Civic Intelligence

Unknown Organization

990 • Fiscal year 2013 • EIN 94-2640753

Jul 01, 2012 to Jun 30, 2013 • Filed on Oct 04, 2013

Organization ProfileN/A
435 Du Bois Street94912
Siviq Scores

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

Liabilities / Assets

58th percentile

0.00x

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

2013 filings • 501(c)9 • <$500k nonprofits • Source year 2013

Liabilities / Revenue

Score unavailable

No value available

Liabilities-to-revenue requires both liabilities and revenue on this filing.

Source year 2013

Net Margin

Score unavailable

No value available

Net margin requires both revenue and expenses on this filing.

Source year 2013

Top Officer Pay

Score unavailable

No value available

This filing does not contain officer compensation rows.

Source year 2013

Asset Growth

8th percentile

-58%

Faster asset growth than 8% of similar nonprofits.

2013 filings • 501(c)9 • <$500k nonprofits • Annualized from 2012 to 2013

Revenue Growth

Score unavailable

No value available

No valid filing value is available for this score.

Balance Sheet
Liabilities / Assets58th percentile

Assets

Down

$280

Down $390 (-58%) from 2012

Net Assets

Down

$280

Down $390 (-58%) from 2012

Liabilities

Flat

$0

Flat from 2012

Revenue And Expenses
Liabilities / RevenueScore unavailableNet MarginScore unavailable

Revenue

$239,656

No earlier filing loaded for comparison.

Expenses

Down

$240,046

Down $34,262 (-12%) from 2012

Net Income

-$390

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

Asset Growth8th percentile

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

$800$600$400$200$0Assets 2011: $216Liabilities 2011: $0Net Assets 2011: $2162011Assets 2012: $670Liabilities 2012: $0Net Assets 2012: $6702012Assets 2013: $280Liabilities 2013: $0Net Assets 2013: $2802013Assets 2014: $0Liabilities 2014: $0Net Assets 2014: $02014

Highlighted filing

2013

Assets$280
Liabilities$0
Net Assets$280
Open 2013 Filing

Operations Trend

Revenue GrowthScore unavailable

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

$600K$400K$200K$0-$200KExpenses 2011: $508,4422011Expenses 2012: $274,3082012Revenue 2013: $239,656Expenses 2013: $240,046Net Income 2013: -$3902013Revenue 2014: $225,170Expenses 2014: $225,450Net Income 2014: -$2802014

Highlighted filing

2013

Revenue$239,656
Expenses$240,046
Net Income-$390
Open 2013 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2012 to Jun 30, 2013
Signed
Oct 4, 2013
Return Version
2012v2.1
Gross Receipts
$239,656
Mission and Program Overview

Mission

EMPLOYEE HEALH BENEFITS

Major Activities

Activity 2
Group medical and dental insurance premiums paid for qualified employees
Filing and Contact Details

Filer

EIN
94-2640753
Raw XML Appendix279 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
IRS990/AccountantCompileOrReview00
IRS990/ActivitiesConductedPartnership00
IRS990/Activity2/Description0GROUP MEDICAL AND DENTAL INSURANCE PREMIUMS PAID FOR QUALIFIED EMPLOYEES
IRS990/Activity2/Expense0235054
IRS990/ActivityOrMissionDescription0EMPLOYEE HEALTH BENEFITS
IRS990/AddressPrincipalOfficerUS/AddressLine10435 DUBOIS STREET
IRS990/AddressPrincipalOfficerUS/City0SAN RAFAEL
IRS990/AddressPrincipalOfficerUS/State0CA
IRS990/AddressPrincipalOfficerUS/ZIPCode094901
IRS990/BenefitsPaidToMembersCY0240046
IRS990/BenefitsPaidToMembersPriorYear0274308
IRS990/BenefitsToMembers/ProgramServices0240046
IRS990/BenefitsToMembers/Total0240046
IRS990/BsnssRltnshpThruFamilyMember00
IRS990/BsnssRltnshpWithOrganization00
IRS990/CapStckTrstPrinCurrentFunds/BOY00
IRS990/CapStckTrstPrinCurrentFunds/EOY00
IRS990/CashNonInterestBearing/BOY0670
IRS990/CashNonInterestBearing/EOY0280
IRS990/ChangesToOrganizingDocs00
IRS990/CollectionsOfArt00
IRS990/CompensationFromOtherSources00
IRS990/CompensationProcessCEO00
IRS990/CompensationProcessOther00
IRS990/ConflictOfInterestPolicy00
IRS990/ConservationEasements00
IRS990/ConsolidatedAuditFinancialStmt00
IRS990/ContributionsGrantsCurrentYear00
IRS990/ContributionsGrantsPriorYear00
IRS990/CreditCounseling00
IRS990/DecisionsSubjectToApproval00
IRS990/DeductibleContributionsOfArt00
IRS990/DeductibleNonCashContributions00
IRS990/DelegationOfManagementDuties00
IRS990/DescribedIn501C300
IRS990/Description0MEDICAL, DENTAL AND EYECARE EXPENSES PAID TO REIMBURSE QUALIFIED EMPLOYEES FOR AMOUNTS NOT COVERED BY INSURANCE
IRS990/DisregardedEntity00
IRS990/DocumentRetentionPolicy00
IRS990/DonorAdvisedFunds00
IRS990/DoNotFollowSFAS1170X
IRS990/ElectionOfBoardMembers00
IRS990/Expense04992
IRS990/FamilyOrBusinessRelationship00
IRS990/FederalGrantAuditRequired00
IRS990/ForeignActivities00
IRS990/ForeignFinancialAccount00
IRS990/ForeignOffice00
IRS990/Form990PartVIISectionA/AverageHoursPerWeek040.00
IRS990/Form990PartVIISectionA/AverageHoursPerWeek140.00
IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector0X
IRS990/Form990PartVIISectionA/IndividualTrusteeOrDirector1X
IRS990/Form990PartVIISectionA/NamePerson0MATTHEW OLSON
IRS990/Form990PartVIISectionA/NamePerson1ANNA BUSS
IRS990/Form990PartVIISectionA/Officer0X
IRS990/Form990PartVIISectionA/Officer1X
IRS990/Form990PartVIISectionA/OtherCompensation00
IRS990/Form990PartVIISectionA/OtherCompensation10
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization00
IRS990/Form990PartVIISectionA/ReportableCompFromOrganization10
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs00
IRS990/Form990PartVIISectionA/ReportableCompFromRelatedOrgs10
IRS990/Form990PartVIISectionA/Title0PRESIDENT
IRS990/Form990PartVIISectionA/Title1TREASURER/VP
IRS990/Form990ProvidedToGoverningBody01
IRS990/FormersListed00
IRS990/FSAudited00
IRS990/FundraisingActivities00
IRS990/Gaming00
IRS990/GrantsAndSimilarAmntsCY00
IRS990/GrantsAndSimilarAmntsPriorYear00
IRS990/GrantsToIndividuals00
IRS990/GrantsToOrganizations00
IRS990/GrantToRelatedPerson00
IRS990/GrossReceipts0239656
IRS990/GroupReturnForAffiliates00
IRS990/Hospital00
IRS990/IndependentAuditFinancialStmt00
IRS990/IndoorTanningServices00
IRS990/InfoInScheduleOPartVI0X
IRS990/InvestmentIncomeCurrentYear00
IRS990/InvestmentIncomePriorYear00
IRS990/InvestmentInJointVenture00
IRS990/LoanToOfficerOrDQP00
IRS990/LocalChapters00
IRS990/MaterialDiversionOrMisuse00
IRS990/MembersOrStockholders00
IRS990/MethodOfAccountingCash0X
IRS990/MinutesOfCommittees00
IRS990/MinutesOfGoverningBody00
IRS990/MissionDescription0EMPLOYEE HEALH BENEFITS
IRS990/MoreThan5000KToIndividuals00
IRS990/MoreThan5000KToOrganizations00
IRS990/NameOfPrincipalOfficerPerson0MATTHEW OLSON
IRS990/NbrIndependentVotingMembers02
IRS990/NbrVotingGoverningBodyMembers02
IRS990/NbrVotingMembersGoverningBody02
IRS990/NetAssetsOrFundBalancesBOY0670
IRS990/NetAssetsOrFundBalancesEOY0280
IRS990/NetUnrelatedBusinessTxblIncome00
IRS990/NoListedPersonsCompensated0X
IRS990/NonDeductibleContributions00
IRS990/NumberFormsTransmittedWith109600
IRS990/NumberIndependentVotingMembers02
IRS990/NumberIndividualsGT100K00
IRS990/NumberOfContractorsGT100K00
IRS990/NumberOfEmployees00
IRS990/NumberW2GIncluded00
IRS990/OfficerEntityWithBsnssRltnshp00
IRS990/OfficerMailingAddress00
IRS990/Organization501c0X
IRS990/OtherExpensePriorYear00
IRS990/OtherExpensesCurrentYear00
IRS990/OtherRevenueCurrentYear00
IRS990/OtherRevenuePriorYear00
IRS990/PaidInCapSrplsLandBldgEqpFund/BOY00
IRS990/PaidInCapSrplsLandBldgEqpFund/EOY00
IRS990/PartialLiquidation00
IRS990/PoliticalActivities00
IRS990/ProfessionalFundraising00
IRS990/ProgramServiceRevenue/BusinessCode0900099
IRS990/ProgramServiceRevenueCY0239656
IRS990/ProgramServiceRevenue/Description0EMPLOYER CONTRIBUTIONS
IRS990/ProgramServiceRevenuePriorYear0274762
IRS990/ProgramServiceRevenue/RelatedOrExemptFunctionIncome0239656
IRS990/ProgramServiceRevenue/TotalRevenueColumn0239656
IRS990/ProhibitedTaxShelterTrans00
IRS990/ReconcilationOtherChanges00
IRS990/ReconcilationRevenueExpenses0-390
IRS990/RelatedEntity01
IRS990/RelatedOrgControlledEntity00
IRS990/ReportFin48Footnote00
IRS990/ReportInvestOthSecurities00
IRS990/ReportLandBldgEquip00
IRS990/ReportOtherAssets00
IRS990/ReportOtherLiabilities00
IRS990/ReportProgRelInvest00
IRS990/RetainedEarningsEndowmentEtc/BOY0670
IRS990/RetainedEarningsEndowmentEtc/EOY0280
IRS990/RevenuesLessExpensesCY0-390
IRS990/RevenuesLessExpensesPriorYear0454
IRS990/SalariesEtcCurrentYear00
IRS990/SalariesEtcPriorYear00
IRS990/ScheduleBRequired00
IRS990/ScheduleJRequired00
IRS990ScheduleO/GeneralExplanation/Explanation0THE COMPANY HAS DIRECTORS, NOT MEMBERS OR STOCKHOLDERS.
IRS990ScheduleO/GeneralExplanation/Explanation1THE COMPANY ELECTS DIRECTORS FROM CONSENSUS OF EXISTING DIRECTORS.
IRS990ScheduleO/GeneralExplanation/Explanation2THE ORGANIZATION HAS RETAINED A PROFESSIONAL CPA FIRM TO PREPARE FORM 990. A COPY OF THE FORM 990 IS PROVIDED TO THE DIRECTORS FOR REVIEW AND APPROVAL BEFORE FILING.
IRS990ScheduleO/GeneralExplanation/Explanation3ORGANIZATIONAL INFORMATION AND FORM 990 ARE AVAILABLE UPON WRITTEN REQUEST.
IRS990ScheduleO/GeneralExplanation/ReturnReference0FORM 990, PART VI, SECTION A, LINE 8A
IRS990ScheduleO/GeneralExplanation/ReturnReference1FORM 990, PART VI, SECTION A, LINE 8B
IRS990ScheduleO/GeneralExplanation/ReturnReference2FORM 990, PART VI, SECTION B, LINE 11
IRS990ScheduleO/GeneralExplanation/ReturnReference3FORM 990, PART VI, SECTION C, LINE 19
IRS990/ScheduleORequired01
IRS990ScheduleR/DividendsRelatedOrganization00
IRS990ScheduleR/ExchangeOfAssets00
IRS990ScheduleR/Form990ScheduleRPartIV/AddressUS/AddressLine10PO BOX 10247
IRS990ScheduleR/Form990ScheduleRPartIV/AddressUS/City0SAN RAFAEL
IRS990ScheduleR/Form990ScheduleRPartIV/AddressUS/State0CA
IRS990ScheduleR/Form990ScheduleRPartIV/AddressUS/ZIPCode094912
IRS990ScheduleR/Form990ScheduleRPartIV/ControlledOrg00
IRS990ScheduleR/Form990ScheduleRPartIV/DirectControllingEntityName/BusinessNameLine10SELF
IRS990ScheduleR/Form990ScheduleRPartIV/EIN0941669730
IRS990ScheduleR/Form990ScheduleRPartIV/LegalDomicileState0CA
IRS990ScheduleR/Form990ScheduleRPartIV/NameOfRelatedOrg/BusinessNameLine10JACKSON'S HARDWARE
IRS990ScheduleR/Form990ScheduleRPartIV/PrimaryActivity0SELL AND RENT HARDWARE EQUIPMENT AND SERVICES
IRS990ScheduleR/Form990ScheduleRPartIV/TypeOfEntity0S
IRS990ScheduleR/GiftGrantOrCapContrFrOtherOrg00
IRS990ScheduleR/GiftGrantOrCapContrToOtherOrg00
IRS990ScheduleR/LoansOrGuaranteesFromOtherOrg00
IRS990ScheduleR/LoansOrGuaranteesToOtherOrg00
IRS990ScheduleR/OtherTransferFromOtherOrg01
IRS990ScheduleR/OtherTransferToOtherOrg00
IRS990ScheduleR/PerformOfServicesByOtherOrgs00
IRS990ScheduleR/PerformOfServicesForOtherOrgs00
IRS990ScheduleR/PurchaseOfAssetsFromOtherOrg00
IRS990ScheduleR/ReceiptOfIntAnnRentsRoyalties00
IRS990ScheduleR/ReimbursementPaidByOtherOrg00
IRS990ScheduleR/ReimbursementPaidToOtherOrg00
IRS990ScheduleR/RentalOfFacilitiesFrOtherOrgs00
IRS990ScheduleR/RentalOfFacilitiesToOtherOrgs00
IRS990ScheduleR/SaleOfAssetsToOtherOrg00
IRS990ScheduleR/SharingOfFacilities01
IRS990ScheduleR/SharingOfPaidEmployees01
IRS990ScheduleR/TransactionsRelatedOrgsTable/AmountInvolved0239656
IRS990ScheduleR/TransactionsRelatedOrgsTable/MethodOfAmtDetermination0CASH
IRS990ScheduleR/TransactionsRelatedOrgsTable/MethodOfAmtDetermination1CASH
IRS990ScheduleR/TransactionsRelatedOrgsTable/MethodOfAmtDetermination2CASH
IRS990ScheduleR/TransactionsRelatedOrgsTable/NameOfOtherOrganization/BusinessNameLine10JACKSON'S HARDWARE
IRS990ScheduleR/TransactionsRelatedOrgsTable/NameOfOtherOrganization/BusinessNameLine11JACKSON'S HARDWARE
IRS990ScheduleR/TransactionsRelatedOrgsTable/NameOfOtherOrganization/BusinessNameLine12JACKSON'S HARDWARE
IRS990ScheduleR/TransactionsRelatedOrgsTable/TransactionType0N
IRS990ScheduleR/TransactionsRelatedOrgsTable/TransactionType1O
IRS990ScheduleR/TransactionsRelatedOrgsTable/TransactionType2S
IRS990/School00
IRS990/SignificantChange00
IRS990/SignificantNewProgramServices00
IRS990/StateLegalDomicile0CA
IRS990/StatesWhereCopyOfReturnIsFiled0CA
IRS990/SubjectToProxyTax00
IRS990/TaxablePartyNotification00
IRS990/TaxExemptBonds00
IRS990/Terminated00
IRS990/TermOrPermanentEndowments00
IRS990/TheBooksAreInCareOf/AddressUS/AddressLine10435 DUBOIS STREET
IRS990/TheBooksAreInCareOf/AddressUS/City0SAN RAFAEL
IRS990/TheBooksAreInCareOf/AddressUS/State0CA
IRS990/TheBooksAreInCareOf/AddressUS/ZIPCode094901
IRS990/TheBooksAreInCareOf/NameBusiness/BusinessNameLine10JACKSON'S HARDWARE INC
IRS990/TheBooksAreInCareOf/TelephoneNumber04154543740
IRS990/TotalAssets/BOY0670
IRS990/TotalAssetsBOY0670
IRS990/TotalAssets/EOY0280
IRS990/TotalAssetsEOY0280
IRS990/TotalCompGT150K00
IRS990/TotalExpensesCurrentYear0240046
IRS990/TotalExpensesPriorYear0274308
IRS990/TotalFunctionalExpenses/Fundraising00
IRS990/TotalFunctionalExpenses/ManagementAndGeneral00
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IRS990/TotalFundrsngExpCurrentYear00
IRS990/TotalGrossUBI00
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IRS990/TotalNbrEmployees00
IRS990/TotalNbrVolunteers00
IRS990/TotalNetAssetsFundBalances/BOY0670
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IRS990/TotalProfFundrsngExpCY00
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IRS990/TotalProgramServiceExpense0240046
IRS990/TotalProgramServiceRevenue0239656
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IRS990/TotalRevenue/ExclusionAmount00
IRS990/TotalRevenuePriorYear0274762
IRS990/TotalRevenue/RelatedOrExemptFunctionIncome0239656
IRS990/TotalRevenue/TotalRevenueColumn0239656
IRS990/TotalRevenue/UnrelatedBusinessRevenue00
IRS990/TypeOfOrganizationTrust0X
IRS990/UnrelatedBusinessIncome00
IRS990/UponRequest0X
IRS990/WebSite0N/A
IRS990/WhistleblowerPolicy00
IRS990/YearFormation01968
ReturnHeader/BuildTS02015-11-30 17:44:51Z
ReturnHeader/Filer/EIN0942640753
ReturnHeader/Filer/Name/BusinessNameLine10JACKSON'S HARDWARE INC HEALTH PLAN TRUST
ReturnHeader/Filer/NameControl0JACK
ReturnHeader/Filer/Phone04154543740
ReturnHeader/Filer/USAddress/AddressLine10435 DU BOIS STREET
ReturnHeader/Filer/USAddress/City0SAN RAFAEL
ReturnHeader/Filer/USAddress/State0CA
ReturnHeader/Filer/USAddress/ZIPCode094912
ReturnHeader/Officer/AuthorizeThirdParty01
ReturnHeader/Officer/DateSigned02013-10-04
ReturnHeader/Officer/Name0MATTHEW OLSON
ReturnHeader/Officer/Phone04154543740
ReturnHeader/Officer/Title0PRESIDENT
ReturnHeader/PreparerFirm/EIN0264677183
ReturnHeader/PreparerFirm/PreparerFirmBusinessName/BusinessNameLine10DZH PHILLIPS LLP
ReturnHeader/PreparerFirm/PreparerFirmUSAddress/AddressLine10135 MAIN STREET 9TH FLOOR
ReturnHeader/PreparerFirm/PreparerFirmUSAddress/City0SAN FRANCISCO
ReturnHeader/PreparerFirm/PreparerFirmUSAddress/State0CA
ReturnHeader/PreparerFirm/PreparerFirmUSAddress/ZIPCode0941051815
ReturnHeader/Preparer/Name0BRUCE F FERRY
ReturnHeader/Preparer/Phone04157812500
ReturnHeader/Preparer/SelfEmployed0X
ReturnHeader/ReturnType0990
ReturnHeader/TaxPeriodBeginDate02012-07-01
ReturnHeader/TaxPeriodEndDate02013-06-30
ReturnHeader/TaxYear02012
ReturnHeader/Timestamp02013-10-14T12:05:18-05:00

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2013 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$280
Liabilities
$0
Net assets
$280
Revenue
$239,656
Expenses
$240,046
Net income
-$390
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2014Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.00$2.25$2.25$0.00
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.00$0.00$0.00$2.40$2.40$0.00
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.01$0.00$0.01$2.74
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.00$0.00$0.00$5.08