SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2017
Open to Public
Inspection
Name of the organization
SIERRA HOUSE INC
 
Employer identification number

99-0278492
Return Reference Explanation
FORM 990-EZ MENTAL HEALTH KOKUA ("MHK"), A TAX EXEMPT SEC 501(C)(3) ORGANIZATION, ACTS AS A MANAGING AGENT AND SOCIAL SERVICE PROVIDER FOR SEVERAL HOUSING URBAN DEVELOPEMENT PROJECTS, INCLUDING THE REPORTING ORGANIZATION. THE ORGANIZATION REIMBURSES MHK FOR EXPENSES INCURRED ON ITS BEHALF, AND CERTAIN MHK BOARD MEMBERS ALSO SERVCE ON THE REPORTING ORGANIZATION'S BOARD.
FORM 990-EZ, PART I, LINE 16 EXPENSES OFFICE EXPENSE 1,133 LICENSE & PERMITS 11 TOTAL 1,144
FORM 990-EZ, PART I, LINE 20 PRIOR PERIOD ADJUSTMENT -426
FORM 990-EZ, PART II, LINE 24 ACCOUNTS RECEIVABLE 35 7,855 PREPAID EXPENSES AND DEFERRED CHARGES 426 0 FURNITURE AND EQUIPMENT 7,336 0 LESS ACCUMULATED DEPRECIATION 7,336 0 TOTAL 461 7,855
FORM 990-EZ, PART II, LINE 26 ACCOUNTS PAYABLE AND ACCRUED EXPENSES 948 785 DEFERRED REVENUE 402 411 TENANT SECURITY DEPOSIT 892 644 DUE TO MENTAL HEALTH KOKUA 0 13,691 MORTGAGE AND OTHER NOTES PAYABLE 619,900 619,900
FORM 990-EZ, PART III OWN AND OPERATE AN AFFORDABLE HOUSING PROJECT FOR ADULTS WITH SERIOUS MENTAL ILLNESSES.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2017


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