OMB No. 1545-0047IRS e-file Signature AuthorizationForm 8879-TE for a Tax Exempt Entity For calendar year 2021, or fiscal year beginning , 2021, and ending , 20 2021G Do not send to the IRS. Keep for your records.Department of the Treasury Internal Revenue Service G Go to www.irs.gov/Form8879TE for the latest information.
Name of filer EIN or SSN
Name and title of officer or person subject to tax
Part I Type of Return and Return Information
Check the box for the return for which you are using this Form 8879-TE and enter the applicable amount, if any, from the return. Form 8038-CP and Form 5330 filers may enter dollars and cents. For all other forms, enter whole dollars only. If you check the box on line 1a, 2a, 3a, 4a, 5a, 6a, 7a, 8a, 9a, or 10a below, and the amount on that line for the return being filed with this form was blank, then leave line 1b, 2b, 3b, 4b, 5b, 6b, 7b, 8b, 9b, or 10b, whichever is applicable, blank (do not enter -0-). But, if you entered -0- on the return, then enter -0- on the applicable line below. Do not complete more than one line in Part I. 1a b Total revenue, if any (Form 990, Part VIII, column (A), line 12). . . . . . . . . . . . 1bForm 990 check here. . . . . . G 2a b Total revenue, if any (Form 990-EZ, line 9). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2bForm 990-EZ check here . . G 3a b Total tax (Form 1120-POL, line 22) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3bForm 1120-POL check hereG 4a b Tax based on investment income (Form 990-PF, Part V, line 5) . . . . . . . . . . . 4bForm 990-PF check here . . G 5a b Balance due (Form 8868, line 3c). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5bForm 8868 check here. . . . . G 6a b Total tax (Form 990-T, Part III, line 4). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6bForm 990-T check here. . . . G 7a b Total tax (Form 4720, Part III, line 1). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7bForm 4720 check here. . . . . G 8a b FMV of assets at end of tax year (Form 5227, Item D). . . . . . . . . . . . . . . . . . . . . 8bForm 5227 check here. . . . . G b Tax due (Form 5330, Part II, line 19). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9b9a Form 5330 check here. . . . . G 10a b Amount of credit payment requested (Form 8038-CP, Part III, line 22). . . . 10bForm 8038-CP check here. G Part II Declaration and Signature Authorization of Officer or Person Subject to Tax I am a person subject to tax with respect toUnder penalties of perjury, I declare that I am an officer of the above entity or (name of entity) , (EIN)
and that I have examined a copy of the 2021 electronic return and accompanying schedules and statements, and, to the best of my knowledge and belief, they are true, correct, and complete. I further declare that the amount in Part I above is the amount shown on the copy of the electronic return. I consent to allow my intermediate service provider, transmitter, or electronic return originator (ERO) to send the return to the IRS and to receive from the IRS (a) an acknowledgement of receipt or reason for rejection of the transmission, (b) the reason for any delay in processing the return or refund, and (c) the date of any refund. If applicable, I authorize the U.S. Treasury and its designated Financial Agent to initiate an electronic funds withdrawal (direct debit) entry to the financial institution account indicated in the tax preparation software for payment of the federal taxes owed on this return, and the financial institution to debit the entry to this account. To revoke a payment, I must contact the U.S. Treasury Financial Agent at 1-888-353-4537 no later than 2 business days prior to the payment (settlement) date. I also authorize the financial institutions involved in the processing of the electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment. I have selected a personal identification number (PIN) as my signature for the electronic return and, if applicable, the consent to electronic funds withdrawal.
PIN: check one box only
as my signatureI authorize to enter my PIN
ERO firm name Enter five numbers, but
do not enter all zeros
on the tax year 2021 electronically filed return. If I have indicated within this return that a copy of the return is being filed with a state agency(ies) regulating charities as part of the IRS Fed/State program, I also authorize the aforementioned ERO to enter my PIN on the return's disclosure consent screen.
As an officer or person subject to tax with respect to the entity, I will enter my PIN as my signature on the tax year 2021 electronically filed return. If I have indicated within this return that a copy of the return is being filed with a state agency(ies) regulating charities as part of the IRS Fed/State program, I will enter my PIN on the return's disclosure consent screen.
DateSignature of officer or person subject to tax GG
Part III Certification and Authentication
ERO's EFIN/PIN. Enter your six-digit electronic filing identification number (EFIN) followed by your five-digit self-selected PIN.
Do not enter all zeros
I certify that the above numeric entry is my PIN, which is my signature on the 2021 electronically filed return indicated above. I confirm that I am submitting this return in accordance with the requirements of Pub. 4163, Modernized e-File (MeF) Information for Authorized IRS e-file Providers for Business Returns.
ERO's signature DateG G
ERO Must Retain This Form ' See Instructions
Do Not Submit This Form to the IRS Unless Requested To Do So TEEA8800L 11/29/21BAA For Privacy and Paperwork Reduction Act Notice, see instructions. Form 8879-TE (2021) 7/01 6/30 2022
CITY OF SANTA CLARA PUBLIC FACILITIES
FINANCING CORPORATION 31-1611044
KENN LEE DIR. OF FINANCE
2,502,062.X
X
91401X MAZE & ASSOCIATES
68580583083
TIMOTHY J KRISCH, CPA
DocuSign Envelope ID: 24538CF3-0BDF-43AC-9499-45F5B3B75E28 1/3/2023
I
□
□ □
□
□
Form
990
0MB
No.
1545
-0047
Return
of
Organization
Exempt
From
Income
Tax
Under
sec
tion
501(c),
527,
or
4947(a)(l)
of
the Intern
al Rev
enu
e Code
(except
private
foundations)
2021
Department
of
the
Tr
eas
ury
►
Do
not
enter
social
secu
rity
numb
ers
on
this
form
as
it
may
be made
public.
Internal
Revenue
Service
►
Go
to
www.irs
.gov
/Form990
for
instructions
and
the
latest
information.
A
For
the
2021
calendar
year,
or
tax
year
beginning
7 / 0
1 , 2021,
and
ending
6/
3 0
8 Check
if
applicable:
C
D
Address
change
CITY
OF
SANTA
CLARA
PUBLIC
FACILITIES
-
Name
change
FINANCING
CORPORATION
E
-
1500
WA
RBURTON
AVENUE
Ini
tia
l return
-
SANTA
CLARA,
CA
95050-3713
Final
return/term
inated
1--
Open
to
Public
Inspection
, 20
2022
Empl
oye
r id
en
tifi
cation
numb
er
31-1611044 Telephone
number
(408)
615-2368
Amended
return
G
,-
Gross
receip
ts
$
2,502,062.
App
lic
ation
pending
F
Nam
e
and
add
ress
of
principal
otticer
:
RAJEEV
BATRA
H(a)
Is
th
is a
group
return
for
subordinates?
~
Yes
~No
~
SAME
AS
C
ABOVE
H(b)
Are
all
subordina
tes
included?
Yes
No
If
"No,"
atta
ch
a
list.
See
ins
tructions.
I
Tax
-exempt
status:
I
[ 501
(c)(3)
[XI
50 1(c)
(
4 )◄
(insert
no.)
[
[ 4947(a)(l)
or
I [ 527
J
Website:
►
N/A
H(c)
Group
exemption
number
►
K
Form
of
organi
zat
ion:
IXI
Corporation
[
[ Tru
st
I
[
Association
[
[
Other
►
[ L
Year
of
format
ion:
1997
[ M
State
of
legal
domi
cile
:
CA
I Part
I
I Summary
1 Br
ief
ly
descr
ibe
th
e
orga
nization's
mi
ss
ion
or
m
ost
significa
nt
ac
tivities
:TO
RENDER
FINANCIAL
ASSISTANCE
TO
THE
(])
CI
TY
OF
SANTA
_CLARA
BY
FINANCING,
REFINANCING,
LEASING
AND
CONSTRUCTING
VARIOUS
___
(,) C
FACILITIES
FOR
THE
BENEFIT
OF
THE
CITY'S
RESIDENTS.
ro
----------
------
-----------------------------------------------
C (])
---------□----------------------------------------------------- >
2 Check
this
box
►
if
the
organization
disco
ntinu
ed
its
opera
tions
or
disposed
of
mo
re
th
an
25%
of
its
net
assets
.
0 CJ
3 Number
of
vo
tin
g
members
of
the
gov
erning
body
(Part
VI, line
1 a)
..
'
.'.'
.
'
. .
. . . . .
. .
.
......
'
.
3 7
od
4 Number
of
ind
epe
nd
ent
vo
ting
members
of
the
governing
body
(Part
VI, line
1 b)
.
4 0
"'
'''
''.
'
...
.
'.'
.....
(])
5 Tota
l number
of
in
dividua
ls
em
ployed
in
ca
lendar
year
202
1 (Part
V,
line
2a).
5 0
:;:::,
. . .
'
..
..
..... ...
' ......
·s:
6 Total
number
of
volunteers
(estimate
if necessary)
..
. . .
. . .
. . .
. . . .
' ...
......
6 0
:;:::, (,)
7a
Total
unre
lated
bu
siness
reve
nue
fro
m
Pa
rt
VIII,
co
lumn
(C),
line
12 .
7a
0. <t
.
''
...
..
··•·
'
.. . .
''
.. . ...
.
'
.
b
Net unr
elated
business
taxable
in
come
from
Form
99O-T,
Part
I, lin
e
11 ..
'·••·
. . . . .
....
7b
0 .
Prior
Year
Current
Year
8 Cont
ributi
ons
and
grants
(Part
VI
II,
line
lh).
''
...
....
..........
' ..
.
'
' ...
'
'
. . .....
. . .
Ql :::,
9 Program
serv
ice
reven
ue
(Part
VIII
, lin
e
2g)
.........
. . . . . .
. .
'
...
'.'.
'
.....
. .
'
2,5
00,
344
.
2,501,4
39. C Ql
10 In
ves
tmen
t in
come
(Part
VIII
, co
lumn
(A),
lin
es
3,
4, an
d
7d).
303
.
623.
>
''
'
'''
''
'
....
' ...
...
'.
Ql a:
11 Other
reve
nu
e
(Part
VI
I I, co
lumn
(A),
lin
es
5,
6d,
8c
, 9c,
1 Oc,
and
11 e).
. . .
. .
'
'
'
..
'
12 Tota
l reven
ue
-
add
lines
8 through
11 (mu
st
equa
l Part
VII
I, co
lumn
(A),
line
12)
.
2 ,500
,647
.
2 ,50
2,062,
13 Grants
and
simil
ar amount
s
paid
(Part
IX, co
lumn
(A)
, lines
1-3)
..
14 Benefits
paid
to
or
for
m
embers
(Part
IX,
column
(A),
line
4)
. .
'.
'
...
15 Sa
lar
ies,
other
compensation,
emp
loyee
benefits
(P
art
IX,
co
lumn
(A),
lin
es
5-
10 ) ...
"' Q)
16a
Professional
fundrais
ing
fees
(Part
IX,
co
lumn
(A),
lin
e
l le)
..
"'
.....
..
C Ql
b
To
tal
fundr
ais
ing
expenses
(Part
IX,
co
lumn
(D),
line
25 )
►
a. >< w
17 O
th
er
expenses
(Part
IX,
co
lumn
(A)
, lines
11 a-
11 d,
l lf-24e)
..
2 ,502,45
7. 2,502,604.
......
'
.....
. . . . . . .
'''
18 Tota
l ex
pen
ses.
Add
lines
13-
17 (must
eq
ual Part
IX, co
lumn
(A),
line
25)
.
''
...
...
. . . .
2,502,457
.
2 ,50
2 ,604,
19 Reven
ue
less
expenses.
Su
btr
act
lin
e
18 from
line
12 .
. .....
.
'
...
.......
. . . . .
. . . . .
-1,810.
-5
42. ".
Beginn
ing
of
Curr
ent
Year
End
of
Year
0. !!g
20 Total
asse
ts
(Part
X, lin
e
16)
..
14,
376,
774
,
12,316,935.
~.!!!
. . .. . .
. . . ·••·'
.....
..
. . .
. . . ···•·
. . . .. .. .
. ...
' ...
. .
~. :i
al
21 Tota
l liabiliti
es
(P
art
X,
lin
e 2
6)
.
'
...
.
'
..
..
....
.
'
....
' '
..
'
...
......
' ..
...
. .
··•·
.
'
13,6
53,69
1 .
11,594,394.
d)-g
22 Net
assets
or
fund
balances.
Sub
tract
lin
e
21 from
line
20 .
723,083
.
z"
.
' ..
...
.......
.......
..
722,541.
u.
I Part
II
I Signature
Block
Und
er penalt
ies
of
perju
ry
, I declare
th
at I
hav
e
examined
this
return,
incl
uding
accompanying
schedules
and
statem
ents,
and
to
the
best
of
my
knowledge
and
belief,
it is
true,
correc
t,
and
complete.
Declaration
of
preparer
(other
than
otticer)
is
based
on
all
information
of
which
preparer
ha
s
any
knowledge
.
►
I
Sign
Signature
of
officer
Date
Here
►
KENN
LEE
DIR.
OF
FINANCE
Type
or
print
name
and
title
PrintfType
preparer's
name
I Preparer's
signature
I Date
Check
lJ
if
I PTIN
Paid
TIMOTH
Y
J
KR
ISCH,
CPA
TIMOTHY
J
KRISCH,
CPA
I ,J.
· 15'·
,l
:L
self-employe
d
POO283O83
Preparer
Firm's
name
►
MAZE
&
ASSOCIATES
Use
Only
Firm's
address
►
34 78
BUSKIRK
AVE
STE
215
Firm's
EIN
►
94-2590179
PLEASANT
HILL,
CA
94523
Phone
no.
925-930-0902
May
the
IR
S
disc
uss
th
is
ret
urn
with
the
preparer
sho
wn
above?
See
instructions
.
. . ...
..
'
..
'
..
......
''.
. .
IXI
Yes
I I
No
l
BAA
For
Paperwork
Reduction
Act
Notice
, see
the
separate
instructions.
TEEA0
l 0 I
L
09/22/21
Form
990
(202
1)
Form
990
(2021)
CITY
OF
SANTA
CLARA
PUBLIC
FACILITIES
31-1611044
Page
2 I Part
Ill
I Statement
of
Program
Service
Accomplishments
Check
if
Schedule
O
contains
a
response
or
note
to
any
line
in
this
Part
Ill
..
Briefly
describe
the
organization's
mission:
SEE
SCHEDULE
0 2
Did
the
organization
undertake
any
significant
program
services
during
the
year
which
were
not
listed
on
the
prior
Form
990
or
990-EZ?
............
.
D
Yes
[RJ
No
If
"Yes,"
describe
these
new
services
on
Schedule
0. 3
Did
the
organization
cease
conducting,
or
make
significant
changes
in
how
it
conducts,
any
program
services?..
D
Yes
[R]
No
If
"Yes,"
describe
these
changes
on
Schedule
0. 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.
4a
(Code:
____
) (Expenses
$
2,502,604.
including
grants
of
$ _______
) (Revenue
$ ______
_
DEBT
SERVICE
EXPENDITURES
RELATED_TO
POLICE
ADMINISTRATION
BUILDING,
1lBBJ\~Y-~UILDING
CONSTRUCTION,
AND
_LEASE
OBLIGATIONS.__
_ _ _ _
_ __
4 b
(Code:
) (Expenses
$
including
grants
of
$
)
(Revenue
$
----
--------
--------
--------
4 c
(Code:
) (Expenses
$
including
grants
of
$
) (Revenue
$
----
--------
--------
--------
4 d
Other
program
services
(Describe
on
Schedule
0.)
(Expenses
$
including
grants
of
$
) (Revenue
$
4 e
Total
program
service
expenses
►
2,
5 0 2,
6 0 4 .
BAA
TEEA0102L
09/22/21
Form
990
(2021)
Form
990
(2021)
CITY
OF
SANTA
CLARA
PUBLIC
FACILITIES
31-1611044
Page
3 I Part
IV
I Checklist
of
Required
Schedules
Yes
No
1 Is
the
organization
described
in
section
501
(c)(3)
or
4947(a)(l)
(other
than
a
private
foundation)?
If
'Yes,'
complete
Schedule
A.....
. . . . . . . . . . . . . . .
. . . . . . . . . . . . . . .
. .........
·
X
2 Is
the
organization
required
to
complete
Schedule
B,
Schedule
of
Contributors?
See
instructions
....
2 X
3 Did
the
organization
engage
in
direct
or
indirect
political
campaign
activities
on
behalf
of
or
in
opposition
to
candidates
for
public
office?
If
'Yes,'
complete
Schedule
C,
Part
I........................
. ................................
.
3 X
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 >----+--+--
5 Is
the
organization
a
section
501
(c)(4),
501
(c)(5),
or
501
(c)(6)
organization
that
receives
membership
dues,
assessments,
or
similar
amounts
as
defined
in
Revenue
Procedure
98-19?
If
'Yes,'
complete
Schedule
C,
Part
Ill.
. .
. .
5 X
t------+----+--
6 Did
the
organization
maintain
any
donor
advised
funds
or
any
similar
funds
or
accounts
for
which
donors
have
the
right
to
provide
advice
on
the
distribution
or
investment
of
amounts
in
such
funds
or
accounts?
If
'Yes,'
complete
Schedule
0,
Part
I.
. . .
. . .
. . . .
. . . .
. . . . . . . . . . .
.
6 X
>----+---+--
7 Did
the
organization
receive
or
hold
a
conservation
easement,
including
easements
to
preserve
open
space,
the
environment,
historic
land
areas,
or
historic
structures?
If
'Yes,'
complete
Schedule
0,
Part
II.
7 X
>----+--+--
8 Did
the
organization
maintain
collections
of
works
of
art,
historical
treasures,
or
other
similar
assets?
If
'Yes,'
complete
Schedule
0,
Part
Ill.
. . . . . .
. .
. . . . . . . . . . . .
.
. . . . . .
. . .
8 X
t------+----+--
9 Did
the
organization
report
an
amount
in
Part
X,
line
21,
for
escrow
or
custodial
account
liability,
serve
as
a
custodian
for
amounts
not
listed
in
Part
X;
or
provide
credit
counseling,
debt
management,
credit
repair,
or
debt
negotiation
services?
If
'Yes,'
complete
Schedule
0,
Part
IV..
. . .
. . .
. . . . . . .
. .
9 X
t------+----+--
10 Did
the
organization,
directly
or
through
a
related
organization,
hold
assets
in
donor-restricted
endowments
or
in
quasi
endowments?
If
'Yes,'
complete
Schedule
0,
Part
V..
. . . . .
. . .
.
. . . . . .
. . . . . . . .
. . . . .
10 t------+----+--
X
11 If
the
organization's
answer
to
any
of
the
following
questions
is
'Yes',
then
complete
Schedule
D,
Parts
VI,
VII,
VIII,
IX,
or
X,
as
applicable.
a
Did
the
organization
report
an
amount
for
land,
buildings,
and
equipment
in
Part
X,
line
1 O?
If
'Yes,'
complete
Schedule
0,
Part
VI
.....
b
Did
the
organization
report
an
amount
for
investments
-
other securities
in
Part
X,
line
12,
that
is
5%
or
more
of
its
total
assets
reported
in
Part
X,
line
16?
If
'Yes,'
complete
Schedule
0,
Part
Vil
.
. ....
c
Did
the
organization
report
an
amount
for
investments
-
program
related
in
Part
X,
line
13,
that
is
5%
or
more
of
its
total
assets
reported
in
Part
X,
line
16?
If
'Yes,'
complete
Schedule
0,
Part
VIII...
. . .
. . . . .
.
. ..
d
Did
the
organization
report
an
amount
for
other
assets
in
Part
X,
line
15,
that
is
5%
or
more
of
its
total
assets
reported
in
Part
X,
line
16?
If
'Yes,'
complete
Schedule
0,
Part
IX.
. ....
e
Did
the
organization
report
an
amount
for
other
liabilities
in
Part
X,
line
25?
If
'Yes,'
complete
Schedule
0,
Part
X
..
f
Did
the
organization's
separate
or
consolidated
financial
statements
for
the
tax
year
include
a
footnote
that
addresses
the
organization's
liability
for
uncertain
tax
positions
under
FIN
48 (ASC
740)?
If
'Yes,'
complete
Schedule
0,
Part
X.
12 a
Did
the
organization
obtain
separate,
independent
audited
financial
statements
for
the
tax
year?
If
'Yes,'
complete
Schedule
0,
Parts
XI
and
XII.
b
Was
the
organization
included
in
consolidated,
independent
audited
financial
statements
for
the
tax
year?
If
'Yes,'
and
if
the
organization
answered
'No'
to
line
72a,
then
completing
Schedule
0,
Parts
XI
and
XII
is
optional
...
13 Is
the
organization
a
school
described
in
section
170(b)(l)(A)(ii)?
If
'Yes,'
complete
Schedule
E .....
.
14a
Did
the
organization
maintain
an
office,
employees,
or
agents
outside
of
the
United
States?
........
.
b
Did
the
organization
have
aggregate
revenues
or
expenses
of
more
than
$10,000
from
grantmaking,
fundraising,
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
.................................................
.
15 Did
the
organization
report
on
Part
IX,
column
(A),
line
3,
more
than
$5,000
of
grants
or
other
assistance
to
or
for
any
foreign
organization?
If
'Yes,'
complete
Schedule
F,
Parts
II
and
IV.
. .
. ...
16 Did
the
organization
report
on
Part
IX,
column
(A),
line
3,
more
than
$5,000
of
aggregate
grants
or
other
assistance
to
or
for
foreign
individuals?
If
'Yes,'
complete
Schedule
F,
Parts
Ill
and
IV
..
17 Did
the
organization
report
a
total
of
more
than
$15,000
of
expenses
for
professional
fundraising
services
on
Part
IX,
column
(A),
lines
6 and
11 e?
If
'Yes,'
complete
Schedule
G,
Part
I.
See
instructions
........................
.
18 Did
the
organization
report
more
than
$15,000
total
of
fundraising
event
gross
income
and
contributions
on
Part
VIII,
lines
1 c
and
Sa?
If
'Yes,'
complete
Schedule
G,
Part
II ..
19 Did
the
organization
report
more
than
$15,000
of
gross
income
from
gaming
activities
on
Part
VIII,
line
9a?
If
'Yes,'
complete
Schedule
G,
Part
Ill.
. .
. . . . . . . .
. . . . . . . .
. . . . . . . . . . .
. . .
.
. . .
. . . . . . . .
. . .
. .....
.
20a
Did
the
organization
operate
one
or
more
hospital
facilities?
If
'Yes,'
complete
Schedule
H ..
.
b
If
'Yes'
to
line
20a,
did
the
organization
attach
a
copy
of
its
audited
financial
statements
to
this
return?
.............
.
21 Did
the
organization
report more
than
$5,000
of
grants
or
other
assistance
to
any
domestic
organization
or
domestic
government
on
Part
IX,
column
(A),
line
1?
If
'Yes,'
complete
Schedule
I,
Parts
I and
II ..
...................
.
BAA
TEEAOl
03L
09/22/21
11 a
X
11 b
X
11 c
X
11 d
X
11 e
X
11f
X
12a
X
12b
X
13 X
14a
X
14b
X
15 X
16 X
17 X
18 X
19 X
20a
X
20b 21
X
Form
990
(2021)
Form
990
(2021)
CITY
OF
SANTA
CLARA
PUBLIC
FACILITIES
31-1611044
Page
4 I Part
IV
I Checklist
of
Required
Schedules
(continued)
22 Did
the
organization
report
more
than
$5,000
of
grants
or
other
assistance
to
or
for
domestic
individuals
on
Part
IX,
column
(A),
line
2?
If
'Yes,'
complete
Schedule
I,
Parts
I and
Ill..
. .....
23 Did
the
organization
answer
'Yes'
to
Part
VII,
Section
A,
line
3,
4,
or
5,
about
compensation
of
the
organization's
current
and
former
officers,
directors,
trustees,
key
employees,
and
highest
compensated
employees?
If
'Yes,'
complete
Schedule
J.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ....
24a
Did
the
organization
have
a
tax-exempt
bond
issue
with
an
outstanding
principal
amount
of
more
than
$100,000
as
of
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.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..
.
b
Did
the
organization
invest
any
proceeds
of
tax-exempt
bonds
beyond
a
temporary
period
exception?
.........
.
c
Did
the
organization
maintain
an
escrow
account
other
than
a
refunding
escrow
at
any
time
during
the
year
to
defease
any
tax-exempt
bonds?..
. .
....
d
Did
the
organization
act
as
an
'on
behalf
of'
issuer
for
bonds
outstanding
at
any
time
during
the
year?
..
25a
Section
501(c)(3), 501(c)(4),
and
501(c)(29)
organizations.
Did
the
organization
engage
in
an
excess
benefit
transaction
with
a
disqualified
person
during
the
year?
If
'Yes,'
complete
Schedule
L,
Part
I.
b
Is
the
organization
aware
that
it
engaged
in
an
excess
benefit
transaction
with
a
disqualified
person
in
a
prior
year,
and
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.
. . . . . . . . . . . .
. . . . . . . . . . . .
. . . .
..
26 Did
the
organization
report
any
amount
on
Part
X,
line
5 or
22,
for
receivables
from
or
payables
to
any
current
or
former
officer,
director,
trustee,
key
emplo
1ee,
creator
or
founder,
substantial
contributor,
or
35%
controlled
entity
or
family
member
of
any
of
these
persons.
If
'Yes,'
complete
Schedule
L,
Part II
.................................
.
27 Did
the
organization
provide
a
grant
or
other
assistance
to
any
current
or
former
officer,
director,
trustee,
key
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
persons?
If
'Yes,'
complete
Schedule
L,
Part
Ill.
28 Was
the
organization
a
party
to
a
business
transaction
with
one
of
the
following
parties
(see
the
Schedule
L,
Part
IV,
instructions
for
applicable
filing
thresholds,
conditions,
and
exceptions):
a
A
current
or
former
officer,
director,
trustee,
key
employee,
creator
or
founder,
or
substantial
contributor?
If
'Yes,'
complete
Schedule
L,
Part
IV.
b
A
family
member
of
any
individual
described
in
line
28a?
If
'Yes,'
complete
Schedule
L,
Part
IV.
c
A
35%
controlled
entity
of
one
or
more
individuals
and/or
organizations
described
in
line
28a
or
28b?
If
Yes,'
complete
Schedule
L,
Part
IV.
. .
. ......
.
29 Did
the
organization
receive
more
than
$25,000
in
non-cash
contributions?
If
'Yes,'
complete
Schedule
M.
....
30 Did
the
organization
receive
contributions
of
art,
historical
treasures,
or
other
similar
assets,
or
qualified
conservation
contributions?
If
'Yes,'
complete
Schedule
M..
. .....
.
31 Did
the
organization
liquidate,
terminate,
or
dissolve
and
cease
operations?
If
'Yes,'
complete
Schedule
N,
Part
I ..
32 Did
the
organization
sell,
exchange,
dispose
of,
or
transfer
more
than
25%
of
its
net
assets?
If
'Yes,'
complete
Schedule
N,
Part
II.
. . . .
...
33 Did
the
organization
own
100%
of
an
entity
disregarded
as
separate
from
the
organization
under
Regulations
sections
301.7701
-2
and
301.7701-3?
If
'Yes,'
complete
Schedule
R,
Part
I......
. . . . . . . . . . . . . . . . . .
........
.
34 Was
the
organization
related
to
any
tax-exempt
or
taxable
entity?
If
'Yes,'
complete
Schedule
R,
Part
II,
Ill,
or
IV,
and
Part
V,
line
7. . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ....
35a
Did
the
organization
have
a
controlled
entity
within
the
meaning
of
section
512(b)(13)?
........
.
b
If
'Yes'
to
line
35a,
did
the
organization
receive
any
payment
from
or
engage
in
any
transaction
with
a
controlled
entity
within
the
meaning
of
section
512(b)(l
3)?
If
'Yes,'
complete
Schedule
R,
Part
V,
line
2. . .....
.
36 Section
501(c)(3)
organizations.
Did
the
organization
make
any
transfers
to
an
exempt
non-charitable
related
organization?
If
'Yes,'
complete
Schedule
R,
Part
V,
line
2..
. ....
37 Did
the
organization
conduct
more
than
5%
of
its
activities
through
an
entity
that
is
not
a
related
organization
and
that
is
treated
as
a
partnership
for
federal
income
tax
purposes?
If
'Yes,'
complete
Schedule
R,
Part
VI
..
38 Did
the
organization
complete
Schedule
O
and
provide
explanations
on
Schedule
O
for
Part
VI,
lines
11 b
and
19?
Note:
All
Form
990
filers
are
required
to
complete
Schedule
0. ...............................................
.
I Part
V
I Statements
Regarding
Other
IRS
Filings
and
Tax
Compliance
Check
if
Schedule
O
contains
a
response
or
note
to
any
line
in
this
Part
V.
1 a
Enter
the
number
reported
in
box
3 of
Form
1096.
Enter
-0-
if
not
applicable
.......
.
b
Enter
the
number
of
Forms
W-2G
included
on
line
1 a.
Enter
-0-
if
not
applicable
.
1 a 1 b
c
Did
the
organization
comply
with
backup
withholding
rules
for
reportable
payments
to
vendors
and
reportable
gaming
(gambling)
winnings
to
prize
winners?
..
BAA
TEEA0104L
09/22/21
Yes
No
22 X
23 X
24a
X
24b
X
24c
X
24d
X
25a
X
25b
X
26 X
27 X
28a
X
28b
X
28c
X
29 X
30 X
31 X
32 X
33 X
34 X
35a
X
35b 36 37
X
38 X Yes
No
0 0
1 C
Form
990
(2021)
Form
990
(2021)
CITY
OF
SANTA
CLARA
PUBLIC
FACILITIES
31-1611044
Page
5 I Part
V
I
Statements
Regarding
Other
IRS
Filings
and
Tax
Compliance
(continued)
Yes
No
ments,
filed
for
the
calendar
year
ending
with
or
within
the
year
covered
by
this
return.
. . . .
2 a
O
2a
Enter
the
number
of
employees
reported
on
Form
W-3,
Transmittal
of
Wage
and
Tax
State-I
I
~-~--------+--+----,'----
b
If
at
least
one
is
reported
on
line
2a,
did
the
organization
file
all
required
federal
employment
tax
returns?
....
Note:
If the
sum
of
lines
la
and
2a
is
greater
than
250,
you
may
be
required
toe-file.
See
instructions.
3 a
Did
the
organization
have
unrelated
business
gross
income
of
$1,000
or
more
during
the
year?
.......................
.
b
If
'Yes,'
has
it filed
a Form
990-T
for
this
year?
If
'No'
to
line
3b,
provide
an
explanation
on
Schedule
0.................
. ..
4 a
At
any
time
during
the
calendar
year,
did
the
organization
have
an
interest
in,
or
a
signature
or
other
authority
over,
a
financial
account
in
a
foreign
country
(such
as
a
bank
account,
securities
account,
or
other
financial
account)?.
b
If
'Yes,'
enter
the
name
of
the
foreign
country
►
See
instructions
for
filing
requirements
for
FinCEN
Form
114,
Report
of
Foreign
Bank
and
Financial
Accounts
(FBAR).
5 a
Was
the
organization
a
party
to
a
prohibited
tax
shelter
transaction
at
any
time
during
the
tax
year?
..
b
Did
any
taxable
party
notify
the
organization
that
it
was
or
is
a
party
to
a
prohibited
tax
shelter
transaction?
..
c
If
'Yes,'
to
line
5a
or
5b,
did
the
organization
file
Form
8886-T?
..
6 a
Does
the
organization
have
annual
gross
receipts
that
are
normally
greater
than
$100,000,
and
did
the
organization
solicit
any
contributions
that
were
not
tax
deductible
as
charitable
contributions?
.................................
.
b
If
'Yes,'
did
the
organization
include
with
every
solicitation
an
express
statement
that
such
contributions
or
gifts
were
not
tax
deductible?............................
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .....
.
7 Organizations
that
may
receive
deductible
contributions
under
section
170(c).
a
Did
the
organization
receive
a
payment
in
excess
of
$75
made
partly
as
a
contribution
and
partly
for
goods
and
services
provided
to
the
payor?.
. . . . . . .
. . . .
. ....
b
If
'Yes,'
did
the
organization
notify
the
donor
of
the
value
of
the
goods
or
services
provided?
..
c
Did
the
organization
sell, exchange,
or
otherwise
dispose
of
tangible
personal
property
for
which
it
was
required
to
file
Form
8282?
..
d
If
'Yes,'
indicate
the
number
of
Forms
8282
filed
during
the
year
...
. )
7d)
e
Did
the
organization
receive
any
funds,
directly
or
indirectly,
to
pay
premiums
on
a
personal
benefit
contract?.
f
Did
the
organization,
during
the
year,
pay
premiums,
directly
or
indirectly,
on
a
personal
benefit
contract?
..
g
If
the
organization
received
a
contribution
of
qualified
intellectual
property,
did
the
organization
file
Form
8899
as
required?
....................................................................................... .
h
If
the
organization
received
a
contribution
of
cars,
boats,
airplanes,
or
other
vehicles,
did
the
organization
file
a
Form
1098-C?.
..
.
..
..
..
..
..
..
..
..
.
..
..
..
.
..
.......
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?
...
9 Sponsoring
organizations
maintaining
donor
advised
funds.
a
Did
the
sponsoring
organization
make
any
taxable
distributions
under
section
4966?
.....
.
b
Did
the
sponsoring
organization
make
a
distribution
to
a
donor,
donor
advisor,
or
related
person?.
10 Section
501
(c)(7)
organizations.
Enter:
a
Initiation
fees
and
capital
contributions
included
on
Part
VIII,
line
12. . . . . .
....
I 1oal
f----l------------l
b
Gross
receipts,
included
on
Form
990,
Part
VIII,
line
12,
for
public
use
of
club
facilities....
10b
'----+-----------<
11 Section
501
(c)(12)
organizations.
Enter:
a
Gross
income
from
members
or
shareholders
. . . . . . . . .
. ...
11 a
b
Gross
income
from
other
sources.
(Do
not net
amounts
due
or
paid
to
other
sources
against
amounts
due
or
received
from
them.).
. . . . .
. . . . .
11 b
2b
'
3a
X
3b 4a
X
5a
X
5b
X
5c 6a
X
6b 7a 7b 7c 7e 7f 7g 7h 8 9a 9b
'----~----------+---i--
12 a
Section
4947(a)(1)
non-exempt
charitable
trusts.
Is
the
organization
filing
Form
990
in
lieu
of
Form
1041?
b
If
'Yes,'
enter
the
amount
of
tax-exempt
interest
received
or
accrued
during
the
year.
......
I 12bl
'----~---------<
13 Section
501
(c)(29)
qualified
nonprofit
health
insurance
issuers.
a
Is
the
organization
licensed
to
issue
qualified
health
plans
in
more
than
one
state?
..
Note:
See
the
instructions
for
additional
information
the
organization
must
report
on
Schedule
0. b
Enter
the
amount
of
reserves
the
organization
is
required
to
maintain
by
the
states
in
which
the
organization
is
licensed
to
issue
qualified
health
plans
. .
. ....
I 13
bl
>---+-----------<
c
Enter
the
amount
of
reserves
on
hand
..
13c
14a
Did
the
organization
receive
any
payments
for
indoor
tanning
services
during
the
tax
year?......
. . . . . . . . .
....
.
b
If
'Yes,'
has
it
filed
a
Form
720
to
report
these
payments?
If
'No,'
provide
an
explanation
on
Schedule
0. .............
.
15 Is
the
organization
subject
to
the
section
4960
tax
on
payment(s)
of
more
than
$1,000,000
in
remuneration
or
excess
parachute
payment(s)
during
the
year?
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
. . . . . . . .
. . . .
. ...
If
'Yes,'
see
the
instructions
and
file
Form
4720,
Schedule
N.
16 Is
the
organization
an
educational
institution
subject
to
the
section
4968
excise
tax
on
net
investment
income?
.....
.
If
'Yes,'
complete
Form
4720,
Schedule
0. 17
Section
501(c)(21)
organizations.
Did
the
trust,
any
disqualified
person,
or
mine
operator
engage
in
any
activities
that
would
result
in
the
imposition
of
an
excise
tax
under
section
4951, 4952,
or
4953?
...
If
'Yes,'
complete
Form
6069.
BAA
TEEAOl
05L
09/22/21
12a 13a 14a
X
14b 15
X
16 X
17 Form
990
(2021)
Form
990
(2021)
CITY
OF
SANTA
CLARA
PUBLIC
FACILITIES
31-1611044
Page
6 I Part
VI
I Governance,
Management,
and
Disclosure.
For
each
'Yes'
response
to
lines
2 through
7b
below,
and
for
a
'No'
response
to
line
Ba,
8b,
or
7Gb
below,
describe
the
circumstances,
processes,
or
changes
on
Schedule
0. See
instructions.
Check
if
Schedule
O
contains
a
response
or
note
to
any
line
in
this
Part
VI
.
[x]
Section
A.
Governing
Body
and
Management
1 a
Enter
the
number
of
voting
members
of
the
governing
body
at
the
end
of
the
tax
year.
. . . . .
1 a
7 If
there
are
material
differences
in
voting
rights
among
members
0---0---------------<
of
the
governing
body,
or
if
the
governing
body
delegated
broad
authority
to
an
executive
committee
or
similar
committee,
explain
on
Schedule
0. b
Enter
the
number
of
voting
members
included
on
line
la,
above,
who
are
independent.
1 b
~-~-------------<
2 Did
any
officer,
director,
trustee,
or
key
employee
have
a
family
relationship
or
a
business
relationship
with
any
other
officer,
director,
trustee,
or
key
employee?.
. ..
3 Did
the
organization
delegate
control
over
management
duties
customarily
performed
by
or
under
the
direct
supervision
of
officers,
directors,
trustees,
or
key
employees
to
a
management
company
or
other
person?
..
4 Did
the
organization
make
any
significant
changes
to
its
governing
documents
since
the
prior
Form
990
was
filed?.
5 Did
the
organization
become
aware
during
the
year
of
a
significant
diversion
of
the
organization's
assets?
.....
6 Did
the
organization
have
members
or
stockholders?.
. . . . . . . . . . . . . . . . . . . . . .
.....
7 a
Did
the
organization
have
members,
stockholders,
or
other
persons
who
had
the
power
to
elect
or
appoint
one
or
more
members
of
the
governing
body?.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
....
b
Are
any
governance
decisions
of
the
organization
reserved
to
(or
subject
to
approval
by)
members,
stockholders,
or
persons
other
than
the
governing
body?.
. . . .
. . . . .
...
8 Did
the
organization
contemporaneously
document
the
meetings
held
or
written
actions
undertaken
during
the
year
by
the
following:
a
The
governing
body?.
.
. ..
b
Each
committee
with
authority
to
act
on
behalf
of
the
governing
body?.
. .
..
9 Is
there
any
officer,
director,
trustee,
or
key
employee
listed
in
Part
VII,
Section
A,
who
cannot
be
reached
at
the
organization's
mailing
address?
If
'Yes,'
provide
the
names
and
addresses
on
Schedule
O
.....
.
Yes
No
2 X
3 X
4 X
5 X
6 X
7a
X
7b
X
Ba
X
Bb
X
9 X
Section
B.
Policies
(This
Section
B
requests
1nformat10n
about
pol1c1es
not
reqwred
by
the
Internal
Revenue
Code.)
Yes
No
10 a
Did
the
organization
have
local
chapters,
branches,
or
affiliates?
.....
b
If
'Yes,'
did
the
organization
have
written
policies
and
procedures
governing
the
activities
of
such
chapters,
affiliates,
and
branches
to
ensure
their
operations
are
consistent
with
the
organization's
exempt
purposes?.
. .
. ..
11 a
Has
the
organization
provided
a complete
copy
of
this
Form
990
to
all
members
of
its
governing
body
before
filing
the
form?
..
b
Describe
on
Schedule
O
the
process,
if
any,
used
by
the
organization
to
review
this
Form
990.
12a
Did
the
organization
have
a
written
conflict
of
interest
policy?
If
'No,'
go
to
line
73 ..
SEE
SCHEDULE
0 b Were
officers,
directors,
or
trustees,
and
key
employees
required
to
disclose
annually
interests
that
could
give
rise
to
conflicts?
..
c
Did
the
organization
regularly
and
consistently
monitor
and
enforce
compliance
with
the
policy?
If
'Yes,'
describe
on
Schedule
O
how
this
was
done.
. . . . . . . . . . . . . . .
. .......
.
13 Did
the
organization
have
a
written
whistleblower
policy?
...
14 Did
the
organization
have
a
written
document
retention
and
destruction
policy?
...........
.
15 Did
the
process
for
determining
compensation
of
the
following
persons
include
a
review
and
approval
by
independent
persons,
comparability
data,
and
contemporaneous
substantiation
of
the
deliberation
and
decision?
a
The
organization's
CEO,
Executive
Director,
or
top
management
official.
..
b
Other
officers
or
key
employees
of
the
organization
..
If
'Yes'
to
line
15a
or
15b,
describe
the
process
on
Schedule
0. See
instructions.
16 a
Did
the
organization
invest
in,
contribute
assets
to,
or
participate
in
a
joint
venture
or
similar
arrangement
with
a
taxable
entity
during
the
year?
..
b
If
'Yes,'
did
the
organization
follow
a
written
policy
or
procedure
requiring
the
organization
to
evaluate
its
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?.
. . . . . . . . . . . . . . . . . . .
................
.
Section
C.
Disclosure
17 List
the
states
with
which
a
copy
of
this
Form
990
is
required
to
be
filed
►
CA
______________
_
10a
X
10 b
11 a
X
12a
X
12b 12c 13
X
14 X
15a
X
15b
X
16a
X
1Gb
18 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)
available
for
public
inspection.
Indicate
how
you
made
these
available.
Check
all
that
apply.
D
Own
website
D
Another's
website
[R]
Upon
request
D
other
(explain
on
Schedule
0)
19 Describe
on
Schedule
O
whether
(and
if so,
how)
the
organization
made
its
governing
documents,
conflict
of
interest
policy,
and
financial
statements
available
to
the
public
during
the
tax
year.
SEE
SCHEDULE
0 20
State
the
name,
address,
and
telephone
number
of
the
person
who
possesses
the
organization's
books
and
records
►
KENN
LEE
1500
WARBURTON
AVENUE
SANTA
CLARA
CA
95050-3713
(408)
615-2345
BAA
TEEAO
106L
09/22/21
Form
990
(2021)
Form
990
(2021)
CITY
OF
SANTA
CLARA
PUBLIC
FACILITIES
31-1611044
Page
7 I Part
VII
I 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
VI
I. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
D
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
the
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,
Form
1099-MISC,
and/or
box
1 of
Form
1099-NEC)
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
the
instructions
for
the
order
in
which
to
list
the
persons
above.
IB]
Check
this
box
if
neither
the
organization
nor
any
related
organization
compensated
any
current
officer,
director,
or
trustee.
(C)
(A)
(B)
Position
(do
not
check
more
than
one
box,
unless
person
(D)
(E)
(F)
Name
and
title
Average
is
both
an
officer
and
a
Reportable
Reportable
Estimated
amount
hours
director/trustee)
compensation
from
compensation
from
the
organization
related
organizations
of
other
per
compensation
from
week
0 -
:::,
0 ,';
(I)
:r:
Z1
0/v-2/1099-
0/v-2/1099-
(list
any
~s
~
=1'
~
3 <iS'
3 MISC/1099-NEC)
MISC/1099-NEC)
the
organization
9-:
<,;
ff
irn
and
related
hours
for
~
g
e-
Q
(1)
related
=
3 '<
~
Q
organizations
Qi
0 "O
~
g
organiza-
:::,
J[
=
tions
-
3 2
(1)
D
below
(1)
(I)
dotted
"'
u,
::::,
line)
(1)
$'
~
(1)
it Q_
(1)
KATHLEEN
WATANABE
0.5 --
-
--
-----
----------
--
BOARD
MEMBER
0 X
0. 0.
0. _
(2)
KEVIN
PARK
___
0. --
--
--
--
,---
BOARD
MEMBER
0 X
0. 0.
0. _
(3)
RAJ
CHAHAL
______
0.5 --
--
--
BOARD
MEMBER
0 X
0. 0.
0. _
(4)
KAREN
HARDY
_
0.5 ------------
----
BOARD
MEMBER
0 X
0. 0.
0. _
(5)
ANTHONY
J.
BECKER
0.5 --
--
---
----
BOARD
MEMBER
0 X
0. 0.
0. _
(6)
SUDHANSHU
JAIN
__
0.5 -----
-
-
-
----
VICE
PRESIDENT
0 X X
0. 0.
0. _ (7)
LISA
_M
._
GlLJ,MQ_R
___
0.5 --
--
--
----
PRESIDENT
0 X X
0. 0.
0. (8)
RAJEEV
BATRA
0.1 --------
-----
--
--
--
--
----
EXECUTIVE
DIR.
0 X
0. 0.
0. (9)
KENN
LEE
0.1 ----------
--
------------
----
DIR.
OF
FINANCE
0 X
0. 0.
0. (10)
NORA
PIMENTAL
0.1 --
--------
--
-----
--
--
SECRETARY
0 X
0. 0.
0. (11) ---
--------
--
-- -- --
----
(12) ---
----------
---
-
-----
---
(13) --
--
-------
-----
--
---
--
-
(14) -------------
--
--
--
---
-
--
BAA
TEEA0l
07L
09/22/21
Form
990
(2021)
Form
990
(2021)
CITY
OF
SANTA
CLARA
PUBLIC
FACILITIES
31-1611044
Page
8 I Part
VII
I Section
A.
Officers,
Directors,
Trustees,
Key
Employees,
and
Highest
Compensated
Employees
(continued)
(B)
(C) Position
(D)
(E)
(A)
Average
(do
not
check
more
than
one
Name
and
title
hours
box,
unless
person
is
both
an
Reportable
Reportable
per
officer
and
a
director/trustee)
compensation
from
compensation
from
week
the
organization
related
organizations
(list
any
0 -
::::,
0 ,";
CD
I
"1
hours
~
~
U>
3,
(l)
3 <Ci"
0 (W-2/1099-
(W-2/1099-
~<
=
'<
12.~
3 MISC/1099-NEC)
MISC/1099-NEC)
for
!::
<,
(1)
related
~g
=
9{
3 -!?
(ft
9{
0 (D
~
organiza
s-
"'
::::,
-0
CD
8 -tions
~
~
~
~
3 below
q-
(l)
"O
*
C
(l)
(I)
dotted
$"
::,
line)
(l)
I{!
(1)
0) 0.
J1~)_
-
----
---
---
----
---
--
(16) ------
--- ---
----
---
-
-
-
-·
(17)
----
--
----
---
---
-
- -
-
(18)
------------
---------
---
(19) -------
---
---
----
----
---
J2~)_
--
-
-------
----
---
-
--
-
(21)
-
----
---
---
--
-
--
-
(22) ------
--- ---
---
---
-
-
----
J2~)
__
-------
----
---
----
---
(24)
---
--
--
----
--
-
---
(25)
--- ---
---
---
---
-
--
-
1 b
Subtotal.
►
0. 0.
c
Total
from
continuation
sheets
to
Part
VII,
Section
A..
►
O .
O .
d
Total
(add
lines
1 band
1 c).
.
►
O .
O .
(F)
Estimated
amount
of
other
compensation
from
the
organization and
related
organizations
0. 0. 0.
2 Total
number
of
individuals
(including
but
not
limited
to
those
listed
above)
who
received
more
than
$100,000
of
reportable
compensation
from
the
organization
►
0 3
Did
the
organization
list
any
former
officer,
director,
trustee,
key
employee,
or
highest
compensated
employee
on
line
la?
If
'Yes,'
complete
Schedule
J
for
such
individual.
'.'
....
...
'.'
...
4 For
any
individual
listed
on
line
1 a,
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
such
individual
.
''
..
'
....
.
'.'.
.
'.'.'
. . .
''.'
.....
'
..
'.'.
'.
'.'
..
...
5 Did
any
person
listed
on
line
1 a
receive
or
accrue
compensation
from
any
unrelated
organization
or
individual
for
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)
Name
and
business
address
(B)
Description
of
services
2 Total
number
of
independent
contractors
(including
but
not
limited
to
those
listed
above)
who
received
more
than
$100,000
of
compensation
from
the
organization
►
0 BAA
TEEA0
1 0SL
09/22/21
Yes
No
3 X
4 X
5 X
(C)
Compensation Form
990
(2021)
Form
990
(2021)
CITY
OF
SANTA
CLARA
PUBLIC
FACILITIES
31-1611044
Page
9 I Part
VIII
I Statement
of
Revenue
Check
if
Schedule
O
contains
a
response
or
note
to
any
line
in
this
Part
VIII
...
□
(A)
(8)
(C)
(D)
Total
revenue
Related
or
Unrelated
Revenue
exempt
business
excluded
from
tax
function
revenue
under
sections
revenue
512-514
~-~
1 a
Federated
campaigns.
..
'.'
''
1 a
11:
::i
b
Membership
dues
....
1 b
~-i
c
Fundraising
events.
. '.
'
..
'.,'
1 C
~
ta
d
Related
organizations.
''
1 d
~-~
e
Government
grants
(contributions)
.
1 e
~
·-
0 U)
f
All
other
contributions,
gifts,
grants,
and
:g
..
similar
amounts
not
included
above.
1 f
iB
g
Noncash
contributions
included
in
1 g
lines
1 a-lf ..
0 "8
h
Total.
Add
lines
1 a-
lf
..
►
u
11)
''
..
'
..
'
....
'
.
' ' '
.
'
'''
'.'
..
'.
Cl)
Business
Code
::, 53
2a
LEASE_REVENUE
_____
2 501
439.
2 501
439.
a;
-
0:
b
Cl)
---------
---
-
0 C
-~
----
----
----
--
Cl)
d
(/)
---
---
----
---
E
e
(tJ
---
---
---
---
...
f
All
other
program
service
revenue
.
0) 2
g
Total.
Add
lines
2a-2f
..
►
2,501,439.
0. 3
Investment
income
(including
dividends,
interest,
and
other
similar
amounts).
►
623.
623.
4 Income
from
investment
of
tax-exempt
bond
proceeds
►
5 Royalties.
►
(i)
Real
(ii)
Personal
6 a
Gross
rents.
'
..
'
6a
b
Less:
rental
expenses
6b
c
Rental
income
or
(loss)
6c
d
Net
rental
income
or
(loss).
. .
''
'.'.'.'
..
.
'
....
►
7 a
Gross
amount
from
(i)
Securities
(ii)
Other
sales
of
assets
7a
other
than
inventoi
b
Less:
cost
or
other
asis
and
sales
expenses
7b
c
Gain
or
(loss)
..
7c
d
Net
gain
or
(loss)
..
''.'
►
C1)
8 a
Gross
income
from
fundraising
events
:,
(not
including
$
C: ~
of
contributions
reported
on
line
1 c).
Cl) ex::
See
Part
IV,
line
18 ..
8a
...
b
Less:
direct
expenses
.......
8b
Cl) J: 0
c
Net
income
or
(loss)
from
fundraising
events.
''
. '.'.
►
9 a
Gross
income
from
gaming
activities.
See
Part
IV,
line
19 . .
'.'.'
'''
9a
b
Less:
direct
expenses
...
9b
c
Net
income
or
(loss)
from
gaming
activities
....
'''
''
..
►
10 a
Gross
sales
of
inventory,
less.
returns
and
allowances
..
. .
''
.
'
..
Oa
b
Less:
cost
of
goods
sold
..
Ob
c
Net
income
or
(loss)
from
sales
of
inventory
...
...
'
►
~
Business
Code
11 a
~
~
---
---
---
---
b
!ti
C
---------
------
=a;
~
C
--
--
---
--
---
&l
a::
d
All
other
revenue
..
i
e
Total.
Add
lines
l la-1
ld.
►
'
12 Total
revenue.
See
instructions.
►
2 502
062.
2 502
062.
0. 0.
BAA
TEEAO
109L
09/22/21
Form
990
(2021)
Form
990
(2021)
CITY
OF
SANTA
CLARA
PUBLIC
FACILITIES
31-1611044
Page
10 I Part
IX
I 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
an,
line
in
this
Part
IX
....
'''
....
'.'.
..
'
...
'
'
...
.....
I I
Do
not
include
amounts
reported
on
lines
(A)
(B)
(C)
(D)
Total
expenses
Program
service
Management
and
Fundraising
6b,
7b,
8b,
9b,
and
10b
of
Part
VIII.
expenses
general
expenses
expenses
1 Grants
and
other
assistance
to
domestic
organizations
and
domestic
governments.
See
Part
IV,
line
21. . ..
. .
'
..
2 Grants
and
other
assistance
to
domestic
individuals.
See
Part
IV,
line
22. '.'
..
3 Grants
and
other
assistance
to
foreign
organizations,
foreign
governments,
and
for-
eign
individuals.
See
Part
IV,
lines
15 and
16. 4
Benefits
paid
to
or
for
members
.....
..
5 Compensation
of
current
officers,
directors,
trustees,
and
key
employees
...
''.'.'.
0. 0.
0. 0.
6 Compensation
not
included
above
to
disqualified
persons
(as
defined
under
section
4958(f)(l
))
and
persons
described
in
section
4958(c)(3)(B)
..
'.''.'
..
0. 0.
0. 0.
7 Other
salaries
and
wages.
'.'.
8 Pension
plan
accruals
and
contributions
(include
section
401
(k)
and
403(b)
employer
contributions).
'.'
..
'.'.'
9 Other
employee
benefits.
..
'.'.'.
. ..
10 Payroll
taxes.
''.''
..
.
'.'.'
..
11 Fees
for
services
(nonemployees):
a
Management.
b
Legal.
c
Accounting.
d
Lobbying.
. . '.
e
Professional
fundraising
services.
See
Part
IV,
line
17 ..
f
Investment
management
fees
...
g
Other.
(If
line
11 g amount
exceeds
10%
of
line
25,
column
(A),
amount,
list
line
11 g expenses
on
Schedule
0.)
..
12 Advertising
and
promotion
.
..
'.'.
13 Office
expenses
....
''.'
....
...
...
,
..
'
'.'.
14 Information
technology
.......
. .
'.'
..
'.
'
.
15 Royalties
..
'
..
'
. . .
''
........
. . .
.
'
..
'.'.'
..
16 Occupancy.
. . .
..
17 Travel
..
. .
'.
''
.
'.'
'
....
18 Payments
of
travel
or
entertainment
expenses
for
any
federal,
state,
or
local
public
officials.
19 Conferences,
conventions,
and
meetings
..
20 Interest
..
496,439.
496,439.
21 Payments
to
affiliates
...
'.
'.','.'
'''
..
22 Depreciation,
depletion,
and
amortization.
23 Insurance
..
. .
'.'
..
'
..
'
....
'
'.'
....
'
24 Other
expenses.
Itemize
expenses
not
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
0.)
........
'
...
a
PRINCIPAL
DEBT
PAYMENTS
_
-
2 005,000.
2 005
000.
b
BOND
COST
EXPENSE
___
1 165.
1 165.
--
-
C
----
---
---
---
--
-
d
----
---
---
--
---
-
e
All
other
expenses
..
25 Total
functional
expenses.
Add
lines
1 through
24e
.
2,502,604.
2,502,604.
0. 0.
26 Joint
costs.
Complete
this
line
only
if
the
organization
reported
in
column
(B)
joint
costs
from
a
combined
educational
campaign
and
fundraising
solicitation.
Check
here
►
D
if
following
SOP
98-2
(ASC
958-720)
..
BAA
TEEA0110L
09/22/21
Form
990
(2021)
Form
990
(2021)
CITY
OF
SANTA
CLARA
PUBLIC
FACILITIES
31-1611044
Page
11 I Part
X
I Balance
Sheet
Check
if
Schedule
O
contains
a
response
or
note
to
any
line
in
this
Part
X ..
□
(A)
Beginning
of
year
(8)
End
of
year
1 Cash
-
non-interest-bearing
..
'.''
..
1 2
Savings
and
temporary
cash
investments
. . . .
'
.
'''
..
. .
'
.
'
.
'
. .
...
723,083.
2 722,541.
3 Pledges
and
grants
receivable,
net
..
.
''
..
'
. . . . .
...
. . . .
. . .
'
...
. .
'.'
..
'
.
'
...
''
3 4
Accounts
receivable,
net
..
'''.'
..
...
. .
.
''
..
'
. ...
.
'
..
'
..
. ..
''
..
4 5
Loans
and
other
receivables
from
any
current
or
former
officer,
director,
trustee,
key
employee,
creator
or
founder,
substantial
contributor,
or
35%
controlled
entity
or
family
member
of
any
of
these
persons.
...
,
..
'
. . .
...
5 6
Loans
and
other
receivables
from
other
disqualified
persons
(as
defined
under
section
4958(f)(l)),
and
persons
described
in
section
4958(c)(3)(B).
6 7
Notes
and
loans
receivable,
net.
'.'.'
7 1/)
8 Inventories
for
sale
or
use
...
8 ....
. .
''
..
. ..
(I)
9 Prepaid
expenses
and
deferred
charges.
9 ig
..
'.'
....
'
<(
10 a
Land,
buildings,
and
equipment:
cost
or
other
basis.
Complete
Part
VI
of
Schedule
D.
'
...
10a
b
Less:
accumulated
depreciation.
.
10 b
10 C
11 Investments
-
publicly
traded
securities
...
. . .
. . .
...
11 12
Investments
-
other
securities.
See
Part
IV,
line
11. 12
13 Investments
-
program-related.
See
Part
IV,
line
11. 13
14 Intangible
assets.
14 15
Other
assets.
See
Part
IV,
line
11. 13,653,691.
15 11,594,394.
16 Total
assets.
Add
lines
1 through
15 (must
equal
line
33)
.
14,376,774.
16 12,316,935.
17 Accounts
payable
and
accrued
expenses.
..
'.'.
17 18
Grants
payable
.....
''
..
...
'.'.'.
. .
. . . .
..
. .
,
..
'
. .
. ..
...
18 19
Deferred
revenue.
''.''.'
'.'.'.
. . .
'
...
19 20
Tax-exempt
bond
liabilities.
'.'.
. .
'.'
...
. . . .
'
. . . . . .
. .
... ...
12,588,691.
20 11,594,394.
1/)
21 Escrow
or
custodial
account
liability.
Complete
Part
IV
of
Schedule
D..
21 ,S! ~
22 Loans
and
other
payables
to
any
current
or
former
officer,
director,
trustee,
1i
key
employee,
creator
or
founder,
substantial contributor,
or
35%
(l1
controlled
entity
or
family
member
of
any
of
these
persons.
22 :.:J
23 Secured
mortgages
and
notes
payable
to
unrelated
third
parties.
'
......
23 24
Unsecured
notes
and
loans
payable
to
unrelated
third
parties
..
24 25
Other
liabilities
(including
federal
income
tax,
payables
to
related
third parties,
and
other
liabilities
not
included
on
lines
17-24).
Complete
Part
X
of
Schedule
D.
1,065,000.
25 26
Total
liabilities.
Add
lines
17 through
25. ''
....
'.
. . .
' '
.
'
'
'
..
13,653
691.
26 11,594,394.
1/)
Organizations that
follow
F ASB ASC
958,
check
here
►
□
8 and
complete
lines
27,
28,
32,
and
33. C: (l1
27 Net
assets
without
donor
restrictions
...
...
'.
'.
...
'.'
'.'.'
. . .
'
.
'
...
..
'
...
'
27 16 ca
28 Net
assets
with
donor
restrictions.
.
'.'.
'.
'.'
.
. . .
'
..
'.'
'
..
'
..
'
..
28 "C
Organizations
that
do
not
follow
FASB
ASC
958,
check
here
►
~
C: :l LI.
and
complete
lines
29 through
33. •
I,.
Capital
stock
or
trust
principal,
or
current
funds
...
29 0
29 . . .
'
''.'
.......
723,083.
722,541.
1/)
30 Paid-in
or
capital
surplus,
or
land,
building,
or
equipment
fund.
.
30 ....
.....
'
...
5l
31 Retained
earnings,
endowment,
accumulated income,
or
other
funds
..
31 1/1 <(
32 Total
net
assets
or
fund
balances.
723,083.
32 722,541.
.... ~
33 Total
liabilities
and
net
assets/fund
balances
.
'.'.'.
14,376,774.
33 12,316,935.
BAA
TEEA0111L
09/22/21
Form
990
(2021)
Form
990
(2021)
CITY
OF
SANTA
CLARA
PUBLIC
FACILITIES
I Part
XI
I Reconciliation
of
Net
Assets
Check
if
Schedule
O
contains
a
response
or
note
to
any
line
in
this
Part
Xl
.
1 Total
revenue
(must
equal
Part
VIII,
column
(A),
line
12)
..
2 Total
expenses
(must
equal
Part
IX,
column
(A),
line
25)
..
3 Revenue
less
expenses.
Subtract
line
2 from
line
1. . . . . . . .
. ..
4 Net
assets
or
fund
balances
at
beginning
of
year
(must
equal
Part
X,
line
32,
column
(A))
....
5 Net
unrealized
gains
(losses)
on
investments.
. . . . . . . . . . . . .
..............
.
6 Donated
services
and
use
of
facilities.............
. . . . . . . . . . . . . . . . . . . . . . . . . .
...
.
7 Investment
expenses................
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .................
.
8 Prior
period
adjustments.
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .......
.
9 Other
changes
in
net
assets
or
fund
balances
(explain
on
Schedule 0).
. . . . . . . . . . . .
...
.
10 Net
assets
or
fund
balances
at
end
of
year.
Combine
lines
3 through
9 (must
equal
Part
X,
line
32,
column
(8)).
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..
I Part
XII
I Financial
Statements
and
Reporting
31-1611044
Page
12 2
502,062.
2 2.502
604.
3 -542.
4 723
083.
5 6 7 8 9
0. 10
722,541.
Check
if
Schedule
O
contains
a
response
or
note
to
any
line
in
this
Part
XII.
. n
1 Accounting
method
used
to
prepare
the
Form
990:
D
Cash
~Accrual
Oother
If
the
organization
changed
its
method
of
accounting
from
a
prior
year
or
checked
'Other,'
explain
on
Schedule
0. 2 a
Were
the
organization's
financial
statements
compiled
or
reviewed
by
an
independent
accountant?.
If
'Yes,'
check
a
box
below
to
indicate
whether
the
financial
statements
for
the
year
were
compiled
or
reviewed
on
a
s~arate
basis,
consolidated
basis,
or
both:
LJ
Separate
basis
D
Consolidated
basis
D
Both
consolidated
and
separate
basis
b
Were
the
organization's
financial
statements
audited
by
an
independent
accountant?
..
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:
D
Separate
basis
~
Consolidated
basis
D
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?.
. . .
..
If
the
organization
changed
either
its
oversight
process
or
selection
process
during
the
tax
year,
explain
on
Schedule
0. 3 a
As
a
result
of
a
federal
award,
was
the
organization
required
to
undergo
an
audit
or
audits
as
set
forth
in
the
Single
Audit
Act
and
0MB
Circular
A-133?.
. ..........
.
b
If
'Yes,'
did
the
organization
undergo
the
required
audit
or
audits?
If
the
organization
did
not
undergo
the
required
audit
or
audits,
explain
why
on
Schedule
O
and
describe
any
steps
taken
to
undergo
such
audits..
. . . . . . . .
.....
.
BAA
TEEA0112L
09/22/21
Yes
No
2a
X
2b
X
2c
X
3a
X
3b Form
990
(2021)
SCHEDULED (Form
990)
Supplemental
Financial
Statements
0MB
No.
1545-0047
2021
Name
of
the
organization
►
Complete
if
the
organization
answered
'Yes'
on
Form
990,
Part
IV,
line
6,
7,
8,
9,
10,
11a,
11b,
11c,
11d,
11e,
11f,
12a,
or
12b.
►
Attach
to
Form
990.
►
Go
to
www.irs.gov/Form990
for
instructions
and
the
latest
information.
Open
to
Public
Inspection
Employer
identification
number
CITY
OF
SANTA
CLARA
PUBLIC
FACILITIES
FINANCING
CORPORATION
31-1611044
I Part
I
I Organizations
Maintaining
Donor
Advised
Funds
or
Other
Similar
Funds
or
Accounts.
Complete
if the
organization
answered
'Yes'
on
Form
990,
Part
IV,
line
6. (a)
Donor
advised
funds
(b)
Funds
and
other
accounts
1 Total
number
at
end
of
year
..
.
'
..
'
..
. .
'.''
..
2 Aggregate
value
of
contributions
to
(during
year)
. ..
3 Aggregate
value
of
grants
from
(during
year)
. . .
'.'
..
..
4 Aggregate
value
at
end
of
year.
5 Did
the
organization
inform
all
donors
and
donor
advisors
in
writing
that
the
assets
held
in
donor
advised
funds
are
the
organization's
property,
subject
to
the
organization's
exclusive
legal
control?.
D
Yes
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
impermissible
private
benefit?.
. . . . . . . . . .
D
Yes
D
No
j Part
II
j Conservation
Easements.
Complete
if
the
organization
answered
'Yes'
on
Form
990,
Part
IV,
line
7. 1
Purpose(s)
of
conservation
easements
held
by
the
organization
(check
all
that
apply).
§
Preservation
of
land
for
public
use
(for
example,
recreation
or
education)
D
Preservation
of
a
historically
important
land
area
Protection
of
natural
habitat
D
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
a
Total
number
of
conservation
easements
..
2a
b
Total
acreage
restricted
by
conservation
easements
2b
c
Number
of
conservation
easements
on
a
certified
historic
structure
included
in
(a)
....
2c
d
Number
of
conservation
easements
included
in
(c)
acquired
after
7/25/06,
and
not
on a
historic
structure
listed
in
the
National
Register.
.....
2d
3 Number
of
conservation
easements
modified,
transferred,
released,
extinguished,
or
terminated
by
the
organization
during
the
tax
year
►
4 Number
of
states
where
property
subject
to
conservation
easement
is
located
►
5 Does
the
organization
have
a
written
policy
regarding
the
periodic
monitoring,
inspection,
handling
of
violations,
and
enforcement
of
the
conservation
easements
it
holds?..
. D
Yes
D
No
6 Staff
and
volunteer
hours
devoted
to
monitoring,
inspecting,
handling
of
violations,
and
enforcing
conservation
easements
during
the
year
►
7 Amount
of
expenses
incurred
in
monitoring,
inspecting,
handling
of
violations,
and
enforcing
conservation
easements
during
the
year
►
$
--------
8 Does
each
conservation
easement
reported
on
line
2(d)
above
satisfy
the
requirements
of
section
l 70(h)(4)(B)(i)
and
section
l 70(h)(4)(B)(ii)?................................................................................
D
Yes
9 In
Part
XI
11,
describe
how
the
organization
reports
conservation
easements
in
its
revenue
and
expense
statement
and
balance
sheet,
and
include,
if
applicable,
the
text
of
the
footnote
to
the
organization's
financial
statements
that
describes
the
organization's
accounting
for
conservation
easements.
!Part
Ill
I Organizations
Maintaining
Collections
of
Art,
Historical
Treasures,
or
Other
Similar
Assets.
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:
(i)
Revenue
included
on
Form
990,
Part
VIII,
line
1..
(ii)
Assets
included
in
Form
990,
Part
X.
►
$
►
$--------
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:
a
Revenue
included
on
Form
990,
Part
VIII,
line
1..
. . . . . . . . . . . . . . . . . . .
►
$
b
Assets
included
in
Form
990,
Part
X...
►
$--------
BAA
For
Paperwork
Reduction
Act
Notice,
see
the
Instructions
for
Form
990.
TEEA330
l L
08/30/21
Schedule
D
(Form
990)
2021
Schedule
D
(Form
990)
2021
CITY
OF
SANTA
CLARA
PUBLIC
FACILITIES
31-1611044
Page
2 jPart
Ill
I Organizations
Maintaining
Collections
of
Art,
Historical
Treasures,
or
Other
Similar
Assets
(continued)
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):
a
§
Public
exhibition
b
Scholarly
research
c
Preservation
for
future
generations
d
D
Loan
or
exchange
program
e
D
Other
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
D D
to
be
sold
to
raise
funds
rather
than
to
be
maintained
as
part
of
the
organization's
collection?..
Yes
No
jPart
IV
I Escrow
and
Custodial
Arrangements.
Complete
if
the
organization
answered
'Yes'
on
Form
990,
Part
IV,
line
9,
or
reported
an
amount
on
Form
990,
Part
X,
line
21. 1 a
Is
the
organization
an
agent,
trustee,
custodian
or
other
intermediary
for
contributions
or
other
assets
not
included
on
Form
990,
Part
X?.
D
Yes
No
b
If
'Yes,'
explain
the
arrangement
in
Part
XIII
and
complete
the
following
table:
c
Beginning
balance
...
d
Additions
during
the
year
...
e
Distributions
during
the
year.
f
Ending
balance
..
Amount
1 C
1 d 1
e 1 f
count
liability?
2 a
Did
the
organization
include
an
amount
on
Form
990,
Part
X,
line
21,
for
escrow
or
custodial
ac
b
If
'Yes,'
explain
the
arrangement
in
Part
XIII.
Check
here
if
the
explanation
has
been
provided
o
..
.. LJ
Yes
n
Part
XIII.
.
'
..
'
. .
'
. . . . .
.
'
.
\Part
V
I Endowment
Funds.
Complete
if
the
or
wnization
answered
'Yes'
on
Form
990
Part
IV,
line
10. ...
tjNo
(a)
Current
year
(b)
Prior
year
(c)
Two
years
back
(d)
Three
years
back
( e)
Four
years
back
1 a
Beginning
of
year
balance
..
b
Contributions
..
c
Net
investment
earnings,
gains,
and
losses
..
. ...
'
d
Grants
or
scholarships.
. .
'
e
Other
expenditures
for
facilities
and
programs.
. .
.
''
....
'
..
. .
'
f
Administrative
expenses.
. .
g
End
of
year
balance
.
2 Provide
the
estimated
percentage
of
the
current
year
end
balance
(line
1 g,
column
(a))
held
as:
a
Board
designated
or
quasi-endowment
►
b
Permanent
endowment
►
c
Term
endowment
►
______
%
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
organization
by:
(i)
Unrelated
organizations
.....
.
(ii)
Related
organizations
...
.
b
If
'Yes'
on
line
3a(ii),
are
the
related
organizations
listed
as
required
on
Schedule
R?
..
4 Describe
in
Part
XIII
the
intended
uses
of
the
organization's
endowment
funds.
!Part
VI
I Land,
Buildings,
and
Equipment.
Yes
No
3a(i) 3a(ii) 3b
Complete
if
the
organization
answered
'Yes'
on
Form
990,
Part
IV,
line
11 a.
See
Form
990,
Part
X,
line
10. Description
of
property
(a)
Cost
or
other
basis
(b)
Cost
or
other
(c)
Accumulated
(d)
Book
value
(investment)
basis
(other)
depreciation
1 a
Land.
.
. . .
.
'
'
...
b
Buildings
. .
''
..
'
c
Leasehold
improvements
..
d
Equipment.
.
'.'
'.'
..
. ..
.
'
..
'
.
'
..
'.
e
Other
...
.
'
. .
'
. .
'
...
. . .
'
.
...
. .
. ..
'
Total.
Add
lines
1 a
through
1 e.
(Column
(d)
must
equal
Form
990,
Part
X,
column
(B),
line
70c.)
►
0. ...
'
.
'
.
'
''
...
'.'.'.'
BAA
Schedule
D
(Form
990)
2021
TEEA3302L
08/30/21
ScheduleD(Form990)2021
CITY
OF
SANTA
CLARA
PUBLIC
FACILITIES
31-1611044
Page3
I Part
VII
I Investments
-
Other
Securities.
N/A
C I t
'f
th
.
t'
d
'Y
' F
990
P
IV
1·
1 b S
990
P X
omp
e e
I
e
organiza
10n
answere
es
on
orm
'
art
I
1ne
1 ee
Form
I
art
I
line
12. (a)
Description
of
security
or
category
(including
name
of
security)
(b)
Book
value
(c)
Method
of
valuation:
Cost
or
end-of-year
market
value
(l)
Financial
derivatives
..
(2)
Closely
held
equity
interests
......
(3)
Other
-------
-----
---
---
(A) --
--
---
----
---
---
-
(B) -----
---
----
----
----
-
(C)
---
---
----
----
-----
(D)
----
---
----
----
-----
(E) --------
---
---- ----
-----
(F)
----
--
---
----
----
(G)
-----
--
----
---
----
(H)
---
--
--------
---
-
(I) ---
----
---
----
---
---
-
Total.
(Column
(b)
must
equal
Form
990,
Part
X,
column
(8)
line
12.).
.
►
i
!Part
VIII
I Investments
-
Program
Related.
I
I
N/A
Complete
1f
the
organization
answered
Yes
on
Form
990,
Part
IV,
line
11 c.
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) Total.
(Column
(b)
must
eaual
Form
990
Part
X
column
(8)
line
13.)
..
►
!Part
IX
I Other
Assets.
I
I
Complete
1f
the
organization
answered
Yes
on
Form
990,
Part
IV,
line
11 d.
See
Form
990,
Part
X,
line
15. (a)
Description
(b)
Book
value
(1)
NET
INVESTMENT
IN
LEASE
11 594
394.
(2) (3) (4) (5) (6) (7) (8) (9) (10) Total.
(Column
(b)
must
equal
Form
990,
Part
X,
column
(B)
line
75.)
..
''
''.
'.'
..
,
...
'
. .
'
. .
'
.
''''.'
►
11,594,394
.
IPartX
I Other
Liabilities.
I I
Complete
1f the
organ1zat1on
answered
Yes
on
Form
990,
Part
IV,
line
11 e or
1 lf.
See
Form
990,
Part
X,
line
25. 1.
(a)
Description
of
liability
(b)
Book
value
(1)
Federal
income
taxes
(2) (3) (4) (5) (6) (7) (8) (9) (10) (11) Total.
(Column
(b)
must
equal
Form
990,
Part
X,
column
(8)
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
liab1l1ty
for
uncertain
tax
positions
under
FASB
ASC
740.
Check
here
if the
text
of
the
footnote
has
been
provided
in
Part
XIII.
.
D
BAA
TEEA3303L
os130121
Schedule
D
(Form
990)
2021
Schedule
D
(Form
990)
2021
CITY
OF
SANTA
CLARA
PUBLIC
FACILITIES
31-1611044
!Part
XI
I Reconciliation
of
Revenue
per
Audited
Financial
Statements
With
Revenue
per
Return.
N/A
Complete
if
the
organization
answered
'Yes'
on
Form
990,
Part
IV,
line
12a.
1 Total
revenue,
gains,
and
other
support
per
audited
financial
statements
..
. . . .
.
1 2
Amounts
included
on
line
1 but
not
on
Form
990,
Part
VIII,
line
12:
a
Net
unrealized
gains
(losses)
on
investments
..
...
'
...
. . .
'
..
'
..
'.
2a
b
Donated
services
and
use
of
facilities
..
'
..
'
..
. .
'
.
'
.
'
. . . .
'
..
,'
..
'
. ..
'
..
'
..
'
2b
c
Recoveries
of
prior
year
grants
.....
'
..
'
''.'.'.'.'
. .
'.
''
...
'.'
. . . . . .
. ...
2c
d
Other
(Describe
in
Part
XIII.)
.........
..
.....
'
.
''
'.'
...
''
..
. . .
'
..
'
'
.
' ' '
.
2d
e
Add
lines
2a
through
2d.
...
'
....
'
''
..
' '
.
' '
.
'
. .
.....
,
..
'
. . . . . . .
''
..
.
'
..
'
...
'
..
'
..
...
' '
...
. ..
.
'.'
..
2e
3 Subtract
line
2e
from
line
1. . .
'.'
..
. .
...
'
..
'.' '.'
..
. . .
...
. ..
'
. ..
'
...
'.
'.'
..
. .
3 4
Amounts
included
on
Form
990,
Part
VIII,
line
12,
but
not
on
line
1:
a
Investment
expenses
not
included
on
Form
990,
Part
VIII,
line
7b
..
4a
b
Other
(Describe
in
Part
XI
11.).
4b
c
Add
lines
4a
and
4b
..
4c
5 Total
revenue.
Add
lines
3 and
4c.
(This
must
equal
Form
990,
Part
I,
line
12.).
5 I Part
XII
I Reconciliation
of
Expenses
per
Audited
Financial
Statements
With
Expenses
per
Return.
N/A
Complete
if
the
organization
answered
'Yes'
on
Form
990,
Part
IV,
line
12a.
1 Total
expenses
and
losses
per
audited
financial
statements
..
. .
'
'
'
. .
..
'
....
. ..
.
'
..
. ...
1 2
Amounts
included
on
line
1 but
not
on
Form
990,
Part
IX,
line
25:
a
Donated
services
and
use
of
facilities.
'
..
'
.
'.'
.
'
...
'.'
..
'
..
. . .
. ...
2a
b
Prior
year
adjustments
.......
...
. . .
''
..
'
..
. . .
'
2b
c
Other
losses
..
. .
'.
'
..
'.'.
'
...
'
... ...
. .
'.'
. .
''.'
. ..
. ..
. .
''
2c
d
Other
(Describe
in
Part
XIII.)
..
.
'
....
.
''
. . . .
. .
,
.
'
..
'
. ...
. .
'.''
..
. .
2d
e
Add
lines
2a
through
2d.
.
. . .
'
'.'
..
. . .
'
'.'.'
.
....
'
...
'
2e
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.
4a
b
Other
(Describe
in
Part
XIII.).
''.'
..
4b
c
Add
lines
4a
and
4b.
.
'
. . .
'
. . . .
'.'
..
'.'
...
4c
5 Total
expenses.
Add
lines
3 and
4c.
(This
must
equal
Form
990,
Part
I,
line
78.)..
....
5 !Part
XIII
I Supplemental
lnfe>rmation.
Provide
the
descriptions
required
for
Part
11,
lines
3,
5,
and
9;
Part
111,
lines
la
and
4;
Part
IV,
lines
lb
and
2b;
Part
V,
Page
4 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)
2021
TEEA3304L
08/30/21
SCHEDULE K Supplemental Information on Tax-Exempt Bonds 0MB No. 1545-0047
(Form 990) ► Complete if the organization answered 'Yes' on Form 990, Part IV, line 24a. Provide descriptions, 2021 explanations, and any additional information in Part VI. Open to Public Department of the Treasury ► Attach to Form 990.
Internal Revenue Service ► Go to www.irs.gov/Form990 for instructions and the latest information. Inspection Name of the organization CITY OF SANTA CLARA PUBLIC FACILITIES I ;m;:~e~i~e~t~i:a:on number
FINANCING CORPORATION
I Part I I Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) (h) On (i) Pooled Defeased behalf of financing
issuer
Yes No Yes No Yes No
A CITY OF SANTA CLARA 94-6000426 801400EK4 3/28/2013 19,571,640. CENTRAL PARK LIBRARY REFUNDING X X B
C
D
I Part 11 I Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . ... . . . . . . . . ..... 2 Amount of bonds legally defeased. . . . . .......... . .. 3 Total proceeds of issue. . . . . . . . . '. ......... . . . . . . . . . . . . . . .... 19,571,640. 4 Gross proceeds in reserve funds. ... . . . . . . . . ..... . ....... 703,637. 5 Capitalized interest from proceeds .. ...
6 Proceeds in refunding escrows. . . . . . . . . . . . . . . . . . .......... . .... 18,437,270. 7 Issuance costs from proceeds .. . . . . . . . . . ....... . . 430,733. 8 Credit enhancement from proceeds ..
9 Working capital expenditures from proceeds ..
10 Capital expenditures from proceeds .. ......
11 Other spent proceeds. ............. . . . . . . . . . . . . . . ..... 12 Other unspent proceeds. .. . . . . . . . . ......... . . . . . 13 Year of substantial completion. ......... . ........
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a refunding issue of tax-exempt bonds (or, if issued prior to 2018, a current refunding issue)? .. ....... X 15 Were the bonds issued as part of a refunding issue of taxable bonds (or, if issued prior to 2018, an advance refunding issue)?. . . . . . . . . . .... . . . X 16 Has the final allocation of proceeds been made? .. .............. X 17 Does the organization maintain adequate books and records to support the final allocation of proceeds?. . . . . . . . . . ...... X
BAA For Paperwork Reduction Act Notice, see the Instructions for Form 990. ~EEA4401 L 06/28/21 Schedule K (Form 990) 2021 Schedule K (Form 990) 2021 CITY OF SANTA CLARA PUBLIC FACILITIES 31-1611044 Page 2 I Part Ill I Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? ... . . . . . . . . . . . ...... . . . . . . . . 2 Are there any lease arrangements that may result in private business use of bond-financed property?. . . . . . . . .. - . . . . . . . . .... 3 a Are there any management or service contracts that may result in private business use of bond-financed property?. . . . . . . . . . . . . . . . .. . ............ . . . . . . . ..... b If 'Yes' to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? . c Are there any research agreements that may result in private business use of bond-financed property?. . . . . . . . . . . . . . . . . . . . . .. d If 'Yes' to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? .. . ....... 4 Enter the percentage of financed property used in a private business use by entities other than a section 501 (c)(3) organization or a state or local government. ► 9- % % 9- 0 0
5 Enter the frercentage of financed property used in a private business use as a result of unrelated rade or usiness activity carried on by your organization, another section 501 (c)(3t. % % % % organization, or a state or local government ............................................. 6 Total of lines 4 and 5 .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .............. 9-0 % % 9-0 7 Does the bond issue meet the private security or payment test? . 8 a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501 (c)(3) organization since the bonds were issued? .. b If 'Yes', to line Sa, enter the percentage of bond-financed property sold or disposed of .. 9- % 9- 9- 0 0 0
c If 'Yes' to line Sa, was any remedial action taken pursuant to Regulations sections
1.141-12 and 1.145-2?. . . . . . . . . . . .......
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections
1.141-12and 1.145-27. . . . . . ......... . . . . . . .
IPartlV \ Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form S03S-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? .. . ............. X
2 If 'No' to line 1, did the following apply?
a Rebate not due yet? . . . . . . . . . . . . . . . ............. . . . . . . X b Exception to rebate? .. . . . . ..... X
c No rebate due?. . . . . . . . . ........ X
If 'Yes' to line 2c, provide in Part VI the date the rebate computation was performed .. 3 Is the bond issue a variable rate issue?. ......... X BAA TEEA44D 1 L 06/28/21 Schedule K (Form 990) 2021
Schedule K (Form 990) 2021 CITY OF SANTA CLARA PUBLIC FACILITIES 31-1611044 Page 3 j Part IV I Arbitrage (continued)
A B C D
Yes No Yes No Yes No Yes No
4 a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue? .. ...... . . . . . . . . . . . ..... . ...... '. X b Name of provider. ... . . . . . . . . . . . . .. . ...... c Term of hedge ... . . . . . . . . ......... . . . . . . . . . . . . . . . . . . . . . . . . . . ........... d Was the hedge superintegrated? .. . . . . . . . . . . ...... e Was the hedge terminated? . . . . . . . . . . . . . . . . . ....... 5 a Were gross proceeds invested in a guaranteed investment contract (GIC)? .. X b Name of provider. . ......... . . . . . . . . . . ...... ' ......... c Term of GIC .. . . . . . . . . . . . . .. . .... . ... d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied?. 6 Were any gross proceeds invested beyond an available temporary period? .. X 7 Has the organization established written procedures to monitor the requirements of section 148?. . . . . ........ . .. X
I PartV I Procedures To Undertake Corrective Action
Has the organization established written procedures to ensure that violations of federal tax A B C D requirements are timely identified and corrected through the voluntary closing agreement program Yes No Yes No Yes No Yes No if self-remediation isn't available under applicable regulations?. ...... . . . . . ......... X I Part VI j Supplemental Information. Provide additional information for responses to questions on Schedule K. See instructions.
BAA TEEA440 l L 06/28/21 Schedule K (Form 990) 2021
SCHEDULE
0 (Form
990)
Department
of
the
Treasury
Internal
Revenue
Service
Supplemental
Information
to
Form
990
or
990-EZ
Complete
to
provide
information
for
responses
to
specific
questions
on
Form
990
or
990-EZ
or
to
provide
any
additional
information.
►
Attach
to
Form
990
or
Form
990-EZ.
►
Go
to
www.irs.gov/Form990
for
the
latest
information.
Name
of
the
organization
CITY
OF
SANTA
CLARA
PUBLIC
FACILITIES
FINANCING
CORPORATION
FORM
990,
PART
Ill,
LINE
1 -ORGANIZATION
MISSION
0MB
No.
1545-0047
2021
Open
to
Public
Inspection
TO
RENDER
FINANCIAL
ASSISTANCE
TO
THE
CITY
OF
SANTA
CLARA
BY
FINANCING,
REFINANCING,
ACQUIRING,
CONSTRUCTING,
IMPROVING,
LEASING
AND
SELLING
OF
BUILDINGS,
BUILDING
IMPROVEMENTS,
EQUIPMENT,
AND
OTHER
PUBLIC
IMPROVEMENTS,
LANDS,
AND
ANY
OTHER
REAL
OR
PERSONAL
PROPERTY
FOR
THE
BENEFIT
OF
RESIDENTS
OF
THE
CITY
OF
SANTA
CLARA
CALIFORNIA. FORM
990,
PART
VI,
LINE
11 B
-FORM
990
REVIEW
PROCESS
THE
CITY
OF
SANTA
CLARA
PUBLIC
FACILITIES
FINANCING
CORPORATION
HAS
ITS
FORM
990
PREPARED
BY
AN
OUTSIDE
TAX
PREPARER
BASED
ON
INFORMATION
PROVIDED
BY
THE
CITY.
THE
FOLLOWING
PROCESS
OCCURS
PRIOR
TO
THE
FORM
990
FILING:
WHEN
THE
FORM
990
IS
PREPARED,
IT
IS
REVIEWED
BY
MANAGEMENT
AND
IS
PRESENTED
TO
MEMBERS
OF
THE
GOVERNING
BODY
PRIOR
TO
ITS
SUBMISSION.
THE
GOVERNING
BODY
IS
PROVIDED
WITH
AT
LEAST
3 DAYS
TO
REVIEW
THE
PREPARED
FORM
990
AND
PROVIDE
THEIR
COMMENTS
TO
MANAGEMENT.
THE
FORM
990
IS
THEN
PRESENTED
FOR
ACCEPTANCE
AT
A
SPECIAL
CITY
OF
SANTA
CLARA
PUBLIC
FACILITIES
FINANCING
CORPORATION
BOARD
MEETING.
FORM
990,
PART
VI,
LINE
19-
OTHER
ORGANIZATION
DOCUMENTS
PUBLICLY
AVAILABLE
ALL
FORMAL
DOCUMENTS
ARE
MADE
AVAILABLE
TO
THE
PUBLIC
ON
REQUEST.
BAA
For
Paperwork
Reduction
Act
Notice,
see
the
Instructions
for
Form
990
or
990-EZ.
TEEA490
l L
08/l
0/21
Schedule
O
(Form
990)
2027
2021
GENERAL
INFORMATION
PAGE
1 CITY
OF
SANT
A
CLARA
PUBLIC
FACILITIES
FINANCING
CORPORATION
31-1611044
FORMS
NEEDED
FOR
THIS
RETURN
FEDERAL:
990,
SCH
D,
SCH
K,
SCH
0 CALIFORNIA:
199,
8453-EO,
E-FILE
INSTRUCTIONS
CARRYOVERS
TO
2022
NONE