990-EZ - Foundation Center

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Form
990 -EZ
Department of the Treasury
O MB No 1545-1150
Short Form
Return of Organization Exempt From Income Tax
2005
Under section 501(c), 527, or 4947 (a)(1) of the Internal Revenue Code (except black lung
benefit trust or private foundation)
^ For organizations with gross receipts less than $100,000 and total assets less
than $250,000 at the end of the year
^ The organization may have to use a copy of this return to satisfy state reporting requireme n t:
Internal Revenue Service
A For the 2005 calendar year , or tax year beginning
, 2005, and ending
B Check if applicable
Address chan ge
Name change
Initial return
Final return
Amended return
Application pending
❑
®
❑
F]
❑
Please
use IRS
label or Angels of Hope USA
print or
t yp e .
See '
Specific
Instruc.
2801 S . Diamond Bar Boulevard
eons.
Diamond Bar, CA 91765-3414
, 20
D Employer identification number
C Name of organization
37 : 1479383
E Telephone number
Number and street (or P O box, if mail is not delivered to street address) Room/suite
(909 ) 348-0444
Cit or town, state or count ry and ZIP + 4
y
F Group Exemption
^
Number
• Section 501(c)(3) organizations and 4947(a)(1) nonexempt charitable trusts must attach
G
Accounting method
a completed Schedule A (Form 990 or 990-EZ).
Cash
N/A
❑ Accrual
Other (specify) 10-
.
H Check ^ ❑ if the organization
is not required to attach
Schedule B (Form 990, 990-EZ, or 990-PF).
I Website : ^ N/A
J Organization type (check only one)- [0 501 c
3
insert no )
❑ 4947 (a)( 1 ) or ❑ 527
K Check P, ❑ if the organization's gross receipts are normally not more than $25,000. The organization need not file a return with the IRS, but if the
organization chooses to file a return, be sure to file a complete return. Some states require a complete return.
L Add lines 5b, 6b, and 7b, to line 9 to determine gross receipts; if $100,000 or more, file Form 990 instead of Form 990-EZ .
^ $
76,937
RevPnuP - FxnPncps and ChannPS in Nat Acts nr Fund Ralanca_c (Sap nano RR of tha instructinnsl
aaj
>
IX:
1
2
3
4
5a
b
c
6
a
b
c
7a
b
c
8
9
r--t
J
W
z
Z
0
W
y
C
x
W
10
11
12
13
14
15
16
17
47,470
0
0
142
1
Contributions , gifts , grants , and similar amounts received . . . . .
. . . .
2
Program service revenue including government fees and contracts . . . . .
.
. .
3
Membership dues and assessments . . . .
. .
Investment income
4
.
. . . . . . . .
. . . .
. . . . .
0
5a
Gross amount from sale of assets other than inventory .
0
5b
Less : cost or other basis and sales expenses .
. .
5c
Gain or (loss) from sale of assets other than inventory (line 5a less line 5b) (attach schedule) .
Special events and activities (attach schedule). If any amount is from gaming , check here ^
❑
29,325 of contributions
Gross revenue (not including $
29,325
6a
reported on line 1 ) . . . . . . . . . . . . . . . . .
27,198
_
6b
Less : direct expenses other than fundraising expenses . .
6c
Net income or (loss) from special events and activities (line 6a less line 6b)
. . . .
0
7a
Gross sales of inventory , less returns and allowances
. . . .
7b
0
Less : cost of goods sold
. . . . . .
7c
Gross profit or (loss) from sales of inventory (line 7a less line 7 b) .
Other revenue (describe ^
8
Total revenue (add lines 1 , 2, 3, 4, 5c , 6c, 7c, and 8).
. ^
9
10
.
.
.
Grants and similar amounts paid (attach schedule)
i^ .
11
Benefits paid to or for members .
. . . . . .
y V.J
12
Salaries , other compensation , and employee benefits
Professional fees and other payments to independent contractors
Occupancy , rent , utilities , and maintenance .
. _ .
Printing , publications , postage , and shipping .
Other expenses (describe ^
Total expenses (add lines 10 through 16) . . . . . . . .
Y
y
18
19
w
Z
20
21
22
23
24
25
26
27
(See page 41 of the instructions .)
Cash , savings , and investments
. . . . .
Land and buildings . . . . . . . .
.
Other assets (describe ^
Total assets . . . .
. . . . . . .
Total liabilities (describe ^
Net assets or fund balances (line 27 of column (B) must
.
.
.
.
.
.
.
.
Excess or (deficit) for the year (line 9 less line 17)
Net assets or fund balances at beginning of year (from line 27 , column
end - of-year figure reported on prior year ' s return) . . . . . . .
Other changes in net assets or fund balances (attach explanation ) . .
Net assets or fund balances at end of year (combine lines 18 through 20)
Balance Sheets-If Total assets on line 25 , column (B) are $250 , 000 or
.
.
.
.
.
.
.
.
.
.
.
• )
. ^
0
2,127
0
0
49,739
20,944
0
0
13
14
15
16
17
18
0
0
1,399
22,343
27,396
(A)) (must agree with -- 25,505
19
. . . . . . . .
0
20
. . . . . . . .
^
52,901
.
21
more , file Form 990 instead of Form 990-EZ.
(B) End of year
(A) Beginning of year
.
.
.
.
.
.
.
.
.
.
.
.
.
.
.
)
.
)
ag ree with line 21 )
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions .
Cat No 106421
25,505
0
0
25,505
0
25,505
22
23
24
25
26
27
52,901
0
0
52,901
0
52,901
Form 99O-E4 (2005)
0-
Form 990-EZ (2005)
Page 2
Statement of Pro g ram Service Accom p lishments (See pag e 42 of the instructions. )
What is the organization's primary exempt purpose? To p rovide and su pp ort p ro g rams that benefit children
Describe what was achieved in carrying out the organization's exempt purposes. In a clear and concise manner,
describe the services provided, the number of persons benefited, or other relevant information for each program title.
28 Grants to Angels of Hope Philippines Orphanage , partial support for it's operating expenses and
---purchase of furniture & equipment (pledges from contributors specifically for F&E)
Expenses
FTMM
------•---------•------------------- --•-•-------------------------•---------------------------------------•--•----•-•------•
16,093 ) If this amount includes forei g n g rants , check here
^ ®
Grants $
29 Scholarship grants - Philippines for six (6) nursing students and one (1)-High School student - $2,149
__
Doleout of food 8 clothing to Phil. General Hospital pediatric ward (110 children ) and 400 poor
children of Caloocan_ City, Philippnes - $ 2,202 .
4,351 If this amount includes forei g n g rants , check here
^ ®
(Grants $
to American Red Cross Tsunami
fund $200 ; Pres . Bush & Clinton Katrina
30 Contributions
---------------------------------------------------Relief
---------••------....------------------•---------•-----•-••----•
and (ir ofor oatc)(3)
and 4947(a)(1) trusts,
optional for others )
28a
16,093
29a
4,351
Relief fund $300.
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------^ ❑
Grants $
500 ) If this amount includes forei g n g rants, check here
30a
500
31 Other program services (attach schedule)
.
. . . . . .
. . . . . .
^ ❑ 31a
(Grants $
If this amount includes forei g n g rants, check here
32 Total program service expenses (add lines 28a through 31 a)
20,944
. ^ 32
JIMM List of Officers, Directors , Trustees, and Key Employees (List each one even if not compensated See page 42 of the instructions.)
(A) Name and address
Emerita de Guzman
2801 S. Diamond Bar
Terri E. Mendoza
2801 S . Diamond Bar
Jess Leonor
801
S.- ., Diamond Bar
, i60
-1-S
Fra nk B. Mendoza
-- -- - - --- -- --- 2801 S . Diamond Bar
Blvd ., Diamond Bar, CA 91765
Blvd ., Diamond Bar, CA 91765
Blvd ., Diamond Bar, CA 91765
(B) Title and average
hours per week
devoted to position
(C) Compensation
(if not paid,
enter -0-.)
( 0) Contributions to
e mployee benefit plans &
deferred compensation
(E) Expense
account and
other allowances
5 hrs
0
0
0
V.P. Operations , 20 hrs
0
0
0
V.P. Marketing ,
6 hrs
0
0
0
6 hrs
0
0
0
President ,
--- -- ------ -- - ----- --- - ----- C.F.O.
Blvd ., Diamond Bar, CA 91765
Yes No
Other Information (Note the attachment req uirement in General Instruction V, pag e 14. )
Did the organization engage in any activity not previously reported to the IRS? If "Yes," attach a detailed
description of each activity . . . . . . . . . . . . .
. . . . . . . . . . . . . .
34 Were any changes made to the organizing or governing documents but not reported to the IRS? If "Yes,"
attach a conformed copy of the changes
. . . . . . . . . . . . . . . . . . . . . . .
35 If the organization had income from business activities, such as those reported on lines 2, 6, and 7 (among others), but not
reported on Form 990-T, attach a statement explaining your reason for not reporting the income on Form 990-T.
a Did the organization have unrelated business gross income of $1,000 or more or 6033(e) notice, reporting, and
proxy tax requirements ? . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b If "Yes , " has it filed a tax return on Form 990-T for this year?
36 Was there a liquidation, dissolution, termination, or substantial contraction during the year? (If "Yes," attach a
statement . )
. . . . .
. . .
0
37a Enter amount of political expenditures, direct or indirect, as described in the instructions. ^ 37a
b Did the organization file Form 11 20-POL for this year? . . . . . . . . . . . . . . . . . . .
38a Did the organization borrow from, or make any loans to, any officer, director, trustee, or key employee or were
any such loans made in a prior year and still unpaid at the start of the penod covered by this return? . .
b If "Yes," attach the schedule specified in the line 38 instructions and enter the amount
N/A
involved
. . . . . . . . . . . . . .
. . . . . . . . . . . . 38b
33
33
34
__ 35a
35b
36
✓
37b
-
✓
39
501(c)(7) organizations. Enter:
N/A
a Initiation fees and capital contributions included on line 9 . . . . . . . . . . . 39a
N/A
b Gross receipts, included on line 9, for public use of club facilities . . . . . . , , 39b
40a 501(c)(3) organizations. Enter amount of tax imposed on the organization during the year under:
N/A
section 4911 ^
N/A ; section 4912 ^
N/A ; section 4955 ^
during
the
section
4958
excess
benefit
transaction
501(c)(3)
and
(4)
organizations.
the
organization
in
any
b
Did
engage
^b
year or did it become aware of an excess benefit transaction from a prior vear9 If "Yes." attach an explanation.
c Enter amount of tax imposed on organization managers or disqualified persons during the year under
sections 4912, 4955, and 4958 . . . . .
. . . . . . . . . . . . . . . . . . ^
^
d Enter amount of tax on line 40c reimbursed by the organization .
N/A
N/A
Form 990-EZ (2005)
Form 990-EZ (2005)
Page 3
Other Information (Note the attachment requirement in General Instruction V, page 14.) (Continued)
List the states with which a copy of this return is filed. ^ California
41
42a The books are in care of ^ Frank B ._ Mendoza
Telephone no. ^ (-951 ) 526-2497
--------------------------------------------Avila, Lake Elsinore , CA
Located at ^ 43 Plaza
ZIP + 4 p. 92532-0133
--------------- --••-----...------•----------••------•-----b At any time during the calendar year, did the organization have an interest in or a signature or other authority
Yes No
over a financial account in a foreign country (such as a bank account, securities account, or other financial
42b
✓
account)? . . . . . . . . . . . . . . .
. . .
.
. . . .
If "Yes," enter the name of the foreign country: ^
See the instructions for exceptions and filing requirements for Form TD F 90-22.1.
42c
✓
At any time during the calendar year, did the organization maintain an office outside of the U.S.?
43
If "Yes," enter the name of the foreign country: ^
Section 4947(a)(1) nonexempt charitable trusts filing Form 990-EZ in lieu of Form 1041-Check here.
and enter the amount of tax-exempt interest received or accr
.
^ ❑
Angels of Hope USA
2005 Form 990-EZ Worksheet
Part I Revenue detail
EIN
col A
col R
I
Fundraisin g Activi ty
Ms. AOH Fund raiser:
Contributions received
Dinner/dance income
Direct expenses
1 Sub total Ms. AOH fundraiser
Jam Session:
Contributions received
Admission tkts & bottled water income
Direct expenses
2 Sub total Jam Session
Line 1
37-1479383
col C
col D
col E
Gross Rev Direct Exp Net Income
Line 6c
Line 6b
Line 6a
Line 6a
arenths
36,435
21,455
21,455
36,435
21 ,455
21 ,455
22,459
22,459
1 ,737
0
6,605
0
6 . 605
0
6,605
0
6 . 605
0
0
4,263
4.263
2.342
1,265
0
1,265
1,265
0
1,265
476
476
789
1 . 737
-1,004
0
AOH Ynuth [,rrnm Fundraicar-
Pennies j ar bottles "Coins of Com passion"
Baloons fundraiser "Pled g e A Balloon"
Direct expenses
3 Sub total AOH Youth Grou p
517
517
4 Contributions received - Orp hana g e
5,947 1
01
01
01
01
5 Contributions received - Undesi g nated
2,834 1
0
01
0
01
29,325 1
27,198
6 Total of items I thru 5, col. A (to Part I, Line 1 )
7 Investment income ( Part I, Line 4)
47,470 1
142
8 Total Revenue ( item 6, col. A + item 7, col. A + item 6, col. E )
49,739
9 Gross Recei pts ( item 6,col. D + item 8, col. A) to line L
76,937
29,325 1
2,127
Angels of Hope USA
2005 Form 990-EZ Worksheet
Part I Expenses
Detail Line 10 - Grants and similar amounts paid
EIN 37-1479383
Amount
Line 10
1 Grants to Angels of Hope Philippines Orphanage (a Philippines foundation)
Slang, Cavite, Philippines
Angels of Hope Phil Orphanage annual operating expenses is funded jointly by
the Tita de Guzman Foundation & Angels of Hope USA
Grants for orphanage operating expenses
Grants for orphanage furniture & equipment (contributions specifically for F&E)
Total grants Orphanage
11,085
5,008
16,093
2,149
2 Angels of Hope Scholarship Program
Awardees consist of six (6) Nursing students and one (1) High school student in the Philippines
3 Angels of Hope Doleout Program
Dole out to pediatric patients of Phil General Hospital & poor children of Caloocan City, Philippines, Sept 2005
4 Angels of Hope Livelihood Project
One Thousand ($1,000) Interest free loan to deserving enterprising small business (cottage industry) either as
start up capital or additional capital to existing business in the Philippines Terms due in 12 months, interest free
a Nov 2005, awardee small existing business, manufacturer of school bags, baseball caps,
t-shirts and other promotional give-aways Awardee will use 'loan' to fill back orders
b Payment received of non interest bearing loan for additional capital for'Lovebird Raising' business
Total expenditures Livelihood Project
2,202
1,000
-1,000
5 Donation to American Red Cross for the Tsunami Relief fund
200
6 Donation to Pres Bush & Clinton Katrina fund
300
7 Total Grants Expenses, line 10
20,944
Angels of Hope USA
EIN
37 -1479383
2005 Form 990-EZ Worksheet
Part IV List if Officers , Directors , Trustees , & Key Employees ( cont'd.):
(B) Title and average
(A) Name and address
Star Arellano
hours per week
devoted to p osition
Secretary
(E) Expense
(D) Contributions to
(C) Compensation
account and
employee benefits
p lans & deferred com p other allowances
If not paid,
enter -0-
2 hrs
0
0
0
2 hrs
0
0
0
0
2801 S Diamond Bar Blvd, Diamond Bar, CA 91765
Estrella Ramos
Treasurer
2801 S Diamond Bar Blvd, Diamond Bar, CA 91765
PRO
2 hrs
0
0
Priscilla Macaraig
2801 S Diamond Bar Blvd , Diamond Bar, CA 91765
Auditor
2 hrs
0
0
Augusta Calimbas
Fundraising Dir
6 hrs
0
0
00
Cleto Resan
2801 S Diamond Bar Blvd , Diamond Bar, CA 91765
Livelihood Project
2 hrs
Director
0
0
0
Imee Jastillana
2801 S Diamond Bar Blvd , Diamond Bar, CA 91765
Marketing Dir
2 hrs
0
0
0
Peitita Virata
2801 S Diamond Bar Blvd, Diamond Bar, CA 91765
Scholarship Dir
2 hrs
0
0
0
Cita Leonor
2801 S Diamond Bar Blvd , Diamond Bar, CA 91765
Medical Mission
2 hrs
Director
0
0
0
Manel Mendoza
2801 S Diamond Bar Blvd , Diamond Bar, CA 91765
Youth Director
0
0
0
Sharon de Guzman
2801 S Diamond Bar Blvd, Diamond Bar, CA 91765
2801 S Diamond Bar Blvd , Diamond Bar, CA 91765
2 his
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