keep form FTB 8453-EO on file for four years from the due date of the return or four years from the date the exempt organization return is filed, whichever is later, and I will make a copy available to the FTB upon request. If I am also the paid preparer, under penalties of perjury, I declare that I have examined the above exempt organization's return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct, and complete. I make this declaration based on all information of which I have knowledge.
Date ERO's PTINCheck if Check if
ERO's also paid self-Asignature preparer employed
ERO Firm's FEIN
Firm's name (or yoursMust
if self-employed) ASign and address ZIP code
Under penalties of perjury, I declare that I have examined the above organization's return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct, and complete. I make this declaration based on all information of which I have knowledge.
Date Paid preparer's PTINPaid
Check ifpreparer's A self-employedsignaturePaid
Preparer Firm's FEIN
Firm's nameMust A(or yours if self-Sign employed) and ZIP codeaddress FTB 8453-EO 2019For Privacy Notice, get FTB 1131 ENG/SP.
CAEA7001L 09/13/19
ANGEL VIEW, INC. 95-1861861
55,242,584.
31,123,812.
33,152,673.
CEO
X P00404339
MARYANOV MADSEN GORDON CAMPBELL
PO BOX 1826 95-3178278
PALM SPRINGS CA 92263-1826
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Attachment: FY 2021-22 Angel View Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan)
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Attachment: FY 2021-22 Desert Blind Access and Mobility Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action
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Attachment: FY 2021-22 Desert Blind Access and Mobility Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action
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Attachment: FY 2021-22 Desert Blind Access and Mobility Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action
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Attachment: FY 2021-22 Desert Blind Access and Mobility Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action
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Attachment: FY 2021-22 Desert Blind Access and Mobility Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action
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Attachment: FY 2021-22 Desert Blind Access and Mobility Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action
January 27, 2022
Andrew Lee
City of Cathedral City
78-495 Calle Tampico
Cathedral City, CA 92234
RE: CVHF Program Overview - Fiscal Year 2021/2022
Dear Mr. Lee:
This letter is to provide you with further information regarding the services offered in Cathedral City through the regional CV Housing First (CVHF) program.
Throughout the COVID-19 pandemic we have continued to provide services and shelter through the CVHF program, which integrates outreach, progressive engagement, and crisis stabilization housing (CSH) with case management and wrap around services. There was no interruption in the provision of services to clients and thorough safety protocols were implemented to protect staff and clients from the risk of exposure to COVID-19.
Our CSH units have provided emergency shelter to Cathedral City residents, and seniors in particular. These particular households who originate from Cathedral City are placed in bridge housing for up to 90 days, while case managers work with each household to identify permanent housing solutions.
Further, Street Outreach is regularly conducted in partnership with Cathedral City Police Department as part of the CV200 initiative, filling a unique role in Coachella Valley’s homelessness response network by targeting the hardest-to-help people living on the streets in Cathedral City. With the recently deployed Mobile Access Center, our staff will expand our existing services to assist more unsheltered homeless living in Cathedral City with acquiring vital records, compiling necessary documentation for housing, and providing intensive case management.
If you have any questions, please contact me at [email protected] or 760-346-1127.
Sincerely,
Anyse Smith
Management Analyst
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Attachment: FY 2021-22 CVAG Proposal (3086 : Substantial Amendment to the CDBG FY 2021-22 Annual Action Plan)
Cathedral City Page 1 of 2 Printed on 3/3/2022
Staff Report
City Council
Item No. 7.A
Meeting Date: March 9, 2022
From: Katherine Fuentes, Assistant City Manager
Title: Palm Springs Unified School District (PSUSD) & Desert Recreation District (DRD) Three -Party Agreement to Operate the Cathedral City High School Swimming Pool for Public Use
City Council
RECOMMENDATION:
Authorize the City Manager to execute a three -party agreement between the City of Cathedral City and the Palms Springs Unified School District (PSUSD) and Desert Recreation Dis trict (DRD), for operation of the Cathedral City High School Swimming Pool for Public Use during the Summer months of 2022, in a form approved by the City Attorney.
BACKGROUND:
On December 11, 2019 , Council instructed staff to prepare agreements between the City of Cathedral City, the Desert Recreation District (DRD) and the Palm Springs Unified School District (PSUSD) for use and operation of the Cathedral City High School (CCHS) swimming pool.
The City, PSUSD and DRD three-party agreement is being prop osed for approval by the City Council this evening. The DRD Board will also be considering the agreement for approval this evening , and the PSUSD is pending Board of Education approval (anticipated to be approved on the March 8, 2022 Board of Education meeting).
DISCUSSION:
The Desert Recreation District will provide the following summer swim programs at the CCHS swimming pool:
• Community Swimming Lessons (Youth and Adult),
• Open Recreational Swim,
• Team & Lap Swim,
• Summer Special Events (limited),
• Water Polo Programming,
• Get Hooked on Swimming, and
• Agua Fit Water Aerobics.
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This agreement represents a three -way partnership where PSUSD will provide the facility, chemical, custodial, maintenance, and operational services of the CCHS swimming pool; and the DRD administers the programming on behalf of the City . The proposed agreement includes the costs of utilities and staffing the CCHS swimming pool (during operating hours) with certified lifeguards and custodial staff.
Public use of the CCHS swimming pool is proposed from June 8, through August 2, 2022 (subject to CCHS athletic programs) and will be based on the following schedule:
Summer 2022 CCHS Pool Operating Schedule:
Monday – Saturday 6:00 a.m. to 12:30 p.m. & 1:30 p.m. to 4:00 p.m.
Sunday 6:00 a.m. to 7:00 p.m.
Please note, the operating hours have changed, per PSUSD request, from a 9:00 p.m. close to a 7:00 p.m. close. Additionally, the PSUSD has confirmed the School District will be used for PSUSD athletic conditioning and practice between the hours or 12:30 p.m. to 1:30 p.m. and 4:00 p.m. to 7:00 p.m. Monday through Saturday.
The DRD will be training lifeguards and preparing for summer swimming lessons at the CCHS during the district’s Spring Break. This is a great opportunity for youth in th e community to get interview training and local job opportunities.
FISCAL IMPACT:
The proposed three-party agreement with PSUSD and DRD requires the City to pay PSUSD for the use and operation of the CCHS swimming pool and DRD for the program administration. The City’s not to exceed cost to the PSUSD is $52,911 for use of the facility and operational services provided at the CCHS pool. The City’s not to exceed cost to the DRD is $55,000 for program administration.
ATTACHMENTS:
Cathedral City Summer 2022 Calendar
Program Description_FEB 2022
Swim Lesson Description_FEB 2022
Pool Use Three-Party Agreement (PSUSD & DRD)_FEB 2022 FINAL
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Monday Tuesday Wednesday Thursday Friday Saturday Sunday
8am Water Aerobics
9,10,11am Lessons
2pm Aqua Fit
3pm Aqua Fit
8am Senior Splash
9,10,11am Lessons
2pm Aqua Fit
3pm Water Aerobics
8am Water Aerobics
9,10,11am Lessons
2pm Aqua Fit
3pm Aqua Fit
8am Senior Splash
9,10,11am Lessons
2pm Aqua Fit
3pm Water Aerobics
Open Swim
Lap Swim
Open
Swim
Lap Swim
Open
Swim
Lap Swim
Cathedral City High School
69250 Dinah Shore Dr, Cathedral City , CA 9223
June 6, 2022 - Aug 7, 2022
DRD AQUATICS TEAM
DRD Phone Number: 760- 347-3484
Important Reminders:
Closed daily : 12:30PM-1:30PM
Closed daily 4PM -7PM (M-F)
For information or to register, visit
MyRecreationDistrict.com or call
760-347-3484
Entrance Fees: Adults $4 Children $3
Monday – Thursday
8- 8:45am Lap Swim /Water fitness
9-11:45am Youth Lessons/ Open Swim
11:45 am – 12:30 LG skills audit in-service
1:30pm- 3:45pm Open Swim/Water
fitness
Friday
8- 8:45am Lap Swim
9-11:45am Open Swim/Lap Swim
11:45 am – 12:30 LG skills audit in-service
1:30pm- 3:45pm Open Swim
IMPORTANT DATES:
FUN FRIDAYS – ACTIVITES 1:30-3:30PM
Saturday / Sunday
1pm – 7pm Open Swim/Lap Swim
Youth Swim Lessons Sessions $62.50
Session 1 – June 6 – June 16 Session 2 - June 20-June 30 Session 3 - July 4 – July 14 Session 4 - July 18 – July 28 Water Fitness
$50 Monthly Fee
Class meets 2 times a week
Saturday June 18th
Open Swim 7pm-9:30pm
Movie will start at sunset
Saturday July 16th
Open Swim 7pm-9:30pm
Movie will start at sunset
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Attachment: Cathedral City Summer 2022 Calendar (3048 : DRD Agreement to Operate the Cathedral City
Activity Activity Detail
Youth Swim Lessons
Detailed Descriptions of Levels are on swim lesson descriptions
Offered 4 days a week Monday- Thursday for a 2-week session $62.50 Open Swim
Residents can bring their family and friends to the pool to enjoy time to swim, splash and be active.
Guest 18 years and older $4.00 Guest 17 years and under $3.00 0-3 free with paid parent
Lap Swim
Competition Lanes are open and available for guest to use to swim laps Guest 18 years and older $4.00 Guest 17 years and under$ 3.00 Water Aerobics Join Us for Water Aerobics! This shallow water class is designed to build strength while having fun. This class will incorporate resistance tools such as buoyant water weights and noodles. Swimming ability is not required.
Please bring a swimsuit and a towel.
$10.00 drop-in fee or $50.00 for a 4-week session meeting twice a week Senior Splash Senior Splash is a program encouraging older adults to participate in physical activities that will help them to maintain greater control of their heart health, muscle strength and joint mobility in a fun supportive environment .
$20.00 for a 4-week session meeting twice a week
Aqua Fit This is a medium impact class with a focus on burning calories, toning muscle and increasing cardiovascular level. Geared for adults of all fitness levels.
$10.00 drop-in fee or $50.00 for a 4-week session meeting twice a week Special Events Offered once each month a special Saturday Open Swim Residents can bring their family and friends to the pool to enjoy time to swim, splash and have the opportunity to participate in planned games and activities with a movie starting at sunset .
Guest 18 years and older $4.00 Guest 17 years and under $3.00 0-3 free with paid parent
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Attachment: Program Description_FEB 2022 (3048 : DRD Agreement to Operate the Cathedral City High School Swimming Pool for Public Use)
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Attachment: Swim Lesson Description_FEB 2022 (3048 : DRD Agreement to Operate the Cathedral City High School Swimming Pool for Public
NONEXCLUSIVE USE AND OPERATION AGREEMENT BETWEEN
PALM SPRINGS UNIFIED SCHOOL DISTRICT,
THE CITY OF CATHEDRAL CITY, AND
DESERT RECREATION DISTRICT
THIS NON-EXCLUSIVE USE AND OPERATION AGREEMENT (“Agreement”) is made and entered into as of the 25 day of February, 2022, by and between the Palm Springs Unified School District (“SCHOOL DISTRICT”), the City of Cathedral City, a Charter City, located in the County of Riverside, State of California ( “CITY”), and Desert Recreation District, a public recreation and park district (“ DESERT RECREATION DISTRICT ”), with SCHOOL DISTRICT, CITY, and DESERT RECREATION DISTRICT sometimes hereinafter referred to individually as a “Party” or collectively as the “Parties,” with respect to the following:
RECITALS
WHEREAS, the SCHOOL DISTRICT is the owner of an Olympic size swimming pool and other associated facilities at Cathedral City High School ( “Premises”), located at 69250 Dinah Shore Drive, Cathedral City, California, 92234; and
WHEREAS, SCHOOL DISTRICT is responsible for the operations and activities associated with any use of the Premises and any of its invitees; and
WHEREAS, SCHOOL DISTRICT understands there are times when the Premises is not being used for SCHOOL DISTRICT activities; and
WHEREAS, CITY and DESERT RECREATION DISTRICT desire to use the Premises for programs, services and activities for the residents of Cathedral City and surrounding communities; and
WHEREAS, SCHOOL DISTRICT, DESERT RECREATION DISTRICT and CITY agree that allowing for outside use of the Premises will benefit members of the community of different ages; and
WHEREAS, the DESERT RECREATION DISTRICT in coordination with the SCHOOL DISTRICT and CITY, shall provide and operate recreation programs at the Premises.
Now therefore, in consideration of the covenants, conditions and promises contained herein, the Parties agree as follows:
Section 1. AGREEMENT RECITALS
The Recitals set forth above are hereby incorporated into this Agreement by this reference, as though fully set forth herein.
Section 2. CITY’S USE GRANT OF NONEXCLUSIVE RIGHT; USE SCHEDULE
a. Use Schedule. During the Term of this Agreement, t he SCHOOL DISTRICT hereby grants to CITY and DESERT RECREATION DISTRICT a revocable, nonexclusive right, privilege, and permission to enter onto and use the Premises in accordance with this Agreement Monday through Sunday between the hours of 6:00 a.m. and 7:00 p.m.. The SCHOOL DISTRICT Premises will be closed to the
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Attachment: Pool Use Three-Party Agreement (PSUSD & DRD)_FEB 2022 FINAL (3048 : DRD Agreement to Operate the Cathedral City High
public Monday through Saturday between the hours of 12:30 p.m. to 1:30 p.m. and 4:00 p.m. to 7:00 p.m. for SCHOOL DISTRICT use. In the event that the CITY and/or DESERT RECREATION DISTRICT plan to host a special event outside of the hours of operation, this request will be submitted in writing for approval by the SCHOOL DISTRICT.
b. Permitted Uses (“Permitted Use(s)”). The following are Permitted Uses:
• Community swimming lessons;
• Recreational swimming;
• Lap swimming;
• Team swimming;
• Water aerobics;
• Water polo programs; and
• Special Events, as approved by SCHOOL DISTRICT.
All times and dates shall be mutually agreed upon by Parties. CITY or DESERT RECREATION DISTRICT shall notify the SCHOOL DISTRICT of the dates and times of events as soon as possible when decided, but no later than five (5) business days prior to the date of the event.
c. Programing. During the term of this Agreement, DESERT RECREATION DISTRICT agrees to provide recreation programs at the Premises during all operational hours in which the Premises is not being utilized by the SCHOOL DISTRICT.
d. Safety. DESERT RECREATION DISTRICT covenants and agrees to ensure the safety of activity participants at all times and will ensure that certified lifeguards are on site at all times during Permitted Uses. Certification shall be from the American Lifeguard Association, California Sta te Park Lifeguard Training Program, American Red Cross, or other statewide organization.
e. Water Contamination. The SCHOOL DISTRICT and DESERT RECREATION DISTRICT covenants and agrees to immediately notify SCHOOL DISTRICT of evidence of pool water contamination or public health hazards.
Section 3. USE OF PREMISES
a. CITY and DESERT RECREATION DISTRICT ’s Use. During the term of this agreement, CITY and DESERT RECREATION DISTRICT shall be permitted to use the Premises only for the Permitted Uses in accordance with this Agreement. The Permitted Use must be in a form consistent with the normal use of the Premises and must be done in a safe manner. Neither CITY nor DESERT RECREATION DISTRICT shall make or cause to be made any alterations, additions or improvements in, on or to the Premises without the prior written approval of the SCHOOL DISTRICT. CITY and DESERT RECREATION DISTRICT covenants and agrees that they shall not cause any disruption or annoyance that may interfere with the normal operations of the Premises.
b. CITY and DESERT RECREATION DISTRICT Use. CITY and DESERT RECREATION DISTRICT agree that when using the Premises , it shall take all reasonable efforts to ensure that individuals using the Pool Use Guidelines attached hereto as Exhibit A.
c. SCHOOL DISTRICT’s Use. The SCHOOL DISTRICT hereby retains all rights for the SCHOOL DISTRICT to use the Premises in any lawful manner, even though that use may interfere with the Permitted Use of the Premises.
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Attachment: Pool Use Three-Party Agreement (PSUSD & DRD)_FEB 2022 FINAL (3048 : DRD Agreement to Operate the Cathedral City High
d. Priority. CITY and DESERT RECREATION DISTRICT agree that the SCHOOL DISTRICT’s use shall take priority over CITY or DESERT RECREATION DISTRICT’s requests for use.
Section 4. DAMAGES
DESERT RECREATION DISTRICT assumes full responsibility for any damage done to pool, associated facilities, or equipment (collectively “Facilities”) due to misuse, negligence, and vandalism during periods of Permitted Use by the DESERT RECREATION D ISTRICT . If damages occur, DESERT RECREATION DISTRICT shall be billed for the actual cost of repairs and/or replacement of the Facilities. The DESERT RECREATION DISTRICT shall not be responsible for normal wear and tear to the Facilities, regular or routine maintenance of the Facilities, or damage to the Facilities cau sed by the use of third parties. Prior to the start of the Term of this Agreement, DESERT RECREATION DISTRICT and CITY shall be permitted to inspect the Premises to determine and establ ish the condition of the Premises.
Section 5. TERM
This Agreement shall be effective from June 8, 2022, through and including August 2, 2022.
Section 6. FEES
a. CITY shall pay the SCHOOL DISTRICT a total amount not to exceed Fifty-Two Thousand Nine Hundred Eleven Dollars ($52,911) (“Payment”). This payment represents the cost to the SCHOOL DISTRICT for custodial staff time, pool maintenance staff, and utilities used during the Permitted Use Perio ds. The Payment shall be made as follows: (1) the CITY shall pay the SCHOOL DISTRICT a total of $26,455.50 on or before June 15, 2022; (2) the CITY shall pay the SCHOOL DISTRICT a total of $26,455.50 on or before July 1, 2022.
b. CITY shall pay the DESERT RECREATION DISTRICT a total amount not to exceed Fifty-Five Thousand Dollars ($55,000) (“Payment”). The Payment shall be made as follows: (1) the CITY shall pay the DESERT RECREATION DISTRICT a total of $27,500 on or before June 15, 2022; (2) the CITY shall pay the DESERT RECREATION DISTRICT a total of $27,500 on or before July 1, 2022.
Section 7. INSURANCE
a. Policies.
(1) General Liability Coverage. Each Party shall procure and maintain, at its own expense, general liability insurance of not less than Two Million Dollars ($2,000,000) per occurrence, and Four Million Dollars ($4,000,000) in the aggregate, insuring its interests against claims for personal and bodily injury, death and property damage occurring as a result of the use of the Premises under th is Agreement by that Party, its officers, employees, servants, volunteers, agents, and independent contractors .
(2) Worker's Compensation Coverage. Each Party shall procure and maintain, at its own expense, workers’ compensation insurance, providing coverage as required by the California State Workers’ Compensation Law. If any class of employees employed by the Party pursuant to this Agreement is not protected by the California State Workers’ Compensation Law, that Party shall provide adequate insurance for the protection of such employees to the satisfaction of the other Parties. Each Party agrees to waive its statutory immunity under any workers compensation or similar statute as respecting the other
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Parties and to require all subcontractors and any other person or entity involved with the Permitted Use to do the same.
(3) Abuse and Molestation Coverage. Each Party shall procure and maintain, at its own expense, abuse and molestation insurance of not less than One Million Dollars ($1,000,000) per occurrence and Three Million Dollars ($3,000,000) in the aggregate insuring its interest against claims or suits alleging physical, emotional, verbal or mental abuse, including sexual abuse or molestation occurring as a result of the use of the Premises under this Agreement by that Party, its officers, employees, servants, volunteers, agents, and independent contractors. Coverage should either be on an Occurrence basis, or if on a claims-made basis, shall include at a minimum a three-year automatic extended reporting period.
(4) Automobile Liability Coverage. Each Party shall further procure and maintain at its own expense commercial vehicle liability insurance covering personal injury and property damage, of not less than One Million Dollars ($1,000,000) per occurrence and Two Million Dollars ($2,000,000) in the aggregate, covering any vehicle utilized by that Party or its officers, employees, servants, volunteers and agents and independent contractors in performing the Permitted Use.
b. Insurance Documentation.
(1) Each Party shall secure from a good and responsible company or companies admitted to do insurance business in the State of Ca lifornia, and possessing an A.M. Best’s rating of no less than A:Vll, the policies of insurance required by this Agreement and furnish to the other Parties certificates of said insurance with original endorsements on or before the commencement of the term of this Agreement.
Any insurance requirements contained in this agreement may be met with a program(s) of self-insurance.
Current certificate of coverage shall be kept on file with each Party at all times during the term of this Agreement.
(2) Each policy required herein must be endorsed to provide that the policy shall not be cancelled or reduced in coverage by either Party (except by paid claims) unless the insurer has provided the other Parties with thirty (30) days prior written notice of cancellation or reduction in coverage. In the event the insured Party is self-insured, that Party shall immediately notify the other Parties in the event of a withdrawal of coverage.
(3) All insurance policies required to be provided by each Party must be endorsed to provide that the policies shall apply on a primary and noncontributing basis in relation to any insurance or self- insurance, primary or excess, maintained or available to the other Party , and its officers, employees, servants, volunteers, agents and independent contractors. Any insurance maintained by the other Parties, including any self -insured retention, shall be considered excess insurance only and shall not contribute with it.
(4) Notwithstanding any inconsistent statement in any required insurance policies or any subsequent endorsements attached thereto, the protection offered by all policies shall bear an endorsement whereby it is provided that the other Parties and their officers, employees, servants, volunteers and agents and independent contractors are named as additional insureds.
(5) Each shall require the carriers of all required insurance policies to waive all rights of subrogation against the other Parties and their officers, volunteers, employees, contractors and subcontractors.
(6) This insurance shall act for each insured and additional insured as though a separate policy
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had been written for each, except with respect to the limits of liability of the insuring company.
(7) Any failure by a Party to comply with reporting provisions of the policies shall not affect coverage provided to the other Parties, its elected or appointed officers, officials, employees, agents or volunteers.
c. Deductibles and Self -Insured Retentions. Any deductibles or self -insured retentions must be declared to and approved by the other Parties. At the other Parties’ option, the insuring Party shall demonstrate financial capability for payment of such deductibles or self-insured retentions.
d. Certificates of Insurance. The insuring Parties shall provide certificates of insurance with original endorsements or memorandums of coverage to the other Parties as evidence of the insurance coverage required herein. Memorandums of coverage or Certificates of, and endorsements for, such insurance shall be filed with the other Parties on or before commencement of performance of this Agreement. The insuring Parties agree to ensure that the most current certification of insurance is on file with the other Parties at all times during the term of this Agreement.
e. Imposition of Insurance Requirements. The insuring Parties covenant and agree to require that all parties with whom the insuring Party enters into contracts or whom insuring Party hires or retains pursuant to or in any way related to the performance of this Agreement , provide the insurance coverage required herein, at minimum, and name as additional insureds the Parties to this Agreement. The insuring Parties agree to monitor and review all such coverage and assumes all responsibility for ensuring that such coverage is provided in conformity with the requirements of this Section.
f. Maintain Coverages. In the event this Agreement is terminated for any reason prior to the completion of all obligations and requirements of this Agreement, the insuring Parties agree to maintain all coverages required herein until the other Parties provide written authorization to terminate the coverages following the other Parties’ review and determination that all liability posed under this Agreement as to the Party providing insurance has been eliminated.
g. Failure to Obtain Coverages. Each insuring Party agrees and acknowledges that if it fails to obtain all of the insurance required in this Agreement in accordance with the requirements herein, or to obtain and ensure that the coverage required herein is maintained by others involved in any way with the Permitted Use, that insuring Party shall be responsible for any losses, claims, suits, damages, defense obligations, or liability of any kind or nature attributable to the other Parties and their officers, employees, servants, volunteers, agents and independent contractors, for which the insuring Party is responsible under this Agreement.
Section 8. NO REPRESENTATIONS OR WARRANTIES
No Party, nor their agents or attorneys have made any representations or warranties with respect to the Premises, except as expressly set forth herein, and no rights, easements or leases are, or shall be, acquired by CITY or DESERT RECREATION DISTRICT by implication or otherwise.
Section 9. COMPLIANCE WITH LAWS
The Parties shall comply with all local, state and federal laws, rules, regulations, policies, and procedures applicable to use of the Premises, including, but not limited to, obtaining or maintaining a business.
Section 10. HOLD HARMLESS; INDEMNIFICATION
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a. Each Party shall defend (with counsel reasonably acceptable to the other Parties) , indemnify and hold harmless the other Parties and its officers, officials, agents, employees and volunteers from and against any and all claims, dema nds, actions, losses, damage, injuries. and liability, direct or indirect (including any and all costs and expenses in connection therewith) (collectively “Claims”), to the extent any such Claims arise out of the negligence or willful misconduct of the indemnifying Party and their officers, agents, employees or volunteers.
b. No Party waives any rights that it may have against the other Parties under this section because of the acceptance of any insurance policy or certificate required pursuant to this Agreement. The hold harmless, indemnification and duty to defend provisions of this section shall apply regardless of whether or not said insurance policies are determined to be applicable to the claim, demand, action, damage, liability, loss, cost or expense described herein.
Section 11 WAIVER OF RIGHTS
a. Each Party agrees to waive all rights it may have against the other Party(is) and its officers, agents, employees and independent contractors to pursue any actions, suits, proceedings, claims, demands, losses, judgments and costs and expenses of every type and description, including settlement costs, legal costs and attorneys' fees (collectively “Claims”), resulting from or arising o ut of, or otherwise in connection with any injury or damage sustained by that Party that may arise from this Agreement, except to the extent any such claim may arise out of the negligence or willful misconduct of the other Party(ies) and their officers, agents, employees or volunteers.
Section 12. NOTICES
a. Any notice to be provided pursuant to this Agreement sha ll be in writing, and all such notices shall be delivered by personal service or by deposit in the United States mail, certified or registered, return receipt requested, with postage prepaid, and addressed to the Parties as follows:
To SCHOOL DISTRICT: Brian J. Murray, Ed.D.
Assistant Superintendent, Business Services
150 District Center Drive
Palm Springs, CA 92264
Telephone: (760) 883-2710 Facsimile: (760) 325-8726
Email: [email protected]
To CITY: Charles P. McClendon, City Manager
68-700 Avenida Lalo Guerrero,
Cathedral City, CA 92234
Telephone: (760) 770-0372 Facsimile: (760) 770-0399
Email: [email protected]
To DESERT RECREATION DISTRICT: Kevin Kalman, General Manager 45-305 Oasis, Indio, CA
Telephone: (760) 347-3484
Email: [email protected]
b. Notices, payments, and other documents shall be deemed delivered upon receipt by
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personal service or as of the second (2nd) day after deposit in the United States mail.
Section 13. ATTORNEY’S FEES AND LITIGATION EXPENSES
In the event any action, suit or proceeding is brought for the enforcement of, or the declaration of any right or obligation pursuant to this Agreement or as a result of any alleged breach of any provision of this Agreement, the prevailing Party in such suit or proceeding shall be entitled to recover its costs and expenses, including reasonable attorney's fees, from the losing Party, and any judgment or decree rendered in such a proceeding shall include an award thereof.
Section 14. COUNTERPARTS
This Agreement may be executed in several counterparts, each of which shall constitute one and the same instrument and shall become binding upon the Parties when at least a copy hereof shall have been signed by both Parties hereto. In approving this Agreement, it shall not be necessary to produce or account for more than one such counterpart.
Section 15. TERMINATION OR EXPIRATION
a. This Agreement may be terminated or suspended without cause by either Party at any time provided that the respective Party provides the other Party at least thirty (30) calendar days’ written notice of such termination or suspension. In the event of termination of the Agreement by the SCHOOL DISTRICT, the SCHOOL DISTRICT shall make all reasonable efforts to continue to authorize the use of the Premises by the CITY and DESERT RECREATION DISTRICT where the Parties have previously agreed upon the date and time of the Permitted Use, and the CITY or DESERT RECREATION DISTRICT has already noticed or advertised the event to the public and/or contracted with vendors for the event.
b. This Agreement may be terminated by the SCHOOL DISTRICT in the SCHOOL DISTRICT's sole and absolute discretion immediately if the SCHOOL DISTRICT determines CITY or DESERT RECREATION DISTRICT to be in violation of the terms of this Agreement or any of the rules or regulations that govern the Premises.
c. Upon termination or expiration of this Agreement, CITY and DESERT RECREATION DISTRICT shall immediately cease all use of the Premises.
Section 16. NOT AGENT
a. Nothing contained in this Agreement shall be deemed, construed or represented by the SCHOOL DISTRICT, DESERT RECREATION DISTRICT , or CITY or by any third person to create the relationship of principal and agent.
b. Neither DESERT RECREATION DISTRICT nor CITY shall have any authority, express or implied, to act on behalf of the SCHOOL DISTRICT in any capacity whatsoever as an agent, nor shall CITY or DESERT RECREATION DISTRICT have any authority, express or implied, to bind the SCHOOL DISTRICT to any obligation whatsoever.
Section 17. EQUAL OPPORTUNITY EMPLOYMENT
CITY and DESERT RECREATION DISTRICT represent that they are an equal opportunity employer and shall not discriminate against any subcontractor. employee, or applicant (“person") for employment
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because of race; denial of family and medical care leave; religious creed (including religious dress and grooming practices); color; national origin (including languag e use restrictions); ancestry; physical disability or mental disability (including HIV and AIDS); medical condition (cancer and genetic characteristics); genetic information; military or veteran status; marital status; gender, gender identity, and gender e xpression; sex (which includes pregnancy, childbirth, breastfeeding and medical conditions related to pregnancy, childbirth or breastfeeding); age or sexual orientation. Unless otherwise permitted under the law, CITY and DESERT RECREATION DISTRICT shall not refuse to hire or employ any such person or refuse to select any such person for a training program leading to employment, or bar or discharge any such person from employment or from a training program leading to employment, or otherwise discriminate against any such person in compensation or in terms, conditions, or privileges of employment.
Section 18. CONFLICTS OF INTEREST
CITY and DESERT RECREATION DISTRICT covenant that they do not have any interest, nor shall it acquire an interest , directly or indirectly, which would conflict in any manner with the performance of Permitted Use under this Agreement. In the event the SCHOOL DISTRICT officially determines that CITY or DESERT RECREATION DISTRICT must disclose its financial interests by completing and filing a Fair Political Practices Commission Form 700, Statement of Economic Interests, CITY shall file the subject Form 700 with the SCHOOL DISTRICT Business Services Department pursuant to the written instructions provided by the SCHOOL DISTRICT.
Section 19. LICENSING AND PERMIT REQUIREMENTS
CITY and DESERT RECREATION DISTRICT represents that they has obtained and will maintain at all times during the term of this Agreement all professional and/or business licenses, certifications and/or permits necessary for the Permitted Use described in this Agreement, including a City business license (if necessary).
Section 20. TIME OF THE ESSENCE
Time is of the essence in the performance of this Agreement.
Section 21. MEDIA
Neither DESERT RECREATION DISTRICT nor CITY shall not use the SCHOOL DISTRICT's insignia or photographs relating to the Permitted Use, or any publicity pertaining to the Permitted Use under this Agreement in any internet, magazine, trade paper, newspaper, television or radio production or other similar medium without the prior written consent of the SCHOOL DISTRICT.
Section 22. MODIFICATIONS AND AMENDMENTS
This Agreement may be modified or amended only by a written instrument signed by all Parties.
Section 23. BACKGROUND CHECKS
At any time during the term of this Agreement, the SCHOOL DISTRICT reserves the right to make an independent investigation into the background of any CITY or DESERT RECREATION DISTRICT employee, official, agent, contractor, or subcontractor performing work under this Agreement, including but not limited to their references, character, address history, past employment, education, social security
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number validation, and criminal or police records, for the purpose of confirming that such personnel are lawfully employed, qualified to provide the subject service, if any, or pose a risk to the safety of persons or property in and around the vicinity of the Premises. If the SCHOOL DISTRICT makes a reasonable determination that any of CITY or DESERT RECREATION DISTRICT 's prospective or then current personnel is deemed objectionable, then the SCHOOL DISTRICT may notify CITY or DESERT RECREATION DISTRICT of the same. CITY or DESERT RECREATION DISTRICT shall not use that personnel to perform work related to the Permitted Use, and if necessary, shall replace him or her with another suitable worker.
Section 24. ENTIRE AGREEMENT
a. This Agreement supersedes any and all other agreements, either oral or written, between the Parties with respect to the subject matter of this Agreement.
b. This Agreement contains all of the covenants and agreements between the Parties with respect to the subject matter of this Agreement, and each Party to this Agreement acknowledges that no representations, inducements, promises, or agreements have been made by or on behalf of any Party except those covenants and agreements embodied in this Agreement.
c. No agreement, statement, or promise not contained in this Agreement shall be valid or binding.
Section 25. AMBIGUITIES
This Agreement is in all respects intended by each Party hereto to be deemed and construed to have been jointly prepared by the Parties and the Parties hereby expr essly agree that any uncertainty or ambiguity existing herein shall not be interpreted against either of them. Except as expressly limited by this paragraph, all of the applicable rules of interpretation of contract shall govern the interpretation of any uncertainty or ambiguity of this Agreement.
Section 26. NON-LIABILITY OF OFFICERS AND EMPLOYEES
No officer or employee of a Party shall be personally liable to another Party to this Agreement , or any successor in interest, in the event of any default or breach by defaulting or for any amount which may become due to other Party, or to its successor, or for any breach of any obligation of the terms of this Agreement.
Section 27. REVIEW BY ATTORNEYS
Each Party hereto has had its attorneys review this Agreement and all related documents. Each Party hereto has consulted with its attorneys and has negotiated the terms of this Agreement based on such consultation.
Section 28 WAIVER
a. No waiver shall be binding, unless executed in writing by the Party making the waiver.
b. No waiver of any provision of this Agreement shall be deemed, or shall constitute, a waiver of any other provision, whether or not similar, nor shall any such waiver constitute a continuing or subsequent waiver of the same provision.
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c. Failure of either Party to enforce any provision of this Agreement shall not constitute a waiver of the right to compel enforcement of the remaining provisions of this Agreement.
Section 29. ASSIGNMENT AND SUBCONTRACTING
The experience, knowledge, capability and reputation of CITY and DESERT RECREATION DISTRICT, their principals and employees were a substantial inducement for the SCHOOL DISTRICT to enter into this Agreement. Assignments of any or all rights, duties or obligations of the CITY and DESERT RECREATION DISTRICT under this Agreement will be permitted only wit h the written consent of the SCHOOL DISTRICT.
Section 30. NO DAMAGES RELIEF AGAINST SCHOOL DISTRICT
Except to the extent caused by the SCHOOL DISTRICT’S negligence or willful misconduct, the Parties agree that in no event shall CITY or DESERT RECREATION DISTRICT be entitled to recover damages of any kind whatsoever against SCHOOL DISTRICT for breach of this Agreement.
Section 31. CAPTIONS AND HEADINGS
The captions and headings contained in this Agreement are provided for identification purposes only and shall not be interpreted to limit or define the content of the provisions described under the respective caption or heading.
Section 32. SEVERABILITY
If any one or more of the sentences, clauses, paragraphs or sections contained herein is declared invalid, void or unenforceable by a court of competent jurisdiction, the same shall be deemed severable from the remainder of this Agreement and shall not aff ect, impair or invalidate any of the remaining sentences, clauses, paragraphs or sections contained herein.
Section 33. GOVERNING LAW/VENUE
The validity of this Agreement and any of its terms or provisions, as well as the rights and duties of the Parties under this Agreement, shall be construed pursuant to and in accordance with California law.
All proceedings involving disputes over the terms, provisions, covenants or conditions contained in this Agreement and all proceedings involving any enforc ement action related to this Agreement shall be initiated and conducted in the applicable court or forum in Riverside County, California.
Section 34. CUMULATIVE REMEDIES
Except with respect to rights and remedies expressly declared to be exclusive in this Agreement, the rights and remedies of the Parties are cumulative and the exercise by either Party of one or more of such rights or remedies shall not preclude the exercise by it, at the same or different times, of any other rights or remedies for the same default of any other default by the other Party.
Section 35. EFFECTIVENESS OF AGREEMENT
This Agreement shall not be binding upon the Parties, until signed by the authorized representative(s) of the Parties..
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Section 36. NO THIRD-PARTY BENEFICIARIES
The Parties do not intend the benefits of this Agreement to inure to any third party.
Section 37. REPRESENTATIONS OF PARTIES & PERSONS EXECUTING AGREEMENT
a. Each of the Parties to this Agreement hereby represents that all necessary and appropriate actions of their governing bodies have been taken to make this Agreement a binding obligation of each of the Parties hereto.
b. The persons executing this Agreement warrant that they are duly authorized to execute this Agreement on behalf of and bind the Parties each purports to represent.
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IN WITNESS WHEREOF, the SCHOOL DISTRICT, DESERT RECREATION DISTRICT and CITY have executed this Agreement as of the date first written above.
“SCHOOL DISTRICT”
Palm Springs Unified School District
Brian J. Murray, Ed.D.
Assistant Superintendent, Business Services
“DESERT RECREATION DISTRICT”
Desert Recreation District
Kevin Kalman
General Manager
“CITY”
City of Cathedral City
Charles P. McClendon, City Manager
ATTEST:
Tracey Martinez, City Clerk
APPROVED AS TO FORM:
Eric S. Vail, City Attorney
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EXHIBIT A
PALM SPRINGS UNIFIED SCHOOL DISTRICT POOL USE GUIDELINES
• School District is not liable for any personal valuables brought into the aquatic area or onto District property.
• All swimmers must wear proper swimming attire. Cut -offs and street clothes are not permitted in the pool.
• Persons with open sores, cuts, bandages, or rashes are not permitted in the pool. • No spitting or blowing nose in the pool.
• No hairpins, barrettes, jewelry, or glasses.
• Smoking, chewing gum, glass bottles or containers are not permitted in the aquatic center. • All children must be accompanied by an adult.
• No running, throwing/pushing, dunk ing, chicken fights, or rough play in the pool or shower area allowed at any time and grounds for immediate removal from the pool area. • NEVER jump or dive toward any object, including other swimmers, pool edges, or equipment. • No diving in the shallow end.
• Hanging on ropes or lane lines is not permitted.
• Do not stand, play, or jump off ladders or railings.
• No back dives, cannonballs, or somersaults allowed from the pool deck. • Always stay clear of handicap ramps and railings.
• No floatation devices are permitted in the pool.
• Starting blocks are restricted to approved swim practices and swim meets by school athletic teams, not recreational use.
• Non-swimmers must stay in the bleachers section of the pool area. • All injuries must be reported to the lifeguard on duty. • Socializing with or distracting any lifeguard on surveillance duty is not permitted. • All pool covers must be completely removed before pool use. • Possession of alcohol on District property is strictly prohibited. • Pool area is to be left clean. Check pool gutter drain for wayward items (bottles, goggles, caps, etc.). • Pool gates must always be closed.
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Staff Report
City Council
Item No. 7.B
Meeting Date: March 9, 2022
From: Tami Scott, Administrative Services Director
Title: California Public Employees Retirement System (CalPERS) Annual Lump Sum Payment
City Council
RECOMMENDATION:
Authorize an allocation of $1,750,000 for a lump sum payment to CalPERS.
BACKGROUND:
In 2017 for fiscal year (FY) 16/17, the CalPERS board approved a reduction in investment rates of return from 7.5% to 7.0% on deposits of funds paid into CalPERS that became effe ctive in FY 18/19. As a result, this rate reduction increased the City’s estimated annual contribution to CalPERS. We have since seen an impact on PERS contribution rates and Unfunded Actuarial Liability (UAL) for each of our retirement plans. To mitigate this impact, we have made an annual payment to CalPERS for the past five years to help reduce this liability.
DISCUSSION:
The City of Cathedral City has eight (8) separate retirement plans with CalPERS. The three (3) primary plans are commonly referred to as the Tier 1 (Classic) plans for Fire, Miscellaneous and Police; there are two Tier 2 plans for Fire and Miscellaneous; and there are three (3) Public Employee Pension Reform Act (PEPRA) plans for Fire, Miscellaneous and Police. As of June 30, 2020, the classic plans have funded balances of 78.5%, 77.8% and 76.6%, respectively. The five Tier 2 and Tier 3 plans have funded balances at 96% or more.
As part of the budget process, the City Council directed staff to incorporate an equivalent amount of the Cit y’s annual OPEB contribution to assist in chipping away at the unfunded accrued liability to CalPERS. Where and when we can, we have been able to send CalPERS an amount in the $1.7 to $1.8 million range to assist in the process. Upon Council approval, we w ill transmit this $1.75 million to CalPERS to reduce the liability for this year’s UAL calculation.
By authorizing an annual additional payment to our UAL, the City of Cathedral City can proactively reduce future interest costs while also increasing the f unded ratio within the plans. For FY 21/22, this payment results in $ 34,708 savings to the general fund. There
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will be additional compounded savings over the remaining 22 years for the remaining UAL payments (through FY 43/44).
FISCAL IMPACT:
As part of t he budget, th e proposed amount was allocated from excess balance in the Insurance Fund in the amount of $1,750,000. The allocation does not reduce fund balance in the general fund. Although it appears, from the spreadsheet below, that we are remitting les s than the total amount needed to fully payoff the UAL f or Tier 2 and PEPRA, the difference is actually the interest savings and market earnings during the current fiscal period.
CalPERS Annual Actuarial Reports Dated July 2021
Effective June 30, 2020
March 2022 CalPERS Additional UAL Payment
06/30/2020 Proposed
PLAN TIER NAME FUNDED UAL 03/15/22 Pymt
1417 Misc Tier 1 Classic 76.8% 14,759,089 473,367
1418 Fire Tier 1 Classic 78.5% 12,363,976 563,850
1419 Police Tier 1 Classic 76.6% 19,217,734 557,721
30021 Fire Tier 2 96.7% 4,811 4,165
30611 Misc Tier 2 96.7% 14,549 12,953
25636 Fire Tier 3 PEPRA 96.8% 35,529 31,985
25637 Police Tier 3 PEPRA 96.7% 48,448 42,279
26972 Misc Tier 3 PEPRA 96.7% 72,470 63,680
TOTAL 46,516,606 1,750,000
INTEREST SAVINGS 34,708
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Staff Report
City Council
Item No. 7.C
Meeting Date: March 9, 2022
From: John Corella, Director of Engineering/Public Works Title: Task Order with MVR Consulting to provide Grant and Project Support Services for the Dream Homes Park Proposition 68 Statewide Park Program Grant Project.
City Council
RECOMMENDATION:
Approve a Task Order for MVR Consulting, in the amount not -to-exceed, $93,900 to provide Grant and Project Support Services to assist the Engineering Department in bringing the Dream Ho mes Park Proposition 68 Statewide Park Program (SPP) Grant project to the construction bid evaluation phase; and authorize the Director of Engineering/Public Works to approve the Task Order.
BACKGROUND:
On December 8, 2021, California State Parks award ed Cathedral City $8,498,000 of Statewide Park Program (SPP) Round 4 grant funds for the Dream Homes Park. MVR Consulting provided grant services, coordination, community outreach, and conceptual planning for the grant application. The SPP grant funds re quire that the Dream Homes Park Project (Project) be completed and open to the public by June 30, 2025.
The Project site is located on approximately eight acres owned Cathedral City in the Dream Homes neighborhood that ha d been designated for the Dream Ho mes Park Project. More specifically, t he Project site is located adjacent the Whitewater River Channel sandwiched between the back of homes fronting San Diego Drive between Chia Place to the south and Mia Place to the north and CV Link. The land for the Project was purchased as part of a long -term plan for the City to provide a neighborhood park for the Dream Homes Community once the Palm Springs Unified School District (PSUSD) closed the former Agua Caliente Park on PSUSD property at the Agua Caliente Elementary School in 2014.
The award of the grant for the Project has been the result of long and hard work by community families, members and partners since 2014 with the coordination under the guidance of MVR Consulting (MVR). Residents of the Dream Ho mes Community participated in many community -based planning /workshop meetings starting from a blank slate. The community -based planning meetings were also attended by key
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community partners including, and not limited to, Desert Healthcare, District, Loma Linda University Health, El Sol Neighborhood Educational Center, PSUSD and the Agua Caliente Elementary School students, parents, administrative staff and teachers.
Strong support was also received from local government agencies and Assemblyperson Eduardo Garcia.
From the above cited meetings, t he amenities proposed for the new park that are committed to within the approved Grant include, and are not limited to: shaded playgrounds, shaded fitness area, large and small dog park, CV Link connections, perimeter fencing/walls, parking lots, open play soccer fields of various sizes, a central plaza, picnic tables and shelters, walking paths, basketball courts and futsal field. The Project placement adjacent the CV Link provides additional active transportati on (walking and bicycling) opportunities for the Project. The product of all this work is the State Parks accepted Dream Homes Concept Design included in this Staff Report which was compiled and submitted by MVR.
DISCUSSION:
Grant and Project support services are needed for this project. The Project will need to be completed on a n accelerated schedule so that it is designed and constructed by March 31, 2025, meets all of the SPP grant requirements and is open to the public by the end of June 2025.
It is anticipated that the grant and project support work will take approximately one year to move the Dream Homes Park to the construction phase, with the remaining grant period utilized for the actual construction and finalizing the Dream Homes Park in accordance with the SPP Grant award requirements.
In addition, the SPP Grant requires Cathedral City continue to have meaningful, long - term partnerships for the Project. It will be important to continue coordination with these partnerships, which include th e Desert Healthcare District as it provided the initial Community Needs Assessment program in conjunction with Loma Linda University Health and El Sol Neighborhood Education Center, that identified the importance of the Project for the community’s health. Additionally coordination with the Desert Water Agency (DWA), which encourages native planting and water reduction strategies, CVAG, which promotes multi-modal transportation with the adjacent CV-Link connecting to the Project and the Agua Caliente Elemen tary School, which helped with community outreach and being the venue for neighborhood park meetings, especially answering the call for the SPP Grant outreach needed during the COVID -19 pandemic by holding a virtual eight -day outreach with the school’s stu dents and their parents so they could provide ideas and input for the park.
Engineering Staff is proposing to work with MVR Consulting (MVR) , which provides On Call Grant Evaluation and Coordination Services for the City, to provide consistent lead support for the Project to ensure that the SPP Grant requirements are met as the Project is designed and readied for construction. MVR Consulting will provide this lead assistance in continued coordination of the partnerships for the Project.
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The SPP Gran t award also requires the involvement the Urban Conservation Corps of the Inland Empire (UCCIE), which is a member of the California Association of Local Conservation Corps (CALCC). MVR will take the lead role in coordinating with UCCIE to ensure that this requirement is met.
The final Project concept and site layout plan was part of the City’s SPP Grant award and was done with significant community input over several years, as well as, consideration of landscape architecture, engineering requirements, g rant-required sustainability techniques, partnership ideas, and design opportunities and constraints, as well as integration with CV -Link. MVR will work with the Engineering Staff to ensure that the Dream Homes Park concept and layout plan, as well as the SPP Grant requirements for the park are accounted for as the Project moves to the construction phase.
Lastly, to meet the accelerated schedule set by the State in requiring the Project being completed by March 31, 2025, Staff will be evaluating the pro s and cons of utilizing a conventional design to construction bidding process vs. a design build process. MVR will provide the research and findings in order for Staff to consider the opportunities and costs related to streamlining the overall construction schedule of the Project.
MVR has a long history and proven record of providing support for capital improvement projects, managing budgets and schedules so that design and construction time frames, and State Parks grant milestones and deadlines are met . MVR Consulting wrote Cathedral City’s successful Land Water and Conservation Fund (LWCF) Grant for the multi award-winning Cathedral City Community Amphitheater and provided grant and project support for the multi award winning $5 million SPP Program (R ound 1) Cathedral City Ocotillo Park Grant. MVR Consulting has also worked with Cathedral City on other projects including the $64 million Cathedral City Cove neighborhood sewer, street, water, and storm drain project which was awarded the 2007 League of California Cities Helen Putnam Public Works Project Grand Prize.
MVR also wrote a successful State Water Resources Control Board Grant for the Dream Homes Community Water, Sewer and Street Assessment District Project thus offsetting some of the sewer co nstruction costs, provided City support services on the Assessment District formation which required providing community outreach, project support and grant services during the design and construction phase of the project.
Overall, MVR has the experience to provide these types of services to assist the City’s Engineering Staff to get the Project to the construction bid evaluation stage.
Staff is requesting that the City Council approve a Task Order with MVR in the not to exceed amount of $93,900 to provide the Dream Homes Park Grant and Support Services needed to assist the City to bring the Project to the construction bid evaluation phase in accordance with the SPP Grant requirements awarded for the Project. It is anticipated that it will take approximat ely one year to get to the construction bid evaluation phase of the Project.
FISCAL IMPACT:
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California State Parks awarded Cathedral City $8,498,000 of Statewide Park Program (SPP) Round 4 grant funds for the Dream Homes Park . These 100% Grant funds hav e been approved and are authorized for reimbursement.
The Grant and Project Support Services to bring the Project to the construction bid evaluation phase to be provided by MVR are eligible for full reimbursement through the Dream Homes Park SPP Grant.
ATTACHMENTS:
DHP CONCEPT-1901600 Final Layout-2020.09.24
Proposal-MVR Dream Homes Services 3-1-2022
MVR Consulting Grant Awards and Services To-Date 3-1-2022
7.C
Packet Pg. 421
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NORTH040'80'160'240' September 24, 2020
DREAM HOMES PARKCathedral City, CACONCEPTUAL MASTER PLAN PARKING LOT·TWO-WAY CIRCULATION·90 DEGREE PARKING·20 REGULAR STALLS·2 ADA STALLS·SECURITY LIGHTING·SECURITY REMOVABLEBOLLARDS SMALL DOG PARK·CONCRETE SIDEWALK INTHE PARK·BENCH SEATING·SHADE TREES·NATURAL TURF·DECOMPOSED GRANITE·DOG DRINKINGFOUNTAINS LARGE DOG PARK·5' WIDE SIDEWALK IN THEPARK·BENCH SEATING·SHADE TREES·NATURAL TURF·DECOMPOSED GRANITE·DOG DRINKINGFOUNTAINS·SECURITY LIGHTING PLAYGROUNDS·2-5 PLAY AREA WITHSHADE·5-12 PLAY AREA WITHSHADE·SECURITY LIGHTING CENTRAL PLAZA·RESTROOM/STORAGE BUILDING·DRINKING FOUNTAIN/BOTTLEFILLER·BIKE RACKS·ACCENT PAVING·TREE WELLS·DROP OFF ZONE·PARALLEL ADA PARKING·SECURITY LIGHTING·SECURITY REMOVABLE BOLLARDS SOCCER FIELD/MULTIUSE AREABASKETBALL COURTS·2 FULL COURTS·BENCH SEATINGPARKING LOT·TWO-WAY CIRCULATION·90 DEGREE PARKING·16 REGULAR STALLS·2 ADA STALLS WITH 1 VANADA STALL·SECURITY LIGHTING·SECURITY REMOVABLE/PERMANENT BOLLARDS DOG PARK ZONE·SHADE STRUCTURE ATCENTER·DOUBLE GATE ATENTRANCE·FENCING SHADED FITNESSSTATIONS·BENCH SEATING
BUFFER BERM·BUFFER BERMALONG THENEIGHBORHOODSIDE·LANDSCAPE·SCREENINGTREES CIRCULATION·10 FT WIDE MINIMUMCONCRETE SIDEWALKWITH REMOVABLEBOLLARDS OR GATESPROVIDES ACCESS FOREMERGENCY VEHICLES·SECURITY LIGHTING·BENCH SEATING /SHADETREES PERIMETER FENCE·PARK PERIMETER FENCEPICNIC ZONE·GROUP PICNICSHADESTRUCTURE·GROUP BBQAREA·SECURITYLIGHTING·PICNIC TABLESCIRCULATION·8FT CONCRETESIDEWALK·SECURITYLIGHTING·BENCH SEATING /SHADE TREES 6' WALL/FENCE·WALL/FENCEALONGRESIDENTIAL LOTSPARK SIGNAGEOPPORTUNITY PICNIC SHELTERS·PICNIC TABLES / BBQ·4 STRUCTURES INPARKFUTSAL FIELD SOCCER FIELD /OPEN PLAYCV LINK CONNECTION·BIKE RACKS
CV LINK CONNECTION·BIKE RACKS
PICNIC SHELTERS·SECURITY LIGHTING·PICNIC TABLES / BBQ·4 STRUCTURES IN PARK
7.C.a
Packet Pg. 422
Attachment: DHP CONCEPT-1901600 Final Layout-2020.09.24 (3133 : Task Order for Dream Homes Park Grant and Project Support Services)
_________________________________________________________________ _____________________ MVR Consulting
P. O. Box 236
Calimesa, CA 92320
Office: 951.845.4391
Cell: 909.709.7505
[email protected]
DBE/WBE/SBE
John A. Corella, P. E.,
Director of Engineering/Public Works
City of Cathedral City
68700 Avenida Lalo Guerrero
Cathedral City, CA 92234
Subject: Task Order Proposal: Dream Homes Park Grant and Project Support Services through construction bid evaluation process.
MVR Consulting is pleased to provide this Task Order Proposal to provide grant and project support services for the Cathedral City’s Dream Homes Park project, which was awarded a Proposition 84 Statewide Park Program (SPP) Round 4 Grant in December 2021.
MVR Consulting wrote the successful SPP Grant for the Dream Homes Park and has a strong record providing support to Cathedral City for State Parks Grant funded projects. For example, MVR Consulting provided grant and project support services for the award-winning Cathedral City Community Amphitheater funded through a Land Water Conservation Fund (LWCF) Grant and the City’s Ocotillo Park funded through a Round 1 SPP Grant.
MVR Consulting also provided grant services and managed the $64 million Cathedral City Cove neighborhood sewer, street, water, and storm drain project awarded the 2007 League of California Cities Helen Putnam Public Works Project Grand Prize, and worked on the Dream Homes sewer, street and water line project, providing community outreach and grant services.
Below is MVR Consulting’s outline for this Task order to provide grant and project support services for the Dream Homes Park SPP Grant project:
Task Order Services:
I. Dream Homes Park Grant Services:
• Coordination of State Parks Grant Agreement documents. • Coordination, preparation, and submittal of required State Parks Department Progress Status Reports. • Assistance with preparation of the City's Grant Reimbursement Request Forms. • Review and assist the City with including State Park Grant requirements in related City contracts. • Liaison and regular contact with State Parks Grant Administrator. • Coordinate and provide support for project meetings.
II. Dream Homes Park Project Support Services:
• Assist Director of Engineering/Public Works with project development and scheduling. • Evaluate alternatives to compress design and construction schedule to meet grant time-frames, including evaluating design-build alternative versus conventional design-bid-construction process. • Evaluate current approved grant budget with current increases in construction material, supply, and labor. • Provide coordination with Dream Homes Park partnerships as project moves to construction. • Assist with Dream Homes Park Design and Engineering Request for Proposal (RFP) • Coordinate and participate in Design and Engineering selection process.
March 1, 2022
7.C.b
Packet Pg. 423
Attachment: Proposal-MVR Dream Homes Services 3-1-2022 (3133 : Task Order for Dream Homes Park Grant and Project Support Services)
_____________________________________________________________________________________
MVR Consulting