059
Date Accepted DO NOT MAIL THIS FORM TO THE FTB
TAXABLE YEAR FORMCalifornia e-file Return Authorization for 2020 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 2020 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 2020 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, 2020 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 2020For Privacy Notice, get FTB 1131 ENG/SP.
CAEA7001L 11/24/20
CITY OF SANTA CLARA PUBLIC FACILITIES 31-1611044
2,500,647.
2,500,647.
2,502,457.
DIR. OF FINANCE
XTIMOTHY J KRISCH, CPA P00283083
MAZE & ASSOCIATES
3478 BUSKIRK AVE STE 215 94-2590179
PLEASANT HILL CA 94523
DocuSign Envelope ID: C9F05A27-D892-4B7C-AF9B-BE28B9D57965 1/14/2022
TAXABLE YEAR FORM
California Exempt Organization2020 199Annual Information Return Calendar Year 2020 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 Did the organization have any changes to its guidelinesIFirst return. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes NoA not reported to the FTB? See instructions. . . . . . . . . . . . . . Yes No@ B Amended return. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes No@ J If exempt under R&TC Section 23701d, has theIRC Section 4947(a)(1) trust. . . . . . . . . . . . . . . . . . . . . . . . . . . . Yes NoC organization engaged in political activities? D Final information return? See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ Yes No @ Dissolved Surrendered (Withdrawn) Merged/Reorganized
@Enter date: (mm/dd/yyyy) K Is the organization exempt under R&TC Section 23701g?. . . @ Yes NoCheck accounting method:E If "Yes," enter the gross receipts fromCash Accrual Other1 2 3 $nonmember sources . . . . . . . . . . . . . . . . . . . . . @ @ @Federal return filed? 990T 990-PF Sch H (990)1 2 3F L Is the organization a limited liability company?. . . . . . . . . . @ Yes NoOther 990 series4 Did the organization file Form 100 or Form 109 to reportM@Is this a group filing? See instructions . . . . . . . . . . . . . . . . . . Yes NoG taxable income?. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ Yes No Is the organization under audit by the IRS or has the IRSN H Is this organization in a group exemption . . . . . . . . . . . . . . . . . . Yes No audited in a prior year?. . . . . . . . . . . . . . . . . . . . . . . . . . . @ Yes No If "Yes," what is the parent's name?
Is federal Form 1023/1024 pending? . . . . . . . . . . . . . . . . . . . O Yes No Date filed with IRS
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 Penalties and Interest. See General Information J. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16 16>Balance due. Add line 12 and line 15. 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 12/22/20 3651204 Form 199 2020 Page 1059 7/01/2020 6/30/2021
CITY OF SANTA CLARA PUBLIC FACILITIES
FINANCING CORPORATION 2011023
31-1611044
1500 WARBURTON AVENUE
SANTA CLARA CA 95050-3713
X XX
X
N/A
X
X
X
X X
X X
2,500,647.
2,500,647.
2,500,647.
2,502,457.
-1,810.
0. DIR. OF FINANCE (408) 615-2368
TIMOTHY J KRISCH, CPA P00283083
MAZE & ASSOCIATES
3478 BUSKIRK AVE STE 215 94-2590179
PLEASANT HILL, CA 94523
925-930-0902
X
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ 1212 Expenses Interest. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ 1313and Disburse- Taxes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ 1414 ments Rents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ 1515 Depreciation and depletion (See instructions). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . @ 1616 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 12/22/203652204Page 2 Form 199 2020 059
CITY OF SANTA CLARA PUBLIC FACILITIES 31-1611044
303.
2,500,344.
2,500,647.
0. 572,457.
1,930,000.
2,502,457.
724,893. 723,083.
15,637,987. 13,653,691.
16,362,880. 14,376,774.
13,542,987. 12,588,691.
2,095,000. 1,065,000.
724,893. 723,083.
16,362,880. 14,376,774.
-1,810.
-1,810. -1,810.
SEE STATEMENT 1
SEE STMT 2
SEE STATEMENT 3
STM 4
ST 5
STM 6
2020 CALIFORNIA STATEMENTS PAGE 1
CLIENT SANTACLA
CITY OF SANTA CLARA PUBLIC FACILITIES
FINANCING CORPORATION 31-1611044
12/15/21 03:08PM
STATEMENT 1
FORM 199, PART II, LINE 7
OTHER INCOME
PROGRAM SERVICE REVENUE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2,500,344.
TOTAL $ 2,500,344.
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 KATHLEEN WATANABE BOARD MEMBER $ 0. $ 0. $ 0.
1500 WARBURTON AVENUE 0.50
SANTA CLARA, CA 95050-3713
KEVIN PARK BOARD MEMBER 0. 0. 0.
1500 WARBURTON AVENUE 0.50
SANTA CLARA, CA 95050-3713
RAJ CHAHAL VICE PRESIDENT 0. 0. 0.
1500 WARBURTON AVENUE 0.50
SANTA CLARA, CA 95050-3713
KAREN HARDY BOARD MEMBER 0. 0. 0.
1500 WARBURTON AVENUE 0.50
SANTA CLARA, CA 95050-3713
ANTHONY J. BECKER BOARD MEMBER 0. 0. 0.
1500 WARBURTON AVENUE 0.50
SANTA CLARA, CA 95050-3713
SUDHANSHU JAIN BOARD MEMBER 0. 0. 0.
1500 WARBURTON AVENUE 0.50
SANTA CLARA, CA 95050-3713
LISA M. GILLMOR PRESIDENT 0. 0. 0.
1500 WARBURTON AVENUE 0.50
SANTA CLARA, CA 95050-3713
DEANNA J. SANTANA EXECUTIVE DIR. 0. 0. 0.
1500 WARBURTON AVENUE 0.10
SANTA CLARA, CA 95050-3713
KENN LEE DIR. OF FINANCE 0. 0. 0.
1500 WARBURTON AVENUE 0.10
SANTA CLARA, CA 95050-3713
NORA PIMENTAL SECRETARY 0. 0. 0.
1500 WARBURTON AVENUE 0.10
SANTA CLARA, CA 95050-3713
TOTAL $ 0. $ 0. $ 0.
2020 CALIFORNIA STATEMENTS PAGE 2
CITY OF SANTA CLARA PUBLIC FACILITIES
FINANCING CORPORATION 31-1611044CLIENT SANTACLA
12/15/21 03:08PM
STATEMENT 3
FORM 199, PART II, LINE 17
OTHER EXPENSES
PRINCIPAL DEBT PAYMENTS . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 1,930,000.
TOTAL $ 1,930,000.
STATEMENT 4
FORM 199, SCHEDULE L, LINE 12
OTHER ASSETS
NET INVESTMENT IN LEASE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13,653,691.
TOTAL $ 13,653,691.
STATEMENT 5
FORM 199, SCHEDULE L, LINE 16
BONDS AND NOTES PAYABLE
TAX-EXEMPT BONDS BALANCE DUE
PURPOSE OF ISSUE: CENTRAL PARK LIBRARY REFUNDING
ISSUE DATE: 3/28/2013
ORIGINAL ISSUE AMOUNT: 19,571,640.
TYPE OF FORM FILED: FORM 8038-G
FORM 8038 FILING DATE: 3/28/2013
OUTSTANDING ISSUE AMT: 12,588,691.
TOTAL TAX-EXEMPT BONDS $ 12,588,691.
TOTAL NOTES AND BONDS PAYABLE $ 12,588,691.
STATEMENT 6
FORM 199, SCHEDULE L, LINE 18
OTHER LIABILITIES
LEASE AGREEMENT WITH CITY OF SANTA CLARA. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1,065,000.
TOTAL $ 1,065,000.