TY 2014 Form 990 Schedule G

efile Public Visual Render ObjectId: 201702269349302525 - Submission: 2017-08-14 TIN: 94-1347046

SCHEDULE G (Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Information about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization
The Pacifica Foundation

Employer identification number

94-1347046

Part I

Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17.

Form 990-EZ filers are not required to complete this part.

1

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a		Mail solicitations	e		Solicitation of non-government grants
b		Internet and email solicitations	f		Solicitation of government grants
c		Phone solicitations	g		Special fundraising events
d		In-person solicitations

2a

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

YesNo

b

If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(i) Name and address of individual or entity (fundraiser)		(ii) Activity	(iii) Did fundraiser have custody or control of contributions?		(iv) Gross receipts from activity	(v) Amount paid to (or retained by) fundraiser listed in col. (i)	(vi) Amount paid to (or retained by) organization
			Yes	No










Total . . . . . . . . . . . . . . . . . . . .

3

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

For Paperwork Reduction Act Notice, see the Instructions for Form 990or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2014

Page 2

Schedule G (Form 990 or 990-EZ) 2014

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

VerticalRevenue

		(a) Event #1 (event type)	(b) Event #2 (event type)	(c) Other events (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	300,800			300,800
2	Less: Contributions . . . .	196,317			196,317
3	Gross income (line 1 minus line 2) . . . . . .	104,483			104,483

VerticalDirectExpenses

4	Cash prizes . . . . .
5	Noncash prizes . . . .
6	Rent/facility costs . . . .
7	Food and beverages . . .
8	Entertainment . . . .
9	Other direct expenses . . .	105,863			105,863
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .				105,863
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .				-1,380

Part III

Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

VerticalRevenue

		(a) Bingo	(b) Pull tabs/Instant bingo/progressive bingo	(c) Other gaming	(d) Total gaming (add col.(a) through col.(c))
1	Gross revenue . . . . .

VerticalDirectExpenses

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .	105,863			105,863

6

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

7

Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow

8

Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

9

Enter the state(s) in which the organization conducts gaming activities:

a

Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .

YesNo

b

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .

YesNo

b

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2014

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Schedule G (Form 990 or 990-EZ) 2014

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11

Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .

YesNo

12

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? . . . . . . . . . . . . . . . . .

YesNo

13

Indicate the percentage of gaming activity conducted in:

a

The organization's facility . . . . . . . . . . . . . . . . . .

13a

%

b

An outside facility . . . . . . . . . . . . . . . . . . . .

13b

%

14

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? . . . . . . . . . . . . . . . . . . . . . . . .

YesNo

b

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

c

If "Yes," enter name and address of the third party:

Name

Address

16

Gaming manager information:

Name

Gaming manager compensation right arrow

$

Description of services provided right arrow

Director/officer Employee Independent contractor

17

Mandatory distributions:

a

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? . . . . . . . . . . . . . . . . . . .

YesNo

b

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

$

Part IV

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).

Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2014

Additional Data

Software ID:	14000265
Software Version:	2014v6.0