Civic Intelligence

Upper Room Dining Hall Inc.

990 • Fiscal year 2021 • EIN 47-4732040

Jul 01, 2020 to Jun 30, 2021 • Filed on May 16, 2021

PO Box 484Placerville, CA 95667

(530) 919-1036

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

29th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2021 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2021

Liabilities / Revenue

29th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2021 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2021

Net Margin

84th percentile

45%

Higher net margin than 84% of similar nonprofits.

2021 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2021

Top Officer Pay

52nd percentile

$0

Higher top officer pay than 52% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2021 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2021

Asset Growth

88th percentile

74%

Faster asset growth than 88% of similar nonprofits.

2021 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2020 to 2021

Revenue Growth

76th percentile

56%

Faster revenue growth than 76% of similar nonprofits.

2021 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2020 to 2021

Assets

Up

$729,515

Up $310,881 (+74%) from 2020

Net Assets

Up

$729,515

Up $327,461 (+81%) from 2020

Liabilities

Down

$0

Down $16,580 (-100%) from 2020

Revenue

Up

$601,894

Up $216,130 (+56%) from 2020

Expenses

Up

$332,443

Up $76,428 (+30%) from 2020

Net Income

Up

$269,451

Up $139,702 (+108%) from 2020

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$2.0M$1.5M$1.0M$500K$0Assets 2016: $268,271Liabilities 2016: $02016Assets 2017: $296,922Net Assets 2017: $296,9222017Assets 2018: $277,404Liabilities 2018: $02018Assets 2019: $274,752Net Assets 2019: $274,7522019Assets 2020: $418,634Liabilities 2020: $16,580Net Assets 2020: $402,0542020Assets 2021: $729,515Liabilities 2021: $0Net Assets 2021: $729,5152021Assets 2022: $746,758Liabilities 2022: $0Net Assets 2022: $746,7582022Assets 2023: $696,467Liabilities 2023: $314Net Assets 2023: $696,1532023Assets 2024: $1,127,788Liabilities 2024: $214Net Assets 2024: $1,127,5742024Assets 2025: $1,517,277Liabilities 2025: $938Net Assets 2025: $1,516,3392025

Highlighted filing

2021

Assets$729,515
Liabilities$0
Net Assets$729,515

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$1.0M$500K$0-$500KRevenue 2016: $72,630Expenses 2016: $50,962Net Income 2016: $21,6682016Revenue 2017: $141,121Expenses 2017: $149,032Net Income 2017: -$7,9112017Revenue 2018: $161,448Expenses 2018: $191,568Net Income 2018: -$30,1202018Revenue 2019: $165,368Expenses 2019: $174,879Net Income 2019: -$9,5112019Revenue 2020: $385,764Expenses 2020: $256,015Net Income 2020: $129,7492020Revenue 2021: $601,894Expenses 2021: $332,443Net Income 2021: $269,4512021Revenue 2022: $632,057Expenses 2022: $514,726Net Income 2022: $117,3312022Revenue 2023: $480,652Expenses 2023: $579,171Net Income 2023: -$98,5192023Revenue 2024: $975,030Expenses 2024: $572,578Net Income 2024: $402,4522024Revenue 2025: $874,661Expenses 2025: $474,815Net Income 2025: $399,8462025

Highlighted filing

2021

Revenue$601,894
Expenses$332,443
Net Income$269,451
Jump To
Filing Snapshot
Filing Period
Jul 1, 2020 to Jun 30, 2021
Signed
May 16, 2021
Return Version
2020v4.0
Gross Receipts
$601,894
Mission and Program Overview

Mission

To provide prepared meals for the homeless and underprivileged

Our mission is to provide meals and support services to the homeless and other members of our community living under the strain of poverty.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$194,681$526,040▲ $331,359
Land, Buildings, and Equipment, Net$64,775$113,212▲ $48,437
Cash and Non-Interest-Bearing Accounts$159,178$83,038▼ $76,140
Intangible Assets-$6,036-
Savings and Temporary Cash Investments-$1,189-
Total Assets$418,634$729,515▲ $310,881
Liabilities
Other Liabilities$16,580--
Total Liabilities$16,580$0▼ $16,580
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$357,954$729,515▲ $371,561
Net Assets With Donor Restrictions$44,100--
Total Net Assets Fund Balance$402,054$729,515▲ $327,461
Total Liabilities and Net Assets / Fund Balance$418,634$729,515▲ $310,881

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$84,950$38,390$123,340
Equipment$28,262$42,008$70,270
Compensation and Service Providers

Board Members and Trustees

NameTitle
Jennifer MouzisChairwoman
Eugene HayduVice-chairma
Carla MilhommeDirector
Derrell RobertsDirector
Gina DeanDirector
James GasperDirector
John FitzpatrickDirector
Lucille VillalobosDirector
Pam TenorioDirector
Debbie KierseySecretary
Maureen JulianTreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$549,125
Program Service Revenue
$0
Investment Income
$36,189
Other Revenue
$16,580
All Other Contributions
$452,555
Change in Net Assets
$269,451
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$211,400
Salaries, Compensation, and Employee Benefits$109,627
Grants and Similar Amounts Paid$11,416
Total Fundraising Expense$4,175
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$93,941--$93,941
Depreciation Depletion$60,738$6,864-$67,602
Occupancy$27,758--$27,758
All Other Expenses$4,133$8,569$1,916$14,618
Insurance$6,377$6,609-$12,986
Grants to Domestic Orgs$11,416--$11,416
Other Employee Benefits$8,536--$8,536
Payroll Taxes$7,150--$7,150
Other Expenses$5,881$4,582-$4,582
Fees for Services Accounting-$3,450-$3,450
Fees for Services Management-$2,950-$2,950
Office Expenses-$2,848-$2,848
Advertising--$2,259$2,259
Total Functional Expenses$292,396$35,872$4,175$332,443
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
El Dorado Community FoundationPlacerville, CA501(c)Housing El Dorado$11,416
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
Yes
Backup withholding compliance
No
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 11B

Copy of form 990 provided to board prior to filing tax return.

Form 990, Page 6, Part VI, Line 19

UPON REQUEST

Filing and Contact Details

Filer

Filer Name
Upper Room Dining Hall Inc
EIN
47-4732040
Phone
5309191036
Address
PO BOX 484, PLACERVILLE, CA 95667

Signing Officer

Name
Jennifer Mouzis
Title
Chairwoman
Phone
5302179147
Signed
2021-05-16
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Jennifer Mouzis
Formed
2015
Legal Domicile
CA
Voting Board Members
8
Independent Board Members
8
Employees
6
Volunteers
350

Preparer

Firm
Roberts & Company Inc
Address
3182 CEDAR RAVINE RD, PLACERVILLE, CA 95667
Preparer
Stephen W Miller CPA
Phone
5306225445
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 9

Book / tax depreciation difference 58,010

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt0385764
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt0165368
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt0161448
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt0142109
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt01456583
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IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
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IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd0true
IRS990ScheduleD/BuildingsGrp/BookValueAmt084950
IRS990ScheduleD/BuildingsGrp/DepreciationAmt038390
IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt0123340
IRS990ScheduleD/EquipmentGrp/BookValueAmt028262
IRS990ScheduleD/EquipmentGrp/DepreciationAmt042008
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt070270
IRS990ScheduleD/TotalBookValueLandBuildingsAmt0113212
IRS990ScheduleI/GrantRecordsMaintainedInd0false
IRS990ScheduleI/RecipientTable/CashGrantAmt011416
IRS990ScheduleI/RecipientTable/IRCSectionDesc0501(C)
IRS990ScheduleI/RecipientTable/PurposeOfGrantTxt0HOUSING EL DORADO
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0EL DORADO COMMUNITY FOUNDATION
IRS990ScheduleI/RecipientTable/RecipientEIN0680255556
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt0312 MAIN ST 201
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0COPY OF FORM 990 PROVIDED TO BOARD PRIOR TO FILING TAX RETURN.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1UPON REQUEST
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2BOOK / TAX DEPRECIATION DIFFERENCE 58,010
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PART XI, LINE 9
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IRS990/SubjectToExcsTaxNetInvstIncInd0false
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IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0418634
IRS990/TotalAssetsEOYAmt0729515
IRS990/TotalAssetsGrp/BOYAmt0418634
IRS990/TotalAssetsGrp/EOYAmt0729515
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IRS990/TotalContributionsAmt0549125
IRS990/TotalEmployeeCnt06
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt04175
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt035872
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0292396
IRS990/TotalFunctionalExpensesGrp/TotalAmt0332443
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesBOYAmt016580
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt016580
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0402054
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0729515
IRS990/TotalProgramServiceExpensesAmt0292396
IRS990/TotalRevenueGrp/ExclusionAmt052769
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0601894
IRS990/TotalVolunteersCnt0350
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0418634
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0729515
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt02709 BARNESTEAD PLACE
IRS990/USAddress/CityNm0PLACERVILLE
IRS990/USAddress/StateAbbreviationCd0CA
IRS990/USAddress/ZIPCd095667
IRS990/VotingMembersGoverningBodyCnt08
IRS990/VotingMembersIndependentCnt08
IRS990/WebsiteAddressTxt0UPPERROOMDININGHALL.ORG
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/BuildTS02022-09-23 18:48:47Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0JENNIFER MOUZIS
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CHAIRWOMAN
ReturnHeader/BusinessOfficerGrp/PhoneNum05302179147
ReturnHeader/BusinessOfficerGrp/SignatureDt02021-05-16
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0UPPER ROOM DINING HALL INC
ReturnHeader/Filer/BusinessNameControlTxt0UPPE
ReturnHeader/Filer/EIN0474732040
ReturnHeader/Filer/PhoneNum05309191036
ReturnHeader/Filer/USAddress/AddressLine1Txt0PO BOX 484
ReturnHeader/Filer/USAddress/CityNm0PLACERVILLE
ReturnHeader/Filer/USAddress/StateAbbreviationCd0CA
ReturnHeader/Filer/USAddress/ZIPCd095667
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0942798193
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0ROBERTS & COMPANY INC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt03182 CEDAR RAVINE RD
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0PLACERVILLE
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0CA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd095667
ReturnHeader/PreparerPersonGrp/PhoneNum05306225445
ReturnHeader/PreparerPersonGrp/PreparationDt02022-05-16
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0STEPHEN W MILLER CPA
ReturnHeader/ReturnTs02022-05-16T15:30:39-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0JENNIFER
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0MOUZIS
ReturnHeader/TaxPeriodBeginDt02020-07-01
ReturnHeader/TaxPeriodEndDt02021-06-30
ReturnHeader/TaxYr02020

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