Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company
“The plan has contracted with pacific service employees association to administer the plan.”
990 • Fiscal year 2019 • EIN 94-6091959
Scores are not available for this record yet.
Assets
Down$2,817,971
Down $178,701 (-6.0%) from 2018
Net Assets
Down$2,788,626
Down $149,745 (-5.1%) from 2018
Liabilities
Down$29,345
Down $28,956 (-50%) from 2018
Revenue
Down$247,850
Down $27,586 (-10%) from 2018
Expenses
Down$405,000
Down $14,473 (-3.5%) from 2018
Net Income
Down-$157,150
Down $13,113 (-9.1%) from 2018
To provide disability benefits.
| Line | Beginning | End | Change |
|---|---|---|---|
| Assets | |||
| Rtn Earn Endowment Incm Other Fnds | $2,938,371 | $2,788,626 | ▼ $149,745 |
| Investments in Publicly Traded Securities | $2,318,377 | $2,380,109 | ▲ $61,732 |
| Cash and Non-Interest-Bearing Accounts | $621,793 | $435,093 | ▼ $186,700 |
| Other Notes and Loans Receivable, Net | $56,502 | $2,769 | ▼ $53,733 |
| Savings and Temporary Cash Investments | - | $0 | - |
| Accounts Receivable | - | $0 | - |
| Pledges and Grants Receivable | - | $0 | - |
| Receivable From Disqualified Prsn | - | $0 | - |
| Receivables From Officers Etc | - | $0 | - |
| Investments Other Securities | - | $0 | - |
| Investments Program Related | - | $0 | - |
| Land, Buildings, and Equipment, Net | - | $0 | - |
| Intangible Assets | - | $0 | - |
| Inventories for Sale or Use | - | $0 | - |
| Prepaid Expenses and Deferred Charges | - | $0 | - |
| Total Assets | $2,996,672 | $2,817,971 | ▼ $178,701 |
| Other Assets Total | - | $0 | - |
| Liabilities | |||
| Other Liabilities | $35,616 | $28,085 | ▼ $7,531 |
| Deferred Revenue | $22,685 | $1,260 | ▼ $21,425 |
| Total Liabilities | $58,301 | $29,345 | ▼ $28,956 |
| Net Assets / Fund Balance | |||
| Total Net Assets Fund Balance | $2,938,371 | $2,788,626 | ▼ $149,745 |
| Total Liabilities and Net Assets / Fund Balance | $2,996,672 | $2,817,971 | ▼ $178,701 |
| Name | Title |
|---|---|
| Heather Lake | Chairperson |
| James Mcdaniel | Retiree Chairman |
| Paul Velasco | Retiree Chairperson - Past |
| Jeff Wagner | President |
| Doug Chadbourne | President - Past |
| Rick Fetro | Retiree Vice-Chairman |
| John Paleo | Vice-Chairman |
| Marie Dragon-gumabo | Chapter Trustee |
| DA'CHON PACE | Chapter Trustee - Past |
| Fred Quinn | Trustee |
| Mona Mccarthy | Trustee |
| Olivia Ly | Trustee |
| Sonia Garcia | Trustee |
| Teresa Walsh | Trustee |
| Dave Cantua | Trustee - Past |
| Ray Hafalia | Trustee-Past |
| Clara Mcafee-evans | Advisor |
| Dena Marchini | Recording Secretary |
| Line Item | Amount |
|---|---|
| Other Expenses | $188,672 |
| Grants and Similar Amounts Paid | $0 |
| Professional Fundraising Fees | $0 |
| Salaries, Compensation, and Employee Benefits | $0 |
| Total Fundraising Expense | $0 |
| Line Item | Program | Management | Fundraising | Total |
|---|---|---|---|---|
| Benefits to Members | - | - | - | $216,328 |
| Fees for Services Management | - | - | - | $178,612 |
| Fees for Services Accounting | - | - | - | $10,000 |
| Fees for Service Investment Mgmnt Fees | - | - | - | $60 |
| Total Functional Expenses | $0 | $0 | $0 | $405,000 |
| Line Item | Amount |
|---|---|
| Expenses per Audited Statements | $405,000 |
| Total Expenses per Audited Statements | $405,000 |
| Total Expenses per Form 990 | $405,000 |
| Line Item | Amount |
|---|---|
| Professional Fundraising Fees | $0 |
| Line Item | Beginning | End | Change |
|---|---|---|---|
| Receivables from Disqualified Persons | - | $0 | - |
| Receivables from Officers, Directors, Trustees, and Key Employees | - | $0 | - |
| Liability | Amount |
|---|---|
| Disability Claims Payable | $28,085 |
“The plan has contracted with pacific service employees association to administer the plan.”
“The board of trustees currently does not have subcommittees.”
“The president reviewed the form 990 for accuracy and completeness prior to filing the form with the irs. The form was provided to all trustees prior to filing the form with the irs.”
“Employees, officers, and trustees as applicable are required to disclose annually interests that could give rise to conflicts. The organization regularly and consistently monitors and enforces compliance with the policy. All employees, officers or trustees are required to immediately report any potential conflicts of interest to their supervisor or to the board of trustees. The supervisor or board of trustees will decide if an actual conflict of interest exists. The person with the conflict is excluded from taking part in the deliberations and discussions involving the conflict.”
“Upon request, the organization makes its governing documents, conflict-of-interest policy, and financial statements available to the public.”
“The chairman of the board of trustees has the authority to hire an independent auditor and to oversee the audit of the financial statements. This process has not changed.”
“Part x, line 2:the plan has analyzed the tax positions taken by the plan and has concluded that, as of december 31, 2019, there are no uncertain positions taken or expected to be taken that would require recognition of a liability or disclosure in the financial statements. The plan is subject to routine audits by the taxing jurisdictions however, there are currently no audits for any tax periods in progress. The plan believes it is no longer subject to income tax examinations for the fiscal years prior to 2015.”
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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|---|---|---|
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| IRS990/CYOtherRevenueAmt | 0 | 9452 |
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| IRS990/CYTotalExpensesAmt | 0 | 405000 |
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| IRS990/CYTotalRevenueAmt | 0 | 247850 |
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| IRS990/DepreciationDepletionGrp/TotalAmt | 0 | 0 |
| IRS990/Desc | 0 | THE ORGANIZATION PROVIDED DISABILITY BENEFITS TO ELIGIBLE MEMBERS. |
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| IRS990/Form990PartVIISectionAGrp/TitleTxt | 4 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 5 | Trustee-Past |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 6 | Trustee |
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| IRS990/Form990PartVIISectionAGrp/TitleTxt | 10 | Trustee |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 11 | Trustee |
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| IRS990/Form990PartVIISectionAGrp/TitleTxt | 13 | Trustee - Past |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 14 | Retiree Chairperson - Past |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 15 | Recording Secretary |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 16 | President - Past |
| IRS990/Form990PartVIISectionAGrp/TitleTxt | 17 | President |
| IRS990/Form990ProvidedToGvrnBodyInd | 0 | true |
| IRS990/FormationYr | 0 | 1923 |
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| IRS990/IndoorTanningServicesInd | 0 | false |
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| IRS990/InvestmentsProgramRelatedGrp/EOYAmt | 0 | 0 |
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| IRS990/InvestmentsPubTradedSecGrp/EOYAmt | 0 | 2380109 |
| IRS990/IRPDocumentCnt | 0 | 0 |
| IRS990/IRPDocumentW2GCnt | 0 | 0 |
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| IRS990/LoanOutstandingInd | 0 | false |
| IRS990/LocalChaptersInd | 0 | false |
| IRS990/MaterialDiversionOrMisuseInd | 0 | false |
| IRS990/MembersOrStockholdersInd | 0 | false |
| IRS990/MethodOfAccountingAccrualInd | 0 | X |
| IRS990/MinutesOfCommitteesInd | 0 | false |
| IRS990/MinutesOfGoverningBodyInd | 0 | true |
| IRS990/MissionDesc | 0 | TO PROVIDE DISABILITY BENEFITS. |
| IRS990/MoreThan5000KToIndividualsInd | 0 | false |
| IRS990/MoreThan5000KToOrgInd | 0 | false |
| IRS990/NetAssetsOrFundBalancesBOYAmt | 0 | 2938371 |
| IRS990/NetAssetsOrFundBalancesEOYAmt | 0 | 2788626 |
| IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetIncomeFromGamingGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetRentalIncomeOrLossGrp/TotalRevenueColumnAmt | 0 | 0 |
| IRS990/NetUnrlzdGainsLossesInvstAmt | 0 | 7405 |
| IRS990/NoListedPersonsCompensatedInd | 0 | X |
| IRS990/NondeductibleContributionsInd | 0 | false |
| IRS990/OccupancyGrp/TotalAmt | 0 | 0 |
| IRS990/OfficeExpensesGrp/TotalAmt | 0 | 0 |
| IRS990/OfficerMailingAddressInd | 0 | false |
| IRS990/OperateHospitalInd | 0 | false |
| IRS990/Organization501cInd | 0 | X |
| IRS990/OrgDoesNotFollowFASB117Ind | 0 | X |
| IRS990/OtherAssetsTotalGrp/EOYAmt | 0 | 0 |
| IRS990/OtherEmployeeBenefitsGrp/TotalAmt | 0 | 0 |
| IRS990/OtherLiabilitiesGrp/BOYAmt | 0 | 35616 |
| IRS990/OtherLiabilitiesGrp/EOYAmt | 0 | 28085 |
| IRS990/OtherRevenueMiscGrp/BusinessCd | 0 | 900099 |
| IRS990/OtherRevenueMiscGrp/Desc | 0 | Fund balance adjustment |
| IRS990/OtherRevenueMiscGrp/ExclusionAmt | 0 | 9452 |
| IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt | 0 | 9452 |
| IRS990/OtherRevenueTotalAmt | 0 | 9452 |
| IRS990/OtherSalariesAndWagesGrp/TotalAmt | 0 | 0 |
| IRS990/OthNotesLoansReceivableNetGrp/BOYAmt | 0 | 56502 |
| IRS990/OthNotesLoansReceivableNetGrp/EOYAmt | 0 | 2769 |
| IRS990/PartialLiquidationInd | 0 | false |
| IRS990/PaymentsToAffiliatesGrp/TotalAmt | 0 | 0 |
| IRS990/PayrollTaxesGrp/TotalAmt | 0 | 0 |
| IRS990/PensionPlanContributionsGrp/TotalAmt | 0 | 0 |
| IRS990/PledgesAndGrantsReceivableGrp/EOYAmt | 0 | 0 |
| IRS990/PoliticalCampaignActyInd | 0 | false |
| IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt | 0 | 0 |
| IRS990/PrincipalOfficerNm | 0 | Jeffrey Wagner |
| IRS990/ProfessionalFundraisingInd | 0 | false |
| IRS990/ProgramServiceRevenueGrp/BusinessCd | 0 | 900099 |
| IRS990/ProgramServiceRevenueGrp/Desc | 0 | MEMBER CONTRIBUTIONS |
| IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt | 0 | 201568 |
| IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt | 0 | 201568 |
| IRS990/ProhibitedTaxShelterTransInd | 0 | false |
| IRS990/PYBenefitsPaidToMembersAmt | 0 | 223255 |
| IRS990/PYInvestmentIncomeAmt | 0 | 59509 |
| IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt | 0 | 0 |
| IRS990/PYOtherExpensesAmt | 0 | 196218 |
| IRS990/PYProgramServiceRevenueAmt | 0 | 215927 |
| IRS990/PYRevenuesLessExpensesAmt | 0 | -144037 |
| IRS990/PYTotalExpensesAmt | 0 | 419473 |
| IRS990/PYTotalRevenueAmt | 0 | 275436 |
| IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt | 0 | 0 |
| IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt | 0 | 0 |
| IRS990/ReconcilationRevenueExpnssAmt | 0 | -157150 |
| IRS990/RegularMonitoringEnfrcInd | 0 | true |
| IRS990/RelatedEntityInd | 0 | true |
| IRS990/RelatedOrganizationCtrlEntInd | 0 | false |
| IRS990/ReportInvestmentsOtherSecInd | 0 | false |
| IRS990/ReportLandBuildingEquipmentInd | 0 | false |
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| IRS990/ReportOtherLiabilitiesInd | 0 | true |
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| IRS990/RtnEarnEndowmentIncmOthFndsGrp/EOYAmt | 0 | 2788626 |
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| IRS990/ScheduleBRequiredInd | 0 | false |
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| IRS990ScheduleD/FootnoteTextInd | 0 | X |
| IRS990ScheduleD/NetUnrealizedGainsInvstAmt | 0 | 7405 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt | 0 | 28085 |
| IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc | 0 | DISABILITY CLAIMS PAYABLE |
| IRS990ScheduleD/RevenueNotReportedAmt | 0 | 7405 |
| IRS990ScheduleD/RevenueSubtotalAmt | 0 | 247850 |
| IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt | 0 | PART X, LINE 2:THE PLAN HAS ANALYZED THE TAX POSITIONS TAKEN BY THE PLAN AND HAS CONCLUDED THAT, AS OF DECEMBER 31, 2019, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE PLAN IS SUBJECT TO ROUTINE AUDITS BY THE TAXING JURISDICTIONS HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE PLAN BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR THE FISCAL YEARS PRIOR TO 2015. |
| IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | Part X : FIN48 Footnote |
| IRS990ScheduleD/TotalExpensesPerForm990Amt | 0 | 405000 |
| IRS990ScheduleD/TotalLiabilityAmt | 0 | 28085 |
| IRS990ScheduleD/TotalRevenuePerForm990Amt | 0 | 247850 |
| IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt | 0 | 255255 |
| IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt | 0 | 405000 |
| IRS990/ScheduleJRequiredInd | 0 | false |
| IRS990/ScheduleORequiredInd | 0 | true |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 0 | THE PLAN HAS CONTRACTED WITH PACIFIC SERVICE EMPLOYEES ASSOCIATION TO ADMINISTER THE PLAN. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 1 | THE BOARD OF TRUSTEES CURRENTLY DOES NOT HAVE SUBCOMMITTEES. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 2 | THE PRESIDENT REVIEWED THE FORM 990 FOR ACCURACY AND COMPLETENESS PRIOR TO FILING THE FORM WITH THE IRS. THE FORM WAS PROVIDED TO ALL TRUSTEES PRIOR TO FILING THE FORM WITH THE IRS. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 3 | EMPLOYEES, OFFICERS, AND TRUSTEES AS APPLICABLE ARE REQUIRED TO DISCLOSE ANNUALLY INTERESTS THAT COULD GIVE RISE TO CONFLICTS. THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE POLICY. ALL EMPLOYEES, OFFICERS OR TRUSTEES ARE REQUIRED TO IMMEDIATELY REPORT ANY POTENTIAL CONFLICTS OF INTEREST TO THEIR SUPERVISOR OR TO THE BOARD OF TRUSTEES. THE SUPERVISOR OR BOARD OF TRUSTEES WILL DECIDE IF AN ACTUAL CONFLICT OF INTEREST EXISTS. THE PERSON WITH THE CONFLICT IS EXCLUDED FROM TAKING PART IN THE DELIBERATIONS AND DISCUSSIONS INVOLVING THE CONFLICT. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 4 | UPON REQUEST, THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT-OF-INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. |
| IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt | 5 | THE CHAIRMAN OF THE BOARD OF TRUSTEES HAS THE AUTHORITY TO HIRE AN INDEPENDENT AUDITOR AND TO OVERSEE THE AUDIT OF THE FINANCIAL STATEMENTS. THIS PROCESS HAS NOT CHANGED. |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 0 | Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 1 | Form 990, Part VI, Line 8: Explanation of No Contemporaneously Documentation of Meetings |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 2 | Form 990, Part VI, Line 11b: Form 990 Review Process |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 3 | Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 4 | Form 990, Part VI, Line 19: Other Organization Documents Publicly Available |
| IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc | 5 | Form 990, Part XII, Line 2: Change of Oversight or Selection Process |
| IRS990ScheduleR/AssetExchangeInd | 0 | false |
| IRS990ScheduleR/AssetPurchaseFromOtherOrgInd | 0 | false |
| IRS990ScheduleR/AssetSaleToOtherOrgInd | 0 | false |
| IRS990ScheduleR/DivRelatedOrganizationInd | 0 | false |
| IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd | 0 | false |
| IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd | 0 | false |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ControlledOrganizationInd | 0 | false |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DirectControllingEntityName/BusinessNameLine1Txt | 0 | NA |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/DisregardedEntityName/BusinessNameLine1Txt | 0 | PACIFIC SERVICES EMPLOYEES ASSOCIATION |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/EIN | 0 | 940745005 |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/ExemptCodeSectionTxt | 0 | 501(c)(4) |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/LegalDomicileStateCd | 0 | CA |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PrimaryActivitiesTxt | 0 | Recreation activities, social gathering |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/PublicCharityStatusTxt | 0 | N/A |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/AddressLine1Txt | 0 | 1390 WILLOW PASS RD |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/CityNm | 0 | CONCORD |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/StateAbbreviationCd | 0 | CA |
| IRS990ScheduleR/IdRelatedTaxExemptOrgGrp/USAddress/ZIPCd | 0 | 94520 |
| IRS990ScheduleR/LoansOrGuaranteesFromOthOrgInd | 0 | false |
| IRS990ScheduleR/LoansOrGuaranteesToOtherOrgInd | 0 | false |
| IRS990ScheduleR/PaidEmployeesSharingInd | 0 | false |
| IRS990ScheduleR/PerformOfServicesByOtherOrgInd | 0 | false |
| IRS990ScheduleR/PerformOfServicesForOthOrgInd | 0 | false |
| IRS990ScheduleR/ReceiptOfIntAnntsRntsRyltsInd | 0 | false |
| IRS990ScheduleR/ReimbursementPaidByOtherOrgInd | 0 | false |
| IRS990ScheduleR/ReimbursementPaidToOtherOrgInd | 0 | true |
| IRS990ScheduleR/RentalOfFacilitiesToOthOrgInd | 0 | false |
| IRS990ScheduleR/RentalOfFcltsFromOthOrgInd | 0 | false |
| IRS990ScheduleR/SharingOfFacilitiesInd | 0 | false |
| IRS990ScheduleR/TransactionsRelatedOrgGrp/InvolvedAmt | 0 | 178612 |
| IRS990ScheduleR/TransactionsRelatedOrgGrp/MethodOfAmountDeterminationTxt | 0 | Allocated shrs |
| IRS990ScheduleR/TransactionsRelatedOrgGrp/OtherOrganizationName/BusinessNameLine1Txt | 0 | PACIFIC SERVICES EMPLOYEES ASSOCIATION |
| IRS990ScheduleR/TransactionsRelatedOrgGrp/TransactionTypeTxt | 0 | p |
| IRS990ScheduleR/TransferFromOtherOrgInd | 0 | false |
| IRS990ScheduleR/TransferToOtherOrgInd | 0 | false |
| IRS990/SchoolOperatingInd | 0 | false |
| IRS990/SignificantChangeInd | 0 | false |
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Displayed year
2019 • Form 990Detailed filing. Detailed filing data is available for this year.