Civic Intelligence

Phoenix Lodge 144

EIN 94-0487793 • 501(c)10 • San Francisco, CA

Profile

The income from Lodge members supports fraternal activities of the Lodge as well as giving financial assistance to youth organizations, public school activities and blood bank programs.

2404 14th AvenueSan Francisco, CA 94116

phoenixlodge144.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

52nd percentile

0.00x

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

501(c)10 • $1M-$5M nonprofits • Source year 2023

Liabilities / Revenue

52nd percentile

0.00x

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

501(c)10 • $1M-$5M nonprofits • Source year 2023

Net Margin

8th percentile

-88%

Higher net margin than 8% of similar nonprofits.

501(c)10 • $1M-$5M nonprofits • Source year 2023

Top Officer Pay

84th percentile

$14,400

Higher top officer pay than 84% of similar nonprofits.

Top officer pay equals 16.7% of source-year revenue.

501(c)10 • $1M-$5M nonprofits • Source year 2023

Asset Growth

9th percentile

-3.0%

Faster asset growth than 9% of similar nonprofits.

501(c)10 • $1M-$5M nonprofits • Annualized from 2022 to 2023

Revenue Growth

46th percentile

7.6%

Faster revenue growth than 46% of similar nonprofits.

501(c)10 • $1M-$5M nonprofits • Annualized from 2022 to 2023

Balance Sheet
Liabilities / Assets52nd percentile

Assets

Down

$2,461,433

Down $76,270 (-3.0%) from 2022

Liabilities

Flat

$0

Flat from 2022

Net Assets

Down

$2,461,433

Down $76,270 (-3.0%) from 2022

Operations
Liabilities / Revenue52nd percentileNet Margin8th percentile

Revenue

Up

$86,226

Up $6,096 (+7.6%) from 2022

Expenses

Down

$162,496

Down $59,785 (-27%) from 2022

Net Income

Up

-$76,270

Up $65,881 (+46%) from 2022

Trend Graphs

Balance Sheet Trend

Asset Growth9th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$3.0M$2.0M$1.0M$0Assets 2010: $2,366,323Liabilities 2010: $595Net Assets 2010: $2,365,7282010Assets 2011: $2,358,659Liabilities 2011: $591Net Assets 2011: $2,358,0682011Assets 2012: $2,324,125Liabilities 2012: $592Net Assets 2012: $2,323,5332012Assets 2013: $2,389,368Liabilities 2013: $985Net Assets 2013: $2,388,3832013Assets 2014: $2,375,052Liabilities 2014: $1,235Net Assets 2014: $2,373,8172014Assets 2015: $2,348,329Liabilities 2015: $1,229Net Assets 2015: $2,347,1002015Assets 2016: $2,224,507Liabilities 2016: $1,228Net Assets 2016: $2,223,2792016Assets 2017: $2,140,157Liabilities 2017: $1,228Net Assets 2017: $2,138,9292017Assets 2018: $2,605,875Liabilities 2018: $737Net Assets 2018: $2,605,1382018Assets 2019: $2,585,430Liabilities 2019: $1,236Net Assets 2019: $2,584,1942019Assets 2020: $2,597,911Liabilities 2020: $1,549Net Assets 2020: $2,596,3622020Assets 2021: $2,704,854Liabilities 2021: $0Net Assets 2021: $2,704,8542021Assets 2022: $2,537,703Liabilities 2022: $0Net Assets 2022: $2,537,7032022Assets 2023: $2,461,433Liabilities 2023: $0Net Assets 2023: $2,461,4332023

Highlighted filing

2023

Assets$2,461,433
Liabilities$0
Net Assets$2,461,433
Open 2023 Filing

Operations Trend

Revenue Growth46th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$1.0M$500K$0-$500KRevenue 2010: $101,491Expenses 2010: $158,229Net Income 2010: -$56,7382010Revenue 2011: $143,983Expenses 2011: $151,643Net Income 2011: -$7,6602011Revenue 2012: $123,994Expenses 2012: $158,529Net Income 2012: -$34,5352012Revenue 2013: $273,284Expenses 2013: $199,902Net Income 2013: $73,3822013Revenue 2014: $228,475Expenses 2014: $248,190Net Income 2014: -$19,7152014Revenue 2015: $225,561Expenses 2015: $252,278Net Income 2015: -$26,7172015Revenue 2016: $74,784Expenses 2016: $198,605Net Income 2016: -$123,8212016Revenue 2017: $127,127Expenses 2017: $211,477Net Income 2017: -$84,3502017Revenue 2018: $660,040Expenses 2018: $193,831Net Income 2018: $466,2092018Revenue 2019: $144,523Expenses 2019: $165,467Net Income 2019: -$20,9442019Revenue 2020: $107,425Expenses 2020: $95,257Net Income 2020: $12,1682020Revenue 2021: $265,454Expenses 2021: $157,014Net Income 2021: $108,4402021Revenue 2022: $80,130Expenses 2022: $222,281Net Income 2022: -$142,1512022Revenue 2023: $86,226Expenses 2023: $162,496Net Income 2023: -$76,2702023

Highlighted filing

2023

Revenue$86,226
Expenses$162,496
Net Income-$76,270
Open 2023 Filing

Filings

Most recent year

2023 • Form 990XML pending. An XML filing is linked for this year, but detailed extraction is still pending.

Open filing
Assets
$2,461,433
Liabilities
$0
Net assets
$2,461,433
Revenue
$86,226
Expenses
$162,496
Net income
-$76,270
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2023XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.46$0.00$2.46$0.09$0.16$0.08
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.54$0.00$2.54$0.08$0.22$0.14
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.70$0.00$2.70$0.27$0.16$0.11
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.60$0.00$2.60$0.11$0.10$0.01
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.59$0.00$2.58$0.14$0.17$0.02
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.61$0.00$2.61$0.66$0.19$0.47
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.14$0.00$2.14$0.13$0.21$0.08
2016Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.22$0.00$2.22$0.07$0.20$0.12
2015XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$2.35$0.00$2.35$0.23$0.25$0.03
2014Detailed filing. Detailed filing data is available for this year.$2.38$0.00$2.37$0.23$0.25$0.02
2013Summary only. Only limited summary data is available for this year.$2.39$0.00$2.39$0.27$0.20$0.07
2012Summary only. Only limited summary data is available for this year.$2.32$0.00$2.32$0.12$0.16$0.03
2011Summary only. Only limited summary data is available for this year.$2.36$0.00$2.36$0.14$0.15$0.01
2010Summary only. Only limited summary data is available for this year.$2.37$0.00$2.37$0.10$0.16$0.06
Latest Detailed Filing

The latest 2023 filing currently has linked XML that has not been fully parsed yet. Showing the latest detailed filing from 2022 below.

Jump To
Filing Snapshot
Filing Period
Jan 1, 2022 to Dec 31, 2022
Signed
Sep 11, 2023
Return Version
2022v5.0
Gross Receipts
$2,112,245
Mission and Program Overview

Mission

The income from Lodge members supports fraternal activities of the Lodge as well as giving financial assistance to youth organizations and public school activities.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cap Stk Tr Prin Current Funds$2,704,854$2,537,703▼ $167,151
Investments in Publicly Traded Securities$2,513,556$2,438,648▼ $74,908
Savings and Temporary Cash Investments$52,612$54,458▲ $1,846
Cash and Non-Interest-Bearing Accounts$120,059$25,970▼ $94,089
Land, Buildings, and Equipment, Net$18,627$18,627→ $0
Accounts Receivable-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$2,704,854$2,537,703▼ $167,151
Other Assets Total-$0-
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Total Net Assets Fund Balance$2,704,854$2,537,703▼ $167,151
Total Liabilities and Net Assets / Fund Balance$2,704,854$2,537,703▼ $167,151

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$18,627-$18,627
Compensation and Service Providers
Top Officer Pay84th percentile

Employees

NameTitleFull / Part TimeBaseTotal
Daniel BoydSecretary-$14,400$14,400
Joel Pangilinan PMAsst SecretaryPT$7,200$7,200

Board Members and Trustees

NameTitle
G Michael WilsonChaplin
Bernard BassilJunior Deacon
Ben BarnettJunior Steward
Arthur C Kyle III PMJunior Warden
Michael JohnsMarshall
Paul DanaSenior Deacon
Marcelo PotinSenior Steward
Michael MasonSenior Warden
Guy LasseronTiler
Jay Pon PMTreasurer
Mark Harris PMWorshipful Mstr
Revenue and Support

Revenue Composition

Contributions and Grants
$119
Program Service Revenue
$48,193
Investment Income
$31,818
Other Revenue
$0
All Other Contributions
$119
Change in Net Assets
$-142,151
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$170,740
Grants and Similar Amounts Paid$27,693
Salaries, Compensation, and Employee Benefits$23,848
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Conferences and Meetings---$95,535
Grants to Domestic Individuals---$27,693
Occupancy---$23,966
Fees for Service Investment Mgmnt Fees---$23,730
Current Officers, Directors, Trustees, and Key Employees---$21,600
Payments to Affiliates---$10,410
Office Expenses---$3,868
Fees for Services Accounting---$2,570
Payroll Taxes---$2,248
Other Expenses---$1,456
Total Functional Expenses$0$0$0$222,281
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
Subject to proxy tax
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
No
Backup withholding compliance
Yes
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
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11B

“Upon completion, Form 990 is reviewed and signed by the Treasurer before it is filed. Copy of returns are maintained at the organization's office and with the Treasurer.”

Form 990, Part VI, Section C, Line 19

“The organization's governing documents, conflict of interest policy and financial statements can be made available upon request by members.”

Filing and Contact Details

Filer

Filer Name
Free & Accepted Masons of California
EIN
94-0487793
Phone
4157970144
Address
2404 14th Avenue, San Francisco, CA 94116

Signing Officer

Name
Jigg Pon
Title
Treasurer
Signed
2023-09-11
Discuss with paid preparer
Yes

Organization Details

Formed
2000
Legal Domicile
CA
Voting Board Members
13
Independent Board Members
11
Employees
2

Preparer

Firm
William D Swackhamer CPA
Address
700 S Claremont Suite 223, San Mateo, CA 94402
Preparer
William D Swackhamer
Phone
6505481039
Raw XML AppendixShowing 400 of 411 raw XML fields

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

Path#Value
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IRS990/AdvertisingGrp/TotalAmt00
IRS990/AllOtherContributionsAmt0119
IRS990/AllOtherExpensesGrp/TotalAmt00
IRS990/AnnualDisclosureCoveredPrsnInd0false
IRS990/BackupWthldComplianceInd0true
IRS990/BenefitsToMembersGrp/TotalAmt00
IRS990/BooksInCareOfDetail/PersonNm0Jigg Pon
IRS990/BooksInCareOfDetail/PhoneNum04157970144
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt02400 14th Ave
IRS990/BooksInCareOfDetail/USAddress/CityNm0San Francisco
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0CA
IRS990/BooksInCareOfDetail/USAddress/ZIPCd094116
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IRS990/CashNonInterestBearingGrp/BOYAmt0120059
IRS990/CashNonInterestBearingGrp/EOYAmt025970
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IRS990/CntrctRcvdGreaterThan100KCnt00
IRS990/CollectionsOfArtInd0false
IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt021600
IRS990/CompDisqualPersonsGrp/TotalAmt00
IRS990/CompensationFromOtherSrcsInd0false
IRS990/CompensationProcessCEOInd0false
IRS990/CompensationProcessOtherInd0false
IRS990/ConferencesMeetingsGrp/TotalAmt095535
IRS990/ConflictOfInterestPolicyInd0true
IRS990/ConservationEasementsInd0false
IRS990/ConsolidatedAuditFinclStmtInd0false
IRS990/CreditCounselingInd0false
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt0119
IRS990/CYGrantsAndSimilarPaidAmt027693
IRS990/CYInvestmentIncomeAmt031818
IRS990/CYOtherExpensesAmt0170740
IRS990/CYOtherRevenueAmt00
IRS990/CYProgramServiceRevenueAmt048193
IRS990/CYRevenuesLessExpensesAmt0-142151
IRS990/CYSalariesCompEmpBnftPaidAmt023848
IRS990/CYTotalExpensesAmt0222281
IRS990/CYTotalFundraisingExpenseAmt00
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt080130
IRS990/DecisionsSubjectToApprovaInd0false
IRS990/DeductibleArtContributionInd0false
IRS990/DeductibleNonCashContriInd0false
IRS990/DelegationOfMgmtDutiesInd0false
IRS990/DepreciationDepletionGrp/TotalAmt00
IRS990/Desc0Donations to various public charitable organizations
IRS990/DescribedInSection501c3Ind0false
IRS990/DisregardedEntityInd0false
IRS990/DocumentRetentionPolicyInd0false
IRS990/DonorAdvisedFundInd0false
IRS990/DonorRstrOrQuasiEndowmentsInd0false
IRS990/ElectionOfBoardMembersInd0false
IRS990/EmployeeCnt02
IRS990/EmploymentTaxReturnsFiledInd0true
IRS990/FamilyOrBusinessRlnInd0true
IRS990/FederalGrantAuditRequiredInd0false
IRS990/FeesForServicesAccountingGrp/TotalAmt02570
IRS990/FeesForServicesLegalGrp/TotalAmt00
IRS990/FeesForServicesLobbyingGrp/TotalAmt00
IRS990/FeesForServicesManagementGrp/TotalAmt00
IRS990/FeesForServicesOtherGrp/TotalAmt00
IRS990/FeesForServicesProfFundraising/TotalAmt00
IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt023730
IRS990/ForeignActivitiesInd0false
IRS990/ForeignFinancialAccountInd0false
IRS990/ForeignGrantsGrp/TotalAmt00
IRS990/ForeignOfficeInd0false
IRS990/Form1098CFiledInd0false
IRS990/Form8282FiledCnt00
IRS990/Form8282PropertyDisposedOfInd0false
IRS990/Form8899Filedind0false
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IRS990/Form990PartVIISectionAGrp/PersonNm0Daniel Boyd
IRS990/Form990PartVIISectionAGrp/PersonNm1Joel Pangilinan PM
IRS990/Form990PartVIISectionAGrp/PersonNm2Arthur C Kyle III PM
IRS990/Form990PartVIISectionAGrp/PersonNm3Bernard Bassil
IRS990/Form990PartVIISectionAGrp/PersonNm4Michael Mason
IRS990/Form990PartVIISectionAGrp/PersonNm5Michael Johns
IRS990/Form990PartVIISectionAGrp/PersonNm6Paul Dana
IRS990/Form990PartVIISectionAGrp/PersonNm7G Michael Wilson
IRS990/Form990PartVIISectionAGrp/PersonNm8Marcelo Potin
IRS990/Form990PartVIISectionAGrp/PersonNm9Ben Barnett
IRS990/Form990PartVIISectionAGrp/PersonNm10Guy Lasseron
IRS990/Form990PartVIISectionAGrp/PersonNm11Mark Harris PM
IRS990/Form990PartVIISectionAGrp/PersonNm12Jay Pon PM
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IRS990/Form990PartVIISectionAGrp/TitleTxt0Secretary
IRS990/Form990PartVIISectionAGrp/TitleTxt1Asst Secretary
IRS990/Form990PartVIISectionAGrp/TitleTxt2Junior Warden
IRS990/Form990PartVIISectionAGrp/TitleTxt3Junior Deacon
IRS990/Form990PartVIISectionAGrp/TitleTxt4Senior Warden
IRS990/Form990PartVIISectionAGrp/TitleTxt5Marshall
IRS990/Form990PartVIISectionAGrp/TitleTxt6Senior Deacon
IRS990/Form990PartVIISectionAGrp/TitleTxt7Chaplin
IRS990/Form990PartVIISectionAGrp/TitleTxt8Senior Steward
IRS990/Form990PartVIISectionAGrp/TitleTxt9Junior Steward
IRS990/Form990PartVIISectionAGrp/TitleTxt10Tiler
IRS990/Form990PartVIISectionAGrp/TitleTxt11Worshipful Mstr
IRS990/Form990PartVIISectionAGrp/TitleTxt12Treasurer
IRS990/Form990ProvidedToGvrnBodyInd0true
IRS990/FormationYr02000
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IRS990/GrantsToDomesticOrgsGrp/TotalAmt00
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IRS990/GrantsToOrganizationsInd0false
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IRS990/MembersOrStockholdersInd0false
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IRS990/MinutesOfCommitteesInd0true
IRS990/MinutesOfGoverningBodyInd0true
IRS990/MissionDesc0The income from Lodge members supports fraternal activities of the Lodge as well as giving financial assistance to youth organizations and public school activities.
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IRS990/MoreThan5000KToOrgInd0false
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IRS990/OfficeExpensesGrp/TotalAmt03868
IRS990/OfficerMailingAddressInd0false
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IRS990/Organization501cInd0X
IRS990/OrgDoesNotFollowFASB117Ind0X
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IRS990/OtherExpensesGrp/Desc1Foreign Taxes
IRS990/OtherExpensesGrp/TotalAmt09205
IRS990/OtherExpensesGrp/TotalAmt11456
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IRS990/PartialLiquidationInd0false
IRS990/PaymentsToAffiliatesGrp/TotalAmt010410
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IRS990/PayrollTaxesGrp/TotalAmt02248
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IRS990/PoliticalCampaignActyInd0false
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IRS990/PriorPeriodAdjustmentsAmt0-25000
IRS990/ProfessionalFundraisingInd0false
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IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/GrantTypeTxt0Scholarships
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IRS990ScheduleI/SupplementalInformationDetail/ExplanationTxt0All grants are approved by the members at their stated meeting and documented in the minutes. Reports are periodically received by the recipient of the grants.
IRS990ScheduleI/SupplementalInformationDetail/FormAndLineReferenceDesc0Grantmaker's Description of How Grants are Used
IRS990ScheduleI/Total501c3OrgCnt00
IRS990ScheduleI/TotalOtherOrgCnt00
IRS990/ScheduleJRequiredInd0false
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Upon completion, Form 990 is reviewed and signed by the Treasurer before it is filed. Copy of returns are maintained at the organization's office and with the Treasurer.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1The organization's governing documents, conflict of interest policy and financial statements can be made available upon request by members.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Section B, Line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Section C, Line 19
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IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
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IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
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IRS990/TravelGrp/TotalAmt00
IRS990/TypeOfOrganizationOtherInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt02404 14th Avenue
IRS990/USAddress/CityNm0San Francisco
IRS990/USAddress/StateAbbreviationCd0CA
IRS990/USAddress/ZIPCd094116
IRS990/VotingMembersGoverningBodyCnt013
IRS990/VotingMembersIndependentCnt011
IRS990/WebsiteAddressTxt0phoenixlodge144.org
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/AuthenticationAssuranceLevelCd0AAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/FederatedAssuranceLevelCd0FAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/IdentityAssuranceLevelCd0IAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/TrustedCustomerCd02
ReturnHeader/BuildTS02023-04-26 12:10:37Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0Jigg Pon
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0Treasurer
ReturnHeader/BusinessOfficerGrp/SignatureDt02023-09-11
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0Free & Accepted Masons of California
ReturnHeader/Filer/BusinessName/BusinessNameLine2Txt0144 Phoenix Lodge
ReturnHeader/Filer/BusinessNameControlTxt0FREE
ReturnHeader/Filer/EIN0940487793
ReturnHeader/Filer/PhoneNum04157970144
ReturnHeader/Filer/USAddress/AddressLine1Txt02404 14th Avenue
ReturnHeader/Filer/USAddress/CityNm0San Francisco
ReturnHeader/Filer/USAddress/StateAbbreviationCd0CA
ReturnHeader/Filer/USAddress/ZIPCd094116
ReturnHeader/IRSResponsiblePrtyInfoCurrInd0true
ReturnHeader/PreparerFirmGrp/PreparerFirmEIN0201285930
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0William D Swackhamer CPA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt0700 S Claremont Suite 223
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0San Mateo
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0CA

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